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국소 표면 플라즈몬 공명 (LSPR) 기반 비표지 바이오칩 제작 및 바이오센서로의 응용 (Fabrication of Label-Free Biochips Based on Localized Surface Plasmon Resonance (LSPR) and Its Application to Biosensors)

  • 김도균;박태정;이상엽
    • KSBB Journal
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    • 제24권1호
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    • pp.1-8
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    • 2009
  • 현재까지 연구 개발된 바이오칩 및 센서의 경우에는 생체분자 상호작용의 분석을 수행하기 위해서 효소나 형광 물질 등과 같은 표지물질을 생체분자에 주입할 필요성이 있었다. 이러한 표지작업은 단백질 등과 같이 고차구조를 형성하는 생체분자에 있어서 그 분자인식능을 저하시키는 문제가 발생하게 된다. 그리고 표지작업은 일련의 조작이 필요하기 때문에 조작의 복잡성을 띄게 되고, 간편성을 저해하는 문제가 발생하게 되며, 분석 결과를 얻기 위해서는 장시간을 필요로 하게 된다. 또한, 생체분자 상호작용의 분석에 적용되는 측정장치도 대형화하게 되어 온사이트 모니터링에 이용하기 어렵다. 이러한 문제점들을 해결하기 위해서 비표지로 생체분자의 상호작용 분석이 가능한 SPR 광학특성, QCM 및 전기화학법 등을 이용한 비표지 바이오칩 및 센서가 개발되었다. 하지만 표지 바이오칩 및 센서와 마찬가지로 장치의 대형화 및 복잡화, 간편성 및 감도 등에 문제가 있었다. 따라서 지금까지 개발되어진 표지 및 비표지 바이오칩의 문제들을 해결하기 위해서 나노구조에서만 발현되는 새로운 광학특성인 LSPR을 기반으로 하는 새로운 형태의 코어-쉘 구조 나노입자 바이오칩이 제작되었다. 코어-쉘 나노입자 바이오칩의 표면에 수직방향으로부터 입사광을 조사하고 바이오칩 표면으로부터 반사된 반사광을 검출기로 검출하여 흡수 스펙트럼을 소형의 분광기로 해석함으로서 코어-쉘 나노입자 바이오칩 기반 비표지 광학 바이오센서를 완성하였다. 또한 단백질 항원-항체 반응에 대한 비표지 검출 및 정량특성을 평가한 결과, 감도, 간편성, 유연성, 폭넓은 응용성 등에 양호한 특성을 확인할 수 있었다. 이상에서 살펴본 바와 같이, 코어-쉘 나노입자 바이오칩 기반 비표지 광학 바이오센서는 생체분자 상호작용의 분석에 많이 이용되고 있는 단백질, DNA, 세포 등의 생체분자에 유연하게 대처할 수 있을 것으로 생각되어지며, 그 밖에 의료, 식품분석, 환경 및 공정 모니터링 등 분야에 폭넓게 이용될 것으로 기대되고 있다. 또한 본 코어-쉘 나노입자 바이오칩 기반 비표지 광학 바이오센서는 소형으로 저렴한 분광기를 이용하여 측정을 실시하고 있기 때문에 온사이트 모니터링에의 적용도 가능할 것으로 생각된다.

대전원교학생대가배점중요성적감지화타문광고가배점지후적만의도지간적차거대타문구매행위적영향(大专院校学生对咖啡店重要性的感知和他们光顾咖啡店之后的满意度之间的差距对他们购买行为的影响) (The Effect of the Gap between College Students' Perception of the Importance of Coffee Shops and Their Satisfaction after Patronizing Coffee Shops on Their Purchasing Behavior)

