• 제목/요약/키워드: Current imbalance

검색결과 209건 처리시간 0.023초

건강보험정책심의위원회 가입자 단체의 의사결정 참여에 영향을 미치는 요인 (Factors Affecting the Insured Organizations Participation in Decision Making Process in Health Insurance Policy Committee)

  • 한주성;김창엽
    • 보건행정학회지
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    • 제27권4호
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    • pp.336-346
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    • 2017
  • Background: Due to the asymmetry of information and knowledge and the power of bureaucrats and medical professionals, it is not easy for citizens to participate in health care policy making. This study analyzes the case of the insured organization participating in the Health Insurance Policy Committee (HIPC) and provides a basis for discussing methods and conditions for better public participation. Methods: Qualitative analysis was conducted using the in-depth interviews with the participants and document data such as materials for HIPC meetings. Semi-structured interviews were conducted with purposively sampled six participants from organizations representing the insured in HIPC. The meanings related to the factors affecting participation were found and categorized into major categories. Results: The main factors affecting participating in the decision making process were trust and cooperation among the participants, structure and procedure of governance, representation and expertise of participants, and contents of issues. Due to limited cooperation, participants lacked influence in important decisions. There was an imbalance in power due to unreasonable procedures and criteria for governance. As the materials for meetings were provided inappropriate manner, it was difficult for participants to understand the contents and comments on the meeting. Due to weak accountability structure, opinions from external stakeholders have not been well received. The participation was made depending on the expertise of individual members. The degree of influence was different depending on the contents of the issues. Conclusion: In order to meet the values of democracy and realize the participation that the insured can demonstrate influence, it is necessary to have a fair and reasonable procedure and a sufficient learning environment. More deliberative structure which reflects citizen's public perspective is required, rather than current negotiating structure of HIPC.

생의학 분야 학술 문헌에서의 이벤트 추출을 위한 심층 학습 모델 구조 비교 분석 연구 (A Comparative Study on Deep Learning Topology for Event Extraction from Biomedical Literature)

  • 김선우;유석종;이민호;최성필
    • 한국문헌정보학회지
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    • 제51권4호
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    • pp.77-97
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    • 2017
  • 최근 생의학 분야의 학술 문헌이 기하급수적으로 급증함에 따라 관련 분야 연구자들은 선행 연구 및 연구 동향 파악에 어려움을 겪고 있다. 이에 효율적인 선행 연구 및 연구 동향 파악을 위한 정보 추출 기술이 요구되며, 학술 문헌의 정보 추출을 위한 개체인식 및 개체 간의 생의학 이벤트 추출 연구가 활발히 진행되고 있다. 본 연구는 이에 심층 학습(Deep Learning)의 기법 중 하나인 컨볼루션 네트워크(Convolutional Neural Networks, CNN) 모델을 기반으로 이벤트 내의 개체 유형 정보의 적용 위치와 함께, 이벤트 식별 및 분류를 고려하여 총 8가지의 모델을 구성하여 실험하였다. 실험 결과, 본 연구에서 제안하는 모델 중 최고성능을 보인 개체 유형 완전연결 모델이 이벤트 분류 실험에서 F-점수 72.09%의 높은 성능을 보였으나, 이벤트 추출 실험에서는 학습 컬렉션의 불균형 문제 및 이벤트 식별 모델의 성능 저조 등으로 인하여 F-점수 21.81%의 비교적 저조한 성능을 보였다.

엘리트 남녀역도선수들의 등속성 허리 근기능 및 유연성과 요통과의 관계 (The Relationships between Isokinetic Muscular Function and Flexibility of the Lower Back Pain(LBP) in Elite Weight Lifter)

