• 한국임상약학회지
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• 제18권2호
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• pp.75-83
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• 2008

Purpose: Currently lung cancer ranks second in cancer for incidence rate and is a disease that ranks first for a death rate by cancerous growth because it is already advanced at the time of diagnosis. The purpose of this paper was to analyze the factors that affect the effectiveness of and rash occurrence by Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor (EGFR TKI) in patients with non-small cell lung cancer. Methods: A retrospective chart review of 100 patients, who took EGFR TKI (erlotinib, gefitinib) among patients who were diagnosed with non-small cell lung cancer in a Hospital in Korea between May 2005 and February 2008, was conducted. The drug effectiveness was evaluated by Response Evaluation Criteria In Solid Tumor. Results: EGFR mutation was the only factor associated with drug response (complete response and partial response). When stable disease was added to drug response as the evaluation parameter, ECOG and rash as well as EGFR mutation were found to be important factors. Survival, however, was not affected by EGFR mutation. The factors influenced on survival were older age (${\geq}65$), low ECOG ($1{\sim}2$), adenocarcinoma and rash. In the case of rash, group with EGFR mutation or low ECOG showed significantly higher chance of occurrence. There was no significant difference in rash occurrence between gefitinib and erlotinib groups. Conclusions: Based on the results, EGFR mutation positive and low ECOG ($1{\sim}2$) were significantly important factors for both effectiveness of EGFR TKI and rash occurrence. Also, rash itself was found to be an independently significant factor for the disease control and survival. Therefore, while administering EGFR TKI, patients who have the factors associated with rash occurrence should be closely monitored for effective and safe drug therapy.

• 재활복지공학회논문지
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• 제7권2호
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• pp.117-124
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• 2013

목적 : 본 연구의 목적은 국립재활원에서 운전인지평가(CPAD: Cognitive Percpetual Assessment for Driving)를 받은 뇌졸중 환자들의 현재 운전실태를 조사하고 CPAD와 안전운전과의 연관성을 알아보기 위함이다. 방법 : 국립재활원에서 CPAD평가를 받은 뒤 전화인터뷰에 응한 48명의 뇌졸중 환자를 대상으로 하였다. 의무기록자료를 통해 기본적인 정보와 CPAD점수, KMMSE점수 등을 취득하였으며 전화설문을 통해 운전실태에 대하여 조사하였다. 결과 : 48명의 응답자 중 12명이 현재 운전을 하고 있다고 응답하였고, 36명은 운전을 하지 않고 있었다. 운전을 하고 있는 사람의 CPAD 평균 점수는 하지 않는 사람의 CPAD 평균 점수에 비해 더 높았다(평균=54.13 vs 47.80, p<0.05). CPAD의 합격군이 불합격군보다 현재 운전을 하고 있을 확률이 더 높았다(OR=8.3, 95%CI=1.9331-35.558). 결론 : CPAD의 합격군에 속하는 사람이 불합격군에 속한 사람보다 현재 운전을 하고 있을 확률이 더 높았으며, 사고를 경험할 확률이 더 낮았다. 따라서 CPAD는 운전과 관련이 있는 시지각 및 기타 인지기능 평가도구로 사용될 수 있을 것이다.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2008년도 정기학술발표대회 논문집
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• pp.843-846
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• 2008

현재 일본에서는 시설의 유지관리 및 운영에 대한 연구가 증가하는 추세에 있으나, 주로 주택과 민간 오피스시설에 집중되어 있다. 공공시설의 경우, 국가차원에서 실시한 전체의 대략적인 스톡량 조사 및 유지보전에 관한 개념 및 수법 제시 등에 머물러 있는 실정이다. 지금까지, 국민의 세금으로 운영되어오던 공공시설은 장수명화 및 성능유지를 위한 노력이 많이 결여되어 있었다. 하지만, 저출산 고령화로 인한 세수의 감소, 에너지수급의 위기, $CO^2$발생량 저감 등 현재에 직면한 여러 가지 문제를 극복하기 위하여, 기존 보유시설의 장수명화 및 효율적인 운영관리의 구현은 필수적인 과제가 되었다. 따라서, 본 연구에서는 공공시설 중에서 특히, 재정상황이 좋지 않다고 하는 지방자치단체의 시설운영관리 현황을 파악하고, 지자체간 비교분석을 실시하였다. 그 결과로, 좋지 않은 재정상황 중에서도 에 너비소비효율 및 시설이용상황 등 양호한 결과를 보인 지자체를 확인하였고, 비용투입확대를 통한 유지관리실시 이외에도 기존의 활동 중에서 벤치마킹의 가능성을 확인하였다.

