수술환자의 타지역 의료이용에 관한 연구

남문희(Nam, Moon-Hee),김성수(Kim Seong-Soo),박일수(Park, Il-Su),강성홍(Kang, Sung-Hong),김원중(Kim, Won-Joong),최순호(Choi, Soon-Ho),조혜경(Jo, Hye-Kyung),김영택(Kim, Young-Taek),홍성옥(Hong, Sung-Ok) 한국산학기술학회 2010 한국산학기술학회논문지 Vol.11 No.6

본 연구는 수술환자의 타지역 의료이용과 관련된 요인을 규명하기 위하여 2004년부터 2006년도의 퇴원손상 환자조사뿐 아니라, 인구센서스 및 보건의료자원 실태조사자료를 이용하여 교차분석, 로지스틱 회귀분석을 실시한 결 과 다음과 같다. 첫째, 수술환자의 의료이용은 수도권 중심으로 집중화 현상이 뚜렷하다. 이를 개선하기 위해서 정부 에서는 의료기관 및 병상수를 공급하는 일 뿐만 아니라 의료의 지역화를 위해 지방에서의 의료의 질적 수준을 올리 는 정책이 필요하다. 둘째, 눈 및 부속기 질환 및 암환자의 타지역 수술률이 높으므로 질병에 따른 의료의 지역화를 위한 특정 질환의 지역화 정책추진이 요구된다. 셋째, 산재환자 수술환자의 타지역 진료율이 시간이 갈수록 증가하므 로 손상환자를 위한 지역화 정책도 필요하다 할 것이다. This study conducted a chi-square test and a logistic regression analysis by not only using a investigation data of discharged patients with damages from 2004 to 2006, but also using a census and a research data on the actual condition from health care system. The result follows; First, the centralization of medical utilization of operation patients is becoming apparent, centrally the capital area. To improve this, a policy that can not only provide medical centers and sickbed, but also improve the quality of local medical treatments for the localization of medical treatments. Second, propelling localization policy of certain diseases for the localization of medical utilization is needed as the rate of non-residential of operation patients that have diseases of the eye and adnexa, or cancers is high. Third, a localization policy for patients with damages is needed as the rate of treatments in other regions of operation patients with industrial accidents is increasing day by day.

축제이해관계자의 인식이 축제협력의사에 미치는 영향 연구 - 보령머드축제의 Triple Bottom Line 지각을 중심으로 -

남문희 ( Moon Hee Nam ),이진아 ( Jin A Lee ),정강환 ( Gang Hoan Jeong ) 한국관광산업학회 2014 Tourism Research Vol.39 No.4

문화관광축제의 일몰제 적용 이후, 대다수의 축제 개최 조직이 정부의 보조금에 의존하던 정책에서 벗어나 자생력을 키워야하는 과제를 떠안게 되면서 ‘축제경영’의 중요성을 실감하게 되었다. 축제가 다양한 이해관계자들의 동일한 목적의식을 바탕으로 지속가능한 성장(sustainable development)을 하기 위해서는 축제가 지니고 있는 트리플 바텀라인(Triple Bottom Line; TBL)에 대해 이해관계자 집단들이 어떻게 인식하고 있는지가 매우 중요(Allen et al., 2008)하다. 본 연구는 축제이해관계자의 축제개최효과 인식이 문화관광축제 협력에 미치는 영향을 규명하는데 그 목적이 있다. 연구의 목적을 달성하기 위해 문화관광축제 일몰제 적용 이후에도 대한민국을 대표하는 축제로서 지속가능한 성장을 모색하고 있는 보령머드축제를 대상으로 축제이해관계자의 TBL 가치인식을 조사 분석하였다. TBL 지각에 대한 탐색적 요인분석 결과, 보령머드축제가 지역에 미친 영향은 관광촉진 측면과 지역이미지 향상 측면에서 큰 성과를 창출한 것으로 분석된 반면, 부정적 요인들은 낮은 결과를 보여 보령머드축제의 향후발전 가능성은 긍정적으로 해석된다. 또한 축제이해관계자들의 TBL 가치인식은 협력의사에 영향을 주고, 이해관계자 집단에 따라 TBL의 가치인식에는 차이가 있음이 확인되었으므로, 축제의 개발과 운영당사자들은 성공적인 축제 개최를 위해 목적과 전략을 수립하는 일에 판단의 지표로 삼아야 할 것이다. 본 연구는 이해관계자들의 사회적, 환경적 관심을 포함하는 기업의 경영활동을 관광이벤트 경영에 적용한 일명 ‘지역개발형 축제의 TBL 모델’을 창출하였고, 축제이해관계자 그룹의 새로운 분류 기준을 마련하였다는 점에서 연구의 의의가 크다. After the implementation of sunset law, festival organizations have paid increasing attention to festival management, focusing on improving self-competitiveness rather than depending on governmental support. Triple Bottom Line(TBL) perceived by festival stakeholders has been understood as an important factor for festivals to achieve sustainable development(Allen et al., 2008). Therefore, this study aims to examine the impact of perceived TBL on intention to cooperate in Boreyong Mud Festival, one of the representative festivals in Korea. The findings are as follows. Respondents are likely to positively evaluate tourism effect and image improvement of the festival and do not give high scores on negative factors. showing the optimistic future of the festival. Also, perceived TBL significantly affects intention to cooperate and there is no significant difference between stakeholder groups. This indicates that festival organizers should pay more attention to strategies and objectives in their decision making process. In sum, the current study is meaningful since it offers TBL model of regional festivals in which business activities of corporations including social and environmental concerns of stakeholders are applied to tourism event management as well as creating a new standard for classifying festival stakeholder groups.

