• 한국보건간호학회지
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• 제19권1호
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• pp.74-94
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• 2005

The purpose of this study was to compare the effect of education between CAI(Computer Assisted Instruction) and lectures for smoking cessation among male students who attended vocational high schools. Conducted from February 24th to April 26th, 2003, the study design was quasi-experimental with nonequivalent control group pretest-posttest design. The study subjects were 60 male students in K vocational high school in Daegu city, who were present smokers and had more than 7.0 ppm concentration level of carbon monoxide. Thirty students were randomly chosen as the experimental group which applied CAI education method for smoking cessation. The other 30 students served as the control group which received lecture education method of 40 minutes on four consecutive days. CAI education for smoking cessation was composed of ready-made individual learning contents, counseling by using cyber-communication, writing a letter to stop smoking, and writing a written agreement for smoking cessation. Lecture education for smoking cessation was composed of a ready-prepared lecture for the group, writing a letter to stop smoking, and writing a written agreement for smoking cessation. To measure smoking related knowledge, Jeong Ree Roh(1996)'s smoking related knowledge scale$(Cronbach's\;{\alpha}=0.84)$ was modified and used by the researcher. To measure smoking related attitude, Jeong Ree Roh(1996)'s smoking related attitude scale$(Cronbach's\;{\alpha}=0.91)$ was modified and used by the researcher. Smoking related knowledge scale's Cronbach's $\alpha$ was 0.83 in the pilot study and 0.93 in this study. Smoking related attitude scale's Cronbach's a was 0.80 in the pilot study and 0.98 in this study. To determine the smoking amount, the number of cigarettes smoked per day was checked. The concentration level of CO in the exhaled breath was measured (Micro CO Cat. No. MCO2, UK). Data was analyzed by $x^2-test$, t-test, repeated measures ANOVA. simple main effects, and time contrast test with SPSS/Win 11.0 program. The results of this study were as follows: 1. The first hypothesis. that 'Smoking-related knowledge score in the experimental group by using CAI education for smoking cessation will be higher than that in the control group by using lecture education for smoking cessation', was not supported. 2. The second hypothesis, that 'Smoking-related attitude in the experimental group by using CAI education for smoking cessation will be higher than that in the control group by using lecture education for smoking cessation'. was supported(F=6490.79. p=0.000). 3. The third hypothesis. that 'Smoking amount in the experimental group by using CAI education for smoking cessation will be less than that in the control group by using lecture education for smoking cessation'. was supported. 1) The third-1st sub-hypothesis. that 'The number of cigarettes smoked per day in the experimental group by using CAI education for smoking cessation will be less than that in the control group by using lecture education for smoking cessation'. was supported(F=134.19. p=0.000). 2) The third-2nd sub-hypothesis. that 'The concentration level of CO by ppm per one exhaled breath in the experimental group by using CAI education for smoking cessation will be lower than that in the control group by using lecture education for smoking cessation"' was supported(F=268.55. p=0.000). From the above results. CAI education can be an effective intervention to improve smoking-related knowledge and attitude. and to reduce the number of cigarettes smoked per day and the concentration level of CO by ppm per one exhaled breath. Lecture education can be effective to improve smoking-related knowledge. In the future, when CAI education and lecture education for smoking cessation are applied on the school nursing field. the students can gain a comprehensive understanding of smoking cessation, changes in smoking-related knowledge. smoking-related attitude and reducing smoking amount. Furthermore, CAI education for smoking cessation could be developed as an individual self initiative program and could give a guideline to apply CAI education for smoking cessation in other field.

