• 보건행정학회지
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• 제1권1호
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• pp.136-152
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• 1991

The study was conducted to project supply and demand of the physicians from year 1991 to year 2010 based on the analysis of supply and demand of the physicians up to year 1989. Results of the study will provide information for the physicians manpower planning of the 7th 5-year Economic Social Development Planning(1992-1996) and contribute to the overall health manpower planning for the 21the century. It is projected that physician will be oversupplied from the very near future based on the current productivity or underestimated based on the optimal productivity. Thus, it is desirable not to change size of training and education during the 7the 5-year planning period and re-examine the status of the physician manpower at the end of the 7th 5-year period taking into consideration medical services utilization pattern, patients' satisfaction, and physicians' productivity.

• 보건의료산업학회지
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• 제6권3호
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• pp.67-74
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• 2012

This study analyzed the trend of relationship between hospital departments. Hospitals directory issued by Korean Hospital Association in 2009 was used to collect the study sample data. The study sample used 188 hospitals established during the four years from 2005 to 2008, and bed size, establishment year was identified in the directory. Population variable in 2009 was taken from the website of Statistics Korea. SAS 9.2 was used for the statistical analysis. In regression analysis, year of establishment (2008) was statistically significant in explaining the number of hospital departments. Hospitals established in 2008 showed significant positive number of department than other years. Study hospitals showed increasing number of hospital departments during four years. Further study will be needed to analyze the effects of hospital departments on their performances.

• Clinics in Shoulder and Elbow
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• 제26권1호
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• pp.20-24
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• 2023

Background: The Friends and Family Test (FFT) developed by the UK National Health Service evaluates whether patients are satisfied with a service provided, where improvements are needed, and how likely patients are to recommend the intervention. Calculated from the FFT, the Net Promoter Score (NPS) creates a recommendation metric for treatment. The primary aim of this prospective study is to evaluate NPS for arthroscopic subacromial decompression (ASD) and rotator cuff repair (RCR). Secondary aims are to postoperatively evaluate 1-year changes in patients' Oxford Shoulder Scores (OSSs) in terms of the proportion of patients satisfied with their surgery and correlation with FFT. Methods: During a 2-year period, all patients undergoing ASD or RCR completed questionnaires prospectively. Collected preoperatively and postoperatively at 1 year. Results: NPSs were 31 for ASD (n=32) and 52 for RCR (n=39). OSSs increased by 4.3 and 6.9 for ASD and RCR, respectively (P<0.001). Overall, 75% of ASD and 77% of RCR patients were either "satisfied" or "very satisfied," respectively, with procedure outcomes. Scores from FFT had a positive correlation with improvement in OSS and satisfaction scores among patients undergoing arthroscopic shoulder surgeries (P<0.001). Conclusions: The current study shows positive NPS outcomes in patients with ASD and RCR. Scores from FFT correlate well with both satisfaction and OSS among patients. NPS can be an adjunct to traditional patient-reported outcome measures to provide global evaluation of patient experiences to aid in determining the clinical value of common procedures in shoulder orthopaedics. Level of evidence: III.

• 재활간호학회지
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• 제20권1호
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• pp.42-51
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• 2017

Purpose: In people who have chronic diseases, disabilities, and rehabilitation needs, self-management education can improve health and health-related behavior, and it can reduce the utilization of healthcare services. The purpose of this research was to assess the long-term effects of chronic-disease self-management education in Japan. Methods: This study included 184 adults living with various chronic medical conditions who participated in the Chronic Disease Self-Management Program (CDSMP) in Japan. Data were collected before the program began, and then collected 3 more times over 1 year. Results: Healthcare-service utilization was low at baseline, and it did not change. Self-evaluated health status, health-related distress, coping with symptoms, communication with doctors, and self-efficacy to manage symptoms all improved after the program. However, there was backsliding in all of the outcomes that had improved. Conclusion: Some benefits of this program can last for at least 1 year, but interventions to prevent attenuation may be needed. For economic evaluations, research should focus on populations with higher baseline levels healthcare-service utilization, including use of rehabilitation services. Also, more attention should be focused on the longer-term decay or persistence of the program's benefits, particularly regarding on preventing and reducing disabilities and with regard to rehabilitation needs.

