• 대한교통학회지
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• 제21권1호
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• pp.103-113
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• 2003

본 연구는 교통 경로 탐색 가운데, 우회 경로 탐색과 선호 경로 탐색을 하였으며, 계층 분석법을 적용한 퍼지비가법 제어기 사용을 제안한다. 이것은 기존의 경로 탐색과는 달리, 인간의 사고과정에 착안한 것으로, 애매한 주관적 판단을 정량적으로 분석, 평가하였다. 그리고 중요도를 운전 전문가로부터 의견 수렴한 것을 기초로 도출하였으며, 실제효용성을 진단하고자 경로 모델의 예를 사용하였다. 모델 평가는 평가 요소에 대한 속성 소속 함수화 및 평가치 규정, 계층 분석법에 의한 중요도 결정, $\lambda$-퍼지 척도에 의한 중요도의 비 가법적 표현, Choquet 퍼지 적분 등으로 수행하였다. 결국, 우회 경로 탐색 결과, 시시각각 변하는 교통환경에 적응할 수 있는 실 시간적인 교통 경로 제어가 가능하였으며, 선호 경로 탐색 결과, 본 연구의 알고리즘이 운전자 개인의 교통 경로 선택 성향을 잘 반영함을 보여 주었다. 논문은 5 가지의 중요한 의미가 있다. (1) 제안된 접근 방법은 운전자의 경로 선택 결정 과정과 유사하다. (2) 제안된 접근 방법은 다 속성의 경로 평가 기준을 제어 할 수 있다. (3) 제안된 접근 방법은 운전자의 주관적 판단을 비가법적으로 객관화 할 수 있다. (4) 제안된 접근 방법은 우회 경로 탐색에서 동적인 경로 탐색을 보여주고 있다 (5) 제안된 접근 방법은 선호 경로 탐색에서 개개 운전자 속성을 고려할 수 있다.

• 정신신체의학
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• 제15권1호
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• pp.22-28
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• 2007

임신과 출산은 일부 여성들을 주요우울증 발병에 취약하게 한다. 산모의 10%에서 출산 후 수주 이내에 산후 우울증이 발병하며 이는 장차 아동의 인지적, 정서적 발달에 부정적 영향을 줄 수 있다고 알려졌다. 임신 중 우울증은 상대적으로 간과되어 왔지만 산후 우울증과 마찬가지로 흔하며 임산부의 정신병리가 태아의 생리 발달에 영향을 미친다는 증거가 축적되고 있어 주목을 받고 있다. 임신 및 출산과 관련된 우울증의 원인을 이해하기 위해서는 다양한 정신사회학적, 생물학적 위험 요인을 포괄적으로 고려할 필요가 있다. 임신과 관련된 우울증을 치료하기 위해 정신과 의사는 임신 및 치료 방법과 관련된 여러 가지 상황의 위험 혹은 이득을 포괄적으로 분석해야 하며 치료 방법을 능숙하게 결정할 수 있어야 한다. 임신 중 우울증에는 심리치료, 약물치료, 전기 충격 요법 등이 효과적이라고 알려져 있다. 산후 우울증을 치료하는 데에는 생물학적, 심리학적, 환경적 개입 등의 방법이 있으며, 구체적으로는 세로토닌 재흡수 억제제 등의 항우울제, 지지적 상담 등의 효과가 증명되었고, 증상이 심할 경우에는 Estrogen이 효과적이라고 알려져 있다. 한편, 임신 및 출산과 관련된 우울증의 신경내분비학적, 심리사회학적 병인을 규명하기 위한 연구들이 진행되고 있다. 향후 임산부의 산전 및 산후 관리에 있어서 임상각과 간의 통합적인 접근에 의한 우울증의 조기 진단 및 치료가 필요할 것으로 보인다.

