• Journal of Korean Biological Nursing Science
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• 제15권4호
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• pp.164-172
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• 2013

Purpose: The aim was to measure the real-time trans-mission effect of blood-pressure and blood-glucose value based on u-healthcare for saving the time and effort of nursing recording time. Methods: This study used a u-healthcare system based on the international standards for the exchange of health information. In order to verify the effectiveness of the u-healthcare, a clinical trial for the system regarding blood-pressure and blood-glucose targeting of patients with endocrine disorders at KNUH from February 7 to 9, 2012 was performed. Results: According to the analyzed results, of the 86 times the 11 patients were tested, measuring blood-pressure and blood-glucose using the u-healthcare system, we found the time differences between the real-time transfer recording method and existing hospital records that were used in the hospital. Based on the average time interval, there was a difference of 1,090.45 seconds (18.17 minutes). Conclusion: Therefore, it's cumbersome that nurses in the hospital have to record the numerical values of the measured blood-pressure and blood-glucose manually and input the recorded values directly into the electronic nursing record system. However, it was found in terms of the newly designed system, that it could save time and effort for nurses, since measured information is sent to the hospital information system on a real-time basis.

• 한국산업보건학회지
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• 제11권1호
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• pp.56-69
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• 2001

Objectives : This study was designed to develop and standardize a checklist for ergonomic risk factors, and to provide ergonomic guidelines for managing cumulative trauma disorders (CTDs) in automobile assembly lines. Methods : The Checklist for Ergonomic Risk Factors (CERF-1) was developed based on the results of previous studies, and then modified after performing pilot study. Information on the symptoms possibly related with CTDs was obtained using a self-reported Questionnaire from 465 automobile assembly workers. Their job conditions were examined to assess risk factors through both direct observation and video analysis. Results : Rate of detecting risky job through CERF-1 was 85.6%, and was similar to that (88.8%) by Occupational Safety and Health Adminstration(OSHA) checklist but higher than that (63.7%) by American National Standards Institute(ANSI) Z-365. Relationship of the exposure scores derived from CERF-1 with levels of symptom was greater (r=0.49) than OSHA (r=0.28) and ANSI Z-365 (r=0.22). Considering the relationship, jobs scoring higher than 16 could be classified as the Risk Job. and lower than 16 as the Low Risk Job. Sensitivity and specificity of the Risk Job were 92.5 % and 31.5 %, respectively. Odds ratio (OR) after age adjustment was 5.69 (95 % confidence interval 3.15-10.29) for the Risk Job, and these ORs were significantly different from those of the Low Risk Job. The exposure scores were Quite valid, in that the scores at the main survey were significantly correlated with those at the follow-up survey, as suggested by test-retest(r=0.88) and inter-rater reliability(r=0.80). Conclusions : The CERF-1, developed in this study, will be an efficient tool for evaluation of risk jobs for CTDs in automobile assembly lines, and can be used easily by health care providers.

• 한국재난정보학회 논문집
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• 제19권4호
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• pp.859-868
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• 2023

연구목적: 해군에서 안전을 강화하기 위해 안전보건경영시스템 도입, 위험성 평가체계 개발 등의 노력을 기울이고 있으나 안전사고가 지속 발생하고 있어 안전관리체계에 대한 점검을 통해 발전방안을 제시하였다. 연구방법:해군 안전관리체계 진단을 위해 안전 환경의 변화, 문서체계, 안전보건경영시스템 운영 등을 검토하고 보완점을 찾아 개선방향을 도출하였다. 연구결과:해군의 안전 정책과 안전관리 방향을 제시할 수 있는 SMS 기준서와 이를 표준화된 방법으로 시행할 수 있는 지침을 제공하는 안전프로그램이 필요한 것을 확인하였다. 이 SMS에는 미 해군의 SMS, 국제표준 ISO 45001 규격과 우리 해군의 기존 안전관리체계를 포함한다. 결론: 해군의 안전관리체계는 안전정책과 기준을 명확하게 제시하고, 이를 시행할 수 있는 표준프로그램을 통해 안전업무의 공신력과 효용성을 갖추는 것이 필요한데 이를 위한 해군 SMS 개발이 필요하다.

