• Title/Summary/Keyword: 순응 경향

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Analysis of the medication compliance of hypertensives and its influential factors (고혈압 환자의 투약순응도와 영향 요인 분석)

  • Jeong, Mi-Ae
    • Proceedings of the KAIS Fall Conference
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    • 2010.05b
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    • pp.588-591
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    • 2010
  • 본 연구는 행정자료인 건강보험 및 의료급여비용 청구자료를 이용하여 고혈압 환자의 투약 순응도를 분석하였으며, 투약순응도에 영향을 미치는 요인에 대하여 조사한 결과 아래와 같다. 연구대상자의 투약일수를 살펴보면 6개월 동안 148일(80%) 이상 혈압강하제를 처방받은 환자는 13.0%에 불과하였다. 고혈압상병(주.부상병)으로 외래를 방문한 평균 횟수는 4.3일, 방문한 기관수는 평균 1.1곳이었고, 한곳의 의료기관만을 이용한 환자가 전체의 94.9%로 나타났다. 당뇨병을 동반상병으로 가지고 있는 환자가 11.6%로 가장 많았고 고혈압 환자의 23.3%가 동반상병을 가지고 있었다. 연구 대상자 특성별 투약순응도를 비교해 보면, 남성, 건강보험 가입자, 종합전문을 주이용기관으로 이용하는 환자, 동반상병을 가지고 있는 환자에서 투약 순응도가 높았다. 65-74세까지 투약 순응도가 증가하다가 그 후 감소하는 경향을 보였다. 고혈압 환자의 투약 순응도에 영향을 미치는 요인 조사 결과 남성, 55-64세, 건강보험 가입자가 투약순응도가 높게 나타났다. 외래방문횟수가 증가할수록 투약 순응도가 증가하였다. 종합전문, 종합병원, 보건기관을 주 이용기관으로 방문하는 환자와 심장질환, 당뇨병을 동반상병으로 가지고 있는 환자에서 투약순응도가 높았다.

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An Analysis on Compliance of Variable Speed Limit under Foggy Conditions using Driving Simulator (차량 시뮬레이터를 이용한 안개 도로 가변제한속도 순응 경향 분석)

  • Kim, Soullam;Lee, Sukki;Kim, Yongseok
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.16 no.2
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    • pp.116-127
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    • 2017
  • A fog on road is known as a weather factor that affects traffic flow. The method in order to solve the problem, recently, Variable Speed Limit(VSL) which provide reasonable speed limit by road and weather conditions in real time is introduced. However, if drivers do not comply with VSL, the road safety more decrease than without VSL because individual vehicle's speed deviation is larger than without VSL. Therefore, this paper aims to analyze to speed limit compliance and traffic characteristics under foggy conditions with and without VSL. A test using driving simulator divides into normal and foggy condition with visibilities are 200m, 150, 50~100m. The test results showed that 70 subjects's average speed mostly obeyed speed limit, but speed deviation generally declined with VSL. Especially, the speed deviation more reduced under foggy conditions. According to this study, compliance of VSL clearly rose in low visibility and VSL helped improve road safety due to reduction of speed deviation. The results of this study are expected to make use of reasonable speed limit for reference.

Temperature and Salinity Tolerance of the Manila Clam, Ruditapes philippinarum (바지락 (Ruditapes philippinarum)의 온도 및 염분 내성)

  • SHIN Yun-Kyong;KIM Yoon;CHUNG Ee-Yung;HUR Sung-Bum
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.33 no.3
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    • pp.213-218
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    • 2000
  • Tolerance on temperature and salinity of Ruditapes philippinarum was investigated in five different salinity, $32.0,\;25.6,\;19.20,\;12.80,\;6.40,\;3.20{\%_{\circ}}$ with increasing continuously $1^{\circ}C/day 2^{\circ}C/day\;and\;3^{\circ}C/day$ water temperature. R. philippinarum was acclimated to $18^{\circ}C\;and 25^{\circ}C$ before the experiment. Oxygen consumption rates and filtration rates of R. philippinarum were estimated during the experiment. $LT_{50}$ of two stocks acclimated to $18^{\circ}C\;and\;25^{\circ}C$ were similar. However, the maximum tolerance temperature of a stock acclimated $18^{\circ}C\;was\;36^{\circ}C$ while a stock acclimated $25^{\circ}C\;was\;37^{\circ}C$. This suggested that the higher water temperature a stock acclimated, the higher tolerance a stock showed, The surival rates of R. philippina겨m with the changes in salinities decreased below $19,2\;{\%_{\circ}}\;at\;18^{\circ}C\;and\;25^{\circ}C$. Oxygen consumption rates in the experimental group acclimated at $18^{\circ}C$ reduced with decreasing of salinity concentrations, while those of the experimental group acclimated at $25^{\circ}C$ showed irregular trend. Filtration rates revealed the maximum at 24{\~}28^{\circ}C$ in the experimental group acclimated ai $18^{\circ}C\;and\;31{\~}33^{\circ}C\;in\;those\;at\;25{\circ}C$. Filtraton rates shanty decreased at the lower salinity concentrations.

