• 한국임상수의학회지
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• 제20권1호
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• pp.7-11
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• 2003

감염된 환축을 찾는 진단과정에 완벽하지 못한 진단검사를 사용하는 경우 진단검사 결과는 흔히 왜곡되어 나타난다. 본 연구에서 저자는 Helicobacter pylori 감염을 진단하는데 사용되는 urease 검사, PCR 검사 및 조직학적인 검사법을 단독으로 사용하는 경우와 병행하여 사용하는 상황으로 구분하여 각각 진단적 특성을 평가하였다. 비선형 회귀모형 분석결과 민감도, 특이도, 양성우도비 및 음성우도비는 urease 검사법의 경우 99.9%, 99.9%, 99.9%, 99.6%, PCR 검사의 경우 88.6%, 99.9%, 99.9%, 70.5%, 조직검사법의 경우 78.3%, 97%, 78.3%, 97%fh 나타났다. 예측도는 유병율의 변화에 따라 다양한 값을 보였으며 Helicobacter pylori 감염의 유병율이 35% 이상일 때 조직 검사상 양성결과는 90% 이상의 일치도를 보였고, 유병율이 25% 미만일 때 조직 검사상 음성결과는 90% 이상의 일치도를 보였다. 본 연구결과 임상에서 감염된 개체를 스크리닝하는 목적으로 세가지 진단검사를 병행하는 것은 실질적인 이익이 없으며 단독검사로서 urease 검사와 PCR 검사가 가장 적합한 것으로 나타났다.

• 응용통계연구
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• 제26권6호
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• pp.987-998
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• 2013

이 논문에서는 한국의 대기질을 결정하는 중요한 수치인 미세먼지(PM10)에 대한 통계적 고찰을 한다. 2011년 매시 관찰된 자료 분석을 토대로 미세먼지가 매우 높은 시차에서도 강한 양의 상관관계를 가지는 장기 종속 시계열의 특징을 보임을 밝힌다. 또한 주변분포는 꼬리가 두터운 모형으로서 로그-정규분포보다는 일반화 파레토 분포가 훨씬 더 자료를 잘 적합함을 보인다. 하지만 이러한 높은 상관관계는 종종 단순한 평균변화 모형에 의한 그럴듯싸한 가짜 효과에 기인하기도 하여 통계모형을 세우는데 많은 혼동을 준다. 따라서 이 논문에서는 강한 종속성이 장기 종속 시계열에 의한 것인지 아니면 비정상 평균변화에 의한 것인지 근본적인 물리적 모형에 대한 논의를 통계적인 가설 검정을 통해 살펴본다. 그 결과 미세먼지의 강한 종속성은 구조변화에의한 착시 효과임을 밝힌다.

• Smart Structures and Systems
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• 제9권2호
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• pp.165-188
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• 2012

In the first part of the paper, the optimal design parameters for tuned liquid column dampers (TLCD) in harmonic pitching motion were investigated. The configurations in design tables include uniform and non-uniform TLCDs with cross-sectional ratios of 0.3, 0.6, 1, 2 and 3 for the design in different situations. A closed-form solution of the structural response was used for performing numerical optimization. The results from optimization indicate that the optimal structural response always occurs when the two resonant peaks along the frequency axis are equal. The optimal frequency tuning ratio, optimal head loss coefficient, the corresponding response and other useful quantities are constructed in design tables as a guideline for practitioners. As the value of the head loss coefficient is only available through experiments, in the second part of the paper, the prediction of head loss coefficients in the form of a design chart are proposed based on a series of large scale tests in pitching base motions, aiming to ease the predicament of lacking the information of head loss for those who wishes to make designs without going through experimentation. A large extent of TLCDs with cross-sectional ratios of 0.3, 0.6, 1, 2 and 3 and orifice blocking ratios ranging from 0%, 20%, 40%, 60% to 80% were inspected by means of a closed-form solution under harmonic base motion for identification. For the convenience of practical use, the corresponding empirical formulas for predicting head loss coefficients of TLCDs in relation to the cross-sectional ratio and the orifice blocking ratio were also proposed. For supplemental information to horizontal base motion, the relation of head loss values versus blocking ratios and the corresponding empirical formulas were also presented in the end.

