• 제목/요약/키워드: Benefit system

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사상체질병증 임상진료지침 개발 연구 - 목적, 개발 전략 및 절차 - (Development of Clinical Practice Guidelines for Sasang Constitutional Medicine Symptomatology - Purpose, Development Strategy and Procedure -)

  • 김제신;황민우;이준희;이의주;고병희;유정희;배나영;김윤희;배효상;주종천;박혜선;신미란;유준상
    • 사상체질의학회지
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    • 제25권1호
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    • pp.23-33
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    • 2013
  • Objectives This study was aimed to develop the clinical practice guidelines, which focuses on Sasang Constitutional Medicine symptomology. By developing clinical practice guidelines, we should present prevention, diagnosis, treatment and assessment of Sasang Constitutional Medicine. Methods We used the method of University of Michigan Health System Guidelines model. Electronic databases including English, Korean databases were systematically searched for clinical articles investigating Sasang Constitutional Medicine symptomology up to March 2010. And "Donguisusebowon-ShinChukbon" was basically used to develop clinical guidelines. Results and Conclusions 12,694 Articles were reviewed. Only 25 articles described adequate methods of this study. Using clinical practice guidelines, we can manage th quality of medicine, emphasis treatment appropriacy and educate patients and doctors. Finally We can get the Sasang Constitutional Medicine standardization and socioeconomic benefit.

이염성 백질 이영양증 환아의 치아우식 치료 증례 보고 (DENTAL TREATMENT IN A PATIENT WITH METACHROMATIC LEUKODYSTROPHY UNDER GENERAL ANESTHESIA : A CASE REPORT)

  • 류지연;신터전;현홍근;김영재;김정욱;장기택;김종철;이상훈
    • 대한장애인치과학회지
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    • 제12권2호
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    • pp.96-100
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    • 2016
  • 저자는 후기 영아형 이염성 백질 이영양증으로 인해 신경학적인 퇴행이 관찰되고 섭식 장애로 인한 다발성 우식을 보이는 환아를 전신마취 하 치료하였기에 문헌 고찰과 함께 보고하는 바이다. 저작기능 장애로 인한 영양 결핍으로 환아는 신체 발육이 매우 저하되었으며 긴 식사 시간으로 다발성 치아 우식에 이환된 상태였다. 협조도 부족 및 치료 범위 등을 고려하여 전신마취 하에 치과 치료를 시행하였고 정기적인 검진을 시행 중이다. 진행성, 신경성 퇴행질환의 특징을 이해하고 환아의 상태를 고려한 구강 건강 관리 및 보호자 교육을 제공하는 것이 필요할 것으로 사료된다.

우주개발동향과 주요 이슈 (Trend of Space Development and Issue)

  • 조홍제;신용도
    • 항공우주정책ㆍ법학회지
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    • 제29권1호
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    • pp.97-126
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    • 2014
  • October 4, 1957 the Soviet Sputnik 1 was launched into space the first time in the history of mankind. After launching, the realm of humankind was expanded to space. Today all countries of the world wage a fierce competition in order to utilize space for various purposes. World powers of space such as United States, Russia, China, and Japan, put reconnaissance satellites and ocean surveillance satellites into orbit, being able to easily see equipment and troops movement on earth. Each country makes efforts to occupy space assets through the militarization of space and expand national interests. Recently private companies or individuals involved in commercial space activities are becoming more prevalent. Thus, in addition to space activities for military purposes, commercial space activities become widespread. Individuals and private companies as well as nations are also involved in space activities. Outer space is not the monopoly of space powers such as the United States and Russia. The whole human race can benefit from free access to space, being the common heritage of mankind. In particular, outer space becomes an indispensable element of military activities and human life. Many countries are now entering space development, putting a lot of budget into new development programs. Republic of Korea also built the Narodo Space Center, starting its space development with budget and manpower. We have to find out ways to use space not only for military purposes but also for commercial space activities that can contribute to the national economy. In addition, through the joint efforts of the international community, we have to make efforts for preservation and peaceful use of space. Various issues relating to space activities and research should be studies in order to contribute to the progress of humanity. Those issues include the definition of outer space, space debris reduction and environmental conservation issues, non-bind measure cooperation - European International Code of Conduct, space law and national legislation related empowerment issues, arms control measures in space, and restrictions on the use of nuclear fuel. We also need to be involved in the discussion of those issues as one of responsible space countries. In addition, we try to find out regional cooperation schemes such as the ESA in the Europe actively. Currently in the Northeast Asia, cooperation bodies led by Japan and China respectively, are operated in the confrontational way. To avoid such confrontation, a new cooperative body needs to be established for cooperation on space exploration and information. The system to allow the exchange of satellite information for early warning of natural disasters needs to be built as well. In addition, efforts to enhance the effectiveness of the relevant international treaties on space, and fill in the blanks in international space laws should be made at the same time. To this end, we have to do a leading role in the establishment of standards such as non-binding measures (resolution) - Code of Conduct, being discussed in the UN and other organizations, and compliance with those standards. Courses in aerospace should be requires in law schools and educational institutes, and professional manpower need to be nurtured. In addition, the space-related technology and policy needs to be jointly studied among the private, public, and military groups, and the cross exchange among them should be encouraged.

