Causes and Predictive Factors Associated with “Diagnosis Changed” Outcomes in Patients Notified as Tuberculosis Cases in a Private Tertiary Hospital

( Byung Ju Kang ),( Kyung Wook Jo ),( Tai Sun Park ),( Jung Wan Yoo ),( Sei Won Lee ),( Chang Min Choi ),( Yeon Mok Oh ),( Sang Do Lee ),( Woo Sung Kim ),( Dong Soon Kim ),( Tae Sun Shim ) 대한결핵 및 호흡기학회 2013 Tuberculosis and Respiratory Diseases Vol.75 No.6

Background: The aim of our study was to evaluate the “diagnosis changed” rate in patients notified as tuberculosis (TB) on the Korean TB surveillance system (KTBS). Methods: A total of 1,273 patients notified as TB cases on the KTBS in one private tertiary hospital in 2011 were enrolled in the present study. Patients were classified into three groups: “diagnosis maintained”, “diagnosis changed” (initially notified as TB, but ultimately diagnosed as non-TB), and “administrative error” (notified as TB due to administrative errors). Results: Excluding 17 patients in the “administrative error” group, the “diagnosis maintained” and “diagnosis changed” groups included 1,097 (87.3%) and 159 patients (12.7%), respectively. Common causes of “diagnosis changed” were nontuberculous mycobacterial (NTM) disease (51.7%, 61/118), and pneumonia (17.8%) in cases notified as pulmonary TB, and meningitis (19.5%, 8/41) and Crohn`s disease (12.2%) in cases notified as extrapulmonary TB. Being older than 35 years of age (odds ratio [OR], 2.18) and a positive acid-fast bacilli stain (OR, 1.58) were positive predictors and a TB-related radiological finding (OR, 0.42) was a negative predictor for a “diagnosis changed” result via multivariate logistic regression analysis in pulmonary TB cases. Conclusion: Because of a high “diagnosis changed” rate in TB notifications to the KTBS, the TB incidence rate measured by the KTBS may be overestimated. Considering the worldwide trend toward increased NTM disease, the “diagnosis changed” rate may increase over time. Thus, when reporting the annual TB notification rate in Korea, the exclusion of “diagnosis changed” cases is desirable.

