행정조직의 조직효과성에 미치는 영향요인 분석

서강석(Kang Suk Seo),권영주(Young Joo Kwon) 한국정책개발학회 2016 정책개발연구 Vol.16 No.3

본 논문에서는 서울시 본청 공무원 531명을 설문조사하여 조직효과성에 미치는 영향요인을 분석하였다. 연구모형은 리더십요인(변혁적리더십, 거래적 리더십), 개인적요인(교육훈련, 직무만족), 환경적요인(시민사회의 감시와 비판, 참여와 거버넌스)을 독립변수로 하고 조직몰입을 매개변수로 하여 종속변수인 조직효과성에 미치는 영향력을 검증하였다. 분석의 결과 서울시 실·국·본부장들의 리더십은 조직몰입과 조직효과성에 모두 영향을 미치는데 특히 거래적 리더십의 영향이 큰 것으로 나타났다. 다른 요인들도 대부분 조직몰입과 조직효과성에 영향을 미치지만 교육훈련과 환경적요인들은 영향을 미치지 못하거나 그 영향력이 매우 미약한 것으로 나타났으며, 연구 결과에 따라 서울시 본청 행정조직의 조직효과성을 높이기 위한 대안으로 실·국·본부장들의 거래적 리더십을 강화하기 위한 임파워먼트와 교육훈련과 직무만족도의 개선 그리고 시민사회와의 교류와 협력 확대를 제시하였다. The purpose of this paper is to find out the influencing factors on organizational effectiveness of SMG headquarter organization. To find out the factors, this study carried out a survey targeting 531 SMG Headquarter employees. The analysis model of this study is composed of the 6 independent variables, a parameter and a subordinate variable. The 6 independent variables are transformational leadership, transactional leadership, training, job satisfaction, civil societies monitoring and criticism, and their participation and governance. A parameter is the organizational commitment. And the subordinate variable is organizational effectiveness. The results of statistical analysis shows the transactional leadership influences both organizational commitment and effectiveness much more than that of transformational leadership. Other variables such as job satisfaction, civil societies participation and governance are found out as the influencing factors on organizational effectiveness and commitment of SMG headquarter organization. Training and civil societies monitoring and criticism do not influence on that of SMG headquarter organization. To improve the organizational effectiveness of SMG headquarter organization, this paper suggested SMG first, empower management class officials above the 3th grade for enhancement their transactional leadership, second, upgrade the training system and job satisfaction, and third, expand exchanges and cooperation with civil societies.

흉부 외상 환자에서 늑막 천자를 위해 바늘 도관의 길이에 대한 연구

강성원 ( Sung Won Kang ),류현욱 ( Hyun Wook Ryoo ),박정배 ( Jung Bae Park ),서강석 ( Kang Suk Seo ),정제명 ( Jae Myung Chung ) 대한외상학회 2009 大韓外傷學會誌 Vol.22 No.1

Purpose: This study was conducted to evaluate the length of the catheter used in a needle thoracostomy for emergency decompression of a tension pneumothorax by measuring the chest wall thickness (CWT) in patients with chest trauma. Methods: A retrospective review of 201 patients with chest trauma who had been transported the emergency department in a tertiary university hospital in a metropolitan area between 1 January and 31 February 2007 was performed. The average CWT at the second intercostal space (ICS) in the midclavicular line (MCL) was measured by using a chest computed tomography scan. Results: As the left and the right mean CWTs were 3.4±1.0 cm and 3.4±1.0 cm, respectively, there was no significant statistical difference between them. The mean CWT of female patients was significantly higher than that of male patients (p=0.001). The mean CWT of patients under the age of 65 years was significantly thicker than that of the patients over the age of 65 years (p<0.001). Of the studied patients, 12 (6.0%) a CWT >5 cm. Conclusion: A 5 cm-length catheter in a needle thoracostomy may be insufficient for emergency decompression of a tension pneumothorax, so a catheter longer than 5 cm in length is needed. (J Korean Soc Traumatol 2009;22:1-4)

흉부 외상 환자에서 일반흉부촬영과 비교한 흉부단층촬영의 진단적 유용성

최규일 ( Kyu Ill Choi ),서강석 ( Kang Suk Seo ),류현욱 ( Hyun Wook Ryoo ),박정배 ( Jung Bae Park ),정제명 ( Jae Myung Chung ),안재윤 ( Jae Yoon Ahn ),강성원 ( Seong Won Kang ),이재혁 ( Jae Hyuck Yi ) 대한외상학회 2009 大韓外傷學會誌 Vol.22 No.2

