• 한국의료질향상학회지
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• 제25권1호
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• pp.11-28
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• 2019

Purpose: The purpose of this paper is to derive implication on the adoption of PROMs (Patient-Reported Outcome Measures) to improve quality of care in South Korea. With this purpose, the paper examines the status of PROMs in South Korea and other countries including OECD's PaRIS (Patient Reported Indicators Survey) initiative, and reviews policy cases that have adopted PROMs to improve performance of healthcare system. Methods: We conducted literature review on OECD reports on PaRIS, peer-reviewed journals, and information from the websites of relevant institutions such as ICHOM, NQF and OECD. Results: To identify healthcare services of best values and support patient-centered health system, OECD has initiated PaRIS which develops, collects and analyzes patient-reported indicators for cross-countries comparison. PaRIS is implemented on two work streams: 1) collect, validate and standardize PROMs in the areas where patient-reported indicators already exist such as breast cancers, hip and knee replacement, and mental conditions, 2) develop a new international survey on multiple chronic conditions. Countries like England, U.S., Sweden and Netherlands use PROMs for measuring performance of hospitals and performance evaluation at the national level, and provide the financial incentives for reporting PROMs. Conclusions: The use of PROMs can support the current policy agenda that is the patient-centered healthcare system which has been emphasized to reinforce the primary and the community-based care. For the use of PROMs, it is recommended to actively participate in PaRIS initiative by OECD, select appropriate instruments for PROMs, and continue on standardization of them. This will assure patients' involvement in improving health system performance, systemize information generated in the process of adopting PROMs, and develop a system to evaluate performance.

• 한국산학기술학회논문지
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• 제21권9호
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• pp.238-250
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• 2020

본 연구는 도시지역에 침수피해가 발생하였을 경우, 장기적인 측면에서 침수피해를 최소화 할 수 있는 방안을 마련하기 위해 비구조적인 대책에 초점을 맞추어 도시공간적인 요인과 침수피해의 영향 관계를 분석하였다. 도시공간적인 요인에 의한 침수피해 영향을 분석하고자 다중회귀 분석(Multiple Regression Analysis)을 활용하여 적용하였다. 도시공간적인 요인은 Open Space, 방재시설, 도시화 부문으로 유형화하였다. 분석 결과, 침수피해 지역은 일정한 지역에 한정되어 발생하며, 공간적으로 매우 높은 상관성을 보이고 있음을 알 수 있다. Open Space의 면적이 넓을수록 침수피해액이 감소하는 바, 녹지, 공원 등의 감소가 침수피해를 증가시키고 있음을 확인할 수 있어, 도시의 안전이라는 기능적인 부분에 있어서 침수피해를 예방하고 대응하기 위해 매우 중요한 요인임을 알 수 있다. 도시화 부문에 포함되는 인구밀도, 지역내총생산(GRDP) 등의 요인은 그 값이 클수록 침수피해액은 증가하는 것으로 분석되어, 침수피해를 유발시키는 원인으로 판단된다. 따라서 기후변화에 적응하기 위해서는 녹지, 공원 등의 도시공간 계획을 전략적으로 수립해야 하며, 인구밀도, 지역내총생산(GRDP) 등은 침수피해를 유발시키는 주요 요인이므로 회복력 차원에서 적절하게 활용한다면 대응과 복구 역할을 할 것으로 판단된다.

• 융합보안논문지
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• 제18권5_1호
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• pp.113-120
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• 2018

