• Title/Summary/Keyword: 병원재이용

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A Study on Trust and Commitment between Buyer and Supplier of Industrial Parts, and Their Usage of Information Technology (산업재 부품 구매자와 공급자의 신뢰와 몰입, 그리고 정보기술의 이용에 관한 연구)

  • Kim, Jong-Hun;Yun, Hui-Taek
    • Proceedings of the Korean DIstribution Association Conference
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    • 2006.08a
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    • pp.47-68
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    • 2006
  • This study aims to determine the association structure of the behavioral relationship variables, such as trust, commitment, cooperation, communication and coercive power, in the relationship between the buyers and suppliers of industrial parts. It also investigates the impact of the use of IT technologies on the relationships quality. Data was collected from 216 part suppliers of machinery, electronics and automobiles located in Incheon. Data supported all of the proposed hypotheses. First, it was confirmed that parts suppliers' trust in buyers leads to the commitment into relationships with buyers. Second, cooperation and communication showed a positive influence on parts suppliers' trust in buyers, and coercive power gave a negative influence on trust. Third, the use of IT technologies like Internet and E-Mail between parts suppliers and buyers was verified to have generally a positive influence on the quality of relationships. At the same time, cooperation and communication were confirmed to have a positive influence on each other, and cooperation and coercive power as well as communication and coercive power were confirmed to have negative influence on each other. This study is a pioneering attempt to examine the relationships between suppliers and buyers of industrial parts, and the influence IT technologies on the relationship quality. Also, the findings will be practically much helpful to find how to reinforce the relationships between parts suppliers and buyers.

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Psychological Characteristics Related to Subjective Satisfaction Level of Oral Malodor Treatment Outcome (구취 환자의 주관적 치료 만족도와 인성적 특성의 상관관계에 관한 연구)

  • Jang, Min-Wook;Han, Song;Kim, Young-Ku
    • Journal of Oral Medicine and Pain
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    • v.24 no.4
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    • pp.387-396
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    • 1999
  • 구취를 주소로 내원한 환자 중 구취의 치료 후 객관적인 구취의 감소가 인정되는 데도 불구하고, 계속해서 구취를 호소하며 만족해 하지 못하는 환자들의 심리적 특성을 알아보고자 하였다. 구취를 주소로 서울대학교 치과병원 구강진단과 구취클리닉에 내원하여 검사 및 치료를 시행한 환자 중, 치료 전 객관적 구취의 소견을 보였으나, 치료 후 할리미터 수치의 객관적인 감소를 보이는 40명의 구취 환자를 대상으로 하였다. 치료 전, 모든 환자들은 자신의 주관적 구취 심도 및 그로 인한 불편감 정도를 표시하였고, 간이정신진단검사 (SCL-90-R)를 시행하였으며 할리미터를 이용하여 구강내 휘발성황화합물의 농도를 측정하였다. 치료 후, 구강내 휘발성황화합물의 농도, 주관적 구취 심도 및 불편감 정도를 재측정하였다. 주관적 구취 심도의 감소 정도에 따라 환자들을 두 군으로 분류하여 할리미터 수치와 불편감 정도 및 간이정신진단검사항목을 비교, 분석하였다; A군-주관적 구취 심도가 평균값 이상으로 감소한 환자군; B군-주관적 구취 심도가 평균값 이하로 감소한 환자군. 1. 치료 전후 모두에서 주관적 구취 심도와 휘발성황화합물 농도 사이에는 유의한 상관관계가 없었으며 주관적 구취 심도의 감소 정도 또한 휘발성황화합물의 감소 정도와 상관관계가 없었다. 2. 치료 전 휘발성황화합물의 농도는 치료 후 휘발성황화합물의 감소치와 유의한 상관관계를 보였다 (p < 0.01). 3.구취로 인한 불편감 정도는 주관적 구취 심도와 유의한 상관관계를 보였으며 (p < 0.01), 치료 후 A군에서는 유의하게 감소 (p < 0.01) 하였으나, B군에서는 유의한 감소를 보이지 않았다. 4. B군은 A군에 비하여 간이정신진단검사 항목 중 대인예민성과 우울증의 항목에서 유의하게 높은 수치를 보였다 (p < 0.05).

