• 제목/요약/키워드: Mass service

검색결과 797건 처리시간 0.027초

2008년 하계 울릉분지에서 관측된 물리·화학적 외압에 대한 플랑크톤 군집의 반응 (Plankton Community Response to Physico-Chemical Forcing in the Ulleung Basin, East Sea during Summer 2008)

  • 노태근;김윤배;박정인;이용우;임동훈;강동진;이동섭;윤승태;김태훈;곽정현;박현제;정만기;장경일;강창근;서해립;박명원
    • Ocean and Polar Research
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    • 제32권3호
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    • pp.269-289
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    • 2010
  • In Summer 2008, a multidisciplinary survey was conducted onboard R/V Haeyang 2000 to understand plankton response to the three distinct physico-chemical settings that developed in the Ulleung Basin of the East Sea. Baseline settings of hydrographic conditions included the presence of the thin (<20 m) Tsushima Surface Water (TSW) on top of the Tsushima Middle Water (TMW). It extends from the Korea Strait to $37^{\circ}N$ along the $130^{\circ}E$ and then turns offshore and encompasses the relatively saline (T>$26^{\circ}C$, S>33.7) Ulleung Warm Eddy surface water centered at $36.5^{\circ}N$ and $131^{\circ}E$. A relatively colder and saline water mass appeared off the southeastern coast of Korea. It was accompanied by higher nutrient and chlorophyll-a concentrations, suggesting a coastal upwelling. Most of the offshore surface waters support low phytoplankton biomass (0.3 mg chl-a $m^{-3}$). A much denser phytoplankton biomass (1-2.3 mg $m^{-3}$) accumulated at the subsurface layer between 20-50 m depth. The subsurface chlorophyll-a maximum (SCM) layer was closely related to the nutricline, suggesting an active growth of phytoplankton at depth. The SCM developed at shallow depth (20-30 m) near the coast and deepened offshore (50-60 m). A fucoxanthin/zeaxanthin ratio was high in coastal waters while it was low in offshore waters, which indicated that diatoms dominate coastal waters while cyanobacteria dominate offshore waters. The community structure and biomass of phytoplanktonare closely related to nitrogen availability. Zooplankton biomass was higher in the coastal region than in the offshore region while species richness showed an opposite trend. Zooplankton community structure retained a coastal/offshore contrast. These suggest that summer hydrography is a stable structure, lasting long enough to allow a hydrography-specific plankton community to evolve.

대용량 소셜 미디어 감성분석을 위한 반감독 학습 기법 (Semi-supervised learning for sentiment analysis in mass social media)

