• Journal of Preventive Medicine and Public Health
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• 제29권3호
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• pp.639-655
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• 1996

Cerebrovascular disease and coronary heart disease are the first and the fourth common causes of death among adults in Korea. Reported risk factors of these diseases are mostly alike. But some risk factors of one of these diseases may prevent other diseases. Therefore, we tried to compare and discriminate the risk factors of these diseases. We recruited four case groups and four control groups among the inpatients who were admitted to Wonju Christian Hospital from March, 1994 to November, 1995. Four control groups were matched with each of four case groups by age and sex. The number of patients in each of four case and control groups were 106 and 168 for acute myocardial infarction(AMI), 84 and 133 for subarachnoid hemorrhage(SAH), 102 and 148 for intracerebral hemorrhage(ICH), and 91 and 182 for ischemic stroke(IS) respectively. Factors whose levels were significantly higher in AMI and IS than in responding control group (RCG) were education, economic status, and triglyceride. Factors whose levels were significantly lower in hemorrhagic stroke than in RCG were age of monarch, and prothrombin time. The factor whose level was higher in AMI than ill RCG was uric acid. The factor whose level was higher in AMI, ICH, and SAM than in RCG was blood sugar. Factors whose levels were significantly higher in all the case groups than in RCG were earlobe crease, Quetelet index, white blood cell count, hemoglobin, hematocrit, and total cholesterol. The list of risk factors were somewhat different among the four diseases, though none of the risk factors to the one disease except prothrombin time acted as a preventive factor to the other diseases. The percent of grouped cases correctly classified was higher in the discrimination of ischemic diseases(AMI and IS) from hemorrhagic diseases(SAM and ICH) than in the discrimination of cerebrovascular disease from AMI. The factors concerned in the discrimination of ischemic diseases from hemorrhagic diseases were prothrombin time, earlobe crease, gender, age, uric acid, education, albumin, hemoglobin, the history of taking steroid, total cholesterol, and hematocrit according to the selection order through forward selection.

• Journal of Preventive Medicine and Public Health
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• 제28권3호
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• pp.623-639
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• 1995

We have never seen any method to cope basically with complicated situation and problems around medical reimbursement rates here in Korea since 1977 witnessed by the beginning of medical insurance. By the way researchers concerned are beginning to propose some kinds of innovative and detailed ideas to government these days. They are Diagnosis-related group(DRG) and Resource-based .elative value scale(RBRVS). In the light of this situation it is so encouraging that our government can come up with that and move. In case of RBRVS research we have already been reaching even to the level of reviewing and revising methodology for its further development after naive pilot study on internal medicine and general surgery last year. However there might be something different conditions between USA and Korea to apply the same Dr. Hsiao's method and it must be vital to check so called' total work approach' compared with 'intra-service work approach' before expanding to the whole medical fields. According to the' Intra-service approach', the physician's work is supposed to be divided into three sub-works by the name of intraservice work, pre, and post service work. These sub-works, again should be merged together to be the pre-postwork subset through some statistical methods of the estimation process applied by Dr. Hsiao's methodology in RBRVS development later on. But in this paper that estimation process was not taken because we could have real values for all of those surveyed items related to just one specialty, OB & GY. Instead, We used some statistical comparison procedures relevant to demographic characteristics, reliability & validity and correlation analysis with American RVU(Relative value unit) between the total work and merged total work from intraservice work approach. The unit of analysis was individual physicians of OB & GY and 300 physicians were selected for each approach through statistical sampling method based on national population of OB & GY physicians in Korea. And also with the thankful help of Advisory Committee under Korean Association of OB & GY, questionnaires were made and mailed to the subjects, two times. As a result there were not any statistically significant differences in demographic characteristics between the two approaches except for the variable 'Response time for the questionnaires', but in other sections of comparisons, response rate, representative values, reliability & validity test, correlation analysis with American RVU, all showed 'Total approach' was not only more rational and statistically meaningful than 'Intra-service approach' but also had considerable merits. But we are not absolutely sure about this paper's robustness. Because of some limitations, we'd rather like to suggest further researches should be followed. In that sense the first thing would be a research for the influence of doctor's characteristics, especially 'frequency' on the rating of work and the way to define total work more clearly.