• 한국시스템다이내믹스연구
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• 제1권2호
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• pp.5-31
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• 2000

The summit meeting of the South North Korean leaders was a turning point in the relationships between the two countries. It was followed by the Red-Cross Meeting, Minister-Level Meeting, economic agreements, which have increased the relationship more colorful in both quantities and qualities. However, the half-century period for separation was too long to overcome all the problems by only one event. The two countries have quite different social systems; one politically strong person is governing the North, while many interest groups are involved in political decision making processes in the South. In short, it would take a long time to settle down all the problems residing between the two countries. A system dynamics model is developed to describe the long term dynamics of the relations between the South and North Koreas. As a first attempt, the model focuses only on the diplomatic meeting issues between the South and North. The model aggregates diplomatic issues into 5 categories; economic issues, security issues, infrastructure, cultural issues, and past problems. It assumes that there would not be any dramatic changes between the two countries. It is a conceptual model composed of around 200 variables, and should not be used as a forecast tool. However, it captures most of the logics discussed in the papers and conferences concerning the South and North Korea relations. Many sensitivity studies and Monte Carlo simulations have shown that the simulation results matches with mental models of experts; that is the model can be used as a learning tool or as a secondary opinion until the data required by the model is collected. In order to analyze the current situation, five scenarios are simulated and analyzed; the functional approach, the conditional approach, the balanced approach, the circumstantial approach, and the strategic approach. The functional approach represents that the South makes efforts in the area where the possibility of agreement is high for the next 10 years. The conditional approach is a scenario where the South impose all difficult issues as conditions for resolving other diplomatic issues. The balanced approach is resolving the five issues with the same priorities, while the circumstantial approach is resolving issues which seem to be resolved easily. Finally, another optimum approach has been seek using the system dynamics model developed. The optimum strategy (it is named as the strategic approach) was strikingly different from other four approaches. The optimum strategy is so complicated that no one could find it with mental model(or by just insights). Considering that the system dynamic model used to find the optimum is a simplifind (maybe over simplified) version of the reality, it is concluded that a well designed system dynamics model would be of great help to resolving the complicated diplomatic problems in any kind.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제35권3호
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• pp.164-169
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• 2009

Objectives : Administration methods of antibiotics implements a variety for indications and diseases. Therefore, it is impossible to produce a single guideline. Many antibiotics have been prescribed without specific index, by practicians for a long period of time. In general dental practice and oral and maxillofacial surgical practice, there is not a guidelines for antibiotics. Therefore, there is a dependency on pre-existent methods rather than following an exact guideline. Consequently, a controversy was issued that prescription of antibiotics tend to be misused or abused. And it is also direct relation to the tolerance of antibiotics as well. Moving forward, in this review we will be analyzing the exact usage and indication of antibiotics in dental treatment. Materials and Methods : 29 published articles of both domestic and international were researched through Pubmed and Kormed, and the review from these articles were performed accordingly. We examined the administration of antibiotics through the objective usage, that classified prophylactic and therapeutic. Results : For therapeutic usage, empirical prescription is mandatory for the first step. Next is to moderate the empirical prescription depending upon the result of its culture. Administration of antibiotics must be kept for 2days after the symptoms disappear. For a prophylactic use, we can generally pr escribe antibiotics to prevent local infection or systemic infection. Although the method of prescription and neccessity of antibiotics to prevent local in fection are controversial, exact guidelines of antibiotics to prevent systemic infection are established by AHA. Conclusion : Most crucial concept for prescript antibiotics is to determine if it is adequately suitable for all circumstances. In this decision making, a guideline for prescription of antibiotics in various dental surgical practice is necessary. This guideline can reduce the misusage and disusage of a ntibiotics in general dental practices and oral and maxillofacial surgical practices.