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Factors Influencing the Therapeutic Compliance of Patients with Lung Cancer (폐암환자의 치료순응도에 영향을 미치는 요인)

  • Chae, Sang-Chul;Park, Jae-Yong;Kim, Jeong-Suk;Bae, Moon-Seob;Shin, Moo-Chul;Kim, Keon-Yeob;Kim, Chang-Ho;Shon, Sang-Kyun;Kam, Sin;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.45 no.5
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    • pp.953-961
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    • 1998
  • Background : In recent years, lung cancer has been one of most common cause of death in Korea. Despite many physician's high degree of pessimism about the gains made in treatment, progressive improvement in the survival of lung cancer by treatment has occurred, particulary in the early stages of the disease. However, a lot of patients refuse treatment or give up in the fight against the disease. This study was done to evaluate factors influencing the compliance to therapy and to lead in the establishment of special programs to enhance compliance in patients with lung cancer. Methods: The medical records of 903 patients, whose ECOG(Eastern Cooperative Oncology Group) performance status was 3 or less and whose medical record was relatively satisfactory, among 1141 patients diagnosed with lung cancer between January 1989 and December 1996 were reviewed retrospectively. Compliance was classified into three groups based on the degree of compliance with physicians practice guideline: (a) compliants; (b) patients who initially complied but gave up of themselves midway during the course of treatment; (c) noncompliants who refused the treatment. Results: The overall compliance rate was 63.9%, which was progressively increased from 57.3-61.3% in 1989 and 1990 to 64.2-67.5% in 1995 and 1996. Age, education level and occupation of patients bore statistically significant relationship with the compliance but sex, marital status and smoking history did not. The compliance was significantly higher in patients without symptoms than with, and was also significantly higher in patients with good performance status. The compliance was significantly high in patients with NSCLC(non-small cell lung cancer) compared to SCLC(small cell lung cancer), but after exclusion of stage I and II, among NSCLC, which had higher compliance to surgery there was no significant difference of compliance by histology. The compliance was significantly lower in advanced stage. Conclusion: To enhance the compliance, special care including education programs about therapy including complication and prognosis are necessary, especially for educationally and economically disadvantaged patients.

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Study on Health Behavior of Hypertensive Patients and Compliance for Treatment of Antihypertensive Medication (고혈압 환자들의 순응도와 건강행태의 관계)

  • Kim, Joo-Yeon;Lee, Dong-Bae;Cho, Young-Chae;Lee, Sok-Goo;Chang, Seong-Sil;Kwon, Yun-Hyung;Lee, Tae-Yong
    • Journal of agricultural medicine and community health
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    • v.25 no.1
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    • pp.29-49
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    • 2000
  • Objectives: To estimate the prevalence rate of hypertension, the changes of health behavior, and compliance for the drug treatment after diagnosed as hypertension. Methods: 7,030 persons who live in Cheonan City of Chungnam Province were selected by the cluster sampling method, and 5,372 persons were surveyed by questionnaire and health examination. This data is analyzed by Chi-square test on each variable. Results: 49.8%- of men and 38.8%- of women had been diagnosed as hypertension, and the prevalence rate of hypertension was significantly increased with aging in both gender. The prevalence rate tended to decrease in highly educated women group. Unemployed persons or obese persons showed relatively higher prevalence rate. The prevalence rate of hypertension increased in groups with higher total cholesterol levels over 240 mg/dl, and groups with glucose level over 200 mg/dl. 53.1%- of male patients and 66.6%- of female patients showed compliance for antihypertensive treatment. Compliance for treatment was higher in aged group or lower educated group in both gender. Among men, proportion of compliant subjects was higher in unemployed group(49.3%-), and lower in labor or primary industry than the others but among women, there was not any significant difference. And men with compliance for treatment had higher monthly income than the others, but women did not show any. Conclusion : This population had a high prevalence rate of hypertension which may lead to cardiovascular disease. Therefore health education programs and distribution of information must be emphasized in order to increase compliance to treatment and encourage the change of health behavior to promote health.

