• 한국항만학회지
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• 제9권2호
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• pp.9-24
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• 1995

The intensification of the competition among container terminals has led to important affect such as, decision making or aggressive intervention of customers for terminal operation. Therefore, in case of developed ports, the large transition of port operation is composed of the press of terminal customer than decision making of terminal manager. Overall port tariffs for using terminal is made out by the conference of terminal customers than the supreme headquarters of terminal operation, and the related investment of terminal has been made according to requisition or proposal of customers. Therefore, among decision making problems that shippers, shipping companies, and freight forwarder among decision making problems that shippers, shipping companies, and freight forwarder face, the choice of the container terminal is one of the most important problems. So, the decision making of the users seems to have a significant impact on the competitive power of container terminals. The main objective of this study is to design port marketing strategy for strengthening the competitive power of container terminals. The results of this study were found as follows: Firstly, port authority should establish user-oriented operation policy of terminal as the means of activating the opinion window, using terminal monitoring system(TMS). Secondly, terminal planning and development of government should be made to minimize the lead time, to induce the civil capital and to utilize the economies of scale. Thirdly, port authority needs to endeavor to analyze the information of competing foreign terminals as well to promote the concentrated marketing for the terminal on the users, to train the expert and to develop the new port charge system. Fourthly, to improve the competitive power of the container terminal, Port Authority should optimize the subsystems related to port marketing, far more these systems should be joined organically to work effectively. Finally, port authority system should be introduced, Namely, port should have the enterprise inclination as well s the public inclination.

• Journal of Preventive Medicine and Public Health
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• 제56권2호
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• pp.172-179
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• 2023

Objectives: Vaccination is an important intervention for preventing disease and reducing disease severity. Universal vaccination programs have significantly reduced the incidence of many dangerous diseases among children worldwide. This study investigated the side effects after immunization in infants under 1 year of age in Lorestan Province, western Iran. Methods: This descriptive analytical study included data from all children <1 year old in Lorestan Province, Iran who were vaccinated according to the national schedule in 2020 and had an adverse event following immunization (AEFI). Data were extracted from 1084 forms on age, sex, birth weight, type of birth, AEFI type, vaccine type, and time of vaccination. Descriptive statistics (frequency, percentage) were calculated, and the chi-square test and Fisher exact test were used to assess differences in AEFIs according to the abovelisted variables. Results: The most frequent AEFIs were high fever (n=386, 35.6%), mild local reaction (n=341, 31.5%), and swelling and pain (n=121, 11.2%). The least common AEFIs were encephalitis (n=1, 0.1%), convulsion (n=2, 0.2%), and nodules (n=3, 0.3%). Girls and boys only showed significant differences in mild local reactions (p=0.044) and skin allergies (p=0.002). The incidence of lymphadenitis (p<0.001), severe local reaction (p<0.001), mild local reaction (p=0.007), fainting (p=0.032), swelling and pain (p=0.006), high fever (p=0.005), and nodules (p<0.001) showed significant differences based on age at vaccination. Conclusions: Immunization is a fundamental public health policy for controlling vaccine-preventable infectious diseases. Although vaccines such as the Bacillus Calmette-Guérin vaccine, oral poliovirus vaccine, and pentavalent vaccine are well-researched and reliable, AEFIs are inevitable.

• 대한한의학회지
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• 제43권4호
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• pp.102-130
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• 2022

Objectives: The persistence and unpredictability of coronavirus disease (COVID-19) and new measures to prevent direct medical intervention (e.g., social distancing and quarantine) have induced various psychological symptoms and disorders that require self-treatment approaches and integrative treatment interventions. To address these issues, the Korean Medicine Mental Health (KMMH) center developed a field manual by reviewing previous literature and preexisting manuals. Methods: The working group of the KMMH center conducted a keyword search in PubMed in June 2021 using "COVID-19" and "SARS-CoV-2". Review articles were examined using the following filters: "review," "systematic review," and "meta-analysis." We conducted a narrative review of the retrieved articles and extracted content relevant to previous manuals. We then created a treatment algorithm and recommendations by referring to the results of the review. Results: During the initial assessment, subjective symptom severity was measured using a numerical rating scale, and patients were classified as low- or moderate-high risk. Moderate-high-risk patients should be classified as having either a psychiatric emergency or significant psychiatric condition. The developed manual presents appropriate psychological support for each group based on the following dominant symptoms: tension, anxiety-dominant, anger-dominant, depression-dominant, and somatization. Conclusions: We identified the characteristics of mental health problems during the COVID-19 pandemic and developed a clinical mental health support manual in the field of Korean medicine. When symptoms meet the diagnostic criteria for a mental disorder, doctors of Korean medicine can treat the patients according to the manual for the corresponding disorder.

