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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.
이숙희 ( Suk Hee Lee ), 류현욱 ( Hyun Wook Ryoo ), 안재윤 ( Jae Yun Ahn ), 서강석 ( Kang Suk Seo ), 박정배 ( Jung Bae Park ), 신상도 ( Sang Do Shin ), 송경준 ( Kyoung Jun Song ), 박창배 ( Chang Bae Park ), 이강현 ( Kang Hyun Lee ), 유인술 ) 대한응급의학회 2014 大韓應急醫學會誌 Vol.25 No.5
Purpose: This study was conducted in order to determine the characteristics and risk factors of pediatric eye injury patients in the emergency department and to offer strategies for prevention of pediatric eye injury. Methods: This prospective study was conducted by use of a standardized eye injury survey of patients under the age of 16 years who were treated for ocular injury at nine emergency medical centers, from March to September of 2010. The following data were collected; general characteristics of the study population, type and location of injury, causative activities, and materials of injury. Risk factors associated with open-globe injury were analyzed by logistic regression. Results: A total of 1,151 patients were enrolled in the study; 75% were male. The highest incidence was observed between the age of 11 and 16 years (34.5%); 79.2% of patients had closed globe injury. The most common type of injury was contusion (65.4%) in closed globe injury and penetration (5.1%) in open-globe injury. Eye injury occurred most commonly at home (48.6%), followed by school/institution (19.4%). The most common causative activity and material were play (42.4%) and person/animal/plant (17%). Application of eye protective equipment (odds ratio: 24.33; 95% CI: 11.32~52.29) was found to be a statistically significant factor for occurrence of an open-globe injury. Conclusion: Establishment of safety measures considering gender and age is important since characteristics of pediatric eye injury differ based on such risk factors. The risk of open-globe eye injury increased with application of personal protective equipment, therefore, public education and promotion to use protective equipment of adequate level would be considered important.
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)
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)