  • Lee, Won-Ok
    • 마케팅과학연구
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    • 제19권4호
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    • pp.1-10
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    • 2009
  • 本研究的目的是对咖啡店的 "重要性"(顾客在光顾咖啡店以前的感知)和积极或消极的 "满意度"(顾客在光顾咖啡店以后的感受)之间的差距进行分类, 并分析这些差距对对购买行为的影响. 为此, 我使用重要性和满意度之间的差距作为选择咖啡店的解释变量, 并通过使用有序Probit模型(OPM)来实证分析差距对购买行为(整体满意度和愿意到再次光顾)的影响方向和大小. 先前使用IPA的研究评估了差距影响的方向和大小的象限, 但是在分析差距对顾客的影响方面却失败了. 在本研究中, 我评估了积极和消极的差距对顾客满意度和愿意去再光顾的影响. 通过使用OPM,我量化了积极和消极的差距对顾客整体满意度和愿意去再光顾的影响. 每个人的支出, 光顾的频率和购买咖啡的地方对顾客整体满意度有最积极的影响. 光顾的频率, 在每人的支出之后, 然后是购买咖啡的地方对顾客整体满意度有最积极的影响. 因此每个人的支出和光顾的频率对顾客整体满意度有最积极的影响. 这一发现意味着一个在咖啡店每次或每周花费5000韩元的顾客的实际的满意度越高(差距), 其整体满意度和愿意去再光顾就越高. 虽然经济效益对总体满意度和愿意去再光顾有显著影响, 但是大专和大学的学生仍然愿意去咖啡馆并愿意消费5000韩元, 因为他们不只是购买咖啡本身而且将咖啡店作为其他活动的场所, 例如工作, 和朋友见面或是放松的地方. 学院和大学的学生还可以在咖啡店通过个人电脑上网, 看电影, 学习, 因此, 咖啡馆应对顾客提供适当的设施和服务. 咖啡店品牌的积极差距对愿意去再光顾有积极的影响表明顾客满意度越高, 顾客越愿意去再光顾. 另一方面, 这一因素的消极差距意味着顾客满意度越低, 顾客再光顾的意愿也越低. 因此, 在本研究中, 与其他评估的因素相比, 品牌因素对满意度有较大的影响. 鉴于国内咖啡文化变得越来越高级, 大专院校的学生对这一趋势也很敏感, 所以学生有很多可选择的品牌. 在韩国最高级的咖啡店, 外墙是玻璃建造的并可以打开, 内部是充满异国情调的开放式厨房. 这些高级咖啡店作为标志的功能复合大专院校学生的品味. 韩国咖啡店已成为一个文化品牌. 从品牌因素来看, 为了让顾客觉得这些咖啡店是高级的, 高质量的设备和提供更好服务的措施应当建立起来. 韩国咖啡馆作为蓬勃发展的行业品牌竞争加剧的结果表明, 提供与竞争对手不同的额外服务是有必要的. 顾客可以免费使用扫描仪. 另一个可以用来提高品牌的战略是提供和经营为集体学习而准备的讨论会议室. 如果咖啡馆采取这些类型的策略, 学院/大学的学生将更有可能认为他们承担的费用是值得的, 随后, 他们将可能更满足这些咖啡馆的品牌, 并更愿意再次光顾. 性别和学习年数对总体满意度和再光顾的意愿有最消极的营销. 女学生比男学生更容易满足和再光顾. 三, 四年级的学生比一, 二年级的学生更容易满足和再光顾. 喝咖啡的学生, 单独在咖啡店看书, 用笔记本电脑是很容易被注意到的. 高年级学生为了有效地利用时间用于自我发展和寻找工作往往独自光顾咖啡店. 从积极的差距来看, 经济效率这一因素对总体满意度和愿意再光顾有最大的影响. 与咖啡价格一起, 学生实际满意度(差距)越高, 总体满意度和再光顾的意愿也越高. 有消极差距的经济效率队再光顾有消极营销的结果表明较小的消极差距可以让再光顾的意愿更高. 在持续恶化的市场环境中, 坐落在大专院校附近的咖啡店采取诸如积分或会员卡, 和信用卡 公司的战略联盟, 发展套餐菜单或季节菜单和免费咖啡服务这些战略来提高竞争力. 就消极差距而言产品功率也有消极的影响, 这表明较高的负差距会导致较低的再光顾的意愿. 因为还有更多的客户比前几十年, 在这十年里更喜欢咖啡, 新一代的客户, 即学院/大学的学生, 希望除了咖啡还有更重菜单项目. 因此, 咖啡店应当增加配菜项目, 如华夫饼, 糕, 蛋糕, 三明治和沙拉. 例如, 星巴克韩国正在努力加强卖草莓糕, 艾草香味, 南瓜产品, 并提供免费的咖啡或奶油. 总而言之, 咖啡馆应注重提高其经济效率, 品牌和产品功率, 以加强大专院校学生的满意度. 由于店铺毗邻学大专院校可享受地缘优势, 就经济效率, 品牌和产品功率而言提供不同的服务, 很可能会提高客户满意度和回访. 咖啡厅的品牌, 因此, 应不断创新和变化, 以满足顾客的愿望. 由于这项研究只是针对在首尔的大专院校的学生, 需要针对不同地区和年龄组的比较研究来概括本研究的结果和建议.