스포츠생리학 : 운동중지가 비만남자청소년의 콜레스테롤 대사에 미치는 영향

윤석창(YoonSeok-Chang),성봉주(SungBong-JU) 한국체육학회 2000 한국체육학회지 Vol.39 No.4

본 연구는 8주 수영 training 후 8주 운동중지(detraining)가 비만청소년의 콜레스테롤 대사에 미치는 영향을 파악하기 위하여 체지방율이 30% 이상인 비만 남자청소년(n=12)을 대상으로 6명씩 두 집단(운동집단, 통제집단)으로 나누었다. 운동집단(n=6)에게는 자발적 식이제한(2,000kcal/day)을 병행한 수영을 8주간 실시하게 한 후, 8주간 식이 제한과 운동처치를 하지 않았다 통제집단(n=6)은 16주 동안 아무런 처치를 하지 않았다. 운동집단의 수영 Training 은 주당 3일, 1회 60분, 운동강도는 분당심박수가 130~160(회/분)으로 설정하여 실시하였다. 측정은 처치 전, 4주, 8주, 12주, 16주 후에 5번 실시하였고, 측정항목은 신장(Height), 체중(Body Weight), 총콜레스테롤(TC), 중성지방 (TG), 저밀도지단백콜레스테롤(LDL-C), 고밀도지단백콜레스테롤(HDL-C), 지단백분획치 (TC/HDL-C) 등의 항목으로 한정하였으며, 실험결과 다음과 같은 결론을 얻었다.첫째, 운동그룹은 8주 수영 Training 후 TC에서 유의한 변화가 나타나지 않았다. 또한 연이은 8주 Detraining 후에도 TC에서 유의한 변화가 나타나지 않았다.둘째, 운동그룹은 8주 수영 Training 후 TG에서 유의한 변화가 나타나지 않았다. Detraining 후에는 4 · 8주에서 TG의 유의한 증가가 나타났다.셋째, 운동그룹은 8주 수영 Training 후 LDL-C에서 유의한 변화가 나타나지 않았다. 8주 Detraining 후에도 LDL-C에서 유의한 변화가 나타나지 않았다.넷째, 운동그룹은 8주 수영 Training 후 HDL-C에서 유의한 변화가 나타나지 않았고 8주 Detraining 후에도 유의한 변화가 나타나지 않았다.다섯째, 운동그룹은 8주 수영 Training 후 TC/HDL-C에서 유의한 변화가 나타나지 않았고 8주 Detraining 후에도 유의한 변화가 나타나지 않았다.자발적 식이제한을 동반한 8주 수영 운동 후 8주 운동중지는 콜레스테롤 대사에서 유의한 변화가 나타나지 않았다. 그러나 중성지방에서만 민감한 변화를 나타내었다. The purpose of this study is to investigate the effect of 8-week detraining after 8-week swimming on the spontaneous caloric restriction and the changes of the cholesterol metabolism in obese adolescents. 12 males were selected as the experimental objects for this study. They were over 30% Body fat, without risk factor during training and never attended in any obese therapy course before. The exercise regimen was composed of the spontaneous caloric restriction and the schedule of swimming program, 1 hrs/day, 3 days/week The intensity of the swimming program was respectively at 60~80%HRmax(130~160 beat/min).. The calorie restrict regimen was about 2,000kcal/day. The variable was measured to the TC, TG, HDL-C, LDL-C, TC/HDL at pre-test 4W, 8VV, 12W(4-week detraining), 16W(8 weeks detraining). The Independant & Paired t-test Measure was used and Tukey was treated for the post hoc testing(p<0.05).The results was as following;(1) The TC of the exercise group after 8-week swimming was not changed significantly. The TC after 8-week detraining was not changed significantly.(2) The TG of the exercise group after 8-week swimming was not changed significantly. The TG after 4 and 8-week detraining was increased significantly.(3) The LDL-C of the exercise group after 8-week swimming was not changed significantly. The LDL-C after 8-week detraining was not changed significantly.(4) The HDL-C of the exercise group after 8-week swimming was not changed significantly. The HDL-C after 8-week detraining was not changed significandy.(5) The TC/HDL-C of the exercise group after 8-week swimming was not changed significantly. The TC/HDL-C after 8-week detraining was not changed significantly.8-week detraining after 8-week swimming on the spontaneous caloric restriction dose not give significant change in cholesterol metabolism. But the TG level showed sensitive change.

Causes and Predictive Factors Associated with "Diagnosis Changed" Outcomes in Patients Notified as Tuberculosis Cases in a Private Tertiary Hospital

Kang, Byung Ju,Jo, Kyung-Wook,Park, Tai Sun,Yoo, Jung-Wan,Lee, Sei Won,Choi, Chang-Min,Oh, Yeon-Mok,Lee, Sang-Do,Kim, Woo Sung,Kim, Dong Soon,Shim, Tae Sun The Korean Academy of Tuberculosis and Respiratory 2013 Tuberculosis and Respiratory Diseases Vol.75 No.6

Background: The aim of our study was to evaluate the "diagnosis changed" rate in patients notified as tuberculosis (TB) on the Korean TB surveillance system (KTBS). Methods: A total of 1,273 patients notified as TB cases on the KTBS in one private tertiary hospital in 2011 were enrolled in the present study. Patients were classified into three groups: "diagnosis maintained", "diagnosis changed" (initially notified as TB, but ultimately diagnosed as non-TB), and "administrative error" (notified as TB due to administrative errors). Results: Excluding 17 patients in the "administrative error" group, the "diagnosis maintained" and "diagnosis changed" groups included 1,097 (87.3%) and 159 patients (12.7%), respectively. Common causes of "diagnosis changed" were nontuberculous mycobacterial (NTM) disease (51.7%, 61/118), and pneumonia (17.8%) in cases notified as pulmonary TB, and meningitis (19.5%, 8/41) and Crohn's disease (12.2%) in cases notified as extrapulmonary TB. Being older than 35 years of age (odds ratio [OR], 2.18) and a positive acid-fast bacilli stain (OR, 1.58) were positive predictors and a TB-related radiological finding (OR, 0.42) was a negative predictor for a "diagnosis changed" result via multivariate logistic regression analysis in pulmonary TB cases. Conclusion: Because of a high "diagnosis changed" rate in TB notifications to the KTBS, the TB incidence rate measured by the KTBS may be overestimated. Considering the worldwide trend toward increased NTM disease, the "diagnosis changed" rate may increase over time. Thus, when reporting the annual TB notification rate in Korea, the exclusion of "diagnosis changed" cases is desirable.

