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간흡충증(肝吸虫症)의 역학(疫學) - I. 고도유행지(高度流行地) 김해지방(金海地方)에 있어서의 간흡충감염(肝吸虫感染)의 현황(現況)과 자연추이(自然推移) (Epidemiological Studies of Clonorchiasis. - I. Current Status and Natural Transition of the Endemicity of Clonorchis sinensis in Gimhae Gun and Delta, a High Endemic area in Korea)

  • 김동찬;이온영;이종수;안장수;장영미;손성창;문익상
    • 농촌의학ㆍ지역보건
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    • 제8권1호
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    • pp.44-65
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    • 1983
  • As a part of the epidemiological studies of clonorchiasis, this study was conducted to evaluate the current endemicity and the natural transition of the Clonorchis infection in Gimhae Gun and delta area a high endemic area in Korea in recent years, prior to the introduction of praziquantel which will eventually influence the status of the prevalence. The data obtained in this study in 1983 were evaluated for natural transition of the infection in comparison with those obtained 16 years ago in 1967 by the author(Kim, 1974). The areas of investigation, villages and schools surveyed, methods and techniques used in this study were the same as in 1967, except for the contents of the questionnaire for raw freshwater fish consumption by the local inhabitants. 1) The prevalence rate of clonorchiasis in the general population of the villages was 48.1% on the average out of a total of 484 persons examined. The average of those of the riverside-delta area was 65.2% and 43.0% in the inland area. Among the schoolchildren, the prevalence rate was 8.2% on the average out of a total of 1,423 examined. By area, the prevalence rate was 10.8% in the riverside delta area and 2.8% in the inland area. By sex, difference in the prevalence was seen only in the inhabitants of the inland area showing 52.4% in the male and 33.5% in the female. 2) In the natural transition of the infection, the prevalence rate among the inhabitants has decreased from 68.8% in 1967 to 48.1% in 1983, and in the schoolchildren from 56.4% in 1967 to 8.2% in 1983. The reduction rate was higher in the riverside-delta area than in the inland area. 3) In the prevalence rate by age, 11.9% was first seen in the 5-9 age group and the rate gradually increased up to 75.0% in the 50-59 age group. By sex, the rate was higher in the male than in the female in the 20-29 age group and over. 4) In the natural transition of the prevalence rate by age, the reduction rate of the infection during the past 16 years was greater in the younger age groups up to the 40-49 age group and reached the same level in the age group 50-59. Reduction was seen again in the age group over 60s. By sex, the reduction rate was greater in the female than in the male in the 20-29 age group and over. By area, the reduction rate was greater in the riverside delta area than in the inland area, particularly in the young age groups. 5) In the intensity of the infection among the cases, the mean egg out-put per mg feces per infected cases(EPmg) in the inhabitants was 6.3. EPmg of those of the river-side-delta area was 15.4 and that of the in-land was 2.8. On the other hand, in the schoolchildren, EPmg was 3.2, and no difference was seen between the two areas, the river-side-delta area and the inland area. 6) In the transition of the intensity of the infection by area, EPmg among the inhabitants inexplically increased from 7.8 in 1967 to 15.4 in 1983. This was probably caused by uneven specimen collection in the process of sampling the population. EPmg of the inhabitants in the inland area and those of the schoolchildren of both riverside delta and inland areas showed a similar decrease in the past 16 years. 7) The intensity of the infection by age showed a relatively low level in the 20-29 age group and below, and EPmg 5.1-9.5 was seen in the 30-39 age group and over. Sex, Epmg was 5.8 in the male and 4.7 the female. By in 8) In the transition of the intensity of the infection, EPmg decreased from 6.2 in 1967 to 5.4 in 1983. By age, in contrast to the figures of 1967 in which EPmg gradually increased with some fluctuation from 1.1 in the 0-4 age group to peak 10.5 in the 50-59 age group, in 1983 lower intensity of the infection was seen in the age group from 10-14 to 20-29 with the EPmg range of 0.6-2.7. 9) In the distribution of the clonorchiasis cases by the range of EPmg value, 43.2% of the cases were in 0.1 0.9 and 34.6% in 1.0-4.9. As a whole by cumulative percent, 44.6% of them were under 0.9 as light infection and 86.1% of them under 9.9 up to moderate infection. By sex, no difference was seen in Epmg. 10) In the transition of the distribution by the range of Epmg, the cases were distributed up to the range 80.0-99.9 in 1967 and to 60.0-79.9 in 1983. By cumulative percent, in the range of 0.1-0.9 and less, light infection, 34.3% of them were distributed in 1967 and 44.6% in 1983 with about 10% increase. In the range of 5.0-9.9 and less, up to moderate infection, 83.2% in 1967 and 86.1% in 1983 of the cases were seen, respectively. 11) The practice of raw freshwater fish consumption among the inhabitants seems to have decreased in recent years. Those who admitted to raw freshwater fish consumption in the last two years among the infected inhabitants were 59.3%, although 86.8% of them professed to have experience with raw freshwater fish consumption. 31.7% of those who have had experience of the raw freshwater fish consumption denied any further consumption in recent years. From an interview of 543 school-children, 24.1% of them admitted to an experience of raw freshwater fish consumption. However, those who have practised in the past two years comprized 17.9%. Those who denied raw freshwater fish consumption in recent years among those who had such experience were 26.0% out of 131 interviewed. The rate of raw freshwater fish consumption in both inhabitants and schoolchildren were higher in the male than in the female. On the contrary, the rate of those who did not practise in recent years among those who had experience of raw freshwater fish consumption was higher in the female than in the male. 12) The major reason for the reduction of raw freshwater fish consumption among the local inhabitants was the risk of the fluke infection. However, it has become apparent that such change of taste has resulted from water pollution impact which has affected throughout the areas of the freshwater systems in this locality since last several years. 13) In animal survey, Clonorchis infection was seen in 14.8% of 88 dogs examined and 3.7% of 27 house rats examined. It was noted that populations of dogs and cats have increased in the villages surveyed. Although the prevalence rate was lower in the present survey than those of 1967, the significance of the animals as the reservoir host has not changed. 14) Prevalence rate of Clonorchis infection by cercariae in the first intermediate host, Parafossarulus manchouricus, was 0.6% out of 517 snails examined. The infection rate was lower in comparison with 2.3% out of 2,124 examined in 1967. Moreover, sharp decreases in number and distribution of the intermediate host snails in many watershed areas of the huge freshwater systems in this locality seemed to reduce transmission of Clonorchis in connection with the intermediate host stage of its life cycle. 15) Clonorchis infection in the second intermediate fish hosts was relatively low. The mean number of Clonorchis metacercaria per fish in Pseudorasbora parva was 517 in 1983, whereas it was 1943 in 1968 through 1969. Environmental water pollution has also caused the decreased fish population density in these areas, and this has also apparently affected to the practice of raw freshwater fish consumption among the local inhabitants. 16) In conclusion, endemicity of Clonorchis infection in Gimhae Gum and delta area of the Nagdong River has sharply decreased during the past 16 years. The major cause of the regressive transition of the infection was the water pollution of the land water systems of this locality. The pollution has upset the ecosystems comprizing of the intermediate hosts of Clonorchis in many areas, and also affected to a significant extent to the discontinuance of the local inhabitants for raw freshwater fish consumption.

