• Membrane and Water Treatment
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• 제14권2호
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• pp.65-76
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• 2023

Given the limited water resources and the presence of multiple decision makers with different and usually conflicting objectives in the exploitation of water resources systems, especially dam's reservoirs; therefore, the decision to determine the optimal allocation of reservoir water among decision-makers and stakeholders is a difficult task. In this study, by combining a fuzzy VIKOR technique or fuzzy multi-criteria decision making (FMCDM) and the Young's bilateral bargaining model, a new method was developed to determine the optimal quantitative and qualitative water allocation of dam's reservoir water with the aim of increasing the utility of decision makers and stakeholders and reducing the conflicts among them. In this study, by identifying the stakeholders involved in the exploitation of the dam reservoir and determining their utility, the optimal points on trade-off curve with quantitative and qualitative objectives presented by Mojarabi et al. (2019) were ranked based on the quantitative and qualitative criteria, and economic, social and environmental factors using the fuzzy VIKOR technique. In the proposed method, the weights of the criteria were determined by each decision maker using the entropy method. The results of a fuzzy decision-making method demonstrated that the Young's bilateral bargaining model was developed to determine the point agreed between the decisions makers on the trade-off curve. In the proposed method, (a) the opinions of decision makers and stakeholders were considered according to different criteria in the exploitation of the dam reservoir, (b) because the decision makers considered the different factors in addition to quantitative and qualitative criteria, they were willing to participate in bargaining and reconsider their ideals, (c) due to the use of a fuzzy-logic based decision-making approach and considering different criteria, the utility of all decision makers was close to each other and the scope of bargaining became smaller, leading to an increase in the possibility of reaching an agreement in a shorter time period using game theory and (d) all qualitative judgments without considering explicitness of the decision makers were applied to the model using the fuzzy logic. The results of using the proposed method for the optimal exploitation of Iran's 15-Khordad dam reservoir over a 30-year period (1968-1997) showed the possibility of the agreement on the water allocation of the monthly total dissolved solids (TDS)=1,490 mg/L considering the different factors based on the opinions of decision makers and reducing conflicts among them.

• 국제학술발표논문집
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• The 8th International Conference on Construction Engineering and Project Management
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• pp.267-277
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• 2020

The present research evaluates the public engagement approach in various project stages. Hong Kong had long been criticized as top-down and executive-led jurisdiction by overlooking the importance of cultural heritage and public concerns on public projects. It was suggested to the government to engage public and provide sufficient public consultation. Thereby, the government announced a series of revitalization and conversion measures in Policy Address in 2008. To carry out the measures, there were voices, because of diverse and sometimes conflicting interests, over the effect of revitalization project. On the other hand, studies reveal that there are benefits of revitalization and enhancement of public engagement approach. In pursuit of the subject, the present research aims at studying the Central Market as a case study pilot project. In October 2009, the Policy Address announced that the Central Market be revitalized. Tasked to implement the project, Urban Renewal Authority (URA) continued to adopt the people-oriented approach as the guiding principle in its core business and in heritage preservation and revitalization so as to create a sustainable development. Between government and the public, URA acts as a bridge for communication. As between URA and the public, URA conducted public consultation, set up an ad-hoc committee in January 2016 to be in charge of the project and will continuously inform the government and public with the updates and project progress. The main objectives of the present research are to assess the advantages and challenges in different stages of public engagement approach, to evaluate the engagement system, to give a comprehensive view for participation of stakeholders, and to find out effective strategies to enhance civil engagement. Research was achieved through interviews to key persons in the project, questionnaire that was distributed to community and experts in the field. Case Study of the Central Market was studied and investigated using different sources, such as newspapers, journals, etc, to evaluate the degree of public engagement in the project. Both detailed qualitative methodological approaches of interview, questionnaire, and case study, act as a synergy to demonstrate the research objectives and provide the comprehensive perceptions on the revitalization project. The results show that public participants in revitalized project have generated considerable value enhancements to social-cultural, environmental, political and economic aspect. This study provides valuable insights that the public participation can make positive contribution to sustainability in the city. The findings indicate that no any single system is flawless therefore seeking both public opinions and professional advices are also important as a comprehensive approach to achieve higher sustainability of the building.

