• 한국산림과학회지
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• 제98권6호
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• pp.703-711
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• 2009

본 연구는 수목원을 포함한 대표적인 산림휴양지들 간의 비교를 통해, 수목원의 이미지 및 타시설과의 경쟁관계를 분석하여 효율적이고 차별화된 수목원 관리 및 운영 전략 설정을 위한 정책 자료를 제공하고자 수행되었다. 수목원과 유사성이 있다고 판단되는 대구 경북지역의 6개 산림휴양지 방문객 447명을 대상으로 각각의 산림휴양지에 대한 이미지 포지셔닝에 관한 설문조사를 실시하였다. 그 결과 수목원은 자연성이 상대적으로 높아 체험 및 관찰활동과 자연환경보전기능 수행에 적합하고, 산책 등을 통한 건강증진에 도움이 되며, 물가수준은 적당하며, 볼거리와 즐길거리가 비교적 많은 곳으로 인식되는 등 전반적으로 긍정적인 이미지를 보이고 있었다. 그러나 자연휴양림 및 국립공원과는 여러 속성에서 심한 경쟁관계가 있는 것으로 나타나, 향후 수목원 조성 운영 관리 전략에는 수목원만의 독특한 산림휴양 문화 설정을 통한 경쟁력 향상과 효율성 제고 방안이 필요한 것으로 나타났다.

• 성인간호학회지
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• 제17권3호
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• pp.452-463
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• 2005

Purpose: The purpose of the present study was to analyze and evaluate prior studies published in Korea on the cardiovascular disease-related quality of life, in order to make recommendations for further research. Methods: A total of 15 studies were selected from four databases(Digital library of Research Information Center for Health, Korea Medical Database, MedRic, and National Assembly Library). The selected studies were analyzed according to criteria, such as diagnosis/operation, used instrument, generic/specific instrument, dimension of quality of life, translation/ back-translation, sample size, reliability, validity, responsiveness, number of items, type of scale, time required, and independent variables. Results: Of the 15 cardiovascular disease-related quality of life studies, approximately half of them were conducted with hypertension or ischemic heart disease patients. All studies asserted that the concept of quality of life had multidimensional attributes. With respect to the questionnaire used for measuring the quality of life, only one study used a cardiovascular disease specific-instrument and most studies did not consider whether or not the validity of their instrument had been established. In addition, when using questionnaires developed in other languages, only one study employed a translation/back-translation technique. The types of variables tested for their influence on quality of life were quite limited. Conclusion: It is recommended to develop a reliability and validity established cardiovascular disease specific-quality of life for Korean patients and to identify associated new variables.

• Asian Pacific Journal of Cancer Prevention
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• 제16권3호
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• pp.1063-1067
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• 2015

Background: Tumor associated fatigue (TAF) or cancer related fatigue (CRF) is not a new concept. Nonetheless, no real headway has been made in the quantitative analysis of its successful treatment via cognitive behavioral therapy. Since 20 to 30% of all breast cancer patients suffer from anxiety and/or depression within the first year of their diagnosis, this issue needs to be addressed and a standard treatment protocol has to be developed. This study focused on developing a simple, reproducible and short (8 weeks) protocol for the cognitive behavioral therapy support of tumor associated fatigue patients. Materials and Methods: Between the year 2011 and 2012, 23 breast cancer patients fulfilled the diagnosis TAF requirements and were introduced into this study. Our method focused on a psycho-oncological support group using a predetermined, highly structured and reproducible, cognitive behavioral therapy treatment manual. Eight weekly, 90 minute sessions were conducted and patients were evaluated before and after this eight session block. Tumor fatigue specific questionnaires such as the multidimensional fatigue inventory (MFI) as well as the hospital anxiety and depression scale (HADS) were used in order to quantitatively evaluate patient TAF. Results: Of the 23 patients enrolled in the study, only 7 patients fulfilled the TAF diagnostic criteria after the psycho-oncological group treatment. This represents a 70% reduction in diagnosable tumor associated fatigue. The HADS analysis showed a 33% reduction in patient anxiety as well as a 57% reduction in patient depression levels. The MFI scores showed a significant reduction in 4 of the 5 evaluate categories. With the exception of the "mental fatigue" MFI category all results were statistically significant. Conclusions: This study showed that a highly structured, cognitive behavioral therapy group intervention will produce significant improvements in breast cancer patient tumor associated fatigue levels after only 8 weeks.

