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소비자의 라이프스타일에 따른 서비스품질 지각 차이에 관한 연구 (A Study on the Consumer's Service Quality Perception Based on the Types of Life-style)

  • 박윤서;이승인;최인
    • 마케팅과학연구
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    • 제19권2호
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    • pp.53-67
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    • 2009
  • For the last decades, service quality has been studied as one of the most important tools for a service company to compete with the other companies. Based on these past researches, it has been agreed that the service quality is a basic and powerful tool to create the competitive advantage. Due to similar reason, many service marketing practitioners have been also focused on the service quality to retain the existing consumers and collect the new consumers. However, service quality is subjectively perceived by individual consumers. Consumer evaluation of service quality can be different from each other. Especially consumers with one life-style may evaluate the service quality differently from the consumers with the other life-styles. Therefore we need to know whether there are differences in service quality perception on the categories of life-style. Life-style refers to a distinctive mode of living in its aggregate and broadest sense. It embodies the patterns that were developed and emerged from the dynamics of living in a society. Since the concept of life-style and its relationship to marketing was introduced in 1963 by William Lazer, methods of measuring the life-style and their application have been developed. Life-style has been usually used to segment the marketplace because it offers marketers a unique and important view of the market. When Life-style is combined with clustering methods, life-style segmentation can generate identifiable whole persons rather than isolated fragment. Life-style segmentation begins with people instead of products and classifies them into different life-style types, each characterized by a unique style of living based on a wide range of activities, interests, and opinions(Plummer, 1974). In this study we applies the life-style segmentation based on the AIO(Activities, Interests, and Opinions) to the consumers of the large discount stores. In Korea, the large discount store market has entered into maturity stage so that the market differentiation strategy is becoming a more critical issue to the marketing practitioners. One of the most important tools to differentiate from the competitors in large discount store market is continuously to provide service of better quality than competitors. This study tries to find answers about the following questions: 1) How can we categorize the consumer life-styles in the large discount store? 2) What are the characteristics of the categorized groups? 3) Are there any differences in service quality perception among the consumers with different life-styles 4) Are there any differences in consumer behavior among them in the large discount store? For the purpose, we collected survey data from consumers and analyzed the data with the SPSS package where we had $X^2$-test, factor analysis, ANOVA, MANOVA, and cluster analysis. The survey was made during one month in the April of 2008. Among the collected 306 copies of questionnaires, 281 copies were chosen as the effective samples for empirical analysis except 25 copies with wrong responses. To identify the life-style patterns, we used the measures employed by Kim and Kwon(1999), where 44 items on a seven-point scale were used to measure factors of the life-style patterns. The Principal Component Method was used for factor extraction, and the VARIMAX orthogonal factor rotation was employed. The 7 items showing low factor loading were eliminated. The results of the factor analysis suggested that nine factors of the life-style patterns were identified as follows: 1) the equality-of-sexes and pursuit-of-independence tendency 2) self-management tendency 3) sociable tendency 4) self-display tendency 5) degree of a dilettante life 6) pursuit-of-information tendency 7) bargain hunter tendency 8) TV preference tendency 9) pursuit-of-leisure tendency. Next, after the K-means cluster analysis was performed with nine factors of the life-style patterns, the life-styles of the respondents were classified into four groups which are named as the 'progressive practicality-oriented group', 'positive success-oriented group', 'sociable ostentation-oriented group', 'stable conservation-oriented group'. The analysis results for usage behavior between the market segments showed statistically significant differences in the frequency of usage, duration time in the store, consumer satisfaction, and loyalty. Also, we tried to investigate whether the large discount store consumers differently perceive the quality of service based upon the types of life-style. To measure the service quality of large discount store, we adapted several measurement models measuring the service quality such as SERVPERF, BCP, R-SERVPERF, R-BCP. MANOVA and One-Way ANOVA were performed to confirm the difference in service quality perception based on the market segments. The results have also shown significant differences between life-style types in service quality perception. These findings show that the large discount store marketers should consider consumer life-style as one of the most important market segments for marketing and understand the difference in service quality perception between life-style types. Our findings give important implications to marketers of large discount stores as well as life-style researchers. First, this study showed there were significant differences in consumer's service quality perception and usage behavior between the types of life-style. It provides evidence that the life-style approach can be a important basis in segmenting the large discount store market and will make consumers perceive the service quality high. Second, most previous researches on service quality have been in aggregate level. However, our results imply that the future research on service quality have to focus on segment level.

