• 대한영상의학회지
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• 제84권1호
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• pp.34-50
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• 2023

미국방사선의학회는 효과적인 국가 폐암 검진 시행을 위해 2019년도에 Lung CT Screening Reporting & Data System (이하 Lung-RADS) 1.0보다 폐암의 위양성을 줄이기 위해 개편된 Lung-RADS 1.1을 발표하였고, 2022년 12월에 새로운 Lung-RADS 1.1 개선안 Lung-RADS^Ⓡ 2022를 발표하였다. Lung-RADS^Ⓡ 2022은 Lung-RADS 1.0과 비교했을 때 결절의 크기는 소수점 첫째 자리까지 측정하고, 늑막근처 결절의 크기가 10 mm 미만인 경우까지 범주 2로 하며, 범주 2에서 간유리 결절의 크기 기준을 30 mm로 높이고, 범주 4B와 4X는 매우 의심으로 변경하며, 기도 결절의 위치와 비정형 폐 낭종의 형태와 벽 두께에 따라 범위를 나누었다. 이에 영상의학과 의사들의 개선된 Lung-RADS^Ⓡ 2022에 대한 이해를 돕고자, 이 종설에서는 Lung-RADS^Ⓡ 2022의 장점, 단점, 그리고 향후 개선점에 대해서 기술하고자 한다.

• 한국재난정보학회 논문집
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• 제17권2호
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• pp.391-402
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• 2021

연구목적: 안전인증 생태계 주체별 의견 유형화를 통하여 제도 운영상의 취약점을 확인하고 미래 변동성에 대하여 안전인증제도가 빠른 회복력을 가질 수 있도록 개선방안을 제시하고자 한다. 연구방법: 문헌조사 및 자료 분석을 통해 국내·외 유사 안전인증 및 관련 사례와 국제 기준 및 국가 표준 현황 등을 확인하였으며, 안전인증 생태계의 이해관계자별로 실태조사를 실시하고 문제점 유형화 및 개선방안을 수립하였다. 연구결과: 안전인증대상기계등을 제조 또는 수입하거나 사용하는 사업장을 대상으로 안전인증 대상품에 대한 품질 만족도, 개발제조 및 사용과정에서의 장애요인, 안전인증 관련 개선사항 등 제도전반에 걸친 실태조사를 실시하고 제도 운영상의 문제점 및 취약점을 발굴 및 범주화하여 개선방향 수립 및 작동성 향상을 위한 세부 추진과제를 도출하였다. 결론: 안전인증제도의 선진화·국제화를 위해서는 본 연구를 통하여 도출된 세부 추진과제를 효율적으로 수행하여야 할 것이며, 더불어 안전인증 생태계의 변동성에 대한 회복력 강화를 위해서는 주체별 상호 관계 개선을 통하여 선순환 구조의 운영시스템 구축이 중요하다고 판단된다.

• 한국물환경학회지
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• 제24권3호
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• pp.291-296
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• 2008

Pollutant unit load developed by Ministry of Environment (MOE) in 1995 has been a tool commonly used for water quality management and environmental policy decision. In spite of the convenience of the method in application, the shortcoming of the method has been criticized especially for nonpoint source pollution from paddy field. In this paper the estimation procedures of pollutant unit load from paddy field in the major river basins (Han, Nakdong, Geum, and Youngsan river) were investigated, and some suggestions of improvement measures of the unit-load estimation were made. The investigation showed that the distributions of rainfall, run-off, and run-off ratio, which are the most important factors affecting discharge amount of pollutants, were not similar among river basins. Such differences seemed to result in a greater unit loads estimation at Han river and at Nakdong river watersheds compared to the others. Therefore, it is not likely to be rationale to compare unit load among the watersheds without consideration of such differences. We conclude that estimation of unit-load through an intensive monitoring of pollutant discharge is crucial for better estimation of unit-load. When such an intensive monitoring is not easy due to labor and expense restriction, we suggest that unit-load should be estimated based on the storm-events which is a representative rainfall-runoff event of the area.

• 한국환경복원기술학회지
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• 제22권3호
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• pp.55-71
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• 2019

