• 농업과학연구
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• 제20권2호
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• pp.145-152
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• 1993

대암산(大岩山) 용늪 주변(周邊) 산림군집(森林群集)의 구조(構造) 및 종조성(種組成)과 입지(立地)와의 관계(關係)를 구명(究明)하기 위하여 TWINSPAN과 DCCA를 사용(使用)하여 분석(分析)한 결과(結果)는 다음과 같다. 중요치(重要値)가 높은 종(種)은 Quercus mongolica, Acer pseudo-sieboldianum, Betula costata, Acer mono 등(等)의 순(順)이다. 산림토양(森林土壤)의 pH는 용늪 주변(周邊)이 5.0-5.5이고 용늪 내에서 5.3-5.4로 차이가 없었다. 대암산(大岩山)의 산림군집(森林群集)은 Quercus mongolica-Acer mono, Quercus mongolica-Prunus sargentii, Quercus mongolica-Abies nephrolepis-Acer tschonoskii var. rubripes, Quercus mongolica-Abies nephrolepis-Betula costata의 4 group으로 나누어지며, 또한 주요(主要) 군집(群集)들과 환경(環境) 요인(要因)들과의 관계(關係)로 보면 신갈나무-산벚나무 군락이 전질소(全窒素), cation exchange capacity, $Mg^{+{+}}$, $Ca^{+{+}}$ 등(等)의 양료(養料)가 많은 곳에 주로 분포(分布)하고 있는 반면 신갈나무-분비나무-거제수나무 군락이 양료(養料)가 적은 곳에 분포(分布)하고 있다.

• 한국병원경영학회지
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• 제5권1호
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• pp.40-61
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• 2000

The purpose of this study is to promote the efficiency of the management of the controls organization in the university hospitals and general hospitals by evaluating the factors underlying organizational conflict. The subject population included 351 hospital workers randomly selected from two general hospitals of less than 200 beds and two university hospitals over 500 beds in Seoul area. Data were collected through a survey questionnaire. To define related factors for the level of conflict among departments in each hospitals multivariate regression analysis was conducted. Independent factors were characteristics of subjects, conflicting factors between the departments. The results are as follows: 1. Those in high job position group demonstrated significantly higher level of conflict between departments. Those working in the general hospitals, who were older and had long-term tenure at current working hospital had higher level of conflict between the departments. 2. Concerning the involvement of conflicting factors and the level of conflict in the employees' there was statistically significant positive correlation between reliability and job-related and intradepartmental level of conflict in university hospitals. There was a significant positive correlation between interdepartmental conflicting factors of mutual dependence, difference in goal/orientation and interdepartmental level of conflict. 3. In the university hospitals, among the interdepartmental factors, mutual dependence and difference in goal/orientation had statistically significant influence and showed a positive relationship with interdepartmental level of conflict. In the general hospitals, job position was a significant factor which showed that those in high position such as section chief or above, compared to those in general position had higher level of conflict. Among the interdepartmental characteristics, factors of mutual dependence and goal/orientation had statistically significant influence and showed a positive relationship with interdepartmental level of conflict. In the general hospitals setting efforts to reduce conflict in areas among workers with high position, old age, and long tenure and those in medical care department should be made and prudent management and planning for improved manpower and increased budget or efficient allocation and clear definition of job description are necessary to adequately assess. In the university hospitals setting efforts to reexaminitation of the organizational structure and efficiency conveyance of information and efforts to resolve conflict among young workers with lower level of education is need. This study has its own merit in comparing empirically the conflict among hospital workers in the university hospitals and general hospitals. Future study are needed with respect to the relationship between interdepartmental level of conflict and the effectiveness of the hospital organization for improved resolution of conflict in the organization and hospital management.

