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The Effects of Medical Service Qualities on Satisfaction, Relationship Quality, and Revisit Intent in Long Term Care Hospital an Elderly Out-patients (요양병원을 이용하는 노인에게 의료서비스품질이 환자만족, 관계품질 및 웹사이트 재이용의도에 미치는 영향)

  • Kim, Byung-Yong;Jeong, Myeong-Ae
    • Health Policy and Management
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    • v.22 no.2
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    • pp.183-206
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    • 2012
  • Changing social conditions have resulted in a situation where elderly patients are no longer cared for by family and where medical care hospitals play a more prominent role. In this study, the unique elements of the medical service required from a long term care hospital were identified using conventional and exploratory analysis, and the causal relationship between medical service quality, relationship quality, and Revist intent was confirmed. The intermediary role and the quantitative importance of relationship quality (including trust and commitment) were also characterized. This study identifies the key points and indicators that the administrators of a long term care hospital can use to effectively plan their medical service offering in order to secure the commitment of customers through relationship quality. The theoretical indications of this study are set out below. First, four factors are selected as being the key elements determining service quality: medics, administrative service, healthcare environment, and subsidiary facilities. Second, it seems that medics, administration service, and the healthcare environment have some effect on the evaluations made in relation to trust and satisfaction (subsidiary facilities are not considered to be a key element). Third, patient satisfaction has a positive impact on trust and commitment and can be regarded as a key element for establishing connections. Fourth, commitment is likely to be strengthened when trust is significant. Fifth, as trust and commitment increase, revist intent strengthens. Lastly, this study illustrates how the levels of trust and commitment play a modulating role between patient satisfaction and revist intention. There are many practical indications from the findings of this study. First, the influences of medics, the administrative service, and the healthcare environment on trust and satisfaction vary. Especially, the healthcare environment is likely to be more important than medics. Accordingly, it is essential to establish an elderly-friendly environment, to improve a hospital's structure, and to maintain a clean environment. Second, medics must show compassion to their patients and be patient when providing explanations to elderly patients who often lack powers of concentration. Third, in order to establish patient trust, it is essential that medics provide an excellent medical service. Ultimately, these elements of relationship quality may strengthen the revist intention of elderly patients.

Efficiency of Silver Ion-Silica Solid Phase Extraction for Elimination of Sulfur Compounds during Pesticide Multiresidue Analysis in Allium Species (파속류의 잔류농약분석과정에서 silver ion-silica solid phase extraction에 의한 황화합물의 제거 효율성)

  • Park, Jin-Woo;Moon, Kyung-Mi;Choi, Young-Whan;Lee, Young-Guen
    • Journal of Life Science
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    • v.20 no.1
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    • pp.60-65
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    • 2010
  • Since organic sulfur compounds respond to GC/ECD sensitively, they interfere with quantitative separation of pesticides during residual pesticide analysis of Allium species. In this study, it was intended to develop a rapid and simple method for pesticide multi-residues analysis through clean-up and interferences by a solid-phase extraction (SPE). An SPE method employing silver nitrate impregnated Florosil cartridge was developed and evaluated for the elimination of sulfur compounds from the test solution of Allium species during pesticide residues analysis. The silver nitrate impregnated Florosil cartridge was prepared by efflux of 3 ml of 20% silver nitrate solution through Florosil cartridge (1 g packing, 6 ml tube). The extracts equivalent to 2, 4 6, and 10 g of each sample were loaded onto the cartridge and allowed to exude, and then the exudations were analyzed by GC/ECD. More than 95% of sulfur compounds were removed from the loaded extracts equivalent, up to 6 g in onion, 4 g in spring onion and 4 g in shallot, respectively. 40 pesticides were spiked in the Allium species and loaded onto the cartridge to determine the recoveries; from this, the recoveries of 34 pesticides were within 70~120%.

Applying the New Technology for Making Pontic Ridge Lap in Posterior Bridge Restoration (대체 신기법을 적용한 구치부 교의치 pontic ridge lap 제작방법)

  • Kim, Wook-Tae
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.3
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    • pp.308-316
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    • 2013
  • The purpose of this study is to investigate the production method of posterior bridges pontic ridge lap type which prevents the infection in bridge pontic base and is able to cleanse itself, in the process of producing final prothesis that maintains healthy mucous membrane of oral cavity and interproximal papilla, minimizing diastema, is aesthetic and has no effect on pronunciation. New technology is applied to make optimal pontic base which prevent inflammation and clean itself and its products were clinically evaluated in 10 places of dental clinics in busan and gyeongnam. The making of posterior 3 unit bridge pontic base, it was presented as the new technology of forming ridge lab type and to carry out clinical validation, existing conventional method and the new technology were compared. Pontic base made with the existing conventional method cause infection and other periodontal disease by 96% but the pontic base made with the new technology cause infection and other periodontal disease by 3%. Remains of food cause infection and other periodontal disease 100% by the existing conventional method and 91% by the new technology, showing a distinct difference. However, after a gargle, the new technology had low 13%. Additionally, the pontic base made with the existing conventional method showed 71% of chance, the new technology method showed 8% of chance in terms of self-cleansing.

