• Journal of Chest Surgery
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• 제29권3호
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• pp.346-349
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• 1996

This 32 year old female patient underwent left radical mastectomy due to ductal carcinoma on May 1990, and treated with FAM (5-fluorouracil, Adriamycin and Mitomycin C) regimen postoperatively. However, right cervical Iymph node enlargement and facial edema progressively developed since December 199). On April 1994, operation was performed, and findings were as followes; x4$\times$5$\times$7 to 1 : 1 $\times$ 1 cm sized multiple enlarged and hyperemic Iymph nodes were scatterred throughout submandibular area to the junction of superior vents cave and pericardium, and partially invaded both anterior segmental lobe, sternum and both distal tip of clavicles. After radical dissection of the nodes of neck and mediastinal nodes, and wedge resection of both anterior segments of lung, and partial resection of both clavicle tips and total sternum. The both innominate veins and superior vena cava were partially obstructed by invaded cancer SVC reconstruction was done with preclotted 10$\times$ 10$\times$ 18mm Y shap d woven Dacron graft, which was anastomosed to the point of the junction of subclavian vein and jugular vein after cross clamping both veins and 2cm above the pericardial junction with one arm clamp. After maintaining blood drainage to the SVC from the right side, left innominate vein was anastomosed with 4-0 Prolene continuous running suture. Bone cement was used for resected sternal portion and clavicular ends were fixed to postal portion with 18 Gauge wires. The patient was treated with radiation and chemotherapy after discharge, and there were no evidence of regrowing of the mass nor obstruction of the graft inspite of no antithrombotic therapy.

• 보건교육건강증진학회지
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• 제22권4호
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• pp.41-56
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• 2005

Objectives: More than 80% of unintentional injury was related to risk-taking behaviors involved in child accidents. Therefore, diverse care and concerns on safety should be provided from teachers as well as parents to build child safety behaviors. The purpose of this study was to identify the effects of safety concerns from students, teachers, and parents on elementary students' safety behaviors in Korea. Methods: The 5th and 6th grade students participated in this study in 14 elementary schools in Korea and the total number of students was 1,033. The study schools were selected by the stratified cluster sampling method throughout 7 metropolitan areas in Korea. Data were collected by the self-administered survey and the questionnaires were delivered to the vice-principals of the designated schools by ground postal service and the vice-principals conducted survey data collection. The questions on students' safety concerns, teachers' safety concerns, parents' safety concerns, safety practices, safety education, and demographics were included in the survey. All survey responses were encoded into SPSS program and t-test, ANOVA, and multiple regression analysis were utilized. Results: The students taking accidents one time more per year were more than 60% and the two thirds of them recognized that their accidents were due to their risk behaviors. Parents' education on safety practices was more frequent than teachers' education; furthermore, teachers' concerns on safety behaviors were poorer than students' or parents' concerns. In terms of safety behaviors, the scores of fire and home-related safety behavior were high but the scores of traffic and bicycle, in particular, helmet wearing practice were low. Three concerns from students, parents, and teachers all were significantly related to children's safety behaviors. Conclusions: In conclusion, safety concerns from the close networks are the important indicator of child safety behaviors and, the safety training programs, therefore, for parents and teachers as well as for students need to be developed for improving children's safe behaviors.

• 경영정보학연구
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• 제9권3호
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• pp.183-204
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• 2007

정보시스템의 효율적 도입 및 운영 등에 관한 법률"이 제정됨에 따라 국내 공공기관에서 정보기술아키텍처 도입이 의무화되었다. 이에 따라 정보기술 아키텍처 수립에 대한 관심이 고조되고 있으며 기관별 특성에 따른 성공적 정보기술 아키텍처 구축 사례에 대한 요구가 높아지고 있다. 본 논문은 국내 공공기관 정보기술아키텍처 도입을 주관하고 있는 정보통신부의 우정사업본부 정보기술아키텍처 수립 과정을 사례 연구를 통해 고찰함으로써 정보기술아키텍처 수립 시 발생한 이슈 및 해결방안, 핵심성공요인 등을 제시한다 현재 많은 부처들이 정보기술아키텍처 수립을 추진하고 있거나 도입을 고려하고 있는 현 시점에서, 정보통신부 우정사업본부의 정보기술아키텍처 추진사례를 통해 정보기술 아키텍처에 관심을 가지고 있는 공공기관들에게 사례를 바탕으로 한 시사점을 제공하였다.

