• Title/Summary/Keyword: 단면조사 연구

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The association of physicians' caring attitude with patient satisfaction: an analysis of the national e-survey data

  • Park, Chanhyun;Kim, Namhyo;Shin, Dong Yeong;Feldman, Steven R.;Balkrishnan, Rajesh;Chang, Jongwha
    • Korea Journal of Hospital Management
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    • v.20 no.2
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    • pp.15-27
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    • 2015
  • As patient satisfaction is a crucial component of improved health care outcomes, there is a need to evaluate the relationship between physicians' attitude and patients' satisfaction. The objective of this study is to examine the relationship between patients' satisfaction and physicians' friendly and caring attitudes by using recent physician ratings by patients. Data from a cross-sectional survey using a convenience sampling was utilized to examine the relationship between physicians' attitudes and patients' satisfaction. The independent variable was the physician's attitude, and the dependent variables were patients' satisfaction with the physician and the office setting. A total of 273,994 patients it the US were included. The patients' average (standard deviation, SD) satisfaction with the physician was 78.08 (0.14), and the average (SD) satisfaction with the office setting was 78.62 (0.12) out of 100. Physicians' attitude was a significant predicting factor impacting the patients' satisfaction with the physician and the office setting (p < 0.001). To facilitate patients' satisfaction with healthcare, a continuous effort to develop physicians' ability to communicate in an empathetic manner should be undertaken so that patients perceive their physicians as empathetic.

Pesticide exposure of alpine agricultural workers in Gangwon-do and the measurement of their health status measured by SF-12 (강원도 고랭지 농업인의 농약 노출 및 SF-12를 이용한 건강수준 측정)

  • Song, Jae-Seok;Park, Woong-Sub;Seo, Jong-Chul;Kwak, Youn-Hee;Kim, Sang-Ah;Kim, Byung-Sup;Choi, Hong-Soon
    • The Korean Journal of Pesticide Science
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    • v.9 no.4
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    • pp.287-291
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    • 2005
  • The development of agricultural technology makes the increasement of pesticide usage. The results of pesticide usage were the increment of agricultural outcomes, but the health hazard was increasing also. Especially, alpine agriculture needs more pesticide than general agriculture and they suffered from more pesticide induced health symptoms. There were no study about the pesticide usage and subjective health status. So, this study was performed to investigate the relationship between pesticide usage and health status. The health status was measured by SF-12. SF-12 was well known health status measurement tool. SF-12 have two components, which were mental component score and physical component score. As a results of analysis, the alpine agricultural workers had higher pesticide exposure index and acute symptom score. As the results of multivariate analysis, physical component score was affected by pesticide exposure, but mental component score was not. Although, this study has many limitations, the result of this study can suggest the need of political advise and the further study.

Association between air conduction hearing threshold and blood viscosity in normal adult males (정상 성인남자에 있어서 기도청력역치와 혈액점도와의 연관성에 관한 연구)

  • Kim, Sang-Woo;Lee, Jong-Young;Park, Wan-Seup;Woo, Kuck-Hyeun
    • Journal of Preventive Medicine and Public Health
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    • v.30 no.3 s.58
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    • pp.623-629
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    • 1997
  • This is cross-sectional study to evaluate a potential relationship between air conduction hearing threshold and blood viscosity in normal adult males(n=1677). We measured hearing threshold in frequency level at 500, 1000, 2000, 4000Hz by pure-tone audiometry and RBC profiles containing red cell number, hemoglobin, hematocrit. Blood viscosity are replaced by hematocrit that are one major factor of influencing blood viscosity. PTAs(pure-tone averages) are measured by hearing threshold averages level at 500Hz, 1000Hz, 2000Hz. Grades of PTAs(pure-tone averages) are divided three groups that are less then 10.0dB group, between 10.0-19.9dB group and excess 20.0dB. The results shows significant association among hematocrit, red cell number and hearing loss(age adjust by ANACOVA).

