• 한국항만경제학회지
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• 제39권4호
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• pp.147-161
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• 2023

기후변화를 비롯한 사회 문제가 심각해지면서 ESG 경영에 대한 인식은 전세계적으로 점점 높아지고 있다. 물류산업은 글로벌 공급망에서 중요한 역할을 담당하는 만큼 물류기업에 대한 ESG 경영 이행이 다양한 사회 구성원에게 요구되고 있다. 한국은 모든 기업을 대상으로 ESG 가이드라인을 마련하였으나, 물류기업 특히 중소·중견 물류기업의 특성을 고려하지 못한 한계점이 있다. 이에 본 연구는 기존 ESG 가이드라인과 대형 물류기업의 지속가능경영 사례, 선행연구 등을 검토함으로써 중소·중견 물류기업을 위한 ESG 경영 진단항목 후보를 정보공시(P), 환경(E), 사회(S), 지배구조(G) 4개 영역으로 도출하였다. 중소·중견 물류기업의 영세기업 특성을 고려한 진단항목을 축소하기 위해 본 연구는 물류기업 종사자 및 학계/연구기관 전문가 총 60명을 대상으로 설문조사를 진행하였으며, 조사결과를 토대로 주성분 분석 방법을 활용하였다. 주성분 분석결과는 정보공시의 4개 항목을 하나로 정의할 수 있으며, 환경은 16개 항목에서 3개 항목으로, 사회는 22개 항목에서 7개로, 지배구조는 20개에서 5개로 정의하였다. 본 연구는 중소·중견 물류기업 특성에 맞는 ESG 경영 진단항목을 제시하는 데에 있어 의미가 있다고 판단이 되며, 향후 유관기관에서의 가이드라인 마련과 중소·중견 물류기업에서의 ESG 경영 추진시 본 연구를 참고할 것으로 기대된다.

• Clinical and Experimental Pediatrics
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• 제45권3호
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• pp.376-382
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• 2002

목 적 : 최근에 고전적인 진단 기준을 만족하지 않는 비정형 가와사키병에 대한 보고가 증가하고 있어 이의 조기 진단 및 치료를 위한 진단 기준을 마련하고자 하였다. 방 법: 1998년 1월부터 2000년 6월까지 가와사키 병으로 진단 받은 환아 총 167명을 대상으로 비정형 가와사키병의 임상적 특징을 전형적 가와사키병과 비교 분석하였다. 결 과 : 1) 총 환아 167명 중 비정형 가와사키병은 28명(16.8%)이었고, 1세 미만 환아의 비율은 25.0%로 전형적 가와사키병에서의 16.5% 보다 높은 경향을 보였다(P=NS). 2) 전형군과 비정형군 간에 임상 증상의 발생 빈도를 비교하면 구강 점막 변화를 제외하고 안구 결막의 충혈, 부정형 발진, 사지 말단의 변화, 경부 림프절 종대는 비정형군에서 유의하게 낮았다. 비정형군의 임상 증상 중에서 구강 점막 변화가 제일 흔하며(96.4%), 다음으로 안구 결막 충혈(57.1%), 부정형 발진(46.4%)의 순이었다. 급성기의 검사 소견은 대부분 두 군간에 차이가 없었으며, 적혈구 용적 <35%, ESR >30mm/hr, CRP >3.1 mg/dL의 빈도는 두 군에서 모두 높았다. 3) 관상동맥 병변은 비정형군에서는 28명 중 7명(25.0%), 전형군에서는 139명 중 20명(14.4%)에서 발생하여 비정형군에서 빈도가 더 높은 경향을 보였다(P=NS). 4) 관상동맥 병변이 있는 환아 총 27명 중에서 7명(25.9%)이 비정형 가와사키병 환아였다. 5) 구강 점막 변화를 주기준, 안구 결막 충혈, 부정형 발진 및 적혈구 용적 <35%, ESR >30 mm/hr 또는 CRP >3.1 mg/dL을 부기준으로 할 때 발열과 주 기준 그리고 2개 이상의 부기준이 있을 때, 또는 발열과 4개의 부기준이 있을 때를 비정형 가와사키병의 진단 기준으로 정할 때 민감도는 89.3%였다. 결 론 : 비정형 가와사키병의 조기 진단을 위해 본 연구에서 제안한 진단 기준이 도움이 되리라고 생각된다.

