• 의학교육논단
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• 제20권2호
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• pp.72-77
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• 2018

Observation of the current Korean medical education and training system shows that certain negative traits of unchangeable solidification engraft themselves so deeply into the overarching system that they are now hampering the state of the national health welfare. Focusing only on undergraduate medical education, we can point out some glaring side-effects that should be of concern to any stakeholder. For instance, a graduate can legally begin his career as an independent practitioner immediately after passing the licensing exam and return to the old stuck school-year system of 2-year-premedical and 4-year-medical programs where outcome-based and integrated curricula are incomplete and unsatisfactory. In terms of learning opportunities, the balance between patient care and public health, as well as that between in-hospital highly specialized practice and community-based general practice, has worsened. Every stakeholder should be aware of these considerations in order to obtain the insight to forge a new direction. Moreover, our medical schools must prepare our students to take on the global roles of patient care within the Fourth Industrial Revolution, health advocacy for the imminent super-aged society, and education and research in the bio-health industry, by building and applying the concept of academic medicine. We will need to invest more resources, including educational specialists, into the current undergraduate medical education system in order to produce proper outcomes, smart curriculum, innovative methods of teaching and learning, and valid and reliable monitoring and evaluation. The improved quality of undergraduate medical education is the starting point for the success of the national system for public health and medical care as a whole, and therefore its urgency and significance should be emphasized to the public. The medical society should go beyond fixing what is broken and usher in a new era of cooperation and collaboration that invites other health professionals, governmental partners, law-makers, opinion leaders, and the general public in its steps toward the future.

• 보건행정학회지
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• 제12권4호
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• pp.1-17
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• 2002

This study was attempted to identify the liquidity trends and determinants of private hospitals in Korea different. Data used in this study were collected from 98 hospitals with complete general data of present conditions as well as financial statements(balance sheets, income statements). They were chosen from hospitals that passed the standardization audit undertaken by the Korean Hospital Association from 1996 to 2000 for the purpose of accrediting training hospitals. The dependent variables in this study were used current ration and quick ratio as a proxy indicator for liquidity. The independent variables were ownership type, hospital type, location, bed size, period of establishment, short-term liabilities to total assets, long-term liabilities to total assets, borrowings to total assets, fixed asset ration, net profit to total assets, operating margin to gross revenue, growth rate of net worth to total assets, total asset turnover, and business risk(volatility of profit). The major findings of this study were as follows. Trends of liquidity(current ratio, quick ratio) had been continuously decreased. Especially, There were very distinct decreasing trends of personal hospitals and less than 300beds, which weakened liquidity. The factors had significant effect on current ratio were short-term debt to total assets(-), fixed asset ratio(-), business risk(+). High short-term debt to total assets, high fixed asset ratio and high business risk significantly decreased in liquidity. The factors that significantly affected on quick ratio were short-term debt to total assets(-), borrowings to total assets(+), fixed asset ratio(-), business risk(+).

• 대한정형도수물리치료학회지
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• 제23권2호
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• pp.9-16
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• 2017

Background: The purpose of this study was to investigate the relationship between the spine and the flat-foot, the stability and the alignment of the posture of the neck to prevent the alignment of the ankle joint operation and the lower back flexibility of the lumbar region according to the type of treatment using active stretching of the triceps, back pain, and to see how they affect weight bearing differences. Methods: The subjects of this study were 24 chronic low back pain patients. They were randomly divided into experimental group and control group. In the experimental group, ankle joint mobilization and active scraping of triceps were performed three times a week for a total of 6 weeks. The control group was performed in the same way without articulation. The range of flexion and extension motion of the lumbar spine and pain degree and difference of weight-bearing were measured before and after the experiment. Results: The model of ankle joint mobilization and calf muscle elongation of flat foot significantly improved the range of flexion and extension motion of the vertebrae (p<.05) and the VAS and distribution of weight-bearing were decreased in both of two groups (p<.05). In other words, the exercise and mobilization help to recover of the balance of the whole musculoskeletal, the vertebrae. Conclusions: The active exercise of the triceps muscle of the lower leg in this study It affects the flexibility of the lumbar spine, the pain and the difference in the weight support of the lower extremities, when we performed ankle joint mobilization for exercise and cramping, pain and the difference in weight support between the two lower limbs.

