• 디지털융복합연구
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• 제8권2호
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• pp.147-160
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• 2010

인터넷쇼핑몰 거래는 전자상거래의 주요한 거래방식으로 자리를 잡았으며 나날이 발전하고 있다. 한편 그와 비례하여 다양한 유형의 분쟁도 발생하고 있다. 특히 소비자가 인터넷쇼핑몰에서 물품을 구매하였는데 매도인이 사이버몰에 물품을 등록할 때 물품의 가격 기타 중요정보를 잘못 기재하였다는 이유로 계약을 취소하거나 철회하고자 할 경우가 있다. 이는 매도인의 착오에 관한 문제이다. 착오에 관한 법리인 민법 제109조는 자연적 의사표시의 경우를 전제하는 것으로 보인다. 그런데 의사표시가 전자적으로 이루어지는 인터넷쇼핑몰 거래의 경우에도 민법에서 규정하고 있는 착오의 법리가 적용된다는 것을 살펴보았다. 인터넷쇼핑몰 거래에서 매도인의 표시 광고가 청약의 유인에 해당하며, 매도인의 착오로 인하여 소비자의 청약과 매도인의 승낙으로 체결된 계약을 취소할 수 있는데, 그 취소여부는 구체적인 사안에 따라 판단할 문제이다. 즉 취소 요건인 중요부분의 해당여부 및 중과실의 부존재 여부의 판단은 구체적인 경우에 정상가격과 게시된 가격의 차이가 어느 정도인가에 따라 달라질 수 있다. 또한 매도인의 그러한 가격오기에 중대한 과실을 인정하지 않은 사례 등을 감안하면 그와 비슷한 상황일 경우에는 매도인이 착오를 이유로 거래를 취소할 수 있다.

• 디지털융복합연구
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• 제12권3호
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• pp.289-297
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• 2014

본 연구는 선택병의원제도 이후 변수들을 이용하여 의료급여수급권자의 의료이용 만족에 대하여 살펴보면서 지속적으로 수급권자의 의료이용 만족 및 건강증진을 향상시킬 수 있는 기초자료를 제공하는 데 그 의의가 있다. 조사기간은 2013년 8월 16일부터 8월23일까지이며, 결론적으로 선택병의원제도 실시 후 의료급여 수급권자의 의료이용 만족을 향상 시킬 수 있도록 하기 위해서는 의료수급권자의 의료서비스의 효과 및 미 충족 의료 욕구에 대한 보다 충분하고 정밀한 파악하는 것이 무엇보다 중요하며, 적정한 의료이용 도모를 위해 효과적인 의료접근성 파악, 행정절차의 비효율성 극복, 적정진료 보장으로 인한 합리적인 의료전달체계 확립 및 건강관리의 향상을 위해 의료기관의 적극적인 협조 및 정부의 다양한 정책 대안이 필요하다.

• 디지털융복합연구
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• 제11권11호
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• pp.621-631
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• 2013

본 연구는 치위생과 학생들의 자원봉사 만족도와 자원봉사활동에 영향을 줄 수 있는 요인의 연관성을 찾아 내어 치위생과 학생들의 자원봉사활동을 활성화하기 위한 프로그램을 마련하는 방안 및 문제점을 제시하기 위한 것이다. 광주광역시에 소재한 2개 대학교의 치위생과 재학생 265명을 대상으로 2012년 11월부터 12월까지 자기기입식 설문 조사를 실시하여 다음과 같은 결과를 얻었다. 조사대상자의 일반적 특성은 1학년이 51.3%로 가장 많았고 과거 봉사활동 경험이 있는 학생이 74.3%였으며 자원봉사 활동분야에서 장애인 분야가 31.7%로 가장 많았다. 자원봉사활동 참여 동기는 '학점 취득 및 자원봉사활동실적을 쌓기 위해서' 가 56.2%로 가장 많은 분포를 나타내었다. 전공봉사활동에 대해서는 과거 봉사활동경험이 있는 경우가 경험이 없는 경우가 더 높게 나타났고, 봉사활동 참여형태에서 동아리나 소모임이 가장 높았다. 전공봉사활동에 대한 만족도는 주변인의 지지가 높을수록, 업무의 인식도가 높을수록, 업무의 적절성이 높을수록 가족의 지지가 높을수록 높았다. 따라서 치위생과 학생들이 전공봉사활동에 대한 만족도를 높여 자발적이고 지속적인 참여를 할 수 있도록 자원봉사자의 체계적인 교육 및 대학의 실정에 맞는 교과목을 개발하여 효과적인 프로그램의 개발이 시행되어 대학생들의 인식을 바꾸고 활성화 될 수 있도록 많은 연구가 필요할 것이다.