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신생아의 조기수유에 관한 실험적 연구 (An Experimental Study on the Early Feeding of Infants)

  • 하영수
    • 대한간호학회지
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    • 제5권1호
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    • pp.1-16
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    • 1975
  • The newborn human is the only mammalian whose mother does not have a food supply ready for it's offspring at birth. From two to four days usually elapse before the mother's supply If milk appears, and during this period, some kind of artificial feeding should be supplied to the infants. Because of this factor, there has been continued debate fog the past hundreds of years as to when the first feeding should be started Accordingly, many experiments were carried out by scholars and because of these, Pre-lateral feedings were believed to be necessary. Many types of pre-lateral feedings were tried and the conclusion was reached that glucose water was the best food for the first infants'feedings. Traditionally, This has been started 12 hours after birth. The causes for the 12 hours delay were thought to (1) provide rest for the infants: (2) prevent regurgitation ana vomiting which tended to be prevalent during this tine: (3) in cases of low weight infants, prevention of aspiration pneumonia. From recent studies of newborn physiology and as pediatric medicine has been rapidly advancing, many studies hare been carried out concerning the improvement of infant nutrition and the early feeding of infants has been emphasized. This author believes it would be very beneficial to try two different kinds of feedings for the infant. (1) experimental feedings ana (2) comparative feeding, and during this period to investigate and compare the infants blood sugar level, hematocrit, gamma globulin level weight changes and to observe the infant reaction ill order to search for a more desirable feeding program. This study was conducted from January to March 1974 with data related to 40 healthy newborn infants (male 21, female 19: weight, 2.79∼4.20㎏ : gestation, 39∼40 weeks) born at Ewha Womens University Hospital and the results obtained were as follows : 1. At time of birth the blood sugar level from the cord sample averaged 88.99㎎/100㎖, but the blood sugar level rapidly dropped after 2 to 3 hours and reached the lowest point after 10 to 11 hours (54.48㎎/100㎖) and rose again by the 24 hour time period (76.80㎎/100㎖). Changes in the blood sugar level of the experiments: groups and the compare-five group was not significantly different until the 6 to 7 hour period, but by the 10 to 11 hour period the blood sugar levels of the experimental group (49,10㎎/100㎖) and the comparative group (49.70㎎/100㎖) were lower than the remainder of the experimental groups. 9. There ware no significant weight changes between the two groups. Average weight at birth was 3.35㎏, but at the 24 hours period birth weight averaged 3.29㎏. (1.8% reduction of birth weight). It continually lowered until at 48 hours, average weight was 3.26㎏ (2.7% reduction from birth weight.) 3. Hematocrit readings showed no significant difference between the groups. Hematocrit, the average value at birth, was 28.07% and abruptly elevated to average 64.35% at the 2 to 3 hour period, then slowly lowered to an average of 59.67% at the 6 to 7 hour period, 55.10% at the 10 to 11 hour period, ana 53.70% at the 24 hour period. 4. At birth, average gamma globulin value averaged 1,39㎎/100㎖. and at the 24 hour period averaged 1,52㎎/100㎖ revealing no significant difference between the two feeding groups. 5. Such factors as voiding, passing of meconium, regurgitation and vomiting showed no significance between the two feeding groups. However, the number of infants voiding and passing meconium in the experimental groups during the first 12 hours was slightly greater. In general there was an increased tendency for regurgitation and. vomiting among a small group of the infants during the first 24 hours which thereafter decreased. 6. Fluid intake averaged 24.38cc at the first feeding and increased to average 30.48cc at the third feeding and further increased to 73. 00cc at the fifteenth feeding. Finally it was suggested that the most reasonable method of early feeding is to give less than 25cc of 5% glucose water and/or 8% powdered milk at 8 to 9 flours after birth in order to prevent hypoglycemia and dehydration.

