• Title/Summary/Keyword: Dual Factor

검색결과 456건 처리시간 0.027초

우리나라 고용구조의 특징과 과제 (Employment Structure in Korea: Characteristics & Problems)

  • 장근호
    • 경제분석
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    • 제25권1호
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    • pp.66-122
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    • 2019
  • 우리 경제가 성장하면서 경제활동인구가 늘고 고용률이 높아지는 등 고용이 양적으로 꾸준히 성장하였다. 그러나 생산가능인구가 2017년부터 감소하기 시작하였고 여성 및 청년층의 고용은 부진한 상황이다. 비임금 근로자의 비중이 다른 나라나 소득 수준에 비해 크게 높은 수준이다. 또한 임금근로자 중 비정규직 비중과 소규모 기업 종사 근로자의 비중이 높은 것으로 나타났다. 이와 같은 고용구조의 특징에 비추어 우리나라 고용구조의 과제는 노동시장 이중구조심화, 청년실업 증가, 여성 고용의 부진, 저생산성의 과도한 자영업 비중 등으로 정리할 수 있다. 노동시장 이중구조가 심화된 데는 글로벌화에 따른 경쟁 심화, 대기업 우위의 원·하청관계, 대·중소기업 간 생산성 격차, 기업규모별 노동조합의 교섭력 격차 및 기업단위 노사협상 등의 제도적 요인이 복합적으로 작용하였다. 청년실업은 대학진학률 상승으로 대졸자들이 크게 증가한 반면 노동시장 이중구조화로 1차 노동시장 규모가 늘지 않은 데다 대졸자들의 2차 노동시장 기피현상이 심화된 것을 주된 배경으로 한다. 낮은 여성 고용률과 고용의 질적 수준은 결혼·출산 이후의 뚜렷한 경력단절에 기인하며 가정과 직장생활을 병행하기 어렵게 하는 제도 및 문화가 근본적인 원인으로 보인다. 생산성이 낮은 자영업자가 과다한 데에는 임금근로자 일자리가 충분하지 않고 노동시장 이중구조로 인해 양질의 임금근로자 일자리에 취업하기 힘들다는 점이 주요한 배경으로 작용하였다. 우리나라의 고용 확대를 제약하고 고용구조를 악화시킨 주된 구조적 요인은 이중구조 심화인 것으로 판단되는 만큼 공정거래 질서 확립과 중소기업의 생산성 향상 등 노동시장 이중구조 완화에 정책 역량을 집중할 필요가 있다. 아울러 청년 노동시장의 효율성을 제고할 수 있도록 직업훈련 및 고용지원서비스 제도를 개선하는 한편 보육시설 확충 등 여성들이 일과 가정이 병행할 수 있도록 하는 제도적 보완을 지속해 나가는 것도 중요하다.

Balloon Bronchoplasty for the Treatment of Bronchial Stenosis After Lung Transplantation: A Single-Center 10-Year Experience

  • Dong Kyu Kim;Joon Ho Kwon;Kichang Han;Man-Deuk Kim;Gyoung Min Kim;Sungmo Moon;Juil Park;Jong Yun Won;Hyung Cheol Kim;Sei Hyun Chun;Seung Myeon Choi
    • Korean Journal of Radiology
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    • 제24권5호
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    • pp.424-433
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    • 2023
  • Objective: To assess the safety and efficacy of balloon dilatation under dual guidance using fluoroscopy and bronchoscopy for treating bronchial stenosis following lung transplantation (LT), and to elucidate the factors associated with patency after the procedure. Materials and Methods: From September, 2012, to April, 2021, 50 patients (mean age ± standard deviation, 54.4 ± 12.2 years) with bronchial stenosis among 361 recipients of LT were retrospectively analyzed. The safety of balloon dilatation was assessed by evaluating procedure-related complications. Efficacy was assessed by evaluating the technical success, primary patency, and secondary patency. Primary and secondary cumulative patency rates were calculated using the Kaplan-Meier method. The factors associated with patency after the procedure were evaluated using multivariable Cox hazard proportional regression analysis. Results: In total, 65 bronchi were treated with balloon dilatation in 50 patients. The total number of treatment sessions was 277 and the technical success rate was 99.3% (275/277 sessions). No major procedure-related complications were noted. During the mean follow-up period of 34.6 ± 30.8 months, primary patency was achieved in 12 of 65 bronchi (18.5%). However, the patency rate improved to 76.9% (50 of 65 bronchi) after repeated balloon dilatation (secondary patency). The 6-month, 1-year, 3-year, and 5-year secondary patency rates were 95.4%, 90.8%, 83.1%, and 78.5%, respectively. The presence of clinical symptoms was a significant prognostic factor associated with reduced primary patency (adjusted hazard ratio [HR], 0.465; 95% confidence interval [CI], 0.220-0.987). Early-stage treatment ≤ 6 months (adjusted HR, 3.588; 95% CI, 1.093-11.780) and prolonged balloon dilatation > 5 min (adjusted HR, 3.285; 95% CI, 1.018-10.598) were associated with significantly higher secondary patency. Conclusion: Repeated balloon dilatation was determined to be safe and effective for treating bronchial stenosis following LT. Early-stage treatment and prolonged balloon dilatation could significantly promote long-term patency.

