• 보건의료산업학회지
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• 제2권1호
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• pp.105-124
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• 2008

The purpose of this research is to provide the data base for the activation of Quality Improvement operation through investigating the status of Quality Improvement operation, and finding out factors influencing on the goal-orientation of QI performers in the medical centers of more than one hundred beds where are practicing Quality Improvement operation. In order to reach the purpose, document study was carried out grounded on the proceeding researches and formulated statistical data in relation with the status of Quality Improvement performers, and proof study was carried out through questionnaire survey. The subjects of the survey were the Quality Improvement performers working in seventy three medical centers in Pusan-Gyeongnam, Daegu-Gyeongbuk, and Ulsan. Among eighty three Quality Improvement performers, fifty, five were questionnaire surveyed, on the result of which Reliability Analysis, Factor Analysis, and Multiple Regression Analysis were made, using statistical program. The the results of the proof analysis on this research are as follows. First, in the factors influencing the devoting to goal pursuit of QI performers, organization-goal contribution(0.44) had significant positive effects, while organization conflict(-0.25) had significant negative effects. In other words, the higher the organization-goal contribution was, the higher the devoting to goal pursuit was, while the less the organization conflict was, the higher the devoting to goal pursuit was, which was statistically significant.(p<0.05). Second, in the aspect of goal performance types of QI performers, the process-centered type showed high level of the devoting to goal pursuit, which was statistically significant.(p<0.05). Third, in the aspect of QI performance degree, the higher the devoting to goal pursuit was, the higher the QI performance degree was, which was statistically significant.(p<0.05). In addition, the performers who perceived their workplaces organic structure showed much higher QI performance degree, which statistically significant.(p<0.05). Generalizing the results of this research, it is possible to offer a few suggestions as follows. First, as the competition among the medical centers is more severe recently owing to medical center evaluation system, medical centers are practicing various Quality Improvement operation in all of medical services such as clinical performance and management performance, to reach the purpose of both cost-cutting and medical quality improvement. Thus in order to practice Quality Improvement operation more efficiently in medical centers, it is essential to nuke use of problem-solving methods and statistical members. This as the willingness of chief executives and positive attitude and recognition of organization members. This requires the installation of divisions in charge and disposition of persons in charge, not to speak of persistent training of Quality Improvement. Second, the divisions in charge of QI carry out Quality Improvement operation at the medical center level, and take the role of generalizing and adjusting QI performances of various departments. Owing to this role, the division in charge of QI is considered indispensable organization in the QI operation of medical centers along with medical QI committee, while it contributes to the government's goal of reducing quality level gaps among medical centers. Therefore it is necessary for government and QI organizations to give institutional support and resources for the sake of QI operation of medical centers, besides to supply systematic trainning and informations to the divisions and persons in charge of QI. Third, it is certain that disposition of persons in charge should be determined in view of the scale and the scope of QI operation in medical centers.

• 대한방사선기술학회지:방사선기술과학
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• 제44권5호
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• pp.525-534
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• 2021

In order to provide high-quality medical services to the public and contribute to the improvement of public health, it is necessary to enact an independent law according to the work of radiological technologists. Therefore, this study intends to review the regulations related to radiographers in the Medical Service Technologists, etc. Act. and to present opinions and directions for enactment of individual laws for radiological technologists. An online survey was conducted to 15,000 radiological technologists working in medical institutions and education sites in Korea; 1,027 people (6.85%) responded. The questionnaire consisted of 3 questions on demographic characteristics, 5 questions on the scope of work, and 12 questions on the revision of the Medical Service Technologists, etc. Act. and the establishment of the Radiological Technologist Independent Act. Reliability and factor analysis were performed on 9 questions measured on a Likert 5-point scale in "Revision of the Medical Service Technologists, etc. Act. and the establishment of the Radiological echnologist Independent Act" among the questionnaire items. Reliability for the total 9 questions was Chronbach α=0.728. There was a high perception that the regulations related to radiological technologists were insufficient in the current Medical Service Technologists, etc. Act., and the perception that examinations performed by radiological technologists at medical institutions were included in medical practice was high. If the Radiological Technologist Independent Act is enforced, a high percentage of respondents said that they could receive legal protection through the institutionalization of the scope of work, that the status of radiological technologists would be improved, and the scope of work would be expanded. The response that the scope of work of radiological technologists should be included was the highest at 96.6%. In the analysis according to demographic characteristics, it was found that 96.7% of the respondents were agreed regardless of the factors. Radiological technologists will have to work hard to secure the public health by coping with new radiology devices, procedures and treatment methods. Therefore, as the results of this study, it is expected that the enactment and implementation of the Radiological Technologist Independent Act will contribute to the improvement of the quality of treatment for patients and to the public health.

