• 한국의료질향상학회지
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• 제5권2호
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• pp.278-294
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• 1998

This study was planned to provide basic data for activating quality improvement by genera hospital with more than 400 beds across the country, of which 65 coordinators answered. Main results of the study are as follows.. 1. Job satisfaction and organizational commitment by individual characteristics were compared. It was revealed that the sense of self-efficacy was related to job satisfaction positively. But job satisfaction and organizational commitment by locus of control showed no significant difference. 2. In terms of the characteristics of QI activities, the active participation of QI coordinators in QI planning process and smooth communication among hospital staffs were showed positive relationship to job satisfaction significantly. 3. Also support system was proposed as most significant variable related to the job satisfaction and the organizational commitment of QI coordinators. Especially support to QI activities by CEO's, seniors, and other hospital staff was a factor to enhance the job satisfaction and organizational commitment of QI coordinators. 4. In the aspect of organizational culture, culture which were tendency to be recognized high autonomy in their work and organizational identity strongly and to operate reasonable compensation system were related to job satisfaction and organizational commitment positively. The more formalized climate, supportive communication, cooperative teamwork and promoting creative/risk take behavior, it showed the higher organizational commitment. 5. For the aspect of QI job characteristics, QI coordinators' job satisfaction was high when QI office was arranged for independent department which was exclusively in charge of QI activities and their role is exclusively in charge of QI. It can be concluded that organizational support in the aspect of relation and finance and efforts of encouraging their motivation and providing on the job training program are need.

• 수산해양교육연구
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• 제22권3호
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• pp.431-444
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• 2010

This research aims at developing a teachers' training program to reinforce teachers' capability to perform the action learning program. To accomplish this goal, the key value of the training program based on action learning, the process of the core learning activities, and the elements to support learners and facilitators respectively were deducted on the foundation of documentary research and case study, based on which, the program was developed through the formative test by professionals and application to the field. This research was applied to 105 middle or high school teachers, the participants of the in-service training on creative problem solving hosted by B metropolitan city for one week (30 hours) from 9 a.m. on Monday, January 25th, 2010 to 4 p.m. on Friday, January 29th. The result of this research is as follows. First, as for the key values of this study, (1) the team-based learning centered on the trainees, not lecturers-oriented, knowledge-transmitting training, is possible, (2)for each process, guidelines, related information, tools, and various kinds of media are supported just in time, and (3)a focus is given on fostering facilitators centered on teachers. Second, the process of the core learning activities of the teachers' training program based on action learning consists of the procedure of a prior lecture${\rightarrow}$break${\rightarrow}$investigation into problems${\rightarrow}$clarification of problems${\rightarrow}$drawing possible solutions${\rightarrow}$decision on the priority${\rightarrow}$making an action plan${\rightarrow}$performance${\rightarrow}$evaluation, and on each stage, the contents for the activities of teachers and learners and detailed supportive elements are offered.

• 지역연구
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• 제37권4호
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• pp.61-74
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• 2021

이 연구는 공동체의 환경오염 복구 과정을 탐색하여 공동체 회복에 영향을 미친 공동체의 역량 및 저해요인 등을 탐색하는 것이다. 서천군 구 장항제련소에서 발생한 오염 복구와 관련한 공동체 활동을 사례로 연구하였다. 연구 결과, 공동체의 회복에 긍정적 영향을 주는 요인은 리더, 협력 자원, 언론 등의 요소가 있었다. 공동체 회복을 위한 원동력에는 이해관계가 적은 리더의 존재가 있었으며, 공동체 회복을 지속하는 데에는 주변 지역의 단체와 지역 주민들의 지속적인 관심 등의 협력이 필요했다. 무엇보다, 언론은 사건을 외부로 공론화하고 구성원의 활동을 증폭시키는 역할을 하였다. 한편, 오염정화 과정에서 단체 내부의 갈등, 주민과 활동 단체와의 갈등, 정부와의 갈등 등 공동체의 회복을 저해하는 요소가 존재했다. 공동체 회복 과정에서 보인 활동들은 연합된 거버넌스의 모습을 보였으며, 초기엔 '지원적'인 성격에서 이후 '저항적'이고 '방어적' 활동으로, 그리고 '주체적'이고 '창조적'인 모습으로 변화하였다.

• 한국유통학회지:유통연구
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• 제15권1호
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• pp.49-71
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• 2010

본 연구는 가맹사업자의 자기효능감에 주목하여 정부가 예비가맹사업자들을 보호하기 위해 가맹본부에 다양한 규제와 정책을 사용하는 것이 최선의 방법이 아니라는 것에 관심을 두고 있다. 본 연구에서는 경로-목표이론(path-goal theory)에서 제시한 가맹본부의 리더십 행동 유형과 가맹사업자의 관계결속의 영향관계에 있어서 가맹사업자의 특성으로 자기효능감의 조절효과를 규명하고, 실증 분석한 결과 다음과 같은 연구의 시사점을 발견할 수 있었다. 첫째, 가맹본부의 리더십 행동유형이 관계결속에 긍정적 효과를 가져 온다는 사실이 확인됨으로써 가맹본부는 가맹사업자에게 맞는 리더십 행동유형을 적용할 수 있도록 하여야 한다. 둘째, 가맹사업자의 자기효능감이 관계결속에 긍정적 효과가 있을 뿐만 아니라, 리더십 행동유형과 관계결속 사이에 상당한 조절효과가 있기 때문에 가맹본부는 가맹사업자들의 개인차(individual difference) 관리가 필요하다. 셋째, 정부는 가맹본부를 규제할 것만이 아니라 가맹본부가 가맹사업자들의 특성을 확실하게 파악하고 기업의 목표달성을 위한 정당한 통제가 가능하도록 제도적 지원을 해야 할 것이다.

