• 제목/요약/키워드: Consistent

검색결과 10,020건 처리시간 0.044초

R.C. 휨부재(部材)의 L.R.F.D. 신뢰성(信賴性) 설계기준(設計基準)에 관한 연구(研究) (A Study on LRFD Reliability Based Design Criteria of RC Flexural Members)

  • 조효남
    • 대한토목학회논문집
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    • 제1권1호
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    • pp.21-32
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    • 1981
  • 최근 구미(歐美) 선진제국(先進諸國)에서는 확률적(確率的)인 개념(槪念)에 의한 한계상태설계법(限界狀態設計法)을 표준시방서(標準示方書)로 도입(導入)하는 경향이 높아지고 있다. 이들 선진국(先進國)에서 채택한 LSD, LRFD, PBLSD 같은 신뢰성설계기준(信賴性設計基準)은 각종(各種) 시공재료(施工材料)에 대한 설계절차(設計節次)를 단순화(單純化)시킬 뿐만아니라 일관성(一貫性)있는 신뢰성(信賴性)을 갖게 하는 능력(能力)을 갖고 있다. 본(本) 연구(硏究)에서는 RC 휨부재(部材)에 대한 이러한 신뢰성설계기준(信賴性設計基準)을 제안(提案)하였다. 이를 위하여 Lind-Hasofer의 불변(不變)2차(次)모멘트 신뢰성이론(信賴性理論)에 의해 반복시행적(反復試行的) 신뢰성해석(信賴性解析) 및 하중(荷重)-저항계수(抵抗係數) 결정(決定)알고리즘을 유도하고, 또한 Cornell의 평균제(平均第)1계이차(階二次)모멘트법(法)을 사용하여 근사적(近似的)으로도 신뢰성(信賴性)을 해석(解析)하여 설계기준(設計基準)을 결정(決定)하도록 하였다. 휨부재(部材)의 저항(抵抗) 및 하중효과(荷重效果)에 대한 불확실양산정(不確實量算定)은 Ellingwood의 하중(荷重) 및 저항불확실량(抵抗不確實量) 해석방법(解析方法)을 따랐다. 현행(現行) 극한강설계시방서(極限强設計示方書) 기준(基準)으로 설계(設計)되는 R.C.휨부재(部材)의 상대적(相對的) 의미(意味)의 안전성수준(安全性水準)을 제안(提案)된 이차(二次)모멘트신뢰성이론(信賴性理論)에 의해 검토(檢討)하였다. 그리고 우리 현실(現實)을 고려한 ${\beta}_0=4$를 적절한 목표신뢰성지수(目標信賴性指數)로 간주(看做)하고 이에 대한 저항(抵抗) 및 하중계수(荷重係數)를 제안(提案)된 방법(方法)으로 계산(計算)하였으며, 현행(現行) 극한강설계기준(極限强設計基準)의 안전율(安全率)과 이들 계산(計算)된 계수(係數)를 비교(比較), 분석(分析)하였다. 현행(現行) 시방서(示方書)로 설계(設計)되는 휨부재(部材)의 신뢰성(信賴性) 수준(水準)은 적절(適切)하지 못하며, 현행(現行) 시방서(示方書)에 규정(規定)된 저항(抵抗) 및 하중계수(荷重係數)는 본연구(本硏究)의 신뢰성이론(信賴性理論)으로 유도한 저항(抵抗) 및 하중계수(荷重係數)와 상당히 차이(差異)가 있음을 발견(發見)할 수 있었다.

