• 대한예방한의학회지
• /
• 제6권2호
• /
• pp.66-85
• /
• 2002

Traditional herbal medicine is used extensively among the Korean populations, and other Asian countries employ similar therapies as well In recent years, extensive focus was laid on adulteration of the herbal medicine with heavy metals. This may be mainly due to a soil contamination by an environmental pollution. The objective of this study is to identify the contents of various heavy metals in the blood from OhJeokSan-Decoction (OD) treated-rats. For this study, 13 kinds of metals including essential and heavy metals, i.e. Al, As, Cd, Co, Cr, Cu, Fe, Hg, Mn, Ni, Pb, Se and Zn were analyzed by a slight modification of EPA methods and the following results are obtained. ; 1. There is no significant difference between the OD-treated groups and control group in liver, kidney, bone, brain, weight, food intake. 2. The amount of each metal analyzed in the liver are as follows; Al ; $0.235{\sim}4.215mg／kg$, As ; $0.103{\sim}0.461mg／kg$, Cd ; $0.005{\sim}0.010mg／kg$, Co ; $0.017{\sim}0.046mg／kg$, Cr ; $0.137{\sim}0.403mg／kg$, Cu ; $1.736{\sim}4.827mg／kg$, Fe ; $54.472{\sim}381.447mg／kg$, Hg ; not detected, Mn ; $1.159{\sim}2.803mg／kg$, Ni ; $0.007{\sim}0.095mg／kg$, Pb ; not detected, Se ; $0.682{\sim}1.887mg／kg$, Zn ; $10.213{\sim}26.119mg／kg$, by groups, respectively. In control and other experimental group, several metal (Co, Cu, Mn, Zn, As, Cr) has a significant difference, but in experimental I and other experimental II, III, IV, V groups, there are no significant difference. 3. The amount of each metal analyzed in the kidney are as follows; Al ; $1.712{\sim}31.230mg／kg$, As ; $0.062{\sim}0.439mg／kg$, Cd ; $0.010{\sim}0.062mg／kg$, Co ; $0.000{\sim}0.101mg／kg$, Cr ; $0.125{\sim}0.636mg／kg$, Cu ; $3.385{\sim}12.502mg／kg$, Fe ; $41.148{\sim}99.709mg／kg$, Hg ; $0.000{\sim}0.270mg／kg$, Mn ; $0.433{\sim}2.301mg／kg$, Ni ; $0.000{\sim}0.221mg／kg$, Pb ; $0.000{\sim}0.584mg／kg$, Se ; $0.540{\sim}1.600mg／kg$, Zn ; $8.775{\sim}17.060mg／kg$, by groups, respectively. The concentration of Cu, Se, Cr, and Hg are variated significantly in control and other experimental group, and Cu, Se, Cd, Cr are variated significantly in experimental I and other experimental II, III, IV, V groups. 4. The amount of each metal analyzed in the bone(tibia and fibula) are as follows; Al ; $9.557{\sim}119.464mg／kg$, As ; $0.139{\sim}12.250mg／kg$, Cd ; $0.000{\sim}0.295mg／kg$, Co ; $0.022{\sim}0.243mg／kg$, Cr ; $0.239{\sim}1.999mg／kg$, Cu ; $0.000{\sim}2.291mg／kg$, Fe ; $240.249{\sim}841.956mg／kg$, Hg ; $0.000{\sim}0.983mg／kg$, Mn ; $0.214{\sim}7.353mg／kg$, Ni ; $5.473{\sim}11.453mg／kg$, Pb ; $0.000{\sim}8.502mg／kg$, Se ; $0.000{\sim}3.005mg／kg$, Zn ; $61.158{\sim}195.038mg／kg$, by groups, respectively. The concentration of Se, Cd are variated significantly in control and other experimental groups, and Se is variated significantly in experimental I and other experimental II, III, IV, V groups. 5. Exceptionally several metal concentration is increased or decreased. but there is no significant harmful difference of metal concentration in the liver, kidney and bone, from the OD-treated-rats compared to those of the control group even if higher dosage($1{\sim}8$ times dosage of person) of OD was administered. Thus, it is expected that the herbal decoction in the traditional herbal medicine would not lay any burden on the body and the heavy metal toxins would not affect our physiological system. However, other kinds of herbal treatment, such as i.v. and i.p. should be considered in terms of metal toxicity in the body since the level of certain metal.

