• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권2호
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• pp.154-162
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• 2020

Purpose: The Cow's Milk-related Symptom Score (CoMiSS^TM), which considers crying, regurgitation, stools, skin and respiratory symptoms, was developed as an awareness tool for evaluating cow's milk-related symptoms. The scoring ranges from 0 to 33. A score ≥12 was proposed as being likely cow's milk-related and suggestive of allergy to cow's milk. This study aimed to determine the age-related CoMiSS^TM values in presumed healthy infants in Poland. Methods: This was a cross-sectional study conducted in well-child clinics in two locations. Parents of the presumed healthy infants aged ≤6 months were approached during a routine checkup/vaccination visit. The exclusion criteria were as follows: presence of acute or chronic diseases, preterm delivery, treatment with therapeutic formula, and use of any food supplements (except vitamins) or medications. Results: Data from 226 infants were obtained (median age [Q1-Q3], 4 months [3-4]). The overall median (Q1-Q3) and mean (standard deviation) CoMiSS^TM values were 4 (2-7) and 4.7 (3.5), respectively. The 95th percentile was 11. Scores on some, albeit not all, components of the CoMiSS^TM significantly differed between age groups (crying, stools) or feeding type groups (stools and skin symptoms). Eleven children (4.9%) scored ≥12. Conclusion: This study adds to earlier age-related CoMiSS^TM data by providing CoMiSS^TM values in presumed healthy infants in Poland.

• 치위생과학회지
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• 제6권4호
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• pp.295-302
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• 2006

본 연구는 치과위생사의 업무능력의 향상을 위한 기능적인 의사소통을 위하여 TA 이론을 이용하여 치과위생사의 의사소통기술 프로그램인 "TA프로그램"을 개발하고 이를 "대인 의사소통 검사도구"를 활용하여 그 효과를 검증하였다. 의사소통 훈련 집단 44명과 통제집단 16명이 참가하여 실험집단1은 일일 4시간씩 3일간 12시간, 실험집단2는 일일 3시간씩 2일간 6시간 의 TA기법을 이용한 의사소통교육을 실시하여 다음과 같은 결론을 얻었다. 1. 연구결과와 같이 통제집단과 실험집단의 사전검사 결과 자기노출, 자각, 피드백, 자기표현, 관심기울이기, 감정처리, 명료성, 직면, 협조, 차이, 수용에 대해서 차이를 보이지 않아 통제집단과 실험집단의 대상은 동질적인 집단임을 알 수 있었다. 2. "TA프로그램" 실시 결과 통제집단과 실험집단1의 사후 검사는 각각 평균값이 1.5158점, 1.8260점으로 나타나 평균차이가 유의미한 차이를 보였으며(p < 0.001) 11개 하위 영역 중 유의미한 차이를 보인 영역은 자기노출,자각, 피드백, 자기표현, 관심기울이기, 감정처리, 협조 영역이었다. 또한 통제집단과 실험집단2의 평균값이 각각 1.4684, 1.9985점으로 나타나 평균값 차이가 유의미한 차이를 보였으며 11개 하위 영역 중 유의미한 차이를 보인 영역은 자기노출, 자각, 자기표현, 감정처리, 명료성,직면, 협조영역이었다. 실험집단 1과 실험 2집단의 평균값이 각각 1.7970, 1.9985점으로 나타나 평균값 차이가 유의미한 차이를 보였으며 11개 하위 영역 중 유의미한 차이를 보인 영역은 자기노출, 자각, 피드백, 자기표현, 감정처리, 명료성, 직면, 협조영역이었다. 3. 본 연구에서 개발한 "TA프로그램"을 적용하여 치과위생사의 의사소통 기술의 향상을 검증한 결과 훈련을 통해 의사소통 기술을 증진시킬 수 있음이 확인됨에 따라 본 "TA프로그램"을 치과위생사의 대인 의사소통능력을 증진시키는 데 활용할 수 있다. 4. "TA프로그램"의 적용시간에 따라 효과의 차이가 있는 것으로 밝혀진 바와 같이 의사소통 기술을 향상시키기 위해서 시간에 따른 프로그램의 연구가 필요하다. 5. 본 프로그램에서 이용한 내용 및 교수전략들을 실제 교육 현장에서 교과수업 시 특정의 내용처치를 도입하거나 교수방법에 이용할 수 있다.

