• Journal of Korean Neurosurgical Society
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• 제58권2호
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• pp.107-111
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• 2015

Objective : Patients treated with surgical clipping for anterior communicating artery (A-com) aneurysm often complain of anosmia, which can markedly impede their quality of life. We introduce a simple and useful technique to reduce postoperative olfactory dysfunction in A-com aneurysm surgery. Methods : We retrospectively reviewed the medical records of patients who underwent surgical clipping for unruptured aneurysm from 2011-2013 by the same senior attending physician. Since March 2012, olfactory protection using gelfoam and fibrin glue was applied in A-com aneurysm surgery. Therefore we categorized patients in two groups from this time-protected group and unprotected group. Results : Of the 63 enrolled patients, 16 patients showed postoperative olfactory dysfunction-including 8 anosmia patients (protected group : unprotected group=1 : 7) and 8 hyposmia patients (protected group : unprotected group=2 : 6). Thirty five patients who received olfactory protection during surgery showed a lower rate of anosmia (p=0.037, OR 10.516, 95% CI 1.159-95.449) and olfactory dysfunction (p=0.003, OR 8.693, 95% CI 2.138-35.356). Superior direction of the aneurysm was also associated with a risk of olfactory dysfunction (p=0.015, OR 5.535, 95% CI 1.390-22.039). Conclusion : Superior direction of aneurysm appears associated with postoperative olfactory dysfunction. Olfactory protection using gelfoam and fibrin glue could be a simple, safe, and useful method to preserve olfactory function during A-com aneurysm surgery.

• 한국산학기술학회논문지
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• 제3권4호
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• pp.325-332
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• 2002

본 논문은 최적리콜보험계약의 설계와 관련된 논문의 survey이다. 리콜보험 뿐만이 아니라 최적보험계약을 만들기 위해서는 보험계약의 조건들이 내생적이라는 가정하에서 연구모형을 구축하고 분석의 과정에서는 보험구매를 위한 의사결정 원칙으로 기대효용이론, 비기대효용이론, 및 상태귀속적인 (state-dependent) 효용함수를 사용하였다. 어떠한 이론을 사용하더라도 최적보험의 조건들은 존재한다. 다만 계약조건에 관련되어서는 보험의 비용, 자기부담금, 보상한도액 등이 차이가 날 수 있다. 보험의 비용은 지급보험금과 선형, 오목형, 볼록형의 관계가 성립할 수 있으나 잠식비용과 고정비용의 존재를 인정하여야 한다. 이를 바탕으로 최적보험을 위한 비용 설계가 이루어져야 한다. 또한 전부보험이냐 일부보험이냐를 결정하는 자기부담금의 존재는 일률자기부담금형태와 점감식자기부담금형태가 가능하다. 자기부담금 수준의 결정과 관련하여 담보되는 모든 위험에 동일한 수준을 적용시킬 것인가 혹은 차별화시킬 것인가는 보험의 종류에 따라 달라질 수밖에 없다. 보상한도와 관련되어서는 특히 리콜보험에 있어서는 기업의 파산위험성이 상당히 존재하고 있으므로 계약당사자의 파산선고를 포함한 이익이 충분히 고려되어야 한다. 또한 제약조건으로는 불완전시장에 대한 이해를 필요로 하며 담보할 수 없는 배경위험의 존재에 대한 배려가 있어야 한다.

• 한국콘텐츠학회논문지
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• 제15권4호
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• pp.168-178
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• 2015

경찰은 범정부적 대책의 일환으로 학교폭력 근절을 위한 추진과제를 실행해 왔고, 학교폭력 대처를 위한 법집행기관으로서의 경찰의 역할은 더욱 강화될 것으로 예상한다. 이런 점에서 본 연구에서는 향후 경찰의 학교폭력 예방 활동을 위한 몇 가지 정책적 제언을 하고자 한다. 우선, 학교전담경찰관 활동의 명확한 법적근거를 통한 내실화와 전문성 제고를 위한 채용 교육 제도가 필요하다. 다음으로, 학교폭력 이해당사자들의 책무성을 강화해야 한다. 각 지방경찰청장과 교육감이 주관하는 가칭 'Safe School 인증제도' 그리고 보호자에 대한 학교폭력 책무성을 강화하는 방안도 고려해야한다. 마지막으로, 학교폭력 위험성 정도에 따른 차등적 경찰대응과 종합적인 상담전화 기능의 117학교폭력 전화를 적극 홍보하고 상담사의 전문성을 제고하여 피해신고를 활성화해야 한다.