• 대한간호학회지
• /
• 제20권2호
• /
• pp.153-173
• /
• 1990

One of the important tasks for new parents. especially mothers, is to establish warm, mutually affirming interpersonal relationships with the new baby in the family, with the purpose of promoting the healthy development of the child and the wellbeing of the whole family. Nurses assess the quality of the behavioral characteristics of the maternal-infant interaction. This study examined the relationships between primiparas pereptions of their delivery experience and their maternal infant interaction. It compared to delivery experience of mothers having a normal vaginal delivery with those having a casearean section. The purpose was to explore the relationships between the mother's perceptions of her delivery experience with her maternal infant interaction. The aim was to contribute to the development of theoretical understanding on which to base care toward promoting the quality of maternal-infant interaction. Data were collected directly by the investigator and a trained associate from Dec. 1, 1987 to March 8, 1988. Subjects were 3 random sample of 62 mothers, 32 who had a normal vaginal delivery and 30 who had a non-elective cesarean section (but without other perinatal complications) at three general hospitals in Seoul. Instruments used were the Stainton Parent -infant Interaction Scale(1981) and the Marut and Mercer Perception of Birth Scale(1979). The first observations were made in the delivery room (for vaginally delivered mothers only), followed by day 1, day 2, day 3, and 2 weeks, 4 weeks, 6 weeks and 8 weeks after birth, for a total of 7-8 contacts(Cesarean section mothers were observed on days 4 and 5 but the data not used for analysis). Observations in the hospital were made during the hour prior to scheduled feedings. The infant was placed beside the mother. Later contacts were made at home. Data analysis was done by computer using as SPSS program and indulded X² test, paired t-test, t-test, and Pearson Correlation coefficient ; the results were as follows. 1. Mothers who had a normal vaginal delivery tended to perceive the delivery experience more positively than cesarean section mothers(p＝0.002). The finding supported the hypothesis I that perception of delivery would vary according to the method of delivery. Mothers' perceptions of birth were classified into three dimensions, labor, delivery and the bady. There was a significantly different and positive perception by the vaginally delivered mothers to the delivery experience(p＝0.000) but no differences for labor or the bady according to the delivery method(p＝0.096, p＝0.389), 2. Mothers who had a normal vaginal delivery had higher average maternal-infant interaction scores(p＝0.029) than mothers who had a cesarean section. There were similar higher scores for the 1st day(p＝0.042), 2nd day (p＝0.009), and the 3rd day(p＝0.006) after delivery but not for later times. The findings supported the hypothesis Ⅱ that there would be differences in maternal-infant interaction for mothers having vaginal and cesarean section deliveries. However these differences deccreased section deliveries. However these differences decreased over time . by eight weeks the scores for vaginal delivery mothers averaged 8.1 and for cesarean section mothers, 7.9. 3. The more highly positive the pereption of the delivery experience, the higher the maternal-infant interaction score for all subjects(F＝.3206, p＝.006). The findings supported the hypothesis Ⅲ that there would be correlations between perceptions of delivery and maternal-infant interaction. The maternal infant interaction was highest when the perception of the bady and deliery was positive(r＝.4363, p＝.000, r＝.2881, p＝.012). No correlations between perceptions of labor and maternal-infant interaction were found(p＝0.062). 4. The daily maternal-infant interaction score for the initial contact after birth to 8 weeks postpartum had the lowest average score 5.20 and the highest 7.98(in a range of 0-10). This subjects group of mothers needed nursing intervention to promote their maternal- infant interaction. The daily scores for the maternal-infant over the period of eight weeks. However, there were significantly different increases in maternal-infant interaction only from the first to second day(p＝0.000) and from the fourth to sixth weeks after birth(P＝0.000). 5. When the eight items of maternal-infant interaction were evaluated separately, “Expresses feelings about her role as mother” had the highest average score, 1.64(ina range of 0-3)and “Speaks to baby” the lowest, 0.9. All items, with the possible exception of “Expresses feelings about her role as mother”, suggested the subjects' need of nursing intervention to promote maternal-infant interaction. 6. There were positive correlations between certain general charateristis, namely, both a higher economic status(p＝0.002) and breast feeding(p＝0.202) and maternal - infant interaction. There were positive correlations between a mother's confidence in her role as a mother and the perception of the birth experience(p＝0.004). For mothers who had a cesarean section, a positive perception of the birth experience was related to the duration of her marriage(p＝0.010), a wanted pregnancy (P＝0.030) and her confidence in her role as a mother(p＝0.000). Pereptions of birth for mothers who had a normal vaginal delivery were positive than those for mothers who had a cesarean section. The level of maternalinfant interaction for mothers delivered vaginally was higher than for cesarean section mothers. The relationship between perception of birth and materanalinfant interaction was confirmed. Cesarean section has an impact on the mother's perceived experience of birth which, in turn, is positively related to maternal-infant in turn, is positively related to maternal-infant interaction. Nursing intervention to enhance maternal-infant interaction should begin in prenatal classes with an exploration of the potential impact of cesarean section on the perceptions of the birth experience and continue throughout the perinatal and post-natal periods to promote the mother's ability to control with this crisis experience and to mobilize social support. Nursing should help transform a relatively negatively perceived experience into an accepted, positively perceived and self affirming experience which enhances the maternal-infant relationship.