오늘날 정보 통신 기술의 발전은 네트워크 기반의 서비스 사용자 수를 빠르게 증가시키고 있으며, 인터넷 상에서 사용자 상호간 실시간 정보 공유를 가능하도록 한다. 정보의 공유 과정에는 다양한 방법들이 존재하지만 일반적으로 포털서비스 기반의 정보 공유가 대중화 되어있다. 그렇지만 이러한 정보 공유 과정은 특정 이해 당사자 상호간 해당 정보의 사회적 관심도 증폭을 위한 불법 행위를 유발시키는 원인이 되고 있다. 그 중 매크로 기능을 이용한 여론 조작 공격은 정상적인 여론의 방향을 왜곡시키기 때문에 이에 대한 보안 대책이 시급한 실정이다. 일반적으로 매크로 공격이란 불법적인 사용자들이 다수의 IP나 아이디를 확보한 후 특정 웹 페이지의 내용에 대하여 여론을 조작하는 공격으로 정의한다. 본 논문은 특정 사용자의 매크로 공격에 대하여 트레이스 백 기반의 네트워크 경로 정보를 분석한 후 해당 사용자의 다중 접속을 탐지할 수 있도록 하였다. 즉, 특정 웹 페이지에 대한 전체적인 접근 경로 정보와 사용자 정보가 일치하는 접근이 2회 이상 발생하면 이를 매크로 공격으로 판정하였다. 또한 동일한 지역에서 특정 웹 페이지에 대하여 다수의 아이디를 이용한 접근이 발생하는 경우, 이에 대한 임계 카운트 값 분석을 통하여 특정 웹 페이지에 대한 전체적인 여론 결과를 왜곡 할 수 없도록 하였다.

• 간호행정학회지
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• 제19권5호
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• pp.647-657
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• 2013

Purpose: This study was done to identify the mediating effect of emotional dissonance in the relationship between emotional labor and burnout among clinical nurses. Methods: A cross-sectional survey design was used. The participants were 257 nurses working at three general hospitals located in Seoul and Gyeonggi Province. Data were collected by convenience sampling using self-report questionnaires that consisted of general characteristics, and measures of emotional labor, emotional dissonance and burnout. Data were analyzed with descriptive statistics, t-test, ANOVA, correlation, and multiple regression. Results: The findings of the multiple regression were as follows. First, surface acting of emotional labor showed significant positive effects on emotional dissonance and burnout. Second, when surface acting and emotional dissonance were entered into the regression model at the same time, surface acting showed an insignificant effect on burnout, however, emotional dissonance showed a significant effect. Finally, emotional dissonance had a mediating effect only between surface acting of emotional labor and burnout, not between deep acting and burnout. Conclusion: Results of the study suggest that as a way to reduce burnout, nursing administrators should develop educational programs for nurses to perform deep acting of emotional labor instead of surface acting at the moment of truth.

• 대한조선학회논문집
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• 제51권6호
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• pp.530-538
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• 2014

The weight estimation of floating offshore structures such as FPSO, TLP, semi-Submersibles, Floating Offshore Wind Turbines etc. in the preliminary design, is one of important measures of both construction cost and basic performance. Through both literature investigation and internet search, the weight data of floating offshore structures such as FPSO and TLP was collected. In this study, the weight estimation model was suggested for FPSO. The weight estimation model using non-linear regression analysis was established by fixing independent variables based on this data and the multiple regression analysis was introduced into the weight estimation model. Its reliability was within 4% of error rate.

• 한국보건간호학회지
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• 제32권1호
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• pp.56-68
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• 2018

Purpose: This study was conducted to examine the personal and social environmental factors affecting leisure time physical activity (LTPA) among adults living in rural communities. Methods: A cross-sectional study was conducted with a convenience sample of 282 adults living in three rural towns of Chungcheongbuk province. Leisure time physical activity was assessed through the Korean version of the Global Physical Activity Questionnaire (GPAQ), and social influence and social cohesion of social environment were assessed using reliable and validated measures. Multiple logistic regression analysis was conducted to explore personal and social environmental factors associated with LTPA. Results: The overall prevalence of leisure-time physical activity (LTPA) was 40.0%. Multiple logistic regression analysis showed that LTPA participation was associated with gender (OR=2.60, 95% CI=1.47-4.58), healthy eating (OR=1.15, 95% CI=1.01-1.31), unhealthy eating (OR=0.70, 95% CI=0.53-0.93) and social influence for physical activity (OR=1.11, 95% CI=1.03-1.20). However, social cohesion was not correlated with engaging in LTPA. Conclusion: Both personal and social environmental factors are associated with LPTA among rural adults living in Eup-Myen regions. Interventions to promote LTPA would likely benefit from considering healthy dietary intake and social influence for physical activity.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제7권11호
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• pp.2853-2873
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• 2013

