• 대한한의학원전학회지
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• 제27권3호
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• pp.167-182
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• 2014

Objectives : In this article, an analysis of the changing theory(從化理論) of Sameumsamyang(三陰三陽) and Pyobonjung(標本中) in some important medical books, and the historical contexts of those is investigated. Methods : Primary literatures about the changing theory were searched by key words of Sameumsamyang and Pyobonjung in main medical texts, and then analyses and selecting of significant documents have followed. Results : The application of the changing theory to clinical treatment has been mainly done in the process of comprehension and practice about "Sanghanron(傷寒論)". Getting out of simple explanation about meaning of paragraphs in "Sanghanron", the clinical application has been expended to detail drug instruction and prescription managements. Conclusions : The changing theory of Sameumsamyang and Pyobonjung has been actively applied to supporting clinical treatment historically, not recognized merely as a ideal theory.

• 보건의료산업학회지
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• 제5권4호
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• pp.1-13
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• 2011

The purpose of this study is to analyze the medical care utilization behavior of patients to whom treatment (surgery) is recommended after they are diagnosed with abnormal findings on health screening and factors affecting the selection of the medical institute for treatment. The data was collected from 291 patients who need treatment or surgery, according to the abnormal findings on the additional examination such as cardiac CT, brain MRI, Gastroscopy and Colonoscopy since four diseases are suspected among of 2,752 people who receive health screening. The results are as follows. First, the most common disease of patients who have abnormal findings by the diagnosis through the results of first testing is colon disease based on through the additional examination. The most common disease of patients who will get treatment (surgery) based on final diagnosis by a doctor who determines the result of health screening on the basis of diagnosis from the first testing is cardiovascular disease. Second, in terms of diseases, patients with cardiovascular disease select the medical institute where they get the health screenings as a place for treatment. Patients with cerebrovascular disease select another medical institute for treatment. Finally, the affective factors of selectivity treatment facility on health screening satisfaction were human, facility, health screening and revisit factors.

• 대한심미치과학회지
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• 제23권2호
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• pp.95-104
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• 2014

This study is about the basis of satisfactions by patients : One is 'what factors of the marketing by dental medical service have an effect on consumers dental clinic' The other is 'what is the most important part when consumers choose the dental medical ser Seoul and Gyeonggi area unintentionally. Finally 446 people were analyzed. 6 general questions, 5 selective form questions when consumers choose the dental service, 11 satisfactions questions after treating and thought of reuse the dental service 6 (Likert scale) questions. Whether the choice of hospital dental marketing by dental analysis, both male and female hospital medical marketing and use of selected highly suggests that it does not respond. The resulting satisfaction analysis using the Hospital Dental Marketing consumer access to medical care, and then, a full explanation, comfort, quality and level, health care costs, treatment management, and symptom improvement were higher satisfaction with the item, select the dental healthcare after the analysis of the marketing of recycled doctors are otherwise subject the person selected from all entries equal to or higher than the average consumer satisfaction showed a higher medical doctor also higher reuse. Consequently, Through the use of marketing to choose the best dental healthcare need to providing quality care.

• 보건의료산업학회지
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• 제8권3호
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• pp.13-25
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• 2014

This research was performed to investigate the characteristics and determination factors on tertiary hospital inpatients. The used data was the four waves of Korea Health Panel(2008, 2009, 2010, 2011), and the number of subjects was 4,430 cases of tertiary and general hospital admission. The statistical methodology used in the study is the logistic regression model. The significant affecting factors in utilizing tertiary hospital admission were gender, marital status, education, household income, residence region and ICD-10 classification. Man, graduating college/university, married, high-income were socio-economic affecting factors in tertiary hospital admission. Medical need factor of ICD-10 classification and residence region of inpatients was also significant affecting factors in tertiary hospital admission. The 81.4% of inpatients at tertiary hospital had chronic disease and the 12.9% of inpatients readmitted, the 68.2% had a selecting doctor and the only 26.7% of inpatients reinforced by private medical insurance. This study recommended the Korean government to provide proper rule for tertiary hospital admission in order to improve the equity and efficiency of health care system.

• 한국병원경영학회지
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• 제7권4호
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• pp.57-101
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• 2002

