• 한방재활의학과학회지
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• 제24권4호
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• pp.49-60
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• 2014

Objectives The purpose of this study is to research current trends of acupuncture treatment of lumbar herniated intervertebral disc using the PubMed database. Methods We set up the search strategy and investigated clinical trials on acupuncture treatment of lumbar herniated intervertebral disc through PubMed search. This study analyzed previous researched papers published from January 1st, 2000 to April 30th, 2014, and classified them by publication year, journal names, types of literature, treatment methods and evaluation scales. To assess the quality of the reviewed literature, randomized controlled trial (RCT) studies were assessed by Cochrane's risk of bias (ROB) tool and non-RCT studies were assessed by risk of bias for non-randomized studies (RoBANS). Results We found 35 studies on the acupuncture treatment of lumbar herniated intervertebral disc. Papers on this topic have been published, on average, three to four times annually in 9 journals since the mid-2000's. The journal with the largest number of publications was Chinese Acupuncture & Moxibustion, and most of articles were classified as RCT. Acupuncture treatment was performed individually or together with other treatments. The most frequently used pain evaluation index was visual analogue scale (VAS). The index of effective rate was used frequently but there was a lack of objectivity. In regards to the quality of the studies, outcome assessment in RCT showed that random sequence generation, allocation concealment, and the blinding of participants and personnel increase potential of risk of bias. For non-RCT assessment, outcome showed that confounding variable, measurement of intervention were at high risk of bias. Conclusions In order to obtain objective clinical evidence of acupuncture treatment of lumbar herniated intervertebral disc, further clinical studies should be designed to minimize the risk of bias, using STRICTA with larger sample sizes.

• 대한지역사회영양학회지
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• 제8권5호
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• pp.744-754
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• 2003

At present, health care industries throughout the world are struggling with the challenges to set up financial structures as cost-effective ways and means of satisfying customer needs for health care services. Many hospitals consign foodservice management to foodservice companies for the purpose of efficiency. The companies taking charge of hospital foodservice are also striving to gain an advantage over keen competitions. This study applied Quality Function Deployment(QFD) to one hospital (which will be shown as $\ulcorner$A hospital$\lrcorner$ below) managed by a contract foodservice company for the purpose of strategy planning to provide sustainable competitive advantage. First of all, this study scanned internal and external environment of $\ulcorner$A hospital$\lrcorner$ by means of a Quality Measurement Tool and a fieldwork study. With the result of environment scanning, this study elicited 20 strategies through SWOT analysis, which were categorized by 4 perspectives such as financial, customer, internal process, learning and growth perspectives. Finally, the priorities of 20 strategies were extracted from QFD methodology. According to the results obtained by applying QFD to $\ulcorner$A hospital$\lrcorner$'s foodservice, the strategies which $\ulcorner$A hospital$\lrcorner$ foodservice was obliged to introduce and implement were : the specialization of Children's hospital foodservice, scientific foodservice management through the standardization of foodservice operations, the maintenance of sanitary quality through sanitary system, the remodeling of facilities, the introduction of new equipment, the prompt and accurate response to customer needs, the development of appropriate patient menus, the provision of competitively priced meals for patient selection, the development of a demand forecast model by considering the characteristics of a children's hospital, improvement of productivity and the reduction of labor costs through the employment of experienced employees based on their seniority.

• 산업경영시스템학회지
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• 제37권2호
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• pp.35-42
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• 2014

The purpose of this study is to analyze job stress factors of hospital workers, which has an effect on their turnover intention. For identifying the influences on turnover intention, types of hospitals (university hospital, general hospital, private hospital) and types of workers(office workers, technical workers, and nursing staffs) were categorized. We went to the hospitals and carried out the survey under the cooperation with the concerned hospitals. The period of survey was from 23. Sep. 2013 to 30. Oct. 2013, and 293 worker participated in the survey. On the basis of the previous study, the measurement of job stress factors and turnover intention was set up as the survey method, and its reliability and validity were measured. The stress factors were subdivided into seven factors; occupational climate, organizational system, autonomy job control, uncertainty of getting a new job, job ability to perform, job demand, job ambiance. The value of job stress factors by the measuring instrument, Cronbach's Alpha, was 0.805 and the value of the subordination variable of turnover intention was 0.881. IBM SPSS Statistics 21 was used as the statistic analysis tool and the descriptive statistics about job stress factors. As a result, the turnover intention were analyzed depending on the types of hospitals, job groups, working years, and gender. Result shows that the job stress factors are differed according to the types of hospitals, and these job stress factors have influence on turnover intention. Therefore, it could be considered that, if the hospital managers find out the major job stress factors of their employees and resolve them in advance, the job stress of the hospital workers and their turnover intention can be reduced.

