• 보건행정학회지
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• 제26권4호
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• pp.333-342
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• 2016

Background: The use of therapeutic materials based on new health technology has increased in recent years in the field of medicine, raising concerns for medical practitioners regarding increased spending on the new therapeutic materials amid the rapid population ageing and increase of chronic diseases in Korea. While therapeutic materials have significant importance in the health care system, they have not been given appropriate attention in the academic world of Korea. The purpose of this study is to identify factors that affect the growth of expenditure on therapeutic materials and to derive implications for an effective management considering the diversity of therapeutic materials. Methods: Using the claims data of the National Health Insurance Services, specific utilization patterns of groups of therapeutic materials in the middle classification level of Health Insurance Review and Assessment Service from 2007 to 2014 were analyzed. Four categories (J5083: drug eluting coronary stent, D0302: nonmetallic anchor, K6014: gauze, K6023: gauze) that exhibit unique patterns with respect to price and volume were selected. Then, decomposition analysis was performed to identify the largest contributor to the spending growth by dividing the products into existing, new, and abandoned products for the period between 2010 and 2013. Results: The effect of new products had larger impact on spending growth than the effect of core items in drug eluting coronary stent (J5083) and nonmetallic anchor (D0302). In addition, existing products in general included items priced relatively lower when compared with another item manufactured by the same company. In the gauze category, however, existing products had the largest impact on expenditure and the effect of volume was greater than that in other categories. Conclusion: This study provides evidence that appropriate management measures classified by the characteristics of therapeutic materials are required for therapeutic materials pricing and reassessment in Korea.

• 한국식품영양학회지
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• 제10권1호
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• pp.44-52
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• 1997

요석증은 비뇨기과에서 흔히 관찰되는 질환으로서 30∼50대에 많이 발생하고, 남자가 여자보다 발생빈도가 높고, 좌측보다는 우측이 많으며, 문화가 발달한 나라에서는 상부요로 결석이 많으나 후진국에서는 하부요로 결석이 많다. 결석성분은 수산칼슘, 인산칼슘, 인산마그네슘암모늄, 요산, 시스틴 결석과 그들의 혼합결석으로 분류된다. 병태 생리학에 따르면, 결석의 발생원인은 요중의 무기질 농도가 과포화 상태가 되면 결정체핵이 생성된다는 과포화/결정체설, 기질관여설, 억제물질의 결핍설, 에피택시설 등이 있고, 상피소체기능항진중, 과칼슘뇨증, 과요산뇨증, 과수산뇨증, 시스틴뇨증 외에도 원위세뇨관 산증, 과비타민 D증, 소화기계 질환이 통계적으로 유의성 있게 관여된다는 것이다. 본 연구에서는 미란성 위염 환자 K43에서 화학분석법, 적외선 흡수 분석법, image analysis법을 사용하여 재발성 상부요로 결석성분을 분석한 결과 제2 수산칼슘과 인산칼슘의 혼합결석으로 확인되었고, 혈액화학 검사와 요 검사 등 임상검사 성적은 정상치를 유지하고 있었다. 따라서 K43의 재발성 요로결석은 보고된 생성원인이나 인자들에 대한 통계수치와는 연관성이 없었으며 미란성 위염으로부터 영향을 받았다는 증거도 없었다.

• 가정∙방문간호학회지
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• 제21권2호
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• pp.110-119
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• 2014

Purpose: The objectives of this study were to identify interventions and to analyze the characteristics of headaches among hospitalized patients with subarachnoid hemorrhage with moderate or severe headaches. Methods: A retrospective review of the electronic medical records of 210 patients who received treatment for subarachnoid hemorrhage was conducted. Data collection was done using a structured headache record sheet. Data analysis was carried out using the PASW 18.0 version program. Results: There were significant differences in number and duration of headaches of headaches according to the presence of vasospasm, increased intracranial pressure, extraventricular drainage, use of hypertonic solution, and hospitalization period (p<0.05). Patients with vasospasm and extraventricular drainage experienced the most severe headache for a duration of 3 to 7 days. Other patients experienced the most severe headache for around 1-2 days. Conclusion: Hospitalized patients with subarachnoid hemorrhage who had vasospasms experienced more headaches and the duration of these headaches were longer. In particular, the assessment and interventions for headaches should increase and be carried out actively during this time because the intensity of these headaches is severe and lasts for 3-7 days. Additionally, we emphasize the need for regular administration of analgesics in order to promote patients' well-being. On the basis of the results of this study,we suggest that evidence-based interventions for the care of headaches among hospitalized patients with subarachnoid hemorrhage should be developed.