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국내산 벤토나이트에 대한 응용광물학적 특성 평가 (II): 광물학적 특징, 체표면적 및 유변학적 특성과 그 연계성 (Applied-Mineralogical Characterization and Assessment of Some Domestic Bentonites (II): Mineralogical Characteristics, Surface Area, Rheological Properties, and Their Relationships)

  • 노진환;유재영;최우진
    • 한국광물학회지
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    • 제16권1호
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    • pp.33-47
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    • 2003
  • 국내산 벤토나이트의 유변학적 특성과 그 규제 요인을 파악하기 위해서 각종 응용광물학적분석과 체표면적, 입도분포, 팽윤도 및 점성도를 측정하였다. 비교적 저품위(몬모릴로나이트 함량:30∼75 wt%)를 이루는 국내산 Ca-형 벤토나이트들은 2∼4 $\mu\textrm{m}$의 입도를 갖고 대부분 반자형의 엽상 결정체를 이룬다. 현탁액 상에서 벤토나이트 광물성분들의 입도 분포는 대체로 10∼100 $\mu\textrm{m}$ 범위에서 높은 빈도를 보이고 전체적으로는 다소 복잡한 이중적인 분포양상을 나타낸다. 이 같은 양상은 제올라이트질 벤토나이트에서 보다 심하게 나타난다. 이 벤토나이트들의 EGME 체표면적은 $269∼735\m^2$/g의 값의 범위를 갖는 것으로 측정되었다 이 체표면적 값은 몬모릴로나이트의 함량, 수분함량 및 CEC 수치와 대체로 정비례하는 관계를 나타낸다. 제올라이트질 벤토나이트가 제올라이트를 함유하지 않는 것보다 전반적으로 약간 높은 체표면적 갈을 갖는다. 국내산 벤토나이트들은 전반적으로 낮은 팽윤도와 점성도를 나타낸다. 2∼5 wt%의 $Na_2$$CO_3$첨가에 의해서 유발된 국내산 벤토나이트들의 팽윤도 향상 최대치는 몬모릴로나이트의 함량과 불순물, 특히 제올라이트의 함유정도에 따라 250∼500%수준인 것으로 측정되었다. Na치환능력이 강한 제올라이트를 함유하는 벤토나이트의 팽윤도 향상에는 좀더 많은 양의 $Na_2$$CO_3$가 소요된다 점성도에 있어서는 장석의 함량이 높고 상대적으로 낮은 입도와 결정도를 갖는 벤토나이트들이 비교적 높은 수치를 보이는 경향이 있다. 또한 현탁액의 pH가 상대적으로 높은 수치를 보이는 시료들이 대체로 점성도가 높은 것으로 나타난다. 그렇지만 벤토나이트의 주요한 유변학적 특성들인 팽윤도와 점성도는 몬모릴로나이트의 함량이나 평균 분산입도와는 뚜렷한 일률적인 상관관계를 보이지 않는 것으로 나타난다. 이에 비해서 팽윤도는 벤토나이트의 광물조성, 표면전하 특성, 입도 및 형상 등의 물리화학적 성향을 포괄하는 체표면적 수치와 대략적으로 반비례적인 관계를 보인다 따라서 벤토나이트 현탁액에서의 유변학적 특성은 몬모릴로나이트의 표면전하 특성, 형태, 입도 및 조직 등의 차이에 의해서 달라지는 점토 입자들의 응집특성 및 취합결정체의 형상에 주로 규제되고, 제올라이트와 같은 미세한 불순 광물성분들의 영향도 부수적으로 관여되는 복합적인 성향인 것으로 해석된다.

