• 한국조경학회지
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• 제39권4호
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• pp.11-17
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• 2011

본 연구는 한 중 옥상녹화의 법률을 분석하여 법규 및 지원제도상의 문제점을 파악하고, 그에 따른 보완점을 종합적으로 검토하여 옥상녹화의 법규 및 지원제도 개선 방안을 제시하였다. 연구 결과, 첫째, 구조안전 측면은 옥상녹화의 가장 중요한 조건이다. 따라서 옥상에 하중안전을 위하여 옥상녹화 설계 시 시공재료의 중량, 우수와 설(雪) 하중에 대한 영향, 방문자의 수용량을 정확하게 계산해야 한다. 둘째, 설계기준으로 방수 및 방근재료는 지역에 따라 적합하게 사용해야 한다. 셋째, 유지관리는 식물, 시설물, 토양 등으로 구분하여 정기적인 점검과 보수가 필요하다. 넷째, 품질검사 기준으로 방수 및 방근 성능검사 기준과 식물생육 상황을 판단하는 기준이 있어야 한다. 방수 및 방근 성능은 옥상녹화의 가장 중요한 부분이기 때문에 시공 후 공사 품질을 엄격하게 수행하여야 한다. 다섯째, 옥상녹화 지원제도를 적극적으로 시행하고 보다 더 적극적이고 상세한 지원체계가 제시되어야 한다. 아울러 옥상녹화 의무화 규정을 더 강화시킬 필요가 있다.

• 한국전자거래학회지
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• 제16권3호
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• pp.191-209
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• 2011

구매자와 판매자의 판매과정에서 '구매가치'는 구매자의 구매의사결정에 있어서 매우 중요한 가격대비 질의 중요한 측정치이다. 본 논문의 목적은 온라인 구매자들이 통일한 물건을 파는 판매자를 중에 최적 판매자를 선택하는 데 도움이 되는 방법론을 제안함에 있다. 이 방법론 수립을 위하여 DEA(data envelopment analysis) 방법론의 적용모형의 하나인 FDH(free disposal hull) 모형을 사용하고, 이 모형의 실효성을 질제 가격비교 사이트로부터 획득한 데이터를 이용하여 검증하였다. 모형 검증과정에서는 가격, 브랜드 배달 기간 등 거래 조건에 대하여 구매자들이 어떻게 반응하는지를 우선 분석하고, 이를 바탕으로 구매자의 구매 의사결정을 돕는 판매자 추천 시스템을 구축하였다. 본 연구를 통하여 검증된 FDH 모형은 구매자 측면에서 최적조건, 최저가로 좋은 제품과 서비스를 원하는 구매자에게 유용한 정보를 제공하고, 나아가 자동화된 소규모 거래에도 활용될 수 있을 것으로 기대된다. 판매자 측면에서는, 구매자의 선호도를 더욱 자세히 파악함으로써 타판매자 대비 경쟁력을 가지는 벤치마킹 전략을 수립하는 데에도 유용하게 이용될 수 있을 것으로 기대된다.

• 한국의료질향상학회지
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• 제2권1호
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• pp.68-84
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• 1995

Background: Guideline for practice is useful because it can be the standard for assessment and way to improve quality. We need to take account of expert opinion and consensus as well as scientific evidences to develope practice guideline because it should be practical. Delphi method has been developed to gather opinions from experts fairly. This study was designed to develop practice guideline and apply it to practices as a method to improve quality in primary medical care. Methods: Hypertension(in adults over 18 years old) was selected as a target problem. Self questionnaires about management of hypertensive patients were developed by a researcher with advice of 11 experts. The questionnaires were designed to response as a 5 pont scale. The results of previous questionary were given to respondents in second and third questionnaires. If needed, the questionnaires were changed on the previous responses. The items with medium greater than or equal to 4 point in 1st and 2nd responses were accepted in guideline. The items with medium lesser than or equal to 3 point were questioned again about whether they can be excluded or not. The criteria for assessment was made with reference to guideline and applied to 85 hypertensive patients of 9 family practitioners. At 3 months after practice guideline had been given to family practitioners, performance of same practitioners was assessed with 36 new hypertensive patients. Results: 23 professors in family medicine, 22 family practitioners and 6 cardiologists, responded among 50, 50, 15 respectively. Practice guideline with 33 items was developed as a result of 3 times questionaires. The difference of responses between professors in family medicine, family practitioners and cardiologists was not significant. Performance of practice was improved in diagnosis, history taking about 6 fields, laboratory examination and decision making about time of pharmaceutical prescription. It was not improved in physical examination, life style modification, method of pharmaceutical prescription, choice of initial antihypertensives and history taking about duration of disease and diet habit. It was decreased in history taking about psychosocial factors. The assessment scores were low in history taking, physical examination and life style modification before and after use of practice guideline. Conclusion: Practice guideline for hypertension could be developed by Delphi method. Performance of practice improved partially after use of guideline.