• 한국사회복지학
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• 제67권2호
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• pp.137-159
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• 2015

본 연구는 개인적 특성, 물리적 사회적 환경, 제도적 특성을 포괄하는 건강결정요인에 관한 분석틀을 토대로, 최저주거기준미달과 주거비 과부담을 기준으로 한 주거빈곤이 개인의 주관적 건강, 신체 및 정신건강에 미치는 영향을 종단분석하였다. 분석대상은 전국적인 대표성을 지닌 한국복지패널에서 추출된, 2009-2013년에 실시된 조사에 모두 참여한 만 18세 이상 성인으로, 총 8,583명이다. 분석방법으로는 종단연구에서 자주 사용되는 고정효과모형의 장점에 일반화추정방정식 혹은 확률효과모형의 장점을 결합한 회귀분석-하이브리드방법을 적용하였다. 연구결과는 주거의 물리적 환경이 최저주거기준에 미달하는 것과 주거의 경제사회적 측면인 주거비 과부담이 발생하는 것 모두 정신건강(e.g., 우울)에 부정적임을 보여 주었다. 최저주거기준에 미달하는 가구는 전체인구의 4분의 1, 빈곤층에서는 3분의 1에 달하며, 주거비 비중이 30%를 초과하는 가구의 비율은 빈곤층에서 약 23%에 이르러 전체 인구에서의 비율보다 4배 이상 높았다. 이 연구의 결과는 첫째, 최저주거기준을 온전히 적용할 경우 거주에 적합하지 않은 환경에 사는 가구의 비율이 기존의 보고보다 매우 높고, 둘째, 빈곤층의 경우 적절한 주거환경에서 거주하는 것과 적정한 비용으로 거주공간을 확보하는 것 모두 큰 도전이라는 것, 셋째, 주거급여의 제공과 주택개량사업과 같은 저소득층을 위한 주거지원 정책이 주거비부담 완화 및 주거환경 개선이라는 주효과와 더불어 수혜자의 우울감 완화와 같은 정신건강 증진의 부수적 효과도 수반할 가능성이 있음을 시사한다. 본 연구는 우리나라의 최저주거기준 및 주거비 과부담의 실태에 대한 새로운 정보를 제공하고, 나아가 주거가 건강에 미치는 영향의 방향성과 정도를 보다 명확히 밝히는데 기여하였다.

• Tuberculosis and Respiratory Diseases
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• 제78권3호
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• pp.196-202
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• 2015

Background: Viridans streptococci (VS) are a large group of streptococcal bacteria that are causative agents of community-acquired respiratory tract infection. However, data regarding their clinical characteristics are limited. The purpose of the present study was to investigate the clinical and radiologic features of community-acquired pneumonia (CAP) with or without parapneumonic effusion caused by VS. Methods: Of 455 consecutive CAP patients with or without parapneumonic effusion, VS were isolated from the blood or pleural fluid in 27 (VS group, 5.9%) patients. Streptococcus pneumoniae was identified as a single etiologic agent in 70 (control group) patients. We compared various clinical parameters between the VS group and the control group. Results: In univariate analysis, the VS group was characterized by more frequent complicated parapneumonic effusion or empyema and bed-ridden status, lower incidences of productive cough, elevated procalcitonin (>0.5 ng/mL), lower age-adjusted Charlson comorbidity index score, and more frequent ground glass opacity (GGO) or consolidation on computed tomography (CT) scans. Multivariate analysis demonstrated that complicated parapneumonic effusion or empyema, productive cough, bed-ridden status, and GGO or consolidation on CT scans were independent predictors of community-acquired respiratory tract infection caused by VS. Conclusion: CAP caused by VS commonly presents as complicated parapneumonic effusion or empyema. It is characterized by less frequent productive cough, more frequent bed-ridden status, and less common CT pulmonary parenchymal lesions. However, its treatment outcome and clinical course are similar to those of pneumococcal pneumonia.

• Tuberculosis and Respiratory Diseases
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• 제71권2호
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• pp.114-119
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• 2011

Background: There is very limited data present on smoking cessation rates in outpatient departments of pulmonology. In this study, we aimed to investigate the effectiveness of a brief smoking cessation intervention program in an outpatient department of pulmonology and identify predictors of smoking cessation failure. Methods: After a brief recommendation of smoking cessation from pulmonologists, smokers willing to quit smoking were given individual counseling and supplement drugs. Fifty smokers were included in this study and baseline characteristics, smoking history and success rate were reviewed at 3 months. Results: The mean age of the patients was $58.3{\pm}14.6$ years and the total group of patients included 3 women. The rate of smoking cessation success was 74% at 3 months, and there were no differences in age, spirometric indexes and associated diseases between the smoking cessation success and failure group. The rate of supplement drug usage was not different in both groups either. However, body weight, mean number of cigarette usage per day and nicotine dependence scores in the failure group were significantly higher than in the success group. In multivariate analysis, body weight and mean number of cigarette usage per day were significant. Two smokers with a depressive disorder failed the smoking cessation. Conclusion: A smoking cessation intervention program in the outpatient department of pulmonology showed a favorable success rate. More intensive interventions are needed to unfavorable groups which include the obese and heavy smokers.

