• 의학교육논단
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• 제22권2호
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• pp.67-76
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• 2020

The structures and processes of medical education have changed little since the publication of Flexner's report, which stressed the scientific orientation of medical education and the curricular structure of 2 years of formal knowledge education and 2 years of clinical experience. However, the previous perspectives on medical education are facing challenges, and these call for new pedagogy and theories on which to base medical education practice. Considering that social dimensions of learning have been emphasized in practice, perspectives that integrate these aspects are needed. Among the various learning theories, social cognitive theory refers to the theoretical framework which contends that learning occurs within interactions with others and environments. From a social cognitive standpoint, learning through observation is a critical component in human functioning. Indeed, observational learning has particular significance in medical education in that it provides the context for which the importance and meaning of role models can be understood. In addition, as theoretical constructs such as self-efficacy and outcome expectations allow us to establish an effective learning environment, exploring the concepts of the theory could be beneficial to medical education practice. In this context, the present review article aims to provide a glimpse of the fundamental assumptions and theoretical concepts of social cognitive theory and discusses the implications the theory has on teaching and learning. Further, a review of previous studies could help explain how the theory has informed medical education practice. Finally, the author will conclude with the implications and limitations of applying social cognitive theory in medical education.

• Asian Pacific Journal of Cancer Prevention
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• 제15권13호
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• pp.5287-5291
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• 2014

Background: The cancer survival rate in Korea has substantially increased, necessitating the management of not only patients with cancer but also longer term survivors. Although the divorce rate has drastically increased in Korea, there is not sufficient research regarding the relationship between changes in marital status and quality of life (QOL) in cancer patients and survivors. Thus, we aimed to examine the relationship between marital status and QOL in such cases. Materials and Methods: This study was performed using the Community Health Survey of 2008 administered by the Korea Centers for Disease Control and Prevention (N=169,328). We used t-tests and Chi-square tests to compare demographic variables between men and women, and analysis of variance (ANOVA) to compare QOL scores among comparison groups. We also performed a multilevel analysis on the relationship between QOL and marital status while accounting for provincial differences. Results: Decline of EuroQOL five dimensions (EQ-5D) in single patients with cancer was greater than in any other marital status group, but there was no statistically significant decline in survivors of cancer with regard to marital status. In the general population, the decline of EQ-5D was higher among single people than married people. Using the EuroQOL visual analog scale (EQ-VAS), single people had higher values than those of other marital status among both patients with cancer and survivors of cancer. In the general population, EQ-VAS values were higher for single people compared to married people. Conclusions: There may be a significant relationship between marital status and QOL in cancer patients and survivors. Policy interventions to manage patients with cancer who experience a decline in QOL as well as marital problems should be conducted.

• 복식
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• 제62권8호
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• pp.134-148
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• 2012

Social commerce is not only a new form of shopping malls that did not exist in the past, but also a new form of media as it gets combined with social networking services. The purpose of this study is to analyze the influence of clothing involvement on the relationship between shopping values, attitudes, and purchase intentions of consumers in the group-buying type of social commerce. A specialized Internet survey company carried out the survey targeting consumers in their 20s and 30s with experience of purchasing fashion products using group-buying type of social commerce. A total of 200 questionnaires were used for the final analysis. Descriptive statistics, factor analysis, t-test, and regression analysis were conducted by using SPSS 12.0 and AMOS 19.0. The results are as follows. First, diversity/informativeness, impulse/accumulation, price, convenience, reliability, interaction, and adventure were identified as shopping value dimensions. Second, especially in cases of diversity/informativeness, price, and interaction, there were significant differences between the high involvement group and the low involvement group. Third, five of the categories, which were diversity/informativeness, price, convenience, reliability, and interaction, had significant influence on attitude and purchase intention. When the attitude variable was included with shopping value as independent variables in the regression model to predict purchase intention, the attitude variable presented a full mediating effect or a partial mediating effect between shopping value and purchase intention. Also, the relationship among shopping value, attitude, and purchase intention was different to some degree according to the level of consumer clothing involvement.

