• 한국병원경영학회지
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• 제23권4호
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• pp.15-25
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• 2018

Purposes: The objectives of this study present the direction of the criteria for the separately reimbursement of therapeutic medical device. Methodology: We summarized experts' opinion using Delphi survey and Analytic Hierarchy Process(AHP). 48 experts were gathered from Medical Insurance Review Nurses Association, medical device industry, academy and association, Medical Device Expert Evaluation Committee. Descriptive statistics, consistency index, content validity ratio were analyzed. Findings: Clinical utility, patient safety, infection control, cost-homogeneity, cost-effectiveness showed high feasibility and importance, but market contribution and functional utility showed low feasibility and importance in a relative sense. The results of functional utility differed between clinical and non-clinical experts. Measurability was low across the whole area. Among the criteria for the separately reimbursement of therapeutic medical device. Patient safety/infection control and clinical utility showed the highest relative importance values, analyzed using AHP. Practical Implications: Patient safety and infection control are needed to be considered as one of Value Assessment Criteria. It is important to find out how to improve the measurability of therapeutic medical device.

• Journal of Acupuncture & Meridian Studies
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• 제11권6호
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• pp.367-374
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• 2018

This study describes the reliability of pragmatic combinations of acupuncture points for lateral epicondylalgia (LE) as prescribed by physiotherapists who were experts in acupuncture. Raters (n = 14; 33-59 years) independently prescribed acupuncture points for 30 simulated human patients with LE who were surveyed via a printed questionnaire. The frequency and cooccurrence of acupuncture points prescribed for patients with lateral epicondylitis were assessed. Absolute agreement and Light's kappa (${\kappa}_{Light}$) with 95% confidence interval (CI) were used to quantify the interrater agreement. Raters prescribed 103 unique acupuncture points in different combinations with a median (min-max) of 5 (0-11) acupuncture points. The most prescribed acupuncture point was LI-11 (297 of 420; 71%), and the most common cooccurring acupuncture points were LI-11 and LI-4 (160 of 420; 38%). The absolute agreement for prescribing the acupuncture points ranged from 70% (point GB-20) to 0% (points LI-10, SP-6, LI-11, GB-34, LI-12, and LI-4). Point LR-3 showed the highest interrater reliability for prescribing the acupuncture points [${\kappa}_{Light}=0.112$, 95% CI = (0.055-0.194)], whereas point LI-4 showed the lowest reliability [${\kappa}_{Light}=-0.003$, 95% CI = (-0.024 to 0.024)]. These findings suggest that pragmatic prescriptions of acupuncture points for LE are unreliable among physiotherapists who are experts in acupuncture. Explicit, high-level evidence-based rules for prescribing and teaching combinations of acupuncture points for LE are warranted.

• 융합보안논문지
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• 제18권5_1호
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• pp.11-17
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• 2018

우리나라의 자격종목은 2018년 9월 기준 약 32,364개에 달하며 국가기술자격은 252개, 국가전문자격은 149개이며, 민간 자격은 총31,993개, 그중 공인민간자격은 99개, 등록민간자격 31,894개 이다. 본 연구는 한국산업기술보호협회의 공인민간자격인 산업보안관리사의 창직과정을 살펴보고자 협회설립(2007.10)에서 제1회 공인민간자격 시험시행(2017.06.24)까지 10년간 과정을 각종자료를 통해 살펴보고, 정형화 하고자 하였으며 연구결과 창직과정이 총10가지로 정리되었다 (1) 사전준비 시 고려사항 (2) 자격체제개발 (3) 직무분석 및 교안개발 (4) 문제은행개발 (5) 보수교육과정 설계 (6) 검정전략개발 (7) 검정실행 (8) 수익방안 (9) 자격수요확대 (10) 여론형성으로 조사되었다. 이를 통해 추후 창직 모듈이 연구되어 질 것이며 산업보안 상담전문가 등에서 공인민간자격증 개발모델로 활용되어질 것으로 기대한다.

