• 융합보안논문지
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• 제20권2호
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• pp.101-110
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• 2020

3차 남북 정상회담과 평양 남북정상회담, 싱가폴과 하노이에서 열린 북미 정상회담 이후, 한반도의 운명을 좌우할 비핵화 협상이 진행되고 있다. 하지만 비핵화 조건을 둘러싸고 북미간 입장이 충돌하며 협상은 교착국면에 빠져있으며 다소 회의적인 전망이 예견되고 있는 상황이다. 북한의 완전한 비핵화 실현이 어려운 이유는 동북아의 전통적인 안보딜레마와 미중간 패권경쟁, 신냉전체제의 형성 등 다양한 변수들이 상존하기 때문이다. 지난 2018년 평창 동계올림픽을 계기로 3차례의 남북 정상회담과 3차례의 북미 정상회담이 개최된 전환기적 시점에 북한의 완전한 비핵화는 한반도를 넘어 동북아와 세계평화를 위해 반드시 이루어내야 할 역사적 과제가 되었다. 그런 의미에서 평양 남북정상회담은 '9.19 평양공동선언'과 '군사분야 합의서'를 통해 북한비핵화와 남북관계 발전을 위한 새로운 이정표를 제시해 준 역사적 계기로 평가된다. 한편 국제정치이론의 주요 패러다임으로 자리잡은 구성주의(Constructivism)는 이념과 역사, 문화 등의 관념적 변수가 물질적 요인, 국가행위자의 정체성과 이익을 규정하며 국제관계의 구조가 상호작용을 통해 변화될 수 있다는 관점을 제시한다. 본 연구에서는 이제 1주년을 넘긴 9.19 평양공동선언의 역사적 의미를 구성주의적 관점에서 고찰하였다. 이를 위해 구성주의 이론의 발전과정과 분석모델, 남북관계의 발전과정을 간략히 살펴보았고, 9.19 군사합의서의 군사적 함의를 제시하였다.

• Advances in Traditional Medicine
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• 제9권1호
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• pp.14-19
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• 2009

The aim of this study is to evaluate appraiser's consistency and accuracy about pulse diagnosis (PD) in discrimination of eight-constitutions using Gage R&R study. Cumulative numbers of PD for discrimination of eight constitutions of three appraisers' experience were 75,000 cases, 50,000 cases, 1,100 cases, respectively. Three Appraisers diagnosed subject's eight-constitutions by PD with blinded method. Gage R&R study was used to verify the results. In the measurements of consistency, appraiser B (agreement = 80%, Value of k = 0.8276) was very good, appraiser A (agreement = 70%, Value of k = 0.7465) was good, and appraiser C (agreement = 50%, Value of k = 0.5365) was moderate. In the measurements of accuracy, appraiser B (agreement = 70%, Value of k = 0.6812) was good, appraiser A (agreement = 60%, Value of k = 0.6414) was good, and appraiser C (agreement = 0%, Value of k = -0.1000) was poor. The results suggest that accuracy of discrimination of constitutions relatively depend on experience and number of cases of PD. Further large controlled study is needed to evaluate the accuracy of PD.

• 융합보안논문지
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• 제19권2호
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• pp.147-156
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• 2019

본 논문의 연구목적은 1950년대 이래 한반도에서 있었던 남북한 간 평화체제 구축을 위한 제안들과 협상중점을 과거와 '9.19 군사분야합의서'로 대변되는 현 문재인 정부의 조치들을 군비통제이론 측면에서 비교 분석하여 남북한 간 군비통제 추진방안을 제시하는 것이다. 이를 위해 현재까지 정립된 이론을 비교 분석하여, 최적의 분석의 틀을 정립하였다. 과거는 주로 1990년 9월 제1차 남북고위급 회담부터 2008년 1월 노무현 정부말기까지를 중점적으로 분석하였으며, 이를 현 문재인 정부에서 추진하고 있는 군비통제 정책과 비교 분석하였다. 그 결과 나타난 특징은 유럽과는 달리 남북한 군비통제 정책은 군사적 신뢰구축이 정치적 신뢰구축과 동시 병행적으로 추진된다는 것이었다. 이를 토대로 한반도 평화정착 과정에서 협의되어야 할 신뢰구축과 군비통제, 군축 추진전략을 제시하였다. 중요한 점은 나아가면 갈수록 군비통제의 필요성은 증대될 것이며, 통일정책과 상호 보완적으로 추진되어야 한다는 것이었다.