• 통상정보연구
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• 제17권2호
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• pp.151-171
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• 2015

최근 기업들은 국제무역거래에서 무역안전과 무역원활화의 상충된 목적을 충족시키기 위해 원활하고 신속한 통관을 위한 AEO(Authorized Economic Operator) 제도를 도입하고 있다. 본 연구는 우리나라의 AEO 인증을 획득한 150개 기업들을 대상으로 정부의 지원이 AEO 인증유지 사후관리에 미치는 영향과 만족도 간의 영향관계를 검증하여 향후 AEO 제도 활성화 방안을 모색하고자 함에 있다. 본 연구는 기존의 이론 및 실증연구를 토대로 연구모형과 가설을 도출하여 실증분석을 한 결과 다음과 같은 연구결과를 얻었다. 첫째, AEO 제도 정부정책지원은 AEO 인증유지 사후관리, AEO 만족도 요인에 양(+)의 영향을 미쳤다. 둘째, AEO 인증유지 사후관리 요인은 AEO 만족도 요인에 양(+)의 영향을 미쳤다. 셋째, 정부재정지원 요인은 AEO 인증유지 사후관리 요인에 부(-)의 영향을 미쳤다. 본 연구가 선행연구와 차별화된 내용은 AEO 인증을 통하여 기업들이 체감하고 있는 만족도를 평가하였고, 정부의 지원이 사후관리와 만족도 간의 관계를 실증적으로 평가하였다는 것이다. 학문적인 기여도는 우리나라 AEO 제도의 사후관리 연구를 진행하였고, 실무적 기여도는 우리나라 기업들이 AEO 제도를 활용하기 위한 방향성을 제시하였다는데 의의가 있다.

• 수면정신생리
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• 제11권2호
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• pp.100-105
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• 2004

목 적：본 연구의 목적은 주요우울장애환자를 대상으로 Heart Rate Variability(HRV) 검사를 이용하여 비침습적으로 자율신경계의 기능, 심혈관조절체계 및 항상성을 측정하여 정상대조군과 비교해보고 생리학적, 임상적 의미를 고찰해보는 것이다. 방 법：DSM-Ⅳ의 진단기준에 의하여 주요우울장애로 진단받은 환자 30명과 정상대조군 30명을 대상으로 하였다. 검사는 SA-2000E 기기를 사용하여 HRV parameter를 측정한 후 시(time) 영역과 주파수(frequency)영역별로 분석하였다. 결 과：Heart rate(HR)는 환자군에서 유의하게 증가된 소견을 나타내었으며 the standard deviation of the NN interval(SDNN), the root square of successive differences(RMSSD)도 환자군에서 유의하게 낮은 소견을 보였다. Total power(TP) band, very low frequency(VLF：$0.003{\sim}0.04\;Hz$) band, low frequency(LF：$0.04{\sim}0.15\;Hz$) band, high frequency(HF：$0.15{\sim}0.4\;Hz$) band는 환자군에서 유의하게 낮은 수치를 보였고, LF/HF의 비는 유의한 차이를 나타내지 않았다. 결 론：우울증 환자는 심박수의 증가와 HRV의 감소를 보였으며, 교감 신경과 미주 신경의 불균형이 높은 심혈관계 사망률과 부분적으로 연관이 있는 것 같다. 우울증 환자들은 심장에서 자율신경기능의 이상을 나타내며 이렇게 교감/부교감 신경활성 조절능력이 저하되어 균형이 깨짐으로써 높은 심혈관계 사망률을 보인다고 할 수 있다.

• Korean Journal of Acupuncture
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• 제29권2호
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• pp.290-299
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• 2012

Objectives : 'Obtaining qi(deqi)' is a sensation experienced by a patient or an acupuncturist during acupuncture treatment, and it is considered to be an important factor in acupuncture treatment. However, previous studies reported conflicting results about the relationship between 'obtaining qi(deqi)' sensation and the effect of acupuncture treatment. Also, most of the previous studies investigating 'obtaining qi(deqi)' and the acupuncture effect, dealt with the analgesic effect of acupuncture. The objective of this study was to analyze the relation between the 'obtaining qi(deqi)' and the anti-itching effect of acupuncture treatment. Methods : Twenty one healthy subjects participated in this study. At the first visit, itch was induced to all subjects using intradermal injection of histamine on the lower arm. At the second visit, acupuncture treatment was applied using LI11 and 'obtaining qi(deqi)' was assessed. After acupuncture treatment, itch was induced again, and itch VAS and skin flare were assessed. Results: At the 6,8,10 minutes after histamine injection, the change of itch VAS between before and after acupuncture treatment was significant. Among 'obtaining qi(deqi)', subjects reported that 'dull ache', 'pricking', 'heavy' were most strong. Total score of 'obtaining qi(deqi)' sensation was not related to the change of itch VAS or skin flare. The 'electric shock' sensation is related to the change of itch VAS, and 'bruised' and 'heavy' sensations were related to the change of skin flare. Conclusions : Total 'obtaining qi(deqi)' is not related to the anti-itching effect of acupuncture, but several sensations showed relationship with the effect of acupuncture on itch severity and skin flare. Further researches based on various symptoms or acupuncture points, are needed.