• 해양환경안전학회지
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• 제26권6호
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• pp.624-633
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• 2020

최근 인천, 부산 등 지자체를 중심으로 해사법원의 설치에 대해 논의 중이다. 본 연구의 목적은 통합 ELECTRE-CRITIC-ISM기법 기반 해양사고 발생건수를 이용하여 해사법원의 설치 우선순위 평가 모델을 개발하고, 우리나라 해사법원의 설치에 적용하여 유용성을 확인하기 위한 것이다. 이를 위해 먼저 31개의 무역항 중에서 해양사고 데이터가 통합 관리되는 9개의 무역항을 제외한 22개의 무역항을 대상으로 6개의 고등법원 관할에 매칭하였다. 두번째는 CRITIC법은 평가항목인 5년간의 해양사고 발생건수에 대하여 중요도를 산정하고 ELECTRE법과 결합하기 위해 이용되었다. 마지막으로 ELECTRE&ISM법은 해양사고 발생건수의 변동 폭을 고려한 고등법원 간 선호도 및 비선호도를 분석하고 우선순위를 평가하기 위해 이용되었다. 해양사고 발생건수의 변동 폭을 중간으로 고려하여 최종순위를 평가한 결과 부산고등법원이 1위, 광주고등법원은 2위, 서울고등법원 3위, 대전 및 대구고등법원은 4위, 수원고등법원은 6위로 우선순위가 높게 나타났다. 따라서 부산고등법원에 해사법원의 우선설치가 필요하다.

• 시큐리티연구
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• 제34호
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• pp.185-207
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• 2013

오늘날 국가는 사회안전유지 활동의 효율과 효과를 도모하기 위해서 "전문화", "고도화", "선택과 집중"에 형사정책의 초점을 맞추게 되는데, 이로써 국가의 활동영역의 축소가 필연적으로 수반된다. 이에 따라 축소된 국가의 활동영역을 보완해야할 대체 역할자가 필요하게 되고, 대체 역할자의 중요성이 점점 더 부각되고 있다. 이러한 대체 역할자의 하나로 Private Security(이하 PS)가 있다. PS는 비공적인 조직 또는 개인이 종래에 공적기관에 독점되어 온 사회의 안전확보와 범죄예방 역할을 대체 담당하는 것이다. 우리나라에서는 민간경비업이 이에 해당한다. 우리나라를 포함한 많은 선진국에서 PS가 범죄예방에 큰 역할을 담당해 왔고 그 비중도 높아지고 있다. 세계적으로도 "공(公)"에서 "사(私)"로, "관(官)"에서 "민(民)"으로 시큐리티 밸런스가 점점 전환되어 가고 있다. 위 현상을 가장 잘 보여주고 있는 사례로서 일본 PFI(Private Finance Initiative)교도소에 있어서의 PS의 역할을 들 수 있다. PFI교도소는 시설운영의 효율성 진작을 위해 민간의 노하우를 적극 활용함과 동시에 형벌권에 뒤따르는 행정책임을 국가가 보장하는 등의 철저한 "관민협동" 방식으로 운영되고 있다. 특히 키츠렌가와 센터와 하리마 센터는 관민협동방식 PFI교도소의 실효성을 높이기 위하여 민간사업자 선정평가기준으로 위험부담과 관계된 제안, 지역과의 공생, 보안사고의 방지 및 사고발생시의 대응, 기존교도소의 운영업무 등의 항목이 중요시 된다. 이러한 사례는, 우리나라의 향후 PS의 역할 모색에 있어 그 시사하는 바가 매우 크다.

• 대한간호학회지
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• 제5권1호
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• pp.133-143
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• 1975