• Clinical and Experimental Pediatrics
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• 제58권1호
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• pp.8-14
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• 2015

In patients with a language developmental delay, it is necessary to make a differential diagnosis for autism spectrum disorders (ASDs), specific language impairment, and mental retardation. It is important that pediatricians recognize the signs and symptoms of ASDs, as many patients with language developmental delays are ultimately diagnosed with ASDs. Pediatricians play an important role in the early recognition of ASDs, because they are usually the first point of contact for children with ASDs. A revision of the diagnostic criteria of ASDs was proposed in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) that was released in May 2013. The autism spectrum describes a range of conditions classified as neurodevelopmental disorders in the fifth edition of the DSM. The new diagnostic criteria encompasses previous elements from the diagnosis of autistic disorder, Asperger disorder, childhood disintegrative disorder, and pervasive developmental disorder-not otherwise specified. An additional change to the DSM includes synthesizing the section on social and communication deficits into one domain. In ASD patients, the appropriate behavioral therapies and rehabilitation treatments significantly affect the prognosis. Therefore, this makes early diagnosis and treatment very important. In conclusion, pediatricians need to be able to recognize the signs and symptoms of ASDs and be attentive to them in order to make an early diagnosis and provide treatment.

• 동의생리병리학회지
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• 제29권5호
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• pp.434-442
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• 2015

The purpose of this review was to survey the Korean Medicine related papers about women with primary dysmenorrhea in order to develop the clinical protocol of the diagnostic medical device. We searched the literature from 2000 through April 2015 using 5 online databases including Oriental Medicine Advanced Searching Integrated Sysptem (OASIS), Research Information Sharing Service (RISS), DataBase Periodical Information Academic (DBpia) and Korean Medical Database (KMBase). We selected papers to meet the following inclusion criteria: the papers involved dysmenorrhea (excluding secondary dysmenorrhea), published papers (excluding textbook, educational materials, conferences, etc.) and the papers matched search keywords or scope, but excluded papers to meet the following exclusion criteria: the duplicative papers, get out of the keywords and scope and not in english or korean language. Finally we found 17 papers and classified the papers according to the three search purposes which were diagnostic tools for evaluating the menstrual pain, dysmenorrhea' pattern identification and menstrual phase. Out of the 16 studies, 4 studies were focused on the diagnostic tools including Visual Analogue Scale (VAS), Measurement of Menstrual Pain (MMP) and etc. Other 5 studies were aimed at menstrual phase, and the other 7 studies were studied for pattern identification. The VAS has been widely used in research and in clinical practice for the detection of the menstrual pain. Treatments for patients with primary dysmenorrhea can be prescribed in consideration of their patterns of sasang constitution or body constitution as following: Qi stagnation-Blood deficiency, cold dampness, Qi deficiency-blood deficiency and liver-kidney deficiency etc. This results of research will be used as a useful material during plan a clinical study of primary dysmenorrhea and acquisition of good clinical data.

• Clinical Endoscopy
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• 제57권3호
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• pp.393-401
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• 2024

Background/Aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a highly accurate method for diagnosing pancreatic neuroendocrine tumors (PNETs); however, some PNETs are difficult to diagnose. Recently, the efficacy of needle-based confocal laser endomicroscopy (nCLE) in diagnosing solid pancreatic masses has been reported. However, the efficacy of nCLE in the diagnosis of PNETs remains unknown and only a small number of cases have been reported. Hence, this study aimed to evaluate the efficacy of nCLE in the diagnosis of PNETs. Methods: This single-center retrospective study evaluated 30 consecutive patients with suspected PNETs on contrast-enhanced computed tomography, who consented to nCLE combined with EUS-FNA and were diagnosed using EUS-FNA or surgical resection. The diagnostic criteria for PNETs using nCLE were based on the nesting and trabecular and glandular arrangement of tumor cell clusters surrounded by capillary vessels and fibrosis, as reported in previous studies. Results: The diagnosis using nCLE was classified into three categories: misdiagnosis in three cases (10%), non-diagnostic in six cases (20%), and diagnostic in 21 cases (70%). nCLE was able to diagnose PNET in one of the two cases with inconclusive EUS-FNA. Conclusions: Although further development of the resolution and optimization of the diagnostic criteria are required, nCLE may constitute a useful diagnostic option in cases of inconclusive EUS-FNA for PNETs.