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포화점토(飽和粘土)의 변형(變形)에 있어서 시간의존성(時間依存性)에 관한 실험적(實驗的) 연구(研究) (An Experimental Study on Time Dependency of Strain for Saturated Clay)

  • 박병기;이진수
    • 대한토목학회논문집
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    • 제4권3호
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    • pp.43-52
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    • 1984
  • 본문(本文)은 재생성(再生成)한 해성점토(海成粘土)에 대한 점토(粘土)의 시간효과특성(時間効果特性)과 정규압밀(正規壓密)된 점토(粘土)의 시간의존성거동(時間依存性擧動)을 보편적(普遍的)으로 설명(說明)할 수 있는 구성방정식(構成方程式)과 관계(關係)가 있다. 따라서 본문(本文)에서는 T. Adachi와 F. Oka가 제안(提案)한 구성식(構成式)을 채택(採擇)하였으며 이 구성방정식(構成方程式)은 Cam-clay 이론(理論)을 Perzyna외 탄일점소성연속체이론(彈一粘塑性連續體理論)에 적용(適用)하여 수립(樹立)된 것이다. 그리고 이 구성방정식(構成方程式)이 재생성(再生成)한 무안점토(務安粘土)에 대하여 어떻게 적용(適用)될 것인가를 실험적(實驗的)으로 연구(硏究)한 것이다. 본(本) 연구(硏究)에서 얻어진 결론(結論)의 주요(主要)한 것은 다음과 같다. 1. 등방압밀(等方壓密)과 등방응력완화시험(等方應力緩和試驗)의 결과(結果)로부터 정적(靜的), 동적(動的)인 강복면(降伏面)이 각각 존재(存在)함을 확인(確認)할 수 있었다. 2. 일정변형전단시험(一定變形剪斷試驗)과 응력완화시험(應力緩和試驗)의 결과(結果)로부터 시간효과(時間効果)의 특성(特性) 즉 응력(應力)-변형율(變形率)-시간간(時間間)의 유일(唯一)한 관계(關係)가 존재(存在)함을 알 수 있다. 3. Cam-clay 이론(理論)에 의한 응력경로(應力經路)와 변형율(變形率) 추정(推定)에 있어서 이론치(理論値)와 실험치간(實驗値間)에는 차이(差異)가 있다. 4. Cam-clay 이론(理論)을 Perzyna의 탄일점소성체이론(彈一粘塑性體理論)에 적용(適用)시킨 구성방정식(構成方程式)(6)은 비배수상태(非排水狀態)의 등방응력완화과정중(等方應力緩和過程中) 발생(發生)하는 간극수압(間隙水壓)의 거동(擧動)을 설명(說明)할 수 있다. 그리고, 동일(同一)한 혹은 다른 압밀이력(壓密履歷) 받은 점토(粘土)에 대하여 다른 변형속도(變形速度) 적용(適用)한 비배수(非排水) 3축시험(軸試驗)의 결과(結果)를 예측(豫測)하는데 상당한 적합성(適合性)이 있음을 알았다. 5. 이 구성방정식(構成方程式)에는 8개의 재료상수(材料常數)가 있는데 3축압축시험(軸壓縮試驗)을 통하여 쉽게 얻어진다.

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스마트폰 위치기반 어플리케이션의 이용의도에 영향을 미치는 요인: 프라이버시 계산 모형의 적용 (Factors Influencing the Adoption of Location-Based Smartphone Applications: An Application of the Privacy Calculus Model)