Most of mothers place their babies in either supine or prone position without change of position. Studies comparing supine and prone position of the newborn infants -have already been performed with the result that the prone position is relatively better than the supine position. However, one kind of position recommended to the mothers is not sufficient for the good rearing practice of children, because the same position placed for period long of time may bring out physical, mental tension and fatigue, and deformities of the skull and the thorax. For this reason nurses have to find out other position which has identical or more advantages than prone position so as to perform the position change for the babies. Main purpose of this study is to identify the differences of vital signs, the number of urination, defecation, diaper rash, crying and amount of feeding of the newborn infants with prone position or lateral position during the first three days of life. Sixty two newborn infants who were delivered at Seoul National University Hospital during the period from July 1 to September 5, 1974 were chosen as subjects for this study. The criteria for the choice of subjects were the babies born with vaginal delivery; body weight 2.5kg or over at birth; Apgar score Seven or over; and gestation period between thirty-eight months ana forty- two months. Of these subjects, by random sampling, thirty-one newborn infants were placed in the prone position and the other thirty-one in the lateral position. The results of this study reviewed in a statistical analysis of the t-test to obtain the following findings : 1. The heart rates of babies in the prone position were the mean heart rates of 135.03 and those in the lateral position 135.98 without any statistically significant difference. 2. There was no significant difference of respiration rate between two groups : a group in the prone position showed the mean respiration rates of 45,57 and the other in the lateral position 46.49. 3. There was no significant difference of body temperature between two groups: the mean body temperature of a group placed in the prone position was 98$^{\circ}$18'F(36$^{\circ}$77'C) and that of the other group 98$^{\circ}$20'F(36$^{\circ}$78'C). 4. One baby showed diaper rash only in a group of infants in the prone position. 5. The number of crying of the babies in the prone position were 23.70 and those in the lateral position 30.00 with a statistical difference at 5 percent level. 6, There was no difference of frequency of urination between two groups: the mean frequency of a group placed in tile prone position was 5.44 and that of the other group 5.06, 7. There was no significant difference of frequency of defecation between two groups : the mean frequency of a group placed in the prone position was 4.20 and that of tile other group 4.21, 8. There was no significant difference of feeding amount between two groups : the average amount of a group in the prone position showed 325.03 and that of the other group in the lateral position 291.51. All the above results mean that we may substitute tile lateral position for the Prone position or utilize both position for tile rearing practice of the babies.

• 대한간호학회지
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• 제4권1호
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• pp.95-106
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• 1974

The Purpose of this study was to observe the body temperature changes of newborn infants in general crib and electric heat crib after birth for the period required to reach the optimum body temperature. Forty-seven newborn infants who were delivered at Seoul National University Hospital during the period from June 12 to September 13, 1973 were chosen as Subjects for this study. The criteria for the choice of subjects were the babies with normal spontaneous delivery; body weight 2.5kg and over at birth; Apgar so ore seven and over and gestation period over thirty-six weeks. Of these subjects, by random sampling thirty-one newborn infants were placed in the general crib and sixteen in the electric-heat crib. The rectal body temperature of these newborn infants were taken and recorded at fifteen-minute interval for the first one hour period after birth, at thirty minute interval for the next two hours and at one hour interval for the remaining period up to eight hours. The results of the study were as follows: 1. The mean body temperature of the newborn infants on admission to nursery ranged from 98.7℉. to 99℉. irrespective of the body weight and the room temperature. 2. There was a significant difference in the body temperature changes of the newborn infants as a total between the general crib and the electric-heat crib from three to eight hours after birth. It was found that the body temperature of the newborn infants in the electric-heat crib was significantly higher than that of the newborn infants in the general crib. 3. In comparison with the body temperature changes of the newborn infants in the general crib, the newborn infants in the electric- heat crib exhibited significantly higher body temperatures in all three body weight groups; from four to eight hours after birth in the 2.5-2.9kg body weight group; from three to seven hours after birth in the 3.0-3.4kg body weight group; from two and half to six hours after birth in the group with body weight over 3.5kg. 4. Time required to reach 98℉. of body temperature was four hours in the 3.5-2.9kg body weight group, three hours in the 3.0-3.4kg. body weight group and two and half hours in the group with body weight over 3.5kg in the electric- heat crib. In the general crib, it took over eight hours in the 2.5-2.9kg body weight group and five hors in both the 3.0-3.4kg and over 3.5kg body weight group to reach 98℉ of body temperature. 5. The lowest mean body temperature of newborn infants in both general and electric- heat crib appeared in forty-five minute after birth and the temperature ranged from 96.4℉ to 96.5℉. 6. The mean body temperature of the newborn infants in the general crib was increased as the room temperature. 7. The body weight, the room temperature and the time elapsed after birth fore proved to be significant factors influencing the body temperature changes of newborn infants. From tile above results, the three hypotheses were positively accepted.