• 대한치위생과학회지
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• 제3권1호
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• pp.15-24
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• 2020

Background: The program aims to enable the participants to receive oral health care with sustainability and give them the choice and prior autonomy of dental practitioners while enhancing the benefits of sustainability. The purpose of this study is to investigate the necessity, awareness, and satisfaction of the implementation of the registered dentist program for children and adolescents, and to promote the introduction of RDPCA. Methods: The survey targeted adult residents in their 20s or older who live in Seoul, an area that continuously implements the RDPCA system, especially in the cities of Cheonan and Asan Results: 79.7% were the most unaware. However, RDPCA participants were significantly more aware than non-participants. When surveying the desire to participate in RDPCA, 96.6% of the respondents said they would 'participate' in the non-RDPCA participate group. The analysis of the satisfaction level of the RDPCA received by their children indicated that 48.6% expressed their satisfaction, and 47.3% said they were healthy. There was a high percentage of people who said they would recommend RDPCA to others as well as a high rate of those who said they would continue to use RDPCA. Conclusions: The reality is that the awareness and implementation of RDPCA are low. For the development of oral health care programs for all children and adolescents in Korea, and the improvement of the satisfaction level of the dental care system, there should be an active consideration of high-quality programs and.

• 대한예방한의학회지
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• 제22권3호
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• pp.45-60
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• 2018

Background : There have been a variety of healthcare systems related to CAM practitioners developed in each country. However, the European cases have not been widely introduced in Korea so far. In the case of Germany, CAM practices have been developed in the frame of "Heilpraktiker" system. Objectives : The objectives of this study were to review the historical development and current situation of German Heilpraktiker system and its conflicting relationship with Western medical doctors, in order to utilize it as basic data for the conflict resolution between Western- and KM doctors in Korea. Methods : The historical development, current regulations and education system of Heilpraktiker were assessed. Research articles, reports, government publications and websites dealing with this issue were searched for and analyzed. Results : Heilpraktiker system was developed within German historical and cultural situation where naturopathic traditions were reilluminated in connection with modernization process of the state under the influence of romanticism formulating German nationalism. Between the concept of "Kurierverbot"(prohibition on medical treatment by non-physicians) and "Kurierfreiheit"(freedom of medical treatment), Heilpraktiker achieved a limited but legitimated right to conduct non-biomedical treatments from the state in the process of the formulation of modern German medical system. In this process, the conflicts between medical doctors and heilpraktikers have been also growing up to now. Conclusions : Heilpraktiker system, officially recognized with the legislation of Heilpraktiker law in 1939, stands at a crossroads between the continual development through strengthening its professionality, and abolition of the system due to its lack of quality control and medical evidence mostly argued by Western medical doctors, which has considerable implications for Korean situations in terms of the conflicting relationship between KM- and Western medical doctors. In this regard, it is necessary to discuss the debates on the concept "Kurierfreiheit"(freedom of medical treatment) developed within German tradition of medical pluralism.

• 한국산학기술학회논문지
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• 제16권5호
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• pp.3491-3498
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• 2015

본 연구는 건축 도시 분야의 시장 전망과, 건축 도시 상품 패러다임 변화, 융복합 교육수요 증가에 기초하여 경력자 실무자들을 대상으로 융복합 교육 수요, 교육방법, 교육과정 운영체계 등에 대한 요구를 파악하는데 목적을 두었다. 건축 도시분야의 융복합 교육에 대한 수요자의 전반적인 요구 식별을 위해, 건설분야와 비건설분야 재직자 실무자를 대상으로 온라인 설문을 실시하였다. 교육수요 조사결과는 세 가지로 요약될 수 있다. 첫 번째, 단기적 관점에서 실무환경과 밀접한 연계성을 가진 학문(세부전공 빈도증가율: 금융(716.7%), 경영(633.3%), 기획 및 마케팅(454.5%))과 기존 학문을 융합하는 것이 중요하다. 두 번째, 융복합 교육에 적합한 운영방식에 대한 설문결과가 온 오프라인을 병행해야 한다는 의견이 79%를 차지했다. 이에 따라 오프라인 대학과 사이버 대학의 장점을 상호 보완한 새로운 교육방법이 요구된다. 세 번째, 융복합 교과과정내 교육수요자의 교과과목 선택방식은 한정 자유형이 70.9%로 나타났다. 교육과정 운영체계는 건설 실무의 흐름에 맞추어 직무관련 교과과목을 배치하고, 융복합 교과과목은 선택적으로 수강할 수 있게 구성하는 것이 필요하다.

