• 대한건축학회논문집:계획계
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• 제34권10호
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• pp.131-142
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• 2018

Being dealt in Alfred Weber's Theory of the location of Industries, a lot of economic benefits can be obtained through aggregation and clustering of industrial facilities, which derived to the development of industrial complexes in Korea. However, with the IMF economic crisis as well as various institutional changes, the framework of aggregation and clustering of industries is broken, which led to individual developments that took place without any consideration of surrounding industries. For reformation of these condition of industrial complexes, national government-led regeneration projects are being carried out currently. However, national government-led projects mainly focus on profitable projects such as officetel and hotel that are irrelevant to exist composition of industrial complexes which is usually manufacturing base industries and are unable to solve the fundamental problems of industrial complexes. Thus, a necessity of industry clustering is deduced through case analysis of actual private-led manufacturing industry cluster with governance and analysis of benefits on financial, spatial and environmental aspects. In addition, implications on the necessity follow base on factorial analysis on the benefit of clustering development than individual development as well as analysis on the measures taken for successful clustering.

• Current Photovoltaic Research
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• 제9권2호
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• pp.59-73
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• 2021

The purpose of this study is to develop a business model that efficiently converts diesel power generation systems to renewable energy microgrids (MG) in large-scale islands. Most of the previous studies on the conversion of renewable energy MG in islands had limitations dealing with efficiency from the perspective of suppliers. However, the microgrid has the characteristic of getting benefits through the interaction between the consumer and the supplier. In addition, the efficient MG business model from the perspective of new institutional economics is a structure in which consumers and suppliers jointly participate. Therefore, this study assumed that the MG business model in which the supplier's MG and the consumer's community solar participated would benefit all participants, and verified the assumptions using domestic island data. In terms of supplier investment, the cost of power supply (LCOE) of assumed model was calculated to be 14.0% lower than that of the diesel model and 3.7% lower than that of the supplier-only MG model. From the perspective of consumer investment, electricity bills are expected to be reduced by more than 200,000 won per household per year through self-generation of solar power. Social benefits are expected to reduce external environmental costs. The CO₂ emissions of the assumed model were calculated to be 39.5% lower than the diesel model and 1.5% lower than the supplier-only MG model. Therefore, the MG business model with consumer participation proposed in this study is expected to be an efficient alternative to renewable energy MG conversion in domestic islands, and is meaningful as an energy plan that improves the benefits of local residents.

• 대한물리치료과학회지
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• 제29권1호
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• pp.1-14
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• 2022

Background: The legal and academic definitions of manual therapy in domestic and foreign countries are reviewed, and problems and improvement plan of manual therapy are established through comparative analysis of the current status and system of manual therapy in Korea and abroad. Design: Review. Methods: In this study, the development direction of manual therapy in Korea was derived by analyzing the definition, application status, and service system of domestic and foreign manual therapy. Results: Firstly, it lays the foundation for a more comprehensive national health promotion by solving problems arising from the current unclear definition of manual therapy. Secondly, the subject of manual therapy is a physiotherapist but the subject of claiming non-benefit costs is a doctor, moreover illegal manual therapy by an unqualified or non-professional who is not a physiotherapist is being carried out in the medical field. Thirdly, in order to provide quality physiotherapy services (manual therapy) under a cooperative relationship between medical staff and physiotherapists, it is appropriate that physiotherapist have a clear "prescription" or "request" by a doctor. Fourth, there is no provision for the preparation of medical records in the current Medical Technicians Act, and this causes safety accidents of patients during manual treatment. Conclusion: As described above, the current manual therapy in Korea is being performed indiscriminately without a clear interpretation, resulting in various problems. I think it is necessary to lay the foundation for institutional and legal re-establishment of manual therapy through additional research on manual therapy in the future.

