• 동서간호학연구지
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• 제1권1호
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• pp.22-39
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• 1997

Purpose: The purpose of this study is to evaluate the effect of rehabilitation education on the reduction of the stress of family members who have patients suffering from stroke and to find a new way to nurse the patients and their family. Subjects & Methods: The subjects were sixty-one family members with the patients who had been hospotalized in K hospital of oriental medicine from september the 9th, 1996 to september the fourteen, 1996. This study was performed by simulated control group pretest-posttest design; pretest was done on the control group through a questionnaire, counselling and observation while posttest was done on the experimental group 1-2 days after systemic rehabilitation education. To teach the patients and their family, the amended version of a book written by Lee Hae-jin was used as a tool for systemic rehabilitation education. As a method to estimate ADL score, modified Kang's method was applied and ADL score was measured by well-trained technician. As for the tool to estimate the degree of family stress, Choi's method adjusted to this study was applied. In the analysis of the data, social property of the patient and the characteristic of the disease were surveyed in $X^2$ examination to confirm the consistency between the experimental group and the control group. The diffrence in the degree of the stress, which is a dependent factor, was examined by t-test. The difference in ADL score between the experimental group and the control group was examined by t-test. The difference in the degree of the stress according to the general feature of the family with stroke patient, social property of the patients and the characteristic of the disease were surveyed by F examination. The difference in family stress according to the degree of ADL was surveyed by F examination. RESULTS: 1. After hypothetically-examined systemic rehabilitation education, the total of the score of family stress surveyed in 34 items of three domains was compared between the experimental group and the control group. There was no statistically significant difference between two groups; mean score of experimental group=2.28, that of control group=2.93(t=.17, df=59, p=. 66). 2. In the survey on family stress in 34 items, the items over mean score 3.0 were firstly the anxiety of possible disability and relapse of the disease and secondly to watch the patient's suffering without doing anything in the domain of the change of the disease and the difficulty in caring. And the items of the lowest stress with less than mean 2.0 score were little chance to meet the relative and friends, inconsistent treatment and attitude of the medical workers and the change of the attitude of the relative due to the patient orderly in the domain of social and personal relation and the responsibility as the family. The items which showed the difference between two groups were aggravation of neighboring patient(t=3.36, df= 59, p=.001) and the possibility of patient's death(t=2.19, df=58.38, p=.033) in the domain of the change of the disease and the difficulty in caring. 3. In the study on the stress difference according to general features of the family with the stroke patient, the score of family stress with the occupation was higher with mean 2.49 than that of the family stress without occupation with mean 2.16, but there was no significant difference. (F=5.21, df=1/59, p=.026). 4. In the study on the stress difference according to social property of the patient and the characteristic of the disease, there was significant difference in the age of the patients (F=2.98, df=3/57, p=.039). These results show that even if there is no statistically significant difference between two groups, sixteen of the experimental group are less than 3.0 in ADL score(standard 6 score)while eight of the control group are less than 3.0 and that ten of the experimental group are in the year range of 39-49 while four of the control group are in the year range of 39-49 which showed significant difference in family stress. These imply that there is a possibility that the experimental group have serious and fundamental stress resulting in high pretest stress compared with the control group. It might be due to the characteristic of simulated control group pretest-posttest design that the psychologic-supportive effect by the education was not observed. On the basis of these results, the followings are suggested. 1) A study on the nursing-mediated method to reduce the stress in the items which are not resolved by rehabilitation education, a study on nursing according to the patient's age and a study on the supportive nursing toward the family with occupation are required. 2) More than two times consecutive nursing-mediated rehabilitation education to measure the family stress is required. 3) Comprehensive and multilateral systemic education program including the instruction on western-eastern medicine, physical therapy, exercise and diet through collaboration of the experts in each field is required. 4) Family stress at home as well as in the hospital needs to be estimated and home rehabilitation and home-nursing needs to be continued.