• Journal of Trauma and Injury
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• 제23권2호
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• pp.68-74
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• 2010

Purpose: The purpose of this study is, first, to analyze the risk factors that influence the severity of injury in pediatric multiple trauma patients and, second, to present solutions for the problems related to the treatment of such patients. Our living situations are so complicated that the danger of accidents is truly open to children who are not prepared. We need to draw attention to the increased numbers of various accidents involving children. Methods: We studied patients who visited the Emergency Medical Center at Chosun University Hospital from January 1, 2006, to December 31, 2008. Using medical records, we evaluated the general characteristics: the mechanism of injury, the vital signs, the revised trauma score (RTS), the injury severity score (ISS), and the hemoglibin value, which was checked at the time of visit, and the presence or the absence of emergent on regular surgery. We divided the level of injury as follows: light level (1-8 points), mid level (9-15 points), and serious level (above 16 points). We analyzed the medical data by using SPSS 17.0 for windows. Results: The average age of the patients examined was 8.6 years. The number of 6- to 11-year-old patients was 96, which was the largest, but the degree of injury severity was the highest among infant (0-2 years), according to ISS 7.95(${\pm}6.85$). The frequency of accidents was highest on sunny days, and most accidents occurred from 16:00 to 20:00. The cause of multiple trauma for children was the greatest in the traffic accident, (95 patients, 49.0%). In addition, the trauma caused by traffic accidents showed the highest ISS value ($9.02{\pm}6.42$) and the most serious degree (P=0.004). The ISS level of injury ($8.40{\pm}6.64$) for patients moved from a secondary hospital was higher than that ($6.49{\pm}5.57$) for patients who visited the medical center directly. The severity of injury was highest for patients who used a 119 ambulance ($8.84{\pm}5.80$). According to the injured parts of body, Injuries to the arms and the feet most frequent (79 patients, 40.7%), but the level of injury was the highest for internal organs and chest, $16.42{\pm}8.56$ and $11.23{\pm}6.97$, respectively. Conclusion: We used Abbreviated Injury Scale (AIS) in order to examine the characteristics by injured body part for pediatric multiple trauma patients. Because the degree of injury was the highest for internal organs or the chest, we need to more seriously examine and provide for patients who are suspected of having injuries to the internal organs or the chest. We need to quickly determine the need for surgery in patients with serious injuries to the arms and the feet, which is the greatest in frequency. In particular, we need to consider the surgical care of patients who are not very high in the severity of injury to their brains.

• Asia pacific journal of information systems
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• 제20권3호
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• pp.191-204
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• 2010