• 대한가정학회지
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• 제41권12호
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• pp.53-68
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• 2003

The purpose of this study was to develop lesson plans and teaching materials applying practical reasoning instruction for the 7th home economics curriculum content, and to test the effect of practical reasoning instruction on morality of middle school students. This study is a quasi-experimental research with a pretest-posttest design. Practical reasoning instruction for experimental group and traditionally lecture oriented instruction for comparison group were input, and tested the statistical differences between two groups before and after the treatment. The subjects for this study were 8th grade students of a middle school located in Kwangju city. Two classes of 76 students homogeneous in characteristics and academic record for each experimental and comparison group were assigned. Instrument used for this study was a revised moral indicator, that was developed by KEDI(2001). Spss/win for 10.0 statistics program was used for analysis of data. ANCOVA was done for testing statistical difference between pretest and posttest of experiment group and comparison group. Result of study which showed statistically significant difference between groups were：1. Virtue of "responsibility for words and deeds"(from 3.22 to 3.61 for experimental group and from 3.27 to 3.26 for comparison group) in domain of responsibility and cooperation, and virtue of "punctuality"(from 3.59 to 3.76 for experimental group and from 3.41 to 3.28 for comparison group) in domain of trustworthiness, 2. Virtue of "conversation etiquette"(from 3.47 to 3.67 for experimental group and from 3.28 to 3.31 for comparison group) in domain of caring for others, 3. Virtue of "forgiveness other′s mistakes"(from 3.32 to 3.65 for experimental group and from 3.33 to 3.25 for comparison group) in domain of kindness, concession, forgiveness, and virtue of "volunteering activity"(from 2.89 to 3.71 for experimental group and from 3.36 to 3.45 for comparison group) in domain of compassion and service, 4. Virtue of "equip the convenient facility for handicapped"(from 4.19 to 4.29 for experimental group and from 4.17 to 3.91 for comparison group) in domain of equality and human rights, virtue of "recovering selfness for own community"(from 2.34 to 2.79 for experimental group and from 2.14 to 2.29 for comparison group), virtue of "opposing way of accomplishing purpose by an means"(from 3.27 to 3.31 for experimental group and from 3.47 to 3.05 for comparison group), virtue of "opposing election of considering acquaintance"(from 3.35 to 3.56 for experimental group and from 3.12 to 3.14 for comparison group) in domain of fairness, and virtue of "eradication of military force or violence among countries"(from 3.49 to 3.57 for experimental group and from 3.38 to 3.05 for comparison group) in domain of love for humanity. The morality of experimental group was improved more than that of comparison group in all of above items. From the results of this study, following conclusion was drawn. Practical reasoning instruction in home economics is effective in raising students′ virtue and value of responsibility in words and deeds, trustworthiness in punctuality, courtesy of not interrupting conversation, forgiveness of other′s mistakes, volunteering activity, equity for handicapped, fairness opposing selfness for own community, fairness opposing way of accomplishing purpose by all means, fairness opposing election of considering acquaintance, and love for humanity opposing war.

• 대한한의정보학회지
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• 제14권1호
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• pp.19-42
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• 2008

