• 대한한방소아과학회지
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• 제25권2호
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• pp.73-87
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• 2011

Objectives: This study is to investigate life style and weight control based on the body mass index, and tongue diagnosis in adolescent girls. Help controling unnecessary weight and establishing proper understanding of desirable body images and healthy life for adolescents are expected. Methods: The questionnaire surveys and physical examinations were conducted to examine the life style, weight-control behaviors, and the health status of 173 adolescent girls in Jeonju. Among the students surveyed, 162 answered seriously and were accepted as subjects for the study. Results: 1. The mean height was 160.4 cm and weight was 54.21 kg. The mean BMI of the girls was 21.1 kg/m2, which is normal. The percentages of the normal weight group (71.6%), overweight group (16.7%), obesity group (9.9%), underweight group (1.9%) were shown respectively. 2. The oriental medicine doctor examined the tongue diagnosis. The thin and white tongue fur was the most common (20.7%). This diagnosis showed no statistical significance to BMI. 3. The ideal height for the girls was 165 cm, and the ideal weight was 49 kg. 4. A considerable number of girls (50.6%) thought that a thin body figure was the most beautiful body shape for the women. 5. Even though the percentages of an actual overweight or obese group were 26.6%, 42.0% of the girls thought that they were plump. 6. 94.83% of the normal weight group concerned about the weight regulation. 7. Many girls were dissatisfied with their own body shape, and 86.9% of girls regarded being in a shape was important. 70.69% of the normal weight group answered that they were under stress of their body shapes. Conclusions: The findings of this study demonstrate that there are serious misconceptions on body shapes of the adolescent girls, and mostly, unnecessary and inadequate weight control behaviors were done. Therefore, establishing adequately education on their desirable body images and healthy life is needed for the adolescent girls. In this study, there is no significant relationship between BMI and tongue diagnosis. For the number of subjects is not enough, further study on the relationship between the two is expected.

• 한국병원경영학회지
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• 제12권3호
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• pp.47-67
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• 2007

This paper aims at suggesting several ways lo change financial vulnerability and to improve managerial capability of local public hospitals (LPHs) in Korea through the identification of factors affecting profitability. Several findings of the research are as follows: To begin with, LPHs exhibited a statistically significant difference in their profitability from one another, according to tile analyses of their profitable margins from tile general characteristics. It depends on the number of hospitals in the area, the population of the hospital-built area, the number of competing hospitals, the number of staff per 100 beds, the opening of special clinic, the educational function, and the capacity of rooms. However, there was no variable in the managerial characteristics, presenting a significant difference, in contrast with hospitals which have been managed by private companies and made a great amount of profits. Second, according to the analyses of profit differences in behavioral effort-characteristics, a statistically significant difference was revealed upon the basis of the efforts to improve the clinic service, invite special patients, and shorten the period of being hospitalized. Third, the result of analyses about the difference of profitability from medical care and finance is statistically significant in the rate of labor cost, the rate of management cost, bed-occupancy rate, and the period of being hospitalized. Fourth, according to the analyses of the factors influencing the net profit ratio of the entire capital, Adjusted explanatory power(Adjusted $R^2$) was shown up to 65.2%, which is high. To compare the adjusted explanatory power stage by stage, the first stage model applying only two variables such as structural and strategic characteristics exhibited 23.8%, and the second stage model adding financial characteristics showed 51.5%. The explanatory power was much improved up to 65.2% when the third stage model incorporated the outcome of medical care performance. When the return on investment(ROI) was examined by using the multi-variate linear regression analysis at the final model of third stage, it was found that ROI had a positive relationship with the increase rate of patients, labor costs per doctor, and medical care rate of socially protected inpatients. However, it revealed that ROI had a negative relationship with the ratio of labor costs, the number of patients per managerial staff, and occupancy rate of rooms, respectively. The research suggests that in order for LPHs to increase profitability, LPH, should make efforts not only to attract patients to the hospitals without any discrimination of the patients depending on their financial status, but also to develop efficient management methods to reduce labor costs.