• 정신신체의학
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• 제9권2호
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• pp.194-202
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• 2001

연구목적: 심혈관질환이 주요한 사인을 차지하면서 혈청 지질에 대한 관심이 점점 높아지는 추세이다. 혈청 지질 농도와 심리적 특성 사이의 관련성에 대한 많은 보고가 있었지만, 일관된 결론은 내리지 못한 상태이다. 본 연구에서는 청소년을 대상으로 그 동안의 연구를 통해서 지적되어온 충동성, 공격성, 우울성과 혈청 콜레스테롤 및 중성지방 농도 사이의 관련성을 조사하였다. 방법: 고등학교 1 학년생을 대상으로 2000년 5월에서 6월 사이에 실시하였으며, 이 가운데 혈청 지질 농도에 제외시키는 배제 기준을 통과한 407명을 연구에 포함시켜 조사하였다. 위하여 Barratt 충동성 척도(Barratt Impulsiveness Scale, BIS)를 사용하였으며, 공격성 검사는 Buss-Durkee 공격성 척도 (Buss-Durkee Hostility Inventory, BDHD를 사용하였고, 우울성 검사는 Beck 우울 척도(Beck Depression Inventory, BDI)를 사용하였다. 혈액 검사를 통하여 혈청 지질 농도 및 전혈 계산, 전해질 검사 간기능 검사, 혈당 검사 등을 실시하였고, 소변 건사도 병행 실시하였다. 결과: 1) 저콜레스테롤 집단은 고콜레스테롤 집단에 비하여 여성에서 BIS 총점이 의미 있게 높았으며, BIS 하위척도 분석에서는 운동 충동성이 유의미하게 높은 것으로 나타났다. 2) 고중성지방 집단은 저중성지방 집단에 비하여 남녀 모두에게 BDI 점수가 있게 높았으며, 또한 남성에서는 BIS 총점도 유의미하게 높았고, BIS 하위척도 분석에서는 역시 운동 충동성이 의미 있게 높았다. 결론: 이 연구의 결과는 혈청 지질 농도가 심리적 특성과 관련이 있으며, 특히 충동성 및 우울성이 밀접하게 관련된다는 것을 보여준다.

• 정신신체의학
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• 제21권1호
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• pp.55-61
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• 2013

연구목적 알츠하이머병(Alzheimer's disease, 이하 AD)과 경도 인지 장애(Mild cognitive impairment, 이하 MCI)는 자율신경계를 포함한 여러 신경 기능에 영향을 미친다. 신경정신과적 장애와 심박 변이도(Heart rate variability, 이하 HRV)간의 연관성은 많이 연구되어 왔지만, AD에서 심혈관계 자율신경 기능에 관한 연구는 시행된 바가 적고, 연구 결과도 일관되지 않는다. 이에 본 연구는 HRV의 분석을 통하여 AD, MCI 그리고 정상 대조군에서 자율 신경계의 활성도 차이를 평가하고자 하였다. 방 법 5분 동안 RR 간격의 시간, 주파수 영역 변이도가 26명의 정상 대조군, 22명의 MCI군, 34명의 AD군에서 각각 평가되었다. 그룹 간 차이를 평가하기 위해 일원배치 분산분석(Analysis of variance, ANOVA)이 사용되었으며, MMSE-KC와 HRV 요소 간의 상관관계는 피어슨 상관계수(Pearson's correlation coefficient)로 평가되었다. 결 과 HRV의 시간, 주파수 영역 분석에서 그룹간의 의미 있는 차이는 관찰되지 않았다. 인지 기능 장애 정도와 HRV 간의 상관 관계도 유의하지 않은 것으로 나타났다. 결 론 정상 대조군과 비교하였을 때 MCI, AD군의 HRV 요소는 통계적으로 유의한 차이가 없는 것으로 나타났다. MCI와 AD의 비침습적인 검사 도구로써 HRV가 사용되기 위해서는 후속적인 연구가 필요할 것으로 생각된다.

• 대한한의학회지
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• 제29권3호
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• pp.38-49
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• 2008