• STI Policy Review
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• 제8권1호
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• pp.113-156
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• 2017

Although technological progress is considered a key element for economic growth and development of a country, strong empirical evidence in this regard is not available yet. Therefore, to establish the empirical link between technology progress and economic development, it is advisable to carry out a time series analysis. In this regard, the Technology Achievement Index (TAI) of 100 top economies has been developed to examine the position of countries' technological progress for the 21 years spanning 1995 to 2015. Countries have been ranked on their TAI which is based on four pillars; technology creation, diffusion of older innovations, diffusion of recent innovations, and development of human skills. As well, this current study re-calculates the Humane Development Index (HDI) of 100 top economies for the 21 years from 1995 to 2015. Ranking of countries' HDI values reflects three dimensions: A long lifespan (life expectancy index), knowledge (Education Index) and a decent standard of living (Gross National Income Index, or GNI). The Standard Deviation (SD) technique has been used to investigate the technological gap between individual countries and groups of countries or regions. For a more meaningful assessment, technological gaps from the maximum achievement value (i.e., one of the countries under study) are presented as well. To investigate the impact of technological progress on economic development, this study introduces a model in which the HDI is used as the dependent variable and the TAI and Gross Capital Formation (GCF) are used as independent variables. The HDI, TAI and GCF are used in this model as proxy variables for economic development, technological progress and capital respectively. Econometric techniques have been used to show the impact of technological progress on economic development. The results show that long-term associations exist between technology progress and economic development; the impact of technology progress on economic development is 13.2% while the impact is 4.3% higher in eight selected East South Asian countries, at 13.5%, than in eight selected highly developed countries (9.2%).

• 대한한의학방제학회지
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• 제28권2호
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• pp.199-209
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• 2020

Objectives : The purpose of this systematic review is to confirm whether Gwibitang is beneficial in chronic fatigue syndrome (CFS). Methods : Clinical trials were searched from databases including Pubmed, Embase, Central Cochrane, CNKI, Wanfang, CQVIP, CiNii, OASIS, Koreamed, and NDSL. The eligible study design was limited into randomized controlled trial, quasi-randomized controlled trial and controlled clinical trial. The outcomes included general effectiveness as nominal scale, and fatigue severity, insomnia severity and quality of life as interval or ratio scale. The meta-analysis and assessment of risk of bias was performed based on the data extracted from the selected trials. Results : The results of eight randomized controlled trials (n=596) were included in the meta-analysis. The results of the synthesis showed Gwibitang is beneficial substantially for relieving and managing the general symptoms, and its heterogeneity was not in important level (RR 0.26 [95% CI 0.17, 0.39], Z=6.47, P<0.00001, I²=0%). Gwibitang was beneficial for alleviating fatigue (SMD -0.78 [95% CI -1.27, -0.30], Z=3.17, P=0.002), but its certainty was low. In case of insomnia, too few trials had been found and their risk of bias was substantial, so no conclusions had been brought to. Conclusions : We found an evidence that Gwibitang could be beneficial for managing and alleviating main symptoms in CFS patients.

• 한국콘텐츠학회논문지
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• 제20권1호
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• pp.448-459
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• 2020

최근 국민의 생명과 사회 안전에 대한 관심이 부각됨에 따라 국가 기관들의 정보활동에 대한 논의가 확대되고 있다. 특히 경찰 조직은 공공안녕에 대한 위험의 예방과 대응 관련 정보의 수집·작성 및 배포를 주요 활동 범위에 포함하고 있지만 수사첩보의 처리와 활용에 대한 정보경찰과 수사경찰 구성원 간의 인식 차이는 경찰 수사력 강화에 장애요인으로 작용하고 있다. 본 연구는 경찰조직의 범죄정보 수집 활동을 제고할 수 있는 방안을 모색하기 위하여 비공식적 사회연결망 분석을 통해 경찰 구성원들의 유기적 연계관계를 파악하고, 비공식적 상호작용에서 나타나는 정보활동의 맥락과 그 관계적 속성을 도출하였다. 분석 결과, 정보경찰과 수사경찰 구성원 간의 역할 수행이 상이한 구조적 특성을 가지고 있음을 확인할 수 있었다. 둘째, 발신 및 수신 중심성이 높은 특정 구성원들이 범죄정보 수집 활동에서 중심적 역할을 담당하고 있는 것으로 확인되었다. 셋째, 형사과와 정보과 간의 협조체제 구축을 위해서는 상대조직의 정보공유자를 발굴하여 정보협조의 공백을 최소화하고 범죄정보의 교류가 상호 의존적 관계를 형성하도록 하는 것이 필요하다고 판단되었다. 이러한 분석 결과를 기반으로 본 연구는 향후 경찰조직의 범죄정보 수집 활동을 개선하기 위한 효율적 협조체제 관계망을 구축하는데 기여할 수 있을 것으로 본다.