• 생물정신의학
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• 제26권2호
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• pp.39-46
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• 2019

Antidepressants are widely used to treat depression in Korea, however, only a few studies have focused on the provider of the treatment. The aim of the study is to compare the differences between patients who were prescribed antidepressants by psychiatrists and those who were prescribed antidepressants by non-psychiatrists in South Korea. Patients with a diagnosis of depressive disorder who had been newly prescribed antidepressants in 2012 were selected from the Health Insurance Review and Assessment Service database. They were classified into two groups depending on whether they received the antidepressant prescription from a psychiatrist or non-psychiatrist. Sociodemographic, clinical, and depression related cost has been investigated. Treatment resistant depression, which is defined as a failure of two antidepressant regimens to alleviate symptoms, was also investigated. Prescription adequacy was assessed based on whether a regimen was maintained for at least 4 weeks. Among the 834694 patients with pharmaceutically treated depression (PTD) examined in this study, 326122 (39.1%) were treated by psychiatrists. Patients who were treated by psychiatrists were younger and had more psychiatric comorbidities than those treated by non-psychiatrists. They had longer PTD duration (229.3 days vs. 103.0 days, p < 0.05) and a larger proportion of treatment resistant depression (9.3% of PTD) when compared to those patients treated by non-psychiatrists. The patients treated by psychiatrists had a smaller proportion of inadequate antidepressant use compared to those patients in the non-psychiatrist group (44.5% vs. 65.1%, p < 0.05). The costs related to depression corrected with PTD duration were higher in the non-psychiatrist group (32214 won vs. 56001 won, p < 0.05). Patients who receive antidepressants from psychiatrists are patients with more severe, treatment-resistant depression. Psychiatrists prescribe antidepressants more adequately and cost- effectively than non-psychiatrists.

• 해양환경안전학회지
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• 제23권1호
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• pp.122-129
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• 2017

본 논문에서는 국제해사기구의 데이터수집 시스템 도입에 따른 MRV 지원 및 국제해운 에너지 효율 포탈 시스템에 대한 기술적 검증을 수행하였다. 데이터 수집 시스템과 연료 사용량 데이터 수집 방법론을 포함하는 SEEMP 가이드라인의 주요 내용을 검토하고, EU MRV와 차이점을 분석하여 MRV에 대한 국내 해운선사의 대응전략을 제시하고 이에 대한 MRV 지원시스템의 기술적 적합성을 검토하였다. MRV 지원시스템은 배출량 데이터를 원시단계에서 최종단계까지 통합 관리함으로서 검증을 위한 비용과 업무 효율성을 높일 수 있으며, 현재 해운선사의 보고절차를 유지하면서 데이터 변환 기능을 통해 표준양식으로 배출량 데이터를 수집하고 보고 할 수 있다. 또한, 포탈시스템에 대한 접근권한을 구분하여 해운선사의 데이터 수집과 보고, 검증자의 데이터 검증업무를 지원할 수 있으며 전자적인 방법으로 보고서 제출이 가능하여 MRV 국제 규제에 대한 대응이 가능하다.