아세틸 콜린 유발 검사시 허혈성 심전도 변화와 흉통의 발생이 내피세포 기능장애에 미치는 영향

최철웅(Cheol Ung Choi),나승운(Seung-Woon Rha),김선원(Sun Won Kim),나진오(Jin Oh Na),임홍의(Hong Euy Lim),김진원(Jin Won Kim),김응주(Eung Ju Kim),한성우(Seong Woo Han),박창규(Chang Gyu Park),서홍석(Hong Seog Seo),오동주(Dong Joo Oh) 대한임상노인의학회 2010 대한임상노인의학회지 Vol.11 No.4

연구배경: 아세틸 콜린 유발 검사시 발생하는 흉통과 허혈성 심전도 변화가 아세틸 콜린에 의해 발생하는 관상동맥의 내피세포 기능에 어떤 영향을 주는지 알아보고자 했다. 방법: 흉통으로 내원하여 관상동맥 조영술과 아세틸 콜린 유발검사를 시행받은 1,085명의 환자를 대상으로 하였다. 아세틸 콜린 유발 검사를 하는 동안 허혈성 심전도 변화 및 흉통의 발생 유무에 따른 관상동맥 내피세포 기능의 특징을 비교하였다. 결과: 539명의 환자에서 아세틸 콜린 검사시 내피세포 기능 장애가 발생 하였다. 허혈성 심전도 변화가 있었던 그룹이 심전도 변화가 없었던 그룹보다 흉통이 더 많았고(78.1% vs. 60.8%, P=0.007), 관상동맥 조영술상 다발성 관상동맥 경련이 빈번하였고(59.4% vs. 40.6%, P=0.004), 관상동맥의 경련 정도도 더 심하였다(64.1% vs. 46.5%, P=0.006). 흉통이 있었던 그룹이 흉통이 없었던 그룹보다 허혈성 심전도 변화의 빈도가 더 높았다(14.7% vs. 7.5%, P=0.007). 또한 흉통이 있었던 그룹이 관상동맥 경련이 다발성으로 발생하는 경우가 많았고 (50.7% vs. 29.5%, P<0.001), 미만성으로 발생하는 경우가 많았고(87.1% vs. 75%, P<0.001), 관상동맥의 경련의 정도도 더 심하였다(51.6% vs. 43.5%, P=0.041). 결론: 아세틸 콜린 유발검사시 발생하는 허혈성 심전도 변화와 흉통은 관상동맥 경련의 정도와 경련이 발생하는 관상동맥 개수와 연관이 있다. Background: ECG changes and chest pain during acetylcholine (Ach) provocation tests may constitute important clinical parameters for Ach-induced endothelial dysfunction. We investigated the association between ischemic ECG changes and chest pain during the Ach-provocation test and angiographic characteristics of Ach-induced endothelial dysfunction. Methods: A total of 1,085 patients with anginal symptoms underwent diagnostic coronary angiography (CAG) and Ach-provocation tests. We compared angiographic characteristics of Ach-induced endothelial dysfunction according to the presence of ECG change and chest pain. Results: A total of 539 patients experienced Ach-induced endothelial dysfunction. Patients who experienced ECG change group suffered more frequent chest pain (78.1% vs. 60.8%, P=0.007), angiographically more frequent multiple coronary artery spasm (59.4% vs. 40.6%, P=0.004), and more severe coronary artery spasm (64.1% vs. 46.5%, P=0.006) than patients without ECG change. However, there was no difference in the length of endothelial dysfunction between the groups. The incidence of ischemic ECG changes in patients with chest pain was higher than in patients without chest pain (14.7% vs. 7.5%, P=0.007). Patients who experienced chest pain more often experienced multiple (50.7% vs. 29.5%, P<0.001), diffuse (87.1% vs. 75%, P<0.001), and severe coronary artery spasm (51.6% vs. 43.5%, P=0.041) than patients without chest pain. Conclusion: Ischemic ECG changes and chest pain during the Ach-provocation test are associated with multi-vessel involvement and severe coronary artery spasm. Chest pain is associated with the length of endothelial dysfunction, but ischemic ECG change is not.