• 경영정보학연구
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• 제9권1호
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• pp.311-341
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• 2007

본 연구는 공기업형 조직인 우정사업본부에 대한 BSC(Balanced Scorecard)시스템 구축사례를 제시한다. 일반적으로 공공부문과 민간부문의 BSC 모델은 서로 상이한 전략목표로 인해 각각 다른 형태로 구축된다. 우정사업본부는 현재 정부기업으로서 공공부문의 성격을 많이 내포하고 있으면서, 또한 민간부문과 유사한 BSC 특성을 가지고 있다. 즉 민간기업이 아닌 공기업으로서의 조직의 형태를 띠고 있다. 현재 공기업을 포함하는 많은 정부 산하기관들이 BSC를 도입했거나, 도입하려고 하지만, BSC에 대한 이해부족으로 말미암아 예상보다 BSC 시스템을 성공적으로 구축하는데 많은 어려움을 겪고 있다. 이에 본 연구에서는 우정사업본부의 BSC 사례분석을 통해 공기업의 BSC 시스템 구축의 주요 성공요인과 문제점을 분석하고, 향후 공기업의 BSC 시스템을 위한 발전방향을 제시하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6249-6254
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• 2015

Targeting breast cancer awareness along with comprehensive cancer care is appropriate in low and middle income countries like India, where there are no organized and affordable screening services. It is essential to identify the existing awareness about breast cancer in the community prior to launching an organized effort. This study assessed the existing awareness about breast cancer amongst women and their health seeking practices in an urban community in Mumbai, India. A postal survey was undertaken with low or no cost options for returning the completed questionnaires. The majority of the women were aware about cancer but awareness about symptoms and signs was poor. Women were willing to accept more information about cancer and those with higher awareness scores were more likely to seek medical help. They were also more likely to have undergone breast examination in the past and less likely to use alternative medicines. High income was associated with better awareness but this did not translate into better health seeking behaviour. Organized programmes giving detailed information about breast cancer and its symptoms are needed and women from all income categories need to be encouraged for positive change towards health seeking. Further detailed studies regarding barriers to health seeking in India are necessary.

• 품질경영학회지
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• 제44권4호
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• pp.883-895
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• 2016

Purpose: The demand for ordinary mail services supplied by 'Korea POST' is decreasing due to the opening of mail service market and the growth of alternative communication media such as e-mail and SNS. To overcome this situation it is urgent to introduce new services that can be able to appeal customers and to improve existing services. Methods: A field survey is conducted to corporate customers who send ordinary mails and individual customers who receive these mails, respectively. Quality attributes of ordinary mail services are classified by two-dimensional perspectives in terms of Kano model. Decision tree model is utilized for classifying the quality attributes. Comparative analyses are done whether there are perceived differences on each quality attributes between corporate customers and individual customers. Results: Quality attributes such as 'discount postal charges', 'sending small packages by simply dropping it into a mail box', 'sending a mail of any appearance', 'delivering a mail anywhere', and 'receiving a mail at a preferred time where a customer is located ' are classified differently according to some market segments, while most of the quality attributes are classified as attractive or one-dimensional. Conclusion: Decision tree model has been found to be most effective to classify quality attributes for each market segment especially when trying to classify quality attributes belonging to 'gray areas'. Based on the perceived differences on quality attributes among customers, strategic implications are suggested to obtain potential customers and to have competitive advantages.

• Journal of Preventive Medicine and Public Health
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• 제36권2호
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• pp.171-178
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• 2003

Objective : The aim of this study was to identify the validity of recruiting medical checkup participants of Vietnam veterans using a mail survey, and to identify the 'Vietnam service related characteristics' and 'general characteristics' of Vietnam veterans groups, Method : In this study, a total 900 veterans were randomly selected from the list of Vietnam veterans from f964 to 1973. The veterans were classified into 5 groups, taking into consideration their registered status in the Ministry of Patriots and Veterans Affairs: the VRD (veterans who have agent orange-related diseases), VSD (veterans who have agent orange-suspected disease), VM (veterans who peformed meritorious deeds during the war), VR (veterans who were registered with the Ministry of Patriots and Veterans Affair) and OV (other veterans) groups. By means of postal surveys, the veterans' intention to participate in the medical checkup for our research, and their socioeconomic and general characteristics were investigated. 52 surveys were returned due to the subjects not residing at the listed address, and were excluded from the analysis. Result : 699 of the 848 veterans (82.4%) responded to the survey, of which 619 (88.6%) intended to participate in the medical checkup for our research. The S veterans groups all had similar ages, Vietnam service period, Agent Orange exposure, troop characteristic and wartime class, with the exception of VM, who were older, and with a greater number of officers than the other 4 groups, There was a big difference in the health statius among the Vietnam veterans group. The VM and OV were much healthier than VRD, VSD and VR groups, The socioeconomic stati of the VRD, VSD and VR groups were lower than those of the VM and OV groups. Conclusion : Although there were some limitations, the recruitment, by mail, of medical checkup participants from Vietnam veterans is a valid and feasible method. The VM and OV groups were much healthier, and with higher socioeconomic stati, than the VRD, VSD, and VR groups.

