• 한국병원경영학회지
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• 제23권2호
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• pp.54-66
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• 2018

Purpose: This study was to figure out relationships of perceived Technology Readiness Index(TRI), usefulness, acceptance intension, and the recognition of substitute employment of medical personnel on the artificial intelligence (AI) and internet of things (IoT) among main technologies. Methodology: To achieve the purpose, this study utilized structured survey tools to conduct a questionnaire survey of nursing, administrative and medical technology professionals at six university hospitals in Korea metropolitan area. A PLS(Partial Least Square) Path analysis was utilized To analyze the material. Findings: In the relation with the technology readiness and perceived usefulness, it had a positive influence to the perceived usefulness when the optimism and innovativeness were higher and the discomfort was lower. In the relation with the technology readiness and acceptance intension, it showed a positive influence when the innovativeness was higher and the discomfort was lower. In the relation with the perceived usefulness and acceptance intension, it had a positive influence to the acceptance intension when the perceived usefulness was higher. In the relation with the acceptance intension and the recognition of substitute employment, it showed a positive influence to the recognition of substitute employment when the acceptance intension was higher. Practical Implications: Judging based on the above study results and reference reviews, it confirmed that it is necessary to prepare in the level of hospital organization in the $4^{th}$ Industrial Revolution. They should increase the efficiency of human resources through the technological factors or changes of employment types for the additional demands of human resources to handle increasing medical demands or induce to secure necessary abilities which are changing at the right time by performing the $4^{th}$ Industrial Revolution related re-training continuously to develop the value of existing human resources.

• 한국응급구조학회지
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• 제10권2호
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• pp.43-52
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• 2006

Purpose: The purpose of this study was to investigate the relationship between motivator, hygiene factor and organizational commitment of fire officials. Method: The subjects of this study were 228 fire officials in Kongju and Choengju province. Data were collected using self-reporting questionnaire during the period from 1st to 25th of February 2006. Collected data were analyzed using SPSS 12.0 program. Real number, percentage, mean and standard deviation were calculated, and t-test, ANOVA, Pearson correlation coefficient were carried out. Result: The findings of this study as follows: The motivator according to job characteristics was statistically significant differences in certificate(F=3.29, p= .002), aptitude(F=15.49, p= .000). The hygiene factors according to job characteristics was statistically significant differences in certificate(F=2.59 p= .01), aptitude(F=6.72, p= .000). The organizational commitment according to general characteristics were statistically significant differences in age(F= 2.625, p= .036), religion(F=3.869, p= .005). The organizational commitment according to job characteristics were statistically significant differences in experience(F=3.746, p= .001), aptitude(F=13.743, p= .000), wish of practice change(F=8.907, p= .000). The commitment was found to be in significant positive correlations with motivator(r= .436, p= .000) and hygiene factors(r= .336, p= .000). Conclusion: From the results, we recommend that the organization management program develops for increasing motivator in fire officials be used.

• 융합보안논문지
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• 제19권5호
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• pp.25-36
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• 2019

정보 통신 기술의 발달로 환자의 의료 정보를 전자적으로 처리하고 관리하는 병원이 증가하고 있다. 그러나 의료 정보가 전자적으로 처리되는 경우에도 환자 또는 의료진의 개인 정보를 침해 할 여지는 여전히 남아 있다. 이와 관련하여 2017년 국제 표준화기구 (ISO)는 ISO TS 25237 보건의료정보-가명을 발표한 바 있다. 본 논문에서는 ISO TS 25237에서의 보건의료정보의 가명화 절차 및 제안된 방법의 문제점에 근거한 재식별 처리 과정을 검토하고자 한다. 또한, 우리는 비식별 데이터 세트와 원본 데이터 사이의 매핑 테이블을 암호문으로 유지함으로써 기본 우리가 제안한 바 있는 안전한 차등 개인 정보 보호 방법에 재식별 절차를 추가하는 새로운 처리 방법을 제안하고자 한다. 제안하는 방법은 일부 정책적인 관리 문제를 제외하고는 ISO TS 25237 신뢰 서비스 제공 업체의 요구 사항을 충족시키는 것으로 입증되었다.