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Quantity over Quality? Perception of Designating Long-Term Care Hospitals as Providers of Hospice and Palliative Care

  • Kim-Knauss, Yaeji;Jeong, Eunseok;Sim, Jin-ah;Lee, Jihye;Choo, Jiyeon;Yun, Young Ho
    • Journal of Hospice and Palliative Care
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    • v.22 no.4
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    • pp.145-155
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    • 2019
  • Purpose: Amendment to the Act on Decisions on Life-sustaining Treatment was recently enacted to designate long-term care hospitals as providers of hospice and palliative care. Despite its benefit of providing improved accessibility to end-of-life care, the amendment has raised concerns about its effect on quality of service. This study aimed to use information obtained from an expert group interview and previous studies to compare how cancer patients, family caregivers, physicians, and the general Korean population perceive the potential benefits and risks of this amendment. Methods: We conducted a multicenter cross-sectional study from July to October 2016. The included participants answered a structured questionnaire regarding the extent to which they agree or disagree with the questionnaire items indicating the potential benefits and risks of the amendment. Chi-square tests and univariate and multivariate logistic regression analyses were performed. Results: Compared with the general population, physicians agreed more that long-term care hospitals are currently not adequately equipped to provide quality hospice and palliative care. Family caregivers found improved access to long-term care hospitals more favorable but were more likely to agree that these hospitals might prioritize profits, thereby threatening the philosophy of hospice care, and that families might cease to fulfill filial responsibilities. Compared with the general population, cancer patients were more concerned about the potentially decreased service quality in this setting. Conclusion: Although potential service beneficiaries and providers expected improved accessibility of hospice and palliative care services, they were also concerned whether the system can provide adequate quality of end-of-life care.

Comparative Study on Dietary habits, Food Intakes, and Serum Lipid Levels according to Kimchi Consumption in College Students (대학생의 김치섭취 수준에 따른 식습관, 식품섭취실태 및 혈중지질 농도에 관한 연구)

  • Lee, Se-Young;Song, Yeong-Ok;Han, Eung-Soo;Han, Ji-Sook
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.41 no.3
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    • pp.351-361
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    • 2012
  • This study was carried out to compare the differences in dietary habits, food consumption patterns, nutrient intakes, and serum lipid levels according to kimchi consumption in college students. The anthropometric and biochemical parameters of blood samples from the subjects were investigated, as well as a kimchi frequency questionnaire, 24-hour food recall and dietary habits. The subjects were divided into two groups according to their kimchi consumption level based on the quantitative kimchi frequency questionnaire-kimchi consumption under 50 g group and kimchi consumption over 50 g group. As kimchi consumption increased, consumption of white rice (p<0.05) and noodles increased, whereas the consumption of confections decreased. The kimchi consumption over 50 g group was more likely to eat balance meals (p<0.05), and consume fruits and vegetables (p<0.05) than the other group. On the other hand, the kimchi consumption under 50 g group was more likely to consume milk than the kimchi consumption over 50 g group. The energy and sodium (p<0.05) intakes in the kimchi consumption over 50 g group were higher compared to the kimchi consumption under 50 g group. Kimchi consumption was positively correlated with HDL-cholesterol and negatively correlated with body fat, BMI, and blood glucose level. In addition, kimchi consumption was positively correlated with cereals, meats, and vegetables intakes, and negatively correlated with milk and dairy product intakes. However, there was no significant difference between the two groups.

Sequential Changes in Understory Vegetation Community for 15 Years in the Long-Term Ecological Research Site in Central Temperate Broad-leaved Deciduous Forest of Korea (한반도 온대중부 낙엽활엽수림 장기생태조사지에서 15년간 하층식생 군집의 시계열적 변화)