• Journal of Animal Science and Technology
• /
• 제46권3호
• /
• pp.427-436
• /
• 2004

본 연구는 현수방법이 한우 육질에 미치는 영향과 근육간 육질특성 차이에 영향을 주는 요인을 평가하기 위해 수행되었다. 총 18두 한우 거세우의 좌도체와 우도체를 순차적으로 tendaerstretch(TS) 처리하고, 다음날 양 도체의 longissimus(LD), semimembranosus(SM), tricepsbrachii(TB)을 발골하여 7일 동안 숙성하였다. 관능검사는 한국식 바베큐(BBQ)와 서양식 스테이크(Grill) 방법으로 360명을 대상으로 실시하였고, 동시에 전단력, 보수력, 가열 감량, 근절길이와 근내 조지방 함량을 측정하였다. 소비자 맛 지수는 도체 육질등급이 높은 경우 LD는 높았으나(P < 0.05), TB는 차이가 없었다. 한편, SM은 Grill의 경우에만 높은 듭급이 높은(P < 0.05) 값을 없었다. 이 결과는 높은 도체 육질등급은 LD의 경우 맛이 우수하다는 것을 증명하나, SM과 TB의 맛은 대변하지 못한다는 것을 시사한다. Tenderstretch는 TB의 관능 특성 및 물리적 육질 특성에는 영향을 미치지 않았고, 다른 근육의 가열 감량에도 영향을 미치지 않았다. 한편, 이 현수 방법은 LD와 SM의 근절길이와 맛 지수를 증가(P < 0.05) 시키고 전단력을 감소(P < 0.05) 시켰다. 이 결과는 시료가 7일 동안 냉장 숙성되었다는 점을 고려할 때, 결체조직의 약화와 관련되었다는 것을 시사하고 있다. 도체 육질등급에 따른 현수방법의 특별한 효과는 대부분 육질 특성에는 관찰되지 않았으나, tenderstretch된 SM의 맛 지수가 처리를 하지 않은 LD와 동하였다. 이 결과는 소비자들이 tenderstretch한 우둔을 불고기 형태로 소비했을 경우 등심과 같은 맛을 느낄 수 있다는 것을 의미한다. 소비자 맛 지수와 기계적 육질 측정치와의 상관관계에서, LD의 경우 근내지방과 유의적(P < 0.05) 상관관계를 보였고, SM의 경우는 근절길이와 유의적(P < 0.05) 관계를 보였다. 이 결과는 근육에 따라 맛을 대변할 수 있는 예측 요인이 다르다는 것을 시사한다. SM의 경우 보수력과 가열 감량이 높은 음의 상관관계를 보여, 보수력과 가열 감량과의 관계를 잘 나타내고 있으나, 다른 근육에서는 높은 상관도가 관찰되지 않았다. 소비자가 느끼는 맛 차이를 포함하여 실험실적 측정요인을 이용한 근육간 별별력 검사를 하였을때 약 77%의 확률에서 분류되었다. 근육간 차이에서 가장 큰 요인은 맛지수였고, 가열 감량과 근절길이도 큰 요인으로 작용했다. 이 결과는 전단력 측정의 절대치와 맛과의 관계는 근육에 따라 다르다는 것을 나타내며, 근육간 맛 차이는 전단력보다 가열 감량과 근절길이가 설명력이 높다는 것을 나타냈다. 본 연구 결과는 Tenderstretch는 우둔과 같은 비인기부위의 맛 지수를 높이는데 유용한 방법이고, 기계적인 육질측정 방법이 국내 소비자 맛 지수를 예측하는데 한계가 있다는 것을 시사한다.

