• 제목/요약/키워드: Decision Cost

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중년층의 구강건강지식, 실천 및 보철치료 만족실태 조사 (A study for middle-aged on oral health knowledge, oral health care and satisfaction with prosthetic treatment)

  • 고은정;이용환;박광환
    • 한국치위생학회지
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    • 제11권5호
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    • pp.671-683
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    • 2011
  • Objectives : The purpose of this study was to examine the oral health knowledge and actual oral health care of the selected subjects, their decision making about prosthetic treatment, the state and characteristics of their prosthetic treatment and their satisfaction with prosthetic treatment in an attempt to provide some information on the improvement of the quality of life related to oral health and the promotion of oral health. Methods : The subjects in this study were 250 people who received education in two different lifelong education institutions in the city of Busan. After a survey was conducted from May 23 to June 15, 2011, the answer sheets from 217 respondents were analyzed. Results : 1. As for the general characteristics of the respondents, the men(52.1%) outnumbered the women. Those who were in their 60 and up(47.5%) made up the largest age group, and the married people(65.4%) outnumbered the unmarried ones. By occupation, the company employees(20.3%) made up the biggest group. By education, the greatest group was high-school graduates(36.1%). By monthly mean income, the biggest group gained an income of 2.01 million won or more(36.9%). As to medical security, community-based insurance was most prevailing (36.9%). In terms of health promotion, the largest group worked out to stay fit(52.4%). 2. Regarding oral health knowledge, they had a good knowledge about the cause of dental caries(56.7%), but they weren't well aware of the right time for regular dental checkup(47.9%). In relation to oral health care, regular scaling wasn't prevailing(16.9%). 3. Regarding connections between the general characteristics and satisfaction with prosthesis, the less-educated respondents expressed significantly more dissatisfaction(p=0.015). By monthly mean income, those who had a smaller income were dissatisfied in general(p=0.028). Conclusions : The findings of the study illustrated that it's required to spread awareness of the importance of oral health among people in general, and that differentiated incremental oral health care should be provided for different age groups. In order to raise the satisfaction of patients with prosthesis, how to relieve their pain and anxiety and how to adjust prosthetic treatment cost properly should carefully be considered. In addition, the government should take measures to offer assistance for the low-income classes in preparation for an increase in the elderly population.

전략환경평가를 통한 환경영향평가제도 개선에 대한 인식도 조사 연구 (A Study of Perception on Improvement of Environmental Impact Assessment using Strategic Environmental Assessment)

  • 김임순;김윤신;문정숙;한상욱;손부순
    • 환경영향평가
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    • 제13권3호
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    • pp.125-135
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    • 2004
  • Environmental Impact Assessment(EIA) in Korea has been used to improve environmental conservation and decision-making. Since environmental impact statement(EIS) was introduced in 1981 with the promulgation of the Environmental Preservation Act in 1977, which replaced the Pollution Control Act legislated in 1963. With a rapid growth of environmental perception as well as the diversification of development activities, however, it has recently bring about a strong demand for a new assessment process related to the strategic level of policies, plan, programs. Method of this study includes analyses of the situation of local EIA and its problematic issues through survey and analysis of information and data, analysis of the level of environmental awareness of professionals and case studies including analysis of foreign strategic environmental assessment. Accordingly, I have elicited a concept of SEA. In addition, I have studied on costs of environmental assessment, and efficiency of internalization of HIA. The survey was carried between September and November 2003, and 177 professionals were asks to complete a questionnaire. As a result of questionnaire survey of environmental pundits, it revealed that 83.8% of participants were in favor of introduction of strategic assessment. This result demonstrated more or less higher approval rate than those of awareness survey done by the Ministry of Environment, i.e. 86.0% ayes, and 14.0% nays. 22.8% of participants agreed to the opinion; "For introduction of this system, earlier is better," 50% reported having an opinion such as, "Will introduce this system in an earliest possible time after correcting problems," 26.3% reported having an opinion such as, "Let's decide the time for introduction of this system after correcting problems first,' and 0.9% reported having an opinion, "it's too early to introduce this system." Specifically, the ratio of ayes on introduction of the system marked 72.8%, and it revealed that a majority of respondents have an opinion such as, "Will introduce this system in an earliest possible time after correcting problems." As means of solutions for the problem regarding the limits of applications that existed in SEA System, factors, such as collecting a wide variety of opinions, securing experts, and faithful implementation, etc. were reported important, and in addition to these factors, respondents revealed having opinions such as, consistent research and development, reflection of public interest, establishment of professional organization, enforcement of after-management service, expanding investments in large, systemizing reference materials, and encouraging public participation, etc. To improve problems involving with present EIA system, it has been identified through this study that SEA is efficient and useful. In order to have SEA introduced successfully, it has been cleared that internalization of effectiveness of environmental cost together with HIA must be accomplished.

