• 한국병원경영학회지
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• 제9권3호
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• pp.71-97
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• 2004

This study conducted a comparative analysis of awareness level of review standards, continuing education, and awareness about the need for speciality and educational courses in order to improve quality of Korean health insurance review work and to present directions for policies of personnel development and continuing education to smoothly perform hospital's insurance claim work and Agency's review work. The analysis unit of the study is individuals, and survey was conducted among hospital's claim officers and Agency' review officers by distributing questionnaires. The major results of the study are as follows: First, it is found that hospital's claim officers and Agency's review officers have conflicting awareness about review standards; more Agency's review officers think that current review standards are universal and reasonable, while more hospital's claim officers believe that they need to be revised. Especially, hospital's claim officers replied that it is possible that review results can differ according to government's policies. Second, there is no significant difference between the two groups in the opinion that there are individual differences in awareness level of review standard. In particular, both groups share the opinion that review results can differ according to officer's interpretation of review standards. Third, Both review officer groups feel the need for further training and continuing education. Fourth, there is no difference between the two groups in the opinion that both groups members should be educated in review related educational institutions. However, while 81.5% of Agency's review officers the education should be offered at the Agency, only 45.2% of hospital's claim officers agreed to it. Fifth, both review personnel do not show any difference in awareness of needed experience to successfully perform review work; both groups replied that three to four years experience is necessary to smoothly perform claim work and review work. This study was tried in order to search for directions to improve Korean insurance review work in quality rather than to explore characteristics themselves of individual factors. In this sense, this study presupposed an intention that the educational subjects for further training and continuing education for the two groups should be the same in order to narrow the awareness gap between hospital's claim officers and Agency's review officers. Thus, this study suggests that it is desirable to offer beginner courses at junior colleges or in undergraduate courses and advanced courses in professional graduate school for six to twelve months. In that a comparison of awareness level of hospital's claim officers and Agency's review officers who are actually in practice should precede appropriate presentation of directions for the qualitative improvement of insurance review work in Korea, the significance of this study lies in comparatively analyzing the awareness level of hospital's claim officers and Agency's review officers and in presenting the establishment of future further training and continuing education.

• 지역사회간호학회지
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• 제1권1호
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• pp.299-317
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• 1989

This study was attempted to find out the distribution of industrial nurses, analyze job performance by function and utilization state of medical dispensary among workers. The subjects for this study were 32 nurses working at industry located in Kyungpook and Taegu area. The data was collected through questionaire during the period of August 5-31, 1986, and analysed by the method of frequency and percentage. The following is the main findings of the study; 1. 72.2% of respondents was engaged in manufacturing industry, 33.3% in workplace whose regular workers was more than 2,000 workers. 67.7% in occupational health physicians was part-time system. 2. 93.1% of respondents was 20-29 years age group, 93.1% was graduates of junior nursing college, 96.6% was unmarried. 448% had 1-4 years of total working experiences. 3. For the motives which made them becomes industrial health nurse, 'good employment condition' was 62.1%. For the job satisfaction, 'moderate' was 586%. For the interest about the industrial health, 'moderate' was most frequent (58.6%). In the inservice education, 86.2% of the subjects was received education. 4. For the attitude of the dispensary and industrial nursing of employer, 'necessary' was most frequent (72.4%, 62.6%). 5. All establishment had dispensary facilities, 65.5% of them had independent dispensary. 6. In duty shift, 93.1% of respondents was working in one shift system. 41.4% of respondents was received from 250,000 won to 290,000 Won and 41.4% was belong to personnel section and 24.1% was direct controlled by general business section chief. 7. In the main health problem of their factories, 48.3% of respondents was work-environmental state, 24.1% was health education. 8. In the Dispensary budget, 60% of respondents was under 3,000 won per worker. 9. In the job performance rate by function, nursing service 73.1%, industrial health and nursing management 63.7%, environmental hygiene and safety management 54.5%, medical insurance 44.9%, welfare 38.4%. 10. Main health complaints among workers utilizing medical dispensary was 35.9% of respiratory system, 21.5% of gastro-intestinal system, 11.0% of skeletomuscular system.