• 지능정보연구
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• 제23권2호
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• pp.39-70
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• 2017

최근 여론조사 분야에서 데이터에 기반을 둔 분석 기법이 널리 활용되고 있다. 기업에서는 최근 출시된 제품에 대한 선호도를 조사하기 위해 기존의 설문조사나 전문가의 의견을 단순 취합하는 것이 아니라, 온라인상에 존재하는 다양한 종류의 데이터를 수집하고 분석하여 제품에 대한 대중의 기호를 정확히 파악할 수 있는 방안을 필요로 한다. 기존의 주요 방안에서는 먼저 해당 분야에 대한 감성사전을 구축한다. 전문가들은 수집된 텍스트 문서들로부터 빈도가 높은 단어들을 정리하여 긍정, 부정, 중립을 판단한다. 특정 제품의 선호를 판별하기 위해, 제품에 대한 사용 후기 글을 수집하여 문장을 추출하고, 감성사전을 이용하여 문장들의 긍정, 부정, 중립을 판단하여 최종적으로 긍정과 부정인 문장의 개수를 통해 제품에 대한 선호도를 측정한다. 그리고 제품에 대한 긍 부정 내용을 자동으로 요약하여 제공한다. 이것은 문장들의 감성점수를 산출하여, 긍정과 부정점수가 높은 문장들을 추출한다. 본 연구에서는 일반 대중이 생산한 문서 속에 숨겨져 있는 토픽을 추출하여 주어진 제품의 선호도를 조사하고, 토픽의 긍 부정 내용을 요약하여 보여주는 제품 평판 마이닝 알고리즘을 제안한다. 기존 방식과 다르게, 토픽을 활용하여 쉽고 빠르게 감성사전을 구축할 수 있으며 추출된 토픽을 정제하여 제품의 선호도와 요약 결과의 정확도를 높인다. 실험을 통해, K5, SM5, 아반떼 등의 국내에서 생산된 자동차의 수많은 후기 글들을 수집하였고, 실험 자동차의 긍 부정 비율, 긍 부정 내용 요약, 통계 검정을 실시하여 제안방안의 효용성을 입증하였다.

• Asia pacific journal of information systems
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• 제20권2호
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• pp.125-155
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• 2010

Ontologies have been adopted in various business and scientific communities as a key component of the Semantic Web. Despite the increasing importance of ontologies, ontology developers still perceive construction tasks as a challenge. A clearly defined and well-structured methodology can reduce the time required to develop an ontology and increase the probability of success of a project. However, no reliable knowledge-engineering methodology for ontology development currently exists; every methodology has been tailored toward the development of a particular ontology. In this study, we developed a Graduation Screen Ontology (GSO). The graduation screen domain was chosen for the several reasons. First, the graduation screen process is a complicated task requiring a complex reasoning process. Second, GSO may be reused for other universities because the graduation screen process is similar for most universities. Finally, GSO can be built within a given period because the size of the selected domain is reasonable. No standard ontology development methodology exists; thus, one of the existing ontology development methodologies had to be chosen. The most important considerations for selecting the ontology development methodology of GSO included whether it can be applied to a new domain; whether it covers a broader set of development tasks; and whether it gives sufficient explanation of each development task. We evaluated various ontology development methodologies based on the evaluation framework proposed by G$\acute{o}$mez-P$\acute{e}$rez et al. We concluded that METHONTOLOGY was the most applicable to the building of GSO for this study. METHONTOLOGY was derived from the experience of developing Chemical Ontology at the Polytechnic University of Madrid by Fern$\acute{a}$ndez-L$\acute{o}$pez et al. and is regarded as the most mature ontology development methodology. METHONTOLOGY describes a very detailed approach for building an ontology under a centralized development environment at the conceptual level. This methodology consists of three broad processes, with each process containing specific sub-processes: management (scheduling, control, and quality assurance); development (specification, conceptualization, formalization, implementation, and maintenance); and support process (knowledge acquisition, evaluation, documentation, configuration management, and integration). An ontology development language and ontology development tool for GSO construction also had to be selected. We adopted OWL-DL as the ontology development language. OWL was selected because of its computational quality of consistency in checking and classification, which is crucial in developing coherent and useful ontological models for very complex domains. In addition, Protege-OWL was chosen for an ontology development tool because it is supported by METHONTOLOGY and is widely used because of its platform-independent characteristics. Based on the GSO development experience of the researchers, some issues relating to the METHONTOLOGY, OWL-DL, and Prot$\acute{e}$g$\acute{e}$-OWL were identified. We focused on presenting drawbacks of METHONTOLOGY and discussing how each weakness could be addressed. First, METHONTOLOGY insists that domain experts who do not have ontology construction experience can easily build ontologies. However, it is still difficult for these domain experts to develop a sophisticated ontology, especially if they have insufficient background knowledge related to the ontology. Second, METHONTOLOGY does not include a development stage called the "feasibility study." This pre-development stage helps developers ensure not only that a planned ontology is necessary and sufficiently valuable to begin an ontology building project, but also to determine whether the project will be successful. Third, METHONTOLOGY excludes an explanation on the use and integration of existing ontologies. If an additional stage for considering reuse is introduced, developers might share benefits of reuse. Fourth, METHONTOLOGY fails to address the importance of collaboration. This methodology needs to explain the allocation of specific tasks to different developer groups, and how to combine these tasks once specific given jobs are completed. Fifth, METHONTOLOGY fails to suggest the methods and techniques applied in the conceptualization stage sufficiently. Introducing methods of concept extraction from multiple informal sources or methods of identifying relations may enhance the quality of ontologies. Sixth, METHONTOLOGY does not provide an evaluation process to confirm whether WebODE perfectly transforms a conceptual ontology into a formal ontology. It also does not guarantee whether the outcomes of the conceptualization stage are completely reflected in the implementation stage. Seventh, METHONTOLOGY needs to add criteria for user evaluation of the actual use of the constructed ontology under user environments. Eighth, although METHONTOLOGY allows continual knowledge acquisition while working on the ontology development process, consistent updates can be difficult for developers. Ninth, METHONTOLOGY demands that developers complete various documents during the conceptualization stage; thus, it can be considered a heavy methodology. Adopting an agile methodology will result in reinforcing active communication among developers and reducing the burden of documentation completion. Finally, this study concludes with contributions and practical implications. No previous research has addressed issues related to METHONTOLOGY from empirical experiences; this study is an initial attempt. In addition, several lessons learned from the development experience are discussed. This study also affords some insights for ontology methodology researchers who want to design a more advanced ontology development methodology.