• 한국정보시스템학회지:정보시스템연구
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• 제17권4호
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• pp.99-127
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• 2008

E-learning becomes an important part of education these days in Korea. Students had no choice but to accept the e-learning when the e-learning was used as a supplementary learning tool within a traditional class or a stand-alone distance education. This study focuses on the students' intention of e-learning acceptance for voluntary studies. In voluntary study, students have the rights to adopt the e-learning or not for their personal study. We used individual characteristics as the external variables of TAM to explain user acceptance of e-learning for voluntary studies and examined the effect of individual characteristics on user's beliefs. Research model and nine hypotheses were set up to identify the relationships among these variables based on investigations of previous researches. The theoretical model is tested with questionnaires from 420 users who accept e-learning for voluntary studies. We tested the measurement and research models by applying a structural equation modeling(SEM) approach, using the AMOS 5.0. Overall, the results provided support for the model as explaining acceptance of an e-learning system. Most path coefficients in the research model were found statistically significant. The results showed usefulness and enjoyment and subject norm were the factors affecting attitude of students using e-learning. In addition, usefulness and subject norm were the factors affecting intention of students using e-learning. The results show innovation and self-efficacy have a significant impact on user's perception of ease of use. Self-efficacy also have significant effects on user's perception of usefulness.

• 한국산학기술학회논문지
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• 제15권10호
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• pp.6056-6065
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• 2014

본 연구는 한국 도시거주자의 목적 지향성향 척도 개발에 관한 연구이다. 목적지향성향의 개념을 정립하기 위하여 종교적 학문적 연구를 참조하고 기존의 생산성이나 성공적 노화 또는 삶의 질 척도를 검토하였다. 그 결과 설문을 위해 57개의 문항을 작성하였으며 목회자, 신학대학교수, 사회복지사 등의 축조심의를 거쳐 44개 문항으로 예비문항을 만들었다. 이후 응답자로부터의 효과적 설문을 위해 통계전문 교수와 중복조항 제거, 체계적인 연구 모델 수립을 위해 당해 전문 교수의 검토를 통해 문항을 수정하여 최종 27개 문항을 확정하였다. 수도권을 중심으로 설문을 실시하여 380부를 수집한 후 요인분석을 한 결과 측정도구의 타당성을 검증하였으며, "존재의 인지", "자율적 삶", "자기완성", "적극성", "수용성", "경제성" 등 6개의 하위 요인으로 분류되었다. 신뢰도의 경우 Cronbach's ${\alpha}$값이 0.6 이상으로 신뢰할만한 수준이었다.

• 한국콘텐츠학회논문지
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• 제14권11호
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• pp.849-857
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• 2014

직무스트레스란 작업장 또는 조직 내에서 일어나는 스트레스로서, 한국의 직장인들이 느끼는 직무스트레스는 87.8%로 OECD 국가 중 최고 수준이다. 본 연구의 목적은 물리치료사를 대상으로 한국인 직무스트레스 측정도구에 대하여 실증적으로 검증하는 것이다. 이를 위하여 경기지역소재의 물리치료사를 대상으로 설정하였으며, 유의표집법으로 388명에 대하여 자료를 수집하였다. 수집된 자료는 탐색적 요인분석과 확증적 요인분석을 통하여 요인구조를 확인하고, 물리치료사를 대상으로 한 한국인 직무스트레스 측정도구를 실증적으로 검증하였다. 연구결과는 다음과 같다. 첫째, 측정도구의 신뢰도를 조사한 결과 0.83로 적절하게 나타났다. 둘째, 탐색적 요인분석 및 확증적 요인분석을 통하여 물리치료사를 대상으로 측정한 한국인 직무스트레스 측정도구는 개발 당시 제시되었던 하위요인보다는 조직체계 및 보상부적절, 직장문화, 직무요구, 관계갈등, 직무능력, 직무불안정, 직무자율성결여의 7개 요인으로 적용하는 것이 물리치료사에게 보다 적합한 것으로 나타났다. 본 연구를 통하여 물리치료사의 직무스트레스 관련 연구를 위한 기초 정보 산출 및 평가에 기여할 수 있을 것이라 판단된다.

