• 한국의료질향상학회지
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• 제12권2호
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• pp.75-83
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• 2006

Background : Utilization review has been adopted as a vehicle for cost and utilization control of health care services. Its role was further stressed and expanded through the establishment of Health Insurance Review Agency in 2001. This article is to introduce concept, activities, and effect of utilization review based on the experiences of U.S. and to suggest important characteristics for ideal utilization review activities at the national level in Korea. Method : Twenty-five articles related with utilization review were reviewed after being selected through web site search through Med Line and Richis. Result : Utilization review was introduced mainly for health care expenditure control either by insurer, provider or the third parties under the pressure of increasing health care cost. It's activities can be categorized to prospective, concurrent and retrospective review according to the time of service provision. Based on most of studies, utilization review has been effective in controling rising health care cost and utilization. However it's effectiveness assumes a reimbursement structure of managed care like capitation payment. More worse, it is still unknown it's effectiveness on quality of care. Conclusion : Utilization review should be employed to increase the cost effectiveness of medical care by optimizing quality and patient's outcomes while also attempting to reduce the use of resources. So, it should consider outcomes before expenditures, check for both under and over-use, and construct an structure in which consumption is reduced equitably. Aggressive adoption of utilization review in Korean health care setting with fee-for-service reimbursement structure might not be a cost-effective approach before adoption of prospective payment system such as D.R.G. and capitation.

• 제어로봇시스템학회:학술대회논문집
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• 제어로봇시스템학회 2004년도 ICCAS
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• pp.956-959
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• 2004

Recently the monitoring system of tool setting in high speed precision machining center is required for manufacturing products that have highly complex and small shape, high precision and high function. It is very important to reduce time to setup tool in order to improve the machining precision and the productivity and to protect the breakage of cutting tool as the shape of product is smaller and more complex. Generally, the combination of errors that geometrical clamping error of fixing tool at the spindle of machining tool and the asynchronized error of driving mechanism causes that the run-out of tool reaches to 3$^{\sim}$20 times of the thickness of cutting chip. And also the run-out is occurred by the misalignment between axis of tool shank and axis of spindle and spindle bearing in high speed rotation. Generally, high speed machining is considered when the rotating speed is more than 8,000 rpm. At that time, the life time of tool is reduced to about 50% and the roughness of machining surface is worse as the run-out is increased to 10 micron. The life time of tool could be increased by making monitoring of tool-setup easy, quick and precise in high speed machining tool. This means the consumption of tool is much more reduced. And also it reduces the manufacturing cost and increases the productivity by reducing the tool-setup time of operator. In this study, in order to establish the concept of tool-setup monitoring the measuring method of the geometrical error of tool system is studied when the spindle is stopped. And also the measuring method of run-out, dynamic error of tool system, is studied when the spindle is rotated in 8,000${\sim}$60,000 rpm. The dynamic phenomena of tool-setup are analyzed by implementing the monitoring system of rotating tool system and the non-contact measuring system of micro displacement in high speed.

• 대한간호학회지
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• 제29권2호
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• pp.304-313
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• 1999

The purpose of this study is to test the reliability and validity test of PWI to utility of PWI. this newly developed by Sejin Jang which measures stress. The subject were 186 workers in service area. Cronbach's a and Guttman split-half coefficient is used to test the reliability of PWI. Factor analysis and the correlation of the GHQ-60. GHQ-30, GHQ-28, GHQ-20, and GHQ-12 with the PWI is used to convergent validity and discriminant validity. The important results of this study are as follows : Cronbach's $\alpha$ coefficient of data was 0.894 and Guttman split-half coefficient was 0.7097. The PWI was classified as 13 principle component (eigenvalue＞1.0). After exploring 4 factor structure according to previous study result, 4 factors was explained 40.5% out of the total variance. The factor 1 was explained 15.9% and then the rest three factor was 24.6%. Factor 2 and 4 showed good agreement but factor 1 and 3 did not. Depression-related items were classified two factors. Anxiety and depression-related items were loaded unifactor. It was not clear that the PWI was consist of 4 concepts(factors). The correlation of the GHQ-60, GHQ-30, GHQ-28, GHQ-20, and GHQ-12 with the PWI were 0.744~0.905. According to findings of this study. the PWI showed a high degree of validity and reliability. Thus it is recommended to use the PWI in general setting for screening for stress. In addition, it is necessary to clarify the concept of depression and anxiety. In the further study. it my be considered to the factor structure of PWI and studied to two or unidimensional factor structure.