• 한국보건간호학회지
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• 제6권2호
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• pp.58-69
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• 1992

The purposes of this study were 1) to assess the currunt documentation system 2) to identify the problems in communication regarding to documentation 3) to develop new documentation system 4) to suggest effective communication channel using new documentation system Research was conducted by direct observation, chart review, staffs interview and servey. Results were as follows: 1) nursing care plans were not used in ongoing care 2) documentation format was primarily narrative and charting was time consuming 3) documentation did not reflect the nursing process 4) patient records were not used as effective communication tool between case manager and part time nurse 5) difficult access to patient record for nurse manager created inefficiency in coordinating 6) documentation of patient education did not describe the precise contents of education, and the responses of the patients and evaluation To solve these problems, new documentation format was developed. With new formats nurses : 1) use standardized care plan which contains nursing diagnosis, ecpected outcome, time frame for evaluation, flow sheet for updating the plans 2) leave one copy of care plan at patient home for mutual agreement with patent and communication among nursing staffs 3) carry one copy of care plan for updating 4) document and evaluate the patient education using education check list keeping in patient's home 5) document nursing process in focus charting visit report 6) carry one copy of visit report 7) have one copy of visit report which was deligated to part time nurses 8) use documentation in direct communication with part time nurse 9) use beeper and memo to promote communication

• 한국콘텐츠학회논문지
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• 제16권6호
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• pp.529-536
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• 2016

본 연구의 목적은 차별적 경찰대응전략의 품질을 평가하는 것이다. 새로운 경찰대응시스템이 도입된 지 약 3년이 지났지만, 이를 실증적으로 평가한 연구는 미비한 실정이다. 2가지 종류의 통계적 품질관리 기법을 활용하여, 2012년 한해동안 익산경찰서에 신고된 약 3,000건의 경찰데이터를 분석하였다. "Xbar-R 관리도"의 분석결과, 경찰은 긴급출동신고전화 (Code 1)에 지속적으로 신속히(3분 이내) 대응하지 못하는 것으로 나타났다. 더불어 "P 관리도"의 분석결과, 경찰은 비긴급출동신고전화 (Code 2)에 5분이내로 대응하지 못한 출동건수의 월별 상이성이 큰 것으로 나타났다. 본 연구에서 알 수 있듯이 경찰이 추구하는 "신속한" 수준의 대응전략에 있어 코드별 목표대응시간에 대하여 재검토 할 필요성이 제기된다.

• 디지털융복합연구
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• 제15권10호
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• pp.83-92
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• 2017

본 연구의 목적은 부산광역시에 있는 중소 제조기업인 I사를 중심으로 중소기업에 적합하고 경영환경에 맞는 BSC를 구축하는 것으로, 다른 중소기업들이 이 사례연구를 통해 BSC 구축시 거쳐야 하는 중요한 과정과 각 과정별로 중요한 내용을 참고할 수 있도록 하였으며 BSC가 구축된 이후 기업에 접목하는 과정에서 발생하는 문제점에 대해서 개선 방안을 제시하였다. 또한 수요시장의 환경변화에 따라 주요 사업부문이었던 RDS에서 새로운 SSS로의 사업전략의 변화를 목표로, 사례기업에 맞는 BSC를 구축하였다. 전사적 차원 뿐 아니라 각 팀별로 전략체계도를 작성하고 각 관점별 전략목표, 핵심성공요인 및 핵심성과지표를 한눈에 살펴볼 수 있도록 하였다. 마지막으로 기업전체 뿐 아니라 각 팀별로 스마트차트를 작성하여 관점별 점수와 전략목표, 핵심성공요인, 핵심성과지표의 가중치와 목표점수, 실적, 달성율까지 쉽게 계산할 수 있는 중소기업 맞춤형 성과평가시스템을 구축하였다는 점에서 본 연구의 의의를 가진다.

• 한국태양에너지학회 논문집
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• 제29권6호
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• pp.81-87
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• 2009

The purpose of this study is to evaluate of the outdoor thermal environment by building scale and block type as variable factors. In this study, 18 cases of office in central business district that have different condition are compared about their surface temperature, HIP(Heat Island Potential), and MRT(Mean Radiant Temperature). They are simulated with 3-dimension numerical simulation software named Hoyano-model. The output results contain visualized distribution chart and numerical data. The results of evaluation are as follows. (1)The surface temperature of the building becomes higher as building coverage ratio is higher but floor area ratio is lower. In same conditions, unified block type is maximum $3.2^{\circ}C$ higher than divided block type. (2)HIP shows different daily pattern as block type. During daytime, divided block type is much higher than unified block type but after sunset, it is changed. (3)MRT shows different distribution pattern as sunlight moves expecially at noon. (4)As the results of this study, cases that have high floor area ratio condition show lower surface temperature by tendency to stay low indoor temperature in office building and big rate of windows on building surface.

