• 의학교육논단
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• 제19권1호
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• pp.47-55
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• 2017

This study was conducted to analyze the strengths and weaknesses of a 3-week family medicine clerkship program based on the results of an online survey taken by the students (N=127) and a structured interview with a focus group (n=10), aimed to improve the quality of the clerkship program. The online survey contained questions pertaining to goals, schedule, contents, arrangement, atmosphere, environment, evaluation, and satisfaction regarding the clerkship. The focus group interview addressed the schedule and achievements of the program. Scores were reported on a 5-point Likert scale. Most students were highly satisfied with the overall quality of the clerkship. The structured interview results showed that 97.6% of the clerkship program was executed according to the schedule. The focus group reported a perfect score of 5 points on several measures including: accomplishment of the educational goals of the family medicine clerkship, providing many chances to obtain medical histories and perform physical examinations on real patients, experience with various symptoms and diseases, positive attitudes of faculty members when teaching, notification of the guidelines for evaluation beforehand, well-constructed and effective clerkship schedule, and reflection of student feedback. However, the focus group gave low scores on: support for health accidents of students, access to patient information, enough opportunities to practice clinical skills, appropriate rest facilities for students, and fairness of clerkship evaluation process. In conclusion, the structured evaluation performed after the 3-week clerkship program motivated students and helped them ensure an efficient clerkship. This structured evaluation also suggested basic data to make the professor who is subject of the assessment. This study shows that structured assessment is an effective method which can be used to improve the quality of clerkships.

• 한국병원경영학회지
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• 제13권4호
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• pp.27-45
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• 2008

This research focused on a total of 378 patients with external injuries under the age of 14 who visited the emergency center at a university hospital in Korea, during the months of January, April, August and November between January and December of 2007. In addition, the survey was conducted only on even number days and ranged across the whole year to reflect the impact of seasonal characteristics on the collected data. The research focused on determining the characteristics and inflicting cause of these patients with external injuries, analyzed the total time spent in the emergency room and obtained the following results. 1. When classifying the patients into different genders, the proportion of males (67.5%) was higher than that of females (32.5%). According to the different age groups, the highest ratio, at 61.1 %, was patients under the age of six. 2. Looking at the total number of minutes spent in the emergency room, the longest amount of time occurred during April with 162.7 minutes, followed by 121.9 minutes in January and 92.4 minutes in November. August had the shortest period of time spent in the emergency room, a significant statistical difference from the other periods of the year (p<0.001). 3. Regarding the amount of time required for each examination, patients required to provide a urine test spent an average of 204.7 minutes while those who did not spent 113.5 minutes on average. This is a 5% statistical difference among the two groups (p>0.05). 4. Looking at the five most commonly diagnosed problems in the emergency room, the total number of people with these top five commonly diagnosed illnesses comprised 55.6%, or 210 patients out of 378. 5. Utilizing the Decision Tree Model to estimate the total number of minutes required per visit, the first classifications were made using a chemical examination factor. People subject to chemical classification spent an average of 177.7 minutes, which was longer than the overall average of 115.2 minutes, and those exempt from chemical examination spent an average of 103.8 minutes, which was shorter than the average Conclusion; Effort to curtail the total time spent in emergency rooms is vital in guaranteeing efficient management of hospitals and providing medical services. The delay experienced by many comprehensive professional medical centers must be resolved through the establishment of effective delivery of medical services, increased supply of patient rooms and other policy oriented implementations. However, for now, this problem must be resolved by increasing the level of patient satisfaction and guaranteeing effective operation of patient rooms, which will significantly contribute to the general management and success of hospitals and institutions.

• Journal of Acupuncture Research
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• 제24권1호
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• pp.79-98
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• 2007

