• 경영과정보연구
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• 제35권1호
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• pp.235-251
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• 2016

본 연구는 의료서비스 제공 과정에서의 진료환경이 환자참여에 미치는 영향과 이들 간의 관계에서 부정적 감정의 조절효과를 분석하고자 하였다. 이러한 연구목적 달성을 위하여 국내 C 지역의 병의원 환자 중 진료를 마친 320명을 대상으로 수집한 자료를 SPSS 19.0을 이용하여 단계적 회귀분석을 수행하였다. 실증분석 결과는 다음과 같다. 진료환경의 청결성은 행동적 참여에, 환자의 연령이 높을수록 감정적 참여에, 진료환경의 제3자의 존재는 감정과 정보적 참여에 긍정적 영향을 미치는 것으로 확인하였다. 환자의 부정적 감정은 감정적 참여와 정보적 참여에 부정적 영향을 미쳤고, 진료환경의 시간압박은 환자의 정보적 참여수준에 부정적 영향을 미쳤다. 둘째, 조절효과로는 진료환경의 청결성과 감정적 참여 간에 부정적 감정은 긍정적인 영향을 미쳤다. 마지막으로 이러한 연구결과를 중심으로 의료서비스의 진료환경과 부정적 감정을 고려하여 환자참여를 향상시키기 위한 방법 등 이론적, 실무적 시사점을 제시하였다.

• 한국치위생학회지
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• 제6권3호
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• pp.243-261
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• 2006

Priority setting in national health insurances in major advanced countries and the nation was investigated to draw the criteria for priority setting and suggest the most rational criteria for dental insurance so as to help secure the efficiency of medicare financing and individual's health right and also elevate medical consumers' satisfaction with health insurance. 1. Priorities in national health insurance are different from country to country, depending on the medical security systems, priority introducing conditions, and social environment, but have many common factors. 2. The priority setting criteria for national health insurance in those countries include the following in common: the efficiency, equity, and cost effect of treatment, emergency of treatment, consumption of expense, efficacy of treatment, patient's receptiveness, patient's demand, severity of disease, and patient's responsibility for the disease. 3. In oral diseases, severe diseases including oral cavity cancer are low in rate, and in-hospital treatments are few. From the above findings, it is suggested that dental insurance should establish discriminative criteria for priority setting by reflecting the aspects of dental diseases and system difference between dental and other health insurances and taking account of efficiency of treatment through prevention, cost effect, prevalence and incidence of generalized diseases, and individual's financing burden.

• 생물환경조절학회지
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• 제13권2호
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• pp.102-106
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• 2004

착색단고추 관비재배 시 토양수분함량이 생육 및 품질에 미치는 영향을 구명하여 생산성 향상을 위한 기초자료로 활용코져 수행하였다. 광합성속도 및 증산속도는 토양내 수분량이 적은 -30 ㎪에서 낮았으며, 토양의 pH와 EC는 수분함량에 따른 큰 변화 없이 안정적이었다. 식물체의 전질소 함량은 -30 ㎪에서 가장 낮았으며, 칼륨, 칼슘, 마그네슘은 -10 kPa에서 가장 높았고, 인산은 처리간에 유의성이 없었다. 정식 60일째의 생육은 토양수분함량이 낮아질수록 저조하였으나 정식 210일째는 토양수분함량간에 유의성이 없었다. 품질은 토양수분함량에 따른 유의성이 없었으나 당도만 -30 ㎪에서 $8.0^{\circ}$Brit로서 가장 높았다. 따라서 착색단고추 관비재배를 위한 토양수분의 함량은 -10 ㎪∼-20 ㎪에서 생육 및 품질이 양호하였다.

• 대한한방소아과학회지
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• 제35권3호
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• pp.28-42
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• 2021

Objectives The purpose of this study is to investigate the effect of Tuina treatment for children with Autism Spectrum Disorder (ASD), and to propose guidance to future studies or application in clinical setting. Methods The articles published from year 2000 to May 2021 by China National Knowledge Infrastructure (CNKI) were searched by setting up field as '中醫學', '中藥', '中西醫結合' and by setting up keyword as '小儿自閉症', '儿童自閉症', '自閉症譜系障碍', 'Autism', 'Autism spectrum disorder' that corresponds to participant and '推拿', '導引', '按摩', 'Tuina', 'massage'. Results Nine selected articles were analyzed and summarized by authors and year published, characteristics, diagnostic criteria, treatment methods and contents, treatment duration, evaluation criteria and results of the study. The articles were also reviewed by reported side effects, and evaluated the quality of the study according to Cochrane Handbook's Risk of Bias 2 (RoB 2) assessment of the Randomized Control Trial (RCT) articles. All studies used Tuina treatment to achieve effective results for pediatric autism spectrum disorder. Conclusion Pediatric Tuina treatment (TM) is a non-invasive treatment that does not stimulate patients with unstable ASD but increase patient adherence, and can be safely and simply operated. Therefore, pediatric Tuina treatment is worth utilizing as a clinical basis for further development of ASD treatment.