• 유통과학연구
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• 제13권12호
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• pp.73-84
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• 2015

Purpose - Various social issues have arisen since the beginning of the 21st century therefore, enterprises that disregarded social issues have become unsustainable, and social enterprises have appeared to address these issues. A social enterprise is a social mission-focused organization that uses a market-based strategy and has a vulnerable business structure. To be self-sustainable, a social enterprise should make consumers aware of the value that it provides and secure its profitability through consumer consumption. From this perspective, this study investigates the relationship between perceived value (utilitarian and hedonic) and loyalty, and examines how memory and attitudes play mediating roles between perceived value and loyalty. For these purposes, the author developed a structural model consisting of several variables. In this model, perceived value, which was utilitarian and hedonic, was proposed to affect the memory and attitudes toward social enterprise products, thus increasing loyalty. Therefore, memory and attitudes were proposed as core mediating variables between perceived value and loyalty. Research design, data, and methodology - To analyze the proposed model, data were collected from 582 respondents and analyzed using SPSS 21.0 and AMOS 21.0. To test unidimensionality and the nomological validity of the measures of each construct, we employed a scale refinement procedure. The results of the reliability test with Cronbach's α and confirmatory factor analysis warranted the unidimensionality of the measures for each construct. In addition, the nomological validity of the measures was warranted from the results of the correlation analysis. The result of the overall model analysis demonstrated a good fit (χ²=529.881, df=144, χ²/df=3.680, p-value=0.000, GFI=0.905, NFI=0.948, CFI=0.961, RMR=0.036, RMSEA=0.068). Results - The findings are summarized as follows. First, the hedonic and utilitarian value of social enterprise products had positive effects on memory and attitudes. Second, the hedonic value of social enterprise products more strongly affects memory and attitudes than utilitarian value. Third, memory and attitudes had positive effects on loyalty. Lastly, memory had a stronger effect on loyalty than attitudes. Conclusions - The purchase rate of social enterprises' products increases only if the products are included in the "information search" and "alternative evaluation" processes in consumers' purchase decision-making processes. Therefore, a social enterprise must actively promote the fact that it pursues a social value, and shares both the hedonic and utilitarian values of its products. Accordingly, because hedonic value has a more significant impact on a company and attitudes, a social enterprise should develop hedonic values for product consumption, thereby leading consumers who care about value consumption to purchase its products. Moreover, a social enterprise must maintain good memories and attitudes for consumers because memory does not change over time, although attitude does. The limitations of this study and suggestions for future research are as follows. This study viewed "consumer loyalty" as the success factor of social enterprises, thereby considers an "increase in sales" as the success factor. Therefore, in future studies, diverse factors, including social contribution and word-of-mouth intention, should be regarded. In addition, future studies need to thoroughly review and make assurances about the relationship between memory and attitude.

• 대한토목학회논문집
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• 제32권5D호
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• pp.473-481
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• 2012

천연가스는 타 화석연료에 비해 온실가스를 적게 배출하는 청정연료로서 가채연수가 길고 상대적으로 가격 변동이 적어 세계적으로 사용량이 증대되고 있으며, 이에 따라 신규 가스전 개발 및 대규모의 천연가스 플랜트 건설 사업이 세계 각지에서 추진되고 있다. 특히 다양한 플랜트 사업 중 해외 천연가스 파이프라인 사업의 경우 보다 안정적이고 효율적인 천연가스의 수송을 위해 지역 간이나 국가 간에 적용되는 방식으로서 건설 수요가 괄목할만하게 증가하고 있으며 이미 전체 천연가스 교역의 72%를 차지하고 있다. 그러나 우리나라의 경우 해외의 주요 가스전과의 물리적인 거리 및 저장시설에 한정된 수요 발생으로 인해 해외 파이프라인 공종의 참여가 뒤떨어져 있는 것이 현실이다. 따라서 본 연구에서는 해외 천연가스 파이프라인 사업의 진출을 위해 사업계획 단계를 중심으로 표준화된 업무 프로세스 모델을 구축하고자 하였다. 국 내외의 파이프라인 사업 및 해외건설 프로세스를 분석하고, 해외 천연가스 파이프라인 사업의 특성을 반영하여 3단계의 레벨을 가진 업무 프로세스 모델을 도출하였다. 이후 전문가를 활용하여, 업무 프로세스 모델을 테스트베드에 적용하여 실무적 검증을 수행하였으며, 이와 별도로 추가적인 설문조사를 통해 본 연구에서 제시된 업무 프로세스 모델의 적용성과 효용성을 확인하였다. 본 연구에서 제시된 업무 프로세스 모델을 기반으로 기업의 노하우를 반영한다면, 해외 천연가스 사업 의사결정을 위한 객관적인 기준으로 활용할 수 있을 것으로 기대된다.