• 농약과학회지
• /
• 제4권2호
• /
• pp.21-28
• /
• 2000

2-(4-(6-chloro-2-benzoxazolyloxy)phenoxy)-N-phenylpropionamide 유도체들의 선택적 제초활성에 관한 연구(성 등, 1999)에 근거하여 수답에서 발아 전(pre-emergence), 벼 (Oryza sativa L.)와 피 (Echinochloa crus-galli)에 대한 제초활성에 미치는 구조-활성과의 관계 (SAR)를 Free-Wilson 방법과 Hansch 방법을 이용하여 정량적으로 검토하였다. SAR 분석결과, 피에 대한 제초활성은 N-phenyl 고리상 meta-치환된 1 치환체와 ortho, para-치환된 2 치환체로서 소수성의 적정값, $({\pi})_{opt.}=1.34$을 가지는 전자 밀게에 의한 장 (F<0) 효과가 영향을 미치는 요소이었다. 벼에 대한 약해를 감소시키는 조건으로는 피의 경우와 같이 meta와 ortho, para-치환된 1- 및 2-치환체인 전자 밀게로서 적정값 $({\pi})_{opt.}=0.91$을 벗어나는 소수성 값을 가져야 한다는 조건이 벼와 피 사이의 선택성에 기여하는 물리-화학적인 요인이었다. 또한, 피의 제초활성은 건답의 경우와 비슷하였으나 벼에 대한 약해는 수답에서 매우 크게 나타남으로써 선택성을 관찰할 수가 없었다. 가수분해는 2-(4-(6-chloro-2-benzoxazolyloxy)phenoxy)propionic acid, (A) (obs. pKa=4.35 및 obs. logP=4.77)와 6-chloro-2- benzoxazol-one (B) obs. pKa=8.40 및 obs. logP=2.90)등을 생성하는 일련의 과정으로 진행되었으며 제초활성은 피보다 벼가 가수분해 생성물인 (A)를 비교적 잘 흡수하기 때문으로 짐작되었다. 그리고 SAR식에 따라 온실내에서 피에 대하여 가장 큰 활성을 나타내는 화합물은 2,6-dimethyl-4-methoxymethyl 치환체 ($pI_{50}=5.41$, 3g/ha)로 예상되었다.

• 대한치과보철학회지
• /
• 제46권1호
• /
• pp.53-64
• /
• 2008

임플랜트 주위 변연골의 흡수는 임플랜트의 기능적 및 심미적 성공에 큰 장애가 되는 요인이다. Adell은 임플랜트에 지대주 연결 후 첫 1년간 평균적으로 1.5mm의 변연골 소실을 보이고, 이 후에는 매년 0.1mm이하의 변연골 흡수가 있었다고 하였다(Adell et al.,1981). 이러한 변연골 흡수를 막기위한 많은 노력들이 행해져 왔다. 특히 임플랜트 collar의 특징에 따라서 변연골의 흡수가 달라질 수 있다. 본 연구의 목적은 임플랜트 collar에서의 laser microtexturing(microgroove)이 변연골 흡수에 미치는 영향에 대해 알아보고자 하는 것이다. 4종류의 임플랜트 총 101개를 식립한 환자 53명에서 임플랜트 식립시부터 보철물 장착한 후 평균 6개월 후 정기 검사 시까지의 임플랜트 주위 변연골의 흡수를 측정하여 비교하였다. 생물학적 폭경을 충분히 확보한 임플랜트(ITI standard)와 생물학적 폭경이 부족한 임플랜트 (ITI esthetic plus, Silhouette IC Laser-$Lok^{TM}$, Silhouette IC)에서 변연골 흡수의 차이를 비교하였고, 임플랜트 주위 변연골의 흡수에 대한 laser를 이용한 미세나사산의(Silhouette IC Laser-$Lok^{TM}$) 영향을 알아보았다. 다음의 결과를 얻었다. 1. ITI standard와 Silhouette IC Laser-$Lok^{TM}$ 이 ITI esthetic plus 와 Silhouette IC 보다 임플랜트 주위 변연골의 흡수가 적었고 (p<0.05), ITI standard 와 Silhouette IC Laser-$Lok^{TM}$ 사이에는 변연골의 흡수가 유의차가 없었고(P>0.05), ITI esthetic plus와 Silhouette IC 사이에도 변연골의 흡수가 유의차가 없었다(P>0.05). 2. 사용된 임플랜트 전체에 대한 상하악의 비교에서는 상하악 사이에서 임플랜트 주위 변연골의 흡수는 통계학적으로 유의한 차이가 없었다(p>0.05). 3. 흡수각도에 대한 비교에서도 4종류 임플랜트 그룹 간에 통계학적으로 유의한 차이는 없었다(P>0.05). 본 연구에서 제한이 있긴 하지만, 임플랜트 디자인에서 생물학적 폭경이 부족한 경우(ITI esthetic plus, Silhouette IC)에는 생물학적 폭 경 보상을 위한 임플랜트 주위 변연골의 흡수가 있었음을 보여주고 있으나, laser를 이용한 microgroove 가 부여된 임플랜트에서는 collar의 거칠기와 laser microtexturing 등의 특징에 의해 임플랜트 주위 변연골의 흡수가 적게 일어난 것이 관찰되었다. 심미적인 요구도가 높은 전치부에서 충분한 생물학적 폭경이 확보된 임플랜트를 식립할 경우 변연골의 흡수에 따른 치은퇴축에 의해 metal collar의 노출이 우려되기에 충분한 생물학적 폭경이 부여되지 않은 임플랜트를 선정하게 되는데 이때 collar에서의 laser microtexturing은 변연골의 유지에 도움이 되었다. 이것은 조직의 단단한 부착으로 인한 안정화로 추정해 볼 수 있는데, 이에 대해서는 더 장기간의 연구와 더 많은 수의 임플랜트를 대상으로 한 연구와 조직학적인 연구도 필요할 것으로 사료된다.

