• 보건행정학회지
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• 제16권4호
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• pp.48-67
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• 2006

The aim of the study was to examine levels of satisfaction with health care in North Korea and to identify factors associated with it using a convenience sample of North Korean refugees in China. Data from the 2004 Survey of Health Seeking Behavior of North Korean Households conducted by the Center for Refugee and Disaster Response, Johns Hopkins Bloomberg School of Public Health were used. The study subjects were 273 North Korean refugees whose length of stay in China was less than 3 months. Factor analysis was used to extract factor dimensions from the 12 satisfaction items. Bivariate (t test and ANOVA) and multiple regression analyses were used in examining factors associated with satisfaction with health care use in North Korea Overall, satisfaction level was low ($2.36{\pm}0.36$, score range: 1-5). Of the three-factor dimensions, physician skills scored the highest $(2.93{\pm}0.36)$, followed by drug availability $(2.51{\pm}0.07)$ and general cleanliness $(1.66{\pm}0.55)$. In the multiple regression analysis, having a usual source of care was significantly associated with patient satisfaction. Respondents who identified primary care (section) doctors as their usual source of care tended to be less satisfied than those with the city or county hospital as their usual source of care. County residents tended to report a lower degree of satisfaction with general cleanliness than city residents. Among socioeconomic characteristics, the number of household assets positively predicted satisfaction with drug availability. North Korean residents appear to be dissatisfied with their medical care. It may reflect some inadequacies in the North's universal health care system to meet the healthcare needs of its people.

• Journal of Preventive Medicine and Public Health
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• 제26권2호
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• pp.293-309
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• 1993

With expanded and extended coverage of the national medical insurance and fast growing health care expenditures, appropriateness of health service utilization and quality of care are concerns of both health care providers and insurers as well as patients. An accurate patient classification system is a basic tool for effective health care policies and efficient health services management. A classification system applicable to Korean medical information-Korean Diagnosis Related Groups (K-DRGs)-was developed based on the U.S. Refined DRGs, and the performance of the developed system was assessed in this study. In the process of the development, first the Korean coding systems for diagnoses and procedures were converted to the systems used in the definition of the U.S. Refined DRGs using the mapping tables formulated by physician panels. Then physician panels reviewed the group definition, and identified medical practice patterns different in two countries. The definition was modified for the differences in K-DRGs. The process resulted in 1,199 groups in the system. Several groups in Refined DRGs could not be differentiated in K-DRGs due to insufficient medical information, and several groups could not be defined due to procedures which were not practiced in Korea. However, the classification structure of Refined DRGs was retained in K-DRGs. The developed system was evaluated fur its performance in explaining variations in resource use as measured by charges and length of stay(LOS), for both all and non-extreme discharges. The data base used in this evaluation included 373,322 discharges which was a random sample of discharges reviewed and payed by the medical insurance during the five-month period from September 1990. The proportion of variance in resource use which was reduced by classifying patients into K-DRGs-r-square-was comparable to the performance of the U.S. Refined DRGs: .39 for charges and .25 for LOS for all discharges, and .53 for charges and .31 for LOS for non-extreme discharges. Another measure analyzed to assess the performance was the coefficient of variation of charges within individual K-DRGs. A total of 966 K-DRGs (87.7%) showed a coefficient below 100%, and the highest coefficient among K-DRGs with more than 30 discharges was 159%.

• 한국멀티미디어학회논문지
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• 제7권2호
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• pp.173-186
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• 2004

영상 검색의 수행 방법으로 사람의 시각 시스템의 특성을 기반으로 주요 의미를 갖는 객체의 효과적인 특징 추출을 통한 내용기반 영상 검색 시스템을 제안한다. 관심 객체 영역이 우선적으로 검출되도록 하기 위해 영상 내에서 비교적 면적이 크고 배경색상과의 차이가 크면서 영상의 가운데 위치하는 영역을 의미를 갖는 주요 객체로 판단하였다. 영상 고유의 특징을 얻기 위해서는 영상의 객체 윤곽선의 전체 길이를 정규화 된 일정한 세그먼트로 분할한 후에 객체 윤곽선의 세그먼트가 갖는 편각차분 벡터들의 누적 합과 양분된 객체의 시그너처를 추출하여 물체의 회전과 크기 변화에 적응적인 형태 특징으로 사용한다. 이와 같은 형태 특징을 필두로 해서 질감 샘플과 칼라, 그리고 이심률 정보를 결합하여 유사도를 측정함으로써 이동, 회전 크기 변화에 강건한 검색이 가능했으며 영역의 부분적인 변화나 손상으로 인한 객체 특성의 왜곡 현상에 덜 민감하게 반응하였다. 또한 Box-Counting Dimension에 의한 프랙탈 차원을 이용하여 측정한 객체간 복잡도 관계를 기반으로 하여 영상 특징에 서로 다른 유사도 가중치를 부여하는 방법이 잘못된 검색을 최소로 하여 더욱 효율적인 검색율을 보였다.