• 가정∙방문간호학회지
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• 제6권
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• pp.33-45
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• 1999

The purpose of this study was to develop a basic framework and criteria for evaluation of quality care provided to patients with the attributes of disease in the home care nursing field, and to provide measurement tools for home health care in the future. The study design was a developmental study for evaluation of hospital-based HCN(home care nursing) in Korea. The study process was as follows: a home care nursing study team of College of Nursing. Yonsei University reviewed the nursing records of 47 patients who were enrolled at Yonsei University Medical Center Home Care Center in March, 1995. Twenty-five patients were insured at that time, were selected from 47 patients receiving home care service for study feasibility with six disease groups; Caesarean Section (C/S), simple nephrectomy, Liver cirrhosis(LC), chronic obstructive pulmonary disease(COPD), Lung cancer or cerebrovascular accident(CVA). In this study, the following items were selected : First step : Preliminary study 1. Criteria and items were selected on the basis of related literature on each disease area. 2. Items were identified by home care nurses. 3. A physician in charge reviewed the criteria and content of selected items. 4. Items were revised through preliminary study offered to both HCN patients and discharged patients from the home care center. Second step : Pretest 1. To verify the content of the items, a pretest was conducted with 18 patients of which there were three patients in each of the six selected disease groups. Third step : Test of reliability and validity of tools 1. Using the collected data from 25 patients with either cis, Simple nephrectomy, LC, COPD, Lung cancer, or CVA. the final items were revised through a panel discussion among experts in medical care who were researchers, doctors, or nurses. 2. Reliability and validity of the completed tool were verified with both inpatients and HCN patients in each of field for researches. The study results are as follows: 1. Standard for discharge with HCN referral The referral standard for home care, which included criteria for discharge with HCN referral and criteria leaving the hospital were established. These were developed through content analysis from the results of an open-ended questionnaire to related doctors concerning characteristic for discharge with HCN referral for each of the disease groups. The final criteria was decided by discussion among the researchers. 2. Instrument for measurement of health statusPatient health status was measured pre and post home care by direct observation and interview with an open-ended questionnaire which consisted of 61 items based on Gorden's nursing diagnosis classification. These included seven items on health knowledge and health management, eight items on nutrition and metabolism, three items on elimination, five items on activity and exercise, seven items on perception and cognition, three items on sleep and rest, three items on self-perception, three items on role and interpersonal relations, five items on sexuality and reproduction, five items on coping and stress, four items on value and religion, three items on family. and three items on facilities and environment. 3. Instrument for measurement of self-care The instrument for self-care measurement was classified with scales according to the attributes of the disease. Each scale measured understanding level and practice level by a Yes or No scale. Understanding level was measured by interview but practice level was measured by both observation and interview. Items for self-care measurement included 14 for patients with a CVA, five for women who had a cis, ten for patients with lung cancer, 12 for patients with COPD, five for patients with a simple nephrectomy, and 11 for patients with LC. 4. Record for follow-up management This included (1) OPD visit sheet, (2) ER visit form, (3) complications problem form, (4) readmission sheet. and (5) visit note for others medical centers which included visit date, reason for visit, patient name, caregivers, sex, age, time and cost required for visit, and traffic expenses, that is, there were open-end items that investigated OPD visits, emergency room visits, the problem and solution of complications, readmissions and visits to other medical institution to measure health problems and expenditures during the follow up period. 5. Instrument to measure patients satisfaction The satisfaction measurement instrument by Reisseer(1975) was referred to for the development of a tool to measure patient home care satisfaction. The instrument was an open-ended questionnaire which consisted of 11 domains; treatment, nursing care, information, time consumption, accessibility, rapidity, treatment skill, service relevance, attitude, satisfaction factors, dissatisfaction factors, overall satisfaction about nursing care, and others. In conclusion, Five evaluation instruments were developed for home care nursing. These were (1)standard for discharge with HCN referral. (2)instrument for measurement of health status, (3)instrument for measurement of self-care. (4)record for follow-up management, and (5)instrument to measure patient satisfaction. Also, the five instruments can be used to evaluate the effectiveness of the service to assure quality. Further research is needed to increase the reliability and validity of instrument through a community-based HCN evaluation.