SnAgCu 솔더 라인의 Electromigration특성 분석 (Electromigration Behaviors of Lead-free SnAgCu Solder Lines)

  • 고민구;윤민승;김빛나;주영창;김오한;박영배
    • 마이크로전자및패키징학회지
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    • 제12권4호통권37호
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    • pp.307-313
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    • 2005
  • 선형구조의 시편을 사용하여 Sn96.5Ag3.0Cu0.5의 electromigration 특성을 살펴보고 공정 조성의 SnPb의 electromigration특성과 비교, 분석하였다. SnAgCu의 electromigration에 관한 특성 중 시간에 따른 물질의 이동 양상과 여러 가지 electromigration 매개변수 (활성화 에너지, 임계 전류밀도, 확산계수와 유효전하수의 곱)을 살펴보았다. 임계 전류 밀도는 $140^{\circ}C$에서 $2.38{\times}10^4A/cm^2$ 이고 이 값은 $140^{\circ}C$에서 electromigration에 의한 물질 이동이 발생하지 않는 최대 전류 밀도를 나타낸다. 활성화 에너지는 $110-160^{\circ}C$ 온도 범위에서 0.56 eV가 측정되었다. DZ$\ast$의 값은 $110^{\circ}C$에서 $3.12{\times}10^{-10}\;cm^2/s$, $125^{\circ}C$에서 $4.66{\times}10^{-10}\;cm^2/s$, $140^{\circ}C$에서 $8.76{\times}10^{-10}\;cm^2/s$, $160^{\circ}C$에서 $2.14{\times}10^{-9}cm^2/s$ 이었다. 그리고 SnAgCu와 공정 조성의 SnPb 물질의 electromigration 거동 특징은 크게 다른데, SnPb의 경우 음극에서 보이드(void) 형성이 발생하기 전에 잠복 시간이 존재하고 SnAgCu의 경우 잠복 시간이 존재하지 않는다는 점이다. 이는 각 원소들의 확산 기구(diffusion mechanism)의 차이에 기인한 것이라 생각된다.

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Impact of Coronavirus Disease 2019 on Gastric Cancer Diagnosis and Stage: A Single-Institute Study in South Korea

  • Moonki Hong;Mingee Choi;JiHyun Lee;Kyoo Hyun Kim;Hyunwook Kim;Choong-Kun Lee;Hyo Song Kim;Sun Young Rha;Gyu Young Pih;Yoon Jin Choi;Da Hyun Jung;Jun Chul Park;Sung Kwan Shin;Sang Kil Lee;Yong Chan Lee;Minah Cho;Yoo Min Kim;Hyoung-Il Kim;Jae-Ho Cheong;Woo Jin Hyung;Jaeyong Shin;Minkyu Jung
    • Journal of Gastric Cancer
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    • 제23권4호
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    • pp.574-583
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    • 2023
  • Purpose: Gastric cancer (GC) is among the most prevalent and fatal cancers worldwide. National cancer screening programs in countries with high incidences of this disease provide medical aid beneficiaries with free-of-charge screening involving upper endoscopy to detect early-stage GC. However, the coronavirus disease 2019 (COVID-19) pandemic has caused major disruptions to routine healthcare access. Thus, this study aimed to assess the impact of COVID-19 on the diagnosis, overall incidence, and stage distribution of GC. Materials and Methods: We identified patients in our hospital cancer registry who were diagnosed with GC between January 2018 and December 2021 and compared the cancer stage at diagnosis before and during the COVID-19 pandemic. Subgroup analyses were conducted according to age and sex. The years 2018 and 2019 were defined as the "before COVID" period, and the years 2020 and 2021 as the "during COVID" period. Results: Overall, 10,875 patients were evaluated; 6,535 and 4,340 patients were diagnosed before and during the COVID-19 period, respectively. The number of diagnoses was lower during the COVID-19 pandemic (189 patients/month vs. 264 patients/month) than before it. Notably, the proportion of patients with stages 3 or 4 GC in 2021 was higher among men and patients aged ≥40 years. Conclusions: During the COVID-19 pandemic, the overall number of GC diagnoses decreased significantly in a single institute. Moreover, GCs were in more advanced stages at the time of diagnosis. Further studies are required to elucidate the relationship between the COVID-19 pandemic and the delay in the detection of GC worldwide.

