• 한국정보처리학회논문지
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• 제5권3호
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• pp.751-762
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• 1998

본 연구의 목적은 멀티캐스트 통신에서 송신자가 멀티미디어 데이터를 한 그룹의 구성원들에게 전송할 때, 그룹내의 수신자들이 전송된 데이터를 잘 수신하고 있는 가에 대한 상황을 정기적으로 확인하여 이질적인 단말 및 통신망 환경에서 효율적인 멀티미디어 서비스를 제공하고자 하는 데 있다. 특히, 연구에서는 송신자의 전송 데이터를 수신자가 어떻게 수신하고 있는 가에 대한 상태를 파악하는 과정에서, 수신자들의 전송 정보를 절감시킴으로써 송신자 측에서 상태 정보의 폭주로 인한 성능 저하를 개선하는데 초점을 두고 있다. 본 연구의 기본 아이디어는 그룹의 행위를 어떻게 보는 가의 관점에서 출발하는 데, 제안된 방식에서는 그룹의 구성원 중 가장 열악한 상황에 있는 수신자 즉, 대표 수신자가 그룹의 상황을 대표하는 것으로 가정한다. 다시 말해, 이 대표 수신자의 성능이 저하되면 전체 그룹의 성능이 저하된 것으로 간주하고, 반대로 대표수신자의 성능이 향상되면 전체 그룹의 성능이 향상되는 것으로 간주하게 된다. 제안 알고리즘에서는 대표 수신자가 다른 수신자 보다 먼저 상태 정보를 송신자에게 통보하도록 하며, 다른 수신자들은 이 대표 수신자의 상태정보를 수신할 때 장신의 상태와 비교하여, 자신이 더욱 열악한 경우에만 추가적인 응답을 수행하도록 함으로써 불필요한 응답을 제거하고자 하는 것이다.

• 한국학교보건학회지
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• 제12권2호
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• pp.305-319
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• 1999

The objective of this study were to evaluate the relation between post-examination management states of dental caries in elementary school students and a mother's dental health beliefs. We systematically chose 10 elementary school in urban and rural areas of Chungnam Province and determined the first class students of 5 and 6 grade in each school as study subjects. Among 837 participants, 669 students were diagnosed with dental caries after a 1998 periodic dental health examination was answered completely and analysed. The contents of the questionnaire for students were general characteristics, dental health behaviors, notification factors, treatment factors. Their mothers were surveyed by another questionnaire. The contents of the questionnaire for mothers were also general characteristics, dental health behaviors, and dental health beliefs. The result of this study were as follows 1. The prevalence of dental caries was 65.0% and there was no significant difference between urban and rural areas. 2. Meanwhile, 63.8% of students in urban areas knew the examination result through a doctor's explanation, 52.4% of students in rural areas learned through a school notification letter, 82.9% of all the students let their parents know of their dental caries. 3. Among the dental caries group, 36.3% of the students were treated as for treatment, most students in urban areas visited a dental clinic, but those in rural areas visited the dental dept of a public health center as for the treatment time, 35.9% of the students were treated immediately after the examination. 4. 44.9% of those treated answered that they felt they needed treatment; 67.2% of those not treated answered that they considered the treatment as a bother and unnecessary due to no pain. 5. Overall, the scores in the dental health beliefs in mothers were low. Especially among the 5 items of susceptibility and seriousness, the scored were very low but the benefit was high. Logistic regression analysis showed that the treatment of a child's dental caries was significantly associated with low scores of benefit in those untreated and high scores among those treated. Considering these results, health education to stimalate a mother's susceptibility and seriousness in health beliefs and for students to learn the need for treatment, including a more detailed post exam management system at the school level should be considered for a higher treatment rate.

