• 한국방사선학회논문지
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• 제14권5호
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• pp.517-522
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• 2020

전자선은 선량분포에 영향을 주는 인자가 많아 동일 설정이라도 사용 장비마다 그 특성을 파악하여 방사선 치료에 이용해야 하며, 체내 구조물에 영향이 민감하여 종양에 균일한 선량분포를 조사하기가 까다롭다. 본 연구에서는 광도전체인 PbI₂를 사용하여 선량계를 제작하였고, 선형가속기에서 6, 9, 12 MeV 전자선에 대한 전기적 특성을 분석하였다. 재현성 평가결과, RSD는 6, 9, 12 MeV 에너지에서 각각 1.1215%, 1.0160%, 0.5137%로 나타나 출력 신호가 안정적인 것을 나타내었다. 선형성 평가결과, 직선형 추세선의 신뢰도 지표 R²값은 6, 9, 12 MeV에서 각각 0.9999, 0.9999, 0.9994로 나타나 선량이 증가함에 따라 PbI₂에 출력 신호가 비례한 것을 확인할 수 있었다. 본 연구의 PbI₂ 선량계는 전자선 측정 적용가능성이 매우 높은 것으로 판단되며, 광도전체 물질을 통한 전자선 선량계의 기초연구로 활용될 수 있을 것으로 사료된다.

• Journal of Trauma and Injury
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• 제30권4호
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• pp.140-144
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• 2017

Purpose: The optic nerve sheath diameter (ONSD) measured by ultrasonography is among the indicators of intracranial pressure (ICP) elevation. However, whether ONSD measurement is useful for initial treatment remains controversial. Thus, this study aimed to investigate the relationship between ONSD measured by computed tomography (CT) and ICP in patients with traumatic brain injury (TBI). Methods: A total of 246 patients with severe trauma from January 1, 2015 until December 31, 2015 were included in the study. A total of 179 patients with brain damage with potential for ICP elevation were included in the TBI group. The remaining 67 patients comprised the non-TBI group. A comparison was made between the two groups. Receiver operating characteristic (ROC) curve analysis was performed to determine the accuracy of ONSD when used as a screening test for the TBI group including those with TBI with midline shift (with elevated ICP). Results: The mean injury severity score (ISS) and glasgow coma scale (GCS) of all patients were $24.2{\pm}6.1$ and $5.4{\pm}0.8$, respectively. The mean ONSD of the TBI group ($5.5{\pm}1.0mm$) was higher than that of the non-TBI group ($4.7{\pm}0.6mm$). Some significant differences in age ($55.3{\pm}18.1$ vs. $49.0{\pm}14.8$, p<0.001), GCS ($11.7{\pm}4.1$ versus $13.3{\pm}3.0$, p<0.001), and ONSD ($5.5{\pm}1.0$ vs. $4.7{\pm}0.6$, p<0.001) were observed between the TBI and the non-TBI group. An ROC analysis was used to assess the correlation between TBI and ONSD. Results showed an area under the ROC curve (AUC) value of 0.752. The same analysis was used in the TBI with midline shift group, which showed an AUC of 0.912. Conclusions: An ONSD of >5.5 mm, measured on CT, is a good indicator of ICP elevation. However, since an ONSD is not sensitive enough to detect an increased ICP, it should only be used as one of the parameters in detecting ICP along with other screening tests.

• 한국화재소방학회논문지
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• 제25권3호
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• pp.113-118
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• 2011

인화점은 화학물질의 연소성의 중요한 지표이다. 최소인화점 현상은 혼합물의 인화점이 개별 성분의 인화점보다 작은 값을 보이는 현상을 의미한다. 이 현상에 대한 정보를 인지하는 것은 매우 중요하다. 혼합물의 특정 조성에서 매우 낮은 인화점을 가질 때 위험한 상황이 발생할 수 있기 때문이다. 본 연구에서는 최소인화점 현상을 보이는 n-butanol + n-decane 계와 n-octane + n-propanol 계의 인화점을 Tag 개방식장치 (ASTM D1310-86)를 이용하여 측정하였다. 실험값은 Raoult의 법칙, van Laar 모델식과 Wilson 모델식에 의해 계산된 값들과 비교되었다. 그 결과 van Laar 모델식과 Wilson 모델식에 의한 예측값이 Rauolt의 법칙에 의한 예측값보다 실험값에 더욱 근접 하였다. 이는 n-butanol + n-decane 계와 n-octane + n-propanol 계와 같은 비이상 용액의 활동도 계수값을, van Laar 및 Wilson 모델식이 Raoult의 법칙보다 정확하게 계산하기 때문이다. 또한 Wilson 모델식의 실험값에 대한 모사성이 van Laar 모델식의 그것보다 우수하였다.