• 한국콘텐츠학회논문지
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• 제18권2호
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• pp.388-395
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• 2018

웰빙과 유기농식품에 대한 관심이 증가됨에 따라 유기농식품의 시장도 지속적으로 성장하고 있다. 이에, 외식시장에서의 유기농식품에 대한 연구가 꾸준히 진행되어 오고 있으나 대부분의 연구는 유기농식품의 영양학적 분야에 대한 연구가 주를 이루고 있다. 이에 본 연구는 소비자가 인지하는 유기농 식품의 편익과 만족도 연구를 위해 서울의 백화점 및 마트 일대에서 편의표본추출방법으로 314부를 설문하여 최종 분석을 하였으며, 특히 고연령층과 저연령층으로 구분하여 연령별로 인지하는 편익과 만족도에 미치는 영향을 분석하였다. 연구 결과 신체적, 지역적 편익은 저연령 및 고연령층 모두 만족도에 영향을 미치고 있는 것으로 분석되었고, 감각적 편익은 저연령층에는 만족도에 부정적인 영향을 미치는 것으로 나타났다. 또한, 가계경제적 편익의 경우는 고연령층의 유기농식품 만족도에 부정적 영향을 미치는 것으로 나타났다. 본 연구는 연령의 그룹에 따라 유기농식품 구매를 통한 편익이 만족도에 미치는 영향을 분석하여 점차 확대되어가고 있는 유기농식품 시장의 마케팅 시장을 세분화하고 전략의 방향을 결정하는데 기여할 수 있다.

• Journal of Nutrition and Health
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• 제6권2호
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• pp.35-43
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• 1973

This study is concerned with the nutritional status of the packed lunch boxes which are brought by the junior high school students in Capital City of Seoul. Four hundred and eights students of the 8 school districts in Seoul had been randomly selected as subjects. The contained nutrients in the packed lunch were analysed by the Food Composition Table. To observe the influence of home economical status and mother's educational level on the nutrient concents of packed lunches, the chosen subjects were classified into three large groupings, which are upper, middle and low classes respectively. In addition, comparison between the Recommended Daily Allowanced for Korean people-13 to 15 age group-and the contained nutrients in the lunch boxed had been conducted. T-test was applied to clarify the significance of the differences between each group both economical and educational level. 1. The averaged rations between the Recommended Daily Allowances and the contained nutrients in the lunches stand: Calorie 59.7% (566 Cal.) protein 53.1% (18g), animal protein 48.6% (5g), fat 39.8% (5g), calcium 371.% (0.1g), ferret 66.4% (2.9g) Vitamin A 642 1.U. (31.3%), Vitamin $B_1$ 70.2% (0.3mg), Vitamin $B_2$ 41.4% (0.2g), Niacin 77.0%(4mg), Vitamin C 51.9% (13mg). All of the nctrients fall far behind the Recommended Daily, Allowances for 13 to 15 age group. 2. Home economical status brings influence on the kinds of foods which could been. Protein, animal protein, fat, Vitamin $B_2$, Vitamin C showed significance of diffierences between the upper and middle classes. Between the middle and low classes, Protein, animal protein, fat, calcium and Vitamin C showed significance of difference. And finally, between the upper and low classes, protein, fat, calcium, ferret, Vitamin $B_2$ and Vitamin C showed a great significance. 3. Regardless to the living conditions of the subject students, all the nutrients of the lunches packed by the mothers in the entire educational levels did not reach the Recommended Daily Allowances. Protein, animal protein, fat, ferret, Vitamin A, and Niacin showed the significance of the differences between the upper and middle classes. On the other hand, calorie, animal protein, fat, Vitamin A and Vitamin C showed the significance between the middle and low classes. Between the upper and the low classes, protein, animal protein, fat, and ferret showed significance. 4. The mairdish-ice of the lunch boxes supplied calorie, protein, Vitamin $B_1$, Vitamin $B_2$ and Niacin which stand at 83.8%, 56.1%, 52.5%, and 54.8% respectivly when compared with the whole nutritional contents. 5. The side-dishes of the packed lunch lack in variety of cooking methods. One interesting fact is that entire subject students are very favorable to the food cooked with every kind of grains.