  • 차훈상
    • Asia pacific journal of information systems
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    • 제22권4호
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    • pp.7-29
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    • 2012
  • Smartphone and its applications (i.e. apps) are increasingly penetrating consumer markets. According to a recent report from Korea Communications Commission, nearly 50% of mobile subscribers in South Korea are smartphone users that accounts for over 25 million people. In particular, the importance of smartphone has risen as a geospatially-aware device that provides various location-based services (LBS) equipped with GPS capability. The popular LBS include map and navigation, traffic and transportation updates, shopping and coupon services, and location-sensitive social network services. Overall, the emerging location-based smartphone apps (LBA) offer significant value by providing greater connectivity, personalization, and information and entertainment in a location-specific context. Conversely, the rapid growth of LBA and their benefits have been accompanied by concerns over the collection and dissemination of individual users' personal information through ongoing tracking of their location, identity, preferences, and social behaviors. The majority of LBA users tend to agree and consent to the LBA provider's terms and privacy policy on use of location data to get the immediate services. This tendency further increases the potential risks of unprotected exposure of personal information and serious invasion and breaches of individual privacy. To address the complex issues surrounding LBA particularly from the user's behavioral perspective, this study applied the privacy calculus model (PCM) to explore the factors that influence the adoption of LBA. According to PCM, consumers are engaged in a dynamic adjustment process in which privacy risks are weighted against benefits of information disclosure. Consistent with the principal notion of PCM, we investigated how individual users make a risk-benefit assessment under which personalized service and locatability act as benefit-side factors and information privacy risks act as a risk-side factor accompanying LBA adoption. In addition, we consider the moderating role of trust on the service providers in the prohibiting effects of privacy risks on user intention to adopt LBA. Further we include perceived ease of use and usefulness as additional constructs to examine whether the technology acceptance model (TAM) can be applied in the context of LBA adoption. The research model with ten (10) hypotheses was tested using data gathered from 98 respondents through a quasi-experimental survey method. During the survey, each participant was asked to navigate the website where the experimental simulation of a LBA allows the participant to purchase time-and-location sensitive discounted tickets for nearby stores. Structural equations modeling using partial least square validated the instrument and the proposed model. The results showed that six (6) out of ten (10) hypotheses were supported. On the subject of the core PCM, H2 (locatability ${\rightarrow}$ intention to use LBA) and H3 (privacy risks ${\rightarrow}$ intention to use LBA) were supported, while H1 (personalization ${\rightarrow}$ intention to use LBA) was not supported. Further, we could not any interaction effects (personalization X privacy risks, H4 & locatability X privacy risks, H5) on the intention to use LBA. In terms of privacy risks and trust, as mentioned above we found the significant negative influence from privacy risks on intention to use (H3), but positive influence from trust, which supported H6 (trust ${\rightarrow}$ intention to use LBA). The moderating effect of trust on the negative relationship between privacy risks and intention to use LBA was tested and confirmed by supporting H7 (privacy risks X trust ${\rightarrow}$ intention to use LBA). The two hypotheses regarding to the TAM, including H8 (perceived ease of use ${\rightarrow}$ perceived usefulness) and H9 (perceived ease of use ${\rightarrow}$ intention to use LBA) were supported; however, H10 (perceived effectiveness ${\rightarrow}$ intention to use LBA) was not supported. Results of this study offer the following key findings and implications. First the application of PCM was found to be a good analysis framework in the context of LBA adoption. Many of the hypotheses in the model were confirmed and the high value of $R^2$ (i.,e., 51%) indicated a good fit of the model. In particular, locatability and privacy risks are found to be the appropriate PCM-based antecedent variables. Second, the existence of moderating effect of trust on service provider suggests that the same marginal change in the level of privacy risks may differentially influence the intention to use LBA. That is, while the privacy risks increasingly become important social issues and will negatively influence the intention to use LBA, it is critical for LBA providers to build consumer trust and confidence to successfully mitigate this negative impact. Lastly, we could not find sufficient evidence that the intention to use LBA is influenced by perceived usefulness, which has been very well supported in most previous TAM research. This may suggest that more future research should examine the validity of applying TAM and further extend or modify it in the context of LBA or other similar smartphone apps.

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시스템의 도입과 전유 과정에 영향을 미치는 제도적 압력에 관한 연구: 병원조직의 모바일 전자의무기록 시스템을 대상으로 (A Study on the Effects of the Institutional Pressure on the Process of Implementation and Appropriation of System: M-EMRS in Hospital Organization)

