• 대한간호학회지
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• 제41권5호
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• pp.593-602
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• 2011

Purpose: In this study analysis was done of utilization of rooming-in care in South Korean hospitals in order to examine the factors related to mothers and hospitals that affect rooming-in care. Methods: With the involvement of 254,414 mothers who gave birth across 953 hospitals, the analysis used the health insurance qualification data of the National Health Insurance Corporations and Health Insurance Review and Assessment Service (2006). Factors associated with rooming-in care were analyzed using a GEE logistic regression analysis to consider factors related to both mothers and hospitals. Results: Only 45.1% of the mothers used rooming-in care. The results of the regression analysis revealed that individual factors of the mothers were not associated with rooming-in care, whereas group factors of the hospitals were. Rooming-in care use was primarily related to small hospital, location of hospital, and higher nurse staffing level. Conclusion: The findings of this study indicate that the utilization of rooming-in care is not associated with factors an individual mother, but rather with the group factors of the hospitals. Thus, a policy-based approach considering both of these types of factors is required to enhance the utilization of rooming-in care.

• 전기학회논문지
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• 제67권1호
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• pp.1-7
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• 2018

IEC 61000-3-7 provides guidance for limiting flicker and enabling the connection of fluctuating load installations, that is, producing flicker in MV, HV and EHV power systems. In Korea, the flicker have been restricted by Japanese standard of ${\Delta}V_{10}$ method. ${\Delta}V_{10}$ was developed only for arc furnaces in 1960's. And now it is revealed that it is not suitable for application to other fluctuating load installations through many researches. $P_{st}$ which is a flicker index used in IEC 61000-3-7, indicates visual inconvenience due to voltage fluctuation across large range of frequency and can be applied to fluctuating load installations as well as arc furnaces. In this paper, we introduce how to calculate and assess flicker emission level for the individual fluctuating load installations connected in EHV system and how to manage the emission levels in the power system according to IEC 61000-3-7.

• Asian Journal of Atmospheric Environment
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• 제7권2호
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• pp.72-84
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• 2013

In the study, pollution levels of indoor polycyclic aromatic hydrocarbons (PAHs) in public facilities (vapor phase or particulate phase) were evaluated, and a health risk assessment (HRA) was carried out based on exposure scenarios. Public facilities in Korea covered by the law, including underground subway stations, funeral halls, child care facilities, internet cafes (PC-rooms), and exhibition facilities (6 locations for each type of facility, for a total of 48 locations), were investigated for indoor assessment. For the HRA, individual excess cancer risk (ECR) was estimated by applying main toxic equivalency factor (TEF) values suggested in previous studies. Among the eight public facilities, internet cafes showed the highest average $PM_{2.5}$ concentration at $110.0{\mu}g/m^3$ (range: $83.5-138.5{\mu}g/m^3$). When assuming a risk of facility exposure time based upon the results of the surveys for each public facility, the excess cancer risk using the benzo(a)pyrene indicator assessment method was estimated to be $10^{-7}-10^{-6}$ levels for each facility. Based on the risk associated with various TEF values, the excess cancer risk based upon the seven types cancer EPA (1993) and Malcolm & Dobson's (1994) assessment method was estimated to be $10^{-7}-10^{-5}$ for each facility. The excess cancer risk estimated from the TEF EPA (2010) assessment was the highest: $10^{-7}-10^{-4}$ for each facility. This is due to the 10-fold difference between the TEF of dibenzo(a,e)fluoranthene in 2010 and in 1994. The internet cafes where smoking was the clear pollutant showed the highest risk level of $10^{-4}$, which exceeded the World Health Organization's recommended risk of $1{\times}10^{-6}$. All facilities, with the exception of internet cafes, showed a $10^{-6}$ risk level. However, when the TEFs values of the US EPA (2010) were applied, the risk of most facilities in this study exceeded $1{\times}10^{-6}$.