Recently, the CO2 emission and energy consumption have become critical global issues to decide the future of nations. Especially, the spread of IT products and the increased use of internet and web applications result in the energy consumption and CO2 emission of IT industry though information technologies drive global economic growth. EU, the United States, Japan and other developed countries are using IT related environmental regulations such as WEEE(Waste Electrical and Electronic Equipment), RoHS(Restriction of the use of Certain Hazardous Substance), REACH(Registration, Evaluation, Authorization and Restriction of CHemicals) and EuP(Energy using Product), and have established systematic green business/IT strategies to enhance the competitiveness of IT industry. For example, the Japan government proposed the "Green IT initiative" for being compatible with economic growth and environmental protection. Not only energy saving technologies but energy saving systems have been developed for accomplishing sustainable development. Korea's CO2 emission and energy consumption continuously have grown at comparatively high rates. They are related to its industrial structure depending on high energy-consuming industries such as iron and steel Industry, automotive industry, shipbuilding industry, semiconductor industry, and so on. In particular, export proportion of IT manufacturing is quite high in Korea. For example, the global market share of the semiconductor such as DRAM was about 80% in 2008. Accordingly, Korea needs to establish a systematic strategy to respond to the global environmental regulations and to maintain competitiveness in the IT industry. However, green competitiveness of Korea ranked 11th among 15 major countries and R&D budget for green technology is not large enough to develop energy-saving technologies for infrastructure and value chain of low-carbon society though that grows at high rates. Moreover, there are no concrete action plans in Korea. This research aims to deduce the priorities of the Korean green business/IT strategies to use multi attribute weighted average method. We selected a panel of 19 experts who work at the green business related firms such as HP, IBM, Fujitsu and so on, and selected six assessment indices such as the urgency of the technology development, the technology gap between Korea and the developed countries, the effect of import substitution, the spillover effect of technology, the market growth, and the export potential of the package or stand-alone products by existing literature review. We submitted questionnaires at approximately weekly intervals to them for priorities of the green business/IT strategies. The strategies broadly classify as follows. The first strategy which consists of the green business/IT policy and standardization, process and performance management and IT industry and legislative alignment relates to government's role in the green economy. The second strategy relates to IT to support environment sustainability such as the travel and ways of working management, printer output and recycling, intelligent building, printer rationalization and collaboration and connectivity. The last strategy relates to green IT systems, services and usage such as the data center consolidation and energy management, hardware recycle decommission, server and storage virtualization, device power management, and service supplier management. All the questionnaires were assessed via a five-point Likert scale ranging from "very little" to "very large." Our findings show that the IT to support environment sustainability is prior to the other strategies. In detail, the green business /IT policy and standardization is the most important in the government's role. The strategies of intelligent building and the travel and ways of working management are prior to the others for supporting environment sustainability. Finally, the strategies for the data center consolidation and energy management and server and storage virtualization have the huge influence for green IT systems, services and usage This research results the following implications. The amount of energy consumption and CO2 emissions of IT equipment including electrical business equipment will need to be clearly indicated in order to manage the effect of green business/IT strategy. And it is necessary to develop tools that measure the performance of green business/IT by each step. Additionally, intelligent building could grow up in energy-saving, growth of low carbon and related industries together. It is necessary to expand the affect of virtualization though adjusting and controlling the relationship between the management teams.

• 한국환경생태학회지
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• 제24권2호
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• pp.157-165
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• 2010

본 연구는 일본 고베시 로코아일랜드 완충녹지의 공간기능별 지형구조, 식재개념, 식재구조를 조사분석하여 해안매립도시의 토지이용을 고려한 완충녹지 식재기법 연구 기초자료를 제공하고자 수행하였다. 로코아일랜드(총면적 580ha)는 대규모 완충녹지를 박스형으로 조성하여 외곽부의 항만물류 산업용지와 도시내부 도시기능용지로 구획되었다. 완충녹지 지형구조는 편향마운딩형, 병렬마운딩형, 복합마운딩형이었고, 북쪽의 녹지폭은 50m, 동쪽의 녹지폭은 8~32m, 서쪽의 녹지폭은 37.5m, 경사도는 $18\sim25^{\circ}$, 성토고는 2~15m이었다. 공간기능별 재개념은 해안측 사면부는 경관식재와 완충식재, 도시내부는 경관식재와 녹음식재를 적용하였다. 북측 완충녹지 식재구조 조사결과, 종가시나무, 녹나무, 후박나무, 녹보리똥나무 등 난온대 상록활엽수를 식재하였고, $100mm^2$단위의 종수 및 식재밀도는 최대 교목 9종 22주, 아교목 9종 15주, 관목 3종 67주로 전 층위 14종 104주이었다. 녹피율은 교목층 69~139%, 아교목층 26~38%, 관목층 6~7%, 전 층위 101~184%, 녹지용적계수는 교목층 $1.40\sim3.12m^3/m^2$, 아교목층 $0.43\sim0.55m^3/m^2$, 관목층 $0.06m^3/m^2$, 전 층위 $1.89\sim3.73m^3/m^2$이었다.