  • Kim, Min-Su;Yun, Soon-Jin;Park, Chan-Woo;Choi, Won-Il;Chun, Jung-Hwa;Lim, Jong-Hwan;Bae, Kwan-Ho
    • Korean Journal of Environment and Ecology
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    • v.35 no.3
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    • pp.223-236
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    • 2021
  • This study aims to provide basic data for the systematic conservation and efficient management of forest ecosystems by analyzing changes in understory vegetation of temperate broad-leaved deciduous forests. One-hectare permanent survey plot, consisting of 100 subplots sized 10 × 10 meters, was installed in Gwangneung forest in Pocheon, Gyeonggi-do in 2003. The state of stands and the understory vegetation in the permanent survey plot were examined at a 5-year interval from 2003 to 2018. The vascular plants found in the survey area were 56 families, 128 genera, 176 species, 18 variants, 4 varieties, and 1 subspecies, for a total of 199 taxa. The number of species in both the shrub layer and the herbaceous layer showed a tendency to decrease with time. The MRPP-tests showed a significantly differing species composition of the shrub layer in all years except 2008-2013, whereas significant differences were found in all years concerning the herbaceous layer. As for the average importance value, Euonymus oxyphyllus (18.23%), Acer pseudosieboldianum (16.48%), and Callicarpa japonica (13.85%) were dominant in the shrub layer, while Ainsliaea acerifolia (23.41%), Disporum smilacinum (9.45%), and Oplismenus undulatifolius (5.62%) were dominant in the herbaceous layer. In the shrub layer, the richness of Smilax china, Lonicera subsessilis, and Philadelphus schrenkii was high when the basal area and the stand density of an upper layer were high. By contrast, smaller basal area and stand density were associated with the richness of Acer pseudosieboldianum, Deutzia glabrata, Morus bombycis, and Cornus kousa. Furthermore, it was found out that the impact of the basal area and the stand density on the herbaceous layer decreased over time, while the herb layer's species composition was greatly affected by cover degrees of Euonymus oxyphyllus and Acer pseudosieboldianum in the shrub layer. In conclusion, the number of species in the understory vegetation in Gwangneung forest is continuously decreasing, thus implying that species diversity, basal area, and stand density of an upper layer can influence the species composition in understory vegetation.

Spray Visualization Using Laser Diagnostics (레이저를 이용한 분무 가시화)

  • 윤영빈
    • 한국가시화정보학회:학술대회논문집
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    • 2005.04a
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    • pp.87-112
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    • 2005
  • 분무를 정량적으로 측정하는 것은 노즐의 설계와 개발을 위해서 뿐만 아니라 연소 시스템 전반의 효율 및 불안정성의 제거, 공해 저감 등의 요구 조건을 만족하기 위해서 중요하다. 이를 위해 이전에는 분무장 내에 수집관을 삽입하는 기계적 패터네이터(Mechanical Patternator)와 같은 삽입식 측정 방식을 이용하여 왔으나, 최근에는 고속카메라, Malvern particle analyzer, PDPA, 광학 패터네이터(Optical Patternator)와 같은 분무장을 교란시키지 않으면서도 빠른 측정이 가능한 가시화 기술들이 적용되고 있다. 특히 광학 패터네이터는 레이저 평면광을 이용하여 분무를 측정하는 비삽입식 기술로 단시간 내에 분무장 내 액체 연료의 질량 및 액적 크기의 단면 분포를 동시에 얻어낼 수 있는 장점을 갖고 있다. 그러나 분무 액적들의 수밀도가 증가하는 경우에는 이들 액적에 의한 입사광 및 신호 감쇠, 다중산란 등에 의한 오차가 심하게 발생하여, 기존의 PDPA, PLIF 등의 광학 기법으로는 충분히 신뢰할 만한 결과를 얻기가 어렵게 된다. 이러한 분무를 정량적으로 측정하기 위해서는 입사광의 감쇠뿐만 아니라 분무장 내 액적들에 의한 신호의 감쇠 과정에 대한 고려가 필요하다. 주면 액적들의 영향을 최소한으로 줄이기 위해서는 레이저 평면광을 사용하는 광학 패터네이터와 달리 레이저 광선을 분무장에 조사하여 고압에서 나타날 수 있는 다중 산란에 의한 오차를 최소화할 수 있다. 이러한 이미지 처리 기법을 이용하는 광학 선형 패터네이터(Optical Line Patternator)를 이용하여 기존 레이저 계측기법으로 측정이 곤란하였던 고압 환경 하에서의 스월 동축형 인젝터의 분무 특성을 해석할 수가 있다. 2015(년도) 6,388, 2025(년도) 13,367, 2035(년도) 18,756, 2045(년도) 22,595, 시장점유율 증가로 인한 수출액 증가분 누적(억원) : 2015(년도) 3,411, 2025(년도) 8,847, 2035(년도) 14,433, 2045(년도) 18,005 또한 시나리오 비교평가를 실시하여 본 결과, 본 연구에서 정의한 순편익 누적(Cumulative Net Profit) 변수를 적용하면 현재 연구비 추세 대비 $30\%$ 까지 연구비를 증가 시키는 것이 효율적임을 알 수 있었다.성, 생산 용이성, 제품 디자인의 우수한 정도가 a=0.01 수준 하에서 유의적으로 추정되었다. 이들 변수들 중에서 품질경쟁력에 가장 큰 영향을 미치는 측정변수는 제품의 기본 성능, 수명(내구성), 신뢰성, 제품 디자인의 순서로 추정되었다. 이것은 한국 제조업이 아직 산업 디자인이 품질경쟁력에 크게 영향을 미치는 성숙단계에 이르지 못하였음을 의미한다. (2) 제품 디자인에게 영향을 끼치는 유의적인 변수는 연구개발력, 연구개발투자 수준, 혁신활동 수준(5S, TPM, 6Sigma 운동, QC 등)이며, 제품 디자인은 우선 품질경쟁력을 높여 간접적으로 고객만족과 고객 충성을 유발하는 것으로 추정되었다. 상기의 분석결과로부터, 본 연구는 다음과 같은 정책적 함의를 도출하였다. 첫째, 신상품 개발과 혁신을 위한 포괄적인 연구개발 프로젝트를 품질 경쟁력의 주요 결정요인(제품의 기본성능, 신뢰성, 수명(내구성) 및 제품 디자인)과 연계하여 추진해야 할 것이다. 둘째, 기업은 디자인 경영 마인드 제고와 디자인 전문인력 양성을, 대학은 디자인 현장 업무를 통하여 창의력 증진과 기획 및 마케팅 능력 교육을, 정부는 디자