These days, the environment of hospital marketing is changing rapidly. The level of expectation and demand of patients have become greater and more diversified, and patients have more alternatives in selecting hospitals. The standard of hospital selection and the type of using hospital have been changed, and competition among hospitals has been accelerated due to the opening of the medical market through globalization. Accordingly, differentiation strategies are critical in hospital marketing. The quality of medical service oriented toward patient satisfaction becomes a strong strategic weapon to secure a hospital's competitive advantage. Therefore, marketing and communication strategies should be focused on patient-oriented, rather than hospital-oriented. Considering the changes in the hospital environment and the increase in the patients' expectation level, this study categorizes doctors' communication styles into four different ones: trust-type, professional-type, cooperation-type, and control-type. The effects of these communication styles on patient satisfaction were empirically examined. The moderating roles of the patient's characteristics and clinical characteristics between the doctors' communication styles and patient satisfaction were also investigated to find out managerial implications for hospital management. To achieve such goals, data were collected from patients of 12 general hospitals in Busan. The data were analyzed to test research hypotheses that examine 1) the relationships between doctors' communication styles and patient satisfaction, 2) the moderating roles of the patient characteristics and clinical characteristics in the research model, and 3) the impact of patient satisfaction on positive word-of-mouth and repurchase. The following summarizes the major results of this research. First, the data showed that patient satisfaction varied across doctors' communication styles. Trust-type style had the strongest impact on patient satisfaction while control-type style had the weakest influence on patient satisfaction. Professional-type style and cooperation-type style also had positive effects on patient satisfaction but the impact of the two are not statistically different. Second, significant differences in terms of patient satisfaction were found depending upon demographic variables such as gender, marital status, age, occupation, and education. Patient satisfaction, however, was consistent across varying income groups. Third, patients' medical insurance types were also related to patient satisfaction. It implies that a doctor may need to use different communication styles depending on a patient's medical insurance type. Fourth, out-patient and in-patient showed a different level of satisfaction with varying communication styles. Fifth, highly professional knowledge and strong control can influence patient satisfaction depending on the characteristics of the patient treatment field. Sixth, patient satisfaction were proved to have significantly positive effects on word-of-mouth and repurchase. The implications drawn from this study must be tempered by its limitations. First of all, the subjects used in this study were patients in Busan and small- and medium-size hospitals were excluded from the research. Therefore, future research should examine the research model by using a variety of hospitals and clinics throughout Korea. Another research agenda has to do with finding more determinant and moderating variables which will increase an explanatory power of the model. In short, this study may be the first empirical research that investigates the effects of doctors' communication styles on patient satisfaction. Interestingly enough, the results showed that each communication style had a unique impact on patient satisfaction. The findings from this research can be very useful in developing hospital marketing strategies.

• 교육시설 논문지
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• 제22권4호
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• pp.3-14
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• 2015

This study analyzes the domestic kindergarten attached to elementary school, and that is to present the basic data to be established in the future on the basis of the problems seen in kindergarten attached to elementary school analysis of construction planning. For this study, selecting 10 kindergartens in Hwaseong, Gyeonggi-do, and the selected spatial configuration of kindergarten. And then, analyzes Space Organization, Circulation Plan, Area Distribution, Spatial Hierarchy of them. The results were as follows. 1) The current kindergarten attached to elementary school is associated with the most elementary building planes are independent. 2) Most of them don't have space for secondary activities such as playroom or hallway space between the classrooms and the entrance. 3) Interior space is composed of educational space, service space, administrative space. 4) Kindergarten attached to elementary school should plan increase the area because it is small scale there are a lot of dead space. 5) The main users of kindergarten children should be planned simultaneously in a space that is used along with the teacher. Such a kindergarten attached to elementary school in order to be implemented in construction and environmental characteristics of the kindergarten curriculum developers and juxtaposition of kindergarten teachers and architects such exchanges should be made a doctor of the tripartite briskly.

• 대한한의학원전학회지
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• 제30권1호
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• pp.1-15
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• 2017

Objectives : Ge Songping(戈頌平) was a medical doctor in Qing Dynasty during the late $19^{th}$ century who annotated the original texts of four medical classics and wrote Suwenzhigui (素問指歸), Shanghanzhigui(傷寒指歸), Jinkuizhigui(金匱指歸), and Shennongbencaojingzhigui (神農本草經指歸). This paper's objective is to compile information about his writings, and shed a light on the unique characteristic of his scholarly works. Methods : Information regarding Ge Songping's life has been gathered through existing research papers and the sources revealed in the introduction. His works were divided into different formal characters as listed in part of the introduction and in the table of contents. Contents related to Yinyang(陰陽) found in Suwenzhigui were studied in order to discover his unique scholastic character. After selecting and analyzing three texts related to Yinyang, some characteristic terms and emphasized contents were studied. Results : The review yielded knowledge about Ge Songping's life, the times of his publications, the meanings of the names of his books, and basic information abou them. In terms of his scholarstic works, he used the ideas he gained from Shanghanlun(傷寒論) to form his medical theory, and used this to write annotations for four types of medical classics. The features of his theory of Yinyang can be divided into four categories. First, he coined the term Qiye(氣液) to bring contrast between yinyang as yinye(陰液) and yangqi(陽氣). Second, he shaped the temporal and spatial structure of the circulation of yinyang based on Shierdizhi(十二地支). Third, he explained the relationship between yin and yang while mainly focused on yangqi. Fourth, he explained the physiology and pathology mechanisms while focused on the circulation of ascending and descending and the idea of mutual beneficiary.

