• 한국융합학회논문지
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• 제11권10호
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• pp.369-376
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• 2020

본 연구는 일 지역 보건소에서 우울증 약제비 지원을 받고 있는 대상자의 자살생각 예측요인을 파악하기 위한 서술적 조사연구이다. 연구의 대상자는 충청북도 관내에 거주하고 있으며 18세 이상으로 우울증을 진단받고 정신건강 복지센터에서 사례관리를 받고 있는 156명이었다. 자료 분석은 기술통계, χ²-test, t-test 및 로지스틱 회귀분석을 실시하였다. 연구결과 연구대상자들의 자살생각률은 25%이었고, 연구 대상자가 항우울제 복용기간이 길어질수록(t=-2.19, p<.05), 지각된 신체 건강(t=3.03, p<.01)과 지각된 정신 건강(t=5.21, p<.001)이 낮을수록, 우울(χ²=41.11, p<.001)할수록 자살생각에서 유의한 차이가 있었다. 자살생각의 예측요인은 지각된 정신 건강(OR=0.97, p=.018)과 우울(OR=8.44, p<.001)로 나타났으며, 본 연구의 회귀식은 연구 대상자의 자살생각을 42.4%설명하였다. 지역사회에 거주하는 우울증환자를 위한 지속적인 사정과 융합적 정신건강 증진 프로그램이 요구된다.

• 생물정신의학
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• 제26권2호
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• pp.39-46
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• 2019

Antidepressants are widely used to treat depression in Korea, however, only a few studies have focused on the provider of the treatment. The aim of the study is to compare the differences between patients who were prescribed antidepressants by psychiatrists and those who were prescribed antidepressants by non-psychiatrists in South Korea. Patients with a diagnosis of depressive disorder who had been newly prescribed antidepressants in 2012 were selected from the Health Insurance Review and Assessment Service database. They were classified into two groups depending on whether they received the antidepressant prescription from a psychiatrist or non-psychiatrist. Sociodemographic, clinical, and depression related cost has been investigated. Treatment resistant depression, which is defined as a failure of two antidepressant regimens to alleviate symptoms, was also investigated. Prescription adequacy was assessed based on whether a regimen was maintained for at least 4 weeks. Among the 834694 patients with pharmaceutically treated depression (PTD) examined in this study, 326122 (39.1%) were treated by psychiatrists. Patients who were treated by psychiatrists were younger and had more psychiatric comorbidities than those treated by non-psychiatrists. They had longer PTD duration (229.3 days vs. 103.0 days, p < 0.05) and a larger proportion of treatment resistant depression (9.3% of PTD) when compared to those patients treated by non-psychiatrists. The patients treated by psychiatrists had a smaller proportion of inadequate antidepressant use compared to those patients in the non-psychiatrist group (44.5% vs. 65.1%, p < 0.05). The costs related to depression corrected with PTD duration were higher in the non-psychiatrist group (32214 won vs. 56001 won, p < 0.05). Patients who receive antidepressants from psychiatrists are patients with more severe, treatment-resistant depression. Psychiatrists prescribe antidepressants more adequately and cost- effectively than non-psychiatrists.

• 콘크리트학회논문집
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• 제28권3호
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• pp.309-316
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• 2016

본 연구에서는 21~27 MPa 수준의 콘크리트를 대상으로 하여, 양생온도 및 단위결합재량에 따른 초기강도 발현 특성을 검토한 후, 초기강도를 개선하기 위한 방안으로 시멘트의 응결 및 경화를 촉진할 수 있는 경화촉진제의 종류에 따른 성능을 검토하였다. 검토 결과 본 연구의 범위에서는 수용성 무기염이 유기염에 비해 상대적으로 경화촉진 효과가 우수하였으며, 사용량이 낮은 범위에서는 수용성 무기염에 의한 $C_3S$의 수화 반응촉진효과가 초기강도 발현에 효과적인 것으로 나타났다. 또한, 경화촉진제 중에서는 Pt(Potassium thiocyanate)의 촉진효과가 가장 우수하였으며, 양생온도 $15^{\circ}C$ 조건에서도 약 25시간에 초기동해 제어 강도 확보가 가능하여 공기단축 효과를 기대할 수 있고, 양생온도 $5^{\circ}C$에서도 양생온도 $10^{\circ}C$ 조건의 Plain과 유사한 시간에 5MPa 확보가 가능하여, 동일한 공기를 고려할 경우 연료비용 및 $CO_2$ 가스 발생 저감 등의 효과를 기대할 수 있을 것으로 판단된다.