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21세기 대비 교육정책의 방향

  • 신현석
    • Proceedings of the Korea Technology Innovation Society Conference
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    • 1998.05a
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    • pp.7-7
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    • 1998
  • 새로운 밀레니엄을 불과 몇 년 앞둔 지금 우리는 정치.경제.사회.문화.과학기술 등 전 분야에 걸쳐 전개되고 있는 역동적인 변화를 몸소 체험하고 있다. 냉전시대의 종식 이후 세계의 정치 구도는 경제패권을 둘러싼 지역화.블럭화의 경향을 보여주고, 플랜트와 하드웨어 중심의 규모의 경제가 기술중심의 소규모화 된 현장중심의 범인의 경제로 전환되는 와중에 있다. 사회.문화적 측면에도 오늘날 우리는 국제화, 다원화, 지방화의 무드 속에서 조직구조의 변화는 물론 이에 따른 인간의 가치관과 생활양식의 변화를 때로는 능동적으로 혹은 피동적으로 체험하고 있다. 한편, 과학 기술 분야의 변화는 거대 에너지와 물자를 활용하는 ‘힘-중심적’ 방향에서 새 사고와 아이디어를 요구하는 ‘지식-중심적’ 방향으로 옮겨가고 있다는 것이다. 이는 과학과 기술에 있어서도 에너지, 재료, 기계 등 대대적으로 활용하는 거시적 과학과 기술로부터 지식, 정보, 통신을 중심에 두는 정밀과학, 정밀기술 쪽으로의 변화가 진행중이라는 것을 의미한다. 사회의 변화와 관련된 교육적 대응의 원리는 두 가지 형태로 집약될 수 있다. 교육은 본질적으로 순응(accommodation)과 적응(adaptation)이라는 서로 상반되는 두 가지 기능을 수행한다. 순응의 원리는 교육의 탄생이래 교육목적의 본질에 해당되는 것으로 기존 사회질서의 유지와 체제 존속을 위해 교육은 과거로부터 전해져 내려오는 의미 있는 문화내용을 엄선하여 미성숙한 학생들에게 전수하고 그들로 하여금 문화와 전통을 계승하도록 하는 사회화에 그 일차적인 목적이 있다는 것이다. 따라서 순응의 원리를 강조하는 교육은 과거 지향적이며 외부의 변화에 대해 수동적인 자세를 견지한다. 한편, 적응의 원리에 입각한 교육은 문화와 전통에 대한 피동적 전승을 넘어서 사회의 변화에 따라 교육체제와 내용을 바꾸는 등 적극적으로 변화에 대응하고, 이러한 변화를 주도할 인간육성에 힘을 기울이는 교육방식을 취한다. 시대적 변화의 소용돌이 속에서 교육은 이제 기왕의 많은 교육적 신화들을 타파하고 뉴 밀레니엄을 준비해야할 기로에 서 있다. 현재의 변화를 슬기롭게 대처하고 미래의 변화에 능동적으로 적응하는 인간을 육성하기 위한 오늘날 교육의 사명은 우선 미래사회를 위한 교육정책의 방향을 수립하는 일이다. 교육정책은 국가의 교육방침으로서 현실 교육문제의 해결도 중요하지만 미래의 발전을 기약할 수 있는 장기적인 비젼과 목표 속에서 정립될 필요가 있다. 이러한 의도하에 본 연구는 21세기를 대비한 교육정책의 방향을 탐색하고 그에 따른 정책적 과제를 제시하는 데 그 목적이 있다. 이러한 목적하에 본고는 \circled1 과거 우리 나라의 교육정책을 반성적으로 회고하고, \circled2 미래사회에 대한 전망과 교육적 시사점을 분석하며, \circled3 마지막으로 21세기의 변화에 적응하기 위한 교육정책의 방향과 과제를 내용으로 제시하고자 한다.

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Temperature and Salinity Tolerance and Haemolymph Osmotic and ionic Concentration of the Snow Crab, Chionoecetes opilio (대게, Chionoecetes opilio의 수온 및 염분변화에 따른 생존내성과 Haemolymph의 삼투질과 이온 농도변화)

  • 임영수;이종관;이복규;장영진;허준옥;문승현;허성범
    • Journal of Aquaculture
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    • v.14 no.3
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    • pp.165-171
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    • 2001
  • Tolerance limits of the adult crab were determined by exposing them to different temperatures (5~2$0^{\circ}C$) and salinities(12~32$\textperthousand$). The tolerance limit for high temperature was determined at 14$^{\circ}C$ and 16$^{\circ}C$ for male and female snow crab, respectively and that for salinity was 21 $\textperthousand$ at 5 $^{\circ}C$. Osmolality concentration, Na$^{+}$ and $K^{+}$ ions in the haemolymph of especially, the females was positively related to the salinity changes. Increased water temperature resulted in a marked decreased in ionic and osmolality concentrations near the limit of tolerance in male, however, such a clear pattern was not apparent for the females. The concentration of glucose in the haemolymph was positively related to water temperature but negatively to salinity.ity.