• Journal of Gynecologic Oncology
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• 제29권6호
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• pp.83.1-83.10
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• 2018

Objective: We aimed to propose a set of quality indicators (QIs) based on the clinical guidelines for cervical cancer treatment published by The Japan Society of Gynecologic Oncology, and to assess adherence to standard-of-care as an index of the quality of care for cervical cancer in Japan. Methods: A panel of clinical experts devised the QIs using a modified Delphi method. Adherence to each QI was evaluated using data from a hospital-based cancer registry of patients diagnosed in 2013, and linked with insurance claims data, between October 1, 2012, and December 31, 2014. All patients who received first-line treatment at the participating facility were included. The QI scores were communicated to participating hospitals, and additional data about the reasons for non-adherence were collected. Results: In total, 297 hospitals participated, and the care provided to 15,163 cervical cancer patients was examined using 10 measurable QIs. The adherence rate ranged from 50.0% for 'cystoscope or proctoscope for stage IVA' to 98.8% for 'chemotherapy using platinum for stage IVB'. Despite the variation in care, hospitals reported clinically valid reasons for more than half of the non-adherent cases. Clinically valid reasons accounted for 75%, 90.9%, 73.4%, 44.5%, and 88.1% of presented non-adherent cases respectively. Conclusion: Our study revealed variations in pattern of care as well as an adherence to standards-of-care across Japan. Further assessment of the causes of variation and non-adherence can help identify areas where improvements are needed in patient care.

• 문화기술의 융합
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• 제6권1호
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• pp.135-145
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• 2020

이 연구에서 우리는 안전보건경영시스템이 기업경영성과에 미치는 영향과 전기공사업체의 운영능력이 조절효과를 분석하였다. 첫째, 경영, 조직관리 및 자원 준비가 전기공사의 관리능력에 정(+)의 영향을 미칠 것이다. 이는 표준시공을 통한 고객 만족, 작업 안전 확보, 자연환경 보전 및 사회적 책임 추구가 조직 내에 잘 전달되고 이해가 높을수록, 시공계획서, 장비관리 상태가 적합 할수록 전기공사 관리능력에 긍정적인 영향을 미치는 것으로 평가되었다. 둘째, 경영, 조직관리 및 자원 준비는 기업경영성과에 정(+)의 영향을 미쳤다. 이는 산업 안전보건법규가 강화되고 기업들의 안전보건활동 안전문화 등 관련 정보가 공개되어 조직관리가 원활하게 소통되면서 시공계획서와 장비관리를 OHSA의 기준에 적합할수록 측청결과도 높을 때 기업의 경영성과에도 긍정적인 영향을 미친 것으로 보인다. 마지막으로, 경영, 조직관리 및 자원 준비가 기업경영성과에 미치는 영향에 대해 전기공사의 관리능력은 매개 효과가 나타났다. 이는 독립변수인 경영조직이 기업경영성과에 미치는 직접효과는 .401 간접효과는 .168 총효과.658로 나타났으면, 자원 준비가 기업경영성과에 미치는 직접효과는 .423,간접효과는 .178, 총효과 .643으로 분석되었다.

• 보건행정학회지
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• 제2권2호
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• pp.112-130
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• 1992

Patient care services are provided to individual patients in response to their health needs produced by illnesses or injuries. The services are often addressed to very serious conditions, and also they constitute the most expensive component of health care services. Therefore, the importance of quality is emphasized, but there are many indications that patient care quality is far from a satisfactory state in most of the countries. Based upon this observation, it is attempted to examine obstacles and approaches to quality improvement in patient care services. In doing so, following Taguchi's(1986) definition of product quality, quality of patient care services is conceived of as better when the less is the sociental loss attributalbe to variability of intended function and harmful side effects they emhibit after being delivered. Some distinguishing features of medical care sector pose difficulties in implementing effective quality improvement programs in patient care services. Nevertheless, newly proposed method of quality management, based on industrial quality management approach, seems to have a great deal of potential to effectively cope with such difficulties. This method, unlike the traditional approach to quality assurance, focuses on total organisational processes, not individuals, as the obproach to quality assurance, focuses on total organizational processes, not individuals, as the objects of quality improvement; variation, not comparison with standards, in quality measurement; and continuous improvement, not removing only bad quality care, as an ideal. Prerequisite to a successful use of any quality mangement method is motivating providers to improve quality. Conceivable approaches for such motivation are self-regulation, external controls and promotion of competition. Since these approaches are not mutually exclusive, they may be employed in an appropriate combination. In Korea, medical care providers are now functioning under the circumstances where they have little reason for making efforts to improve quality of their services. Once these circumstantial conditions are changed to exert pressures on providers to improve quality, the use of adequate quality management method becomes an issue. In this connection, much attention shoould be directed to the newly proposed method described above. In all these efforts for improving quality of patient care services, health insurance would be able to play a pivotal role. Poviders of medical care, buth indiciduals and organizations, are usually very responsive to the measures that affect their financing, and thus health insurance can be a strong instrument for motivationg providers to improve quality. Also, the insurance continuously acquires data on patient care, which could be processed to produce information required to effective quality control.

