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호흡기 ; 의료시설폐렴의 임상적 및 세균학적 특성 의료시설폐렴의 임상적 및 세균학적 특성
윤원경 ( Won Kyung Yoon ),김민 ( Min Kim ),김이영 ( Yi Young Kim ),이윤지 ( Yun Ji Lee ),황보엽 ( Yup Hwang Bo ),최금주 ( Keum Ju Choi ),황준현 ( Jun Hyun Hwang ),정승욱 ( Seung Wook Jung ),유승수 ( Seung Soo Yoo ),이신엽 ( Shin 대한내과학회 2010 대한내과학회지 Vol.78 No.6
Background/Aims: Healthcare-associated pneumonia (HCAP) occurs outside hospitals, but its characteristics are similar to those of hospital-acquired pneumonia (HAP). We evaluated the clinical and microbial characteristics of HCAP in Korea. Methods: Of 130 subjects with suspected pneumonia, 49 were classified as HCAP and 81 as HAP. We retrospectively examined the clinical presentations, outcomes, pathogens, and drug resistance rates of Pseudomonas aeruginosae in both groups. Results: The clinical presentations, including the symptoms and laboratory findings, at the time of hospitalization were comparable in both groups. The hospital mortalities of HCAP (28.6%) and HAP (34.6%) did not differ significantly; the length of the hospital stay was similar for all of the survivors (14 vs. 17 days, respectively). Of the identified pathogens, methicillin-resistant Staphylococcus aureus was significantly less common in HCAP than in HAP (two vs. 18 cases, respectively, p<0.01), whereas Klebsiella pneumoniae was more common in HCAP (five vs. zero cases, respectively, p<0.01). The frequency of other Gram-negative rods was similar in both groups. The rate of resistance to antibiotics in P. aeruginosae in both groups was substantial, with the highest resistant rate to ciprofloxacin (50% and 61.5% in HCAP and HAP, respectively). Conclusions: Although the clinical features and outcomes of HCAP were comparable to those of HAP in the study population, the frequency of methicillin-resistant S. aureus was significantly lower in HCAP compared to HAP. (Korean J Med 78:709-716, 2010)
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박재진 ( Jae Jin Park ),박영근 ( Young Gun Park ),윤금주 ( Keum Ju Yoon ) 한국유통물류정책학회 2021 유통물류연구 Vol.8 No.3
본 연구의 목적은 프랜차이즈 가맹본부의 갑질에 대한 가맹점 인식이 상생협력정도와 관계성과에 미치는 영향을 파악하는 데 있다. 또한 상생협력이 가맹점주의 갑질 인식과 관계성과 사이에서 매개역할을 하는지 살펴보고자 하였다. 자료는 설문지를 통해 온/오프라인 방식으로 수집하였으며, 주로 프랜차이즈 가맹점주를 대상으로 조사하였다. 수집된 유효설문지 250부를 최종분석에 이용하였다. 본 연구의 분석결과를 요약하면 다음과 같다. 첫째, 가맹본부의 갑질유형중에서 거래상 지위남용과 허위ㆍ과장정보제공은 상생협력에 부(-)의 영향을 미치는 것으로 나타났다. 그러나 프랜차이즈 갑질 중 대인적 갑질, 구속조건부거래, 거래거절은 상생협력과 부(-)의 관계가 나타나지 않았다. 특히 손해배상의무부과행위는 상생협력과 정(+)의 방향으로 나와 연구가설과 정반대의 결과가 도출되었다. 이러한 결과는 한국 프랜차이즈 산업에 갑질 문화가 만연해 있고, 갑질의 행태들이 뿌리 깊은 관행으로 자리 잡혀있어, 가맹본부의 부당한 행위에도 불구하고 가맹점사업자들이 경제적인 손실을 지각하지 못하고 있다는 것을 의미한다. 둘째, 가맹본부와 가맹점간의 상생협력이 좋을수록 관계성과가 좋았다. 계약지속의도와 다점포 운영의도가 높았으며, 계약해지의도는 낮았다. 셋째, 상생협력의 매개효과에 대한 분석결과, 상생협력은 허위ㆍ과장정보제공이 계약 지속의도, 다점포 운영의도에 간접효과만을 보여 완전 매개하였으며, 허위ㆍ과장정보와 계약 해지의도는 직접효과와 간접효과 모두 보여 부분 매개하였다. 이는 가맹본부의 허위ㆍ과장정보제공행위는 상생협력을 통해 관계성과를 악화시킨다는 것을 의미한다. 본 연구를 통해 가맹본부에 대한 가맹점주의 갑질인식은 상생협력에 위협이 되며 관계성과를 악화시켜 지속적인 성장을 저해한다는 것을 확인하였다. The purpose of this study is to investigate how the franchisee’s Gapjil* influcences on the win-win cooperation and their relationship. In addiiton, we would like to examine if the win-win cooperation plays a mediator role between the perception of franchisee owners and the relation performances. The data was collected through a questionnaire method, and the survey was conducted from the franchise owners. 