• 벤처혁신연구
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• 제4권3호
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• pp.49-67
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• 2021

본 연구는 병원고객의 만족도와 관련한 중요한 원인으로 제안될 수 있는 병원서비스품질과 감정적 애착, 지각된 가치가 어떠한 영향을 미치는지를 구조적으로 파악하고, 특히 병원서비스품질과 고객만족도 간의 관계에서 감정적 애착과 지각된 가치의 역할을 파악하였다. 이를 위해 중소병원을 찾는 고객을 대상으로 설문조사를 실시하여 수집한 자료로 구조방정식모형분석을 실시한 결과는 다음과 같다. 첫째, 고객이 느끼는 병원서비스품질은 감정적애착과 고객만 족도에 유의한 영향을 미쳤으며, 지각된 가치에는 유의한 영향을 미치지 못하였다. 둘째, 고객이 느낀 감정적 애착은 지각된가치와 고객만족도에 유의한 영향을 미쳤다. 셋째, 서비스품질과 고객만족도 간의 관계에서 고객이 느낀 감정적 애착은 유의한 매개효과를 가졌다. 이상의 결과를 통해 병원을 찾는 고객이 느끼는 서비스품질은 의사역량과 의료기술 역량에 대한 애착으로 이어져 이러한 애착에 의해 고객만족도가 높아지는 것을 확인하였다. 이 결과를 토대로 얻은 시사점은 다음과 같다. 즉, 병원을 찾은 고객들이 느끼는 서비스품질이 고객만족도로 이어지기 위해서는 무엇보다도 그들이 가질 수 있는 감정적 애착에 중점을 두고 서비스품질의 개선전략방안을 모색해야 한다는 것이다. 즉, 고객이 의사의 역량과 의료기술에 대한 역량에 대해 높은 신뢰를 가질 수 있도록 우수한 의료진과 의료기술을 구축해야 하며, 이러한 역량을 효과적으로 나타낼 수 있는 홍보전략을 수립해야 할 것이다. 이러한 노력에 의해 고객들은 의사와 의료기술에 대한 애착을 강하게 느끼게 됨으로써 병원에 대한 만족도가 제고될 수 있을 것이다.

• 벤처혁신연구
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• 제5권1호
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• pp.19-37
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• 2022

본 연구는 중소병원의 생존을 위한 전략 방안 모색 차원에서 고객의 지속적인 관리를 위한 재이용의도를 제고할 수 있는 원인이 무엇인지를 찾고자 하는 것에 목적을 두었다. 이를 위해 구조적 관계를 검정하는 직접효과에 대한 가설과 애착의 매개효과 가설 그리고 병원이미지에 대한 조절효과 가설을 제시하였고, 이를 검정하기 위해 경기도에 소재하고 있는 5개 중소병원의 서비스를 경험한 고객을 대상으로 조사 및 분석을 하였다. 그 결과는 다음과 같이 나타났다. 첫째, 중소병원 고객의 지각된 가치가 재이용의도에 미치는 영향은 지각된 가치의 모든 하위요인들은 재이용의도에 유의한 영향을 미치지 못하였다. 둘째, 중소병원 고객의 지각된 가치와 재이용의도 간의 관계에서 애착의 매개효과를 검정한 결과, 의사역량에 대한 애착은 품질가치와 재이용의도 간의 관계와 감정적가치와 재이용의도 간의 관계 및 사회적가치와 재이용의도 간의 관계를 유의하게 매개하였고, 의료기술역량에 대한 애착은 품질가치와 재이용의도 간의 관계와 가격가치와 재이용의도 간의 관계를 유의하게 매개하였다. 셋째, 병원이미지는 품질가치와 의료기술역량 간의 관계을 유의하게 조절하고 있다. 이상의 결과를 통해 중소병원 고객의 재이용의도를 높이기 위한 전략으로 고객이 지각하는 가치의 전략을 수립해야 하는 바, 이 가치의 전략적 목표설정을 '애착의 증진'으로 삼아야 할 것이며, 병원이미지가 중소병원 고객의 지각된 가치와 애착을 조절하므로 고객이 의사와 의료기술에 대한 애착을 더욱 높이 평가할 수 있는 이미지 전략을 수립해야 할 것이다.

• Journal of Preventive Medicine and Public Health
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• 제26권2호
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• pp.251-267
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• 1993