• 디자인학연구
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• 제18권4호
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• pp.65-72
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• 2005

여객선(passenger ships)은 항로와 운쏭 목적에 따라 서로 다른 마켓(markets)을 가지고 있다. 승객파 선주의 다양한 요구와 시장 경쟁에서 우위를 선점하기 위해 선박 규모와 종류(categories) 따라 독자적인 디자인 스타일을 나타내며 서로 다른 디자인 해결책과 변화를 보이고 있다. 특히 여객선의 외관디자인 스타일은 인테리어 디자인과 함께 선사의 고유한 아이덴티티를 구축하고 있으며, 이를 통해 선사의 차별화 되는 디자인과 품질보증에 주력하고 있다. 여객선 외관 입면은 크게 하부(선각, hull)와 상부(superstructure) 그리고 선수 선미부의 디자인으로 구분될 수 있으며, 각창 환창, 발코니, 퍼널(funnel), 선수 선미부, 노출갑판 그리고 글라스 파사드(glass passed)등은 갑판과 주 수직구획에 의한 공간의 구성 요소에 따라 외관 입면의 구획과 형태가 구별되어 진다. 선박 최상부의 퍼널은 선사만의 독특한 아이콘의 역할로 외관형태와 브랜드 이미지가 잘 결합되어진 총체적인 브랜드 아이덴티티를 보여주며 기능과 형태 그리고 측면에서의 디자인 밸런스 역할을 나타낸다. 해상과 선박기능으로 인한 단조로움과 폐쇄성에 대항하여 외부(바다)로의 개방성, 확장성을 가지며 새로운 개념의 외관스타일로 발전하여야 할 것이다. 이러한 외관 스타일은 기능과 공간계획과 연관되어 새로운 디자인(피부와 접하는 오픈형 공간, 전면글라스 파사드 등)과 구조형태(초대형 상부구조, 플랫폼, 유선형 선박외형, 여객과 화물의 이동 적재성 기능을 갖춘 해양 건축 구조물 등)로 발전될 수 있을 것이다.

• 한국컴퓨터정보학회논문지
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• 제10권6호
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• pp.9-16
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• 2005

최근 인터넷 이용자들이 급격하게 증가하고 있으며, 초보수준의 일반 네트워크 사용자들도 인터넷상의 공개된 해킹 도구들을 사용하여 고도의 기술을 요하는 침입이 가능하여 해킹 문제가 더욱 심각해지고 있다. 해커들이 침입하기 위하여 취약점을 알아내려고 의도하는 다양한 형태의 침입시도를 사전에 탐지하여 침입이 일어나는 것을 미리 방어할 수 있는 침입시도탐지가 적극적인 예방 차원에서 더욱 필요하다. 기존의 포트 스캔이나 네트워크 취약점 공격에 대응하기 위한 네트워크 기반의 비정상 침입시도 탐지 알고리즘은 침입시도함지에 있어 몇 가지 한계점을 갖고 있다. 기존 알고리즘은 Slow Scan, Coordinated Scan을 할 경우 탐지할 수 없다는 것이다. 따라서 침입시도 유형에 제한을 받지 않고 침입시도에 관한 다양한 형태의 비정상 접속을 효과적으로 탐지할 수 있는 새로운 개념의 알고리즘이 요구된다. 본 논문에서는 세션 패턴과 탐지 오류율을 규칙기반으로 하는 침입시도 탐지알고리즘(Session patterns & FCM Anomaly Detector : SFAD)을 제안한다.

• 대한가정학회지
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• 제42권10호
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• pp.115-128
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• 2004

Social structure has diversified, and changed into the form of pluralism since entering the 21st century. Specially, entering in the 21st century modem fashion is expressed to the luxurious feminism which expresses sensual, strong, and decorative elegant based on the womanly beauty. The gorgeous image is a splendid and luxurious image. Also it is the fashion image which is expressed strongly by the decorative detail elements among the design components. Then, it appears often in modem fashion as the pursuit image of modem persons. Therefore, the purpose of this study was not only to analyze the meaning providence and the diagnostic elements about the gorgeous image that appears often in modem fashion, but also to help the various fashion image representations by arranging the presenting principle and the method of fashion image systematically setting in the trend toward modem fashion. The method of this study was a theoretical research of the literature materials concerned with fashion images by the clothes. Also, the questionnaires were completed by selected specialists as investigation subjects who were variously engaged in the fashion-related fields in order to research the gorgeous image. In the above results. the gorgeous image's diagnostic constituent was grasped laying stress on the characteristic of the clothes. Then, the whole concept named Luxury Imagination was chosen, and 4 suits of the gorgeous image were produced by these results In the diversified and personalized modem fashion with he above results the flowing of the gorgeous image is the part able to be expressed exactly in the view of the image pursued by the public.

