• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2008년도 춘계종합학술대회 A
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• pp.517-520
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• 2008

헬스케어 환경을 지원하는 무선 센서 네트워크는 사람이나 이동성을 가진 사물에 대하여 연속적인 위치변화와 상태정보 등 해당 상황정보에 따른 맞춤형 서비스를 제공해야 한다. 또한 센서 네트워크를 통해 제공되는 사람의 생체정보와 개인 프라이버시 보안을 보장할 수 있는 데이터 전송을 고려하여야 한다. 본 논문에서는 노드 간 계층적 클러스터의 구성을 통한 동적 자기구성, 에너지 효율성을 보장하는 LEACH 프로토콜과 노드 간 데이터 전송에 대한 보안을 위해 사용되는 키 분배 프로토콜에 대해 분석한다. 이 분석 결과를 기반으로 센서노드에 메모리 소모량이 적은 키 풀 사전 분배 방식과 클러스터 단위 공용키 방식을 적용함으로써 보안을 강화한 데이터 전송 방식과 기존 LEACH 프로토콜의 취약점인 노드 이동성을 지원하는 자기구성 라우팅 프로토콜을 제안한다.

• 인터넷정보학회논문지
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• 제6권6호
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• pp.163-178
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• 2005

개인정보관리 시스템의 궁극적인 목표는 개인이 필요로 하는 정보를 수집하고 처리하여 보다 간편하고 효율적인 방법으로 정보를 검색할 수 있도록 조직화하여 관리하는데 있다. 그러나 기존의 개인정보관리 시스템은 자료 저장을 위해 전통적인 계층적 디렉터리 모델을 사용하고 있기 때문에 효율적인 정보관리 및 검색에 한계가 있으며 정보의 연관 관계에 의한 검색이 어렵다는 문제점을 가진다. 이러한 문제점들을 개선하기 위해 본 논문에서는 개인이 필요로 하는 문서를 웹상에서 쉽게 관리하고 유지할 수 있는 더불어 관리된 문서를 쉽게 검색할 수 있는 개인정보관리 메커니즘을 기계학습의 한 기법이 Fornal Concept Analysis의 개념망 모델을 이용하여 제안한다. 실험 결과는 제안된 방법이 계층적인 트리 구조의 단점을 극복하고 제한된 검색을 넘어 개념들 사이의 연관 관계에 의한 검색을 지원할 뿐만 아니라 검색 성능에 있어 계층적인 구조를 기반으로 하는 시스템보다 더 유용한 방법임을 보였다.

• 임상간호연구
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• 제22권3호
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• pp.276-284
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• 2016

Purpose: The purpose of this study was to identify the factors related to blood-borne infection prevention behaviors based on the risk perception of the health belief model among operating room nurses. Risk perception factors included perceived susceptibility, barriers, benefits, and perceived severity. Methods: Data were collected from 121 operating room nurses working in four different hospitals in Daejeon and Seoul from June 30 to May 11, 2016. Results: The mean age was 31.2 years, and the average years of clinical experience in operating room was 7.9 years. The mean score of knowledge was 13.15. The mean score of perceived susceptibility, barrier, benefit, and perceived severity were 3.76, 3.70, 3.95, and 4.64, respectively. Blood-borne infection prevention behaviors had positive correlation with perceived benefits (p=.010), but negative correlation with sensitivity (p=.009) and barrier (p=.012). The hierarchical regression model on infection prevention behavior was statistically significant (F=4.85, p<.001). The sixteen percent of variance in behavior was explained by age (${\beta}=.18$, p=.038), perceived benefit (${\beta}=.20$, p=.030), perceived susceptibility (${\beta}=-.25$, p=.005), and perceived barrier (${\beta}=-.18$, p=.042). Conclusion: In order to increase infection prevention behaviors among operating room nurses, there is a need for developing specific education program focusing on appropriate management of equipment, instruments, and environment in operating room. In addition, support from the hospital organization level need to be provided as well.

