• 서비스연구
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• 제12권3호
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• pp.45-59
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• 2022

본 연구는 조직성과 극대화를 위해 2000년대 이후 크게 확대되고 있는 텔레마케팅 조직에서 이들이 인지하는 상사의 변혁적 리더십이 조직성과에 어떤 영향을 미치는지 조사하고자 하였다. 특히 본 연구는 팔로워십에 주목하여 조직구성원이 인식한 변혁적 리더십의 조직성과에 대한 관계에서의 조절효과를 탐색하였다. 텔레마케터들은 서비스 접점에서 마케팅 측면에서 기업 성과에 큰 영향을 있지만, 이들의 업무 특수성을 고려한 체계적 관리는 부족한 상황이다. 본 연구에서 설정한 연구모형검증을 위하여, 국내 콜센터 10곳에서 수집한 321개의 설문지를 분석하였다. 신뢰도, 상관관계, 요인분석, 위계적 회귀분석이 수행되었으며, 분석결과 텔레마케팅 조직구성원이 인식한 변혁적 리더십은 조직성과에 긍정적인 영향을 주는 것으로 나타났다. 또한 팔로워십의 4가지 하위변인인 목표일치성, 능동적 참여, 비판적 사고, 팀정신 모두 조직성과에 정적인(+) 영향을 주며, 이중 목표일치성과 능동적 참여는 변혁적 리더십과 조직성과의 관계를 조절하는 것으로 확인되었다. 본 연구결과는 텔레마케팅 조직 내에서 고객과 통화가 시작된 시점에서 자신의 지식과 경험을 바탕으로 1:1 대응을 해야 하는 텔레마케터의 특수한 업무환경을 고려할 때 리더가 개별 구성원의 역량에 맞도록 자기 개발과 동기부여를 해야 함을 강조한다. 또한 텔레마케터가 상대적으로 조직 내의 활동과 업무수행에 적극적으로 참여할 수 없는 상황과 고용의 불안정성이 존재하는 상황에서 실무적으로도 많은 시사점을 갖고 있다. 실무적으로는 텔레마케팅 서비스 조직에서 변혁적리더십과 팔로워십을 높이기 위한 기업교육적인 역할의 필요성과 구성원들이 팔로워십을 발휘할 수 있는 분위기를 마련하고, 의사소통 구조를 개방하는 등 다양한 환경구축의 필요성을 시사한다.

• 한국환경보건학회지
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• 제44권5호
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• pp.409-420
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• 2018

Objectives: An outbreak of humidifier disinfectant-related respiratory disease has not only been a massive disaster for end users, but it is also a concern for the workers of the manufacturers. This study presents the results of a questionnaire survey on the health effects among workers involved in the manufacture of humidifier disinfectants. Methods: Seven sites where humidifier disinfectants were manufactured were identified. A questionnaire survey was conducted to assess the physical symptoms experienced by workers related to humidifier disinfectants. Among a total of 177 workers, 42 subjects were available for the survey. Results: Twenty-one of the 42 respondents reported that they experienced respiratory or skin and mucosal irritation symptoms during work. Of the respondents who experienced symptoms, 14 believed that their symptoms were related to the work process and reported that the symptoms were experienced while working. However, no respondents reported ongoing symptoms or sequelae during the investigation period, and this result could not minimize selection bias due to low response rates. We then compared the characteristics of the group who experienced suspicious symptoms with those of the group without any symptoms. There was no statistically significant difference between two groups. Conclusions: We could not find significant health effects related to the humidifier disinfectant manufacturing process, although 21 respondents experienced stimulant symptoms and 14 respondents believed that the symptoms were related to the work process. Due to the long period of time after occupational exposure and the lack of data, there were many limitations to this study. However, this is one of the few follow-up investigations of workers related to this large-scale disaster in South Korea and the limitations of this study highlight the need to follow up with a nationwide database rather than an occasional survey.

• Journal of Korean Neurosurgical Society
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• 제48권4호
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• pp.347-353
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• 2010

Objective : Iliac screw fixation has been used to prevent premature loosening of sacral fixation and to provide more rigid fixation of the sacropelvic unit. We describe our technique for iliac screw placement and review our experience with this technique. Methods : Thirteen consecutive patients who underwent spinopelvic fixation using iliac screws were enrolled. The indications for spinopelvic fixation included long segment fusions for spinal deformity and post-operative flat-back syndrome, symptomatic pseudoarthrosis of previous lumbosacral fusions, high-grade lumbosacral spondylolisthesis, lumbosacral tumors, and sacral fractures. Radiographic outcomes were assessed using plain radiographs, and computed tomographic scans. Clinical outcomes were assessed using the Oswestry Disability Index (ODI) and questionnaire about buttock pain. Results : The median follow-up period was 33 months (range, 13-54 months). Radiographic fusion across the lumbosacral junction was obtained in all 13 patients. The average pre- and post-operative ODI scores were 40.0 and 17.5, respectively. The questionnaire for buttock pain revealed the following : 9 patients (69%) perceived improvement; 3 patients (23%) reported no change; and 1 patient (7.6%) had aggravation of pain. Two patients complained of prominence of the iliac hardware. The complications included one violation of the greater sciatic notch and one deep wound infection. Conclusion : Iliac screw fixation is a safe and valuable technique that provides added structural support to S1 screws in long-segment spinal fusions. Iliac screw fixation is an extensive surgical procedure with potential complications, but high success rates can be achieved when it is performed systematically and in appropriately selected patients.