The purpose of this study is to propose an evaluation method to assess green environments of streetscapes to improve urban street green spaces in Jeonju City. Through a rapid assessment of urban street green spaces, we suggest an objective basis for expanding street green space as well as for adopting sustainable maintenance and improvement measures. We choose 12 sections of streetscapes (roads and sidewalks) to investigate existing street conditions which have more than four lanes and function as major road axes. Six large roads and six medium roads of Jeonju City center area are investigated as pilot assessment study sites. Site inventory checklists consist of environmental characteristics of streetscape, street tree status, and planting condition evaluation. Environmental characteristics of streetscapes are composed of physical and neighborhood factors. For instance, items for physical factors are types and width of road/sidewalks, paving materials, tree protection materials, and green strip. And surrounding landuse is a neighborhood factor. Assessment items for street tree status are street plant names (tree/shrubs/ground cover), size, and planting intervals. Planting condition evaluation items are tree shape, damage, canopy density, and planting types with existence of adjacent green space. Evaluation results are classified into three levels such as A(maintain or repair), B(greening enhancement), and C(structural improvement). In case of grade A, streetscapes have enough sidewalk width for maintaining green strip and a multi-layered planting(in large road only) with fairly good growing conditions of street trees. For grade B and C, streetscapes have a moderate level of sidewalk width with a single street tree planting. In addition, street tree growing conditions are appeared poor so that green enhancement or maintenance measures are needed. For median, only grade B and C are found as its planting growing foundations are very limited in space. As a result, acquiring enough sidewalk space is essential to enhance ecological quality of urban street green. Especially, it is necessary to have green strip with reasonable widths for plant growing conditions in sidewalks. In addition, we need to consider native species with multi-layer plant compositions while designing street green.

• 한국비블리아학회지
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• 제22권1호
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• pp.301-331
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• 2011

이 연구의 목적은 연구기관 지식관리시스템의 효율성을 높이는 방안을 찾기 위해 대덕연구단지의 현행 지식관리시스템의 운영현황을 분석하고, 지식관리에 대한 이용자의 인식변화와 지식경영시스템의 이용률 등과 문제점을 파악한 후, 그 결과를 바탕으로 시스템의 개선방안을 제시하는데 있다. 연구방법으로는 이론적 배경을 위한 문헌적 연구방법과 사례연구를 위한 설문조사 방법을 병행하였다. 또한 이용자의 실제 시스템 이용현황파악을 위해 지식경영시스템의 로그데이터 분석도 실시하였다. 설문조사를 위한 질문은 지식경영에 대한 관심과 인식, 지식기여에 대한 평가 및 보상, 지식내용의 품질, 시스템의 활용도 등 총 29개 항목으로 구성하고, 가설검정과 빈도분석을 통한 기술통계를 작성하였다. 연구 결과로, 지식경영시스템 시행 초기보다 현재의 관심, 이용률 등이 현저하게 감소한 것과 보상제도의 유지 및 보상방법의 확대도 원하는 것으로 확인하였다.

• 한국측량학회지
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• 제29권5호
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• pp.471-478
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• 2011

고해상도 위성영상융합은 다중분광영상의 공간해상도를 향상시키기 위한 영상처리과정으로서 원격탐사 영상분석에서 그 중요성이 날로 커지고 있다. 고해상도 위성영상의 융합과정은 크게 다중분광영상의 크기 조절을 위한 업샘플링 과정과 흑백영상을 이용한 고주파 정보 주입과정으로 나눌 수 있다. 하지만 다중분광영상의 공간해상도를 강제적으로 키우는 업샘플링 과정에서 영상열화 현상이 수반되고 이는 이후 융합과정에서 분광정보를 왜곡시키는 하나의 원인이 된다. 이러한 문제를 해결하기 위해 본 연구에서는 최적화 기법에 근간을 둔 영상복원기법들을 위성영상 융합과정에 도입하여 이들의 효용성과 활용가능성을 평가하고자 하였다. 영상복원 기법들이 미치는 영향을 평가하기 위해 기존에 위성영상융합에 많이 사용된 공삼차 보간법을 이용한 방법과의 시각적/정량적 비교평가를 수행하였다. 정량적 비교평가 방법으로는 동일한 조건하에서 생성된 융합영상에 대한 분광왜곡 측정치를 이용하였다.

• 대한한의학회지
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• 제29권4호
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• pp.114-122
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• 2008

Objectives: To determine the factors affecting the assessment of Oriental medical institutions under the Oriental Medical Institution Assessment System and thereupon, provide for some basic data and alternative measures for assessment of Oriental medical institutions. Methods: The researcher sampled 320 people employed by 26 Oriental medical institutions designated as model Oriental medical institutions subject to assessment in 2008 and 2009 and thereupon, used a structured and open-ended survey table for them to collect the data. The size of the final sample was n=302. Results: The Oriental medical institution staff were highly aware of the Oriental medical institution assessment (OMIA), After adjusting the other factors by multiple regression, the factors affecting such recognition were different significantly depending on age (those in their 30's), types of job (nurses and treatment assistants) and locations of hospital (GyeongSang-do). The staff expected the OMIA could helpful for improving facilities and system of hospitals, thus promoting satisfaction of patients. To do so, they felt it necessary to develop an assessment scale reflecting the special conditions besetting the Oriental medical institutions as well as the indices for improvement of Oriental medical service quality. Conclusion: It is hoped that this study will be followed up by future studies which will comparatively analyze Oriental medical institution staff's perception of the assessment system before and after its operation and thereby, suggest some ideal policy alternatives for assessment of the Oriental medical institutions. Furthermore, future studies are requested to research into Oriental medical institution staff's needs and consumers' needs as well in consideration of the characteristics of the Oriental medical institutions and thereupon, suggest some alternatives for continued education, development of the assessment tools, methods and policies.