연폭로의 정도와 자각증상과의 관계를 알아보기 위하여 435명의 연폭로 남자 근로자와 212명의 일반 사무직 남자 근로자를 대상으로 연폭로 지표가 되는 혈중 연, 혈중 Zinc Protoporphyrin(ZPP), 요중 Delta-aminolevulinic acid(DALA), 혈색소, 혈구 용적 측정을 위한 혈액 시료 및 소변 시료를 채취하여 분석하였고, 연관련 자각증상 조사는 14개의 증상 조사 항목을(표 3 및 별첨 1) 피검자가 응답 하도록하여 상담 의사의 면접을 통한 확인을 거쳐 수집 하였다. 수집된 각 항목은 인체 조직계 증상군별로 1) 위장관계 증상 2) 신경과 근육 및 관절계 증상 3) 일반 체질적 증상 4) 정신과적 증상으로 구분하여 연폭로 지표 수준과 연폭로 작업 여부에 따른 자각증상 호소율을 비교 조사하여 얻은 결론은 다음과 같다. 1. 연폭로군에서 대조군보다 유의하게 높은 자각증상 호소율을 보인 증상군은 신경과 근육 및 관절계 증상으로 "손이나 발이 저리거나 쥐가 잘난다", "관절이 아프거나 쑤신다", "손가락, 손, 발 등에 힘이 없다", "근육통을 느낀다" 순 이었다. 2. 연폭로군과 대조군의 자각증상 호소율에 가장 큰 차이를 보인 증상 항목은 "손이나 발이 저리거나 쥐가 잘 난다"였으며, 전체 조사 대상에서 가장 높은 증상 호소율을 보인 증상 항목은 일반 체질적 자각 증상군의 "전보다 피곤감을 느낀다"였다. 3. 전체 조사 대상의 혈중 연과 혈중 ZPP 수준에 따른 연폭로량의 증가와 자각증상 호소율의 증가를 보인 증상 항목은 신경과 근육 및 관절계 증상군의 "손이나 발이 저리거나 쥐가 잘난다", "관절이 아프거나 쑤신다", "손가락. 손 발 등에 힘이 없다", "근육통을 느낀다"와 위장관계 증상군의 "아랫배가 아파서 고생한 적이 있다"였다. 4 연폭로군에서 혈중 연과 혈중 ZPP 수준에 따른 연폭로량의 증가와 자각증상 호소율의 증가를 보인 증상 항목은 신경과 근육 및 관절계 증상으로 혈중 연의 증가에 따라 증상 호소율이 증가하였다. 5. 연폭로군에서 39세 이하 와 40세 이상 연령군으로 나누어 비교시 39세 이하 군의 증상 호소율이 40세 이상 군보다 높게 나왔으며. 신경과 근육 및 관절계 증상이 39세이하 군에서 혈중 연의 증가와 함께, 40세 이상 군에서 혈중 ZPP의 증가와 함께 자각증상 호소율의 증가를 나타냈다. 6. 연폭로 지표에 따른 폭로수준과 증상 호소율과의 관계를 알아보기 위하여 대조군에 대한 폭로군, 연폭로군의 저농도 폭로군에 대한 고농도 폭로군의 교차비를 산출한 결과 신경과 근육 및 관절계 증상군의 "손이나 발이 저리거나 쥐가 잘난다", "관절이 아프거나 쑤신다", "손가락, 손, 발 등에 힘이 없다", "근육통을 느낀다"와 위장관계 증상군의 "아랫배가 아파서 고생한 적이 있다"가 연폭로량의 증가에 따른 교차비의 증가를 보여 양-반응의 관계를 추정할 수 있었다.

• 한국응급구조학회지
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• 제3권1호
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• pp.43-54
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• 1999

This study is attempted for the purpose of clearly understanding the stressors which emergency medical technology students experience during clinical practice, giving guidance in desirable direction and improvement of clinical practice, and giving the basic materials so that emergency medical technology students may practice effectively. The design of this study was a descriptive survey. The subjects in this study were 59 emergency medical technology students who were 2nd grade in D college. The collection of questionnaires took 3 days from September 1, 1999 to September 3, 1999. This researcher explained the purpose of this study to students, after they agreed to this survey, the researcher gave the questionnaire to them, had them answer the questions and collected the questionnaire immediately. Data analysis included percentage, mean and standard deviation, t-test and ANOVA trough SPSS computer program. The results of this study are, briefly, as follows; 1. In 'satisfaction-degree to specializing in the science of emergency medical technology' 27.1% of the subjects is revealed as 'satisfied' and in 'satisfaction-degree of clinical practice', 8.5% of the subjects is revealed as 'satisfied'. 2. Viewed from each of the categories of stressors which emergency medical technology students experience during clinical practice, 'ideals and values' is the category in which emergency medical technology students experience most severe stress at a mean 3.25 and 'personal relations' is the category in which emergency medical technology students experience mildest stress at a mean 2.82. The total stress degree mean is 3.06, which emergency medical technology students experience during clinical practice is revealed as 'moderate' stress. 3. Considering the stressor involved in each category, the results are as follows; (1) In 'environment', 'orientation to the hospital before clinical practice' is revealed as the most severe stressor at a menu 3.44. (2) In 'personal relations', 'relations with doctor and nurse' is revealed as the most severe stressor at a mean 3.59. (3) In 'role', 'unilaterally when their role is seems to be obscure' is revealed as the most severe stressor at a mean 4.10. (4) In 'ideals and values', 'difference between college practice and hospital practice' is revealed as the most severe stressor at a mean 3.88. (5) In 'activity', 'repetition of simple and functional work during clinical practice' is revealed as the most severe stressor at a mean 3.98. (6) In 'total stress factors', 'unilaterally when their role is seems to be obscure' is revealed as the most severe stress factor at a mean 4.10 and 'relations with comrade students' is revealed as the stress factor causing mildest stress at a mean 2.20. 4. Considering the relationship between the categories of stressors and the general characteristics, the results are as follows; (1) 'Environment' is revealed as being positively correlated with 'satisfaction degree of clinical practice'(F=3.53, p= .0359). (2) 'Ideals and values' is revealed as being correlated with 'sex'(t=-2.31, p= .0240) and 'satisfaction degree of clinical practice'(F=3.31, p= .0438).