• 청정기술
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• 제26권2호
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• pp.151-157
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• 2020

급격한 도시화는 국토의 불투수면을 증가시켜 도시형 홍수의 위험성을 가중시켜왔고, 지하수위의 저하, 수질오염물질 증가 등 환경재해 및 환경오염 문제를 유발시키고 있다. 국내에서는 이러한 환경적 영향을 최소화하고 개발 이전의 물순환 건전성을 유지하기 위해 저영향개발 기법을 도입하여 적용하고 있지만, 소규모 개발사업의 대부분은 강우유출량 관리의 법적 근거가 부재하여 사각지대에 놓여 있다. 이에 빗물의 표면 유출을 증가시키는 소규모 개발사업 또한 오염원인자 책임 원칙에 따라 저영향개발 시설의 적용을 의무화하는 것이 요구되며 이를 위해 물순환 회복 사전협의 제도를 도입하는 것이 필요하다. 본 연구는 소규모 개발사업의 저영향개발기법 도입을 가정하여 비용편익 분석을 중심으로 수행되었다. 비용·편익 분석에 필요한 전국 소규모 개발 대상사업의 규모 및 건수는 『건축법』에 따른 대지면적이 1,000 ㎡ 이상 이거나 건축연면적 1,500 ㎡ 이상의 건축물에 서울시의 실제 사전협의 통계자료를 적용하여 도출하였다. 피규제 기업·소상공인, 피규제 이외 기업·소상공인·일반국민 및 정부를 대상으로 소규모 개발사업의 저영향개발 시설물 설치에 따른 비용·편익을 분석한 결과, 경제성의 기준 값인 1보다 많이 낮은 것으로 확인되었으며 이는 대상사업의 규모 대비 시설물의 설치 비용이 높기 때문으로 사료된다. 하지만 저영향개발 시설의 설치에 따른 수환경 및 대기질 개선 등의 환경적 가치와 하수처리시설 운영비 절감 등의 공공성을 고려하면 향후 소규모 개발사업의 사전협의제도 도입은 필연적이다. 앞으로 소규모 개발사업의 사전협의 제도 도입과 함께 비용·편익을 개선하기 위해서는 지자체의 제도적, 재정적 지원이 적극적으로 요구된다.

• Journal of Korean Neurosurgical Society
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• 제58권4호
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• pp.309-315
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• 2015

Objective : An advantage of surgical treatment over conservative treatment of spontaneous intracerebral hemorrhage (ICH) is controversial. Recent reports suggest that contrast extravasations on CT angiography (CTA) might serve as a crucial predictor of hematoma expansion and mortality. The purpose of this study was aimed at investigating the efficacy of surgical treatment in patients with spot sign positive ICH. Methods : We used our institutional medical data search system to identify all adult patients who admitted for treatment of ICH between January 1, 2007 and January 31, 2012. Patients were classified two groups into a surgical group (n=27) and a conservative treatment group (n=28). Admission criteria were the following: age 20-79 years, spontaneous supratentorial ICH, Glasgow Coma Score Ranging from 9 to 14, ICH volume ${\geq}20mL$, and treatment within 24 hours. Results : Fifty-five patients were analyzed. There was no significant difference in the ICU stay between the conservative treatment group ($7.36{\pm}3.66days$) and the surgical treatment group ($6.93{\pm}2.20days$; p=0.950). There was a significant difference in the in-hospital stay between the conservative treatment group ($13.93{\pm}8.87days$) and the surgical treatment group ($20.33{\pm}6.37days$; p=0.001). Overall mortality at day 90 after ICH was 36.4%; this included 16 of 28 patients (57.1%) in the conservative group and 4 of 27 patients (14.8%) in the surgical group. In univariate analysis, there was a positive effect of the surgical treatment in reducing mortality at 90 days (p=0.002), Glasgow Outcome Scale (GOS) at 90-day (p=0.006), and modified Rankin Scale (mRS) at 90-day (p=0.023). In multivariate logistic analysis, there was a significant difference in mortality (odds ratio, 0.211; 95% confidence interval, 0.049-0.906; p=0.036) between the groups at 90-day follow-up. However, there was no significant difference in GOS (odds ratio, 0.371; 95% confidence interval, 0.031-4.446; p=0.434) and mRS (odds ratio, 1.041; 95% confidence interval, 0.086-12.637; p=0.975) between the groups at 90-day follow-up. Conclusion : In this study of surgical treatment of supratentorial ICH in patients with spot sign positive in CTA was associated with less mortality despite of long duration of in-hospital stay. We failed to show that clinical outcome benefit of surgical treatment compared with conservative treatment in patients with spot sign positive ICH.