  • 홍소라;정연오;이지형
    • 한국지능시스템학회논문지
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    • 제24권5호
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    • pp.482-488
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    • 2014
  • 대표적인 소셜 네트워크 서비스(SNS)인 트위터의 내용을 분석하여 자동으로 트윗에 나타난 사용자의 감성을 분석하고자 한다. 기계학습 기법을 사용해서 감성 분석 모델을 생성하기 위해서는 각각의 트윗에 긍정 또는 부정을 나타내는 감성 레이블이 필요하다. 그러나 사람이 모든 트윗에 감성 레이블을 붙이는 것은 비용이 많이 소요되고, 실질적으로 불가능하다. 그래서 본 연구에서는 "감성 레이블이 있는 데이터"와 함께 "감성 레이블이 없는 데이터"도 활용하기 위해서 반감독 학습기법인 self-training 알고리즘을 적용하여 감성분석 모델을 생성한다. Self-training 알고리즘은 "레이블이 있는 데이터"의 레이블이 있는 데이터를 활용하여 "레이블이 없는 데이터"의 레이블을 확정하여 "레이블이 있는 데이터"를 확장하는 방식으로, 분류모델을 점진적으로 개선시키는 방식이다. 그러나 데이터의 레이블이 한번 확정되면 향후 학습에서 계속 사용되므로, 초기의 오류가 계속적으로 학습에 영향을 미치게 된다. 그러므로 조금 더 신중하게 "레이블이 없는 데이터"의 레이블을 결정할 필요가 있다. 본 논문에서는 self-training 알고리즘을 이용하여 보다 높은 정확도의 감성 분석 모델을 생성하기 위하여, self-training 중 "감성 레이블이 없는 데이터"의 레이블을 결정하여 "감성 레이블이 있는 데이터"로 확장하기 위한 3가지 정책을 제시하고, 각각의 성능을 비교 분석한다. 첫 번째 정책은 임계치를 고려하는 것이다. 분류 경계로부터 일정거리 이상 떨어져 있는 데이터를 선택하고자 하는 것이다. 두 번째 정책은 같은 개수의 긍/부정 데이터를 추가하는 것이다. 한쪽 감성에 해당하는 데이터에만 국한된 학습을 하는 것을 방지하기 위한 것이다. 세 번째 정책은 최대 개수를 고려하는 것이다. 한 번에 많은 양의 데이터가 "감성 레이블이 있는 데이터"에 추가되는 것을 방지하고 상위 몇%만 선택하기 위해서, 선택되는 데이터의 개수의 상한선을 정한 것이다. 실험은 긍정과 부정으로 분류되어 있는 트위터 데이터 셋인 Stanford data set에 적용하여 실험하였다. 그 결과 학습된 모델은 "감성 레이블이 있는 데이터" 만을 가지고 모델을 생성한 것보다 감성분석의 성능을 향상 시킬 수 있었고 3가지 정책을 적용한 방법의 효과를 입증하였다.

Perfluoropolymer Membranes of Tetrafluoroethylene and 2,2,4Trifluofo- 5Trifluorometoxy- 1,3Dioxole.

  • Arcella, V.;Colaianna, P.;Brinati, G.;Gordano, A.;Clarizia, G.;Tocci, E.;Drioli, E.
    • 한국막학회:학술대회논문집
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    • 한국막학회 1999년도 The 7th Summer Workshop of the Membrane Society of Korea
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    • pp.39-42
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    • 1999
  • Perfluoropolymers represent the ultimate resistance to hostile chemical environments and high service temperature, attributed to the presence of fluorine in the polymer backbone, i.e. to the high bond energy of C-F and C-C bonds of fluorocarbons. Copolymers of Tetrafluoroethylene (TEE) and 2, 2, 4Trifluoro-5Trifluorometoxy- 1, 3Dioxole (TTD), commercially known as HYFLON AD, are amorphous perfluoropolymers with glass transition temperature (Tg)higher than room temperature, showing a thermal decomposition temperature exceeding 40$0^{\circ}C$. These polymer systems are highly soluble in fluorinated solvents, with low solution viscosities. This property allows the preparation of self-supported and composite membranes with desired membrane thickness. Symmetric and asymmetric perfluoropolymer membranes, made with HYFLON AD, have been prepared and evaluated. Porous and not porous symmetric membranes have been obtained