  • 이준기;신호경;최희재
    • Asia pacific journal of information systems
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    • 제19권2호
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    • pp.95-116
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    • 2009
  • Increasingly the institutional theory has been an important theoretical view of decision making process and IT adoption in many academic researches. This study used the institutional theory as a lens through which we can understand the factors that enable the effective appropriation of advanced information technology. It posits that mimetic, coercive, and normative pressures existing in an institutionalized environment could influence the participation of top managers or decision makers and the involvement of users toward an effective use of IT in their tasks. Since the introduction of IT, organizational members have been using IT in their daily tasks, creating and recreating rules and resources according to their own methods and needs. That is to say, the adaptation process of the IT and outcomes are different among organizations. The previous studies on a diverse use of IT refer to the appropriation of technology from the social technology view. Users appropriate IT through not only technology itself, but also in terms of how they use it or how they make the social practice in their use of it. In this study, the concepts of institutional pressure, appropriation, participation of decision makers, and involvement of users toward the appropriation are explored in the context of the appropriation of the mobile electronic medical record system (M-EMRS) in particularly a hospital setting. Based on the conceptual definition of institutional pressure, participation and involvement, operational measures are reconstructed. Furthermore, the concept of appropriation is measured in the aspect of three sub-constructs-consensus on appropriation, faithful appropriation, and attitude of use. Grounded in the relevant theories to appropriation of IT, we developed a research framework in which the effects of institutional pressure, participation and involvement on the appropriation of IT are analyzed. Within this theoretical framework, we formulated several hypotheses. We developed a second order institutional pressure and appropriation construct. After establishing its validity and reliability, we tested the hypotheses with empirical data from 101 users in 3 hospitals which had adopted and used the M-EMRS. We examined the mediating effect of the participation of decision makers and the involvement of users on the appropriation and empirically validated their relationships. The results show that the mimetic, coercive, and normative institutional pressure has an effect on the participation of decision makers and the involvement of users in the appropriation of IT while the participation of decision makers and the involvement of users have an effect on the appropriation of IT. The results also suggest that the institutional pressure and the participation of decision makers influence the involvement of users toward an appropriation of IT. Our results emphasize the mediating effect of the institutional pressure on the appropriation of IT. Namely, the higher degree of the participation of decision makers and the involvement of users, the more effective appropriation users will represent. These results provide strong support for institutional-based variables as predictors of appropriation. These findings also indicate that organizations should focus on the role of participation of decision makers and the involvement of users for the purpose of effective appropriation, and these are the practical implications of our study. The theoretical contribution of this study is lies in the integrated model of the effect of institutional pressure on the appropriation of IT. The results are consistent with the institutional theory and support previous studies on adaptive structuration theory.

종양전문간호사의 역할규명을 위한 연구 (The Role Behaviors of Oncology Nurse Specialist)

  • 김민영;박성애
    • 종양간호연구
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    • 제3권1호
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    • pp.24-44
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    • 2003
  • The purposes of this study was to identify and propose the expected role of the oncology nurse specialist by embodying role theory to oncology nurse specialist. The subjects of this study were 149 persons in 14 hospitals, who were classified to 4 groups, oncology nurse specialists(ONS) group, head nurses and charge nurses(HN & CN) group in hemato-oncology ward, registered nurses(RN) group in hemato-oncology ward, and hematologists & oncologists(H&O) group. The questionnaire which was consisted of 89 items for role of oncology nurse specialist, was made by researcher with a field study and literature review about role of oncology nurse specialist and verified by matrix delphi technique about content validity and construct validity. The data were collected from October 22, 2002 to November 5, 2002. All 4 groups proposed that ONS should perform an expert practitioner role first of all. But ONS group, RN group and H&O group proposed orderly expert practitioner, educator, researcher, consultant, and administrator & change agent, but HN & CN group did expert practitioner, educator, consultant, researcher, administrator & change agent. Expert practitioner had the most highest necessary degree in all groups and most highest performance degree in ONS group. That was consistent with results that all groups proposed role of expert practitioner at first. 4 items out of 20 items showed the meaningful differences between groups. For role of educator, oncology nurse specialist group proposed necessary degrees over 4.0 point out of 5.0 in all items. 4 items out of 18 items showed the meaningful differences between groups. For role of researcher, 3 nurses groups proposed a high necessary degree, but performance of ONS group was most lowest among 5 roles. 6 items out of 14 items showed the meaningful differences between groups. The role of consultant had high necessary degree in some items related to hematopoietic stem cell transplantation. 2 items out of 17 items showed the meaningful differences between groups. In nursing behaviors of administrator & change agent, those items about enacting principle, cost development and participation of professional academy had a high necessary degree. 4 items out of 18 items showed the meaningful differences between groups. Oncology nurse specialists group performed 5 roles orderly, expert practitioner, consultant, educator, administrator & change agent, researcher. This result was different from expected role of themselves as well as the other groups. There was a different necessary degree between role and embodied nursing behaviors of role. ONS group and RN group proposed orderly educator, researcher, administrator & change agent, expert practitioner, consultant, but the other groups did educator, expert practitioner, researcher, consultant, administrator & change agent. The expected standards of oncology nurse specialist in this study were usually master's degree, total career of 5-7 years, oncology career of 3-5 years and certification. But for the post, qualification and qualification institution, various opinions were suggested. In the conclusion, there was a different necessary degree between role and embodied nursing behaviors of role. All groups proposed expert practitioner at first in abstract role, but educator at first in embodied nursing behaviors of role. So we have to consider this difference carefully in the future research. ONS acted the role of expert practitioner first of all, but we should develope and expand the roles of researcher, and administrator & change agent. We should enact roles by role behaviors induced from mutual agreements in necessary degree and performance degree, and bargain the role behaviors that showed the meaningful differences between groups But, we should consider carefully which group's opinion we have to select. I suggested 36 items out of 89 items, in which ONS proposed necessary degree over 4.0 out of 5.0 and half of them performed as the nursing behaviors of oncology nurse specialist that did not induce role stress. For the future, We should role bargain the role with other groups based on these items.

