• 대한임상검사과학회지
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• 제56권2호
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• pp.105-114
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• 2024

임상검사실은 질관리 시스템(quality management system)을 구축하여 일정 수준 이상의 질 확보를 위해 노력하여야 한다. 그러나 검사실 환경은 매우 복잡하여 단일 정도관리 절차로는 다양한 유형의 오류를 감지하는데 충분하지 않을 수 있다. 환자 기반 실시간 정도관리(patient-based real-time quality control, PBRTQC)는 테스트 과정을 모니터링하기 위한 검사실 도구로써 Bull's 알고리즘, 정상치 평균, 이동 중앙값, 이동평균, 지수가중이동평균과 같은 알고리즘이 활용되고 있다. PBRTQC는 저렴한 비용, 교환 가능성, 지속적인 실시간 성능 모니터링, 분석 전 오류에 대한 민감도 등 기존 정도관리에 비해 많은 이점이 있다. 그러나 PBRTQC는 통계 알고리즘의 선택, 적절한 규칙과 프로토콜의 설계, 성능검증 등을 고려해야하므로 구현하기가 쉽지만은 않다. 본 리뷰에서는 PBRTQC의 기본 개념과 방법 및 절차에 대해 설명하였으며, 이를 통해 환자 기반 정도관리 시스템 구현을 위한 지침을 제시하고자 하였다. 이에 기존의 내부정도관리의 성능이 제한적일 경우 PBRTQC 절차를 병용하는 것을 제안하고자 한다. 본 리뷰에서는 임상적 평가는 배제되었으며, 향후 이에 대한 평가가 요구된다.

• 유통과학연구
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• 제9권1호
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• pp.49-59
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• 2011

Although the South Korean organic food market is in the infancy compared to other industrialized countries, Korean consumers'interest in organic food and retail stores devoting space to organic products have been rapidly increasing. Despite the fact of organic food popularity, the term "organic" is interpreted differently by individuals. As opposed to the US, Japan and the EU where have operated an integrated organic food labelling system, Korea has adopted complex organic labelling systems regulated by several different government bodies. As a result, complicated food labelling standards make consumers confused when purchasing organic foods. Furthermore, in terms of country of origin (COO), it is argued by a lot of researchers that COO effects vary from product to product and from country to country; moreover, other informational cues such as brand and price can influence COO effects. In modern society, COO labelling has been complicated, due to the sourcing, manufacturing and market locations of merchandise spread over the world. Accordingly, the evaluation of COO effects has become complex. In order to examine these issues, a quantitative research was selected to classify the commonfeatures of organic food consumers and construct statistics such as the extent to which people are aware of organic food and COO labellingvia a questionnaire which took place in two cities in Korea with a cluster sample of 161 organic food purchasers. As for the data analysis, one-way analysis of variance (ANOVA), T-tests, bivariate crosstatulations with Cramer's V were conducted,depending on the characteristics of variables and the assumptions the research data need to fit. It has been concluded that in general, Korean organic consumers comprehend the term "organic"in a closer way to the general concept rather than technical term, thus people do not appreciate environmentally labels which include organic food labels, although marital status influence the degree of label awareness, regardless of gender, age, education level and so on. Regarding COO effects on organic food, home organic products were Korean consumers'first choice over those from industrialized countries and developing nations. Specifically, in processed organic product category, domestically cultivated and processed organic products were absolutely preferred to leading national brands produced with imported ingredients and international brands. However, due to a lack of checks of ingredients' COO, consumers tend to purchase a leading national organic food brand, believing that it is a pure organic food sourced domestically. As a consequence, this research has suggested some important managerial implications and future research directions. In order to prevent consumer confusion when buying organic foods, it should be noted that consumers do not comprehend the organic food certifications, due to complicated labelling systems for organic produce and processed organic foods. Therefore, government bodies related to organic food distribution have to know consumers' perception of organic food labels and the significance of customer-oriented labels and reestablish labelling standards. Similarly, public advertising should be followed to raise public awareness of the labelling to enable customers to have the correct information. In addition, not only international marketers but also domestic marketers need to understand COO images and also the influence COO of ingredients has on the image of an organic product.