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협업 필터링 및 하이브리드 필터링을 이용한 동종 브랜드 판매 매장간(間) 취급 SKU 추천 시스템 (SKU recommender system for retail stores that carry identical brands using collaborative filtering and hybrid filtering)

  • 조용민;남기환
    • 지능정보연구
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    • 제23권4호
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    • pp.77-110
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    • 2017
  • 최근 인터넷 기반의 웹 및 모바일 기기를 통한 소비 패턴의 다양화와 개성화가 급진전됨에 따라 전통적 유통채널인 오프라인 매장의 효율적 운영이 더욱 중요해졌다. 매장의 매출과 수익 모두를 제고하기 위해 매장은 소비자에게 가장 매력적인 상품을 적시에 공급-판매 해야 하는데 많은 상품들 중에서 어떤 SKU를 취급하는 것이 판매 확률을 높이고 재고 비용을 낮출 수 있는지에 대한 연구가 부족한 실정이다. 특히, 여러 지역에 걸쳐 다수의 오프라인 매장을 통해 상품을 판매하는 기업의 경우 고객에게 매력적인 적절한 SKU를 추천 받아 취급할 수 있다면 매장의 매출 및 수익률 제고에 도움이 될 것이다. 본 연구에서는 개인화 추천에 이용되어 왔던 협업 필터링과 하이브리드 필터링 등의 추천 시스템(Recommender System)을 국가별, 지역별로 복수의 판매 매장을 통해 동종 브랜드를 취급하는 유통 기업의 매장 단위 취급 SKU 추천 방식을 제안하였다. 각 매장의 취급 품목별 구매 데이터를 활용하여 각 매장 별 유사성(Similarity)을 계산하고 각 매장의 SKU별 판매 이력에 따라 협업 필터링을 하여 최종적으로 매장에 개별 SKU를 추천하였다. 또한 매장 프로파일 데이터를 활용하여 주변수 분석 (PCA : Principal Component Analysis) 및 군집 분석(Clustering)을 통하여 매장을 4개의 군집으로 분류한 뒤 각 군집 내에서 협업 필터링을 적용한 하이브리드 필터링 방식으로 추천 시스템을 구현하고 실제 판매 데이터를 바탕으로 두 방식의 성능을 측정하였다. 현존하는 대부분의 추천 시스템은 사용자에게 영화, 음악 등의 아이템을 추천하는 방식으로 연구가 진행되어 왔고 실제로 산업계에서의 적용 또한 개인화 추천 시스템이 주류를 이루고 있다. 그 동안 개인화 서비스 영역에서 주로 다루어져 왔던 이러한 추천 시스템을 동종 브랜드를 취급하는 유통 기업의 매장 단위에 적용하여 각 매장의 취급 SKU를 추천하는 방식에 대한 연구는 거의 이루어지지 않고 있는 실정이다. 기존 추천 방법론의 추천 적용 대상이 '개인의 영역이었다면 본 연구에서는 국가별, 지역별로 복수의 판매 매장을 통해 개인의 영역을 넘어 매장의 영역으로 확대하여 동종 브랜드를 취급하는 유통 기업의 매장 단위 취급 SKU 추천 방식을 제안하고 있다. 또한 기존의 추천시스템은 온라인에 한정되었다면 이를 오프라인으로 활용 범위를 넓히고, 기존 개인을 기반으로 분석을 하는 것보다 매장영역으로 확대 적용하기에 적합한 알고리즘을 개발하기 위해 데이터마이닝 기법을 적용하여 추천 방법을 제안한다. 본 연구의 결과가 갖는 의의는 개인화 추천 알고리즘을 동일 브랜드를 취급하는 복수의 판매 매장에 적용하여 의미 있는 결과를 도출하고 실제 기업을 대상으로 시스템으로 구축하여 활용할 수 있는 구체적 방법론을 제시했다는 데에 있다. 개인화 영역을 위주로 이루어졌던 기존의 추천 시스템과 관련한 학계의 연구 영역을 동종 브랜드를 취급하는 기업의 판매 매장으로 확장시킨 첫 시도라는 데에도 의미가 있다. 2014년 03주차 ~ 05주차 전(全) 매장 판매 수량 실적 Top 100개 SKU로 추천의 대상을 한정하여 협업 필터링과 하이브리드 필터링 방식으로 52개 매장 별로 취급 SKU를 추천하고, 추천 받은 SKU에 대한 2014년 06주차 매장별 판매 실적을 집계하여 두 추천 방식의 성과를 비교하였다. 두 추천 방식을 비교한 이유는 본 연구의 추천 방법이 기존 추천 방식 보다 높은 성과를 입증하기 위해 단순히 오프라인에 협업필터링을 적용한 것을 기준 모델로 정의하였다. 이 기준 모델에 오프라인 매장 관점의 특성을 잘 반영한 본 연구 모델인 하이브리드 필터링 방법과 비교 함으로써 성과를 입증한다. 연구에서 제안한 방식은 기존 추천 방식보다 높은 성과를 나타냈으며, 이는 국내 대기업 의류업체의 실제 판매데이터를 활용하여 입증하였다. 본 연구는 개인 수준의 추천시스템을 그룹수준으로 확장하여 효율적으로 접근하는 방법을 이론적인 프레임 워크를 만들었을 뿐 아니라 실제 데이터를 기반으로 분석하여 봄으로써 실제 기업들이 적용해 볼 수 있다는 점에서 연구의 가치가 크다.

노인질환에 대한 한양방동시종합검진 결과에 대한 보고 (The Purpose and background of this study)