• 정보처리학회논문지:소프트웨어 및 데이터공학
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• 제12권6호
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• pp.243-250
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• 2023

흉부 X-ray 영상은 폐와 심장을 검사하는 방사선 검사이며 특히, 폐 질환을 진단하는 데 널리 사용되고 있다. 이러한 흉부 X-ray의 품질은 의사의 진단에 영향을 줄 수 있으므로 품질을 평가하는 과정이 필수적으로 거쳐야 하는데, 이 과정은 영상의학과 전문의의 주관이 개입될 수 있고, 수작업으로 이루어지기 때문에 많은 시간과 비용이 소모된다. 또한, 이러한 품질평가는 X-ray 영상의 특징과 사용 목적에 따라 일반적인 품질평가와는 다른 평가 요소가 필요하다. 따라서 본 논문에서는 X-ray 영상에서 검출되는 장기의 해상도, ,해부학적인 구조, 균형 등을 고려하여 임상 현장에서 사용되는 흉부 X-ray 영상 화질 평가 가이드라인을 적용하여 품질요소를 5가지(인공음영, 포함범위, 환자자세, 흡기정도, 그리고 투과상태)로 나누고 이를 자동화하는 도구를 제안한다. 제안하는 도구는 수작업으로 품질평가를 진행하는 본래의 방식 대비 소요 시간과 비용을 줄여주고, 더 나아가 흉부 X-ray를 이용한 학습 모델 개발에 높은 품질의 학습데이터를 선별하는 과정에도 사용될 수 있다.

• 유통과학연구
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• 제9권2호
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• pp.73-81
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• 2011

본 연구는 구전의 정보원천 효과가 학원에 대한 기대형성에 미치는 영향을 규명해 보고자 함과 동시에, 기대형성이 실제 교육서비스 판매에 미치는 영향을 알아보기 위한 것이다. 또한 교육서비스 판매에 있어 사전에 형성된 기대가 교육서비스 판매에 있어 매개효과를 분석하는 데 그 목적이 있다. 가설검증 결과 구전정보 원천효과가 기대속성에 미치는 영향에 있어서는 전문성, 유사성, 호감성, 친숙성의 요인들이 기대속성에 미치는 영향이 유의한 결과를 보이고 있다. 그러나 진실성은 유의하지 않은 것으로 나타났다. 학원 방문전 기대속성이 교육서비스 판매에 미치는 영향에 있어서는 유의한 결과를 보이고 있어, 긍정적인 영향을 미치고 있다. 구전정보의 원천이 교육서비스 판매에 있어서 미치는 영향에 있어 기대속성의 매개역할에 대한 결과는 기대속성은 전문성이 교육서비스 판매에 미치는 영향에 있어 부분매개효과, 진실성에 있어서 완전매개효과, 유사성에 있어 부분매개효과, 호감성에 있어 완전매개효과, 친숙성에 있어 완전매개 효과가 있다는 결과가 도출되었다.

• 전자공학회논문지SC
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• 제45권6호
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• pp.123-131
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• 2008

한의학에서 혀의 상태는 인체 내부의 생리적 병리적 변화와 같은 건강 상태를 진단하는 중요한 지표로 활용된다. 혀의 상태를 진단하는 방법(설진)은 편리할 뿐 아니라 비침습적이므로, 한의학에서 널리 활용되고 있다. 하지만, 설진은 광원이나 환자의 자세, 의사의 건강 조건과 같은 검사 환경에 따라 많은 영향을 받는다. 객관적이고 표준화된 진단을 위한 자동 설진 시스템을 개발하기 위하여 촬영된 얼굴 영상으로부터 혀를 영역분할하고 설태를 분류하는 것은 필수적이지만 혀와 입술, 입 근처의 피부색이 서로 유사하므로 쉽지 않은 일이다. 제안된 방법은 전처리 과정과 영역분할, 혀의 구조로부터 발생하는 음영 영역의 지역 최소값 위치 검색, 지역 최소값의 교정, 컬러의 차이를 최대로 하는 위치를 찾는 컬러 경계면 탐색, 척의 기하적인 특성에 일치하는 경계면 선택, 경계면 평활화로 구성되어 있으며, 여기서 전처리 과정은 계산량의 감소를 위한 부 표본화, 히스토그램 평활화, 경계면 강화를 수행한다. 이러한 시스템적인 과정을 거치면, 영역분할된 혀를 획득할 수 있게 된다. 제안된 방법으로 분할된 영역은 초과적으로 혀가 아닌 영역을 제외해 낼 뿐 아니라 정확한 진단을 위해 중요한 정보를 제공함을 한의사의 진단 유효도 평가점수를 통해 확인할 수 있었다. 제안된 방법은 진단의 객관화와 표준화에 기여할 뿐만 아니라 u-Healthcare 시스템에도 활용 가능하다.