by solvent evaporation with various processing conditions. Asymmetric membranes have been prepared by th wet phase inversion method. Measure of contact angle to distilled water have been carried out. Figure 1 compares experimental results with those of other commercial membranes. Contact angles of about 120$^{\circ}$for our amorphous perfluoropolymer membranes demonstrate that they posses a high hydrophobic character. Measure of contact angles to hexandecane have been also carried out to evaluate the organophobic character. Rsults are reported in Figure 2. The observed strong organophobicity leads to excellent fouling resistance and inertness. Porous membranes with pore size between 30 and 80 nanometers have shown no permeation to water at pressures as high as 10 bars. However high permeation to gases, such as O2, N2 and CO2, and no selectivities were observed. Considering the porous structure of the membrane, this behavior was expected. In consideration of the above properties, possible useful uses in th field of gas- liquid separations are envisaged for these membranes. A particularly promising application is in the field of membrane contactors, equipments in which membranes are used to improve mass transfer coefficients in respect to traditional extraction and absorption processes. Gas permeation properties have been evaluated for asymmetric membranes and composite symmetric ones. Experimental permselectivity values, obtained at different pressure differences, to various single gases are reported in Tab. 1, 2 and 3. Experimental data have been compared with literature data obtained with membranes made with different amorphous perfluoropolymer systems, such as copolymers of Perfluoro2, 2dimethyl dioxole (PDD) and Tetrafluorethylene, commercialized by the Du Pont Company with the trade name of Teflon AF. An interesting linear relationship between permeability and the glass transition temperature of the polymer constituting the membrane has been observed. Results are descussed in terms of polymer chain structure, which affects the presence of voids at molecular scale and their size distribution. Molecular Dyanmics studies are in progress in order to support the understanding of these results. A modified Theodoru- Suter method provided by the Amorphous Cell module of InsightII/Discover was used to determine the chain packing. A completely amorphous polymer box of about 3.5 nm was considered. Last but not least the use of amorphous perfluoropolymer membranes appears to be ideal when separation processes have to be performed in hostile environments, i.e. high temperatures and aggressive non-aqueous media, such as chemicals and solvents. In these cases Hyflon AD membranes can exploit the outstanding resistance of perfluoropolymers.

