• 한국병원경영학회지
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• 제7권4호
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• pp.57-101
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• 2002

These days, the environment of hospital marketing is changing rapidly. The level of expectation and demand of patients have become greater and more diversified, and patients have more alternatives in selecting hospitals. The standard of hospital selection and the type of using hospital have been changed, and competition among hospitals has been accelerated due to the opening of the medical market through globalization. Accordingly, differentiation strategies are critical in hospital marketing. The quality of medical service oriented toward patient satisfaction becomes a strong strategic weapon to secure a hospital's competitive advantage. Therefore, marketing and communication strategies should be focused on patient-oriented, rather than hospital-oriented. Considering the changes in the hospital environment and the increase in the patients' expectation level, this study categorizes doctors' communication styles into four different ones: trust-type, professional-type, cooperation-type, and control-type. The effects of these communication styles on patient satisfaction were empirically examined. The moderating roles of the patient's characteristics and clinical characteristics between the doctors' communication styles and patient satisfaction were also investigated to find out managerial implications for hospital management. To achieve such goals, data were collected from patients of 12 general hospitals in Busan. The data were analyzed to test research hypotheses that examine 1) the relationships between doctors' communication styles and patient satisfaction, 2) the moderating roles of the patient characteristics and clinical characteristics in the research model, and 3) the impact of patient satisfaction on positive word-of-mouth and repurchase. The following summarizes the major results of this research. First, the data showed that patient satisfaction varied across doctors' communication styles. Trust-type style had the strongest impact on patient satisfaction while control-type style had the weakest influence on patient satisfaction. Professional-type style and cooperation-type style also had positive effects on patient satisfaction but the impact of the two are not statistically different. Second, significant differences in terms of patient satisfaction were found depending upon demographic variables such as gender, marital status, age, occupation, and education. Patient satisfaction, however, was consistent across varying income groups. Third, patients' medical insurance types were also related to patient satisfaction. It implies that a doctor may need to use different communication styles depending on a patient's medical insurance type. Fourth, out-patient and in-patient showed a different level of satisfaction with varying communication styles. Fifth, highly professional knowledge and strong control can influence patient satisfaction depending on the characteristics of the patient treatment field. Sixth, patient satisfaction were proved to have significantly positive effects on word-of-mouth and repurchase. The implications drawn from this study must be tempered by its limitations. First of all, the subjects used in this study were patients in Busan and small- and medium-size hospitals were excluded from the research. Therefore, future research should examine the research model by using a variety of hospitals and clinics throughout Korea. Another research agenda has to do with finding more determinant and moderating variables which will increase an explanatory power of the model. In short, this study may be the first empirical research that investigates the effects of doctors' communication styles on patient satisfaction. Interestingly enough, the results showed that each communication style had a unique impact on patient satisfaction. The findings from this research can be very useful in developing hospital marketing strategies.

• 대한지역사회작업치료학회지
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• 제5권1호
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• pp.1-9
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• 2015

목적 : 본 연구의 목적은 뇌졸중 환자들의 우울, 인지, 일상생활활동이 삶의 질에 미치는 영향을 확인하고자 한다. 연구방법 : 연구 대상은 대구광역시에 소재한 K 재활전문병원의 입원 또는 외래 뇌졸중 환자 남 여 노인 50명을 대상으로 하였다. 일반적 특성, 인지, 우울, 일상생활활동, 삶의 질이 포함된 설문지를 통해 조사하였고, 총 57부 중에서 대상자 선정 기준에서 제외된 7부을 제외한 50부를 분석하였다. 결과 : 삶의 질에 영향을 미치는 변인들의 상관관계를 분석 한 결과 우울(r=-.460, p<.01)과 연령(r=-.481, p<.001)에서 부적인 상관관계가 나타났고, 인지(r=.458, p<.01), 일상생활활동(r=.560, p<.001), 교육수준(r=.338, p<.05)에서 정적인 상관관계가 나타났다. 최종적으로 뇌졸중 환자의 삶의 질에 영향을 미치는 변인은 우울(${\beta}=-.253$, p<.05), 연령(${\beta}=-.272$, p<.05), 일상생활활동(${\beta}=.279$, p<.05) 순으로 분석되었다. 결론 : 뇌졸중 환자의 우울과 일상생활활동 독립수준이 삶의 질에 영향을 미치는 주요 변인으로 파악되었다.

