• 유통과학연구
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• 제13권2호
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• pp.63-73
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• 2015

Purpose - Satisfaction with service is evaluated according to customers' subjective judgment. The expected value of customer service and its evaluations depend on the customers' position. The customer recognizes two different forms of service levels. One is satisfaction and the other is dissatisfaction. Customers who are satisfied want to receive the service in future. However, those dissatisfied try to change the service. The service provider tries to improve the service. There are two different service cycles. One is the successful cycle and the other is the failure cycle. This study aimed to empirically determine the effects of the justice and authenticity of service recovery on customer behavioral intention through an integrated approach to cognitive justice and psychological authenticity. Research design, data, and methodology - Based on a literature review, justice of service recovery was categorized into three types: distributive, procedural, and interactive. Then, authenticity was added to obtain four independent variables, along with recovery satisfaction as a parameter. Behavioral intention, as an outcome variable, was divided into the repurchase intention and positive word-of-mouth. The model and hypotheses were created and measurement items were developed. A questionnaire survey of items concerning the service recovery experience at family restaurants was conducted on college students and residents in Gwangju from September 30 to October 31, 2013. A total of 400 copies of the questionnaire were sent out and 385 were returned. Respondents answered questions about the importance of, and satisfaction with service recovery on a 5-point Likert scale. Excluding 174 copies without service failure experiences and 7 inappropriate copies, 204 copies were analyzed using SPSS 21.0 for Windows and AMOS 20.0 to determine the reliability and validity of measurements. The hypotheses were tested through a goodness-of-fit analysis. Results - First, distributive justice positively affected recovery satisfaction. Second, procedural and interactive justice had no impact. Third, authenticity positively affected recovery satisfaction. Fourth, distributive justice had relatively stronger effects on recovery satisfaction than authenticity. Fifth, recovery satisfaction significantly affected repurchase intention and positive word-of-mouth and it proved effective in mediation. Finally, additional analysis was performed for descriptive statistics of the principal variables by various demographic characteristics and significant differences were found in gender, occupation, and so on. Conclusions - This study has academic significance as the fairness and authenticity of service recovery were investigated to reveal the effects on behavior. The findings could be applied to a wide range of service recovery strategies. However, there are some limitations. First, data was collected only from the residents of Gwangju and most respondents were aged 20-30. Future studies should target a wide range of areas and age groups. Second, because the questionnaire used in this study targets only convenience family restaurants, the results of this study cannot be generalized to all services companies. Future research should be done on a wide range of industries such as hotels, airlines, and hospitals, and perform a comparison between sectors.

• 한국산학기술학회논문지
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• 제14권10호
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• pp.5237-5242
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• 2013

최근 많은 교량들이 점증하는 교통량에 의해 상부슬래브 폭이 부족해지거나 침식으로 인해 하부구조가 구조적으로 취약해지는 경향이 있다. 이 경우 상부슬래브나 교각을 확장하여 보강하는 것이 경제적이기 때문에 실험 자료와 현장의 시공경험 등을 통해 교량의 적절한 확장방안을 확립할 필요가 있다. 그렇지만, 후설치 콘크리트 세트앵커를 사용하여 교량의 하부구조를 보수. 보강하는 경우 신구 콘크리트의 일체성 확보와 관련된 기존 실험자료는 매우 부족한 실정이며, 이에 따라 후설치 콘크리트 세트앵커를 사용하여 구조적인 일체성을 확보하기 위한 실험적인 연구가 매우 시급하다고 할 수 있다. 본 연구에서는 매입깊이 및 콘크리트 강도를 변수로 한 후설치 콘크리트 세트앵커의 인발파괴실험을 통하여 무근콘크리트에 매입된 후설치 세트앵커의 인발특성에 미치는 영향을 규명하는 것을 그 목적으로 한다. 매입깊이에 따른 영향은 콘크리트 강도가 클수록 최대 인발하중도 크다는 것을 알 수 있다. 콘크리트 강도에 상관없이 매입깊이 변수가 6배 이하인 경우 모두 콘크리트 파괴가 발생한 것으로 보아 매입깊이 변수가 8배 이상일 경우 파괴모드는 콘크리트 강도의 영향을 받지 않는 것으로 추정된다.

