• 한국가정과교육학회지
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• 제31권2호
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• pp.67-77
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• 2019

본 연구에서는 중학생의 가족식사 및 혼밥 실태를 알아보고, 가족식사횟수에 따라 식생활 지침 실천도와 정서지능, 회복탄력성 및 폭력성에 유의적 차이가 있는지를 알아보았다. 본 연구의 목적을 달성하기 위하여 대구지역 중학생을 대상으로 자기기입식 설문조사를 통하여 수집된 241개의 자료를 분석하였다. 수집된 자료는 SPSS(v25.0)프로그램을 활용하여 빈도, 백분율, 표준편차, 신뢰도, 일원분산분석(one-way ANOVA), Duncan검증을 실행하였다. 중학생의 가족식사횟수에 따라 식생활 지침 실천도, 정서지능, 회복탄력성에 유의적 차이가 있는지 분석한 결과, 가족식사횟수가 많을수록 식생활 지침 실천도, 정서지능, 회복탄력성이 유의적으로 높게 나타났다. 본 연구 결과에 따른 제언은 다음과 같다. 첫째, 가족식사 집단은 혼밥 집단에 비해 식생활 지침실천도, 정서지능, 회복탄력성이 유의적으로 높게 나타났다(p<0.05). 이에 따라 가족식사횟수를 늘리기 위해 개인적 노력 및 사회·제도적 장치의 마련이 적극적으로 요구된다. 둘째, 2015 개정 교육과정에서 요구하는 핵심역량 중 일부는 정서지능 및 회복탄력성의 하위영역과 의미적으로 일치하고 있고, 이는 중학생의 가족식사경험이 핵심역량의 함양과도 관련이 있음을 예측할 수 있다. 즉 가족식사횟수를 늘리는 것은 교육의 시대적 흐름에 부응하는 것이고, 특히 인성교육을 위해 요구되는 것이다.

• 한국응급구조학회지
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• 제12권3호
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• pp.99-113
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• 2008

In order to protect Rescue 119 workers exposed on the spot from potential infection, this study identified their awareness and practices of infection control so that it could help preventing them from infection and also provide basic materials necessary for pre-hospital infection control. This study applied questionnaire survey to total 215 Rescue 119 workers at fire stations in Jeonbuk province, Jeonnam province and Gwangju city from July 14 to Sept. 14, 2006 for the benefit of data collection. The questionnaire about possible associations between awareness and practices of infection control consisted of total 46 times across 6 categories such as washing hands during emergency activities ; fluid therapy and injection ; respirator maintenance; individual hygienics ; disinfectant supplies and equipments maintenance ; and control of infectious wastes. And collected data were processed using SPSS statistic program to analyze frequency and percentage, mean and standard deviation, Pearson's correlation coefficient, t-test and one-way ANOVA. As a result, this study came to the following conclusions : In terms of awareness about infection control, our respondents showed highest awareness about infectious waste control, and also showed highest level of practices in washing hands during emergency activities. Throughout all domains, awareness means were higher than practice means. In particular, infectious waste control was the domain of significant differences between awareness and practices. In terms of associations between awareness and individual characteristics, it was found that female rescue worker group and hospital/general hospital career group (before joining the Rescue 119) showed significantly higher awareness on statistic level. In regard to associations between individual characteristics and practices, it was found that female rescue worker group showed higher level of practices than male group on statistic level. This study also analyzed correlations between rescue workers' awareness and practice of infection control. As a result, it was found that the higher awareness was in correlations with the higher practices across all 6 domains including washing hands. In addition, the higher awareness of a questionnaire item was in significantly positive correlations with the higher practice of other items. However, our respondents showed high awareness about anti-infection, but low practices in reality. This indicates necessity of devising possible solutions to improve the practices as much as awareness. Especially, it was noted that major reasons for insufficient practices of infection control guideline come from unhabituated practices and lack of supports for infection-preventing supplies and protective device (mask, etc). Hence, it is necessary to provide more infection-preventing supplies for local rescue workers sufficiently, in parallel with steady habituation of infection control. Furthermore, it is required to manage and study infection control policies even at pre-hospital step in efforts for effective infection control, education and activities.