  • 권경숙;이태환;송정모;김인섭;윤호영;임준규
    • 대한한의학회지
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    • 제15권2호
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    • pp.9-27
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    • 1994
  • 연구(硏究)의 목적(目的) 및 배경(背景) : 본 연구는 노령인구의 증가와 더불어 심각한 사회문제화 되고 있는 노인병의 실태를 파악하기 위한 노인건강검진 사업의 일환으로 전주우석대부속한방병원 및 부설우석의원에서 국내최초의 한양방동시종합검진을 실시한 바 있어서, 이를 토대로 노인질환의 분포와 건강실태를 파악하고 한양방동시종합검진의 효율성을 검토해 보기 위함이다. 연구(硏究) 방법(方法) : 연구대상은 전라북도 김제군에 거주하는 60세 이상의 노인 641명을 대상으로 전주우석대부속한방병원 및 부설우석의원에서 1994.6.24부터 1994.7.13까지 실시한 한양방동시종합검진(1차 검진) 결과를 대상으로 하였다. 양방의 1차검진은 X-ray 검사, 혈액검사, 소변검사, 혈압, 시력, 청력 등의 측정으로 행해졌고, 한방검진은 한방의 사진법(四診法)(望,聞,問,切(망,문,문,절))과 현증력(現症歷), 주소증(主訴證), 과거력(過去歷), 가족력(家族歷), 사회력(社會歷) 등을 살피는 문진표(問診表)와 사상체질(四象體質) 테스트법을 이용하여 행해졌다. 결과(結果) 및 결론(結論) : 본 연구의 결과 및 결론은 다음과 같다. 1) 한양방종합판정상 검진 대상자 641명중 운동기계질환자 75.8%, 소화기계질환자 43.4%, 순환기계질환자 41.5%, 호흡기계질환자 22.3%, 안이비인후과질환자 8.1%, 내분비계질환자 5.6%, 비뇨생식기계질환자 5.3%의 순으로 질병을 앓고 있는 것으로 나타났다. 2) 병명에 따른 질환의 빈도를 살펴보면, 요통, 위염 및 소화성궤양, 슬통, 심장병, 고혈압, 만성기관지염, 기관지천식, 빈혈증, 당뇨병, 폐결핵, 시력장애, 중풍 등의 순으로 나타났다. 3) 연령별 질환의 빈도를 살펴보면, 60-75세, 76-85세, 86세 이상으로 구분할 때 대부분의 질환이 60-75세에 다발하는 경향을 보이고, 오히려 연령이 높아질수록 질병이환율이 감소하는 경향을 보이는 반면, 안이비인후과질환만이 점진적 증가를 보여 대조를 이루었다. 4) 가족력과 질환과의 상관관계를 살펴보면, 중풍환자의 25.0%가 중풍의 가족력을, 고혈압환자의 11.6%가 고혈압의 가족력을 가지고 있는 것으로 나타나 가족력과의 상관관계가 매우 높게 나타남을 알 수 있었고, 그밖에 결핵은 5.6%, 당뇨병은 2.6%가 가족력을 가지고 있는 것으로 나타났다. 5) 음주와 질환과의 상관관계를 살펴보면, 호흡기질환의 36.4%, 고혈압의 34.7%, 심장병의 33.3%, 소화기질환의 28.4%가 음주를 하는 것으로 나타났으나 음주의 정도는 조사되지 않아 음주와 질환과의 필연적 관계는 알 수 없었다. 6) 흡연과 질환과의 상관관계를 살펴보면, 호흡기질환의 44.1%, 심장병의 38.0%, 고혈압의 29.8%가 흡연을 하는 것으로 나타났으나 흡연의 정도는 조사되지 않아 흡연과 질환의 필연적 관계는 알 수 없었다. 7) 사상체질의 분포는 태음인(太陰人) 44.6%, 소양인(少陽人) 30.7%, 소음인(少陰人) 24.7%, 태양인(太陽人) 0.0%의 순으로 나타났고, 체질별 질환빈도는 모든 체질에서 운동기계 질환과 소화기계 질환의 이환율을 높았는데, 태음인에서는 순환기계질환(50.0%), 호흡기계질환 (23.1%)이 타체질에 비해 높게 나타났고, 소양인에서는 운동기계질환(77.7%), 난청등 안이비인후과 질환(12.2%)이 타체질에 비하여 높게 나타났고, 소음인에 있어서는 소화기계 질환(65.8%)이 타체질에 비해 높게 나타났다. 8) 양방의 1차검진상 이상소견자의 빈도와 한양방종합판정에 의한 질환의 빈도 사이에는 상당한 차이가 있는 것으로 나타났는데, 이는 노인질환의 특성상 건강검진에 한방의 참여가 필요한 이유가 되는 내용이라 사료된다. 이상에서 살펴본 바, 이번에 실시한 국내최초(國內最初)의 한양방동시종합검진(韓洋方同時綜合檢診)은 양방위주의 건강검진보다 노인의 질환과 건강실태를 파악하는데 있어서 훨씬 효율적(效率的)이었다고 사료되는 바이나, 처음 실시한 만큼 미진한 면이 많았다. 앞으로 한방이 공중보건사업에 효율적으로 차여하기 위해서는 많은 문제점을 개선하여 한양방동시종합검진의 모델과 한방보건사업의 프로젝트가 제시되어야 할 것으로 사료된다.

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병원 간호사의 선호근무시간대에 관한 연구 (A Study on Hoslital Nurses' Preferred Duty Shift and Duty Hours)

  • 이경식;정금희
    • 대한간호
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    • 제36권1호
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    • pp.77-96
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    • 1997
  • The duty shifts of hospital nurses not only affect nurses' physical and mental health but also present various personnel management problems which often result in high turnover rates. In this context a study was carried out from October to November 1995 for a period of two months to find out the status of hospital nurses' duty shift patterns, and preferred duty hours and fixed duty shifts. The study population was 867 RNs working in five general hospitals located in Seoul and its vicinity. The questionnaire developed by the writer was used for data collection. The response rate was 85.9 percent or 745 returns. The SAS program was used for data analysis with the computation of frequencies, percentages and Chi square test. The findings of the study are as follows: 1. General characteristics of the study population: 56 percent of respondents was (25 years group and 76.5 percent were "single": the predominant proportion of respondents was junior nursing college graduates(92.2%) and have less than 5 years nursing experience in hospitals(65.5%). For their future working plan in nursing profession, nearly 50% responded as uncertain The reasons given for their career plan was predominantly 'personal growth and development' rather than financial reasons. 2. The interval for rotations of duty stations was found to be mostly irregular(56.4%) while others reported as weekly(16.1%), monthly(12.9%), and fixed terms(4.6%). 3. The main problems related to duty shifts particularly the evening and night duty nurses reported were "not enough time for the family, " "afraid of security problems after the work when returning home late at night." and "lack of leisure time". "problems in physical and physiological adjustment." "problems in family life." "lack of time for interactions with fellow nurses" etc. 4. The forty percent of respondents reported to have '1-2 times' of duty shift rotations while all others reported that '0 time'. '2-3 times'. 'more than 3 times' etc. which suggest the irregularity in duty shift rotations. 5. The majority(62.8%) of study population found to favor the rotating system of duty stations. The reasons for favoring the rotation system were: the opportunity for "learning new things and personal development." "better human relations are possible. "better understanding in various duty stations." "changes in monotonous routine job" etc. The proportion of those disfavor the rotating 'system was 34.7 percent. giving the reasons of"it impedes development of specialization." "poor job performances." "stress factors" etc. Furthermore. respondents made the following comments in relation to the rotation of duty stations: the nurses should be given the opportunity to participate in the. decision making process: personal interest and aptitudes should be considered: regular intervals for the rotations or it should be planned in advance. etc. 6. For the future career plan. the older. married group with longer nursing experiences appeared to think the nursing as their lifetime career more likely than the younger. single group with shorter nursing experiences ($x^2=61.19.{\;}p=.000;{\;}x^2=41.55.{\;}p=.000$). The reason given for their future career plan regardless of length of future service, was predominantly "personal growth and development" rather than financial reasons. For further analysis, the group those with the shorter career plan appeared to claim "financial reasons" for their future career more readily than the group who consider the nursing job as their lifetime career$(x^2$= 11.73, p=.003) did. This finding suggests the need for careful .considerations in personnel management of nursing administration particularly when dealing with the nurses' career development. The majority of respondents preferred the fixed day shift. However, further analysis of those preferred evening shift by age and civil status, "< 25 years group"(15.1%) and "single group"(13.2) were more likely to favor the fixed evening shift than > 25 years(6.4%) and married(4.8%)groups. This differences were statistically significant ($x^2=14.54, {\;}p=.000;{\;}x^2=8.75, {\;}p=.003$). 7. A great majority of respondents(86.9% or n=647) found to prefer the day shifts. When the four different types of duty shifts(Types A. B. C, D) were presented, 55.0 percent of total respondents preferred the A type or the existing one followed by D type(22.7%). B type(12.4%) and C type(8.2%). 8. When the condition of monetary incentives for the evening(20% of salary) and night shifts(40% of. salary) of the existing duty type was presented. again the day shift appeared to be the most preferred one although the rate was slightly lower(66.4% against 86.9%). In the case of evening shift, with the same incentive, the preference rates for evening and night shifts increased from 11.0 to 22.4 percent and from 0.5 to 3.0 percent respectively. When the age variable was controlled. < 25 yrs group showed higher rates(31.6%. 4.8%) than those of > 25 yrs group(15.5%. 1.3%) respectively preferring the evening and night shifts(p=.000). The civil status also seemed to operate on the preferences of the duty shifts as the single group showed lower rate(69.0%) for day duty against 83. 6% of the married group. and higher rates for evening and night duties(27.2%. 15.1%) respectively against those of the married group(3.8%. 1.8%) while a higher proportion of the married group(83. 6%) preferred the day duties than the single group(69.0%). These differences were found to be statistically all significant(p=.001). 9. The findings on preferences of three different types of fixed duty hours namely, B, C. and D(with additional monetary incentives) are as follows in order of preference: B type(12hrs a day, 3days a wk): day shift(64.1%), evening shift(26.1%). night shift(6.5%) C type(12hrs a day. 4days a wk) : evening shift(49.2%). day shift(32.8%), night shift(11.5%) D type(10hrs a day. 4days a wk): showed the similar trend as B type. The findings of higher preferences on the evening and night duties when the incentives are given. as shown above, suggest the need for the introductions of different patterns of duty hours and incentive measures in order to overcome the difficulties in rostering the nursing duties. However, the interpretation of the above data, particularly the C type, needs cautions as the total number of respondents is very small(n=61). It requires further in-depth study. In conclusion. it seemed to suggest that the patterns of nurses duty hours and shifts in the most hospitals in the country have neither been tried for different duty types nor been flexible. The stereotype rostering system of three shifts and insensitiveness for personal life aspect of nurses seemed to be prevailing. This study seems to support that irregular and frequent rotations of duty shifts may be contributing factors for most nurses' maladjustment problems in physical and mental health. personal and family life which eventually may result in high turnover rates. In order to overcome the increasing problems in personnel management of hospital nurses particularly in rostering of evening and night duty shifts, which may related to eventual high turnover rates, the findings of this study strongly suggest the need for an introduction of new rostering systems including fixed duties and appropriate incentive measures for evenings and nights which the most nurses want to avoid, In considering the nursing care of inpatients is the round-the clock business. the practice of the nursing duty shift system is inevitable. In this context, based on the findings of this study. the following are recommended: 1. The further in-depth studies on duty shifts and hours need to be undertaken for the development of appropriate and effective rostering systems for hospital nurses. 2. An introduction of appropriate incentive measures for evening and night duty shifts along with organizational considerations such as the trials for preferred duty time bands, duty hours, and fixed duty shifts should be considered if good quality of care for the patients be maintained for the round the clock. This may require an initiation of systematic research and development activities in the field of hospital nursing administration as a part of permanent system in the hospital. 3. Planned and regular intervals, orientation and training, and professional and personal growth should be considered for the rotation of different duty stations or units. 4. In considering the higher degree of preferences in the duty type of "10hours a day, 4days a week" shown in this study, it would be worthwhile to undertake the R&D type studies in large hospital settings.

