• 한국보건간호학회지
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• 제16권1호
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• pp.201-212
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• 2002

This study was designed to identify the risk factors of unplanned readmission in a university hospital. The six-month discharge information from January to June, 2000 in a tertiary university hospital was used as a source of data through the medical record and hospital information system. To increase the effect of comparison. the data were collected by sampling 192 couples (384 patients) of unplanned readmission group through the matching by its disease groups, sex, and age. The accuracy of prediction for unplanned readmission was analyzed by constructing the predicted model of unplanned readmission through the logistic regression. The study results are as follows. The conditional logistic regression analysis was performed with nine variables at the significance level 0.05 through univariate analysis including residence, days after discharge, initial admission route, previous admission, transfer to special care unite, hospital stay days, medical care expenses, special cares, and laboratory and imaging services. As a result, the closer the patients live in Seoul and Gyeong-in area (Odds ratio=2.529, p=0.003), the shorter the days after discharge was (Odds ratio=0.600, p=0.000), and the more frequent admission rate was (Odds ratio=2.317, p=0.004), the more unplanned readmission was resulted. Also, the accuracy of prediction for data classification of this regression model showed $70.3\%$(032+83/306).

• 보건의료산업학회지
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• 제12권3호
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• pp.1-11
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• 2018

Objectives: The purpose of this study is to evaluate patient experience assessment of inpatients, and to prepare measures to improve the quality level of medical services and guarante patient rights. Methods: The study was conducted among 199 patients admitted to hospitals and general hospitals in the metropolitan area. The analysis method used was crossover analysis, including a comparison of means, and logistic regression analysis. Results: The overall average score of satisfaction with healthcare service was 3.39 for nurses, 3.35 for hospitals and 3.42 for general hospitals. Age at the time of hospitalization affected satisfaction. The overall average score of healthcare service satisfaction was 3.09 for doctors, 3.14 for hospitals, and 3.04 for general hospitals. The factors affecting hospital satisfaction were gender and subjective health status. The factors affecting satisfaction in general hospitals were education, medical department, and hospitalization route. Conclusions: Hospitals should also introduce a systematic management system of general hospitals and strengthen the guarantee of the rights of patients who can improve the quality of medical care through positive communication between medical personnel and patients.

• 한국항만경제학회지
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• 제38권3호
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• pp.15-28
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• 2022

벙커링은 선박 운항에 필요한 연료유의 공급과 더불어 이에 수반되는 연료 자체의 가격 및 공급에 따른 비용을 최소화하고 좋은 품질의 연료유를 적기에 그리고 최적 항구에서 보급한다. 이러한 벙커링은 최초 구매시점부터 벙커링 구매자체에 상당한 비용이 수반되어 선사에서 벙커링이 운항 비용 측면에서도 중요하다. 본 연구는 부정기선사의 벙커링 항만 선정요인을 규명하여 우선순위를 도출하는 데 목적이 있다. 선행연구를 토대로 벙커링 항만을 선정하는 공통 요인을 분석하여 변수를 선정하였으며 상위 요인으로 가격 요인, 지리적 요인, 제품 품질과 항만 서비스 요인, 인프라 요인을 도출하였고 AHP기법을 활용하여 중요도를 산출하였다. 분석결과 상위요인은 비용 요인, 지리적 요인, 제품 품질 및 항만서비스, 인프라 요인 순으로 나타났으며 비용 요인과 지리적 요인의 중요도는 높은 수준으로 나타났다. 비용 요인의 하위 요인에서는 톤당 벙커 가격이 가장 높은 중요도를 나타냈고 지리적 요인에서는 주요 무역 항로상에 위치로 나타났다. 제품 품질과 항만 서비스의 하위 요인에서는 벙커링 가능 유종과 품질이 중요한 요인으로 분석되었으며 인프라 하위 요인에서는 묘박지, 적양하 작업 시 벙커링 가능여부, 항만 보안 요인이 중요한 요인으로 나타났다. 본 연구는 벙커링 항만 선정요인을 비교하며 중요도를 도출하여 연구기준의 틀을 제시함으로써 벙커링 항만의 경쟁력 제고에 대한 시사점을 제시하였다.