The Physiological Responses and Subjective Sensation in the Subjects Wearing Dust-free Garment for Semiconductor Industrial Environments (방진복 착용에 따른 인체의 온열생리적 특성 및 주관적 감각)

  • 권오경;이창미
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 1998.04a
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    • pp.255-263
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    • 1998
  • Dust-free garment prevents contamination which otherwise is caused by skin and clothes to protect from dust or dirt. Therefore, it requires high performance and should function as a working clothes. Clothes are a medium between human and thermal environmental system, and it is required to study human enviroment to ensure comfortableness of clothes and to satisfactorily go along with enviroment .This study investigates the physical and physiological features of dust-free garment used in the clean room at a semiconductor factory in oredr to scientifically clarify what the dust-free garmint is as well as to contribute to the design and development of high performance material and clothes. Three kinds of dust-free fabrics (DFG-I, DFG-II, DFG-III) which are being developed by a local company are used to manufacture dust-free garment. These dust-free garments are dressed and tested in such an enviroment as similar to semiconmemts with temperature at 23${\pm}$1$^{\circ}C$ and humidity at 50${\pm}$5%RH in order to investigate the thermo physiological and psychological features of human body. The results of this study are as follows. The results of this study are as follows. 1.The mean skin temperature was significantly different among the clothes, subjects and experimental time. Temperature tends to rise from the time of exercising load. Continuous motion coupled sealed clothes prevents heat transmittance, and temperature rises in the order of DFG-l, DFG-ll and DFG-lll as time course. 2.As for the skin temperature by local timperature is minimun on the head and torso and increares remarkably at the terminal part of human body. 3. As for the body mass loss was significantly higher in DFG-lll than DFG-l and DFG-ll. 4. Though there is no significant difference in the temperature within clothes among the kind of clothes temperature is 1$^{\circ}C$ higher in the back. Temperature within all the dust-free garments 29.7$^{\circ}C$ in the back and 31.3$^{\circ}C$ in the chest which belong to the comfort zone(31-33$^{\circ}C$). The relative humidity is 39.7%RH in the chest and 33.8%RH in the back which is slightly below the comfort zone(40-60%RH) 5. The thermal sensation belong to the comfort zone regardless of the kinds of clothes. The subjects feels a slight fatigue as times goes. As for the subjective sense of subjects the mean skin temperature as well as temperature and humidity within clothes show similar tendency. This means that they relate with each other.

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Congener Specific Profiles and Exposure Pathways of Polybrominated Diphenyl Ethers (PBDEs) in Breast Milk of Chuncheon Area (춘천지역 모유 중 폴리브롬화디페닐메테르(PBDEs)의 이성체별 분포특성과 노출경로)

  • We, Sung-Ug;Baek, In-Cheon;Park, Sang-Ah;Kang, Seong-Hoon;Cho, Yu-Jin;Cho, Bong-Hui;Yoon, Cho-Hee;Kim, Ki-Ho;Min, Byung-Yoon
    • Journal of Life Science
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    • v.20 no.3
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    • pp.356-364
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    • 2010
  • This study was carried out to investigate the exposure pathway of PBDEs in human breast milk collected from new mothers residing in Chuncheon, a comparatively clean area in Korea. The congeners of PBDE in 22 human breast milk samples were analyzed using a high resolution gas chromatography with a high resolution mass detector. The residue level of ${\sum}PBDEs$ was higher in primipara subjects than in multipara subjects (p<0.05). The levels in this study were similar to those of people in some Asian and European countries, but were lower than those of people in north America. In the congener profiles, BDE-47 (mean contribution=36.1%) was predominant, followed by BDE-153 (27%), BDE-99 (11.7%), BDE-100 (11.1%), BDE-28 (7.9%) and BDE-183 (3.5%). The sum of BDE-47 and BDE-153 accounted for more than 50% of ${\sum}PBDEs$ in most samples. BDE-47 was highly correlated with ${\sum}PBDEs$ (r=0.94, p<0.001). No strong trend was observed between PBDE levels and a number of key biological factors (women's age, weight, height and body mass index) examined in this study, however, weak correlations were observed in PBDE levels measured against dietary habits, particularly in fish consumption frequency. It seems that Korean people might be exposed to multiple sources including products of PBDEs, and particularly food resources.