• Journal of Preventive Medicine and Public Health
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• 제49권1호
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• pp.69-78
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• 2016

Objectives: The suicide rate in Korea is increasing every year, and is the highest among the Organization for Economic Cooperation and Development countries. Psychiatric patients in particular have a higher risk of suicide than other patients. This study was performed to evaluate determinants of mental health care utilization among individuals at high risk for suicide. Methods: Korea Health Panel data from 2009 to 2011 were used. Subjects were individuals at high risk of suicide who had suicidal ideation, a past history of psychiatric illness, or had utilized outpatient services for a psychiatric disorder associated with suicidal ideation within the past year. The chi-square test and hierarchical logistic regression were used to identify significant determinants of mental health care utilization. Results: The total number of subjects with complete data on the variables in our model was 989. Individuals suffering from three or more chronic diseases used mental health care more frequently. Mental health care utilization was higher in subjects who had middle or high levels of educational attainment, were receiving Medical Aid, or had a large family size. Conclusions: It is important to control risk factors in high-risk groups as part of suicide prevention strategies. The clinical approach, which includes community-based intervention, entails the management of reduction of suicidal risk. Our study identified demographic characteristics that have a significant impact on mental health care utilization and should be considered in the development of suicide prevention strategies. Further studies should examine the effect of mental health care utilization on reducing suicidal ideation.

• 인터넷정보학회논문지
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• 제17권4호
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• pp.69-77
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• 2016

최근에 비즈니스 인텔리전스 분야에서 비주얼 애널리틱스의 중요성이 강조되고 있다. 비즈니스 인텔리전스 관점에서 비주얼 애널리틱스는 다양한 관점의 비즈니스 관련 정보를 인터랙티브한 형태로 시각화함으로써 의사결정에 유용한 인사이트들을 획득하는 것을 목표로 한다. 본 논문에서는 트리맵을 이용하여 비즈니스 프로세스 수행자들간의 업무공유 관계들을 시각화하는 방법을 제안한다. 업무공유 관계는 비즈니스 프로세스의 특정 단위 업무에 공통적으로 참여하는 두 수행자간에 형성되는 연결 관계로서, 프로세스 기반 조직의 구조 및 행동 패턴을 이해하는 데에 중요한 요소이다. 이를 위해, 비즈니스 프로세스의 기본적인 계층적 정보와 수행자간 업무공유 관계를 트리맵의 형태로 나타내는 시각화 도구를 설계 및 구현하였다. 최종적으로 XPDL (XML Process Definition Language) 프로세스 모델을 이용한 실행 예제를 통해 시각화 도구의 유용성을 검증하였다.

• Journal of Preventive Medicine and Public Health
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• 제46권6호
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• pp.300-308
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• 2013

Objectives: The purpose of this study was to classify determinants of cost increases into two categories, negotiable factors and non-negotiable factors, in order to identify the determinants of health care expenditure increases and to clarify the contribution of associated factors selected based on a literature review. Methods: The data in this analysis was from the statistical yearbooks of National Health Insurance Service, the Economic Index from Statistics Korea and regional statistical yearbooks. The unit of analysis was the annual growth rate of variables of 16 cities and provinces from 2003 to 2010. First, multiple regression was used to identify the determinants of health care expenditures. We then used hierarchical multiple regression to calculate the contribution of associated factors. The changes of coefficients ($R^2$) of predictors, which were entered into this analysis step by step based on the empirical evidence of the investigator could explain the contribution of predictors to increased medical cost. Results: Health spending was mainly associated with the proportion of the elderly population, but the Medicare Economic Index (MEI) showed an inverse association. The contribution of predictors was as follows: the proportion of elderly in the population (22.4%), gross domestic product (GDP) per capita (4.5%), MEI (-12%), and other predictors (less than 1%). Conclusions: As Baby Boomers enter retirement, an increasing proportion of the population aged 65 and over and the GDP will continue to increase, thus accelerating the inflation of health care expenditures and precipitating a crisis in the health insurance system. Policy makers should consider providing comprehensive health services by an accountable care organization to achieve cost savings while ensuring high-quality care.

• 한국병원경영학회지
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• 제18권2호
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• pp.33-56
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• 2013

The purpose of this study is to analyze the change of hospitals that patients safety and quality improvement by accreditation process and to examine the impact or interrelation of leadership, organizational culture, hospital management activities and recognition of hospital management performances. The data were collected through a review of the literature, and selfadministered survey with a structured questionnaires to 714 subjects from several medical staff members, administration staff members, nursing staff members, medical technicians and other staff members working in 23 accredited hospitals in Korea. In this analysis hierarchical multiple regression and structural equation model were used. The conclusion of this study provides a theoretical model for understanding organizational changes brought about by accreditation system. Factor on improvement of efficiency and raise the morale, rather than increase of medical income and reduce of the cost factors, had a stronger influence on the accreditation process. In the future, the hospital's participation to induce the accreditation program voluntarily will come up with an alternative policy concern about financial perspective. Also, the hospitals which preparing accreditation program to achieve the goal efficiently, will make use of transformational leadership through enhancing individual consideration and intellectual development to leading members participation. Additionally, non-accredited hospitals should aim at professional culture by innovative and creative approaches, and inviting members to learning and growth in the organization.