• Toxicological Research
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• 제29권2호
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• pp.137-142
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• 2013

Arsenic (As) is a well-known human carcinogen and its dietary exposure has been found to be the major route of entry into general population. This study was performed to assess the body levels of As and their associated factors in Korean adults by analyzing total As in urine. Urine and blood samples were collected from 580 adults aged 20 years and older, who had not been exposed to As occupationally. Demographic information was collected with the help of a standard questionnaire, including age, smoking, alcohol intake, job profiles, and diet consumed in the last 24 hrs of the study. Total As, sum of As(III), As(V), monomethylarsonic acid (MMA), dimethylarsinic acid (DMA), in urine was determined using atomic absorption spectrometer involving hydride generation method. The geometric mean concentration of total As in urine was $7.10{\mu}g/L$. Urine As was significantly higher in men ($7.63{\mu}g/L$) than in women ($6.75{\mu}g/L$). Age, smoking, alcohol consumption, and job profiles of study subjects did not significantly affect the concentration of As in urine. No significant relationship was observed between body mass index (BMI), Fe, and total cholesterol in serum and urinary As. Urine As level was positively correlated with seaweeds, fishes & shellfishes, and grain intake. A negative correlation between urinary As level and HDL-cholesterol in serum and meat intake was observed. Overall, these results suggest that urinary As concentration could be affected by seafood consumption. Therefore, people who frequently consume seafood and grain need to be monitored for chronic dietary As exposure.

• 아태비즈니스연구
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• 제12권1호
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• pp.151-163
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• 2021

Purpose - The break-even point refers to the point where total profit and total cost coincide, and from this point on, the entrepreneur's decision-making takes a different route. Strategic decisions can be made for more efficient operation and eventually for more likelihood for growth and sustainability if a startup figures out when it recoups the investment and switches to a net profit. Design/methodology/approach - 748 creativity and skill-based sole proprietors in manufacturing industry were examined to demonstrate the effect of the entrepreneur's entrepreneurial experience and education level, the business launch preparation time, or the self-financing on the achievement of break-even point. Findings - While the business launch preparation time lowered the likelihood of reaching a break-even point, self-financing increased the likelihood. As a result of further analysis by subdividing into subgroups according to skill level, only the business launch preparation time was statistically significant in the highly skilled industries. In the low skilled industries, in addition to the business launch preparation time, the CEO's education level and the self-financing were statistically significant. Research implications or Originality - The longer the business launch preparation time, the higher the start-up cost, which increases the burden of initial cost recovery, and the agile response to market changes is thereby delayed, resulting in the business idea losing its appeal. Self-financing not only provides stability and strong motivation for the business operation but also promotes careful spending which contributes to the achievement of break-even point. In particular, it is found that practical experience is more useful than theoretical knowledge in low skilled industries. Due to the limitation of secondary data based on the recollection, the time required to reach a break-even point, percentage of financing sources, etc. may include cognitive errors. In addition, variables are not included that explain the characteristics of creativity and skill-based sole proprietorship, so it is necessary to exercise caution with the actual application.

• 보건행정학회지
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• 제3권1호
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• pp.1-24
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• 1993

This study is designed to find clues to make a plan for efficient hospital bed utilization. Author has tried to estimate the level of appropriateness and to find out factors affecting intra-hospital variation of inappropriate bed utilization using modified Appropriateness Evaluation Protocol of which criteria are based on service intensity and patients' conditions. Systematic random sampling was done from the population of inpatients during one month in on university hospital. Data were collected by concurrent and retrospective medical record review and analysed by multiple logistic regression. In medical services, 83.5% of admission reveals appropriate and the level of inappropriate admission shows significant differences by patients' residence, type of department admitted to, admission 개\ulcorner, and length of stay. In surgical services, 97.3% and 34.7% are appropriate in location and timing of surgery respectively. Inappropriate timing of surgery differs significantly depending on patients' age, type of department admitted to, admission route, and length of stay. Sixty two percent of hospital days shows appropriate and the level of inappropriateness show marked differences by patients'age, type of services, admission routes, part of the month, part of the stay, and length of stay. Inappropriate hospital days are due to inappropriate level of care, premature admission, improper scheduling of diagnostic or therapeutic procedures, and problems in scheduling surgery in sequence. In conclusion, substantially high proportion of inappropriate hospital bed utilization was confirmed. To reduce it, it is necessary to develop alternative services with which can replace inpatient services, and to introduce utilization management system which may include internal peer review.