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공기조화, 냉동 분야의 최근 연구 동향 -2002년 및 2003년 학회지 논문에 대한 종합적 고찰 - (Recent Progress in Air Conditioning and Refrigeration Research - A Review of Papers Published in the Korean Journal of Air-Conditioning and Refrigeration Engineering in 2002 and 2003 -)

  • 정광섭;김민수;김용찬;박경근;박병윤;조금남
    • 설비공학논문집
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    • 제16권12호
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    • pp.1234-1268
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    • 2004
  • A review on the papers published in the Korean Journal of Air-Conditioning and Refrigerating Engineering in 2002 and 2003 has been carried out. Focus has been put on current status of research in the aspect of heating, cooling, air-conditioning, ventilation, sanitation and building environment/design. The conclusions are as follows. (1) Most of fundamental studies on fluid flow were related with heat transportation in diverse facilities. Drop formation and rivulet flow on solid surfaces were interesting topics related with condensation augmentation. Research on micro environment considering flow, heat transfer, humidity was also interesting to promote comfortable living environment. It can be extended considering biological aspects. Development of fans and blowers of high performance and low noise were continuing research topics. Well developed CFD technologies were widely applied for analysis and design of various facilities and their systems. (2) Heat transfer characteristics of enhanced finned tube heat exchangers and heat sinks were extensively investigated. Experimental studies on the boiling heat transfer, vortex generators, fluidized bed heat exchangers, and frosting and defrosting characteristics were also conducted. In addition, the numerical simulations on various heat exchangers were performed and reported to show heat transfer characteristics and performance of the heat exchanger. (3) A review of the recent studies shows that the performance analysis of heat pump have been made by various simulations and experiments. Progresses have been made specifically on the multi-type heat pump systems and other heat pump systems in which exhaust energy is utilized. The performance characteristics of heat pipe have been studied numerically and experimentally, which proves the validity of the developed simulation programs. The effect of various factors on the heat pipe performance has also been examined. Studies of the ice storage system have been focused on the operational characteristics of the system and on the basics of thermal storage materials. Researches into the phase change have been carried out steadily. Several papers deal with the cycle analysis of a few thermodynamic systems which are very useful in the field of air-conditioning and refrigeration. (4) Recent studies on refrigeration and air-conditioning systems have focused on the system performance and efficiency enhancement when new alternative refrigerants are applied. Heat transfer characteristics during evaporation and condensation are investigated for several tube shapes and new alternative refrigerants including natural refrigerants. Efficiency of various compressors and performance of new expansion devices are also dealt with for better design of refrigeration/air conditioning system. In addition to the studies related with thermophysical properties of refrigerant mixtures, studies on new refrigerants are also carried out. It should be noted that the researches on two-phase flow are constantly carried out. (5) A review of the recent studies on absorption refrigeration system indicates that heat and mass transfer enhancement is the key factor in improving the system performance. Various experiments have been carried out and diverse simulation models have been presented. Study on the small scale absorption refrigeration system draws a new attention. Cooling tower was also the research object in the respect of enhancement its efficiency, and performance analysis and optimization was carried out. (6) Based on a review of recent studies on indoor thermal environment and building service systems, it is noticed that research issues have mainly focused on several innovative systems such as personal environmental modules, air-barrier type perimeterless system with UFAC, radiant floor cooling system, etc. New approaches are highlighted for improving indoor environmental conditions and minimizing energy consumption, various activities of building energy management and cost-benefit analysis for economic evaluation.

