• 보건교육건강증진학회지
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• 제27권4호
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• pp.165-175
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• 2010

Objectives: The purpose of this study is to evaluate the program theory of a lifestyle intervention program for the prevention and treatment of metabolic syndrome. Methods: The program evaluated is a tailored intervention for multiple health behavior associated with metabolic syndrome which is informed by theoretical constructs from the Intervention Mapping and Transtheoretical model. The program components include one-to-one health counseling, a self-management handbook, and a health diary. To evaluate program impact theory we examined the logic of program goals and objectives, intervention methods and strategies, and the theoretical constructs of program materials through document review and matrix building. Results: This evaluation has found that the intervention program applied social cognitive theory constructs to design intervention methods and strategies in addition to the Transtheoretical model: self-monitoring for goal setting and monitoring skill, outcome expectation for the benefits of health behavior change, and interaction with environment for observational learning through modeling. While the intervention addresses multiple determinants and behaviors, it is limited to an individual level and lacks social and environmental approaches. Following the Transtheoretical framework, the contents of the intervention materials were developed utilizing consciousness raising as a main strategy for earlier stages of change, and counterconditioning and stimulus control for later stages of change. Conclusion: Program theory evaluation can be a process of enhancing program validity. It would also be necessary for providing basis for efficient program implementation. When comparisons of program theory between similar programs are possible, program theory and validity will be strengthened when comparisons of program theories between similar programs are possible.

• 정보학연구
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• 제5권3호
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• pp.81-96
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• 2002

21C 정보환경의 대두와 더불어 업무 역량의 폭이 매우 넓어졌다. 특히 인터넷이라는 매체의 도구적 활용이 보다 광역화되고 있으며, 소비자와의 직접적인 업무연결이 가속화되고 있는 현 시점에서 업무프로세스의 재설계는 업무효율의 증대는 물론, 총비용을 절감하는 효과를 가져올 것이다. 본 연구는 업무프로세스의 재설계를 통한 성과 및 그 성과에 긍정적인 영향을 미치는 요인들을 밝히고자 하는데 연구의 목적을 두었다. 업무프로세스의 구성원인을 전략차원, 조직문화 차원, 방법론 및 운영차원, 정보기술 및 교육차원 등 4개로 분류하여 각각의 성과요인들을 정리하였는데 분석결과는 다음과 같다. 첫째, 성과에 중요한 요인으로 IT의 교육 및 훈련, 전사적 참여, Vision의 수립과 공유, 조직구성원의 프로젝트 수행에 관한 저항관리 등 4개의 요인이 밝혀졌다. 둘째, 프로젝트 목표가 혁신적이거나, 전사적 참여가 이루어질 경우 프로세스 시간의 감소를 가져왔으며, 프로젝트가 고객지향적일수록, 벤치마킹의 실행이 자주 일어날수록, IT의 교육 및 훈련이 많을수록 프로세스 산출물에 대한 품질향상에 중요한 요인으로 작용하였다.

• 한국안전학회지
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• 제33권1호
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• pp.66-72
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• 2018

This study analyses the types, related operations, facilities, and causes of chemical accidents in Korea based on the RISCAD classification taxonomy. In addition, human error analysis was carried out employing different human error classification criteria. Explosion and fire were major accident types, and nearly half of the accidents occurred during maintenance operation. In terms of related facility, storage devices and separators were the two most frequently involved ones. Results of the human error-based analysis showed that latent human errors in management level are involved in many accidents as well as active errors in the field level. Action errors related to unsafe behavior leads to accidents more often compared with the checking behavior. In particular, actions missed and inappropriate actions were major problems among the unsafe behaviors, which implicates that the compliance with the work procedure should be emphasized through education/training for the workers and the establishment of safety culture. According to the analysis of the causes of the human error, the frequency of skill-based mistakes leading to accidents were significantly lower than that of rule-based and knowledge based mistakes. However, there was limitation in the analysis of the root causes due to limited information in the accident investigation report. To solve this, it is suggested to adopt advanced accident investigation system including the establishment of independent organization and improvement in regulation.

• Asian Pacific Journal of Cancer Prevention
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• 제13권5호
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• pp.1907-1910
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• 2012