• Journal of Trauma and Injury
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• 제23권1호
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• pp.43-48
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• 2010

Purpose: Over the past few decades, the treatment of traumatic splenic injuries has shifted to nonoperative management from surgical intervention. Although some nonoperative management failure have been reported, in most trauma centers, nonoperative management is now believed to be the treatment of choice in hemodynamically stable patients. Then, in this study, we have retrospectively evaluated our experience with traumatic splenic injury. Methods: From January 2005 to July 2009, 150 patients with blunt splenic injuries were managed in our hospital. Patients' charts were retrospectively reviewed to analyze their treatment, the patients were grouped according to those who had been admitted before October 2006, defined as the "early group", and those who had been admitted after October 2006, defined as the "late group". After the patients had been divided into two group, physiologic parameters and differences between the treatments were compared. Results: 150 patients were admitted to our hospital with blunt splenic trauma. In late group, both the surgical management rate and the nonoperative management failure rate were lower than they were in the early group. Conclusion: We expect angioembolization to effectively replace surgery for the treatment of selected patients with blunt splenic injury and to result in fewer complications.

• Journal of Preventive Medicine and Public Health
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• 제38권2호
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• pp.208-214
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• 2005

Objectives: This study was performed to examine the factors affecting re-smoking in male workers. Methods: A self-administrated questionnaire survey was conducted during April 2003 to examine the smoking state of 1,154 employees of a company that launched a smoking cessation campaign in1998. Five hundred and eighty seven persons, who had stopped smoking for at least one week, were selected as the final study subjects. This study collected data on smoking cessation success or failure for 6 months, and looked at the factors having an effect on re-smoking within this period. This study employed the Health Belief Model as its theoretical basis. Results: The re-smoking rate of the 587 study subjects who had stopped smoking for at least one week was 44.8% within the 6 month period. In a simple analysis, the re-smoking rates were higher in workers with a low age, on day and night shifts, blue collar, of a low rank, where this was their second attempt at smoking cessation and for those with a shorter job duration (p<0.05). Of the cues to action variables in the Heath Belief Model, re-smoking was significantly related with the perceived susceptibility factor, economic advantages of smoking cessation among the perceived benefits factor, the degree of cessation trial's barrier of the perceived barriers factor, smoking symptom experience, recognition of the degree of harmfulness of environmental tobacco smoke and the existence of chronic disease due to smoking (p<0.05). In the multiple logistic regression analysis for re-smoking, the significant variables were age, perceived susceptibility for disease, economic advantages due to smoking cessation, the perceived barrier for smoking cessation, recognition on the degree of harmfulness of environmental tobacco smoke, the existence of chronic disease due to smoking and the number of attempts at smoking cessation (p<0.05). Conclusion: From the result of this study, for an effective smoking ban policy within the work place, health education that improves the knowledge of the adverse health effects of smoking and the harmfulness of environmental tobacco smoke will be required, as well as counter plans to reduce the barriers for smoking cessation.

• 한국터널지하공간학회 논문집
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• 제13권6호
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• pp.501-517
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• 2011

일반적으로 터널 시공현장에서는 계측된 천단 및 내공변위와 계측관리기준을 비교하여 터널의 안정성을 판단한다. 현재 계측관리기준은 지반조건, 터널단면의 크기, 시공방법, 지보재량 등을 고려한 경험을 통해 세워지고 있는 실정이다. 따라서 새로운 계측관리기준으로 한계변형률을 이용하는 방법에 대한 연구가 다수 수행되었다. 그러나 대부분의 연구는 일축압축강도실험에서 얻어진 한계변형률을 기준으로 삼고 있어 실제 터널 굴착 시 발생하는 응력의 증가 및 종방향 아칭에 의한 암반 손상을 고려하지 않는 문제점을 가지고 있다. 따라서 본 연구에서는 국내 대표 암종인 화강암과 편마암의 한계변형률 특성을 조사하기 위하여 일축압축강도실험과 응력의 증가 및 종방향 아칭을 고려한 손상제어실험을 수행하였다. 손상제어실험에서 얻어진 한계변형률은 일축압축강도실험에서 얻어진 한계변형률보다 다소 작게 나타났다. 이는 일축압축강도실험에서 얻은 한계변형률은 터널 굴착 시의 응력이력을 고려하여 다소 감소시켜야 한다는 것을 의미한다. 또한 대심도 터널에서 흔히 발생하는 취성파괴를 평가하기 위한 손상한계변형률을 제안하였다.