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Is Dynamic Loan Loss Provisioning Necessary in Korea? (동태적 대손충당금제도 도입의 타당성 분석)

  • Kang, Dongsoo
    • KDI Journal of Economic Policy
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    • v.28 no.2
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    • pp.97-129
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    • 2006
  • This study investigates whether dynamic loan loss provisioning is necessary in Korean banking environments. Under the dynamic provisioning rule banks are required to accumulate additional reserves to general and specific provisionings in preparation for expected loan losses until maturity. This provisioning is most effective in the case that banks tend to recognize less loan losses in the business upturns and/or in the periods of increasing profits. The empirical study, however, shows that banks support procyclicality of loan loss privisioning and earning smoothing behavior over profit fluctuations. These findings suggest that Korea would not seriously need the introduction of dynamic loan loss provisioning. But this policy implication does not seem robust in view that the recent experience shows the countercyclicality of loan loss provisioning practices and negative correlation between earnings and provisioning after financial restructuring was completed. This result is partly attributable to vigorous shareholder activism because of high foreign ownership of most commercial banks. Once it is true that bank management is more interested in short-term performances, current loan loss provisioning would have attributes of impairing capital adequacy, hence strengthening loan loss provisiong requirements.

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Chief Executive Officer Hubris and Corporate Social Responsibility in Korea: Moderating Role of Corporate Governance (최고경영자 휴브리스가 기업의 사회적 책임 활동 수준에 미치는 영향: 기업지배구조의 조절효과를 중심으로)

  • Park, Hyunjun;Choi, Wonyong
    • Journal of Korea Society of Industrial Information Systems
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    • v.24 no.1
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    • pp.81-94
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    • 2019
  • The corporate social responsibility has become an industry norm, and the majority of companies have adopted corporate social responsibility (CSR) activities due to institutional pressure. This paper suggests that chief executive officer (CEO) characteristics and governance mechanisms such as CEOs hubris, outside directors, and foreign ownership can influence a managerial decision of following the norm in adopting CSR. This paper argues that a CEO with hubris carry out CSR considerably less or more than a CEO without hubris because a CEO with hubris are known to have a tendency to refuse to follow the norm from institutional pressure. On the contrary, corporate governance mechanisms can guide a CEO to follow the industrial norm related to CSR because governance mechanisms tend to control CEO to reduce managerial uncertainty. The results show that CEO with hubris has a positive relationship with the degree of CSR deviation while governance mechanisms have a negative relationship. In addition, governance mechanisms negatively moderate the relationship between CEO with hubris and with the degree of CSR deviation.

A Study on the discomfortable feeling's appraisals of driver for the instant brightness fluctuation of the Vehicle's Headlamps (1) Experimental construction (전조등의 순간적 밝기 변동에 대한 운전자의 불쾌감 평가 연구 (1) 운전자의 불쾌감 측정을 위한 시험 구성)

  • Lee, Chang-Mo;An, Ok-Hee;Lim, Tae-Young;Kim, Hoon
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2008.05a
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    • pp.192-195
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    • 2008
  • 차량에서 전조등의 밝기 변화가 운전자에게 불쾌감과 스트레스를 제공한다면 운전자 및 보행자의 안전에 위협이 될 수 있을 뿐만 아니라 차량의 전체성능에 의구심을 유발시킬 수 있다. 그러므로 차량 전조등의 밝기변화 패턴에 영향을 미치는 전조등의 전압과 시간을 변수로 하여, 순간적으로 밝기변동이 발생하였을 경우, 연령대별(20/60대)로 운전자가 느끼는 심리적인 반응(불쾌감)이 어떠한 경향을 갖는지를 파악하는 것이 중요하다. 따라서 본 논문에서는 운전자가 순응하고 있는 전조등에 의한 노면상황을 모의하고 전조등의 전압이 13.6[V]에서 12[V]까지 변동하는 빔 패턴을 화면으로 구성하여 전조등의 순간적인 밝기변동을 모의하였다.

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