• Journal of Preventive Medicine and Public Health
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• v.33 no.3
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• pp.285-298
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• 2000

Objectives : To investigate the positive rate of Helicobacter pylori in patients with dyspepsia; medical compliance and related factors; the eradication rate a year after screening and related factors; the relationship between the eradication of Helicobacter pylori and the improvement of symptoms; and the estimated cost of three alternative approaches to treat Helicobacter pylori in the community. Methods : A total of 510 subjects with dyspeptic symptoms were selected and given the serological test in March 1998. The subjects were all adults over 30 years of age residing in Kyongju city. Results : Of the 510 selected subjects, 375 (73.5%) subjects proved positive for Helicobacter pylori on serological testing. Of these 304 (81.1%) who consented to an endoscopic examination, underwent a Campylobacter-like organism (CLO) test. Of these 304 subjects, 204 (67.1%), who had positive CLO test results, were given the triple therapy - tripotassium dicitrato bismuthate, amoxicillin, and metronidazole. To determine the eradication rate of Helicobacter pylori, 181 (88.1%) out of the 204 subjects who were given the triple therapy completed a follow-up urea breath test one year later. Of these, the Helicobacter pylori of 87(48.1%) subjects was eradicated. Among the 122 subjects who were medication compliant, the Helicobacter pylori eradication rate was 57.4% (70 subjects), while the eradication rates was only 28.8% (17subjects) in the non-compliant group. The Helicobacter pylori eradication was significantly related to compliance (p<0.01), but not to other characteristics and habits. The symptom improvement rate tended to be higher 62.1%), in the Helicobacter pylori eradicated group than in the non-eradicated group (59.6%). Conclusions : When the advantages and disadvantages of each alternative treatment were considered in the light of cost, antibiotic tolerance and the number of patients to be treated, alternative II was favorable in terms of cost. Alternative III was favorable in terms of the number of patients to be treated, antibiotic tolerance and early detection of gastric cancer. Further long-term research analyzing the cost-benefit and cost-effectiveness of each treatment will be needed as supporting material in creating new policies.

• The Journal of the Korea Contents Association
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• v.12 no.10
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• pp.453-465
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• 2012

The major purpose of this study is to examine the effects of customers' perceptions toward service quality of mobile music service on customer loyalty and switching intention. For this purpose, this study posited three service quality characteristics including interface, service, price quality as key determinants of customer loyalty and switching intention based on relevant literature reviews. A research model and hypotheses concerning the relationship between these variables were constructed. Moreover, this study explored the moderating effects of attractiveness of alternative and switching costs on the relationship between customer loyalty and switching intention. An online survey was administrated on 433 mobile music service users and a simple, multiple, and hierarchical regression analysis were employed. The results indicated that all of interface, service, price quality have significant positive influences on customer loyalty, and both of service quality and attractiveness of alternatives have influences on the switching intention in a positive way. On the other way, it was shown that switching costs have a negative influence on the switching intention. The moderating effect of attractiveness of alternatives on the relationship between customer loyalty and switching intention was also found. The implications of these results are discussed.

• Korean Journal of Clinical Pharmacy
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• v.19 no.2
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• pp.96-104
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• 2009

