• 한국병원경영학회지
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• 제18권1호
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• pp.18-41
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• 2013

This study was aimed to identify the current status of medical service quality of medical institutes; propose improvements; and find out the impact of medical service quality by its attribute on overall customer satisfaction. The research was conducted on the out-patients and in-patients in a high-level general hospital located in A city. To examine the research, the IPA was utilized to identify the priority requirements for improving the medical service quality. The study also applied an extended theory to the analysis on mismatch between the level of satisfaction and importance recognized by the clients, to examine the impact of the above mentioned factors on the overall satisfaction and intention to revisit and recommend the hospital. For out-patients, the result showed that "hospital hygiene" had a positive and negative impact on the clients' intention to revisit the hospital in priority improvements. In terms of the sustainable improvements, "doctor's skill" had a negative impact on the overall service satisfaction, whereas "state-of-the-art facility" and "nurse's instruction" had a positive impact on the intention to revisit the hospital. In long-term improvements,"complaint remedy" had a positive impact on the intention to recommend the hospital but there were no relevant factors in excessive investment. On the other hand, for in-patients, the result demonstrated that there were no relevant factors in priority improvements and sustainable improvements. The factor of"service procedure speed"had a positive as well as negative impact on the intention to revisit the hospital. In excessive investment,"nurse's empathy"had a positive impact on the intention to recommend the hospital.

• 한국과학교육학회지
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• 제35권3호
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• pp.395-402
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• 2015

본 연구는 과학 창의성에 대한 인식이 교사와 학부모, 학생들 간에 다를 수 있고, 이러한 관점의 차이는 실제 과학 창의성을 지도하고 격려하는데, 또 계발하는데 영향을 준다고 보았다. 이에 과학 창의성의 특성에 대한 교사들의 자유응답과 문헌조사를 바탕으로, 과학 창의성에 대한 대립적 관점 16개 항목을 추출한 후, 초중등 학생, 예비교사(사범대학생), 초중등 교사, 학부모 652명을 대상으로 16개 항목에 각각 동의하는 정도를 설문조사하였다. 조사결과, 모든 항목에서 대상자의 1/4 이상이 기존의 문헌에서 나타나는 과학 창의성에 대한 관점과 다른 관점을 가지고 있는 것으로 나타났다. 또 기존의 관점과 다른 관점을 가진 대상자가 특별히 많은 경우가 무엇인지 알 수 있었고, 대상자들 간에도 서로 대립되는 관점을 가진 두 그룹으로 나누어지는 항목들이 무엇인지 알 수 있었다. 이로부터 대상자들의 관점이 과학 창의성의 지도와 격려 및 계발에 미칠 수 있는 영향에 대해서 논의하고, 앞으로 필요한 연구를 제안하였다.

• 생물환경조절학회지
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• 제4권1호
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• pp.43-49
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• 1995

양액재배에서 제주송이가 다른 배지와 비교하여 방울토마토의 수량 및 품질에 미치는 영향과 양액성분 변화를 조사하여 제주송이를 양액재배용 고형배지로 실용화하기 위하여 시험한 결과는 다음과 같다. 1. 건엽비, 건과비, 당산비는 1익㉣ 1회 1시간 담액후에 완전 배액한 구에서 높았다. 2. 방울토마토 생과중은 상위 화방으로 갈수록 암면구와 담액수경구는 작아졌으나, 송이구와 일향토구, 펄라이트구 등 고형배지경에서 무거웠다. 3. 방울토마토의 생육이 왕성한 시기에 양액성분중 다량원소를 분석한 결과는 송이 재배구에서 인산과 칼륨 농도가 낮았다. 4. 방울토마토의 수량과 당도는 암면과 일향토구에서 높은 경향을 보였다. 5. 일반적으로 양액재배에서는 수분의 증발과 식물의 수분 흡수 증산작용으로 비료염의 농도가 높아가는데 송이구도 다른 고형배지경과 비슷한 결과를 보였다. 6. 제주 송이 양액재배용 고형배지로 손쉽게 이용할 수 있는 가벼운 자재로 가공개발 연구가 있어야 할 것으로 본다.