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Open Heart Surgery Through other than Full Sternotomy in Adults (성인에서 최소절개를 이용한 개심술)

  • 이재원;송명근
    • Journal of Chest Surgery
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    • v.31 no.6
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    • pp.576-580
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    • 1998
  • This study is to clarify the results of atrial septal defect(ASD) repair and mitral valve surgery through right anterolateral thoracotomy since 1989, and those of more generalized application of minimal invasive cardiac surgery since August 1997. We retrospectively analyzed the results of open heart surgery(OHS) through other than full sternotomy carried out until October 1997. There were 28 cases of OHS done through right anterolateral thoracotomy(17 cases of ASD, 4 cases of mitral valve repair, 6 cases of mitral valve replacement, and 1 redo mitral and tricuspid valve repalcement) which has demonstrated no surgical mortality or morbidity except only 1 case of reoperation for bleeding. During the period between August and October 1997, we performed near routine application of upper sternotomy or transverse sternotomy in aortic valve cases and routine application of minimal incision in cases with ASD and there was no evidence of early and late complications associated with this approach. We conclude that OHS with the use of minimal incisions is very safe, cosmetically excellent, and superior in terms of the amount of bleeding. The indication for minimal incision, therefore, should be extended afterwards.

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학술자료 III: 국내에서 한(생)약제의 현황과 그 적용을 통한 가축질병방지체제 연구동향

  • Ryu, Il-Seon
    • Journal of the korean veterinary medical association
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    • v.46 no.12
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    • pp.1106-1117
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    • 2010
  • 과거 한국의 식품 오염원 중 법적인 규제 등을 통해 구체적인 통제가 이루어지지 못하고 있는 것이 축산물의 항생제로 알려져 항생제 오 남용으로 인한 내성균의 출현으로 비상이 걸렸던 적이 있었다. 요즘은 항생제를 지나치게 많이 사용해 가축이나 인체 내의 병원성 미생물들이 내성이 생겨 문제가 되고 있어 2011년 7월부터 가축용 사료에 항생제 첨가가 금지하게 된다. 한국은 항생제 내성률 1위로, 2000년 세계보건기구(WHO)에 따르면 대표적 항생제인 페니실린에 대한 폐렴구균의 내성률이 70%로 세계 1위이다. 어느 보고서에 따르면, 축산물 1톤을 생산하는 데 사용되는 항생제가 스웨덴이나 뉴질랜드, 덴마크 등 축산 선진국이 31~44g에 불과한데 비해 한국은 911g에 이른다. 투여 경로는 배합사료에 포함된 양이 54%, 농가의 임의 치료가 40%, 수의사 처방은 겨우 6% 순으로 나타났다. 그러나 OECD 회원국 중 수의사 처방 없이 항생제의 임의 투여를 허용하고 있는 나라는 한국뿐이다. 세계보건기구(WHO)에서는 가축사료에 항생제를 첨가하지 말 것을 권장하고 있으며, 유럽연합(EU)도 항생제는 반드시 수의사의 처방에 의해서만 사용토록 제한하고 있다. 최근 국립수의과학검역원에 의하면, 축산용 항생제 사용량이 2008년에 비해 18%, 2001년에 l해 무려 38%가 감소되었으며, 이중 닭은 20%, 소의 항생제 사용량은 36%가 감소하였다고 밝혔다. 사육 가축들의 항생제 오남용을 줄이기 위해서는 사료에 첨가하는 항생제나 성장호르몬, 비소 투여 등의 투여 대신에 미생물 생균사료나 녹차사료, 한약재사료 등의 천연면역물질을 함유한 사료를 먹여 스트레스를 덜 받고 면역력 증강에 좋은 사료를 먹여 키운 건강한 가축으로 생산한 육류는 맛도 특별히 좋다. 본 자료의 대부분은 금년부터 3년간 농촌진흥청 국립축산과학원과 중국청도농업대학과 "고품질 축산물생산을 위한 중약제를 이용한 질병방지체제 연구"라는 과제로 공동협력연구를 수행하게 됨에 따라 지난 11월 4일부터 10일까지 필자가 중국 청도농업대학을 방문하여 세미나시 발표한 자료임을 밝혀두며, 국내 수의학 연구에도 도움이 되고 저 소개한다.