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충북지역 학교급식 영양(교)사의 식단관리 운영실태 및 개선방안(1) - 식단계획 - (Current and Future Operation of Menu Management in the School Foodservices of Chungbuk (1) - Menu Planning -)

  • 안윤주;이영은
    • 한국식품영양과학회지
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    • 제41권8호
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    • pp.1118-1133
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    • 2012
  • 본 연구는 충청북도 지역 학교 영양(교)사를 대상으로 학교급식 식단관리 운영실태 및 인식을 조사함으로써 학교급식의 효율적인 개선방안을 제시하고자 하였으며 조사기간은 2010년 9월 1일부터 9월 15일까지로, 배포된 설문지는 328부이며 이 중 265부(80.8%)가 분석에 이용되었다. 연구 결과의 요약은 다음과 같다. 첫째, 조사대상의 일반사항으로 학교유형은 초등학교 55.8%, 중학교 22.3%, 고등학교 21.9%로, 급식유형은 도시형이 54.0%, 농촌형이 46.0%로 나타났다. 학교에서 1일 제공하는 끼니 수에 대해 1식이 80.8%, 2식이 5.3%, 3식이 13.9%로 중식 한 끼를 제공하는 학교가 가장 많았으며, 식단형태는 98.8%가 단일식단을, 0.4%가 선택식단, 0.8%가 단일식단과 선택식단을 같이 사용하였다. 둘째, 학교급식 식단 작성 시 고려요인의 중요도 및 어려운 정도에 대한 조사결과로 중요도 점수가 식품비예산(평균 4.53점)으로 가장 높았으며, 식중독위해요소(4.42점), 영양기준량(4,42점), 피 급식자의 기호도 및 선호도(4.18점), 조리시간(3.90점), 급식시설 및 기기수준(3.88점), 식재료의 원산지(3.79점), 음식의 색과 모양(3.77점) 순이었으며, 모든 고려요인의 중요도 점수가 3점(보통이다) 이상이었다. 어려운 점은 '식품비예산'(평균 4.27점)에 대한 사항이 가장 높게 나타났으며, '피 급식자의 기호도 및 선호도'(4.06점), '식중독위해요소'(3.98점), '급식시설 및 기기수준'(3.90점), '조리시간'(3.82점), '조리종사원 수'(3.68점), '조리종사원의 숙련도'(3.67점), '적온배식'(3.51점) 순으로 나타났으며, 모든 고려요인의 어려운 정도 점수가 3점(보통이다) 이상이었다. 셋째, 식단 작성 시 영양관리에 관한 조사결과 식단 작성 시 고려주기에 대해 주별이 63.8%로 가장 높았고, 끼니별 31.3%, 월별 3.8%, 계절별 1.1% 순이었다. 식단 작성 시 가장 먼저 고려하는 영양소로 1순위는 에너지가 90.1%로 가장 높은 응답률을 나타냈다. 식단 작성 시 가장 초과되는 영양소는 단백질이 41.9%로 가장 높았고 에너지 36.2%, 칼슘 9.8%, 비타민류 7.9%, 철분 4.2% 순이었다. 반면, 식단 작성 시 가장 부족한 영양소는 칼슘이 37.7%로 가장 높게 응답률을 나타냈고, 철분 33.6%, 비타민류 17.0%, 에너지 10.2%, 단백질 1.5% 순이었다. 에너지 구성 권장비 중 가장 초과되는 영양소는 단백질이 47.2%로 가장 높았고, 탄수화물 29.4%, 지방 23.4% 순이었다. 넷째, 학교급식법령에 제시된 식단 작성 시 고려해야 할 사항 및 영양관리기준에 대한 인지도, 중요도 및 수행도 점수를 조사결과 학교급식법령에 제시된 식단 작성 시 고려하여할 사항은 '전통식문화의 계승발전을 고려', '곡류 및 전분류, 채소류 및 과일류, 어육류 및 콩류, 우유 및 유제품 등 다양한 종류의 식품을 사용', '염분, 유지류, 단순당류 또는 식품첨가물 등을 과다하게 사용하지 않음', '가급적 자연식품과 계절식품을 사용', '다양한 조리방법을 활용' 모두 5개 항목으로 인지도 점수결과 '전통식문화의 계승발전을 고려'(평균 3.78점) 이외의 항목은 4점(준수한다) 이상이었으며, '곡류 및 전분류, 채소류 및 과일류, 어육류 및 콩류, 우유 및 유제품 등 다양한 종류의 식품을 사용'(4.40점), '가급적 자연식품과 계절식품을 사용'(4.40점)이 높게 나타났다. 중요도 점수결과 '전통식문화의 계승발전을 고려'(3.77점) 이외의 항목은 4점(준수한다) 이상이었으며, '곡류 및 전분류, 채소류 및 과일류, 어육류 및 콩류, 우유 및 유제품 등 다양한 종류의 식품을 사용'(4.45점), '염분, 유지류, 단순 당류 또는 식품첨가물 등을 과다하게 사용하지 않음'(4.45점)이 높게 나타났다. 수행도 점수결과 '다양한 조리방법을 활용'(3.71점)과 '전통식문화의 계승발전을 고려'(3.29점) 이외의 항목은 4점(준수한다) 이상이었으며, '가급적 자연식품과 계절식품을 사용'(4.24점)이 높게 나타났다. 5개 항목 중 '전통식문화의 계승발전을 고려'가 인지도, 중요도, 수행도 모든 부분에서 다른 항목에 비해 낮은 점수를 나타냈다. 학교급식법령에 제시된 학교급식 영양관리기준 '학년별 성별 에너지공급기준${\pm}10%$ 이내', '탄수화물(5~70%) : 단백질(7~20%) :지방(15~30%) 비율', '단백질 상한 비율(20%) 이내', '칼슘 등 미량영양소 기준'에 대한 인지도, 중요도 및 수행도 점수를 분석하였다. 인지도, 중요도 및 수행도 조사 결과 모든 항목에서 4점 이상(5점 만점)이었다. 인지도는 '탄수화물(55~70%) : 단백질(7~20%) :지방(15~30%) 비율'과 '단백질 상한 비율(20%) 이내'가 각각 평균 4.59점, 4.56점이었고, '칼슘 등 미량영양소 기준'은 평균 4.33점이었다. 중요도는 '학년별 성별 에너지공급기준${\pm}10%$ 이내'와 '탄수화물(55~70%) : 단백질(7~20%) :지방(15~30%) 비율'이 각각 평균 4.39점, 4.38점이었고, 칼슘 등 미량영양소 기준'은 평균 4.16점이었다. 수행도는 '탄수화물(55~70%) : 단백질(7~20%) :지방(15~30%) 비율'과 '학년별 성별 에너지공급기준${\pm}10%$ 이내'가 각각 평균 4.34점, 4.27점이었다. 