서울시 보건소 모성실 운영실태에 관한 현장 연구 (A Field Study on Managing System of Maternity Clinic at Public Health Centers in Seoul)

  • 정연강;권영미;김희영
    • 지역사회간호학회지
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    • 제6권2호
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    • pp.259-274
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    • 1995
  • The study is to grasp the problems related to operation of Maternity clinic of public health centers in seoul and needs for public health of community in relation to consumers and providers in order to improve efficiency of community public health for mothers and children. Four pregnancy woman, who receive medical care at the maternity clinic of M public health centers in seoul and understand the purpose of this study, and one nurse who works at the were the objects of this field study. Participating observation and intensive interviews were conducted to collect data. All of them were performed as necessary from time to time since December, 1994, and not during a specific period. Through an data analysis in the order of sector analysis and classification analysis, the data were classified into specific patterns and the results are the following; 1. All of the subjects were using both private hospitals and public clinics, but managing activities prior to delivery were not carried out in accordence with theories for those activities. 2. The subjects showed two types of response to utilizing maternity clinic. they answered that the advantages of the clinic were 'short waiting time for medical treatment', 'medical treatment by female doctors' and 'economical benefit.' Meanwhile, they gave negative response to the problems of 'non-implementation of delivery' 'uncleanness and insufficient facilities', 'limited time of treatment', 'lack of expertise' and 'want of public health education for materity.' 3. Problems related to operation of maternity clinic were 'lack of experts', 'irrational facility structure' and 'absolutely lack budget'. In terms of the status of managing the subjects, 'programs only aimed at attaining the central-government-assigned objects' and 'limited management before and after delivery by non-implementing delivery' were pointed out to be problems. Regarding public health education before delivery and PR relations, 'superficial public health education for maternity' and 'absence of PR programs' were named. In planning and evaluation, 'absence of autonomous planning and evaluation by the clinic itself' was a major problem in operating the clinic. 4. 'Substantial health education and PR', 'supplementation of facilities and eqipment', 'development' and supply of demanded service by the subjects', 'implementation of autonomous programs', and 'reinforcement of supplementary education' were presented as alternatives for efficient opration of maternity clinics.

