• 한국의료질향상학회지
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• 제12권1호
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• pp.114-123
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• 2006

Background : Patients who were discharged from the emergency department(ED) may revisit. These patients are divided into two groups; one is expected scheduled condition, the other is unexpected condition. These patients of inappropriate revisits to the ED would be unsatisfied, difficult to make rapport and take legal action as a result of additional medical charges. The purpose of this study was to reduce inappropriate revisits to the ED with a new method which was developed by analyzing inappropriate revisits in 2002. Methods : This study was conducted in a tertiary hospital consisting of 1,278 beds. The most common cause of inappropriate revisits was the medical team's lack of explanation about a disease. Thus we decided that the effective method was to offer full explanations to patients to understand the clinical pathway of a disease. We made four types of stickers to explain most common 4 diseases in 2003. An emergency physician completed 'discharge explanation report' and explained it to patients in 2004. Results : In 2002 inappropriate revisited patients were 164, patients with four diseases were 79. During the same period of 2003, inappropriate revisited patients were 56 (-65.9%), four disease patients were 6 (-92.4%) and in 2004 inappropriate revisited patients were 52, four disease patients were 19. Causes of revisits were lack of explanation about a disease in 35 patients (44.3%) in 2003, and 5 patients (83.3%) in 2003, and 16 patients (84.2%). Conclusions : Application of 'explanation stickers' at discharge reduced inappropriate revisits from 34.5% in 2002 to 15.9% in 2003. Application of 'Discharge explanation report' by emergency physician reduced inappropriate revisits from 15.9% in 2003 to 13.5% in 2004. Reduction of inappropriate revisits elevated the quality of medical treatment, and decreased patients' dissatisfaction in ED.

• 한국식품조리과학회지
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• 제23권5호
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• pp.677-684
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• 2007

This study analyzed the influence service quality has on customers satisfaction and revisits to foodservice enterprises located in the Jeonju area. The result are as followings. First, factor analysis was performed with 25 variables, drawing out five accessibility, materiality, assurance, speciality, and correspondence. Second, study model analysis showed that the service quality of foodservice operations located in the Jeonju area had an influence on customers satisfaction. This was especially significant for the factors of accessibility and materiality. Third, when considering customer satisfaction with restaurants, satisfaction with the area's image, and satisfaction with the area's sightseeing, we found that satisfaction with the restaurants and satisfaction with the area's image influenced revisits. This suggests that the higher a customer's satisfaction the more foodservice businesses they want to visit. Thus the foodservice businesses located in the Jeonju area must promote service quality so that customers are satisfied and repeatedly visit the restaurants.

• 치위생과학회지
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• 제15권3호
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• pp.318-324
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• 2015

본 연구는 치석제거 재방문 준수도에 미치는 환자의 특성을 파악하고 치석제거 재방문준수가 구강건강증진에 미치는 긍정적인 효과를 확인하고자 진행되었으며, 2007년 1월 1일부터 12월 31일까지 서울시 S치과병원에 처음 내원한 6,099명의 환자 중 치석제거를 받은 1,471명의 환자를 대상으로 2007년도부터 2013년도까지 총 7년간의 진료기록부를 조사하여 분석하였다. 연구결과를 요약하면 다음과 같다. 치석제거 재방문 준수도에서 7년 연속 재방문율을 분석한 결과 첫 1년 이후 중단하는 비율이 가장 높게 나타났고, 치석제거 재방문 준수도에 영향을 미치는 요인은 내원 거리, 가족단골치과, 전신질환, 치주치료 경험 유무 등이었다(p<0.001). 잔존치아 수에서 연구대상자의 치아상실률은 1회 내원한 군(2.6개 감소)이 2~7회 내원한 군(0.9개 감소)보다 2.9배 높게 나타났다(p<0.001). 이상의 연구결과를 종합해 볼 때 치석제거를 위한 치과 재방문 준수도와 환자의 구강건강과는 밀접한 관련이 있으며, 치과의료진은 환자가 치과에 방문하여 첫 치석제거를 시행한 이후 정기적인 내원 습관을 가질 수 있도록 환자의 특성에 맞는 구강보건교육과 동기부여 등 재방문 준수도 향상을 위한 방안을 모색해야 하며, 이를 위한 끊임없는 관심과 체계적인 연구 및 관리프로그램 개발이 이루어져야 할 것이다.

• 한국언어정보학회지:언어와정보
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• 제10권2호
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• pp.67-94
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• 2006

This paper revisits some old issues of irony, i.e., situational vs. verbal irony, and irony vs. paradox, in order to further clarify the issues. Although these issues seem to have been fully discussed, there are still unresolved and/or vague aspects that need to be accounted for. This paper also revisits the issue of theorizing the phenomenon of verbal irony, which has long been scrutinized by many philosophers and linguists including Aristotle, Grice, Sperber and Wilson, and recently, Utsumi and Attardo.