다섯째, 학교급식 식단 작성 시 영양관리기준 적용실태에 대한 조사결과 1일 영양기준량(아침:점심:저녁) 적용 비율은 1:1.5:1.5가 38.5%로 가장 높게 나타났고, 1일 영양기준량을 탄력으로 적용하는 이유로는 '아침 결식률을 고려해서'가 59.2%로 가장 높았고, 1일 영양기준량(아침:점심:저녁) 탄력적으로 적용하는 방법으로는 '실태조사 없이 임의자료로 운영위원회의 심의를 받아 적용'이 49.4%로 가장 높았다. 여섯째, 학교급식법령에 제시된 영양관리기준량에 따른 급식 제공시 어려운 정도를 조사한 결과 '피 급식자의 기호도 반영이 어렵다는 점'(평균 4.19점)과 '실제 공급량과 급식일지의 불일치한다는 점'(4.07점), '급식단가에 따라 적절한 영양소 공급이 어렵다는 점'(4.03점), '미량 영양소나 에너지 균형의 어려운 점'(3.94점), '새로운 메뉴개발의 업무가 소홀해진다는 점'(3.89점), '학교특성에 맞는 요구량을 맞출 수 없다는 점'(3.62점), '영양기준 비적용대상이 함께 급식수혜자가 된다는 점'(3.28점)으로 조사되었다. 일곱째, 학교급식에서의 표준조리법 작성실태 및 인식에 대한 조사결과 표준조리법 작성방법에 대해 '교육행정정보시스템의 요리관리'가 87.5%로 가장 높게 나타났고, 교육행정정보시스템과 개인 소장표준조리법을 함께 사용하는 경우가 9.1%이었다. 작성 중인 표준 조리법 구성항목은 '음식명', '식품명', '1인 분량'은 조사 대상 전체인 100%가 작성하고 있었고 '영양가 분석'은 73.6%, '조리방법'은 71.3%이었으나 '이용 배식도구'는 4.9%로 낮았다. 표준조리법 용도는 '생산되는 음식의 양을 균일성 있게 유지'하도록 하는데 30.4%이었다.

자궁경부암 강내조사 3차원 치료계획 시 Packing의 유용성 분석 (Packing effects on the intracavitary radiation Therapy 3-Dimension plan of the uterine cervix cancer)

  • 시창근;조정근;이두현;김선영;김태윤
    • 대한방사선치료학회지
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    • 제17권1호
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    • pp.1-8
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    • 2005
  • 목적 : CT영상을 이용한 삼차원치료계획을 수립하여 방광과 직장의 점선량(point dose)과 체적선량(volume dose)에 대해 선량-체적 히스토그램(Dose-Volume Histogram)을 이용하여 자궁경부암의 강내치료에 사용하는 packing의 효과를 분석하였다. 대상 및 방법 : 자궁경부암 환자 7명을 대상으로 하여 동일조건하에서 packing을 시행했을 때와 제거했을 때 각각 CT촬영(Ultra Z, marconi, USA)을 하여 치료계획장치(Plato Brachy the Rapy V14.2.4)에서 방광과 직장의 reference point를 각각 표시하고 ICRU38에 따라 A point에 치료계획을 시행하였다. 하지만 rectum의 경우 ICRU에서 제시한 point가 rectum 선량을 대표할 수 있는 값으로 적절하지 않기 때문에 maximum point를 찾아 비교하였다. 그리고 rectum과 bladder의 $50\%,\;80\%,\;100\%$선량의 volume에 따른 체적선량을 알아보았다. 측정한 값들을 윌콕슨 부호검정(SAS 통계분석처리 프로그램)을 통하여 packing의 효과를 분석하였다. 결과 : Packing 제거 시에서의 방광과 직장의 reference point 선량은 $116.94{\pm}35.42\%,\;117.59{\pm}21.08\%$이었고, packing 시행한 경우에는 각각 $107.08{\pm}38.12\%,\;95.19{\pm}21.32\%$이었다. Packing시행 후에 방광은 $9.86\%$, 직장은 $22.4\%$감소하였다. Packing제거시의 방광과 직장 maximum point 선량은 $164.51{\pm}50.89\%,\;128.81{\pm}33.05\%$, packing시행한 경우 각각 $142.31{\pm}44.79,\;110.08{\pm}37.03\%$이었다. packing시행 후에 방광과직장 maximum point 선량이 $22.2\%,\;18.73\%$줄어들었다. packing제거시 방광과 직장선량의 $50\%,\;80\%,\;100\%$선량의 Volume은 방광이 $48.62{\pm}18.09\%,\;16.12{\pm}11.15\%,\;7.51{\pm}6.63\%$, 직장이 $23.41{\pm}14.44\%,\;6.27{\pm}4.28\%,\;2.79{\pm}2.27\%$이었고, packing시행한 경우의 $50\%,\;80\%,\;100\%$선량의 volume은 방광이 $40.33{\pm}16.72\%,\;11.63{\pm}8.72\%,\;4.87{\pm}4.75\%$, 직장이 $18.96{\pm}8.37\%,\;4.75{\pm}2.58\%,\;1.58{\pm}1.06\%$이었다. packing시행 후에 $50\%,\;80\%,\;100\%$선량의 volume 방광은 $8.29\%,\;4.49\%,\;2.64\%$, 직장은 $4.45\%,\;1.52\%,\;1.21\%$ 감소하였다. 결론 : 자궁경부암의 강내치료 시 사용하는 packing의 효과를 CT를 이용한 삼차원치료계획을 통하여 알아본 결과 ICRU 38에서 권고하는 방광과 직장의 기준 점선량(reference point dose)의 경우 P값이 각각 0.0781, 0.0781이었고, 최대점선량(maximum point dose)은 P값이 각각 0.0156, 0.0156으로써 유의한 차이를 보이는 것으로 나타났으나 $50\%,\;80\%,\;100\%$를 초과하는 체적선량(volume dose)의 경우 p갈이 0.15이상으로써 유의하지 않은 것으로 나타났다. 다시 말해서 packing의 효과가 점선량의 경우 차이가 있는 것으로 보이지만 실제 체적선량은 별 차이가 없는 것으로 분석되었다. 그 이유를 살펴보니 방광과 직장의 용적(volume)은 넓은데 비해 packing을 하는 부분은 일부분에 지나지 않아서 큰 선량감소의 효과가 없었던 것으로 보인다. 하지만 방사선의 강도는 거리 역 제곱에 비례하므로 거리가 멀면 멀수록 방사선의 강도는 약해진다. 따라서 packing을 실시하여 방광과 직장의 장해를 최소화하는데 노력을 기울여야 할 것이다.