Over the last few years, one of the most common purposes of smart homes is to provide human centric services in the domain of u-healthcare by analyzing inhabitants' daily living. Currently, the major challenges in activity recognition include the reliability of prediction of each classifier as they differ according to smart homes characteristics. Smart homes indicate variation in terms of performed activities, deployed sensors, environment settings, and inhabitants' characteristics. It is not possible that one classifier always performs better than all the other classifiers for every possible situation. This observation has motivated towards combining multiple classifiers to take advantage of their complementary performance for high accuracy. Therefore, in this paper, a method for activity recognition is proposed by optimizing the output of multiple classifiers with Genetic Algorithm (GA). Our proposed method combines the measurement level output of different classifiers for each activity class to make up the ensemble. For the evaluation of the proposed method, experiments are performed on three real datasets from CASAS smart home. The results show that our method systematically outperforms single classifier and traditional multiclass models. The significant improvement is achieved from 0.82 to 0.90 in the F-measures of recognized activities as compare to existing methods.

• 한국수학교육학회지시리즈A:수학교육
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• 제48권4호
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• pp.399-417
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• 2009

The purpose of this study was to explore the adaptability of U.S. multiple-choice items to measure Mathematical Knowledge for Teaching (MKT) in Korea. For this purpose, the authors selected the number and operations form B which was developed by Learning Mathematics for Teaching (LMT) project at the University of Michigan and then adapted items in terms of general cultural context, school cultural context, mathematical substances, and language in Korea. The survey was administrated to 77 Korean in-service teachers who had more than three years of teaching experiences. Based on the survey, the authors compared the data to that of U.S. teachers who had participated California's Mathematics Professional Development Institute. As a result, the survey measures less knowledge Korean teachers than more knowledgable Korean teachers and there are strong correlations of relative item difficulties between Korean teachers and U.S. teachers for both Content Knowledge (CK) items and Knowledge of Content and Students (KCS) items. This study implies the future direction for developing items to measure teacher knowledge as well as designing effective teacher education programs.

• 재활간호학회지
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• 제12권1호
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• pp.39-46
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• 2009

Purpose: The purpose of this study was to identify the level of burden and social support of mothers with Cerebral Palsy (CP) children, and to determine whether providing social support is an effective strategy to relieve the burden of those mothers. Method: From October to November 2007, the data were collected from 63 mothers with CP children who were admitted and treated for CP at Y rehabilitation center in Seoul. The data were analyzed with t-test, ANOVA, Scheffe's test, Pearson's Correlation Coefficient, and Stepwise Multiple Regression using SPSS 12.0. Results: Burden of mothers was related to the Gross Motor Function Classification System (GMFCS) of the CP children. Social support was negatively correlated and GMFCS was positively correlated with burden of mothers. Social support and GMFCS was statistically significantly related with burden of mothers with CP children by multiple regression analysis. Conclusion: There was a significantly negative correlation between social support and burden. It demonstrated that social support, an important factor relating to burden imposed on mothers of CP children, can be considered as an intervening variable which can contribute to decrease of burden. In addition, applying developmental screening measures are needed to decrease disability severity.

• 대한족부족관절학회지
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• 제24권2호
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• pp.69-74
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• 2020

Osteochondral lesions of the talus (OLT) can heal and remain asymptomatic, or they can progress to deep ankle pain on weight bearing and the formation of subchondral cysts. Treatment varies from nonoperative treatment to open and arthroscopic procedures. Operative procedures include marrow stimulation techniques (abrasion chondroplasty, multiple drilling, microfracture), osteochondral autografts or allografts, and autologous chondrocyte implantation. Among these treatments, arthroscopic marrow stimulation techniques have been the preferred initial surgical treatment for most OLT. Despite these treatments, many patients complain of persistent pain even after surgery, and many surgeons face the challenge of determining a second line of treatments. This requires a thorough re-evaluation of the patient's symptoms as well as radiological measures. If the primary surgical treatment has failed, multiple operative treatments are available, and relatively more invasive methods can be administered. On the other hand, it is inappropriate to draw a firm conclusion in which methods are superior.