• Title/Summary/Keyword: 방문감소

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The Effect of Metabolic Syndrome Management Program in a Public Health Center (일개 보건소 대사증후군 관리프로그램의 효과분석)

  • Seo, Jae-Ryoung;Bae, Sang-Soo
    • Journal of agricultural medicine and community health
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    • v.36 no.4
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    • pp.264-279
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    • 2011
  • Objectives: The aims of this study were to evaluate the effect of a metabolic syndrome management program on participants enrolled in a public health center program in, Seoul, Korea for 6 months and to analyze the changes in their life habits and risk factors for treating their metabolic syndrome. Methods: Participants enrolled in a metabolic syndrome program at a public health center and answered questionnaires. Their waist circumference and, blood pressure were measured and their blood was tested. Based on the results, the participants were classified into 3 groups. Then, the center provided a metabolic syndrome management intervention program for the individual groups and analyzed the changes in participants' life habits and risk factors after 6 months. Results: After the intervention, the active group, showed improved physical activity, increased eating habits by 0.7 points, and decreased drinking and smoking; however, these results were not statistically significant. As for the Participants' overall health status, all groups positively changed a statistically significant result. In regard to the change in risk factors for metabolic syndrome in the active group, systolic and diastolic blood pressure and triglyceride levels were, statistically significantly decreased, meanwhile, an increase was found in HDL cholesterol level, waist measurement, and anteprandial glucose level; but the result were not statistically significant. Their review rate was 19.0%; 29.4% in the active group, 19.0% in motivating group A, and 14.5% in motivating group B. Conclusions: Participants showed changes in some life habits and risk factors, a result still far from the program's goal to improve residents' health status (improved living habits and variations in risk factors); thus, it is necessary to supplement this program for better performance.

A Study on the Effects of Visiting Companion Dog Program on People with Chronic Mental Disability (치료감호소의 만성정신장애인을 대상으로 한 반려견 방문프로그램의 효과에 관한 연구)

  • Kim, Sung-Chun;Noh, He-Len
    • Korean Journal of Social Welfare
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    • v.36
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    • pp.1-20
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    • 1998
  • This study was conducted to find out the effects of visiting companion dog program on people with chronic mental disability. Visiting companion dog program was carried out for one hour every week for about three months between January and March of 1997 for chronic schizophrenic patients with severe negative symptoms and evaluated by the treatment team as those who are incapable of participating in any other program aside from medication. In order to measure the effects of the program PANSS: Positive and Negative Syndrome Scale was conducted by two trained evaluators. The results showed that there was a statistically significant decrease in scores of negative symtoms and general psypathological symtoms. Moreover, scaling scores reported by the nurses and occupational therapist also reveal that the patients show positive changes such as improvement in conversational interaction and facial expressions. Such results evidence that companion animals can have positive emotional and mental influence on people with chronic mental disability. Furthermore the fact that the visiting companion dog program became a program that the chronically mentally disabled who could not participate in any other program can easily participate and enjoy is a meaningful finding in and of itself.

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Factors Affecting the Depression of the Elderly Women in Poverty (빈곤층 여성 노인의 우울에 미치는 영향요인)

  • Park, Eun-A;Lee, In-Sook
    • Journal of agricultural medicine and community health
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    • v.34 no.2
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    • pp.256-266
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    • 2009
  • Objectives: This study was to investigate the factors affecting the depression of the elderly women in poverty in community. Methods: The subjects were 1,208 elderly women over 65 years who were enrolled in the Public Health Care Center from Apr. 2008 to Jun. 2008. Data were collected using questionnaires including general characteristics, health related behaviors and health status by nurses at the time of enrollment. The collected data were analyzed by descriptive statistics, $x^2$-test, Pearson correlation coefficients and multivariate logistic regression. Results: The major findings of this study are as follows : The elderly women in poverty show a tendency to have lower level in income, education, self-rated health, cognitive function compared with ordinary women in old age. The predictors of depression of the elderly women in poverty were spouse's existence or nonexistence, type of insurance, cognitive function, and self-rated health. Conclusion: These findings suggest the need to develop nursing strategies for decreasing depression in the elderly women in poverty. To decrease the depression of the elderly women, the above-mentioned major influencing factors should be considered.