• 한국전통조경학회지
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• 제32권2호
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• pp.12-26
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• 2014

본 연구는 동궐도에 나타난 괴석의 배치를 바탕으로 조선시대 궁궐에 쓰인 괴석의 배석형식과 활용을 고찰한 것이다. 동궐도에서 축선을 보조하여 정형성을 형성하는 괴석 배열의 종류는 단식, 대식, 연식으로 구분된다. 단식은 기존 건축물을 통해 형성된 축선상에 괴석 1개를 배치하여 시각적 초점을 부여하거나 중심성을 강조하기 위해 사용되었다. 대식의 경우, 주로 건물 양옆에 괴석 2개를 대칭구도로 놓아 건축물에 질서와 위계를 부여하기 위해 사용되었다. 또한 세 개의 돌을 나열한 연식은 주석(主石)의 역할을 하는 가운데 돌이 축선 상에 놓여 강한 방향성과 정면성을 부여하는 방법으로 사용된다. 이러한 괴석 배치법은 수목의 배식에도 동일하게 적용되는 것으로, 수목의 요점식재와 대칭식재 방법에서 유사성이 발견되었다. 따라서 괴석과 수목은 장소의 성격과 규모에 따라 취사선택될 수 있으며, 축 형성과 정형적 공간창출의 효과는 근본적으로 같다고 할 수 있다. 이상의 결과를 바탕으로 동궐도 괴석의 배치 특성을 고찰한 결과는 다음과 같다. 첫째, 괴석은 중요한 건물에 위계를 표현하기 위해 설치되어 구심적인 공간을 창출하는 수단으로 사용되었다. 둘째, 괴석간 거리는 가운데에 있는 건축물의 크기에 비례하여 조정되었으며, 이는 중심축과 좌우 대칭물 간의 비례적 균형구도를 통해 안정감을 부여하기 위함이었다. 셋째, 불규칙한 괴석의 외형이 규칙적인 대칭성을 형성하는데 제한요소가 되므로 석함을 활용하여 정형성을 더하였다. 넷째, 연식(3입식) 배치에서 가운데 괴석에 변화를 주어 중심성을 강조하였다. 다섯째, 괴석은 타 점경물의 종류와 배합 및 위치조정이 수월하도록 크기를 제한함으로써 얻어지는 이동성이 있었다. 여섯째, 사의적 대상으로 감상되던 궁궐 괴석은 근본적으로 수석과 동질적인 개념의 조형물 이었으며 감상되는 방법, 형태, 구성에서 같은 맥락으로 전개되었다. 일곱째, 연식으로 놓인 괴석은 짝수일 경우 균등분할 식으로 배치되며, 홀수일 경우 중심 괴석을 중심으로 나머지가 대칭하도록 배열하는 방법을 따랐다. 이상의 배석원칙은 조선 궁궐에서 괴석을 제작하고 활용했던 특징적인 방법으로 판단된다.

• 한국해양학회지:바다
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• 제21권2호
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• pp.49-57
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• 2016