펠던크라이스 기법, 탄성밴드 운동 및 복합운동 적용이 현대무용전공자의 체간근력에 미치는 영향

김채수(Kim Chae-Soo),권혜영(Kwon Hye-Young),이원재(Lee Won-Jae),조창모(Jo Chang-Mo),김진환(Kim Jin-Hwan),주성범(Ju Sung-Bum),이미경(Lee Mi-Kyoung) 한국체육과학회 2011 한국체육과학회지 Vol.20 No.1

This study is carried out to examine the effect of applying Feldenkrais method, elastic band training and combined training on trunk muscle. The subjects of this study were 32 modern dance majors and they were divided into four groups which consists of 8 peoples each, Feldenkrais method group(modern dance + Feldenkrais method), elastic band training group(modern dance + elastic band training), combined training group(modern dance + Feldenkrais method + elastic band training), and control group(modern dance). Measurement variables which are trunk muscle were measured before training, and after 4 and 8 weeks training and the results are as follow: In the left muscle strength change at Centaur 0°, Feldenkrais method group, elastic band training group and combined training group showed significant increase after 8 weeks training compared to before training. In the right muscle strength change, Feldenkrais method group and combined training group had significant increase after 8 weeks training. In the left muscle strength change at Centaur 45°, Feldenkrais method group and combined training group showed significant increase after 8 weeks training compared to before training and after 4 weeks training. Also elastic band training group showed significant increase after 8 weeks training compared to before training. In the right muscle strength change, Feldenkrais method group and elastic band training group significantly increased after 8 weeks training compared to before training. In the left muscle strength change at Centaur 90°, Feldenkrais method group and combined training group showed significant increase after 4 and 8 weeks training compared to before training. In the right muscle strength change, Feldenkrais method group showed significant increase after 4 and 8 weeks training compared to before training, and elastic band training group significantly increased after 8weeks training compared to before training. In the left muscle strength change at Centaur 135°, there was no significant changes. In the right muscle strength change, elastic band training group and combined training group showed significant increase after 8 weeks training compared to before training. In the left muscle strength change at Centaur 180°, combined training group showed significant increase after 4 and 8 weeks training compared to before training. In the right muscle strength change, combined training group showed significant increase after 4 and 8 weeks training compared to before training. From above results, applying 8 weeks regular program of Feldenkrais method, elastic band training and combined training to modern dance majors showed positive changes on improvement of trunk muscle strength and physical strength. Also this study implemented to verify the effects of trunk muscle strength and body balance through supplementary training program, and showed the effects in the training group and control group after 8 weeks trunk muscle strengthening program. Feldenkrais method, elastic band training and combined training are very effective to improve trunk muscle strength of modern dance majors so that continuous implementation and application of these effective training program shall be provided for strengthening trunk muscle.

제왕절개 수술반흔에서 점액성 변화와 탈락막 변 화가 일어난 자궁내막증 2 예 및 조직면역학적연구

김주현(Ju Hyun Kim),한치동(Chi Dong Han),허창규(Chang Kyu Huh),조창호(Chang Ho Cho),고석봉(Suk Bong Koh) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.1

Decidualized cutaneous endometriosis infrequently arises in the absence of pelvic disease. It is described in which the histologic features included cytologic atypia, circumscription of endometrial epithelial cells with glandular or cystically dilated space, mononuclear cells within and around the endometrial nodules, and accompanied myxoid change. This histologic pseudomalignancy is not common and be misinterpreted as metastatic carcinoma or malignant tumors arising from soft tissue due to location of nodule and histologic feature. We have experienced two cases of myxoid change in decidualized cutaneous endometriosis in the abdominal scar following Cesarean section, which is presented with a brief review of the literature.

캘리그래피(Calligraphy) 수업에 있어 재료의 활용이 수업성과에 미치는 영향

이범주 ( Beom Ju Lee ),오해춘 ( Hai Choon Oh ),장광집 ( Kwang Chip Chang ) 한국기초조형학회 2011 기초조형학연구 Vol.12 No.5