• 한국환경교육학회지:환경교육
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• 제21권4호
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• pp.40-66
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• 2008

The purpose of this study is to develop and applicate textbook relevant to school indoor air quality. To achieve the purpose, concrete study process are as follows. First, the survey research to teachers, supervisors, and students is conducted to grasp cognition of subjects in elementary school and management situation about school indoor air quality. Second, contents relevant to indoor air quality on textbooks in the 7th elementary curriculum and subsidiary textbooks is analysed through reference study. Third, environmental textbook relevant to school indoor air quality for 5th and 6th grade in elementary school is developed, applicated, and inspected its effect on the basis of implications from results of survey and reference study. The results of this study are as follows. First, the result of survey concerning school indoor air quality showed that three groups had negative attitude for its management even though they thought that it affected human's health and study by and large. Student group thought that each of students itself was a little influence to school indoor air pollution though all of three groups answered that' activities of students' was its main source. Efforts of students to improve school indoor air quality was not much, and its main reason was that they didn't know about school indoor air pollution well. Second, result of analysis into textbooks on the 7th elementary curriculum and subsidiary textbooks, contents concerning indoor air on the 7th elementary curriculum textbooks was little or nothing. And it trended to be included to subsidiary textbooks. However, education textbooks about indoor air for elementary students was insufficient still. Third, environmental textbook relevant to school indoor air quality for 5th and 6th grade in elementary school was developed. It was constructed for themes - importance, sources, effects, and management of school indoor air quality. After its application to the 6th grade students in elementary school, it was meaningful in the level of p<.05 that the result of knowledge and awareness in the pre-post test within experiment group. However, all of the results in comparison group didn't represent statistically meaningful difference. In conclusion, environmental textbook developed by necessity of education about school indoor air quality will play a role as useful tool for the 5th, 6th grade students in elementary school to understand relation of quality of health and life and school indoor air quality, to have attitude to make an effort to manage it by develop right awareness about it.

• 한국항해항만학회지
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• 제38권2호
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• pp.177-184
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• 2014

Recently, brand equity is paid much attention in various industries. However, container liner shipping companies are still unfamiliar with this concept, and also the brand equity model has not been tested yet in shipping context. This study, therefore, aims to measure the relative importance of brand equity factors of container liner shipping companies by employing AHP (Analytic Hierarchy Process). This study concludes that perceived quality, in particular cost-related service quality, is the most influential factor of brand equity, while weak support is found for brand association. In addition to this, group comparisons were conducted between shipping companies, freight forwarders and academics. The results will be useful as they firstly define brand equity and its role in shipping context, highlighting the significance of brand management to container liner shipping firms. This evaluation is not an end in itself, but will eventually be utilised as a tool to build competitive advantage which cannot be easily imitated by competitors.

• 대한간호학회지
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• 제53권1호
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• pp.12-27
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• 2023

Purpose: This study aimed to develop a scale to measure distress in patients with ischemic stroke and verify its validity and reliability. Methods: Preliminary items were developed from literature review and in-depth interviews. The final preliminary scale was confirmed through a content validity test of eight experts and a preliminary survey of 10 stroke patients. The participants for psychometric testing were 305 stroke patients in the outpatient clinic. Validity and reliability analyses included item analysis, exploratory and confirmatory factor analysis, convergent validity, known-group validity, and internal consistency of the scale. Results: The final scale consisted of 17 items and 3 factors. The three distinct factors were 'self-deprecation, worry about future health, and withdrawal from society' and this structure was validated using a confirmatory factor analysis. Convergent validity was supported by comparison with the Center for Epidemiologic Studies Depression Scale (r = .54, p < .001) and Brief Illness Perception Questionnaire (r = .67, p < .001). Known-groups validity was verified by dividing groups according to 'duration since diagnosis' (t = 2.65, p = .009), 'presence of sequela' (t = 10.16, p < .001), and 'awareness of distress' (t = 12.09, p < .001). The internal consistency of the scale using Cronbach's α for the total items was .93. Conclusion: The Ischemic Stroke Distress Scale is a valid and reliable tool that reflects stroke distress effectively. It is expected to be used as a basic tool to develop various intervention strategies to reduce distress in ischemic stroke patients.