• 한국의류산업학회지
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• 제16권5호
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• pp.730-744
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• 2014

With advances in QR code, mobile is becoming one of important channels in the fashion retail industries. This study attempts to understand the importance of QR code utilization in creating multi-channel business model. Study objectives are to classify types of multi-channel retailing by QR code utilization and to explore the role of QR code technology in strategic marketing elements for types of multichannel retailer. As an exploratory approach, a total of 78 news articles regarding QR code issues were reviewed and analyzed by focusing on 48retailers seleted in this study. The results found seven dimensions of QR code marketing strategies: abundant product information, additional information contents, transaction accessibility, connectedness to channels, location based service, loyalty program and multimedia advertising. Based a combination of channels and level of mobile apps' activation, multichannel retailers utilizing QR code technology were classified into four types; bricks-click-active mobile model, bricks-click-inactive mobile model, bricks-click model, and click-active mobile model. There were differences of using QR code marketing strategies among multichannel models. According to results, for bricks-and-mortar retailers, QR code was critical to integrate shopping experience with merchandise or sales promotions across channels. In addition, for non-store retailers, the QR code utilization was successful in expanding mobile channels, which can promote retail sales by a two-way interaction with customers via the mobile apps.

• 간호행정학회지
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• 제7권2호
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• pp.285-300
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• 2001

To meet standards for high quality of care and satisfied customers, an evaluation tool about nursing care is necessary. And, We need to evaluate our practice continuously for the improvement in quality and outcomes. This study was intended to develop an evaluation tool about nursing care in NSICU, and was progressed of 3 steps; development, content validity verification and reliability verification. Data were obtained and analysed from Feb. To April, 2000. Development process of the study was as follows A preliminary list was made item by item on the basis of clinical Experience, literature review and patients' record review. Then the standards, criteria and indicators of preliminary evaluation tool were set by 5 clinical nursing panel, and their content validity was reviewed by 27 ICU nurses. Finally, an evaluation tool was developed and verified the reliability at c-university hospital located in Kwang-Ju. The results of this was as follows 1) The evaluation tool of this study developed 8 standards, 39 criterias and 106 indicators. The standards were divided into two dimensions. One was process dimension which contained 4 standards(26 criteria), The other was outcome dimension which contained 4 standards(13 criteria). 2) the Average content validity of the tool was 3.39 at standards, 3.55 at criteria and 3.51 at indicators. 3) Interrater reliability of the tool is r=.7993(p<.001) & internal consistency reliability ${\alpha}$ is .6031 4) Scores of NSICU Patients who participated in this study were 57 at total mean score, 58 at process mean score and 56 at outcome mean score The evaluation tool developed in this study seems to be useful in evaluation nursing practice appropriately for the improvement of nursing care in NSICU. I hope that this evaluation tool can be used effectively in NSICU as an intervention for the improvement of quality control.

• 지식경영연구
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• 제21권2호
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• pp.137-157
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• 2020

The medical tourism industry, a convergence of medical services and tourism, has been getting more and more popularity as a new value-added industry in the 21st century. Accordingly, the number of professional workers within this industry has been increasing, and the role of educational institutions to cultivate well-equipped human resources has also become critical. However, compared to practically activated medical tourism-related education programs, studies investigating the effectiveness of these education programs are relatively rare. Therefore, this study attempts to examine the effect of five dimensions of medical tourism education service quality (i.e., tangibles, reliability, responsiveness, assurance, and empathy) on learners' education satisfaction and transfer of education training. In addition, the moderating roles of national relations as well as organizational characteristics (i.e., transfer climate and support of supervisors and colleagues) in the relationship between education satisfaction and transfer of education training are further verified. The results of the structural equation model (SEM) using 151 samples from respondents with experience in completing medical tourism education programs reveal that tangibles, reliability, and assurance are found to have a significant impact on education satisfaction, which in turn leads to a high level of transfer of education training. Moreover, it is found that national relations and support of supervisors and colleagues play a moderating role. This study would provide guidelines for improving the efficiency of educational institutions, creating outcomes for learners' affiliated firms (e.g., hospitals), and promoting medical tourism at the national level from the perspective of medical tourism education.

• 한국항해항만학회지
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• 제32권3호
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• pp.223-228
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• 2008

한국에서 건조되는 대부분의 소형 연안 어선의 경우 경험에 기초하여 건조되어지기 때문에 구조적 안전성 문제가 발생하곤 했다. 본 논문에서는 이들 어선의 구조강도를 증가시키고 생산 및 운용비를 줄이기 위하여 최적설계를 수행하였다. 어선의 무게와 구조부재의 주요치수들을 각각 목적함수와 설계변수로 선택하였다. 해석과정 중에 극소점을 피하고 CPU 시간을 줄이고자 전역 탐색법과 지역 탐색법을 결합한 하이브리드 최적화 알고리즘이 개발되었다. 또한 최적화 루프의 각 iteration 단계에서 제한조건을 결정하기 위하여 유한요소해석을 수행하였다. 최적화 결과는 초기 어선 모델과 비교하였으며 최적설계의 효과가 구조강도, 재료비 관점에서 검토되었다.