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Acupuncture in Patients with a Vertebral Compression Fracture: A Protocol for a Randomized, Controlled, Pilot Clinical Trial

  • Lee, Hyun-Jong;Seo, Jung-Chul;Park, Sung-Hoon;Kwak, Min-Ah;Shin, Im Hee;Min, Bo-Mi;Cho, Min-Su;Roh, Woon-Seok;Jung, Jin-Yong
    • 대한약침학회지
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    • 제18권1호
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    • pp.79-85
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    • 2015
  • Objectives: A vertebral compression fracture (VCF) is characterized by back pain and fracture of a vertebral body on spinal radiography. VCFs of the thoraco lumbar spine are common in the elderly. In general, appropriate analgesics should be prescribed to reduce pain and, thus, promote early mobilization. The ideal treatment approach for VCFs has not been determined. In Korea, acupuncture and herbal medication have been used to treat VCFs for many years. There is empirical evidence that acupuncture might benefit patients with a VCF. However, no randomized, controlled, clinical trials evaluating the efficacy and the safety of acupuncture for treating a VCF have been published. Therefore, we designed a randomized, controlled, pilot, clinical trial to obtain information for the design of a further full scale trial. Methods: A five week protocol for a randomized, controlled, pilot, clinical trial is presented. Fourteen patients will be recruited and randomly allocated to two groups: a control group receiving interlaminar epidural steroid injections once a week for three weeks, and an experimental group receiving interlaminar epidural steroid injections plus acupuncture treatment (three acupuncture sessions per week for three weeks, nine sessions in total). The primary outcomes will be the pain intensity (visual analogue scale and PainVision$^{TM}$ system). The secondary outcome measurements will be the answers on the short form McGill pain questionnaire and the oswestry disability index. Assessments will be made at baseline and at one, three, and five weeks. The last assessment (week five) will take place two weeks after treatment cessation. This study will provide both an indication of feasibility and a clinical foundation for a future large scale trial. The outcomes will provide additional resources for incorporating acupuncture into existing treatments, such as nonsteroidal anti-inflammatory medications, narcotics and vertebral augmentation. This article describes the protocol.

VMS 자동제어 알고리즘 설계 (Conceptual Design of Automatic Control Algorithm for VMSs)

  • 박은미
    • 대한교통학회지
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    • 제20권7호
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    • pp.177-183
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    • 2002
  • 현재 국내 VMS 운영은 대체로 소극적 정보제공에 머물고 있으며, 정보제공 우선순위. 조합 가능한 메시지 집합 등이 포함된 간단한 형태의 지식기반 추론엔진 방식에 의하고 있다. 또한 VMS 관련 연구도 해당도로의 상황을 정확히 검지하고 예측하는 방법론 개발에 집중되어 있다. 그러나 VMS도 적극적 운영을 통하여 교통관리의 수단으로 활용해야 하며, 이에 있는 그대로 상황을 전달하는 현 Practice에서 진일보한 전략적 정보제공 기술이 개발되어야 한다. 본 연구에서는 네트워크 차원의 교통관리를 목적으로 한 VMS 자동제어 알고리즘을 제안하였다. 외란의 불확실성과 모형의 정확도에 강한(robust) 피드백 제어방식을 채택하였고, 알고리즘은 시스템 최적 달성을 목표로 설정한 여유용량 균등화 Regulator와 VMS Display 모듈로 구성된다. 여유용량의 산정은 도로용량편람의 용량 개념과 차별화 되는 개념을 제안하였으며 이 부분에 대한 구체적 산정방식의 개발은 향후과제로 남겨두었다. 두 개의 대안경로로 구성된 실제 도로망에 대한 모의실험을 통하여. 여유용량균등화 Regulator에 의한 통행 재배분 효과를 제한적으로나마 살펴보았다. 그러나 VMS Display Strategy 모듈에 의한 실제 통행배분 행태는 모의실험의 한계성으로 인하여 검증하지 못하였으며 이를 향후과제로 남겨두었다.

창조융합시장을 위한 유럽 연합 (EU)의 시장과문화적 지역특화방안 (Creative Cultural Localization Ways and IT Market of the EU to Converge the Creative Industries)