• 한국지하수토양환경학회지:지하수토양환경
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• 제22권3호
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• pp.27-41
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• 2017

This study dealt with the characteristics and the interrelations of hydrogeological parameters such as hydraulic conductivity, dispersivity and effective porosity of unconsolidated sediments for providing the basic data necessary for the planning of the management and preservation of groundwater quality in the Nakdong River Delta of Busan City, Korea. Groundwater quality in this area has been deteriorated due to seawater intrusion, agricultural fertilizer and pesticide, industrial wastewater, and contaminated river water. The physical properties (grain size distribution, sediment type, sorting) and aquifer parameters (hydraulic conductivity, effective porosity, longitudinal dispersivity) were determined from grain size analysis, laboratory permeability test and column tracer test. Among 36 samples, there were 18 Sand (S), 7 Gravelly Sand (gS), 5 Silty Sand (zS), 5 Muddy Sand (mS), and 1 Sandy Silt (sZ). Hydraulic conductivity was determined through a falling head test, and ranged from $9.2{\times}10^{-5}$ to $2.9{\times}10^{-2}cm/sec$ (0.08 to 25.6 m/day). From breakthrough curves, dispersivity was calculated to be 0.35~3.92 cm. Also, effective porosity and average linear velocity were obtained through the column tracer test, and their values were 0.04~0.46 and 1.06E-04~6.49E-02 cm/sec, respectively. Statistical methods were used to understand the interrelations among aquifer parameters of hydraulic conductivity, effective porosity and dispersivity. The relation between dispersivity and hydraulic conductivity or effective porosity considered the sample length, because dispersivity was affected by experimental scale. The relations between dispersivity and hydraulic conductivity or effective porosity were all in inverse proportion for all long and short samples. The reason was because dispersivity was in inverse proportion to the groundwater velocity in case of steady hydrodynamic dispersion coefficient, and groundwater velocity was in proportion to the hydraulic conductivity or effective porosity. This study also elucidated that longitudinal dispersivity was dependent on the scale of column tracer test, and all hydrogeological parameters were low to high values due to the sand quantity of sediments. It is expected that the hydrogeological parameter data of sediments will be very useful for the planning of groundwater management and preservation in the Nakdong River Delta of Busan City, Korea.

• 대한지리학회지
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• 제43권1호
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• pp.20-35
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• 2008

본 연구에서는 나주지역을 사례로 기후변화가 농업생태에 미치는 영향을 파악하고자 하였다. 이를 위하여 나주지역의 농업 관련 통계자료와 기후 자료를 분석하였다. 벼와 보리의 출수기는 일러지는 경향으로 각각 출수 30일 이전의 평균기온과 음의 상관관계가 있다. 일러진 출수기 때문에 등숙기간의 평균기온이 상승하여 여름철 작물인 벼의 단위면적당 낟알 수는 감소한 반면에 겨울철 작물인 보리의 단위면적당 낟알 수는 증가하였다. 그러므로 기온이 오늘날과 같은 추세로 상승한다면 벼의 수량은 감소하고 보리의 수량은 증가할 것으로 예측할 수 있다. 배의 발아기 및 개화기와 만개기는 점차 일러지는 경향이며, 발아기는 2월에서 3월까지의 평균기온과, 개화기 및 만개기는 2월에서 4월까지의 평균기온과 음의 상관관계가 있다. 배의 당도와 과중은 증가하는 경향이며, 각각8월과9월의 평균기온과 양의 상관관계가 있다. 이와 같이 기온 상승은 배의 당도 및 과중 등 생육상태에 긍정적인 영향을 미칠 것으로 예상되지만 발아 및 개화기가 빨라짐에 따라 저온 피해 및 늦서리 피해를 입을 수 있다. 배추와 무의 초장은 모두 감소하는 경향이며, 9월 최고기온과 음의 상관을 보인다. 반면 고추의 착과수는 최근 증가하는 경향이며, 8월의 최저기온과 음의 상관관계가 있다. 기온 상승은 저온성 작물인 배추와 무의 생육 저하를 초래할 수 있으나 고온성 작물인 고추의 생육에는 긍정적인 영향이 예측된다.