Purpose: Early diagnosis and management of therapeutic interventions are very important in chest trauma. Conventional chest X-rays (CXR) and computed tomography (CT) are the diagnostic tools that can be quickly implemented for chest trauma patients in the emergency department. In this study, the usefulness of the CT as a diagnostic measurement was examined by analyzing the ability to detect thoracic injuries in trauma patients who had visited the emergency department and undergone CXR and CT. Methods: This study involved 84 patients who had visited the emergency department due to chest trauma and who had undergone both CXR and CT during their diagnostic process. The patients` characteristics and early vital signs were examined through a retrospective analysis of their medical records, and the CXR and the CT saved in the Picture Archiving Communication System (PACS) were examined by a radiologist and an emergency physician to verify whether or not a lesion was present. Results: Pneumothoraxes, hemothoraxes, pneumomediastina, pulmonary lacerations, rib fractures, vertebral fractures, chest wall contusions, and subcutaneous emphysema were prevalently found in a statistically meaningful way (p<0.05) on the CT. Even though their statistical significance couldn`t be verified, other disorders, including aortic injury, were more prevalently found by CT than by CXR. Conclusion: CT implemented for chest trauma patients visiting the emergency department allowed disorders that couldn`t be found on CXR to be verified, which helped us to could accurately evaluate patients. (J Korean Soc Traumatol 2009;22:142-7)

중증 외상환자의 급성 외상응고장애 조기 예측인자 분석

이동언 ( Dong Eun Lee ),서강석 ( Kang Suk Seo ),이미진 ( Mi Jin Lee ),신수정 ( Su Jeong Shin ),류현욱 ( Hyun Wook Ryoo ),김종근 ( Jong Kun Kim ),박정배 ( Jung Bae Park ) 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.3

Purpose: Clinical observation and research findings show that acute traumatic coagulopathy (ATC) is a major factor that must be addressed in the early care of severe trauma patients. ATC is associated with increased transfusion requirements and poor clinical outcomes. This study aimed to correlate the early predictable factors of ATC with the outcomes in severe trauma patients. Methods: Retrospective data from the trauma registry on severe trauma patients (Injury Severity Score (ISS) ≥16) were used to identify variables independently associated with coagulopathy. Univariate associations were calculated, and a multivariable logistic regression analysis was used to determine variables independently associated with ATC. Results: Patients were mostly male, aged 51.9±17.8 years, with an injury severity score of 24.1±12.4. ATC, as diagnosed in the emergency department (ED), occurred in 17% of the severe trauma patients. Using a multivariable logistic regression analysis, early predictable variables independently associated with ATC were base deficit (odds ratio (OR): 13.03; 95% confidence interval (CI): 3.47-48.93), acute liver injury (OR: 4.24; 95% CI: 1.06-17.00), and transfer from another hospital (OR: 21.00; 95% CI: 3.23-136.60). Conclusion: ATC is associated with mortality in severe trauma patients, and some variables associated with trauma and shock are an independent predictors of ATC. These variables contribute to the early recognition and management of coagulopathy, which may improve the outcome from trauma resuscitation. (J Korean Soc Traumatol 2012;25:72-78)

蛔虫과 그의 충란에 의한 Intestinal Eosinophilic granuloma 症例報告

주정균(Jung Kyun Chu),서강석(Kang Suk Seo),정영걸(Yung Kul Chung) 대한기생충학열대의학회 1972 The Korean Journal of Parasitology Vol.10 No.2

두부 외상 환자의 중증도 평가 시 단순운동점수의 유용성

이상경 ( Sang Kyong Lee ),류현욱 ( Hyun Wook Ryoo ),박정배 ( Jung Bae Park ),서강석 ( Kang Suk Seo ),정제명 ( Jae Myung Chung ) 대한외상학회 2008 大韓外傷學會誌 Vol.21 No.2