• 지역사회간호학회지
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• 제4권1호
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• pp.77-83
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• 1993

This study was carried out to idedtify Worker's general health diagnosis and specific health diagnosis state and provide the basic data about occupational health nursing services in Kyung Sang Nam Do. Data was obtained from 36 industry in Chang-won, Jin-joo, Geo-jeoi, Chung-moo area during Dec. 20. 1992-Feb. 18. 1993 through questionaire survey. Data was analyzed into frequency, percentage, average, standard deviation and score sum The main findings are as follows : 1) 83.3% of subject was manufactures. The factory which have over 1000 Worker's are 41.7% and 500-999 are 36.1%. 2) Health managers are composed of 5 man power. Doctors occupied in 44.4% of factories, average age of them are 43.9 years, average careers are 4.0 years. Nurses occupied in all factories and their average ages are 27.6, average careers are 3.0 years. Industrial hygienist occupied in 33.3% of factories, environmental hygienist occupied 69.4% of industries, and nurse aids occupied in 19.4%. 3) 99.9% of workers are received general health diagonosis. And 10.8% of workers are received elaborate health diagnosis. Among them 30.9% are C class and 23.4% are D class. Among D class, 50% of workers are treated as work time shortening, work replacement, being under treatment. Total specific health diagnosis' subject are 19.3% of workers but 79.9% of them are received specific health diagnosis. Among them 18.6% are needed follow up treatement. Only 44.9% of them are received follow up treatement. 4) 69.4% of industries have their referral hospital and 97.2% have their clinics. Among Occupational health services, health diagnosis are carried out first. of all and the next, environmental management, industrial diagnosis, health education are carried out.

• 한국게임학회 논문지
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• 제18권4호
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• pp.43-52
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• 2018

본 연구는 프로토타입 모델을 기반으로 모바일 기능성 게임 앱(롤리폴리 160앱)으로 개발한 후, 보건소에 내원하는 당뇨환자에게 사용하게 한 후 효과성을 추적 조사한 연구이다. 롤리폴리 160앱은 기존의 PC버전의 당뇨 자가관리용 기능성 콘텐츠인 '롤리폴리 160'을 G광역시의 유료화 서비스 요청에 의해 모바일 버전으로 업그레이드 한 것이다. 연구기간은 2018년 2월 19일부터 5월 11일까지였으며, 사용자는 사전조사 후 총 8주~12주 동안 매일 1회 이상 자유롭게 롤리폴리 160앱에 접속하여 당뇨 자가관리를 하였다. 연구결과, 롤리폴리 160앱을 8~12주간 사용한 사용자의 당화혈색소는 추적전보다 유의미하게 감소하였고(p=.04), 당뇨 지식은 추적전보다 통계적으로 유의하게 상승하였다(p=0.01). 롤리폴리 160앱을 적용한 후 전반적인 만족도는 5점 만점 중 3.74점으로 나타났다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권3호
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• pp.941-944
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• 2012

Objective: The aim of current study was to evaluate the changes of health-related quality of life (HRQoL) and its clinical, demographic and socioeconomic determinants during chemotherapy and 4 months follow-up in women with breast cancer using a repeated measures framework. Methods and Materials: A double blind cohort study was performed in 100 breast cancer patients given fluorouracil, doxorubicin and cyclophosphamide (FAC) or docetaxel, doxorubicin, cyclophosphamide (TAC) in south of Iran. HRQoL was assessed at baseline, end of chemotherapy and four months thereafter using the QLQ-C30 questionnaire from European Organization for Research and Treatment of Cancer (EORTC). Generalized estimating equations (GEE) was applied for statistical analysis. Results: The mean of age at baseline was $48.5{\pm}10.6$. 70% and 14% of patients were married and smokers, respectively, and 20% suffered from another disease besides breast cancer. The results of GEE showed that after control for baseline scores, the HRQoL significantly improved over time. Although, the patients in FAC group had higher scores than the TAC group, the differences also diminished over time. Smoking, marital status and having child affected some scales of HRQoL. None of other variables were significantly related to HRQoL. Conclusion: Although patients in TAC groups had lower level of HRQoL over 8 months follow up, they experienced faster improvement than the FAC group. This implies that in long-term, improvements in TAC group are higher than FAC. Having children was positively correlated with HRQoL. Generally, there were no demographic and socio-economic differences in HRQoL in these patients between the chemotherapeutic regimens.

