• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.12
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• pp.678-685
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• 2016

Deglutition inspection has been the gold standard for inspection of dysphagia using a penetration device of the division of radiology to date. However, inspection using an endoscope has facilitated diagnosis of dysphagia in recent days. In this study, we compared the results of VFSS alone with those of VFSS combined with FEES to determine if the detection rate of penetration, aspiration, and pharyngeal residue increased. This study evaluated at 130 persons who underwent both VFSS and FEES from December 2013 through March 2014, and used VFSS (FELAVISION, SHIMADZU) and FESS (EVIU LUCERA CV-260SL, OLYMPUS) as devices. After preparing barium diluted solution, yogurt that diluted barium and rice that diluted barium in 2.5 ml, 5 ml, 10 ml by modifying Logemann's protocol in part, and having subjects take the solution, this study confirmed pharyngeal residue, penetration, aspiration etc. VFFS and FEES using full HD video revealed aspiration in 36 of the 130 patients in both inspections. Additionally, aspiration was discovered in 36 patients upon VFFS, but in 41 upon FESS. Although FEES was more sensitive at diagnosing dysphagia, the two inspection methods are complementary, so diagnostic value will be greatly improved when the endoscope operating method and accurate fluoroscopic inspection are combined.

• The Journal of the Korean life insurance medical association
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• v.24
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• pp.79-96
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• 2005

1. 연구배경과 문제제기 - 보험시장의 환경변화 : 보험업법 개정, 방카슈랑스 도입, 고(高)보장성 생존급부(CI, LTC)상품의 등장, 통신판매 전문보험회사의 설립 허용 - 현행 언더라이팅 시스템의 문제점 : 위험난이도와 판매 채널별 특성이 고려되지 않고 언더라이터에 전건 배정 되어 업무의 효율성이 낮음 - 보험시장의 환경변화에 맞는 EUS(Expert Underwriting System) 도입으로 언더라이팅의 효율성을 증대하고자함 2. 국내/외 생보사 언더라이팅 시스템 현황 비교 및 개선방안 - 국내 언더라이팅 시스템 현황 : 청약서 입력/스캔 후 진단 및 적부 유무(有無)에 따라 자동으로 언더라이터에게 심사가 배정됨 - 미국 언더라이팅 시스템 현황 : EUS에 의한 1차 전산승낙여부 결정 후(後)언더라이터에게 심사가 배정됨 - 위험난이도의 고저(高低)와 관계없이 언더라이터에 배정되는 심사시스템의 문제점을 극복하고 체계적인 위험평가를 위해 EUS도입이 필요함 3. EUS 선행요건 - 고객정보의 확보 - 국내 생보사의 고객정보 수집원 : 청약서, 모집인 보고서, 건강진단서,적부조사, 보험사고정보조회시스템 (ICPS), 고액보험 및 상해보험 중복가입자에 대한 정보 교환제도 - 북미 생보사의 고객정보 수집원 : 청약서, 모집인 보고서, 의사소견서 및 진료기록서, 건강검진, 적부조사, 정보교환제도( 북미보험사간 의료정보 공유-MIB) - 정확한 고객정보의 확보방안 : 법률/제도의 정비, 청약서 질문 내용의 세분화, 의료정보교환제도의 구축 4. EUS 개요 및 현황 - EUS의 정의: 고객의 정보를 입력하여 청약부터 보험증권 발행 단계까지 One-Stop 서비스를 제공하는 것으로 언더라이터가 청약서를 가지고 언더라이팅 하는 것과 동일한 업무를 할 수 있는 전문가 시스템 - EUS의 장점: (1) 비용절감 및 인력의 효율적 활용 (2) 업무별 시스템화 되는 조직속성에 적합함. (3) 언더라이팅 정책이 경영 환경 변화에 대처하는데 신속함 - 국외 EUS 현황 (예: Cologne Re) 및 사례연구 5. 위험분류 및 EUS 개요현황 (언더라이팅 시스템 도입) - 위험관리 선행요건으로 위험요소별 분류가 체계적으로 수립되어야 함. - 데이터웨어하우스 (의사결정을 목적으로 설계된 조회와 분석이 가능한 통합된 정보저장소) 시스템 사용 - EUS 도입을 통한 언더라이팅 프로세스: 데이터마이닝 과정을 통해 "자동승낙, 언더라이터에게 심사배정, 적부의뢰, 진단의뢰, 텔레 언더라이터, 보완지시"등이 결정됨. 6. 판매채널별 EUS 활용방안 - 대면채널: 효용성 높은 정보제공과 정확한 위험분석이 가능한 시스템으로 고(高)보장, 고(高)위험 상품에 대해 언더라이터가 집중 심사 할 수 있게 함. - 방카슈랑스: 3S(간결, 신속, 서비스)의 특성에 맞는 전과정 무인자동심사시스템 - 비대면채널: 판매상품과 타겟시장을 명확히 한 후 도덕적 위험과 재무적 위험에 대한 평가시스템 및 의사결정 시스템을 도입 7. 결론 - EUS 도입의 기대효과 (1) 심사기일의 단축으로 고객만족 실현 (2) 체계적 과학적 리스크 관리로 위험률차익 증대에 기여 (3) 업무효율의 증대와 언더라이터의 역량강화 (4) CRM 활용증대와 모바일 청약시스템 구축의 근간 - EUS 도입시 경제적 법률적 제도적 문제 극복과 생보 업계 공동의 관심과 노력이 필요함 - EUS를 활용하여 종합적.체계적 리스크 관리가 가능한 금융회사로의 경쟁력 향상에 기여함.