• 산경연구논집
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• 제9권9호
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• pp.63-74
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• 2018

Purpose - The current study is to compare the cognition of stakeholders on hosting a mega sports event between Korea and the United States. In particular, to understand their cognition and perceptual conflict towards hosting a mega sports event, the study employed conflict theory. Furthermore, the study reviewed the role of social capital in the process of managing the mega sports events. Research Design, Data, and Methodology - Of homogeneous sampling, purposeful sampling method and criterion-based selection approach were used to collect interview data from key stakeholders who have been involved in hosting a mega sports events in Korea and the United States. In-depth interview transcripts were reviewed multiple tiems after transcription to extract concepts and meanings that were pertinenet to the experience involving hosting a mega sports event. Further member checks was conducted to increase the credibility of the results. Results - Results can be summarized as followed: First, stakeholders of Korea have a strong desire for positive economic effects of a mega sports event, compared to those in the United States who are more concerned in enhancing the public interests and concerns. Second, in Korea, various socio-political issues emerged at the same time and conflicts among multiple stakeholders have aggravated the situations to coordinate the issues. This was because legal system supporting socio-trust has not been established. On the other hand, major stakeholders of the United States consisted of community members who have socio-trust and networks. Thereby these social resources have been found playing a key role in building social capital that assists the stakeholders to coordinate the current issues and to solve them. Conclusions - The current study analyzed the cognition and perceptual conflict of stakehoders in a mega sports event. Social capital has beend found as a key catalyst to increase a network and cooperation among stakeholders. In order to enhance social capital in managing a mega sports event hosted in Korea, legal systems that establish networks and relationships among the related stakeholders need to be developed. Furthermore, the systematic guideline needs to be developed, organizing the sub-committees according to the types of stakeholders and the categorized common needs.

• 대한간호학회지
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• 제6권1호
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• pp.51-59
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• 1976

Contemporary nursing is concerned with meeting patients physical psychological and secio-economical needs and with helping persons to sore their own problems. At the time of confinement and delivery, women often have physical and psychological disco- mort related to fear, tension or anxiety. Pain related to these causes varies with the individual woman. Effective nursing care to meet individual needs during labor and delivery is important if nurses are to understand and relieve woman's physical and psychological pain. A questionnaire prepared for the purpose by the investigator was administered to 162 women in two general hospitals, one in Seoul and one in TaeGu, during August 1 and September 20, 1975 and to the 13 delivery-room nurses who cared for them. It was hoped that the study would contribute to comprehensive nursing care during labor and delivery and to improve maternal and child health. 1. The sample of mothers ranged in age from 18 to 39; the majority were from 25 to 29 years old (54.3%). Most of them were housewives (87.6%). Sixty-three percent had high school or higher education. They had a range of one to seven deliveries. Sixty-one percent were primiparas Most had some prenatal care (87.6%). 2. The age of the group of nurses ranged from 22 to 39. Ten were 22 or 23. Five of the 13 had from six to ten months experience in the de]ivory room. Twelve were single and ten had a religious affiliation. 3. Both primiparas and multiparas thought equally that physical and psychological care, nursing skills and attitudes were important during labor and delivery, but did not relate basic nursing care directly to normal delivery. Need for nursing care was rated more highly by primiparas (2.83-3.48) than by multiparas (2.51-3.17) (p〈0.05). 4. There was no difference in need for nursing care according to the educational level of the women nor according to whether they had a religious affiliation or not (p〉0.05). 5. There was no difference in the reported nursing care given regarding of the educational preparation of the nurses (p〉 0.05). 6. There the reported nursing needs of the women and the reported nursing care given were compared, physical and psychological nursing care directed toward protecting the mother and fetus and a safe do]ivory were considered important by both groups. Neither group related simple nursing care directly to protection of the mother and fetus or to a safe delivery. The women rated highly their needs for nourishment (3.05) and having a relative with them (2.90) for emotional support but there was little evidence (2.39) that the nurses provided care to meet these needs (p〈0.05). In conclusion, the nursing needs of the women during the three stages of labor and the nursing care given were generally similar. The women had more psychological needs than physical needs but in comparison, nurses gave a little more physical than psychological care. The results point up the need to make adjustments in labor and delivery room nursing care the nurse should Prepared to pay more attention and bigger consideration in psychological comfort care than physical care.