• 한국융합학회논문지
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• 제13권1호
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• pp.253-259
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• 2022

본 연구는 우리나라 국민들의 COVID-19 두려움 수준과 백신수용성을 파악하고 사람들의 삶의 만족도를 알아봄으로써 COVID-19로 활기를 잃은 사람들의 건강한 생활을 위한 구체적인 복지 대책을 마련하는데 근거를 제공하고자 한다. 연구결과는 다음과 같다. 첫째, 조사대상자가 인지하는 코로나바이러스의 두려움은 매우 높게 나타났다. 둘째, 코로나바이러스 예방 백신이 타 백신과 비교하였을 때 백신에 대한 두려움 혹은 공포감은 상당히 높았다. 셋째, 조사대상자가 지각하는 성인들의 백신수용도는 긍정적으로 나타났다. 넷째, 코로나바이러스 예방백신에 대한 정부정책의 신뢰도는 비교적 높게 나타났다. 다섯째, 삶의 질 평가에서 경제적 만족도는 다른 영역에 비해 낮았으며 정서적 만족도는 다른 영역에 비해 비교적 높은 점수로 나타났다.

• 디지털융복합연구
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• 제20권1호
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• pp.399-414
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• 2022

본 연구는 간호사 493명을 대상으로 내현적 자기애, 외모에 대한 사회문화적 태도가 직무스트레스, 사회부과적 완벽주의, 섭식절제를 통해 이상섭식행위에 미치는 영향에 대한 구조모형을 검정하고자 시도되었다. 연구결과 첫째, 이상섭식행위에 영향을 미치는 변수들의 직접효과는 섭식절제가 가장 큰 요인이었고, 그 다음 사회부과적 완벽주의 순이었으며 이들 변인은 이상섭식행위를 85% 설명하였다. 둘째, 내현적 자기애는 사회부과적 완벽주의와 섭식절제를 통해 이상섭식행위에 유의한 영향을 미쳤고, 외모에 대한 사회문화적 태도는 섭석절제를 통해 이상섭식행위에 유의한 영향을 미쳤다. 병원 간호사와 보건소 간호사 집단을 조절변수로 하는 다중집단 조절효과에서 직무스트레스와 이상섭식행위와 의 경로계수, 사회부과적 완벽주의와 이상섭식행위와이 경로계수가 집단간 차이가 있어 부분조절효과가 있었다. 따라서 이상섭식행위를 감소시키기 위해서는 과도한 섭식절제에서 벗어날 수 있는 간호중재와 사회부과적 완벽주의를 낮출 수 있는 방안모색이 필요하다.

• 디지털융복합연구
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• 제20권1호
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• pp.471-479
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• 2022

본 연구의 목적은 간호대학생의 그릿과 학업스트레스와의 관계에서 과제가치의 매개효과를 규명하는 것이다. 자료수집은 2021년 8월 31일부터 9월 9일까지 모바일 구글(Google) 설문지를 통해 이루어졌으며, 대상자는 3개 대학교의 간호대학생 총 192명이었다. 수집된 자료는 SPSS/WIN 20.0 프로그램을 이용하여 기술통계, t-test, one- way ANOVA, Pearson's correlation coefficients, 다중회귀분석으로 분석하였다. 그릿은 학업스트레스와 통계적으로 유의한 부적 상관관계(r=-.51, p<.001), 과제가치와는 정적 상관관계(r=.38, p<.001)였으며, 과제가치와 학업스트레스는 정적 상관관계(r=-.67, p<.001)였다. 과제가치는 그릿과 학업스트레스와의 관계에서 부분 매개효과가 있었다(Z=-4.92, p<.001). 간호대학생의 학업스트레스 감소를 위해서는 그릿과 과제가치를 고려한 중재 프로그램이 개발되어야 할 것이다.