• 인간행동과 음악연구
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• 제2권2호
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• pp.15-31
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• 2005

아동에게 있어서 말기 질환의 범위는 악성종양을 비롯하여 선천성 대사이상, 염색체 이상, 선천성 기형, 신경근육계 질환, 기타 다른 불치의 상태까지 포함한다. 병원환경에서 이러한 말기 질환 아동은 질병의 치료 과정과 관련하여 공포심, 분노, 좌절감을 경험할 수 있으며 통제된 병원 환경안에서 자율성을 제한받기 때문에 통제감을 상실하고 무기력해질 수 있다. 본 연구에서는 환경적 지지 모델(Contextual Support Model of Music Thterapy)을 중심으로 음악치료가 병원환경에 있는 말기질환자들의 정서 및 기능 변화에 긍정적 변화를 줄 수 있는지를 알아보았다. 환경적지지 모델 음악치료는 음악 환경의 구조적인 특성(structure), 자발성 지지(autonomy support) 그리고 참여(involvement)라는 세 가지 요소로 구성된다. 그리고 이러한 치료적 구성 요소로 이루어진 음악 환경은 아동의 활동을 지지하고 격려하도록 도와준다. 이 세 가지 치료적 요소를 중심으로 하여 본 연구는 말기질환 아동과의 음악치료사례를 분석하여 말기 질환 아동의 행동이 환경적 지지 역할을 하는 음악 안에서 어떠한 유형으로 나타나는지에 대해서 알아보았다. 본 연구의 대상자는 만 10살의 급성 림프성 백혈병 여아로 총 9회의 세션을 통한 음악 치료 활동 내용을 질적 연구방법으로 사용하여 내용분석을 하였다. 내용분석은 환경적 지지모델의 세 가지 치료적 요소 중심으로 본 연구자가 설정한 행동들을 기준으로 이루어졌다. 환아와의 주 음악 치료 활동은 악기 연주하며 노래부르기, CD플레이어로 노래 들으면서 노래 부르기, 노래 만들기, 노래 가사 탐색하기 활동으로 이루어졌다. 본 연구의 결과는 다음과 같다. 환경적인 구조적 특성(Structure) 측면에서는 음악치료는 노래를 부를 수 있는 환경과 악기를 연주할 수 있는 환경을 제공해주고 음악 만들기 활동을 할 수 있는 준비를 해줌으로써 아동이 성공적으로 음악 활동을 할 수 있도록 방향을 제시해주었다. 자발성 지지(Autonomy support) 측면에서 음악치료는 노래를 부르거나 악기를 연주할 때 여러 가지 선택의 기회를 제공함으로써 아동이 자발적으로 참여할 수 있도록 하였다. 참여(Involvement)의 측면에서는 치료사가 아동에게 긍정적인 강화를 제시함으로써 아동이 긍정적으로 경험하고 공유된 활동 안에서 치료사와 상호 협력적으로 음악활동을 진행하는 모습을 볼 수 있었다. 이와 같이 음악치료는 환경적으로 지지 역할을 하며 정서적으로 위축되어있는 아동에게 자발성과 독립성을 개발시켜주고 병원 환경이라는 제약된 환경 안에서 자율성을 촉진시켜줄 수 있음을 보여주었다. 이러한 음악 치료의 효과를 근거로 하여 입원 환경에 있는 아동들을 위한 더 다양한 접근 방법의 음악치료 연구가 이루어지기를 기대한다.

• 한국산업보건학회지
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• 제11권2호
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• pp.169-178
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• 2001

Numerous regulations have been introduced and a various kinds of institutional intervention have been made by government against the occupational safety and health problems. However, it was serious issue to the workers that what can be claimed by those who meet with apparently harmful and risky working conditions in their social systems. In the view point of employees, their right to be free from unacceptable risk and hazards has not been clearly defined. Therefore, workers have very limited rights to take any actions unless employer or government do their actions. It is believed that this undesirable conditions resulted from Jack of legal definition of workers' right to work in the safe and healthy environment. It has been found increased social pressure to make intervention to the industry to protect workers' health. Also, increased pressure has been kept for deregulation. This conflict lay the current situation in dilemma. The concept of the working environmental right has been developed and discussed in this study to overcome this trade-off confliction. It should be clearly separated between legal aspects and administrative and Policy area to make the regulations effective. Strong enforcement to the industry based on the law should be minimum, however, it should be practically effective in the aspect of workers' right. Administration and policy should be focused on supportive and leading activities to achieve the ultimate goal, safe and healthy working environment. It is concluded that establishment of working environmental right would satisfy workers and industry and it would result in improvement workers' environment and conditions.