• 대한골관절종양학회지
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• 제11권2호
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• pp.199-203
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• 2005

악성 흑색종은 일반적으로 피부에 발생하며 그 빈도가 매우 드문 질환이다. 특히 조갑하 흑색종은 흑색종 전체의 2% 이하로 빈도가 더욱 드물 뿐만 아니라 조갑에 발생하는 타 질환과의 감별이 어려워 초기에 오진하는 경우가 대부분이어서 예후가 나쁜 경우가 많다. 저자들은 초기에 오진된 무지 조갑하 흑색종에 대한 치료 경험을 통해 조갑하 흑색종에 대한 진단 접근법을 문헌고찰과 함께 보고하는 바이다.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2004년도 하계학술대회 논문집 A
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• pp.590-593
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• 2004

This paper presents recent trends on the on-line monitoring and diagnostic systems for oil-immersed transformers. Specially, our system on YeoSu thermal power plant is introduced for high sensitivity and accuracy of ours. It is combined with communication networks to provide an on-line remote monitoring system. Several alarm criteria are formulated to enable a superimposed monitoring system to perform decisive action. The reasons for monitoring the condition and maintaining the health of electrical apparatus were discussed. The experience at the fields and the criteria for the judgment are also discussed in detail.

• 생물정신의학
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• 제23권3호
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• pp.80-88
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• 2016

Vascular dementia is a very frequent form of dementia. Debates over classification and diagnostic criteria, and controversy over identifiable treatment targets will continue until distinct pathophysiological mechanism of vascular dementia is found. Clinical diagnostic criteria are sufficiently strong to be useful for clinical trials, but need further refinement. Cognitive changes in vascular dementia are more variable than other disorders, and are dependent on the vascular pathology. Accurate diagnosis of vascular dementia is known to need the presence of reliable cerebrovascular disease on brain imaging. Although it seems obvious that cerebrovascular disease causes pathological damage and impaired cognition, it is very difficult to find the accurate contribution of cerebrovascular pathology to cognitive decline. Most studies have shown a small but significant benefit of cholinesterase inhibitors on cognition, the significance of this effect has been slight and benefits on global functioning, activities of daily living, and behaviour have not been consistently reported. Management of vascular dementia should focus on identifying and managing vascular risk factors.

• Clinical and Experimental Pediatrics
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• 제55권3호
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• pp.83-87
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• 2012

Several authors suggested that the clinical characteristics of incomplete presentation of Kawasaki disease are similar to those of complete presentation and that the 2 forms of presentation are not separate entities. Based on this suggestion, a diagnosis of incomplete Kawasaki disease in analogy to the findings of complete presentation is reasonable. Currently, the diagnosis of incomplete Kawasaki disease might be made in cases with fewer classical diagnostic criteria and with several compatible clinical, laboratory or echocardiographic findings on the exclusion of other febrile illness. Definition of incomplete presentation in which coronary artery abnormalities are included as a necessary condition, is restrictive and specific. The validity of the diagnostic criteria of incomplete presentation by the American Heart Association should be thoroughly tested in the immediate future.

• Journal of the Korean Data and Information Science Society
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• 제25권6호
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• pp.1521-1530
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• 2014

The ROC analysis is considered for multiple class diagnosis. There exist many criteria to find optimal thresholds and measure the accuracy of diagnostic tests for k dimensional ROC analysis. In this paper, we proposed a diagnostic accuracy measure called the correct classification simple rate, which is defined as the summation of true rates for each classification distribution and expressed as a function of summation of sequential true rates for two consecutive distributions. This measure does not weight accuracy across categories by the category prevalence and is comparable across populations for multiple class diagnosis. It is found that this accuracy measure does not only have a relationship with Kolmogorov - Smirnov statistics, but also can be represented as a linear function of some optimal threshold criteria. With these facts, the suggested measure could be applied to test for comparing multiple distributions.