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구매자의 관여도 수준에 따라 가격할인이 지각가치, 구매의향, 탐색의도에 미치는 영향 (The Impact of Price Discount on Perceived Value, Willingness to Buy, and Search Intentions according to the Level of Consumers' Involvement)

  • 윤남수;김재영;박영균
    • 유통과학연구
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    • 제9권1호
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    • pp.39-48
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    • 2011
  • 본 연구는 가격할인이 관여도의 수준에 따라 가치지각 간에 미치는 영향의 경로가 서로 상이하다는 가정 하에 관여도에 따른 지각가치와 구매의향 및 탐색의도 간의 관계를 실험적으로 검증하였으며, 그 결과는 다음과 같다. 첫째, 고관여의 경우는 지각거래가치가 지각획득가치에 긍정적인 정(+)의 영향을 미치는 것으로 나타났다. 또한, 고관여 구매자의 지각획득가치는 구매의향에 긍정적인 정(+)의 영향을 미치는 것으로 나타난 반면, 지각획득가치가 탐색의도에 미치는 영향은 통계적으로 유의하지 않은 것으로 나타났다. 둘째, 저관여의 경우에도 고관여와 같이 구매자의 지각거래가치는 구매의향에 긍정적인 정(+)의 영향을 미치는 것으로 나타났다. 반면, 지각획득가치가 탐색의도에 대하여 부(-)의 영향을 미치지 못한 것으로 판단된다. 이는 가격할인에 따른 거래가치 향상에도 불구하고 지각품질 수준이 하향되면서 품질에 대한 의심이 생겨 추가정보 탐색의 필요성이 생김에 따른 것으로 풀이된다. 이러한 연구결과는 소비자는 관여도에 따라 획득가치 또는 거래가치에 대하여 중요하게 인지하지만 소비자가 어떤 지각가치에 더욱 의존하여 구매행동을 결정짓는가에 따라 이에 부합하는 가치 향상전략을 수립해야 한다는 시사점을 제시하고 있다.