• 비파괴검사학회지
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• 제32권5호
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• pp.545-550
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• 2012

원자력발전소 증기발생기 세관은 방사성물질이 외부로 누출되지 않도록 압력경계 역할을 하는 주요부품이다. 설비 운전기간이 증가함에 따라 이차측에서 유입된 슬러지가 증기발생기 2차측 유체 흐름을 따라 상부로 이동하면서 유체비등과 난류에 의해 세관 외면에 스케일이 부착되어 세관열화, 유로홈 막힘 및 열전달을 감소시키는 파울링을 유발하는 원인으로 작용한다. 따라서, 원전 운영자는 세관 외면에 쌓인 스케일의 두께를 확인하여 일정시점이 되면 화학세정 등의 정비를 수행한다. 본 논문에서는 보빈코일 와전류신호를 이용하여 세관 외면에 부착된 스케일 두께를 정량적으로 평가하는 기술을 개발하고자 스케일 시험편을 제작하여 스케일 두께와 와전류신호 진폭 간의 상관관계를 분석하였고, 이를 바탕으로 스케일의 두께를 정량적으로 평가하는 기법과 대량의 와전류 데이터를 평가할 수 있는 프로그램을 개발하였다.

• 한국치위생학회지
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• 제11권2호
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• pp.179-188
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• 2011

Objectives : The study set out to analyze correlations between emotional labor and job stress among dental hygienist, who have direct and lasting relationships with patients in dental clinic, and provide basic data to resolve stressors and manage stress. Methods : A survey was taken among dental hygienists working at dental clinics, and 200 questionnaires were used in analysis. The gathered data were put to Cronbach's alpha with the SPSS WIN12.0 program to test the reliability of the inventories to measure their emotional labor and job stress. In addition, correlation analysis was conducted to examine relations between the items of emotional labor and those of job stress along with regression analysis to examine relations between emotional labor and job stress. Finally, t-test and One-way ANOVA were conducted to test mean differences in the job stress items according to the degrees of emotional labor with the statistical significance level set at 0.05. Results : 1. The measurement tool used in the study recorded 0.7 for all the areas of Cronbach's alpha for internal reliability and thus achieved high reliability. 2. The overall mean of emotional labor was 2.74, which indicates that the dental hygienists had 'average' or higher stress for emotional labor. 3. Emotional labor had statistically significant relations with educational background, place of work, motivation to choose to be a dental hygienist, and religion of their general characteristics. 4. There was statistical significance in relations between general characteristics and job stress according to educational background, position at work, and experience with change of occupation. 5. The correlations between emotional labor and the stress areas were analyzed. As a result, emotional labor was in positive(+) correlations with job demand, lack of job autonomy, relational conflict, job instability, organizational system, and corporate culture. In addition, regression analysis was conducted to test causal relations between emotional labor and job stress. The results indicate that there were positive(+) influences between emotional labor and job stress. Conclusions : The results show that emotional labor can serve as a mediating variable for job stress in dental clinic. Thus both dental clinics and dental hygienists need to have ways to deal with job stress derived from emotional labor in which they are forced to process their emotions according to the dental clinics' demands, properly. The study will hopefully trigger ongoing follow-up researches on the deployment of dental hygienists according to their job characteristics and the situational variables to alleviate the negative results of emotional labor.