• 대한간호학회지
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• 제29권5호
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• pp.1087-1102
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• 1999

Diabetes mellitus, a universal and prevalent chronic disease, is projected to be one of the most formidable worldwide health problems in the 21st century. For those living with diabetes, there is a need for self-care skills to manage a complex medical regimen. Self-efficacy which refers to one's belief in his/her capability to monitor and perform the daily activities required to manage diabetes has be found to be related to self-care. The concept of self-efficacy comes from social cognitive theory which maintains that cognitive mechanism mediate the performance of behavior. The literature cites several research studies which show a strong relationship between self-efficacy and self-care behavior. Meta-analysis is a technique that enables systematic review and quantitative integration of the results from multiple primary studies that are relevant to a particular research question. Therefore, this study was done using meta-analysis to quantitatively integrate the results of independent research studies to obtain numerical estimates of the overall effect of a self-efficacy with diabetic patient on self-care behaviors. The research proceeded in three stages : 1) literature search and retrieval of studies in which self-efficacy was related to self-care, 2) coding, and 3) calculation of mean effect size and data analysis. Seventeen studies which met the research criteria included study population of adults with diabetes, measures of self-care and measures of self-efficacy as a predictive variable. Computation of effect size was done on DSTAT which is a statistical computer program specifically designed for meta-analysis. To determine the effect of self-efficacy on self-care practice homogeneity tests were conducted. Pooled effect size estimates, to determine the best subvariable for composite variables, metabolic control variables and component of self-efficacy and self-care, indicated that the effect of self-efficacy composite on self-care composite was moderate to large. The weighted mean effect size of self-efficacy composite and self-care composite were ＋.76 and the confidence interval was from ＋.66 to ＋.86 with the number of subjects being 1,545. The total for this meta-analysis result showed that the weighted mean effect sizes ranged from ＋.70 to ＋1.81 which indicates a large effect. But since reliabilities of the instruments in the primary studies were low or not stated, caution must be applied in unconditionally accepting the results from these effect sizes. Meta-analysis is a useful took for clarifying the status of knowledge development and guiding decision making about future research and this study confirmed that there is a relationship between self-efficacy and self-care in patients with diabetes. It, thus, provides support for nurses to promote self-efficacy in their patients. While most of the studies included in this meta-analysis used social cognitive theory as a framework for the study, some studies use Fishbein & Ajzen's attitude model as a model for active self-care. Future research is needed to more fully define the concept of self-care and to determine what it is that makes patients feel competent in their self-care activities. The results of this study showed that self-efficacy can promote self-care. Future research is needed with experimental design to determine nursing interventions that will increase self-efficacy.

• 한국지구과학회지
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• 제22권6호
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• pp.491-499
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• 2001

GIS S/W의 지리정보 처리기법을 이용하여 얻을 수 있는 수리지형 특성인자는 사면안정성 분석이나 하천환경 분석 등과 같은 다양한 수문학적 응용 연구의 기본적인 정보로 사용된다. 또한 실무적으로 적용 가능한 GIS의 확장 프로그램들은 이러한 기본 정보 뿐 만 아니라, 이전에는 복잡한 정보처리과정을 통하여 얻을 수 있었던 특성 정보들을 체계화되고 자동화된 과정을 통하여 손쉽게 분석이 가능하도록 하고 있다. 본 연구에서는 GIS S/W 수리응용 연구에서 확장 프로그램의 실제적인 적용성을 살펴보기 위하여 ArcView GIS S/W와 이를 기반으로 한 수리정보 분석 프로그램 등을 이용하여 예미지역(1:50,000)의 유수 및 지형인자를 추출하였으며, 여러 가지 매개변수를 통하여 사면안정도에 대한 평가분석을 예시하였다. 본 연구 결과로 확장 프로그램들을 이용하여 얻은 정보들은 실제 정보와 높은 상관도를 보이는 것으로 나타나서, 현장에서의 직접적으로 활용이 가능한 것으로 나타났고, 본 연구 대상지역내의 전반적인 사면안정도는 사면안정지수와 S-A Plot의 적용 결과로 이론적으로는 비교적 안정적인 것으로 나타났다. 본 적용 방법은 실제측정치와 함께 수리지형 특성과 관계된 기타 지역에 적용이 가능하다.

