• Asian Pacific Journal of Cancer Prevention
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• 제13권4호
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• pp.1105-1109
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• 2012

Breast cancer is the second most common cancer in women in India and the disease burden is increasing annually. The lack of awareness initiatives, structured screening, and affordable treatment facilities continue to result in poor survival. We present a breast cancer survival scenario, in urban population in India, where standardised care is distributed equitably and free of charge through an employees' healthcare scheme. We studied 99 patients who were treated at our hospital during the period 2005 to 2010 and our follow-up rates were 95.95%. Patients received evidence-based standardised care in line with the tertiary cancer centre in Mumbai. One-, three- and five-year survival rates were calculated using Kaplan-Meier method. Socio-demographic, reproductive and tumor factors, relevant to survival, were analysed. Mortality hazard ratios (HR) were calculated using Cox proportional hazard method. Survival in this series was compared to that in registries across India and discrepancies were discussed. Patients mean age was 56 years, mean tumor size was 3.2 cms, 85% of the tumors belonged to T1 and T2 stages, and 45% of the patients belonged to the composite stages I and IIA. Overall 5-year survival was 74.9%. Patients who presented with large-sized tumors (HR 3.06; 95% CI 0.4-9.0), higher composite stage (HR 1.91; 0.55-6.58) and undergone mastectomy (HR 2.94; 0.63-13.62) had a higher risk of mortality than women who had higher levels of education (HR 0.25; 0.05-1.16), although none of these results reached the significant statistical level. We observed 25% better survival compared to other Indian populations. Our results are comparable to those from the European Union and North America, owing to early presentation, equitable access to standardised free healthcare and complete follow-up ensured under the scheme. This emphasises that equitable and affordable delivery of standardised healthcare can translate into early presentation and better survival in India.

• 보건행정학회지
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• 제26권4호
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• pp.256-264
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• 2016

Equity-focused public health policy has solid theoretical and practical basis, in addition to ethical one. In the Republic of Korea (hereafter Korea), however, equity in health has not had a high priority in policy goals, regardless of policy areas and particular actors or approaches. Equitable health has been only a minor concern in most public health issues and their decision-making. Generic public health policies are needed to reduce inequity in health, but the importance of a firm basis for sound policy-making cannot be overemphasized. Health equity should be 'mainstreamed' in all public health policies. Potential approaches include intersectoral collaboration, health impact assessment, and 'Health in All Policies.' Public policy agendas for equitable health cannot be formulated without measurement and recognition of the problem. Korea is still suffering from the lack of reliable information on the current status of health inequity, resulting in a relatively weak awareness of the problem among both the general public and policy-makers. More information is needed to increase recognition and awareness that will increase intervention and actions. The absence of decision-making and actions should not be justified even by the lack of information on determinants and pathways of health inequities. Generic plausible solutions can often work in the real world according to political and social commitment. I have discussed several aspects of public health policy from the perspective of health equity, focusing on current status and plausible explanation. Policy process, agenda setting in particular, is highlighted and theories and concepts are presented along with analysis and description of current situation.

• 한국산업정보학회논문지
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• 제24권6호
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• pp.55-65
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• 2019

4차 산업혁명의 도래와 교육 환경의 변화에 따라 대학 수업에서 팀 단위의 과제 수행이 증가하고 있다. 팀 기반의 수업에서 효과적인 팀의 편성은 학생들의 만족도와 교육의 효과에 영향을 미치는 중요한 문제이지만, 기존의 연구들은 팀 편성의 결과에 대한 사후분석에 중점을 두고 있어서 실제 수업에서 활용하기는 어려웠다. 본 연구에서는 학생들의 능력을 비롯한 여러 특성들을 반영하여 균형적인 팀을 편성하는 방법에 대한 수리적 모형을 제시하였다. 배정의 기준이 되는 특성값들은 학생들의 능력값 처럼 점수일 수도 있고, 성별과 같이 2진값, 그리고 학년이나 학과와 같이 다중값인 경우를 포함한다. 이 문제는 균형배분문제의 일종으로 0-1 정수계획법의 형태를 가지며, 목적함수는 균형을 달성하는 방법에 따라 선형 또는 비선형이 된다. 본 연구에서 제시한 기본 모형이나 확장된 모형은 실제 수업에서 다양한 요소들을 고려하여 팀을 균형 있게 편성하는 상황에 응용이 가능하다.

• 환경정책연구
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• 제8권4호
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• pp.171-198
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• 2009

국가 온실가스 감축목표 설정과 더불어 이를 어떻게 달성해야 하는 이른바, 부문 간 책임배분의 문제는 주요 국가과제 중 하나다. 본 연구에서는 책임배분의 원칙 및 기준을 설정하고 할당지수를 이용해 부문 간 책임배분방안을 제시하였다. 주요 기준으로서 부문 간 저감잠재성, 배출증가율, 지불능력을 고려하였다. 본 연구에서는 저감잠재성만을 기준으로 할당할 경우와 비교분석하고 매우 상이한 결과를 도출될 수 있음을 제시하였다. 본 연구에서 제시한 방법론은 비용효율적인 동시에 사회적으로 수용 가능한 책임배분을 제시한 것으로서, 향후 국민경제 파급효과 분석 등을 거쳐 보다 면밀히 검토되어야 할 것이다.