• 경영정보학연구
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• 제12권2호
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• pp.145-166
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• 2010

글로벌 경제전반에 서비스가 미치는 영향이 증가하면서, 서비스를 통해 가치를 창출하는 혁신에 대한 새로운 관점이 요구되고 있다. 최근 서비스 혁신은 서비스와 관련된 모든 창조적인 활동으로 이해되고 있으며, 기업이 아닌 고객주도하에서 서비스의 품질을 향상시키는데 중점을 두고 있다. 이는 고객의 역할이 서비스 거래만을 주도하는 수동적인 행위자에서 서비스 관련 활동에 적극적으로 참여하는 능동적인 행위자로 변화함에 따라, 지식서비스 기업이 고객과 긴밀한 관계를 가질 수 있는 다양한 상호작용 활동을 수행할 때 혁신을 이끌 수 있음을 의미한다. 이를 토대로 본 연구에서는 서비스 혁신에 관한 단순한 개념적 수준의 연구에서 벗어나, 서비스 혁신에 영향을 미치는 서비스 기업과 고객기업 간의 상호작용성과 이들 간에 공유되는 지식유형에 대해 알아보고자 하였다. 서비스 기업과 고객기업이 이루는 협업 활동을 의미하는 상호작용성은 세 가지 활동, 지식서비스 표준화, 양방향 학습 그리고 혁신 참여로, 서비스 혁신은 세 가지 서비스 제품 혁신, 프로세스 혁신, 그리고 조직혁신으로 구분하였다. 그 결과, 다양한 상호작용 활동들이 모두 세 가지 유형의 서비스 혁신에 유의한 영향을 미치는 것을 알 수 있었으며, 더 나아가 서비스 기업과 고객이 암묵지 형태의 지식을 공유할 때, 혁신을 더 높일 수 있는 것으로 나타났다. 이러한 연구결과는 기존과 다른 관점에서 서비스 혁신을 이해하는데 도움을 주고, 지식서비스 기업이 혁신을 이루기 위한 실질적인 방안을 제시하였다는 점에서 의의가 있다.

• 대한핵의학회지
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• 제19권1호
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• pp.119-126
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• 1985

To evaluate the performance characteristics of CA 19-9 radioimmunoassay and the clinical significance of serum CA 19-9 assay in patients with malignancy, serum CA 19-9 levels were measured by radioimmunoassay using monoclonal antibody in 135 normal controls, 81 patients with various untreated malignancy, 9 patients of postoperative colon cancer without recurrence and 20 patients with benign gastrointestinal diseases, who visited Seoul National University Hospital from June, 1984 to March, 1985. The results were as follows; 1) The CA 19-9 radioimmunoassay was simple to perform and can be completed in one work day. And the between-assay reproducibility and the assay recovery were both excellent. 2) The mean serum CA 19-9 level in 135 normal controls was $8.4{\pm}4.2U/mL$. Normal upper limit of serum CA 19-9 was defined as 21.0 U/mL. 4 out of 135(3.0%) normal controls showed elevated CA 19-9 levels above the normal upper limit. 3) One out of 20(5.0%) patients with benign gastrointestinal diseases showed elevated serum CA 19-9 level above the normal upper limit. 4) In 81 patients with various' untreated malignancy, 41 patients(50.6%) showed elevated serum CA 19-9 levels. 66.7% of 18 patients with colorectal cancer, 100% of 2 patients with pancreatic cancer, 100% of 3 patients with common bile duct cancer, 47.1% of 17 patients with stomach cancer, 28.6% of 28 patients with hepatoma and 60.0% of 5 other gastrointestinal tract cancers showed elevated serum CA 19-9 levels. 5) The sensitivities of serum CA 19-9 related to resectability in colorectal and stomach cancer were 33.3% in resectable colorectal cancer, 83.3% in unresectable colorectal cancer, 41.7% in resectable stomach cancer, 60.0% in unresectable stomach cancer respectively. 6) The sensitivity of serum CA 19-9 in 9 patients of postoperative colorectal cancer without recurrence were 33.3% and significantly decreased compared with that of untreated colorectal cancer, 66.7% (p<0.05). 7) In patients with colorectal cancer, simultaneous measurement of serum CA 19-9 and serum CEA levels increased sensitivities. From above results, we concluded that serum CA 19-9 radioimmunoassay is simple to perform and reproducible, and is a useful indicator reflecting tumor extent and responses to the treatment in patients with malignancy.