Objectives : The study of Traditional Korean medical therapy has recently become a popular academic field as proven to be an great alternative to the limitation of Western medical treatment. However, there has been little study examining the Quality of life to investigate the Effectiveness of Recent Traditional Korean Medical Therapy on Treating Allergic Rhinitis. Thus, this study aims to reveal the characteristics of Allergic Rhinitis patients, their clinical symptoms, and other accompanying diseases. Moreover, it attempts to investigate the sense of improvement and satisfaction from the Allergic Rhinitis patients treated with Traditional Korean Medical therapy by examining Quality of Life Questionnaires. Subject and Method : A total of 380 subjects that consists of allergic rhinitis patients and non patients were participated in this study. 330 allergic rhinitis patients were divided into two groups; the experimental group (230 subjects) was treated with Traditional Korean Medical therapy, and the control group (100 subjects) was not treated with any other therapy. Also, the normal control group (50 subjects) who had no symptoms of the allergic rhinitis was participated in this study as well. All the subjects were asked to answer to the questionaries that consist of two parts such as recalling the symptoms that they had 3 month ago, and describing the current symptoms that they had the present. The experimental group also was asked to answer the quality of life questionnaire before and after the therapy. Results: The results of investigating recent Traditional Korean therapy are as follows: 1. The reservoir rate of other disease was 39.0% in the control group and 34.8% in the experimental group. These were higher than the rate of the normal control (10.0%), which reveals the clinical characteristics of allergic rhinitis patients. 2. The symptoms of Allergic Rhinitis showed improvement after Traditional Korean medical therapy, which can be shown by its statistical significance. (p=.000<.001). 3. 97.0% of the Allergic Rhinitis patients treated with the Korean Therapy answered the improvement of symptom within 4 weeks, and 88.3% of the patients were satisfied with the Traditional Korean medical therapy. 4. The Nasal symptoms had prominently positive effect at the most as the symptoms significantly affect sleep disturbances, ocular symptoms, activity limitation, and emotional problems.

• 한국가정과교육학회지
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• 제19권1호
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• pp.15-33
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• 2007

본 연구의 목적은 전통적인 평가의 대안으로 제안된 수행평가의 한 방법인 포트폴리오를 가정교과 수업에 적용하였을 때 학생들의 학습태도 향상에 효과가 있는지 알아보는 데 있다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, '반바지 만들기' 단원에 총 13차시의 교수 학습지도안과 수업 활동지, 수업 자료, 평가 자료 등의 포트폴리오 자료를 개발하였다. 둘째, '반바지 만들기' 단원에 포트폴리오 자료를 적응한 수업이 학생들의 학습태도를 긍정적으로 변화시키고, 우월감, 자신감, 흥미, 목적의식, 성취동기, 주의집중, 자율학습, 교우관계 등의 향상에도 매우 효과적이었다. 셋째, 포트폴리오 적용 수업에 대한 학생들의 인식을 분석한 결과, 포트폴리오 적용 수업을 계속 진행하는 것에 대해 90% 이상의 학생이 긍정적인 반응을 보였다. 그 이유로는 '공부에 도움이 된다, 수업시간에 집중이 잘 된다, 만족감과 자신감이 생긴다, 스스로 공부하는 능력이 길러진다'라는 의견이 있었고, 반면에 포트폴리오 적용 수업의 단점으로 '포트폴리오를 작성하는데 시간이 많이 소요된다, 과제가 있어 부담스러웠다'라는 의견이 있었다. 이상의 결과로 중학교 기술 가정 의생활 단원에서 학생들의 흥미를 높이고 학습태도를 향상시킬 수 있는 교수학습 방법의 개발이 많이 이루어지기를 기대한다.

• 대한지역사회영양학회지
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• 제12권6호
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• pp.724-741
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• 2007

This study was carried out to investigate the body weight controls and eating disorders of university students in Gunsan. The subject of the present study included 229 male students (53.8%) and 197 female students (46.2%), totalling 426 students from Kunsan University. The subjects consisted of 56 underweight (13.1%), 265 with normal weight (62.2%), and 105 overweight (24.6%). Especially, in females, 20.8% of them were underweight, which is 6.6% higher than males, showing a significant difference (p<0.001). Regarding body image, 21.8% of the males thought they were fat, while 40.6% of the females thought they were fat. Regarding the perceived body type, shown in the difference between their own size and the ideal size, males recorded 0.03, while females recorded 1.75, showing a major significant difference (p<0.001). Regarding body satisfaction, 33.2% of the males were unsatisfied, while 52.8% of the females were unsatisfied (p<0.001). The social expectations of the male subjects' sizes and weights recorded 2.04, while that of females recorded -2.51, showing that people's opinions expected the female subjects' bodies to be thinner (p<0.001). Additionally, the social expectation of the subjects' weight control recorded an average of 15.22 (13.92 for males, 16.73 for females), showing that the female subjects' felt that people's opinions wished them to lose their weight (p<0.001). Regarding the recognition on weight control, interested males were 49.4%, while interested females were 86.8%, showing the females superior rate (p<0.001). The beliefs in relation to weight control recorded an average of 62.01, with the score of females of 67.89 being significantly higher than that of males which was 56.96. The subjects showed a relatively positive response towards weight control (p<0.001). EAT-26 score was employed to determine the eating attitudes in relation to gender. Here, the final score of males was 15.46, which was significantly lower than that of females, which was 22.21 (p<0.001). Furthermore, regarding the score of eating attitudes in relation to obesity index, the eating disorder scale scores on the questions related to bulimia and diets to lose weight as weight increases were high. However, the eating disorder scale score on oral control, which actually controls food, was low. To control the expansion of excessive weight control attempts and their side effects, the recognition of the students' body types needs to be corrected, and nutrition education programs on eating habits and eating disorders to foster proper weight loss are deemed necessary.