• 가정과삶의질연구
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• 제26권3호
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• pp.37-52
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• 2008

The purpose of this study was to provide the valid data about residential-linked pension insurance development. The development was a part of national housing projects, which was an incentive for rural living of retired people, in order to relieve residential issues of elderly and revitalize rural communities by residents moving from cities. The insuring intent, decisive insuring factors and the residential service demand degree of people preparing retirement were analyzed. Data was collected in October, 2007. 364 Sample Subjects lived in Seoul Metropolitan area. Firstly, more than 90% of respondents had intention to purchase a residential-linked pension insurance and about 50% of them necessarily desired receiving premium for moving in. This indicated that it could be developed as an insurance which helped to meet housing expenses by housing-linked system, and in the mean time, it met the original purpose of pension insurance as the pension benefit could be guaranteed for all the insurance subscribers. Secondly, the respondents, whose income and private assets were higher, were able to pay more for insurance compared to average. Therefore, It was necessary to regulate monthly insurance bill and the payment period according to asset states of insurance subscribers after establishing certain amount of total insurance payment. Thirdly, by and large, it indicated the tendency that the less they prepare for older age the later they wanted to move into the pension insurance residence. It was inferred that in the case of insufficient preparation for older age, people preferred preparing behind time by postponing move in to moving in early to enjoy retired life, due to uncertainties. lastly, the respondents understood the significance of health, medical treatment and emergency management service and these two services were preferred as essential provided services. Because of the necessity of developing residential-linked pension insurance was found to be positive, further research to find the real cost, directives for operation and institutional support for this type of pension insurance might be needed.

• 문화기술의 융합
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• 제5권3호
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• pp.125-130
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• 2019

2019년 하노이에서 열린 체 2차 북미회담은 공동 합의를 도출하지 못한 채 결렬되었다. 본 논문은 마틴과 화이트(2005)의 평가어 체계를 근간으로 총 8개의 사설들, 구체적으로는 4개의 주요 미국 언론들의 사설들과 4개의 한국 언론들의 사설들을 평가어들을 포함한 언어적 표현들을 중심으로 분석하였다. 분석 결과 뉴욕타임즈, USA투데이, 워싱턴 포스트, 월스트리트 저널의 사설들 중 월스트리트 저널을 제외한 3개의 언론들은 모두 회담 결렬의 원인을 트럼프 대통령 개인으로 귀속시키며 부정적 평가어로 입장을 전달함을 알 수 있었다. 그러나 4개의 신문 사설에서는 한반도의 비핵화나 평화에 대한 우려에 대한 내용을 담고 있지 않았다. 반면 한국의 언론들은 모두 회담 결렬의 원인보다는 향후 방향에 대해 중점을 두고 있었는데, 두 언론은 부정적 행위평가어를 이용하여 문제점과 우려를 제기했지만, 다른 두 언론은 한겨레신문과 경향신문은 향후 대응과 입장에 중심을 두었고 부정적 평가어보다는 당부와 조언의 언어적 자원을 활용하고 있음이 밝혀졌다. 이를 통해, 담론 소비에 있어 양국의 언론들은 각자의 입장을 전달하는 데 있어 부정적인 평가어를 선호한다는 점, 그리고 기대와 당부를 전달할 때는 평가어보다는 보조 용언과 같은 언어적 표현을 사용한다는 것을 알 수 있었다.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권5호
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• pp.781-791
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• 2019

본 연구에서는 장기요양기관 관리자, 요양보호사, 입소노인을 대상으로 하여 2015년도 장기요양기관의 평가(평가등급, 평가등급의 변화, 평가지표의 적합성), 요양보호사의 서비스의 질, 입소노인의 서비스 질 만족도, 삶의 만족도, 시설 선택에 미치는 영향을 파악하고자 하였다. 이를 위해 IRB를 받은 뒤 2018년 1월과 2월에 장기요양기관 관리자 79명, 요양보호사 381명 및 입소 노인 381명을 대상으로 설문조사를 완료하였다. 설문조사는 2015년도 장기요양(시설급여) 평가결과를 반영한 할당표본을 실시하였다. 연구결과 장기요양기관 평가의 주된 목적이라 할 수 있는 입소노인의 삶의 질 향상에는 요양보호사의 서비스 질 보다 기관평가(평가등급, 평가등급의 변화, 자표의 적합성 인식)가 더 큰 영향을 미치는 것으로 나타났다. 그러나 퇴소 후 시설재선택의향은 요양보호사의 서비스의 질에 더 큰 영향을 받았다. 따라서 시설재선택의향을 제외하고 보면, 국민건강보험공단의 평가의 호과성이 부분적으로나마 검증되었다고 볼 수 있다.