• 자원리싸이클링
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• 제26권1호
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• pp.43-50
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• 2017

본 연구에서는 무기질 첨가재를 혼합한 천연수경성석회의 초기경화 거동분석을 위해 multiple light scattering 분석법을 이용하였다. 자체 제조한 천연수경성석회의 물성향상을 위해 고로수쇄슬래그 및 3종류의 석고를 혼합비에 따라 혼합하였으며 물-고체비 0.6으로 페이스트를 제조하였다. 제조한 페이스트를 이용하여 원통형의 용기에 일정량을 담아 장비(Turbiscan LAB, Formulaction)에 장입하여 분석을 실시하였다. 페이스트로부터의 backscattering flux(BS, %)는 $23^{\circ}C$의 온도에서 분석용기 전체높이(55 mm)에 대해 24시간 동안 10분 간격으로 측정되었다. 모든 시료에서 전체적으로 BS는 시간경과에 따라서 증가하는 경향성을 보였다. 고로수쇄슬래그와 석고를 첨가함에 따라서 시간에 따른 BS의 증가 속도는 0.02에서 0.38 BS %/hour 까지 증가하였다. 반수석고를 혼합하였을 경우 가장 높은 backscattering flux와 BS의 증가속도를 보였다.

• 비파괴검사학회지
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• 제27권4호
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• pp.345-353
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• 2007

근접장 마이크로파 현미경을 이용하여 수중에서 시료의 표면이미지에 대한 비파괴적 측정에 관한 연구를 하였다. 이때 근접장 마이크로파 현미경은 3.5-5.5 GHz에서 작동되었다. 본 연구에서는 수중에서 시료의 표면특성을 손상 없이 측정하기 위해 강성힘을 이용한 튜닝폭(tuning fork) 거리조절 시스템으로 팁과 시료 사이의 거리를 10 nm로 유지하였다. 더불어, 공기 및 수중에서 튜닝폭의 진동진폭의 변화와 공진주파수의 변화를 측정하여 수중에서 튜닝폭리 반응특성을 저하시키는 원인에 대해 알아보았다. 물 속에 시료가 충분히 잠기고, 동시에 물의 영향을 최소화하기 위해 팁의 길이를 2 mm로 제작하여 튜닝폭의 한 쪽면에 붙였다. 또한 측정과정에서 나타나는 증발현상을 해소하기 위해 엑츄에이터를 이용하여 보충용 수조를 제작하였으며, 보다 정확한 수중측정을 위해 보정프로그램을 응용하였다. 이를 통해, 시료의 공기 및 수중 측정의 가능성을 확인하기 위해 도체시료의 표면특성을 관측하고 비교하였다.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제22권4호
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• pp.37-45
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• 2016

Purpose: The purpose of this paper is to analyze a sample of single corridor, pod type and composite type of ICUs in terms of patient visibility, spatial configurations and nurse walking distance focused on Korean cases. Methods: The measures of static visibility were used to quantify the patient visibility (upper third part of the patient bed) from the nurse station. The measure of space programme and area distribution (patient zone percentage, staff zone percentage, circulation zone percentage, corridor length per bed, distance from nurse station (NS) to patient bed and departmental gross square meter (DGSM) per patient bed) were calculated by using AutoCAD and MS Excel programs. In the second step of analysis the values of space distribution were compared among the three type of ICUs as well as the nurse walking distance, DGSM per bed and gross factor. in the third step of analysis regression analysis was conducted for the possible correlation between visibility and space programme and area distribution factors as well as nurse walking distance factors. Results: (1) It was found that on average composite type unit offer highest value of patient visibility followed by pod type, while single corridor type unit offers the minimum value of patient visibility among the three plan typologies. (2) Average patient visibility and DGSM per bed shows a strong positive correlation ($r^2=0.75$) and p=0.026. (3) Average patient visibility and average distance from NS has a strong negative correlation ($r^2=0.78$), and P=0.02. (4) On average composite type unit offer the minimum walking distance from NS (7.22 meter) followed by pod type unit (8.35 meter) and single corridor (9.76 meter). (5) Maximum distance from NS was noted in single corridor (18.19 meter) followed by pod type unit (15.14 meter) and Composite type unit (11.1 meter). Implications: This study may contribute to the visibility analysis of existing and future ICU design in Korea to achieve maximum patient visibility and reduced nurse walking distance.

