• Journal of Chest Surgery
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• 제49권sup1호
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• pp.14-19
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• 2016

Background: This study uses the relevance index to understand the condition of regional medical service use for cardiovascular surgery and to identify the medical service use imbalance between regions. Methods: This study calculated the relevance index of 16 metropolitan cities and provinces using resident registration address data from the Ministry of Government Administration and Home Affairs and the 2010-2014 health insurance, medical care assistance, and medical benefits claims data from the Health Insurance Review and Assessment Service. We identified developments over the 5-year time period and analyzed the level of regional imbalance regarding cardiovascular surgery through the relative comparison of relevance indexes between cardiovascular and other types of surgery. Results: The relevance index was high in large cities such as Seoul, Daegu, and Gwangju, but low in regions that were geographically far from the capital area, such as the Gangwon and Jeju areas. Relevance indexes also fell as the years passed. Cardiovascular surgery has a relatively low relevance index compared to key types of surgery of other fields, such as neurosurgery and colorectal surgery. Conclusion: This study identified medical service use imbalance between regions for cardiovascular surgery. Results of this study demonstrate the need for political intervention to enhance the accessibility of necessary special treatment, such as cardiovascular surgery.

• 정보관리학회지
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• 제33권3호
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• pp.263-285
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• 2016

요즘 커뮤니케이션 수단으로 가장 각광받고 있는 도구는 소셜네트워크서비스(Social Network Service, 이하 SNS)로, 이용자들의 접근성과 편의성을 증진시키는 가장 효과적인 서비스로 자리 잡았다. 본 연구에서는 가장 대표적인 SNS 서비스 중 자동수집이 가능한 서비스인 트위터(Twittter)를 선정, 국내외 국립기록관의 트위터 운용 현황을 비교 분석하고 그 특징을 파악함으로써 이용자들의 관심도를 향상시키기 위한 활성화 방안을 제언하고자 한다. 이를 위해 미국의 NARA를 비롯해 영국의 TNA, 호주의 NAA와 국내의 국가기록원의 트윗(tweet)을 수집하고 이에 대한 정보 유형 분석과 시계열 분석을 실시하였다. 정보 유형 분석은 국립기록관이 제공하는 정보가 이용자의 정보 요구에 부응하는가를 살펴보는데 목적이 있으며 시계열 분석은 시간의 추이에 따른 이용자의 반응 추이를 살펴보는데 그 목적이 있다. 각국의 국립기록관 트위터 운용의 비교분석을 통해 4가지의 특성을 도출하였으며 이를 바탕으로 우리나라 국가기록원의 트위터 활성화 방안을 제언하였다.

• 한국ITS학회 논문지
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• 제14권2호
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• pp.39-53
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• 2015

본 연구는 서울시 유동인구조사자료를 활용하여 토지이용유형별로 보행량에 영향을 미치는 요인을 비교분석하였다. 우선, 조사지점 주변의 주거, 상업, 공업, 녹지 등의 토지이용을 바탕으로 K-평균 군집분석을 통해 5개의 군집으로 분류하고, 군집별 1일 및 시간대별 평균보행량의 차이를 비교하였다. 이어서, 군집별로 보행량에 영향을 미치는 요인을 3가지 공간적 위계의 설명변수로 구분하여 다중선형회귀분석을 통해 영향 요인을 규명하고 군집별로 차이점을 비교하였다. 분석결과, 보도 너비는 모든 군집에서 보행량의 증가요인으로 분석되었으나, 다른 변수들의 경우 군집별로 설명변수가 상이하고, 공간위계별로 영향력도 다른 것으로 나타났다. 본 연구의 결과는 향후 토지이용유형별 가로관련 정책을 수립하는 기초자료로 활용할 수 있을 것으로 판단된다.

