• Journal of Chest Surgery
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• 제53권6호
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• pp.346-352
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• 2020

Background: We aimed to assess the clinical outcomes of patients who underwent surgical repair of Kommerell diverticulum (KD) with individualized surgical methods. Methods: A retrospective analysis was performed of adult patients (aged ≥17 years) who underwent surgery to treat KD between June 2008 and October 2019. Results: Nine patients (median age, 45 years; range, 19-67 years; 7 men) underwent surgical repair. The indications for surgical therapy were acute aortic dissection in 2 patients, the presence of compressive symptoms due to dilated KD in 4 patients, and aneurysm growth in 3 patients. Various surgical techniques were used: (1) resection of the diverticulum stump and revascularization of the aberrant subclavian artery (n=3), (2) one-stage total-arch replacement including the diverticulum segment (n=3), and (3) hybrid repair (n=3). Early mortality occurred in 1 case of hybrid repair. Transient paraparesis occurred in a patient who underwent total arch repair as part of complicated acute aortic dissection. During follow-up (median duration, 30 months; range, 7-130 months), no late death or associated aortic complications were documented. All survivors were free from symptoms and had no abnormal findings on follow-up computed tomography. Conclusion: With a customized surgical approach and appropriate consideration of patient-specific anatomy and associated comorbidities, KD can be repaired with favorable outcomes.

• 해양환경안전학회지
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• 제19권6호
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• pp.621-628
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• 2013

본 연구는 근무여건의 열악함에도 불구하고 많은 역할을 담당하고 있는 해양경찰 함정의 조직유효성 향상을 위해 함장의 변혁적 리더십이 일반 함정승조원의 조직몰입에 어떠한 영향을 미치는지를 파악하기 위함이다. 연구를 위하여 변혁적 리더십이 조직 몰입에 미치는 다양한 선행연구를 조사하였고, 가설을 설정하여 변혁적 리더십이 조직몰입에 미치는 영향에 대하여 검증을 시도하였다. 변혁적 리더십이 조직몰입에 미치는 영향에 대해 검증하기 위하여 변혁적 리더십을 독립변수로, 조직몰입을 종속변수로, 그리고 다섯 가지 인구통계학적 특성을 사용하여 연구의 모형을 설정하였다. 연구의 결과 변혁적 리더십의 지적자극이 조직몰입의 조직목적(t=6.664, p=0.000)과 근속몰입(t=4.057, p=0.000)에서 해양경찰 함정 일반 승조원에게 가장 크게 영향을 미치는 것으로 보이며, 우리가 일반적으로 영향력이 클 것으로 생각하는 개별배려는 거의 영향을 주지 못하는 것으로 나타났다.

• 한국콘텐츠학회논문지
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• 제18권5호
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• pp.482-489
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• 2018

본 연구는 세무공무원들의 리더십 유형(변혁적/거래적)이 조직몰입에 영향을 미치는지를 알아보고, 조직 몰입에 미치는 변혁적 리더십과 거래적 리더십이 임파워먼트에 따라 차이가 있는지를 임파워먼트의 조절변수를 사용하여 이들의 관계맥락을 실증적으로 분석하는데 그 목적이 있다. 분석결과, 리더십 유형(변혁적/조건적)은 조직몰입에 정(+)의 영향을 미치는 것으로 나타났으며, 조절효과분석의 상호작용 항 분석결과는 리더십요인 중에서 카리스마와 지적자극, 조건보상, 예외관리를 제외한 개인적 배려${\times}$임파워먼트와 예외관리${\times}$임파워먼트가 조직몰입에 통계적으로 유의미한 정(+)의 영향을 미치는 것으로 확인되었다. 따라서 리더십변수의 개인적 배려와 예외관리는 임파워먼트와 조절될 때 조직몰입에 조절효과가 긍정적으로 작용한다는 것을 알 수 있었다.

• 한국임상약학회지
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• 제26권3호
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• pp.245-253
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• 2016

Objective: This study was conducted to evaluate payer-driven medication adherence intervention program from the patient's and counselor's perspectives. Methods: Target patients for intervention were selected by retrospective adherence measures based on national health insurance claims data for hypertension, diabetes and hyperlipidemia. As a serial intervention for higher risk groups of medication non-adherence, initial direct mailing, the first direct telephone call and the second direct call or a home visit were followed. Interview approach to qualitative inquiry was used to evaluate intervention results. Results: Participants including 4 patients received telephone calls, and 4 National Health Insurance Service staff and 4 pharmacists participated as counselors were interviewed regarding their impression of the intervention program. Three major themes arose: overall perception; necessities; and suggestions for success, of the intervention. Despite short period of intervention, educational intervention by telephone counseling involving pharmacists shows potential to improve self-management of chronic disease, and pharmacist-involvement. But more sophisticated selection of target patients requiring the intervention and complementation of electronic database system would be necessary. In addition, personal disposition of counselor was revealed to be an important factor for achieving successful outcome of intervention. Conclusion: The findings suggest that the individualized counseling intervention would be an efficient option for improved medication adherence. Further researches should include longer periods of interventions, a quantitative analysis using adherence measures based on claims data and consideration of clinical benefits associated with the intervention.

