• 의료법학
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• 제13권2호
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• pp.11-38
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• 2012

The Supreme Court stand in the position in specific lawsuit that it doesn't allow the discretionary not covered service, but recently in revocation suit of fine disposal that is imposed on medical fee of leukemia patient, it altered the existing adjudgement and admitted the discretionary not covered service exceptionally. It put forward the allowable condition roughly in that case. According as this alteration, it has become more important to embody the allowance conditions of exceptions. The Supreme Court presented three things, which are procedural condition, medical condition and subscriber's agreement. Concerning procedural condition, several present conciliation procedures are as follows: medical care benefit arret request, relative value conciliation etc, prior request on anti-cancer drug among chemicals which exceed acceptance criteria, request of non benefit object on common drugs. To be granted the existence of those system, there should be no obstacle to use that. Even if it were so, we should take circumstances into consideration; individual situation is unescapable concerning substance and urgency of the discretionary not covered service, process of the procedure, time required etc. Regarding medical condition, safety and effectiveness will be verified through evaluation procedures of new medical skill. About the necessity, the Supreme Court made clear through a sentence that it allow the discretionary not covered service, in case that needs to treat a patient out of the standard of medical benefit. Strict interpretation is right and it answer the purpose of the sentence that the supreme court permit the discretionary not covered service, exceptionally. We need to differentiate medical necessity and medical validity. Subscriber's agreement should holds true if it entails full explanation, and if it is preliminary, explicit and individual. On this account, it should be difficult to admit that someone agree effectively when he call for the affirmation that he is recipient of medical care. Reasonable expense needs to be a part of review whether the agreement is valid. Meanwhile If we adjust system of medical expense and eventually reorganize a fee for consultation payment system (Fee-for-service controlled by item to DRG (Diagnosis Related Groups)), controversial area of the discretionary not covered service will be decreased and that will guarantee the discretion of the doctor.

• 한국지반공학회논문집
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• 제20권7호
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• pp.69-78
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• 2004

본 논문에서는 역해석 방법 중 직접법의 성능에 큰 영향을 미치는 최적화 과정을 인공지능의 한 기법인 유전자알고리즘을 이용하여 역해석 프로그램을 구성하였다. 유전자 알고리즘 및 역해석 기법의 효용성을 검증하기 위하여 과거 역해석 연구 사례 중의 하나인 Gens et al(1987)과 동일한 암반조건을 가진 모델에 대한 역해석을 실시하여 그 결과를 비교${\cdot}$검토하였다. 경부고속철도 터널 현장의 내공변위 및 천단침하에 대한 계측자료로부터 최종 내공변위의 예측함수를 결정하는 방법으로 터널의 총 변위를 분석하였다. 이를 역해석에 필요한 입력자료로 활용하여 역해석을 실시하고 터널 주변 암반의 거동을 반영할 수 있는 지반의 특성치를 구하였다. 각 현장 시험에서 얻어진 지반의 특성치와 비교한 결과 본 연구에서 적용된 유전자 알고리즘을 이용한 역해석 방법이 유의한 수준의 결과를 도출하고 있다는 사실을 확인하였다.

• 한국간호교육학회지
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• 제6권2호
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• pp.171-185
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• 2000

The twenty-first century may be said to be entering into a specialized qualification age to meet the needs of new technical innovations such as environmental changes, demographical changes, changes in the constitution of diseases, changes in the needs of the national health, reforms of information and knowledge, etc., which requires the provision of competitive services that can fulfill the high level needs of consumers. In consequence, it is needed to apply a practical nursing model that can serve as a guide for healthy society and to secure the sphere that can affect nursing policy-making by keeping pace with the changing environment. Furthermore, it is also urgent to expand more the activity sphere of nurse specialists with authority and autonomy, establish their legal foundation, establish a qualification accreditation system for nurse specialists, and develop educational programs. In Korea, the law relative to organ transplant past the national assembly on February 9, 2000, legally acknowledged brain death, which indicated to us the emergence of an age of organ transplant. Therefore, it necessitates to find out those of brain death from whom organ transplant is feasible in clinical practices, with their families' consent link to those terminal organ failure patients who are in need of an organ, and mediate both parties so that smooth transplant can be accomplished. A series of these complicated procedures require systematically trained specialists with high level techniques of organic management. With this in mind, this study was conducted on 69 clinical nurse specialists for organ transplant, accredited by the hospital, who are in active service in clinical practices. The resultant findings were revealed, as follows: 1. The qualifications of clinical nurse specialists for organ transplant should be accredited by Ministry of Health and Welfare or Korea Nurses Association. 2. The validity of qualifications should be for three years, and their renewal should be based on marks of a supplemental training or an education course for more than 12 hours a year. 3. The qualification of the clinical nurse specialist necessitates theoretical lectures and practices on those nurses who have had clinical experience in the pertinent field. 4. The course of training is required to be one year in the length of training and take more than 20 credits (320 hours) and 5 credits (240 hours).