• 보건행정학회지
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• 제17권1호
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• pp.50-74
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• 2007

The purpose of this study was to identify a determent of mastery approach goal and performance approach goal using a basic concept of goal orientations and goal setting theory, and to evaluate a preference of goal achievement index as a balance score card (BSC). The study model proposed had a adoptable level of goodness of fit index(.94) and root mean square residual(.08). The meditating variable, goal contribution, totally mediated the impact of goal commitment, Y-theory human behavior, and self-efficacy but organizational resource contribution for pursuing goal orientation. Moreover, goal contribution significantly determined mastery approach goal(p<.01) and performance approach goal(.05). In standardized effects, the most powerful antecedent of mastery approach goal and performance approach goal were in order of organizational resource contribution(.27/.28), goal contribution(.21/.17), self-efficacy(.07/.06), and Y -theory human behavior and goal commitment(.05/.05), respectively. Moreover, goal contribution had a more powerful impact on mastery approach goal(.21) rather than performance approach goal(.17). In the preference of BSC, all job types preferred learning and growth index in first. In the second preference, medical doctors and pharmacists chose financial results, nurses customer service, and office managers internal processes. Each job type reflected its' own preferred BSC index to that of the other job types. In comparing a preference of four BSC index of each own job type, it was statistically different at p<.001. In conclusion, one who emphasize organizational goal contribution in pursuing goal orientation has a more strong orientation toward mastery approach goal rather than performance approach goal. A hospital should overcome and harmonize the different preferences of four BSC index since the differences might cause organizational conflicts among job types with having each unique professional norm.

• The Korean Journal of Ecology
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• 제22권2호
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• pp.69-77
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• 1999

Secondary vegetation. the holistically integrated system of nature and human being, is the complicated ecosystem that is composed of natural and man-created factors. Understanding the ecological function of secondary vegetation supplies us many important informations for sustainable landscape management and ecological restoration planning. In this research, we tried to examine the shape effect of vegetation patch on early structure of populations of pine and oaks. Moreover. we also tried to clarify the ecological functions of patch edge by exploring the patch effect on germination using patch index. In addition, we present the landscape structure of man -made vegetation of our study area, and setting experimental design of research. Vegetation landscape of study area is typical human disturbed landscape mainly composed of disturbance patches. Vegetation types of graveyard and managed pine forest were controlled by periodically repeated management. However, current seedlings of pine occurred well at both vegetation types. Presence of both saplings were more controlled in managed pine forest (PDM) and graveyard (G) than those of undergrowth (PD) and forest edge (FE) with canopy trees. The number of pine seedlings increased with patch size and patch perimeter. That of oak seedlings was, however, not significantly different. Larger graveyards provided higher light availability for germination of pine seedlings. We think, however, most seedlings of both species in the large sized graveyards without shade will die more easily than that of small sized ones before rainy summer. Relationships between patch shape and germination of two woody species cannot be exactly explained enough yet in these results. More informations on spatial interaction of the total species with differently sized patches are necessary to solve the concept of patch effect on species colonization.

• 한국관광식음료학회지:관광식음료경영연구
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• 제13권1호
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• pp.29-41
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• 2002

Controlling food materials, is getting more significant in hotel management nowadays as the selling of food beverage continue to rise. F&B managers have been required to have new management of the food materials by a fierce competition, an increase in cost, the shortened span of product life and customer's demand that is becoming more various and sophisticated since Korea was placed under the influence of IMF. I'm going to analyze the factors that cause waste and loss through a series of the process to purchase inspect, store food materials, make a product with that materials and sell the product in order to make more profits by making the circulation of the food materials easier and more efficiently. I studied how 3 chain hotels of A group purchase, store the food materials and control stock. I made up questionnaires about the circulation and control of food materials to 107 cooks in order to know what the cooks who are working at the hotel regard as a real problem and a practical solution. This research indicates that purchasing, producing and selling departments don't establish the mutual connection, a professional purchasing manager is strongly needed and there is difficulty in predicting the proper timing to supply. Also the research shows that A hotel group controls the food materials by analyzing the amount of consumption, stock, setting up the period of validity and uses slowly moving food materials in stock mainly by introducing the menu that aims at four seasons. As a result, the research suggests that we should introduce the concept of food producing factory, as it were, Central Kitchen that is based on the network among various kitchens to improve the flow of the food materials.

• 한국산학기술학회논문지
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• 제14권2호
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• pp.696-706
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• 2013

본 연구는 DEA모형에 바탕을 둔 표준원가에 기초한 원가차이 분석의 개념을 구현할 수 있는 모형을 설계하고 69개 종합병원의 투입 산출물을 이용해 효율성 분석과 원가관리 방안을 살펴보았다. 이를 위해 DEA모형을 통해 달성가능한 목표원가를 구하고 이를 실제원가와 비교하여 차이분석모형의 틀을 구축하였다. 또한 이 모형을 바탕으로 의사 간호사 인건비 정보를 구해 2008년도 결산기준 69개 종합병원의 표준원가차이를 구하고 이를 기술적 비효율성으로 인한 원가차이, 가격 비효율성에 기인한 원가차이, 표준예산원가 원가차이로 분리하여 원가관리의 새로운 방식을 제시할 수 있었다. 또한 실증분석을 통해 69개 종합병원은 병상수와 같은 규모를 늘리는 것이 효율성 개선에 기여하지 않으며 오히려 예산목표원가 관리 측면에서는 비효율적인 것으로 나타나 규모 확장 일변도의 전략을 수정할 필요가 있는 것으로 나타났다.