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      • KCI등재

        간호사의 이직의도 구조모형

        김창희,양승순,김연자,손연정,유미애,송주은 대한간호학회 간호행정학회 2009 간호행정학회지 Vol.15 No.4

        Purpose: The purpose of this study was to construct and test a structural equation model of nurses' turnover intention. Method: The participants were 716 nurses at 4 university hospitals. Data were collected by a self-report questionnaire in 2008 and analyzed using SPSS 12.0 and AMOS 4.0 Win program. Results: The fit indices of modified model were x²=285.928(p<.001),x²/df=1.958GFI=0.964, RMSEA=0.037, AGFI=0.944, NFI=0.947, NNFI=0.961, CFI=0.973, PNFI=0.658 and showed high compatibility with the empirical data. In the final model, job stress and satisfaction were found to have significant direct effects on nurses' turnover intention, while organizational culture and emotional labor were very important factors to have indirect effects on turnover intention via job stress and satisfaction. Nurses' turnover intention was accounted for 41.2% of covariance by these factors. Conclusions: Comprehensive nursing interventions for decreasing nurses' turnover intention should be focused on reducing job stress and increasing job satisfaction. Also, Nursing strategy for enhancing positive organizational culture and decreasing emotional labor would be helpful for decreasing nurses' turnover intention, too. Further studies are needed to prospectively conduct to verify these causal relationships with larger sample.

      • KCI등재

        Impact of Impaired Renal Function on the Incidence of Atrial Fibrillation after Radiofrequency Ablation of Cavotricuspid Isthmus-dependent Atrial Flutter

        김창희,김준,김민수,노재형,최진희,조욱,이우석,김유리,남기병,최기준,김유호 대한심장학회 2015 Korean Circulation Journal Vol.45 No.6

        Background and Objectives: Atrial fibrillation (AF) occurs frequently after successful radiofrequency ablation (RFA) of cavotricuspidisthmus-dependent atrial flutter (CTI-AFL). Renal impairment has been implicated in the development of AF. The purpose of this study isto clarify the impact of impaired renal function on the incidence of AF after RFA of CTI-AFL. Subjects and Methods: Between January 2001 and December 2013, 240 non-dialysis patients with no prior history of AF {mean age55.9±15.2 years old; male, 192 (80.0%)} who had undergone successful CTI-AFL ablation were included in the present study. The baselineestimated glomerular filtration rate was calculated, and patients were divided into those with impaired renal function (<60 mL/min/1.73m2) and those with preserved renal function (≥ 60 mL/min/1.73 m2). The incidence of AF was retrospectively analyzed. Results: 69 (28.8%) patients experienced new onset AF during a median follow-up duration of 26 months (inter-quartile, 7–53). Theincidence of AF was significantly higher in patients with impaired renal function than in those with preserved renal function {13/25(52.0%) versus 56/215 (26.0%), log rank p=0.019}. Age, CHADS2 score, impaired renal function, and left atrial diameter were significantlyassociated with the incidence of AF in univariate Cox regression analysis. Multivariate analysis showed that age was the only significantpredictor of AF incidence (hazard ratio, 1.024; 95% confidence interval, 1.004–1.044, p=0.020). Conclusion: Patients with impaired renal function may require careful attention for the incidence of new onset AF following successfulRFA of CTI-AFL