The Characteristics of Pre-Service Secondary Science Teachers' Curriculum Design for Teaching in Science Museum (과학관 활용 수업을 위한 중등 예비과학교사의 교수 설계에서 나타나는 특징)

  • Yang, Chanho;Bae, Yujin;Noh, Taehee
    • Journal of The Korean Association For Science Education
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    • v.35 no.1
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    • pp.95-107
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    • 2015
  • In this case study, we investigated the characteristics of pre-service secondary science teachers' curriculum design for teaching in science museums. Three pre-service secondary science teachers at a college of education in Seoul participated in this study. We have observed and recorded their teaching practices in science museums, collected all of their teaching materials, and conducted semi-structured interviews before and after teaching. All the data collected were analyzed by using the constant comparative method. The analyses of results revealed that the pre-service teachers structured their teaching in a series of pre-visit, during-visit, and post-visit as continuous activities. They attempted to reinforce students' learning experiences during the visit by providing post-visit activities, and also properly considered the principle that activity should be personally meaningful or relevant to students. However, they lacked the perceptions as well as the practical knowledge of reducing student's novelty of the science museum by providing activities prior to the visit, encouraging to engage in joint productive activities, promoting diverse social interactions, and providing students with choices and controls on their learning. On the bases of these results, we made some suggestions in pre-service teacher education for the professional development of teaching in science museum.

Effects of combined acupuncture and gabapentin treatment on chemotherapy-induced peripheral neuropathy: a pilot, randomized, assessor-blinded, controlled trial

  • Hyun Jung Jung;Dae Jun Kim;Joon Seok Byun
    • Journal of Korean Traditional Oncology
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    • v.28 no.1
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    • pp.33-44
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    • 2023
  • 목적: 항암유발말초신경병증은 암 환자가 겪는 흔한 항암 부작용이나 현재까지 효과적으로 알려진 치료법은 없다. 본 연구의 목적은 항암유발말초신경병증에 대한 침 치료와 가바펜틴의 병용 요법의 효과와 안전성을 평가하는 것이다. 방법: 항암유발말초신경병증을 겪고 있는 24명의 암 환자를 침 치료 단독군 (AG, acupuncture group)과 침과 가바펜틴의 병용요법군 (CG, combined acupuncture and gabapentin group)으로 무작위 배정하였다. 두 그룹 모두 침 치료는 주 3회, 4주간 수행하였다. 병용 요법군은 침 치료와 더불어 1일 900mg의 가바펜틴을 복용하도록 하였다. 치료 효과는 Neuropathic Pain Symptom Inventory (NPSI), visual analogue scale (VAS), European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Chemotherapy-Induced Peripheral Neuropathy 20 items (EORTC-CIPN20)를 이용하여 측정하였다. 치료로 인한 부작용은 대상자가 방문할 때마다 조사하였다. 결과: 총 23명의 대상자(AG, n=12; CG, n=11)의 평가지표를 분석한 결과, 치료 4 주 후 침 치료 단독군은 NPSI 점수가 44.33±25.04에서 30.58±21.55으로 감소하였고, 병용 요법군은 30.55±25.59에서 18.64±19.42로 감소하였으며, 두 군 모두 통계적으로 유의미하게 감소하였다(p<0.001). VAS점수는 침 치료 단독군에서는 4.79±2.17 에서 3.42±2.49으로 감소하였고, 병용 요법군에서는 3.55±2.07에서 2.73±2.49 로 감소하였다(p<0.05). 치료 효과는 치료 완료 2주후까지 지속되었으며, 두 군간의 유의미한 차이는 없었다. EORTC-CIPN20은 침 치료 단독군은 30.27±18.87에서 20.84±16.35으로 감소하여(p<0.01), 두 군 모두에서 삶의 질이 향상되었다. 결론: 본 연구로 침 치료와 가바펜틴의 병용 요법이 항암유발말초신경병증 환자의 증상 및 삶의 질 개선에 효과적이며 안전한 치료법임을 확인하였다. 그러나 침 치료와 가바펜틴의 시너지 효과에 대해서는 확인 할 수 없었으며, 이를 확인하기 위해 추가적인 연구가 필요할 것으로 사료된다.