• 임상간호연구
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• 제19권1호
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• pp.57-68
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• 2013

Purpose: In assessing patients' neurological status following a stroke it is very important to have a valid tool for early detection of neurological deterioration. NIHSS is considered the best tool to reflect neurological status in patients with ischemic stroke. An education program on use of NIHSS was planned for nurses caring for these patients and the effects of the program were evaluated. Methods: The NIHSS education program (NEP) which includes online and video lectures, and practical education was provided to the nurses from April to July, 2010. To examine the effect of NEP, nursing records of patients with ischemic stroke who were admitted to a stroke center were analyzed. Two groups, a historical control group (n=100) and the study group (n=115) were included. Results: Nursing records for neurologic symptoms for each patient increased (41.0% versus 100.0%, p<.001), and especially, visual disturbance, facial palsy. limb paralysis and ataxia, language disturbance, dysarthria, and neglect symptoms significantly increased (all p<.001). Nurse notification to the doctor of patients with neurological changes increased (21.0% versus 39.1%, p=.004), and nurses' neurological deterioration detection rates also increased (37.5% versus 84.6%, p=.009). Conclusion: NEP improved the quality of nursing records for neurological assessment and the detection rate of neurological deterioration.

• Environmental Analysis Health and Toxicology
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• 제25권2호
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• pp.131-143
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• 2010

We performed the tests of acute and subchronic inhalation toxicity of methyl formate, which has limited toxicological data in spite of its widespread use and enhanced hazard consequent on its high volatility. The median lethal concentration ($LC_{50}$) was evaluated to be above 5,000ppm(12.27 mg/L). In the test with subchronic inhalation, there are no deaths, but with reduction of body weight, food intake, organ weight by exposure to 400 (0.98 mg/L) and 1,600 (3.92 mg/L) ppm, dose-dependently. There were statistical differences in some hematological and blood biochemical parameters as compared to control (e.g. neutrophile and lymphocyte in the 1,600 ppm group, calcium and A/G in 1,600 ppm group). Methyl formate under the exposure of 1,600 ppm showed the respiratory findings with nasal, it was confirmed that the chemical has respiratory hazard with 1,600 ppm inhalation exposure, induces nasal epithelial atrophy, olfactory cell degeneration/regeneration and the contraction of olfactory cells, etc. According to the notification with Ministry of Labor (No. 2009-68) for classification, labeling and MSDS of chemicals, it is suggested for methyl formate to be classified as category 4 in acute (10.0$4\leq20.0$ mg/L), category 2 (0.2$\leq$1.0 mg/L/6h, 90 days) in specific target organ-repeated exposure.

• 대한본초학회지
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• 제27권6호
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• pp.43-48
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• 2012

Objectives : This study was investigated to determine the contents of pesticide residues and sulfur dioxide residues in commercial herbal medicines in Korea. Methods : Chromatographic test was performed on 100 samples consisted with 10 kinds of medicinal plants including improted and domestic products. To establish 19 pesticide residues (DDE, DDD, DDT, Dieldrin, Methoxychlor, BHC isomers, Aldrin, Endosulfan isomers, Endrin, Captan, Procymidone, Chlorpyrifos and Imidacloprid) in commercial herbal medicines, chromatographic equipments were used with the gas chromatography-mass detector and gas chromatography-electron capture detector for qualitative analysis. The imidacloprid analysis was performed by high performance liquid chromatograpgy-ultraviolet detector at 270 nm UV wavelength. The contents of sulfur dioxides were analyzed by modified Monnier-Williams method. All methods were based on notification procedure of Korea Food & Drug Administration (KFDA). Results : The residual pesticides were not founded in improted and domestic samples. Among 100 samples, the residues of sulfur dioxide in 73 samples were not detected and 25 samples showed contents in the range of 0~21.90 mg/kg. The excess samples of MRLs were 2 samples (30 mg/kg to medicinal herbs), Asiasari Radix et Rhizoma (Imported product) and the average amount of sulfur dioxide in 2 unsuitable samples were 14.83 mg/kg. These samples were found to transgress KFDA regulatory guidance of residual sulfur dioxide. Conclusion : These results are able to use as basic data to improve the reliability and value of commercial medicinal herbs.