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Design and Implementation of IoT based Urination Management System (사물인터넷 기반의 배뇨관리 시스템 설계 및 구현)

  • Lee, Hak-Jai;Lee, Kyung-Hoon;Kim, Young-Min
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.1
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    • pp.209-218
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    • 2017
  • Healthcare services can be provided through a number of independent service platforms for measurement of vital signs, diagnosis and prevention of diseases, and Information and communication technology(ICT) such as internet and mobile are converged to provide health information to users at anytime and anywhere, and it is in the center of the IoT(Internet of things). Accordingly, in this paper, we designed IoT based urination management system and evaluate the performance. A low - power Zigbee network was constructed for the configuration of the urination management system. The implemented capacitive diaper sensor was operable for the duration of 2,000 hours. We also built a database server using Raspberry Pi, a tiny embedded device, and stored the collected data to verify the data through an Android-based mobile application. The proposed urination management system can be utilized not only for the older patients, but also for the infants.

Determining Relative Weights of Criteria for Evaluating National Quarantine Station by the Analytic Hierarchy Process (AHP방법(方法)을 적용(適用)한 국립검역소(國立檢疫所) 평가준거(評價準據)의 가중치(加重値) 결정(決定))

  • Yong, Yeong-Mun;Lee, Moo-Sik;Na, Baeg-Ju;Kim, Cheol-Ung;Kim, Gwang-Hwan;Yoo, In-Sook
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.817-820
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    • 2009
  • 신종 및 재출현 전염병이 지속적으로 유행하고 해외 전염병의 국내유입가능성이 증대됨에 따라 국립검역소의 검역관리 사업의 효율성 평가는 매우 중요하다. 연구는 평가 구성요소 사이의 상대적 중요도, 즉 가중치(weight) 부여에 있어서 과학적 타당성을 인정받고 있는 계층분석절차(Analytical Hierarchy Process; AHP) 기법에 의한 이원비교방법을 사용하여 설정하였다. AHP기법은 복잡한 다기준 의사결정문제(multi-criteria decision making problem)를 계층화하여 단순화 체계화시킴으로써 그 영향도를 계량화하는데 탁월한 기법이라는 평가를 받고 있다. 실제 측정에 있어서는 본 모형을 이용하여 얻어졌다. 대영역(기관평가영역, 서비스 및 프로그램평가 영역), 중영역(투입, 과정, 결과, 검역업무, 검사업무, 위생관리업무, 병원체조사감시업무, 전염병예방홍보 교육업무)으로 구분하여 최종적으로 평가지표로 선정된 지표는 실제 국립검역소 사업에 적용하였으며, 이에 대한 최소한의 평가지표를 최종 선정하여 향후 국립검역소사업 평가체계를 보다 체계화 하였다.

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Effect of Hospital Selection Factors on Patient Satisfaction and Reuse Intention (병원선택요인이 환자만족도 및 재이용에 미치는 영향)

  • Shim, Gyu-Beom;Kim, Min-Ho;Kim, Weon;Shin, Moon-Ju
    • The Korean Journal of Health Service Management
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    • v.8 no.2
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    • pp.37-48
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    • 2014
  • This study was performed to identify effects of hospital selection factors on patient satisfaction and reuse intention. For this purpose, a survey was performed subject to outpatients and inpatients in 10 hospitals located in Busan district from March 7, 2013 to June 21, 2013 and total 447 copies were used as final study data. As results of this study, it was found that among the hospital selection factors of outpatients, internal conditions and medical service gave effects to patient satisfaction and internal conditions, service of medical staffs and medical service gave effects to reuse intention. It was found also that among the hospital selections factors of inpatients, internal conditions, service of medical staffs and medical service gave effects to patient satisfaction and external conditions, internal conditions, service of medical staffs and medical service gave effects to reuse intention. It was suggested that in the effect of patient satisfaction on reuse intention, both inpatients and outpatients gave the effect and thus higher patient satisfaction was related to higher reuse intention. Therefore, instead of hospital-centered medical treatments, hospitals should restructure its medical and service systems that are patient-centered. Also, it is necessary for the hospital managers to recognize that patient satisfaction is an important factor in increasing its profit.