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산업장 근로자의 산업보건관리에 대한 지식 태도 및 실천에 관한 조사 연구 -부산지역을 중심으로- (A Study of Industrial Workers' Knowledge, Attitude, and Practice of Health Care Services in Busan City)

  • 황보선;신유선;윤석옥;이지현;김정순;김이순;김복용;강영미
    • 지역사회간호학회지
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    • 제4권2호
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    • pp.100-108
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    • 1993
  • The purpose of this study was to identify the workers the Knowledge, Attitude, and Practice of industrial health care services. The study was conducted from Dec 10, 1992 to Jan 20, 1993. The data was collected from 849 workers in 56 companies in Busan City. The data was analyzed by using the mean, S.D>, T-test, ANOVA. The tool for measuring the degree of Knowledge, Attitude and Practice of industrial health care of workers was developed by community health nursing academy and the reliability an of the tool was 0.82810. The results were as follows : 1. The general characteristics of workers : Distribution of workers consisted of laborer(55.0%), office workers(45.0%), in an age range from 25-39(55.0%), male employees were(69.7%), married employees were(62.4%), the educational level with the highest percentage was high school graduates(54.2%). The present work force had a career for 7 years or more with an income of 300-700 thousand won monthly(43.2). 2. The degree of Knowledge Attitude and Practice about industrial health care services of workers : The total score of the Knowledge, Attitude, and Practice was 49.09 points out of a possible 80(mean Score=2.46) 1) The total score of the Knowledge was 15.73 points out of 24. (Mean score=2.62) The following are the Knowledge scores: The necessity examination of occupational disease was(3.34) The knowledge of occupational disease was (3.12) The knowledge of health education was(1.29) 2) b. The total score of the Attitude was 26.01 point out of 44(mean score=2.36) The following are the Attitude scores: The necessity of health education for health examination was (3.14). The importance of health examination was(3.08) The necessity of measurement for working environment was(2.99). The satisfaction of the content in the periodic health examination was low(1.81). 3) The total score of the Practice was 7.35 points out of 12(mean score=2.45) The following are the orders of Practice scores: The participation in health examination was higher than in health education(1.33). 3. The general characteristics and the degree of knowledge, Attitude, and Practice of workers of industrial health care. 1) The level of worker's knowledge was significantly related by working part(t=2.54 P=0.000), marital status(F=4.35 P=0.029), educational level(F=3.91 and P=0.020), monthly income(F=2.98 P=0.029) 2) There were no significant difference between the general characteristics and the attitude of workers. 3) The practice was significantly related with working part(T=2.52 P=0.012), sex(T=2.28 P=0.23), marital status(F=4.25 P=0.012), monthly income (F=2.76 P=0.034) 4) The total score had a significant difference with working part(T=2.39 P=0.017), sex (T=3.84 P=0.000), marital status (F=3.18 P=0.032). Educational level (F=3.20 P=0.033), and monthly income(F=3.05 P=0.022).

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영주 부석태 청국장시료의 이소플라본 배당체 탐색과 청국장의 품질 표준화 (Quality Standardization and Isoflavone Glycoside Research of in Buseoktae(Yeongju bean) Cheonggukjang for Business Use from Yeongju Bean)

  • 최은영;유진현;안희정
    • 한국조리학회지
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    • 제22권2호
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    • pp.13-28
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    • 2016
  • 이 연구의 목적은 영주에서 재배되고 있는 부석태콩과 부석태청국장의 이소플라본 중에서 여성호르몬과 관련 있는 배당체 탐색과 영주시에서 유통되고 있는 부석태청국장의 품질표준화를 위한 것이다. 연구 결과는 다음과 같다. 첫째, LC-MS/MS를 통한 이소플라본 배당체를 분석한 결과, Daidzein의 함량은 부석태가 $212.16{\mu}g/g$, 대원콩이 $212.21{\mu}g/g$, 우람콩이 $158.54{\mu}g/g$이었고, genistein 함량은 부석태가 $318.84{\mu}g/g$, 대원콩이 $310.50{\mu}g/g$, 우람콩이 $262.71{\mu}g/g$이었다. 부석태청국장의 총 isoflavone의 함량은 A 청국장($32^{\circ}C$, 96시간 발효)이 $430.10{\mu}g/g$, B 청국장($36{\sim}40^{\circ}C$, 30시간 발효)이 $460.09{\mu}g/g$, C 청국장($36{\sim}38^{\circ}C$, 72시간 발효)이 $417.46{\mu}g/g$이었다. 둘째, 청국장 맛의 표준화는 양(40, 55, 70 g)과 시간(2, 3, 4 min)을 요인으로 하여 반응표면분석을 한 결과, 청국장 맛은 6.29, 색은 6.48, 조직감은 6.05, 향은 5.49, 전반적인 기호도는 6.42로 청국장 첨가량 55.20 g과 시간 2.92 min을 청국장 품질 표준화의 최적조건으로 제시하였다.