• 대한영양사협회학술지
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• 제7권2호
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• pp.167-174
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• 2001

The purpose of this study was to investigate food service management system and nutrition education of the early childhood education institute in Yongdungpo, Seoul. Self-administered questionnaires were completed by 26 public early childhood education institute and 34 private ones. A majority of the teachers were women over 40 with at least bachelor's degree. Other than the fact that food service provides food to the children, it contributed in providing the essential nutrients to the children, as well as giving them the opportunity to learn table manners. A normal food service would provide one set of lunch and two sets of snacks, which would be provided by the institute itself. In most cases, the director or teachers planned the menus instead of dietitians. Journals, cookbooks, and other information put out by mass communication, such as TV and newspapers, were used as reference to those menus. The factors considered in planning the menus were mainly nutritional balance and the children's food preference. The difficulties in meal management were about the budget and nutritional menu planning. Fifty five percent of the subjects were did nutrition education, and they focused mainly on the table manners and hygiene education but once a year. The difficulties and complaints in execution nutrition education at the institutes were lack of nutritional knowledge, personal shortage, and excessive work. The institutes were urgently requesting for menu provisions from local Public Health Clinics. As a recommendation from the results of this study, food service management and nutrition related subjects should be more enforced into the nursery teacher training curriculum. Also, it is necessary to provide nutrition education to teachers, and as a link, the need to develop a manual for nutrition education has become urgent.

• 융합보안논문지
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• 제14권1호
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• pp.51-57
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• 2014

본 연구는 공수도의 대련경기 기술을 통해 경호대상자를 보호하는 완전한 임무수행을 할 수 있으므로 공수도 수련의 필요성을 인식시키고, 공수도의 가치는 높이는데 목적이 있다. 공수도 대련경기 기술은 손기술, 발기술, 던지기기술로 구분된다. 첫째, 손기술이다. 위해자가 경호대상자를 공격시 가벼운 스텝으로 위해자의 주요급소 부위에 앞손치기 또는 뒷손치기가 효과적으로 상대를 제압할 수 있고, 직선공격이 쉽지 않을 경우 돌려치기로 상대를 제압할 수 있다. 둘째, 발기술이다. 위해자가 경호대상자를 공격시 거리와 방향에 따라 위해자의 주요급소를 향해 앞차기, 옆차기 뒷차기의 직선적인 공격과 앞돌려차기, 앞후리기, 뒤후리기의 곡선적 공격으로 위해자를 제압할 수 있다. 마지막으로 던지기 기술이다. 손과 다리 그리고 상대의 균형을 이용한 기술로 걸기와 후리기로 무너뜨리고, 손과 발기술로 상대의 급소를 공격하면 완전히 제압된다. 공수도 대련경기기술은 손기술과 발기술 그리고 던지기 기술의 각각의 기술로 위해자를 제압할 수 있지만 다양한 장소와 거리 등 환경에 의해 손기술과 발기술, 발기술과 손기술, 손기술와 던지기 기술, 발기술과 던지기 기술, 던지기 기술과 발 또는 손기술 등 다양하게 습관적으로 대련 경기에서 나오고 있다. 이러한 공수도는 경호무도로서 이상적이라 볼 수 있다.

• 한국전문물리치료학회지
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• 제14권3호
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• pp.41-47
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• 2007

Dance movements consist of combinations of movements such as jumping, rotation, maintaining balance, leg lifts, and plantar flexion with toe shoes. Dance movements require great muscle strength of lower extremities as well as muscular endurance. The purposes of this study were to investigate correlation between the anthropometric variables and the peak torque in young female dancers and to identify variables that affect isokinetic peak torque. Twenty-six female dancers ($19.7{\pm}1.2$ years of age) performed concentric maximum force efforts on the knee extensors and flexors at $60^{\circ}/sec$ and $120^{\circ}/sec$, the ankle plantar flexors (PF) and dorsiflexors (DF) at $30^{\circ}/sec$ and $120^{\circ}/sec$. Antropometric variables such as age, height, weight, body mass index (BMI), thigh girth, calf girth and duration of dance training were measured. To identify antropometric variables related to muscle strength, Pearson correlations were computed and a stepwise multiple regression analysis was performed. Pearson correlation coefficients of Knee extensor at $60^{\circ}/sec$ and $120^{\circ}/sec$ revealed moderate positive associations with BMI and thigh girth. Pearson correlation coefficients of ankle PF revealed low-to-moderate positive associations with height. Ankle DF also revealed moderate positive associations with BMI and calf girth. The main predictor variables of knee extensor at 60/sec, were stepwise multiple regression, age, height, thigh and girth.

• 한국지능시스템학회논문지
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• 제9권5호
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• pp.555-565
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• 1999