• 인지과학
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• 제17권1호
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• pp.53-74
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• 2006

유사성은 인지구조와 그 처리과정을 설명하는 중요한 개념으로 알려져 있으며 유사성 비교과정을 설명하기 위해 제안된 대표적인 초기모형으로는 다차원 척도모형(Shepard, 1964; Nosofsky, 1991)과 대비모형(Tversky, 1977)이 있다. 그러나 초기 모형에 의해 설명되기 어려운 경험적 연구결과들이 발표되면서 유사성의 개념적 타당성에 대한 의문이 제기되었다. Goldstone(1994)은 유사성이 속성차원간의 정렬과정에서 정의된다고 가정하고, 구조적 정렬 개념을 유사성을 둘러싼 개념적 논쟁들을 해결할 수 있는 유망한 대안으로 제안하였다. 본 연구에서는 우선 초기 유사성모형들의 기본 가정과 알고리즘을 개관한 후 속성차원에 대한 선택적 주의의 임의성이나 속성차원들 사이에 존재하는 상관적 구조와 같이 초기 유사성 모형들에 의해 설명되기 어려운 개념적 문제들을 살펴보았다. 그리고 SIAM(Goldston,, 1994)의 개념적 특징과 알고리즘을 알아본 후 구조적 정렬 개념이 범주화, 명사결합, 유추 추리 등의 인지심리학 분야들에 어떻게 적용되었는지를 개관하였다. 끝으로 자료 주도적 처리와 대안적 처리과정의 가능성과 관련된 SIAM의 한계점을 검토하고 가능한 발전방향에 대해 논의하였다.

• 대한간호학회지
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• 제37권3호
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• pp.313-323
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• 2007

Purpose: Health-related quality of life (HRQOL) in patients with cardiovascular disease in Korea has rarely been studied, mostly due to the lack of a psychometrically validated disease-specific instrument. The purpose of this study was to develop and validate a cardiovascular specific-HRQOL questionnaire (CD-QOL). Method: The CD-QOL was developed and validated as follows; item generation, pilot study, and psychometric tests. Patients were recruited from three-university hospitals. The patients were asked to complete the preliminary questionnaire comprising the content-validated items, SF-36, and CES-D. The NYHA and KASI classifications were used to classify the functional performance of the patients. The data was analyzed using correlation, factor analysis, multidimensional scaling, multitrait/multi-item matrix, ANOVA, and Cronbach's alpha. Result: Preliminarily, thirty-nine items were generated. Factor analysisextracted a five-factor solution with a total of twenty-two items. One item was deleted based upon the MDS. The remaining items were moderately correlated with the subscales of the SF-36 and associated with depression measured with the CES-D. The mean scores of patients in NYHA and KASI class I were significantly higher than those in NYHA and KASI class II or/and III, which suggested patients with better functional performance were likely to have a better HRQOL. Cronbach's alphas of the total and subscales were all greater than 0.70. Conclusion: The CD-QOL is a easily applicable instrument with excellent psychometric properties of content, criterion, factorial, convergent, and known-groups validity, and internal consistency reliability in Korean patients with cardiovascular disease.

• 품질경영학회지
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• 제45권4호
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• pp.629-648
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• 2017

Purpose: The world faces a great turning point fundamentally rebuilding the future, and human lives, by embracing the 4th industrial revolution era. This paper aims to seek new and various business models in the 4th industrial revolution era, and to examine the evolution of quality management in the changing of the industrial ecosystem. Methods: This paper examines the various strategies of approaching the 4th industrial revolution in Germany, the USA, Japan, China, and Korea. This paper also draws detailed items by classifying the six major items of Malcolm Baldridge into large, medium, and small scale classifications, researches items from the technical perspective by applied fields, and the four major factor perspectives of quality management, as well as analyzes the relevant items in a multidimensional method. After a questionnaire survey targeting 200 quality experts was conducted, the important quality management factors were selected by applying the Analytic Hierarchy Process (AHP) method. Results: The importance of the general criteria was analyzed in the order of customers, MAKM (measurement, analysis, and knowledge management), workforce, strategy, operations, and leadership. As for the importance analysis results of the secondary subcriteria, the following items are highly analyzed: senior leadership, searching business model's innovation opportunity, customer satisfaction improvement, big data utilization, systematic management of workforce, and, planning and design quality. Conclusion: In the era of the Internet of everything, when complexity increases, this study presented a quality management direction suitable for new business methods challenging existing orders by drawing on quality management priorities.

• 보건행정학회지
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• 제15권4호
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• pp.46-64
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• 2005

This study was conducted to verify the current criteria and classification system used to determine specialized general hospitals status. In this study, we proposed a new classification system which Is simpler and more convenient than the current one. In the new classification system clinical procedure was chosen as the unit of analysis in order to reflect all the resource consumption and the complexities and degree of medical technologies in determining specialized general hospitals. We developed a statistical model and applied this model to 117 general hospitals which claim their national insurance through electronic data interchange(EDI). Analysis based on 984 clinical procedures and medical facilities' characteristic variable discriminated specialized general hospital in present without misclassification. It means that we can determine specialized general hospital's permission In new way without using the current complicated criteria. This study discriminated specialized general hospital by the new proposed model based on clinical procedures provided by each hospital. For clustering the same types of medical facilities using 984 clinical procedures, we executed multidimensional scale analysis and divided 117 hospitals into 4 groups by two axises : a variety of procedure and the Proportion of high technology Procedure. Therefore, we divided 117 hospitals into 4 groups and one of them was considered as specialized general hospital. In discriminating analysis, we abstracted proportion of 16 clinical procedures which effect on discriminating the specialized general hospital in statistical system also we identify discriminating function which include these variables. As a result, we identify 2 discriminating functions, one is for current discriminating system and the other two is for new discriminating system of specialized general hospital.