• 한국산학기술학회논문지
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• 제22권4호
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• pp.538-544
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• 2021

기술성숙도평가는 기술적 위험을 사전에 식별하여 무기체계 개발사업의 위험도를 관리하는 절차이다. 현재 규정상 기술성숙도는 해당 레벨의 충족항목 비율 및 미충족 항목이 사업에 미치는 영향의 정도, 대책수립 여부 등을 고려하여 판정한다. 그러나 미충족 항목이 사업에 미치는 영향의 정도를 판단하기 위한 객관적이고 정량적인 기준이 규정에 제시되지 않기 때문에 평가자의 주관적 판단에 기술성숙도평가 결과의 차이가 발생할 수 있다는 위험성이 존재한다. 또한 기술성숙도 체크리스트 내 각 항목의 중요성이 사업별로 상이하나 기술성숙도 평가 과정에서 고려되지 않는 제한점이 있다. 특히, 전투기 등 국외도입 복합체계와의 연동이 기술적 위험요소로 언급되는 사업의 기술성숙도평가 수행 시 체크리스트 내 구성품 개발기술수준 또는 체계 구조정의 등과 관련한 항목 대비 체계 연동 및 외부 인터페이스와의 통합 등과 관련한 항목의 만족여부가 상대적으로 중요하나 평가 결과에는 이와 같은 요소가 반영되지 않기 때문에 현재 기술성숙도평가 절차의 보완이 필요하다. 본 논문에서 제시하는 기술성숙도평가 개선방안을 통해 사업별 특성 및 기술성숙도 체크리스트 세부항목의 중요도를 정량적으로 반영할 수 있다. 이를 통해 기술성숙도평가 결과의 신뢰성과 객관성을 개선가능하다. 제안하는 개선방안의 기대효과는 복합체계인 항공기의 성능개량 사업을 예시로 분석 및 제시한다.

• 한국화재소방학회논문지
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• 제15권1호
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• pp.84-92
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• 2001

현대 사회에 있어서 인구 과밀화와 더불어 대도시의 사회기반시설(SOC)증가에 따른 화학물질 사용시설의 중대사고의 경향이 높아져 가고 있다. 기존 위해·위험시설의 안전사고의 문제점과 더불어 신규 위해·위험시설물의 증가에 따른 안전사고의 심각성을 낮추기 위해 필요한 노력을 하지 않으면 안된다. 선진국에서는 산업시설 그리고 지역사회의 전문위원회가 잠재적인 위해 산업의 사고에 대한 off site 및 on site의 피해 심각성에 대한 평가와 이에 대한 적절한 조언 및 대책을 강구하고 있다. 따라서 본 연구에서는 국내의 위해·위험시설에 대한 안전도 수용기준 성립을 위하여 첫째, 영국 HSE(Heath & Safety Executive)의 QRA(Quantified Risk Assessment)와 Matrix of Risk of Evaluated Sources of Hazard를 적용한 사회적 위험성 평가 방법과 둘째, FTA(Fault Tree Analysis) 또는 ETA(Event Tree Analysis) 등 정량적인 사고 발생 확률과 시뮬레이션 및 계산식을 통해 국내 임의의 지역에 대하여(서울시 위해·위험시설)사고 피해 정도의 개인적 위험성을 평가, 적용함으로서 기존 시설 또는 신설 부지 개발을 위한 제한시 포괄적 안전도 수용기준(수용가능성) 여부를 판별하고자 한다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권11호
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• pp.4913-4916
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• 2016

Objective: As a source of information, medical data can feature hidden relationships. However, the high volume of datasets and complexity of decision-making in medicine introduce difficulties for analysis and interpretation and processing steps may be needed before the data can be used by clinicians in their work. This study focused on the use of Bayesian models with different numbers of nodes to aid clinicians in breast cancer risk estimation. Methods: Bayesian networks (BNs) with a retrospectively collected dataset including mammographic details, risk factor exposure, and clinical findings was assessed for prediction of the probability of breast cancer in individual patients. Area under the receiver-operating characteristic curve (AUC), accuracy, sensitivity, specificity, and positive and negative predictive values were used to evaluate discriminative performance. Result: A network incorporating selected features performed better (AUC = 0.94) than that incorporating all the features (AUC = 0.93). The results revealed no significant difference among 3 models regarding performance indices at the 5% significance level. Conclusion: BNs could effectively discriminate malignant from benign abnormalities and accurately predict the risk of breast cancer in individuals. Moreover, the overall performance of the 9-node BN was better, and due to the lower number of nodes it might be more readily be applied in clinical settings.

• Journal of Preventive Medicine and Public Health
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• 제47권5호
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• pp.245-252
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• 2014

Arsenic is a unique element with distinct physical characteristics and toxicity whose importance in public health is well recognized. The toxicity of arsenic varies across its different forms. While the carcinogenicity of arsenic has been confirmed, the mechanisms behind the diseases occurring after acute or chronic exposure to arsenic are not well understood. Inorganic arsenic has been confirmed as a human carcinogen that can induce skin, lung, and bladder cancer. There are also reports of its significant association to liver, prostate, and bladder cancer. Recent studies have also suggested a relationship with diabetes, neurological effects, cardiac disorders, and reproductive organs, but further studies are required to confirm these associations. The majority of research to date has examined cancer incidence after a high exposure to high concentrations of arsenic. However, numerous studies have reported various health effects caused by chronic exposure to low concentrations of arsenic. An assessment of the health effects to arsenic exposure has never been performed in the South Korean population; thus, objective estimates of exposure levels are needed. Data should be collected on the biological exposure level for the total arsenic concentration, and individual arsenic concentration by species. In South Korea, we believe that biological exposure assessment should be the first step, followed by regular health effect assessments.

