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지경진 ( Ji Kyung Jin ),이윤숙 ( Lee Yoonsuk ),이종인 ( Lee Jong In ) 한국농촌계획학회 2021 농촌계획 Vol.27 No.2
This study focuses on the relationship between ginseng production per area and meteorological factors. Four areas of major ginseng production are considered in the study. Chungcheongnam-do and Gyengsangbuk-do are selected as the original major production places and Gyeonggi-do and Kangwon-do are selected as the new major places. The meteorological factors applied for study are the average temperature, accumulated precipitation, and integrated sunshine hours. With the data collected across four areas, we used a panel data analysis. From the results of Hausman test, the fixed effects model allowing to control individual area effect is preferable to the random effects model. Based on the results of the fixed effects model, the accumulated precipitation statistically and significantly affect the decreases in ginseng production. Changes in the average temperature negatively affect ginseng production, but the value is not statistically significant. The integrated sunshine positively affect ginseng production, but the value is not statistically significant.
환자가 인지하는 의료서비스 질이 지각하는 가치와 만족도 및 재이용 의도에 미치는 영향 -전문병원과 일반병원을 중심으로-
지경자 ( Kyung Ja Ji ),박천만 ( Chun Man Park ),이종렬 ( Jong Ryol Lee ) 대한보건협회 2011 대한보건연구 Vol.37 No.2
Objectives: This study aims to analyze the effect of quality of health care on perceived value, patient satisfaction and revisit intention. Especially, it was focused on outdoor environment, admission procedure, hospital image, service quality of physicians that patients perceived. Methods: Both inpatients and outpatients were selected from one specialty hospitals and one general hospitals in D city. Questionnaire survey was employed to collect data from the subjects. Results: 1. Specialty Hospitals. For inpatients, hospital image and service quality of medical technicians have an effect on perceived value. Service quality of physicians has an effect on the patient satisfaction. For outpatients, hospital image and service quality of physicians and medical technicians have an effect on perceived value. Outdoor environment, hospital image, service quality of physicians and medical technicians, and perceived value have an effect on patient satisfaction. Perceived value and patient satisfaction have an effect on revisit intention. 2. General Hospitals. For inpatients, hospital image has an effect on the perceived effect. Service quality of medical technicians has an effect on the patient satisfaction. Perceived value and patient satisfaction have an effect on the revisit intention. For outpatients, hospital image and service quality of physicians and medical technicians have an effect on the perceived value. Outdoor environment, service quality of physicians, and perceived value have an effect on the patient satisfaction. Admission procedure, hospital image, service quality of physicians, perceived value, and patient satisfaction have an effect on revisit intention. Conclusion: Thus, this study indicates that the each medical institution have a different influence on the revisit intention by perceived value and patient satisfaction that medical customers feel after they underwent the medical service. It is necessary for medical institutions to develop friendly health service manual that represents specific guidelines of service behaviors in terms of patient-oriented health care service. Specialty hospitals are expected to have an enhanced quality on their specialized health care service. They should evaluate customer satisfaction on their services and analyze various factors that affect on it to improve specialty hospitals. Government also should offer small and middle-sized hospitals basic conditions to increase their self-care capability as high quality of specialty hospitals.
복강경 담낭 절제술 2,523예 시행 중 개복술로 전환한 111예에 대한 임상적 고찰
방지성(Ji Sung Bang),최유신(Yu Sin Choi),김범규(Beom Gyu Kim),차성재(Sung Jae Cha),지경천(Kyung Choun Chi),이정효(Jung Hyo Lee),장인택(In Taik Chang) 한국간담췌외과학회 2008 한국간담췌외과학회지 Vol.12 No.3
Purpose: While laparoscopic cholecystectomy can be successfully performed in the majority of patients, conversion to open procedure is still necessary in certain cases. The purpose of this study was to identify the discerning factors that helped to predict the need for conversion to open cholecystectomy. Methods: A retrospective review was conducted on the data for 2,523 laparoscopic cholecystectomies performed at Chung-Ang University Hospital between January 2002 and July 2007. Patient sex, age, height, weight, body mass index (BMI), duration of preoperative hospital stay, preoperative physical examination, laboratory data, radiologic findings, and reasons for conversion to open procedure were evaluated. Results: Adhesion was perceived to be the most critical factor for conversion in 56 of 111 total cases (50.5%). Bleeding (22.5%), bile duct injury (11.7%), inflammation (9.0%), and uncertain anatomy (6.3%) followed sequentially in incidence. Factors found to significantly increase the risk of conversion on univariate analysis were patient age >70 years, male sex, previous abdominal operation, preoperative common bile duct stone, tenderness in the right upper quadrant, distended shape of the gallbladder, and pericholecystic fluid collection. On multivariate analysis, the following factors were found to be associated with a higher risk: patient age >70 years (p=0.002), male sex (p=0.012), previous abdominal operation (p<0.0001), and preoperative common bile duct stone (p=0.041). Conclusion: In the case of operations with such discerning factors, surgeons should be more cautious and delicate in all procedures throughout the operative period. Furthermore, to reduce the risk of additional severe complications, surgeons need to decide early on if they will perform a conversion.
증례 : 내분비 ; 갈색세포종, 신경절신경종이 동반된 갑상선유두암 1예
안지현 ( Ji Hyun Ahn ),이승은 ( Seung Eun Lee ),정윤재 ( Yun Jae Chung ),지경천 ( Kyong Choun Chi ),김미경 ( Mi Kyung Kim ),오연상 ( Yeon Sahng Oh ),김재택 ( Jae Taek Kim ) 대한내과학회 2009 대한내과학회지 Vol.76 No.1
갈색세포종은 대부분 산발적으로 발생하고 다른 종양들과 연관되어 있으나 한 종양 내에서 갈색세포종과 신경절신경종이 동반되는 경우는 극히 드물다. 또한 다발내분비종양 제2형에서는 갈색세포종이 갑상선수질암과 관련되어 있으나 갑상선유두암과는 관련성이 드물고 이들간의 관계는 명백히 알려져 있지 않다. 저자들은 갈색세포종과 신경절신경종, 갑상선유두암이 동시에 발생한 증례를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Composite tumors containing pheochromocytoma and ganglioneuroma are very rare. We report a 70-year-old female with papillary thyroid carcinoma and a compound adrenal medullary tumor, composed of pheochromocytoma/ganglioneuroma. She had complained of epigastric discomfort 2 months earlier. Chest computed tomography and pancreatic magnetic resonance imaging revealed an intrathoracic goiter and pancreatic cystic tumor. She underwent an explorative laparotomy, and a left adrenalectomy was done because of an adrenal mass, not the pancreatic mass. The pathological diagnosis was a compound adrenal medullary tumor, composed of pheochromocytoma and ganglioneuroma. Although there was no evidence of thyroid cancer on fine needle aspiration cytology, a total thyroidectomy was done because of the neck discomfort. The pathological diagnosis was a papillary thyroid carcinoma, and she underwent radioactive iodine therapy. (Korean J Med 76:85-89, 2009)