• 한국과학교육학회지
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• 제42권3호
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• pp.357-370
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• 2022

본 연구에서는 화학 결합 학습에 적합한 모바일 증강현실 학습도구를 개발하고 모바일 증강현실을 활용한 과정기반 안내탐구학습(POGIL-MAR)을 제안하여 이 교수학습 방법이 과학 학업 성취도, 과학 학습 동기 및 학습 몰입감에 어떠한 영향을 미치는지 알아보았다. 연구 참여자는 경기도 소재의 남녀 공학 고등학교 1학년 학생 139명으로, 이를 통제집단(TL), 실험집단 1(POGIL), 실험집단 2(POGIL-MAR)로 무선 배치하였다. 학생들은 4차시에 걸쳐 화학 결합과 관련된 학습을 하였다. 이원 공변량 분석 결과, POGIL-MAR 집단은 과학 학업 성취도, 과학 학습 동기, 학습 몰입감 검사에서 사전성취 수준에 관계없이 다른 집단에 비해 유의미하게 높았다. 또한, 하위 집단의 경우, POGIL-MAR 집단이 TL과 POGIL 집단보다 통계적으로 유의미한 학업 성취도 향상이 있었다. 과학 학습 동기의 하위요인에 대한 이원 중다공변량 분석 결과, POGIL-MAR 집단이 학습 동기의 하위 요인인 내재 동기, 직업 동기, 자아 효능, 점수 동기, 자기 의지에서 유의미하게 높았다. 특히, 내재 동기에서 교수학습 방법과 사전 성취 수준 사이의 상호작용 효과가 유의미하게 나타났다. 한편, 학습 몰입감의 하위 요인에 대한 이원 중다공변량 분석 결과, POGIL-MAR 집단이 분명한 목표, 분명한 피드백, 행위-인식 일체감, 학습 통제감, 자기만족적 경험에서 유의미하게 높았다. 이러한 결과를 바탕으로 모바일 증강현실을 활용한 과정기반 안내탐구학습의 교육적 시사점을 논의하였다.

• 마케팅과학연구
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• 제20권1호
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• pp.98-109
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• 2010

对于品牌资产的组成, 测量和管理的研究开始于David A.Aaker (1991) 和Kevin Lane Keller(1993). 最近, 很多的研究都集中于品牌资产的组成: 品牌意识, 质量预期, 产品形象和品牌忠诚度. 本文主要针对于这些成分间相互关系, 而且特别主意产品种类(实用或者享受)的调节作用. 基于以上所提及的关系所建立的模型可以参看图1. 本文的假设如下: 顾客的品牌意识对于顾客的忠诚度和品牌形象有积极的影响; 顾客的质量预期对于品牌忠诚度和品牌形象有积极的影响; 品牌形象对于品牌忠诚度有积极影响; 这些品牌资产成分间的关系可以被产品种类所调节. 具体说明就是, 对于实用性产品, 质量预期对于品牌忠诚度的作用会增强, 而对于享受产品品牌形象对于品牌忠诚度的作用会更强. 为了确定适用于本研究的产品, 58名首尔的大学生参加了前测. 结果是计算机被选择成为实用性产品, 而牛仔裤被选定成为享受产品. 每一种产品各选择了两个品牌: 三星和惠普以及李维斯和NIX. 在研究中, 首尔地区的237名大学生回答了问卷. 研究对象被划分为两组: 一组(121名)回答关于计算机的问卷, 其他的116名回答关于牛仔裤的问卷. 搜集的数据通过AMOS 7来验证可信度, 效度以及变量间的相互关系. 验证性因子分析证明本研究的模型是可以用来进一步研究的. 品牌资产成分间的相互关系也通过AMOS 7 来验证. 结果模型的结果展现在图2中. 质量预期对于品牌的形象有积极的影响, 但是品牌意识却没有. 但是品牌意识, 质量预期, 以及品牌形象都对品牌忠诚度有积极的影响. 并且, 这些关系受到产品种类的调节. 本文的研究结果可以增进我们对于品牌资产成分间相互关系的了解, 并且可以支撑对于品牌资产的测量. 本文也对于产品种类的作用进行了阐述. 在现实的营销管理中, 这些结果可以提供一些建议来有效保持品牌资产.

• 디지털융복합연구
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• 제11권2호
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• pp.79-89
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• 2013

본 연구에서는 사회공헌활동이 브랜드충성도에 미치는 영향을 살펴보고자 하였다. 기업의 사회공헌활동은 최근 기업들의 이미지 및 브랜드 가치를 향상시키고자 하는 전략적 수단으로 많은 기업들이 사회공헌활동을 실행하고 있다. 본 연구에서는 이러한 사회공헌활동의 효과를 살펴보고자 전통적 마케팅 활동요소인 마케팅믹스 4P전략을 중심으로 마케팅믹스가 브랜드충성도에 미치는 영향에 있어 기업의 사회공헌활동의 조절효과를 살펴보고자 하였다. 분석결과 제품/가격/촉진 전략과 사회 공헌 활동은 브랜드 충성도에 유의미한 영향을 미치고 있으며, 사회공헌활동 수준에 따라 조절되고 있음을 확인하였다. 최근 많은 기업이 전략적 도구로 CSR을 사용하고 또한 사회적으로도 CSR의 효과에 대한 관심이 증가하고 있다. 따라서, 본 연구는 CSR이 고객 브랜드 충성도 향상에 영향을 미치는 것을 재확인함으로서, 기업의 사회공헌활동의 향상과 인식확산에 기여할 것으로 기대된다.