• 대한간호학회지
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• 제24권2호
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• pp.190-205
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• 1994

Respect for human life and respect for human dignity are two basic values to which organized nursing has urged its members to adhere in their service to mankind. Thus it is the nurses’ duty to provide health care in support of sustenance of life and to pay respect for the patient’s right to dignity. In practice, however, nurses may experience dilemmas between these duties much due to the de velopment of modern advanced techniques. These dilemmas have become more complex and difficult to resolve. Nurses are often faced with situations in which the terminally ill refuse professional care, posing serious conflicts between respect for human life and respect for human rights to self-determination. In such cases, resolution of the problem is not a simple matter, thus requires intensive study into the ethical questions related to the situation. The purpose of this study was to identify ethical problems that nurses experience in caring for terminally ill patients and explore the ways to the resolution of problems within the context of the situations. The methodology used for the study was a case study method which ‘New Casuistry’ proposed by Jonsen & Toulmin(1988) and the ‘Specified Principlism’ proposed by Degrazia(1992) as an alternative to old deductive and intuitive method. Cases were developed through semistructured indepth interviews according to the casutistry method. A total of seven nurses were interviewd who were caring for therminally ill patients. Four cases out of a total 14 cases were related to the topic. Through the case analysis it became evident that nurses appreciated other values more often than respect for the patient’s right to self-determination. These other values were convenience and efficiency in nursing practice in case 1, preservation of life above all other values in case 2, provision of nursing care to fulfill the nurse’s professional obligation at most in case 3, and respect for the family’s demand against the patient’s wish in case 4. This study showed that the most important ethical problems were conflict between respect for the patient’s right to self-determination and sustenance of life for the fulfillment of professional obligation. For this problem, benefit /burden analysis from the perspective of the patient and family for the promotion of patient’s wellbeing may be a way to resolve the conflict. Further, through these analysis it was shown that physicians’ and families’ opinions dominated in the decision - making and the opinions of nurses’ and patients’ tended not to be reflected. Thus the patient's right to his or her care was not readily respected. To solve this problem. nurses should make efforts to communicate reciprocally with their patients, family members and physicians in an effort to respect for their patient’s rights to life and diginity from the point of view and values of the patient. It is also important that nurses provide good basic nursing care up to the time of death regardless of decisions about providing or not aggressive treat-ment for chronically and terminally ill patients.

• Journal of Gastric Cancer
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• 제17권2호
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• pp.132-144
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• 2017

Purpose: To identify baseline prognostic factors for survival in patients with disease progression, during or after chemotherapy for the treatment of advanced gastric or gastroesophageal junction (GEJ) cancer. Materials and Methods: We pooled data from patients randomized between 2009 and 2012 in 2 phase III, global double-blind studies of ramucirumab for the treatment of advanced gastric or GEJ adenocarcinoma following disease progression on first-line platinum- and/or fluoropyrimidine-containing therapy (REGARD and RAINBOW). Forty-one key baseline clinical and laboratory factors common in both studies were examined. Model building started with covariate screening using univariate Cox models (significance level=0.05). A stepwise multivariable Cox model identified the final prognostic factors (entry+exit significance level=0.01). Cox models were stratified by treatment and geographic region. The process was repeated to identify baseline prognostic quality of life (QoL) parameters. Results: Of 1,020 randomized patients, 953 (93%) patients without any missing covariates were included in the analysis. We identified 12 independent prognostic factors of poor survival: 1) peritoneal metastases; 2) Eastern Cooperative Oncology Group (ECOG) performance score 1; 3) the presence of a primary tumor; 4) time to progression since prior therapy <6 months; 5) poor/unknown tumor differentiation; abnormally low blood levels of 6) albumin, 7) sodium, and/or 8) lymphocytes; and abnormally high blood levels of 9) neutrophils, 10) aspartate aminotransferase (AST), 11) alkaline phosphatase (ALP), and/or 12) lactate dehydrogenase (LDH). Factors were used to devise a 4-tier prognostic index (median overall survival [OS] by risk [months]: high=3.4, moderate=6.4, medium=9.9, and low=14.5; Harrell's C-index=0.66; 95% confidence interval [CI], 0.64-0.68). Addition of QoL to the model identified patient-reported appetite loss as an independent prognostic factor. Conclusions: The identified prognostic factors and the reported prognostic index may help clinical decision-making, patient stratification, and planning of future clinical studies.