Objectives: Though overt thyroid dysfunction is well recognized to affect serum lipid profiles and obesity, there are conflicting reports on the effect of subclinical hypothyroidism on serum lipid profiles and obesity. In most reports, the definition of the upper normal limit of serum thyroid stimulation hormone (TSH) of 4.0${\sim}$5.0mU/L has been used to diagnose. However, recent studies have suggested a much lower TSH cut off with an upper limit of 2.5mU/L, because >95% of rigorously screened normal euthyroid volunteers had serum TSH values between 0.4 and 2.5mU/L. Therefore we defined subclinical hypothyroidism as a TSH level greater than 2.5mU/L. We sought to evaluate the correlations of subclinical hypothyroidism with obesity index and serum lipid profiles Methods: TSH levels were measured in 6190 men and 4223 women that participated in health examination and free T4, lipid profiles (total-cholesterol, triglyceride, LDL-C), and obesity index (body mass index, body fat, waist circumference, C-reactive protein) were also measured. Results: There were significant differences of triglyceride between subclinical hypothyroidism men and normal control subjects. In women, there were also significant differences of triglyceride and LDL-C between subclinical hypothyroidism and normal control subjects. Subclinical hypothyroidism women showed significant correlations of TSH with total cholesterol, LDL-C, triglyceride, and C-reactive protein. Subclinical hypothyroidism men and women with a TSH level 2.5${\sim}$4.0mU/L had significant differences of triglyceride and body fat. In men, there were significant differences of waist circumference andC-reactive protein. In women, there were significant differences of LDL-C. Conclusions: We have demonstrated correlations of subclinical hypothyroidism with serum lipid profiles and obesity index. These findings suggested that subclinical hypothyroidism people had an increased risk of dyslipidemia and obesity. Subclinical hypothyroidism people with a TSH level 2.5${\sim}$4.0mU/L may be also considered suspect since it may signal a case of evolving thyroid underactivity eligible to be prevented.

• 대한환경공학회지
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• 제22권4호
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• pp.699-712
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• 2000

주암호는 광주 전남지역의 주민생활이나 공 농업활동에 기반이 되는 중요한 수자원의 역할을 하고 있으나, 주암호에 유입되는 오염물질로 말미암아 호수의 수질은 점점 악화되고 있는 실정이다. 따라서 주암호 수질개선 전략은 시급히 마련되어야 할 것이다. 호수의 수질개선 전략으로 하나가 아닌 다수의 대안이 개발될 경우에 대안별 평가 및 최적순위 결정을 위해서는 목표수질의 달성도, 사회 기술적 적용성 및 경제성 측면을 고려한 평가기준들이 선정된다. 그러나 평가기준들의 수가 많고 각 기준이 추구하는 목적이 서로 상충될 때 의사결정은 어려워진다. 특히, 각 평가기준에 대한 대안별 기준값이 불확실성을 내포하는 경우에는 의사결정이 더욱 곤란하게 된다. 이러한 불확실성의 정도가 크면 클수록 의사결정은 점점 어려워지는데, 각 기준값의 불확실성이 발생하는 주요 원인은 활용할 수 있는 정보의 부족, 미래 상황의 불확실 또는 전문가 지식의 한계 때문이다. 본 논문에서는 의사결정권자가 불확실성 하에서도 호수의 수질개선 대안들을 평가하는데 이용할 수 있는 퍼지 의사결정법이 보여질 것이다. 이 방법은 퍼지이론을 응용하여 대안별 평가기준 값의 불확실성 정도를 해석하고, 이를 그대로 의사결정 과정에 반영하기 때문에 불확실성을 고려하지 않는 방법들에 비해 합리적이고 현실성있는 최적의 수질관리 대안이 선정될 수 있다.

• 대한한방내과학회지
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• 제30권1호
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• pp.153-172
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• 2009

Background : The safety of Korean herbal Medicine (KHM: prescribed herbal medicine by doctors of traditional Korean medicine) is an important issue in Korea. Although both fields. western medicine and traditional Korean medicine. have been studied on the safety of herbs and KHM, their results were not concordance with each other. Objectives : This study aims to review the influence of KHM on liver function in Korean literature systematically. Additionally, we tried to estimate the change of data of liver function test (LFT) and the incidence of liver injury (LI) after the use of KHM. Methods : Systematic literature searches were performed on 4 major databases of Korea from their inception to May 2008. Screening and selection of the studies and the extraction of data were performed independently by two authors. There were no restrictions on the types of publication including grey literatures. Results : Forty studies were included. Only sixteen studies were performed prospectively and fifteen studies collected data from outpatients. Only 8 studies reported the occurrence of LI after the use of KHM. Nineteen cases of LI showed no or mild symptoms and the elevation of LFT was not high. All of LI patients used conventional western drug and KHM concomitantly. and causality of LI was not assessed properly. The incidence of LI related to the use of KHM was estimated as 0.59%-0.76% from all data of these studies. The conflicting results were shown on the change of alanine aminotransferase (ALT) and total bilirubin (TB) after the use of KHM. Conclusions : KHM might be a minor cause of LI in Korea. However the results are not strongly supported as enough to make the safety issue clear because of the limitations of original studies. More rigorous studies are required for answering the safety issue of KHM with the cooperative investigation of both fields of Korean traditional medicine and western medicine.