분만기관 선택과 이용 후의 평가 (Choice of Medical Care Institution for Delivery and Evaluation of the Institution after Delivery)

  • 권순호;한달선
    • 보건행정학회지
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    • 제8권2호
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    • pp.1-24
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    • 1998
  • There exists a general consensus in Korea that patients tend to concentrate in large hospitals and this tendency is partly responsible for inefficiency in health services. The process of choosing a medical care provider for health care services and evaluating the provider after utilization seems to involve many diverse factors to become very complex. Therefore a systemsatic study is needed to achieve sufficient understanding of the proeess. For this point of view, this study investigates patient's selection of medical care institution for delivery care services and their evaluation of the institution after delivery. In more specific, the objectives of the study are twofold: 1) to identify the factors associated with expectant mothers' choice of type of medical care institution for delivery among tertiary hospitals, general hospitals, small hospitals, and clinics: and 2) to understand the factors affecting patient evaluation of the medical care institution after delivery. The data used for the analysis were collected through face-to-face interviews with those women who had childbirth during the period from January 1, 1996 to the date of interview in February 1998. The survey was conducted using preqared structured questionnaire in Seoul. The sample was drawn from each of arbitrarily defined four regions of Seoul, Northeast, Northwest, Southeast and Southwest, in proportion to the number of births reported in 1996 in each of them. The distribution of the interviewed women by educational level was made similar to that of mothers of new babies reported in 1996. The sample size was planned to be about 300, but ended up with analytical sample of 319. Major conclusions emerged from the analysis can be summarized as follows: 1) Large hospitals were evaluated as much better for technical quality than other types of institutions, whereas they were compared similar to or worse for other attributes. And it was found that technical quality of care is considered as the most important condition of medical care institution for delivery, while the amount of direct cost is considered as the least important one. Taken together, the utilization of large hospitals is not likely to decrease even though they cannot give satisfaction to patients in other aspects than technical quality. 2) The activeness in the search for information affected the respondents' evaluation of medical care institutions, which would influence their later decision or recommendation to other persons as to the choice of source of health care services. Therefore, increased efforts should be directed to improving availability of useful and correct information for patients in relation to the utilization of health care services. 3) Since the findings of this study were obtained from the analysis of delivery care services, their applicability to other kinds of services may be limited. Thus it would be useful to conduct a comparative study of several kinds of services explicitly taking into account the characteristics of those services in the analysis.

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준 정부기관 클라우드 컴퓨팅 서비스 결정에 대한 민감도 분석 (Sensitivity Analysis of Quasi-Governmental Agencies' Decisions for Cloud Computing Service)

  • 송인국
    • 인터넷정보학회논문지
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    • 제16권1호
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    • pp.91-100
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    • 2015
  • 최근 전 세계적인 경기불황의 여파로 인하여 많은 기업들이 비용절감의 압박을 느끼게 되면서, 클라우드 컴퓨팅에 대한 관심 또한 덩달아 증대하고 있다. 클라우드 컴퓨팅이란 단말기에서 인터넷 즉, 네트워크를 이용하여 중앙에 있는 메인 서버의 소프트웨어를 활용하거나 데이터를 저장하는 컴퓨터의 이용 형태를 말한다. 사용자들은 소프트웨어나 하드웨어를 구입해서 사용하는 것이 아니라 원격지에서 빌려서 사용하는 형식이 되며 데이터센터를 이용하는 이용료를 지불하는 형식이 된다. 그런데, 비용절감 효과와 각종 효율성 증대로 인해 폭발적 성장세가 예측되었지만, 실제 클라우드 컴퓨팅 도입은 제한된 범주 내에서 확산되고 있다. 특히 국내 공공부문은 민감한 보안 문제나 보수적인 성향 등 여건으로 인해 도입을 더욱 주저하고 있는 현실이며, 관계자들의 인식이나 이해 또한 아직도 기초적인 수준에만 머물러 있어 현황 파악과 대책 마련이 필요한 실정이다. 그럼에도 불구하고 공공기관의 클라우드 컴퓨팅 도입에 관한 학술연구는 대부분이 기술 연구에만 치중되어 왔고 서비스 도입을 위한 현실적인 참고로 삼을 만한 연구는 찾아보기 힘들다. 본 연구에서는 정부부처의 기획된 업무를 실행하는 위탁형 준정부 기관 근무자들의 클라우드 컴퓨팅에 대한 인식과 이해를 파악하며, BCR모형을 적용해 그들이 실제 중요하게 여기고 우려하는 요인들이 우선순위를 분석하고 현실에 맞는 시사점을 제공하는데 목적을 두었다. 연구 결과로서 공공기관의 클라우드 컴퓨팅 서비스 도입현황과 혜택과 비용, 위험요인에 대해 민감도 분석하여 그 결과에 따른 전략적 대처방안을 제시하였다. 본 연구는 클라우드 컴퓨팅 서비스 도입을 하고자 하는 공공기관, 관련된 상위의 유관기관, 클라우드 서비스 제공업체의 입장에서 어떠한 점을 고려하여 향후 대응을 지속해나가야 하는지 가이드라인을 제공한다.