한국 성인에서 일반담배 또는 가열 전자담배를 이용한 흡연 형태와 폐 기능 검사 결과와의 관련성: 2014-2019년도 국민건강영양조사 자료를 이용하여 (The Association between Pulmonary Function Test Result and Combustible Cigarette Smoking or Electrical Cigarette Smoking in Korean Adults : Using the 2014-2019 Korean national health and nutrition examination survey data)

  • 김일환;이일현;신새론
    • 대한통합의학회지
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    • 제12권1호
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    • pp.27-39
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    • 2024
  • Purpose : Smoking is a major factor in chronic obstructive pulmonary disease (COPD), but the effect of electrical cigarette smoking on COPD development is still uncertain. This study aimed to compare the functions of airways and lungs exposed to combustible cigarettes and electrical cigarettes based on the pulmonary function test (PFT) results from the Korean National Health and Nutrition Examination Survey (NHANES). Methods : This study used data from 8,942 participants with PFT results out of 47,309 total subjects from the 6th to 8th Korean NHANES (2014-2015, 2016-2018, and 2019, respectively). Individuals with diseases such as cancer, ex-smokers, and dual tobacco users were excluded. The PFT results were analyzed according to the COPD diagnostic criteria. After adjusting for confounding variables, a complex sample generalized linear model ANOVA test was performed to investigate the association between PFT results and combustible smoker or electrical cigarette user groups. Results : In an analysis based on the obstructive ventilatory disorders (forced expiratory volume in 1 second[FEV1]/forced vital capacity[FVC]<.7), combustible cigarette smokers showed a 3.46 times higher risk of COPD compared to non-smokers, while electrical cigarette smokers exhibited no significant difference in terms of COPD-related risks compared to non-smokers. FEV1 showed a negative relation with combustible cigarette smokers as reported elsewhere (B=-.07, p<.001). FEV1/FVC was negatively related to both combustible cigarette smokers (B=-.03, p<.001) and electrical cigarette smokers (B=-.02, p<.001). Conclusion : FEV1/FVC decreases were observed in the long-term exposure to both combustible and electrical cigarettes. The lower FEV1 in the combustible cigarette group implies the worsening of the severity of COPD, suggesting more damage to the airways and lungs in the short term. Therefore, the temporary electrical cigarettes use for the transition period in order to smoking cessation potentially aids to reduce the harmful effect of combustible cigarettes in COPD development.

CLINAC 1800 선형가속기의 15 MV X-선의 특성 (Characteristics of 15 MV Photon Beam from a Varian Clinac 1800 Dual Energy Linear Accelerator)