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하기도 감염으로 입원한 소아에서 12종 바이러스의 검출 및 임상 양상 (Detection and clinical manifestations of twelve respiratory viruses in hospitalized children with acute lower respiratory tract infections : Focus on human metapneumovirus, human rhinovirus and human coronavirus)

  • 김금향;이정호;선동신;김용배;최영진;박준수;김창진;정동준
    • Clinical and Experimental Pediatrics
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    • 제51권8호
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    • pp.834-841
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    • 2008
  • 목 적 : 급성 바이러스성 하기도 감염의 원인으로 알려진 바이러스의 임상 양상 및 역학 을 연구하고자 하였으며, 특히 새롭게 밝혀진 hRV, HCoV-229E/NL63, HCoV-OC43, hMPV를 중심으로 하였다. 방 법 : 2005년 12월부터 2006년 11월까지 순천향대학교 천안병원 소아과에 하기도 감염으로 입원한 환아들 중 863명을 대상으로 환아들의 비인두 흡인물에서 multiplex RT-PCR 법을 이용하여 총 12개의 바이러스를 검출하였다. 결 과 : 총 12개의 호흡기 바이러스에 대하여 검사를 하였을 때 863명 중 474명(54.9%)에서 바이러스 양성이 나타났다. hMPV이 6.8%, HCoV-229E/NL63 1.4%, HCoV-OC43 2.1%, hRV 9%로 검출되었고, 혼합감염은 22.8%였다. 급성 바이러스성 하기도 감염은 1세 미만에서 가장 흔하게 나타났다. 임상진단은 폐렴이 59.5%로 가장 많았고, 세기관지염이 24.7%, 기관기관지염이 11.4%, 크룹이 4% 순이었다. 세기관지염의 가장 흔한 원인 바이러스는 RSV B이고, 반면에 hMPV, hRV, HCoV-229E/NL63은 폐렴의 주요 원인 바이러스로 나타났다. 바이러스별 유행 양상은 hMPV는 3월부터 5월까지 유행하였고, HCoV-OC43은 11월부터 2월까지 유행하였다. 반면에 HCoV-OC43, HCoV-229E/NL63과 hRV는 연중 고른 분포를 보였다. 결 론 : 본 연구는 비록 연구 기간이 1년으로 짧았지만, 다른 나라의 경우와 비교해 hMPV가 겨울엔 검출되지 않고 3월에서 4월까지 주로 검출된다는 점과 HCoV가 우리나라에서는 별로 검출되지 않아 하기도 감염에서는 그 비중이 매우 미미하다는 점을 알 수 있었다.

해외투자(海外投資)와 지속가능발전 원칙 - 프로젝트 파이낸스의 적도원칙(赤道原則)을 중심으로 - (How to Reflect Sustainable Development, exemplified by the Equator Principles, in Overseas Investment)

  • 박훤일
    • 무역상무연구
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    • 제31권
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    • pp.27-56
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    • 2006
  • Today's financial institutions usually take environmental issues seriously into consideration as they could not evade lender liability in an increasing number of cases. On the international scene, a brand-new concept of the "Equator Principles" in the New Millenium has driven more and more international banks to adopt these Principles in project financing. Sustainable development has been a key word in understanding new trends of the governments, financial institutions, corporations and civic groups in the 21st century. The Equator Principles are a set of voluntary environmental and social guidelines for sustainable finance. These Principles commit bank officers to avoid financial support to projects that fail to meet these guidelines. The Principles were conceived in 2002 on an initiative of the International Finance Corporation(IFC), and launched in June 2003. Since then, dozens of major banks, accounting for up to 80 percent of project loan market, have adopted the Principles. Accordingly, the Principles have become the de facto standard for all banks and investors on how to deal with potential social and environmental issues of projects to be financed. Compliance with the Equator Principles facilitates for endorsing banks to participate in the syndicated loan and help them to manage the risks associated with large-scale projects. The Equator Principles call for financial institutions to provide loans to projects under the following circumstances: - The risk of the project is categorized in accordance with internal guidelines based upon the environmental and social screening criteria of the IFC. - For Category A and B projects, borrowers or sponsors are required to conduct a Social and Environmental Assessment, the preparation of which must meet certain requirements and satisfactorily address key social and environmental issues. - The Social and Environmental Assessment report should address baseline social and environmental conditions, requirements under host country laws and regulations, sustainable development, and, as appropriate, IFC's Environmental, Health and Safety Guidelines, etc. - Based on the Social and Environmental Assessment, Equator banks then make agreements with borrowers on how they mitigate, monitor and manage the risks through a Social and Environmental Management System. Compliance with the plan is included in the covenant clause of loan agreements. If the borrower doesn't comply with the agreed terms, the bank will take corrective actions. The Equator Principles are not a mere declaration of cautious banks but a full commitment of lenders. A violation of the Principles in the process of project financing, which led to an unexpected damage to the affected community, would not give rise to any specific legal remedies other than ordinary lawsuits. So it is more effective for banks to ensure consistent implementation of the Principles and to have them take responsible measures to solve social and environmental issues. Public interests have recently mounted up with respect to environmental issues on the occasion of the Supreme Court's decision (2006Du330) on the fiercely debated reclamation project at Saemangeum. The majority Justices said that the expected environmental damages like probable pollution of water and soil were not believed so serious and that the Administration should continue to implement the project seeking ways to make it more environment friendly. In this case, though the Category A Saemangeum Project was carried out by a government agency, the Supreme Court behaved itself as a signal giver to approve or stop the environment-related project like an Equator bank in project financing. At present, there is no Equator bank in Korea in contrast to three big banks in Japan. Also Korean contractors, which are aggressively bidding for Category A-type projects in South East Asia and Mideast, might find themselves in a disadvantageous position because they are generally ignorant of the environmental assessment associated with project financing. In this regard, Korean banks and overseas project contractors should care for the revised Equator Principles and the latest developments in project financing more seriously. It's because its scope has expanded to the capital cost of US$10 million or more across all industry sectors regardless of developing countries or not. It should be noted that, for a Korean bank, being an Equator bank is more or less burdensome in a short-term period, but it must be conducive to minimizing risks and building up good reputation in the long run.

