• 정신신체의학
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• 제19권1호
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• pp.3-14
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• 2011

연구목적 : 섬망은 병원 내의 임상적 상황에서 만날 수 있는 가장 흔한 정신과적 질환 중 하나이다. 섬망이 고령에서 보다 빈번하게 나타나고 높은 사망률과 연관이 있기에 섬망을 초기에 정확하게 진단하여 치료적 개입을 시행하는 것이 무엇보다도 중요하다. 그러나 이러한 중요성에도 불구하고 여전히 섬망이 잘못 진단되어 지거나 간과되고 있는 것이 사실이다. 치료팀이 섬망을 초기에 정확하게 진단해 내기 위해서는 섬망의 정의, 병태생리 및 여러 가지 다양한 검사 도구들을 특정 내 외과적인 상황에 적절하게 사용하는 것이 중요하다. 본 논문을 통해서 섬망을 조기 진단하기 위한 검사 도구들을 소개하고 임상적 상황에서 섬망을 정확하게 진단해 내기 위한 방안들을 모색해 보고자 한다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권10호
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• pp.4339-4347
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• 2014

Purpose: This study aimed at exploring treatment delay (TD) among cancer patients in China with an attempt to develop a practical methodology facilitating frontline Chinese clinicians in promoting earlier cancer diagnosis and treatment. Materials and Methods: The study comprised framework development, qualitative interviews and paired factor rating. Framework development utilized systematic literature review, soft systems thinking and consensus groups. Qualitative interviews employed a checklist of open questions soliciting information about all the domains included the framework from cancer patients drawn via stratified randomized sampling of inpatients at 10 hospitals in Hefei, China. Paired factor rating used a self-developed computer aid and the interviewed patients as referring cases to weigh the relative importance of the factors listed in the framework in terms of their contributions to specific components of total delay (TD). Results: a) A conceptual framework was proposed consisting of a 6-step path to TD and 36 category determinants. b) A total of 227 patients were interviewed; their TD was 267.3 mean or 108 median days ranging from 0 to 2475 days; average appraisal, illness, behavioral, preparation and treatment delay accounted for 52.1%, 9.4%, 0.30%, 8.8% and 29.4% of the TD respectively. Individual side factors were rated substantially more important than environmental side factors (60% vs. 40%); most influential TD factors included cancer symptoms, overall health, family relations and knowledge about cancer and health. Conclusions: The framework proposed together with the interviewing and rating approaches used provide a potential new methodology for understanding cancer patients' TD and promoting earlier cancer treatment.

• 보건행정학회지
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• 제18권3호
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• pp.1-17
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• 2008

The measurement and management of patient satisfaction has become one of the key issues in the last two decades. Hospitals must thoroughly understand the needs of their customers and design products and health services that meet and exceed their expectations. The importance-performance analysis(IPA) is a widely used analytical technique that yields strategies for managing customer satisfaction in a variety of applications. IP A is a two-dimensional grid based on customer-perceived importance of quality attributes and attribute performance. Depending on the interplay of these two dimensions, four strategies can be derived. The aim of this study is to develop the management strategies for improving patient satisfaction in university hospitals using the I-P analysis. The attributes on inpatient service quality in 4 university hospitals was investigated using the Martilla and James(l977)' s a mean adjusted I-P grid where the axes of the grid cross at the average rating point of all items. The patient satisfaction questionnaires were completed by 600 hospital inpatients. The main statistical methods are path analysis and IPA with SPSS 12.0 and AMOS 4.0 statistical softwares. The two attributes, physician and medical service, administrative staff kindness attributes position in first quadrant(Keep Up the Good domain). The nurse and nursing service attributes position in second quadrant(Possible Overkill domain). The two attributes, convenience of check-in service, facilities and physical environment position in third quadrant(Low Priority domain). Finally the quality of inpatient service(food etc.) attributes position in fourth quadrant(Concentrate Here domain). These findings show various implications on the development of strategies in university hospitals in the future. It was determined that quality of inpatient service(food etc.) need to concentrate more on investments. These investments include a taste, price, proper provision of food service and quick response of pain management. A low priority was given to investment in streamlining the check-in process of inpatient and hospital facilities and physical environment in the long run.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제18권4호
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• pp.17-27
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• 2012

