• 한국산학기술학회논문지
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• 제19권11호
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• pp.626-634
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• 2018

본 연구는 한국형응급환자분류도구(Korean Triage and Acuity Scale: KTAS)를 사용한 소아 중증도 분류의 정확성을 파악하기 위한 후향적 조사연구이다. 연구자료는 2016년 10월부터 2017년 9월까지 1개 권역응급의료센터, 1개 지역응급의료센터에 방문한 소아환자의 자료 중 무작위로 추출한 250건의 간호초진기록지와 진료결과였다. 수집된 자료를 검정된 전문가가 분석하여 true-triage를 정하였다. 중증도 분류 정확도는 응급실간호사의 중증도 분류 결과와 전문가의 true-triage결과와의 일치도로 평가하였다. 전문가 의견에 따라 중증도 분류 오류의 원인이 분석되었고, KTAS 등급과 퇴원, 체류시간, 진료비와의 연관성이 비교되었다. 연구결과 전문가와 응급실 간호사의 중증도 분류 등급은 높은 일치도를 보였다(weighted kappa=.77). 중증도 분류 불일치의 원인 중 활력징후 결과를 KTAS 알고리즘 기준에 잘 못 적용한 경우가 가장 많았다(n=13). KTAS 1,2 등급과 같이 중증도가 높을수록 퇴원이 적었다(${\chi}=43.25$, p<.001). 연령을 보정했을 때 KTAS 등급에 따라 체류시간(F=12.39, p<.001)과 진료비(F=11.78, p<.001)는 차이가 있었다. 본 연구결과 KTAS는 국내 응급실에서 높은 정확도를 보였으므로, 새로 개발된 중증도 분류 도구가 국내 응급실에 잘 적용되고 있다고 할 수 있다.

• 대한간호학회지
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• 제34권1호
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• pp.191-201
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• 2004

Purpose: This study aimed to evaluate economic viability of public health center visiting nurse services for the low-income elderly with long-term care needs. Method: The sample consisted of 252 community dwelling elderly who enrolled in public health center visiting nurse services for three months or more. Data was collected on physical (ADL and IADL) and cognitive impairments of the elderly, contents and frequency of visiting nurse services, cost per visit, and costs of alternative services for long-term care. Result: The mean score of ADL and IADL levels of the elderly was 2.80.4904, which indicated these patients were mostly independent. Eighty four percent of the elderly subjects were cognitively intact. Among visiting nurse services supplied, providing assessment was 34%, followed by education and counseling 26%, medication 22%, and referral. The mean cost per visit was 17,824.1 won, which transformed into a total cost per person per year of 161,130.2 won. Comparing the cost of a visiting nurse service with those of other long-term care alternatives, the visiting nurse service was the least costly alternative, followed by an outpatient clinic, hospital based home care, and nursing home. Conclusion: Overall, the results of the study provide evidence of the economic viability of visiting nurse services for the low-income elderly among long-term care alternatives.

• 서비스연구
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• 제11권2호
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• pp.95-105
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• 2021

본 연구는 KSC(kano, Score Model, Concept Position)평가방법을 활용하여 제공할 서비스디자인 만족도에 대한 정확도를 높이는 것이 연구의 목적으로 부산지역을 중심으로 6개 지점을 운영하고 있는 P사 헬스장을 중심으로 건강한 뉴실버세대를 위한 다양한 헬스장 서비스모델을 제시하여 사례연구를 진행하였다. 더블다이어몬드(Double Diamond)방법을 활용하여 P사의 5개 지점 중 연산점을 중심으로 사례연구를 진행하였는데 이는 연산점을 중심으로 노인을 위한 다양한 여가생활 인프라가 잘 구축 되어 있었기 때문이다. 본 연구를 통하여 고객에 대한 다양한 인사이트(Insight)를 추출하였고 발굴한 인사이트(Insight)를 기반으로 관리자와 트레이너의 관점에서 서비스디자인 모델을 최종적으로 9가지 도출하였다. 최종적으로 도출한 9가지 모델을 기반으로 카노(Kano)만족도 평가, 스코어모델(Concept Score), 콘셉트포지션(Concept Position)평가를 통하여 9가지 제시한 안들 중 3, 6번을 제외한 모든 안들이 유효하다는 것을 알 수 있었고 최종적으로 투자비용과 효과성으로 구분하여 실행 로드맵을 제안하였다.