• Journal of Gastric Cancer
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• 제12권1호
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• pp.26-35
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• 2012

Purpose: Emergency operations for perforated peptic ulcer are associated with a high incidence of postoperative complications. While several studies have investigated the impact of perioperative risk factors and underlying diseases on the postoperative morbidity after abdominal surgery, only a few have analyzed their role in perforated peptic ulcer disease. The purpose of this study was to determine any possible associations between postoperative morbidity and comorbid disease or perioperative risk factors in perforated peptic ulcer. Materials and Methods: In total, 142 consecutive patients, who underwent surgery for perforated peptic ulcer, at a single institution, between January 2005 and October 2010 were included in this study. The clinical data concerning the patient characteristics, operative methods, and complications were collected retrospectively. Results: The postoperative morbidity rate associated with perforated peptic ulcer operations was 36.6% (52/142). Univariate analysis revealed that a long operating time, the open surgical method, age (${\geq}60$), sex (female), high American Society of Anesthesiologists (ASA) score and presence of preoperative shock were significant perioperative risk factors for postoperative morbidity. Significant comorbid risk factors included hypertension, diabetes mellitus and pulmonary disease. Multivariate analysis revealed a long operating time, the open surgical method, high ASA score and the presence of preoperative shock were all independent risk factors for the postoperative morbidity in perforated peptic ulcer. Conclusions: A high ASA score, preoperative shock, open surgery and long operating time of more than 150 minutes are high risk factors for morbidity. However, there is no association between postoperative morbidity and comorbid disease in patients with a perforated peptic ulcer.

• 한국지능시스템학회논문지
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• 제26권3호
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• pp.246-252
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• 2016

화력발전소의 설비들은 매우 높은 온도와 압력의 환경에서 운전되므로, 설비고장은 상당한 인적 물적 손실로 이어진다. 그러므로 발전설비의 비정상정인 동작 상태를 사전에 확인할 수 있는 고장탐지 시스템이 필수적이다. 본 연구에서는, 화력발전소 증기보일러의 고장탐지를 위해서 마할라노비스 거리(Mahalanobis distance, MD)를 이용하였다. MD 기반의 고장탐지방법에서는, 비정상샘플은 정상샘플들로부터 멀리 떨어져 있다고 가정한다. 정상상태로 동작중인 대상시스템으로부터 수집된 다변량 샘플을 이용하여 평균벡터와 공분산행렬을 계산하고, MD값의 문턱값을 설정한다. 검증단계에서는, 평균벡터와 검증샘플들 간의 MD를 구한 후, 계산된 MD 값이 미리 설정된 문턱값보다 높으면 알람신호가 발생하게 된다. MD 기반의 고장탐지방법의 성능을 검증하기 위해서, 200MW 유연탄 화력발전소의 증기보일러 튜브누설로 인해서 발전정지 된 사례를 사용하였다. 실험결과는 MD 기반의 고장탐지기법이 발전정지가 발생하기 이전의 이상징후를 성공적으로 탐지할 수 있음을 보여준다.

• 한국지구과학회지
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• 제29권1호
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• pp.29-44
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• 2008