• 한국융합학회논문지
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• 제12권2호
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• pp.201-213
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• 2021

최근 개인형 이동수단의 보급과 이용의 증가에 따라 보행환경은 더욱 열악해지고 있으며 이와 관련한 안전사고도 급증하고 있는 상황이다. 이에 본 연구는 개인형 이동수단의 보행장애 요소와 관련된 현황조사를 실시하여 이를 통한 문제점을 파악하고 전문가의 의견조사를 통해 개인형 이동수단의 규제를 포함한 교통약자의 보행환경 개선을 위한 방안을 다음과 같이 제시한다. 개인형 이동수단의 보행공간 내 이동을 원칙적으로 금지하여야 하며 주행이 불가피한 경우 제한속도를 규정함으로써 교통약자의 안전하고 편리한 보행권을 확보해주어야 할 것이다. 주차 공간은 차로부의 노외 주차구역이나 보도와 차로 경계부에 장애물 구역을 조성하여 해당 구역에만 하도록 해야 할 것이며 이를 지키지 않는 불법방치된 이동수단의 수거와 관련한 규제가 필요하다. 기존의 자동차 중심의 도로에서 저·중속 이동수단 이용을 고려한 도로 구조로의 전환이 필요하다.

• 한국건축시공학회지
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• 제20권6호
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• pp.545-554
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• 2020

최근 건설현장에서의 안전사고는 근로자의 생명을 위협하는 중대한 사고로 이어질 수 있는 만큼 안전관리업무를 담당하는 안전관리자의 역할이 대두대고 있다. 그러나 현행 건설업 안전관리에 있어 안전 관리자는 1인당 담당하는 업무량이 과도하게 많고, 비효율적인 안전업무들로 인해 업무내용 개선 및 간략화가 필요한 실정이다. 본 연구의 주목적은 안전 관리자 계획단계에서 수행되는 업무들의 난이도와 예방효과를 전문가 의견을 통해 2×2 Matrix 분석 기법을 활용하여 상관관계를 도출하고 불필요한 업무의 간략화와 업무 개선이 필요한 부분을 파악함으로써, 궁극적으로 건설안전재해사고 발생을 줄이는 데 있다.

• The Journal of Asian Finance, Economics and Business
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• 제8권1호
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• pp.407-417
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• 2021

This study aims to establish the relationship between the Green Marketing Orientation (GMO) variables and the performance of Green Small and Medium Enterprises (GSMEs) across the building and energy sectors in Malaysia, using customer satisfaction as a means of performance measurement. The GMO variables examined include Greening the Process (GTP), Green Supply Chain Management (GSCM), Green Strategic Policy Initiatives (GSPI), Proactive Energy Conservation (PEC) and Green Promotion (GP). The items used to measure these variables were extracted from literature and adapted to the context of the variables based on feedback from Focus Group Discussions and Expert Opinion sessions. This study employs a survey sample of 300 respondents but only 238 completed questionnaires were returned. The results reveal that GTP, GSCM and PEC have a positive impact on Customer Satisfaction but not GSPI and GP. The findings suggest that owners or managers of GSMEs should focus on maintaining and improving GTP, GSCM and PEC in order to create greater satisfaction among their customers. The significance of this study is that it enables the creation of a framework that enables GSMEs to design a pathway towards achieving a cleaner production of goods and services in line with United Nations Sustainable Development Goals.

• The Korean Journal of Pain
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• 제35권1호
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• pp.4-13
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• 2022

Changes in diagnostic criteria, for example, the various International Classification of Headache Disorders criteria, would lead to changes in the outcomes of epidemiological studies. International Classification of Headache Disorders-1 was based mainly on expert opinion, yet most of the diagnostic criteria were reliable and valid, but it did not include chronic migraine. In its second version, the classification introduced chronic migraine, but this diagnosis resembled more a high-frequency migraine rather than the actual migraine transformation process. It also introduced medication overuse headache, but it necessitated analgesic withdrawal and subsequent headache improvement to be diagnosed as such. Hence patients having medication overuse headache could only be diagnosed in retrospect, which was an awkward situation. Such restrictive criteria for chronic migraine and medication overuse headache omitted a high proportion of patients. International Classification of Headache Disorders-3 allows a diagnosis of medication overuse headache due to combination analgesics if taken for at least 10 days per month for more than three months. Hence the prevalence rate of medication overuse headache and chronic migraine can increase compared to the previous version of the headache classification. Different criteria have been used across studies to identify chronic migraine and medication overuse headache, and therefore the information acquired from previous studies using earlier criteria becomes uncertain. Hence much epidemiological research would need to be interpreted cautiously or repeated with the most updated criteria, since the subjects in studies that apply the latest criteria may be phenotypically different from those in older studies.