경남 일부지역 학교급식 조리종사자의 위생지식과 위생관리 수행도의 관계 분석 (Analysis of Relationship between Sanitary Knowledge and Sanitary Management Performance of School Foodservice Employees in Gyeongnam)

  • 안정미;김현아
    • 한국식품영양과학회지
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    • 제42권7호
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    • pp.1139-1147
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    • 2013
  • 본 연구는 학교급식소 조리종사원의 위생지식과 위생관리 수행도 간의 관계를 분석하기 위하여 수행되었다. 2011년 5월 13일부터 6월 10일까지 창원시 진해구에 소재하고 있는 초 중 고등학교 32개 학교의 조리종사원을 대상으로 300부의 설문지를 배부하여 총 276부가 회수(회수율 92%)되어 최종 분석에 사용되었다. 본 연구의 결과는 다음과 같다. 첫째, 조리종사원의 위생지식의 평균 점수는 16.60점(20점 만점 기준)이었다. 조리사 자격증 유무(P<0.05), 학교형태(P<0.001), 일일 급식횟수(P<0.001)에 따라서는 위생지식이 차이를 보여 조리사 자격증이 있는 집단이 위생지식 수준이 높았으며, 고등학교의 위생지식 수준이 초 중학교의 위생지식 수준보다 높았고 하루 2 3식을 제공하는 학교가 1식 제공하는 학교보다 위생지식 수준이 높았다. 둘째, 전체 위생관리 수행도는 4.77점(5점 척도 기준)이었으며, 영역별로는 교차오염(4.88)> 배식관리(4.83)> 채소소독관리(4.81)> 세척관리(4.77)> 냉장 냉동관리(4.72)> 개인위생 관리(4.69)의 순으로 나타났다. 그리고 조리사 자격증 소지 여부(P<0.05), 1일 학생 급식인원수(P<0.001), 일일 급식횟수(P<0.05)가 전체 위생 관리 수행도에 영향을 미치는 것으로 분석되었다. 즉 조리사 자격증을 소지한 집단이 미소지 집단보다 위생관리 수행도가 높았으며, 1일 학생 급식인원수 701~1,100명인 집단이 700명 이하인 집단보다 수행도가 높았고, 1일 급식회수가 2 3식인 집단이 하루 1식을 제공하는 집단보다 수행도가 높았다. 셋째, 위생지식과 위생관리 수행도의 관계 분석 결과 우선 위생지식 점수 수준이 높은 집단의 위생관리 수행도가 평균 4.85로 나타나 위생지식 점수 수준이 낮은 집단(4.66)에 비해 위생관리 수행도가 더 높음을 알 수 있었다(P<0.001). 또한 위생지식은 위생관리 수행도와 정적인 상관관계를 가지는 것으로 나타나 위생지식이 높은 조리종사원이 위생관리 수행도가 높다는 것을 알 수 있었다. 위생지식이 위생관리 수행도에 미치는 영향을 분석하기 위해 회귀분석을 실시한 결과 회귀모형의 설명력은 17.6%로 회귀식은 통계적으로 유의한 것으로 분석되어(P<0.001) 위생지식이 위생관리 수행도에 유의한 정(+)의 영향을 미치는 것을 알 수 있었다. 즉 학교급식 조리종사원의 위생지식이 높을수록 위생관리 수행도가 높아지는 것이다. 본 연구 결과를 근거로 하여 다음과 같은 제언을 하고자 한다. 첫째, 조리사 자격증이 있는 경우와 일일 배식횟수가 2 3식인 조리종사원의 위생지식이 높게 나타났으므로 조리사 자격증이 없는 경우와 배식횟수 1식인 종사원에 대한 교육이 좀 더 집중적으로 이루어져야 할 것이다. 둘째, 급식위생에 있어 제일 중요하다고 강조한 개인위생 영역이 다른 영역보다 수행도가 낮게 나타났으므로 향후 경남지역 학교급식 조리종사원 대상 위생교육 시 개인위생에 대한 비중을 높여야 할 것이다. 셋째, 조리사 자격증이 없으며, 학생수가 적고 일일 배식횟수가 적을수록 위생관리 수행도가 낮게 조사되었으므로 이들을 위한 반복적인 위생교육이 이루어져야 할 것이며, 동시에 심도 있는 연구를 통해 낮은 수행도의 원인을 밝혀 개선시켜야 할 것이다. 넷째, 위생지식이 위생관리 수행도에 영향 미치는 것이 밝혀졌으므로 향후 지속적이고 반복적인 위생교육의 실시를 통하여 학교급식 조리종사자의 위생지식 수준의 향상이 이루어질 때 궁극적으로 위생관리 수행도의 향상을 기대할 수 있을 것이다.