매체와 정보유형에 따른 정보확산 차이에 대한 연구 (A Study on the Differences of Information Diffusion Based on the Type of Media and Information)

  • 이상근;김진화;백헌;이의방
    • 지능정보연구
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    • 제19권4호
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    • pp.133-146
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    • 2013
  • 본 연구는 매체에 따른 정보확산차이와, 정보유형을 근접성의 정도로 분류하여 정보확산차이를 보고자 하였다. 이는 기존의 전통매체인 종이신문이나 TV, 라디오와 같이 일방적으로 전달되는 매체의 정보확산과는 달리, 온라인 뉴스나 소셜네트워크서비스와 같이 쌍방향적 소통이 가능한 매체 특성으로 인한 정보확산은 차이가 있을 것이라 판단하였다. 따라서 본 연구에서는 개인이 직접 기사를 올리고 다른 사람들과 공유할 수 있는 블로그(Blog) 매체와 온라인 뉴스(News) 매체에 따른 정보확산차이를 비교해 보고자 하였다. 또한 심리적, 지리적 근접성에 따른 정보확산차이를 보고자 정보의 유형을 세분화 하였다. 이는 수용자가 정보의 근접성이 높고 낮음의 차이 정도에 따라 정보유형에 따른 가치평가의 기준이 다를 것이라 보았다. 정보유형은 연예, 시사(국제), 제품으로 선정하였고, 세부내용은 연예와 관련된 '싸이 젠틀맨', 시사와 관련된 '중국 쓰촨성 지진', 제품과 관련된 '갤럭시 S4'를 선택하였다. 본 연구의 분석방법은 Bass 확산모형을 이용하여 증명하고자 하였다. Bass 확산모형은 혁신효과(Innovation effect)와 모방효과(Imitation effect)로 나눠서 측정한다. 혁신효과는 서비스 초기에 영향을 미치는 변수로 추정가능하며, 모방효과는 서비스 초기 단계 이후에 영향을 미치는 변수로 구전의 영향을 받는다고 볼 수 있다. 본 연구 결과 첫째, 매체에 따른 정보확산 흐름은 비슷하게 나타났다. 비록 두 매체의 특성에 차이점이 있을지라도, 뉴스가치 중 하나인 근접성에 따른 정보확산은 비슷한 형태를 보인다고 할 수 있다. 두 번째, 근접성에 기반한 정보유형별 정보확산에는 차이가 있었다. 수용자 입장에서 관련성이 높은 제품과 연예는 모방효과가 높게 나타났으며, 시사의 경우는 모방효과보다 혁신효과가 높게 나타났다. 이는 제품관련 정보나 연예관련 정보와 같이 개인에게 심리적으로나 지리적으로 근접성이 높은 정보는, 국제 재해와 관련된 시사정보와 같이 근접성이 낮은 정보에 비해서, 개인의 모방효과가 활발히 진행된다고 볼 수 있다. 연구결과를 통해 매체와 정보유형에 따라 정보확산 흐름변화를 고찰하여 실무에 활용한다면 도움이 될 것이라 본다. 하지만, 정보유형을 각각 하나의 기사만을 택하여 보았기 때문에 이 결과를 통한 정보확산 차이라고 규정짓기에는 sample size가 너무 작아 일반화에 어려움이 있다. 향후 연구에서는 소셜미디어 종류를 블로그 뿐 만 아니라 다양한 소셜미디어를 추가하여 비교해 볼 필요가 있을 것이다. 또한 정보의 유형을 근접성 측면뿐 만 아니라 다른 측면도 고려해 봐야 할 것이다.