• Journal of Radiation Protection and Research
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• 제24권2호
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• pp.65-72
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• 1999

가축의 사료로서 오염 농작물의 이용에 대한 최적기간 결정 방법론을 비용-편익 분석법에 근거하여 모델링하였다. 많은 농작물의 왕성한 성장시기인 8월 15일을 방사성물질의 침적시점 (사고시점)으로 가정하여 잡식성 가축인 돼지에 대해 적용한 결과를 논의하였다. 또한 사료로서 오염 농작물의 이용에 대한 상대적 비용 효과를 고찰하기 위해 오염 농작물을 바로 폐기시켰을 경우와 순이득을 비교 논의하였다. 침적후 농작물내 방사성물질의 농도는 동적섭식경로모델 DYNACON으로부터 예측되었다. 대응행위에 의한 순이득은 피폭선량의 금전가와 수행에 소요되는 금전적 비용에 의해 정량적으로 평가하였다. 오염 농작물을 사료로 이용함에 대한 순이득은 핵종, 농작물의 공급분율, 공급기간 등에 따라 다양하게 나타났다. 사료로서 오염 농작물의 이용은 $^{137}Cs$ 침적에 비해 $^{90}Sr$ 또는 $^{131}I$ 침적의 경우에 비용측면에서 보다 효과적이었다.

• Anatomy and Cell Biology
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• 제57권2호
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• pp.294-304
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• 2024

Type 2 diabetes mellitus is increasingly becoming more prevalent worldwide together with hospital care costs from secondary complications such as bone fractures. Femoral fracture risk is higher in diabetes. Therefore, this study aimed to assess the osteometric and microarchitecture of the femur of Zucker Diabetic Sprague-Dawley (ZDSD) femur. Ten-week-old male rats (n=38) consisting of 16 control Sprague-Dawley (SD) and 22 ZDSD rats were used. The rats were terminated at 20 weeks and others at 28 weeks of age to assess age, diabetes duration effects and its severity. Bilateral femora were taken for osteometry, bone mass measurements and micro-focus X-ray computed tomography scanning to assess the trabecular number (TbN), thickness (TbTh), spaces (TbSp), bone tissue volume to total volume (BV/TV) and volume (BV). Diabetic rats had shorter (except for 20-weeks-old), lighter, narrower, and less robust bones than SD controls that wered more robust. Although cortical area was similar in all diabatic and control rats, medullary canal area was the largest in ZDSD rats. This means that the diabetic rats bones were short, light and hollow. Diabetic rats aged 20 weeks had reduced BV, BV/TV, TbN with more spacing (TbSp). In contrast, the 28 weeks old diabetic rats only showed reduced BV and TbN. Discriminant function analysis revealed, for the first time, that osteometric parameters and TbTh, TbN, and TbSp were affected by diabetes. This knowledge is valuable in the management of diabetic complications.

• 대한장애인치과학회지
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• 제10권2호
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• pp.61-67
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• 2014

The aim of this study was to analyze the clinical characteristics of patients with cognitive and behavioral impairments receiving dental treatment under general anesthesia (GA-dental treatment). From August 2007 to April 2014, information was collected from 475 patients who received GA-dental treatment at the Clinic for Persons with Disabilities, Seoul National University Dental Hospital. The demographic factors (gender, age, disability, medication, GA history, residency type, caregiver, meal type, oral hygiene maintenance, and cooperation level) and dental status (operating duration, DMFT, malocclusion, periodontal disease, tooth defect, and treatment protocol) of the patients were evaluated. DMFT and malocclusion levels were compared among the patients with ANOVA and Sheffe's post-hoc test, and chi-square test, respectively. The correlation between the demographic characteristics and dental status of the patients were analyzed with the Pearson's correction test. The mean age of the patients was 27.1 (7 - 83) years and they had intellectual disabilities (55.4%), developmental disorders (17.9%), brain disorders (16.6%), neurocognitive disorders (4.6%), or others (5.5%). The mean DMFT (DT) was 8.6 (5.2) with a significant difference among the disability types (p<0.05). The incidence of malocclusion was higher in patients with intellectual disabilities and brain disorders than in the other types (p<0.05). The operation time ($191.4{\pm}91.2min$) was correlated with decayed or endodontically-treated teeth (p<0.05). Special needs patients requiring GA-dental treatment showed unfavorable oral conditions. Dental practitioners experience time restrictions and additional costs under a GA setting. Treatment planning and decision-making can be efficiently facilitated by evaluating the clinical characteristics of the patients.