• Asia pacific journal of information systems
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• 제19권4호
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• pp.77-100
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• 2009

Information Systems (IS) is an essential tool for any organizations. The last decade has seen an increasing body of knowledge on IS usage. Yet, IS often fails because of its misuse or non-use. In general, decisions regarding the selection of a system, which involve the evaluation of many IS vendors and an enormous initial investment, are made not through the consensus of employees but through the top-down decision making by top managers. In situations where the selected system does not satisfy the needs of the employees, the forced use of the selected IS will only result in their resistance to it. Many organizations have been either integrating dispersed legacy systems such as archipelago or adopting a new ERP (Enterprise Resource Planning) system to enhance employee efficiency. This study examines user resistance prior to the adoption of the selected IS or ERP system. As such, this study identifies the importance of managing organizational resistance that may appear in the pre-adoption context of an integrated IS or ERP system, explores key factors influencing user resistance, and investigates how prior experience with other integrated IS or ERP systems may change the relationship between the affecting factors and user resistance. This study focuses on organizational members' resistance and the affecting factors in the pre-adoption context of an integrated IS or ERP system rather than in the context of an ERP adoption itself or ERP post-adoption. Based on prior literature, this study proposes a research model that considers six key variables, including perceived benefit, system complexity, fitness with existing tasks, attitude toward change, the psychological reactance trait, and perceived IT competence. They are considered as independent variables affecting user resistance toward an integrated IS or ERP system. This study also introduces the concept of prior experience (i.e., whether a user has prior experience with an integrated IS or ERP system) as a moderating variable to examine the impact of perceived benefit and attitude toward change in user resistance. As such, we propose eight hypotheses with respect to the model. For the empirical validation of the hypotheses, we developed relevant instruments for each research variable based on prior literature and surveyed 95 professional researchers and the administrative staff of the Korea Photonics Technology Institute (KOPTI). We examined the organizational characteristics of KOPTI, the reasons behind their adoption of an ERP system, process changes caused by the introduction of the system, and employees' resistance/attitude toward the system at the time of the introduction. The results of the multiple regression analysis suggest that, among the six variables, perceived benefit, complexity, attitude toward change, and the psychological reactance trait significantly influence user resistance. These results further suggest that top management should manage the psychological states of their employees in order to minimize their resistance to the forced IS, even in the new system pre-adoption context. In addition, the moderating variable-prior experience was found to change the strength of the relationship between attitude toward change and system resistance. That is, the effect of attitude toward change in user resistance was significantly stronger in those with prior experience than those with no prior experience. This result implies that those with prior experience should be identified and provided with some type of attitude training or change management programs to minimize their resistance to the adoption of a system. This study contributes to the IS field by providing practical implications for IS practitioners. This study identifies system resistance stimuli of users, focusing on the pre-adoption context in a forced ERP system environment. We have empirically validated the proposed research model by examining several significant factors affecting user resistance against the adoption of an ERP system. In particular, we find a clear and significant role of the moderating variable, prior ERP usage experience, in the relationship between the affecting factors and user resistance. The results of the study suggest the importance of appropriately managing the factors that affect user resistance in organizations that plan to introduce a new ERP system or integrate legacy systems. Moreover, this study offers to practitioners several specific strategies (in particular, the categorization of users by their prior usage experience) for alleviating the resistant behaviors of users in the process of the ERP adoption before a system becomes available to them. Despite the valuable contributions of this study, there are also some limitations which will be discussed in this paper to make the study more complete and consistent.

• 한국제4기학회지
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• 제17권2호
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• pp.161-161
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• 2003

During the last century, most scientific questions related to climate change were focused on the evidence of anthropogenic global warming (IPCC, 2001). There are robust evidences of warming and also human-induced climate change. We now understand the global, mean change a little bit better; however, the uncertainties for regional climate change still remains large. The purpose of this study is to understand the past climate change over Korea based on the observational data and to project future regional climate change over East Asia using ECHAM4/HOPE model and MM5 for downscaling. There are significant evidences on regional climate change in Korea, from several variables. The mean annual temperature over Korea has increased about 1.5∼$1.7^{\circ}C$ during the 20th century, including urbanization effect in large cities which can account for 20-30% of warming in the second half of the 20th century. Cold extreme temperature events occurred less frequently especially in the late 20th century, while hot extreme temperature events were more common than earlier in the century. The seasonal and annual precipitation was analyzed to examine long-term trend on precipitation intensity and extreme events. The number of rainy days shows a significant negative trend, which is more evident in summer and fall. Annual precipitation amount tends to increase slightly during the same period. This suggests an increase of precipitation intensity in this area. These changes may influence on growing seasons, floods and droughts, diseases and insects, marketing of seasonal products, energy consumption, and socio-economic sectors. The Korean Peninsular is located at the eastern coast of the largest continent on the earth withmeso-scale mountainous complex topography and itspopulation density is very high. And most people want to hear what will happen in their back yards. It is necessary to produce climate change scenario to fit forhigh-resolution (in meteorological sense, but low-resolution in socio-economic sense) impact assessment. We produced one hundred-year, high-resolution (∼27 km), regional climate change scenario with MM5 and recognized some obstacles to be used in application. The boundary conditions were provided from the 240-year simulation using the ECHAM4/HOPE-G model with SRES A2 scenario. Both observation and simulation data will compose past and future regional climate change scenario over Korea.