• 한국항해항만학회지
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• 제29권8호
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• pp.715-721
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• 2005

본 연구에서는 목포항의 요트산업 운영과 개발에 관한 평가를 위한 평가모델을 제안하고자 한다. 이러한 평가를 위해 본 연구에서 제안한 모델은 SWOT와 AHP법을 통합한 것이다. 본 연구에서는 평가를 위해 ISM법에 의해 평가요소를 구조화한다. 그리고 계층구조는 5단계이며 3단계부터는 SWOT법이 적용된다. 또한 평가를 위해 SWOT법에서 O, T는 외부적요소고, O, T는 외부적 요소로 구분하였다. 또한 개발 및 운영의 관점은 경제적인 관점과 해양 레져관광 개발의 두 관점을 고려하였다. 개발 및 운영주체는 제3섹터 민간과 지자체로 구분하였다. 그 결과 강점과 기회가 우선순위가 높게 나타났고 제3섹터에 의한 개발과 운영이 선호되는 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제41권4호
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• pp.232-240
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• 2008

Objectives: This study was conducted to assess the nutritional status and characteristics related to malnutrition in children less than five years of age in Nghean, Vietnam. Methods: In this study, which was conducted in November 2007, 650 child-mother pairs were selected using a two-stage cluster sampling methodology. A structured questionnaire was then administered to the mothers in their home settings. Anthropometric measurement was then used to determine if children were underweight (weight-for-age), wasting (weight-for-height) and stunting (height-for-age) based on reference data from the National Center for Health Statistics (NCHS)/World Health Organization (WHO). Logistic regression analysis was then used to describe the hierarchical relationships between potential risk factors and malnutrition. Results: The mean Z-scores for weight-for-age, height-for-age and weight-for-height were -1.46 (95% CI=-1.57, -1.35), -1.44 (95% CI=-1.56, -1.32) and -0.71 (95% CI=-0.82, -0.60), respectively. Of the children included in this study, 193 (31.8%) were underweight, 269 (44.3%) were stunting and 72 (11.9%) were wasting. Region of residence, the mother's level of education and occupation, household size, number of children in the family, weight at birth and duration of exclusive breastfeeding were found to be significantly related to malnutrition. Conclusions: The findings of this study indicate that malnutrition is still an important problem among children less than five years of age in Nghean, Vietnam. In addition, maternal, socio-economic and environment factors were found to be significant factors for malnutrition among children under five.

• Journal of Preventive Medicine and Public Health
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• 제42권2호
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• pp.123-129
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• 2009

Objectives : This study aimed to examine the association between public social expenditure(PSE) and suicides in the 27 countries of the Organization for Economic Cooperation and Development(OECD) from 1980 to 2003. Methods : The age-standardized suicide rates and their annual change(%) were obtained from the OECD Health Data 2007. As a measure of social protection, the PSE(% GDP) was used. The covariates included the annual divorce rate(/100,000 population), fertility rate(number of children/woman aged 15 to 49 years), GDP per capita(US$ PPP), male unemployment rate(%), life expectancy(years) and alcohol consumption(liter/capita) for each country, which were all obtained from the OECD Health Data 2007 and the OECD Social Indicators 2006. Using hierarchical linear models that included these covariates, the effects of PSE on suicides(Model 1) and the annual percent change (Model 2) were examined(Model 3). Also, sub-sample analyses were done for six countries that experienced political/economic transition. Results : We could not find significant effects of PSE on suicides(Model 1), but we observed significantly negative effects on the annual percent change for men and women(Model 2). Such findings were replicated in the sub-sample analysis, and moreover, the effect size was much larger(Model 3). Conclusions : Our finding suggests that social welfare protection can be a pivotal factor for suicide epidemiology, and especially in countries experiencing a social crisis or transition.