• Journal of Nutrition and Health
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• 제7권3호
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• pp.27-44
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• 1974

A general survey of 82 perschool children and 473 school children (from 1st to 3rd grade) residing in the Dongnae area of Shindong Myun, choonseoung Gun, Kangwon Province was conducted from June 12 to 21, 1973, to obtain information concerning nutritional status, especially the protein and iron nutrition of preschool and school children in a rural area of Korea. A sample of 58 children 2 to 9 years old was selected from these 555 children for hematological, biochemical and parasitological tests. The results of these tests are presented below, 1) Both the mean body height and mean body weight of these children were higher and heavier than the averages in the Korean Physical Standards. About 39 per cent were above the 90 th percentile of the Korean Physical Standards of height and 35 per cent were above the 90th percentile of the Korean Physical Standards of weight. 2) The rate of infestation by helminthes was 67.6 per cent and there were no cases of hookworm infestation Among the ascaris-infected children, 61.6 per cent fell within an Ascaris E.P.G. count range of $501{\sim}2,000$. This was considered a rather mild intensify of ascaris infection. Nutrient loss due to helminthes was also estimated to be low. 3) The mean hemoglobin level was 11.3gm% $({\pm}0.94)$, and 68.4 per cent of the children were anemic (less than 11gm% among those 5 years old or less, less than l2gm% among those 6 years old or more). The average hematocrit value was 36.1% $({\pm}2.36)$, and only 3.5 per cent showed more than 34% on the M.C.H.C. test. These results showed that the incidence of anemia, in these rural children was high, and that in general it displayed hypochromic characteristics. 4) The average serum iron level was $78.2{\mu}g%$\;({\pm}29.8). The Proportion of the children showing less than $50{\mu}g% in the serum iron level was 5.6 per cent, while 41.8 percent revealed $450{\mu}g% or more in the TIBC determination. Transferrin saturation was below 15% in 71.4 percent of the preschool children, and in 28.6 percent of the school children. Those who had a serum iron level of $50{\mu}g% or less and a TIBC of more than $450{\mu}g% constituted 11.9 percent of the children examined. From these results, it was concluded that especially preschool children were low in iron nutrition, and that most of the anemia might be iron-deficiency anemia. 5) The mean values of total serum protein and albumin were 6.98gm% and 4.99gm% respectively. Especially in serum albumin, all children stowed more than 4 gm%. 6) The mean urinary urea nitrogen Per creatinine ratio was 11.5 $({\pm}4.2)$, and 21.8 percent had a ratio of more than 15. Considering these results, it was suggested that protein nutrition in these children was relatively good.

• 유통과학연구
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• 제12권6호
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• pp.5-13
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• 2014

Purpose - The purposes of this editorial review are twofold: firstly, to introduce the four flagship international journals of the Korea Distribution Science Association(KODISA): the Journal of Distribution Science(JDS), the Journal of Industrial Distribution & Business(JIDB), the East Asian Journal of Business Management(EAJBM), and the Journal of Asian Finance, Economics and Business(JAFEB), and secondly, to identify the direction of the KODISA journals and the roles and responsibilities of the editors of the KODISA journals. Research design, data, and methodology - To achieve the goals, firstly, this review paper addresses the current progress of the four KODISA journals: JDS, JIDB, EAJBM, and JAFEB. Secondly, this paper defines the aims and missions of the four KODISA journals. JDS publishes the articles of examining past, current, and emerging trends and concerns in the area of distribution science and economics, logistics and SCM, transportation, distribution channel management, distribution innovation and information technology, merchandising and procurement, distribution and marketing, consumer behavior, and manufacturing, wholesaling, and retailing. JDS publishes both quantitative and qualitative research as well as scholarly commentaries, case studies, book reviews and other types of reports relating to all aspects of distribution. JIDB publishes the articles of examining past, current, and emerging trends and concerns in the areas of industry and corporate behavior, industry policy making, industrial distribution and business, e-commerce, and service industry. EAJBM publishes empirical and theoretical research papers as well as scholarly commentaries, case studies, book reviews, and other types of reports relating to all aspects of East Asian business and economy. JAFEB publishes original research analysis and inquiry into the contemporary issues of finance, economics and business management in Asia, including Central Asia, East Asia, South Asia, Southeast Asia, and Middle East. The mission of JAFEB is to bring together the latest theoretical and empirical finance, economics and business management research in Asian markets. The audiences of the KODISA journals include higher education institutions, scholars, industry researchers and practitioners, scientists, economists, and policy makers throughout the world. The main mission of the KODISA journals is to provide an intellectual platform for international scholars, promote interdisciplinary studies in social sciences and economics, and become leading journals in the social science and economics category in the world. Thirdly, this paper addresses the current status of indexing in major databases of the KODISA journals, namely: Cabell's Directories, EBSCO, SCOPUS (Elsevier), and Social Sciences Citation Index^® (SSCI, Thomson Reuters). Fourthly, this paper identifies the roles and responsibilities of the editors of the KODISA journals as the following: (1) Make sure that the journal be published in a timely manner and in international standards both in print and online versions. (2) Maintain the online homepage of the journal is always accessible to, and (3) Make sure that every article should go through a peer review process that meets international standards. Findings and conclusion - To accomplish the goals and missions of the KODISA journals, the editors of the KODISA journals must work together to publish high scholarly journals that meet international standards of journal publications.