사용자환경의 메타포가 스마트폰 애플리케이션 사용의도에 미치는 영향 (The Effects of Metaphors in the Interface of Smartphone Applications on Users' Intention to Use)

  • 정원진;홍석기
    • Asia pacific journal of information systems
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    • 제24권3호
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    • pp.255-279
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    • 2014
  • It is not too much to say that smartphones have become an essential part of our lives due to their versatility. Nevertheless, they still have less overall capabilities than their desktop counterparts. Specifically, they have small screens and low resolutions, which make their applications difficult to have a usable interface. To account for these limitations, the interface of smartphone applications should be designed carefully and properly. Good interface design to any application is critical. However, a comprehensive information systems (IS) literature review found that there has been little research on the user interface design of smartphone applications. More specifically, there has been little empirical evidence and understanding about how metaphors, an imaginative way of describing objects and concepts, in the user interface of smartphone applications affect users' intention to use the applications. Thereby, the research goals of this study are to examine 1) the effects of the metaphors in the user interface of smartphone applications on the interaction between users and applications and 2) the effects of mediating variables including the interaction between users and applications, users' beliefs and attitudes, on users' intention to use the applications. A survey was conducted to collect data. University students and practitioners participated in the survey. A 24-item questionnaire was developed on a 5-point Likert-type scale. The measurement items were mostly adapted from the previous studies in the IS literature and modified to fit the context of this study. First, a principal component factor analysis was performed to explore the inter-relationships among a set of variables. The analysis showed that most of the items loaded quite strongly on the six components. The analysis also revealed the six components with eigenvalues exceeding 1, explaining a total of 70.7 per cent of the variance. The reliabilities of the items were also checked. Most Cronbach alpha values were above 0.8, so the scales were considered reliable. In sum, the results of the analysis support the decision to retain the six factors for further investigation. Next, the structural model was analyzed with AMOS structural equation modeling. The values of GFI, AGFI, NFI, TLI, CFI, and RMSEA were checked. The values showed that the research model considerably have a good fit in general. Next, the convergent and discriminant validities of all constructs were examined. The values for the standardized regression weights and critical ration (CR) indicated sufficient convergent validity for all constructs. In addition, the square root of the average variance extracted (AVE) of each construct was compared with its correlations with all other constructs. The results supported discriminant validity for all constructs. In sum, the results of analysis demonstrated adequate convergent and discriminant validities for all constructs. Finally, path coefficients between the variables were examined. Methphor was found to have an impact on interaction (${\beta}$ = .457, p = .000). There were also significant effects of the interaction on perceived usefulness (${\beta}$ = .273, p = .000) and ease of use (${\beta}$ = .405, p = .000). User attitude was significantly influenced by these two beliefs, perceived usefulness (${\beta}$ = .386, p = .000) and ease of use (${\beta}$ = .347, p = .000) respectively. Further, the results of analysis found that users' intention to use smartphone applications was significantly influenced by user attitude (${\beta}$ = .567, p = .000). Based upon the analyses, all hypotheses were supported. This study found that the metaphors used in the interface of smartphone applications affect not only the interaction between users and applications, but also users' intention to use the applications through the mediating variables, perceived usefulness and ease of use. These findings imply that if the metaphors used in the user interface of application are easy enough to understand for smartphone users, then the application can be perceived useful and easy to use, which in turn make users to have an intention to use the application. In conclusion, this study contributed not only to validate and extend Technology Acceptance Model (TAM) partially, but also to develop the construct of metaphor in smartphone settings. However, since a single empirical study cannot be enough to validate the findings, some limitations should be considered.