• 한국치위생학회지
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• 제9권4호
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• pp.633-643
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• 2009

Objectives : This study is aimed to help the dental hygiene department students to improve their adaptive ability to the field work by letting them know the performing levels required of the job world, by renovating the knowledge-centered curriculum, and by finding out the core competencies needed for successfully performing their duties and tasks in the work field. Methods : The survey tool was recomposed through the examination of the preceeding studies on basic vocational competencies and skills, and the survey has been done to 200 dentists in Seoul and Gyunggi provice. Results : 1. As for the job-getting routs, 35.1% of them finds their jobs through the job portal sites, and 21.3% through the recommendation by professors. So we can see the meaningful difference in the employment ways. 2. Dental hygiene clinics think that the purpose of their cooperation with the colleges is mainly to secure human resources by requiring the colleges to give field-centered education the colleges through. 3. The clinics for dental hygienic students' field learning have a great power for hiring the students. So it is necessary to set up a good management system of the clinics for dental hygienic students' field learning in order to reinforce the students' competitive power in getting jobs. 4. The priorities in basic working abilities needed for the task performance are in the order of vocational responsibility, self-managing & developing ability, interpersonal skill, and problem solving ability. 5. The core competencies required of those who graduate from dental hygiene school show the following scores by Likert measurement; good personality and vocational consciousness 2.16(${\pm}.677$), understanding power of major-related knowledge 2.19(${\pm}.723$), field adapting ability 2.31(${\pm}.748$), get-along-with ability 2.32(${\pm}.799$), interpersonal skill 2.42(${\pm}.768$), and self-development ability such as getting certificates 2.43(${\pm}.729$). Among the core competencies, the only meaningful factor which influences on their satisfaction measurement has been identified as the professional ability related to the major. Conclusions : The results suggest that the knowledge and skill related to the major are core competencies of able human resources and closely related with the professionality of the job, and so they are very important. However, job basic abilities are also proved to be important, which reinforce the students' activeness, self-regulation, and creativeness, and help them to pursue their lasting growth in their abilities.

• 대한방사선치료학회지
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• 제26권1호
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• pp.43-50
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• 2014

두경부암 환자의 헤드 홀더를 사용하는 경우 모의 치료 시 환자는 테이블 위에 위치하지만, 방사선 치료를 시행하는 경우 헤드 홀더를 치료 테이블에 걸쳐서 사용하기 때문에 체중 및 여러 가지 요소로 인한 기하학적 불일치로 상, 하, 좌, 우 및 처짐의 현상이 발생할 수 있다. 이러한 환자 Set-Up의 재현성의 불일치를 개선하기 위해 두경부암 전용 헤드 홀더를 자체 고안하여 제작 및 개발하여 유용성을 평가하였다. Alderson Rando Phantom을 이용하여 전산화단층촬영장치(High Advantage, GE, U.S.A)를 통해 이미지를 획득하였고, 광자선 4MV 세기변조 방사선치료(IMRT) 방식을 적용하여 최적화된 치료 계획을 실시하였다. 선형가속기(21EX, Varian, U.S.A)를 이용하여 모의 치료와 동일한 상태에서 환자를 set-up한 후 에 치료기에 장착된 CBCT를 이용하여 각각의 무게(0,15,30Kg)의 차이를 통해 교정 전, 후 X, Y, Z축의 오차를 5회 반복 측정한 결과는 다음과 같다. 0Kg에서 $0.4{\pm}0.8mm$, $0.8{\pm}0.4mm$, 0mm으로 나타났고, 교정 후에는 $0.2{\pm}0.8mm$, $0.4{\pm}0.5mm$, 0으로 나타났다. 15Kg에서 교정 전,후 오차는 $0.2{\pm}0.8mm$, $1.2{\pm}0.4mm$, $2.2{\pm}0.4mm$와 $0.2{\pm}0.4mm$, $0.4{\pm}0.5mm$, $0.4{\pm}0.5mm$로 나타났다. 30Kg에서 교정 전,후 오차는 $0.8{\pm}0.4mm$, $2.4{\pm}0.5mm$, $4.4{\pm}0.8mm$와 $0.6{\pm}0.54mm$, $1{\pm}0mm$, $0.6{\pm}0.5mm$로 나타났다. 각각의 교정 전,후의 통계적으로 분석한 결과 15Kg인 경우 Z축에서 p<0.034, 30Kg인 경우 Y, Z축에서 p<0.038, p<0.041 로 유의한 결과를 나타냈다. 두경부암 전용 방향 조절 장치 헤드 홀더가 환자의 set-up오차를 줄여주는 역할을 해주는 것으로 나타났다. 또한 오차를 줄여줌으로써 환자의 재현성이 향상되어 보다 정밀하고 정확한 방사선 치료를 구현할 수 있을 것으로 사료된다.