• 한국보건간호학회지
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• 제17권2호
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• pp.238-254
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• 2003

The objective of this study was to provide baseline information useful for developing education programs to prevent sexual harassment in schools. Survey of recognition and experiences of sexual harassment and analysis of factors associated with sexual harassment were conducted. The data were collected using questionnaires from December 9 through 28, 2002. A total of 737 female teachers in Daegu participated in the survey. The data were analyzed with descriptive analysis, ANOVA, and T-test using SPSS /WIN 11.0. The study results were as follows: 1. As to the characteristics related to sexual harassment, $51.3\%$ of the female teachers had no experience of preventive education about sexual harassment, $37.2\%$ of the female teachers perceived that enactment of related laws had little influence on the prevalence of sexual harassment, and $59.8\%$ thought strict punishments are required. For teachers who have experienced sexual harassment in schools, $39.8\%$ thought that they must report to the counseling office or female teachers' meeting. On the other hand, $35.7\%$ answered that they would take passive actions such as talking to their friends or colleagues. 2. As to the mode of sexual harassment, participants regarded physical harassment $(4.06\pm0.78)$ as the prominent forms of sexual harassment, followed by visual harassment $(4.04\pm0.77)$, and verbal harassment $(3.86\pm0.81)$. Among physical harassment. 'touching a body part (shoulder, hip, hand, etc)(4.58) was recognized as prominent forms of physical harassment, while 'blocking one's path or impeding one's movement (3.48)' was recognized as least prominent forms of physical harassment. 3. As to the experiences of sexual harassment, $79.8\%$ of the female teachers had experienced sexual harassment. According to the characteristics of schools. public junior high school $(87.8\%)$, private high school $(83.4\%)$ and bisexual school $(82.5\%)$ had higher rates of sexual harassment. 4. As to the characteristics of experiences in sexual harassment. $65.3\%$ thought that sexual harassment was not serious, but $18.9\%$ thought it was serious and $2.2\%$ thought as very serious. 5. As to the characteristics of sexual harassers, $378.6\%$ were 'colleague teachers' and $8.6\%$ were 'principals and/or vice-principals'. Ninety-three percent of sexual harassers were , male' and $40.2\%$ of them were 'in their 40s'. In most cases. the offender of the sexual harassment was male teachers in the same schools. And more than half of the female teachers replied they had never had any education related to sexual harassment. which means that systematic education is quite urgent.

• 한국전문물리치료학회지
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• 제2권2호
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• pp.24-39
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• 1995

For the purpose of clarifying to what degree the mothers of developmentally delayed children are involved in treating their child at home. 193 mothers were sampled from 220 mothers of developmentally delayed children below 12 years of age who have visited one of four institutions: the Rehabilitation Hospital of Yonsei Medical Center, Inchon Severance Hospital, Disabled Welfare Center in Myongil-dong, and Nambu Disabled Welfare Hall. The study period was from Mar. 25, 1995 through Apr. 15, 1995. A questionnaire survey was conducted listing the characteristics of the developmentally delayed children, their mothers, mother's satisfaction with their therapists, and the actual conditions of the home treatment. 1. The mothers who treat their child at home for more than 31 minutes a day show a high involvement score, while the mothers of those who give treatment for less than 30 minutes a. day show a low involvement score. That is, the longer the treatment, the greater the involvement score. This indicates a statistically significant result(p<0.01). 2. In cases where a child's father is involved in the home treatment, his/her mother discloses a statistically high involvement score(p<0.001). 3. The result of analysis of cases where other family members, relatives or friends (fathers excepted) reveals a statistically significant high involvement score(p<0.05) for the mother. 4. Mothers in general represent a statistically significant high involvement in home treatment. In the meantime, the mothers in a nuclear family show a higher involvement home treatment than mothers in an extended family(p<0.01). 5. Among those respondents who think that home treatment is helpful and that mothers' involvement in home treatment is helpful, the mothers record a statistically significant high involvement score(p<0.05). When seen from the above perspectives, it seems of much significance that fathers and other relatives or family members play an important role in enhancing the involvement of mothers in home treatment. One point to note here is that providing a long home treatment time is crucial. Therefore, it is recommended that family members have access to rehabilitation treatment for training developmentally delayed children or their care giver; and moreover, we needed to carry out family training or at least arrange for meetings between the family members and medical personnel involved in the child's rehabilitation.