• Tuberculosis and Respiratory Diseases
• /
• 제50권1호
• /
• pp.52-66
• /
• 2001

연구배경 : 폐상피세포가 능동적으로 IL-8을 분비한다는 것은 주지의 사실이다. NF-${\kappa}B$는 IL-8 발현 조절에 있어서 가장 중요한 역할을 담당하는 전사인자이다. Triptolide는 최근 밝혀진 NF-${\kappa}B$ 억제제로서 중국한약제인 뇌공등 (Tripterygium Wilfordii)에서 추출된약제이다. 연자들은 새로운 NF-${\kappa}B$ 억제제인 triptolide가 폐상피세포에서 NF-${\kappa}B$ 의존성 IL-8 유전자의triptolide가 염증성 폐질환에서 새로운 치료제로서의 가능성을 확인하기 위하여 본 연구를 시행하였다. 방법 : 폐상피세포로서 A549 사용하였고 triptolide는 미국의 Pharamagenesis(Palo Alto, CA)사로부터 제공받았다. NF-${\kappa}B$ 활성유도물질로는 IL-$1{\beta}$(R&D)와 PMA(Sigma)를 이용하였다. IL-8 유전자의 발현은 RT-PCR과 ELISA를 이용하여 측정 하였다. NF-${\kappa}B$의존성 IL-8 유전자의 전사활성을 평가하기 위하여는 IL-8 NF-${\kappa}B$ luciferase construct를 안정적으로 유전자주입한 A549 IL-8 NF-${\kappa}B$ luciferase 세포주를 제조해 사용하였고 NF-${\kappa}B$ DNA 결합은 electromobility shift assay(EMSA)를 이용하였다. p65 전사활성을 assay하기 위해서는 Gal4-p65 fusion protein expression system을 유전자주입과 luciferase assay를 통하여 시행하였다. Transcriptional coactivator의 역할을 규명 하가 위하여서는 CBP(CREB-binding protein)와 SRC-1(steroid receptor coactivator-1) 발현 벡터를 유전자 주입하고 luciferase assay를 이용하여 확인하였다. 결과 : Luciferase assay로 triptolide가 PMA와 IL-$1{\beta}$자극에 의한 IL-8 NF-${\kappa}B$ 활성을 의미있게 감소시킴을 확인하였다. IL-8 ELISA와 RT-PCR로 triptolide가 PMA와 IL-$1{\beta}$ 자극에 의해 유도되는 IL-8 발현을 각각 단백질과 mRNA 수준에서 억제함을 관찰하였다. Triptolide가 PMA와 IL-$1{\beta}$에 의한 IL-8 NF-${\kappa}B$의 전사활성을 억제시킨 반면 EMSA와 $I{\kappa}B{\alpha}$ Western blot을 이용한 실험에서는 triptolide가 NF-${\kappa}B$ DNA 결합과 $I{\kappa}B{\alpha}$의 분해에 전혀 영향을 미치지 못함을 확인하였다. 이러한 전사활성 억제와 DNA 결합 간의 불일치의 원인으로서는 DNA 결합 이후에 발생하는 핵내 에서의 transactivation에 triptolide가 영향을 미치리라고 생각되어 p65 transactivation study를 Gal4-p65T A(p65의 transactivation domain) fusion protein 발현 시스템과 luciferase assay를 이용하여 시행한 결과 triptolide가 p65 transactivation을 억제함으로써 NF-${\kappa}B$를 억제함을 확인하였다. 그러나 CBP나 SRC-1과 같은 coactivator의 역할을 규명하기 위한 유전자주입 실험에서 triptolide에 의한 p65 transactivation 억제에 대해 CBP나 SRC-1의 과발현이 별다른 영향을 미치지 못하였다. 결론 : Triptolide는 폐상피세포에서 NF-${\kappa}B$ 의존성 IL-8 유전자의 전사활성을 억제하고 그 기전은 $I{\kappa}B{\alpha}$ 경로가 아닌 핵내에서의 p65 transactivation 억제에 의해 발생하며 이에는 CBP나 SRC-1과 같은 coactivator가 관여하지 않음을 확인하였다.