• 대한치과교정학회지
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• 제29권1호
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• pp.1-22
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• 1999

건강과 의료에 관심 이 높아지면서 의료수요는 날로 증가하게 되었고 이에 따르는 의료분쟁 또한 증가하는 추세이다. 교정치료와 관련하여 현재 급증하고 있는 의료사고 및 의료분쟁 사항을 조사하여 예방 및 대응책을 마련하고자 대한 치과교정학회주관으로 인정의위원회에서는 30항의 설문지를 작성하였고 1998년 7월에 교정학회 회원 2,200명을 대상으로 교정치료시 의료사고 유형 파악 및 예방을 위한 설문조사를 시행하였다. 그 내용은 의료사고나 분쟁을 경험한 회원들의 인적사항을 포함한 관련사항, 의료사고와 관련된 환자의 인적사항 및 의료사고 원인 및 해결방법, 회원들의 교정치료와 관련된 주의사항, 의무기록 작성 및 보관 등에 관한 사항이었으며 그 결과를 바탕으로 교정과 영역에서의 의료사고 및 의료분쟁의 성격 분석을 하였다. 현재의 상황에서 언제 어디서 일어날지 모르는 의료사고나 의료분쟁을 예방하거나 방지하는 것이 의료분쟁이 발생한 후 해결하는 것보다 더 중요하다. 이를 위해서는 환자와 의사간의 신뢰를 바탕으로 진료기술의 숙련도를 높이고 발전하는 새로운 의학 정보를 얻는데 게으르지 말아야하며 진단, 치료과정, 치료의 후유증, 위험성에 관한 자세한 설명을 통하여 환자 스스로 치료여부를 결정할 수 있는 의료환경을 만들어 나가야할것이며 환자를 대하는데 주의를 기울이며 가장 기본적인 진료기록부 작성과 관리에 관심을 가져야 할 것이다. 교정학회차원에서도 의료사고와 분쟁의 예방과 대응책에 관한 교육프로그램과 의료사고와 분쟁이 발생할 경우 도움을 줄 수 있는 대책이나 기구 등을 마련하여야할 것이다.

• 디지털융복합연구
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• 제11권4호
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• pp.221-227
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• 2013

RFID는 IC 칩과 무선통신을 통해 다양한 개체의 정보를 관리할 수 있는 인식기술이다. 생산에서 판매에까지의 과정을 초소형 IC 칩에 내장하여 이를 무선으로 추적하는 기술로써 전자태그, 스마트태그 또는 전자라벨 등으로 불러지고 있다. 현재 의료, 국방, 물류, 보안 등에 응용하여 사용하기위해 적용 및 개발이 진행되고 있으나 구조상 태그의 정보를 읽어 들이는 리더와 정보를 제공하는 태그, 데이터를 관리하는 데이터베이스로 구성되는데 리더와 태그 구간이 무선구간으로 보안에 취약한 문제가있다. 따라서 취약한 부분을 해결하고자 보안프로토콜의 연구가 활발히 진행되고 있으나 구현부분이 어려워 정리증명 단계의 제안이 대부분이다. 이는 추후 다른 연구자에 의해 취약성이 발견되는 부분이 많아 실제시스템에 적용시 많은 어려움이 존재한다. 본 논문에서는 제안한 보안프로토콜을 CasperFDR 정형검증 도구를 사용하여 제안한 프로토콜의 보안성을 실험 검증하였으며 각종공격에 안전한 방식임이 확인되었다. 향후 실제 태그에 적용할시 보안성에 대한 안전보장 및 새로운 공격에 대한 안전성을 충족하였다.

