• Journal of dental hygiene science
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• v.17 no.4
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• pp.298-305
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• 2017

This study aimed to investigate the relationship between sleep duration and periodontitis in adult Korean women. This cross-sectional study was based on the 2014 Korea National Health and Nutrition Examination Survey (KNHNES). We selected the data from 3,292 women (over 19 years of age) out of 7,550 participants for analysis, after excluding data from men. Complex logistic regression analysis was performed to determine the effect of sleep duration on the risk of periodontitis; the crude and adjusted odds ratios (ORs) were calculated. The risk of periodontitis was higher in participants who had a sleep duration of 7 hours or more, than in those with less than 7 hours (crude OR) by 1.37 times (95% confidence interval [CI], 1.13~1.65). The adjusted OR of the participants after adjusting for the sample characteristics of the participants (age, education level, income level, diabetes, hypertension, obesity) was 1.04 times (95% CI, 0.82~1.32), but the risk for periodontitis was slightly higher, though not statistically significant. This study confirmed the relationship between sleep duration and the risk of periodontitis in Korean women. Therefore, it is necessary to develop and implement a comprehensive health promotion program that can improve the proper sleeping habits of adult women in Korea and to combine oral hygiene management programs to prevent periodontal disease.

• The Korean Society of Law and Medicine
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• v.22 no.2
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• pp.49-79
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• 2021

Due to defendant's wrongful act by implant surgery, plaintiff has been suffered serious damages to his face and teeth, and pain caused by establishing implanted teeth. Jeonju Appellate Court sentenced to pay future medical expenses and alimony to the plaintiff in compensation for breach of duty or torts. The ruling is designed to relieve the burden of proof because it is extremely difficult for non-experts to determine whether dentists violated their 'duty of care' or whether there was a causal relationship between damages to medial treatment. It was judged that if symptoms that contributed to the patient's significant outcome occurred during or after surgery, such symptoms could be presumed to have been caused by medical negligence if indirect facts were proven to be other than medical negligence. Originally, the shifting of burden of proof in Germany, has already been developed in medical malpractice case since 1940s. In order to guarantee the patients' right, §630h German Civil Code (BGB) - presumption of negligence in the realization of controllable risk- has been also legislated. BGH (Bundesgerichtshof) has been interested in ensuring that the principle of equality between patients and doctors. So, in this study, we wanted to refer to German precedent cases to analyzing Korean medical malpractice lawsuit. In particular, the decision could be significant in that it approaches closer to allows the shifting burden of proof in drastically growing dental malpractice cases. This is clearly confirmed in the judgment of the dentist's "fault" that "if indirect facts about the symptom or occurrence are proven to be cause other than medical negligence, such symptoms can be presumed to be due to medical negligence."

• Proceedings of the Korea Water Resources Association Conference
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• 2006.05a
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• pp.1970-1974
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• 2006