• 한국조경학회지
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• 제18권4호
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• pp.127-140
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• 1991

The Primary purpose of this study is to investigate factors and variables which have significant effects on user satisfaction with recreational facilities in Taejong-Dae recreational complex, thereby establishing indices of planning and development of urban parks and open space. To test the causal models of this research, the date were gathered by self-administered questionnaires from 967 households in Pusan City which were selected by the multi-stage probability sampling methood. The analysis of the multi-stage primarily consists of two phase : The first analysis dealt exploratory factor analysis which identified major factors involved in satisfaction with recreational activities and facilities in Taejong-Dae recreational complex and the second analysis tested the fit of the causal models of this research by employing LISREL methodology. There are three advantages of using LISREL over other multivariate analysis methods : First, measurement error is allowed and calculated in LISREL, otherwise there is a risk of seriously misleading estimates of coefficients ; Second, LISREL deals with latent variables or unmeasured variables ; Third, it enables to test causal relations among variables. The factors analysis identified that five factors are involved in satisfaction with recreational facilities. The five factors of satisfaction with recreational facilities are space for repose and relaxation, active recreation facilities such as pool and zoo, physical exercise facility, convenience and maintenance facility, and linear facility, and linear facility for walking. The second phase analysis tested the fit of the causal models for satisfaction with recreational facilities to the data and identified statistically significant causal linkage among overall satisfaction with Taejong-Dae recreational complex, other endogenous factors and exogenous variables. Overall fits of both causal models were very good. Among endogenous factors, facility for repose and relaxation. linear facility for walking, active recreation facility, facility for convenience and maintenance were identified as having significant effects on overall satisfaction. Exogenous variables which have significant effects on endogenous variables wer also identified. These significant relationships indicate important factors and variables that should be considered in planning and development of the recreational complex. On the basis of these significant causal relationships, implications for planning and the delovepment of Taejong-Dae recreational complex were suggested.

• 응용통계연구
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• 제22권6호
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• pp.1215-1227
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• 2009

보험회사가 보험가입자의 정확한 위험도를 측정하여, 현재 보험료 수준으로 해당 가입자를 보험에 가입하도록 허용하는 것이 보험회사에게 손해인지 여부를 판정하는 보험회사의 활동을 언더라이팅이라 한다. 언더라이팅 시스템을 구축하는 방법으로는 기존 전통적 방법과 통계모형을 활용하는 방법이 있다. 기존의 요율산출방법에 따라 위험집단의 위험도 수준을 정하고, 해당 위험집단에 속한 가입자의 위험도를 기계적으로 계산하는 전통적인 방법은 모형의 이해가 용이하고, 사용이 편리하나 통계적으로 부합된 모형이라고 할 수는 없다. 본 연구에서는 우리나라 자동차보험 분야에서 언더라이팅 기준을 구축하기 위해 통계모형을 활용하는 방법으로 일반화가법모형을 활용하는 방안을 제시하고 분석하였다. 본 연구의 결과는 현재 자동차보험 요율산출에 사용되고 있는 변수들의 유의성을 판단하는 데에도 활용될 수 있을 것이다.

• 기술경영경제학회:학술대회논문집
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• 기술경영경제학회 2002년도 제21회 하계학술발표회 논문집
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• pp.203-223
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• 2002

In Korea, Public Research Institutes(PRIs) are today faced with the challenges of creating values by transferring technologies in store within themselves to private commercial sector. Recently, It has been increasingly pointed out that PRIs have the poor capability to valuate prospective technologies of their own, and don't run the reasonable technology transfer mechanism in terms of establishing royalty rate and initial payment, designing remuneration to inventor, screening qualified licensee, and controlling the moral hazard. This paper develops an enhanced mathematical model of technology transfer from a PRI to a private industrial firm with including the inventor as an important player. The model is made up of the main part which derives the optimal royalty rate by maximizing the social welfare and sharing risk fairly between players and some sub-parts. The one sub-part is a principal-agent model which makes it possible to control the moral hazard of inventors, and the other part provides the criteria for screening appropriate licensees. Moreover, the moral hazard between inventor and licensee is addressed by introducing the cost reduction function of efforts exerted by them. The model is able to relate the optimal royalty rate to the parameters that represent the environments under which the concerned parties operate. Especially, the ratio of initial payment over the value of transferred technology is calculated from the binding relation with the royalty rate. The paper shows that the model suggested here is more enhanced by comparing with the existing technology transfer mechanism. Finally, the paper allows us to find better strategies for effective technology transfer and further develop more sophisticated technology transfer model.

• Journal of Acupuncture Research
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• 제24권5호
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• pp.113-125
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• 2007

