• 한국건설관리학회논문집
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• 제22권4호
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• pp.20-28
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• 2021

국내 건설산업은 시공자 중심의 일방적인 생산방식에서 발주자와 시공자의 협업이 가능한 생산방식으로 변화하는 과정에 있다. 발주 방식에 따라 입·낙찰 방식, 계약 방식, 그리고 발주자의 사업 관여 정도도 달라질 수 있다. 본 논문에서는 국내 환경에 적합한 '시공책임형 건설사업관리' 도입을 위해서 국·내외 제도 분석과 입·낙찰 프로세스 분석, 계약이행 및 관리 분석, 사후관리 분석을 하고, 법제화를 위한 관련 법령 조문화와 제도의 효율적 운영을 위한 방안을 제시하고자 국·내외 시공책임형 건설사업관리의 제도 및 사례분석을 실시하였다. 건설산업기본법에 정의된 '시공책임형 건설사업관리'는 Pre-Con 업무를 수행하는 용역계약인 본 계약 이전 계약과 건설사업관리 및 공사계약인 본 계약으로 구분된다. 그러므로 '시공책임형 건설사업관리'는 해외의 사례와 같이 낙찰제도가 아니라 발주 방식의 하나로 보아야 하며, 도입을 위해서 설계/시공 일괄입찰, 기술제안 입찰과 동등한 입찰제도로서의 법제화가 필요하다. 국내 환경에 적합한 '시공책임형 건설사업관리' 도입을 위해서 국·내외 제도 분석과 입·낙찰 프로세스 분석, 계약이행 및 관리분석, 사후관리 분석을 하고, 법제화를 위한 관련 법령 조문의 개정과 제도의 효율적인 운영을 위한 방법을 본 제도의 본래 장점은 유지하면서 국내 시장에서 적용이 가능하도록 제시하였다.

• 대한디지털의료영상학회논문지
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• 제12권1호
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• pp.5-8
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• 2010

Opened a court in February 10, 2006, a rule of safety management of the diagnosis radiation system was promulgated for safety of the radiation worker, patients and patients' family members. The purpose of this rule is to minimize the risk of being exposed to radiation during the process of handling X-ray. For this reason, we manufactured shielding device of mobile X-ray unit collimator for diminution of skin dose. Shielding device is made to a thickness of Pb 0.375mm. For portable chest radiography, we measured skin dose 50cm from center ray to 200cm at intervals of 20cm by Unfors Xi detector. As a result, a rule of safety management of the diagnosis radiation system has been strengthened. But there are exceptions, such as ER, OR, ICU to this rule. So shielding device could contribute to protect unnecessary radiation exposure and improve nation's health.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1489-1492
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• 2016

Background: Although there are no biomarkers that are routinely used in endometrial cancer (EC) management, many studies have found that serum human epididymis protein 4 (HE4) is superior to cancer antigen 125 (CA125) in the detection of EC. The correlation of HE4 with two prognostic factors for EC, primary tumor diameter (PTD) and depth of myometrial invasion (DMI) may be useful in identifying EC patients at high risk of lymphatic dissemination. Objective: To evaluate the correlation of serum HE4 with PTD and DMI in patients with EC. Materials and Methods: A cross-sectional study was conducted on 70 EC patients who were scheduled for elective surgery at Rajavithi Hospital between 1st September 2013 and 30th May 2014. Preoperative serum levels of HE4 and CA125 were investigated, and then gross measurement of PTD was taken and postoperative pathologic slides were reviewed for DMI including histologic types, grading and staging. Results: Preoperative serum HE4 levels were strongly correlated with PTD (r=0.65, p<0.001) and moderately correlated with DMI (r=0.46, p<0.001). Moreover, serum HE4 levels were significantly elevated in EC patients with PTD >2 cm (p<0.001) and DMI > 50% (p=0.004). The performance of serum HE4 in identifying EC patients at low risk and high risk of lymph node metastasis was significantly better than that of CA125 (AUC 0.88 vs. 0.65, p=0.003). At an optimal cut-off value of 70 pM/L, serum HE4 had a sensitivity of 83.3% and a specificity of 80.0%. Conclusions: In EC patients, preoperative serum HE4 is significantly correlated with PTD and DMI. Serum HE4 levels could be useful in identifying endometrial cancer patients at high risk of lymphatic spread who would benefit from systemic lymphadenectomy at the cut-off value of 70 pM/L.