• Perspectives in Nursing Science
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• 제7권1호
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• pp.50-54
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• 2010

The studies of M. Colombo (1989) and W. Lange (1992) showed that 30~40% of people became chronic after suffering from hepatitis B virus (HBV) and C virus (HCV) infection, and about 50% of the chronic cases transformed into primary liver cancer. There have been few studies done in Mongolia on hepatitis infection among health professionals, particularly in nurses. In a study done by Chimedsuren (8), the study showed that 19.4% of people with identified surface hepatitis B antigen (HBsAg) and antibodies to hepatitis C virus and 8% of people with the identified nucleotide of RNA for the hepatitis C virus (polymerase chain reaction) had an acute form of hepatitis C. Studies on the hepatitis virus genome damaging effect on liver cells showed that genotype 8 (A, B, C, D, E, F, G, TTV) had the most damaging effect on liver cells (Hahn and Faeka, 2007). Several studies have shown a relationship between hepatitis B virus infection and a lack of compliance regarding safety regulations and rules by medical personnel. Results of a study from the Maternal and Child Health Research Center showed that tests done to detect hepatitis B virus antigen and antibodies to C virus did not reveal anything. Both antigen and antibodies in 69% cases did not show, and separately, B virus and antibodies to hepatitis C virus were identified in 13% and 9%, respectively. Results of the tests taken from health personnel in Shastin Central Hospital showed that in 76% of the cases, the B virus antigen with C virus antibodies was not identified. In 8% of the cases, the B virus antigen was present on its own. The combination of B the virus antigen and C virus antibodies were present in 8% of nurses and doctors, respectively. 82% of the cases had negative results for the detection of a combination of B virus antigen and C virus antibodies taken from health personnel from the State Central Clinical Hospital whereas the B virus antigen and C virus antibodies by themselves were present in 7% and 14% of the cases, respectively. Combined cases of the B virus antigen and C virus antibodies were identified in 4% of the personnel. Results of the tests taken from the health personnel in the Hospital of the Ministry of Justice and Internal Affairs showed that in 79% of the cases, the B virus antigen with C virus antibodies were not identified. Separately, the B virus and antibodies to hepatitis C virus were identified in 8% and 13% of the cases, respectively.

• 대한간호학회지
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• 제4권3호
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• pp.105-116
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• 1974