• 한국응급구조학회지
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• 제6권1호
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• pp.169-184
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• 2002

The purpose of this study was to find out the 119 rescue and first aid's satisfaction level for their occupations, understand the influential factors of the satisfaction level and also analyze the level of each working districts. Therefore to provide basic information of policy decisions to increase the satisfaction level. Date were collected from 400 national the 119 rescue and first aids by questionnaire and using the tools, which has developed by Slavitt, from August 2 to September 30, 2002. The data were analyzed by percentage, mean t-test and ANOVA. Divided 39 items into 7 provinces to find out the satisfaction level of each province, follow as the influential factors of the satisfaction level. 1. The most of the 119 rescue and first aids were satisfying about their occupations as they got 3.02 marks out of 5, which is the full mark. 2. As the results after analyzed the relation ship between the satisfaction level and the general characteristics of analyzed the relation ship between the satisfaction level and the general characteristics of the 119 rescue and first aids, there were not statistically significant differences of sex distinction, age, scholarship, not married and has or have married, grade and qualification. There were statistically significant differences follow as working period, applying motive, moving, seeking a job, working place, an adviser, work overtime and compensation follow as work overtime. 3. It appeared that all the 119 rescue and first aids were satisfying enough about duty itself but were dissatisfying about working condition. As the results; job itself got 4.00, reciprocal action got 3.74, business demand got 3.28, autonomy got 3.06, organization demand got 2.96, pay got 2.43 and working condition got 1.72, each out of 5 full marks. As you see the results, most of the 119 rescue and first aids are satisfying about a job itself but they are dissatisfying about their working condition. Therefore we should formulate a plan that can increase the satisfaction level by improving duty system for 24 working hours per week.

• 한국응급구조학회지
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• 제9권1호
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• pp.43-53
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• 2005

The purpose of this study was to survey a perception of frequency & importance level of job performance, from 249 paramedics who were working at fire station. The job related activities of 4 duties, 18 tasks and 145 task elements were checked by 4 rating scale. The data were analyzed using a SPSS program for descriptive statistics. The results of the study were as follows ; 1. Some of the most frequent tasks were medical tx, managing people & organization, trauma care, pt assessment, general coping skill 2. Some of the most frequent task elements were preparation of written reports, operation of pt lifting supplies, transportation of patients on stretchers, administration of cervical collar and utilization of scoop stretcher. 3. Some of the highest level of importance in task were resuscitation of circulation, surgical tx, safety & infection control, environmental emergency care, trauma care. 4. Some of the highest level of importance in task elements were administration of cervical collar, adult CPR, infant CPR, child CPR, and AED. 5. The highest level of task elements in perception of frequency & importance were administration of cervical collar, infection control after pt care, utilization of long back board, disinfection of ambulance after ride a long, care of chest pain pt, care of unconscious pt, tx of asthma. 6. A difference between frequent & importance score were due to lack of supplies(41%), structural problems(30%) and medical control system(16%), lack of skills(10%), Suggestion; 1. This paper would be more reliable and confirm through wilder range of survey. 2. It would be necessary of more depth survey through dacom study from paramedic. 3. Development of field oriented protocol & curriculum that based on task elements which have high score of both frequency & importance level is required.

• 한국전문물리치료학회지
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• 제19권1호
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• pp.56-65
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• 2012

This study examines the effects of a rehabilitation program on quality of life (QOL), cardiopulmonary function and fatigue during radiotherapy for breast cancer patients. The program includes aerobic exercise, stretching and strengthening exercises. Sixty-five women participated in this study and they were asked to perform supervised exercises that last for 60 minutes five times a week for six weeks. The European organization for research and treatment of cancer-cancer (EORTC QLQ-C30) and the breast (EORTC QLQ-BR23), predicted maximal volume of oxygen consumption ($VO_{2max}$) and fatigue severity scale (FSS) were assessed before and after the rehabilitation program. The 60-minute program consisted of a 10-minute warm-up, 30-minute of aerobic exercises, and 15-minute of strengthening exercises, followed by a five-minute cool-down. Heart rates were monitored throughout the exercise class to ensure that patients were exercising at the target heart rate of 40~75% of the age-adjusted heart rate maximum. There were statistically significant differences in the changes of physical function and cancer related symptoms in the EORTC QLQ-C30 and EORTC QLQ-BR23 (p<.05). There was a statistically significant improvement in the predicted $VO_{2max}$ (p<.05), although there were no significant differences in the FSS (p>.05). The results of our study suggest that a supervised rehabilitation program may benefit the physical aspects and QOL of patients receiving radiotherapy for breast cancer.