현대 사회는 빠르게 변화하고 있다. 이러한 변화와 더불어 디자인도 다양한 분야에서 변화되고 있다. 최근에 볼 수 있는 디자인의 경향중 하나는 감성디자인으로 과거의 디자인접근방법에 비하여 인간의 감성을 디자인에 충실히 담으려는 노력이다. 이러한 변화는 학교교육에서도 마찬가지로 나타나고 있는데 현재 디자인교육의 중요성과 필요성이 높아지고 있는 것이 이를 설명하고 있다. 이에 따라 전문계고등학교에서 디자인과의 신설 및 디자인특성화고등학교가 늘어나고 있다. 그러므로 디자인교육의 양적 성장과 더불어 디자인교육 또한 변화되고 발전되어야 할 것이다. 최근 디자인분야의 대표적인 추세중의 하나인 감성디자인을 디자인교육에 접목하는 것은 큰 의미가 있다 하겠다. 이에 본 연구에서는 현대 디자인에서 쉽게 접할 수 있는 캘리그래피(Calligraphy)에 관한 것으로, 동일하게 주어진 재료가 아니라 다양한 재료를 사용하게 하는 것이 학생들의 흥미도 높이고 이에 따른 수업의 집중도도 높아질 것이라는 가설을 세우고, 이를 실험을 통해 검증하는 연구를 실시하였다. 이 연구를 위하여 4차시의 수업지도안을 작성하여 2개의 학급을 대상으로 실시하였으며, 실험집단과 통제집단으로 모형을 설계하였다. 실험집단에는 재료의 다양성을 제공하고, 통제집단에는 일반재료의 사용을 통한 수업을 적용하였다. 실험적용 결과 연구를 통해 얻어지는 결론은 다음과 같다. 다양한 재료의 선택이 집중도에 큰 영향을 미치지 않으며, 다양한 재료를 학습할 때에는 재료의 특성과 성향에 대한 사전교육이 중요하며, 수업을 진행할 때에는 재료의 특성과 성향에 대한 사전교육의 중요성에 대해 알 수 있었다. The modern society is rapidly changing. Along with such changes, design in mane areas is changing. One of the recent trends that can be seen is emotion design, an effort to put human sensibility into design compared to the design approach of the past. Such changes can be also seen in school education in that the importance and necessity of design education is increasing. As a result vocational high schools are establishing new departments for design and special high schools for design are increasing. Here as well as the quantitative growth of design education, the education itself should change and improve. Adding emotion design, one of the representative trends recently in the design field, can be very meaningful. Therefore, this study regarding Calligraphy, verifies the hypothesis, using various materials rather than same materials can increase students` interest and concentration to the class, by experiments. For the research, teaching plans for 4 lessons were written and the subjects of the experiment were 2 classes. The model was designed to have experimental group and control group. The experimental group was provided with various materials and in the control group`s lessons, normal materials were used. The results of the experiment are as follows. Using various materials does not have a significant effect to concentration, the orientation process regarding the characteristics of materials is important when studying with various materials, and to run the class, orientation process about property of materials is important.

