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      • 병원마케팅 효율성 제고를 위한 의료서비스의 질 향상에 관한 일 고찰

        박창식 고신대학교보건과학연구소 1999 보건과학연구소보 Vol.9 No.-

        The concept of QA is very different among European countries. Regardless of their political systems, poor countries of the continent pt equity as top priority and see a high-level scientific and technological quality they can't provide as extravagant. while rich countries emphasize medical excellence and appear having the quality of highly advanced and specialized medical service, though many countries initially sought to find out wide ways of providing the best quality medical treatment to everyone. Thus they are paying more attention to setting up a moderate level of medical service and a logic concept of the quality. In this sense, it is officiality raised that if there are any adverse effects on medical clients, the current scientific and technological quality of medical treatment could be allowed to lower. The first motive of a quality-related activity, especially a new or planned activity is to improve a scientific and technological quality of medical treatment or improve an economic effectiveness of the quality. Both of such tow trends may exit in some countries. In general, the medical profession pursues the maximum quality while health authorities may accept a moderate QA and emphasize the, effective, but minimum level of medical treatment. These differences in motive and purpose are potentially causing conflicts. Medical demand and the use of hospitals based on medical development have dramatically increased as the income and educational level of people have went up and they have paid more attention to their health. The number of hospitals has gradually increased and accordingly, medical industry has played a bigger role and occupied a medical service by hospitals is essential for the development of the field. Any of a nation's people has the right to receive medical service and any of medical professionals has the duty to equally provide such service to everyone. But actually, hospitals of this nation which have provided medical service under the philosophy of product of sale orientation are not putting into practice a real philosophy of customer-oriented marketing with excuses such as financial situation, installation of high-cost medical equipment and professional medical service provision. Synthetically speaking, hospitals as medical service providers can raise the quality of the service by providing not only human but also material services better, realizing the philosophy of customer orientation. Hospitals should have a positive recognition of the improvement of QA, avoiding a narrow view in providing medical treatment to customers To do so needs much a new type of hospital service marketing. In addition, hospital management should be performed with its emphasis on medical service and hospital managers and medical professionals should change their consciousness. Finally, hospital service marketers should consider characteristics and attitudes of customers enough and mark their best efforts of providing the best QA under therecognition that improvement in QA leads to hospital effectiveness.

      • KCI우수등재

        미경산 순종 및 이품종간 교잡종 돼지의 임신 및 분만시에 성 Hormone 수준에 관한 연구

        박창식,이규승 ( Chang Sik Park,Kyu Seung Lee ) 한국축산학회 1983 한국축산학회지 Vol.25 No.6

        The present study was carried out to compare the reproductive performance and the serum concentrations of peptide and steroid hormones between the Landrace and the two-breed cross [(Large White ♂ x Landrace ♀) F₁] in the gilt from 15 days after mating to 10 days postpartum. Five gilts of the Landrace and the two-breed cross, respectively, were used for collection of blood samples. FSH, LH, prolactin, estradiol-173, progesterone and cortisol were assayed by radioimmunoassay methods. The results obtained in this study are as follows. 1. The two-breed cross gilt was 9.1 days faster in age at puberal estrus, 1.4 heads larger in number of pigs born alive per litter and number of live pigs at 21 days, 2.9 ㎏ heavier in total litter weight at birth, and 14.3 ㎏ heavier in total litter weight at 21 days than the Landrace gilt. 2. The serum FSH concentrations from 15 days after mating to 10 days postpartum ranged from 1.35 to 1.80 mIU/㎖ in the Landrace and from 1.30 to 1.80 mIU/㎖ in the two-breed cross. But the significance was not recognized between the Landrace and the two-breed cross. 3. The LH concentrations ranged from 2.2.0 to 4.35 mIU/㎖ in the Lardrace and from 2.45 to 3.75 mIU/㎖ in the two-breed cross. But we did not find any differences between the Landrace and the two-breed cross. 4. The prolactin concentrations between the Landrace and the two-breed cross did not find any differences but they showed significant fluctuation during pregnancy. 5. In the Landrace and the two-breed cross, the estradiol-1.7β concentrations increased from 27.20 pg/㎖ and 27.56 pg/㎖ at 15 days after mating to 620.15 pg/㎖ and 652.80 pg/㎖ at the time of parturition, respectively. 6. The progesterone concentrations in the Landrace were higher than those in the two-breed cross from 15 to 30 days after matings, and vice versa from 75 to 105 days after mating. The concentrations in the Landrace decreased from 38.90 ng/㎖ at 15 days after mating to 16.85 ng/㎖ at 105 days after mating and rapidly declined at the time of parturition until the levels (1.35 ng/㎖) were reached. The concentrations in the two-breed cross ranged from 24.0 ng/㎖ to 21.1 ng/㎖ and then rapidly dropped at the time of parturition. 7. The cortisol concentrations (from 34.5 to 50.0 ng/㎖) in the two-breed cross were significantly higher than those (from 13.0 to 24.5 ng/㎖) in the Landrace throughout the pregnancy.