• Korean Journal of Radiology
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• 제19권6호
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• pp.1066-1076
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• 2018

Objective: The reliability of size measurements of liver metastases from neuroendocrine tumors (NETs) on contrast-enhanced computed tomography (CT) phases made by different readers may be hampered due to transient, variable rim enhancement in arterial phase (AP) or portal venous phase (PVP) images. We aimed to assess the reliability of tumor size measurements in pre- and post-contrast scans. Materials and Methods: The study coordinator selected target lesions according to Response Evaluation Criteria in Solid Tumors 1.1 guidelines in 44 consecutive patients with pathologically confirmed NET liver metastases. Two blinded readers measured the longest diameters of target lesions on pre-contrast, AP, and PVP images twice with a 4-week interval. Inter- and intra-observer agreements were evaluated using Bland-Altman plots and 95% limit of agreement (LOA) calculations. Results: Of the 79 target lesions (approximate mean size of 3 cm), 45 showed rim enhancement. Inter-observer agreement assessed based on LOA was highest in pre-contrast CT images (-6.1-5.7 mm), followed by PVP (-7.9-7.1 mm) and AP (-8.5-7.4 mm) images. Intra-observer agreement showed the same trend: -2.8-2.9 mm and -2.9-2.9 mm for readers 1 and 2, respectively, on pre-contrast CT, -2.8-2.9 mm and -3.0-3.2 mm, respectively, on PVP, and -3.2-4.2 mm and -3.4-3.2 mm, respectively, on AP images. Mean tumor diameters differed significantly among the phases in the following increasing order: pre-contrast CT, PVP, and AP images. Conclusion: There was better inter- and intra-observer agreement in size measurements of NET liver metastases on pre-contrast scans than on AP and PVP scans. Pre-contrast CT may be the optimal for measuring NET liver metastases if its accuracy is proven.

• Imaging Science in Dentistry
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• 제37권1호
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• pp.15-18
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• 2007

Purpose : Disc and condylar position were observed on MRIs of temporomandibular joint disorder patients and condylar position agreement between MRI and tranascranal radiography was evaluated. Materials and Methods MRI and transcranial radiographs of both TM joints from 67 patients with temporemandibular disorder were used. On MRI, the position and shape of disc and condylar position as anterior, middle, posterior was evaluated at medial, center, and lateral views. On transcranial radiographs, condylar position was evaluated using the shortest distance from condyle to fossa in anterior, superior, and posterior directions. Results. 1. On MRI, 96 joints (71.6%) of 134 had anterior disc dispalcement with reduction and 38 joints (28.4%) without reduction. 2. Fourteen (14.6%) of 96 reducible joints showed anterior condylar position, 19 (19.8%) showed central position, 63 joints (65.6%) showed posterior position. Two joints (5.3%) of 38 non-reducible joints showed anterior condylar position, while 9 (23.7%) showed central position, and 27 (71.1%)-posterior position. 3. In 85 joints (63.4%) of 134, the transcranial condylar position agreed with that of the central MRI view, 10 joints (7.5%) with that of medial, 16 joints (11.9%) with that of lateral, and 23 joints (17.2%) disagreed with that of MRI. Conclusion : On MRT, most oi the reducible and non-reducible joints showed posterior condylar position. Transcranial radiographs taken with machine designed for TMJ had better agreement of condylar position with that of MRI. Extremely narrow joint spaces or very posterior condylar positions observed on transcranial radiographs had a little more than fifty percent agreement with those of MRIs.

• Asian Pacific Journal of Cancer Prevention
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• 제15권1호
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• pp.423-426
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• 2014

Aim: To evaluate the agreement between colposcopic diagnosis and cervical pathology a retrospective chart review was performed. Materials and Methods: This study included 437 patients who underwent colposcopy and cervical biopsy or conization at Siriraj Hospital from October 2010 - December 2012. The patient clinical characteristics, cervical cytology results, colposcopic diagnoses, cervical pathology results were recorded and correlations between variables were analyzed. Results: Agreement of colposcopic diagnosis and cervical pathology was matched in 253 patients (57.9%). The strength of agreement with weighted Kappa statistic was 0.494 (p<0.001). Colposcopic diagnoses more often overestimated (31.1%) than underestimated (11%) the cervical pathology. Agreement of colposcopic diagnosis and cervical pathology within 1 grade was found in 411 patients (94.1%). Positive predictive value (PPV) of high grade colposcopy or more was 75.5%, whereas the negative predictive value (NPV) of insignificant and low grade colposcopy was 83.8%. False positives of high grade colposcopy or more were 21%. False negatives of insignificant or low grade colposcopy were 19.1%. Conclusions: Strength of agreement between colposcopic diagnosis and cervical pathology was found to be only moderate. A biopsy at colposcopy should be performed at a gold standard level to detect high grade lesions.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제26권2호
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• pp.88-98
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• 2023