Tank 모형은 유역을 임의의 저류탱크로 가정하여, 유출공의 높이를 초과하는 저류고를 방출함으로써 유출량을 모의한다. 유출분석의 목적에 따라 직렬 3단 혹은 4단의 탱크로 구성하여 적용하는 것이 일반적인데, 국내의 일 단위 장기유출분석 연구에서는 직렬 4단 Tank 모형이 널리 활용되고 있다. 이러한 Tank 모형은 유역의 강우-유출관계를 모의하는 과정에 black box적인 특성을 지니고 있다. 그러나 각 저류탱크와 관련된 매개변수를 최적화하기 위해서는 매개변수들의 물리적인 의미를 이해하여야 한다. 이런 점을 고려하여 일본의 Sugawara는 경험적으로 매개변수들이 결정되는 범위를 제시한 바 있다. 그러나 기저유출을 모의하는 Tank 모형의 최하단 탱크에서 이러한 매개변수 범위에서는 적합한 값을 갖으나 장기적인 모의시에 저류고 및 유출고가 계속 증가하여 물리적인 유출특성을 반영하지 못하는 문제점이 나타났다. 따라서 본 연구에서는 이러한 문제점의 원인을 분석하기 위해 장기간의 자료가 구축된 소양강댐을 적용 유역으로 선정하여 최하단탱크의 유출공계수의 변화에 따른 유출량과 저류고의 변화를 살펴보았다. 분석결과 매개변수가 $0.0001{\sim}0.001$의 범위에서 장기간의 지속적인 저류고와 유출량의 증가가 나타났다. 그리고 유출공계수가 증가함에 따라 최대저류고는 감소하고, 저류고가 증가하는 지속기간이 짧아지는 것으로 나타났다. 그러나 통계치 변화분석에서는 상관계수, 평균제곱근오차, 모형효율성계수에서 거의 변화가 없는 것으로 나타났으며, 유출용적오차에서도 최대 약 6% 정도 유출용적이 변화하는 것으로 나타났다.mber)과 동일한 위치의 수온자료를 기초로 회귀분석을 실시함으로써 수온추출 알고리즘을 도출하여, 분석데이터의 신뢰도를 검증하였으며, 수온, 클로로필, 투명도 등을 위성원격탐사 자료와 GIS를 이용하여 공간분석을 실시하고, 공간분포도를 작성함으로써 대상해역의 해양환경을 파악하였다. 본 연구결과, 분석된 위성자료가 현장조사에 의한 검증이 이루어지지 않을 경우, 영상자료분석을 통한 표층수온 추출은 대기 중의 수증기와 에어로졸에 의한 계산치의 오차가 반영되기 때문에 실측치 보다 낮게 평가 될 수 있으므로, 반드시 이에 대한 검증이 필요함을 알 수 있었다. 현지관측에 비해 막대한 비용과 시간을 절약할 수 있는 위성영상해석방법을 이용한 방법은 해양수질파악이 가능할 것으로 판단되며, GIS를 이용하여 다양하고 복잡한 자료를 데이터베이스화함으로써 가시화하고, 이를 기초로 공간분석을 실시함으로써 환경요소별 공간분포에 대한 파악을 통해 수치모형실험을 이용한 각종 환경영향의 평가 및 예측을 위한 기초자료로 이용이 가능할 것으로 사료된다.염총량관리 기본계획 시 구축된 모형 매개변수를 바탕으로 분석을 수행하였다. 일차오차분석을 이용하여 수리매개변수와 수질매개변수의 수질항목별 상대적 기여도를 파악해 본 결과, 수리매개변수는 DO, BOD, 유기질소, 유기인 모든 항목에 일정 정도의 상대적 기여도를 가지고 있는 것을 알 수 있었다. 이로부터 수질 모형의 적용 시 수리 매개변수 또한 수질 매개변수의 추정 시와 같이 보다 세심한 주의를 기울여 추정할 필요가 있을 것으로 판단된다.변화와 기흉 발생과의 인과관계를 확인하고 좀 더 구체화하기 위한 연구가 필요할 것이다.게 이

• Journal of Digital Convergence
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• v.14 no.9
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• pp.389-397
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• 2016

This study investigates convergent influence on childbirth perception and its association with job seeking stress, depression and hopelessness among some college women. The survey was administered to 531 college women in Jeonbuk area from March 28th to April 29th, 2016. The structured self-administered questionaries were used. The childbirth perception of respondents according to general characteristics turned out to be significantly higher in following groups: that of old age, that of religion, that of school life satisfaction, that of non drinker. The childbirth perception are significantly higher in higher job seeking stress group, moderate & severe hopeless group and moderate & major depression group. The childbirth perception was positively correlated with job seeking stress, hopelessness and depression. With the analysis of covariance structure, we could confirm relationship among the four factors such as job seeking stress, hopelessness, depression and childbirth perception. Job seeking stress was more influential on the childbirth perception than hopelessness and depression. The results are expected to be useful for health education to increase the positive thinking of childbirth perception of the college women. In the following study, the analysis about additional factors of convergent influence on childbirth perception will be needed.

• Korean Business Review
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• v.19 no.2
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• pp.261-274
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• 2006

Airline business operates in the 21st century within fast changing market environment and fierce competition. Management of airline companies has faced the need for vast adaptation to new trends in the growth of world economy that are cardinal changes in marketing environment due to quick development of Internet and IT, transport price competition and, as a consequence, low profit margin, diversified customer wants and needs, lack of investment needed for new aircraft equipped with the latest high tech innovations, unpredictable oil price changes, and exchange rate fluctuations. This study is aimed to evaluate the quality performance of cabin service, to analyse, further, the issues that appeared to be the most significant among customers' answers to questionnaire, to explore the relationships between these issues and customer satisfaction, to highlight the essential questions to address, and to provide some practical suggestions. The five dimensions (such as tangible, reliability, responsiveness, assurance, and empathy) were adopted to examine the relationship between the service quality and customer satisfaction of Mongolian and non-Mongolian passengers travelling by the MIAT. According to findings of analysis made with use of the SERVPERF model, it can be concluded that Mongolian travellers' satisfaction was effected by 'Tangible' and 'Responsiveness' dimensions of service quality, whereas the 'Empathy' dimension has more impact on the satisfaction of non-Mongolian.