• 한국보건간호학회지
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• 제10권1호
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• pp.12-22
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• 1996

Currently. exchanges of industrial workers between countries are more active than ever. and the problem of AIDS in connection with the operation of preventive educational programs has reached a point where the issue cannot be limited to native people alone any more. Based on such judgement. this research has been carried out to provide basic study materials by grasping the latent factors representing the difference between countries in the levels of right knowledge. attitude and behavior with respect to AIDS maintained by workers who have grown in different social and cultural living background. During the period from Apr. 1. 1995 to Jun. 30. questionnaires. written both in Korean and English, were distributed to Korean and Malaysian employees working at certain Korean video manufacturers. and the results of replies. given by 80 workers who were analyzed through matched sampling· method where ages and sex matched by country. were used as the research materials. The gathered materials were analyzed through the SPSS package t-test. ANOVA. factor analysis and multiple stepwise regression methods. and the following results were obtained. 1. The 2 extracted latent factors could be named 'common. social' knowledge factor and 'in-depth. psychological' knowledge factor respectively. 2. The percentile points of 'external. social' knowledge factor. in the case of Korean workers. howed 90.0 at average. a figure 13.75 points higher than those of Malaysian workers. 76.25. On the other hand. the percentile points of the 'in-depth. psychological'knowledge factor showed 70.80 at average in the case of Korean workers. a figure 7.47 points lower than those of Malaysian workers. 78.33. Meanwhile. the difference in percentile points between the 2 latent factors was 8.54 at average. indicating that the points of 'in-depth. psychological' knowledge factor was lower than those of the 'external. social' knowledge factor. 3. As for Korean workers. the percentile points of the 'in-depth. psychological' knowledge factor showed higher points in office workers than in non-office workers. and such variables exhibited in the position of workers can explain the $7\%$ of the latent factor. The percentile points of the 'in-depth. psychological' knowledge factors. in the case of Malaysian workers. showed higher points in groups who had religion than in groups who did not. and higher points in groups who obtained information from newspapers than in groups who obtained from televisions or other sources; and with these 2 variables. $26\%$ of this latent factor can be explained. The results. of analysis described so far suggest that while Korean workers possessed general level of knowledge on AIDS. they had low level of practical knowledge as far as its depth is concerned. and that they had social prejudice on patients as well as on the AIDS infection route. In addition. because the overall knowledge level of Malaysian workers. is lower than that of Korean workers. it suggests that separate programs intended for Malaysian workers are required prior to executing integrated programs.

• 한국환경보건학회지
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• 제49권5호
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• pp.262-274
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• 2023

Background: Exposure levels for heavy metals such as lead (Pb), mercury (Hg), and cadmium (Cd) have increased due to human activities. They are known to be a public health concern. Objectives: This study aimed to determine the exposure levels to heavy metals in the blood and urine of South Korean adults and to present the contribution rate of exposure pathways using an exposure algorithm for men aged 19~64, women aged 19~64, and all seniors aged 65 or older. Methods: We analyzed data from the Korean National Environmental Health Survey (KoNEHS) Cycle 4 (2018~2020). A total of 2,646 participants aged ≥19 years were included. Multiple regression analysis was performed to determine the factors affecting heavy metal concentrations. The contribution rate was calculated by applying three exposure algorithms for ingestion, inhalation, and dermal exposure. Results: Factors that commonly affect heavy metal concentrations in blood and urine were gender and age. The main influencing factors for Pb and Cd were education level and smoking status, while frequency of fish consumption and of alcohol consumption were indicated to be the main influencing factors for mercury. The contribution rates of lead and cadmium from food ingestion were 78.03~79.62% and 88.39~92.89%, respectively. Additionally, the highest contribution for mercury was accounted for by food at 81.69~85.77%. As a result of the risk assessment, cadmium was found to pose a potential health risk a with total cancer risk (TCR) of more than 1×10^-6. Conclusions: The KoNEHS could be an important study for determining the level of exposure to heavy metals and their influencing factors. Integrated exposure to heavy metals could assess the main exposure pathways, and this methodology could be applied to exposure management of heavy metals.