Blood-Letting Therapy is a rational and ecological medical treatment by which we can heal most of the diseases by removing the static blood which precipitates in the blood vessel and blocks the flowing of blood. And the static blood is the generic term for the injurious, bad, dead and precipitated blood which is blocked the capillary vessel. The Yellow Emperor's Canon of Internal Medicine says that "the patient is treated with drugs internally and stone acupuncture externally. "In the old texts, the blood-letting therapy is mentioned as blood-letting, network vessel pricking, bloodletting, pricking, and arousing pulses etc and it is noted down as the method of network vessel pricking in 'On the Application of Needles' of Spiritual Pivot. Nine-pricking therapy, twelve-pricking therapy and five-pricking therapy are recorded in the methods of network vessel pricking and among them, the method of squeezing blood after pricking the affected part is explained as the network vessel pricking. There are four methods of network vessel pricking, pricking, picking, cluster needling and scatter-pricking and they are fluidly applied to the various symptoms of diseases. In 'On Discriminative Treating for Patients of Different Regions' in Elementary Questions, Ki-baek emphasizes "most of the local people, there are black in skin and loose in striate, and their diseases are mostly of carbuncle kind. It is suitable to treat the disease with stone therapy to prick with stone, so the stone therapy is transmitted from the east. "And in 'On the Corresponding Relation Between the Eum and Yang of Man and All Things' in Elementary Questions, when the Emperor asked Ki-Back, he answered "sthenia means the sthenia of evil, and deficiency means the deficiency of healthy energy. When the blood is sthenic, the evil should be discharged by pricking when out letting the blood; deficiency of vital energy is the asthenia of channels and network vessels, so the energy should drain from the channel which is not deficient, to replenish. "And in this case we can use the methods of 'Breaking out the static bloods', 'driving out the static bloods', blood-letting'. With this we can infer that the blood-letting therapy is made use of the important medical treatments from the ancient times. Especially in referring to the principles of treatment in The Yellow Emperor's Canon of Internal Medicine, it mostly alluded to acupuncture therapies and only eleven times to medicinal treatments. This is to verify that the blood-letting therapy formed the foundation of the medical art. In Dong's Therapy of Acupuncture-Moxibustion and Bloodletting, Dong Kyeong-Chang gave emphasis on the points that there must be extravasated bloods without exception in the serious illnesses which is old, unnatural, accompanying acute pains and so we can revive our body‘s sprit by circulating 'gi' and static blood piled up in the network vessel, regulating the weakness and strength, and controling the disharmony of the internal organs. The blood-letting therapy has effect on the orifice in emergency, such as fore draining, freeing network vessels, harmonizing gi and blood, relieving pain, dispersing swelling and concretion, sedation, resolving toxin as well as strengthening the heart, relieving itching. So it has distinguished effect on all kinds of medical treatment to the modern people. But by the change of social customs and the confucianism of confucius - it is widely spread on the period of North and South Dynasties, 'Wi' and 'Jin' in china and the period of the Three States in korea - The blood-letting therapy which was regarded as the most important medicinal treatment withered rapidly. And Confucius accentuated the importance of our body and all its members, loyalty and filial piety and banned any damage of our body under no circumstances. As a result of it, the therapy of blood-letting had a rapid decrease and barely kept itself in existence in both countries. What is worse, at the period of Japanese colonial rule of korea and our nation's founding of early stage, it has been withered by the high-handed policy to change Oriental Medicine into modern medical science. So the therapy of blood-letting barely kept itself in existence in some Buddhist temples. Another case, it has handed down as a old-fashioned quick fix in folk remedies. But all kinds of the contamination of heavy metals and the misuses of antibiotics are widely spread nowadays, which increased diseases of adult people and incurable diseases as modern society unavoidably made its way into a highly industrial society. To make us more miserable, the western medical science - the antibiotics and surgical operation medical science - already reveals itself into a limit. The necessity of a new medical science which can give a security to the patients who are suffering from the diseases of adult people and the incurable diseases is especially come into the force nowadays. In view of the results after bibliographically studying on the blood-letting Therapy in Elementary Questions of the Yellow Emperor's Canon of Internal Medicine, the blood-letting therapy has acted for the important Oriental medicinal science and has been clarified the prominent effects on the diseases of adult people and the incurable diseases. So it is regarded as an appropriate thing that we lay out a determined theory of the blood-letting therapy and of course prevent the unwanted side effects from inappropriate medicinal treatments, and make full use of clinic by elevating the curative value and that we win back our self-respect of medical treatment which is dominated from the western medical science and ultimately contribute to national medical welfare.