본 연구에서는 El $Ni{\tilde{n}}o$-Southern Oscillation(ENSO) 발달과 소멸의 영향에 따른 태풍 강도와 태풍 발생지역의 상관성을 살펴보았다. 1950년부터 2006년까지의 장기간 자료를 이용하였으며, 먼저 엘니뇨 발달해와 정상해를 정의하였다. 엘니뇨 발달해 동안에 태풍 강도와 태풍 발생지역이 높은 상관성을 나타내고 이는 누적 저기압 에너지와 태풍 에너지 강도가 증가한 결과이다. $Ni{\tilde{n}}o$ 3.4 지역의 해수면 온도를 기준으로 한 경우 엘니뇨 발달해에는, category 4+5에 해당하는 태풍의 발생지역이 동쪽으로 치우쳐 나타난다. 태풍 발생 잠재 함수와 하층의 저기압성 회전성은 태풍급에 해당하는 강도로 발달할 수 있는 강한 열대성 저기압의 발생에 중요한 요소가 된다. 본 논문에서는 역학적 잠재력[DP, Gray(1977)]과 MJO의 EOF 첫 번째 모드와 두 번째 모드의 시계열에 해당하는 RMM1, RMM2 (Wheeler and Hendon, 2004)를 이용하여 태풍 발생의 잠재함수와 대기 하층의 저기압성 회전성을 측정하였다. ENSO가 발달하는 해와 소멸하는 해와 영향을 찾아보기 위하여 엘니뇨가 소멸이 급격히 일어나 라니냐로 전환되는 Type I과 정상해로 회복하는 Type II를 정의하였다. Type I의 엘니뇨 소멸기간 동안에는 DP값과 RMM1, RMM2의 발달이 현저하게 서쪽으로 치우쳐 나타나며 강한 태풍의 발달을 지체시킴을 알 수 있었다.

• 한국보육학회지
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• 제17권1호
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• pp.75-98
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• 2017

본 연구는 취학 직전 만 5세 유아의 기초학습능력과 어머니의 성취기대불안에 따른 군집화 가능성을 살펴보고, 유아의 자기조절능력과 어머니의 학습관여가 각 군집에 미치는 영향력을 비교해 보는 것을 목적으로 하였다. 서울, 인천, 경기 지역 9개 유치원의 만 5세 유아 239명(남아 120명, 여아 119명)과 해당 유아의 어머니 239명을 대상으로 조사하였다. 수집된 자료는 PASW 18.0 프로그램을 사용하여 비계층적 군집분석, 다항로지스틱 회귀분석을 사용하여 분석하였다. 자료 분석 결과, 첫째, 유아의 기초학습능력과 어머니의 성취기대불안의 수준에 따라 '고학습능력-고기대불안', '고학습능력-저기대불안', '저학습능력-고기대불안', '저학습능력-저기대불안'의 4군집이 분류되었다. 둘째, 유아의 자기조절능력 하위 요인인 '자기점검', '자기통제'와 어머니의 학습관여 하위 요인인 '존중과 사랑'은 '고학습능력-저기대불안' 군집이 '저학습능력-고기대불안' 군집보다 높고, '학업성과압력'은 '고학습능력-고기대불안' 군집이 '저학습능력-저기대불안' 군집보다 높은 수준이었다. 셋째, 유아의 자기조절능력의 '자기점검'과 어머니의 학습관여의 '학업성과압력', '가정학습활동', '존중과 사랑'이 학습능력-기대불안 군집 구분을 예측하였다.

• Tuberculosis and Respiratory Diseases
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• 제79권1호
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• pp.31-36
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• 2016

Background: The purpose of this study was to evaluate the risk factors for mechanical ventilation in the patients with scrub typhus admitted to intensive care unit (ICU) at a university hospital. Methods: We retrospectively selected and analyzed clinical data from the medical records of 70 patients (32 men, 38 women) admitted to the ICU with scrub typhus between 2004 and 2014. The patients had a mean${\pm}$standard deviation age of $71.2{\pm}11.1years$ and were evaluated in two groups: those who had been treated with mechanical ventilation (the MV group, n=19) and those who had not (the non-MV group, n=51). Mean ages of the MV group and the non-MV group were $71.2{\pm}8.3years$ and $71.2{\pm}11.1years$, respectively. Results: Significant differences between the two groups were observed with respect to acute respiratory failure (p=0.008), Acute Physiology and Chronic Health Evaluation (APACHE) II score (p=0.015), Sequential Organ Failure Assessment (SOFA) score (p=0.013), death (p=0.014), and ICU duration (p<0.01). Multivariate analysis indicated that the following factors were significantly associated with mechanical ventilation: acute respiratory failure (p=0.011), SOFA score (p=0.005), APACHE II score (p=0.011), platelet count (p=0.009), and lactate dehydrogenase (LDH) (p=0.011). Conclusion: Thus, five factors-acute respiratory failure, SOFA score, APACHE II score, platelet count, and LDH-can be the meaningful indicators for mechanical ventilation for the patients with scrub typhus admitted to ICU.