• 경영과정보연구
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• 제34권1호
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• pp.35-49
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• 2015

최근 기업의 사회적 책임 활동에 대한 학문적 실무적 차원의 논의들은 사회적 책임 활동을 전략적인 측면에서 기업특성 및 경쟁전략들과 연계시키는 통합 전략적 사고의 중요성을 강조하고 있다. 이 같은 관점에서 본 연구는 다국적기업들의 태생적 경쟁열위 요인인 문화적 거리와 이를 극복하기 위한 현지화 전략 간의 관계와 이들 관계에 대한 사회적 책임 활동의 조절효과를 분석하여, 시장 경쟁전략과 비 시장 전략의 상호보완적 관계에 대한 실증분석 결과를 제시하는데 주된 목적을 두고 실행되었다. 중국 시장에서 경쟁하고 있는 대표적인 다국적기업들의 총 3년(2010년-2012년) 간의 자료를 수집하여 다중회귀분석한 결과에 의하며, 다국적기업들이 직면하게 되는 문화적 거리는 시장경쟁 전략인 현지화 전략과 정(+)의 관계가 있는 것으로 나타났고, 다국적기업들의 사회적 책임 활동 역시 현지화 전략과 정(+)의 관계가 있는 것으로 나타났다. 또한 다국적기업들의 사회적 책임 활동은 문화적 거리와 현지화 전략 간의 정(+)의 관계를 음(-)의 관계로 조절하는 것으로 나타났다. 이는 문화적 거리를 극복하기 위한 현지화 전략의 효과가 사회적 책임 활동을 통해 보완될 수 있음을 나타내는 결과이다. 다국적기업들의 경쟁전략과 사회적 책임 활동 간의 보완관계를 분석한 본 연구의 결과는 중국시장에서 경쟁하고 있는 다국적기업들이 효율적인 성과향상을 위하여 시장전략인 현지화 전략과 비 시장 전략인 사회적 책임 활동 간의 균형적인 조정을 실행하고 있음을 보여주고 있다. 또한 다양한 시장전략과 비 시장 전략 간의 통합 전략적 관리방안에 대한 중요성과 미래 연구방향을 제시하고 있다.

• 보건교육건강증진학회지
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• 제24권3호
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• pp.21-34
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• 2007

Objectives: This study aims to examined whether physical activity prevent the negative effect of psychological stress on cardiovascular reactivity by reducing stress induced sympathetic output and preventing norepinephrine depletion negative psych-affective responses. It is assumed that physical activity reduces the magnitude of cardiovascular responses and psychological responses to stress which threaten individuals' physical and mental health. The result of investigating the effect of physical activity on reducing negative physiological and psychological responses would suggest useful information health for practitioners who want to prevent stress-induced diseases, especially coronary heart disease. Methods: participants of this study were 30 students (10 males & 20 females), whose mean age was 21.30 (SD=2.29). Fifteen students (5 males & 10 females) were assigned for in each group, treatment and control groups. They were interviewed and given a survey that included a consent form, demographics sheet and psychological tests, such as State-Trait Anger Expression Inventory and State-Trait Anxiety Inventory. Before the application of psychological stress, participants in treatment group were going through with a course of physical exercise, running on treadmill 15minutes, while participants in control group were not physically active. After exercise, there was 15 minutes resting period before applying cognitive stress. During the experiment, all participants performed challenging cognitive tasks for 20minutes in situations that were designed to experience learned helplessness and measured their cardiovascular reactivity including blood pressure and heart rate every 5 minutes, until 10 minutes after finishing the application of psychological stress(recovering state). In the end of experiment, they were given some psychological test again. Results: Heart rates of exercise group were significantly higher than non-exercise group, especially, five minute after applying cognitive stress and at the end of recovery, in other word 10 minutes after stressful event. Systolic blood pressures of exercise group were lower than those of non-exercise group during the stressful event, but this differences in borderline level of significance. state anger level of exercise group decreased even experiencing stress, while those of non-exercise group increase. And state anxiety level of exercise group decreased in borderline level of significance. Conclusion: This study reiterate health benefits of physical activity and suggest that regular moderate exercise may regulate cardiovascular reactivity and psycho-affective responses from stress by reducing stress induced sympathetic output.