An Empirical Study on the Characteristic Influences of the Rules of Origin on the Implementation of Preferential Tariffs and Trade Performance

  • Park, Se-Hyun;Pak, Myong-Sop
    • Journal of Korea Trade
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    • 제25권8호
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    • pp.1-24
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    • 2021
  • Purpose - This study categorizes factors that influence the utilization of preferential tariffs based on the characteristics of rules of origin (RoO) and identifies and analyzes the influence of these characteristics on the utilization of preferential tariffs and the trade performance of companies. Design/methodology - In this study, we categorized factors that have an influence on the utilization of preferential tariffs based on the characteristics of RoO and investigated and tested the influence of these characteristics on the utilization of preferential tariffs and the trade performance of companies. For empirical analysis, we categorized the characteristics of RoO into restrictiveness, complexity, and uncertainty. We then developed a research model and formulated hypotheses based on previous studies, and tested the hypotheses using statistical software-(SPSS 25.0 and AMOS 18.0.) Findings - Previous studies suggested that each characteristic of RoO is determined by unique features of a Regional Trade Agreement (RTA). This study conducted an empirical analysis on the influence of the characteristics of RoO on the utilization of preferential tariffs and trade performance. The results confirmed that, overall, the characteristics of preferential rules of origin (PRoO) are related to and influence Korean companies' utilization of preferential tariffs and trade performance. As for the degree of the influence, the characteristics were in the order of uncertainty> restrictiveness> complexity. Nevertheless, complexity turned out not to have an influence large enough to change a company's decision on the utilization of preferential tariffs. Based on these results, this study identified unique features of PRoO and related problems for Korean companies that want to utilize preferential tariffs and suggested countermeasures for their effective utilization of preferential tariffs in the future. Originality/value - Companies that want to use preferential tariffs in international trade have to satisfy PRoO. The issue of origin can be regarded as an essential part of an RTA and RoO, are a crucial criterion in using preferential tariffs. The rules are requirements to claim benefits of preferential trade agreements and are the primary reasons companies have trouble in utilizing preferential tariffs. In this sense, this study categorized the characteristics of RoO, which are a key part of an RTA, and surveyed working-level professionals in charge of international trade at Korean companies to investigate the relationship between these characteristics and the utilizations of preferential tariffs and trade performance of the companies.

간호사고와 관련판례에 대한 임상간호사의 지각 (Perception of the Nurse on the Nursing Malpractice and Its Case)

  • 정지연;이명하
    • 간호행정학회지
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    • 제5권3호
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    • pp.445-462
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    • 1999
  • The purpose of this study is to provide some basic data for the direction of nursing education and practice to prevent nursing malpractice as investgating perception of the nurse on the nursing malpractice and its case. Data were collected from 450 nurse working in four general hospitals which were located in Chonbuk province from November 9 to 21, 1998 through questionnare. The structured instruments developed by the reseacher were used for collecting data. The Results were as follows: 1) As for the cognition of the nursing malpractice case, the transfusion accident was 37.3%, the side-effects of KCL injection(19.3%), hymen rupture by uterus cancer test, the side-effects of aminophyllin injections on dyspnea patient and the others were 10% below. 2) With regard to the channel of the perception of the nursing malpractice case, mass-communication was taken first and followed through by neighbors, In-service education, school education, continuing education 3) As for the direct${\cdot}$indirect experience of the nursing malpractice case, transfusion accident was 51.3%, the fall of NPO patient after an operation 40.1%, the side-effect of KCL injection 32.5%, suicide of the psychiatric patient 32.5%, and the others were 30% below. 4) The possibility of nursing malpractice case was an average 2.57(${\pm}$0.91) and the highest was the fall of the NPO patient after an operation. 5) The perception on the responsibility of the nursing malpractice in its case was indicated as a joint-fault in ten nursing malpractice instances. As compared to the real decision, nurse's perception of the responsibility in the fall of the NPO patient after an operation, the side-effect of KCL injection, the tracheal edema of the patient who had a thyroid operation, the suicide of psychiatric patient, the hymen rupture by uterus cancer test accorded real decisions. But the other cases were different from the real decisions. These cases were perceived as ones of joint fault even in cases determined as Dr's single fault cases or those in which both doctor and nurse were declared free of fault. 6) Knowledge levels of the nursing malpractice, school education and In-service education were perceived as low but anxiety levels of the malpractice were high. 7) With regard to the countmeasure of the hospital after nursing malpractice, the rate answered as "the practice settled the accident temporarily and forced the person in charge to be punished" was highest. In conclusion, the level of the cognition of the clinical nurse on nursing malpractice cases was low. As nurses' perception on the responsibility of the nursing malpractice case was compared to the real decision, there was a difference in five cases out of the ten cases.