Purpose: This research was for understanding the attitudinal difference by gender towards emotional design through questionnaire survey with female and male inpatients on environmental characteristics of wards in general hospitals. Methods: The survey was conducted by questioning inpatients at two general hospitals on the importance rating on emotional design elements of patient rooms, lounges, and hallways. Eighty questionnaires were returned and used for data analyses through SPSS windows version 15.0 statistic package program. Results: 1) In general, female patients considered emotional design of wards as more important than male patients and the most outstanding difference was indicated for patient rooms among patient rooms, lounges, and hallways. For patient rooms the comfortability index was rated as the most important to both female and male inpatient groups, and for lounges and hallways the safety index was evaluated as the most important to both gender groups. 2)For lounges, while male patients rated 'prevention of infection' important among safety relating items, women considered 'accident prevention' more important. It is inferred that female patients have more safety needs and anxiety about physical injury or accidents than male ones do. Implications: It is considered that there need to be further succeeding in-depth studies, e.g. research interviews with inpatient;s family members or other caregivers as well as patients themselves.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2009년도 추계학술발표대회 논문집
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• pp.217-222
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• 2009

This study is lately stand on the basis of the importance for global warming and environment and accept changes of the paradigm of the 21st century. also it is to start architecturial access that suggest to solutions about environment, energy and health problems in high-rise residential architecture that lately the importance for global warming and environment. Spacially since 1990, high-rise residential architecture has developed into increase rapidly, and nowdays, this has become one of the new residence type. but this have diverse problems. For this reason, this building faced neccessary to improve living space and obtain to eco-friendiness and sustainability. Therefore, this study is focused to environment-friendly architectural certification in Korea and other countries, aims to suggest planning and technical elements from this system. Through 11 cases of high-rise residential architecture certified sustainable certification system, this study drew out tendency and charateristics of main strategy elements. These analysis will express informations of current level and also suggest to direction for improvement in quality of high-rise residence.

• 한국콘텐츠학회논문지
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• 제21권4호
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• pp.166-176
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• 2021

도시화 및 산업화로 대형화재 예방 및 관리, 조치에 대한 중요성이 나날이 증가하고 있다. 하지만 인구 50만 이상 대도시인 포항시는 대형화재 피해를 최소화시킬 수 있는 요소인 골든 타임 내 화재 현장 도착율이 상대적으로 현저히 낮다. 그러므로 추가적인 소방력 배치 및 인프라 투자가 필요한 실정이다. 그러나 예산과 인력은 한정되어 있기에 선별적인 소방력 배치 및 인프라 투자를 해야 한다. 따라서 본 연구는 포항시 행정구역 간의 선별적인 소방 서비스 제공 및 관련 의사결정에 도움을 줄 수 있는 지표인 화재 발생 시 화재 피해 수준을 비교할 수 있는 화재 피해 등급을 제시하고자 하였다. 화재 피해 등급 측정을 위해 OD cost matrix를 사용하여 도로망에 따른 화재 발생 시 화재 규모가 커질 가능성이 높은 화재 취약지역을 예측하였으며, 인구와 건물 밀도, 소방차 접근성에 따른 화재 발생 시 화재 피해 수준을 예측한 화재 피해도를 측정하였다. 화재 피해 등급을 통해 포항시뿐만 아니라 다른 지역의 소방력 배치 및 소방 서비스 관련 다양한 의사결정에 도움 줄 수 있을 것이라 기대한다.

• 한국의료질향상학회지
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• 제7권2호
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• pp.230-242
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• 2000

Background : The measuring instruments for customer satisfaction in hospitals are often composed of some dimensions reflecting the conceptive complexity of them. Then, overall satisfaction would be expected to be equal the 'weighted' sum of scores by dimensions because the importance rated by customers may be different across the dimensions. But the issue of how to weight the dimensions with importance is not yet solved. We examined 3 sets of weighting methods as to make effect on predictive power against overall satisfaction. Methods : We conducted a survey included 483 subjects who had visited or admitted to a university hospital, using the short form questionnaire being developed by The Korean Society of Quality Assurance in Health Care for out-patient and in-patient. By using a multiple linear regression model, we compared among changes of explanatory powers against overall satisfaction as dependent variable after weighting 4 dimensions of the survey questionnaire as independent variables with importance scores of dimensions perceived by consumers. And we compared the feasibility of each weighting, methods by checking missing cases. Results : There were no weighting methods increasing the explanatory power after applying them. The method of absolute scoring was found higher explanatory-power than others, but this finding had no statistical significance. Regarding the number of missing value, method of absolutely scoring had the least cases. Conclusion : Our findings suggested that weighting the dimensions with importance might have little significance in the cases of scales having items highly correlated, such as consumers' satisfaction. Though asking with items to be answered absolutely, customers might be rating relatively in some degree and this method produced least missing cases. Considering these points, in the cases when weighting the dimensions with importance would be required, we suggest that weighting method by absolute scoring might be better than others.