• Journal of Preventive Medicine and Public Health
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• 제48권2호
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• pp.105-110
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• 2015

Objectives: Recently, low systolic blood pressure (SBP) was found to be associated with an increased risk of death from vascular diseases in a rural elderly population in Korea. However, evidence on the association between low SBP and vascular diseases is scarce. The aim of this study was to prospectively examine the association between low SBP and mortality from all causes and vascular diseases in older middle-aged Korean men. Methods: From 2004 to 2010, 94 085 Korean Vietnam War veterans were followed-up for deaths. The adjusted hazard ratios (aHR) were calculated using the Cox proportional hazard model. A stratified analysis was conducted by age at enrollment. SBP was self-reported by a postal survey in 2004. Results: Among the participants aged 60 and older, the lowest SBP (<90 mmHg) category had an elevated aHR for mortality from all causes (aHR, 1.9; 95% confidence interval [CI], 1.2 to 3.1) and vascular diseases (International Classification of Disease, 10th revision, I00-I99; aHR, 3.2; 95% CI, 1.2 to 8.4) compared to those with an SBP of 100 to 119 mmHg. Those with an SBP below 80 mmHg (aHR, 4.5; 95% CI, 1.1 to 18.8) and those with an SBP of 80 to 89 mmHg (aHR, 3.1; 95% CI, 0.9 to 10.2) also had an increased risk of vascular mortality, compared to those with an SBP of 90 to 119 mmHg. This association was sustained when excluding the first two years of follow-up or preexisting vascular diseases. In men younger than 60 years, the association of low SBP was weaker than that in those aged 60 years or older. Conclusions: Our findings suggest that low SBP (<90 mmHg) may increase vascular mortality in Korean men aged 60 years or older.

• 자원ㆍ환경경제연구
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• 제17권1호
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• pp.83-120
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• 2008

최근 경제와 산업 전반에서 중소기업의 환경성과와 환경활동은 지속가능 발전의 관점에서 특히 관심이 고조되고 있다. 중소기업을 지속가능성 체계(stainability framework)에 포함시키기 위해 진행되고 있는 다양한 노력 중에서도 그 동안 대기업이 주도하던 친환경공급망관리(Supply Chain Environmental Management)는 중소기업의 환경활동을 촉진시키는 유용한 수단으로 인식되고 있다. 본 연구는 우리나라 전기전자산업에서 대기업 주도의 친환경공급망접근방법(SCEM approach)이 중소기업의 환경성과에 미치는 영향에 대하여 실증분석하였다. 연구방법론으로는 설문조사 결과에 대하여 인자분석과 회귀분석을 실시하였다. 계량분석 결과, 대기업 주도의 SCEM이 중소기업의 환경활동촉진에 긍정적인 영향을 미치고 있으며, 특히 친환경공급망접근방법 중에 시장거래(arm's length) 기법보다는 협력적(collaborative) 기법이 더 효과적으로 중소기업의 환경활동 촉진에 기여하고 있다는 점을 제시하였다. 본 연구에서는 다국적 기업의 친환경공급망접근방법 역시 중소기업의 환경활동촉진에 중요한 요인이 되고 있다는 점도 도출하였다.

• 보건의료산업학회지
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• 제6권2호
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• pp.25-34
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• 2012

The purpose of this research is to evaluate the degree of transactions of the electronic commerce in the hospitals. We created well-organized questionnaire to achieve this goal. we did telephone interviews with the hospitals, and then we reached out to the hospitals by e-mail and postal mail. We interviewed 311 hospitals, and 104 hospitals participated in this study. We conducted cross tabulations. The results are following : Among the subjects, male was 77.9%(81) and female was 22.1%(23). 51.0% of the hospitals used electronic commerce in their work purpose. The proportion of the hospitals that started their electronic commerce before 2000 years was 30.2% and after 2000 years was 69.8%. In the major electronic commerce service providers, 30.4% of the hospitals had their contract with auction, 18.4% of the hospitals had their contract with public procurement services. which is running by Korean government, and 11.8% were with EZmedicom and 10.8% were working with Carecamp. Through electronic commerce, the most high usage was office supplies 41.0% and the send area was medical supplies 11.2%. The results of this study suggest that electronic commerce in health care field is a very new area compared to other industries. There may be lots of barriers in the aspects of a way of working and norms of health care field. Electronic commerce system and contracts with their electronic commerce service providing partners.