• 한국간호교육학회지
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• 제5권2호
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• pp.206-218
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• 1999

Relapse is one of the most serious problem in alcoholism treatment area. But there is no proper post-treatment management program for preventing relapse in Korea. The purposes of this study are the analysis of several alcoholism treatment programs and recommendation about consideration for developing our alcoholism treatment program to prevent relapse in our country. Five different alcoholism treatment programs were collected for this study, two programs were collected by participant observation and three were collected by instruction manuals, references, and briefing materials. The followings are the criteria for this analysis of the five treatment programs. 1. the specific characteristics of the treatment program 2. the criterion of the patients, the duration and period (or the treatment, the special activities, and goals of the treatment. 3. the common characteristics of the five treatments. The common characteristics of those treatment programs are; 1 preparation for post-treatment from the beginning of the treatment (hospitalization) 2. assessment of relapse related factors 3. assessment of the relapse-warning signs 4. development and plan of individualized intervention strategy 5. practice of the plan The common characteristics of those treatment programs are 1. groups are classified the recovery training groups and the self-help groups 2 all kind of treatment programs carried out as groups rather than individuals. 3. usefulness which apply to various settings and various types 4. multidisciplinary and interdisciplinary approach As results, those programs were developed as post-detoxication management program, follow up program, and continued care program and their theoretical framework was from social learning theory. Those programs used the principles of cognitive-behavioral therapy for the classes, groups, and social skill training. These finding can be used for developing culturally appropriate alcoholism treatment programs focused on relapse prevention.

• 한국콘텐츠학회논문지
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• 제8권11호
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• pp.306-322
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• 2008

본 연구는 공기업 CEO의 리더십특성이 조직구성원의 리더신뢰수준과 조직유효성에 미치는 영향을 시장형과 준시장형 공기업 14개회사를 중심으로 1,124명의 표본을 대상으로 조사하였는데 조사결과는 다음과 같다. (1) 리더의 개인적 배려가 신뢰수준에 영향을 미치고, (2) 변혁적 리더십과 거래적 리더십이 조직 유효성에 영향을 미치는 것으로 분석되어 가설이 채택되었다. 그리고 (3) 리더의 신뢰수준으로서의 계산적, 지식적, 동일화 요인이 조직 유효성의 직무만족과 조직몰입에 긍정적인 영향을 높이는 기제로 나타났으나, 신뢰수준에서 계산적 변수의 조직몰입은 기각되었다. 전체적으로 공기업 CEO 리더십 특성으로서의 변혁적, 거래적 리더십이 계산적, 지식적, 동일화 정도의 상호신뢰수준에 따른 조직 유효성에 미치는 영향검증 결과 동일화 기반에서의 조직몰입은 기각되고 그 외 요인은 긍정적인 기제로 채택되어 공기업 CEO의 리더십 특성에 적합한 기제임을 입증시켜 주었다.

• 품질경영학회지
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• 제46권4호
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• pp.939-958
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• 2018

Purpose: The purpose of this study was to propose useful suggestions by analyzing causal effect relationship between quality of followership, perceived style of leadership, job satisfaction and team commitment in the aviation industry. Methods: For the analysis of this study, a survey was conducted on local flight attendant. A total of 364 surveys were collected and 336 effective samples were used for analysis. And the collected data were analyzed using Structural Equation Modeling. Results: The results of this study were as follows : First, In the relationship between quality of followership and perceived leadership styles, independent thinking has a positive effect on all six sub-factors of transformational and transactional leadership and active engagement has negative influence on all six sub-factors of transformational and transactional leadership. Inaddition As a result of total and direct and indirect effects, Idealized Influence of perceived leadership style indirectly influences between Quality of Followership and job satisfaction, Idealized Influence, Inspirational Motivation, Intellectual Stimulation, Individualized Consideration, Contingent Reward of perceived leadership style have been shown to have indirect effects on team Commitment Conclusion: Based on the characteristics of followers and the type of leadership, it is necessary to develop ways to develop job satisfaction and team commitment of airline crews. In addition, flight attendant act as leaders and followers of each other depending on their work characteristics. Therefore, it is necessary to understand the relationship between leadership and followership based on the results of this study.

• 교육심리연구
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• 제31권2호
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• pp.265-282
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• 2017

본 연구의 목적은 교육의 사각지대에 놓여 있는 난독증 고위험군 학생들에게 다층 체계를 기본으로 하는 RTI 교육 서비스 내에서 읽기 유창성 프로그램을 제공하고, 최종적으로 학습 진전도에 따라 난독증 학생을 선별하는 데 있다. 연구대상은 "2016년도 경기도 난독증 우수프로그램 공모사업" 으로 선정된 '경기도 난독증 아동청소년 지원프로그램 대상자' 중 RTI 체계 내에서 읽기 유창성 영역에서 어려움을 보이는 22명의 초등학생 1-5학년 학생들이다. 연구대상에게 증거기반 읽기 교수 학습 전략에 따른 개별화된 읽기 유창성 프로그램을 약 3개월간 8-10회기 제공하고, 총 3회의 진전도 모니터링을 실시하였다. 연구결과 읽기 유창성 중재를 받은 22명의 학생들을 관심군, 향상군, 이중불일치군으로 분류하였으며, 최종적으로 이중불일치군으로 분류된 3명의 학생들을 잠재적 난독증 집단으로 정의 내렸다. 마지막으로 본 연구의 결과에 따라 향후 난독증 학생에 대한 교육적 진단과 효과적인 중재 적용에 대한 방향성 및 시사점을 제안하였다.