• 한국의료질향상학회지
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• 제10권2호
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• pp.216-231
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• 2003

Objectives: To develop a model that predicts a death probability of acute myocardial infarction(AMI) patient, and to evaluate a performance of hospital services using the developed model. Methods: Medical records of 861 AMI patients in 7 general hospitals during 1996 and 1997 were reviewed by two trained nurses. Variables studied were risk factors which were measured in terms of severity measures. A risk model was developed by using the logistic regression, and its performance was evaluated using cross-validation and bootstrap techniques. The statistical prediction capability of the model was assessed by using c-statistic, $R^2$ as well as Hosmer-Lemeshow statistic. The model performance was also evaluated using severity-adjusted mortalities of hospitals. Results: Variables included in the model building are age, sex, ejection fraction, systolic BP, congestive heart failure at admission, cardiac arrest, EKG ischemia, arrhythmia, left anterior descending artery occlusion, verbal response within 48 hours after admission, acute neurological change within 48 hours after admission, and 3 interaction terms. The c statistics and $R^2$ were 0.887 and 0.2676. The Hosmer-Lemeshow statistic was 6.3355 (p-value=0.6067). Among 7 hospitals evaluated by the model, two hospitals showed significantly higher mortality rates, while other two hospitals had significantly lower mortality rates, than the average mortality rate of all hospitals. The remaining hospitals did not show any significant difference. Conclusion: The comparison of the qualities of hospital service using risk-adjusted mortality rates indicated significant difference among them. We therefore conclude that risk-adjusted mortality rate of AMI patients can be used as an indicator for evaluating hospital performance in Korea.

• 디지털융복합연구
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• 제11권6호
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• pp.275-287
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• 2013

본 연구의 목적은 미국과 일본의 간호인력 양성 및 활동현황과의 비교를 통해 현재 우리나라 간호인력 정책 및 관리에 주는 시사점을 도출하는 것이다. 우리나라는 간호사, 간호조무사 및 간호보조인력의 높은 이직율과 이로 인한 간호서비스의 질 저하, 수급관리, 인력관리 비용의 증가 등 간호인력 정책제도 운영에 있어 여러 가지 어려움을 겪고 있으며, 이를 해결하기 위한 다양한 정책방안의 모색이 시급하다. 미국, 일본 등 간호인력 부족에 대한 어려움은 공통적이나, 이들 국가는 간호사 취업률이 우리나라의 40% 수준 대비 70~80% 수준으로 높고, 간호인력 확충을 위한 간호사 배치기준 법제화 및 수가정책, 근로조건 개선 등의 정책 마련이 중요함을 시사하고 있다. 우수한 간호인력의 안정적인 수급을 통해 환자안전 및 간호서비스의 질 향상을 달성하기 위해서는 보건당국의 보다 적극적인 간호인력 확충, 근로조건 개선 의지가 필요하며, 이를 위한 법 제도 개선이 요구된다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권3호
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• pp.941-944
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• 2012

Objective: The aim of current study was to evaluate the changes of health-related quality of life (HRQoL) and its clinical, demographic and socioeconomic determinants during chemotherapy and 4 months follow-up in women with breast cancer using a repeated measures framework. Methods and Materials: A double blind cohort study was performed in 100 breast cancer patients given fluorouracil, doxorubicin and cyclophosphamide (FAC) or docetaxel, doxorubicin, cyclophosphamide (TAC) in south of Iran. HRQoL was assessed at baseline, end of chemotherapy and four months thereafter using the QLQ-C30 questionnaire from European Organization for Research and Treatment of Cancer (EORTC). Generalized estimating equations (GEE) was applied for statistical analysis. Results: The mean of age at baseline was $48.5{\pm}10.6$. 70% and 14% of patients were married and smokers, respectively, and 20% suffered from another disease besides breast cancer. The results of GEE showed that after control for baseline scores, the HRQoL significantly improved over time. Although, the patients in FAC group had higher scores than the TAC group, the differences also diminished over time. Smoking, marital status and having child affected some scales of HRQoL. None of other variables were significantly related to HRQoL. Conclusion: Although patients in TAC groups had lower level of HRQoL over 8 months follow up, they experienced faster improvement than the FAC group. This implies that in long-term, improvements in TAC group are higher than FAC. Having children was positively correlated with HRQoL. Generally, there were no demographic and socio-economic differences in HRQoL in these patients between the chemotherapeutic regimens.