소아 잠복 결핵 감염 진단에 있어서 투베르쿨린 피부반응 검사와 결핵 특이항원 자극 Interferon-γ 분비능 측정의 비교 (Comparison of a whole blood Interferon-γ assay and A tuberculin skin test for detecting latent tuberculosis infection in children)

  • 전진경;김창기;김현숙;정귀영;인요한;김기환;이택진;전지현;김동수
    • Clinical and Experimental Pediatrics
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    • 제51권9호
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    • pp.971-976
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    • 2008
  • 목 적 : 결핵 감염 관리에 있어서 잠복 결핵 감염을 찾아 내어 예방적 화학요법을 시행하는 것은 주요 핵심이다. 결핵에 노출된 소아에서 잠복 결핵 감염 진단을 위해 투베르쿨린 피부반응과 최근 널리 쓰이기 시작한 체외 검사법으로 결핵 특이항원 자극에 의한 T 세포의 $IFN-{\gamma}$ 분비능 측정 (QFT-G IT)이 있다. 잠복 결핵 감염 진단에 있어 두 검사법의 차이를 알아보고자 본 연구를 진행하였다. 방 법 : 2006년 10월 1일부터 2007년 4월 30일까지 6개월 간 총 111명의 소아를 대상으로 투베르쿨린 반응과 QFT-G IT 검사를 시행하였고, 동일 기간 내인 2개월 간 진단 된 성인 결핵 환자 29명에서 동일한 검사 결과를 후향적으로 알아보았다. 결 과 : 결핵 환자와의 가까운 접촉력을 주소로 내원한 무증상의 환자 33명 중 15% (5명)에서 QFT-G IT 검사 양성 소견을 보였고, 투베르쿨린 피부반응은 42% (14명)에서 양성결과를 보여 두 검사 간의 일치율은 낮았다(${\kappa}=0.39$). 성인 결핵 환자에서 QFT-G IT 양성율은 86.2%였고, 결핵균 배양 검사 양성율은 48.2%였다. 배양검사 양성이면서 QFT-G IT 음성이었던 환자는 12.5%였다. 결 론 : 소아에서 잠복 결핵 감염을 진단함에 있어 가족력을 근저에 둔 투베르쿨린 피부반응 검사를 시행하되 접촉력이 불분명하거나 지속적이지 않았을 경우 혹은 BCG 접종 효과로 의심되는 경우 결핵균 특이항원 자극 $IFN-{\gamma}$ 분비능 측정이 보조적 수단으로 사용 될 수 있을 지는 아직 확실하지 않으며 향후 수년 간 다 기관 연구가 필요하다.

광질 조절용 전구를 이용한 야파가 잎들깨의 개화 및 생육에 미치는 영향 (Effects of Artificial Light Sources for Night Break on Floral Induction and Growth in Perilla ocymoides L.)

  • 최영환;손병구;강점순;이용재;박현철;김근기;김용철;최인수;이유진;신우정;박영훈
    • 생물환경조절학회지
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    • 제17권2호
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    • pp.150-156
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    • 2008
  • 야파의 경비를 절감시키고 실제 농가에서 활용하기 위하여 시중에서 판매되고 있는 광질 조절 전구인 적색등, 청색등 및 삼색등을 구입하여 암기의 중간에 10분 동안 야파한 후 식물체의 생육에 미치는 영향을 조사하였다. 식물체당 잎의 수와 엽면적 및 생체중은 적색등과 삼색등으로 야파한 경우에 가장 많았으며, 다음은 청색등 야파 및 야간의 완전암하에서 가장 적었다. 초장과 줄기의 직경은 적색등, 청색등 및 삼색등으로 조사하였을 경우에 야간의 완전암보다는 신장생장이 현저히 촉진되었다. 줄기의 생체중과 건물중은 삼색 등으로 야파하였을 때에 가장 무거웠으며, 적색등 및 청색등의 순으로 생육이 촉진되었다. 적색등과 삼색등을 이용한 야파는 100일 후에까지 전혀 개화하지 않았으며, 야간의 완전암하에서는 약 85%, 청색광 야파는 31% 개화하였다. 야파후 개화에 소요되는 일수는 야간의 완전암하에서는 야파처리 약 60일 후, 청색광야파는 약 80일이었다. 야파 처리 80일 후에 광합성 율은 적색광으로 야파하였을 때에 가장 높았고 다음은 청색광이었으며, 삼색광하에서 가장 낮았다. 광보상점은 삼색등으로 야파한 경우에는 $20\;{\mu}mol\;m^{-2}{\cdot}s^{-1}$이하로서 낮았는데, 적색광과 청색광하에서는 $20\;{\mu}mol\;m^{-2}{\cdot}s^{-1}$ 이상으로서 약간 높은 경향이었다.