Coastline Change on the Haeundae Beach using the Digital Aerial Photo (수치항공사진을 이용한 해운대해수욕장 해안선변화에 관한 연구)

  • Choi, Chul-Uong;Kim, Young-Seup
    • Journal of the Korean Association of Geographic Information Studies
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    • v.4 no.4
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    • pp.39-50
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    • 2001
  • There has been considerable controversy over the changes in the size of the beaches in the Pusan area; any loss of beach area will have an immense effect on the tourism industry, which is an important source of income for the local economy. The best beaches in Korea are in the Pusan area and were visited by more than 8 million persons in 2000. It is expected that the number of visitors, drawn to the scenic vistas and convenient facilities of this area, will increase annually. Any loss in the size of these swimming beaches will have an important negative effect on tourism income. Therefore, the local governments have gone to great lengths to preserve these beaches, transporting tens of thousands of tons of sand to the beaches before they open each year at a cost of billions of won annually. In this study, we analyzed aerial photographs and tide data for the past 50 years using digital aerial photo analysis and GIS techniques for each 3-year interval. We abstracted beach DEM (digital elevation model) and ortho aerial photographs, and conducted a space analysis. As a result, we were able to identify changes in the area and width of sections of Haeundae Beach.

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A Study on Application for CRM Marketing and QI Activities in Healthcare Organizations (보건의료조직에 있어서 CRM 마케팅과 QI 활동의 적용에 관한 연구)

  • Park, Chang Sik
    • The Korean Journal of Health Service Management
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    • v.1 no.1
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    • pp.1-15
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    • 2007
  • CRM의 장점은 원하는 고객에 대해서 마케팅 노력을 기울일 수 있고 그 결과로 마케팅 비용을 줄이고 효율을 높일 수 있는 것이다. 그리고 마케팅 전략 수립에 대한 방법의 변화와 그 수행방법의 변화가 CRM에 있기 때문에 여기에 따른 절차와 문화, 조직구조까지 변화 시킬 수 있다. 이를 방지하기 위하여 CRM교육이 필요하며, 그 중요성을 인식하고 실행하여야 한다. 그리고 경영환경에 적합한 마케팅 전략 수립이 필수적이다. CRM의 정확한 이해와 적합한 수행이 있어야만 병원경영의 목표달성에 도움이 된다. 그러나 CRM자체의 문제가 없는 것도 아니다. 무엇보다 전문 인력이 부족하면 시스템 구축과 마케팅이나 컨설팅 인력을 확보하여 프로젝트의 부실화를 방지하여야 한다. 다음은 실업자들의 업무패턴을 파악하고 사용자의 편의를 고려한 적용이 있어야 한다. 고가의 비용을 투입하여 CRM을 실행하였다 해도 사용자 교육의 미비가 생기면 효율이 감소될 것이다. 역시 CRM의 적용에 있어서 호환이 되지 않으면 통합비용으로 별도의 비용이 지출해야 하므로 비용의 증가를 감수하여야 한다. 환자의 의료의 질에 대한 만족은 환자의 주관적 개념으로 동일한 의료서비스에 대하여 환자들은 저마다 다르게 의료의 질을 평가하게 된다. 대부분의 환자들은 자신의 욕구와 의료의 질에 대한 기대를 가지고 병원을 방문하여 의료의 질을 평가하게 된다. 대부분의 환자들은 자신의 욕구와 의료의 질에 대한 기대를 가지고 병원을 방문하여, 그것을 의료제공자가 충족시키는 정도가 환자의 만족도를 결정하게 된다. 의료의 질은 의료서비스에 대한 만족과 밀접한 관련이 있다. 의료의 질과 만족은 강하게 연관이 있으면서도 양자는 분명히 다르다. 의료의 질에 대한 평가와 만족도는 매우 일치도가 높다고 볼 수 있다. 이것은 의료의 질적 수준이 높으면 환자만족도도 높다는 것을 의미한다. 따라서 본 연구는 병원의 환자관리를 위한 CRM 마케팅의 전기를 실증적으로 역설하고 이의 도입을 통한 효과와 문제점, 이에 대한 대응방안을 제시하고, 모범적인 CRM운영 사례를 제시함과 동시에 효과적인 의료의 질 경영을 구현하고 이것이 환자의 의료서비스 만족도를 높이는 결과인 것을 모색하는 것이 본 연구의 목적이다.

