• 한국의학물리학회지:의학물리
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• 제25권4호
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• pp.298-303
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• 2014

방사선치료안전보고시스템(ROSIS)을 기반으로 방사선치료 중 발생하는 사고의 경향성 및 유형별 빈도를 살펴보고 빈발사고의 유형과 발생원인, 발견 방법에 따라 향후 사고 유발인자 제어방법 연구의 발전방향을 살펴보고자 한다. 이에 따라 본 연구에서는 2003년부터 2013년까지 최근 11년간 1163건에 달하는 ROSIS 사고 자료에 대하여 분석을 수행하였다. 분석을 위하여 치료법, 발견 시점, 발견 방법, 발견자의 직종 등으로 규격화한 후, 각 항목별로 분류 및 백분율화 하였다. 근접사고(Near Miss)를 포함한 1163건의 사고 사례에 대하여 외부방사선치료가 97%이고 근접방사선치료가 2%로 조사되었으며 그 외 기타로 1%가 분류되었다. 계획 선량이 잘못 전달된 사례가 44% (497건)에 달했고 이중 대부분을 차지하는 429건(86%)이 3회 분할치료이전에 발견되었고 13건의 경우는 11회 분할치료 이후에 발견된 것으로 조사되었다. 또한, 발견 시점은 다양하게 분포되는 것으로 조사되었는데, 약 42%가 환자 치료 중에 발견되었고 29%는 차트 검사 중에 발견되었다. 방사선 사고 발견빈도가 가장 높은 직업군은 치료실에서 근무하는 방사선사(53%)인 것으로 조사되었다. 1163건의 사고 사례 중에서 환자치료 이전에 오류를 발견한 경우가 24% (273건)로 조사 되어 대부분의 사고(70%, 813건)는 사고가 발생한 이후에 발견된 것으로 조사되었다. ROSIS 분석을 통해 획득한 이러한 경향은 한국의 경우에서도 크게 다르지 않을 것으로 사료되므로 사고 예방과 조기 발견을 위한 보다 다양하고 체계적인 연구가 필요할 것으로 예상된다.

• 한국병원경영학회지
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• 제7권4호
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• pp.24-56
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• 2002

The purpose of this study was to analyze the characteristics of socio-demographic, organizational culture, organizational conflict and organizational commitment, and to examine the interrelation of influential factors in the organizational commitment. The data for this study were collected through a self-administrated survey with a structured questionnaire to 1,027 subjects from several medical doctor staff members, nursing staff members, administration staff members, pharmacist, and technical expert of eleven hospitals. The data were collected by self-reporting questionnaire from July 29 to September 7, 2002. In this analysis frequency test, t-test, ANOVA, multiple regression were used. The main results of this research is as following; 1. According to socio-demographic characteristics the respondents' level of the organizational commitment was higher in a administration staff members than others, for males than females, and for employees aged more than forty, as working for longer time, and as higher level of the working position. 2. According to the organizational culture characteristics the progressive culture, affiliative culture, and task-focused culture among many types of organizational culture were moderately and positively correlated with the level of the organizational commitment while the hierarchical culture was negatively correlated. 3. According to the organizational conflict characteristics as the respondents who got less conflict experience in the organization, their level of the organizational commitment was higher. And, technical conflict experiences were expressed greater than hierarchical conflict experiences. 4. According to the job satisfaction characteristics as his or her satisfaction that is about the promotion, working itself, salary, and fellowship in the organizational was higher, the level of the organizational commitment was higher. The most important factor of the satisfactions was the fellowship among the respondents while the level of job satisfaction for the promotion and salary was average. 5. Overall, according to the result of Multiple Regression as older age and longer working hours, the level of the organizational commitment was higher and as a higher level of the satisfaction for the promotion, working itself, salary, and fellowship in the organization, it caused more effective factors for the organizational commitment. 6. According to the result of Multiple Regression for the doctor staff members in special hospitals rather than general hospitals the hierarchical culture and task focused culture was positively correlated with the satisfaction of working itself while hierarchical conflict factors in the organizational conflict characteristics was negatively correlated with the organizational commitment. For the nursing staff members the affiliative culture and the job satisfaction for the promotion, working itself, salary, and fellowship were positively correlated with the organizational commitment. For the administration staff members as the job satisfaction for the fellowship was positively correlated with the organizational commitment. For medical and pharmacy staff members as more working experience, correlation with the organizational commitment was positive. Besides, as he or she has a high perception of the affiliative culture, it caused statistically more effective factors for the organizational commitment. For the skill and technicians, male worker expressed greater organizational commitment in the organization than female worker. And also older age along with higher education also showed higher organizational commitment. Moreover, the job satisfaction for the fellowship was positively correlated with the organizational commitment. This study identified the major effective factors of the organizational commitment and analyzed the differences among the job category. In that respect, it is significant for the study to be able to provide a reference for managing hospital of industrial accident and organizational development. However, this study has a problem, which is not to identify a valuable model for examining the relationship between organizational factors such as organizational culture, conflict, satisfaction, and commitment. Therefore, further study is needed and strengthened in the field of organizational commitment for hospital for industrial accident.