A Study on the Chemical characteristics of Anion Components and Metallic Elements of PM10 in Miryang and Changwon (밀양·창원지역의 PM10 중 음이온 성분 및 금속성분의 화학적 특성에 관한 연구)

  • Suh Jeong-Min;Jeon Bo-Kyung;Choi Kum-Chan
    • Journal of Environmental Science International
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    • v.13 no.12
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    • pp.1049-1058
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    • 2004
  • PM10 concentration of total 48 samples collected from 4 sites (the root of Miryang University, Sangnam township Office in Miryang. the root of Changwon elementary school, and Junam reservoir in Changwon) turned out to range from 42.29 to 69.49{\mu}g/m^{3}$, and the average concentration was the root of Changwon elementary school $(69.49{\mu}g/m^{3})$>the root of Miryang university $(58.59{\mu}g/m^{3})$>Junam reservoir $(43.56{\mu}g/m^{3})$>Sangnam township Office $(42.29{\mu}g/m^{3}).> In particular, Junam reservoir, the Clean Area, had a slightly higher value than Sangnam township Office. It was thought although the site was plane and windy without pollutants around. it had a higher concentration value influenced by external factors including bigger population and a northeasterly wind due to a newly-established industrial complex nearby. As for water-soluble ions among PM10 particle collected in Miryang and Changwon area, SO42- accounted for $50{/%}$ and NO3-, was $35{\%}$, and the concentration order was S042->N03->Cl->F-. As for the average concentration of metallic components among PM10 particle collected in Miryang and Changwon area. the root of Changwon elementary school had the AI concentration, Fe concentration and Zn concentration 4 times, 3 times and 1.5 times that of Junam reservoir, respectively. The root of Miryang University had the AI concentration 2 times that of Sangnam township Office, and had Fe concentration and Zn concentration $1.2\~1.5$ times those of Sangnam township Office. When it comes to the relation between metallic elements and meteorological factors in Changwon area, the highest coefficient of correlation was between temperature and humidity with 0.92, and temperature and wind speed turned out in the reverse correlation. The coefficient of correlation between Al and Cr was as high as 0.78. Among metallic elements, the coefficient of correlation between Cu and Pb, Cd, Al were 0.84, 0.85, 0.79, respectively. It is thought that the high coefficient of correlation between Cu and Pb is ascribed to busy traffic and wind in the urban areas, Sammun-dong and Gagok-dong in Miryang. Meanwhile, the coefficients of correlation between Fe and Cu, Al, Zn, Cd, Pb were in the reverse correlation. These coefficients of correlation are attributed to the difference in pollutant sources, rather than difference in pollutant and non-pollutant.

The evaluation of effectiveness of 3DCA using vacuum bag(Vac-Lock) for patient immobilization device (3DCA제작을 통한 Vac-Lock 사용시 효율성향상에 대한 연구)

  • Lee YoungChul;Lee ChulBin;Kang NoHyun;Kim DongEuk;Lee JungYong;Jeong InPyo
    • The Journal of Korean Society for Radiation Therapy
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    • v.16 no.1
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    • pp.67-72
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    • 2004
  • Purpose : Patient immobilization is crucial factor for radiation therapy. Generally, we have been used vacuum bag immobilization device(Vac-Lock) for whole body immobilization. In order to easily set up of vacuum bag(Vac-Lock), we made a 3DCA(3-Dimensional Conformal Accessary). The purpose of this study is evaluation of effectiveness of 3DCA using Vack-Lock for patient immobilization. Materials and Methods : We made 3DCA(3-Dimensional Conformal Accessary) tool of wooden boards. The reasons to choice of wooden boards are its easily handling nature and cheap expenses. Results : (1) We reduced man power from $5{\sim}6$persons to 1person to make immobilizations, (2) Shortened work time from 1hour to within 10minutes. (3) Avoid a collision to treatment gantry head. (4) Its shapes are smart and clean. Conclusion : We have made and used 3DCA(3-Dimensional Conformal Accessary) tool was very effective and convenience for the patients and users.