  • 서대성
    • 유통과학연구
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    • 제13권1호
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    • pp.27-33
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    • 2015
  • Purpose - The ICT market in the EU is lagging behind that of the US; however, algorithm and software development within the EU have grown steadily, and they involve focusing on the creative cultural convergence conceptualized as part of Horizon 2020 and connecting neighboring markets in the EE and the Mediterranean region. It is essential to study the requirements to market the EU's creative ICT development in emerging industrial countries after examining its applicability in these countries. Research design, data, and methodology - This study deals with data pertaining to the EU's creative industry and competitive edge. The global cultural expansion of the EU facilitates a new concept involving not only low-cost IT products to enhance local cultural artifacts through R&D and the construction of efficient infrastructure services, but also information exchange with a realistic commercialization of the technology that can be applied for creative cultural localization. In the European industry, research on algorithms has been applied for the benefit of consumers. We investigated how the process is conducted in the EU. Results - Europe needs to adjust its economic structure to the local culture as part of IT distribution convergence. The convergence has been converted into a production algorithm with IT in the form of low-cost production. This is because there is an attempt to improve the quality of transport infrastructure, workforce availability, and the distribution of the distance to the local industries and consumers, using IT algorithms. Integrated into the manufacturing industry, based on the ICT infrastructure and solutions, smart localized regional clusters are formed with the help of grafting. Europe has own strategy to increase the number of hub-and-spoke cities. Europe is now becoming integrated, with an EPC system for regional cooperation rather than national competition in ICT technology. Europe has also been recognized in this study as changing the step-by-step paradigm for global competitiveness through new creative culture industries. Conclusions - As a result, there are several ways of converging with others through EU R&D intensity; therefore, the EU can be seen as successfully increasing marginal value, which is useful in developing a special industrial cluster or local cultural cities that create converged development by connecting people and objects with IT. In fact, when compared to the US, Europe has a strong culture and the car industries have a tendency to overshadow the IT industries with integration of services in IT distribution. Considering the rapid environmental changes, the convergence of IT services is likely to take place in Europe, similar to the pharmaceutical industry and the automotive industry. This requires a focus on human resources and automated systems management. The trend is to move away from low-wage industries, switched to key personnel centers of the local university-industry. EU emphasizes the creation of IT market demand in Europe involving local cultural convergence for marketing as the second step to strengthen the economic hub-and-spoke areas.

태양광모듈의 성능저하율을 고려한 폐기진단 알고리즘에 관한 연구 (A Study on Disposal Diagnosis Algorithm of PV Modules Considering Performance Degradation Rate)

  • 박지현;이후동;태동현;페레이라 마리토;노대석
    • 한국산학기술학회논문지
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    • 제20권10호
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    • pp.493-502
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    • 2019
  • 최근, 기후변화 및 에너지고갈 등의 문제를 대응하기 위하여, 정부에서 추진하는 재생에너지 3020 정책을 기반으로 태양광전원을 포함한 신재생에너지의 설치가 큰 폭으로 증가되고 있다. 하지만, 설치된 태양광모듈은 주변 환경요인에 따라 다양한 열화현상이 발생하여, 전기적 성능과 수명이 크게 감소될 수 있다. 이러한 문제를 해결하기 위하여, 태양광모듈 판매사업자가 제시한 기대 수명 이전에 새로운 모듈로 교체되는 경우가 증가하고 있다. 따라서, 본 논문에서는 태양광모듈의 성능저하율을 고려하여, 폐기 또는 새로운 모듈로 교체하는 시기를 평가할 수 있는 폐기진단 알고리즘을 제안한다. 또한, 비용요소와 편익요소로 구성된 경제성평가 모델링을 제시하고, 제안한 알고리즘을 바탕으로 태양광모듈의 성능저하율에 따른 경제성을 평가한 결과, 교체하기 전의 태양광모듈의 성능저하율은 3[%]이고, 교체한 경우의 성능저하율은 1[%]인 경우, 설치 후 10년째에 태양광모듈을 교체하는 것이 가장 큰 값(1.347)의 B/C ratio을 가지므로 최적의 경제적인 교체연도임을 알 수 있다. 따라서, 폐기 또는 교체 판별 여부와 어느 시기에 교체하는 것이 가장 경제적인가를 판단할 수 있어, 본 논문에서 제시한 알고리즘의 유용성을 확인하였다.