• 한방비만학회지
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• 제4권1호
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• pp.23-31
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• 2004

Background: Obesity is associated with menstrual disorder. Especially, upper-body obesity affects on female reproductive function. Objectives: The goals were to investigate relation between fat distribution and menstrual disorder in obese pre-menopausal Korean females. The hypothesis were tested that there is a relation between upper body obesity and menstrual disorder. Design: A cross-sectional evaluation of 66 Females (baseline age $32.15{\pm}7,32)$ with body mass index $31.22{\pm}4.05\;kg/m^2$. Body composition was measured using bioimpedence analysis (BIA) and anthropometry was done by same observer. VAS and Multidimensional verval rating scale(MVRS) were checked for menstrual pain. Dual-Energy X-ray Absorptiometry (DXA) was measured for evaluating body fat distribution. Menstrual disorder and body fat distribution were compared using statistical methods. Results: TLFR and WH ratio was higher in menstrual cyclic disorder group than controls. There was negative relationship between VAS and TLFR. Conclusions: The data shows that disorder of menstrual cycle was associated with upper body obesity. WH ratio could be one of the factor of menstrual disorder. VAS was correlated with lower body obesity. Further studies for role of upper body fat distribution on female reproductive function and relationship between menstrual pain and fat distribution thought to be needed.

• 한국보건간호학회지
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• 제16권1호
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• pp.105-114
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• 2002

This study was to investigate the level of fatigue and its associated variables in patients with systemic lupus erythematosus(SLE) in Korea. From March to June, 2001, 100 patients, registered at one university hospital rheumatology clinic in Seoul, were accepted as subjects for this study. The sampling method was adopted a non-probability, purposive technique. The instruments used for this study were The Multidimensional Assessment Fatigue scale developed by Tack and Beck Depression Instrument develped by Beck. The collected data were analyzed by SAS program using t-test, ANOVA with Scheffe-test, Pearson correlation coefficients and stepwise multiple regression. The results were as follows: 1. Total scores of fatigue of the subjects averaged $24.46(\pm10.85)$, degree of fatigue was $5.08(\pm2.29)$, and influence of fatigue was $3.52(\pm2.12)$. 2. Regarding characteristics, more depressive(p=.0001) and more painfuI(p=.0122) patients revealed more fatigue. Also, the subjects with spouse(p=.0337) and having poor quality of sleep(p=.0445) revealed more fatigue. 3. The subjects' total fatigue score, depression, pain and age was correlated positively(r=.53; r=.48; r=.24), and total fatigue score, and exercise time, quality of sleep was correlated negatively(r=-.45; r=-.21). 4. The main influencing factors on the fatigue were depression$(52.92\%)$ and quality of sleep $(8.10\%)$. These two main variables made it possible to explain $61.02\%$ of the varience in fatigue. In conclusion, this study revealed depression and quality of sleep is an important factor that can improve quality of life in patients with SLE. It is recommended that nursing intervention for SLE patients would be focused to decrease depression and to enhance quality of sleep.

• 대한인간공학회지
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• 제26권3호
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• pp.81-89
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• 2007

The purpose of this study is to develop data base and interface for sofa consumers and sofa designers. The human sensibility ergonomics method was used to find the consumer needs and Quality Function Deployment (QFD) method was used to extract the designing characteristics required for sofa production. About 200 words and 100 images were gathered from sofa and furniture related catalogs and internet sites to find the best emotional words and images that can express the various sofa aspect. Among the collected words and images, 34 emotional words were selected for sensibility experiment according to the opinions of experts, relations of closeness and frequency of use, and 50 images were selected for the experiment by the diversity. Selected words and images were used for the semantic differential method with 94 subjects, and sensibility characteristics of sofas were defined through various statistical analysis methods including basic statistical analysis, factor analysis and multi-dimensional scale. In reflecting design characteristics of sofas, design factors of sofas were divided into backrest, seat, armrest, neck support and leg, and relative importance of each factor for design was determined with analytic hierarchy process (AHP) by utilizing the experts' opinions. Based on the results above, relationship analysis between emotional evaluation results and design factors was performed. Also, as various sofa images are presented diagrammatically through multidimensional scaling method, it can be used as an important tool for the development of sofa design. This study will contribute improving the product quality of sofas as it enables applying consumer needs into the sofa design.