• 한국근적외분광분석학회:학술대회논문집
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• 한국근적외분광분석학회 2001년도 NIR-2001
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• pp.4107-4107
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• 2001

Previous works have shown the viability of NIRS technology for the prediction of fatty acids in Iberian pig fat, but although the resulting equations showed high precision, in the predictions of new samples important fluctuations were detected, greater with the time passed from calibration development to NIRS analysis. This fact makes the use of NIRS calibrations in routine analysis difficult. Moreover, this problem only appears in products like fat, that show spectrums with very defined absorption peaks at some wavelengths. This circumstance causes a high sensibility to small changes of the instrument, which are not perceived with the normal checks. To avoid these inconveniences, the software WinISI 1.04 has a mathematic algorithm that consist of create a “Repeatability File”. This file is used during calibration development to minimize the variation sources that can affect the NIRS predictions. The objective of the current work is the evaluation of the use of a repeatability file in quantitative NIRS analysis of Iberian pig fat. A total of 188 samples of Iberian pig fat, produced by COVAP, were used. NIR data were recorded using a FOSS NIRSystems 6500 I spectrophotometer equipped with a spinning module. Samples were analysed by folded transmission, using two sample cells of 0.1mm pathlength and gold surface. High accuracy calibration equations were obtained, without and with repeatability file, to determine the content of six fatty acids: miristic (SECV$\sub$without/=0.07% r$^2$$\sub$without/=0.76 and SECV$\sub$with/=0.08% r$^2$$\sub$with/=0.65), Palmitic (SECV$\sub$without/=0.28 r$^2$$\sub$without/=0.97 and SECV$\sub$with/=0.24% r$^2$$\sub$with/=0.98), palmitoleic (SECV$\sub$without/=0.08 r$^2$$\sub$without/=0.94 and SECV$\sub$with/=0.09% r$^2$$\sub$with/=0.92), Stearic (SECV$\sub$without/=0.27 r$^2$$\sub$without/=0.97 and SECV$\sub$with/=0.29% r$^2$$\sub$with/=0.96), oleic (SECV$\sub$without/=0.20 r$^2$$\sub$without/=0.99 and SECV$\sub$with/=0.20% r$^2$$\sub$with/=0.99) and linoleic (SECV$\sub$without/=0.16 r$^2$$\sub$without/=0.98 and SECV$\sub$with/=0.16% r$^2$$\sub$with/=0.98). The use of a repeatability file like a tool to reduce the variation sources that can disturbed the prediction accuracy was very effective. Although in calibration results the differences are negligible, the effect caused by the repeatability file is appreciated mainly when are predicted new samples that are not in the calibration set and whose spectrum were recorded a long time after the equation development. In this case, bias values corresponding to fatty acids predictions were lower when the repeatability file was used: miristic (bias$\sub$without/=-0.05 and bias$\sub$with/=-0.04), Palmitic (bias$\sub$without/=-0.42 and bias$\sub$with/=-0.11), Palmitoleic (bias$\sub$without/=-0.03 and bias$\sub$with/=0.03), Stearic (bias$\sub$without/=0.47 and bias$\sub$with/=0.28), oleic (bias$\sub$without/=0.14 and bias$\sub$with/=-0.04) and linoleic (bias$\sub$without/=0.25 and bias$\sub$with/=-0.20).

• 한국가정과교육학회지
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• 제18권1호
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• pp.65-76
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• 2006