  • 김계준;이종영;박경란
    • Radiation Oncology Journal
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    • 제9권1호
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    • pp.131-141
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    • 1991
  • 국내에서 처음으로 사용되는 CLINAC 1800에서 발생된 15MV X-선의 특성을 구하기 위하여 3 Dimensional water Phantom Dosimetry system)를 이용하여 방사선 치료에 근간이 되는 심부선량 백분율(POD), 최대 조직 비율(TMR), 편평도(beam profile), 대칭도, Wedge인자 등을 측정하였고 선량계산을 위하여 출력 인자들을 구하였다. 1. 선축상 최대치 지점(Dmax)은 SSD 100cm일때 조사면이 $10\times10cm^2$에서 $3.0\pm0.1$ cm이였고 $4\times4cm^2,\;35\times35cm^2$에서 각각 $3.1\pm0.1\;cm,2.2\pm0.1$ cm으로 조사면이 넓어지면서 측정치가 표면에 가까워지는 결과를 보였다. 2. 조직표면 선량(Surface Dose)는 SSD 100cm일때 조사면이 $10\times10cm^2$에서 $15.5\%$이였고 $4\times4cm^2,\;35\times35cm^2$에서 각각 $9.8\%\;,51.2\%$로 조사면이 넓어지면서 표면 선량은 증가하는 결과를 보였다. 3. 심부선량 백분율(PDO)은 SSD 100cm에서 측정하였고 조사면이 $10\times10cm^2$이고 10cm depth에서 $76.8\%$이였고 $80\%,\;50\%$ 선량의 깊이는 각각 $9.1\pm0.1\;cm,19.9\pm0.2\;cm$으로 측정되었다. 4. 최대조직비율(TMR)은 심부선량 백분율(PDD)로부터 계산하였고 측정값과의 차이는 $10\times10cm^2$ 조사면에서 평균 $1\;%$ 이내의 오차를 보였다. 5. 대칭도(symmetry)와 편평도(flatness)는 조사면 $10\times10cm^2$일때 각각 $0.73\%,\;2.72\%$이였다. 6. 출력인자(output factor)는 $10\times10cm^2$ 기준 조사면에서 흡수선량을 1로 하였을때 $4\times4cm^2,\;35\times35cm^2$ 조사면에서는 각각 0.927, 1.087로 측정되었는데 조사면이 증가할수록 흡수량이 증가하는 결과를 보였다. 7. Wedge factor는 $15^{\circ}\;30^{\circ}\;45^{\circ}\;60^{\circ}$를 10cm깊이에서 측정하였는데 0.825, 0.099, 0.560, 0.457로 각각 측정되었고 아크릴 0.4 mm Tray의 투과율은 0.976이였다. 8. 15 MV X-선에 의한 납벽층의 반가층 두께는 13 mm였고 Cerrobend의 반가층은 15.5 mm으로 측정되었다.

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가토 신장기능에 미치는 측뇌실내 Yohimbine의 영향 (Influence of Intracerebroventricular Yohimbine on the Renal Function of the Rabbit)

  • 국영종;김경근;김세종
    • 대한약리학회지
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    • 제21권2호
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    • pp.119-127
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    • 1985
  • 신장의 기능은 중추신경계 특히 교감신경계의 큰 영향을 받고 있으므로 ${\alpha}$-adrenoceptor의 길항제로 알려진 yohimbine을 가토의 측뇌실내로 (i.c.v.) 투여하여 신장 기능의 변동을 관찰하였다. Yohimbine 10 ${\mu}g/kg$ i.c.v. 로써 일관성인 Na 배설 증가와 함께 뇨량, 신혈류 및 사구체 여과율의 증가 경향을 볼 수 있었으나, 투여량을 증가시키면 그와 같은 작용은 소실되고 100 ${\mu}g/kg$ 과 300 ${\mu}g/kg$에 있어서는 신혈류 및 사구체 여과율의 심한 감소와 함께 현저한 항이뇨 작용과 Na 배설의 감소가 관찰 되었다. 이때 전신 혈압은 일과성으로 증가를 나타내었다. Reserpine 전처치 가토에 있어서는 100 ${\mu}g/kg$ i.c.v. yohimbine에 의한 항이뇨, Na 배설 감소작용, 신혈류 역학의 감퇴등이 소실되어 유의한 변동을 관찰할 수 없었다. 이때 전신 혈압의 상승도 소실 되었다. 일측 신장 신경을 제거하고 반대측 신장을 대조로 둔 표본에 있어서 yohimbine 100 ${\mu}g/kg$을 측뇌실내로 투여하면 대조신에서는 정상 가토에서와 같은 전형적인 항이뇨 작용이 나타났으나, 제신경(실험)신에 있어서는 신혈류 역학에는 변동이 없으나 Na 및 K 배설과 Cosm 및 뇨량의 유의한 증가를 나타냈다. 이때 신세뇨관에서의 Na 재흡수가 억제되었다. 전신 혈압의 변동은 정상 가토에서와 같이 일과성인 증가를 볼 수 있었다. 이상의 실험으로, 가토 측뇌실내 yohimbine은 신기능에 대하여 두 가지 상반되는 영향을 미치며, 첫째는 교감신경 긴장도의 증가로써 신혈류 및 사구체 여과율을 감소시켜 항이뇨 및 Na 배설 감소를 초래하는 작용과, 둘째는 신경 경로를 통하지 않고, 아마도 humoral factor를 통하여 신세뇨관에서 Na 재흡수를 억제하는 작용이 복합적으로 나타내는 것을 알 수 있었다.