컨테이너 하역요율 하락은 소비자잉여를 증가시켰는가? : 부산항을 중심으로 (Did the Handling Fee Decline Cause Consumer Surplus in the Port Business Market in Korea? : The Case of Busan port)

  • 최건우;김찬호;김용규
    • 한국항만경제학회지
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    • 제32권3호
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    • pp.109-122
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    • 2016
  • 국내 컨테이너 물동량 증가로 이를 처리하는 하역산업 증가하였다. 하지만 1999년 이후 하역요율의 신고제 전환과 시설 공급 과잉으로 인해 하역사간의 과도한 요율경쟁이 발생하여 2015년 기준 컨테이너 하역 요율이 2000년에 비해 절반 이하로 하락하였다. 이에 본 연구에서는 하역 요율의 하락이 항만 물동량 수요에 영향을 미쳐 항만 하역산업의 시장을 확대 시켰는지? 아니면 과도한 요율 경쟁으로 인해 소비자잉여가 오히려 축소되었는지를 경제학적으로 분석해 보았다. 이를 위해, 본 연구에서는 기존에 항만부문의 경제적 가치를 추정한 연구에서 사용한 직접추정방식이 아닌 수요함수를 이용한 추정방식을 제시하였으며 소비자잉여 추정을 위해 타분야에서 주로 사용된 알렉산더방식 외에 힉스의 수요함수를 이용한 하우스만방식을 이용하여 추정의 신뢰성을 높였다. 그 결과 컨테이너 수출입 수요에 비해 하역 요율이 과다하게 하락하여 소비자잉여를 포함한 하역산업의 경제적 가치는 오히려 하락하는 것으로 나타났다. 한편, 향후 환적 컨테이너 물동량을 포함한 경제적 가치추정에 관한 연구가 진행되어야하며 나아가 항만산업 전체로 확대하여 현재 항만부문 예비타당성 조사 표준지침에서 이용되고 있는 경제적 편익 방식을 보완할 수 있어야 하겠다.

Al-Si-Cu 알루미늄 주조 합금의 열간 균열 민감성에 미치는 Cu 함량의 영향 (Effect of Cu content on Hot Tearing Susceptibility in Al-Si-Cu Aluminum Casting Alloy)

  • 오승환;친밧 문크대거;김헌주
    • 한국주조공학회지
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    • 제41권5호
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    • pp.419-433
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    • 2021
  • Al-Si-Cu 합금은 구리 첨가에 따른 석출경화로 경도와 강도가 현저하게 강한 합금을 생성하는 장점이 있습니다. 그러나 구리를 첨가하면 Al-Si-Cu 합금의 응고 범위가 확장되고 합금은 응고 중에 발생하는 가장 흔하고 심각한 파단 현상 중 하나 열간 균열이 발생하기 쉽습니다. 합금의 열간 균열 특성에 대한 기존의 평가 방법은 이 특성에 대한 정량적 데이터를 제공하지 않는 상대적이고 정성적인 분석 방법입니다. 이 연구에서 Al-Si-Cu 주조 합금의 열간 균열 특성에 대한 더 신뢰할 수있는 정량 데이터를 얻기 위해 Instone et. al 이 개발 한 장치를 부분적으로 수정되었습니다. Cu 원소의 영향을 평가하기 위해 Al-Si-Cu 계 합금에서 4 가지 수준의 Cu 함량을 (0.5, 1.0, 3.0, 5.0) wt. %로 설정하고 각 합금에 대해 열간 균열 특성을 평가했습니다. Cu 함량이 증가함에 따라 열간 균열 강도는 (2.26, 1.53, 1.18, 1.04) MPa)로 감소했습니다. 열간 균열이 발생하는 시점, Cu 함량이 증가함에 따라 고액 공존 범위가 증가하여 동일 온도에서 해당 고상율 및 응고 속도가 감소하였다. 파단면의 형태는 수상 돌기에서 잔류 액상으로 덮인 수상 돌기로 바뀌었고, 열간 균열 발생 인근에서 CuAl2 상이 관찰되었다.