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고려의 원시영역 유목초지, 그 부르칸(불함)이즘과 한국축산의 비전 (Burqanism from the Origin of the Pastoral Nomadic Koryo Region and the Vision of Korean Livestock Farming)

  • 주채혁
    • 한국초지조사료학회지
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    • 제25권1호
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    • pp.71-82
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    • 2005
  • Khori(高麗) refers to the Chaabog(reindeer) that live on lichens(蘚) on Mt. Soyon(鮮) in which pastures are the cold and dry plateau of North Eurasia. Thus, the origin region of the Khori or Koguryo that are the ancestors of the reindeer-herding pastoral nomads(馴鹿 遊牧民) can be said to be the Steppe-Taiga-Tundra pastoral areas of North Eurasia and North America. When the pastoral nomads moved on to the great mountain(大山) zone of the Jangbaek(長白) to the Baekdu(白頭) Mountains, they could have been in contact with pastoral farmers or agricultural farmers living there and they became the farmers remaining on agricultural farms. They were the Koryo people, the ancestors of Korea. Staying in one place, they gradually forgot the origin of their reindeer-herding pastoral nomadic history in the Northwest area of Mt. Soyon, the small mountain(小山) zone of the Steppe-Taiga-Tundra pastoral areas. In other words, they lost their identity as reindeer-herding pastoral nomads when they entered the agricultural area after leaving the pastoral area. However, since their basic genes had already formed when they lived on the cold and dry plateau of North Eurasia, it is possible to study their pastoral nomadic history focusing on 'the minority living in the broad area(廣域少數)', by utilizing highly advanced biotechnological science and focusing on genes and information technology innovation, and removing various past hindrances in research. Therefore, it is not so difficult to restore the reindeerherding pastoral nomadic history of the Koguryo(高句麗) people and secure their pastoral nomadic identity, of which the first steps have already been taken into their historical stages. The Eurasian continent and the Korean peninsula, especially the cold and dry plateau of North Eurasia and the Korean peninsula have been closely related to each other ecologically and historically. They can never be a separate space at all. The Eurasian continent lies horizontally east to west and thus, the continent forms an isothermal zone. Also, since the time of producing their own foods, it was relatively easy for people with their technology to move to other places owing to the pastoral nomadic characteristic of mobility. Unlike the Chungyen(中原) region, western Asia and the regions covering the Siberia-Manchu-Korean peninsula where food production revolution was first made were connected to the Mongolian lichens route(蘚苔之路: Ni, ukinii jam) and steppe roads. Although the ecological conditions of nature have changed a bit throughout a long history, it was natural for the many tribes in North Asia living on the largest Steppe-Taiga-Tundra area in the world to have believed 'the legends related to animals in relation to their founders and ancestors(獸祖傳說)'. Assuming that Siberian tigers and the tigers living on Mt. Baekdu were connected ecologically and genetically because of the ecological characteristics of the animals, and their migration from plateau to plateau, we would suspect that the Chosun(朝鮮) tribe living on Mt. Baekdu were ethnically and culturally more closely connected to the farther removed Ural-Altai tribes that lived on the cold and dry plateau region than to the Han(i14;) tribe who lived in Chungyen(中原) that was close to Mt. Baekdu. More evidence is the structure of the Korean language which has the form of 'Subject + Object + Verb', which is assumed to have originated from the speedy lifestyle of the reindeer-herding pastoral nomads. The structure is quite different from that of the Han(漢) language, which is based on agricultural life. Also, it is natural for reindeer riding reindeerherding pastoral nomads or horse-riding sheep-herding pastoral nomads(騎馬, 羊遊牧民) to have held military and political power over the region and eventually to have established an ancient pastoral nomadic empire in the process of their conquest of agricultural regions. The stages for founding global empires in the history of mankind maybe largely divided into two, in terms of ecological conditions and occupations. They are the steppes and the oceans. Of course, the steppe-based empires were established based on the skills to deal with horses and the ability to shoot arrows while riding horses, along with the use of iron ware in the 8th century BC. The steppe-based empires became the foundation for an oceanic empire, which could have been established by the use of warships and warship guns since the 15th Century. Based on those facts, we know that Chosun, Puyo(夫餘), and Koguryo are the products of a developmental process of pastoral nomadic empires on the steppes. Maybe we can easily find the pastoral nomadic identity of the Koguryo more than we expected when we trace the origins and history of the Korean tribe living in the pastures located in the northwest area of Mt. Jangbaek by focusing on pastoral nomadic mobility and organization just as we have investigated the historic origins of Anglo-Saxons in America by focusing on the times before the 15th Century. In the process, we should keep in mind that English culture originated from the Industrial Revolution and was directly delivered to the American continent, although America was far from England and was not an intermediate point on long sojourns either. Further, American culture came back to England in a more advanced form later. The most important thing currently to be resolved is to cause Koreans to look back on their own history in a freer way of thinking and with diverse, profound, and sharp insight, taking away the old and existing conventional recognition that is entangled with complicated interests with Korean people and other countries. The meanings of Chosun, Khori, and Solongos have been interpreted arbitrarily without any historic evidence by the scholars who followed conventional tradition of fixed-minded aristocrats in an agricultural society. If the Siberian cultural properties of the stone age, the earthenware age, the bronze age, and the iron age are analyzed in such a way, archaeological discovery will never be able to contribute to the restoration of the Koguryo's pastoral nomadic identity. One should transcend the errors that tend to interpret the cultural properties discovered in the pastoral nomadic regions as not being differentiated from those of agricultural regions and just interpret them altogether from the agricultural point of view. A more careful intention is required in the interpretation of cultural properties of ancient Korean empires that seem to have been formed due to mutual interactions of pastoral nomadic and agricultural cultures. Also, it is required that the conventional recognition chain of 'reverse-genes' be severed, which has placed more weight on agricultural properties than pastoral nomadic ones, since their settlement on agricultural farms was made after the establishment of their ancient pastoral nomadic empires. There is no reason at all to place priority on stoneware, earthenware, bronze ware, and iron ware than on wooden ware(木器) and other ware which were made of animal skins(皮器), bones and horns(骨角器), in analyzing the history in the regions of reindeer or sheep pastures. Reading ancient Korean history from the perspective of pastoral nomadic history, one feels strongly the instinctive emotions to return to the natural 'mother place'. The reindeer-herding pastoral nomadic identity of the Koguryo people that has been accumulated in volumes in their genes and hidden deep inside and have interacted organically could be reborn with Burqanism(Burqan refers to 不咸 in Chinese), which was their religion by birth and symbolized as the red willow(紅柳=不咸). The mother place of the Koguryo's people is the endless vast green pastures of North Eurasia and North America, where we anticipated the development of Korean livestock farming following the inherent properties in the genes of the reindeer-herding pastoral nomads with Korean ancestors. We anticipate that the place would be the core resource that could contribute to the development of life of living creatures following the inherent properties of their genes and biotechnological factors. In other words, biotechnology used for a search for clues on the well-being of humans could be the fruit brought by Burqanism of the Koguryo people and the fruit of the globalization of Korean livestock farming. It is the Chosun farmer in China come from the vast nomadic reindeer pastures of North Eurasia that resolved the food problem of a billion Chinese people with lowland paddy rice seeds (水稻) by transforming Heilongjiang Province(黑龍江省) into an oceanic lowland paddy rice field(水田). Even Mao Tse-tung(毛擇東) could not resolve the food problem by his revolution campaigns for tens of years. Today is the very time that requires the development of special livestock farming following the inherent properties of the ancient Korean reindeer-herding pastoral nomads that respected the dignity of life on the cold and dry plateau of North Eurasia and the America continent. I suggest that research should be started from the pastures of the Dariganga Steppe in East Mongolia that was the homeland of Hanwoo(韓牛) and the central horse-herding steppe place(牧馬場) of Chingis Khan's Mongolia. The Dariganga Steppe is awash with an affluent natural environment for pastoral nomadic living however, the quality of life of the pastoral nomads there is still low. I suggest we Koreans, the descendents of the Koguryo, should take our first steps for our livestock farming business project and develop the Northern nomadic pastures, here at the pastures of the Dariganga Steppe, which is the Mongolian core place of state-of-the-art technology for military weapons.