• 한국식품영양과학회지
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• 제39권4호
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• pp.506-510
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• 2010

본 연구는 뇌혈관성 질환의 예방을 위한 양생약선으로의 활용을 위한 약용식물에 관한 연구의 일환으로 계획되었고 문헌상의 기록을 바탕으로 한 약용식물의 여러 기능 중 혈류 및 혈압 개선 효과에 중점을 두고 그 기능을 과학적으로 확인하여 보고자 하였다. 흰쥐를 대상으로 LDF를 이용하여 약용식물 추출물이 국소 뇌혈류량과 혈압에 미치는 효과를 관찰한 결과는 다음과 같다. 추출물을 여러 농도로 투여 시 국소 뇌혈류량은 증가되었다. 추출물이 국소 뇌혈류량을 증가시키는 기전을 확인하기 위해 atropine, L-NNA, methylene blue, indomethacin을 전 처리한 후 추출물을 투여하였을 때는 국소 뇌혈류량에 유의한 변화를 관찰할 수 없었으나 propranolol을 전 처리한 후 추출물을 1.0 mg/kg 농도 이상으로 투여했을 때는 국소 뇌혈류량이 유의적으로 증가함을 관찰할 수 있었다. 추출물을 여러 농도로 투여 시 혈압은 감소되었다. 추출물이 혈압의 변화를 초래하는지를 확인하기 위해 atropine, L-NNA, methylene blue, indomethacin을 전 처리한 후 추출물을 투여하였을 때는 혈압변화에 유의한 변화를 관찰할 수 없었으나, propranolol을 전 처리한 후 추출물을 1.0 mg/kg 농도 이상으로 투여했을 때는 혈압이 유의적으로 감소함을 관찰할 수 있었다. 결과에서 약용식물 추출물은 뇌혈류량을 증가시키고 혈압을 강하시키는 작용이 있음을 확인하였고 그 기전은 교감신경 $\beta$ 수용체의 활성을 변화시킴으로써 나타난 것으로 판단된다. 따라서 연구의 목적인 약선식으로의 활용에 있어 원재료로 사용이 가능하다고 판단되며 완제품에 대한 영양성분 및 유효성에 대한 연구를 수행할 때 기초자료가 될 수 있을 것으로 사료된다.

• 간호행정학회지
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• 제5권1호
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• pp.63-76
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• 1999

The main objective of this study was to develop a concept of service marketing promotion in nursing that is derived from the concepts of service marketing theory. This research was a descriptive study, at the factor isolation level. The principle of concept derivation suggested by Walker and Avant (1988) and the Hybrid model suggested by Schwarz-Barcott and Kim (1993) were employed as the research method. The data were collected from December, 1997 to April. 1998 at a large general hospital located in Seoul. The procedures of this study were as follows: First. at the theoretical phase: the meaning, attributes, and definition of service marketing promotion were identified through an extensive review of the literature. Second, at the empirical phase: fieldwork was done to identify the promotional activities and events in nursing. Top nurse managers from 4 units (Director of Nursing, Head nurses of inpatient nursing unit, outpatient nursing unit. and home care nursing unit) were interviewed and the content of the interview was analyzed to identify the meaning and attributes of promotion in nursing. Other methods such as brochures and other audio-visual materials which were relevant to nursing promotion were used to supplement the interviews. Finally, the results of the theoretical and empirical analyses were intergrated to develop a concept of service marketing in nursing practice. A final definition of service marketing promotion in nursing was identified as follows. 1. Promotion as a marketing function in nursing service is concerned with communication to target markets on all information related to nursing service in order to satisfy the objectives of both a nursing service organization and the target markets. 2. The goals of nursing service promotion include: 1) increasing visibility of nursing services and delivering the information on nursing services, 2) affirming the value of nursing services, so it can contribute to formulation of reimbursement policy for nursing services. 3) advancing the general image of the nursing profession and nursing services. 4) achieving and attaining a desirable positioning for nurses among health care professionals. and 5) creating and stimulating the demand for nursing services. 3. In order to obtain these goals it is necessary to provide information on nursing services, to persuade target markets. to remind them about nursing services. and to establish a collaborative relationship with related departments. 4. The tools used to carry out the above functions of promotion in nursing are the providing nursing services, public relations and publicity. QA of nursing, advertising, and sales promotion. 5. The target markets of nursing service include the nursing customer markets. the internal markets, the influence markets. the recruitment markets. the supplier markets. and the nursing referral markets. In conclusion, the concept of promotion in other service marketing areas can be applied to the promotion of nursing service marketing. The promotion of nursing service is more than just effective communication in nursing service. it is the effective use of the concepts of service marketing promotion. Promotion of nursing service will contribute to create and expand nursing services.