• 여성건강간호학회지
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• 제7권4호
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• pp.596-609
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• 2001

This research is intended to study the dietary experiences by college women to promote women's health through the proper diet. The approach method was used grounded theory. The participants were selected 3 colleges in Seoul, Inchon, and Cheongju. The selected 15 women were college students who had a history of dietary experiences or who were on the way of diet at the time of the start of this research. The data were collected from August 2001 to October 2001. Data collecting method was a Focus Group Interview. The data were analysed by the Strauss and Corbin's method(1966). The results were showed that the 236 concepts in the dietary experiences were gathered into 48 sub-categories, eventually being integrated into 17 higher categories. 'Esthetic self-pursuit' is the core phenomenon of the dietary experiences. Such phenomenon is due to subjects physical problems, sense of comparison and desire of weight-loss. In the circumstantial context, the esthetic self-pursuit phenomenon is enhanced by social opinions, aesthetic senses, and the recognition of self-control. The interaction strategy of the esthetic self-pursuit can be intensified and sustained by will power, supporting systems, and accessibility. Through the dietary experiences, the body changes positive or negative figures. Following the sense of success or failure, the diet are sustained or abandoned accordingly. Therefore for the application of promoting health, an intervention strategy should be created a collect organized diet program in a social level not a private level.

• BMB Reports
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• 제31권2호
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• pp.149-155
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• 1998

The N199H variant of the EcoRI endonuclease has about twice the catalytic activity of the wild-type. A comparison of their biochemical characteristics, using synthetic oligonucleotides 5'-dAAAACTTAAGAAAAAAAAAAA-3' (KA) and 5'-dTTTTTGAATTCTTTTTTTTTT-3' (KT), helps to define the cleavage reaction pathway of these enzymes. Both EcoRI and EcoRI variant N199H were found to cleave singlestranded KA or KT about three times faster than the double-stranded forms, although the KT oligonucleotide was more susceptible. Using the ssDNA substrate in kinetic analyses, lower $K_m$ values were obtained for the N199H variant than for the wild-type at low (50 mM), as well as high (200 mM), sodium chloride concentrations. This difference between the endonucleases is attributed to a grealter accessibility for tbe substrate by the variant, and also a higher affinity for the DNA backbone. It also appears that the relative activities of the two enzymes, particularly at high ionic strength, are proportional to their populations in the monomeric enzyme form. That is, according to gel filtration data, half of the N199H molecules exist as monomers in 200 mM NaCl, whereas those of the wild-type are mainly dimeric. Consequently, the Asp199 residue of the EcoRI endonuclease may be implicated in the protein-protein interaction leading to dimerization, as well as in coupling to DNA substrates. In summary, it is proposed that active monomeric endonuclease molecules, derived from the dimeric enzyme, recognize and form a complex with a single stranded form of the DNA substrate, which then undergoes nucleophilic substitution and cleavage.

• 한국치위생학회지
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• 제8권3호
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• pp.139-148
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• 2008

A fluorine solution was used to measure the growth of S.mutans and the pH changes were also measured in order to find an effective and preventative dentistry lab within a limited time for the dental hygiene department curriculum and the following results were obtained. 1. In the growth comparison of S.mutans, the culture medium of the experiment group with fluorine weighed 0.3g and the culture medium with no fluorine weighed 0.5g, which shows that the growth rate of S.mutans is significantly decreased in the culture medium with the fluorine. 2. The pH7.8 of the culture medium was not nearly changed; it became 7.0 after culturing with fluoride, however the pH was significantly decreased to 3 in the culture medium that had no fluorine. 3. Since it has been proven that the fluorine can control the growth of germs, it is believed that the effect of fluorine as a cavity preventative should be emphasized to students and in addition, it will help students transmit the effect of fluoride to their patients since this knowledge has been acquired through practice. 4. It is considered that this is a simple test protocol providing effective results in the microorganism and preventive dentistry lab within a limited time and furthermore, it will furnish the students of dental hygiene with comprehensive accessibility to dental hygiene curriculum.

• Journal of Chest Surgery
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• 제46권4호
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• pp.265-273
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• 2013

Background: The safety and efficacy of arterial composite grafts for total arterial revascularization have been demonstrated. The saphenous vein (SV) is a widely used graft because of its accessibility, sufficient length, and ease of manipulation. Our aim was to compare mid-term outcomes of saphenous vein Y-grafts with radial artery Y-grafts joined by anastomosis to the left internal thoracic artery. Materials and Methods: Records of off-pump coronary artery bypass grafting with composite Y-grafts based on the left internal thoracic artery technique in 552 patients were analyzed retrospectively. After propensity score matching, 79 radial arterial (RA) composite grafts (RA group) and 79 saphenous vein composite grafts (SV group) were compared. The duration of mean follow-up was $24.6{\pm}14.6$ months (range, 1 to 55 months). Results: There were no differences in surgical mortality, all-cause mortality, or morbidity among the groups. Rates of 4-year survival were 91.7% and 96.3% in the RA and SV groups, respectively (p=0.519). The coronary reintervention-free survival rate and freedom from major adverse cardiovascular or cerebrovascular events were similar in the two groups (p=0.685, p=0.564). Conclusion: Construction of composite Y-grafts using the radial artery or saphenous vein showed similar mid-term results. Long-term follow-up and randomized trials will be needed to confirm our present conclusions.