• 한국수산과학회지
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• 제14권2호
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• pp.66-71
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• 1981

굴의 주요구성분인 글리코겐과 단백질의 굴젓갈 숙성중의 분해과정과 분해생성물 상호간의 관계를 알아보기 위하여, 글리코겐의 분해생성물인 유리환원당과 젓산의 생성 유리아미노산과 단백질 구성아미노산의 젓갈 숙성 전후의 구성변화 및 유리환원당과 유리아미노산간의 첫갈숙성조건에서의 반응성의 지표로서 유효성라이신의 양의변화 등을 분석 검토하였다. 글젓갈 숙성중 글리코겐과 단백질은 분해생성물인 유리환원당과 젓산, 그리고 유리아미노산에로 분해하여 갔으며, 유효성라이신의 양은 미미하게 감소하였다. 단백질을 구성하는 아미노산의 구성을 분석한 결과, 생굴 단백질 구성아미노산중에는 glutamic acid, aspartic acid, lysine, proline이 많았으며, tryptophan과 methionine, histidine 및 tyrosine은 적게 함유되어 있었다. 굴젓갈 단백질 구성아미노산중에는 생굴단백질 구성아미노산중 valine과 histdine isoleucine 및 lysine이 감소된 것이 주목을 끌었다. 유리아미노산의 구성을 보면 생굴중에는 proline, taurine, glycine, glutamic acid, alanine이 특히 함유되어 있었으며, 이들 아미노산의 전체 생굴 유리아미노산에 대한 비율은 약 $69\%$에 달하였다. 그리고 젓갈중에는 proline, glutamic acid, glycine, alanine, aspartic acid 및 lysine이 많이 함유되어 있었으며, 이들 유리아미노산은 전체 굴 젓갈 유리아미노산의 약 $65\%$에 달하였다. 굴젓갈 숙성중에 증가한 유리아미노산은lysine, arginine, aspartic acid, glutamic acid, cysteine, isoleucine, tyrosine등을, 그리고 감소한 아미노산은 taurine, proline, leucine등을 들 수 있었다.

• 한국수산과학회지
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• 제10권1호
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• pp.31-36
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• 1977