      • Pellet飼料의 給與가 병아리의 代謝에너지와 窒素蓄積에 미치는 影響

        朴昌植,權純夔,閔泰赫 충남대학교 농업과학연구소 1983 農業技術硏究報告 Vol.10 No.2

        This study was carried out to compare the feed utilization between pelleted and all-mash diet of similar composition by growing chickens. Day-old broilers(Hubbard) and egg-type chickens(Hy-line) of commercial strain were employed in this experiment. The results obtained were summarized as follows. 1. The chickens fed pelleted diets were heavier than those of birds fed all-mash diets. The Hubbard broilers and Hy-line chickens fed pelleted diets weighed 2,702g and 812g respectively, at 9 weeks of age. In comparison, the Hubbard broilers and Hy-line chickens fed all-mash diets weighed 2,571g and 777g respectively, at 9 weeks of age. 2. The pellet-fed chickens consumed more feeds than birds fed all-mash diets in both types of strain. Feed efficiencies(gain/feed) of Hubbard and Hy-line chickens were 0.38 and 0.26 in pellet feeding groups, and 0.36 and 0.25 in all-mash feeding groups, respectively. The Hy-line chickens fed pelleted diets drank more water than birds fed all-mash diets. 3. Pellet feeding groups produced more dry matter excreta as compared with all-mash feeding groups, reflecting the pattern of feed consumption by these chickens. Nitrogen retention ratio of the Hubbard and Hy-line chickens were 57-67% and 65-73%, respectively. Chickens fed pelleted diets showed 1-4% higher nitrogen retention than chickens fed all-mash diets. 4. The ME/GE ratio of the Hubbard and the Hy-line at 8 weeks of age were 73.4-74.3% and 82.8-83.8%, respectively. Pellet feeding groups showed 1% higher ME/GE ratio than all-mash feeding groups. 5. The dietary productive energy calculated from respiratory quotient was 94.1-102.6kcal/kg^¾ BW/day in pellet feeding groups. The ratios of PE/GE were 41.3-48.9% in pellet feeding groups and 39.0-45.8% in all-mash feeding groups. 6. It appears that pelleting the all-mash diet increases feed consumption and body weight gain of growing chickens. Feed efficiency and energy utilization were also improved by pelleting process. More research work should be done to establish the relationship clearly between feed pelleting and heat increments.

      • 중국의 농업정책 방향

        박창식 농업협동조합중앙회 2004 농협조사월보 Vol.561 No.-

        2003년 중국 정부는 '삼농(三農: 농업, 농촌, 농민)'문제의 해결과 사스(SARS) 등 자연재해의 피해를 극복하기 위해 최선의 노력을 하였다. 또한 농민의 소득증대와 농촌사회의 안정을 유지하기 위하여 농업경제 발전과 농촌개혁을 지속적으로 추진하였다. 그럼에도 불구하고 중국에는 농민의 소득향상을 제약하는 많은 문제점들이 상존하고 있다. 전국 농민의 평균소득은 매년 완만허 증가하고 있지만, 식량주산지의 경우 그 증가폭이 전국 평균에도 미치지 못하고 있는 실정이다. 많은 전업(專業)농가들의 소득 또한 제자리걸음을 하고 있거나 감소하고 있다. 게다가 도·농간의 소득격차가 계속 확대되고 있다. 이와 같이 농민소득이 장기적으로 정체될 경우 농민의 생활수준은 저하될 뿐만 아니라 식량과 농산물의 생산에 악영향을 미쳐 농촌경제는 물론 국민경제 성장에까지 부담으로 작용할 것으로 예상된다. 이것은 중대한 경제문제일 뿐만 아니라 정치문제이기도 하다. 따라서 중국공산당(黨)은 반드시 "三個代表"의 핵심사상을 관철시켜 농민 소득을 크게 향상시킴과 동시에 농민소득 향상의 중요성을 더욱 강조하고 있다. 현재 중국 농엽과 농촌 환경의 급격한 변화로 농민소득의 증가는 한계에 봉착해 있다. 그동안 장기적으로 누적되어온 도·농 이원화 구조 또한 소득증가에 장애로 작용하고 있다. 농민의 소득원이 다양화되고 경쟁이 치열해 지고 있는 상황에서 농민의 소득을 제고하기 위해서는 발전전략, 경제체제, 정책 등의 대전환을 포함한 종합대책이 강구되어야 한다. 앞으로 각급 당위원회와 정부는 일정기간 동안 농민의 소득증대라는 목표를 달성하기 위해서 16대와 16계 삼중전회 정신을 깊이 연구하여 과학적인 발전관을 철저히 수립하여야 한다. 아울러 도·농 경제가 더불어 발전할 수 있도록 '다여 (多予), 소취 (少取),방활(放活)' 의 방침을 견지하여야 한다. 농업구조조정을 통하여 농민의 취업기회를 확대하고, 과학기술을 발전시켜 농촌개혁을 촉진하여야 한다. 농업에 대한 투자와 지원 확대로 농민소득을 향상시켜 도·농간 소득격차를 최대한 줄여나가야 한다.

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