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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.
Purpose: Clinical observation and research findings show that acute traumatic coagulopathy (ATC) is a major factor that must be addressed in the early care of severe trauma patients. ATC is associated with increased transfusion requirements and poor clinical outcomes. This study aimed to correlate the early predictable factors of ATC with the outcomes in severe trauma patients. Methods: Retrospective data from the trauma registry on severe trauma patients (Injury Severity Score (ISS) ≥16) were used to identify variables independently associated with coagulopathy. Univariate associations were calculated, and a multivariable logistic regression analysis was used to determine variables independently associated with ATC. Results: Patients were mostly male, aged 51.9±17.8 years, with an injury severity score of 24.1±12.4. ATC, as diagnosed in the emergency department (ED), occurred in 17% of the severe trauma patients. Using a multivariable logistic regression analysis, early predictable variables independently associated with ATC were base deficit (odds ratio (OR): 13.03; 95% confidence interval (CI): 3.47-48.93), acute liver injury (OR: 4.24; 95% CI: 1.06-17.00), and transfer from another hospital (OR: 21.00; 95% CI: 3.23-136.60). Conclusion: ATC is associated with mortality in severe trauma patients, and some variables associated with trauma and shock are an independent predictors of ATC. These variables contribute to the early recognition and management of coagulopathy, which may improve the outcome from trauma resuscitation. (J Korean Soc Traumatol 2012;25:72-78)
이현희 ( Hyun Hee Lee ), 서강석 ( Kang Suk Seo ), 정제명 ( Jae Myung Chung ), 박정배 ( Jeong Bae Park ), 류현욱 ( Hyun Wook Ryoo ), 김종근 ( Jong Kun Kim ), 서준석 ( Jun Seok Seo ), 이삼범 ( Sam Beom Lee ), 최우익 ( Woo Ik Choi ), 이경원 () 대한응급의학회 2008 大韓應急醫學會誌 Vol.19 No.3
Purpose: To report characteristics of out-of-hospital cardiac arrest (OHCA) patients in whom 119 rescuers used an automated external defibrillator (AED) in the metropolitan area Methods: 1,689 OHCA patients were transferred to hospitals by 119 rescuers between 1 January and 31 December, 2006. Among them, 106 OHCA patients for whom 119 rescuers used an AED were enrolled retrospectively. Results: Shockable rhythm with AED use was 70.8%, witnessed arrest was 46.2%, and bystander cardiopulmonary resuscitation (CPR) was 6.6%. The most common location of cardiac arrest was in the home, at 74.5%. Response time was 7.1(±3.9) minutes. Chest compression during transport was done by 119 rescuers in 87.7% of cases, and assisted ventilations such as advanced airway management and bag valve mask ventilation were performed by 119 rescuers in 17.0%. Initial ECG findings at ED were asystole(59.4%), PEA(25.5%), VF/pulseless VT(8.5%), sinus rhythm(4.7%), and others(1.9%). The most common etiology of cardiac arrest was presumed cardiac origin in 68.9% of cases. Sustained return of spontaneous circulation (ROSC) was 26.4%. The proportion of patients discharged alive was 11.3%. Conclusion: The performance of bystander CPR and usage of AED, and appropriate CPR done by 119 rescuers were unsatisfactory in metropolitan Daegu. There is a marked need to establish basic life support education in the areas of bystander CPR, and a quantitative and qualitative development of 119 rescue capability.