본 연구의 목적은 청소년의 역기능적 의사소통과 자아존중감 집단에 따른 충동구매행동 및 스트레스 상황에서의 의복 행동의 차이를 분석하고자 하였다. 연구 방법 및 절차는 다음과 같다. 먼저 서울지역 소재의 고교생 596명 남학생을 대상으로, 설문지법을 이용하여 자료를 수집하였다. 다음으로 자료 분석은 SPSS win ver 10 통계 패키지를 사용하였고, 요인분석, K-means 군집분석, 분산분석, Duncan test, 회귀분석, 교차분석, ${\chi}2-test$가 적응되었다. 연구 결과는 다음과 같다. 첫째, 청소년의 역기능적 의사소통과 자아존중감에 의한 집단 분류한 결과, 비난형-자존감 높은 집단, 회유형-자아존중감이 낮은 집단 비난형-자아존중감이 낮은 집단 회유형-자아존중감이 높은 집단의 4 집단으로 나누어졌다. 둘째, 의복 충동구매 유형을 요인분석한 결과, 감성적 충동구매 마케팅 상황적 충동구매 비계획구매의 3 요인이 추출되었다. 이를 통해 역기능적 의사소통 및 자아존중감 집단별 의복 충동구매 유형의 차이를 분산 분석한 결과 집단간 유의한 차이를 나타내었다. 그리고 의사소통 및 자아존중감 유형이 의복 충동구매에 미치는 영향을 살펴보기 위해 회귀분석을 실시한 결과, 의사소통 유형 중 회유형의 경우 감성적 충동구매 요인에 정적 영향을, 의사소통 유형의 회유형은 마케팅 상황적 충동구매 요인에 부적 영향을, 비난형은 정적 영향을 주는 것으로 나타났다. 셋째, 의사소통과 자아존중감 집단별 스트레스 상황에서의 의복행동에 유의한 차이를 나타내었다. 충동구매한 장소와 일반적으로 의류를 구입하는 장소의 차이는 비난형-자존감 높은 집단과 회유형-자존감 높은 집단에서 가장 유사한 것으로 나타났으며, 회유형-자존감 낮은 집단에서 평상시와 충동구매 상태의 구매 장소에 가장 큰 차이를 보이는 것으로 나타났다. 본 연구를 통하여 스트레스 상황에서의 의사소통에 있어 남을 공격하는 형태를 취하는 비난형 집단에 속하고, 자아존중감이 높은 경우 감정적, 마케팅 자극에 의한 일반적인 충동구매 행동을 할 가능성이 높은 반면에, 스트레스 상황에서 본인의 탓으로 돌리는 의사소통 방식을 택하는 회유형 집단에 속하고 자아존중감이 높은 경우는 비계획구매 방식을 택할 가능성이 높다는 사실이 밝혀졌다. 이는 청소년기의 불안정한 자아개념, 의사소통 방식은 의복 구매에 있어서도 합리적인 의사결정과정 보다는 충동적 원인에 의해 발생할 가능성이 높다는 사실과 함께 의사소통의 유형에 따라 충동구매행동이 달라짐을 밝혀내었다.

• 한국치위생학회지
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• 제10권2호
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• pp.361-374
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• 2010

Objectives : The purpose of this study was to provide some basic data for effective prevention and oral health education for oral health. For that purpose, a self-administered questionnaire was distributed to the boys of three high schools in Gyeonggi Province. Methods : The questionnaire consisted of items about the practice of oral health control and knowledge of decay according to grade, number of snacking, preferred taste, and toothbrushing. Total 487 questionnaires were put to analysis using the SPSS WIN 13.0 program. Results : 1. The biggest number of the boys brushed their teeth twice a day. The 10th graders brushed teeth three times a day, and the 11th and 12th graders tended to brush teeth twice a day(${\chi}^2$=18.21, p<.05). 2. As for the way of toothbrushing, 39.0% of the boys said they brushed teeth the way they felt like, being followed by those who said they brushed teeth turning the toothbrush up and down and brushing both the teeth and gums(32.6%). As for the number of snacking, those who had snacks three times a day or more brushed teeth turning the toothbrush up and down and brushing both the teeth and gums. Those who hardly had snacks more tended to brush teeth the way they felt like than those who had snacks(${\chi}^2$=21.28, p<.05). And as for preferred tastes, those who preferred a sweet and salty taste more tended to brush teeth the way they felt like than others. And those who preferred a hot taste brushed teeth turning the toothbrush up and down and brushing both the teeth and gums(${\chi}^2$=26.85, p<.01). 3. The respondents' percentage of correct answers for 'Decay is caused by bacteria' was 81.5%. Those who preferred a hot taste recorded the highest percentage of correct answers(${\chi}^2$=21.95, p<.00). 4. Their percentage of correct answers for 'Decay is accompanied by pain from the beginning' was 78.2%. The 12th graders had the highest rate of correct answers, and the 11th graders had the highest rate of wrong answers(${\chi}^2$=11.56, p<.00). 5. Their percentage of correct answers for 'Fluorine is helpful to the prevention of decay' was 75.4%. Those who hardly had snacks recorded the highest rate of correct answers(${\chi}^2$=10.05, p<.02). 6. Their percentage of correct answers for 'There is a way to supply fluorine into the waterworks' was 29.2%, which means the percentage of wrong answers was much higher. The percentage of wrong answers was the highest in the 11th grade(${\chi}^2$=7.06, p<.03). 7. The respondents' mean scores of knowledge of decay were 13.15 of total 18. While the 12th graders showed the highest level of knowledge of decay, the 11th graders were lower in the level of knowledge of decay than the other graders. And there were significant differences(F=5.41, p<.01) according to grade with no such differences according to the number of snacking and preferred taste. Conclusions : Oral health education should be applied to the boys all through their life to have a great effect, and it is important that they should always put the oral health education into practice to be a successful education.