• 한국응급구조학회지
• /
• 제15권1호
• /
• pp.47-63
• /
• 2011

Purpose : This research is to examine the work and job satisfaction of paramedics in the emergency room of university hospitals. This research is done to provide basic data needed for establishing work realms of paramedics in hospitals and to enhance their degree of satisfaction. Methods : Research questionnaire survey was conducted on 141 paramedics working in the emergency room of 32 university hospitals from August 24, 2010 to September 30, 2010 through direct visits and telephone interviews or email to explain the purpose of this research and assurance of confidentiality of responses on the questionnaires. As the tool for the degree of job satisfaction, 'The Index of Work Satisfaction' developed by Slavitt, et al(1978) and revised and supplemented by Soon-shim Kim and Hye-ran Kwon(2002) was used. The collected data were analyzed by evaluating frequency, percentage, mean, standard deviation, t-test and ANOVA, Cronbach's $\alpha$ by using SPSS WIN 18.0 program. Results : 1. Investigating the work and role of paramedics in the emergency room of university hospitals, electrocardiogram(EKG) was found to be highest with $\alpha$ was widely used with the rate of patient evaluation and test area. In the medical treatment for patients area, cardiopulmonary resuscitation(CPR) with 95%(134 persons) and ventilation assistance through ambu bagging(BVM) with 95%(134 persons) were found to be high. $\alpha$ were performed. In the role within the hospital and other areas, a member of CPR team in the hospital accounted for 78%(110 persons). 2. In the measurements of the job satisfaction of paramedics working at university hospitals, the total mean score was 2.91. The mean score in each question area indicated: section on job 3.48, autonomy 3.05, interaction 3.01, organizational demand 2.85, working conditions 2.67, salaries 2.40. This result obviously demonstrates the work of paramedics itself was most satisfied but the salaries were most dissatisfied. 3. In the measurements of the job satisfaction of paramedics working at university hospitals, job satisfaction based on the general characteristics showed significant difference in age (F=6.547, p=.002), gender (F=4.436, p=.000) marital status (F=-3.270, p= .001), religion (F=2.041, p= .043), motive for application (F=3.603, p= .015), and salary (F=6.658, p= .000). 대학병원 응급실 내 1급 응급구조사의 업무와 직무만족도 The Journal of the Korean Society of Emergency Medical Technology Vol. 15 (1) 63 4. In the measurements of the job satisfaction of paramedics working at university hospitals, job satisfaction based on the working environmental characteristics showed significant difference in total number of paramedics (F=3.779, p= .012), form of employment (F=5.601, p= .001), existence or non-existence of intention to change jobs (F=-4.037, p= .000). Conclusion : The work of paramedics in the emergency room of university hospitals consists of lots of treatment processes after specialized diagnosis and performance of professionally subdivided works. However, current legislation does not reflect such circumstances to which paramedics are exposed; thus, it should be considered for further revision and modification. The degree of job satisfaction of paramedics in the emergency room of university hospitals was high but low in salaries and working conditions were the weak points. The measures to enhance their degree of job satisfaction should be taken though improvement of labor conditions such as consideration of the rate of increase in salaries, compensation for overtime work, providing rest areas, improvement of current employment system, and conversion of temporary employees into regular employees.

• 농촌의학ㆍ지역보건
• /
• 제41권1호
• /
• pp.13-26
• /
• 2016

본 연구는 종합 병원에 만성 질환으로 입원 한 노인 환자의 가족지지, 일상생활 수행능력 및 우울간의 관계를 파악하기 위해 수행하였다. 연구 대상자는 G광역시에 위치한 일개 종합병원에 만성질환으로 입원한 환자 100명을 대상으로 하였으며, 관련성을 알아보기 위하여 t-검정, 분산분석, 상관분석과 위계적 다중회귀분석을 이용하였다. 연구 결과, 연구 대상자의 가족지지 정도는 $49.95{\pm}8.68$점, 일상생활 수행능력 $8.65{\pm}2.65$점, 우울 $6.66{\pm}3.78$점이었다. 전체 연구 대상자의 64%가 경증 이상의 우울을 가지고 있었다. 위계적 다중회귀분석 결과, 사회인구학적 특성에 일상생활 수행능력을 포함하여 분석한 Model 1에서는 주관적 건강상태(${\beta}=2.894$, p<0.001)와 일상생활 수행능력(${\beta}=0.269$, p=0.04)이 노인 우울과 통계적으로 유의한 관련이 있었고, 사회인구학적 특성에 가족지지를 포함하여 분석한 Model 2의 경우, 노인 우울은 연령(${\beta}=1.483$, p=0.04), 주관적 건강상태(${\beta}=2.641$, p<0.001)와 가족지지(${\beta}=-0.144$, p<0.001)와 유의한 관련이 있었다. 사회인구학적 특성과 일상생활수행능력과 가족지지를 포함하여 분석한 Model 3의 결과, 노인우울은 주관적 건강상태(${\beta}=2.510$, p=0.001), 가족지지(${\beta}=-.135$, p<0.001)과 통계적으로 유의한 관련이 있었다. 이상의 연구결과를 통해 만성질환 입원노인들의 우울은 가족지지가 낮을수록, 주관적 건강상태가 나쁠수록 우울의 정도가 높음을 알 수 있었다. 노인 환자의 건강관리 방안을 마련할 때 가족지지 강화와 노인의 건강지각을 높일 수 있는 방안이 모색되어야 할 것으로 사료된다.