트라이애슬론 스포츠폭력 사건에 투영된 트라이애슬론 선수들의 경험과 인식

김희주 ( Kim Hee-ju ),장덕선 ( Chang Duk-sun ) 한국융합과학회 2022 한국융합과학회지 Vol.11 No.8

연구목적 본 연구는 故 최숙현 선수의 희생이 헛되지 않기를 바라는 마음으로 시작되었다. 연구대상은 2020년 스포츠폭력에 의해 고인이 된 최숙현 선수의 사망사건을 직·간접적으로 경험한 철인3종경기 선수 30명이다. 연구방법 연구방법은 내러티브의 3차원적 공간 중 개인적·사회적 차원과 내적·외적 지향에 중점을 두고, 연구 참여자의 스포츠폭력에 대한 인식과 경험을 개방형 질문으로 조사하였다. 이 후 추가적 심층면담을 실시하였다. 특히 참여자들이 현역선수들이기 때문에 연구참여중단의 가능성과 익명성을 보장하였다. 연구자는 25년간 트라이애슬론 선수로 활동을 하였으며, 직접 피해자이기도 하다. 결과 자료의 귀납적 범주화 결과, 스포츠폭력 사건에 대한 인식에는 기본신념 붕괴, 제도적 문제, 우려, 감정 등이 나타났다. 인지된 내적 변화에는 부정적 영향 없음, 제도적 문제, 간접 트라우마 등이 나타났다. 인지된 외적 변화로는 부정적 영향 없음, 간접 트라우마 등이 나타났다. 지각된 변화로는 변화와 기타로 나타났다. 변화의 시발점은 처벌에 대한 생각, 감정, 제도적 문제 등이 도출 되었으며 변화의 방향성으로는 2차 피해 우려, 확실한 변화 요구, 제도적 해결책 필요 등으로 나타났다. 결론 결과를 토대로 트라이애슬론의 스포츠폭력 사건에 대한 답변을 시간의 흐름 순으로 정리하여 새로운 패러다임 모형을 제시하였다. Purpose This study was started with the hope that the sacrifice of the deceased player, Sook-Hyun Choi, would not be in vain. The subjects of this study were 30 Korean triathletes who directly or indirectly experienced the case of Choi Sook-hyeon, who died of sports violence in 2020. Methods The research method focused on personal and social dimensions and internal and external orientation among the three-dimensional space of the narrative, and conducted an open-ended questionnaire about the research participants' perceptions and experiences of sports violence. After that, additional in-depth interviews were conducted during the analysis process to collect data. In particular, since the participants are active players, the possibility of discontinuation of research participation and anonymity were guaranteed in consideration of ethical issues that may arise from this. In addition, the research was conducted in consideration of the fact that the researcher had been active as a triathlete for 25 years and was also a victim. Result As a result of inductive categorization of the collected data, the perception of sports violence incidents revealed a breakdown of basic beliefs, institutional problems, concerns, and emotions. There were no negative effects on perceived internal changes, institutional problems, and indirect trauma. As for the perceived external changes, there were no negative effects and indirect trauma. Changes and others were perceived as changes. As the starting point of change, thoughts, feelings, and institutional problems about punishment were derived. As for the direction of change, concerns about secondary damage, a clear demand for change, and the need for an institutional solution were shown. Conclusion A new paradigm model was presented by arranging the responses to the three types of sports violence cases in the order of time flow.

在日韓國人의 生活文化의 異質化와 適應過程에 關한 保健學的 硏究

金正根(Jong-Kun Kim),張昌谷(Chang-Gok Chang),林達旿(Dar-Oh Lim),金武采(Mu-Chae Kim),李州烈(Ju-Yul Lee) 한국인구학회 1992 한국인구학 Vol.15 No.2

After world war Ⅱ Japanese life expectancy has been improved remarkably, and reached the highest level in the world around late 1970's. The life expectancy of Korean has also shown tremendous improvement in recent years with about 20 year's gap from the Japanese. The reason of rapid improvement of life expectancy can be explained by changes in the structure of cause of death due to health system, living standard, social welfare, health behavior of individuals and so on. Korean in Japan is placed under different situations from both Korean in Korea and Japanese in these regards, and expected to show different picture of cause of death pattern. The objective of this study is the comparision of changing patterns of cause of death of three population groups, Korean in Japan, Korean in Korea and Japanese, and to investigate the reasons which effect to the structural difference of mortality cause with special emphasis on health ecological aspects. One of the major limitations of the Korean causes of death statistics is the under-registration which ranges about 10% of the total events, and inaccuracy of the exact cause of death. Some 20% of registered deaths were unable to classify by ICD. However, it is concluded that the Korean data are evaluated as sufficient to stand for over-viewing of trends of cause of death pattern. The evaluation is done by comparing data from registration and field survey over the same population sample. Population data of Korean in Japan differ between two sources of data; census and foreigner's registration. Correction is done by life table method under the assumption that age-specific mortality pattern would accord with that of the Japanese. The crude death rate was lowest among Korean in Japan, 5.7 deaths per 1,000 population in 1965. The crude death rates of Korean in Japan and Japanese are increasing recently influenced by age structure while Korean in Korea still shows decreasing tendency. The adjusted death rate is lowest among Japnaese, followed by Korean in Japan, and Korean in Korea. The leading causes of death of Korean in Korea until 1960's was infectious diseases including pneumonia and tuberculosis. The causes of death structure changed gradually to accidents, neoplasm, hypertensive disease, cerebro-vascular disease in order. The main difference in cause of death between Korean and Japanese is high rate of liver diseases and diabetes for both Korean in Japan and Korea. A special feature of cause of death among Korean in Korea is remakably high rate of hypertensive disease, which is assumed to be caused by physicians tendency in choosing diagnostic categories. The low ischemic heart disease and high vasculo-cerebral disease are the distinctive characteristic of the three population groups compared to western countries. Specific causes of death were selected for detailed sex, age and ethnic group comparisons based on their high death rates. Cancer is the cause of death which showed most drama tical increase in all three population groups. In Korea 20.1% of all death were caused by cancer in 1990 compared with 10.5% in 1981. Cancer of the liver is the leading cause of cancer death among Korean in Japan for both sexes, followed by cancer of the lung and cancer of the stomach, while that of Korean in Korea is cancer of the stomach, followed by cancer of the liver and cancer of the lung for male. Causes of infant mortality were examined among the three population groups since 1980 on yearly bases. For both Japanese and Korean in Japan, leading cause of death ranks as conditions originating in the perinatal period, congenital anomalies, accidents and other violent causes. Trends since 1980 for these two population groups in the leading cause of infant mortality showed no changes. On the contrary, significant changes in leading cause of death structure in Korea were observed : The ranking of leading cause of death in 1981 were congenital asnomali