• 생물환경조절학회지
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• 제5권1호
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• pp.15-22
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• 1996

오이(샤프 1호)와 암면, 톱밥, 버미큘라이트+펄라이트+피트모스를 1:1:1(이하 체적비임), 펄라이트+피트모스 1:1, 펄라이트+훈탄 7:3, 왕겨와 10mesh 이하로 분쇄한 왕겨 7:3의 비율로 각각 혼합한 배지를 공시하여 배지의 물리성과 작물의 생육 및 수량을 조사하였다. 함수율은 10 mesh 이하로 분쇄한 왕겨에서 42.5%로써 타 배지에 비하여 높았고, 펄라이트와 훈탄을 7:3으로 혼합한 배지에서 31.8%로써 타 배지에 비하여 낮았다. 초장, 엽수, 생체중 및 건물중 등의 생육은 버미큘라이트+펄라이트+피트모스를 1:1:1로 혼합한 배지에서 왕성하였으며, 상품과율 및 수량도 생육과 같은 경향을 나타내었다. K를 제외한 식물 체내 모든 무기양분의 함량은 버미큘라이트+펄라이트+피트모스를 1:1:1로 혼합한 배지에서 높았으며, K의 함량은 펄라이트+훈탄 7:3에서 타 배지에 비하여 높았다.

• 대한심미치과학회지
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• 제24권1호
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• pp.13-24
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• 2015

임플란트와 주변 연조직에 대한 술식들이 발전함에 따라 임플란트를 통해 저작 기능 뿐 아니라 심미성의 회복도 가능하게 되었다. 최근에는 심미적인 면이 가장 중요한 상악 전치부에도 임플란트를 이용한 수복이 많이 이용되고 있다. 하지만 상악 전치부를 주변 조직과 조화되게끔 임플란트로 재건하는 것은 치과의사에게 여전히 어려운 일이다. 이를 위해서는 경조직의 재건, 연조직의 재건, 그리고 주변 조직과 어울리는 보철물의 제작이 이루어져야 한다. 본 증례에서는 이전의 여러 차례 수술로 인하여 상악 전치부 상실부위의 연조직, 경조직 손실이 심한 상태로 내원한 환자에서 연조직 증강술과 골이식을 시행하고 임시수복물을 통해 심미성을 개선시킨 임플란트 증례가 있어 보고하고자 한다.

• 한국세라믹학회지
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• 제41권3호
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• pp.253-258
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• 2004

Polyacrylamide(PAA) 겔법은 매우 간단한 중합법이며, 고분자 망상구조가 $\alpha$-Al$_2$O$_3$ 분말의 응집을 억제하므로 미 응집된 나노 크기의 $\alpha$-Al$_2$O$_3$ 분말은 polyacrylamide(PAA) 겔법을 통하여 성공적으로 합성되었다 본 연구에서는 황산알루미늄, acrylamide 및 N,N'-methylene-bis-acrylamide(BIS)의 여러 농도에서 합성된 겔 전구체를 공기 중에서 110$0^{\circ}C$, 2시간동안 하소시켜서 약 8-l5 nm의 직경을 가진 나노 $\alpha$-Al$_2$O$_3$ 입자들을 제조할 수 있었다. Acrylamide에 대한 황산알루미늄의 몰비를 증가시켰을 때는 나노 입자들의 크기는 변하지 않았지만, acrylamide에 대한 BIS의 몰비를 증가시켰을 때는 나노입자들의 크기는 작아지는 경향을 나타내었다.

• 한국환경보건학회지
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• 제41권3호
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• pp.147-162
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• 2015

Objectives: The objective of this review was to summarize the primary role of three representative endocrine axes in aquatic vertebrates and discuss the effects on endocrine systems and their interactions in teleost fish after exposure to environmental contaminants. Methods: We summarized individual traits and mechanisms for hormonal and transcriptional interactions between the hypothalamic-pituitary-gonad (HPG), hypothalamic-pituitary-thyroid (HPT), and hypothalamic-pituitary-adrenal (HPA) axes in fish. We also provided a brief discussion on the effects of nonylphenol-induced toxicity on endocrine systems and their interactions in fish as a demonstration of holistic explanation. Results: Currently-available data showed that thyroid dysfunction is associated with reproductive toxicity due to changes in steroidogenic gene expressions and sex hormone levels as well as gonad glands in fish. As an example, we demonstrated that exposure to nonylphenol could induce estrogenicity in male fish by decreasing thyroid hormones, which contributes to increased aromatase expression. Although the mechanisms are complicated and involved in multiple ways, a number of studies have shown that sex steroids influence the HPT axis or the HPA axis in fish, indicating bi-directional crosstalk. Critically missing is information on the primary target or toxicity mechanisms of environmental contaminants among the three endocrine axes, so further studies are needed to explore those possibilities. Conclusions: This review highlights the interactions between the HPG, HPT, and HPA axes in fish in order to better understand how these endocrine systems could interact with each other in situations of exposure to endocrine disrupting chemicals.