• Journal of Preventive Medicine and Public Health
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• 제42권2호
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• pp.117-122
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• 2009

Objectives : We tried to evaluate the agreement of the Charlson comorbidity index values(CCI) obtained from different sources(medical records and National Health Insurance claims data) for gastric cancer patients. We also attempted to assess the prognostic value of these data for predicting 1-year mortality and length of the hospital stay(length of stay). Methods : Medical records of 284 gastric cancer patients were reviewed, and their National Health Insurance claims data and death certificates were also investigated. To evaluate agreement, the kappa coefficient was tested. Multiple logistic regression analysis and multiple linear regression analysis were performed to evaluate and compare the prognostic power for predicting 1 year mortality and length of stay. Results : The CCI values for each comorbid condition obtained from 2 different data sources appeared to poorly agree(kappa: 0.00-0.59). It was appeared that the CCI values based on both sources were not valid prognostic indicators of 1-year mortality. Only medical record-based CCI was a valid prognostic indicator of length of stay, even after adjustment of covariables($\beta$ = 0.112, 95% CI = [0.017-1.267]). Conclusions : There was a discrepancy between the data sources with regard to the value of CCI both for the prognostic power and its direction. Therefore, assuming that medical records are the gold standard for the source for CCI measurement, claims data is not an appropriate source for determining the CCI, at least for gastric cancer.

• 대한지역사회영양학회지
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• 제12권5호
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• pp.617-629
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• 2007

To ensure the microbiological safety of food items prepared after cooking process, this study was aimed to identify the hazards related with cooked foods donated to foodbanks through quantitative microbial analysis. Five foodbanks located in Incheon and Gyeonggi area among government-dominant foodbanks were surveyed from February to June, 2007. Manager, recipient, donator, type and quantity of donated foot and facility and equipment were examined for the general characteristics of foodbank. The time and temperature of food md environment were measured at steps from after-production to before-distribution, and the microbial analysis was performed mainly with indicator organism and major pathogens. The amount of cooked foods donated to each foodbank was about 20 to 30 servings and consisted of 80% of total donated foods. Only three foodbanks had separate offices for foodbank operation and four institutions had at least one temperature-controlled vehicle. The flow of donated foods was gone through the steps; production, meal service and holding at donator, collection by foodbank, transport (or holding after transport) and distribution to recipients. It took about 3.8 to 6.5 hours at room temperature from after-production to before-distribution. Only aerobic plate counts (APC) and coliforms were found in microbial analysis. The APC after production were relatively high in $8.2{\times}10^5,\;7.4{\times}10^5,\;6.9{\times}10^5$ and $4.2{\times}10^5 CFU/g$ while $2.8{\times}10^6, \;9.4{\times}10^5,\;1.0{\times}10^6$ and $5.4{\times}10^5CFU/g$ before distribution in mixed Pimpinella brachycarpa, mixed chard mixed amaranth and mixed spinach, respectively. The levels of coliforms in mixed chard and mixed spinach were complied with the standards of the Ministry of Education and Human Resources Management The level of APC in boiled pork was increased from $< 1.0{\times}10 CFU/g$ to $4.0{\times}10^2 CFU/g$. One of delivery vessels was shown $6.2{\times}10^3 CFU/100 cm^2$ in APC, which was over the standards for environment. One of serving tables also showed the high level of $1.2{\times}10^3 CFU/100 cm^2$ in APC and $6.6{\times}10^2 CFU/100 cm^2$ in coliforms. These results suggest the sanitary management of holding at donator and the time-temperature control are key factors to ensure the safety of cooked foods donated to foodbank.

• 한국지반공학회논문집
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• 제20권2호
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• pp.27-36
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• 2004

극성저항 계측법과 전기화학 임피던스 분광학을 이용하여 영구적 지반 앵커의 부식율을 계측하는 절차를 제시하였다. 극성저항 계측법을 이용하여 대표지반의 종류와 철의 부식률에 관한 특성관계를 도출하였고, 전기화학 임피던스 분광학을 이용하여 시간의존 부식 반응과 다양한 종류의 코우팅 시스템의 평가, 그리고 시멘트 그라우팅이 부식에 미치는 영향에 대하여 각각 평가하였다. 실험 결과 점성토와 사질토의 pH 지수가 5이하인 경우 부식발생이 용이한 지반으로서 영구적 지반 앵커의 부식반응에 심각한 영향을 미치리라 판단된다. 또한 중성 또는 알카리성의 지반은 부식진행이 관찰되지 않았으며 부식률은 pH지수에 관계없이 일정한 결과를 보였다. 포설린 점성토의 경우 pH지수의 변화가 철의 부식에 매우 낮은 영향을 미쳤다. 한편 시멘트 그라우팅의 사용은 철의 부식율을 약 0.003-0.0lmm/y 정도로 낮출 수 있었으며 에폭시 혼합 코우팅의 경우도 부식의 영향을 받지않고 원 상태를 유지할 수 있어 매우 효과적으로 부식효과를 감소시킬 수 있었다.