• Journal of Trauma and Injury
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• 제19권1호
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• pp.59-66
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• 2006

Purpose: Acute liver failure after massive partial hepatectomy is critical condition with high mortality. To prevent postoperative liver failure from being induced by a massive partial hepatectomy, many doctors do a minimal resection on the single lobe of the liver that might cause postoperative bleeding from the remaining ruptured parenchyma. The objective of this study was to assess clinical experience with postoperative hepatic arterial embolization to control bleeding from the remaining ruptured liver during the postoperative period. Methods: This retrospective 4-year study was conducted from May 2002 to April 2006 and included consecutive patients who had sustained massive hepatic injuries and who had undergone a laparotomy, followed by postoperative hepatic arterial angiographic embolization to control bleeding. Data on the injury characteristics, the operative treatment and embolization, and the amount of transfused packed red cells (PRBC) were gathered and analyzed. In addition, data on the overall complications and survival rate were collected and analyzed. Results: Every case showed severe liver injury, higher liver injury scaling grade IV. Only ten cases involved a ruptured bilateral liver lobe. A lobectomy was done in 6 cases, a left lobectomy was done in 3 cases, and a primary suture closure of the liver was done in 2 cases. Suture closure was also done on the remaining ruptured liver parenchyma in cases of lobectomies. The postoperative hepatic arterial embolizations were done by using the super-selection technique. There were some cases of arterio-venous malformations and anomalous vessel branches. The average amount of transfused PRBC during 24 hours after embolization was $2.36{\pm}1.75$, which statistically significantly lower than that before embolization. Among the 11 cases, 9 patients survived, and 2 died. There was no specific complications induced by the embolization. Conclusion: In cases of postoperative bleeding in severe hepatic injury, if there is still a large amount of bleeding, postoperative hepatic arterial embolization might be a good therapeutic option.

• Clinical and Experimental Pediatrics
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• 제57권3호
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• pp.140-148
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• 2014

Purpose: Lowe syndrome is a rare, X-linked recessive disorder caused by mutations in the OCRL gene. It involves multiple anatomic systems, particularly the eyes, central nervous system, and kidneys, and leads to profound growth failure and global developmental delay. This study evaluated the clinical and genetic characteristics of Korean patients with Lowe syndrome. Methods: The clinical findings and results of genetic studies were reviewed for 12 male patients diagnosed with Lowe syndrome at a single medical institution. Results: The mean age of the patients at presentation was 2.2 months (range, 0-4 months), although the diagnosis was delayed by a mean of 2.8 years (range, 0-9.7 years). The mean follow-up period was 9.0 years (range, 0.6-16.7 years). Nine mutations in OCRL were identified in 11 patients (92%), with three novel mutations. The main presentation was congenital cataract in both eyes necessitating early cataract removal in the 11 patients with impaired visual acuity. Profound short stature and developmental delay were observed in all patients, and seizures occurred in 50% of the patients. All patients suffered from proximal renal tubular dysfunction, and one patient developed chronic renal failure. Other manifestations included pathologic fracture (50%), cutaneous cysts (42%), and cryptorchidism (42%). However, there was no bleeding tendency, and none of the patients died during the study period. Conclusion: This study describes the clinical and genetic characteristics of Korean patients with Lowe syndrome. The observations are helpful for understanding the natural courses of Lowe syndrome and for appropriate genetic counseling.