• Proceedings of the Plant Resources Society of Korea Conference
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• 2011.10a
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• pp.8-8
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• 2011

인류는 자연으로부터 식량과 질병 치료를 위하여 자연스럽게 약초를 얻을 수 있었다. 약 6만 년 전 네안데르탈인의 무덤에서 오늘날 향료로 쓰이는 약초가 발견 될 정도로 인류가 약초를 이용한 역사는 오래 되었다. 약초는 난치병, 노화, 성인병 등 현대의학에서 미비점을 보완하는 대체의약 산업의 원료이자 새로운 생물자원의 보고로서, 그 중요성이 커지고 있다. 새로운 생물자원 소재로 약초는 약용성분을 함유한 식물자원의 확보 및 개발 등 고부가산업의 소재로 선진국에서 연구개발의 경쟁이 치열하며, 약초산업은 천연소재 신약과 기능성 식품, 화장품, 생활용품 등으로 확대되고 있다. 의약품 분야에서는 새로운 시대의 중요한 생명산업으로서 약초는 한약뿐 아니라 신약 개발을 위한 소재로도 부각되고 있으며, 항암제인 택솔, 신종플루 치료제인 타미플루 등 천연물 약의 가능성은 이미 증명되었다. 식품 분야에서는 재배기술 발달과 웰빙 트렌드 속에서 약초는 신선채소와 기능성 식품으로 변신하고 있다. 한약재의 이미지를 벗어난 약초는 음료와 과자, 술 등으로 활용되고, 비빔밥 등 다양한 약선음식으로도 개발되고 있다. 산업소재의 활용분야에서는 약초는 특히 화장품 산업의 소재로 각광받고 있다. 이미 다양한 화장품 회사에서 한방화장품을 출시하여 세계 속으로 진출하고 있다. 또한 약초는 천연 색소이자 생활 용품의 소재로 활용되고 있는데, 약초를 활용한 염색약과 여성 생리대, 샴푸 등의 인기가 높다. 약초산업의 부가가치 증대를 위하여 한약재 위주의 약초산업을 천연물 신약, 기능성 식품, 화장품, 산업 소재 등 고부가가치 시장으로 확장시키고, 우리 약초 산업의 세계화를 추진해야 한다. 연구개발 투자 확대와 빠르게 변화하는 시장을 반영하여 연구 방향을 수립하고, 산학연 및 생산자단체 등과 새로운 약초 산업의 블루오션 창출을 위해 협력을 해야 할 것이다. 또한 약초의 생산기술 안정화를 통해 산업화 기반을 구축하여, 약초 공급의 안정화, 약초 생산 농가 소득 안정화가 필요하며, 마지막으로 변해가는 약초 산업의 트렌드에 부응할 수 있는 품질관리와 유통 질서 확립을 위한 정책과 제도의 선진화가 뒷받침 되어야 할 것이다.

• The Journal of Dong Guk Oriental Medicine
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• v.6 no.2
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• pp.33-85
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• 1998

In order to find the characteristic medical methods of "BianZhengGiMun" by the author ChenShihTo, we have translated and analyzed the mentioned book. Upon analyses, the following facts were noted : 1) "BianZhengGiMun" is written and composed of case studies. Prescriptive methods described here differ rather from previously known methods, where as our nation's Oriental medicine practitioners refer and consider these methods as miraculous modern methodologies. 2) Book's content has much similarities to "ShangHanLun"'s original text. Moreover, the content is adjusted towards presenting methodologies not coverd in "ShangHanLun"'s text, together with adding more information to conserve "ShangHanLun"'s methods as well as to critique them. 3) Diagnostic methods mainly follow the ZangFuBianZheng(臟腑辨證)'s pattern, where it's recorded information and theories are valid. 4) "BianZhengGiMun"'s proscriptive methods usually follow BuYinShengJin(補陰生津)'s form, where they were appropriate for that period and circumstances. 5) In consideration of all of the above factors, ChenShihTo grasped ShangHan and WenBing(acute febrile disease due to exogenous factor) as WaiGanReBing(外感熱病)'s double sided characteristics, where this corresponds with the current belief. It is believed that this in turn would provide much practical value to the present time.