• Journal of Korean Neurosurgical Society
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• 제66권3호
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• pp.228-238
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• 2023

Intraventricular hemorrhage (IVH) is a serious concern for preterm infants and can predispose such infants to brain injury and poor neurodevelopmental outcomes. IVH is particularly common in preterm infants. Although advances in obstetric management and neonatal care have led to a lower mortality rate for preterm infants with IVH, the IVH-related morbidity rate in this population remains high. Therefore, the present review investigated the pathophysiology of IVH and the evidence related to interventions for prevention. The analysis of the pathophysiology of IVH was conducted with a focus on the factors associated with cerebral hemodynamics, vulnerabilities in the structure of cerebral vessels, and host or genetic predisposing factors. The findings presented in the literature indicate that fluctuations in cerebral blood flow, the presence of hemodynamic significant patent ductus arteriosus, arterial carbon dioxide tension, and impaired cerebral venous drainage; a vulnerable or fragile capillary network; and a genetic variant associated with a mechanism underlying IVH development may lead to preterm infants developing IVH. Therefore, strategies focused on antenatal management, such as routine corticosteroid administration and magnesium sulfate use; perinatal management, such as maternal transfer to a specialized center; and postnatal management, including pharmacological agent administration and circulatory management involving prevention of extreme blood pressure, hemodynamic significant patent ductus arteriosus management, and optimization of cardiac function, can lower the likelihood of IVH development in preterm infants. Incorporating neuroprotective care bundles into routine care for such infants may also reduce the likelihood of IVH development. The findings regarding the pathogenesis of IVH further indicate that cerebrovascular status and systemic hemodynamic changes must be analyzed and monitored in preterm infants and that individualized management strategies must be developed with consideration of the risk factors for and physiological status of each preterm infant.

• 지역사회간호학회지
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• 제13권2호
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• pp.205-215
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• 2002

Objectives: This study was designed to develop and evaluate a stage matched exercise intervention program to effectively increase exercise behaviors in urban elders. Methods: The study included three phases: preliminary descriptive data collection, program development, and program evaluation. The data for the preliminary descriptive phase were collected between May and June 2001. The study participants were 89 urban elders who responded a questionnaire that included general characteristics, exercise related experiences, stage, and process of change in exercise behaviors. Data were analyzed using descriptive statistics, $x^2$-test, and content analysis. Development of the program was based on the preliminary data. and a literature review, and was guided by the tran theoretical model. It consisted of strategies to facilitate the process of changes used in each stage. Evaluation of the program was achieved from October to December 2001, using a case study method, in which eight urban female elders participated. Interviews were conducted on a weekly basis in the form of either an individual interview, or group discussion. Each elder subject received education in accordance with the program strategies and education materials. In the case that a subject's stage of change moved into another one, the scores for the process of change were re-measured. The data were analyzed using the content analysis technique. Results: The results were as follows: 1. Elders who participated in the preliminary data collection phase were over 75 years of age, and the majority of them were women. They had a higher educational level, and fewer number of illnesses than the subjects in other studies. Their stage of change was divided into pre-contemplation and maintenance. The social liberation scores were the highest across all stages of change. There was no difference between men and women on scores for processes of change in each stage. 2. The stage matched exercise intervention program that was developed in this study consisted of one counseling type program and three distinguished educational booklet materials. 3. The results of the case studies are as follows: 1) The study participants were 8 women between 75 and 87 years of age. At the first interviews, all of them were in the pre-contemplation stage. All of them reached the action stage before the 7th week. The scores for processes of change that were the focus in each stage increased more than the scores for other processes of change. During the early stages of change, experimental processes increased more than behavioral processes. However. this pattern was reversed during later stages of change. 2) Characteristics of the subjects in each stage were identical as presented at the tran theoretical model. The intervention strategies were effective in the transition occurred in any stage. 3) Barriers for exercise included unwillingness to exercise, fatigue, shortness of breath, and pain. Ways to overcome these barriers were 'learning an alternative exercise method that can be done at home', 'self-promising/ exercise-promising', and 'use of cues to exercise'. 4) The factors that affected the application of the program were consideration of age and personal preference in selecting an exercise pattern, individualized intervention, and use of education materials appropriate to elders. Women over 80 years of age preferred muscle strengthening and stretching exercise, because they can be easily done at home. They also preferred individualized interventions, materials that were easy to read, and education contents appropriate for elders. Conclusion: In conclusion, the stage matched exercise intervention program that considered the characteristics of the elders was effective to facilitate exercise behaviors of the elders.