• Journal of Preventive Medicine and Public Health
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• 제7권1호
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• pp.177-183
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• 1974

It is generally recognized that the environmental noise of the various working places thought to be the cause of hearing disturbance. This survey was carried out to evaluate the prevalence of noise-induced occupational bearing loss among the weavers of 39 textile industries in Taegu, Korea. For this survey, 432 male workers and 2,023 female workers were examined their hearing acuity by Individual pure tone threshold determination test(air conduction), from November, 1972, to January, 1973. Main findings were as follows : 1. The mean of noise intensity of the 54 weaving rooms was, in over all, $95.6{\pm}4.2dB\;(A),\;95.9{\pm}4.0dB\;(B)\;and\;96.2{\pm}3.9dB\;(C)$. 2. The mean hearing threshold levels by service years in the 4,000 Hz were intensively increased from 1st to 3rd year and slightly decreased. than that of 3rd year, from after 3rd to 5th year, after 5th year that increased slightly. 3. The mean hearing threshold levels by frequencies were highest in the 4,000 Hz(male: $25.0{\pm}11.3dB$, female: $22.0{\pm}10.2dB$) and followed by 6,000, 8,000 and 3,000 Hz. 4. The mean hearing threshold level of the 6,000 Hz (male: 17.0 dB. female: 17.9dB) was higher than that of 4,000Hz (male: 16.4 dB, female: 17.1dB) in tile 1st service year. 5. The mean hearing loss of examinees was $16.2{\pm}8.0dB$ in male and $15.4{\pm}7.8dB$ in female.

• 한국보육지원학회지
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• 제11권2호
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• pp.177-200
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• 2015

본 연구는 '4세 누리과정 교사용 지도서' 신체활동을 예비유아교사들의 모의수업을 통해 분석하고자 하였으며, 그에 따른 결과로 유아교육현장에 누리과정 교사용 지도서의 신체활동을 수업으로 실시하는데 있어 도움을 주고자 실시된 연구이다. 연구 참여자는 경기도 K대학의 유아교육과 2학년 2학기에 재학 중인 30명을 대상으로 선정하였다. '4세 누리과정 교사용 지도서'의 신체활동 분석을 위해 비형식적 면담과 예비유아교사의 반성적 저널 그리고 30회기의 수업평가서 등의 자료 수집을 통해 질적 연구를 실시하였다. 연구결과, '4세 누리과정 교사용 지도서'의 신체활동 분석으로 예비유아교사들은 첫째, '4세 누리과정 교사용 지도서' 신체활동의 주된 목표를 '표현하기'로 인식하고 있음을 볼 수 있었으며, 둘째, '4세 누리과정 교사용 지도서' 신체활동에 제시된 보조 자료인 '동영상, 그림책, 음원, 그림 자료' 등을 수업에 활용하는데 있어 신중한 판단이 요구되는 것으로 보았다. 셋째, '4세 누리과정 교사용 지도서' 신체활동 실행 시 나타나는 오류나 문제점으로, '예비유아교사가 이해하기 어려운 활동'과 '제목에 따른 활동 방법이 부적합하게 제시된 활동'으로 판단하였다. 넷째, 예비유아교사들이 이해하는 '4세 누리과정 교사용 지도서'의 신체활동 개선점으로, 본 활동을 실시하기 전 기초적인 신체활동이 먼저 이루어져야 함과 수업시간에 적절한 실제물의 제시, 교사의 시범의 필요성, 그리고 신체활동을 위해서 그 상황에 필요한 규칙을 유아와 교사가 함께 만드는 것, 등이 요구된다고 하였다. 이러한 연구결과를 통해 유아교육현장의 교사들이 누리과정의 신체활동을 수업으로 실시하기 전 교사로서 깊이 있는 사고와 판단이 요구됨을 알 수 있었다.

• 한국보건간호학회지
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• 제12권2호
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• pp.12-26
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• 1998

The occupational health problems are the major issue in the modern industrial society. Especially the small scale industries have many hazardous factors and not any occupational health programs in itself. Fortunately. the government-funded subsidiary program was developed and carried out in the past six years in our country. The purposes of this study were to find out the actual condition of the occupational health personnel's accomplishments for the government-funded subsidiary program for small scale industries and to provide basic data for setting up more developed subsidiary occupational health program. Data were collected through 6 kinds of service records review. These service records were written by 3 occupational health personnels were attached to the one subject center of KIHA. were undertaken during March to December, 1997. at 95 small scale industries which were applied the government-funded subsidiary occupational health program. Results were as follows 1. Concerning 95 small scale industries showed characteristics of a typical small scale industry. 2. A doctor visited in industries total 190 times per year, average 19 industries per month, twice per year and industry. A hygienist visited in industries total 378 times per year, average 38 industries per month, four times per year and industry. A nurse visited in industries total 477 times per year. average 47 industries per month, 5 times per year and industry. 3. 3 occupational health personnels accomplished total 3,869 items. A doctor accomplished total 539 items per year, each time 3 items In an industry. A hygienist accomplished total 1.581 items per year, each time 4 items in an industry. A nurse accomplished total 1.749 items per year, each time 4 items in an industry. 4. The major contents of doctor's accomplishment were 'health consultation for suspicious worker with general & occupational disease', 'a check of the workplace & special health education', 'guidance of special medical examination in the second half of year', etc. The major contents of hygienist's accomplishment were 'pretest & guidance of planning for evaluation of working environment'. 'evaluation for ventilating facilities & suporting self inspection', 'guidance of MSDS recording & chemicals management', etc. The major contents of nurse's accamplishment were 'health counseling of general & special medical examination results'. 'health education of preventing occupational disease & health disorder'. 'guidance of subsidiary program planning', 'selecting & guidance of health monitor', etc. It was concluded that the occupaional health personnels implemented the subsidiary program according to the order of health management guide. The current health management guide of subsidiary occupational health program in which the fixed contents, visiting number & periods is not desirable. That guide is left the characteristics of small scale industries out of consideration. It is suggested that occupational health management guide should be developed according to the general & environmental characteristics of each small scale industry, and on the other hand, the more specific guide for each occupational health personnel should be developed.