• Korean Journal of Radiology
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• 제25권5호
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• pp.414-425
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• 2024

Objective: This study aims to explore the opinions on the insurance coverage of artificial intelligence (AI), as categorized based on the distinct value elements offered by AI, with a specific focus on patient-centered outcomes (PCOs). PCOs are distinguished from traditional clinical outcomes and focus on patient-reported experiences and values such as quality of life, functionality, well-being, physical or emotional status, and convenience. Materials and Methods: We classified the value elements provided by AI into four dimensions: clinical outcomes, economic aspects, organizational aspects, and non-clinical PCOs. The survey comprised three sections: 1) experiences with PCOs in evaluating AI, 2) opinions on the coverage of AI by the National Health Insurance of the Republic of Korea when AI demonstrated benefits across the four value elements, and 3) respondent characteristics. The opinions regarding AI insurance coverage were assessed dichotomously and semi-quantitatively: non-approval (0) vs. approval (on a 1-10 weight scale, with 10 indicating the strongest approval). The survey was conducted from July 4 to 26, 2023, using a web-based method. Responses to PCOs and other value elements were compared. Results: Among 200 respondents, 44 (22%) were patients/patient representatives, 64 (32%) were industry/developers, 60 (30%) were medical practitioners/doctors, and 32 (16%) were government health personnel. The level of experience with PCOs regarding AI was low, with only 7% (14/200) having direct experience and 10% (20/200) having any experience (either direct or indirect). The approval rate for insurance coverage for PCOs was 74% (148/200), significantly lower than the corresponding rates for other value elements (82.5%-93.5%; P ≤ 0.034). The approval strength was significantly lower for PCOs, with a mean weight ± standard deviation of 5.1 ± 3.5, compared to other value elements (P ≤ 0.036). Conclusion: There is currently limited demand for insurance coverage for AI that demonstrates benefits in terms of non-clinical PCOs.

• 대한치과교정학회지
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• 제47권5호
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• pp.298-305
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• 2017

Objective: This paper describes changes in the characteristics of patients seeking orthodontic treatment over the past decade and the treatment they received, to identify any seasonal variations or trends. Methods: This single-center retrospective cohort study included all patients who presented to Seoul National University Dental Hospital for orthodontic diagnosis and treatment between January 1, 2005 and December 31, 2015. The study analyzed a set of heterogeneous variables grouped into the following categories: demographic (age, gender, and address), clinical (Angle Classification, anomaly, mode of orthodontic treatment, removable appliances for Phase 1 treatment, fixed appliances for Phase 2 treatment, orthognathic surgery, extraction, mini-plate, mini-implant, and patient transfer) and time-related variables (date of first visit and orthodontic treatment time). Time series analysis was applied to each variable. Results: The sample included 14,510 patients with a median age of 19.5 years. The number of patients and their ages demonstrated a clear seasonal variation, which peaked in the summer and winter. Increasing trends were observed for the proportion of male patients, use of non-extraction treatment modality, use of ceramic brackets, patients from provinces outside the Seoul region at large, patients transferred from private practitioners, and patients who underwent orthognathic surgery performed by university surgeons. Decreasing trends included the use of metal brackets and orthodontic treatment time. Conclusions: Time series analysis revealed a seasonal variation in some characteristics, and several variables showed changing trends over the past decade.