간호사의 일과 삶의 균형과 간호업무성과가 행복지수에 미치는 영향

남문희(Moon-hee Nam),허현점(Hyeon-jeom Heo) 한국자료분석학회 2022 Journal of the Korean Data Analysis Society Vol.24 No.6

본 연구의 목적은 임상간호사의 일과 삶의 균형, 간호업무성과, 행복지수 정도를 파악하여 간호사의 행복지수를 높이기 위한 방안을 마련하고자 시도되었다. 연구대상은 B광역시와 K도에소재한 161명의 병원간호사를 대상으로 2022년 4월 4일부터 4월15일까지 자가 설문을 통하여 조사하였다. 수집된 자료는 SPSS/Win 24.0을 이용하여 분석하였다. 분석결과 간호사가 인식하는 일과 삶의 균형은 3.29점(5점 만점), 간호업무성과는 3.73점(5점 만점), 행복지수는 3.37점(5점 만점) 이었다. 일반적 특성에 따른 행복지수의 차이는 남성(t=3.608, p<.001), 현 근무부서(F=3.271 p=.023), 월평균 급여수준(F=4.068 p=.019)에 따라 유의한 차이가 있었고, 간호사의 행복지수는 일과 삶의 균형(r=.591, p<.001), 간호업무성과(r=.396, p<.001)간에 유의한 양의 상관관계가 있는 것으로 나타났다. 간호사의 행복지수에 영향을 미치는 요인을 분석한 결과 일과 삶의 균형(β=.48, p<.001), 급여수준 400만원 이상(β=.24, p=.01), 301~400만원(β=.23, p=.03), 간호업무성과(β=.20, p<.001), 성별(β=.14, p=.03)가 유의한 변수였으며, 행복지수에 대한 이들 변수의 설명력은 40.7% 였다. 결론적으로 간호사의 행복지수를 높이기 위해 급여수준 등 외적보상 뿐만 아니라 일과 삶의 균형, 간호업무성과를 높여 행복지수를 높이는 정책개선이 필요하다. The purpose of this study was to prepare a plan to increase the happiness index of nurses by identifying the work-life balance, nursing performance, and happiness index of clinical nurses. The subjects of this study were 161 hospital nurses located in B metropolitan city and K province through self-questionnaires from May 6 to May 20, 2022. The collected data were analyzed using SPSS/Win 24.0. As a result of the analysis, the work-life balance perceived by nurses was 3.29 points (out of 5 points), nursing performance was 3.73 points (out of 5 points), and the happiness index was 3.37 points (out of 5 points). The difference in happiness index according to general characteristics differed according to male (t=3.608, p<.001), current department (F=3.271 p=.023), and monthly average salary (F=4.068 p=.019). There was a significant difference, and the happiness index of nurses had a significant positive correlation between work-life balance (r=.591, p<.001) and nursing performance (r=.396, p<.001). As a result of analyzing the factors affecting the happiness index of nurses, work-life balance (β=.48, p<.001), salary level of 400 ten thousand won or more (β=.24, p=.01), 301-400 ten thousand won (β=.23, p=.03), nursing performance (β=.20, p<.001), and male (β=.14, p=.03) were significant variables. The explanatory power of the variable was 40.7%. In conclusion, in order to increase the happiness index of nurses, it is necessary to improve policies that increase the happiness index by improving work-life balance and nursing performance as well as external compensation.