• 한국벤처창업학회:학술대회논문집
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• 한국벤처창업학회 2007년도 춘계학술대회
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• pp.203-226
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• 2007

본 연구는 우리나라 자본재 산업의 중소기업을 대상으로 사업영역과 기술혁신역량이 경영성과에 미치는 영향을 실증 분석하였다. 자료는 지역별 산업단지 관리공단의 도움을 받아 1,077개의 중소제조업체를 대상으로 조사하였고 그 중 자본재 산업에 속하는 228개 기업을 분석하였다. 실증 분석 결과, 사업영역에서 제조제품군수가 영업이익률에 정(+)의 영향을 미쳤다. 기술혁신역량에서는 지적재산권수가 매출성장률에 정(+)의 영향을 전문기술인력비는 영업이익률에 정(+)의 영향을 미쳤다. 또한, 사업영역과 기술혁신역량 의한 상호작용 효과도 존재하는 것으로 나타났다. 전문기술인력비가 높을수록 제품다각화가 경영성과에 정(+)의 영향을 미쳤고, 지적재산권이 많을수록 거래고객과 제조제품군수는 영업이익률과 매출성장률에 각각 정(+)에 영향을 미쳤다. 이러한 연구결과는 자본재 산업의 중소기업들이 경영성과를 제고하기 위해서는, 기술능력을 축적하고 사업영역을 확대해야함을 의미한다. 또한, 기업들이 사업영역을 확대하기 위해서는 먼저 내부의 기술혁신역량을 축적하는 것이 필요하다는 점을 시사한다. 특히, 고객의 범위를 확장할 때 새로운 고객의 욕구를 충족시킬 수 있는 기술역량을 가지고 있어야 함을 의미한다. 그리고 기술혁신역량이 높은 기업일수록 중소기업의 제조제품군수의 확대는 경영성과를 개선할 수 있다는 점을 뜻한다.

• 대한간호학회지
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• 제29권3호
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• pp.625-638
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• 1999

The purpose of this study was to identify the relationships among health promoting behaviors, Health Locus of Control(HLOC), and response patterns to HLOC in Korean elderly. The sample was composed of 162 healthy elderly ranging in age from sixties to eighties. The instruments for this study were modified Health Promoting Lifestyle Profile (45 items, 4 scales), and Multidimensional Health Locus of Control (18 items). For the in data analysis, SPSS PC$^{＋}$ program was uilized for descriptive statistics, Pearson correlation, t-test, ANOVA and Stepwise multiple regression. The results of the study are as follows : 1. The total mean score for the HPLP was 2.411 (range 1-4), and the mean scores on the subscales were 3.324 for nutition, 2.709 for interpersonal support, 2.495 for exercise,2.225 for health responsibility, 2.205 for self actualization, 2.026 for stress management. 2. The mean scores for the HLOC in the elderly were HLOC-I : 23.531, HLOC-P : 21.914, HLOC-C : 18.667. 3. The response patterns of the HLOC identified eight types, pure internal, pure powerful others, pure chance, double external, believers in control, yea sayer, nay sayer and complex control. The “believers in control” was the largest group (22.8%), and “yea sayer” was the next largest group(17.9%). The “nay sayer”(5%) was the smallest group. 4. Demographic variables, such as education, economic status, religion and the perception of the health status showed strong connections to health promoting behaviors. 5. The HLOC-I and health promoting behavior were correlated positively(r＝.165, P＝.017), but the HLOC-P, the HLOC-C and the health promoting behavior were not correlated at the level of statistical significance. 6. There was not significant difference in health promoting behavior depending on the response patterns of the HLOC(F=1.171, P=.108). But, there were significant differences in two subscales of health promoting behavior exercise (F=3.279, P=.002), and stress management (F=3.165, P＝.003). 7. Education, the perception of the health and economic status explained 21.0% of the variance for health promoting behaviors. These results suggest that several demographic factors are important factors in predicting the level of health promoting behaviors in elderly. So to enhance the health promoting behavior, nurses should use the different nursing strategies depending on the demographic characters of the elderly.