• Parasites, Hosts and Diseases
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• 제44권3호
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• pp.177-185
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• 2006

Soil-transmitted helminths (STH), namely Ascaris, Trichuris and hookworms (Ancylostoma and Necator), present a global health problem to about a half of the earth's population. In the Republic of Korea, STH were highly prevalent and were considered a high priority target for national control. To promote the control, a non-governmental organization named Korea Association for Parasite Eradication (currently Korea Association of Health Promotion) was founded in 1964, and mass fecal examination followed by selective mass chemotherapy with anthelmintics was performed twice a year from 1969 to 1995 targeting whole nationwide schoolchildren. Meanwhile, decreasing patterns of national STH infections have been monitored by 7 times' quinquennial national surveys targeting general population. In 1971, the overall intestinal helminth egg positive rate was 84.3% (Ascaris 58.2%, Trichuris 65.4%, and hookworms 10.7%), which became 63.2% in 1976, 41.1% in 1981, 12.9% in 1986, 3.8% in 1992, 2.4% in 1997, and 4.3% (Ascaris 0.03%, Trichuris 0.02%, and hookworms 0%) in 2004. During the control period, national economy rapidly developed, and living standards including environment, sanitation, and agricultural technology greatly improved, which undoubtedly boosted the STH control effects. Our experience indicates that social driving force to establish an eligible national control system to conduct repeated mass chemotherapy, together with improvement of environment and sanitation, is important for initiating and achieving STH control in a developing community.

• 대한불안의학회지
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• 제9권2호
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• pp.135-139
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• 2013

Objective : This study was conducted to examine the relationship between the annual changes of suicide methods and suicide rates in South Korea. We compared the suicide methods in South Korea with those in six other OECD countries, Japan, Finland, France, United States, Canada and Australia. Methods : Data of suicide rates and methods since the year 2000 were obtained from the official electronic mortality data published by the seven countries and from the World Health Organization [WHO] mortality database. We compared the correlation between suicide methods and suicidal rates in South Korea using Spearman's correlation test. Results : The proportion of hanging steadily increased, whereas self-poisoning steadily decreased from 2000 to 2011. The increased use of hanging was associated with the increase of suicide rates in South Korea. The preference for jumping as a suicide method in South Korea can be notably compared to that of other countries. Conclusion : Preference use of lethal methods, such as hanging, may play a great role in the increase of suicide rates in South Korea. The limitation of physical and cognitive access to lethal methods can be an effective suicide prevention strategy.

• 임상간호연구
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• 제22권1호
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• pp.46-55
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• 2016

Purpose: The purpose of this study was to describe performance and education needs related to neurologic assessment by neurologic ward nurses. Methods: The study was conducted with a cross-sectional descriptive design. Participants, 297 neurologic ward nurses working in ten major hospitals in Seoul and Gyeonggi were surveyed from September 7 to October 1, 2015. Results: The mean score for performance of neurologic assessments was 3.04 points. Performances performed with high quality were orientation exam, mental status documentation, and muscle strength of extremities in that order. Performances performed with low quality were assessment of accessory nerves, hypoglossal nerves, and cerebellum function in that order. There were significant differences according to whether there was ward education programs on neurologic assessment and teaching experiences within a year. These variables significantly affected the quality of neurologic assessment performance. The need for neurologic assessment training was 3.14 points. Conclusion: Amount of performance and demand for education on neurologic assessment, which are required in the clinical setting, were significantly high. To perform neurologic assessments with high quality, development of education program for neurologic assessment and continuous education courses are required at either the department or neurological nursing organization level.

• Asian Pacific Journal of Cancer Prevention
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• 제16권13호
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• pp.5445-5451
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• 2015

Fascin-1 (FSCN1) is an actin-bundling protein that induces cell membrane protrusions, increases cell motility, and is overexpressed in various human epithelial cancers, including esophageal squamous cell carcinoma (ESCC). We analyzed various protein-protein interactions (PPI) of differentially-expressed genes (DEGs), in fascin knockdown ESCC cells, to explore the role of fascin overexpression. The node-degree distributions indicated these PPI sub-networks to be characterized as scale-free. Subcellular localization analysis revealed DEGs to interact with other proteins directly or indirectly, distributed in multiple layers of extracellular membrane-cytoskeleton/ cytoplasm-nucleus. The functional annotation map revealed hundreds of significant gene ontology (GO) terms, especially those associated with cytoskeleton organization of FSCN1. The Random Walk with Restart algorithm was applied to identify the prioritizations of these DEGs when considering their relationship with FSCN1. These analyses based on PPI network have greatly expanded our comprehension of the mRNA expression profile following fascin knockdown to future examine the roles and mechanisms of fascin action.