축제이해관계자의 TBL지각에 따른 축제협력의사에 관한 연구

남문희(Nam, Moon-Hee),정강환(Jeong, Gang-Hoan) 한국호텔외식관광경영학회 2014 한국호텔외식경영학회 학술발표논문집 Vol.2014 No.12

After the cultural tourism festival’s sunset law, most of the festival organizations have realized the importance of the ‘festival management’ as they were obliged to grow out of governmental fund and gain power of their own. In order for a festival to achieve sustainable development based on various stakeholders’ unified goal, it is essential to know how stakeholders’ are viewing the Triple Bottom Line; TBL.(Allen et al., 2008). This research has its goal set on to verify the effect of such views on to stakeholders’ cooperation on cultural tourism festival. To achieve the goal of this research, the researcher has analyzed the TBL value recognition of stakeholders of Boreyong mud festival, the festival that is seeking for sustainable development as a representative Korean festival even after the appliance of the sunset law. As a result of exploratory factor analysis on TBL recognition, the Boryeong mud festival has had positive effect on boosting regional tourism and elevation the region’s image. On the other hand, the analysis shows low rate of negative factors, showing positive future development potentials. Also, the stakeholders’ recognition of TBL value affects cooperation intent, and that the TBL recognition varies according to stakeholder group. Therefore, the festival organizers should set TBL as their index to setting goal and strategy in order to hold successful festival. This research has its significance in that it has created the ‘TBL model for Regional development festival’ (a model that took into account of the companies that includes stakeholders’ social, ecological interest to tourism event management) and that it has provided the new classification rules for stakeholder groups.

전립선 비대증 남성의 건강관련 삶의 질 예측요인

문희남(Hee Nam Moon) 학습자중심교과교육학회 2022 학습자중심교과교육연구 Vol.22 No.15

목적 본 연구는 대상자 본인이 지각하는 하부요로 증상과 질병관련 특성이 전립선 비대증 남성의 건강관련 삶의 질에 미치는 예측 요인을 확인하기 위한 서술적 상관관계 연구이다. 방법 본 연구는 경기도 U시 소재 종합병원 비뇨의학과 외래에 내원하는 전립선 비대증으로 진단을 받은 남성으로, 설문지 내용을 이해하고, 응답하며 의사소통이 가능한 45세 이상 환자를 대상으로 하였고, 총 113명을 대상으로 설문지를 작성하였다. 수집된 자료는 SPSS/WIN 23.0으로 분석하였다. 결과 대상자의 건강관련 삶의 질의 예측요인을 탐색하기 위하여 단계적 회귀분석 시행 결과 전립선 비대증 남성의 건강관련 삶의 질에 영향을 주는 예측인자로 하부요로 증상(β=-.65, p<.000)이 가장 높게 나타났고, 그 다음은 예측인자로는 수면시간(β=.17, p<.008)으로 확인되었다(Adjusted R2=.57). 결론 본 연구 결과 전립선 비대증 남성의 건강관련 삶의 질에 영향을 주는 예측요인은 하부요로 증상과 수면시간으로 조사되었다. 전립선 비대증 낭성의 건강관련 삶의 질을 증진시키기 위해서는 하부요로 증상 관리를 위한 중재와 교육 프로그램이 개발되어야 할 것으로 사료된다. 또한, 하부요로 증상 완화 및 개선에 도움을 주는 전립선 비대증 남성의 증상, 질환 예방에 대한 자가관리 역량 향상에 대한 접근이 필요하다 하겠다. Objectives This study is a descriptive correlation study to confirm the predictive factors of lower urinary tract symptoms and disease-related characteristics perceived by the subject on the health-related quality of life of men with Benign prostate hypertrophy. Methods This study was conducted on a total of 113 patients aged 45 or older who were diagnosed with prostate hypertrophy at a general hospital urology out patient department in U-si, Gyeonggi-do, who could understand, respond to, and communicate with the questionnaire. The collected data were analyzed with SPSS/WIN 23.0. Results As a result of a Stepwise regression analysis to explore predictors of health-related quality of life of subjects, lower urinary tract symptoms (==-.65, p<000) as a predictor of health-related quality of life in men with Benign prostate hypertrophy was the highest, followed by sleep time (==.17 p<008). It was identified as (Adjusted R2=.57). Conclusions As a result of this study, the predictive factors affecting the health-related quality of life of men with prostate hypertrophy were investigated as lower urinary tract symptoms and sleep time. In order to improve the health-related quality of life of prostate hypertrophy cyst, it is believed that intervention and education programs for the management of lower urinary tract symptoms should be developed. In addition, it is necessary to approach the improvement of self-management capabilities for the prevention of symptoms and diseases of prostate hypertrophy men who help alleviate and improve lower urinary tract symptoms.