기후변화를 일으키는 외부강제력이 전지구적으로 동일하게 주어지더라도 그에 따른 기후변화와 되먹임 효과는 지역마다 다르게 나타난다. 따라서 기후변화에 나타난 내부변동성 및 다른 잡음 효과로부터 지구온난화 신호를 구별하기 위한 기후변화 탐지는 전구평균뿐만 아니라 지역규모에서도 이뤄져 왔다. 본 논문은 지구온난화로 인해 미래에 전례 없는 기후가 나타나는 시기를 추정하고 그 지역적 차이를 분석함이 목적이며 이를 위해, 기후모형 자료를 이용한 기존 연구와는 달리, 관측 자료를 이용하여 내부변동성을 추정하고 미래 온도변화를 전망하였다. 전례 없는 기후 시기는 미래에 예측된 지표 온도가 과거 관측 기록에 나타난 온도 범위를 벗어나 전례 없이 따뜻한 기후가 이후로도 지속되는 시점으로 정의하였다. 1880년부터 2014년까지 관측된 지표온도 아노말리의 연평균 시계열을 이용하여 온난화 선형추세를 계산하였고, 이 추세로부터 벗어난 최대 변이 값을 내부변동성의 크기로 간주하였다. 관측 자료로 구한 온난화 선형추세와 내부변동성의 크기가 미래에도 유지된다고 전제하고 계산한 결과에 따르면, 육지에서 전례없는 기후는, 아프리카는 서쪽에서, 유라시아는 인도와 아라비아 반도 남부 등 저위도에서, 북아메리카는 캐나다 중서부와 그린란드 등 고위도에서, 남아메리카는 아마존을 포함하는 저위도에서, 남극대륙은 로스해 주변지역에서 향후 200년 이내에 비교적 빨리 나타나며, 우리나라를 포함한 동아시아 일부 지역에서도 200년 이내로 빨리 나타난다. 반면에 북유럽을 포함하는 고위도 유라시아 지역과 미국과 멕시코를 포함하는 북아메리카 중남부에서는 400년 이후에 나타난다. 해양에서는 전례 없는 기후가 인도양, 중위도 북대서양과 남대서양, 남극해 일부 해역과 남극 로스해, 북극해 일부 해역에서 200년 이내로 비교적 빨리 나타나는 반면, 내부변동성이 큰 동적도태평양, 중위도 북태평양 등의 일부 해역에서는 수천 년이 지나야 오는 곳도 있다. 즉, 전례 없는 기후시기는 육지에서는 대륙마다 서로 다른 양상을 보이고 해양에서는 온난화 추세가 큰 고위도 해역을 제외하면 내부변동성의 영향을 많이 받는다. 결론적으로 지구온난화로 인한 전례 없는 기후는 특정 시기에 공통적으로 나타나는 것이 아니라 지역에 따라 시기적으로 상당한 차이가 있다. 따라서 기후변화 대응책을 마련할 때 온난화 추세뿐만 아니라 내부변동성의 크기도 함께 고려할 필요가 있다.

• 대한영상의학회지
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• 제83권2호
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• pp.344-359
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• 2022

목적 깊은 컨볼루션 신경망 기법을 결합한 영상 잡음 제거 알고리즘을 개발하고 이를 응용하여 저선량 유방 촬영 영상으로 유방암을 진단하는 데 그 효능을 조사하고자 한다. 대상과 방법 6명의 유방 영상 전문의가 전향적 연구에 참여하였다. 모든 영상 전문의는 병변 감지를 위해 저선량 영상을 독립적으로 평가하고 정성적 척도를 사용하여 진단 품질을 평가하였다. 영상 잡음 제거 알고리즘을 적용한 후, 동일한 영상 전문의가 병변 감지 가능성과 영상 품질에 대한 평가를 하였다. 임상 적용을 위해 동일한 영상 전문의가 병변 유형과 위치에 대한 합의 결정 후, 저선량 영상, 재구성된 영상, 기존 선량 영상을 무작위 순서로 제시하여 평가하였다. 결과 전 절제 표본의 저선량 영상을 참조로 40% 재구성된 영상에서 병변이 더 잘 인식되었다. 임상 적용단계에서 40% 재구성된 영상과 비교하여, 기존 선량 영상이 해상도(p < 0.001), 석회에 대한 진단 품질(p < 0.001), 유방 종괴, 비대칭, 구조왜곡의 진단 품질(p = 0.037)에 대해 더 높은 평균값을 보였다. 40% 재구성된 영상은 100% 영상과 비교 시 전반적 화질(p = 0.547), 병변의 가시성(p = 0.120), 대조도(p = 0.083)에서 비슷한 성적을 보였으며 유의미한 차이도 보이지 않았다. 결론 깊은 컨볼루션 신경망 기법을 결합한 효과적인 잡음 제거 및 영상 재구성 처리 알고리즘은 유방 촬영의 상당한 선량 감소를 위한 길을 열어 유방암 진단을 가능하게 할 것이다.