Purpose: The Glasgow Coma Scale (GCS), though it is widely used for triage, has been criticized as being unnecessarily complex. Recently, a 3-point Simplified Motor Score (SMS, defined as obeys commands=2; localizes pain=1; withdrawals to pain or worse=0) was developed from the motor component of the GCS and was found to have a similar test performance for triage after traumatic brain injury when compared with the GCS as the criterion standard. The purpose of this study was to validate the SMS. Methods: We analyzed the patients who visited Kyungpook National University Hospital emergency center after traumatic brain injury from 2006 January to 2006 June. The test performance of the GCS, its motor component, and SMS relative to three clinically relevant traumatic brain injury outcomes (abnormal brain CT scans, Abbreviated Injury Scale (AIS)≥4, and mortality) were evaluated with areas under the receiver operating characteristic curves (AUCs). Results: Of 504 patients included in the analysis, 25.6% had an abnormal brain CT scans, 13.1% had AIS≥4, and 5.0% died. The AUCs for the GCS, its motor component, and SMS with respect to the abnormal CT scans were 0.776, 0.715, and 0.716, and respectively, those for AIS≥4 and mortality, were 0.969, 0.973, and 0.968, and 0.931, 0.909, and 0.909, respectively. Conclusion: The 3-point SMS demonstrated similar test performance when compared with the 15-point GCS score and its motor component for triage after traumatic brain injury in our populations. (J Korean Soc Traumatol 2008;21:71-77)

골반 골절 위치와 방광, 요도, 하부 위장관계 손상의 관련성

김창호 ( Chang Ho Kim ),박정배 ( Jung Bae Park ),류현욱 ( Hyun Wook Ryoo ),서강석 ( Kang Suk Seo ),서준석 ( Jun Seok Seo ),정제명 ( Jae Myung Chung ),제동욱 ( Dong Wook Je ),성애진 ( Ae Jin Sung ) 대한외상학회 2007 大韓外傷學會誌 Vol.20 No.2

Purpose: This research was conducted to study whether the specific location of pelvic-bone fractures could increase the risk for injury to the urinary bladder, urethra, or lower gastrointestinal tract. Methods: We retrospectively reviewed the data of 234 patients with pelvic-bone fractures who visited the emergency department of Kyungpook National University Hospital from January 2004 to December 2006. The location of the pelvic-bone fracture was divided into 8 parts. The association of fracture location with injury to the urinary bladder, urethra, or lower gastrointestinal tract was analyzed with Fisher`s-exact test and multiple logistic regression. Results: Nineteen(19) patients had urinary bladder injury, 8 had urethral injury, and 9 had lower gastrointestinal tract injury. The following fracture locations were found to be significant; urinary bladder: sacroiliac (SI) joint (p<0.001), symphysis pubis (p=0.011), and sacrum (p=0.005); urethra: SI joint (p=0.020); lower gastrointestinal tract: symphysis pubis (p=0.028). After the multiple logistic regression analysis, the primary and the independent predictors for each of the injuries were as follows; urinary bladder: sacroiliac joint (p=0.000, odds ratio [OR]=10.469); lower gastrointestinal tract: symphysis pubis (p=0.037, OR=7.009). Conclusion: Consideration of further workup for injuries to the lower gastrointestinal and urinary tract is needed for some locations of pelvic-bone fractures because certain pelvic-bone fracture locations, especially the sacroiliac joint and the symphysis pubis, are associated with increased risk for injury to the lower gastrointestinal and urinary tracts. (J Korean Soc Traumatol 2007;20:90-95)

원발성 골종양에 관한 통계적 고찰

김한균(Han Gyun Kim),김우일(Woo Il Kim),최익수(Ik Soo Choi),서강석(Kang Suk Seo) 대한정형외과학회 1988 대한정형외과학회지 Vol.23 No.3

열사병의 임상적 특징 및 예후에 관한 연구

박노한 ( Noh Han Park ),류현욱 ( Hyun Wook Ryoo ),서강석 ( Kang Suk Seo ),박정배 ( Jung Bae Park ),정제명 ( Jae Mung Chung ) 대한외상학회 2006 大韓外傷學會誌 Vol.19 No.2