• 지능정보연구
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• 제18권4호
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• pp.1-17
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• 2012

온라인 상에서 판매되는 상품은 매우 다양하지만, 소비자에게 판매 가격을 제시하거나 소개글을 통해서 상품에 대한 구체적인 설명을 제공한다는 점은 모든 상품에 있어서 가장 기본이 되는 공통적인 특징이다. 만약, 상품의 실제 품질이나 가격과는 독립적으로 상품 소개글이 판매에 미치는 영향력을 파악할 수 있다면 어떠한 소개글이 상품의 판매를 촉진하는 측면에서 더 좋은 글인지 분별할 수 있게 된다. 이런 관점에서 본 연구는 상품 소개글과 판매 성과의 관계를 파악하기 위한 목적으로 수행되었으며, 구체적으로는 온라인 시장에서 한글로 작성된 상품 소개글에 쓰인 각각의 표현 별로 소비자가 구매를 결정하는 데에 어떤 영향을 미치는지를 분석하고자 하였다. 한글 형태소 분석기를 사용하여 국내 앱 시장에서 수집된 앱 소개글 및 판매이력 데이터로부터 상품을 설명하는 주요 속성과 그 속성에 대한 평가를 추출하였으며, 추출된 키워드를 입력 변수로 구성한 계량경제학 모형을 구축하였고, 구체적으로 특정 표현들이 판매 성과에 미치는 영향을 구축된 모형을 사용하여 계량적으로 측정하였다. 앱의 카테고리 별로 표현의 종류가 상이하게 나타남이 관찰됨에 따라, 분석은 각 카테고리 별로 수행되었다. 유료 앱과 무료 앱에 대해서 데이터 분석을 수행한 결과, 판매 성과에 영향을 미치는 '속성과 평가' 키워드를 그 영향력의 크기 별로 파악할 수 있었으며, 특히 무료 앱의 경우는 무료로 이용할 수 있음에도 불구하고 품질이 좋다는 것을 강조했을 때 판매량을 더 높일 수 있다는 것이 확인되었다. 본 연구는 모바일 앱에 대해 수행되었으나, 온라인에서 거래되는 다양한 상품에 대해서도 소개글이 판매 성과에 미치는 영향을 분석할 수 있는 모형으로 활용될 수 있다. 마지막 장에서는 기업의 마케팅 매니저가 본 연구에서 제시하는 연구 방법론과 분석 결과를 활용할 수 있는 방안을 제시하였다.