• 대한교통학회지
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• 제35권2호
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• pp.91-104
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• 2017

본 연구에서는 통합모형인 GCAM을 활용한 국내수송부문을 모델링에 대해 논의한다. GCAM은 IPCC 5차 보고서 평가에도 활용된, 국제적으로 널리 쓰이는 모형이다. 그럼에도 불구하고 이를 국내수송부문에 그대로 적용하는 데 상당한 문제가 있다. 첫째, GCAM의 기준년도(2010년) 수송 서비스수요가 국가통계와 일치하지 않다는 점. 둘째, 수송부문 시뮬레이션 결과가 관련 부문별 서비스수요의 과거추이를 제대로 반영하고 못하고 있다는 점이다. GCAM을 활용한 국내 수송부문 모델링에서 가장 중요하게 영향을 미치는 수송서비스수요 항등식을 상세히 점검함으로써, 기준년도의 서비스수요를 국가통계와 일치시키도록 노력하였다. 또 GCAM의 시뮬레이션 결과가 과거 통계추이를 제대로 반영할 수 있도록 기존모형을 점검, 수정하였다. 점검 및 수정결과, 기존 GCAM의 시뮬레이션 결과와 어떤 부분에서 문제가 있는지, 또 수송부문별 과거 서비스 수요의 추이가 어떻게 제대로 반영되고 있는지를 상세히 보고하였다. 본 연구는 향후 수송부문의 정책, 기술평가 및 온실가스저감 대책 마련 등을 위한 시나리오 분석의 기본분석도구로 유용하게 쓰일 수 있을 것으로 보인다.

• 한국동물위생학회지
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• 제35권1호
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• pp.33-37
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• 2012

As people's interest about wildlife animal increases, more wildlife animal centers are developing. In South Korea, currently 120 mammal species live, and 22 of them are designated as endangered species. It is important to protect these natural treasures and endangered species, because they are being harmed by human industrial activity. For example, road expansion and poaching have led to the destruction of wildlife animal habitats, which is increasing year by year. Nevertheless, data regarding the systematic treatment of wild animals that are in distress is lacking, and it is a reality that analysis of such data is also lacking. The Kangwon Wildlife Rescue Center investigates these types of distress experienced by mammals. By analyzing the shape of the wild animals killed or injured, the center seeks an efficient and systematic way to manage such distress. The data collected from the Wildlife Animal Center from September 2007 to August 2010 includes 195 different cases, and the animals point of rescue. There are 16 species, including 87 water deer (Hydropotes inermis), 39 raccoons (Nyctereutes procyonoides), 20 roe deer (Capreolus pygargus bedfordi), 10 goral (Nemorhaedus goral), 7 siberian weasels (Mustela sibirica), 6 otters (Lutra lutra) and etc. Within the first year (September 2007 to August 2008), the number of mammals rescued was 46. In the second year (September 2008 to August 2009), 60 animals were rescued. in the third year (September 2009 to August 2010), the Wildlife Animal Center had 89 animals. We can see that these numbers are increasing, which shows that people are interested in the well-being of these animals because they are reporting animal injuries more and more. The mains form of distress caused by humans are from car accidents 67 (34.4%). Traps, and other hunting tools used by poachers are responsible for 25 (13.0%). Also, human industrial activity thus indirectly led to the starvation 25 (13.0%). and the orphaning of young animals 37 (19.0%).

• 한국동물위생학회지
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• 제30권4호
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• pp.539-544
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• 2007

A 7-year-old intact female Golden Retriever was presented for examination. The dog had large irregular subcutaneous masses in the abdomen which were ruptured or encapsulated. Those were removed surgically. Histopathologically, the masses consisted of spindle cells that often formed distinct whorls around a central capillary. Immuno-histochemical analysis revealed that the neoplastic cells were strong diffuse cyto-plasmic immunolabelling for vimentin and focal immunoreactivity for smooth muscle actin, whereas not immunoreactive for cytokeratin, desmin, von Willebrand factor, glial fibrillary acidic protein, or S-100. The neoplastic cells ultrastructurally had processes attached by desmosome-like structures, swollen mitochondria and dilated rough endoplasmic reticulum. Based on the above results, this case was diagnosed as a canine hemangiopericytoma in the abdominal subcutis of a Golden Retriever.