• 한국지역사회생활과학회지
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• 제25권1호
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• pp.89-98
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• 2014

This study was conducted to assess diet-related health appraisal for cardiometabolic diseases of the college students in Gyeonggi-do. The survey data obtained by 21 questionnaire(6 general characteristics and 15 food behaviors) given to 90 students, 41 males and 49 females. The average age of the subjects was 22.2 years old for the male students and 20.9 years old for the female students(p<0.001). Among the subjects, 35 males and 47 females' height, weight and percentage of body fat were measured using bioelectrical impedance(Inbody 720). The average height, weight, Body Mass Index and percent body fat of the subjects were 175.7cm, 69.5kg, 22.4 and 16.9% for males and 162.0cm, 53.5kg, 20.4 and 27.7% for females, respectively (p<0.001). Male students had a higher prevalence of smoking compared with female students(p<0.001). Females had higher intake frequency of fruits than males(p<0.05). Males had higher intake frequency of fishes than females(p<0.05). Male students had higher number of side dishes at mealtime compared with female students. There were no difference between the sexes in intake frequency of dairy, ramyeon, rice with whole grain, 3-layered pork belly, processed meat, soft drinks, soy products and fast food. Also, there were no difference between sexes in number of vegetables per day, frequency of eating out, prevalence of eating kimchi at every meal. Cardiometabolic risks were calculated by 'Diet-related health risk appraisal'. Male students had higher cardiometabolic risks(hypertension, hyperlipidemia, diabetes, obesity, abdominal obesity) than female students(p<0.001). Appropriate nutritional education for college male students may help to prevent cardiometabolic diseases in the future.

• Safety and Health at Work
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• 제3권4호
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• pp.287-293
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• 2012

Objectives: Metabolic syndrome has received attention as a risk factor for cardiovascular disease, with particular importance attached to visceral fat accumulation, which is associated with lifestyle-related diseases and is strongly correlated with waist circumference. In this study, our aim is to propose waist circumference cut-off values that can be used as a marker for fatty liver based on a sample of workers receiving health checkups in Japan. Methods: This study was conducted in a total of 21,866 workers who underwent periodic health checkups between January 2007 and December 2007. The mean age of the subjects was 47.4 years for men (standard deviation [SD]: 8.0) and 44.7 years for women (SD: 6.9). Evaluation included abdominal ultrasound and measurement of waist circumference, body mass index, fasting blood glucose, triglycerides, high-density lipoprotein cholesterol, and blood pressure. Results: Based on receiver operating characteristic curve analysis, the optimal waist circumference cut-off values were shown as 85.0 cm (sensitivity 0.72, specificity 0.69) for men and 80.0 cm (sensitivity 0.75, specificity 0.78) for women. Conclusion: Abdominal ultrasound is the most efficient means of diagnosing fatty liver, but this examination seldom occurs because the test is not routinely performed at workers' health checkups. In people found to have a high risk of fatty liver, recommendations can be made for abdominal ultrasound based on the waist circumference cut-off values obtained in this study. That is, waist circumference can be used in high risk individuals as an effective marker for early detection of fatty liver.

• Asian Pacific Journal of Cancer Prevention
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• 제15권15호
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• pp.6353-6356
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• 2014

Background: The purpose of this study was to investigate and evaluate risk factors for lymph node metastases (LNM) in cases of endometrial cancer (EC). Materials and Methods: A retrospective single institution analysis of patients surgically staged for EC at Ankara Oncology Education and Research Hospital from 1996 to 2010 was performed. Roles of prognostic factors, such as age, histological type, grade, depth of myometrial invasion, cervical involvement, peritoneal cytology, and tumor size, in the prediction of LNM were evaluated. Fisher's exact test and logistic regression analysis were used to assess the effects of various factors on LNM. Results: LNM was observed in 22 out of 247 patients (8.9%) and was significantly more common in the presence of tumors of higher grade, deep myometrial invasion (DMI), cervical involvement, size >2cm, and with positive peritoneal cytology. Logistic regression analysis revealed that DMI remained the only independent risk factor for LNM. NPV, PPV, sensitivity, and specificity for satisfying LNM risk were 98.0, 19.5, 86.3, and 65.3%, respectively for DMI. Conclusions: The incidence of LNM is influenced independently by DMI. If data support a conclusion of DMI, LND should be seriously considered.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2011년도 춘계 학술논문 발표대회 1부
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• pp.207-209
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• 2011

Numerous reports show that alternative project delivery systems (PDSs) such as design-build (DB), construction management at risk (CMR), and design-build-maintain (DBM) are increasingly used in many countries. This study compared characteristics of each PDS (design-bid-build (DBB), DB, CMR, or DBM) by analyzing quantitative data from 9 research articles. In order to compare characteristics between DBB and alternative PDSs, the study is based on principal 3 factors - Time, Cost, and Quality. DB shows the best performance in the time part and also the cost performance depending on facility type and project size. The performance of quality has minor difference among different PDSs. These results support the fact that using an appropriate PDS by the characteristic of a project makes high value of efficiency and productivity.