• 한국직업건강간호학회지
• /
• 제8권1호
• /
• pp.22-41
• /
• 1999

This study intended to analyze the health promoting behaviors, compare their factors according to the shift pattern of duties of women workers who were working in the industrial workplace and present basic data in planning systematic and effective programs of health promotion for three-shift system and day-duty. Using Quota Sampling, 219 women workers were selected as subjects from 5 workshops which had 50 settled workers up to 300 and 10 factories which had more than 300 located in Taegu and Kyung-Book Province. Data were collected by means of questionnaire from September 12 to September 30, 1998. As the instruments of the study were used Health Promotion Lifestyle Profile(HPLP) which was adapted and adjusted by Seo, Y. O. for health promoting behavior, the one developed by Moon, J. S. (1990) for health-belief, the one developed by Sherer et al.(1982) and then adapted by Oh, H. S. for self-efficacy, and the one developed by Park, J. W. (1985) for social support. The analysis of data were performed with Cronbach's ${\chi}^2$-test, t-test, ANCOVA, Kendal tau, Pearson correlation, Stepwise Multiple Regression test using SPSS program. The results of the study are as follows : 1. There was a significant difference in age(${\chi}^2=32.46$, p=0.000), career (${\chi}^2=18.47$, p=0.000), working day(t=-3.18, p=0.000) by the shift pattern of duties in terms of socio-demographic characteristics. 2. There was a statistically significant difference between the two groups on the health promoting behaviors (t=2,52, p=0.012). The score of three-shift group on health promoting behaviors was 2.27, showing that it was lower by .13 than that of day-duty group(2.40). 3. ANCOVA involving age, career and working day as covariables, which had revealed significant difference before, showed that health promoting behaviors by the shift patterns of duties was significantly different(F=4.88, p=0.028). 4. In consideration of variables that have an influence on health promoting behavior by the shift pattern of duties, social support occupied 19.4% of health promoting behavior in the three-shift group and 22.5% including the sense of self-efficacy. In the day-duty group, social support occupied 34.4% of health promoting behavior. 5. The score of three-shift group(2.94) was significantly lower than that of day-duty group(3.12) in the perceived benefit of health-belief(t= -3.29, p=0.001), while the score of three-shift group (2.48) was significantly higher than that of day-duty group(2.24) in the perceived barrier (t=4.22, p=0.000). In the sense of self-efficacy(t=-4.20, p=0.000), the score of three-shift group(3.24) was significantly lower than that of day-duty group(3.53) while in social support(t=-4.56, p=0.000) the one of three-shift group(2.64) was significantly lower than that of day-duty group(2.88). The suggestions are as follows on the basis of the results of this study : 1. It is required to develop health promoting program that takes the shift pattern of duties of women workers into consideration. In addition, there are special demands on developing nursing strategies for health promoting behavior of three-shift workers. 2. It is required to develop specific strategies for social support which is the most significant factor to the health promoting behavior for women workers. 3. It is necessary to develop some programs for improving the sense of self-efficacy, social support, and health-belief of three-shift workers. To achieve these tasks, industrial nurses should play an active role and improve the ability of self-health care of women workers.