• 보건교육건강증진학회지
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• 제34권1호
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• pp.47-65
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• 2017

Objectives: This paper aims to identify depressive or stress related symptoms and its associated risk and protective factors among marriage immigrant women in Korea. Methods: The study participants were 490 immigrant wives from '2012 Survey of Foreign Residents in Korea'. The participants completed self-administered questionnaires on socio-demographics, health status, family members' related factors, and other environmental factors. Results: Difficulties on child nursing, finance, family conflict, and experience of physical or verbal violence were significant risk variables to the depressive stress related symptoms. Family life satisfaction, discussion about troubles with Koreans, healthy status, social trust, and discussion about troubles with people from home country were the significant protective variables to mental health. However economic activities were not protective factors but risk factors. Conclusions: Mental Health promotion programs for marriage immigrant women and their family members need to consider the family and community related protective mental health factors and develop supportive system with pre-existing programs and policy modification.

• Natural Product Sciences
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• 제15권3호
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• pp.156-161
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• 2009

Rubus coreanus, commonly known as 'red raspberry' is used as a traditional oriental medicine in Korea for the management of diseases such as impotence, spermatorrhea and athsma, and for allergies, in combination with other herbal preparations, in many centuries. We undertook a comparison of the hepatoprotective effect of ethanol extracts of the unripe (UREx) and ripe (RREx) R. coreanus extract against acetaminophen (AAP) induced hepatotoxicity in rats. UREx reduced the elevated alanine aminotransferase (ALP), aspartate aminotransferase (AST), total bilirubin (TB), alkaline phosphatase (AP), lipid peroxide and nitric oxide content which had been increased by AAP administration. UREx also increased the cellular glutathione (GSH) content and induced the glutathione-S-transferase (GST), glutathione peroxidase (GSH-Px) content which had been decreased by AAP. RREx did not exhibit strong hepatoprotective effect or antioxidant activity under the same conditions. The experimental results show that the degree of the ripening of R. coreanus affects the hepatoprotective activity in the AAP-intoxicated rats. These findings of a protective mechanism are supportive evidence for the utility of unripened R. coreanus in traditional medicine for liver ailments.

• Clinical and Experimental Pediatrics
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• 제58권12호
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• pp.505-508
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• 2015

It is uncommon for pediatric patients with rhabdomyosarcoma to present with clinical and/or laboratory features of disseminated intravascular coagulation (DIC). We report a case of metastatic alveolar rhabdomyosarcoma with severe bleeding because of DIC in a 13-year-old boy. He experienced persistent oozing at the site of a previous operation, gross hematuria, and massive epistaxis. Two weeks after initiating combination chemotherapy consisting of vincristine, doxorubicin, and cyclophosphamide, the patients' laboratory indications of DIC began to resolve. During this period, the patient received massive blood transfusion of a total of 311 units (26 units of red blood cells, 26 units of fresh frozen plasma, 74 units of platelet concentrates, 17 units of single donor platelets, and 168 units of cryoprecipitate), antithrombin-III and a synthetic protease inhibitor. Despite chemotherapy and radiation therapy, he died 1 year later because of disease progression. In children with metastatic rhabdomyosarcoma and massive DIC, prompt chemotherapy and aggressive supportive care is important to decrease malignancy-triggered procoagulant activities.

• Journal of Nutrition and Health
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• 제31권4호
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• pp.679-686
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• 1998

This study was performed to determine whether the infusion of nucleosides and a nucleotide mixture directly ito intestinal lumen can induce a regenerative effect on impaired intestinal mucosa. The effects of massive small bowel resention and also total parenteral nutrition were induced by surgical creation of Thirty-Vella fistual in male Sprague-Dawley rats. The rats received saline solution (Control group) or nucleosides and a nucleotide mixture(lower concentration group(Nucl) or higher concentration group (Nuc2) every two days into the fistula. Mucosal protein, DNA , ornithine decarboxylase(ODC) activity, and morphometry were evaluated at 9 or 21 days postoperation in the fistual and also in the residual ileal segment. On the 9th day, mucosal protein, DNA content, and villous surface area in the fistula and also in the residual ileum increased in rats that received nucleosides and a nucleotide mixture of lower concentration (Nuc 1). On the 21 th day, there were no significant differences in intestinal mucosa between the control group and the lower level nucleoside nucleotide mixture-treated group. The fistula villous height of the higher nucleosides and a nucleotide mixture group was higher than in the control rats. Fistula mucosal ODC activities were not significantly different between groups although the mucosal ODC activity of the residual ileal segment was increased on the 9th day. Our data suggests that this animal model is suitable for studying the effect of dietary factors on intestinal mucosal growth and regeneration after villous stropy , differentiating direct effects of diet on the intestine from systemic effects. It is also suggested that external nucleosides and nucleotides have supportive effects on intestinal mucosal regeneration.