• 대한두경부종양학회지
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• 제30권2호
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• pp.62-67
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• 2014

Background and Objectives : To investigate the prognostic factors and effectiveness of radiotherapy for oropharyngeal cancer. Material and Methods : Forty seven patients in oropharyngeal cancer treated with radiotherapy between November 1989 and October 2010. Conventional radiotherapy was performed until July 2007 and conformal radiotherapy was performed since August 2007. Median age of patients was 59. Thirty five patients were males. Nine patients had operation. Patients treated with postoperative radiotherapy were delivered median 60 Gy and patients treated with definitive radiotherapy were delivered median 66 Gy. Median follow-up periods were 51 months. Results : Two year and 5 year overall survival rate was 78.7% and 59.9%. Two year and 5-year locoregional recurrence free survival rate was 82.3% and 72.9%. In subgroup of definitive radiotherapy, at univariate analysis for overall survival, lower N stage(p=0.01), lower stage(p=0.05) and well and moderate differentiation(p=0.001) were statistically significant. At univariate analysis for locoregional recurrence free survival, lower T stage(p=0.02) and better differentiation(p=0.043) were statistically significant. Treatment failure occurred in 12 patients. Locoregional recurrence(8 patients) was main pattern of failure. Conclusion : When definitive radiotherapy compared with postoperative adjuvant radiotherapy, there was no significant difference. Further studies would be needed to compare definitive radiotherapy with postoperative radiotherapy. N stage, stage and differentiation could be the prognostic factors for overall survival and T stage and differentiation could be the prognostic factors for locoregional recurrence free survival in patients treated definitive radiotherapy.

• 대한기계학회논문집B
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• 제35권11호
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• pp.1205-1211
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• 2011

본 논문은 말기 심질환 환자의 생존율과 치료효과를 증대시키기 위한 심실보조장치용 심박조율기의 개발에 대한 내용이다. 심실보조장치만을 이식 받은 환자는 부정맥이 발생할 가능성을 항상 갖고 있으며 심박조율기를 동시에 적용함으로써 혈류의 체순환량을 유지하고 부정맥으로 인한 장기의 손상을 예방한다. 심박조율기의 전극과 도선은 심실보조장치의 도관을 이용하여 제작되었으며, 전극은 심실보조장치의 도관이 삽관되는 좌심실의 심첨부에 도관과 함께 이식된다. 심박조율기는 0 bpm에서부터 191.4 bpm까지 자극 빈도를 조절할 수 있으며, 60 bpm의 빈도로 자극이 가하여 질 때 0.25 J 의 에너지가 심장으로 인가된다. 심실보조장치용 심박조율기의 성능과 안정성을 검증하기 위하여 돼지를 이용한 동물실험을 수행하였다. 실험동물의 심장에 86.4 bpm, 100.2 bpm, 126.6 bpm의 자극을 순차적으로 가하였고 ECG 및 대동맥혈압의 변화 대동맥 혈류를 관찰하였다.

• 한국재난정보학회 논문집
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• 제14권3호
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• pp.325-333
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• 2018

연구목적: 본 연구는 화학테러현장에서 총괄지휘권을 갖는 경찰을 중심으로 현장대응매뉴얼의 실행력을 확보하기 위해 서비스디자인 분석기법을 적용해 관찰 및 분석하고 이를 통해 문제점을 밝혀내고 개선사항을 제안하는 것을 목적으로 한다. 연구방법: 연구를 위해 경찰의 테러 대응 매뉴얼에서 화생방 테러 대응 지휘체계를 중심으로 자료를 수집하였다. 또한 분석에서 매뉴얼의 사용자 외에도 다양한 이해관계자들을 고려해야 하기 때문에 참여자들의 관계가 적용되는 방법론을 활용하여 분석하고자 서비스 디자인 분석기법을 활용하였다. 연구결과: 최종 치안서비스의 수혜자인 피해시민의 관점에서 대응매뉴얼의 서비스 프로세스를 진단하였으며, 현장대응 서비스 과정에서 발생하는 피해시민과 현장대원간, 후방대원간, 프로세스간 대기지점(Waiting Point)과 실패요소(Failure Factor)를 확인하였다. 결론: 본 연구를 통해 화학테러 현장 대응 활동을 서비스의 개념으로 파악하여 각 관계기관과 현장에 있는 시민과의 상호작용 및 비가시 영역에서의 후방지원활동과 장비 시설물의 활용성을 한 번에 검토함으로써 문제요소별 개선대안을 도출할 수 있었다.