항공기 집행에 관한 법리 (The Legal Theory on the Civil Execution against Aircraft)

  • 권창영
    • 항공우주정책ㆍ법학회지
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    • 제30권2호
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    • pp.83-153
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    • 2015
  • 우리나라의 경제가 더욱 성장하고, 항공기의 수가 점차 증가하면, 항공기 집행사건은 앞으로 늘어날 수 있다. 이 글은 다수의 사례가 축적되어 있는 선박집행에 관한 법리를 차용하여 항공기 집행에 관한 법리를 제시하기 위한 것이다. 항공기, 경량항공기에 대한 집행은 기본적으로 부동산 선박 집행을 준용하고, 초경량비행장치, 외국항공기에 대한 집행은 동산집행방법에 의한다. 항공기 집행에는 강제경매, 임의경매, 유치권에 기한 경매 등이 있다. 항공기에 대한 강제경매는 채권자가 금전의 지급을 목적으로 하는 청구권의 만족을 얻기 위하여 채무자 소유의 항공기에 대하여 행하는 강제집행을 말한다. 항공기에 대한 강제경매는 압류 당시에 그 항공기가 있는 곳을 관할하는 지방법원을 집행법원으로 하고, 이는 전속관할이다. 법원은 경매개시결정을 한때에는 집행관에게 항공기등록증명서 그 밖에 항공기운항에 필요한 문서를 받아 법원에 제출하도록 명하여야 한다. 강제경매개시결정이 있은 날부터 2월이 지나기까지 집행관이 항공기등록증명서등을 넘겨받지 못하고 항공기가 있는 곳이 분명하지 아니한 때에는 집행법원이 강제경매절차를 취소할 수 있다. 채권자 최고가매수신고인 차순위매수신고인 매수인의 동의가 있으면, 법원은 영업상의 필요 그 밖에 상당한 이유가 있다고 인정한 때에는 채무자의 신청에 따라 항공기의 운항을 허가할 수 있다. 법원은 채권자의 신청에 따라 항공기를 감수하거나 보존에 필요한 처분을 할 수 있다. 채무자가 민사집행법 49조 2호 4호의 서류를 제출하고 압류채권자 및 배당요구채권자의 채권과 집행비용에 해당하는 보증을 매수신고 전에 제공한 때에는 법원은 신청에 따라 배당절차 외의 절차를 취소하여야 한다. 항공기를 목적으로 하는 담보권 실행을 위한 경매(임의경매) 절차에는 선박 항공기 강제경매에 관한 규정과 담보권 실행을 위한 부동산 선박 경매에 관한 규정이 준용된다. 임의경매에서는 집행권원이 필요하지 않고, 신청에도 집행력 있는 정본은 요구하지 않는다. 또한, 집행법원이 담보권 및 피담보채권의 존부를 심사하여 담보권의 부존재 무효, 피담보채권의 불발생 소멸 등과 같은 실체상의 하자가 있으면 경매개시결정을 할 수 없다. 나아가 이러한 사유는 매각불허가 사유에 해당하고, 또 이를 간과하여 매각허가결정이 확정되고 매수인이 매각대금을 완납하여 소유권이전등록을 마쳤다 하더라도 매수인은 매각항공기의 소유권을 취득하지 못한다. 집행법원은 여러 대의 항공기 상호간의 이용관계에서 견련성이 있는 경우에 한하여 여러 대의 항공기에 대한 일괄경매를 할 수 있다(대법원 2001. 8. 22.자 2001마3688 결정). 항공기에 대한 유치권자도 경매를 신청할 수 있다. 형식적 경매의 절차는 담보권 실행을 위한 경매의 예에 따라 실시한다. 그러나 공항시설 사용료와 항공기 사이의 견련관계를 인정할 수 없으므로, 공항공사의 항공기에 대한 유치권은 성립하지 않는다(대법원 2014. 4. 10. 선고 2011다29291 판결). 유치권에 의한 경매도 항공기 위의 부담을 소멸시키는 것을 법정매각조건으로 하여 실시되고, 우선채권자뿐만 아니라 일반채권자의 배당요구도 허용되며, 유치권자는 일반채권자와 동일한 순위로 배당을 받을 수 있다.

