• 한국보건간호학회지
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• 제7권1호
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• pp.17-29
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• 1993

Nursing centers are nurse-managed organizations that give the client direct access to professional nursing services. Academic nursing centers are faculty-created and -organized nursing centers integrated into nursing school or cooperated with community nursing center. Academic nursing centers are needed for providing services to the forgotten or underserved populations in the community, providing learning opportunities for nursing students and practice opportunities for faculties. The intent of this study is to identify the elements needed in developing process and operations of acedemic nursing center for elderlies and the disabled, and to present the desired model for academic nursing center. The processes of my study were : 1) The articles of the academic nursing centers in U. S. were reviewed and analysed. 2) The academic nursing center for elderlies and the disabled was developed and operated in my paper. 3) Desired model for academic nursing center was presented in my paper. The followings are the results of my study: 1. Elements needed in developing process of academic nursing center were philosophy and goals, the community support, assessment of the validity of the service and health needs, identification of the service contents, roles and responsibilities, communication lines, finances for facilities and operations, cooperation with resources, and developing record system. 2. Elements needed in operations of academic nursing center were the structural organizations, realization of the above philosophy and goals, development of policy and nursing standards, faculty participation, continuity of services, and financial solutions. 3. The desired model was presented according to the process and operations.

• The Korean Journal of Physiology
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• 제4권2호
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• pp.69-81
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• 1970

These studies were carried out on 176 persons ranging in age from 20 to 50 years to determine the basal metabolic rates, energy expenditure of various activities, and daily energy expenditure of service personnel in Korea. The measurements of basal metabolic rates were made on 42 subjects by indirect calorimetry using a Douglas' bag and Scholander's gas analyzer. The energy expenditures of various activities of daily life were also measured. The greatest increase in ratio of energy expenditure in the basis of resting metabolism was 277.3% in floor sopping and the least was 40.9% during hair cutting by beauticians. The assessment of the dailly energy expenditure for each subject was made by the factorial method, using a record of their activities throughout each of 24 hours of every survey day. Certain activities were recorded in minute units. The total daily energy expenditure is the sum of all energy expenditure. This was calculated by multiplying the caloric value of the metabolic rate by the time spent on each activity. The result of the total daily energy expenditure records for 17 occupations are summarized. In respect to the daily energy expenditure, most of the occupations are moderate or light work. But the janiter (F), laundress, cook (F), room maid and nurse's aid do heavy work.

• 구강회복응용과학지
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• 제34권3호
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• pp.232-238
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• 2018

가동성 조직은 총의치의 안정성을 감소시키므로, 최종의치의 제작 전에 조직의 상태를 개선시킨 후 적합하게 수정된 인상 방법을 사용하여야 하며, 적절한 중심위를 채득해야 한다. 본 증례는 상악의 가동성 조직과 하악 치조제의 심한 흡수를 보이는 67세의 무치악 여자 환자로, 고딕 아치 기록을 이용하여 치료용 의치를 제작한 뒤 조직조정을 시행하였다. 최종의치는 window opening 인상채득법과 고딕 아치 기록, 그리고 설측 교두 교합을 이용하여 제작하였고, 심미적 및 기능적으로 만족스러운 결과를 얻었기에 이를 보고하는 바이다.

• Journal of Nutrition and Health
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• 제35권6호
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• pp.668-680
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• 2002

The purpose of this study was to investigation the importance and categorization of task elements of school food service dietician and to provide the useful data for standard model of the dietician′s tasks of school foodservice. This study was conducted in school food services nationwide in method of written questionnaire. The questionnaires were mailed to the dieticians of 3 type school foodservice system-conventional, commissary, joint management. Of the 660 schools that participated in this study, the responses from 212 conventional system and 212 commissary system and 200 joint management system were selected for analysis. Statistical analysis was performed with SAS/Win 6.12 package program for descriptive analysis, T-test, ANOVA, factor analysis using. The main results of this study can be summarized as follows Importance level was more than 4 score out of 5 scale in most of the task elements. The result was indicative of the appropriateness of definition of the 61 task elements. Of 61 task elements, importance level on ′nutrition education′ and on ′evaluation of foodservice operation management′ indicated the most significant difference between present and ideal situation. Through factor analysis, 61 task elements were regrouped into 7 dimensions; "Duty dimension of cooking and distribution management", "Duty dimension of cost management", "Duty dimension of raw material management", "Duty dimension of education management", "Duty dimension of menu management", "Duty dimension of record keeping of foodservice", "Duty dimension of general management (others)".

• 보건의료산업학회지
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• 제6권2호
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• pp.101-109
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• 2012

This study purposed to analyze the differences of cost, length of stay, and number of visits between patients who referred from clinics to a general hospital and patients who directly visit a general hospital. Study sample included 402 patients (177 patients who were not referred from clinics, 225 patients who referred from clinics) who visited the Dept. of Gastroenterology in a university hospital in Daejeon from January to June in 2007. Cost and patients' information were collected from Hospital Information System and medical record. SPSS v.12.0 was used for the statistical analysis. Multiple regression analysis found that for inpatients, location variables and malignant tumors of digestive organs had a significant influence on cost variable. For outpatients, a referring hospital type and visiting month had significant influences on total cost, and sex and visiting month (February) had significant relationship with number of visit. The study results help to understand the differences of patient care depending on whether they were referred from clinics or not. Hospital managements could use the results for marketing purposes, and it could provide valuable information for increasing the competitiveness of hospital in a given market.