• Journal of Preventive Medicine and Public Health
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• 제49권3호
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• pp.143-152
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• 2016

Objectives: Metabolic syndrome is a cluster of risk factors for type 2 diabetes mellitus and cardiovascular disease. Associations between metabolic syndrome and several types of cancer have recently been documented. Methods: We analyzed the sample cohort data from the Korean National Health Insurance Service from 2002, with a follow-up period extending to 2013. The cohort data included 99 565 individuals who participated in the health examination program and whose data were therefore present in the cohort database. The metabolic risk profile of each participant was assessed based on obesity, high serum glucose and total cholesterol levels, and high blood pressure. The occurrence of cancer was identified using Korean National Health Insurance claims data. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox proportional hazards models, adjusting for age group, smoking status, alcohol intake, and regular exercise. Results: A total of 5937 cases of cancer occurred during a mean follow-up period of 10.4 years. In men with a high-risk metabolic profile, the risk of colon cancer was elevated (HR, 1.40; 95% CI, 1.14 to 1.71). In women, a high-risk metabolic profile was associated with a significantly increased risk of gallbladder and biliary tract cancer (HR, 2.05; 95% CI, 1.24 to 3.42). Non-significantly increased risks were observed in men for pharynx, larynx, rectum, and kidney cancer, and in women for colon, liver, breast, and ovarian cancer. Conclusions: The findings of this study support the previously suggested association between metabolic syndrome and the risk of several cancers. A high-risk metabolic profile may be an important risk factor for colon cancer in Korean men and gallbladder and biliary tract cancer in Korean women.

• Journal of Korean Neurosurgical Society
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• 제62권2호
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• pp.217-224
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• 2019

Objective : We attempted to discover that Ankylosing spondylitis (AS) has a comprehensive relationship with congestive heart failure and death. Methods : We used a nationwide database managed by the Korean National Health Insurance Service from 2010 to 2014. Twelve thousand nine hundred eighty-eight patients with a diagnosis of AS and 64940 age- and sex- stratified matching subjects without AS were enrolled in the AS and control groups. Incidence probabilities of 6 years congestive heart failure and death in each group were calculated. The Cox proportional hazard regression analysis was used to estimate the hazard ratio. We divided the AS and control groups into subgroups according to sex, age, income, and comorbidities. Results : During the follow-up period, 102 patients (0.79%) in the AS group and 201 patients (0.32%) in the control group developed congestive heart failure (p<0.0001). In addition, 211 (1.62%) subjects in the AS group died during the follow-up period compared to 639 (0.98%) subjects in the control group (p<0.0001). The adjusted hazard ratio of congestive heart failure and death in the AS group was 2.28 (95% confidence interval [CI], 1.80-2.89) and 1.66 (95% CI, 1.42-1.95), respectively. The hazard ratios of congestive heart failure and death were significantly increased in all of the subgroups. Conclusion : The incidence rates of congestive heart failure and death were increased in AS patients.

• 한국물환경학회지
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• 제37권6호
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• pp.493-500
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• 2021

Floating solar photovoltaic (hereinafter PV) power generation is emerging as a proper alternative to overcome various environmental limitations of existing offshore PV generation. However, more government-led policy design and technical and institutional development are still required. Based on the policy agenda setting theory and technological innovation theory, this study contains the research questions concerning the co-evolution of technology and the floating solar PV policy. This study primarily evaluates the technological and institutional development level of floating solar PV policy through a survey of domestic floating solar PV experts. Secondly, we also analyze the kind of policy agenda that should be set a priori. Analyzing the priorities to be considered, the first environmental enhancement needs to be considered from both the technical and institutional aspects. The second candidate task for the policy agenda is residents' conflict and improvement of regulations. Both candidate tasks need to be actively considered in the policy agenda from the institutional point of view. The third is publicity, profit sharing, follow-up monitoring, and cost. Among them, public relations and profit sharing are tasks that need to be considered in the policy agenda from the institutional point of view. On the other hand, the cost of follow-up monitoring should be considered as a policy agenda in terms of technology, system, and common aspects. Finally, there are technical standards. Likewise, technical standards need to be considered in the policy agenda in terms of both technical and institutional commonality.

• 한국산업정보학회논문지
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• 제27권4호
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• pp.115-126
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• 2022

코로나 19 팬데믹으로 인하여 보건의료분야 공적개발원조(ODA)의 중요성이 강조되고 있다. ODA 사업으로 지원된 의료기기의 운영관리, 유지보수에 대한 사후관리, 이를 실현하기 위한 직종별 차별화된 교육훈련 제공이 필요하다. 본 연구에서는 효과적인 의료기기 사후관리, 운영관리를 위해 직종(사용자와 유지보수자)간 교육훈련 성취도의 차이분석을 t-test 검증을 통해 분석하였다. 분석결과, 의료기기 사용자와 유지보수자 간 중점관리 대상 의료기기 6종류의 사용법과 관리방법(Q5), 각 의료기기의 사용 매뉴얼 이해(Q6)에서는 집단 간 차이가 있는 것으로 분석되었지만, 교육의 필요성, 목적, 강사에 대한 만족도 및 직종 간 커뮤니케이션의 필요성에서는 차이가 없는 것으로 분석되었다.