우리나라 대학도서관 업무의 전산화 및 그 실현에 관한 연구 (A STUDY ON PLANNING AND IMPLEMENTATION OF COMPUTERIZATION OF LIBRARY WORK FOR UNIVERSITY LIBRARIES IN KOREA)

  • 홍순영
    • 한국문헌정보학회지
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    • 제12권
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    • pp.165-200
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    • 1985
  • We have come to the time when we no longer ask why we computerize, but we need to concentrate on how to effectively accomplish the task. Application of computers has been very active in many fields in Korea during the last few years. And yet libraries are rather slow in taking adventage of computers most likely due to the lack of adequate funds and proper understanding of administrators, but also it seems that the majority of librarians are not quite prepared to adopt it. The purpose of this paper is to study the various aspects of computerization of library work, mainly for library administrators and librarians; although they need not understand the electronical and technical aspects of computers, but they should prepare themselves enough at least to be able to make proper requests to computer specialists in relation to what they want to accomplish with computers in order to improve the work of the library. In preparing this paper, not only successful cases of computer application which had been carried out in many libraries of advanced countries have been studied, but also various reasons for failure have been reviewed in order not to make the same mistakes. The paper covers those areas of library work where computers can be applied, such as feasibility, cost effectiveness, planning, implementation and some other aspects of computerization. As a conclusion, two viewpoints need to be discussed. First, each library should work cooperatively with other libraies instead of trying to develop its own computer programs, since we cannot affort to waste financial and technical resources as well as time. Computer applicable library work can be divided and assumed by certain libraries with responsibility to develop turn-key systems applicable to Korean university libraries. In order to carry out this task, there should be complete financial assistance from government, and in turn those libraries shouldf be required to offer assistance to any other interested libaries in Korea. Secondly, library school curriculum should offer such courses where future librarians can learn decision making, business administration and independent thinking in addition to traditional courses. Future librarians as well as those who are already in the profession should prepare themselves to meet the challenge of the professional requirements in order to meet the ever increasing and diverse needs for good quality service generated from the library users.

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압전센서를 사용한 배관 구조물의 실시간 건전성 평가 (Real-time Health Monitoring of Pipeline Structures Using Piezoelectric Sensors)