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서울지구 소아재활원 실태조사 (A STUDY ON THE ACTUAL CONDITIONS OF CHILDREN′S REHABILITATION CENTERS IN SEOUL)

  • 김계숙
    • 대한간호학회지
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    • 제4권1호
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    • pp.64-80
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    • 1974
  • The social understanding of the rehabilitation and welfare work for the handicapped children is nearly devoid in Korea. Especially the medical rehabilitation or nursing for them is left ign. ored as well as the literature preferential to this study is wanted. For the purpose of conducting the study of this thesis Sam Yook Children's Rehabilitation Center, Inc. and Crippled Children's Center, Yonsei University Medical center sampled out; covering three months from Aug. 1 to Oct. 30, 1973, the problems of children's rehabilitation, the characteristics of the children, the medical rehabilitation, nursing, education, and vocational rehabilitation were interviewed and widely grasped. This thesis aimed at developing the rehabilitation, the professional nursing and especially aimed at contributing to the improvement of welfare for the handicapped by analysing, observing the result of this study. The result is as follows: 1. Sam Yook Children's Rehabilitation Center, Inc. has, since its establishment, contributed to the advancement of the crippled children and its purpose consists in implementing services, medical rehabilitation, nursing, education and vocational training. Crippled Children's Center, Yonsei University Medical Center is, being based on Christianity, aiming at the medical treatment and education for the crippled children. 2. All of the children admitted in the children's rehabilitation centers are the crippled children. The ratio of boys io girls is three to two. Boys are more than girls. Orphan formed 55.2 per sent of them. About 60 per cent of them is receiving medical attention free of charge. But there is no orphan in Crippled Children's Center, Yonsei University Medical Center. 3. 15.7 per cent of them have received the previous medical attention before their admitting in the centers; in Sam Yook Children's Rehabilitation Center 8.6 percent, Crippled Children's Center, Yonsei University Medical Center 50 percent; there is remarkable difference between the two. 4. On the standpoint of period of being in the centers, the children who have been over three years in Sam Yook Children's Rehabilitation Center formed 48.7 per cent; in Crippled Children's Center, Yonsei University Medical Center 2.6 percent; there is also considerable difference between the two; they couldn't discharge from the centers owing to the economic conditions and being orphan. 5. Among the diagnosis of the crippled children, poliomyelitis formed highest 51.7 percent of them ; cerebral palsy formed 30 percent secondly in order. Environmental factors (67.8 percent formed about three times of congenital factors (23.7 percent). 6. The children who are capable of doing independently activity of daily living formed 87.9 percent; 73.2 percent can walk about 300 m by wearing brace and so on. The ratio of wearing brace or leg prosthesis formed 47.4 per cent: crutch 44.3 per cent. The medical rehabilitation service and education for the crippled, are comparatively well carried out. But it is desired to improve and cultivate the vocational training, vocational guidance and special nursing to the insufficiency of their implementation. In the tendency that the rehabilitation and welfare for the handicapped are today emphasized, International Handicapped Rehabilitation Association, declaring that 1970s are the decade of rehabilitation, urged to improve positively the policy of rehabilitation and welfare for the handicapped. But here in korea the handicapped, being the object of social prejudice, ignorance, disdain lives in obscurity. Therefore the government or the community should draw up countermeasure on social under-standing, financial support, and rehabilitation services for the handicapped as well as should endeavor to make them participate in social activities as the productive total- person though they are physically imperfect.