• Proceedings of the Korea Water Resources Association Conference
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• 2021.06a
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• pp.444-444
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• 2021

하천의 오염부하량 관리 계획은 지속적인 모니터링을 통한 자료 구축과 모형을 이용한 예측결과를 기반으로 수립된다. 하천의 모니터링과 예측 분석은 많은 예산과 인력 등이 필요하나, 정부의 담당 공무원 수는 극히 부족한 상황이 일반적이다. 이에 정부는 전문가에게 관련 용역을 의뢰하지만, 한국과 같이 지형이 복잡한 지역에서의 오염부하량 배출 특성은 각각 다르게 나타나기 때문에 많은 예산 소모가 발생 된다. 이를 개선하고자, 본 연구는 합성곱 신경망 (convolution neural network)과 수문학적 이미지 (hydrological image)를 이용하여 강우 발생시 BOD 및 총인의 부하량 예측 모형을 개발하였다. 합성곱 신경망의 입력자료는 일반적으로 RGB (red, green, bule) 사진을 이용하는데, 이를 그래도 오염부하량 예측에 활용하는 것은 경험적 모형의 전제(독립변수와 종속변수의 관계)를 무너뜨리는 결과를 초래할 수 있다. 이에, 본 연구에서는 오염부하량이 수문학적 조건과 토지이용 등의 변수에 의해 결정된다는 인과관계를 만족시키고자 수문학적 속성이 내재된 수문학적 이미지를 합성곱 신경망의 훈련자료로 사용하였다. 수문학적 이미지는 임의의 유역에 대해 2차원 공간에서 무차원의 수문학적 속성을 갖는 grid의 집합으로 정의되는데, 여기서 각 grid의 수문학적 속성은 SCS 토양보존국(soil conservation service, SCS)에서 발표한 수문학적 토양피복형수 (curve number, CN)를 이용하여 산출한다. 합성곱 신경망의 구조는 2개의 Convolution Layer와 1개의 Pulling Layer가 5회 반복하는 구조로 설정하고, 1개의 Flatten Layer, 3개의 Dense Layer, 1개의 Batch Normalization Layer를 배열하고, 마지막으로 1개의 Dense Layer가 연결되는 구조로 설계하였다. 이와 함께, 각 층의 활성화 함수는 정규화 선형함수 (ReLu)로, 마지막 Dense Layer의 활성화 함수는 연속변수가 도출될 수 있도록 회귀모형에서 자주 사용되는 Linear 함수로 설정하였다. 연구의 대상지역은 경기도 가평군 조종천 유역으로 선정하였고, 연구기간은 2010년 1월 1일부터 2019년 12월 31일까지로, 2010년부터 2016년까지의 자료는 모형의 학습에, 2017년부터 2019년까지의 자료는 모형의 성능평가에 활용하였다. 모형의 예측 성능은 모형효율계수 (NSE), 평균제곱근오차(RMSE) 및 평균절대백분율오차(MAPE)를 이용하여 평가하였다. 그 결과, BOD 부하량에 대한 NSE는 0.9, RMSE는 1031.1 kg/day, MAPE는 11.5%로 나타났으며, 총인 부하량에 대한 NSE는 0.9, RMSE는 53.6 kg/day, MAPE는 17.9%로 나타나 본 연구의 모형은 우수(good)한 것으로 판단하였다. 이에, 본 연구의 모형은 일반 ANN 모형을 이용한 선행연구와는 달리 2차원 공간정보를 반영하여 오염부하량 모의가 가능했으며, 제한적인 입력자료를 이용하여 간편한 모델링이 가능하다는 장점을 나타냈다. 이를 통해 정부의 물관리 정책을 위한 의사결정 및 부족한 물관리 분야의 행정력에 도움이 될 것으로 생각된다.

• Journal of Nutrition and Health
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• v.42 no.4
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• pp.386-396
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• 2009

The purpose of this study was to analyze the effect of push, pull and push-pull interactive factors for CFMC (Contract Foodservice Management Company)'s internationalization. The study was a quantitative study part in mixed methods (QUAL ${\rightarrow}$ quan) which was mainly qualitative study and quantitative study. Mail survey was carried out for quantitative study. For study subjects, 1,281 persons who completed 'Food Service Management Professional Program' of 'Y' University were selected as a population because the program was mainly for CFMC's workers. The analysis methods used in this study were frequency analysis, factor analysis, correlation analysis and multiple regression analysis with SPSS 17.0. Push factors had the saturation in domestic market and the manager's purpose (fac.1) and the investment for internationalization (fac.2). Pull factors had the company's external environment for internationalization (fac.3) and the global network and spread of culture (fac.4). Push-pull interactive factors had the information about foreign market (fac.5), the procedure and budget of overseas expansion (fac.6) and the national network and size of domestic market (fac.7). Internal dynamics factors had the deterrents for internationalization (fac.8) and the enablers for internationalization (fac.9). The result showed that the company's external environment in pull factors had positive effects on the deterrents for internationalization. The global network and the spread of culture had positive effects on the enablers for internationalization. The information about foreign market in push-pull interactive factors had positive effects on the deterrents and enablers for internationalization. The national network and the size of domestic market had positive effects on the enablers for internationalization. The deterrents and enablers for internationalization had positive effects on the level of internationalization, and the deterrents had more effects on the level of internationalization than the enablers did (${\beta}$= .492 > .177).