  • 김주원;이창길;박승희
    • 한국구조물진단유지관리공학회 논문집
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    • 제14권6호
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    • pp.171-178
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    • 2010
  • 가스관, 송유관 등의 배관구조물은 주요자원의 수송을 책임지는 핵심 지하시설물 중 하나이다. 이들은 사고 및 자연적인 노후화로 인해 국부적인 손상이 발생할 위험에 노출 되어있다. 하지만 대부분의 배관구조물은 지하의 좁은 공간에 복잡하게 연결되어있기 때문에 구조물의 건전성을 지속적으로 모니터링 하는데 어려움이 있었다. 이러한 지금까지 관리방식의 한계점을 극복하기 위해 최근 유비쿼터스 센서 네트워크 기반의 온라인 방식의 상시적 구조물 건전성 평가방법에 대한 연구가 활발히 이뤄지고 있다. 본 논문에서는 전기-역학적 임피던스 기반의 실시간 배관 구조물 건전성 평가방법에 대하여 연구하였다. 배관 구조물에 발생하기 쉬운 볼트 풀림과 균열의 두 가지 국부손상을 가정하였고 압전효과를 가진 PZT와 MFC 센서를 이용하여 구조물의 상태에 따른 임피던스를 계측하여 손상탐색 실험을 수행하였다. 하나의 센서로 가진과 센싱을 동시에 수행할 수 있는 저비용 셀프센싱 기법을 사용하였고 배관 상태에 대한 객관적인 판단을 위해 손상지수인 RMSD 값을 사용하여 계측된 신호를 이용하여 손상의 정도를 정량화 시켰다. 손상여부의 판단을 위해 일반 극치 분포를 이용하여 최적화된 통계적인 정상상태의 임계값을 설정하였다. 위와 같은 실험적 연구과정을 통해 제안된 실시간 배관 구조물 건전성 평가 방법의 타당성과 효율성을 확인해 보았다.

노후 군시설물의 경제성 평가 시스템 (Economic Evaluation System for Deteriorated Military Facilities)

  • 장원석;임태경;이동은
    • 한국건축시공학회지
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    • 제13권2호
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    • pp.181-192
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    • 2013
  • 구조안전성과 경제성이 확보될 수 있다면, 노후 시설물의 재건축보다 개보수가 바람직하다. 이런 인식은 자원과 국가 예산을 절감하는 기회를 제공한다. 그러나 예하부대가 노후 군시설물에 대한 개선요구를 일관되고 신속하게 결정하기가 용이하지 않다. 이는 대안 평가 방법론이 업무 매뉴얼로만 존재하고 자동화된 시스템으로 존재하지 않기 때문이다. 따라서 신속하고 정확한 데이터 처리를 지원하는 실무적 관점에서 기존의 평가방법론을 자동화된 시스템으로 전환하는 연구가 요구된다. 본 연구의 기여점은 다음과 같다. 1) 선행 연구고찰을 통해 시스템화가 용이한 군시설물의 경제성 평가 방법론을 선정하고, 유사연구와 연산과정을 비교하여 취약점을 파악하고 상호 보완점을 제시한다. 2) 특정 주제문제를 해결하기 위해 연구자가 개발한 이론체계를 시스템으로 전환하는 방법론을 제시한다. 3) 평가자의 사용성과 접근성을 고려한 4 가지 기능모듈을 사용자 환경으로 개발한다. 4) 개발된 시스템은 사례연구를 통해 4가지 성과지표들을 평가함으로써 성능검증을 실시한다.

스타 스키마 조인 처리에 대한 세로-지향 데이터베이스 시스템과 가로-지향 데이터베이스 시스템의 성능 비교 (Performance Comparison of Column-Oriented and Row-Oriented Database Systems for Star Schema Join Processing)

  • 오병중;안수민;김경창
    • 한국컴퓨터정보학회논문지
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    • 제16권8호
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    • pp.29-38
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    • 2011
  • 세로-지향 데이터베이스 시스템은 기존의 가로-지향 데이터베이스 시스템과 달리 데이터를 가로(row) 위주가 아닌 세로(column) 위주로 저장한다. 최근에는 데이터 웨어하우스나 의사 결정 시스템 같은 대용량 데이터를 갖는 읽기 위주의 응용들에서 세로-지향데이터베이스의 우수성이 관찰되었다. 본 논문에서는 세로-지향데이터베이스에서의 조인 전략을 구체적으로 분석하고 데이터 웨어하우스 시스템에서 세로-지향 데이터베이스의 우수성을 검증하고자 한다. 두 시스템간의 객관적인 비교를 위해 데이터 웨어하우스 분석 모델인 스타 스키마 벤치마크를 통해 스타스키마조인 질의에 대한 성능분석을 실시하고자 한다. 또한 세로-지향 데이터베이스의 조인 전략으로 조기 실체화(early materialization)와 지연 실체화(late materialization)를 고려하였다. 성능 분석을 통해 스타 스키마 조인 질의처리에 있어 가로-지향 시스템보다는 세로-지향 시스템에서 디스크 I/O 비용이 더 효율적인 결과를 확인할 수 있었다. 세로-지향 데이터베이스 시스템 측면에서는 조기 실체화보다는 지연 실체화 조인전략이 훨씬 우수한 성능을 보였다.