  • 김동현;주윤용
    • 한국임상보건과학회지
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    • 제3권2호
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    • pp.311-319
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    • 2015
  • Purpose. This study of purpose was to compare and analyze the relationship among the isokinetic trunk muscular functions, flexibility and low back pain of elite weight lifter with regard of sex. Methods. we measured the level of low back pain, isokinetic muscular functions according to gender, then analyzed the relationship between isokinetic functions and the level of low back pain, between flexibility and the level of pain, between Athletic Career and the level. Results. In this study, the gender, the VAS point was $2.6{\pm}2.3$ and the VRS point was $2.3{\pm}1.3$ in males. The other side, in females the VAS points was $3.6{\pm}1.7$ and the VRS was $3.2{\pm}1.1$. There was significant negative correlation(r=-0.826) between the VAS point and the maximal flexion muscular strength per kilogram of $30^{\circ}/sec$ isokinetic exercise in female. also there was negative correlation between the muscular flexion strength per kilogram and the VRS point in female, but there was no significant relationship in male. Conclusions. In current study, these results suggested that the higher muscular flexion strength per kilogram is, the lower the level of low back pain is in female athletes. this is caused by the imbalance between Abdominal Muscles and Back Extensor in weight lifter. Therefore, there is the need to apply the program to improve the balance of trunk.

학습도시 조성을 위한 학교 유휴시설 활성화 방안 및 공간적 전략 - 부산광역시 동래구를 대상으로 - (The Practical Use of Unused Facilities in the Elementary School and Spatial Strategy to Build Learning City - Focused on Dongnae-Gu in Busan -)

  • 강윤원;김종구;손지현
    • 대한토목학회논문집
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    • 제36권1호
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    • pp.151-156
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    • 2016
  • 언제, 어디서나, 누구나 원하는 것을 배우고 즐길 수 있는 학습 도시의 구현은 개인의 자아실현을 도모하고 삶의 질을 높여 도시 전체의 경쟁력을 향상시키는데 중요한 역할을 한다. 학습 도시 구현을 위해서는 이를 실현할 수 있는 공간이 필요한데, 현실에서는 그 공간의 부족과 불균형화가 나타나고 있다. 본 연구에서는 평생학습시설의 공간 데이터 분석결과를 바탕으로 공간 서비스 취약지역에 초등학교의 유휴시설을 활용하여 공간적 불균형화를 해소하고자 하였다. 현재는 학교의 소극적인 참여로 그 효과가 미비하긴 하지만, 추후 학교의 적극적인 지원이 뒷받침해준다면 충분히 공간적 불균형을 해결할 수 있을 것이라는 결론을 도출하였다.

경북지역 농촌총각의 미혼실태와 해결방안 (Single Status of Young Men in Farming Area in Gyeong-buk Region and Solution)

  • 김한곤;박세정
    • 한국콘텐츠학회논문지
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    • 제13권12호
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    • pp.724-737
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    • 2013
  • 본 연구의 목적은 다음과 같다. 첫째, 기초적인 통계자료를 통해 전국과 경북지역의 미혼남녀 성비차이, 경북지역 결혼적령기 미혼남성의 시 군, 동 읍면별 비율 등을 살펴보고, 둘째, 경북지역 결혼적령기 미혼남성의 사회 경제적 특징이 어떠한지 살펴보며, 셋째, 경북지역 결혼적령기 미혼남성의 결혼문제 원인과 그 해결방안을 모색하였다. 그 결과, 현재 농촌지역의 성비 불균형, 농촌의 사회 경제 문화적 낙후, 농촌총각에 대한 미혼여성의 결혼기피, 이성교제의 어려움 등은 농촌지역의 미혼남성들이 결혼에 어려움을 겪는 요인으로 작용하고 있었다. 이러한 요인들은 농촌총각 개인만의 노력으로는 극복이 불가능하다. 그러므로 이러한 문제점들은 경북지역 농촌지역의 사회적 인프라 구축, 농촌지역 여성들의 지위향상, 농촌총각에 대한 인식 제고 등이 수반될 때 해소될 수 있을 것이다.