사내커뮤니케이션과 구성원 정서적, 자주적, 변화참여 열의와의 관계 연구

신호창(Shin, Ho-Chang),송주현(Song, Ju-Hyun) 한국정치정보학회 2015 정치정보연구 Vol.18 No.2

본 연구는 현대 경영에서 중요시되는 소통과 그 동안 커뮤니케이션학에서는 잘 다루어지지 않았던 열의(engagement)의 개념에 주목하여 사내커뮤니케이션과 구성원 열의와의 관계를 통합적으로 고찰하였다. 이를 위해 실무 종사자 약 300여 명을 표집하여 서베이 연구를 실시하였으며, 본 정량적 연구결과를 보강하고 변인간의 관계를 심층적으로 이해하고자 사내커뮤니케이션과 밀접한 직무를 수행하는 국내 유수 기업의 홍보, 인사, 기업 문화 담당 실무자 11명을 대상으로 심층인터뷰를 진행했다. 연구결과, 사내커뮤니케이션의 차원과 구성원 열의의 세부 변인 간에 밀접한 영향 관계가 나타났다. 기업의 가치관(경영이념)에 대한 구성원의 이해가 높을수록 구성원은 기업에 대한 소속감, 애착감이 높아지는 상관관계가 나타났으며, 업무상황에서 개인의 커뮤니케이션 능력과 구성원의 역할인지가 높을수록 업무에 대한 의미감과 자신감이 높게 나타나는 정(+)적인 관계를 발견할 수 있었다. 또한 조직 변화 시기에 구성원의 지지와 참여를 이끌어내기 위해서는 커뮤니케이션 캠페인 활동이 필수적이며, 이를 통해 성공적인 변화를 안착할 수 있음이 드러났다. 본 연구는 그동안 다양한 용어와 개념적 접근으로 혼재되었던 열의(engagement)를 종합적으로 고찰하여 한국형 구성원 열의를 설명하고자 시도했던 첫 연구라 할 수 있다. 특히 구성원 열의를 자발적이고 능동적인 개념에 주목하여 3가지 차원(정서적 열의, 자주적 열의, 변화참여 열의)을 도출하였다는 점에서 현대 조직 구성원의 특성을 반영하여 열의에 대한 새로운 논의를 이끌어냈다. 또한, 실무적으로도 사보제작 및 사내방송을 통한 일방향적인 커뮤니케이션 전술의 한계를 벗어나 구성원의 열의를 증진시키는 데 기여할 수 있는 커뮤니케이션 콘텐츠 및 전략을 논의하였다. The purpose of present study is to identify relations of internal communication (sharing the values, clearness of work communication, communication campaigns) and employee engagement(affective, independent, change-participation will in change situation). The major findings of the study are summarized as follows: First, there is a direct correlation between sharing the values and affective employee engagement. Especially, employees’ understanding of CEO’s philosophy is significantly associated with employees’ membership and organizational identification. Second, the clearness of work communication has positively related to independent employee engagement in work circumstance. In particular, through the open communication at work, personal communication ability and knowledge of working role are considerably associated with perception of work meaningfulness and job confidence. Third, communication campaign has positive effect on employee change-participation will in organizational change situation. This study has a significance owing to looking into the relations between communication and employee engagement in multiple levels. It focuses on not only the specific conditions related to employee’s job satisfaction or citizenship behaviors but also participation will in organizational changing situation. Also, this study strongly concludes that internal communication factors need to be considered in order to increase the level of employee engagement and improve the work effectiveness.