• 산경연구논집
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• 제9권5호
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• pp.93-104
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• 2018

Purpose - This study is to investigate the relationship among emotional intelligence, self-efficacy and job stress of foreign life insurance consultants focusing on the mediating effect of self-efficacy. Regarding job security, in general foreign life insurance companies in Korea have more severe working conditions in terms of required contract performance. For foreign life insurance consultants, they are assumed to need higher level of emotional intelligence and self efficacy to meet the conditions. In this study, focus is cast on these aspects. Research design, data, and methodology - Basically the research is conducted upon questionnaires responded by foreign life insurance consultants. That is, data are collected from 255 sample of insurance consultants who work for a foreign owned life insurance company. The Questionnaire measure the level of emotional intelligence, self-efficacy and job stress of insurance consultants. The data are analyzed using pearson's correlation coefficient and hierarchical multiple regression, descriptive statistics, t-test, ANOVA, Durbin-Watson test. Results - The general characteristics of respondents are gender, age, marital status, education level, income monthly, career length, change jobs no, working day per week, call no. per week, meeting no. with client per week, contract regularity, contract no. per month and cancellation contract per year. The mean of emotional intelligence is 2.63, self-efficacy is 3.44 and job stress is 2.20. Emotional intelligence is composed with mean value of self emotion appraisal(3.93), other's emotion appraisal(3.78), regulation of emotion(3.29) and use of emotion(3.52). The mean of self efficacy is composed with mean value of self-confidence(3.41), self-regulated efficacy(3.59) and preference task difficulty(3.30). The job stress is composed with mean value of job requirement(2.61), lack of job autonomy(1.99), conflict of personal relations(1.99), job instability(2.38), organizational system(2.19) and inappropriate compensation(2.07). There is a significant positive correlation between emotional intelligence and self-efficacy. The emotional intelligence and self-efficacy are significantly negative correlation with job stress. The self-efficacy is showed a mediating variable between emotional intelligence and job stress. Conclusions - To decrease job stress level, foreign life insurance company should find the factors to improve the emotional intelligence and self-efficacy of life insurance consultants, and develop appropriate plans using a mediating role of self- efficacy between emotional intelligence and job stress.

• Restorative Dentistry and Endodontics
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• 제24권4호
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• pp.578-584
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• 1999

The purpose of this experiment was to determine: (1) the safe automatic apical reverse setting that prevents overinstrumentation of the root canal, using Tri Auto ZX$^{(R)}$ and (2) the effect of various irrigant on such instrumentation. The instrumentation was carried out with the automatic apical reverse setting of 0.5, 1.0, 1.5, and 2.0. The root canal irrigants used in usual manner were normal saline(0.9%), NaOCl(2.5%), and RC Prep$^{(R)}$. For each reverse setting and each irrigant, ten teeth were used with the total of 120 teeth. The distance between the file tip and the apical constriction was determined by stereomicroscope using the point that the file began to rotate in reverse direction. When the reverse setting mode was set to 0.5, 18 of 30 were overinstrumented. If these were discriminated by irrigant, 10 of 6 with 0.9% saline, 10 of 6 with NaOCl, and 10 of 6 with RC Prep$^{(R)}$ has the file tip located 0.57${\pm}$0.30mm, 0.73${\pm}$0.39mm, and 0.26${\pm}$0.25mm beyond the apical constriction respectively. In 1.0 setting 15 of 29 were over the apical constriction, and the distribution was 6 in saline, 5 in NaOCl, and 4 in RC Prep$^{(R)}$. The mean distance over the apical constriction was 0.28${\pm}$0.13mm with saline, 0.75${\pm}$0.61mm with NaOCl, and 0.25${\pm}$0.17mm with RC Prep$^{(R)}$. When the autoatic reverse mode was set to 1.5, and 2.0, 5, and 1 teeth were found to be overinstrumented in respective settings. But there were large variations in overinstrumented distances when an attempt was made to compare the effect of irrigants on this overinstrumentations and they were meaningless for the small sample size. When all of the autoreverse setting were combined to compare the number of overinstrumented teeth with each irrigant, there were no significant differences (14 for normal saline, 12 for NaOCl, 13 for RC Prep$^{(R)}$). When 0.5 or 1.0 automatic apical reverse setting mode was used the Tri Auto ZX$^{(R)}$ in clinical application, the possibility of overinstrumentation beyond the apical constriction exists in 55.9% of cases. Therefore 1.5 or 2.0 setting is safer for the preparation inside the canal but this type setting needs additional apical hand preparation of the root canal because the accuracy is lower than 0.5 or 1.0 setting.