• 한국항만경제학회지
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• 제36권2호
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• pp.19-36
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• 2020

물류아웃소싱 서비스 입찰단계는 화주기업과 물류기업 모두에게 매우 중요하다. 왜냐하면 물류 입찰단계를 통하여 화주기업은 불확실성 해소를 위하여 자사의 물류운영 정보를 물류기업들에게 제공해야 하고, 물류기업은 자사가 가지고 있는 화주기업 물류에 대한 경험 및 노하우를 피력하고 화주기업의 위험과 물류운영으로 인한 이익을 공유하겠다는 제안을 함으로써 입찰에 나온 계약물량을 수주할 수 있기 때문이다. 따라서 물류아웃소싱 입찰단계에서 확인할 수 있는 요인들과 그 요인들이 물류아웃소싱 서비스 만족도에 어떠한 영향을 미치는지에 대하여 살펴볼 필요가 있다. 본 연구에서는 물류 아웃소싱 파트너십 요인에 관한 선행연구와 물류아웃소싱 결정요인에 관한 선행연구에서 확인한 요인들을 토대로하여 물류아웃소싱 서비스의 입찰단계에 대한 측정요인들을 도출하여 각각의 측정요인에 대한 설문을 작성한 후, 국내 화주기업을 대상으로 물류를 수행하고 있는 물류기업에서 종사하는 전문가들에게 설문을 진행하였으며 Smart- PLS 방법론을 활용하여 연구모형을 검증하였다. 본 연구의 시사점은 다음과 같다. 첫째, 물류입찰단계에서 화주기업은 불확실성의 해소를 위하여 물류기업들에게 자사의 물류운영정보를 제공해야 한다. 입찰 설명회 통하여 운영 특이사항에 대하여 상세히 설명해야 하며, 필요하다면 제조공장 및 물류센터 현장 Tour도 진행해야 한다. 둘째, 물류기업은 입찰단계에서 화주기업의 물류에 대한 경험 및 지식 등 자사의 경쟁력을 제안을 통해 어필해야 하며, 자사의 부족한 물류서비스 보완을 위하여 타 물류회사와의 연합도 고려해야 한다. 셋째, 물류기업은 입찰단계에서 물류 아웃소싱을 통한 이익 및 위험을 공유하겠다는 제안을 해야 한다. 화주기업의 환경 불확실성으로 인한 위험을 자사의 역량으로 포용 가능한 범위 내에서 수용하겠다는 제안을 해야 하며, 화주기업 물류를 수행함으로써 발생되는 이익을 공유하겠다는 자세를 보여야 한다.

• 치위생과학회지
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• 제16권3호
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• pp.242-248
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• 2016

이 연구는 일부 아동들을 대상으로 일상생활구강영향지수와 구강건강관련행태, 구강건강상태를 조사하였으며, 일상생활구강영향지수에 영향을 미치는 요인을 파악하고, 서로간의 연관성을 알아보고자 2012년 3월부터 5월까지 인천광역시와 천안시 소재 일부 학교 아동 200명을 대상으로 설문조사를 하였다. 그 중 설문조사가 완료된 175명을 최종 분석대상으로 하여 SPSS WIN 20.0 프로그램을 이용하여 분석한 후 다음과 같은 결과를 얻었다. 일반적 특성과 C-OIDP 불편경험 항목 수, 구강건강관련 행태와 C-OIDP 불편경험 항목 수는 통계적으로 유의한 차이가 없었다(p>0.05). 그리고 C-OIDP 불편 경험 항목 수가 많을수록 충전유치치면과(p=0.024), 우식경험유치치면이 많고(p=0.049), 구강 내 전체충전치면과(p=0.021) 구강내 전체우식경험치면 역시 많은 것으로 나타났다(p=0.047). 이것은 객관적인 구강건강상태와 주관적 지표인 C-OIDP가 서로 관련성이 있음을 보여준다. C-OIDP 여덟 항목 중 영향빈도가 높은 것은 식사하기, 치아 닦기, 웃기 순이었으며, 구강 내 전체 우식경험치면수가 많고, 지난 한 달간 잇몸 통증을 경험한 대상자에서 C-OIDP 항목점수가 높았다. 이것은 C-OIDP가 우식과 치주 상태와 관련이 있음을 보여주는 것이다. 이 연구는 주관적 구강건강지표와 실제 구강건강과의 관련성을 본 연구로서 매우 의미 있는 연구이며, 앞으로 C-OIDP에 영향을 미치는 다양한 요인에 대한 연구가 필요할 것으로 생각된다.