250 copies of the collected valid questionnaires were used for the final analysis. The analysis results of this study are summarized as follows. First, among the sub-factors of franchisor’s gapjil, the abuse of trading position and the provision of false and the exaggerated information were found to have a negative(-) effect on win-win cooperation. But, there was no significant negative(-) relationship with win-win cooperation in interpersonal Gapjil, contingent conditional transaction, and transaction rejection among franchises. In particular, the act of imposing compensation for damages was significant in the direction of the win-win cooperation process and the opposite result of the research hypothesis was drawn. Second, the better the win-win cooperation between the franchisor and the franchisees becomes, the better the relationship performance does. The intentions to continue a contract and operate a multi store were high and,on the other hand, the intention to terminate was low. Third, as a result of analyzing the mediating effect of win-win cooperation, it can be considered that the effect of Gapjil type on relationship performance is mediated by win-win cooperation. Furthemore, win-win cooperation, the provision of false/exaggerated informatioin and the contract termination intention showed only an indirect effffect on the contract continuation intention and multi-store operation intention. And for the case of win-win cooperation, the false/exaggerated information and the contract termination intented to have direct effects. and indirect effects, which were partially mediated. This means that the franchisor’s act of providing falseㆍexaggerated information deteriorates the relationship performance through win-win cooperation. Through this study, it was confirmed that the franchisee’s perception of Gapjil toward the franchisor can be a threat to win-win cooperation and the aggravating the relationship performance disrupts the continuous growth. *Gapjil refers to the arrogant and authoritarian attitude or actions of people in South Korea who have positions of power over others. It is a new word that has appeared on the Internet in Korea since 2013.
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만성폐쇄성폐질환에 폐렴과 급성악화로 입원한 환자의 임상적 특성 및 예후 비교
정승욱 ( Seung Wook Jeong ),이재희 ( Jae Hee Lee ),최금주 ( Keum Ju Choi ),황보엽 ( Bo Yup Hwang ),김이영 ( Yi Young Kim ),이윤지 ( Yun Ji Lee ),윤원경 ( Won Kyung Yoon ),김민 ( Min Kim ),차승익 ( Sung Ick Cha ),박재용 ( Jae Yong 대한결핵 및 호흡기학회 2010 Tuberculosis and Respiratory Diseases Vol.69 No.1
Background: Data comparing the clinical characteristics and outcomes in chronic obstructive pulmonary disease (COPD) patients hospitalized with community-acquired pneumonia (CAP-COPD) and acute exacerbation (AE-COPD) are very limited. Methods: Eighty episodes of hospitalization in 65 CAP-COPD patients, and 111 episodes of hospitalization in 82 AE-COPD patients were included in this study. The baseline characteristics, clinical presentations, potential bacterial pathogens and clinical outcomes in these patients were retrospectively reviewed and compared. Results: No significant differences were found between the two groups in parameters related to COPD and co-morbidities, except a higher rate of male among CAP-COPD patients. Clinical presentations by symptoms and laboratory findings on admission were significantly more severe in CAP-COPD patients, who showed higher rates of fever and crepitation, but less wheezing than AE-COPD patients. S. pneumoniae and P. aeruginosae were the most common bacterial pathogens in both groups. With no difference in the overall hospital mortality between both groups, the mean length of hospital stay was significantly longer in the CAP-COPD patients than in AE-COPD patients (15.3 vs. 9.8 days, respectively, p<0.01). Additional analysis on CAP-COPD patients showed that systemic steroid use did not influence the length of hospital stay. Conclusion: Although there was no significant difference in bacterial pathogens and overall hospital mortality between the two groups, CAP-COPD patients had more severe clinical symptoms and laboratory findings at presentation, and longer hospital stay than AE-COPD patients.
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