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성인의 연령, 체질량지수 및 생활습관과 골밀도의 관계 (The Relationship of Age, Body Mass Index, and Individual Habit to Bone Mineral Density in Adults)

  • 박성옥;이인자;신귀순
    • 대한방사선기술학회지:방사선기술과학
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    • 제31권4호
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    • pp.367-377
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    • 2008
  • 한국건강관리협회에 내원한 환자 중 설문에 응해준 268명(여성 136명, 남성 132명)의 연령, 체질량지수 (BMI) 및 생활습관과 골밀도(BMD)의 관계를 연구하였다. 골밀도는 이중에너지 X선 흡수계측기를 이용하여 요추(lumbar spine)와 대퇴경부(femoral neck)에서 측정하였다. 그 결과 다음과 같은 결론을 얻었다. 여성의 평균키는 $155.8{\pm}6.0cm$, 평균체중은 $56.8{\pm}7.9kg$, 평균체질량지수는 $23.4{\pm}3.1kg/m^2$으로 나타났으며, 남성의 평균키는 $169.1{\pm}6.0cm$, 평균체중은 $69.0{\pm}9.5kg$, 평균체질량지수는 $24.1{\pm}2.7kg/m^2$이었다. 연령이 증가할수록 골밀도가 감소되었으며, 연령과 골밀도는 매우 유의한 관련성을 보였다(p<0.01). 그러나 여성의 골밀도는 50대 이후에 급격히 감소되는데 비해, 남성의 골밀도는 연령의 증가와 더불어 점진적으로 감소되었다. 그리고 남녀 모두 요추의 골밀도가 대퇴경부의 골밀도보다 낮았다. 체질량지수가 증가할수록 골밀도가 대체로 높아졌으며, 특히 50대에서는 뚜렷하게 높아졌다. 그러나 이들의 관계는 통계적으로 유의하지 않았다. 골밀도 범주의 분포를 보면, 여성은 40대까지는 정상이 대부분이었으나, 50대에서는 정상과 골감소증의 비율이 비슷하였으며 60대 이상에서는 골다공증이 많았다. 그러나 남성은 70대를 제외한 모든 연령층에서 대부분 정상의 골밀도 범주에 속했다. 커피나 탄산음료는 골밀도에 영향을 주지 않았으나, 음주는 영향을 주었다. 음주집단이 비음주집단보다 골밀도가 높았으며, 유의한 관련성(p<0.05)을 보였다. 또한 흡연과 운동은 골밀도와 유의한 상관관계를 나타내지 않았다.

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중국 소수민족의 복식 연구(1) (The costume culture of China is as old and varied as her long history)