• 한국식품조리과학회지
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• 제23권4호통권100호
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• pp.469-480
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• 2007

The purposes of this study were to assess the perception of the characteristics of Condonopsis lanceolata dishes and to find out the development need & willingness to purchase for Condonopsis lanceolata dishes in view of industrial foodservice dieticians. Of 250 questionnaires distributed, 152 completed questionnaires were used for the statistical evaluation. Statistical data analysis was using SPSS 10.0 program for descriptive analysis, $X^{2}$-test, t-test and analysis of variance. The perception score on the characteristics of Condonopsis lanceolata dishes varied according to the number of meals served, mean price of a meal, type of food service management, food cost variation, offering type, and intake frequency; however, perception score was not affected by the number of meal serving/day and the type of menu. Regarding processed foods containing Condonopsis lanceolat, the need for developing side dishes was the highest in processed foods using Condonopsis lanceolata, followed by alcoholic beverage, one dish foods, health foods, and desserts. The score for willingness to purchase dessert of Condonopsis lanceolata was the highest, followed by alcoholic beverage, one dish foods, health foods, and side dishes.

• 대한의용생체공학회:의공학회지
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• 제27권6호
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• pp.351-356
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• 2006

The purpose of this study is to investigate the gait characteristics in Parkinson's disease patients. Specifically, the total stance time and the ratio of each stance phase (heel strike, mid-stance, propulsion) are analyzed from the foot-pressure measurement system which requires low cost and small space compared to the conventional gait analysis system. The gait characteristics were analyzed in 23 Parkinson's disease patients (before and after L-dopa medication), 34 elderly (sixties) normal subjects and 21 young (twenties) normal subjects. Bradykinesia global score (self-developed score of slowness of body movement) of patients before medication was determined to see the relationship between the score and the gait characteristics. The total stance time was greater in the erde. of patients, elderly, youngs (p<0.05). The phase ratio of heel strike and propulsion was smaller and that of mid-stance was greater in the order of patients, elderly, youngs (p<0.05). However, there was no significant difference in the above gait characteristics of patients before and after medication. There was a tendency, though statistically non-significant, that the total stance time is longer and the propulsion phase ratio is shorter in patients with greater Bradikinesia global scale, and this tendency was relieved after medication.

• 성인간호학회지
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• 제29권2호
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• pp.143-153
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• 2017

Purpose: Purpose of the study was to identify the effect of the Comprehensive Education Program (CEP) on intra-procedure anxiety, post-procedure uncertainty and athletic performance of back strengthening of patients undergo spinal nerve block (SNB). Methods: The participants (experimental group=33, control group=33) were recruited from a university hospital in G metropolitan city. Data were collected from July to November 2015. The experimental group was individually provided with a booklet/motion picture about the SNB and back strengthening exercise training before the SNB. This group also received a leaflet about back strengthening exercise post SNB. The Anxiety-Visual Analog Scale (A-VAS), the Mishel adapted uncertainty scale and newly created knowledge scale/athletic performance checklist were utilized as our study tools. Results: Intra-procedure anxiety score (F=25.70, p<.001), post-procedure uncertainty score (F=82.56, p<.001), post-procedure knowledge score (F=14.63, p<.001) and athletic performance rate of back strengthening (p=.003) of the experimental group showed statistically significant differences in comparison with the control group. Conclusion: This CEP is a cost and time-effective intervention for patients who undergo spinal injections, so it should be actively utilized as an educational management strategy in outpatient.

• 대한물리치료과학회지
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• 제12권3호
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• pp.59-69
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• 2005

The purpose of this study was to investigate the effect of mental practice on the upper extremity function of the hemiplegic Patients, 8 subjects with hemiplegia patients participated in this study. They did the Mental Practice programme for twenty minute, two times a week, three weeks. The Mental practice effects was evaluated by Fugl-Meyer Assessment(FMA), Action Research Arm Test(ARA), Stroke Rehabilitation Assessment of Movement(STREAM). The data were analyzed using paired t-test. The result of this study are as follows: FMA score were significant difference test-retest(p<.05), ARA score were statistically significant improvement between test-retest(p<.05), On the STREAM, the patients had the score improved on 4 of the 10 items of the upper-extremity Scale. The result suggest that mental practice is a potentially useful method of practicing motor skills. Mental practice may be a cost-effective, non-invasive tool with wuhich patients with stroke can receive additional practice of functional skills, and realize greater outcome, than if therapy alone were used.