• 보건행정학회지
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• 제12권4호
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• pp.18-33
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• 2002

This study was planned to investigate the difference in the choice of services between western and oriental medicine. Data were collected from 493 outpatients who visited the D hospital by structured questionnare. The results were as follows; The older aged groups, there were the more oriental medicine visitors, significantly Oriental medicine visitor had more experience to use the complementary food than western medicine visitor. In comparison of reason for service choice, the proportion of oriental medicine visitors was higher than western medicine visitor in considering of specialty of institution. In contrast, western medicine visitor had interest to 'newly-developed facility and equipment' and 'convenience and accessibility of service' as factor of service choice. In analysis of evaluation the service experiences, oriental medicine visitors evaluated the oriental medicine highly in 'therapeutic efficacy' and ' less side effect'. But western medicine visitor evaluated the western medicine highly in 'quick effect of therapy' and ' scientific apprach'. We concluded from result that there were difference in service choice behavior between western and oriental medicine visitor. We hope that these information will be applied to planning of consumer-oriented marketing strategy of hospital.

• 대한간호학회지
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• 제16권2호
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• pp.44-52
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• 1986

Maternal and child health(MCH) status is considered as an important indicator of the level of health and civilization of a community and a country. MCH services for the rural population in the remote ar deserves priority by the government, since more than half(52.9%) of the delivery was occured at home and almost half (45.5%) of the delivery was assited by family members or neighbors. The purpose of the study was to analyse the health fare behavior related to pregnancy and delivery, which can be contributed maternal health care policy mating for the rural people. Specifically, it was intended to analyze the variables which affect the health care behavior in selecting birth places and birth attendants. This study utilized the data which had been already collected for an experimental study on primary health program model in Korean rural communities, funded by the USAID. 184 sample households with women who had delivered a baby during March 1982 to February 1983 were selected. Discriminant Analysis was employed for statistical analysis by utilizing SPSS computer package program. Birth places and birth attendants were considered as dependent variables. Among 12 independent variables in 5 groups considered, 7 independent variables were found statistically significant to affect the selection of birth place. Significant variables by the order of importance are mother's age, order of baby, number of prenatal care, accessibility of emergency medical care, coverage of medical insurance, mother's membership in community organization and husband's educational level. The degree of correct classification of the grouped cases by employing a discriminant . analysis was significantly improved to 78.2％ in comparison to Cmax（56%) and Cpro(51%). Policy implications for each significant variable were discussed to improve the maternal and child health. in Korean ruralarea.

• 한국실내디자인학회논문집
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• 제16권6호
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• pp.125-135
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• 2007

A study on child care centers has been developed with a focus on normal children. Also the child care centers which take care of children with disability are rare. In Seoul, Korea, only 2% of children with disability are taken care of in childcare centers. And even the disabled children at the child care centers are mostly mentally or emotionally disabled because the building, programs and services of the centers are restrictive to the children with severe physical disabilities. In Korea, it is not yet an obligation for child care centers to adopt Disability Accessibility Guidelines to make facilities accessible by the disabled. Also, Korea does not have specific design guidelines or legal standards. This study aims to review the domestic and foreign legal standards and design guidelines which are applicable to child care centers for children with disability through a reference review. Korean legal standards, and US's ABA and ADAAG were analyzed. Two representative references such as "Creating Inclusive Child Care Facilities" published in US and "Design for access and mobility requirement for Children and Adolescents with Physical Disabilities" published in Australia were reviewed. As a result, we categorized the guidelines according to contents such as locations, areas, space organizations, nursing spaces, sanitary spaces, and doors and corridors. The goal of this study is to provide the basic information to develop domestic design guidelines to ensure that the child care centers are welcoming and usable for everyone possible.