      • KCI등재

        김정은의 정치리더십에 관한 연구 - 터커(Robert C. Tucker)의 기능적 접근을 중심으로 -

        김창희 한국통일전략학회 2017 통일전략 Vol.17 No.2

        Robert C. Tucker, who explores political leadership in terms of functionalism, includes authoritarian or dictatorial leadership in the research category. His functional approach is how the leaders interpret national challenges, which policies they decide in order to settle the challenges and how well they mobilize the political community's support for their decisions. This study is to explore the possibility of its realization, which adopts his approach for scrutinizing and comprehending Kim Jong Un's leadership. The national development strategy pursued by the Kim Jong-un regime is described as the ‘Byungjin’ policy. His every situation awareness was based on imperialism invasion and he prescribed 'military-first policy' with fortified military and nuclear affairs as a proper and dignified measure for sustaining a national system. ‘Construction of a strong economic state and people’s economy development strategy’ specifies ‘Five-year Strategy for Economic Development.’ The problem of the strategy places in strategic focus on the principal of self-help first through public mobilization catch phrasing ‘Chosun Tempo’ and ‘Manlima Spirit.’ In this way, it is impossible for the strategic objective of North Korea. The objective can be effectuated only by international cooperation with the change of the Bungjin policy. It is limitation of Kim Jong Un’s political leadership. 정치리더십을 기능론적 관점에서 접근한 터커(Robert C. Tucker)는 독재적인 리더십 현상도 연구대상에 포함시켰다. 터커의 기능적 접근은 지도자들이 국가가 당면한 문제 상황에 대한 진단과 처방, 지지의 문제를 다루고 있다. 이 연구의 목적은 터커의 기능적 분석을 활용하여 김정은의 정치리더십이 어떻게 발휘되고 있는가를 규명하고 타진해 보려는 것이다. 김정은 체제에서 내세우고 있는 국가발전전략은 ‘경제건설과 핵무력 건설 병진노선’이다. 김정은의 모든 상황진단은 제국주의 침략을 내세웠고, 체제유지를 위해서는 군사와 핵을 강화하는 것이 가장 위용하고 적합하다고 처방을 하였다. 경제건설 문제로 제시된 것이 국가경제발전 5개년 전략이다. 문제는 이를 시행하기 위하여 내세우고 있는 것이 ‘조선속도’, ‘만리마정신’ 등 각종 동원전투를 통한 자장력제일주의 전략노선이다. 김정은이 이러한 전략으로 목표를 달성할 수 있을 것인가. 병진노선을 포기하는 과감한 정책변화로 국제협력을 끌어들이지 않고서는 불가능하다. 이것이 김정은의 정치리더십의 한계이다.

      • KCI등재

        Unusual Tumors Obstructing the External Auditory Canal: Report of Two Cases

        김창희,이혜승,김성용,신정은 대한청각학회 2019 Journal of Audiology & Otology Vol.23 No.1

        Primary tumors arising from the external auditory canal (EAC) are rare. We describe twocases of mass lesions within the EAC causing slowly progressive hearing loss without otorrheaor otalgia. Otoendoscopic examination demonstrated total obstruction of the EAC,and pure tone audiometry revealed conductive hearing loss. Based on the findings of thehistopathologic examination, one patient was diagnosed with venous hemangioma thatwas treated using surgical resection, and the other patient was diagnosed with diffuselarge B-cell lymphoma (DLBCL) that was treated using external-beam radiation therapy. Althoughprimary tumors in the EAC are rare, both benign tumors such as venous hemangiomasand malignant lesions such as DLBCL should be considered as possible differentialdiagnoses of mass lesions in the EAC.

      • 주파수영역 3차원 패널법을 이용한 항공기의 비정상 공력해석

        김창희,조진수,염찬홍 대한기계학회 1994 대한기계학회논문집 Vol.18 No.7

        Unsteady aerodynamic analysis of an aircraft is done using a frequency domian 3-D panel method. The method is based on an unsteady linear compressible lifting surface theory. The lifting surface is placed in a flight patch, and angle of attack and camber effects are implemented in upwash. Fuselage effects are not considered. The unsteady solutions of the code are validated by comparing with the solutions of a hybrid doublet lattice-doublet point method and a doublet point method for various wing configurations at subsonic and supersonic flow conditions. The calculated results of dynamic stability derivatives for aircraft are shown without comparision due to lack of available measured data or calculated results.

      • KCI등재

        3-Channel Vaginal Ovoids의 선량분포 특성

        김창희,윤상모,김성규,신세원,Kim Chang Hee,Yun Sang Mo,Kim Sung Kyu,Shin Sei One 한국의학물리학회 2004 의학물리 Vol.15 No.3

        This study was aimed to develop a new ovoid applicator for vaginal high-dose rate intracavitary radiation therapy, evaluate uniformity of dose distribution, and assess clinical applicability. The authors evaluated dose uniformity of vaginal mucosa according to 5-different ovoid-separation using 2-channel and modified 3-channel ovoid applicator. There were no significant differences in the dose distribution along the vaginal mucosa with 2 and 2.5 cm separations, but there were between the 2-channel and 3-channel ovoid applicator with a separation of 3 cm or more. Although a low dose area was shown between two ovoid applicators with the 2-channel ovoid applicator, the dose distribution along the vaginal mucosa with the 3-channel ovoid applicator was very uniform.

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