• 지역사회간호학회지
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• 제11권2호
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• pp.423-440
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• 2000

This research was conducted to identify the following: the home care needs of patients with dementia and the burden on the primary family care giver: to provide basic data required to develop nursing intervention for the care giver: and to suggest recommendations for medical institutions and social services that could reduce the burden on the families of people suffering from dementia. subjects of this research were 53 patients of the two Public Health Centers of Cheju Province who are suffering from dementia and their families. The instrument used in the research was Kuen. Jung Don (1994)' s assessment tool of burden in the primary family care giver who has parents with senile dementia and Yoo. Young Mi(1998)'s assessment tool of home care need. modified by the researcher in the questionnaire by a Likert rating scale. The period of data collection was from February 8. 2000 to March 10. 2000. Collected data was analyzed by SPSS, using mean, standard deviation. ANOVA, t-test and Pearson correlation coefficient. The result of this research was that there was not a significant correlation between the burden on the care giver and the level of dementia, its duration, the patient's ability to perform daily tasks, the period of care giving. and the use of social services, although the lower the patient's ability to perform daily tasks. and the worse the care giver's own health situation, the higher the burden on the primary family care giver. The following suggestions are made based on the results of this research. 1. More than half of the subjects don't use social facilities and services. More publicity and referral efforts are needed about medical institutions. nursing institutions and other facilities that specialize in services for dementia sufferers and their families. 2. Nursing services should include intensive education for the primary care giver in the most important aspects of home care. 3. Further research should be done, and should include data from all parts of Cheju Province.

• 지역사회간호학회지
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• 제12권1호
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• pp.278-287
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• 2001

The purpose of this study is to provide with basic information on application of hand acupuncture as a complementary and alternative therapy by giving some recognition of efficiency and effectiveness of hand acupuncture. And so, answers for questionnaires of 290 respondents were used for this research and collected from June 5 through 13, 1999 from adults twenty and over who were participating in the hand acupuncture training program in Seoul and had some direct experiences with hand acupuncture therapy, whatever they had been treated and/or had treated. To secure reliability of measurement tool. Cronbach'a has been calculated and Factor Analysis was done as Validity Analysis of question classification. Demograprucal characteristics of hand acupuncture experienced people and factors related to hand acupuncture experiences are calculated based on the real number and percentage. The degree of recognition of efficiency and effectiveness of hand acupuncture is made as average and standard deviation, while the degree of recognition of efficiency and effectiveness based on general characteristics come from one-way ANOVA. 1. According to socio-demographical analysis. the questioned could be classified firstly as age (40-49 : 32.5%. 30-39 : 24.9%. 50-59 : 21.9%. 60-69 : 14.7%. 20-29 : 6.0%). secondly gender (male 36.6%. female 63.4%). thirdly occupation (housewife: 43.8%. self-employed: 15.5%. company-employee: 14.8%). fourthly education (high school graduate: 41.9%, college graduate: 37.9%), and lastly monthly-income (1 to 2 million: 51.4%. 2 to 3 million: 20,3%) 2, As for the general aspects related to hand acupuncture. 80,0% of the respondents answered almost zero for the monthly average number of visit to hospital and 15.5% responded 1 to 2 visits, 6,2% of the respondents is complaining of a disorder of digestive system. 19,0% circulatory disease, 10.7% bad nervous system. By utilizing hand acupuncture, 84% of the questioned have following experiences in curing diseases: digestive system 47.3%, circulatory system 9.3%, nervous system 8.3%, 54,1% are curing 1 to 2 and 10.3% 3 to 4 patients on a daily basis with hand acupuncture. Research on the demerits of giving medical treatment with hand acupuncture shows 23,8% are feeling economic burden. 16.6% difficulty of learning and 16.2% weak theoretical backgrounds. 3. Among the efficiency recognition, possibility of general application is average 4,29 and simple treatment is 4,19. economic merits 4.36. possibility of establishment with supplementary and alternative medicine 4.17, medical effectiveness 4.09. 4, As a result of demographical analysis on the efficiency and effectiveness of hand acupuncture therapy, it appears that the recognition of efficiency based on occupation and the recognition of effectiveness based on monthly income are most significant to be noticed. In an orderly fashion. government-employee, self-employed, company-employee. and then housewife have perceived hand acupuncture very efficiently, And those who recognize hand acupuncture to be most effective are people earn 1 million to 2 million won a month, 5. The efficiency(p = .003) and effectiveness (p= .049) of hand acupuncture therapy by number of visit to hospital were statiscally significant, and effectiveness of hand acupuncture therapy by disease exist was statiscally significant (p= .033).