• 한국기후변화학회지
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• 제9권4호
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• pp.357-368
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• 2018

The Paris Agreement, adopted in 2015, requires global mitigation actions by all countries, whether they are developed or developing countries. All member countries prepared and communicated a greenhouse gas reduction target, formally called the Intended Nationally Determined Contribution (INDC). There has been some concern regarding whether the INDCs communicated are sufficient to achieve the emissions reduction needed to hold the increase in global temperature to $2^{\circ}C$ above pre-industrial levels. How to address this emissions gap in an equitable and fair manner remains controversial. Beginning in the year 2023, global stocktaking under the Paris Agreement will be performed by the Conference of the Parties to assess progress towards temperature goals. The present study, based on various composite indicators reflecting equity, fairness, ability and efficiency, analyzed the GHG reduction targets of eleven major countries and the ambitiousness of these targets. Employing share indicators and comparative ratio indicators (resulting in eight composite indicators), this study showed that when share indicators are applied, Korea's appropriate reduction requirement rate is relatively low at 1~2%. However, when comparative ratio indicators are applied, Korea's appropriate reduction requirement rate increases dramatically to 6~11%. In a similar vein, when share indicators are applied, Korea's 2030 target is very ambitious compared to other countries, while the opposite is seen with comparative ratio indicators. This strongly suggests that Korea needs to apply more share indicators than comparative ratio indicators when discussing the equitable and ambitious role of Korea in the climate debate.

• 대한치과보철학회지
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• 제8권1호
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• pp.101-104
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• 1968

The author has corrected the patient of severe deep overbites by means of occlusal rehabilitation. The satisfied results obtained as follows; 1. The loss of occlusal surface due to occlusal wear rehabilitated anatomically, biologically and mechanically. 2. Decreased occlusal vertical dimension restored 2mm without inpairments of condylar function. 3. The satisfied masticatory efficiency will be obtained by changing the free way space from 7mm to 2mm. 4. The healthiness of periodontal structures maintained with the aid of most equitable distribution of masticatory forces.

• 대한가정학회지
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• 제39권9호
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• pp.137-152
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• 2001

On the basis of the equity theory, as the couple perceives their relationship is equitable, they tend to make decisions jointly and are satisfied with their family lives. Therefore this study is aimed to identify the relationship among perception of equity, decision-making styles and family life satisfaction in dual-career couples. As a result of analyzing the cause-effect relationship, it shows that many socioeconomic$.$psychological variables have direct indirect impact on family life satisfaction through medium factor, so this study proves the application of the cause-effect modes. However the influence of the perception of equity of wives were higher than husbands.

• 한국병원경영학회지
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• 제13권1호
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• pp.1-23
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• 2008

In the shortest period of time, we achieved both industrialization and democratization. We also achieved good performance in health care sector. Whole population are covered by health insurance since 1989 and health outcomes, such as infant mortality, life expectance show good level. However, health care system has several problems, rapidly increasing rate of health care expenditure, dissatisfaction of both consumers and suppliers. Current health care system does not reconcile with market competition principle. Causes of these problems originated from 1977 paradigm which was formed to expand health insurance to whole population within short period. Dominant assumption of 1977 paradigm is to assure equitable access of health care by government's command and control. We urgently demand to reform the 1977 paradigm to suitable in 21th century. Our economy entered into a road to advancement. We have concerns how President Lee's administration reform health care system to harmonize with economic development and to achieve advancement in health care sector.

• 가정과삶의질연구
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• 제16권2호
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• pp.107-122
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• 1998

It has been suggested that equity theory a social psychological theory concerned with the fairness in casual relationships should be applicable to marital relationships. This study describes the development of the scale for measuring perception of equity which measure the level of equity in marital relationships among Korean couples. PES(Perception of Equity Scale) is composed of two subscales; detailed measure of equity(DME) and global measure of equity(GME). The PES which include items from two areas of concern for intimates-pschological-emotional concern day-to-day concern-are describes. As results of test reliability of areas of DME range from .86 to .88 and reliability of GME is .92. And there are primarily evidences of construct validity of PES. Therefore PES is very reasonable scale to measure of equity/inequity perception in married couples. Finally analyzing of the level of equity in this sample husbands and wives has generally equitable relationships with their partn rs. Another findings suggest that husbands are overbenefited of their patners through marriage whereas wives are not.

• Neonatal Medicine
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• 제25권2호
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• pp.53-57
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• 2018

Even with the increasing number of high risk infants, neonatal care in Korea has undergone development with improved survival rate. This rapid improvement in the outcomes brought care quality in neonatal intensive care unit (NICU) to the surface. Quality improvement (QI) involves safe, timely, effective, efficient, equitable, and patient-centered care. In this review, methods of QI are described with examples of NICU QI topics. Each NICU can voluntarily develop a QI project, but systematic supports are essential. As human and systemic resources in NICUs in Korea are insufficient, institutional and national supports are necessary to attain QI. Furthermore, collaborative neonatal network can provide a QI standard and evidence based-medicine, as well as QI research.