Background: Breast cancer is the most prevalent cancer and the fifth cause of cancer death in Iranian women. Early detection and treatment are important for appropriate management of this disease. Mammography and ultrasonography are used for screening and evaluation of symptomatic cases and the main diagnostic test for breast cancer is pathological. In this study we evaluated mammography and ultrasonography as diagnostic tools. Methods: In this cross-sectional study 384 mammography and ultrasonography reports for 255 women were assessed, divided into benign and malignant groups. Suspected cases were referred for pathology evaluation. The radiologic and pathologic reports were compared and also comparison was performed based on age groups (more and less than 50 years old), history of breastfeeding and gravidity. Statistical analysis was performed by SPSS. Results: The mean ages of malignant and benign cases were $49{\pm}11.6$ and $43{\pm}11.2$ years, respectively. Sensitivity and specificity for mammography were 73% and 45%, respectively. Sensitivity and specificity for ultrasonography were 69% and 49%, respectively. There were statistical differences between specificity of mammography in patients based on factors such as history of gravidity, breastfeeding and sensitivity in patients equal or more than 50 years old and less. Conclusion: Factors affecting different results in mammography and ultrasonography reports were classified into three groups, consisting of skill, experience and training of medical staff, and setting of instruments. It is recommended that health managers in developing countries pay attention the quality of setting and man power more than current status. Policy-makers and managers must establish guidelines regarding breast imaging in Iran.

• 대한한의학회지
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• 제17권2호
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• pp.17-33
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• 1996

Chinese medical science with long history has experience and theory of cure and prevention as well as the perfect different system with western medicine. Western medical science also was introduced in recent times and has been used in fast development in China extensively. Therefore only China that coexist oriental and western medicine is used the term, the integration of oriental and western medicine. Its object is to make better treatment and prevention value with utilizing their strong point and weak point. That is, its great principle is to develop through interchange together without interference in the other science. For mutual growth of both medical science, national concern and support, medical staffs, administrative system and a lot of fruits, etc should be arranged simultaneously. This paper was obtained the as follows. 1. The system of public health administration is composed a sanitary department for a western medicine and a managing agency for a chinese one in the center. There are each local organization under the control both agency in the locality 2. The importance of the integration of chinese and western medicine is to get the merit of special chinese system through the interchange of both medicine and union with modem science and chinese pharmacy. 3. It is the long term and great project. So its important study field is illness treatment and cure, oriental medical remedy and theory, acupuncture and moxibution etc. 4. It makes steady progress in all the healthy medical field. It has studied its foundation, the education of medical staffs, scientific study and strengthening of skill management considerably. 5. The products are the development of new chinese medicines and many researches about traditional chinese medical science. In brief, the integration of chinese and western medical science is the historical stream. Besides it will contribute toward the cure and prevention of human illness for future 21 century.

• 한국식품조리과학회지
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• 제32권6호
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• pp.745-753
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• 2016

Purpose: This study was conducted to provide basic data for human resources management of hospital foodservice employees by determining their job characteristics, job satisfaction, and organizational commitment according to recent hospital environment changes. Methods: Our survey was administered to 248 hospital foodservice employees in Busan area from September 1 to September 25, 2014. A total of 158 questionnaires were used for final analysis. Results: The mean score of job characteristics showed significantly difference by work experience (p<0.001), annual salary (p<0.01), and cooking certification (p<0.05). Job satisfaction had significantly difference by the age (p<0.05), annual salary (p<0.001), and turnover intention (p<0.001). Organizational commitment showed significantly (p<0.001) difference by age, work experience, and annual salary. There was positive correlation (p<0.001) between organizational commitment and job characteristics, job satisfaction. Organizational commitment had significantly positive correlation with skill variety (p<0.001), feedback (p<0.01), and task significance (p<0.001) of job characteristics, with work (p<0.001), pay (p<0.001), and co-workers (p<0.001) of job satisfaction. Job characteristics (${\beta}=0.249$, p<0.001) and job satisfaction (${\beta}=0.380$, p<0.001) had positive influences on the organizational commitment(p<0.001). In sub factors of job satisfaction, work (${\beta}=0.291$, p<0.001) and pay (${\beta}=0.252$, p<0.01) had positive influences on organizational commitment. Conclusion: To develop the organizational commitment, hospital managers need to reinforce responsibility and fulfillment by job enrichment and to consider increasing salaries to get a higher satisfaction from foodservice employees.

• 한국수자원학회논문집
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• 제48권12호
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• pp.995-1009
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• 2015

초단기 홍수예보를 위한 주요자료로서 최근 기상레이더의 중요성이 크게 부각되고 있다. 기상레이더는 넓은 지역에 걸쳐 실시간으로 강우현상 감시가 가능하며 지상우량계로는 파악이 불가능한 미계측유역을 통과하는 강우장의 이동 및 변화 파악이 가능한 장점이 있다. 본 연구는 강우장의 공간적 분포와 레이더 강우세포를 추적하는 강우장 예측 해석방안을 수립하였다. 이를 위해 강우장의 공간적인 이동을 고려하기 위해 강우장의 바람장 이류(advection) 패턴을 추출하여 각 강우세포가 가지는 이동방향 및 속도를 고려한 강우장 추적기법을 통하여 강우장을 예측하였다. 본 연구를 통하여 개발된 기상레이더 강우장 상관분석 기법을 활용한 초단기강우예측 결과는 집중호우시 홍수 예 경보를 위한 수문모형의 입력자료로 활용이 가능할 것으로 사료된다.