우리나라 충무연안의 해양 미생물의 월별 분포를 파악하고 이에 따라 효과적인 양식업 대책수립은 물론, 어패류로 인한 식중독 발생 예방 재료를 얻고자 1976년 4월부터 1977년 3월까지 매월 해수, 이토, 어류 및 패류등을 수집하여 조사한 결과를 요약하면 다음과 같다. 1. 해수, 이토, 어류 및 패류 732 시료에서 1,426 균주를 분리 하였다. 분리된 균종은 Pseudomonas fluorescens가 450균주, Achromobacter liquifacience 422 균주 Vibrio Parahaemolyticus가 72균주, V. alginolyticus 234균주, Proteus vulgaris가 248 균주였다. 2. V. parohaemolyticus는 732 시료중 72 균주로서 $9.84\%$ 였으며 이들중에도 해수, 이토에서 $52\%$이상을 차지하였다. 또 넓게 분포되어 있음을 알았다. 3. 양식장(뗏목)의 이토를 채취 했을 때 이토속에서 많은 Gas가 발생함을 알았고 이것은 대부분 패류의 분비물 퇴적으로 추정되었다.. (부패가 일어남) 또한 이러할 곳은 용존산소량이 적을뿐 아니라, 패류에 산소가 부족되면 신진대사가 잘 안되므로 비만도(肥滿度)가 저하한다. 이러한 해역에서 폐사된 패류를 많이 볼 수 있었다. 4. 조사지역별 분포를 보면 Station 10, 9, 8, 11, 1의 순이였다. (Fig. 1)특히 St. 10은 여객선이 많이 출입하는 충무항이며 Station 9는 주위 매축공사로 인하여 분포율이 컸고 St. 8은 분뇨처리 탱크가 가까이 있기 때문에 영향이 크다고 느껴진다. 본 연구는 1976년도 문교부 학술연구 조성비로 이루어졌다. 통영수전 한학수 교장님과 문교부에 감사를 드리며 본 실험을 도운 이정태 조교님, 재료 학명등에 협조하여 주신 김무상 교수님, 가공과 신영호, 강숙희양께 사의를 표한다.

• 공업화학
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• 제8권4호
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• pp.645-652
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• 1997

백금 회전전극을 이용하여 확산지배영역에서의 구리 착화합물의 환원에 대한 전기화학적 특성조사 및 이에 대한 속도인자들을 구하였다. 황산염 용액내에서 Cu(II)의 환원은 2전자, 1단계 반응이며, 염화물 용액내에서의 Cu(II)는 1전자, 2단계 반응으로 환원된다. 환원반응에서의 전달계수는 황산염 용액내에서 Cu(II)가 가장 작으며, 할로겐염 중에서 Cu(I)의 전달계수는 1에 가까운 값을 나타내었다. 염화물 용액안에서 구리이온의 환원에 대한 표준속도상수는 Cu(II)의 환원이 Cu(I)을 출발물질로 할 경우보다 100배 정도 빠른 값을 나타내었다. 그리고 확산계수는 $Cl^-$존재시의 Cu(II), $I^-$, $Br^-$, $Cl^-$존재시의 Cu(I) 및 $SO_4^{-2}$존재시의 Cu(II)의 순으로 증가하였으며, 각 용액 내에서의 구리이온의 반지름 및 확산에 대한 활성화 에너지도 위의 순서와 동일하게 감소하였다. 회전전극상의 구리전착의 경우 전착전위 및 농도에 따라 불균일한 전착표면을 형성하였으며, 이러한 전착표면의 불균일성은 UV/VIS로 분석이 가능하였다.

• 한국식품조리과학회지
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• 제20권6호
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• pp.637-642
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• 2004

백년초 가루를 각각 $ 0\%,\;0.05\%,\;0.1\%,\;0.3\%$ 및 $0.5\%$의 비율로 첨가한 백설기를 제조하여 백년초가루 첨가에 따른 일반성분, 수분함량, 호화도, 색상, 기계적 texture를 측정하고 관능검사를 행하였다. 백년초 가루 첨가 백설기의 수분함량은 대부분 $37\~39\%$ 정도로 일반 백설기의 수분함량과 거의 차이가 없었다. pH는 산성을 나타낸 편으로 백년초 가루 첨가량이 증가할수록 산성도가 높아짐을 알 수 있었다. 호화도는 백년초 가루 첨가량이 증가할수록 높아지는 경향을 나타내었다. 색상은 백년초 가루 첨가량이 증가할수록 명도(L치)는 감소하며, 적색도(a치)와 황색도(b치)는 증가하는 경향을 나타내었다. 기계적 물성 측정결과, 응집성(cohesiveness)과 탄성(springness)을 제외한 강도(Strength), 견고성(Hardness), 부착성(Adhesivness) 및 검성(gumminess)은 대조군이 가장 높고 백년초 가루의 첨가량이 증가할수록 감소하는 경향을 나타내었다. 관능검사 결과 색은 $0.3\%$ 첨가군인 C군이 가장 높아 백년초 가루 첨가량이 증가하면 기호성이 증가하는 경향이었으며 향기, 삼킨 후의 느낌과 종합적인 기호도 역시 C군이 가장 선호되었다. 이상의 결과를 종합해보면 백년초 가루 첨가 백설기 제조 시 적정한 백년초 가루를 $0.3\%$ 첨가하는 것이 관능평가 상 적당한 것으로 판단된다.