호텔기업에 있어 구조조정상의 공정성 지각이 경영진의 신뢰, 직무만족 및 조직몰입에 미치는 영향 (The Impact of Justice of Layoff on Management Trust, Job Satisfaction and Organizational Commitment in the Hotel Corporations)

  • 김용순;안대희
    • 마케팅과학연구
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    • 제18권1호
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    • pp.115-139
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    • 2008
  • IMF이후 경쟁의 심화와 적대적인 경영환경에 효과적으로 대응하고자 많은 호텔기업들이 구조조정을 실시해오고 있다. 이러한 구조조정은 인력감축을 동반하기 때문에 구조조정 과정에서 공정성을 지각하는데, 인력감축에서 살아남은 생존자들이 인력감축의 절차나 실무에서 불공정성을 지각할 때 상사에 대한 신뢰감이나 조직유효성을 감소시키는 것으로 나타났다. 따라서 본 연구는 호텔기업을 대상으로 구조조정 이후 살아남은 생존자를 대상으로 정리해고의 공정성 지각이 경영진의 신뢰, 직무만족 및 조직몰입에 어떠한 영향을 미치는지를 살펴보고자 하는 것이다. 이러한 연구목적을 달성하기 위해 실증분석을 실시한 결과 잔류종업원들은 구조조정 과정에서 절차 공정성 및 분배 공정성을 높게 지각 할수록 경영진에 대한 신뢰감과 조직 몰입이 높아지는 것으로 나타났다. 그러나 구조조정 과정에서 절차 공정성을 높게 지각할수록 직무만족은 높아지는 것으로 나타났지만, 분배 공정성은 직무만족과는 인과관계가 없는 것으로 나타났다. 또한 구조조정 과정에서의 경영진에 대한 신뢰감이 높아질수록 직무만족이나 조직몰입은 높아지는 것으로 나타났다.

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간호학생의 효과적인 자율학습을 위한 조사연구 (A Study on the Effective Independent Study of Nursing Student)

  • 김광주;이향련
    • 대한간호학회지
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    • 제8권1호
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    • pp.16-42
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    • 1978
  • This survey was made for a month starting from November 15 to December 15, 1977 covering 711 students taking the junior. (3rd-yea.) and the senior. (4th-year) at nine college of nursing in Seoul concerning their perception and Attitude toward the profession of nursing, motive for the necessity of learning, environment of study, attitude of study and particulars relevant with study performance, particulars of library, references and reading, assignments and particulars of the degree of confidence for the learning achievement. Through the survey of the above Particulars, the following results were obtained by classifying all subject matters and by analysing motive of the selection of their course, awarding or not awarding of scholarships. 1. General characteristics: it was revealed that 406 students (57.1%) were attending at the junior. while 305 students (42.9%) were taking the senior. Thus, the total number was 711 and their average age was 21.4 years. Their dwelling category was; 73.9 percent of them resided at their parent's home, 214 students (30.1%) were awarded with scholarships. The reason to be attracted by nursing science was the possibility of continuing social life after graduation (43.5%). 2. Their perception and attitude toward the profession of nursing: According to the perception of profession by the students of each grade, students of the 4th grade showed comparatively strong conception. Also, students of the 4th grade showed more positive attitude in the purchase and reading of magazines relative with the science of nursing, in the reading of Code for Nurses and in their interest in the activity of nursing field. For the necessity of mission of nurse, 97.7 percent of the entire number of students covered responded to necessity. For the necessity of the particular humanity and particularity in the character of nurses, 95.8 percent of those students responded to necessity. By the each grade, students of the 4th grade showed more response. 3. As to professional field desired after completing the professional course: 57 percent of those students desired for clinician nurse while 55 percents desired for community health-nurse. 4. As to the environment of study: they were mostly satisfied with their present residential environment. However, they complained of inconvenience at their lecture-halls. Students of the 3rd grade showed more complain. As to their attitude toward the adjustment of environment of study, they showed a affirmative response. As to the opinion of factors which interfere with their study, comparatively strong response was showed in their scepticism in the science of nursing, insufficient comprehension in general learning, relation with professors n4 discrepancy in the method of study. According to opinions of students at each grade, students of the 4th grade showed more scepticism. 5. Particulars relative with their attitude and performance of study : As to their knowledge of the objectives of their study of subject, the majority was to study with a partial knowledge of the objectives of their study. As to the plan of study, a low percentage indicated management of routine life under regular scheduling. Students of the 4th grade responded to rather planned life. As to time spent in independent study, response to concentrated study when necessary was stronger than that to regular daily study. Students of the 4th grade showed stronger response to regular study than that of the 3rd grade. As to the contents of their note-taking, 67.4 percents of those students responded to such regulatory procedure performing in the lecture-hall as they listen to lectures. 17.3 percents of those students showed response to adding supplementary informations from references to what was entered in choir note-taking at their lecture-halls. 6. Particulars of library, references and reading books: As to receiving of instruction for the utilization of library and time of receiving such instruction 64.7 percents of those students had received such instruction. 66.7 percents of the those responded received such instruction at orientation conducted for freshmen. As to the convenience of the utilization of library, 49.9 percents of those students responded to convenience. However, students of the 3rd grade showed a much stronger response to inconvenience. As to the time of the utilization of library,92.5 percents of those students showed a response to occasional utilization for particular purpose than regular utilization. 53.2 percents of those students responded to ordinary in quantity that library have references. 34.2 percents of those students responded to insufficient. As to the particular relative with the method and field of reading: 53.5 percents of those students responded to intensive reading and was the majority. As to the reading field, fiction u as the majority. When read any books for their major, they usually rend Korean text-b, oks. 7. Particular relative with giving assignment: All respondents were well aware of the objectives of giving home tasks. As to the attitude toward assignments and performing home tasks, 54.8 percents of those students to making ostentatious study because of an excessive quantity of assignments imposed. For performing assignment, they showed comparatively positive response. Also, 52.2 percents of those students responded that they usually submitted complected assignment with references. 8. As to motive to realize the necessity of study : 55.6 percents of those students responded that they realized such necessity in communication with patients when they were engaged in clinical practice. Also, 8.6, the lowest percents of those students responded that they realized such necessity in the course of conversation with nurses when they were engaged in clinical practice. 9. As to the determination of their confidence in the performance of study relative with clinical experience: They showed a general inclination of having in nursing. The major response was that they came to well comprehend the patients families. the lowest response was that they could apply what was learned at lecture-hall to practice. This response incidentally showed the distance the lecture-hall and practical study. In general items, students of the 4th grade showed more favorable response than students of the 3rd grade and there was a significant difference. 10. As to the perception and attitude toward profession according to the motive of selecting the nursing science : Those who selected the nursing voluntarily showed stronger conception than those who selected the nursing through indirect influence. However, there was no significant difference on this point. Only there was a remarkable difference in the reading of Code for Nurses. 11. Those who showed a stronger conception in the profession of nursing according to the motives of attractive nursing science indicated a strong will and ability to manage stable life and comparatively strong response was shown in the management of good home life because of the good adaptability of the science to their character. This group showed a strong conception of the profession than those who responded that they prefer this profession out of a longing for the work of a hospital and for the easy obtaining of opportunity to immigrate to over seas and for economic cause and for high school grade. There was significant difference between these two groups, 12. As to the conception and attitude toward the profession of nursing according to benefits by scholarships, those who were benefitted by scholarship showed stronger conception of profession than those who did not receive scholarship and there was a remarkable difference between these two categories. However, there was no remarkable difference between these two categories in the extent of interest of the activities of nursing fields and in the reading of Code for Nurses. 13. As activation for study according to the benefits of scholarships, those who were benefitted by scholarships showed stronger response to the motive for study comparing with those who receive. 14. As to tile field of reading according to the benefits by scholarships, those who received scholarships tended to read autobiographies and essayers to a considerable extent. Those who did not receive scholarships tended to read novels. Those who received scholarships more read nursing boots than those who did not receive scholarships. 15. As to the attitude of study and doing of assignment according to benefits of scholarships, those who received scholarships managed a favorable life with schedules for study, More students of receiving scholarship showed a regular study for more than one hour per day. Also, in the method of doing home tasks, more students of receiving scholarship showed reference to relative books frequently for the submission of completed assignments.

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