• 유통과학연구
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• 제12권8호
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• pp.91-102
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• 2014

Purpose - Today, the importance of the service industry has increased. Social welfare businesses that follow the non-profit principle have neglected the distribution of the service. However, an intangible service, when produced and consumed, has a similar service delivery system to common service distribution and social welfare. Therefore, the author has assumed the efficiency of the service delivery system of social welfare to be equivalent to the service distribution industry. Hence, various kinds of social welfare services for the prevention of elderly suicide, from the perspective of distribution, are discussed. Studies on generational relations have thus far investigated depression from parent-children conflict, and satisfaction with their lives. Studies on the relationship between family solidarity and elderly suicide by analyzing existing social problems are rare. This study investigated the effects of family solidarity between old parents and adult children upon elderly suicide by analyzing serious psychological and social problems. This study revealed basic measures for elderly suicide prevention through services that could elevate family solidarity from the perspective of social welfare service distribution. Research design, data, and methodology - The subjects were 468 elderly, 65 years or older, at 18 senior welfare centers and halls for the elderly at Seoul and Gyeonggi-do. Questionnaire surveys, excluding invalid answers, were analyzed. Convenience sampling was used from February 5, 2014 to March 5, 2014. The findings were: First, women and those having spouses with advanced educational backgrounds and social activities had primary solidarity such as contact solidarity, affectionate solidarity, functional solidarity (giving help), and functional solidarity (receiving help). In addition, those who had good health, from a subjective point of view, had more solidarity. Second, the elderly who were men and single, and who had poorer educational backgrounds thought of suicide, lacked social activities, and had poor health, from a subjective point of view. Third, family solidarity between old parents and adult children had significantly negative influence on the suicidal ideation of the elderly. Results - The study revealed the following implications. First, the preparation for old age should consider not only economic welfare but also the psychological welfare due to the relationship with children. Second, the phenomenon of elderly suicide because of a lack of family solidarity could increase national loss and have great influence upon welfare in old age. Therefore, planning of welfare services for the elderly should consider the value of relationships with children to improve the psychological welfare of the elderly. Third, the social expenses of government-oriented support for parents should be discussed from the people's point of view. Conclusions - The subjects of the study comprised the elderly at Seoul and Gyenggi-do; therefore, it would be difficult to extrapolate the findings to all the elderly in the nation. The subject visited senior welfare centers as well as halls for the elderly; therefore, it would be difficult to assume that the trends were representative of the elderly in the nation.

• 한국지역사회생활과학회지
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• 제18권3호
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• pp.417-431
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• 2007