• The Journal of Korean Physical Therapy
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• 제14권2호
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• pp.199-218
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• 2002

This study was conducted to examine obese children's self-efficiency feeling and health promotion behavior in order to provide basic information on prevention of children obesity. Data were collected in June, 2001 from 349 normal weight children and 351 obese children, who were fifth or sixth graders at 14 primary schools located in Seoul, Busan, Daegu, Gwangju, Ansan, chungju, and Gumi. The data were analyzed through using Chronbach's $\alpha$, frequency analysis, $X^2-test$, ANOVA, and Pearson correlation. The results of this study can be summarized as follow. 1. The factor of children obesity was significantly different in the variables of sex, parents obesity, brother or sister obesity, father's occupation, level of living, health condition, and satisfaction level with their bodies. On the other hand, it was not significantly different in the variables of father's education level, mother's education level, mother's occupation, level of father's concern about health, and level of the children's concern about health. 2. In the case of normal weight children, dietary efficiency feeling was significantly different in the variables of level of father's concern about health and level of children's concern about health. In th case of obese children, the dietary efficiency feeling was significantly different in the variables of mother obesity, parents' education level, father's occupation, and the children's satisfaction level with their bodies. In the case of normal weight children, exercise efficiency feeling was significantly different in the variables of sex, level of parents's concern about health, and level of the children's concern about health. In the case of obese children, the exercise efficiency feeling was significantly different in the variables of grade, brother and sister obesity, parents' education level, father's occupation, and the children's satisfaction level with their bodies. In the case of normal weight children, social efficiency feeling was significantly different in the variables of brother and sister obesity, parents' education level, level of parents' concern about health, and level of the children's concern about health. In the case of obese children, the social efficiency feeling was significantly different in the variables of parents' education level, father's occupation, level of living, the children's health condition, and the children's satisfaction level with their bodies. 3. In the case of normal weight children, personal hygiene was significantly different in the variables of sex, level of parents's concern about health, and level of the children's concern about health. In the case of obese children, the personal hygiene was significantly different in the variables of parents' education level, father's occupation, mother's occupation, level of living, and level of parents' concern about health. In the case of normal weight children, dietary habit was significantly different in the variables of sex, level of parents's concern about health, and level of the children's concern about health. In the case of obese children, the dietary habit was significantly different in the variables of father's education level, mother's education level, level of living, and the children's satisfaction level with their bodies. In the case of normal weight children, exercise habit was significantly different in the variables of grade, sex, father's education level, mother's education level, and level of children's concern about health. In the case of obese children, the exercise habit was significantly different in the variables of grade, mother obesity, parents' education level, father's occupation, level of parent' concern about health, the children's health condition, and the children's satisfaction level with their bodies. In the case of normal weight children, prevention of infectious diseases was significantly different in the variables of sex, father's occupation, level of parents' concern about health, and level of the children's concern about health. In the case of obese children, the prevention of infectious diseases was significantly different in the variables of mother's education level and father's occupation. In the case of normal weight children, prevention of accident was significantly different in the variables of mother's education level, level of parents' concern about health, and level of the children's concern about health. In the case of obese children, the prevention of accident was significantly different in the variables of brother and sister obesity and mother's occupation. In the case of normal weight children, mental health was significantly different in the variables of father obesity, brother and sister obesity, parents' education level, and level of the children's concern about health. In the case of obese children, the mental health was significantly different in the variables of parents' educational level, father's occupation, mother's occupation, level of living, and the children's health condition. 4. According to the correlation between self-efficiency feeling and health promotion behavior, the higher the self-efficiency feeling was, the higher the level of health promotion behavior was. 5. The children obesity was influenced by the factors of level of living, level of parents' concern about health, the children's health condition, level of the children's concern about health, the children's satisfaction level with their bodies, dietary efficiency feeling, exercise efficiency feeling, social efficiency feeling, personal hygiene, dietary habit, exercise habit, prevention of infectious diseases, prevention of accident, and mental health. From the results of this study, it is clear that obese children's self-efficiency feeling is closely related with health promotion behavior. Therefore, it is necessary to strengthen children's self-efficiency feeling in order to make children control efficiently obesity for themselves.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제12권1호
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• pp.103-113
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• 1990