한국전쟁의 교훈과 대비 -병력수(兵力數) 및 부대수(部隊數)를 중심으로- (The lesson From Korean War)

  • 윤일영
    • 안보군사학연구
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    • 통권8호
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    • pp.49-168
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    • 2010
  • Just before the Korean War, the total number of the North Korean troops was 198,380, while that of the ROK(Republic of Korea) army troops 105,752. That is, the total number of the ROK army troops at that time was 53.3% of the total number of the North Korean army. As of December 2008, the total number of the North Korean troops is estimated to be 1,190,000, while that of the ROK troops is 655,000, so the ROK army maintains 55.04% of the total number of the North Korean troops. If the ROK army continues to reduce its troops according to [Military Reform Plan 2020], the total number of its troops will be 517,000 m 2020. If North Korea maintains the current status(l,190,000 troops), the number of the ROK troops will be 43.4% of the North Korean army. In terms of units, just before the Korean War, the number of the ROK army divisions and regiments was 80% and 44.8% of North Korean army. As of December 2008, North Korea maintains 86 divisions and 69 regiments. Compared to the North Korean army, the ROK army maintains 46 Divisions (53.4% of North Korean army) and 15 regiments (21.3% of North Korean army). If the ROK army continue to reduce the military units according to [Military Reform Plan 2020], the number of ROK army divisions will be 28(13 Active Division, 4 Mobilization Divisions and 11 Local Reserve Divisions), while that of the North Korean army will be 86 in 2020. In that case, the number of divisions of the ROK army will be 32.5% of North Korean army. During the Korean war, North Korea suddenly invaded the Republic of Korea and occupied its capital 3 days after the war began. At that time, the ROK army maintained 80% of army divisions, compared to the North Korean army. The lesson to be learned from this is that, if the ROK army is forced to disperse its divisions because of the simultaneous invasion of North Korea and attack of guerrillas in home front areas, the Republic of Korea can be in a serious military danger, even though it maintains 80% of military divisions of North Korea. If the ROK army promotes the plans in [Military Reform Plan 2020], the number of military units of the ROK army will be 32.5% of that of the North Korean army. This ratio is 2.4 times lower than that of the time when the Korean war began, and in this case, 90% of total military power should be placed in the DMZ area. If 90% of military power is placed in the DMZ area, few troops will be left for the defense of home front. In addition, if the ROK army continues to reduce the troops, it can allow North Korea to have asymmetrical superiority in military force and it will eventually exert negative influence on the stability and peace of the Korean peninsular. On the other hand, it should be reminded that, during the Korean War, the Republic of Korea was attacked by North Korea, though it kept 53.3% of troops, compared to North Korea. It should also be reminded that, as of 2008, the ROK army is defending its territory with the troops 55.04% of North Korea. Moreover, the national defense is assisted by 25,120 troops of the US Forces in Korea. In case the total number of the ROK troops falls below 43.4% of the North Korean army, it may cause social unrest about the national security and may lead North Korea's misjudgement. Besides, according to Lanchester strategy, the party with weaker military power (60% compared to the party with stronger military power) has the 4.1% of winning possibility. Therefore, if we consider the fact that the total number of the ROK army troops is 55.04% of that of the North Korean army, the winning possibility of the ROK army is not higher than 4.1%. If the total number of ROK troops is reduced to 43.4% of that of North Korea, the winning possibility will be lower and the military operations will be in critically difficult situation. [Military Reform Plan 2020] rums at the reduction of troops and units of the ground forces under the policy of 'select few'. However, the problem is that the financial support to achieve this goal is not secured. Therefore, the promotion of [Military Reform Plan 2020] may cause the weakening of military defence power in 2020. Some advanced countries such as Japan, UK, Germany, and France have promoted the policy of 'select few'. However, what is to be noted is that the national security situation of those countries is much different from that of Korea. With the collapse of the Soviet Unions and European communist countries, the military threat of those European advanced countries has almost disappeared. In addition, the threats those advanced countries are facing are not wars in national level, but terrorism in international level. To cope with the threats like terrorism, large scaled army trops would not be necessary. So those advanced European countries can promote the policy of 'select few'. In line with this, those European countries put their focuses on the development of military sections that deal with non-military operations and protection from unspecified enemies. That is, those countries are promoting the policy of 'select few', because they found that the policy is suitable for their national security environment. Moreover, since they are pursuing common interest under the European Union(EU) and they can form an allied force under NATO, it is natural that they are pursing the 'select few' policy. At present, NATO maintains the larger number of troops(2,446,000) than Russia(l,027,000) to prepare for the potential threat of Russia. The situation of japan is also much different from that of Korea. As a country composed of islands, its prime military focus is put on the maritime defense. Accordingly, the development of ground force is given secondary focus. The japanese government promotes the policy to develop technology-concentrated small size navy and air-forces, instead of maintaining large-scaled ground force. In addition, because of the 'Peace Constitution' that was enacted just after the end of World War II, japan cannot maintain troops more than 240,000. With the limited number of troops (240,000), japan has no choice but to promote the policy of 'select few'. However, the situation of Korea is much different from the situations of those countries. The Republic of Korea is facing the threat of