This study investigates the differences among residental areas in the health, standard of living, and social relationships of female elderly living alone. The total of 501 subjects(185 from rural areas, 159 from fishing communities, 77 from the islands, and 80 from urban areas) were questioned from May to July, 2006. The research area was confined to Chungcheong Province. The female elderly living alone of this study were an average of seventy-three years old, had a low cost of living, and received little formal school education. Over sixty percent(60.3) of them lived on less than thirty dollars a month which was the recognized Korean poverty level in 2006. The female elderly living alone were evaluated as being in good health, but they themselves perceived their health as being poor. Observed by residential areas, the subjects in urban areas were lower in ADL, and both the urban dwellers and the islanders appeared to be higher in their satisfaction with medical services as compared to those in rural areas and fishing communities. The fishing villagers showed the lowest standard of living for female elderly living alone. The analysis of social relationships as seen in the different residental areas revealed that the female elderly living alone g in urban areas tended to be receiving social supports rather than providing for others, and subjects living in fishing areas and the islands proved to be relatively higher in the exchange of social supports. In relation to offspring, the female elderly living alone in urban areas had a lower frequency of meeting with their children and also a lesser degree of intimacy with them because they lived at a distance. On the other hand, subjects living in rural areas and fishing communities had a higher frequency of meeting with their children and a greater degree of intimacy with them even if they lived at a distance. The study also showed that the female elderly living alone in the islands had a higher frequency of once meeting per three week with their offspring and a higher degree of intimacy with them because they all live in the same islands. In conclusion, the subject living in urban areas appeared to be isolated from their offspring as compared to the other seniors in the study. The female elderly living alone in urban areas suffered from an insufficient network of relatives and neighbors, and they experienced a poor quality of relationships to their offspring. Almost all of the lone seniors in the study had a low score in social activities; however, the female elderly living alone in urban areas revealed a higher level of participation in volunteer activities, group activities, and educational activities. Nevertheless, the lone seniors living in urban areas were not satisfied with their participation in social activities. The subjects living in rural in fishing communities and the islands showed more participation in money-making activities. This study suggests that the policies for female elderly living alone should reflect the differences of regional characteristics.

• 한국전통조경학회지
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• 제34권4호
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• pp.89-97
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• 2016

본 연구는 특정한 시대에 장백산 지역에 조성된 제사공간을 문화경관의 관점으로 바라보면서 장백산의 신성성이 역사 속에서의 변화과정과 정권의 교체와 민족의 변화 속에서도 신성성이 유지된 이유에 대하여 해석했다. 본 연구의 결과를 요약하면 다음과 같다. 첫째, 청나라에서 중화민국시기로 과도하면서 겪은 정권의 교체와 민족의 다양성, 그리고 문화의 수용성으로 인하여 장백산의 제사성격과 신적대상이 변화했다. 둘째, 청나라의 황가 제사공간인 망제전(望祭殿)은 권위적인 공간으로 만족만의 유일한 제사공간과 문화를 형성했고 중화민국 시기에는 한족의 이주와 정착과정을 겪으면서 방산인 사이에서 새로운 민간신앙이 탄생했으며 따라서 제사공간인 여래사(如來寺), 산신노파두묘(山神老把頭廟)가 조성되었다. 셋째, 제사공간과 장백산을 공간적으로 보면 망제전은 수직적인 공간으로 권력적인 공간이고 여래사와 팔괘묘는 장백산과 수평적인 공간에 입지되어 순종적인 공간으로 나타났다. 넷째, 제사의례를 보면 청나라의 망제전은 만족만의 유일한 제사의례 이지만 황권의 폐지에 따라 단절되었다. 현재는 민간제사의례가 일상화 되어있고 청나라의 제사의례는 형식적으로만 진행된다. 결론적으로 보면 역사적으로 장백산에 대한 신성성은 변하지 않았다. 하지만 장백산 제사공간은 청나라의 단일한 제사문화에서 정권의 교체와 다민족의 문화에 대한 수용을 거쳐 변화하였다. 현재는 상호수용을 통하여 중첩된 제사공간과 문화를 형성하였다.

• 유통과학연구
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• 제14권1호
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• pp.85-91
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• 2016