• 한국수산과학회지
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• 제27권5호
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• pp.659-672
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• 1994

진해만의 저서동물 군집에 대해 Sanders(1968)의 희박법(Rarefaction method), Warwick(1986)의 개체수-생물량 비교법(Abundance-Biomass Comparison method), Gray(1979)의 대수-정규분포 응용법 (Log-Normal Distribution method) 및 Frontier(1985)의 순위-빈도 곡선법 (Rank-Frequency Diagram method) 등의 환경 평가 기법을 이용하여 진해만의 오염정도를 평가하였다. 이 방법들 가운데 개체수-생물량 비교법은 오염해역에 개체당 생물량이 큰 이매패류인 Periglypta cf. puerpera와 Macoma tokyoensis와 다모류인 Nectoneanthes multignatha가 출현함으로서 이 방법의 원리에서 요구하는 전제 조건을 잘 반영하지 못하였다. 그러나 나머지 3가지 방법은 진해만의 환경을 잘 반영하고 있었으며, 가장 내만에 위치한 Group-I이 가장 오염된 해역으로 나타났으며 진해만 중앙부 해역인 Group-II도 상당히 오염이 진행된 것으로 나타났다. 그러나 진해만 입구인 Group-III과 VI는 내만 해역에 비해 상대적으로 오염의 영향이 적은 것으로 나타났다. 이러한 방법들 가운데 종별 개체수 자료만을 필요로 하는 대수-정규 분포 응용법이 오염을 평가하는데 가장 편리하고 적합한 것으로 판단되며, 그 밖의 희박법 및 순위-빈도 곡선도 상대적 평가 방법으로는 유익한 수단이 된다. 우리나라의 다른 해역에서의 오염평가도 저서동물의 분포특성을 이용한 이러한 다양한 환경평가 기법을 시도해 보는 것이 바람직할 것으로 생각된다.

• 대한간호학회지
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• 제38권6호
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• pp.881-890
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• 2008

Purpose: Research related to social support in Korea has been hampered by paucity of measurement tools reflecting Korean culture. The aim of the study was to develop Korean social support questionnaire (KSSQ) based on the Korean social support pyramid and to test psychometric properties of the KSSQ. Methods: The questionnaire was administered to 701 subjects and 658 college students. Psychometric analyses included factor analyses, expert validity, criterion-related validity, internal consistency, and test-retest reliability. Results: A principal components analysis support for construct validity, eliciting a three factor solution accounting for 65.46% of variance in scores. Concurrent and discriminant validity supported criterion-related validity. Internal consistency of reliability was support with Cronbach's alpha of .97-.98 for the entire scale. Test-retest reliability was .76. Conclusion: This initial testing of KSSQ to measure Korean social support demonstrates evidence of reliability and validity. Assessment of known-group validity and norm establishment of KSSQ are suggested to provide further sound psychometric properties and practical measurement tools.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제22권4호
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• pp.79-86
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• 2016

Purpose: The purpose of this study is to identify the effect of Progressive Space Organization (ante-rooms) in Negative Pressured Isolation Unit(NPIU) such as National and Regional Isolation Units in Korea in order to build basic data for the evidence based design of Airborne Infection Isolation Units which should prepare and respond effectively to the public health crisis due to the hazardous airborne infectious disease. Methods: 1) Gas(SF6) test and analysis on the 23 Korean Isolation Units under operation. 2) Assessment of the isolation level of the space components by checking the Gas concentration. 3) Analysis of the Isolation Effectiveness according to Space Organizational levels. Results: 1) The higher segregation level is, the lower Gas(SF6) concentration is. 2) Too many segregations(anterooms) of Isolation Unit are not efficient for the prevention of infectious bacillus spread. For example, 4 level of segregation has similar segregation effect to the 3 level of segregation. Implications: Many anterooms in front of the isolated patient bedroom will guarantee the safe environment against the danger of hazardous airborne nosocomial infection. On the other hand, too many segregations is inefficient, expensive, inconvenient, narrow(unflexible) and so on. This study can be used as basic data for further development of design guidelines of isolation units.

• 한방안이비인후피부과학회지
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• 제30권4호
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• pp.97-103
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• 2017

Objectives : To identify whether pattern identification using nasal endoscopy for rhinitis can be applied as a tool for evaluating rhinitis in routine care setting, we performed a inter-rater reliability study on this pattern identification. Methods : Two Korean medicine doctors assessed 290 left/right nasal endoscopy photograph cases of rhinitis patients with pattern identification using nasal endoscopy. This pattern identification consist of four assessment items, nasal membrane color(pale/hyperemia), nasal membrane humidity(dryness/dampness), rhinorrhea(watery/yellow), and turbinate membrane edema(atrophic/edematous). Cohen's kappa statistic and Percentage agreement were used to evaluate the inter-rater reliability. Results : Inter-rater percentage agreement and Kappa coefficient for left nasal endoscopy photograph cases was from 'slight' to 'moderate'(% agreement: 40.00-67.59%/Kappa: 0.06-0.407). Only the agreement of 'rhinorrhea (watery/yellow)' item was moderate(% agreement: 67.59%/Kappa: 0.407). Inter-rater percentage agreement and Kappa coefficient for right nasal endoscopy photograph cases was also from 'slight' to 'moderate'(% agreement: 42.41-68.97%/Kappa: 0.109-0.465). Only the agreement of 'rhinorrhea(watery/yellow)' item was moderate(% agreement: 68.97%/Kappa: 0.465). Conclusions : It is necessary to resolve problems such as cut-off value setting, bipolar evaluation values(pale/hyperemia, dryness/dampness, watery/yellow, atrophic/edematous) and weighting items. Further rigorous studies that overcome the limitations of the current research are warranted.