• 한국컴퓨터정보학회논문지
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• 제25권1호
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• pp.159-165
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• 2020

고객센터 서비스품질에 대한 다양한 연구에도 불구하고, 평가모형에 대한 연구보다는 고객만족과 충성도와의 관계를 살펴본 논문들이 주를 이루고 있다. 이에 본 연구에서는 기존 연구들에서 다루어진 고객센터 서비스품질 요인들을 고찰하고, Brady and Cronin(2001)의 모형에 기초하여 고객센터 서비스품질을 측정하기 위한 위계적 모형을 개발하였다. 제1계층은 상호작용(과정)품질, 물리적환경(시스템)품질, 결과품질로 구성하였고, 제2계층은 친절성, 적극성, 전문성, 체계성, 편리성, 접근성, 정확성, 신속성, 신뢰성으로 구성하였다. 또한 개발된 위계적 모형을 바탕으로 고객센터 이용자들이 중요시하는 각 요인들의 우선순위를 AHP 기법을 적용하여 파악해 보았다. 연구결과 제1계층에서는 상호작용품질이 제2계층에서는 전문성, 친절성, 정확성이 우선순위에서 중요하게 나타났다. 이러한 연구는 고객센터 서비스품질에 대한 평가기준의 설정이나 실무에서 좀 더 중요하게 관리해야 되는 것이 무엇인지에 대한 지침이 될 수 있다.

• 품질경영학회지
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• 제39권3호
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• pp.391-399
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• 2011

Our study was carried out to analyze the variation factors of severity-adjusted length of stay(LOS) in coronary artery bypass graft(CABG). The subjects were 932 CABG inpatients of the Korean National Hospital Discharge In-depth Injury Survey from 2004 through 2008. The data were analyzed using $x^2$ test and the severity-adjusted model was developed using data mining technique. The results of the study were as follows: male(71.1%), older than 61 years of age(61.6%), more than 500 beds(92.8%) and admitting via ambulatory care(70.0%) appeared to have higher rate than otherwise. In-hospital mortality of CABG inpatients was 2.8%. In addition, 46.4% of the patients received their care in other residence. The angina pectoris(45.6%) was found to be the highest in principle diagnosis, followed by chronic ischemic heart disease(36.9%) and acute myocardial infarction(12.0%). We developed severity-adjusted LOS model using the variables such as gender, age and comorbidity. Comparison of adjusted values in predicted LOS revealed that there were significant variations in LOS by location of hospital, bed size, and whether patients received the care in their residences. The variations of LOS can be explained as the indirect indicator for quality variation of medical process. It is suggested that the severity-adjusted LOS model developed in this study should be utilized as a useful method for benchmarking in hospital and it is necessary that national standard clinical practice guideline should be developed.

• 디자인학연구
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• 제19권3호
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• pp.195-206
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• 2006

Design for improved usability is to understand products from the user's point of view so eventually to enhance the pleasantness users by reflecting it into the design. The philosophy of user-oriented design is an essence of human-centered product planning, and its application is more important for railway vehicle design, which is closely connected with everyday life. This study focused to define basic elements of train interior design concept, which considers convenience and comfort for passengers, by extracting and interpreting ergonomic requirements, as usability factors, of train toilet design. The study on user-oriented design of trains consists of the practice of sensibility engineering for the management of customers' emotions and its harmonious use on design, and aims on the embodiment of new ergonomic design. In the center, it has analyzed the criteria and characteristics of the user-oriented design and has concluded the design direction and components to a concrete idea and proposed prototypes, which may become a good example for train interior design later on. In addition, it proposes a direction, which may become a guideline of ergonomic design, to secure competition capacity. Moreover this study is concentrated on the physical environment and human behavior of train toilet users, on the analysis of factors necessary for adequate toilet design, and on the understanding of interface between its users. What is more, it proposes a module of development process and methods of approaching the interface. The study presents a design standard, under which the concrete data of the characteristics and practicable range and the convergent demands accelerate to the module could be confirmed and criticized. The study on the usability is going to contribute to more pleasant and comfortable train environments and consequently, it's going to create new values of increased railway competitiveness by design.