• Journal of Positioning, Navigation, and Timing
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• 제6권3호
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• pp.125-133
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• 2017

Time comparison is necessary for the verification and synchronization of the clock. Two-way satellite time and frequency (TWSTFT) is a method for time comparison over long distances. This method includes errors such as atmospheric effects, satellite motion, and environmental conditions. Ionospheric delay is one of the significant time comparison error in case of the carrier-phase TWSTFT (TWCP). Global Ionosphere Map (GIM) from Center for Orbit Determination in Europe (CODE) is used to compare with Bernese. Thin shell model of the ionosphere is used for the calculation of the Ionosphere Pierce Point (IPP) between stations and a GEO satellite. Korea Research Institute of Standards and Science (KRISS) and Koganei (KGNI) stations are used, and the analysis is conducted at 29 January 2017. Vertical Total Electron Content (VTEC) which is generated by Bernese at the latitude and longitude of the receiver by processing a Receiver Independent Exchange (RINEX) observation file that is generated from the receiver has demonstrated adequacy by showing similar variation trends with the CODE GIM. Bernese also has showed the capability to produce high resolution IONosphere map EXchange (IONEX) data compared to the CODE GIM. At each station IPP, VTEC difference in two stations showed absolute maximum 3.3 and 2.3 Total Electron Content Unit (TECU) in Bernese and GIM, respectively. The ionospheric delay of the TWCP has showed maximum 5.69 and 2.54 ps from Bernese and CODE GIM, respectively. Bernese could correct up to 6.29 ps in ionospheric delay rather than using CODE GIM. The peak-to-peak value of the ionospheric delay for TWCP in Bernese is about 10 ps, and this has to be eliminated to get high precision TWCP results. The $10^{-16}$ level uncertainty of atomic clock corresponds to 10 ps for 1 day averaging time, so time synchronization performance needs less than 10 ps. Current time synchronization of a satellite and ground station is about 2 ns level, but the smaller required performance, like less than 1 ns, the better. In this perspective, since the ionospheric delay could exceed over 100 ps in a long baseline different from this short baseline case, the elimination of the ionospheric delay is thought to be important for more high precision time synchronization of a satellite and ground station. This paper showed detailed method how to eliminate ionospheric delay for TWCP, and a specific case is applied by using this technique. Anyone could apply this method to establish high precision TWCP capability, and it is possible to use other software such as GIPSYOASIS and GPSTk. This TWCP could be applied in the high precision atomic clocks and used in the ground stations of the future domestic satellite navigation system.

• 대한간호학회지
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• 제3권2호
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• pp.111-119
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• 1973

The purpose of this study was to determine whether or not the delivery of health services effects the health knowledge of the recipients of that service. 10 was hypothesized that the practical application of theory, though health services rendered by public health nursing students during their field experiences. would have a positive relationship with the quantity and quality of health knowledge of the female population of a given community. In April 1970, ninety five women(between an age 15-49) from Koyang-Gun were interviewed regarding their knowledge and attitudes in four areas of health: maternal health, child health. family planning and tuberculosis prevention. After 11 years(Nov. l971), during which time the women received home visits by student nurses, the women were again interviewed using the original questionnaire. Additionally, they were asked where they had received information about each question. During the 1$\frac{1}{2}$ year period the visits were made by a total of 112 students. They visited the community twice a week. The result were as follows: Maternal health There was marked improvement in the knowledge of specific aspects of maternal health such as the proper instruments needed for cutting the cord and nutritional precaution of pregnancy (p<0.05). In each case 42.0 percent of more of this knowledge was attributed to information gained from the nursing students. However even after the nursing students'visits, the knowledge of other general areas of maternal remained poor. Child health There were increases in the knowledge of the respondents for the time to supplement breast feeding and for time to wean infants (p<0.05). In each case 35.0 percent or more of this information was attributed to the student. The increase in knowledge regarding types of immunization was more often attributed to the clinic nurse than to the nursing students. Knowledge of the necessity of booster immunization was poor both before and after the visits by the nursing students. Family planing There were significant increases in correct information regarding the time of I.U.D. insertion (P<0.05) and method of taking the oral pill (P<0.05). More than 42.0 percent of the increase was attributed to the nursing students'visits. However there was a slight decrease in correct information about concept of family planning. Tuberculosis There was a general lack of improvement in all areas concerned with tuberculosis. Two thirds of the respondents felt tuberculosis was hereditary and did not know what B.C.G. was. From this study, it could be concluded that in specific area the health knowledge of the female population studied was positively effected by the visits of the nursing students. The study also, suggests, however, that there was a marked unevenness in the overall increase in health knowledge. This raises serious questions which require further research. Suggested areas for further research are (1) Adequacy of the course content preparing nurses for the field experience. (2) A public health nursing manual for student reference. (3) Where and when specific aspects of health can be taught most effectively.