과학 관련 사회적 쟁점(Socio-Scientific Issues, SSI)을 활용한 국내 프로그램 분석 (Analysis of Socio-Scientific Issues(SSI) Programs in Korea)

  • 박현주;김나형
    • 대한화학회지
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    • 제62권2호
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    • pp.137-147
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    • 2018
  • 본 연구는 과학 관련 사회적 쟁점(Socio-Scientific Issues, SSI)의 국내 프로그램 123개를 SSI 준거틀에 따라 분석하였다. 준거틀은 프로그램의 주제, 학교급, 도입, 과학적 증거, 사회적 내용, 과학적 지식의 사용, 갈등 수준, 평가와 성찰 등으로 구성된다. 분석한 결과에 따른 결론은 다음과 같다. 첫째, 우리나라 SSI 프로그램은 초등학교급 프로그램이 가장 많았고, 중학교급 프로그램이 상대적으로 적게 나타났다. 둘째, SSI 프로그램의 도입은 실제 상황과 픽션과 논픽션 상황이 주된 것으로 나타났고, 논쟁과 갈등이 포함된 상황은 10% 미만으로 나타났다. 셋째, SSI 프로그램은 과학적 증거에 기반하지만 개인의 가치, 인식 등에 따라 영향을 받는 내용이 주로 나타났다. 넷째, SSI 프로그램의 사회적 내용은 윤리/도덕/가치, 정치/사회생활/경제, 환경 내용이 주로 개발되었다. 다섯째, SSI 프로그램에서 과학적 지식의 사용은 과학적 의사결정, 과학적 비판적 사고, 정보 탐색이 주로 나타났다. 그러나 과학 탐구, 위험평가, 비용 효과는 10% 미만으로 나타났다. 과학적 탐구는 과학교육의 핵심이며, 과학과 교육과정의 핵심역량이다. SSI 교육을 통해 학생들의 다양한 이해당사자의 관점을 경험하고, 평가하고, 반성하는 학습 경험을 제공해야 한다.

자궁근종의 한의학 연구 경향과 임상적 접근에 관한 연구 (A study of the Guidelines for Investigation and Management of Uterine Myomas with Korean Medicine Therapies in Korea)

  • 김동일
    • 대한한방부인과학회지
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    • 제19권2호
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    • pp.240-260
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    • 2006
  • Purpose : The objective of this study is to serve guidelines for the investigation and management of uterine myomas with KM therapies. Methods : English-language articles from PubMed and Korean-language articles from the database of the journal of oriental gynecology were reviewed from 2000 to 2005, using the key words 'uterine myoma', 'uterine leiomyoma', 'fibroid', 'uterine artery embolization', 'endometrial ablation', 'myomectomy', and jagungguenjong(子宮筋腫)'. Results and Limits : The areas of clinical practices considered in formulating this guideline are assessment, KM therapies, medical treatments, myolysis, selective artery occlusion, endometrial ablation and surgical therapies including myomectomy and hysterectomy. Implementation of this guideline would optimize the decision-making process of women with uterine myomas and further investigation or therapy of their KM doctors. But we don't have abundant evidences of clinical trials of uterine myoma treated with KM therapy, though we treat or manage that with every-day clinical practices. Moreover cultural gaps between Korea and other western countries make many differences in the attitude to surgical therapies, especially hysterectomy. So it is very difficult to compare W therapies with other therapies. Moreover it is much difficult to estimate cost-effectiveness and benefit of those therapies in QOL. Conclusions : The majority of uterine myoma is asymptomatic and will not require any intervention or further investigation. But unmarried women who wish to marry and get pregnant want to find safe therapy for their asymptomatic uterine myomas. In that case, most of the patients prefer non-surgical therapy to surgical therapy. So KM herbal medicinal therapy is a good alternative method for those patients. For the symptomatic myomas, hysterectomy offers a definitive solution. However, it is not the best solution for women who wish to preserve their uterus. So KM therapy is a good alternative for them. But the predicted benefits of alternative therapies including KM therapy must be carefully weighed against the Possible risks of these therapies. To improve the quality of life of both women with asymptomatic and symptomatic myomas, selecting and treating patients should be done carefully. Moreover, the effect of KM therapy has to evaluated, comparing the possible situation without treatment and the benefit of constant treatment as a health-care system.

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