• 대한환경공학회지
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• 제34권7호
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• pp.495-503
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• 2012

본 연구의 대상지인 굴포천은 산업화와 도시화로 인한 생활하수 및 공장폐수의 유입, 느린 유속과 하천 복개 등과 같은 유입오염원과 하천 구조적 문제로 인하여 수질이 악화되어 왔다. 특히 하천변의 소규모 영세 공장, 중 상류에 형성된 대규모 공업단지, 지역개발에 따른 인구증가로 인한 생활하수 등은 굴포천의 주오염원이다. 따라서 본 연구에서는 굴포천에 영향을 주는 다양한 수질 및 퇴적물의 오염원에 대하여 조사하고, 수체내에서의 오염현황을 모니터링하며, 퇴적물의 용출량을 평가하고 하천의 수질 및 퇴적물의 문제점 파악을 통한 합리적인 개선방향을 제시하고자 한다. 본 연구에서 오염부하량 조사결과, 굴포천 상류에서 하류로 향할수록 유량은 평균 72.8배 증가하였으며, 오염부하량은 평균 SS 111배, BOD 150배, COD 145배, T-N 222배, T-P 312배의 오염부하가 증가함을 알 수 있었다. 퇴적물의 오염 농도 범위는 강열감량의 경우 1.29~12.43%, COD는 4,015~37,547 kg/day의 범위로 나타냈다. 영양물질인 T-N, T-P는 각각 94.8~352.5 kg/day, 81.8~372.3 kg/day의 범위를 나타냈다. 퇴적물의 용출속도의 경우, T-N은 -14.46~$156.61mg/m^2/day$의 용출속도를 보였으며, T-P의 경우 -11.53~$26.10mg/m^2/day$의 용출속도를 보임으로서 퇴적물 용출에 의한 내부오염의 가능성이 있음이 나타났다. 본 연구의 결과를 통해 굴포천 유역을 효율적으로 관리하는데 기초자료로 활용할 수 있을 것으로 사료된다.

• Asian Journal of Business Environment
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• 제2권1호
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• pp.25-34
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• 2012

It is possible to use pallet for forwarding as chinese cabbages and radishes are general large-scale trading items at the agricultural wholesale market though, however, most of these are forwarded as it have packed in net bags or in P·E bags. Thus, it is still hard for palletizing. The type of packing the product in the net bag makes it difficult for palletizing. It is not a stable shape enough and easily collapsed for pallet loading. Because of this collapsibility, the corrugated cardboard box is being used to enhance forwarding efficiency, but the existing corrugated cardboard box could be crushed easily by moist what is from the agricultural product's property and it also could be squashed by the mass of the loaded box layers on itself. In contrary, the functional waterproof corrugated cardboard box is not collapsed through palletizing and it is efficient for product management with it's ventilation function in respond to pre-cooling effect. Furthermore, because it has various functional shapes as the open type, the partition type and so on, it is effective for maintaining freshness of the product and standardizing the distribution of agricultural product. It is well-known that it is possible to introduce this box to cargo-works of agricultural product. Consequently, the recognition of main distributors about the pallet distribution of the chinese cabbage and the radish was apprehended in this study for activating mechanization of loading and unloading. The survey was conducted to the main distributors such as the forwarder, the auction dealer and the commission merchant with Garak-dong wholesale market as the center. The appropriate packing materials and problems of the existing method for loading and unloading were derived through the survey. Especially, it was focused on analyzing the difference of recognition between the subject groups for the way of using waterproof cardboard corrugated box to deal with the difficult product for packing in normal corrugated box because of the box's absorption of moist from the agricultural product like a chinese cabbage and a radish. Total In the cases of the forwarders and the commission merchants, the net was highly responded as 45%, 74% from each groups for the best packing material for mechanization of distribution and the waterproof corrugated cardboard box was responded as 20%, 22% from each groups as much preferable than multi-stage wooden box. However, for the radish, the waterproof corrugated cardboard box was the best material as 56%, and the auction trader group supported it for 80%. So, the using the waterproof corrugated cardboard box for mechanization of distribution was negative for the chinese cabbage, but it was positive for the radish. The average was 2.42, the standard deviation was 1.24. The negative response(about 55%) was prevailing more than positive response(about 23%). It could be analyzed that even there was the positive recognition for using the waterproof corrugated cardboard box for the radish though the preference for low price of net bag in the chinese cabbage forwarding procedure. Still now, it seems that is a burden for using the waterproof corrugated cardboard box with high price. In the analysis on the recognition differences about using the waterproof corrugated cardboard box for the chinese cabbages and the radish between the forwarders and the commission merchants, generally the negative recognition was prevailing, but the forwarders(2.696) were more positive for using the waterproof corrugated cardboard box than the commission merchants(2.145).