• 한국식품영양과학회지
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• 제34권6호
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• pp.885-891
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• 2005

SDE추출방법 과 GC/MS로 분석에 의하여 생마늘과 동결 건조마늘의 휘발성 유기성분을 비교하였다. 생마늘과 동결 건조마늘에서 각각 42종, 32종의 화합물이 확인되었으며 , 대부분이 황화합물이었고 alcohol류, aldehyde류, ester류도 확인되었다. Diallyl disulfide, diallyl trisulfide, allyl methyl disulfide, allyl methyl trisulfide는 생마늘과 동결건조마늘 에서 확인된 주요 황화합물이었다. 3-Methyl pyridine, 2-methyl-4-pentenal, 2,3,3-trimethyl-1,4=pentadiene, methional등 생마늘에서 확인된 화합물은 동결건조마늘에서 소실되었고 propanethiol, 2-ethyl-3-butenal, acetic acid 등은 동결건조마늘에서 확인되었으며, 전체적인 휘발성 유기성분의 총량에는 영향을 미치지 않는 수준이었다. 동결건조에 의 하여 마늘의 주요 휘발성 유기성분 중 diallyl disulfide, diallyl trisulfide, allyl methyl disulfide, allyl methyl trisulfide, diallyl sulfide,3-vinyl-4H-1,2-dithiin 등 대부분의 황화합물 함량이 감소하였으며 methyl propyl trisulfide, 3- allylthiopropionic acid, cyclopentyl ethyl sulfide 등은 증가하였다. 그 외 ethyl acetate, ethanol,2-propenol, 2-propenal, hexanal 등의 휘발성 유기성분이 증가하는 것을 확인하였다.

• 한국환경보건학회지
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• 제44권1호
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• pp.55-62
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• 2018

Objectives: This study set out to measure the heavy metal concentrations in waste water produced in the casting pickling process at dental technical laboratories and examine the actual state of its treatment. Methods:The investigator measured the concentrations of each heavy metal at 55 dental technical laboratories using an inductively coupled plasma optical emission system. Results: The annual usage of electrolytes was under 10 L in 50 (90.9%), and was 10L or more in five (9.1%) laboratories. Among the laboratories, 15 (27.3%) commissioned the treatment of waste,12 (21.8%) treated the waste with general sewage,and 28 (50.9%) treated the waste in aseptic tank. The arithmetic $mean{\pm}standard$ deviation and the geometric mean of chrome(Cr) were $75.3{\pm}50.9$ and 58.3 mg/L; those of cobalt (Co) were $112.3{\pm}106.7$ and 66.1 mg/L; those of nickel (Ni) were $62.9{\pm}83.5$ and 8.9 mg/L; those of molybdenum (Mo) were $17.1{\pm}13.4$ and 12.0 mg/L; those of iron (Fe) were $31.5{\pm}44.1$ and 6.2 mg/L; those of lead (Pb) were $0.3{\pm}0.3$ and 0.3 mg/L; those of beryllium (Be) were $3.6{\pm}3.6$ and 2.0 mg/L. The hydrogen ion concentration was under pH 2 across all the samples. Conclusions: The findings show that the dental technical laboratories were not doing well with the separation, storage, collection, and treatment of the electrolytes they discarded, and that most of the electrolytes were introduced through the general sewage or aseptic tank. The causes of this include alack of perception among the practitioners at dental technical laboratories and contracted companies avoiding collection for economic reasons. There is a need for education to improve the perceptions of waste water treatment among the practitioners at dental technical laboratories. Environment-related departments should be stricter with legal applications in the central and local governments. It is also required to provide proper management of commissioned treatment.