• 대한지역사회영양학회지
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• 제18권2호
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• pp.112-124
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• 2013

This study was conducted to investigate how child-care teachers participate, practice mealtime instruction, and perceive difficulties in food service, focusing on comparison between the teachers caring two different age groups: children younger than three years (Younger Group) and those three years or older (Older Group). Questionnaires were distributed to 151 child-care centers in Kwanak-gu, Seoul, Korea during December, 2011. Only the data from 25 child-care centers, where two respective teachers in charge of Younger Group and Older Group completed the questionnaires, were analyzed. The results showed that there was no difference in terms of child-care teachers' participation in food service practice between the two groups, except for serving method; 'Pre-plated' serving was used significantly more often in Younger Group, whereas 'Line-up' serving was used in Older Group. Approximately, three quarters of the child-care centers had policies or guidelines on mealtime instruction. During mealtime, child-care teachers tended to use frequently verbal instructions such as "sit up straight when you eat" about eating manner, "don't be picky with your food" about eating habit, and "wash your hands before eating" about eating procedure in both the groups. There was no statistically significant difference regarding child-care teachers' perceived difficulties in food service between the two groups. These results indicated that child-care teachers' participation and mealtime instruction in food service did not differ between the two age groups, although children's development of digestion and eating skill differed by age. Therefore, training should be provided to child-care teachers about food service practices and mealtime instruction appropriate to children's age.

• 한국콘텐츠학회논문지
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• 제12권9호
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• pp.226-233
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• 2012

맞춤형 방문건강관리사업 담당인력의 실무적 역량 강화를 위하여 가정 방문 시 필수적으로 요구되는 대상자와의 치료적, 공감적 의사소통 및 상담 능력 향상을 위한 상담매뉴얼을 개발하고 이의 효과를 측정하였다. 상담매뉴얼은 1단계 상담준비, 2단계 신뢰형성, 3단계 진단발굴, 4단계 행동, 5단계 마무리 단계로 개발하였으며, 대상자의 상담요구에 따른 상담유형을 지지호소형, 문제해결요구형, 정보 및 조언요구형의 3가지로 분류하고 각각의 유형에 적합한 주요 상담 기법을 제시하였다. 주요 상담 기법은 지지호소형에서는 공감하기, 감정반응하기, 자기공개하기, 즉시 반응하기를, 문제해결요구형에서는 개방질문하기, 목표설정하기, 해결방안 모색하기, 요약하기를, 정보 및 조언요구형에서는 정보 제공하기, 제안하기, 해석하기 새로운 기술 가르치기를 중심으로 각각의 상담 예문을 제시하였다. 상담매뉴얼 교육 전, 후 맞춤형 방문건강관리사업 전담인력의 상담능력 향상 정도를 상담자 활동 자기효능감 척도(Counselor Activity Self-Efficacy Scales: CASES)를 이용하여 측정하였다. 측정 결과 조력기술 자기효능감과 회기관리 자기효능감 그리고 상담난제 자기효능감의 모든 영역에서 통계적으로 유의한 차이가 있는 것으로 분석되었고, 상담매뉴얼 교육을 받은 후에 맞춤형 방문건강관리사업 전담인력의 상담자활동 자기효능감이 증진된 것으로 나타났다.

• 한국직업건강간호학회지
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• 제15권1호
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• pp.30-39
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• 2006

Purpose: The purpose of this study was to examine factors influencing for the compliance of guidelines of preventing bloodborne infection for operating room nurses. Method: Data was collected through questionnaires from March 16 to April 12, 2005. The subjects of this study were consisted of 208 operating room nurses, who had been working at 4 university hospitals and 10 general hospitals in Busan. The Instrument for the compliance of guidelines for preventing bloodborne infection was 24-item questionnaire. It was revised based on the Standard Precaution of CDC and Bloodborne Pathogen Standards of OSHA. In addition, to find out the knowledge level of AIDS, hepatitis B and hepatitis C, 15-item questionnaire was used, which had been made by researcher based on Kim(1999) et, al. Results: The affecting factors of compliance for preventing bloodborne infection were work skill(${\beta}=.27$), operating room education on infection prevention(${\beta}=.25$), knowledge on infection(${\beta}=.19$), readiness of using personal protective equipment(${\beta}=.18$), and posting a notice of infected surgery patients(${\beta}=.16$). Theses 5 factors account for 28.5% on the compliance of guidelines for preventing bloodborne infection for operating room nurses. Conclusion: According to the results, to increase the compliance level of operating room nurses, personal efforts should be made to improve work skills and infection knowledge. In addition to organizational efforts on practical education and management of environment were required.