• 근관절건강학회지
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• 제8권1호
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• pp.122-140
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• 2001

The aims of this study were to understand and to predict the determinent factors affecting the exercise behaviors and physical fitness by testing the Pender's revised health promotion model, and to help the patients with rheumatoid arthritis and osteoarthritis perform the continous exercise program, and to help them maximize the physical effect such as muscle strength, endurance, and functional status and mental effects including self efficacy and quality of life, and improve the physical and mental well being, and to provide a basis for the nursing intervention strategies. Of the selected variables in this study, the endogenous variables included the physical fitness, exercise score, exercise participation, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue) and the exogenous variables included personal sociocultural factor(education level), personal biologic factor(body mass index), personal psychologic factor(perceived health status) and prior related behavior factors(previous participation in exercise, life-style). We analyzed the clinical records of 208 patients with rheumatoid arthritis and degenerative arthritis who visited the outpatient clinics at H university hospital in Seoul. Data were composed of self reported qustionnaire and good of fitness score which were obtained by padalling the ergometer of bicycle for 9 minutes. SPSS Win 8.0 and Window LISREL 8.12a were used for statistical analysis. Of 75 hypothetical paths that influence on physical fitness, exercise participation, exercise score, perceived benefits of action, perceived barriers of action to exercise, activity-related affect(depression) and perceived self-efficacy, interpersonal influences(family support), situational factors(duration of arthritis, fatigue), 40 were supported. The physical fitness was directly influenced by life-style, perceived health status, education level, family support, fatigue, which explained 12% of physical fitness. The exercise participation were directly influenced by life-style, education level, past exercise behavior, perceived benefits of action, perceived barriers of action, depression and duration of arthritis, which explained 47% of exercise participation. Exercise score were directly affected by perceived self efficacy. BMI, life-style, past exercise behavior, perceived benefits of action, family support, perceived health status. perceived barriers of action, and fatigue, which explained 70%. Perceived benefits of action was directly influenced by BMI, life-style, which explained 39%. Perceived barriers of action were directly influeced by past exercise behavior, perceived health status, which explained 7%. Perceived self efficacy were directly influeced by level of education, perceived health status, life-style, which explained 57%. Depression were directly influeced by past exercise behavior, BMI, life-style, which explained 27%. Family support were directly influeced by life-style, perceived health status, which explained 29%. Fatigue were directly influeced by BMI, life-style, perceived health status. which explained 41%. Duration of arthritis were directly influeced by life-style, past exercise behavior, BMI, which explained 6%. In conclusion, important variables for physical fitness were life-style, and variable affecting exercise participation were life-style. Perceived self-efficacy of exercise was a significant predictor of exercise score. BMI, Life-style, perceived benefits of action, family support, past exercise behavior showed direct effects on perceived self-efficacy. Therefore, disease related factor should be minimized for physical performance and well being in nursing intervention for patients with rheumatoid arthritis, and plans to promote and continue exercise should be seeked to reduce disability. In addition, Exercise program should be planned and performed by the exact evaluation of exercise according to the ability of the patients and the contents to improve the importance of exercise and self efficacy in self control program, dedicated educational program should be involved. This study suggest that the methods to reduce the disease related factors, the importance of daily life-style, recognition of benefit of exercise, and educational program to promote self efficacy should be considered in the exercise behavior promotion and nursing intervention for continous performance. The significance of this study is also thought to provide patients with chronic arthritis the specific data for maximal physical and mental well being through exercise, chronic therapeutic procedure, daily adaptation and confrontation in nursing intervention.