• Journal of the Korean Data and Information Science Society
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• 제23권4호
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• pp.787-796
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• 2012

본 연구의 목적은 PAPS를 실시하여 4, 5급에 해당하는 저체력군 학생을 대상으로 16주 복합운동프로그램을 통해 대사증후군과 자율신경계에 어떠한 변화가 나타나는가를 규명하는 것이다. 16주 복합운동프로그램은 주 5회에 걸쳐 준비운동, 본운동, 정리운동으로 구성하고 1회 50분씩 실시하였다. 자료처리는 SPSS 19.0 통계프로그램을 이용하여 모든 종속변인들의 평균과 표준편차를 산출하였다. 샤피로-윌크 검정값을 이용하여 정규성 검정을 실시하였고, 복합운동집단과 통제집단의 모평균 차이를 위하여 독립표본 t-검정을 실시하였으며, 16주 복합운동프로그램 전 후 각 집단 내변인들의 변화를 알아보기 위해 대응표본 t-검정을 실시하였다. 모든 통계치의 유의수준은 ${\alpha}$=.05로 처리하여 다음과 같은 결과를 얻었다. 본 연구 결과 대사증후군 지표에서는 허리둘레, 중성지방, 공복혈당, HDL-C에서 유의한 차이를 나타냈고, 자율신경계 요인에서는 통계적으로 모두 유의한 차이가 나타나 저체력군 고등학생에 긍정적인 영향을 미친 것으로 사료되어 진다.

• 한국응급구조학회지
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• 제12권3호
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• pp.99-113
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• 2008

In order to protect Rescue 119 workers exposed on the spot from potential infection, this study identified their awareness and practices of infection control so that it could help preventing them from infection and also provide basic materials necessary for pre-hospital infection control. This study applied questionnaire survey to total 215 Rescue 119 workers at fire stations in Jeonbuk province, Jeonnam province and Gwangju city from July 14 to Sept. 14, 2006 for the benefit of data collection. The questionnaire about possible associations between awareness and practices of infection control consisted of total 46 times across 6 categories such as washing hands during emergency activities ; fluid therapy and injection ; respirator maintenance; individual hygienics ; disinfectant supplies and equipments maintenance ; and control of infectious wastes. And collected data were processed using SPSS statistic program to analyze frequency and percentage, mean and standard deviation, Pearson's correlation coefficient, t-test and one-way ANOVA. As a result, this study came to the following conclusions : In terms of awareness about infection control, our respondents showed highest awareness about infectious waste control, and also showed highest level of practices in washing hands during emergency activities. Throughout all domains, awareness means were higher than practice means. In particular, infectious waste control was the domain of significant differences between awareness and practices. In terms of associations between awareness and individual characteristics, it was found that female rescue worker group and hospital/general hospital career group (before joining the Rescue 119) showed significantly higher awareness on statistic level. In regard to associations between individual characteristics and practices, it was found that female rescue worker group showed higher level of practices than male group on statistic level. This study also analyzed correlations between rescue workers' awareness and practice of infection control. As a result, it was found that the higher awareness was in correlations with the higher practices across all 6 domains including washing hands. In addition, the higher awareness of a questionnaire item was in significantly positive correlations with the higher practice of other items. However, our respondents showed high awareness about anti-infection, but low practices in reality. This indicates necessity of devising possible solutions to improve the practices as much as awareness. Especially, it was noted that major reasons for insufficient practices of infection control guideline come from unhabituated practices and lack of supports for infection-preventing supplies and protective device (mask, etc). Hence, it is necessary to provide more infection-preventing supplies for local rescue workers sufficiently, in parallel with steady habituation of infection control. Furthermore, it is required to manage and study infection control policies even at pre-hospital step in efforts for effective infection control, education and activities.