• Asian Pacific Journal of Cancer Prevention
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• 제16권17호
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• pp.7695-7700
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• 2015

Background: HER2/neu overexpression on cell membranes of breast cancer cells is due to HER2/neu gene amplification and it is important to identify potential candidates for anti HER2 therapy with trastuzumab. IHC, FISH and CISH are standard FDA approved assays currently used to determine HER2 status in routine practice. The aim of this study was to determine HER2 gene amplification, using the CISH method in breast carcinoma samples which had IHC +2 reactions. Materials and Methods: This study was conducted from 2008-2010 using 334 consecutive breast carcinoma samples referred from local laboratories to Mehr Hospital. CISH assays were performed for all cases, and IHC tests were also done for determining efficacy and accuracy of local labs. HER2 status in local IHC tests was compared with central IHC and CISH results. Results: Of 334 breast cancer patients, 16 were negative for HER2 IHC (0, +1), 201 cases were equivocal (+2), and 31 positive (+3). Of 334 referral cases, 88 were CISH positive (26.3%) and 246 were CISH negative (73.7%). Of 201 IHC +2 cases, HER2 gene amplification was observed in 42 cases (kappa: 0.42). A 29.9% concordance was found between local IHC and central IHC. Sensitivity and specificity of local IHC were 90% and 53.8%, respectively. Conclusions: Low accuracy of IHC results in local labs was associated with the following factors: using former FDA-approved criteria for HER2 interpretation, utilizing non-validated kits, and lack of any quality assurance program. Therefore, following the new 2014 ASCO/CAP guideline and comprehensive quality assurance should be implemented to ensure accuracy of HER2 testing.

• 감성과학
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• 제12권4호
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• pp.481-488
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• 2009

웹 2.0이 등장하면서 나타난 개념인 SNS(Social Network Service 또는 Social Network Sites)는 오프라인에서 만 존재하던 사회적 관계망을 온라인에서 구축한 친목기반 인맥 형성 서비스이다. 페이스북(Facebook), 마이스페이스(Myspace), 트위터(Twiter)등과 같은 외국 SNS와 싸이월드(Cyworld), 미투데이(Me2Day)등과 같은 국내 SNS는 지속적인 인기를 누리며, 인터넷 환경의 주요한 응용 분야로 자리 잡고 있다. 이러한 SNS는 모든 사용자들이 타인과 협력하고 정보를 공유하는 것을 목적으로 하고 있기 때문에, 웹을 사용하는데 어려움을 가지고 있는 노인과 장애인들이 사용하기에 적절한 인터페이스를 제공하고 있는지 웹 접근성을 평가할 필요가 있다. 웹 접근성은 인지적, 신체적 특징에 상관없이 모든 사람에게 동등한 웹 기회를 제공하고 있는가를 나타내는 지표이다. 만약, SNS가 웹 접근성이 낮아 노인과 장애인이 사용하지 못한다면, 노인, 장애인과 일반사용자의 정보격차는 점점 늘어나서 사회적 문제가 될 것이다. 이에 본 논문에서는 웹 접근성 평가 도구인 KADO-WAH 2.0과 웹 접근성 표준 문서인 WCAG(Web Contents Accessibility Guideline) 2.0을 기반으로 SNS인 페이스북과 싸이월드의 웹 접근성을 평가하여, 웹 접근성 준수 현황을 파악하고, 개선방향을 제시하고자 한다.

• 수면정신생리
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• 제26권2호
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• pp.86-103
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• 2019

목 적 : 본 연구는 대한수면의학회로부터 수면에 대한 전문가로 구성된 집단을 모집하여 델파이 기법을 통해 수면진정제의 안전사용지침을 개발하고자 한다. 방 법 : 대한수면의학회 소속 수면 전문가 15인을 모집하였으며, 전문가들을 대상으로 웹 기반의 3차 델파이 조사를 시행하였다. 첫 델파이 조사는 39개의 문항으로 구성되었으며 한국에서 수면진정제 사용의 문제점을 환기하고, 안전사용지침에 포함되어야 할 항목들에 대한 조사를 시행하였다. 두번째 델파이 조사는 21개의 문항으로 구성되었으며 수면진정제 처방에 있어서 임상적으로 중요한 문제들에 대한 구체적인 의견을 수집하였다. 세번째 델파이 조사는 Likert 척도를 이용하여 1, 2차 조사를 통해 도출한 수면진정제 안전사용지침에 대한 의견 동의율을 구하고 이를 바탕으로 수면진정제 안전사용지침을 개발하였다. 결 과 : 17개 항목에 대한 전문가들의 의견 동의율이 중앙값 4점 이상이었으며 평균 4.12, 표준편차 0.32를 보였다. 본 연구를 통해 개발된 수면진정제 안전사용지침은 수면진정제의 처방, 유지, 그리고 감량 및 중단에 대한 총 13개의 지침을 제안한다. 결 론 : 증가하는 불면증 환자와 수면진정제 처방에도 불구하고 한국 임상 현실에 맞는 안전사용지침이 부재하였는데, 본 연구를 통해 개발된 수면진정제 안전사용지침을 통해 한국 임상에서 수면 비전문가들이 수면진정제를 처방할 시에 안전하고 효과적인 처방을 위해 유용하게 사용될 수 있을 것이다.