• 마케팅과학연구
• /
• 제19권4호
• /
• pp.11-23
• /
• 2009

HSDPA（高速下行分组接入）是在第三代的W－CDMA技术基础上的3.5代移动通信异步服务. 在韩国, 它主要是通过提供可视电话服务. 由于更强大和多元化的服务扩散, 随着移动通信技术迅速的进步, 消费者需要更多的选择. 然而, 由于各种技术, 不论消费者偏好往往会溢出市场, 消费者感到越来越迷惑. 因此, 我们不应该采取只注重发展假设是下一代新技术项目的战略相反, 我们应该了解消费者接受新的形式和技术的过程, 通过制定战略, 使开发人员能够理解并提供消费者真正想要的, 从而降低进入市场的障碍. 在技术接受模型（TAM）中, 感知到的有用性和使用的简单性被认为是影响人们接受新技术的态度的最重要因素(Davis, 1989; Taylor and Todd, 1995; Venkatesh, 2000; Lee et al., 2004). 感知到的有用性是一个人相信某种特定的技术能提高他或她工作绩效的程度. 感知易用性是主观认为使用某种特定技术不需要太多体力和精力的付出的程度(Davis, 1989; Morris and Dillon, 1997; Venkatesh, 2000). 感知的愉悦性和感知的有用性已经被清楚的证明对接受技术的态度有影响(Davis et al., 1992). 比如, 网上购物的愉悦性已经表现出对消费者对网上商家的态度有积极的影响(Eighmey and McCord, 1998; Mathwick, 2002; Jarvenpaa and Todd, 1997). 消费者的感知风险是一种主观风险. 这种风险和客观可能的风险是有显著区别的. 感知风险包括心理上的风险, 这是当消费者为某一特定物品而选择品牌, 商店和购买方式时所感知到的. 企业革新产品的能力取决于有效的获得有关新产品的知识(Bierly and Chakrabarti, 1996; Rothwell and Dodgson, 1991). 知识获取是公司感知外界新事物和技术的价值的能力(Cohen and Levinthal, 1990); 是公司评估外界最新的技术的能力(Arora and Gambaradella, 1994); 是公司正确预测这项科技对未来革新的能力(Cohen and Levinthal, 1990). 消费者创新是一种在社会体系中比其他人更早接受创新的程度(Lee, Ahn, and Ha, 2001; Gatignon and Robertson, 1985). 也就是说, 它显示了消费者如何快速、方便地接受新的思路. 创新被认为是重要的, 因为它对消费者是否接受新产品和他们多快接受新产品有显著的影响(Midgley and Dowling, 1978; Foxall, 1988; Hirschman, 1980). 我们用技术接受模型来进行跨国家的研究比较, 此模型实证验证了影响态度的因素-感知有用性, 易用性, 感知愉悦, 感知风险, 创新和感知的知识管理水平-和对ＨＳＤＰＡ服务的态度之间的关系. 我们为HSDPA服务提供商开发更有效的管理方法还验证了态度和使用意图之间的关系. 在本研究中, 我们在韩国350名学生中分发了346份问卷调查. 由于其中26份收回的问卷时不完整的或者有缺失数据, 所以在假设检验时320份问卷被使用. 在英国, 200份问卷收回了192份, 舍弃了两份不完整的之后, 总共有190份问卷用于统计分析中. 整体模型的分析结果如下: 韩国, x2=333.27(p=0.0), NFI=0.88, NNFI=0.88, CFI=0.91, IFI=0.91, RMR=0.054, GFI=0.90, AGFI=0.84; 英国, x2=176.57(p=0.0), NFI=0.88, NNFI=0.90, CFI=0.93, IFI=0.93, RMR=0.062, GFI=0.90, AGFI=0.84. 在韩国消费者中, 从有关影响HSDPA服务的使用意图和态度之间的关系的假设检验的结果中, 感知的有用性, 易用性, 乐趣, 知识管理的高水平和促进创新对HSDPA移动手机的态度有积极的影响. 然后, 易用性和感知的乐趣对HSDPA服务的使用意图没有直接的影响. 这可能是因为在日常生活中使用视频电话还不是必需的这一现实. 而且消费者对ＨＳＤＰＡ视频电话的态度和使用意图有直接的关系, 这些态度包括感知的有用性, 易用性, 乐趣, 知识管理的高水平和创新. 这些关系构成了购买意图的基础, 并造成消费者决定谨慎购买的情况. 对欧洲消费者的假设检验结果揭示了感知的有用性, 乐趣, 风险和知识管理水平是影响态度形成的因素, 而易用性和创新则对态度没有影响. 特别是效果价值和感知有用性, 在快乐和知识管理之后对态度有最大的影响. 相反, 认为感知风险对态度影响较小. 在亚洲模型中易用性和感知的乐趣没有发现对使用意图有直接影响. 然而, 因为态度广泛的影响使用意图, 感知有用性, 乐趣, 风险和知识管理可被视为从使用意图中的态度发展的关键因素. 总之, 感知的有用性, 愉悦和知识管理水平在亚洲和欧洲消费者中对态度形成都有影响, 这些梯度形成了消费者的使用意图. 而且, 易用性和感知的乐趣对使用意图的假设被拒绝. 然而, 易用性, 感知风险和创新有不同的结果. 在亚洲消费者中, 感知风险对态度形成没有影响, 而在欧洲消费者中, 易用性和创新对态度都没有影响.