유한요소법에 의한 비축대칭하중을 받는 탄성지반상의 원형탱크의 해석

남문희(Nam Moon Hee),이관희(Lee Kwan Hee) 대한토목학회 2000 대한토목학회논문집 A Vol.20 No.3A

JAUS에 따른 무인자동차 시스템 설계

문희창(Hee Chang Moon),남일진(Il Jin Nam),김정하(Jung Ha Kim) 한국자동차공학회 2005 한국자동차공학회 춘 추계 학술대회 논문집 Vol.2005 No.5_1

This paper deals with unmanned vehicle system composition and system operating test. Nowadays the research of unmanned vehicle and intelligent vehicle is increased. Especially universities and research institutes are studying unmanned vehicle system for using it to use military equipment. Generally unmanned vehicle system is compose of several system such as vehicle control system, vision system, obstacle detecting system, global positioning system, and tele-operated system. Till now, we developed each system and test it. In this paper, we explain each system of unmanned vehicle, unification method of each system and the joint reference architecture for unmanned system.

2005 DARPA Grand Challenge & Formula SAE 소개

남일진(Il Jin Nam),문희창(Hee Chang Moon),김정하(Jung Ha Kim) 한국자동차공학회 2005 한국자동차공학회 Symposium Vol.- No.-

The Defense Advanced Research Projects Agency (DARPA) intends to conduct a race of autonomous ground vehicles from the vicinity of Los Angeles, CA to Las Vegas, NV. A cash prize will be awarded to the winner. The course will feature both on-road and off-road portions and will include extremely rugged, challenging terrain and obstacles. The purpose of the race is to stimulate interest in and encourage the accelerated development of autonomous ground vehicle technologies that could be used by the US military. The other subject is Formula SAE. The Formula SAE® competition is for SAE student members to conceive, design, fabricate, and compete with small formula-style racing cars. The restrictions on the car frame and engine are limited so that the knowledge, creativity, and imagination of the students are challenged. The cars are built with a team effort over a period of about one year and are taken to the annual competition for judging and comparison with approximately 120 other vehicles from colleges and universities throughout the world. The end result is a great experience for young engineers in a meaningful engineering project as well as the opportunity of working in a dedicated team effort.

UPLC-MS/MS를 이용한 경남지역 파프리카 중 neonicotinoid계 농약 잔류 모니터링

김남국(Nam-Kuk Kim),이승화(Seung Hwa Lee),남유정(Yu Jeong Nam),문경미(Kyung Mi Moon),박민호(Min Ho Park),윤문희(Mun Hee Yun),김미영(Mi Young Kim),장현민(Hyun Min Jang),신봉식(Bong Shig Shin) 한국농약과학회 2011 농약과학회지 Vol.15 No.1

내시경 점막절제술로 치료된 조기 대장암의 추적 결과

이희정 ( Hee Jung Lee ),정현용 ( Hyun Yong Jeong ),박남환 ( Nam Hwan Park ),홍순창 ( Sun Chang Hong ),남관우 ( Gwan Woo Nam ),문희석 ( Hee Seok Moon ),이엄석 ( Eaum Seok Lee ),김석현 ( Seok Hyun Kim ),성재규 ( Jae Kyu Sung ),이병 대한소화기학회 2011 대한소화기학회지 Vol.57 No.4

Background/Aims: Recently colonoscopy and screening programs have led to the detection and removal of increasing numbers of early colorectal cancer (ECC), which can reduce its related mortality. We analysed the clinical, endoscopic, and histologic findings, as well as the follow-up data, to evaluate the effectiveness and the long-term results of endoscopic mucosal resection (EMR) for ECC. Methods: We analysed, retrospectively, 94 lesions in 92 patients who underwent EMR for ECC from January 2002 to June 2009. Results: The overage age of patients was 60 years old. The mean follow-up period was 22.1 months (6-80). En bloc resection rate was 64.9%. Submucosal invasion was found in 30 cases (31.9%). De novo cancer rate was 26.6% which had higher submucosal invasion rate (60%, p=0.003). The complete resection rate was 87.2%, and there was no recurrence of cancer during follow-up (p=0.000). Twelve incomplete resection cases had received further surgical treatments. No procedure-related mortality was found and no recurrent malignancy was found except 1 case. Conclusions: This study shows that EMR is an effective and safe treatment for ECC. En bloc resection provides precise histologic information and prevention of tumor recurrence. (Korean J Gastroenterol 2011;57:230-236)