  • 박춘순
    • 복식
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    • 제26권
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    • pp.175-206
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    • 1995
  • The costume culture of China is as old and varied as her long history. As China is a multiracial nation and consists of fifty-six min-ority races including Han race, there are not only fifty-six different costumes in China but each races' costume habit is very different. Therefore, Chinese penninsula can be considered an enor-mous exhibition center of the costumes. This study undertook on the assumption that the costumes' mainstream of Korea and east-northern Asia as well as that of China could be examined by investigating the minority races' costumes in the east-and west-northern areas of China. The process of evolution of the costume of a particular people, country or area is subject not only to constraints related to geography such as climate, topography or local products but is also affected by numorous environmental influences including cultural, economic, social and even pol-itical ones in terms of the selection of material, styling, color and standard of tailoring. In other words, things like philosophy of life, religious be-lief, aesthetic outlook, moral code, class system, degree of affluence, and cultural exchange will all be reflected directly or indirectly by features of a people's or country's style costume. Of course, there are several factors affecting to the style of costume of the minority people in China. However, the only three factors-geo-graphical and environmental, production method, and religious belef-will be touched in this study. First of all, the geograghical and eenviron-mental factor would be the decisive one because the costume should be designed to overcome the constraints of climate and geographical environ-ments. Accordingly, each race has an unique style of costume. The costume of the minority races in the northern parts are loose and wide, and made of warm furs. For instance, Mongolian robe has the quality of anti-wind, anti-cold and warmness, and the width of a sleeve is narrow and long. Secondly, the costume style can be said to be limited by the production pattern, when the geo-graphical environment was affected to decide the costume style, the production pattern was together affected to it . In case of Mongolian robe, they should satisfy the dual condition as the practical function. One is the condition that they should be fitted to the climate, and the other is the condition that they should be suit-able to the nomadic life. Mongolian robes are suitable to the nomadic peoples because they are designed for not only overcoming the cold wind and weather but being used as the bedquit at night. The costumes of Hoche people was made of the skin of the fish and wild animals because of their main means of living being fishing and hunting. Accordingly, their costumes are dur-able, warm and water-proof. Finally, the style of the costume is affected by the religious belief. In other words, the pattern in fashion is closely related with the religious be-lief or ancestor worship and nature worship. Ac-cordingly, the symbols of these worship are often emerged in the decoration of the costume. The design of costume of the people in the northern areas of China is very simple. It is related with their monotheism. On the other hand, the costumes of twen쇼 minority races in the east-northern parts of China can be devided into three racial groups such as the long robes of Man people and Mongols, Tunics of the peoples in the west-northern areas, and the pants and jackets of Hoche people. The minorority races all has not only the unique costume habit but their costumes are also related with their living style and production means.

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학교도서관 발전의 저해요인에 관한 실증적 고찰 -일학교장의 학교도서관에대한 인식을 중심으로-

  • 김남석;김정소
    • 한국도서관정보학회지
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    • 제7권
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    • pp.1-55
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    • 1980
  • It has been observed that the purpose of education is poorly coordinated with the school library. Consequently a healthy growth of the library has been very rare, and educational process has been rather inefficient. Therefore this study attempts to define the role of a school library and the necessasity of its growth, examine principals' concepts of the library, find out the adverse causes for its growth, and make some suggestions to rectify them. A questionnaire was designed to get information on the principals' conceptions about the nature and the role of a school library, a librarian, and adverse causes for the growth of the library. This study is largely based on the analysis of this questionnaire. The results of this study may be summarized as. follows: 1) The school library is not generally considered as the center of educational activities. It is rather variously regarded as a subsidiary organization for education, a place where reading materials are offered, a place where books are kept, or a reading room. 2) This was largely due to the misconceptions of the principals as to the true nature and the role of the school library. 3) The degrees of their misconceptions varied depending on the amount of their exposure to the library science. Those principals who studied library science more hours had better understanding of the library. 4) Although the principals showed rather much concern for the library, the school library was not up to the expectation largely due to their misconception of it. 5) Most of the principals felt that they needed more knowledge on library science to carry out their job. This feeling was stronger for those who spent more hours in a library science course. 6) Most of the principals wanted to offer a position for a dual function: a librarian and a teacher. This was largely due to their lack of knowledge as to the duties of a librarian-which were considered as secondary to the duties of a teacher. 7) The majority of the principals thought the librarians were not paid well enough, but some of the principals o n.0, pposed their pay raise. The former generally took more courses in library science than the latter. 8) Many principals agreed that the adverse causes for the growth of the school library originated from the regional or governmental school authorities. This seemed to indicate that the legal requirements for the library were inadequate and that there was no administrative organization to take care of the library. 9) Most of the principals considered the insufficient funds as the major reason for the present poor condition of the library. But considering the fact that some libraries are better equi n.0, pped that others, financial matter cannot be the deciding factor. It rather seemed that there is some serious problems in the current educational system. For further studies in this field and for the libraries to function properly, the following suggestions are made here: 1) The major adverse cause for the healthy growth of the school library was found in the misconceptions on the school library by the principals, and these misconceptions were largely due to their lack of knowledge. Therefore they should be given more o n.0, pportunities to take courses in library science. 2) The librarian should not be overburdened with other duties than what his job duly calls for, and they should be properly compensated for their own job. They should also be encouraged to grow as librarians. 3) Education itself should be improved so that the library becomes the center of learning. 4) An administrative department should be created to oversee the school libraries, and legal measures should be enacted for better school libraries. 5) Financial su n.0, pport should be provided for a period of time in order to upgrade the school library to a certain level. Finally it is strongly felt that more detailed and inclusive studies in this field should be carried on and further experimental studies should be done.