• 한국정보과학회논문지:소프트웨어및응용
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• 제31권2호
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• pp.137-152
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• 2004

모발분석(TMA: Tissue Mineral Analysis)은 머리카락 속에 있는 30여 가지의 미네랄과 8가지의 중금속의 양과 중요 미네랄 비율을 분석하여 체내에 과잉, 결핍 및 불균형 상태를 평가하고, 그 결과가 현재 인체에 미치는 영향을 예측하여, 건강을 유지하는 방향을 제시하는 임상 영양학 및 독성학 모발조직 검사방법을 말한다. 그러나 국내 TMA 분석방법은 몇 가지 문제점이 있다. 첫째, TMA 분석기기는 있으나 분석결과를 해석할 수 있는 한국형 의학 정보 데이타베이스가 없다. 둘째, 미국에서 보내오는 TMA 검사결과 자료가 영문이며 철저한 보안에 바탕을 둔 그래픽 파일 형태이므로 활용성이 적다. 셋째, TMA 관련 데이터베이스가 있어도 의료기관에서 사용하기 어려운 매우 낮은 수준이므로 TMA 분석 및 의료서비스를 위해 매번 미국에 의뢰해야 하므로 심각한 외화낭비를 초래한다. 넷째, TMA 결과가 서구식 생활패턴에서 비롯된 데이터 베이스로부터 구축된 것이므로 검사결과의 신뢰성 문제가 발생한다. 따라서 본 논문에서는 이러한 문제점을 해결하기 위해 국내 전문 기관으로부터 자료를 제공받아 TMA 관련 국내 최초 지능적 의학 전문가 시스템(IMES: Intelligent Medical Expert System)을 개발하였다. IMES는 TMA 자료를 다단계 통계분석 방법에 의한 결정 트리 분류기를 이용하여 분류하고 다중 퍼지 규칙베이스를 구축하여, 지능적 퍼지추론 방법에 의해 한글화된 데이터베이스로부터 복잡한 자료를 추론하도록 구축하였다. 본 IMES 시스템을 실제 적용한 결과 업무능률과 만족도가 각각 86%, 92% 증가함을 알 수 있었다.

• 한국안전학회지
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• 제22권4호
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• pp.96-101
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• 2007

Usually pictograms embedded in safety signs are such final means to transmit hazard information that the importance of them cannot be emphasized too much. Nevertheless, in Korea, few people are interested in safety signs and their functions so that evaluation of safety signs are seldom committed nor safety signs draw workers' attention to fulfill their functions. Therefore this research aimed to standardize the procedure for developing safety signs in order not only to give practical help to industrial workers but to match them international standards, and to develop a few examples through the suggested standard procedure. As results, a procedure for developing industrial safety signs was developed by combining both ANSI Z535.3 and ISO 9186 with a special emphasis on action inducibility as the former emphasized as well as comprehensibility as the latter suggested. According to test results with undergraduate students as well as industrial workers on a few signs developed through the suggested procedure, action inducibility was higher whereas confusion rate was lower than expected on one hand, and it could be concluded that the procedure would supply results that can be satisfied on the other hand.