Purpose - Recently, the importance of rapid change in business models is more and more increasing as the change of information technology environment. Therefore, a variety of business models have emerged. On the other hand, there is no company that can generate revenue. Many enterprises are still maintained while they are changing only their appearance of the business model. Business model is important in e-commerce. However, a lot of researches are targeted only in Web sites. Thus, e-commerce companies do not have the infrastructure for measuring and business models. The purpose of paper is to evaluate factors which are related with the structuring of the e-commerce success. And it proposed a financial items and non-financial items. From the perspectives of administrators and managers, the paper researches the possibility for E-Commerce Evaluation Model as a valuable criteria in measuring business model. Research design, data and methodology - The methods are taken by the classification for the type of business-to-business transactions, transactions subject, and the degree of integration and innovation capabilities. Financial and Non-financial value is used to build E-Commerce Evaluation Model. Evaluation items in Administration's perspective are composed with enhance the effectiveness of the mission, improving efficiency of the administration, and control of costs. Evaluation items in the customer's perspective were measured by customer participation and cooperation with customer Satisfaction. In the case of researching the information system's perspective, three criteria are used such as adequacy of the development process, improvement of the quality of service, and maintenance of standardized information technology. In researching for the ICT competence's perspective, evaluation items were composed of enhanced user capabilities, utilizing new technologies, and empowerment of information workers. Results - In this paper, E-Commerce Evaluation Model with financial and non-financial perspectives shows the possibility to be criteria in the case of measuring business model. Moreover, it gives the positive expectation to be successful criteria. But the research may have ambiguity in its essential concept because it cannot avoid the limitation in selecting evaluation tools from merely the model. It is impossible to exclude the possibility in omitting specific properties which may take place in actual case study. Therefore, In hereafter research, it is necessary to include actual case study research in selecting evaluation tools in order to improve the limit point. Actual measurement items which are derived from actual case study should be subdivided, and it would be more effective to complete the research. Conclusions - In rapid change in business models, there are various kinds of business models. But it is general situation that companies which adopted business models have not brought in revenue. For this reason, E-Commerce Evaluation Model is needed as an important factor for the structuring of the e-commerce success. Although it has the limitation in selecting evaluation tools from model, E-Commerce Evaluation Model proposes the implication for measuring business models as a valuable criteria.

• 여성건강간호학회지
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• 제8권1호
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• pp.124-137
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• 2002

The purpose of this study was to identify the need for sex education in middle school students Research subjects were 194 students who attended at I seminary in B city. The period of data collection was from July to August, 2001. Research instrument was composed of 61 structured items 17 items related to demographics and sex, 44 items related to the need of sex education. Data were collected through the self-report method by the researcher and one trained assistant. The instrument developed by the researchers was employed to measure the need of sex education and it's Cronbach's $\alpha$ = 0.9349 in this research. Data were analyzed by frequency, percentage factor analysis and t-test using SPSS WIN Program. The findings of this study are summarized as follows : 1. The highest score among characteristics of sex was 'less interest about sex(42.6%)', 39.0% of subjects got information about sex from friends or elders. 52.3% of subjects consulted friends or elders about sex problems. The number of sex education lessons was 1-2 times in school during last semester (61.0%). Education by the school nurse was 35.9% to students. 43.1% of subjects announced moderate satisfaction on sex education. 2. The mean score of the need for sex education was $2.88{\pm}0.47$ (lowest value 1, highest 4). The most wanted sex education factor was 'chastity and sexual responsibility($3.33{\pm}0.67$)' and followed by 'family and marriage ($3.26{\pm}0.62$)' and 'considerations of sex($3.07{\pm}0.69$)'. Meanwhile, the lowest wanted sex education factor is 'physiological characteristics of male ($2.47{\pm}0.72$)', followed by 'sexual behavior ($2.49{\pm}0.75$)'. The most wanted sex education item was 'the meaning of family ($3.54{\pm}0.75$)' and followed by 'the cautions to prevention from sexual abuse ($3.49{\pm}0.78$)' and sexual activity and responsibility($3.43{\pm}0.77$)'. Meanwhile, the lowest wanted sex education item is 'masturbation ($2.16{\pm}0.97$)', followed by 'circumcision($2.32{\pm}0.97$)'. 3. There is no significant difference between boys and girls in mean score about the need for sex education(t=-.715, p=.476). Sex education factor that girl-students wanted was 'physiological characteristics of female'. Sex education factor that boy-students wanted was 'family and marriage'. Sex education items that girl-students wanted were 'cautions during menstruation', the relation of ovulation and pregnancy', caution to prevention from sexual abuse' and sexual behavior and responsibility'. Sex education items that boy-students wanted were 'the meaning of family', 'the importance of marriage', 'male's sex organs', 'a wet dream', 'the method to resolve sexual curiosity', 'sexual intercourse' and 'the connection with the other sex'. In conclusion, the mean score of the need for sex education is medium. The route to attain knowledge about sex and sexual problem is through consulting friends and elders. Therefore, it is necessary to give sex education that is suitable to the subject's needs and methods. Also, it is necessary to give differently strong point about sex education between female and male students.