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Impact of Switchover Barrier, Switchover Intention and Willingness to Revisit on Customer's Characteristics - Comparison between Travel Agency and Airlines - (고객특성이 전환장벽, 전환의도와 재방문의사에 미치는 영향 - 여행사.항공사간 비교분석을 중심으로 -)

  • Chung, Ung-Young;Moon, Hye-Young
    • The Journal of the Korea Contents Association
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    • v.8 no.9
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    • pp.259-273
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    • 2008
  • This study aims to identify of customer features control the effect on revisit intention and switching intention. The statistical techniques used for this empirical analysis are frequency analysis, technology analysis, reliability analysis, factor analysis, confirmatory factor analysis along with path analysis and moderate regression analysis, which are based on structural model From the effect that customer features control the effect on switching barrier by switching intention, travel agencies has a control effect on 'financial switching costs' and 'relational switching costs', and airlines show they have control effect on 'relational switching costs.' In diversity pursuit factors, 'financial switching costs' and 'attractiveness of alternatives' have a meaningful control effect for travel agencies customers, while 'procedural switching costs' for airlines customers. In the analysis result of the effect that customer features control the effect on revisit intention by switching intention, 'percept' and 'diversity pursuit' have a meaningful control effect in travel agencies customers and airlines one, respectively.

Comparison of Related Influencing Factors on Medical Services Satisfaction between General Dental Patients and Orthodontic Patients (치과 교정치료환자와 일반치료환자의 의료서비스 만족도 관련요인)

  • Lee, Dong-Geon;Han, Sam-Sung;Yoo, Wang-Keun
    • The Journal of the Korea Contents Association
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    • v.18 no.6
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    • pp.257-266
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    • 2018
  • This study was carried out to examine comparison of relating influencing factors on medical service satisfaction between general dental patients and orthodontic patients and to improve quality of the medical services by the treatment type of the visit. The data were collected from 421 patients who visited dental clinics and hospitals in Daegu and Gyeongbuk region, using self-administered questionnaire for the period from Sep 1 to Sep 30, 2015. The multiple regression showed that the medical staff and medical fee were common statistically significant independent variables to influence service satisfaction in both groups, however, fear in the treatment was added to statistically significant variables in only the orthodontic patients. Therefore, based on the provision of high - quality medical services and adequate medical care for patients' satisfaction, comprehensive plans including tailor-made counseling management and reducing the fear of dental treatment for general dental patients should be needed.

Temporary Satellite Constellation Design for the Ground Reconnaissance Mission (지상 정찰을 위한 임시 위성군집궤도 설계)

  • Kim, Hae-Dong;Bang, Hyo-Choong
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.37 no.11
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    • pp.1112-1120
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    • 2009
  • In this paper, the authors introduced a new approach to find the target orbits of each satellite in order to establish a temporary reconnaissance constellation mission to minimize the average revisit time (ART) while satisfying the constraint on fuel limit. Two distinct problems are dealt with: the first is to reconnoiter the local area with discriminating fuel constraint the second is to reconnoiter ground moving target with same fuel constraint. A preliminary effort in applying a genetic algorithm to those problems has also been demonstrated through simulation study. The results show that current ARTs of each mission are reduced by 41% and 42%, respectively, by relocating the orbit of each satellite. Naturally, the final result may depend on satellite orbits, sensor characteristics, allowable fuel cost, thruster capability, and maneuver strategies.