Prenatal Diagnosis of the 22q11.2 Duplication Syndrome

  • Lee, Moon-Hee;Park, So-Yeon;Lee, Bom-Yi;Choi, Eun-Young;Kim, Jin-Woo;Park, Ju-Yeon;Lee, Yeon-Woo;Oh, Ah-Rum;Lee, Shin-Young;Yang, Jae-Hyug;Ryu, Hyun-Mee
    • Journal of Genetic Medicine
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    • 제6권2호
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    • pp.175-178
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    • 2009
  • 22q11.2미세중복 증후군은 학습장애, 선천적 기형에서부터 정상에 이르기까지 다양한 표현형을 나타내는 증후군으로써, 22q11.2 미세결실 증후군인 DiGeorge 증후군과 동일한 위치에서 발생하는 질환이며, 이러한 원인은 유전적 불안정성이 높은 low-copy repeats (LCR) 부위에서 일어나는 유전체의 결손이나 중복에 의해 형성되는 것으로 보고되고 있다. 최근 array CGH가 임상분야에 적용됨에 따라 22q11.2 미세중복 증후군의 진단이 증가되고 있다. 이론적으로 22q11.2 부위의 미세중복이나 미세결실의 빈도는 동일하게 발생해야 하지만, 현재까지 미세결실에 비해 미세중복의 증례보고는 상대적으로 드물며 이는 증상이 없는 경우가 많기 때문인 것으로 알려져 있다. 특히 이전 보고에서 산전에 발견된 미세중복의 증례는 단1례 만이 보고된 바 있다. 저자들은 산전에 진단된 22q11.2 미세중복 증후군 1례의 보고를 통해 유전상담의 중요성과 array CGH의 임상 적용에 관하여 논하고자 한다.

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PET/CT 검사에서 추가 검사 시 수분섭취에 따른 18F-FDG의 신장 섭취 감소에 대한 고찰 (A Study on the Reduction of Kidney Uptake of 18F-FDG due to the Water Intake at the Time of Additional Examination in the PET/CT scan)

  • 이이랑;김상규;함준철;남궁혁;임한상;김재삼
    • 핵의학기술
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    • 제20권1호
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    • pp.47-51
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    • 2016
  • FDG를 이용한 PET/CT 검사에서 FDG의 대부분이 비뇨기계를 통해 배설된다. FDG가 신장에 저류될 경우 판독 성능이 저하된다. PET-CT 검사에서 FDG의 신장 저류로 인해 추가 검사가 필요한 경우 이뇨제 사용 없이 쉬운 방법인 수분 섭취를 이용해 배설을 촉진할 수 있는 방법을 선택하는 데 도움을 주고자 한다. 11개월간 세브란스병원에서 PET-CT 검사를 시행한 환자 중 신장에 질환이 없고 기능이 정상인 환자 총 80명을 대상으로 하였다. 두 집단으로 구분하였고, 각 40명씩 구성하였다. (1) Torso 검사가 끝난 후 수분 섭취 없이 30분 동안 휴식만 취한 집단, (2) 30분 전 물 500 cc를 한 번에 섭취한 후 휴식을 취한 집단으로 나눴다. 영상분석은 SUV 측정과 Blind test, 두 가지로 하였다. SUV 측정은 양쪽 신장의 SUVmax와 근육과 지방의 SUVmax을 VOI 를 설정하여 측정하였고 간의 SUVmean을 ROI를 설정하여 측정하였다. 검증 후에 p < 0.05 인 경우를 통계적으로 유의하다고 판단하였다. Blind test는 Torso 검사와 추가 검사의 영상을 비교하여 신장 방사능 배설정도를 4등급으로 점수를 나타내어 분류 및 기록하였다. SUV 측정 결과 수분 미섭취 군의 신장 SUV 값은 6.8% 증가하였고, 수분 섭취 군의 SUV의 값은 49.7% 감소하였다(p < 0.001). Blind test에서 수분 미섭취 군의 평균은 17.25점이었고, 수분섭취 군의 평균은 34.75점으로 더 높은 점수를 나타냈다.

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