Spinal Syringomyelia Secondary to an Intracranial Microcystic Meningioma in a Dog (개에서 척수공동증을 동반한 소낭성 뇌수막종 1례)

  • Won, Sangcheol;Kim, Jae-Hoon
    • Journal of Veterinary Clinics
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    • v.31 no.5
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    • pp.439-444
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    • 2014
  • A 5-year-old, 2.7 kg female maltese dog was presented a local veterinary clinic with one week history of hindlimb lameness associated with patellar luxation. Reduction of bilateral medial patellar luxation was operated using trochlear resection and lateral reinforcement technique. Three weeks after the surgery, the dog showed bending spine with pain in thoracic and lumbar region, continuous ataxia and intermittent convulsion. Magnetic resonance imaging scanning revealed a hyperintense mass in right frontal lobe of brain and abnormal cavitation from cervical cord to third lumbar cord. Histopathologically, neoplasm in brain composed of meningothelial cells showed loosely reticular or lace-like morphology with numerous extracellular cystic spaces of variable size and shape. Neoplastic cells were positive for vimentin and negative for neuron specific enolase and glial fibrillary acidic protein. Irregular shaped enlarge central canal-like cavity was existed in cervical and lumbar cords. In our best knowledge, this report described the clinical findings, imaging and histopathologic characteristics of unusual intracranial microcystic meningioma with secondary syringomyelia in a dog.

Shipboard sewage treatment using Membrane Sequence Batch Reactor (MSBR을 이용한 크루즈선 오·폐수 처리 장치)

  • Kim, In-Soo;Lee, Eon-Sung;Oh, Yeom-Jae;Kim, Eog-Jo
    • Journal of Navigation and Port Research
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    • v.34 no.5
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    • pp.383-388
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    • 2010
  • Lab scale experiment study was carried out for biological process development on cruise. SBR(Sequence Batch Reactor), MBR(Membrane Bioreactor), and MSBR(Membrane Sequence Batch Reactor) system were investigated for practical application on shipboard sewage treatment. From the results it was suggested that MSBR system might be suitable process for cruise in terms of pollutant removal efficiency, maintenance and special environmental conditions of cruise. About 99% of BOD, 98% of COD and 99% of SS were removed in MSBR system. In addition, about 76% of total nitrogen was reduced and the total phosphorus reduction averaged 59%.

Screening of Anti-thrombotic Activity of Herbal Extracts in Ferric Chloride-induced Thrombosis Model (경동맥 혈전 유발 동물모델을 이용한 한약재 추출물의 효능 검색)

  • Park, In Sil;Lee, Ki Mo;Lee, In Sun;Han, Jae Il;Jeon, Won Kyung
    • The Korea Journal of Herbology
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    • v.28 no.5
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    • pp.33-38
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    • 2013
  • Objectives : The aim of this study was to examine anti-thrombotic effect of traditional herbal extracts in a rat model of ferric chloride ($FeCl_3$)-induced carotid arterial thrombosis. Methods : Thirty minutes prior to a 35% $FeCl_3$ application, Sprague Dawley(SD) rats were injected with the 10 types of traditional herbal extracts (100mg/kg, intraperitoneal injection), respectively. The effect of these herbal extracts was examined for time to occlusion(TTO) using the Laser doppler flow meter and measured for thrombus weight (TW) in $FeCl_3$-induced thrombosis model. Results : In the TTO, Salvia miltiorrhiza (Sm, $2.30{\pm}0.28$ min, p<0.001) and Santalum album (Sa, $2.19{\pm}0.19$ min, p<0.001) showed significantly delayed TTO more than twice compared with Saline-treated group. Cnidium officinale (Co), Psoralea corylifolia (Pc), Scutellatia baicalensis (Sba), Panax notoginseng (Pn), Angelica tenuissima (At), Scrophularia buergeriana (Sbu), Rhus verniciflua (Rv) and Picrasma quassioides (Pq), except for Rhus verniciflua (Rv) also meaningfully impeded TTO more than one fold. In addition, Salvia miltiorrhiza, Santalum album, Cnidium officinale, Psoralea corylifolia and Scutellatia baicalensis significantly reduced TW more than 10% compared with Saline-treated group. Especially, Salvia miltiorrhiza and Santalum album showed the most excellent anti-thrombotic effect among the 10 herbal extracts tested on the restoration of altered TTO and TW. Conclusions : These results suggest that Sm and Sa extracts have outstanding anti-thrombotic effect in $FeCl_3$-induced thrombosis model and is potentially useful as herbal medicines for the treatment and prevention of thrombosis.