• 한국조리학회지
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• 제15권2호
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• pp.188-204
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• 2009

음식 축제 시스템 구성 요인은 하드웨어와 소프트웨어로 구분되는 다양한 요인으로 구성되어 있다. 이러한 점에서 본 연구는 음식 축제 구성 요인과 축제 방문객 재방문 의도와의 관계 검증에 중점을 주고 진행되었다. 방문객 평가는 만족의 전제이기 때문에 만족과 재방문 의도 등은 연속적인 관계에 놓이게 된다. 따라서 본 연구에서는 음식 축제 시스템 구성 요인이 방문객 평가(운영 평가, 체험 평가)에 미치는 영향과 음식 축제 평가요인으로서 운영 평가와 경험 평가간 관계를 검증하였고, 음식 축제 평가요인과 재방문 의도와의 영향 관계도 검증하였다. 분석결과, 음식 축제 구성 요인은 방문객 평가와 재방문 의도에 유의한 영향을 미치는 것으로 나타났다. 연속적 관계라는 맥락에서, 향후 연구에서는 음식 축제 구성 요인, 방문객 평가, 만족 및 재방문 의도 등의 관계 검증을 제안하였다.

• 한국병원경영학회지
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• 제10권2호
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• pp.64-80
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• 2005

The objectives of this study were to identify factors associated with unexpected revisit to an emergency medical center (EMC) located in Seoul and to examine reasons for revisit. During March, June, September and December, 2002, a total of 168 patients had unexpected revisits to the EMC within 48 hours of a previous discharge. As a 1:1 matched control, we included 136 patients who: discharged from the EMC during the same time period: did not return to the EMC; had the same diagnosis and age(${\pm}5$) with the case. In this study, factors associated with unexpected revisits were defined as characteristics of a previous discharge, which were classified into three: sociodemographic, EMC visit-related, and discharge management factors. Reasons for revisit were categorized into disease, physician, patients, and system-related factors. Data were collected by medical chart review with assistance from clinicians of the EMC. Logistic regression results showed that patients who headed home after discharge without follow-up schedule had a 27.6 times higher risk of revisiting EMC than those who were hospitalized following EMC visit. Patients discharged on his own will had a 5.9 times higher risk of revisiting than those discharged following physician's advice. Patients requiring continual observation at the time of discharge were more likely to revisit by 8.7 times than those discharged with improved condition. About 69.13% of the revisits were due to disease-related factors, followed by 13.90% due to patient-related factors, 8.64% due to system-related factors, and 8.34% due to physician-related factors. It appears that the most significant factors influencing revisits are discharge management factors such as patient's condition at discharge, whether the discharge was accorded with physician's advice, and whether returning home without follow-up schedule. Therefore, appropriate discharge management is necessary to prevent EMC revisit.

• 농촌계획
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• 제15권2호
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• pp.111-120
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• 2009

The purpose of this study was to analyze the lifestyles of tourists visiting rural experience tourist destinations and the influential relations of the attributes to affect rural experience tourism. The research findings show that the lifestyles of tourists had significant impacts on their preference for rural experience programs(0.2502/3.0l2). Second, their lifestyles had also significant impacts on the need for rural experience tourist destinations(5.039/3.363). Third, their preference for rural experience programs had significant influences on their intentions for revisits(0.386/3.l60). Fourth, their preference for rural experience programs had significant influences on their intentions for word of mouth(1.448/8.073). Fifth, their need for rural experience tourist destinations had significant impacts on their intentions for revisits(1.940/5.594). And finally, their need for rural experience tourist destinations had no significant influences on their intentions for word of mouth(-1.0611-1.421). According to the analysis results of the regression coefficient of the measuring model, enjoying leisure(1.130/6.775) and pursuing health(1.110/9.001) were large influential factors in lifestyle; pursuing learning(1.47317.946) was the biggest influential factor in preference for rural experience programs; and a natural environment(1.220/8.990) was the biggest influential factor in the need for rural experience tourist destinations.

• Management Science and Financial Engineering
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• 제18권1호
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• pp.27-37
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• 2012

This paper is motivated by a military cargo-plane routing problem which is a pickup-and-delivery problem in which load splits and node revisits are allowed (PDPLS). Although this recent evolution of a VRP-model enhances the efficiency of routing, a solution method is more of a challenge since the node revisits entail closed walks in modeling vehicle routes. For such a case, even a compact IP-formulation is not available and an effective method had been lacking until Nowak et al. (2008b) proposed a heuristic based on a tabu search. Their method provides very reasonable solu-tions as demonstrated by the experiments not only in their paper (Nowak et al., 2008b) but also in ours. However, the computation time seems intensive especially for the class of problems with dynamic transportation requests, including the military cargo-plane routing problem. This paper proposes a more scalable algorithm hybridizing a tabu search for pricing subproblem paused as a single-vehicle routing problem, with a column generation approach based on Dantzig-Wolfe decomposition. As tested on a wide variety of instances, our algorithm produces, in average, a solution of an equiva-lent quality in 10~20% of the computation time of the previous method.

• Ocean Systems Engineering
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• 제1권2호
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• pp.121-130
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• 2011

One of the prevailing models that describe the stress corrosion is represented by an exponential dependence between rate of corrosion and stress, suggested by Gutman, Zainullin and Zuripov. This study revisits the exponential model and derives analytical expressions for the structures' durability which is postulated as the time for stress level to reach its yield value. Comparison is conducted with other possible models, namely with linear, quadratic or cubic cases.

• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1711-1712
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• 2012

Variation in diet and the rates of colorectal cancers have confounded researchers in recent years. Comparisons of populations in different geographic locations and of different ethnic origins have shown considerable differences in disease frequency, location and relation to diet. This paper revisits an earlier comparison of Maori rates of disease and diet based on data from 20 years ago with surprising changes in disease rates today.