• 의료법학
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• 제16권2호
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• pp.197-225
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• 2015

이 글은 2015년 메르스 사태를 계기로 2015. 6. 20. 의료법과 감염병예방법의 관련 조항을 분석하고 그 문제점을 적시하여 입법론을 전개한 발표문을 바탕으로 한 것이다. 발표에서 우선 감염병 분류 체계의 합리화를 지적하였다. 이 지적은 발표 직후의 '개정법률'에서 반영되었지만 여전히 유형의 중복성을 제거하는 등 그 합리화를 위한 작업이 필요하다. 한편 감염병의 신고 내지 보고 체계에 관하여 신고 내지 보고의 의무자와 상대방 및 그 시기 등의 관점에서 합리화를 위한 입법적 조치가 필요함을 언급하였다. 감염병의 대응 조치로 도입의 필요성이 주장된 의료기관의 폐쇄에 관한 방역조치는 '개정법률' 제47조에서 반영되었다. 하지만 방역조치의 권한이 여전히 중앙정부와 지방정부에 병렬적으로 중첩적으로 분배되어 있다는 점은 문제이다. 그 권한 귀속의 합리화는 중앙정부로의 일원화에서 찾아야 하며, 그 논거와 함께 그 필요성을 지적하였다. 한편 역설한 점은 장관 등 중앙정부 기관장이 그러한 폐쇄 명령이나 격리 명령을 내리는 경우, 그로 인하여 의료기관이나 환자가 입은 재산상 손실의 전부 또는 일부를 국가가 전보해 줄 의무를 지도록 하는 규정이 필요함이다. 이는 권한 귀속과 연계되는 것인바, 방역조치의 권한 귀속 주체와 그 손실전보를 위한 재원의 관리주체가 일원화되어야 할 필요성을 역설하였다. 방역조치 권한의 실효성은 그 손실 전보의 보장이 담보하는 것이며 이는 국부(國富)의 차원에서 접근해야 한다는 점에서 중앙정부로의 일원화에 관한 입법론을 전개하였다. 나아가서 감염병으로 인한 개인이나 의료기관의 재산상 손실은 민법의 일반불법행위의 법리에 맡기는 것이 비합리적이라는 점을 논술하였다. 이 역시 중앙정부의 재정에 의한 전보와 고의 내지 미필적 고의가 인정되는 개인에 대한 국가의 구상권 행사로 민사 분쟁을 해결함이 피해자의 구제에 합리적인 이유를 들어서 입법론을 제시하였다. 이번 메르스 사태에 대한 향후 조사에서 개선이 필요한 내용이 더 밝혀질 수 있을 것이다. 그러한 논의에 따라 보다 합리적이고 구체적인 입법론이 전개되어야 할 것이다.

• 의학교육논단
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• 제19권1호
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• pp.47-55
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• 2017

This study was conducted to analyze the strengths and weaknesses of a 3-week family medicine clerkship program based on the results of an online survey taken by the students (N=127) and a structured interview with a focus group (n=10), aimed to improve the quality of the clerkship program. The online survey contained questions pertaining to goals, schedule, contents, arrangement, atmosphere, environment, evaluation, and satisfaction regarding the clerkship. The focus group interview addressed the schedule and achievements of the program. Scores were reported on a 5-point Likert scale. Most students were highly satisfied with the overall quality of the clerkship. The structured interview results showed that 97.6% of the clerkship program was executed according to the schedule. The focus group reported a perfect score of 5 points on several measures including: accomplishment of the educational goals of the family medicine clerkship, providing many chances to obtain medical histories and perform physical examinations on real patients, experience with various symptoms and diseases, positive attitudes of faculty members when teaching, notification of the guidelines for evaluation beforehand, well-constructed and effective clerkship schedule, and reflection of student feedback. However, the focus group gave low scores on: support for health accidents of students, access to patient information, enough opportunities to practice clinical skills, appropriate rest facilities for students, and fairness of clerkship evaluation process. In conclusion, the structured evaluation performed after the 3-week clerkship program motivated students and helped them ensure an efficient clerkship. This structured evaluation also suggested basic data to make the professor who is subject of the assessment. This study shows that structured assessment is an effective method which can be used to improve the quality of clerkships.