Purpose: Children with inflammatory bowel disease (IBD) frequently undergo clinical assessments, involving triadic communication between clinician, parent, and child. During such encounters parents are traditionally the main communicator of information on their child's IBD, including subjective symptom reports. The level of agreement between children and their parents for IBD symptoms is poorly understood, and this study aimed to examine this factor. Methods: This was a cross-sectional study among children with IBD, and one parent. A validated paediatric IBD symptom report tool (IBDnow) enabled children and their parent to rate seven pain, well-being, and stool metrics, with dyads completing the tool concurrently. Results were assessed using: Individual agreement: proportion of identical symptom reports by each dyad (ideal score >0.7); Category agreement: percentage of identical reports for IBDnow metrics for the cohort; Inter-rater reliability: Gwet's AC1 coefficient with higher scores indicating better reliability (maximum=1). Results: Seventy-four parent/child dyads participated; child's mean age 12.2 years (standard deviation [SD] 2.9, range 6-16), mean time since diagnosis 2.8 years (SD 3), 54% female, 73% had Crohn's Disease. Mean individual agreement level was 0.6, with 27% of dyads agreeing on ≥6/7 IBDnow metrics. Category agreement was reported by 61% of dyads, 20% of parents overestimated, and 19% underestimated, their child's symptoms. Inter-rater reliability ranged from fair to good. Conclusion: These results should improve clinician awareness of how IBD symptom reports from parents may introduce bias. Children should be considered the most important source of symptom reports, and tools such as IBDnow utilised to enhance communication.

• Bulletin of the Korean Chemical Society
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• 제19권9호
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• pp.985-993
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• 1998

The second order effective valence shell Hamiltonian ($H^v$), which is based on quasidegencrate many-body perturbation theory, is applied to determining the potential energy surfaces and the dipole moment functions of the various valence states of $NH_2$. The $H^v$ calculated values are found to be in good agreement with those of other ab initio calculations or experiments. It signifies the fact that the $H^v$ is a good ab initio method to describe the energies and properties of various valence states with a same chemical accuracy. Furthermore, it is shown that the lowest (second order for energy and the first order for property) order $H^v$ method is very accurate for small molecules like $NH_2$ and the matrix elements of Hv which are computed only once are all we need to accurately describe all the valence states simultaneously.

• 응용통계연구
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• 제7권2호
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• pp.9-19
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• 1994

평가자간 평가 일치도(measure of agreement)를 나타내는 모수 $\kappa$와 양성 반응 비율 $\mu$를 지닌 베타-이항 분포 모형은 심리학 분야에서 많이 다루어지는 모형이다. 이 모형에서 $\kappa$에 대한 추정은 $\mu$가 0에 가까운 값을 가질 때 우도함수를 이용한 전통적 추론 방법의 적용이 어렵다. 본 논문에서는 이러한 문제를 Gibbs sampler를 이용한 Bayesian 분석 방법을 적용시켜 주변 사후 밀도 함수를 추정하였으며 이를 이용하여 Bayesian 추정값도 구하였다.

• 한국자동차공학회논문집
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• 제9권1호
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• pp.8-19
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• 2001

A number of atomization and droplet breakup models have been developed and used to predict the diesel spray characteristic. Most of these models could not provide reasonable computational result of the diesel spray characteristic because they have only considered the primary breakup. A hybrid model is, therefore, required to develop by considering the primary and secondary breakup of liquid jet. according to this approach, wave breakup(WB) model was used compute the primary breakup of the liquid jet and droplet deformation and breakup(DDB) model was used for the secondary breakup of droplet. Development of hybrid model by using KIVA-II code was performed by comparing with the experimental data of spray tip penetration and SMD from the literature. A hybrid model developed in this study could provide the good agreement with the experimental data of spray tip penetration. The prediction results of SMD were in good agreement between 0.5 and 1.0 ms after the start of injection. Numerical results obtained by the present hybrid model have the good agreement with the experimental data with the breakup time constant in WB model of 30, and DDB model constant Ck of 1.0 when the droplet becomes less than 95% of maximum droplet diameter injected.