the North Korean Army that aims at keeping a large-scale military force. In addition, the countries surrounding Korea are also super powers containing strong military forces. Therefore, to cope with the actual threat of present and unspecified threat of future, the importance of maintaining a carefully calculated large-scale military force cannot be denied. Furthermore, when considering the fact that Korea is in a peninsular, the Republic of Korea must take it into consideration the tradition of continental countries' to maintain large-scale military powers. Since the Korean War, the ROK army has developed the technology-force combined military system, maintaining proper number of troops and units and pursuing 'select few' policy at the same time. This has been promoted with the consideration of military situation in the Koran peninsular and the cooperation of ROK-US combined forces. This kind of unique military system that cannot be found in other countries can be said to be an insightful one for the preparation for the actual threat of North Korea and the conflicts between continental countries and maritime countries. In addition, this kind of technology-force combined military system has enabled us to keep peace in Korea. Therefore, it would be desirable to maintain this technology-force combined military system until the reunification of the Korean peninsular. Furthermore, it is to be pointed out that blindly following the 'select few' policy of advanced countries is not a good option, because it is ignoring the military strategic situation of the Korean peninsular. If the Republic of Korea pursues the reduction of troops and units radically without consideration of the threat of North Korea and surrounding countries, it could be a significant strategic mistake. In addition, the ROK army should keep an eye on the fact the European advanced countries and Japan that are not facing direct military threats are spending more defense expenditures than Korea. If the ROK army reduces military power without proper alternatives, it would exert a negative effect on the stable economic development of Korea and peaceful reunification of the Korean peninsular. Therefore, the desirable option would be to focus on the development of quality of forces, maintaining proper size and number of troops and units under the technology-force combined military system. The tableau above shows that the advanced countries like the UK, Germany, Italy, and Austria spend more defense expenditure per person than the Republic of Korea, although they do not face actual military threats, and that they keep achieving better economic progress than the countries that spend less defense expenditure. Therefore, it would be necessary to adopt the merits of the defense systems of those advanced countries. As we have examined, it would be desirable to maintain the current size and number of troops and units, to promote 'select few' policy with increased defense expenditure, and to strengthen the technology-force combined military system. On the basis of firm national security, the Republic of Korea can develop efficient policies for reunification and prosperity, and jump into the status of advanced countries. Therefore, the plans to reduce troops and units in [Military Reform Plan 2020] should be reexamined. If it is difficult for the ROK army to maintain its size of 655,000 troops because of low birth rate, the plans to establish the prompt mobilization force or to adopt drafting system should be considered for the maintenance of proper number of troops and units. From now on, the Republic of Korean government should develop plans to keep peace as well as to prepare unexpected changes in the Korean peninsular. For the achievement of these missions, some options can be considered. The first one is to maintain the same size of military troops and units as North Korea. The second one is to maintain the same level of military power as North Korea in terms of military force index. The third one is to maintain the same level of military power as North Korea, with the combination of the prompt mobilization force and the troops in active service under the system of technology-force combined military system. At present, it would be not possible for the ROK army to maintain such a large-size military force as North Korea (1,190,000 troops and 86 units). So it would be rational to maintain almost the same level of military force as North Korea with the combination of the troops on the active list and the prompt mobilization forces. In other words, with the combination of the troops in active service (60%) and the prompt mobilization force (40%), the ROK army should develop the strategies to harmonize technology and forces. The Korean government should also be prepared for the strategic flexibility of USFK, the possibility of American policy change about the location of foreign army, radical unexpected changes in North Korea, the emergence of potential threat, surrounding countries' demand for Korean force for the maintenance of regional stability, and demand for international cooperation against terrorism. For this, it is necessary to develop new approaches toward the proper number and size of troops and units. For instance, to prepare for radical unexpected political or military changes in North Korea, the Republic of Korea should have plans to protect a large number of refugees, to control arms and people, to maintain social security, and to keep orders in North Korea. From the experiences of other countries, it is estimated that 115,000 to 230,000 troops, plus ten thousands of police are required to stabilize the North Korean society, in the case radical unexpected military or political change happens in North Korea. In addition, if the Republic of Korea should perform the release of hostages, control of mass destruction weapons, and suppress the internal wars in North Korea, it should send 460,000 troops to North Korea. Moreover, if the Republic of Korea wants to stop the attack of North Korea and flow of refugees in DMZ area, at least 600,000 troops would be required. In sum, even if the ROK army maintains 600,000 troops, it may need additional 460,000 troops to prepare for unexpected radical changes in North Korea. For this, it is necessary to establish the prompt mobilization force whose size and number are almost the same as the troops in active service. In case the ROK army keeps 650,000 troops, the proper number of the prompt mobilization force would be 460,000 to 500,000.