• 한국수자원학회논문집
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• 제41권12호
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• pp.1187-1198
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• 2008

국내 많은 저수지들과 그 하류하천은 높은 탁도를 가진 물의 장기적인 방류로 인해 수자원 이용과 수생태계 관리에 많은 어려움을 겪고 있다. 탁도($C_T$)는 물의 탁한 정도를 나타내는 척도로써, 수질과 수환경의 건강을 평가하는 매우 중요한 지표로써 광범위하게 사용되어 왔지만, 모형의 검증에 필요한 실험 자료의 부족으로 인해 탁도 모델링에 대한 연구는 지금까지 매우 부족하였다. 본 연구의 목적은 광범위한 현장 실측자료를 이용하여 성층화된 대청호로 유입한 탁수의 밀도류 거동 모의를 위한 3차원 수리-입자동력학 연동 수치모형인 ELCOM-CAEDYM의 적용성을 검증하는데 있다. 입자크기에 따라 구분된 3개 그룹의 부유물질 (SS) 농도가 모형의 모의변수로 사용되었으며, 모형 변수인 SS와 저수지내 실측값의 $C_T$의 변환을 위해 저수지 지점별로 측정한 SS-$C_T$ 상관관계를 사용하였다. 모의결과는 2004년에 대청호의 회남과 댐앞 지점에서 수심별로 실측한 수온과 탁도 자료와 비교함으로써 검증하였다. 모형은 저수지의 성층구조, 탁수를 포함한 하천 밀도류의 시간에 따른 진행과정을 잘 재현하였으며, 탁도의 수직분포와 크기도 실측값과 부합하였다. 본 연구에서 제시한 3차원 수치모형과 탁도 모델링 방법론은 유사한 탁도 문제를 가지고 있는 다른 저수지에서도 탁수의 최적관리를 위한 지원 도구로써 사용 가능하다고 사료된다.

• 한국의료질향상학회지
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• 제3권1호
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• pp.104-124
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• 1996

Background : In these days, the health care organizations have concerned about customer-centered care in order to empower the competitiveness on the health care markets. The departments working for quality management of the hospitals have used health care quality indicators in terms of medical areas as well as service areas of the hospitals. However, there were insufficient efforts to develop the credible measurement to seek the customers' needs, their expectations and their satisfaction levels related to health care services because various kinds of challenges were in the process of scale development to measure customers' satisfaction in health care. The purpose of this study was to develop the satisfaction scale to health care services in a Korea health care organization and to test its tool with validity and reliability. Method : The concept of this tool was acceptability that one of the components of health care quality defined by Donabedian. Acceptability has the five dimensions of concept: Accessibility; Patient-Practitioner Relations; Amenities; Patient Preferences as to the effects of care; and Patient Preferences as to the costs of care. The Satisfaction Tool to Health Care Services was reviewed by expert panel with five researchers, including hospital managers and a professor related to quality management of the hospitals. As a result, the content validity index was .84 in the outpatient satisfaction tool. The inpatient satisfaction tool had .87 of the content validity index. The Satisfaction Tools to Health Care Services finally consisted of 44 items for outpatients/their families and of 60 items for inpatients/their families. Study subjects of the construct validity test were 479 outpatients/their families and 561 inpatients/their families who visited or admitted at a University hospital from July 1, 1996 through August 10, 1996. The data were examined by Factor Analysis with SPSS. Result : The items of Satisfaction tools for outpatients/their families were categorized by eleven factors with eigenvalue greater than 1.0 accounting for 64.2 percent of the variation in item scores. Also, the items of inpatient tool had eleven factors with eigenvalue greater than 1.0 accounting for 60.3 percent of the variation in item scores. The reliability of overall scale were .95 and .96 for the outpatients/their families satisfaction scores and inpatient/their families satisfaction scores. The internal consistency reliability with eleven factors was ranged from .30 to .94 for inpatients/their families. The Satisfaction Tool with eleven factors for inpatients/their families had internal consistency reliability ranged from .53 to .89. Conclusion : The Satisfaction Tools to Health Care Services focused on outpatients/their families and inpatients/their families developed in this study had a high reliability and the strong evidence of content validity and construct validity based on quality concept. Therefore, this tool would be utilized as a credible quality indicator of health care services to assess the quality problems and to monitor the quality improvement activities in Korean Health Care Organizations.