• 산업진흥연구
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• 제6권1호
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• pp.79-86
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• 2021

인구구조의 변화로 저출산·고령화 문제는 심각한 생산가능 인구감소로 이어져 외국인력 도입의 필요성이 증대되고 있다. 본 연구는 인구구조 변화가 본격적으로 시작되는 저출산고령화 시대에 생산가능 인구를 확충하기 위해서는 외국인력의 도입이 가장 유효하다고 보며, 이를 위해 이주노동자 도입에 대한 법제도적인 개선방안을 마련하고자 하였다. 연구 결과, 첫째, 이주노동자 법제도의 통일과 정비가 이루어져야 한다. 「출입국관리법」과 「노동법」이 협조관계를 구축할 수 있도록 관리기관의 신설이나 일원화가 필요하다. 둘째, 「출입국관리법」을 개정하여 이주노동자들이 취업할 수 있는 길이 용이해져야 한다. 고용허가제와 국적취득에 대한 긍정적 검토가 필요하다. 셋째, 이주노동자에 대한 형평성 및 차별이 없어야 한다. 상호호혜의 원칙하에서 사용자와 이주노동자가 평등하게 차별 받지 않도록 해야 한다. 넷째, 이주노동자의 법제도에서 사회보험제도를 추가하여야 한다. 따라서 4대 사회보험을 비롯한 각종 보험제도에서 이주노동자들이 차별 받지 않도록 법제도의 정비가 이루어져야 한다. 결론적으로 인구구조의 변화로 저출산·고령화 문제는 심각한 사회문제화되어 있으며, 이로 인한 생산가능인구의 감소는 우려할 만한 수준에 도달해 있다. 이주노동자의 취업 및 근무 환경의 중요성은 높아지고 있다. 그럼에도 불구하고 관련 법제도적 문제점은 상존해 있으며, 이주노동자에 대한 법제도적 개선방안이 필요하다.

• Journal of Chest Surgery
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• 제55권1호
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• pp.10-19
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• 2022

Background: According to the eighth TNM (tumor-node-metastasis) staging system, the presence of separate tumor nodules in the same lobe is designated as a T3 descriptor. However, it remains unclear whether adjuvant chemotherapy confers survival advantages in this setting. Methods: We retrospectively identified 142 pathologic T3N0M0 patients with additional pulmonary nodules in the same lobe from a single-institutional database from 2004 to 2019. The main outcomes were overall survival and recurrence-free survival. Multivariable Cox regression was used to identify the benefit of adjuvant chemotherapy while adjusting for other variables. Results: Sixty-one patients received adjuvant chemotherapy (adjuvant group) and 81 patients did not receive adjuvant therapy after surgery (surgery-only group). There were no demonstrable differences between the 2 groups regarding hospital mortality and postoperative complications, indicating that treatment selection had not significantly occurred. However, the use of adjuvant chemotherapy was associated with improved 5-year overall survival (70% vs. 59%, p=0.006) and disease-free survival (60% vs. 46%, p=0.040). A multivariable Cox model demonstrated that adjuvant chemotherapy was associated with a survival advantage (adjusted hazard ratio, 0.54; p<0.001). In exploratory analyses of subgroups, the effect of adjuvant chemotherapy seemed to be insufficient in those with small main tumors (<4 cm). Conclusion: Adjuvant chemotherapy was associated with better survival in T3 cancers with an additional tumor nodule in the same lobe. However, the role of adjuvant chemotherapy in patient subgroups with small tumors or those without risk factors should be determined via large studies.