• 한국작물학회지
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• 제45권5호
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• pp.335-338
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• 2000

The technology of direct-seeding in rice cultivation is an innovation mainly induced by factors in market economy and is rapidly diffused among individual farmhouses. Because the effect of technology can be affected by many factors under various farming circumstances, the impact and stability of the direct-seeding technology compared with transplanting was analyzed under various topographical regions. Yield in direct-seeding was higher in plains, although the farm size producing higher yield was quite different depending on the topographical regions. In the direct-seeding cultivation of rice, man-labor hours was reduced by about 38 percent and the reduction rate showed little difference among topographical regions. Fertilizer was used about 11 percent more but the increase rate varied from 3 to 17 percent depending on regions with higher rates in plains. Application of agricultural chemicals was also increased about 9 percent in direct-seeding, but the increase rate was as high as 12 percent in suburbs. More fertilizer and agricultural chemicals were used in direct-seeding cultivation by farmhouses implementing both direct-seeding and transplanting than by those implementing direct-seeding only. Use of more fertilizers and agricultural chemicals in direct-seeding in all regions may indicate its technical instability. Major problems causing the technical instability of direct-seeding cultivation should be solved by comprehensive research considering various farming circumstances such as topographical features rather than just a top-down style research and extension.

• 보건행정학회지
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• 제20권2호
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• pp.128-143
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• 2010

Objectives : This study aims to estimate the oral antihyperglycemic medications adherence among ambulatory care with adult type 2 diabetes patients and to identify factors affecting the medication adherence in Korea. Methods : This study used the Korean National Health Insurance Database. Study population was 40,082 patients who were 20 years of age or older and first diagnosed with type 2 diabetes (ICD-10: E11) in 2004. The patients were followed up for two years in order to measure adherence with oral antihyperglycemic medications. The level of medication adherence was measured by the medication possession ratio (MPR). Results : The average MPR in the study population was 49.5%. The appropriate adherence rate (MPR$\geq$80%) was 29.4% and showed variation according to the characteristics of individual patients. Multiple logistic regression analysis revealed that the odds of appropriate adherence increased with female (OR:1.21, CI:1.14-1.27), older age, increasing ambulatory care visits, health insurance (OR:1.53, CI:1.33-1.76), decreasing ambulatory care providers, using a specialized general hospital as their main attending medical institution (OR:10.08, CI:8.96-11.33), having co-morbidity, using polytherapy (OR:1.07, CI:1.01-1.13). Conclusions : The medications adherence for patient with type 2 diabetes is low in Korea, and shows variation according to the characteristics of patients. For proper management of diabetes, health care policy is expected to be enacted to improve medications adherence continuously. In particular, more intensive management is needed for patients with low medications adherence. Also, health care policy makers need to develop the program to induce health care utilization by a patient to be more concentrated with the same provider.

• 공학교육연구
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• 제24권6호
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• pp.30-39
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• 2021

The present study aims to demonstrate that it is possible to objectively evaluate the competency (referred to as graduate attributes or program outcomes) of graduates of engineering education programs. To strengthen the link between engineering education accreditation and the qualification/certification system of engineering professionals, referred to as K-Engineering Professional (K-EP), individually assuring the quality of accredited graduates using multiple-choice test as main assessment tool is proposed. Test questions related to the basic vocational skills of NCS are developed for seven of the 10 program outcomes of the ABEEK KEC2015. The three program outcomes, PO1, PO3, and PO5, which need to fully accommodate the characteristics of each disciplinary field, are excluded. A pilot test involving graduates of eight accredited programs is conducted. Applying on Rasch model based on Item Response Theory (IRT), the item difficulty, fit and discrimination of multiple choice test are demonstrated. The pilot study strongly suggests that individual competency evaluation is possible at a certain level for seven program outcomes tested. For PO1, PO3, and PO5, however, questions that address the characteristics of each disciplinary field need to be devised. If a suitable pool of questions is built, it can be used as a program outcomes assessment tool by the accredited programs.