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의료사고 및 의료분쟁에 대한 치위생사의 인식도 조사 (A Survey on the Perception of the Counterplans of Medical Accident and Dispute of Dental Hygienist)

  • 오진호;권정승;안형준;강진규;최종훈
    • Journal of Oral Medicine and Pain
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    • 제32권1호
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    • pp.9-33
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    • 2007
  • 치의학계에서는 의료사고를 일으킬만한 중환자나 응급환자의 빈도가 상대적으로 낮아 의료분쟁에 휘말리는 경우가 적었으나 요즈음은 의료분쟁이 증가하고 있는 추세이다. 치과진료의 특성상 항상 보조인력이 한, 두명씩 치과의사의 진료를 도와주어야 하고, 치과의사의 의료사고로 인해 의료분쟁으로 발생하는 경우도 있지만 의료법에서 정한 치과 보조인력의 진료영역에서 의료사고 및 분쟁이 발생할 수 있다. 또한 의료기관의 친절도, 서비스 불만 등 진료외적인 요인은 치과 보조인력의 역할을 무시할 수 없다. 본 연구는 2006년 현재 종합병원, 치과병원 및 의원에서 치과진료 보조업무를 하고 있는 치과위생사를 대상으로 설문조사를 하였다. 회수된 275명의 설문분석을 통하여 응답자에 관한 기본적인 자료조사 및 환자의 불평, 불만 및 의료분쟁 경험도와 함께 의료관계법의 이해도를 측정하고, 치과진료 및 의료분쟁에 대한 전반적인 의식성향을 비교분석하여 다음과 같은 결과를 얻었다. 1. 설문응답자 중에서 향후 의료사고 및 분쟁이 발생할지도 모른다는 불안감 또는 의구심을 어느 정도 가지고 있는 경우가 274명 중 251명(91.3%)이었다. 2. 치과위생사의 업무, 진료에 대한 환자의 불평, 불만 경험률은 29.5%(81명)으로 나타나 치과관련 의료분쟁의 원인이 될 수 있는 것으로 조사되었다. 3. 전체유형별 항목에 따른 환자의 문제제기 건수를 보면 직접적인 진료행위와 관련된 문제보다 불친절 및 진료비 등의 진료이외의 문제 제기가 1805건 중 349건(19.3%)으로 가장 높게 나타났다. 4. 세부유형별 항목에 따른 환자의 문제제기 건수를 보면 환자가 치료와 관련하여 충분한 사전설명이나 동의를 구하지 않았다고 문제시 한 경우가 1805건 중 129건(7.1%)으로 가장 높았다. 5. 치과위생사가 스케일링 시술 후 환자 진료기록부에 기록하는 경우는 267명 중 252명(94.4%)으로 나타났으나, 스케일링 시술 후 주의사항 설명 사실을 진료기록부에 기록하는 경우는 55명(20.8%)에 불과했다. 6. 치과진료에 있어서 환자가 언급하지 않으면 특별히 전신질환 유무를 조사하지 않는 경우가 6명(2.2%)으로 조사되었다. 7. 환자 진료와 관련되어 응급상황 발생 시 응급조치를 시행할 수 있다고 생각하는 치과위생사는 104명(38.0%)으로 조사되었다. 8. 근무지에 응급상황 발생 시 조치에 필요한 장비 및 약품을 구비해둔 경우는 115명(41.8%)으로 나타났다. 9. 의료분쟁 발생 시 문제해결에 있어 의무기록이 중요한 역할을 한다고 응답한 경우는 268명(97.81%)으로 나타났다. 10. 의료분쟁 시 문제해결에 있어서 치료 전 설명 및 동의의 의무의 이행 여부가 중요한 역할을 한다고 응답한 경우가 272명 (99.3%)으로 나타났다. 11. 의무기록의 의무보관연도가 10년이라고 옳게 응답한 경우는 160명(58.4%)에 불과했다. 12. 치과위생사의 업무를 벗어난 파노라마사진 촬영을 해도 된다고 응답한 경우가 124명(45.3%), 치경부 레진수복을 해도 된다고 응답한 경우가 71명(25.9%), 유치발치를 해도 된다고 응답한 경우가 37명(13.5%)으로 나타났다. 13. 환자의 비밀누설 금지와 관련하여 환자의 상태를 다른 사람에게 이야기하는 것은 큰 문제가 되지 않는다고 응답한 경우가 24명(8.8%)으로 나타났다. 14. 의료분쟁의 예방 및 대책에 관한 교육의 필요성에 대해서 272명(99.3%)이 필요하고, 167명(61.0%)이 시급하다고 답하였다. 15. 재학 중 의료분쟁의 예방 및 대책에 관한 관련교육을 수료한 적이 없다는 경우가 186명(64.2%), 졸업 후 의료분쟁의 예방 및 대책에 관한 보수교육을 수료한 적이 없는 경우가 212명(77.4%)으로 나타났다. 16. 향후 의료분쟁이 증가할 것으로 생각된다는 응답은 256명(93.4%)이었고, 그 원인으로는 83.3%가 인터넷, 방송 등의 매체를 통한 정보습득 기회의 확대를 꼽았다. 이상의 결과를 종합해보면 치과위생사와 관련한 환자의 불평, 불만 및 분쟁도 경험률이 응답한 치과위생사의 29.5%를 차지하고 있으며, 의료법에서 정한 의료인의 의무와 치과위생사의 직무범위에 대한 인식이 부족한 것으로 조사되어 앞으로 의료분쟁이 더욱 증가할 수 있는 가능성을 내포하고 있다. 그러므로 주의의무, 설명 및 동의의무 등의 의무를 다함은 물론, 이에 대한 인식을 제고하여야 하며, 의료법과 의료분쟁에 대한 예방 및 대책과 관련된 교육기회를 확대하여야 할 것이다.