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Structural Geometry of the Seongjuri Syncline, Chungnam Basin (충남분지 성주리향사의 구조기하학적 해석)

  • Noh, Jungrae;Park, Seung-Ik;Kwon, Sanghoon
    • Economic and Environmental Geology
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    • v.51 no.6
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    • pp.579-587
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    • 2018
  • Chungnam Basin has been known as one of the largest Mesozoic basins in Korea, filled mainly with so-called Daedong Supergroup. The basin has evolved as the Early to Middle Jurassic intra-arc volcano-sedimentary basin developed on top of the Late Triassic to Early Jurassic post-collisional basin in this area, recording evolutionary history of the Mesozoic tectonics in the southwestern Korean Peninsula. This study carries out the geometric interpretations of the Seongjuri syncline and its surroundings in the central part of the Chungnam Basin, based on detailed structural field survey. Based on its doubly-plunging fold geometry, the Seongjuri syncline could be subdivided into the southwestern and northeastern domains. On the down-plunge profiles of the southwestern domain of the Seongjuri syncline as well as the underlying Okma fold, the Okma fault shows typical geometry of a basement-involved reverse fault that propagated up to the sedimentary cover. The profiles illustrate that the Seongjuri syncline occurs in front of the tip of the Okma fault, likely implying its origin as a part of the fault-related fold system. The result of this study will provide better insight into the structural interpretation of the Chungnam Basin, and will further provide useful information for the Mesozoic orgenic events of the southwestern Korean Peninsula.

Hydrological Characteristics of Subsurface Stormflow through Soil Matrix and Macropores on forested Hillslopes (산지 사면에서 토양체와 대공극을 통해 발생하는 지표하 호우류의 수문학적 특성)

  • Kim, Kyong-Ha
    • Journal of Korea Water Resources Association
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    • v.30 no.6
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    • pp.777-785
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    • 1997
  • This study was conducted to clarify the hydrological characteristics of subsurface flow through a soil matrix and macropores. The research facility was set up in a 20m-1ong trench excavated down to bedrock at the base of a hillslope in the Panola catchment under USGS Georgia district. 13 macropores were found on the trench face and 6 major macropores were monitored. Matrix and macropore flow were measured during 95.5mm rainfall on March, 6 to 7. 1996. Macropore flow had great influence on formation of peak flow because the delivery time to Peak flow of macropore flow were faster about 10hrs than those of matrix flow. Matrix flow continued to recess for 3 days. On the other hand, macropore flow stopped within 12hrs after the event ceased. This means that matrix flow controls the recession part. The spatial variations of matrix and macropore flow between each trough and collector were very large by a wide range of 8,655.3 $\ell$ to 17.8 $\ell$ . The bed rock surface topography relates closer with the spatial variations of the flow than the surface one.