• 환경영향평가
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• 제27권1호
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• pp.33-55
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• 2018

생물다양성 감소의 가장 주요한 원인으로 외래생물의 유입이 지적되고 있으며, 특히 침입외래종으로 인한 서식지 파괴, 경제적 손실, 인체 피해 등이 가속화되고 있다. 국내에 유입된 외래생물은 2167종으로 생태계위해성평가를 통해 위해성이 높은 꽃매미(Lycorma delicatula), 붉은불개미(Solenopsis invicta), 뉴트리아(Myocastor coypus), 갯줄풀(Spartina alterniflora) 등 21종이 생태계교란 생물로 지정되어 있다. 국내에 유입될 경우 생태계에 부정적인 영향을 줄 수 있는 위해우려종은 생태계위해성심사를 통해 127종이 지정되어 있다. 이처럼 외래생물을 목록화하여 유입을 사전에 예방하고, 유입된 외래생물에 대한 피해를 최소화하기 위해 생물다양성 보전 및 이용에 관한 법률이라는 국가차원의 관리제도가 마련되었으나, 위험도에 따른 체계적인 관리체계 구축이 부족한 실정이며, 위해성 예측시 평가기준 및 분류군별 생태적 특성을 반영한 위해성평가표가 개발되어야 할 것이다.

• Child Health Nursing Research
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• 제8권3호
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• pp.302-312
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• 2002

This descriptive exploratory study was conducted to analyze the results of developmental screening test using DDST and the follow-up diagnostic evaluation in one public health center, and to evaluate the feasibility of developmental screening in nursing. Samples were 373 children under 6 years who visited the public health center. Mothers' satisfaction on the developmental clinic was also determined. Summaries of the results were as follows:v 1. 0.5% of children in height and 1.9% of children in weight were included in below 3 percentile of Korean children's growth chart, but none of them showed developmental delay. 2. The results of DDST showed 92.1% of subjects were classified as normal, 3.7% as abnormal, and 4.2% as questionable among 354 children. 3. Most of children who showed the abnormal development at the first DDST were confirmed having the developmental delay at the follow-up diagnostic evaluation. On the other hand, most of children who showed the questionable development at the first DDST revealed having the normal development in follow-up screening test. 4. The result of the DDST was influenced by the birth order of the subject and delivery type. 5.The mean satisfaction score by mothers on developmental clinic was 4.35 in 5 Likert scale. In conclusion, we could certain the feasibility and usefulness of developmental screening in community and child care nursing. To fulfil the increasing needs of mothers with infants on the child development, nurses have to provide anticipatory guidance and parent education in addition to the developmental screening test. We hope to expand the developmental screening in nursing field not only of clinical setting but also of community.

• Ocean Systems Engineering
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• 제8권1호
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• pp.1-20
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• 2018

The target area of the proposed study, Mamaia beach, is a narrow stretch of sand barrier island that sits between the Siutghiol Lake and the Black Sea. In the northern part of the bay, is located the Midia Port, where between 1966 and 1971 a long extension of 5 km of the offshore was built. Because of this extension, the natural flow of sediments has been significantly changed. Thus, the southern part of the Mamaia Bay had less sand nourishment which meant that the coast was eroding and to prevent it a protection of six dikes was built. After approximately forty years of coastal erosion, the south of the Mamaia Bay had in 2016 a new protection scheme, which includes first of all the beach nourishment and a new dike structure (groins scheme for protection) to protect it. From this perspective, the objective of the proposed study is to evaluate the effectiveness of the old Master plan against the new one by modeling the outcome of the two scenarios and to perform a comparison with a third one, in which the protection dikes do not exist and only the artificial nourishment has been done. In order to assess the wave processes and the current patterns along the shoreline, a complex computational framework has been applied in the target area. This joins the SWAN spectral phase averaged model with the 1D surf model. Furthermore, new UAV technology was also used to map out, chart and validate the numerical model outputs within the target zone for a better evaluation of the trends expected in the shoreline dynamics.