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원위부 전대뇌 동맥류 수술의 실마리 (Surgical Clues of Distal Anterior Cerebral Artery(DACA) Aneurysms)

  • 김승범;이형중;김재민;백광흠;김충현;오석전
    • Journal of Korean Neurosurgical Society
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    • 제29권12호
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    • pp.1555-1562
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    • 2000
  • 목 적 : 원위부 전대뇌 동맥에 발생하는 동맥류는 모동맥의 확보가 힘들고 재출혈 및 수술중 조기출혈의 빈도가 높으며, 익숙치 않은 수술적 접근법이 필요하다든지 하는 몇 가지 독특한 문제점이 있다. 따라서 전대뇌 반구간열 주변의 해부학적 구조물과 박리 시작점에 대한 수술전 지식을 요한다. 저자들은 박리 시작점에 대한 일관된 외부표식자를 이용하여 전두 기저부 대뇌반구간열 접근법 수술을 시행하였고 이를 심부 구조물들에 대한 접근 지표로 삼고자 하였다. 대상 및 방법 : 1995년 11월부터 1999년 6월까지 동맥류경을 결찰한 총 131명의 뇌동맥류파열 환자 중에서 원위부 전대뇌 동맥류 9명에 대하여 혈관조영술, 의무기록지, 수술소견을 통해 임상적, 수술소견을 조사하였다. 결 과 : 원위부 전대뇌동맥류의 빈도는 6.3%였고, 6례에서 뇌량 연변 동맥이 기시하는 뇌량 주위 동맥에서 발생하였고, 3례에서는 전두극동맥이 기시하는 뇌량 주위 동맥에서 발생하였다. 동반된 다른 혈관기형 및 다른 동맥류는 각각 3예에서 발견되었다. 술전 환자 상태는 일반적으로 불량했다. 조기수술은 7예에서 실시되었으며, 전두 기저부 대뇌반구간열 접근법으로 동맥류 결찰을 시행한 경우도 7예였다. 술후 심한 혈관연축과 흡인성 폐렴으로 인한 사망이 각각 1례씩이었으며 그 이외에는 신경학적 소견은 정상이었다. 결 론 : 원위부 전대뇌 동맥류의 조기수술시에 전두 기저부 대뇌반구간열 접근법이 유용하였다. 이 방법으로 뇌견인을 최소화할 수 있었으며 동맥류의 조기파열을 방지할 수 있었다. 저자들은 대뇌반구 간열의 박리 시작점으로 첫번째 교정맥(전두극 정맥)이 상시상 정맥동으로 유출되는 지점을 기준으로 하여 뇌량 및 뇌량 주변부 원위부 전대뇌동맥류에 접근할 수 있었다.