• 대한간호학회지
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• 제51권3호
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• pp.363-379
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• 2021

Purpose: The purpose of this study was to evaluate the validity and reliability of the Korean version of Person-Centered Practice Inventory-Staff (PCPI-S) for nurses. Methods: The English PCPI-S was translated into Korean with forward and backward translation. Data were collected from 338 nurses at one general hospital in Korea. Construct validity was evaluated with confirmatory factor analysis, convergent validity, and discriminant validity. Known-group validity was also evaluated. Cronbach's α was used to assess the reliability. Results: The PCPI-S Korean version consisted of 51 items in three areas: prerequisites, the care environment, and person-centered process. The comparative fit index (CFI) and values of person-centered care process were improved after engagement and having sympathetic presence items were combined as one component. The construct validity of PCPI-S Korean version was verified using four-factor structures (.05 < RMSEA < .10, AGFI > .70, CFI > .70, and AIC). The convergent validity and discriminant validity of the entire PCPI-S question were verified using a two-factor structures (AVE > .50, construct reliability > .70). There was an acceptable known-group validity with a significant correlation between the PCPI-S level and the degree of person-centered care awareness and education. Internal consistency was reliable with Cronbach's α .95. Conclusion: The Korean version of PCPI-S is valid and reliable. It can be used as a standardized Korean version of person-centered care measurement tool. Abbreviation: RMSEA = root mean square error of approximation; AGFI = adjusted goodness of fit index; AIC = Akaike information criterion; AVE = average variance extracted.

• 한국환경보건학회지
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• 제37권2호
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• pp.102-112
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• 2011

Objectives: The purpose of this study is to analyze the effects of chronic exposure by welders to manganese (Mn) through an analysis of the degree of brain activity in different activities such as cognition and motor activities using the neuroimaging technique of functional magnetic resonance imaging (fMRI). The neurotoxic effect that Mn has on the brain was examined as well as changes in the neuro-network in motor areas, and the usefulness of fMRI was evaluated as a tool to determine changes in brain function from occupational exposure to Mn. Methods: A survey was carried out from July 2010 to October 2010 targeting by means of a questionnaire 160 workers from the shipbuilding and other manufacturing industries. Among them, 14 welders with more than ten years of job-related exposure to Mn were recruited on a voluntary basis as an exposure group, and 13 workers from other manufacturing industries with corresponding gender and age were recruited as a control group. A questionnaire survey, a blood test, and an fMRI test were carried out with the study group as target. Results: Of 27 fMRI targets, blood Mn concentration of the exposure group was significantly higher than that of the control group (p<0.001), and Pallidal Index (PI) of the welder group was also significantly higher than that of the control group (p<0.001). As a result of the survey, the score of the exposure group in self-awareness of abnormal nerve symptoms and abnormal musculoskeletal symptoms was higher than those of the control group, and there was a significant difference between the two groups (p<0.05, respectively). In the correlation between PI and the results of blood tests, the correlation coefficient with blood Mn concentration was 0.893, revealing a significant amount of correlation (p<0.001). As for brain activity area within the control group, the right and the left areas of the superior frontal cortex showed significant activity, and the right area of superior parietal cortex, the left area of occipital cortex and cerebellum showed significant activity. Unlike the control group, the exposure group showed significant activity selectively on the right area of premotor cortex, at the center of supplementary motor area, and on the left side of superior temporal cortex. In the comparison of brain activity areas between the two groups, the exposure group showed a significantly higher activation state than did the control group in such areas as the right and the left superior parietal cortex, superior temporal cortex, and cerebellum including superior frontal cortex and the right area of premotor cortex. However, in nowhere did the control group show a more activated area than did the exposure group. Conclusions: Chronic exposure to Mn increased brain activity during implementation of hand motor tasks. In an identical task, activation increased in the premotor cortex, superior temporal cortex, and supplementary motor area. It was also discovered that brain activity increase in the frontal area and occipital area was more pronounced in the exposure group than in the control group. This result suggests that chronic exposure to Mn in the work environment affects brain activation neuro-networks.