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A Kinetic Study of GaN Formation from GaOOH under $NH_3$ Flowing ($NH_3$ 분위기에서 GaOOH로부터 GaN의 반응기구)

  • 이재범;이종원;박인용;김선태
    • Proceedings of the Materials Research Society of Korea Conference
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    • 2003.03a
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    • pp.94-94
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    • 2003
  • 최근, 새로운 전자재료로서 GaN 분말의 합성과 응용에 관한 연구가 많이 이루어지고 있다. CaN 분말은 열처리 과정 중 분해를 방지하기 위한 표면 보호용 소재, CaN 박막 또는 벌크 결정을 성장하기 위한 precursor 및 대면적 평판표시소자 제작을 위한 전기발광소자용 소재 등에 적용되고 있다. 일반적으로 100$0^{\circ}C$ 이상의 온도에서Ga과 NH$_3$를 반응시키거나, Ga이 포함된 화합물반도체 또는 산화물 및 질산염 등을 NH$_3$ 분위기에서 가열시켜 GaN 분말을 합성시키고 있다. 본 논문에서는 출발물질로서 GaOOH를 채택하고, 이를 NH$_3$ 가스를 흘리면서 가열 반응시켜 GaN 분말을 합성하고 X선 회절분석 방법을 사용하여 GaN의 합성에 대한 반응기구를 조사하였다. GaN 분말을 합성하기 위하여 GaOOH 분말 1g을 석영 용기에 담아 석영 반응관 내에 위치시키고, 반응관 내부를 $10^{-3}$ torr의 진공으로 배기한 후 $N_2$를 주입하면서 전기로의 온도를 1$0^{\circ}C$/min으로 승온시켰다. 반응온도는 300~l17$0^{\circ}C$의 범위에서 변화시켰고, 반응시간은 10분부터 24시간까지 변화시켰으며, NH$_3$의 유량은 300~700 sccm의 범위에서 변화시켰다. GaN의 반응역학을 조사하기 위하여 X선 회절도에서 특정 성분의 회절강도는 시료 내에 포함된 특정 성분의 량에 직접 비례한다고 가정하고, 2$\theta$=37$^{\circ}$부근에서 관찰되는 GaN의 (101)면에 의한 회절강도를 측정하고, 이를 GaN의 생성량으로 고려하였다.}C$로 소결 하였다. coating 결과 박리현상은 없었으나, 표면과 단면의 SEM분석결과 다소 porous한 박막층이 형성되었으며, Ca이온이 지지체로 permeation되는 현상이 발생하였다. 이와 같은 결과로부터 보다 치밀한 박막생성을 위해, slurry 제조조건을 변화시켰으며, Ca이온의 migration을 막기 위해 barrier layer를 이용하였다 완전 소결된 지지체는 가스투과도와 전기전도도측정을 통하여 특성을 평가하였다.였다.다.m이하의 NH$_3$ 가스를 검출할 수 있었다.기 화강암 관입 이전에 좌수향 전단 운동에 의해 부분적으로 재활성 되었으며, 후기 화강암의 관입 이후에 재차 우수향 전단운동으로 활성화 되었음을 알 수 있다. 이상의 결과를 종합하면 호남전단대는 쥬라기 중기에 발생한 광역적인 우수향의 연성전단운동이나, 운동 특성은 연속적이기 보다는 단속적으로 일어난 것으로 생각된다.리 폐 관류는 정맥주입 방법에 비해 고농도의 cisplatin 투여로 인한 다른 장기에서의 농도 증가 없이 폐 조직에 약 50배 정도의 고농도 cisplatin을 투여할 수 있었으며, 또한 분리 폐 관류 시 cisplatin에 의한 직접적 폐 독성은 발견되지 않았다이 낮았으나 통계학적 의의는 없었다[10.0%(4/40) : 8.2%(20/244), p>0.05]. 결론: 비디오흉강경술에서 재발을 낮추기 위해 수술시 폐야 전체를 관찰하여 존재하는 폐기포를 놓치지 않는 것이 중요하며, 폐기포를 확인하지 못한 경우와 이차성 자연기흉에 대해서는 흉막유착술에 더 세심한 주의가 필요하다는 것을 확인하였다. 비디오흉강경수술은 통증이 적고, 입원기간이 짧고, 사회로의 복귀가 빠르며, 고위험군에 적용할 수 있고, 무엇보다도 미용상의 이점이 크다는 면에서 자연기흉에 대해 유용한 치료방법임에는 틀림이 없으나 개흉술에 비

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