• 대한공업교육학회지
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• 제40권2호
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• pp.44-71
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• 2015

본 연구는 특성화고등학교의 직업기초능력 교육과정 개발을 위한 교육요구분석으로 기업체 근로자들을 중심으로 직업기초능력에 대한 현재수준과 기대수준을 파악하고, 기업분야 중 기계계열, 전기 전자 반도체계열, 건축 토목 건설계열 영역의 직업기초능력 교육우선순위를 결정, 교육과정 편성을 위한 연구이다. 구체적으로 직업기초능력 하위영역에 대한 기업근로자들의 현재수준과 기대수준 차이를 Borich 요구도, The Locus for Focus 모델을 활용하여 교육요구분석을 시행하였다. 연구결과 기업규모와 분야를 중심으로 특성화고등학교의 기계계열학과, 전기 전자 반도체계열학과, 건축 토목 건설계열학과에 적용 가능한 교육요구 우선순위를 분석하고 직업기초능력 교육과정 편성을 위한 시사점을 제시하였다. 기계계열학과의 경우 언어구사력, 문제처리능력, 자기개발능력, 경력개발능력, 시간관리능력, 협상능력, 기술이해능력이 최우선적으로 반영되어야 하며, 전기 전자 반도체계열학과는 시간관리능력, 건축 토목 건설계열학과는 문제처리능력, 자기개발능력, 경력개발능력, 시간관리능력, 갈등관리능력의 교육과정이 기업규모와 상관없이 최우선적으로 요구되는 내용으로 도출되었다.

• 한국산학기술학회논문지
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• 제12권2호
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• pp.653-664
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• 2011

본 연구에서는 전문계 고등학생의 학교 적응유연성에 영향을 미치는 위험요인과 보호요인이 무엇인지 알아보기 위해 서울, 경기 지역의 전문계 고등학교 학생 573명과 인문계 고등학생 512명을 대상으로 설문조사를 통해 자료를 수집하였다. 연구 결과는 다음과 같다. 첫째, 학교 적응유연성과 위험요인과의 상관관계를 분석한 결과 위험요인이 높을수록 학교 적응유연성은 낮게 나타났다. 둘째, 위험요인이 학교 적응유연성에 미치는 영향을 검증한 결과, 전문계고 학생들에게는 교사차별, 비행유대, 반사회성이 영향을 미쳤고, 인문계고 학생들에게는 교사차별, 비행유대, 우울이 영향을 미쳤다. 셋째, 학교 적응유연성과 보호요인과의 상관관계를 분석한 결과 보호요인이 높을수록 학교 적응유연성은 높게 나타났다. 넷째, 보호요인이 학교 적응유연성에 미치는 영향을 검증한 결과, 전문계고 학생들에게는 교사지지, 학교의 민주적 분위기, 책임감, 가족응집력, 자아존중감, 합리적 부양태도로 나타났고, 인문계고 학생들에게는 교사지지, 민주적 학교 분위기, 책임감, 가족 응집력이 영향을 미쳤다. 다섯째, 학교계열과 학교 적응유연성 수준에 따른 위험요인과 보호요인의 차이를 분석한 결과 반사회성, 우울, 비행유대, 자아존중감의 변인에서 상호작용이 나타났다.