연소로 열유동 해석 방식과 결과 분석에 대한 고찰;화격자식 소각로의 사례 (Discussion on the Practical Use of CFD for Furnaces;A Case of Grate Type Waste Incinerators)

  • 류창국;최상민
    • 한국연소학회:학술대회논문집
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    • 한국연소학회 2002년도 제24회 KOSCO SYMPOSIUM 논문집
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    • pp.85-94
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    • 2002
  • Computational flow dynamics(CFD) has been frequently applied to the waste incinerators to understand the flow performance for various design and operating parameters. Though it needs many simplifications and complicated flow models, the reasonability of its results is not fully evaluated. For example, the inlet condition is calculated from an arbitrarily assumed properties of combustion gas release from the waste bed, since the combustion in the bed is difficult to be predicted. In this study, the computational modeling and calculation procedures of CFD for the grate type waste incinerator were evaluated using comparative simulations. Though the assumption method on the generation of the combustion gas directly affected the temperature and gas species concentrations, the overall flow pattern was dominated by the secondary air jets. The gaseous reaction could be included by assuming the release of the products of incomplete combusion from the bed. However, the reaction effficiency cannot not be directly evaluated from the species concentration, since it is not possible to simulate the actual co-existence of fuel rich or oxygen rich puffs over the bed. In predicting the turbulence, the higher order model, such as Reynolds stress model, gave difference shape of local recirculation zones, but similar results was acquired from the standard $k-{\varepsilon}$ model. Introducing radiation model was required for accurate temperature prediction, but it also caused heat imbalance due to the fixed temperature of the inlet, i.e. the waste bed. Thus, the computational modeling procedures on incinerators and the analysis of the predicted results should be progressed carefully. Though not validated experimentally, current simulation method is capable of comparative evaluation on the flow-related parameters such as the furnace shape and secondary air injection using identical inlet conditions. Quantitative analysis using measures of the residence time and mixing is essential to compare the flow performance efficiently.

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The Therapeutic Effects of Optimal Dose of Mesenchymal Stem Cells in a Murine Model of an Elastase Induced-Emphysema

  • Kim, You-Sun;Kim, Ji-Young;Huh, Jin Won;Lee, Sei Won;Choi, Soo Jin;Oh, Yeon-Mok
    • Tuberculosis and Respiratory Diseases
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    • 제78권3호
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    • pp.239-245
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    • 2015
  • Background: Chronic obstructive pulmonary disease is characterized by emphysema, chronic bronchitis, and small airway remodeling. The alveolar destruction associated with emphysema cannot be repaired by current clinical practices. Stem cell therapy has been successfully used in animal models of cigarette smoke- and elastase-induced emphysema. However, the optimal dose of mesenchymal stem cells (MSCs) for the most effective therapy has not yet been determined. It is vital to determine the optimal dose of MSCs for clinical application in emphysema cases. Methods: In the present study, we evaluated the therapeutic effects of various doses of MSCs on elastase-induced emphysema in mice. When 3 different doses of MSCs were intravenously injected into mice treated with elastase, only $5{\times}10^4$ MSCs showed a significant effect on the emphysematous mouse lung. We also identified action mechanisms of MSCs based on apoptosis, lung regeneration, and protease/antiprotease imbalance. Results: The MSCs were not related with caspase-3/7 dependent apoptosis. But activity of matrix metalloproteinase 9 increased by emphysematous lung was decreased by intravenously injected MSCs. Vascular endothelial growth factor were also increased in lung from MSC injected mice, as compared to un-injected mice. Conclusion: This is the first study on the optimal dose of MSCs as a therapeutic candidate. This data may provide important basic data for determining dosage in clinical application of MSCs in emphysema patients.

대학도서관의 자원공유의 장벽에 대한 이해관계자 분석 (A Stakeholder Analysis for Understanding Barriers to Resource Sharing)