• Journal of forensic and investigative science
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• v.1 no.1
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• pp.31-44
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• 2006

The importance regarding the notion of immediate medical treatment and nursing for the victims of sexual crimes is not widely recognized yet in Korea. Throughout this research is focused on the nursing systems and the system of foreign countries in reference to sexual crime victims, and the conclusion is as follows. In Korea, there are currently no educational or medical institutes for the medical handling for the victims of sexual crimes, and the role of nurses in the medical institutes is insufficient. In addition, the basis for the standard of operation regarding the initial response, evidence collection, pursuit of systematical evidence and data is not established even in the sexual assault counseling/advocacy center. Therefore, it is necessary to foster the sexual assault nurse examiner for the sexual crime victims, and to develop adequate training programs based on the present situation in Korea. Though the cooperation among government, medical institutes, and social movement groups, it is essential to initiate effective and publicly-trusted specialized training programs for forensic nurses who will be fully charged with the treatment of sexual crime victims. By introducing the sexual assault nurse examiner system, it can be possible to develop advanced treatment for the child or adolescent victims of sex crimes.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.24 no.3
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• pp.109-123
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• 2013

The discovery of the mirror neuron system (MNS) is one of the most important neuroscientific achievements in the 20th century. Some researchers had reported that MNS dysfunction was discovered in autism spectrum disorders (ASD). Finally, the 'broken mirror' theory of ASD was announced in the mid 2000's. According to this theory, ASD cannot simulate the mind and behavior of others due to MNS dysfunction; therefore, they cannot imitate the behaviors and empathized with the mind of others. However, ASD does not always show imitation problems. The researchers who have criticized the 'broken mirror' theory proposed the 'social top-down response modulation (STORM)' theory. On STORM theory, the medial prefrontal cortex or temporo-parietal junction, brain areas related with mentalising, might modulate MNS according to social context. We compared the strengths and weaknesses of each theory.

• Journal of Genetic Medicine
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• v.5 no.1
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• pp.65-68
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• 2008

Molecular cytogenetics allows the identification of unknown chromosome rearrangements, which is clinically useful in patients with mental retardation and/or development delay. We report on a 31-year-old woman with severe mental retardation, behavior development delay, and verbal performance delay. Conventional cytogenetic analysis showed a 46,XX,add(8)(p23.3) karyotype. To determine the origin of this unbalanced translocation, we performed array CGH and subtelomeric FISH. The results showed that the distal region of chromosome 8p was added to the terminal of chromosome 13q. This was confirmed the final result of 46,XX,der(8)t(8:13)(p23.3;q32.1)dn.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.14 no.2
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• pp.238-246
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• 2003

Objectives：Mental health problems have been found to be more common among juvenile delinquents. This report assessed the reliability, and validity of the MAYSI-2K(Massachusettes Youth Screening Instrument-2 Korean) in Korean delinquents to examine the utility as a screening measure. Methods：The study consisted of 119 male juvenile youths(mean age 16) who admitted in the probation & detention office. They completed an assessment battery including MAYSI-2K and K-YSR(Korean-Youth Self Report) upon entry. Factor analysis, reliability test, and validity test were conducted. Results：The results of factor analysis represented 14 factors which showed more factor structures in comparison with published factor loadings of 7 in the MAYSI. In factor analysis according to the each subscale of the MAYSI, the internal coefficients of 7 subscales ranged from .142 to .756. Test-retest reliability revealed significant correlations(r= .84). There were significant correlations among subscales of MAYSI-2K and K-YSR. Conclusion：Our findings suggested that MAYSI-2K might be a useful screening measure. But further studies with extended number of subjects and culturally appropriate items are required for clinical utility of the MAYSI-2K in Korean delinquents.

• The Korean Journal of Nuclear Medicine Technology
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• v.13 no.1
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• pp.30-34
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• 2009

Purpose: Many companies developed a lot of programs with continuous effort for program upgrading. With this acquire superior image quality for the purpose of quick examination and progress in spatial resolution. This study was to obtained clinical usefulness on a appropriate parameter of FWHM for speed and alpha value for superior image quality. Materials and Methods: Gamma camera by Siemens (e.cam) and spatial resolution phantom and four quadrant bar phantom used. Compared for FWHM by changed scan speed 15, 20, 25, 30, 35, 40 cm/min in scatter and non scatter in Onco Flash of spatial resolution phantom. Visual evaluation of count rate and bar phantom image for increased of alpha value of 10% in 0~100%. Results: FWHM by the scan speed was 9.37, 9.40, 9.28, 9.30, 9.31, 9.53 mm in the scatter. Count rate increased alpha value 10% increased. Visual evaluation was suitable to below 30%, Therefore spatial resolution improved on FWHM at the scan speed 25~35 cm/min applying for alpha value 30% in Onco Flash was average 9.3 mm less than FWHM of below 15 cm/min and above 40 cm/min. Conclusion: We found on appropriate parameter to progress of image quality. And there be a useful guideline for you that appropriate scan speed on vary in parameters of reduction on examination time and advancing image quality.

• Journal of Technology Innovation
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• v.21 no.1
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• pp.85-108
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• 2013

This paper introduces a new qualitative measurement indicator, Relatively Rank-normalized Impact Factor ($R^2nIF$) that can overcome drawbacks of the existing research performance measures. With the help of this innovative indicator, this study analyzes and compares the quality of research papers across countries and National Science Indicators (NSI) standard academic fields. The development of an improved bibliometric indicator for evaluating the quality of research papers and disentangling the "international" dimension of research performance will be of interest to academics and practitioners alike.