• 한국산학기술학회논문지
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• 제18권12호
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• pp.452-458
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• 2017

본 연구에서는 2016년 7월부터 2017년 6월까지 1년 동안 뇌파 측정 신호를 이용한 우울증 진단장치를 개발하였다. 정상인의 경우 좌측 알파파가 우측 알파파에 비해 활성화되는 양상을 보이고, 우울증 환자의 경우 반대로 우측 알파파가 더 활성화된다. 뇌파의 잡음제거와 증폭을 위해 아날로그 회로와 디지털 저역통과필터를 사용하였고, 고속 푸리에 변환을 실시할 때 발생하는 신호의 누수를 제거하기 위해 해밍 창 함수를 적용하였다. 개발한 진단장치의 유효성능을 확인하기 위해 평균연령 24세의 대학교 3, 4학년 학생 20명을 대상으로 뇌파 측정을 실시하였다. 우울증 판독을 하기 위해 좌, 우 알파파의 상대 값을 계산한 결과 최솟값은 66.7, 최댓값은 113.3의 값을 가졌으며, 평균값은 92.2이었다. 또한 20명 중 7명이 90~95 사이에 해당되었고, 우울 점수의 평균 편차가 20가량 높은 사람의 경우 경미한 우울증세의 경향을 보였다. 본 연구 결론을 향후 좌, 우 뇌 비대칭 해소를 통한 우울증 치료기 제작 시 유의미한 자료로 사용할 수 있으며 다수의 우울증 환자에 대한 임상실험이 이루어질 경우 실제적 우울증 진단에 유용하게 적용할 수 있다.

• 농촌계획
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• 제26권1호
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• pp.23-38
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• 2020

This study is aimed at the deduction of the important priority factors by setting the comprehensive rate in each of the economy, sociability and environmental areas for the sustainable development of fishing villages. As the research methods, review of domestic and overseas literature and Delphi questionnaire survey on experts, and hierarchical structure analysis were executed. Accordingly, this study is aimed at providing the basic data at the time of establishing plans by assessing the level of importance and priorities for each item through the deduction of the elements necessary for the fishing village plan. Key results of the study are as follows. First, as the results of review of domestic and overseas literature related to sustainability indices of fishing villages, a total of 50 items in the areas of economy, sociability and environment were deduced. Second, validity for each area was confirmed through Delphi questionnaire survey on experts. Third, as the results of factor analysis conducted on the basis of the hierarchical structure analysis for detailed items for each sector, 3 factors in the economic area, 2 factors in the social area and 3 factors in environment area were deduced. Fourth, as the results of the relative importance of the higher tiers, economic sector (0.528) displayed results that are more than 2 times higher than the social (0.261) and environmental (0.212) sectors. Establishment of foundation for independent competition (0.105), balanced development of small fishing village (0.086) and population engaged in economic activities in comparison to the fishing village population (0.077) were analyzed as the most important detailed items. Based on these results, experts pointed out that the economic sector is most important for the sustainable development of fishing village and, in detail, priority must be placed on the balanced development on the basis if the extent of independence of the fishing villages, and emphasized activation of residents engaged in economic activities in fishing villages in order to support them. That is, in order to increase the level of independence of the fishing villages, it was determined that there is a dire needs for expansion of diversified specialized businesses and infrastructural facilities through agreement by the residents capable of economic activities, and means of activating fishing villages through securing of budget at the local autonomous government level to provide support for the residents.