  • 심원식
    • 한국비블리아학회지
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    • 제21권2호
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    • pp.129-143
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    • 2010
  • 전통적인 상호대차와 원문복사 서비스와 같은 도구를 통해 이용자의 정보요구를 충족시키는 것은 제한적이며 보다 심층적인 자원공유의 필요성이 제기되고 있다. 본 연구는 정보공유에 관련된 선행 연구를 분석을 통해 장애요인을 도출하고 정보공유와 관련된 이해관계자에 대한 분석을 제공하고 있다. 자원공유의 활성화와 관련하여 가장 중요한 이해관계자라고 여겨지는 사서의 인식을 보다 구체적으로 이해하기 위해 국내 대학에서 자원공유 관련서비스를 담당하는 실무사서 6명과의 면담을 수행하였다. 면담을 통해 규모가 큰 대학이 반드시 자원공유에 적극적이고 활발하게 서비스를 하고 있지는 않다는 것을 알 수 있었다. 무엇보다 자원공유에 대한 도서관간의 문화적 차이 그리고 담당 사서들의 태도에서 큰 간격이 있었다. 특히 연구에 대한 협소한 정의와 기관 규모의 불균형으로 인한 업무 폭주에 대한 부정적인 인식이 있었다. 전반적으로 자원공유를 새로운 차원에서 활성화시킬 수 있는 적극성이나 비전을 발견하기는 어려웠지만 자원공유 관련 서비스가 도서관에서 중요한 서비스로 인식되고 있고 담당자의 관심과 태도에 따라 발전의 가능성이 있다는 것을 알 수 있었다. 자원공유의 활성화, 보다 심층적이고 부가가치적인 자원공유 서비스를 창출하려면 먼저 사서들의 적극적인 개입이 요구되고 이를 위해 지역별, 주제별 사서 커뮤니티의 활성화가 필요하다.

해역 기초생산력 증대를 위한 부유식 인공용승시스템 요소기술 (Key Technologies for Floating Type Artificial Upwelling System to Strengthen Primary Production)

  • 정동호;이호생;김현주;문덕수;이승원
    • 한국해양공학회지
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    • 제26권1호
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    • pp.78-83
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    • 2012
  • The abundant nutrients contained in deep seawater are delivered by natural upwellings from the deep sea to the surface sea. However, the natural upwelling phenomenon is limited to specific areas of the sea; in other areas, the thermocline separates the surface sea from the lower layer. Thus, the surface layer is often deficient in nutritive salts, causing the deterioration of its primary productivity and ultimately leading to an imbalance in the marine ecosystem. Without a consistent supply of nitrogenous nutritive salts, they are absorbed by phytoplankton, resulting in a considerable problem in primary productivity. To solve this issue, a floating type of artificial upwelling system is suggested to artificially pump up, distribute, and diffuse deep seawater containing rich nutritive salts. The key technologies for developing such a floating artificial upwelling system are a floating offshore structure with a large diameter riser, self-supplying energy system, density current generating system, method for estimating the emission and absorption of CO2, and way to evaluate the primary production variation. Strengthening the primary production of the sea by supplying deep seawater to the sea surface will result in a sea environment with abundant fishery resources.

공황장애의 뇌영상 및 신경생물학적 식견 (Brain Imaging Provides Insight into the Neurobiology of Panic Disorder)

  • 박주언;강은호;이인수;유범희
    • 대한불안의학회지
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    • 제3권2호
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    • pp.91-96
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    • 2007
  • Panic disorder is a common psychiatric illness that causes considerable morbidity. However, the biological basis of panic disorder remains unclear. In this report, we present and summarize the current literature on functional neuroimaging studies related to the neurobiology of panic disorder. The findings were summarized and divided into six groups : (1) known brain structures related to anxiety, especially panic disorder ; (2) structural results ; (3) functional imaging studies at rest ; (4) functional imaging studies with challenge testing ; (5) neuroreceptor studies ; and (6) changes in the treatment of panic disorder. Based on the findings of these neuroimaging studies, it seems as though panic disorder involves the hippocampal and parahippocampal areas, including the amygdala, as well as some cortical regions, such as the temporal and prefrontal cortices. Panic disorder is known to be associated with an imbalance between the right and left hemispheres of the brain at rest or during panic attacks. During a panic attack, patients with panic disorder are likely to experience an increase in local activity in the cingulate, insula, midbrain, and so on. On the other hand, a widespread reduction in the cortical areas has also been reported in most provocation studies. Thus, panic disorder may be related to the excess activation of the fear networks in response to subtle environmental cues and insufficient inhibition from higher cortical control areas ; however ; further studies are recommended in order to fully understand the neurobiology of panic disorder.

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