배경: 당뇨병 환자에게 관상동맥심질환은 생존률, 건강 상태 유지 및 삶의 질에 주요한 영향을 미치는 합병증이며 적극적인 당뇨병 치료는 이러한 심혈관 합병증을 예방할 수 있으나 당뇨병의 적극적 치료와 관리에는 많은 비용이 소요된다. 목적: 제2형 당뇨병 환자를 대상으로 메트포르민과 글리메피리드 병합요법과 메트포르민과 피오글리타존 병합요법의 비용-효과성을 비교하고자 하였다. 연구방법: 마르코프 코호트 프로세스(Markov Cohort Process Model) 모형을 이용하여 비용-효과분석을 실시하였다. 연장된 수명 (life years gained, LYG)과 삶의 질(quality)을 보정하여 증가된 QALYs를 주요 효과 지표로 측정하였고, 총비용으로는 직접의료비용과, 환자와 가족의 교통비를 직접비의료비용으로 고려하였고 환자와 가족의 시간비용을 간접비용으로 포함하였다. 연구결과: 비용-효과분석 결과, 메트포르민과 글리메피리드 병합요법의 경우 총 비용은 5,962,288원, 효과는 7.94LYG, 6.43QALY이었다. 반면 메트포르민과 피오글리타존 병합요법은 총 비용 10,982,243원, 효과 8.62LYG, 6.99QALY으로, 점증적 비용-효과비(ICER)는 7,402,663원/LYG과 8,934,546원/QALY 이었다. 결론: 우리 사회의 연장된 수명(LYG)에 따른 지불의사가 700만원 이하인 경우는 메트포르민과 글리메피리드 병합요법이 비용-효과적인 대안이며 700만원 이상인 경우에는 메트포르민과 피오글리타존 병합요법이 비용-효과적인 대안이 될 수 있다.

• Korean Journal of Construction Engineering and Management
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• v.16 no.4
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• pp.98-106
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• 2015

VE aims at reduction in a budget, improvement of function, structural safety and quality security for public construction projects. However, there is possibility for the structural safety and quality security review to be insufficient because related regulations are mostly composed of analysis on economic efficiency of design. In addition, due to the misconception about VE as a cost saving methodology, an alternative is being presented which still focuses mainly on cost saving, but with no objective evaluation of function related to cost. In order to improve this, the government adopted the reduction of life cycle cost and proposal of value improvement, and let people specify the cost and function of the original plan versus the alternative plan, and the value changes between them. However, it is written mainly into practical convenience rather than theoretical basis since a specific way is not suggested. The current method sets a different starting point by applying the attributional difference of function and cost. Furthermore, an evaluation standard for correlating is an important element in rational decision making for assessing and choosing an alternative. This paper analyzes the process and method of function & cost scoring when performing VE and suggests a mathematical normalization model in order to support rational decision making when selecting an optimum plan.

• Proceedings of the Korea Water Resources Association Conference
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• 2005.05b
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• pp.1491-1495
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• 2005

물 분쟁은 더 이상 다른 나라의 이야기가 아니다. 우리나라 역시 산업구조의 변화와 인구의 증가로 물의 수요가 증가함에 따라 많은 물 분쟁이 발생하고 있다. 물 분쟁은 많은 원인과 다양한 차원의 분쟁주체들이 관계하고 있어 복잡한 네트워크구조로 나타나는 특징이 있다. 이러한 다양한 종류의 물 분쟁을 해결하기 위해서는 그 대책 또한 법률적, 기술적, 사회적으로 다양하게 접근 하여야 할 것이다. 그러나 과거 우리나라의 경우 분쟁이 발생하였을 때 그 분쟁의 최후 결정은 주로 사법기관에 의하여 처리되곤 하였다. 이러한 사법적 분쟁해결은 많은 시간과 비용을 필요로 하며 분쟁당사자 모두 만족할 수 없는 결과를 야기 할 수 있는 큰 단점을 안고 있다. 본 연구에서는 이러한 단점을 보완하고 물 분쟁을 해결하기 위한 방안으로 대안적분쟁해결방안(ADR: Alternative Dispute Resolution)을 소개하고, 적용가능성에 대하여 검토하였다. 물 분쟁의 해결을 위해 ADR을 활용한다면 시간과 비용의 절약, 원만한 분쟁해결, 사후에도 당사자들의 좋은 관계 유지 등의 이점을 기대 해볼 수 있다.