Purpose: The aim of this study was to evaluate the clinical characteristics of classic heat stroke in Korea and to identify factors of prognosis for heat stroke by comparing a survival group with a non-survival group. Methods: We retrospectively analyzed 27 patients with heat stroke who visited the Emergency Department of Kyungpook National University Hospital from March 2001 to February 2005. First, we divided the patients into two groups, the classic heat stroke group and the exertional heat stroke group, and compared them. Second, we compared the survival group with the non-survival group. Age, sex, cause, place where patients were found, underlying diseases, cooling time, performance of endotracheal intubation, initial Glasgow Coma Scale, initial vital sign, and laboratory findings were reviewed. Results: Five of 27 patients in heat stroke died. The classic heat stroke group had 20 patients. They were old and had more patients in the bathroom than the exertional heat stroke group had. The non-survival group showed lower blood pressure, lower initial GCS score, and higher respiratory rate than the survival group. In laboratory findings, the non-survival group also showed lower HCO3- level, lower albumin level, lower glucose level, more prolonged PT, and higher CK-MB level than the survival group. Delay in recognition of heat stroke and cooling were poor prognostic factors in heat stroke. Conclusion: The classic heat stroke group had patients who were old and found in the bathroom. Early recognition and treatment of heat stroke is important to reduce mortality. Cooling time, initial GCS score, mean arterial pressure, resipratory rate, HCO3-, PT, CK-MB, and albumin seem to be meaningful when forming a prognosis for heat stroke patients. (J Korean Soc Traumatol 2006;19:113-120)

청소년의 캠핑참가가 회복탄력성 및 학업스트레스에 미치는 영향

김경식(Kyong-Sik Kim),김연규(Yeon-Kyu Kim),박영만(Young-Man Park),서강석(Kang-Suk Seo) 한국콘텐츠학회 2014 한국콘텐츠학회논문지 Vol.14 No.12

이 연구는 청소년의 캠핑참가경험에 따른 회복탄련성 및 학업스트레스의 차이를 비교 분석하고, 나아가 청소년의 캠핑참가정도가 회복탄력성 및 학업스트레스에 미치는 영향을 분석하고자 한다. 이를 위하여 이 연구에서는 2014년 현재 충청권과 경기권 권역에 소재한 캠핑장 이용객 중 청소년을 모집단으로 선정한 다음 유의표집법을 이용하여 캠핑참가자 150명, 비참가자 150명 총 300명을 표집하였으며, 295명을 최종 분석에 사용하였다. 설문지의 타당도 및 신뢰도는 요인분석 및 신뢰도분석을 통해 검증하였다. 자료처리 방법은 SPSSWIN 18.0프로그램을 활용하여 T 검정, 다중회귀분석 등이 활용되었다. 결론은 다음과 같다. 첫째, 청소년의 캠핑참가 집단이 비참가집단보다 회복탄력성은 높다. 둘째, 청소년의 캠핑참가정도 중 참가 강도인 체류일이 길어지면 긍정성의 회복탄력성은 오히려 감소된다. 셋째, 청소년의 캠핑참가 집단이 비참가집단보다 학업스트레스는 낮으나, 통계적으로는 유의한 차이가 없다. 넷째, 청소년의 캠핑참가정도 중 참가강도인 체류일이 길어지면 성적스트레스와 수업 및 과제스트레스는 감소된다. 다섯째, 캠핑참가에 의해 강화된 회복탄력성이 좋을수록 학업스트레스는 감소된다. This study intended to compare and analyze the difference between resilience and academic stress of juveniles depending on having experience in participating in the camp, and furthermore, to analyze how the camping participation degree of juveniles affect resilience and academic stress. To do so, this study selected teenagers as a population among camping ground users located in Chungcheong and Kyunggi region in 2014, sampled out total 300 participants of 150 camping participants and 150 non-participants using purposive sampling method, then selected final 295 subjects for the final analysis. Validity and credibility of questionnaire were verified through factor analysis and reliability analysis. For data processing, the t-test and multiple regression analysis were used using SPSSWIN 18.00 program. Conclusions are as follows. First, the camp participant group of juveniles showed higher resilience than the non-participant group. Secondly, it was identified that among camping participation degree of juveniles, the resilience of positivity decreased when the length of stay was longer. Thirdly, the camp participant group of juveniles showed lower academic stress than the non-participant group, but did not who significant difference statistically. Fourthly, the school record stress and assignment stress decreased when the participation degree, the length of stay, among camping participation degree of juveniles was longer. Fifthly, it was identified that the better the resilience strengthened by participating in the camp, the academic stress decreased.