The study was based on a series of 252 patient with facial bone fractures who visited to Chun Cheon Sacred Heart Hospital, College of Medicine, Hallym University during the period of Dec., 1984 trough Nov., 1989. The results obtained are as follows; 1. The most frequent etiologic factor was traffic accident(45.2%). 2. The ratio of male to female was 5.5 : 1 and 2nd decade(44%) was the highest age group in incidence. 3. Monthly incidence was the highest in Aug(14.3%). 4. The most common site of fracture was mandible(55.3%) and zygoma complex(24.2%), nasal bone(11.6%), maxilla(8.9%) were next in order of frequeny. 5. In mandible fractures, the most frequent site was symphyseal area(36.9%) and 142 cases(85%) had fractures only in mandible. 6. In maxillary fractures, fracture with other facial bones(85.2%) was more frequent than fracture on maxilla only. The major fracture type on maxilla was Le Fort II type. 7. In fracture of zygoma complex, zygoma & zygomatic arch was the most frequent site(52.0%) and zygomatic arch(24.7%), zygoma(23.3%) were next in order. 8. Open reduction was major method of treatment in facial bone fractures except nasal bone ; mandible(62.9%), maxilla(77.8%), zygoma complex(65.8%). 9. Maxillofacial fractures were most frequently combined with head & neck injury(43.1%), and upp. & low. extremities(29.4%), chest and abdomen(11.9%) were in order of frequency.

• 대한조선학회논문집
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• 제49권3호
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• pp.239-246
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• 2012

It is the well-known fact that most part of goods transported are moved on the unfavorable ocean and even a small amount of accident on sea is extremely dangerous for human lives, financial losses, and social responsibility. Among the several causes of accidents, those by fire have occurred frequently and their damage has been highly serious. The aim of this paper is to assess the risk of fires due to oil leakage in the machinery space. To define the possible fire scenario, our team has performed the search of casualty database and reviewed the previous and various studies in the field. As a result, it is noted that the quantitative risk of the fire scenario have been evaluated on the ground of the FSA risk model. The expected frequency of a fire amounts to incidents during the life of a ship, and the expected financial damage amounts to 5,654 USD per a ship. By adopting Safety Instrumented System (SIS) introduced in IEC 61508 and IEC 61511, SIS model is designed to prevent oil leakage fire as a risk reduction method. It is concluded that System Integrity Level (SIL) 1 seems to be appropriate level of SIS.

• 한국병원경영학회지
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• 제17권2호
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• pp.21-33
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• 2012

Purpose : This study aims to suggest application of patients DB to hospital marketing by performing market segmentation and selecting target market. Consequently help to establish suited strategy of marketing. Method : 14,072 patients hospitalized in a University Medical Center were recruited into this study. In order to classify the customer groups, cluster analysis was used with RFM(Recency, Frequency, Monetary) model, and 1-way ANOVA verified the differences among groups. And then, sociodemographical status, healthcare utilization and diagnosis(ICD-10) of each group were compared to draw a marketing strategy. Results : Four groups were classified through clustering analysis, and'high use and high profit' and'low use and high profit' groups were selected as a target market. The features of target market were as follows, the female proportion was high; used a private room; hospitalized through the emergency room; had operation; length of stay was long; had many comorbidity and cooperative treatment. There was difference in each feature of target market: as for the'high use and high profit' group, many patients were diagnosed with 'certain infectious and parasitic diseases'; and as for the'low use and high profit'group, the proportion of patients who purchased'industrial accident compensation insurance'and'auto insurance'was relatively high; many patients were diagnosed with'Injury, poisoning and certain other consequences of external causes'. Conclusion : It is needed to establish'positioning' strategy by monitoring and communicating with'high use and high profit' group. And for the case of'low use and high profit' group, it is necessary to make a follow-up management and lead them to have a medical check-up.

• 대한교통학회지
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• 제29권4호
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• pp.43-51
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• 2011

교통사고는 단일요인에 의해 발생하기도 하지만 대부분 다양한 요인이 복합적으로 작용하여 교통사고의 사후분석시 명확한 인과관계를 규명하는데 어려움이 있다. 본 연구에서는 초보운전자에 의한 교통사고를 대상으로 교통사고의 심각도에 영향을 주는 요인들에 대해 분석하였다. 사고발생 시 인명피해가 큰 보행자-차량 교통사고의 사고 심각도를 종속변수로 설정하고 사고 심각도의 증가에 유의한 영향을 미칠 것으로 판단되는 성별, 연령, 교통법규위반 횟수, 교통사고위치 등의 운전자 특성에 관련된 각종 변수들을 독립변수로 설정하여 운전자 운전 경력에 따라 분류하였다. 이항 로지스틱 회귀분석(BLR)을 적용하여 운전경력별 사고심각도 영향 요인을 도출하였다. 분석결과, 운전경력 그룹에 관계없이 운전자 연령, 교통법규위반 횟수, 교통사고위치가 보행자-차량 교통사고 심각도 증가에 영향을 미치는 것으로 나타났다. 본 연구에서 제시한 교통사고 심각도에 영향을 미치는 운전자 특성은 향후 운전자 인적 특성과 더불어 도로환경 및 차량관련 요소에 관련된 교통사고 심각도에 영향을 미치는 요인 분석에 효과적으로 사용될 것으로 기대된다.