• 동아시아식생활학회지
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• 제22권2호
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• pp.175-189
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• 2012

The purpose of this study was to investigate the relationship between pack-years of smoking, metabolic biomarkers, and diet quality in male adults. We analyzed data from the combined 2007-2009 Korean National Health and Nutrition Examination Survey (KNHANES). The extent of smoking was quantified in pack-years (py), with 1 py equivalent to 20 cigarettes per day for 1 year. Subjects (n=1,318) were recruited and divided into two groups according to age (30~49 years age group, n=695; ${\geq}50$ years age group, n=623). In ach age group, subjects were divided into three groups according to the extent of smoking, which included non-smokers (30~49 years, n=156; ${\geq}50$ years, n=217), light smoker (30~49 years, n=269; py<16; ${\geq}50$ years, n=189, py<31), and moderate smoker (30~49 years, n=270; $py{\geq}16$; ${\geq}50$ years, n=217, $py{\geq}31$). The Nutrient Adequacy Ratio (NAR) and the number of foods (Dietary Variety Score, DVS) were analyzed by using the data from the 24-recall method. The results showed that moderate smokers were significantly more likely to drink alcohol compared with the other two groups. Triglyceride and cholesterol levels were significantly higher in smoker groups. The non-smoker group consumed significantly higher levels of vitamin C and potassium compared to the smoker groups. In the diet quality, vitamin C NAR of non-smoker group was significantly higher than those of smoker groups. In the ${\geq}50$ age group, the MAR of nonsmoker, light, and moderate smoker groups were 0.81, 0.78, and 0.78 respectively. The smoker group consumed significantly greate sugar and oils compared to the non-smoker group. Py showed a significantly positive relationship with serum triglyceride level, and a negative relationship with MAR after adjusting for potential confounding factors. In conclusion, male moderate smokers take too little vitamin C, partly due to low diet quality. Therefore, a well-planed diet must be used to replace the nutrients lost from excluded food groups in smoker.

• 한국지진공학회논문집
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• 제10권3호
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• pp.57-64
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• 2006

현행 약진지역의 내진설계기준은 주로 강진지역에서의 연구결과에 근거하고 있다. 하지만, 약진지역의 경우 지진하중보다는 중력하중이나 풍하중에 의해 구조설계가 지배되므로 구조물의 초과강도가 강진지역의 경우보다 증가하게 된다. 따라서 약진지역에 적합한 내진설계기준을 마련하기 위해서는 강진지역에 적용되는 반응수정계수를 약진지역에 그대로 적용할 수 있는지에 대한 검증이 필요하다. 본 연구에서는 건축구조물에 대한 소성해석을 통해 그 연성도와 초과강도를 산정하고 이에 근거하여 현행 반응수정계수의 적절성 여부를 검토하였다. 강진, 중진, 약진지역 등에서의 초과강도와 연성요구도를 비교하기 위하여 UBC-97에 근거하여 설계된 예제구조물을 선정하여 해석을 수행하였다. 해석결과에 의하면 약진지역의 초과강도가 강진지역보다 크기 때문에 동일한 반응수정계수에 대한 약진지역의 연성요구도는 강진지역에서보다 적게 된다. 따라서 동일한 반응수정계수를 이용하여 설계된 약진지역 구조물의 경우 접합부에서의 소성회전각 요구량을 강진지역의 경우에 비하여 상대적으로 저감시킬 수 있을 것이다.

• 한국직업건강간호학회지
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• 제14권1호
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• pp.56-70
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• 2005

Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfare health services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researches Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.