• 한국식품과학회지
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• 제28권4호
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• pp.657-662
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• 1996

육류를 이용하여 완자모양으로 만든 조리 냉동식품의 유통과정에서의 품질 현황을 알아 보고자 서울시전역에서 시장 점유율이 높은 D, B회사 제품 81개와 이들 제품에 비해 원료육 함량이 높고 유통기간이 짧은 M회사 제품 36개를 1995년 5-9원 중 수집하여 신선도 지표인 VBN 함량, TBA값, pH와 metmyoglobin 비율을 측정하였다. 대부분의 시료는 양호한 품질을 유지하고 있었으나, M회사의 1개 시료는 VBN 함량이 $32.5mg{\%}$, TBA값이 0.65mg/kg으로 초기 부패 단계에 들어서 있었다. Metmyoglobin 비율과 TBA값 사이에는 높은 정(正)의 상관관계를 보여, 지방질 산화와 육색소 산화간에는 깊은 관련이 있는 것으로 나타났다. 시료들의 냉동보관 온도는 $-18^{\circ}C$이하의 경우는 18%에 불과 했고, $-14^{\circ}C$ 이상의 경우는 35%나 되었다. 초기부패 징후를 나타낸 시료의 보관온도는 $-10^{\circ}C$이었으며 보관온도가 높은 시료일수록 높은 VBN 함량, TBA값, metmyoglobin 비율, pH를 나타냈다. 잔여 유통기간과 이들 품질인자 간에는 서로 부(負)의 상관관계를 보여 시중에 유통된 기간이 긴 시료일수록 높은 수치를 나타냈다. 냉동식품의 유통기간 중 좋은 품질을 유지하기 위해서는 법정온도인 $-18^{\circ}C$에서의 보관이 필수적이므로 판매자와 소비자가 이 조건을 지킬 수 있도록 적절한 교육과 홍보가 요구된다.

• 한국식품과학회지
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• 제28권4호
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• pp.730-735
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• 1996

마늘이 상처를 입으면 마늘중에 존재하는 alliin이 alliinase에 의해 allicin으로 분해되며 allicin은 마늘의 주된 항미생물 작용 물질로 알려져 있다. 이 성분에 의한 미생물번식 저해작용을 크게 받는 E. coli는 1%의 마늘즙액이 들어있는 TSB에서 사멸효과가 나타났으며 농도가 높을수록 사멸속도는 더욱 빨랐다. 마늘즙액에 의한 미생물생육 저해효과는 pH에 따라서도 다르게 나타나는데 pH 7.2에 비해 5.2와 6.2에서 저해작용이 강하게 나타났다. 초기 접종균수가 $10^{6}\;CFU/ml 이상일 때는 번식에 대한 저해효과가 나타나지 않았으나 $10^{5}\;CFU/ml 이하일 때는 저해효과가 나타나서 항미생물 작용에 대한 초기 미생물 수도 중요한 변수였다. 유리 SH기를 가진 cysteine이나 glutathione을 첨가하면 마늘즙액의 번식 저해효과로부터 E. coli를 보호하였다. 결과적으로 E. coli에 대한 마늘즙액의 번식 저해효과는 마늘즙액의 농도뿐만 아니라 pH, cystein이나 glutathione같은 SH화합물의 존재여부, 접종균수에 의해서 영향을 받음을 알 수 있었다.