• 예술경영연구
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• 제60호
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• pp.37-68
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• 2021

본 연구의 목적은 LP 산업의 구조를 분석하여 해당 산업의 매력도를 이해하고 시사점을 도출하는 것에 있다. 선행연구는 급증한 LP 수요에 주목하며 소비자 관점에서 해당 소비와 LP 산업을 이해하였으나, 본 연구는 LP의 생산 및 유통의 주체에 초점을 맞추어 진행하였다. 본 논문은 LP 산업 내 현업종사자들과 심층면접 및 다양한 이차자료를 통해 자료를 수집하고, 이를 포터(1980/2008)의 5요인 이론(Five Forces model)으로 분석하였다. 분석결과, LP 산업의 매력도는 산업 내 경쟁 강도가 적정하고 구매자의 교섭력이 약하다는 측면에서는 긍정적이지만, 신규 진입자와 대체재의 위협 및 공급자의 교섭력이 강하다는 측면에서 부정적이다. 이는 LP 산업에 신규 진입하려는 기업들의 전략적 판단을 위한 기초자료로서의 의의가 있다.

• 대한통합의학회지
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• 제10권3호
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• pp.73-84
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• 2022

Background : Lymphedema is a progressive disorder characterized by the impairment of lymph flow from tissues to the blood circulation system. This occurs as a result of damage to the lymphatic system. Complex decongestive therapy (CDT) is a multimodal, conservative therapeutic approach that is used for the management of lymphedema. CDT consists of a combination of compression therapy, manual lymphatic drainage, exercise, and skin care. Purpose : This study aimed to provide a review of available physical therapy interventions as well as general care guidelines for patients with lymphedema. Methods : The recommendations and guidelines for physical therapy management, medical management, and general information were reviewed from the following sources: 1) The American Physical Therapy Association, 2) The Norton School of Lymphatic Therapy, and 3) The International Society of Lymphology. This review contains general information, including the medical management and the importance of physical therapy in lymphedema. Physical therapy management should be based on an assessment of the patients' presenting impairments, including based on inclusion or exclusion of physical therapy interventions. This review also outlines a step-by-step approach that starts with disease diagnosis and progression all the way through to rehabilitation as an outpatient. Conclusion : Depending on the patients' journey to recovery and the requirement for rehabilitation, physical therapy interventions should focus on the patients' needs including pain, appearance, physical function and general rehabilitation. We hope that this review will provide information on evidence-based physical therapy and general care to patients with lymphedema.

• 한국항만학회지
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• 제9권2호
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• pp.9-24
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• 1995

The intensification of the competition among container terminals has led to important affect such as, decision making or aggressive intervention of customers for terminal operation. Therefore, in case of developed ports, the large transition of port operation is composed of the press of terminal customer than decision making of terminal manager. Overall port tariffs for using terminal is made out by the conference of terminal customers than the supreme headquarters of terminal operation, and the related investment of terminal has been made according to requisition or proposal of customers. Therefore, among decision making problems that shippers, shipping companies, and freight forwarder among decision making problems that shippers, shipping companies, and freight forwarder face, the choice of the container terminal is one of the most important problems. So, the decision making of the users seems to have a significant impact on the competitive power of container terminals. The main objective of this study is to design port marketing strategy for strengthening the competitive power of container terminals. The results of this study were found as follows: Firstly, port authority should establish user-oriented operation policy of terminal as the means of activating the opinion window, using terminal monitoring system(TMS). Secondly, terminal planning and development of government should be made to minimize the lead time, to induce the civil capital and to utilize the economies of scale. Thirdly, port authority needs to endeavor to analyze the information of competing foreign terminals as well to promote the concentrated marketing for the terminal on the users, to train the expert and to develop the new port charge system. Fourthly, to improve the competitive power of the container terminal, Port Authority should optimize the subsystems related to port marketing, far more these systems should be joined organically to work effectively. Finally, port authority system should be introduced, Namely, port should have the enterprise inclination as well s the public inclination.