• 산업경영시스템학회지
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• 제44권1호
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• pp.17-25
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• 2021

Ammunition Demilitarization facility (ADF) should be set up the feasible goals and continue to operate, taking into account non-profit characteristics. However, due to the lack of performance measurement methods in ADF, which are essential to national policy at a significant cost each year, the reliability of the evaluation results can be insufficient. In this paper, the Balanced Score Card (BSC) method was applied that could be evaluated to reflect the financial and non-financial features. The relevant literature research and army regulations reflected the results of various interviews of the expert group. The extraction of success performance area in ADF was confirmed using the BSC method and the Decision Variable (DV) candidate was created to use regression for selecting the DV. Additionally, the key performance indicator was presented by verification the feasibility of content by conducting the survey of experts. The implications of this paper are as follows. First, the proposed BSC model was found to be suitable for practical use in ADF reflecting the non-profit characteristics. Second, accurate evaluation of ADF can contribute to long-term development of ADF. Finally, it can be applied to the management process of the other military sector, so it can be expected to play a role in providing basic data and spreading it to other areas.

• 국제학술발표논문집
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• The 6th International Conference on Construction Engineering and Project Management
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• pp.614-615
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• 2015

In these days, global construction market is speedily increasing and domestic construction companies have a chance of new contracts. In the meantime, international projects have been increasingly forced to cope with potential risks, which seriously impacted achieving the targeted time and cost. In this study, we introduce a computerized risk management system for international EPCS projects, which is constructed on the needs of practitioners and decision makers as an aid to proactively control the potential risks and to monitor continuously their status and variation. The system is called the Project Risk Management System (PRiMS) is useful for furnishing project managers with warning signals as a project is progressing and helpful for producing the total risk score and tracking risk variation.

• 감성과학
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• 제25권2호
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• pp.71-78
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• 2022

본 연구는 최근 기업체에서 많이 사용하고 있는 세무회계서비스에 대한 추천 의향을 조사하여 그 결과를 분석하는 것이다. 특히 비용이나 시간적 측면에서 상대적으로 어려움을 겪는 100인 이하의 소규모 기업체를 대상으로 하여 해당 기업체들에 더 나은 서비스가 되기 위한 방향성을 찾는 것을 목적으로 한다. 이를 위하여 100명의 기업체 관계자 대상으로, 회사 근무자 규모, 직급, 사업자 유형 등 사업체 기본 정보는 물론 이용 중인 세무회계서비스 형태, 서비스에 대한 추천 점수, 점수에 대한 이유, 기타 세무회계서비스 관련 의견 등을 조사한다. 특히 추천 점수는 단순 만족도를 묻는 일반적인 고객의 만족도 조사보다 고객의 의견을 파악하는데 더 효과적이라고 알려진 NPS(Net Promoter Score) 방식을 사용함으로써 더 효과적인 결과를 얻고자 한다. 조사 결과 추천도에 대한 NPS 점수는 -33점으로 나왔으며 이는 일반적인 NPS 점수 평가 기준을 참고할 때 낮은 편에 해당하여 세무회계서비스에 대한 개선이 필요하다는 것을 알 수 있었다. 더 구체적으로는 비추천 점수를 준 응답자들의 의견에서 불편하지도 편하지도 않고 그냥 무난해서 도움이 되는지 잘 모르겠다, 차별성이 없으며 대안도 특별히 없다 등의 의견이 있었음을 볼 때 비추천 점수를 높이기 위해서는 차별적인 서비스가 필요하다는 결론을 얻을 수 있었다. 본 조사는 100인 이하의 기업체 관계자를 대상으로 추천도 중심으로 조사한 것으로 이후에는 기업체 규모와 조사 항목을 더 다양하게 한 조사 진행이 추가로 필요하다.