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시판 밑반찬에 대한 부산지역 주부의 인식조사 (A Survey of Korean Housewives' Perception on the Commercial Korean Basic Side Dishes in Busan Area)

  • 류은순;이동선;정순경
    • 한국식품영양과학회지
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    • 제35권4호
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    • pp.440-447
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    • 2006
  • 본 연구는 부산지역 주부들의 시판 밑반찬에 대한 인식을 구입 장소에 따른 차이를 조사함으로써 앞으로 시판 밑반찬의 문제점을 파악하고 이들 제품의 품질을 개선하는데 필요한 기초자료를 제공하고자 한다. 시판 밑반찬의 구입 현황에서 시판 밑반찬 구입 장소는 대형 할인점에서 가장 많이 구입하였고 구입하는 이유는 간편해서 54.6%, 소량 필요해서 23.0%이었고, 1회 구입량은 한 끼 식사분량이 50.2%이었다. 시판 밑반찬에 대한 인식점수는 시간이 절약됨이 가장 높았고 조미료 사용의 적절함이 가장 낮은 점수를 나타냈다. 반찬가게가 대형할인점보다 가격이 저렴함과 가정에서의 조리보다 경제적인 면에서 유의적(p<0.01)으로 높은 점수를 보였고, 재래시장이 대형할인점보다 유통기간의 신뢰함이 유의적(P<0.01)으로 낮은 점수를 보였다. 시판 밑반찬에 대한 전반적인 만족도는 $2.95{\sim}3.06$점으로 보통인 것으로 나타났다. 깻잎류에서 반찬가게의 맛(3.38점)이 가장 높은 점수를 보였고 재래시장의 위생(2.80점)이 가장 낮은 점수를 보였다. 콩조림류는 재래시장이 대형할인점과 반찬가게보다 가격 면에서 유의적 (p<0.01)으로 높은 점수를 보였고 마늘장아찌류는 반찬가게가 재래시장보다 맛(p<0.01), 보관 및 판매 상태 (p<0.05), 유통기간(p<0.05)에서 유의적으로 높은 점수를 보였다. 건어물볶음/무침류는 맛에서 반찬가게와 대형할인점이 재래시장보다 유의적 (p<0.05)으로 높은 점수를 보였다. 전반적으로 만족도에서 맛에 대해서는 3.00점을 나타냈으나 가격, 위생, 원재료, 유통기간에 대해서는 만족도가 낮았다. 시판 밑반찬을 구입 할 때 중요하게 고려하는 사항의 순위는 위생>맛>유통기간>가격>인공>조미료 사용량>원 재료의 순으로 나타났다. 시판 밑반찬에 대한 개선 필요성에 대한 순위는 위생적인 조리가 가장 높게 나타났고 재래 시장과 반찬가게가 대형할인점보다 가격 인하에 대한 필요성이 유의적 (p<0.01)으로 높게 나타났다. 이상을 살펴 볼 때, 시판 밑반찬에 대해서 시간이 절약되고 종류가 다양하며 편리하다고 인식하고 있었으나 만족도는 낮고 위생적인 조리는 중요시 여기며 개선되어야 할 과제로 나타났다. 따라서 시판 밑반찬의 위생에 대한 철저한 관리를 수행해야 하는 것은 물론이고 위생에 대해 소비자가 신뢰할 수 있는 체계적이고 제도적인 유통 장치가 마련되어야 하겠다. 또한 구입 장소에 따라서 만족도, 구입시 중요시 여기는 부분, 개선 요망사항 등에 차이가 나타나 밑반찬을 시판하는 장소에서는 자신들의 장점을 계속 발전시키고 약점은 보완하는 정책을 펼치는 것이 바람직하겠다.