• 가정∙방문간호학회지
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• 제8권1호
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• pp.5-24
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• 2001

The purpose of this study was to develop a parenting intervention program and determine the efficacy of the program with low-birth weight infants and their mothers. Nine dyads for the experimental group and twelve dyads for the control group discharged from the Neonatal Intensive Care Unit of a University Hospital in Seoul were recruited for the study. For the intervention group, programmed education and support which focused on the maternal sensitivity of the infant's behavior. rearing environment. motherinfant interaction and infant care were given to each subject. Individual counseling and home visits were provided at discharge, one week after discharge. and one and three months of corrected age in every infant. Structured questionaires were administered and feeding interactions were videotaped and coded by a blinded certified observer. A Quasi-experimental design was conducted for this study. Postpartum depression, maternal self esteem. infant care burden, HOME. mother-infant interaction, and infant development were measured. Results were in favor of the intervention versus the control group. On the Beck depression inventory, intervention mothers showed decreasing trends in depressive symptom vs control mothers although, there were statistically no significant differences between the two groups at each time. The mean score of experimental group was 11.55(mild depression state) at discharge and became 8,6(normal state) at 1 month of corrected age. On the other hand, the mean score of the control group was 13.92(mild depression state) at discharge and became 14.0. Maternal self esteem in both groups improved over time. Infant care burden in both groups was also shown to increase over time. There was a significant difference between the two groups in HOME(p=.0340) at 3 months of corrected age. HOME scores of the experimental group and the control's were 31.10 and 25.58, respectively. Mothers' emotional and language responses were significantly high in the intervention group compared with the control group(p=.0155). Intervention group (53.33) showed a significantly high quality of motherinfant interaction compared with the in control group (42.80)(p =.0340). Intervention group mothers appeared have a better quality of mother-infant interaction behaviors. On the other hand, there was no statistical difference in the infant part between groups. Intervention group infants had higher trends in a general developmental quotient: although, there was no statistical difference between groups. The general developmental quotient of intervention infants was 102.56 and control's was 91.28. However, the developmental quotient of the domain of 'individuality-sociality' was higher in the intervention group infants compared with the control's(p=.0155). The concerns identified by parents revealed two domains of an infants' health management -knowledge and skills in caregiving of lowbirthweight-infants, characteristics of lowbirthweight infants, identifying a developmental milestone, coping with emergency situations and relaxation strategies of mothers from the infant care burden. Interview data with the mothers of low-birth weight infants can be used to develop intervention program contents. Limited intervention time and frequency due to time and cost limitations of this study should be modified. The intervention should be continuously implemented when low-birth weight infants become three years old. An NNNS demonstration appeared to be a very effective intervention for the mothers to improve the quality of mother-infant interactions. Therefore intervening in the mothers of low-birth weight infants as early after delivery as possible is desirable. This study has shown that home visit interventions are worthwhile for mothers only beyond the approach as an essential factor in ability of facilitating a growth fostering environment. In conclusion. the intervention program of this study was very effective in enhancing the parenting for the mothers of low-birth weight infants, resulting in health promotion of low-birth weight infants. The home-visit outreach intervention program of this study will contribute to the health delivery system in this country where there is a lack of continuous follow-up programs for low-birth weight infants after discharge from NICU, if it is activated as part of the home visit programs in community health systems.