• Journal of Gastric Cancer
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• 제3권3호
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• pp.139-144
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• 2003

Purpose: Because of an improving gastric cancer detection program and treatment methods, we can expect improved survival of patients with gastric cancer. Given the longer survival times, the chance of an occurrence of multiple primary malignant tumors other than stomach is increased in the same patients. The purpose of this study is to analyze the clinical characteristrics and the survival of patients with gastric cancer and other malignancies. Materials and Methods: A retrospective study of 3669 patients with gastric cancer observed at our department between January 1994 to December 2002 was conducted. Associated tumors were diagnosed using the Warren and Gates criteria, and included tumors that were not considered to be a metastasis, invasion, or recurrence of the gastric cancer. Results: Of all 3669 patients, $2.07\%$ (n=76) had primary tumors other than gastric cancer, $63\%$ of which were synchronous (n=48) and $37\%$ metachronous (n=28). The mean age of the study group was 64.9 (65.5 in males, 61.8 in females), and the male-to-female ratio was 4.8 : 1. The most common cancer associated with gastric cancer was a hepatocellular carcinoma ($23.7\%$), followed by colorectal cancer ($17.1\%$), esophageal cancer ($10.5\%$), breast cancer ($6.6\%$). Of the 45 patients who had undergone a resection, 14 were in stage I, 12 in stage II, 13 in stage III, and 6 in stage IV. No statistically significant differences were found between the synchronous and the metachronous groups with regard to age, sex ratio, differentiation, and stage. The 5-year survival rates of the metachronous and the resected patients were significantly higher than those of the synchronous and the non resected patients, respectively. Conclusion: Due to increasing length of the follow-up period for patients with gastric cancer, another malignancy may develop in other organs. Therefore, physicians should pay attention to detect other cancers early in these patients, and a surgical resection is recommended as the treatment of choice in the management of multiple primary cancer associated with gastric cancer.

• 생물정신의학
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• 제20권3호
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• pp.111-117
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• 2013

Objectives We investigated the effectiveness and safety when treated in schizophrenics with paliperidone palmitate, a long acting injectable antipsychotic. Methods This was a 24-week open-label study, performed at one center in Korea. The eligible patients with schizophrenia diagnosed by Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria were enrolled. Patients received long-acting paliperidone palmitate injection (234 mg, baseline; 156 mg, week 1 ; then once 4 weeks flexible dosing). Effectiveness assessments were measured by the Positive and Negative Syndrome Scale (PANSS), The Clinical Global Impression Severity Scale (CGI-S), The Personal and Social Performance (PSP) at baseline, week 1, every 4 weeks untill 24 weeks or endpoint. Safety assessments were measured by The Extrapyramidal Symptom Rating Scale (ESRS), body weight (BW) and incidence of adverse events. Oral antipsychotics were stopped or tapered off within next 14 days. Results Of 20 patients recruited, 9 patients (45%) completed the study. Paliperidone palmitate produced a significant improvement in PANSS total score from baseline to endpoint. The response rate was 75% [mean change (${\pm}SD$) $-25.9{\pm}14.4$, all p < 0.001]. The CGI-S and PSP total scores significantly improved during 24 weeks (All p < 0.001). Eighty percent of patients reported adverse events and most common adverse events (${\geq}10%$) in paliperidone palmitate were anticholinergic adverse event, extrapyramidal symptoms, weight gain, akathisia, insomnia, headache, agitation, anxiety and GI trouble. ESRS score is not statistically significant, but tends to get better at the end of the study when compared to baseline. Conclusions Our study results demonstrated maintained effectiveness and safety of paliperidone palmitate treatment in schizophrenics. And provides both clinicians and patients with a new choice of treatment that can improve the outcome of long term therapy. Their potential effectiveness and safety should be better addressed by future randomized-controlled trials.

• 대한불안의학회지
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• 제5권1호
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• pp.29-35
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• 2009

Background : In spite of the worldwide relevance of obsessive-compulsive disorder Ed-highlight : Unclear. Perhaps consider changing word choice. (OCD), there are considerable differences in prevalence, sex ratio, comorbidity patterns, and sociodemographic correlates. Data on subclinical OCD have been sparse to date. Methods : Data stemmed from the Korea Epidemiologic Catchment Area (KECA) study which had been carried out from April to December 2001. Korean versions of DSM-IV adapted Composite International Diagnostic Interview were administered to a representative sample of 6275 persons aged 18-64 living in the community. DSM-IV based criteria for subclinical OCD were applied. Results : The lifetime prevalence rates for OCD and subclinical OCD were 0.8% and 6.6%, respectively. In both OCD and subclinical OCD, the rates for males and females were not statistically different. OCD was demonstrated to be associated with depressive disorder, bipolar disorder, social phobia, generalized anxiety disorder, and alcohol and nicotine dependence. Additionally, subclinical OCD was associated with posttraumatic stress and somatoform disorders. Comorbidity rates in subclinical OCD were lower than those in OCD. Conclusions : The lifetime prevalence rate for OCD was less than 1% in the Korean general population. Age distribution and comorbidity patterns suggest that subclinical OCD represents a broad and heterogeneous syndrome and not simply a milder form of OCD.