This study was made on patients who were Hospitalized due to sickness caused by the abuse of marihuana at the Psychiatric Section of a hospital during the period from Feb. to Oct., 1974. The following conclusion was obtained by reviewing the literature with respect to the nursing, and problem solving of those patients. 1. It appears that marihuana is a comparatively mild intoxicant in ordinary preparation without causing physical dependence or tolerance. 2. According to the status of men who are marihuana smokers, approximately 20% of them were college students, those preparing to retake college entrance examinations, non-employed and pharmacists. The men belong mostly to the middle foreigner′s mistress of higher, income bracket, and in the case of women, most of the smokers were US. servicemen entertainers. 3. Dynamic developmental factors: Case 1. : The patient had a characteristic, hysterical and emotionally unitable character, and was of low intelligence, In addition, to this already existing problem, the added uses of marihuana caused a mental illness to develope. Case 2 : The character, was reserved and introspective, her creative power and sentiment was fading and his ability of self-control was weakened. She used the smoking of marihuana to get rid of her own feeling of inferiority complex and tensions coming from interpersonal relationships. Case 3 : The patient was unconditionally resistive to the authoritativeness of superiors and irresponsible in his relationship with women, in his attitude concerning sex in general. He smoked marihuana because he felt become peace-loving and get enchanted experience through smoking it. 4. The points of issue appearing from the above case; (1) Movement of anti-social feelings against the "established system" by the youngsters. (2) Family problem. (3) Shamelessness, loss of motivation, disorderly attitude toward the sex, (4) Worries concerning the future. (5) Lack of knowledge concerning smoking of cigarette and marihuana. Chronic use of marihuana made, those youngman who had originally been ambitions to achieve something in life, lazy, inefficient, unable to make long-term plans, are such weak mined persons that they did not try to overcome problems when encountered. This will pose a great and important question in the mental health of the society, 5. Treatment and Problem sieving According to the literature, we will have to place importance upon hospitalized treatment The phases of treatment were divided into five parts. (1) Prehospital phase (2) Withdrawal Phase (3) Rehabilitation phase (4) Transitional phase (5) After-care phase The experiments have proved that there was much progress in the recovery of patients through environment therapy, supportive therapy and group psychotherapy. This was the above mentioned 5 phases of treating process in accordance with the weekly schedule of the hospital. It was thought that the patients would require prolonged after care management even after they were released from the hospital and that they will also require periodic visit, to the hospital and doctor′s interview with their family. In conclusion, the question of the young generation and marihuana smoking is becoming a great social problem in which their resistances to the "established system" and society is growing in the from of antiestablishment movements. In our country, the smoking of marihuana is gradually developing, therefore, I think, that it would be a very fortunate thing for us, if this report could be helpful for the motivation of further study on the questions of the young generation and its problems.

• Journal of Hospice and Palliative Care
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• 제20권3호
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• pp.167-172
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• 2017

말기 간경변은 간이식이 아니면 근본적 회복을 기대하기 어려운 질환으로, 환자와 가족의 장기간의 고통을 수반하기에 호스피스 완화의료적 접근에 대한 고려가 필요하며 이와 관련된 논의와 법규 정비가 이루어지고 있다. 말기 간경변에 따른 여러 증상은 다양한 중증도를 갖기에 그 대상자를 선별함에 주의가 필요하고, 일반적으로 Child-Pugh 분류상 C단계의 비대상성 환자들 중 적극 치료해도 호전되지 않는 간신증후군, 간성 뇌증 및 정맥류 출혈 환자로 한정하고 있다. 간이식이라는 완치적 치료법이 있는 점도 호스피스 완화의료적 접근 전에 충분히 환자 및 가족들과 상의 되어야 한다. 이러한 의학적 상태에 대한 판단은 때론 다변적이고 경계가 모호한 경우가 많아, 장기간의 진료와 평가를 기반으로 하는 것이 바람직하다. 따라서, 말기 간경변 환자에서 호스피스 완화치료 대상자의 선별은 전문 치료와 호스피스 완화치료 사이에 균형을 이루고 최선의 치료가 될 수 있도록, 간질환 전문가를 비롯한 여러 전문가들의 상호 협의와 다학제적 접근을 통해 이루어져야 한다. 본문에서는 호스피스 완화의료적 측면에서 말기 간경변이 갖는 특징과 고려해야 할 사항에 대해서 간략히 검토해 보고자 한다.

• 한국안광학회지
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• 제12권3호
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• pp.105-110
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• 2007

본 연구는 광주지역 고등학교 3학년생 111명 222안을 대상으로 굴절상태를 자각적, 타각적 검안을 토대로 조사, 시행하여 안질환이 없는 학생의 비정시의 정도 및 굴절상태를 연구하였다. 눈의 형태는 근시가 85% 원시가 1% 그리고 정시가 14%로 나타났다. 굴절 이상안은 단순근시 38%, 근시성 단난시 4%, 근시성 복난시 56%, 단순원시 0%, 원시성 단난시 0%, 원시성 복난시 2%, 혼합난시 0% 순이었다. 난시의 축은 직난시 92%, 도난시 6%, 사난시 2%순이었다. 난시의 굴절력은 0.5D에서 1.0D가 68%, 1.0D에서 2.0D가 25%, 2.0D 이상이 7% 이었다. 근시성 굴절 이상안의 등가구면 굴절력은 -0.50D에서 -2.0D 이하 26%, -2.0D에서 -6.0D 이하에서 55%, -6.0D 이상이 19% 이었다. 안경 착용률은 74%로 20년 전에 비해 증가함을 알 수 있었다. 검안은 안경원에서 91%, 안과에서 9% 이었다. 최근 시력검사가 5개월이 넘은 학생 중에 안경렌즈 교체가 필요한 등가구면 굴절력이 0.5D가 넘은 경우는 80% 이었다.