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Population Ecology of Fat minnow, Rhychocypris kumgangensis (Cyprinidae) in Korea (금강모치, Rhynchocypris kumgangensis (Cyprinidae)의 개체군 생태)

  • Song, Ho-Bok
    • Korean Journal of Ichthyology
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    • v.12 no.2
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    • pp.101-110
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    • 2000
  • Population ecology of Rhynchocypris keumgangensis have been investigated at upper part of the Han River in Korea from January to December, 1995. The habitat was low water temperature and clean area, and stream form was Aa. The major cohabitation fish was Phoxinus phoxinus. The total lengths in this population indicated that below 40 mm group is one year old, 40~65 mm group is two years old, 65~80 mm group is three year and the 80 mm longer group is regarded over four years old. There were no differences in total length distribution between the female and the male. The males became sexually mature, when longer than 45 mm and females longer than 65 mm in total length. Spawning season was from April to mid May with the water temperature in $11{\sim}14^{\circ}C$ and the properous period was April. The mean number of eggs in ovary was 1,616. The sex ratio all the year round of the female to the male was 1 : 0.75. The current velocity of the spawning ground was 44 (20~80) cm/sec and water depth was 35 (5~70) cm. Eggs were laied in 5~15 cm deep underneath the immaculate pebbles (2~6 cm). Sex ratio of the female to the male was 1 : 6.90 for spawning behavior.

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Characteristics of Spawning Sites in the Natural Environment of the Korean Endemic Species, Liobagrus somjinensis (Siluriformes: Amblycipitidae) in the Yocheon (stream), Seomjingang (river), Korea (섬진강 수계 요천에 서식하는 한국고유종 섬진자가사리 Liobagrus somjinensis (Siluriformes: Amblycipitidae)의 자연산란장 특징)

  • Kim, Hyeong Su;Kim, Su Hwan;Park, Jong Young
    • Korean Journal of Ichthyology
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    • v.27 no.4
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    • pp.300-305
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    • 2015
  • The characteristics of 11 spawning sites in the natural environment of the Korean endemic species, Liobagrus somjinensis were investigated in the Yocheon (stream) of Seomjingang (river), located in Sikjeong-dong, Namwon-si, Jeollabuk-do, Korea from May to June 2015. The spawning sites had largely two parts, the upper region close to the surface of the waters and under region at bottom: the upper part was covered with a large and flat boulder over about 256 mm in size, whereas the under part consisted mainly of pebbles and sand. The large boulder put on the upper region may be seen as a bulwark for guarding eggs laid at the under (bottom) region. All the sites under the boulder showed a similar structure having a small hollow filled with an egg mass and an individual (male). The spawning bottoms left clean having no any benthic invertebrates and detritus. The egg shape was spherical, yellow and covered with a transparent membrane and the egg size was $3.31{\pm}0.15mm$ (n=30) in diameter. The development stage of each egg mass under the boulder was almost same from morula stage to formation stage of eye lens. The average number of eggs in 11 spawning sites was $121{\pm}35.5$ (84~176) and the average number of female fecundity in ovary was $143{\pm}31.3$ (110~232).

Quilitative certificational plan of heshouwu (하수오(何首烏)의 품질인증(品質認證) 방안(方案))

  • Shin, Mi-Kyung;Roh, Seong-Soo;Kil, Ki-Jeong;Seo, Bu-il;Seo, Young-Bae
    • Journal of Haehwa Medicine
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    • v.13 no.2
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    • pp.205-212
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    • 2004
  • Now many sustitution and false articles is used in korea instead of heshouwu. To use heshouwu correctly, we will make a quilitative certificational plan of heshouwu to investigate all of lieraturea, records and documents. And we could reach conclusions as folloews. 1) Source of plant Heshouwu is a root tuber of a perennial herb Polygonum multiflorum Thunberg(Family : Polygonaceae). 2) Harvest After planting 3-5 yaers, harvesting in an autumn, washin clean the mud, a big heshouwu cut off a half or section, dry in sunny place or at a little fire. When harvesting, we harvest only a big thing, a small thing transfer a field, after culturing of 1-2 years, harvest at big roots. Harvesting is done usually in an autumn after 3 years. When collecting a seed, we must harvest a heshouwu the next year. 3) Process We must process heshouwu at the decoction of black beans, heshouwu suck in the decoction of black beans, heat with steam in an iron pot. Black beans is used every 100 kg of heshouwu. 4) Quility (1) Funstional standards It is good that weight is heavy and outer skin is yellow-brown, section surface is light red color, powdery and has a figure such as clouds in section. (2) Physicochemical standards Heshouwu expesses a various chang of components in process of working. We think that it need to add a standard of detection about 2,3,5,4'-tetrahrdroxystilbene-2-O-${\beta}$ -D-glucoside in a current authentic document which is a water-soluble component of heshouwu. It must that Dry on loss is less than 14.0%, content of ash is less than 5.0%, Content of acid-nonsoluble ash is less than 1.5%, Content of extract is more than 17.0%. A fixed quantity of 2,3,5,4'-tetrahrdroxystilbene-2-O-${\beta}$ -D-glucoside is more than 1.0%. Contens of heavy metal has to detect less than 30 ppm and there is no reminding agriculural medince.

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