• 정보관리학회지
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• 제24권3호
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• pp.343-362
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• 2007

이 연구에서는 우리나라 국 공립 대학의 전자기록관리시스템이 보다 적합한 전자기록물을 검색할 수 있는 기반환경을 조성하기 위하여 온톨로지 기반의 검색시스템을 설계 및 구현하였고 그 성능을 기존의 키워드 기반 검색시스템과 비교해 보았다. 온톨로지 기반 검색시스템은 OntoStudio 1.4를 사용하여 자체 설계 및 구현하였으며, 실험에 사용된 실험 컬렉션의 구성은 다음과 같다: (1) 문서는 한국해양대학교의 2005년도 전자문서관리시스템에서 생성한 '인사발령통보' 5,099건의 전자기록물, (2) 질의집단은 장문10개와 단문10개 총20개, 그리고 (3) 적합성평가는 전문가 집단에 의하여 이루어졌다. 한편 기반 검색시스템의 성능평가 실험은 기존의 전자기록관리시스템을 이용하여 10명의 피실험자에 의하여 온톨로지 기반 검색시스템과 동일한 실험 컬렉션을 사용하여 이루어졌다. 재현율과 정확률에 의한 성능을 비교해본 결과 온톨로지 기반의 검색시스템이 기반의 검색시스템 보다 높은 성능을 보였다. 또한 장문과 단문의 질의집단 비교평가에서도 온톨로지 기반의 검색 성능이 기반의 검색시스템 보다 뛰어난 것으로 나타났다.

• 한국전자거래학회지
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• 제22권1호
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• pp.37-49
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• 2017

병원 진료의 효율성과 진료 품질의 극대화를 위해 진료예약을 시행하고 있다. 그러나 예약일에 방문하지 않는 예약부도로 인해 의료서비스 자원이 낭비되고 다른 환자의 진료기회를 박탈하는 등 현대 병원 운영에서 주요한 이슈의 하나로 떠오르고 있다. 이러한 예약부도의 원인을 분석하기 위해 미국의 한 보훈병원의 5만 건 진료예약 데이터를 대상으로 예약부도 요인의 중요도와 유의성을 검정하였다. 랜덤 포레스트와 로지스틱 회귀분석 결과, 예약대기시간, 방문율, 내원거리, 예약부도율, 환자 나이, 중증도, 질병의 복합도, 만성통증, 우울증, 약물의존 등이 주요한 원인으로 파악되었다. 예약대기시간과 방문율, 내원거리, 예약부도율은 SMS 사전 통지를 강화하고 사후 전화 상담을 통해 점진적으로 개선 가능할 것으로 판단되며 기타 요인에 대해서는 환자 그룹별로 차별화된 대응방안을 구성하는 것을 고려해 볼 수 있다.

• 동의생리병리학회지
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• 제28권2호
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• pp.186-194
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• 2014

The object of this study was to obtain acute toxicity information (single-dose oral toxicity) of Woohwangchungshim-won (WHCSW), a pill type herbal medicine used in Korean Medicine (KM) for treating stroke. In order to obtain the 50% lethal dose (LD50), approximate lethal dosage (ALD) and target organs, WHCSW powders were once orally administered to female and male ICR mice at dose levels of 2,000, 1,000, 500 and 0 (control) mg/kg (body weight.) according to the recommendation of Korea Food and Drug Administration (KFDA) Guidelines (Notification No. 2009-116). The mortality and changes in the body weight, clinical signs and gross observation were monitored for 14 days after single-dose oral administration of WHCSW according to KFDA Guidelines with organ weights and histopathological changes were observed in 12 principle organs. After single-dose oral administration of WHCSW, we could not find any mortality and toxicological evidences up to 2,000 mg/kg-administered group, except for some accidental findings and dose-independent increases of body weight gains in female 1,000 and 500 mg/kg-administered female mice. The results obtained in this study suggest that the LD50 and ALD of WHCSW in both female and male mice after single-dose oral administration were considered as over 2,000 mg/kg because no mortalities were detected up to 2,000 mg/kg that was the highest dose recommended by KFDA and Organization for Economic Co-Operation and Development (OECD), and can be safely used in clinics.