• 디지털융복합연구
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• 제21권1호
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• pp.29-34
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• 2023

본 연구의 목적은 국민건강영양조사(2021년)에서 만 6-29세 그룹이 스포츠음료 및 에너지음료 섭취빈도와 유산소 신체활동 간의 관련성을 알아보고자 하였다. 대상자의 사회인구학적 특성, 유산소 신체활동, 음료 섭취 정도는 복합 표본 기술통계로 산출하고, 집단 간 평균 차이는 교차분석, χ²-test, 이분형 로지스틱 회귀분석을 시행하였다. 고강도 유산소 활동이 스포츠음료(이온음료, 비타민음료)와 에너지음료(고카페인 음료) 섭취 빈도가 증가함으로 분석되었다(p<0.05). 중강도 유산소 신체활동에 비해 고강도 유산소 신체활동이 음료의 섭취 빈도 증가에 영향을 주는 요인으로 분석되었다. 본 연구를 바탕으로 신체활동과 음료 섭취 사이의 중요한 요소를 확인하고, 건강증진을 위한 중재 프로그램을 개발하는 데 목적을 두고 있다. 이를 통해 건강한 삶을 살 수 있도록 돕는 기초자료를 마련하고, 개인 및 사회적 관심을 높이고자 하였다.

• 대한간호학회지
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• 제53권1호
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• pp.55-68
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• 2023

Purpose: The purpose of this study was to identify the main keywords, network properties, and main topics of news articles related to artificial intelligence technology in the field of nursing. Methods: After collecting artificial intelligence-and nursing-related news articles published between January 1, 1991, and July 24, 2022, keywords were extracted via preprocessing. A total of 3,267 articles were searched, and 2,996 were used for the final analysis. Text network analysis and topic modeling were performed using NetMiner 4.4. Results: As a result of analyzing the frequency of appearance, the keywords used most frequently were education, medical robot, telecom, dementia, and the older adults living alone. Keyword network analysis revealed the following results: a density of 0.002, an average degree of 8.79, and an average distance of 2.43; the central keywords identified were 'education,' 'medical robot,' and 'fourth industry.' Five topics were derived from news articles related to artificial intelligence and nursing: 'Artificial intelligence nursing research and development in the health and medical field,' 'Education using artificial intelligence for children and youth care,' 'Nursing robot for older adults care,' 'Community care policy and artificial intelligence,' and 'Smart care technology in an aging society.' Conclusion: The use of artificial intelligence may be helpful among the local community, older adult, children, and adolescents. In particular, health management using artificial intelligence is indispensable now that we are facing a super-aging society. In the future, studies on nursing intervention and development of nursing programs using artificial intelligence should be conducted.

• 사회복지연구
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• 제41권2호
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• pp.127-158
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• 2010

이 연구의 목적은 우리나라 성인의 정신건강역량 수준을 파악하여 우울증과 정신분열병의 예방과 조기 개입을 위한 구체적 전략수립의 기초자료를 마련하기 위한 것이다. 이를 위해 수도권 80개 지역에서 층화표집된 18세 이상 74세 이하 지역사회 거주자를 대상으로 설문조사를 실시한 결과(N=1,653), 우리나라 성인의 우울증과 정신분열병의 식별율은 각각 35.2%와 33.5%로 유사하게 나타났다. 반면에, 원인 지각, 증상 해결방법의 유용성에 대한 신념, 주요 정신건강 정보원에 있어서 우울증과 정신분열병 간에 특징적인 차이점들이 발견되었다. 이와 같은 결과를 유사한 외국 조사결과들과 비교 논의하고, 지역사회정신보건 예방사업에 주는 정책적, 실천적 시사점을 제시했다.

• 대한불안의학회지
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• 제18권2호
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• pp.101-108
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• 2022

Objective : The purpose of this study was to investigate depression, anxiety, trauma experience, and suicidal tendency among patients who were hospitalized in a community treatment center and to identify the factors that were associated with each symptom. Methods : A total of 213 patients who were hospitalized in the Tae-reung community treatment center between March 16, 2020 and April 30, 2020 were recruited into this study. A self-report questionnaire or interview by mental health professionals was used to assess PHQ-2, GAD-7, PC-PTSC and P4 screener. In 90 patients who completed the survey, multiple regression modeling was conducted to identify the burden of each psychiatric symptoms and associated demographic characteristics. Results : Female gender was significantly positively associated with GAD-7 score, score of each GAD-7 subscale of 1, 2, 3 or 4 (nervous, control of worry, worry, and trouble relaxing), and sum of GAD-7 subscale scores reflecting cognitive and emotional experience of anxiety (1. nervous+2. control of worry+3. worry+7. afraid). Previous psychiatric history and, number of counseling service used were significantly positively associated with the PHQ-2 score and the duration of isolation was significantly negatively associated with the PHQ-2 score. Conclusion : These results showed that depression and anxiety symptoms were more prevalent in COVID-19 patients at the community treatment center than in the general population. Among the demographic characteristics, female gender was positively associated with cognitive and emotional experience of anxiety. It shows the necessity of an appropriate psychiatric intervention protocol and health-policy preparation for community treatment centers.