• 한국산학기술학회논문지
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• 제16권10호
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• pp.7157-7165
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• 2015

본 연구는 의료기관 종사자들의 감정노동과 직무만족, 조직몰입 및 반생산적 과업행동 간의 관계를 통합적으로 살펴보기 위하여 의료기관 종사자들을 대상으로 설문조사를 실시하고 공변량 구조방정식모형을 통해 실증분석을 하였다. 실증분석 결과 첫째, 감정노동 차원 중 감정표현빈도는 직무만족에 유의적인 영향을 미치지 않는 것으로 나타났으나 감정표현주의정도, 감정부조화는 직무만족에 부(-)의 유의적인 영향을 미치는 것으로 나타났다. 둘째, 직무만족은 조직몰입에 정(+)의 유의적인 영향을 미치는 것으로 나타났으며 셋째, 조직몰입은 개인 조직 대상 반생산적 과업행동 모두에 부(-)의 유의적인 영향을 미치는 것으로 나타났다. 본 연구결과는 의료기관 종사자들이 직무를 수행하는데 있어 감정노동이 부정적인 결과를 초래하기 때문에 그들이 업무수행 중에 겪게 되는 감정노동을 경감시킬 수 있는 방안에 관심을 가질 필요가 있다는 것을 보여주고 있다

• Archives of Plastic Surgery
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• 제41권4호
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• pp.374-378
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• 2014

Background Angioleiomyoma, a vascular leiomyoma, is a rare, benign smooth-muscle tumor that originates in the tunica media of vessels. It occurs anywhere in the body, most frequently in the lower extremities. Methods We reviewed the medical records of 16 patients who were treated for angioleiomyoma between 2000 and 2012. The clinical features of angioleiomyoma and the correlation between symptoms and pathological subtypes were investigated. Results There were 9 males and 6 females. Ages of the patients ranged from 21 to 61. Pain was the primary symptom in 44% of the patients. Tumors were smaller than 2.0 cm in all dimensions and were located in the face in 4 patients, whereas 5 lesions occurred in the upper extremities and the remaining 7 in the lower extremities. Three histologic subtypes were identified: solid, venous, and cavernous. The subtypes did not correlate with the clinical symptoms. Conclusions Angioleiomyoma appears to be a rare tumor that occurs in the face and the extremities. The tumor usually occurs in middle age. A differential diagnosis of this tumor is difficult, but the tumor should be considered in the diagnosis of painful subcutaneous masses. Ultrasonography and magnetic resonance imaging can be helpful in the diagnosis of angioleiomyoma. These tumors can be successfully treated with simple excision, with a low recurrence rate.

• The Journal of Korean Physical Therapy
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• 제25권3호
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• pp.160-166
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• 2013

Purpose: The aim of the study was to survey satisfaction with physical therapy. Methods: After the physical therapy consultation, patients filled in a Korean-language version of the 20-tiem version of the MedRisk Instrument developed for measuring Patient Satisfaction with physical therapy. Items are scored on a five-point Likert scale ranging from strongly disagree to strongly agree. The last two items are general satisfaction and future return to the clinic. Age and gender information was also collected anonymously. Exploratory factor analysis based on principal components analysis with varimax rotation was performed on the first 18 items of the MedRisk Instrument using SPSS v.20. Results: Four factors emerged with eigenvalues greater than 1, and these cumulatively explained 55% of the total variance in item scores. The factors were labelled: Internal, External Positives, External Negatives, and Clinic Presentation. Correlations of the factor scores with the two global items ranged from 0.29 to 0.70 (both p<0.001). Gender differences were only found on the last factor, with male Korean patients rating Clinic Presentation significantly higher than females (p=0.001). Conclusion: Using factor analysis, the proposed factor structure was revealed using the positive and negative components of the external aspects of the physical therapy and by identifying a clinic presentation which contributes to patients' satisfaction. The largest proportion of the variance in Patient Satisfaction was related to clinicians' attention and behaviour. The results of the analysis provide guidelines as to the dimensions of professional physical therapy care and the implications for service delivery and patient experience.