• Journal of Acupuncture Research
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• 제32권2호
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• pp.1-9
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• 2015

Objectives : The present study was an evaluation and standardization of herbal components in order to establish the efficacy and safety of Shinbaro pharmacopuncture. Methods : Among the raw materials of Shinbaro pharmacopuncture, the components Cibotii Rhizoma, Eucommiae Cortex, and Ledebouriellae Radix were assessed through ingredient verification experiments using thin-layer chromatography(TLC) and ultraviolet rays(UV) lamps. In addition, we standardized Acanthopanacis Cortex and Achyranthis Radix through validation using high performance liquid chromatograph-diode array detector(HPLC-DAD). Results : As result appeared a blue-white fluorescence under ultraviolet rays; changed to dark green after adding 1 % ferric chloride solution(due to Cibotii Rhizoma), and presented a yellow-green fluorescence when mixed with an ethyl ether under UV lamps by way of the ethyl ether layer, confirming Eucommiae Cortex. Ledebouriellae Radix was confirmed as dark brown spots at Rf values of 0.56 and 0.71 using TLC. Additionally, Acanthopanacis Cortex and Achyranthis Radix HPLC test results showed that linearity was $R^2{\geq}0.99$, and detection limit and quantitation limit were 0.23 to $1.29{\mu}g/mL$, and 0.71 to $3.90{\mu}g/mL$, respectively. Furthermore, precision and accuracy were confirmed to have relative standard deviation(RSD) values of 0.10 to 1.89 % and 96.19 to 103.72 %, respectively. Shinbaro pharmacopuncture did not have any overlapping or interference from other peaks in detection under the abovementioned analysis conditions. Conclusions : In conclusion, we confirmed that maintenance of Shinbaro pharmacopuncture validity was possible by means of quality control of Cibotii Rhizoma, Eucommiae Cortex, and Ledebouriellae Radix through ingredient identification and Acanthopanacis Cortex and Achyranthis Radix through high performance liquid chromatograph(HPLC) analysis. Further, we hope to contribute to the development strategy of herbal industry acupuncture.

• 사상체질의학회지
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• 제8권2호
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• pp.239-255
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• 1996

The study was conducted for the purpose of finding out an objective classification method for the Sasang Constitutional medicine, which divides people into 4 groups of constitution and presents comprehensively physiology, pathology, diagnosis, theraphy and recuperation fit to each constitution. Questionnaire of Sasang Constitution collected during 9 months from March 1995 to November 1995. For the purposes of this study, the collected data were analyzed by crosstabs, variation analysis, discrimination analysis. The analyzing program was SPSS PC+V4.0. The results were as follows : 1. QSCC consists of the authorized questions studied by te oriental medicine specialists based on "four groups" given the diagnosis of Sasang Constitution Classification and variation analysis by scores of body constitution. 2. When human's body constitution is classified on the basis of QSCC scores of body constitutions and classified by the absolute size, group cases correctly classified was So-Yang-In 17.3%, Tae-Em-In 26.4%, So-Em-In 74.2%, Tae-Yang-In 100%. However, the number of examples are rare. Average percent of "group" cases correctly classified was 39.3%. 3. When human's body constitution is classified on the basis of QSCC scores of body constitutions and clasified by the relative size, group cases correctly classified was So-Yang-In 40.5%, Tae-Em-In 29.1%, So-Em-In 49.2%, Tae-Yang-In 100%. However, the number of examples are rare. Average percent of "group" cases correctly classified was 39.6%. 4. If the diagnosis of body constitution applies to the people after discrimination formula applies to them before the scores of body constitution is correctly analyzed, group cases correctly classified was So-Yang-in 50.5%, Tae-Em-In 36.9%, So-Em-In 55.9%, Tae-Yang-In 100%. However, the number of examples are rare. Average percent of "group" cases correctly classified was 44.03%. 5. As discrimination formula is applied and analyzed based on the questions of higher percent of reaction freqency, So-Yang-in 61.4%, Tae-Em-In 48.8%, So-Em-In 62.0%. Average percent of group cases correctly classified was 54.91% and it was percent increased compared to chance probability. 6. Therefore, it comes to the conclusion if we utilize QSCC, we are able to predict Sasang Constitution.

• 한국전자파학회논문지
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• 제15권1호
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• pp.73-80
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• 2004