• Journal of Veterinary Science
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• 제25권3호
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• pp.46.1-46.11
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• 2024

Importance: Rabies is a neglected tropical viral disease most often transmitted through the bite of an infected animal. Objective: This study assessed the level of knowledge, attitudes, and practices of the Shone Ttown community toward rabies. Methods: A survey-based cross-sectional study was conducted in Shone town, Ethiopia, from November 2022 to April 2023. Woreda was selected purposefully, while Kebeles and the study populations were selected by simple random sampling. Four hundred and sixteen respondents were interviewed using a semi-structured questionnaire. Results: All respondents had heard about rabies from different sources, with the majority hearing from informal sources (62%). Approximately 51.9%, 0.7%, and 47.4% of individuals were aware of saliva contact, rabid animal bites, and both as means of transmission, respectively. The survey showed that 64.4% of participants knew the 100% fatal nature of rabies once the clinical signs developed, and 35.6% did not. Approximately 51.4% of respondents agreed that killing stray dogs was an effective method for rabies prevention. In this study, 72.6% of the respondents had contact with pets, and 36.8% of the interviewees had vaccinated their dogs. Only the educational level (p = 0.03) was associated with knowledge of the transmission route. Age (p = 0.04) and educational level (p = 0.01) had a statistically significant association with knowledge of the risk of not vaccinating dogs. Conclusions and Relevance: A lack of formal education in the communities, low levels of education, and the majority of respondents acquiring their knowledge from unofficial sources are important contributors to the low levels of awareness.

• 대한교통학회지
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• 제27권6호
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• pp.119-127
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• 2009

버스의 정시성은 노선특성 및 운수회사의 특성에 의해 많은 영향을 받는 것으로 알려져 왔으나, 과학적인 분석이 미흡한 실정이다. 따라서, 본 연구에서는 노선 및 운수회사 특성에 따른 정시성(차두간격편차 요인)을 모형화 하기 위하여 상관분석 및 선형회귀분석(OLS, Ordinary Least Square)을 통하여 최적설명변수를 선택하고, 위계적인 자료구조를 고려하여 위계적 형태의 자료분석에 많이 사용되는 위계적선형모형(HLM, Hierarchical Linear Model)을 적용하여 정시성에 미치는 요인을 분석하였다. 분석결과, ICC가 0.10으로 분석되어 정시성에 미치는 영향 중 노선특성에 의한 영향이 90%, 회사특성에 의한 영향이 10%로 나타나 OLS보다 HLM 적용이 더 적합한 것으로 나타났다. 버스의 정시성은 노선변수 수준에서 운행대수, 평균차두간격, 대당승객수 순으로 영향이 큰 것으로 나타났으며, 운행대수가 많고 대당승객수가 많은 노선은 정시성과 반비례하고, 평균차두간격과는 비례관계로 분석되었다. 회사변수 수준에서는 회사규모(관리대수)가 클수록, 일반회사 보다는 입찰간선회사가 정시성에 양(+)의 영향을 주는 것으로 분석되었다. 향후 정시성 평가관리시 노선별 운행대수, 평균차두간격, 운수사별 관리차량대수에 의한 영향을 고려하는 것이 필요하며, 정시성을 향상시키기 위해서는 노선의 연장을 짧고, 운수사의 규모가 클 수록 유리하다 할 수 있다.