복잡하고 비선형적인 시스템의 규칙베이스 퍼지모델링을 위하여 퍼지시스템의 최적 동정알고리즘을 연구한다. 비선형 시스템은 퍼지모델의 입력변수와 퍼지 입력공간 분할에 의한 구조동정과 파라미터 동정을 통해 표현된다. 본 논문에서 규칙베이스 퍼지모델링은 비선형 시스템을 위해 퍼지추론방법과 두 종류의 최적화 이론의 결합에 의한 하이브리드 구졸를 이용하여 시스템 구조와 파라미터동정을 수행한다. 퍼지모델의 추론방법은 간략추론 및 선형추론에 의한다. 제안된 하이브리드 최적 동정 알고리즘은 유전자 알고리즘과 개선된 콤플렉스 방법을 이용한다. 여기서 유전자 알고리즘은 전반부 퍼지규칙의 멤버쉽함수의 초기 파라미터들을 결정하기 위해 사용되고 강력한 자동동조 알고리즘인 개선된 콤플렉스 방법은 정교한 파라미터들을 얻기 위해 수행된다. 따라서 최적 퍼지모델을 위해 전반부 파라미터 동정에는 하이브리드형의 최적 알고리즘을 이용하고 후반부 동정에는 최소자승법을 이용한다. 또한 학습과 테스트 데이터에 의해 생성된 퍼지모델의 성능결과 사이의 상호균형을 얻기 위해 하중계수를 가지는 합성 성능지수를 제안한다. 제안된 모델의 성능평가를 위해 두가지 수치적 예를이용한다.

• Strategy21
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• 통권44호
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• pp.28-53
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• 2018

The U.S. has recently developed Free and Open Indo-Pacific strategy and Distributed Lethality strategy based on a common perception that they are responding to China's threats. In the future, it is anticipated the following. Strengthen cooperation of the U.S.-India-Vietnam navy, Maximizing the combined combat power between the U.S. and regional navies, Improving its ability to restore damage control, Economic cooperation between the Pacific and Indian countries. The meanings given to the Korean navy are as follows. First, South Korea should pursue cooperation with the Indian Navy, which will grow into a regional balance on China's growth. The growth of the Indian navy is expected to increase cooperation with other Pacific countries. The government should seek ways to promote cooperation with india navy in various fields. Secondly, it is a joint drill between the U.S. Navy and the Korean Navy. Recently, the Korea-U.S. joint drill has not been conducted and many changes are expected to be made regarding the implementation of the joint drill in the future. Therefore, it is necessary to respond to possible changes in the naval relationship between Korea navy and the U.S. navy Also, due to distributed lethality strategy, preparations for operations and training with U.S.navy will be necessary. Lastly, it should contribute to cooperation among regional countries in preparation for maritime territorial disputes. The growth of the Chinese navy and the territorial disputes in the East and South China sea has raised the possibility of accidental military clashes at sea. Therefore, the government should make efforts to create multilateral security cooperation systems that can continue to promote the prevention of armed conflict.

• 한국한의학연구원논문집
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• 제16권1호
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• pp.157-171
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• 2010

This study aimed to investigate the effect of four common types of Qigong position (standing, sitting, supine, and horse-riding position) on the autonomic nervous system. Thirty healthy subjects participated in this study once a week for four weeks. Electroencephalogram (EEG) was measured three times (before, during, and after the position) while the subject maintained one of four positions for ten minutes. There were significant changes in HRV components compared with EEG power spectra in the standing position. Especially, the ratio of low-to-high frequency (LF/HF) which represents a state of balance of autonomic nervous system was increased. In the sitting position, $\beta$ wave which reflects a state of alert consciousness was increased and both the sympathetic and parasympathetic nerves were activated. On the other hand, in the spine position, $\theta$ wave which signifies a state of relaxation was increased and heart rate (HR) was decreased. Activation of sympathetic and parasympathetic nerves was also observed in this position. Significant increases of indices related to awakening and concentration were observed accompanied by increase of HR and a sympathetic nerve was activated in the riding-horse position. In the present study, it was shown that each Qigong position caused various and significant changes in autonomic nervous system. It would be expected that these results can be applied in the choice of appropriate Qigong position according to objective of Qigong therapy although it is remained to further evaluate the effects of long-term maintenance of Qigong positions and repeated Qigong training.

• 실천공학교육논문지
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• 제8권2호
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• pp.121-128
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• 2016

사출 성형 공정에서 외관 품질 문제는 대부분의 성형품에서 발생한다. 금형의 열역학적 설계 중의 하나는 어떠한 위치에서 캐비티 표면 온도가 되도록 균일하게 상승하는 것으로 수행된다. 실험적인 평가를 바탕으로 최적의 사출 성형 조건에서 성형품의 미려한 외관 품질을 위해서 캐비티 벽 온도와 다듬질 가공된 캐비티 표면이 성형품의 외관 문제를 피할 수 있는 가장 중요한 요소이다. 또한 잘못된 게이트 형식과 위치 선택은 성형품의 품질에 상당한 영향이 있어서, 각 캐비티로 부터 올바른 러너 밸런스를 유지하는 것은 매우 중요하다. 실질적으로 생산 현장에서 이행될 수 있는 사출 성형 품질을 위한 최적의 금형 설계와 실무 금형 기술 능력 향상을 위해서 현장 교육을 위한 실무적인 금형기술 과정의 교육훈련 모델을 제시하였다.