Objectives : This research was performed to investigate the effect of herbal acupuncture(Raphanus sativus) at Bisu($BL_{20}$) on weight gain, food intake, food efficiency, serum of lipid concentrations, liver function and HDL to total cholesterol ratio of rats fed high fat diet for 5weeks. Methods : Experimental groups were divided into high fat diet group(Control), high fat diet and saline in $BL_{20}$ treated group(Saline), high fat diet and Raphanus sativus-herbal acupuncture in $BL_{20}$ treated group(RHA-1, 0.058mg/ml/g), high fat diet and Raphanus sativus-herbal acupuncture in $BL_{20}$ treated group(RHA-2, 0.029mg/ml/g), high fat diet and Raphanus sativus-herbal acupuncture in $BL_{20}$ treated group(RHA-3, 0.011mg/ml/g), Herbal acupuncture was bilaterally treated at 0.2cc per 4days, total 14 times in 56days. Results : Body weight and food efficiency were decreased in saline, RHA-1, RHA-2. Feed intake was increased in saline, RHA-1, RHA- 2, RHA- 3. The level of serum total cholesterol was decreased in saline, RHA-1. The level of serum HDL-cholesterol, LDL-cholesterol were not significant. The level of serum triglyceride, Total Bilirubin were decreased in saline, RHA-1, RHA-2, RHA-3.The level of serum AST was decreased in RHA-1. But the level of serum ALT was increased in RHA-1. The level of atherogenic index was decreased in saline, RHA-1. The level of HTR was increased in saline, RHA-1. Conclusions : Raphanus sativus-herbal acupuncture in Bisu($BL_{20}$) can control body weight, feed intake and feed efficency ratio, total cholesterol, total bilirubin, and prevention cardiovascular risk.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제41권
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• pp.59.1-59.10
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• 2019

Background: Primary rhinoplasty outcomes may not meet individual expectations. Consequently, reoperation may be advocated to improve results. This study examines the prevalence of individuals considering revision rhinoplasty, while identifying the main cosmetic and functional complaints and factors associated. Methodology: This is a cross-sectional study conducted in Saudi Arabia using a self-reported online questionnaire distributed through social media channels. The sample included 1370 participants who were all Saudi nationals over the age of 16 who had undergone primary rhinoplasty at least 1 year prior. Results: The prevalence of individuals considering revision rhinoplasty was 44.7%. The primary reason for considering it was the desire for further esthetic improvement in an already acceptable result (50.16%). The most common cosmetic complaints subjectively reported were poorly defined nasal tip (32.35%). The most prevalent nasal function symptom was nasal obstruction (56.9%). Significant factors associated with considering revision rhinoplasty included the physician not understanding the patient's complaints, short consultation time, low monthly income, inadequate information about the expected results, not using computer imaging to predict outcomes, lack of rapport with the surgeon, and inadequate information about the risks and complications. Conclusions: A thorough understanding of patient concerns and expectations, as well as thoughtful consideration of risk factors, may help surgeons achieve more successful outcomes and potentially reduce the incidence of revision rhinoplasties. Level of evidence: III.

• 간호행정학회지
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• 제14권4호
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• pp.421-431
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• 2008

Purpose: Using comprehensive and valid instrument, MDS-HC 2.0, this study aimed to analyze the functional status and to evaluate the care needs of the community-dwelling disabled with cerebral impairment. Method: With a convenient sample of 88 disabled with cerebral impairment, the data were collected at a community health center located in rural area in Choongchung providence in August 2005. Subject's functional status and care needs were evaluated using Minimum Data Set-Home Care version 2.0. Result: Significant proportion of subjects were totally dependent for locomotion-outdoor (26.1%), personal hygiene (24.1%), bathing (24.1%). For IADLs, over 40% of subjects were totally dependent for ordinary house work, managing finances, or shopping. Top five ranked care needs were preventive health care measures (100%), communication disorders (71.6%), visual function (55.7%), health promotion (52.3%), and pressure ulcers (48.9%). The proportion of triggered clinical assessment protocols were significantly higher in disability level I group for the risk of institutionalization (p=<.001), communication disorders (p=.004), cognitive problems (p=.001), pressure ulcers (p=<.001), skin and foot conditions (p=.010), and urinary incontinence and indwelling catheters (p=<.001). Conclusions: It is necessary to provide community based rehabilitation services that are individualized for their service needs thus enhance optimal level of functioning.

• 한국전자거래학회지
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• 제20권2호
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• pp.167-174
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• 2015

정보보호 전담조직은 IT 부서 산하에 편성되어있는 것이 일반적이었으나 정보보호의 중요성이 증대됨에 따라 전사적 보안을 위한 정보보호 전담조직의 편성이 중요한 이슈로 대두되고 있다. 국내 금융권에서도 전자금융거래법 개정안을 통해 CIO와 CISO를 분리하는 등 정보보호 전담조직의 분리에 대한 필요성이 증대되고 있다. 하지만 현재 정보보호 전담조직 하부구조에 대한 연구는 활발히 진행되고 있으나 편성방법에 대한 연구는 미흡하다. 따라서 본 논문에서는 효과적인 정보보호 전담조직의 편성을 위해, 상황적 접근방법을 통하여 기업의 비즈니스 위험도와 IT 의존도를 기준으로 정보보호 전담조직 편성모델을 제시하였다. 또한 정보보호 전담조직이 소속될 부서를 기획 조정 부서, 내부통제 부서, 내부관리 부서, IT 부서로 분류하고 각 부서에 편제되어있을 경우의 장단점을 분석하였다.