• 대한공업교육학회지
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• 제33권1호
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• pp.149-168
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• 2008

이 연구의 목적은 공업계열 전문계고등학교의 디지털 논리 회로 과목에서 '조합 논리 회로'단원에 시뮬레이션 수업을 적용하여 학생들의 디지털 논리회로에 대한 학업성취도에 미치는 효과를 알아보는 데 있다. 이 연구를 위해 경상북도에 소재한 공업계열 전문계고등학교 3학년 2개 학급을 실험 집단과 통제 집단으로 선정하였고, 3개의 영가설을 설정하여 검증하였다. 실험 설계는 이질통제집단 전후검사 설계를 사용하였다. 실험은 총 6차시에 걸쳐 이루어 졌으며, 실험 집단에는 PSpice 시뮬레이션 수업을 적용한 후 브레드보드를 이용한 실습을 실시하였고, 통제 집단에는 전통적인 강의식 수업을 적용한 후 브레드보드를 이용한 실습을 실시하였다. 자료의 통계 처리는 SPSSWIN (ver 10.0) 프로그램을 사용하였고, 두 집단의 평균 차이가 통계적으로 유의미한지 알아보기 위해 유의수준 .05로 설정하여 독립표본 t-검증을 하였다. 이 연구에서 얻어진 결론은 다음과 같다. 첫째, 시뮬레이션 수업은 집단 유형에 따른 학업성취 전체 영역에 대해서는 효과적인 수업 방법이라고 할 수 없다. 그러나 심동적 영역에서는 학업 성취도 향상에 효과적이었다. 둘째, 시뮬레이션 수업은 학업 수준에 따른 학업성취 전체 영역에 대해서는 효과적인 수업 방법이라고 할 수 없다. 그러나 인지적 영역과 심동적 영역에서는 중 하위 집단에, 정의적 영역에서는 하위 집단에 효과적이었다. 셋째, 시뮬레이션 수업은 실습 소요 시간의 단축에 효과적인 수업 방법이라고 할 수 없다. 그러나 하위 집단의 실습 소요 시간의 단축에는 효과적이었다. 이상의 연구 결과 시뮬레이션 수업은 주로 심동적 영역에서 효과적이었고, 상위 집단보다는 하위 집단으로 갈수록 학업 성취에 있어서 효과적이라는 것을 알 수 있었다. 그러므로 다양한 교수 학습 방법을 활용함으로써 학습 효과를 높일 수 있다는 점을 시사해 준다.