• 대한지역사회영양학회지
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• 제10권3호
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• pp.311-318
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• 2005

The purposes of the study were to identify important attributes in foodservice management and culinary arts students' career decision-making and to investigate factors determining their preferred employment fields. A questionnaire that consisted of preferred employment fields, importance rating of 19 attributes related to job choices, and demographic information was developed based on a review of literature. A total of 319 students enrolled in food and nutrition, foodservice management, and culinary arts programs of eight 2-year colleges and 4-year universities in Seoul and Kyunggi Province participated in the survey. Data were analyzed using SPSS Win (version 10.0) with descriptive statistics, chi-square analysis, one-way analysis of variance, factor analysis, and discriminant analysis. Attributes of the highest importance scores included fringe benefits, wages and promotion opportunities, working environments, professional development opportunities, and organizational culturs. The students who preferred non-commercial foodservice as a career choice depended more on 'word-of-mouth from faculty' than those who preferred other fields (F=3.094, p < .05) and rated importance of 'participation in job fairs' higher than those who selected hotel food and beverage (F : 5.048, p < .01) . A factor analysis of the 19 attributes resulted in five factors: job/compensation policy, impersonal communication, company image, word-of-mouth, and personal experience. The five factors explained $67\%$ of the total variance. A discriminant analysis revealed that students who perceived 'impersonal communication' and 'word-of-mouth' more important were likely to prefer non-commercial foodservice as a career choice. The results would be used by university faculty in advising graduating students on career selection and by recruiters in developing effective and attractive recruiting programs.

• 한국통신학회논문지
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• 제33권2A호
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• pp.204-209
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• 2008

교통정보 시스템에 있어서 가장 중요한 것은 각 도로의 교통상황이나 유고정보 등 Event를 얼마나 빨리 전달하느냐에 달려있다. Event 정보를 TPEG 시스템에서 보다 효과적으로 운영하기 위해서는 효과적인 전달 시스템이 필요하기 때문에, 본 논문에서 개선된 전달 시스템을 제안하려고 한다. 개선된 전달 시스템은 교통정보 데이터를 TPEG 데이터로 변환한 후에 단순하게 FIFO 방식을 이용하여 전달하는 기존의 방식과는 달리 교통정보의 우선순위를 고려한다. 제안하는 우선순위 기반의 방식은 어떤 정보가 중요한 교통정보인가 판별한 후에 우선순위에 따라 스케줄링 하여, 중요한 정보는 보다 빨리 전달이 되도록 하고 또한 우선순위에 따라 전송 주기를 앞당긴다. 한편, 중요도가 낮은 교통정보는 늦게 전달이 이루어지며 우선순위가 낮으므로 전송주기도 늦어지게 된다. 컴퓨터 시뮬레이션을 통하여 제안하는 방식이 갑작스런 교통상황의 변화와 중요한 교통정보를 보다 빨리 전달할 수 있다는 것을 보여주고 있다.

• 농촌계획
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• 제25권2호
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• pp.99-117
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• 2019

Environmental impact assessment (EIA), which predicts, evaluates, and manages the influences on natural landscape, plays a role of monitoring natural resources for systematic management of natural landscape. However, the function of verification and correction of the system is still insufficient and feed-back, one of the most important features of EIA follow-up, has not been introduced in Korea's EIA system yet. As a procedure, it is required to check if the opinions of the evaluators are properly reflected to the outcomes of the project through a reviewing process after assessing environmental impacts of a development project. In reality, despite the awareness about the importance of follow-up inspection of the conformity with, the system mainly focuses on the agreement during the planning stage of the development project and fails to continuously manage after its completion. There have been various preceding studies related to prediction, evaluation, and management of environmental impacts on natural landscape for better management. They primarily dealt with the problems in the EIA process and suggested improvement measures, including directions for institutional development, step-by-step goals, and operation methods, to address the problems which arise in the EIA follow-up process. However, suggested measures are not actively applied with the focus only put on institutional operation, there are virtually no standardized methods to predict and assess landscape changes due to the development project and to manage landscape after the project. Against this backdrop, this study aims to explore the existing methods to analyze the impacts natural landscape and to establish a system where landscape management is continued after the development project. To this end, we will suggest reducing methods according to the predicted changes in landscape for post-project management of natural landscape. Characteristics of reduction methods by project type were examined through reviewing the guide to natural landscape rating and the importance of development project impacts on natural landscape by type of reduction was evaluated through questionnaire for experts. Evaluated types of reduction are classified and presented by characteristics of each development project and content of reduction type.