• 대한간호학회지
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• 제38권3호
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• pp.363-371
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• 2008

Purpose: This analysis was conducted to evaluate the cost-effectiveness of gemcitabine-cisplatin chemotherapy for non small-cell lung cancer patients in an outpatient setting compared with the traditional inpatient setting. Methods: A cost-effective analysis was conducted from a societal perspective. The effects of treatment, which was measured as an adverse event rate, were abstracted from a published literature search and empirical data from one university hospital. The costs included both direct and indirect costs. Direct costs included hospitalizations, outpatient visits, and lab tests. Pharmaceutical costs were excluded in analysis because they were same for both options. Indirect costs included productivity loss of patients as well as care-givers. In order to determine the robustness of the results, sensitivity analysis on treatment protocol was conducted. Results: Literature search showed no difference in adverse effect rates between inpatient treatment protocol and outpatient treatment protocol. Therefore, this analysis is a cost-minimization analysis. Cost-savings in the outpatient setting was 555,936 won for one treatment cycle. Our sensitivity analysis indicated that the outpatient chemotherapy still showed cost-savings, regardless of changes in treatment protocol. Conclusion: The outpatient gemcitabine-cisplatin chemotherapy for non small-cell lung cancer resulted in cost savings compared to inpatient chemotherapy. More importantly, outpatient chemotherapy could improve the utilization of health service resources in terms of available beds.

• 한국염색가공학회지
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• 제24권1호
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• pp.27-32
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• 2012

Generally, hair treatments by complementary actions to give a sense of activity are permanent setting, dyeing, and bleaching, etc. In this study, we investigated the wave formation ability and hair damage occuring in permanent setting and bleaching process. The wave formation ability was evaluated by the differences of length and curl diameter after permanent setting. And the hair damage was also evaluated by the protein release ability and SEM of hair. The bleached hair immediately after permanent setting treatment has better wave formation ability, but much more damaged than the bleached hair after rinsing thoroughly with warm water. It was considered that the chain of hair keratin broke down easily by the bleaching action in the existence of permanent setting agents.

• 열처리공학회지
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• 제25권3호
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• pp.121-125
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• 2012

The large forgings used in chemical plants or nuclear power plants are produced by complex heat treatment. because of thickness up to 200~300 mm and weight up to 200~300 ton, setting proper heat treatment cycle is so difficult. In addition, defects of products make companies wasting large money and valuable time. In this study, to reduce try & err, when setting heat treatment of reactor pressure vessel steel SA508Gr.3, carrying out the basic mechanical property test of SA508 Gr.3 and testing hardness of SA508Gr.3 in various tempering temperature. and calculating temper curve with Hollomon-Jaffe parameter.

• 수산해양기술연구
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• 제48권1호
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• pp.20-28
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• 2012

The monofilament with 0.304mm of diameter was produced using a polybutylene succinate (PBS) resin, and a gill net was made by it. We investigated the impact of heat setting temperature on the mechanical properties, knot state and height of gill net. Heat treatment was carried out using the high pressure steam machine for 20 minutes at temperature of $55^{\circ}C$, $60^{\circ}C$, $70^{\circ}C$ and $75^{\circ}C$. Before heat treatment, the strength and elongation of PBS monofilament were estimated to be $48.1kg/mm^2$, 23.8% at unknot, $37.6kg/mm^2$, 18.8% at single knot, $26.6kg/mm^2$, 22.9% at double knot in dry condition, respectively. The strength and elongation of PBS monofilament with double knot were decreased as heat setting temperature increased, and the decreasing rate of strength was showed to be higher than that of elongation. It was not found any differences in strength and elongation of PBS monofilament yarn with double knot at the $65^{\circ}C$ and $70^{\circ}C$ of heat setting temperature by 5% significance of T-test, but there was a significant difference at the $70^{\circ}C$ and $75^{\circ}C$ of heat setting temperature. The net's height and length from leg to leg appeared no differences at the $70^{\circ}C$ and $75^{\circ}C$ of heat setting temperature. In results, it was investigated that the PBS monofilament gill net with the maximized physical properties could be manufactured at $70^{\circ}C$ of heat setting temperature using a high pressure steam machine for 20 minutes.

• 한국농공학회지
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• 제45권6호
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• pp.144-152
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• 2003

Laboratory experiments were carried out to investigate the influence of pore water contamination on the treatment effect of sandy soil which was solidified by Portland cement. In the experiments, setting time of hydraulic cement that was mixed with contaminated mixing water was measured using Vicat equipment and observed the tendency of setting process with the kind of contaminants, organic or inorganic components. It was shown that organic contaminants of the mixing water affect largely on the initial setting process of hydraulic cement and inorganics, expecially heavy metals, did not affect on the initial setting process, otherwise it was appeared that setting time of the sandy soil that was contaminated with inorganic components was apparently faster than the sandy soil that did not include inorganic components even though organic concentrations was relatively low level (COD=200∼300) in the mixing water. The results of unconfined compression strength test (UCST) were well consistent with the results of Vicat equipment test.

• Fibers and Polymers
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• 제5권1호
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• pp.19-24
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• 2004

PET yarns textured at different texturing conditions were treated with superheated steam or dry heat at different temperatures for different times. The effects of the treatment conditions on the thermomechanical and structural changes of the yarn were examined by shrinkage, X-ray diffraction and birefringence measurements. With increase in superheated steam temperature, the crystalline orientation factor and birefringence decreased, whereas crystal size increased. Dry heat treatment had a smaller effect on shrinkage and structural properties in comparison with superheated steam treatment. The additional shrinkage after texturing process was investigated. The effect of heat-setting in both media was more significant at $200^{\circ}C$. The time dependence of the properties was not linear.