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부산지역 종합병원의 물자관리 및 담당자 실태에 관한 연구 (Study of the materials management and administrative personal of the general hospitals in Busan)

  • 류황건;김승기
    • 한국병원경영학회지
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    • 제7권3호
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    • pp.63-83
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    • 2002
  • This study is to survey the materials purchasing and inventory management status and the characteristics and opinions of the staff in charge of purchasing and inventory of the general hospitals in Busan area in order to contribute to the rationalization of its management through the grasp of actual situation and the presentation of desirable improvement plan for the materials purchasing and inventory management. The status of medical institute had been surveyed by the purchasing/ administration managers of total 26 general hospitals, and the purchasing/ management questionnaires had been commenced with 86 staff of the 26 hospitals. Its major survey results, after the analysis of 24 medical institute statuses (return rate of 92.30%) and 60 staff questionnaires (return rate of 69.76%), are as follows. First, post-purchasing evaluation system is not used actively, orders are being placed by phone or fax, and general merchandise is being purchased through free contracts in most of the hospitals participated in the survey. Second, as per the materials supplying methods, the requisition and delivery system is currently the most popular in the hospitals surveyed, however, both the requisition and delivery system and the par level transfer system are the most desired in the hospitals of more than 500 beds, and the par level transfer system is the most desired in the hospitals under 500 beds for the materials supplying system in the future. Third, as per the inventory management system that is desired the most in the future, the SPD and JIT types are preferred in the hospitals of more than 500 beds, the stockless strategy is preferred in the hospitals under 500 beds, the senior staff above section chief grade prefer the stockless strategy, and the junior staff prefer the ABC classification and SPD types. Fourth, The necessity of purchasing staff's training for the materials management is highly recognized but the effectiveness is not so much acknowledged, which is because such a training is thought to be so superficial and formal that it is not helpful much in the actual field. When summarizing the survey results as above, the materials purchasing and management system is differed for each group of hospitals according to the size of beds, and the more scientific management system is largely required by the general hospitals in Busan city. They also hope the introduction of joint purchasing system, materials management by the bar-code system, and positive execution of the market survey and training of the relevant staff for the management of purchasing affairs. So the more systematic purchasing and inventory management is regarded to be necessary through the introduction of scientific and specialized education of materials management, market survey, and post-purchasing evaluation system also through the computerization of materials purchasing and inventory management as soon as possible.

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한국 프로야구투수들의 부상 발생원인 및 분류에 관한 연구 (The study about the cause of the Korean professional pitchers' injury and its classification)

  • 남종철;김상수;이동호
    • The Journal of Korean Physical Therapy
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    • 제14권4호
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    • pp.172-182
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    • 2002
  • Objectives: We did research in the cause of the Pitchers' injury and their recovery process to make a detailed injury list for the purpose of finding the cause of the Korean professional pitchers' injury and its classification. We drew the conclusion through the results as following. Methods: We posed a question to the 80 pitchers playing in the first team of the eight Korean professional baseball team and analyzed the 62 pieces of question paper except the paper having a mistake. We used SAS/PC statistical package in analyzing the data. Results: In the frequency of the pitchers' shoulder injury in the last three years, the injured of all the players were 61.3$\%$ and the injury free players were 28.7$\%$. The cause of the injury was 45.2$\%$ wrong pitching motion, which was the highest value. For the shape of a pain when injured, the reverberation ache feeling when he is hit in the weight commanded an absolute majority as 19.4$\%$. Those who had muscular pain were 17.7$\%$, which was felt mostly at the pitching motion. The most trouble name of the injured shoulder was bicepstendinitis as 16.1$\%$ while the injury of shoulder joint was the lowest as 1.6$\%$. As the most widely used treatment, 25.8 percent of all the players had taken an electronical thraphy after injury. 14.5 percent of the players who had an injury to the shoulder told that they have an operation and 85 percent of them didn't. As a sort of the operation, a repairing of labrum was 44.4 percent, which is the highest value and the 77.8 percent pitchers are performing a normal pitching through rehabilitation after the operation and 22.2 percent of them are undergoing rehabilitation training. Conclusion: The research have shown that the main cause of the injury, concerning the Korean professional pitchers throwing lots of ball in both matches and practices, is overuse syndrome, bad mechanism, muscle weakness and instability of balance. I think that the role of trainer, physical therapy, and team physician taking charge of the players' injury must learn physical test method by heart exactly to check up the state of the injury definitely at the initial phase. Moreover, when the cause of the injury part after a close examination is discovered, the scientific and good surgery is essential to the rehabilitation success and making a classification of shoulder instability is useful to make a operation plan as well as the players' rehabilitation, treatment.

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