• 한국항해항만학회지
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• 제40권1호
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• pp.35-41
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• 2016

항만 혼잡은 항만의 서비스 경쟁력 및 선화주의 항만 선택 요인으로 중요하게 인식된다. 우리나라 항만의 현행 체선지표인 체선율은 항만별 선박척수 비율로 단순 산정되어 항만의 고객인 선화주의 항만 선택 결정 및 항만관리자의 항만 개발 및 관리 운영 정책 수립 의사결정에 제한적으로 활용된다. 본 연구는 항만운영정보시스템과 해상교통관제시스템 원시자료를 활용하여 우리나라 항만의 선박 입출항 서비스 수준을 측정하고자 약 10년간의 부두별, 선종별 대기율을 산정하였다. 컨테이너선박의 대기율은 4% 미만, 비컨테이너선박의 대기율은 15% 미만으로 UNCTAD, OECD에서 제시한 적정 수준을 만족했다. 대기율 분석 결과, 포항항이 57%로 가장 높았고, 세부 부두별로는 포항 신항의 1부두, 8부두, 4부두, 5부두, 선종별로는 철강재운반선, 일반화물선, 산물선(벌크선) 등의 순으로 높았다. 선박의 접안시간에 대한 묘박지 대기시간의 비율로 측정되는 대기율과 함께 선석점유율, 선박 대기 척수 및 시간 등은 항만 고객의 관점에서 항만별 부두별 서비스 수준을 평가할 수 있는 유용한 지표이고, 나아가 항만관리자의 항만 투자의사결정이나 관리 운영 정책 수립에 중요한 지표로 활용될 수 있다.

• 한국건설관리학회논문집
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• 제19권1호
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• pp.43-53
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• 2018

모듈러 건축은 공장 생산 과정을 토해서 품질과 정확도를 향상 시킬 수 있고 같은 유닛을 반복적으로 만들어내기 때문에 대규모 생산과 비용 절감이 가능하다. 특히, 현장 작업과 공장 생산을 동시에 진행 할 수 있기 때문에 공기 단축이 가능하다. 그러나 실제 모듈러 건축 프로젝트 조사 보고서에 따르면 모듈러 건축과 기존 건축의 평균 공사 기간에서는 큰 차이를 보이고 있지 못하다. 이는 모듈러 건축 프로젝트의 실제 시공 시 발생하는 공기 지연 문제 때문이다. 따라서 실제 시공 시 공기 지연 방지를 위한 대안 선택이 필요하며, 특히 대규모 모듈러 건축 프로젝트 현장 시공의 경우 현장에서의 모듈 양중 및 조립 과정이 공장 생산과 동시에 진행되기 때문에 대안 파악이 공장과 현장을 동시에 고려하여 수행되어야 한다. 본 연구에서는 규모에 따른 모듈러 건축의 실제 시공 시 프로세스의 차이를 토대로 IDEF0 모델링을 통하여 대규모 모듈러 건축의 관리 요소를 파악하였고 이를 이용하여 공기 지연을 판단할 수 있는 공장 생산량과 현장 시공량 관리 모델을 개발하였다. 이를 이용하여 대규모 모듈러 건축 실제 시공 시 발생하는 공기 지연 문제를 감소시킬 수 있을 것이다.