본 논문에서는 기존의 도파관 필터, 즉 내부가 공기로 채워진 밀리미터파 도파관 필터를 기본적인 도파관 변수 계산치로부터 일반 PCB 기판상에 구현하는 방법을 소개한다. 이를 위해서는 기존 도파관 필터의 구조에서 수직으로 배치된 모든 도체구조를(접지용 도체벽, 신호제어용 도체판) via를 사용해 대체해야 한다. 이를 위해 side wall과 도파관 내부 폴들을 via의 연속적인 나열과 via지름 크기의 조절을 통해 구현한다. 이를 통해 얻을 수 있는 장점은 사용될 기판 유전율의 제곱근에 비례하여 전체 크기가 x, y, z축으로 축소되며 특히 z축으로는 더 큰 축소가 가능하다. 또한 기존의 규모가 큰 금속성 도파관 필터를 제작할 필요없이 PCB상에 대량의 제작이 용이하기 때문에 훨씬 저렴하게 제작할 수 있다. 마지막으로 모듈의 소형화를 위해 요즘 한창 각광받는 LTCC 공정과 같은 다층기판 제작시 한층을 사용해 제작될 수 있다는 점에서 유리하다. 이 새로운 도파관 필터를 평가하기 위해 40 GHz 대역에서 2.5 %의 대역폭을 가지는 3차 chebyshev 대역통과필터가 사용되었으며 이에 사용된 PCB 기판은 유전율이 2.2이고 두께가 10 mil인 RT/duroid 5880이다. 설계 후 측정 결과 전체 입/출력단에서 삽입 손실이 2 ㏈ 정도이며 반사손실이 -30 ㏈ 이하의 우수한 특성을 얻을 수 있었다.

• 한국임상수의학회지
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• 제33권2호
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• pp.107-112
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• 2016

The objective of this study was to determine potential contributing factors associated with biosecurity level of farrow-to-finish pig farms and to develop a classification tree model to explore how these factors related to each other based on prediction model. To this end, the author analyzed data (n = 193) extracted from a cross-sectional study of 344 farrow-to-finish farms which was conducted between March and September 2014 aimed to explore swine disease status at farm level. Standardized questionnaires with information about basic demographical data and management practices were collected in each farm by on-site visit of trained veterinarians. For the classification of the data sets regarding biosecurity level as a dependent variable and predictor variables, Chi-squared Automatic Interaction Detection (CHAID) algorithm was applied for modeling classification tree. The statistics of misclassification risk was used to evaluate the fitness of the model in terms of prediction results. Categorical multivariate input data (40 variables) was used to construct a classification tree, and the target variable was biosecurity level dichotomized into low versus high. In general, the level of biosecurity was lower in the majority of farms studied, mainly due to the limited implementation of on-farm basic biosecurity measures aimed at controlling the potential introduction and transmission of swine diseases. The CHAID model illustrated the relative importance of significant predictors in explaining the level of biosecurity; maintenance of medical records of treatment and vaccination, use of dedicated clothing to enter the farm, installing fence surrounding the farm perimeter, and periodic monitoring of the herd using written biosecurity plan in place. The misclassification risk estimate of the prediction model was 0.145 with the standard error of 0.025, indicating that 85.5% of the cases could be classified correctly by using the decision rule based on the current tree. Although CHAID approach could provide detailed information and insight about interactions among factors associated with biosecurity level, further evaluation of potential bias intervened in the course of data collection should be included in future studies. In addition, there is still need to validate findings through the external dataset with larger sample size to improve the external validity of the current model.

• 한국지하수토양환경학회지:지하수토양환경
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• 제13권3호
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• pp.37-44
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• 2008

국토개발사업의 사전 계획 과정에서 개발할 것인지 보전할 것인지에 대한 의사결정은 인간 활동에 영향을 줄 수 있는 편리함과 이익을 고려해야 할 뿐만 아니라, 자연환경생태에 미칠 수 있는 영향을 종합적으로 예측하고 평가할 수 있는 자료기반 및 통합적 평가기법을 요구한다. 동식물생태와 지형경관요소들은 환경부의 생태자연도를 통해서 환경영향평가에 현재 활용되고 있지만, 자연생태의 주요 구성요소 중 하나인 토양생태는 정량적인 자료와 지형정보와 연계된 정보의 부재로 환경영향평가에서 고려되지 못하고 있다. 본 연구에서는 토양생태를 포함한 자연환경과 생활환경 요소들을 망라해서 총체적 환경성을 평가할 수 있는 수치지도를 작성하고 토양생태 등급의 가중치가 친환경도로 노선 선정에 미치는 영향에 대해서 민감도 분석을 수행하였다. 그 결과 자연환경 요소들 중 토양생태의 가중치가 14% 이상 만 되어도 최적 친환경노선 선정에 민감하게 영향을 미쳤다. 본 연구의 결과를 통해서 이제까지 환경영향 평가에서 무시되어 오던 토양생태 정보가 친환경 건설개발사업의 계획 및 기초설계 단계에서 중요하게 고려되어야 할 생태요소임을 입증할 수 있었다.