• 한국환경보건학회지
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• 제43권6호
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• pp.532-544
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• 2017

Objectives: Because the amount of medical waste (i.e., health-care waste) generated in Korea is rapidly increasing and social concern against its safety is widespread, a number of issues related with medical wastes are being discussed. The purpose of this study is to compare diverse medical waste management systems worldwide and propose future directions of a medical waste management system in Korea. Methods: Literature review was conducted mainly on the WHO, and developed countries such as the European Union (Germany, Belgium and UK), Japan and the United States. For these countries, the data with respect to their systems for medical waste management ranging from the definition of medical waste to the whole processes of collection, transportation and disposal were summarized and compared. Results: The terminology and classification of medical wastes were not consistent for WHO recommendation, EU, Japan, US and Korea. Comparison of the collection, storage, transportation and disposal of medical waste showed that Korea had rather stronger regulations for medical waste management compared to developed countries including Belgium (Flanders region), Germany, Japan and the US. Considering that developed countries adopt rather flexible disposal system especially for general medical wastes which pose lower possibility of infection, Korean government could consider diversifying disposal methods other than incineration. It may also be very important to try to reduce the amount of medical wastes and enough capacity for off-site incineration are secured. Conclusion: Our study of international comparisons suggests that it is necessary to continue to identify advantages and disadvantages of the current medical waste management systems and establish more effective one in Korea.

• 한국식생활문화학회지
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• 제14권5호
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• pp.555-563
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• 1999

This study was executed for 300 mothers bringing up a child below 3 years in the area of Kangnung to assess the current weaning practice of infants. 24.6% of mother surveyed were breast-fed, 57.8% were formula-fed and 17.5% were mixed-fed. The rate of breast feeding was lower and the rate of bottle feeding was higher in infants whose mothers had more income or higher educational period or full-time job. Most of the respondents knew the significance of supplementary food. 41.4% of the subjects started weaning of their infants at 3-4 months, and 84.1% of them set on weaning in less than 7 months after babies were born. And 39.4% of the subjects finished weaning of their infants in less than one year. The infants of this study preferred the fruits and fishes to meats, vegetables and beans that served to them as supplementary food. Mothers showed deep interest in recipe of weaning food(48.5%), adequate quantity of weaning food(36.3%), information on commercial food for infants(32.2%), and sequence in which semi-solid food are introduced(31.9%). From these results, it is suggested that education program in primary health center for improvement of weaning practice of infants should be implemented reflecting needs of mothers.

• 한국물환경학회지
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• 제23권1호
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• pp.144-154
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• 2007

The acute and chronic toxicity of ambient and effluent water discharged to Lake Shihwa were investigated by using Vibrio fischeri, Daphnia magna and Oryzias latipes. Physicochemical characteristics including biochemical oxygen demand (BOD) and nine heavy metals in a total of 15 water samples were evaluated and were satisfied with relevant Korean Water Quality Standards (KWQS) except for Hg in one sample. Acute toxicity was observed in five samples collected from three sampling locations. When impacts on reproduction and growth after chronic exposure were evaluated with D. magna, all the samples showed significant chronic effects. Reproduction appeared relatively more sensitive endpoint. In 21 days chronic tests on O. latipes, survival, mean egg number per female per day, hatching success rate and time to hatch were affected by increasing sample concentration. The organ-level changes such as gonadosomatic index (GSI), and hepatosomatic index (HSI), and molecular biomarker of vitellogenin (Vtg) induction that evaluated with O. latipes increased as exposure concentrations increased. It is noteworthy that the samples that did not exceed the KWQS resulted in acute and chronic toxicities. The results suggested that numeric criteria based on physicochemical parameters may not be protective of aquatic ecosystem. Acute and chronic toxicity tests with organisms representing different trophic groups should be supplemented in order to provide adequate level of environmental protection.