• 약학회지
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• 제58권4호
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• pp.229-244
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• 2014

Background: Antibiotic skin test(AST) is very useful for the diagnosis of drug allergies to prevent immediate allergic reactions. Although it is a safe and widespread method, it is performed very diversely by doctors and nurses without consistency and it also differs from countries and hospitals. This study aims to evaluate the current practice of AST by nurses in Korea and to compare it to the general guidelines. Methods: During January 1, 2013 to May 20, 2013, the study was conducted as questionnaires and case-based survey. The questionnaires were given to the nurses who were randomly selected in various University Hospitals (University Hospitals N=276, and Medical center N=19). The case-based surveys were given to the nurses who were conducting AST at various wards of a University Hospital (N=130). The analysis and evaluations of the responses were carried out. Results: The response rate for the questionnaires was 97.6% and 130 cases of the actual case-based surveys were collected. There were clear differences between the survey results and the general guidelines, such as the method of skin test (skin prick test was not conducted), the method of patient selection for AST, test drugs, concentration, volume and interpretation of AST. AST conducted by nurses was highly variable and inconsistent, even among nurses who worked in the same wards and hospitals. Manufactured standard concentration antibiotic solution of AST showed consistency of concentration to a certain degree. Conclusion: Although the general guidelines have been published by several countries including Korea, these are not a great help to nurses as they lack details for conducting AST, practical consideration for nurses in the clinical setting, propagation and education. Standardized guideline for nurses should be published and it should be a safe, clear, comfortable and easily accessible protocol. Futhermore, additional antibiotic solutions to standardize skin test should be developed and manufactured. Lastly, it would be the pharmacists role to compare their hospitals antibiotic skin test methods with the standard guidelines and develop a protocol within the hospital for patients' safety, and to strive to consistently implement it.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제41권
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• pp.33.1-33.7
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• 2019

Background: The concept of the ideal morphology for the alveolar bone form is an important element to reconstruct or restore the in maximizing esthetic profile and functional alveolar bone restoration. The purpose of this preliminary study is to evaluate the normal alveolar bone structure to provide the standard reference and guide template for use in diagnosing for implant placement, determining the correct amount of bone augmentation in actual clinical practice and producing prostheses based on three-dimensional imaging assessment of alveolar bone. Methods: This study was included 11 men and 11 women (average age, 22.6 and 24.5 years, respectively) selected from among 127 patients. The horizontal widths of alveolar bone of maxilla and mandible were measured at the crestal, mid-root, and root apex level on MDCT (multi-detector computed tomography) images reconstructed by medical imaging software. In addition, tooth dimensions of the central incisors, canines, second premolars, and first molars of maxilla and mandible, including the horizontal width of the interdental alveolar bone crest, were also measured and statistically analyzed. Results: The horizontal alveolar bone width of the palatal side of maxilla showed a distinct increment from the alveolar bone crest to the apical region in both anterior and posterior areas. The average widths of the maxillary alveolar ridge were as follows: central incisor, 7.43 mm; canine, 8.91 mm; second premolar, 9.57 mm; and first molar, 12.38 mm. The average widths of the mandibular alveolar ridge were as follows: central incisor, 6.21 mm; canine, 8.55 mm; second premolar, 8.45 mm; and first molar, 10.02 mm. In the buccal side, the alveolar bone width was not increased from the crest to the apical region. The horizontal alveolar bone width of an apical and mandibular border region was thinner than at the mid-root level. Conclusions: The results of the preliminary study are useful as a clinical guideline when determining dental implant diameter and position. And also, these measurements can also be useful during the production of prefabricated membranes and customized alveolar bone scaffolds.