• 대한환경공학회지
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• 제37권12호
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• pp.689-695
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• 2015

부착성 미생물을 이용하여 기체상 오염물질을 여과 방식으로 처리하는 생물 공정은 기체상의 흐름 특성과 공정 인자간 관련성이 매우 복잡하게 작용하는 특징을 가진다. 본 연구는 기체상 공정의 특성으로 미세한 변화에도 반응이 급변하는 현상과 물질간 반응관계의 중요성을 고려하여 일반화된 plug flow계 반응조의 공정 분석 도구로 활용 가능한 1차원 동적 수치해석 모델을 개발하였다. 개발 모델은 물질수지 원리를 기초하여 확산을 단순화하고 물질간 경쟁, 상승, 억제 반응 등 상호 반응관계를 반영하여 구성이 용이하도록 하였다. 개발 모델의 적용성 평가는 저속과 고속으로 구분된 BTX 제거 실험에 대하여 보정과 검정 절차로 수행되었다. 개발 모델은 고속 조건의 toluene을 제외하고 모든 조건과 항목에서 상관계수($R^2$) 0.79 이상에서 실험 결과를 재현하였다. 개발 모델은 연속흐름(plug flow)계로써 기체상-생물막의 일반화된 공정에 적용할 수 있는 것으로 평가되었으며 복잡하고 다양한 공정 실험에서 설계 인자 분석 및 효율 평가에 유용한 도구로 사용될 수 있다.

• 동의생리병리학회지
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• 제21권4호
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• pp.1034-1038
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• 2007

To examine the difference of health-related quality of life (QoL) of obese patients between before and after treatment of Korean traditional medicine. This study was assessed in 18 obese-women (age 29.72${\pm}$7.38) treated by acupuncture and herbal medicine using SF-36 quality of life questionnaire between January and July 2006, a 36 item instrument yielding 8 dimensions (Social functioning, Role limitation-Physical, Role limitation-Emotion, Mental health, Vitality, Bodily pain, and General health) and a total score. Their weight was measured by Inbody 3.0 (Biospace co. Korea). QoL and body composition was assessed twice at baseline (B) and 4 weeks after treatment. Auricular acupuncture and electrical needle stimulation to abdomen, thigh, and arm fat was used twice a week and complex herb formula was prescribed according to their constitution and symptoms for 4 weeks. Herb medication was taken 2 times a day. Respective variables were analyzed with Wilcoxon signed ranks test and the level set for statistical significance was p <0.05. The mean of the body weight (P=0.000;B64,68${\pm}$6.86, 4 WKs 60.47${\pm}$5.69), fat percentage (P=0.000;B33.14${\pm}$4.86, 4 WKs 30.16${\pm}$5.34), body mass index (P=0.000;B25.18${\pm}$2.44, 4 WKs 23.46${\pm}$2.09) and fat weight (P=0.000;B21.66${\pm}$5.06, 4 WKs 18.41${\pm}$4.57) of some obese patients decreased significantly between before and after treatment for 4 weeks. Physical functioning (P=0.48;B27.06${\pm}$3.17, 4 WKs 28.00${\pm}$1.71), Mental health (P=0.01 ;B18.83${\pm}$5.25, 4 WKs 22.00${\pm}$3.73), Vitality (P=0.028;B13.89${\pm}$3.03, 4 WKs 15.44${\pm}$2.53), Bodily pain (P=.0014;B8.84${\pm}$1.75, 4 WKs 10.15${\pm}$1.78), and the total scores (P=0.001;B104.99${\pm}$12.60, 4 WKs 114.58${\pm}$11.11) of SF-36 were increased significantly after treatments. These data show some differences in QoL and BMI between before and after treatment on obesity and suggest that the treatment with acupuncture and herbal medicine have a positive impact on several domains of QoL of some obese patients. Further randomized clinical trials (RCTs) including follow-up are needed to examine whether acupuncture and herb medicine have a positive effect on QoL of treatment group compared with control group.