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2012년도 춘계학술대회
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• pp.310-313
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• 2012

최근 간척사업으로 조성된 간척농경지의 영농에 있어 가장 빈번하게 발생하는 영농사고는 염수에 의한 농작물의 염해피해로 간척지를 농경지로 사용함에 있어 최우선적으로 선행되어야 할 과제는 제염화이다. 현재까지 간척지의 제염화를 위한 활발한 연구 및 기술개발이 진행되고 있으나, 현재의 기술로 단시간 내에 간척지를 제염화하는 것은 사실상 불가능한 실정이며, 간척농경지에 사용되는 관개용수 또한 대부분 간척으로 조성된 담수호나 조수간만의 영향을 받는 하구원의 수원을 염분 농도를 고려하지 않은 상태에서 이용하고 있어 기상조건, 배수갑문 오동작 등으로 인한 염분농도 상승에 의해 피해가 발생되고 있다. 본 논문에서는 WCDMA 모듈을 이용하여 외부 서버로 데이터를 전송을 수신받아 실시간으로 현재 염분 수치가 실시간으로 증가되는 그래프를 구현하였으며, 또한 일정 수치이상으로 올라가면 경보음을 알릴뿐만 아니라, 데이터가 실시간으로 저장되 사용자가 다시 확인할 수 있는 실시간 염분 모니터링 시스템을 구현 하였다.

• 한국산학기술학회논문지
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• 제13권10호
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• pp.4762-4767
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• 2012

열차의 위치를 검지하고 열차내연산(DTG)을 위한 각종 열차제어데이터를 차상으로 전송하는 AF궤도회로장치는 단일계로 구성되어 있다. 만약, 고장이 발생할 경우 선로전환기 및 신호기제어가 불가능하여 시스템이 복구되기까지 기관사에 의해 수동으로 열차를 운전하여야 한다. 이 과정에서 인적 오류는 열차지연, 충돌, 탈선 등 치명적인 안전사고 발생요인으로 작용한다. 따라서, 본 논문에서는 고장모드마다 시스템과 열차에 미치는 영향을 분석하였으며, 고장평점 및 고장등급을 계량화하였다. 계량화된 분석결과를 토대로 전원장치 독립설치, 증폭PCB의 결함콘덴서 원인분석 및 교체, 저항자 냉각시스템설치, 작업방법개선을 통해 고장발생건수 감소 및 신뢰성의 척도인 평균고장간격(MTBF)의 증가와 평균복구간격(MTTR)이 감소되었다. 그리고, 지금까지 경험에 의한 유지보수체계를 계량화된 방법에 의해 예측정비를 수행토록 하여 AF 궤도회로에 대한 신뢰성을 향상할 수 있도록 하였다.

• 수산해양교육연구
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• 제25권3호
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• pp.564-579
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• 2013

The purpose of Maritime Safety Tribunal is that experts about ship operation investigate and reveal causes of marine disasters and suggest plans to prevent recurrence in Korean Maritime Safety Tribunal which is a kind of administrative court. Despite the fact that 72% of marine disasters is fishing vessel accidents and 75% of collision accidents between vessels which most occur is related to fishing boats, it is the very serious problem that there is no any person with licenses of marine technicians for fishing vessels in judges and investigators of Korean Maritime Safety Tribunal. The operational characteristics of fishing vessels, their sizes, and shift patterns of duties in wheelhouses are completely and incommensurably different from those of merchant vessels. By the way, if the investigators and judges who just consist of merchant vessel experts investigate and judge marine accidents about fishing vessels, there could be errors in establishment of policies to investigate and reveal their causes and prevent recurrence of accidents. Especially, in case of collision accidents between fishing vessels and merchant vessels, it is thought that the marine accident interested provides causes which can be doubtful about fairness of judges. Therefore, it is thought that the ratio of judges and investigators is most desirable to compose it to be similar to the occurrence frequency of marine accidents. For this, the following solution plans are suggested. First, qualification for appointment requires first class marine technicians. But there is the only one vessel which needs the first class in fishing vessels. Therefore, it is thought that the provisory clause should be added so that the second class marine technicians can be used instead of the first class ones. Second, the marine accidents of fishing vessels reach 72% but the fact that there is no any judge and investigator with licenses of marine technicians for fishing vessels is thought to go against the purpose of establishment of Korean Maritime Safety Tribunal. Therefore, it is thought that there is, at least, one more judges and investigators in the central and local Korean Maritime Safety Tribunals. The same method should be applied to judge assistants and investigation assistants.