• 지능정보연구
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• 제23권1호
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• pp.95-108
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• 2017

최근 알파고의 등장으로 딥러닝 기술에 대한 관심이 고조되고 있다. 딥러닝은 향후 미래의 핵심 기술이 되어 일상생활의 많은 부분을 개선할 것이라는 기대를 받고 있지만, 주요한 성과들이 이미지 인식과 자연어처리 등에 국한되어 있고 전통적인 비즈니스 애널리틱스 문제에의 활용은 미비한 실정이다. 실제로 딥러닝 기술은 Convolutional Neural Network(CNN), Recurrent Neural Network(RNN), Deep Boltzmann Machine (DBM) 등 알고리즘들의 선택, Dropout 기법의 활용여부, 활성 함수의 선정 등 다양한 네트워크 설계 이슈들을 가지고 있다. 따라서 비즈니스 문제에서의 딥러닝 알고리즘 활용은 아직 탐구가 필요한 영역으로 남아있으며, 특히 딥러닝을 현실에 적용했을 때 발생할 수 있는 여러 가지 문제들은 미지수이다. 이에 따라 본 연구에서는 다이렉트 마케팅 응답모델, 고객이탈분석, 대출 위험 분석 등의 주요한 분류 문제인 이진분류에 딥러닝을 적용할 수 있을 것인지 그 가능성을 실험을 통해 확인하였다. 실험에는 어느 포르투갈 은행의 텔레마케팅 응답여부에 대한 데이터 집합을 사용하였으며, 전통적인 인공신경망인 Multi-Layer Perceptron, 딥러닝 알고리즘인 CNN과 RNN을 변형한 Long Short-Term Memory, 딥러닝 모형에 많이 활용되는 Dropout 기법 등을 이진 분류 문제에 활용했을 때의 성능을 비교하였다. 실험을 수행한 결과 CNN 알고리즘은 비즈니스 데이터의 이진분류 문제에서도 MLP 모형에 비해 향상된 성능을 보였다. 또한 MLP와 CNN 모두 Dropout을 적용한 모형이 적용하지 않은 모형보다 더 좋은 분류 성능을 보여줌에 따라, Dropout을 적용한 CNN 알고리즘이 이진분류 문제에도 활용될 수 있는 가능성을 확인하였다.

• 지능정보연구
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• 제21권4호
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• pp.79-92
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• 2015

미래 핵심 가치 기술 발굴 및 탐색을 위해서는 범국가적인 국가R&D정보와 과학기술정보의 연계 융합이 필요하다. 본 논문에서는 국가R&D정보와 과학기술정보를 온톨로지와 토픽모델링을 사용하여 연계 융합하여 지식베이스를 구축한 방법론을 소개하고, 이를 기반으로 한 다차원 연계 지식맵 서비스를 소개한다. 국가R&D정보는 국가R&D과제와 참여인력, 해당 과제에 대한 성과 정보, 논문, 특허, 연구보고서 정보들을 포함한다. 과학기술정보는 논문, 특허, 동향 등의 과학기술연구에 대한 기술 문서를 일컫는다. 본 논문에서는 지식베이스에서의 지식 처리 및 관리의 효율성을 높이기 위해 Lightweight 온톨로지를 사용한다. Lightweight 온톨로지는 국가R&D과제 참여자와 성과정보, 과학기술정보를 과제-성과 관계, 문서-저자 관계, 저자-소속기관 관계 등의 단순한 연관관계를 이용하여 국가R&D정보와 과학기술정보를 융합한다. 이러한 단순한 연관관계만을 이용함으로써 지식 처리의 효율성을 높이고 온톨로지 구축 과정을 자동화한다. 보다 구체적인 Concept 레벨에서의 온톨로지 구축을 위해 토픽모델링을 활용한다. 토픽모델링을 활용하여 국가R&D정보와 과학기술정보 문서들의 토픽 주제어를 추출하고 각 문서 간 연관관계를 추출한다. 일반적인 Concept 레벨에서의 Fully-Specified 온톨로지를 구축하기 위해서는 거의 100% 수동으로 해야 하기 때문에, 많은 시간과 비용이 소모된다. 본 연구에서는 이러한 수동적인 온톨로지 구축이 아닌 자동화된 온톨로지 구축을 위해 토픽모델링을 활용한다. 토픽모델링을 활용하여 온톨로지 구축에 필요한 문서와 토픽 키워드 간의 관계, 문서 간 의미 상 연관관계를 자동으로 추출한다. 마지막으로, 이와 같이 구축된 지식베이스의 트리플(Triple) 정보를 활용하여, 연구자들의 공동저자관계, 문서간의 공통주제어관계 등을 연구자, 주제어, 기관, 저널 등의 다차원 연관관계를 방사형 네트워크 형식을 이용하여 시각화한 지식맵 서비스들을 소개한다.