• 보건의료산업학회지
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• 제12권1호
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• pp.81-93
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• 2018

Objectives : This cross-sectional study aims to investigate the differences in general health status (GHS) and physical care burdens (PCB) of inpatient groups in long-term care hospitals (LTCH). Methods : The data of 228 patients were analyzed by integrating the electronic medical record (EMR) data of 2016, recorded by the nurses of hospitalized patients in the hospital. Results : There was a statistically significant difference in the GHS between the high-medical demand group and the other groups, but there was no difference in the GHS among other groups. The overall PCB was higher in the high-medical demand group than in the middle-medical demand, and cognitive impairment groups, but not in the problem behavioral group. Conclusions : The current classification of patient groups has shown limitations in terms of the basis of differential benefits of the groups. In particular, the PCB of the problem behavior group was not different from that of any group; hence, it should be adjusted through further study. To control the surge of medical care costs, it is necessary to improve the irrationality of the LTCH pay system in terms of the integration and continuity for elderly care.

• 한국병원경영학회지
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• 제15권4호
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• pp.125-142
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• 2010

Objective : To determine demographic, clinical, health care utilization factors predicting unplanned readmission(within 28 days) to the hospital. Methods : A case-control study was conducted from January to December 2009. Multiple logistic regression was used to examine risk factors for readmission. 180 patients who had been readmitted within 28 days and 1,784 controls were recruited from an university hospital in Seoul. Results : Six risk factors associated with readmission risk were identified and include mail sex, medical service rather than surgical service, number of comorbid diseases, type of patient's room, lenth of stay, number of admissions in the prior 12 months. Conclusions : One of the association with readmission risk identified was the number of hospital admissions in the previous year. This factor may be the only risk factor necessary for assessing prior risk and has the additional advantage of being easily accessible from computerized medical records without requiring other medical record review. This risk factor may be useful in identifying a group at high readmission risk, which could be targeted in intervention studies. Multiple risk factors intervention approach should be considered in designing future prevention strategies.

• 한국기록관리학회지
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• 제8권2호
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• pp.75-88
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• 2008

본 연구에서는 국내의 대표적인 박물관, 기록관, 도서관 등 5개 기관을 대상으로 근대 공문서 소장현황, 소장기록물의 특성, 그리고 서비스 현황을 검토하였다. 검토결과, 대부분의 기관이 소장 기록물 전체 목록을 작성하지 못하고 있으며, 웹서비스도 제한되고 있었다. 또한 생산출처가 동일한 기록물군이 2~3개 기관에 분산 보존되고 있는 사례도 있었다. 그 결과, 각 기관에 분산 소장되어 있는 근대 공문서를 효과적으로 정리하고 활용하기 위하여 기록관, 박물관, 도서관 등이 협력해야 할 이유를 확인할 수 있었다.

• 식물분류학회지
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• 제38권1호
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• pp.63-68
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• 2008

인천광역시 옹진군 백령도에서 발견된 마디풀과 미기록속의 1분류군을 한반도 미기록종으로 보고한다. 이 분류군은 지금까지 시베리아, 몽고 및 중국일대에 분포하는 것으로 알려지던 Knorringia sibirica (Laxm.) Tzvelev subsp. sibirica로서, 한국명은 종소명의 의미와 기준표본의 채집지를 감안해 '시베리아여뀌'로 부여하였다. 이 분류군에 대한 형태적 특징을 간략히 기재하였고, 도해 및 생태 사진을 제시하였다.

• 한국동물위생학회지
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• 제33권2호
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• pp.121-128
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• 2010

Brucellosis is a serious zoonosis, recognized worldwide. It primarily affects animals, which act as reservoirs for human infection as well as being of economic significance to the agri-food industry. Bangladesh has been reported as an endemic area for brucellosis. So a cross sectional study was conducted to determine the seroprevalence and potential risk factors of brucellosis in cattle in Dinajpur and Mymensingh districts of Bangladesh. A total of 182 cattle were examined by Rose Bengal Plate Test (RBPT) between September 2008 and October 2009. Then Positive, doubtful, and negative samples were further confirmed with slow agglutination test (SAT) and both indirect and competitive enzyme linked immunosorbent assay (iELISA and cELISA). A questionnaire was used to collect epidemiological information of the animals. The overall animal-level prevalence was 3.30%. Brucellosis seroprevalence was higher (4.76% by cELISA) in cattle above 48 months than those under 48 months. Female showed higher seroprevalence (10.67%) than male (6.25%). Higher seroprevalence was also found in cattle bred naturally (20.0%) than artificially (8.77%) and cattle that aborted or with previous abortion record (22.22%) showed higher seroprevalence than non-aborted (7.69%). The sensitivity of RBT and SAT was found 100% as compared to cELISA standard test, whereas specificity of RBT (95.35%) was higher than that of SAT (94.32%).