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심리적 계약 위반이 OS이용자의 배신 행동에 미치는 영향: 윈도우 XP 기술적 지원서비스 중단 사례 (The Effects of Psychological Contract Violation on OS User's Betrayal Behaviors: Window XP Technical Support Ending Case)

  • 이은곤
    • Asia pacific journal of information systems
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    • 제24권3호
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    • pp.325-344
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    • 2014
  • Technical support of Window XP ended in March, 8, 2014, and it makes OS(Operating System) users fall in a state of confusion. Sudden decision making of OS upgrade and replacement is not a simple problem. Firms need to change the long term capacity plan in enterprise IS management, but they are pressed for time and cost to complete it. Individuals can not help selecting the second best plan, because the following OSs of Window XP are below expectations in performances, new PC sales as the opportunities of OS upgrade decrease, and the potential risk of OS technical support ending had not announced to OS users at the point of purchase. Microsoft as the OS vendors had not presented precaution or remedy for this confusion. Rather, Microsoft announced that the technical support of the other following OSs of Wndow XP such as Window 7 would ended in two years. This conflict between OS vendor and OS users could not happen in one time, but could recur in recent future. Although studies on the ways of OS user protection policy would be needed to escape from this conflict, few prior studies had conducted this issue. This study had challenge to cautiously investigate in such OS user's reactions as the confirmation with OS user's expectation in the point of purchase, three types of justice perception on the treatment of OS vendor, psychological contract violation, satisfaction and the other betrayal behavioral intention in the case of Window XP technical support ending. By adopting the justice perception on this research, and by empirically validating the impact on OS user's reactions, I could suggest the direction of establishing OS user protection policy of OS vendor. Based on the expectation-confirmation theory, the theory of justice, literatures about psychological contract violation, and studies about consumer betrayal behaviors in the perspective of Herzberg(1968)'s dual factor theory, I developed the research model and hypothesis. Expectation-confirmation theory explain that consumers had expectation on the performance of product in the point of sale, and they could satisfied with their purchase behaviors, when the expectation could have confirmed in the point of consumption. The theory of justice in social exchange argues that treatee could be willing to accept the treatment by treater when the three types of justice as distributive, procedural, and interactional justice could be established in treatment. Literatures about psychological contract violation in human behaviors explains that contracter in a side could have the implied contract (also called 'psychological contract') which the contracter in the other side would sincerely execute the contract, and that they are willing to do vengeance behaviors when their contract had unfairly been broken. When the psychological contract of consumers had been broken, consumers feel distrust with the vendors and are willing to decrease such beneficial attitude and behavior as satisfaction, loyalty and repurchase intention. At the same time, consumers feel betrayal and are willing to increase such retributive attitude and behavior as negative word-of-mouth, complain to the vendors, complain to the third parties for consumer protection. We conducted a scenario survey in order to validate our research model at March, 2013, when is the point of news released firstly and when is the point of one year before the acture Window XP technical support ending. We collected the valid data from 238 voluntary participants who are the OS users but had not yet exposed the news of Window OSs technical support ending schedule. The subject had been allocated into two groups and one of two groups had been exposed this news. The data had been analyzed by the MANOVA and PLS. MANOVA results indicate that the OSs technical support ending could significantly decrease all three types of justice perception. PLS results indicated that it could significantly increase psychological contract violation and that this increased psychological contract violation could significantly reduce the trust and increase the perceived betrayal. Then, it could significantly reduce satisfaction, loyalty, and repurchase intention, and it also could significantly increase negative word-of-month intention, complain to the vendor intention, and complain to the third party intention. All hypothesis had been significantly approved. Consequently, OS users feel that the OSs technical support ending is not natural value added service ending, but the violation of the core OS purchase contract, that it could be the posteriori prohibition of OS user's OS usage right, and that it could induce the psychological contract violation of OS users. This study would contributions to introduce the psychological contract violation of the OS users from the OSs technical support ending in IS field, to introduce three types of justice as the antecedents of psychological contract violation, and to empirically validate the impact of psychological contract violation both on the beneficial and retributive behavioral intentions of OS users. For practice, the results of this study could contribute to make more comprehensive OS user protection policy and consumer relationship management practices of OS vendor.