• Proceedings of the Korea Water Resources Association Conference
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• 2012.05a
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• pp.846-846
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• 2012

최근의 치수계획은 과거 제방일변도의 획일화된 치수계획에서 탈피하여 면 개념의 다양한 치수대안을 고려하고 있다. 본 연구는 과거 홍수피해 예방을 위해 일차적으로 고려된 제방사업과 이의 대안으로서 계획빈도의 홍수발생 시 잠재적 피해예상지역에 대한 주민이주사업을 비교하여 제방사업이 갖는 정책적 효용을 평가하였다. 이를 위해 제방이 없다고 가정한 CASE I과 현 상태를 기준으로 한 CASE II로 구분하여 제방보축사업과 제방신축사업을 비교대안인 주민이주사업과 비교 평가 하였으며, 사례연구는 낙동강 본류의 황강 합류후부터 남강 합류전까지 구간을 대상으로 하였다. 제방신축사업과 보축사업에 대한 각각의 주민이주사업의 비용 대비 효과를 사례지역에 한정적으로 분석한 결과, 경제성 측면에서 주민이주사업이 전반적으로 제방사업보다 유리한 것으로 나타났다. 이는 지역적 특수성을 전제한 결론이나, 향후 치수관리를 위한 정책수립의 대상이 '하천' 보다는 '지역'에 맞추어 져야 한다는 것을 시사한다.

• The Journal of The Korea Institute of Intelligent Transport Systems
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• v.4 no.2 s.7
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• pp.45-52
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• 2005

Sketch-Planning based ITS Deployment Analysis System is an analysis tool for determining the impacts, benefits, and costs of various intelligent transportation system (ITS) deployments. This methodology offers one tool that systematically assesses ITS scenarios to facilitate the integration of such scenarios into the ongoing transportation planning process. Sketch-planting based methodology can estimate relative impacts, benefits, and costs for more than 60 types of ITS investments deployed in isolation or in any combination defined by the user.

• Journal of Korean Society of Transportation
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• v.26 no.3
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• pp.145-153
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• 2008

This study proposes a facility location model in consideration of spatial coverage and travel cost as an effort to make objective and effective decisions of natural gas filling stations. The proposed model is developed for fixed stations and consists of two stages. The first stage employs a heuristic algorithm to find a set of locations which satisfy the spatial coverage constraints determined by the maximum travel distance between the filling stations and bus depots. In the second stage, the optimal location of filling stations is determined based on the minimum travel cost estimated by using a modified transportation problem as well as the construction and maintenance costs of the filling stations. The applicability of the model is analyzed through finding the optimal location of filling stations for the city of Anyang, a typical medium-sized city in metropolitan Seoul, based on the demand of natural gas buses. This study is expected to help promote the spread of natural gas buses by providing a starting point of a objective and reasonable methodological perspective to address the filling station location problem.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.18 no.6
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• pp.1-8
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• 2019

Modern weapon systems are multifunctional, with capabilities for executing complex missions. However, they are required to be highly reliable, which increases their total cost of ownership. Because it is necessary to produce the best results within a limited budget, there is an increasing interest in development, acquisition, and maintenance costs. Consequently, there is a need for tools that calculate the lifecycle costs of weapons systems development to facilitate decision making. In this study, we propose a cost calculation function based on the Markov process simulator-a reliability, availability, and maintainability analysis tool developed by applying the Markov-Monte Carlo method-as an alternative to these requirements to facilitate decision-making in systems development.

• Proceedings of the Korean Nuclear Society Conference
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• 1995.05a
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• pp.596-601
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• 1995

신뢰도 분석 방법을 이용하여 습식 사용후핵연료 중간저장시설의 냉각계통에 대한 최적 설계조건을 도출하기 위한 연구를 수행하였다. 먼저 고장수목 분석을 통한 설계 취약점을 평가하여 21개의 설계대안을 도출하였고, 최종적으로 설계대안에 대한 건설비 용, 계통신뢰도 분석 및 확률론적 안전기준을 고려한 비용효과 분석을 실시하였다. 설계 대안들 중에서 100% 루프 다중설계, 루프당 한 개의 펌프 사용, 안전등급 부여 및 주 루프에서 정화계통이 분리된 경우가 최적설계안으로 나타났다. 여기서 적용된 방법론은 유사시설의 최적설계에 유용하게 응용될 수 있을 것으로 사료된다.