• Journal of Dental Rehabilitation and Applied Science
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• v.26 no.3
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• pp.349-357
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• 2010

Physical factors and intra- and extra-oral factors of a patient have to be considered in order to decide a treatment plan for the skeletal class III malocclusion patient. Most of cases, the pre-prosthodontic treatment requires the orthodontic approaches and maxillofacial surgery. However, in some cases, patients' economic or medical condition makes impracticable situation for the orthodontic or surgical intervention. For those cases, the compromised prosthetic treatment which provides more stable and persistent occlusal stabilization is recommended. In this case report, a woman patient has a skeletal class III maxillomandibular relationship and misses multiple teeth. The prosthetic treatment without orthodontic and surgical intervention is performed due to her physical problem. The functional and esthetic results are achieved by the fixed prosthesis.

• The Korean Society of Law and Medicine
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• v.20 no.3
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• pp.83-139
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• 2019

Recognition of liability for damages due to medical malpractice has been developed largely on the basis of two paths. First is the case where there is an error in a physician's medical practice and this infringes upon the legal interests of life and body, and the compensation for monetary and non-monetary damages incurred from such infringement on life and body becomes an issue. Second is the case where there is a breach of a physician's duty of explanation that results in a infringement on the patient's right of autonomous decision, and the compensation for non-monetary damages incurred from such infringement becomes an issue. However, even if there is a medical error, since it is difficult to prove the causation between the medical error of a physician and the infringement upon legal interests, the physician's responsibility for damage compensation is denied in some cases. Consider, for example, a case where a patient is already in the final stage of cancer and has a very low possibility of a complete recovery even if proper treatment is received from the physician. Here, it is not appropriate to refuse recognition of any damage compensation based on the reason that the possibility of the patient dying is very high even in the absence of a medical error. This is so because, at minimum, non-monetary damage such as psychological suffering is incurred due to the physician's medical error. In such a case, our courts recognize on an exceptional basis consolation money compensation for losing the chance to receive proper treatment. However, since the theoretical system has not been established in minutiae, what comes under the benefit and protection of the law is not clearly explicated. The recent discourse on compensating for damages incurred by patients, even when the causation between the physician's medical error and infringement upon the legal interests of life and body is denied, by establishing a new legal interest is based on the "legal principle of loss of opportunity for treatment." On what should be the substance of the new legal interest, treatment possibility argument, expectation infringement argument, considerable degree of survival possibility infringement argument and loss of opportunity for treatment argument are being put forth. It is reasonable to see the substance of this protected legal interest as "the benefit of receiving treatment appropriate to the medical standard" according to the loss of opportunity for treatment argument. The above benefit to the patient is a value inherent to human dignity that should not be infringed upon or obstructed by anyone, and at the same time, it is a basic desire regarding life and a benefit worthy of protection by law. In this regard, "the benefit of receiving treatment appropriate to the medical standard" can be made concrete as one of the general personal rights related to psychological legal interest.

• The Korean Society of Law and Medicine
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• v.16 no.1
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• pp.155-190
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• 2015

The court sentenced meaningful decisions related to the medical service in 2014. The court assumed the negligence of medical staff in the accident if being broken while using the medical equipment for not an original purpose at the time of surgery and ruled that the compensation for damage can be recognized in recognition of the causal relationship between the explanation duty violation and side effect's happening when unproven surgery on safety is implemented regarding the duty of explanation, that in the case of cosmetic surgery, the subject on the duty of explanation needs to be expanded compared to the general medical practice and that the duty of explanation cannot be accepted for the range that cannot be expectable. Also, the court has provided the requirement and limitation of self-determination exercise in case of the crash between patient's self-determination and doctor's duty of care and has ruled that as automobile insurance contract is a contract with the insurance company to pay regarding liability for car accidents, treating patients and taking the insurance money is not illegal activity even for the unlicensed hospital violating the medical law while established. The judgment stating the opinion that medical practitioners cannot be punished according to the medical law prohibiting the receiving of rebate in case that medical practitioners did not receive benefit while the medical institution itself gained an unfair economic benefit also stands out. And the court has ruled that even if the medical institution who received a business suspension is closed, the suspension is still effective in case that the same operator opens a new medical institution in the same place, ruled on the requirement to conduct a medical service outside of the medical institution that the doctor opened and ruled that the administrative penalty cannot be conducted prior to the conviction on charge of violating the medical law.