운동유무에 따른 양측 대퇴골 골밀도 차이에 관한 연구 (A Study of both Femurs Bone Densitometry's Difference for Exercise)

  • 장은주;김은혜;김호성;신상기
    • 핵의학기술
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    • 제13권1호
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    • pp.73-76
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    • 2009
  • 자주 사용하는 발에 상관없이 좌측 대퇴골밀도 측정만으로 골밀도 정보가 충분한지에 대해 알아보기 위해 발의 사용빈도가 운동과 관련이 있다는 가정하에 오른손잡이, 왼손잡이로 나누어 운동여부에 따른 양측 대퇴골밀도 차이에 관해 연구를 하였다. 2008년 7월부터 8월까지 본원건강증진센터를 내원한 30세 이상 70세 이하($51{\pm}6.7$세)의 수검자 229 명(여성 146명, 남성 83명)을 대상으로 자주 사용하는 손과 평상시 운동여부를 설문지 방식으로 조사하였고, 검사는 DXA (Dual energy X-ray absorptiometry) 방식 GE Lunar Prodigy advance장비를 이용해 양측 대퇴부위를 측정하였으며, 측정된 값의 평균을 구하여 차이를 비교해 SPSS 12.0 통계 프로그램을 이용하여 분석하였다. 운동여부를 고려하지 않고 양측 대퇴부위의 차이를 비교해 보았을 때 오른손잡이(n= 209)의 양측 대퇴골밀도 값의 차이는 neck (t=-0.15), total (t=-0.12), 왼손잡이(n=20)는 neck (t=-0.76), total (t=0.02)로 오른손잡이, 왼손잡이 모두 통계상양측의 차이는 없는 것으로 나타났다. 그리고 운동을 한 집단으로 나누어 조사해 보니 오른손잡이(n=114)는 neck (t=0.56), total (t=0.65), 왼손잡이(n=13)는 neck (t=-0.13), total (t=-0.39)로 두 그룹 모두 통계상 양측의 차이는 없는 것으로 나타났다. 마지막으로, 운동을 안 한 집단의 양측 대퇴부위의 차이 조사해 보니 오른손잡이(n=95)는 neck (t=-0.80), total (t=-0.78), 왼손잡이(n=7)는 neck (t=0.25), total (t=-0.64)로 세 집단에서 모두가 오른손잡이, 왼손잡이 상관없이 좌우측의 대퇴골밀도의 값이 통계상으로 차이는 없는 것으로 나타났다. 현대인들은 운동량이 부족한 생활방식에 익숙해져 있기도 하지만 평소 운동을 규칙적으로 행하는 사람들도 많기 때문에 두 집단의 차이에 대한 연구가 필요하였는데, 이들 모두 양측 대퇴골밀도의 차이는 오른손잡이, 왼손잡이냐에 상관없이 통계상 값의 의미 있는 차이는 없었다. 따라서 대퇴골밀도의 측정 시 자주 사용하는 손에 대한 위치나 운동여부에 상관없이 현재 방식대로 좌측 대퇴부를 측정하여 골밀도 검사를 실행하는 것이 옳을 것으로 생각된다. 다만 수술과 같은 특수한 경우에는 우측을 검사해야 할 것이다.

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