• 대한토목학회논문집
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• 제29권1D호
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• pp.81-89
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• 2009

형상관리는 생산품의 기능과 생애주기에 걸쳐 생산품의 요구사항, 설계 그리고 운전에 필요한 정보 등의 물리적인 특성 및 생산품의 성능을 일관성 있게 유지하며, 이를 확립하기 위한 관리의 한 부분이다. 최근 형상관리 개념이 조직의 구성과 프로젝트 변경관리를 통한 가치의 창출, 리스크에 의한 가치 보전, 변경관리의 사업관리 분야 적용 등 여러 가지로 형태로 정의되고 있음에도 불구하고, 점차 정립이 진행되어가고 있다. CM은 기본적으로 기록과 프로젝트 성능에 대하여 프로젝트의 범위와 시간, 비용을 만족하도록 제공하고 있다. 해외의 세계적인 기업들은 이미 형상관리 시스템을 도입하여 적용하고 있으며, 그로 인한 효과를 보고 있다. 또한 형상관리는 모든 프로젝트에 대하여 전망과 통찰력을 제공한다. 본 연구는 현재 현장에서 사용 중인 시스템을 검토하고 효율적으로 개선할 수 있도록 현재 이슈가 되고 있는 형상관리의 소개와 적용을 연구하였다. 또한 작업절차에 대한 관련 시스템의 구성과 변경관리 및 형상관리의 방법을 보다 효율적인 프로세스 개선방안을 제시하였다. 마지막으로 이 과정에서 가상 프로젝트에 대한 시나리오를 작성하여 시뮬레이션을 통해 결과를 분석함으로서 본 연구의 실용가능성을 검토하였다.

• 한국의학물리학회지:의학물리
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• 제25권2호
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• pp.110-115
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• 2014

원발성 폐암의 정위적 체부 방사선치료(Stereotatic Body Radiation Therapy; SBRT)시에, 종양주위의 빔 배열을 균등하게 한 $360^{\circ}$회전각도(Equally angles; EA)와 종양주위의 빔 배열을 부분각도(Partially angles; PA)로 배열한 치료계획의 선량차이를 확인하기 위하여, 세기조절방사선치료(Intensity-modulated radiation therapy, IMRT)와 체적변조회전치료(Volumetric-modulated arc therapy, VMAT)의 종양의 선량, 동측 폐의 선량, 반대측 폐의 선량, 손상위험장기(Organ at risk, OAR)의 선량, 치료효율 등을 비교분석 하였다. 12명의 환자에서 각각 4종류($IMRT_{EA}$, $IMRT_{PA}$, $VMAT_{EA}$, $VMAT_{PA}$)의 치료계획을 생성하였으며, 처방선량은 총 선량 60 Gy, 4회 분할치료로 표적체적 95%에 대해 100% 선량이 포함되게 하였다. IMRT와 VMAT의 치료계획 평가에서 $360^{\circ}$회전각도의 빔 균등배열과 부분각도 빔 배열에서 변수중 선량일치지수, 균질성지수, 고선량 유출, $D_{2cm}$, $R_{50}$은 빔 배열에 따라 크게 차이가 나지 않았다. 또한 손상위험장기인 척수, 기관지, 식도의 최고선량은 각각의 방법에 따라 차이를 나타내었다. 특히 $HDS_{location}$에서 21.63%와 26.46%의 큰 차이를 나타내었다.

• 한국건설관리학회논문집
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• 제21권2호
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• pp.79-87
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• 2020

국내 시공책임형 건설사업관리(CMAR) 시장은 2019년 12월 현재 국토교통부 주도하에 수행된 시범사업을 종료하고 본 사업으로 전환되는 시점에 있으며, 발주방식의 다각화와 건설기술의 고도화를 위해 지속적으로 성장할 것으로 예측된다. 본 연구는 건설사의 CMAR 수행을 위한 자가 역량평가 도구를 개발하여 역량 수준을 평가함으로써, 수행역량을 향상하기 위해 수행되었다. CMAR 시범사업에 참여한 기업을 대상으로 수행단계와 관리영역에 따라 표준 핵심역량과 요소 기술역량을 규정하여 평가한 결과, 설계전단계 및 계약구매단계의 사업관리일반 역량이 시공단계에 비해, 설계이전 단계의 품질관리 영역이 타 영역에 비해 낮게 평가되었다. 또한 GMP를 기초로 한 시공단계의 사업비 관리영역은 높은 중요도에 비해 역량수준이 낮게 평가되었으며, 요소기술 역량에 해당하는 의사조정, 수행절차 최적화, 목표가치 달성역량 등도 초기 기술 적용수준으로 평가되어, 지속적인 역량향상이 요구된다.