• Journal of Animal Science and Technology
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• 제59권3호
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• pp.5.1-5.10
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• 2017

Background: Bovine respiratory disease (BRD) is one of the leading causes of economic losses in the beef and dairy industry. Reliable antemortem tools for diagnosing BRD would improve the efficacy of treatment and reduce costs. Here we examined whether the relatively simple technique of thoracoscopy can support BRD diagnosis under field conditions. We also compared various equipment set-ups in order to optimize the safety and efficacy of the procedure. A total of 24 thoracoscopic procedures were performed in 17 calves diagnosed with BRD and in 2 healthy control calves. Rigid and flexible endoscopes and industrial videoscopes were tested using various insertion approaches. The suitability of the technique was assessed in terms of duration, volume of air extracted, visualization score, and image quality. Safety was assessed in terms of rectal temperature, body weight, breaths/min, presence of fibrinogen, pain score, recovery time, intraoperative complications and risk of laceration or threatening collapse. Results: Insertion of a flexible endoscope via a right, dorso-caudal approach at the $5^{th}$ intercostal space allowed complete examination of the right lung in 15 min, as well as identification of main lung lesions and adherences in calves with BRD, without compromising calf welfare. While the dorso-caudal approach was optimal, it was associated with substantial discomfort when rigid endoscopes were used, minimal complications or mortality due to thoracoscopy were observed up to 28 days after the procedure. Videoscopes were as safe and easy to use as endoscopes, but endoscopes provided better image quality. Conclusion: This study provides the first field evidence that thoracoscopy can be safe to explore BRD-diseased calves. These results justify a larger study to rigorously assess the diagnostic performance of the technique.

• 대한건축학회논문집:구조계
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• 제33권12호
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• pp.37-44
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• 2017

Due to structural characteristics, construction costs and duration of a modular system would be saved by minimizing the schedule on the job site. As such, it is crucial to develop a connection that can guarantee stiffness while allowing for simple assembling. Particularly, the mid- to high-rise construction of the modular system necessitates the securing of the structural stability and seismic performance of multi-unit frames and connections, and thus, the stiffness of unit-assembled structures needs to be re-evaluated and designed. However, evaluating a frame consisting of slender members and reinforcing materials is a complicated process. Therefore, the present study aims to examine the structural characteristics of a modular unit connection based a method for reinforcing connection brackets and hinges while minimizing the loss of the cross section. Toward this end, the study modeled the beam-to-column connection of a modular system with the proposed connection, and produced a specimen which was used to perform a cycling loading test. The study compared the initial stiffness, the attributes of the hysteretic behavior, and the maximum flexural moment, and observed whether the model acquired the seismic performance, compared to the flexural strength of the steel moment frame connection that is required by the Korean Building Code. The test results showed that the proposed connection produced a similar initial stiffness value to that of the theoretical equation, and its maximum strength exceeded the theoretical strength. Furthermore, the model with a larger ceiling bracket showed higher seismic performance, which was further increased by the reinforcement of the plate.

• 국제학술발표논문집
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• The 3th International Conference on Construction Engineering and Project Management
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• pp.622-627
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• 2009

Business process engineering (BPE) is a top-down management approach for increasing efficiency and productivity through radical and fundamental changes to the business processes of the organization. BPE requires firms to initially develop a model of the existing business processes of the firm to distinguish functional tasks from processes used for coordinating inputs, activities and outputs. The model is used for understanding the business processes in the organization and to simulate the effect of changes to the processes. The model can also be used to justify business processes, which involves assessing whether the business process provides value to the customer in its current configuration. Justification requires a careful examination of the key business processes used by the firm to identify systemic shortcomings in the process and to create a new business process to produce greater efficiency. BPE also considers automating as many business processes as possible to increase operational efficiency and the integration of business process tasks. The construction industry has been slow to adopt BPE because of its project approach in which a major firm contracts with various functional service providers and regards each project as unique. The industry focuses on functional task efficiency rather than business process efficiency. There is no formal methodology or criteria for determining whether a business process is effective for a construction firm in its current configuration. The use of performance measures such as costs, task duration times or other metrics can be useful in evaluating the effectiveness of an existing business process and for modeling the possible outcome of a fundamental and radical change to the process.

• 대한토목학회논문집
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• 제26권6D호
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• pp.927-933
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• 2006

VMS(Variable Message Sign)는 운전자에게 교통정보를 제공함으로써 교통혼잡과 돌발상황 등에 적절하게 대응하여 사회적 비용을 절감하는 도구로 사용되고 있다. 본 연구는 인공지능방법 중 하나인 유전자 알고리즘을 이용하여 지체시간이 최소가 되는 VMS 최적 위치를 선정하였다. 또한 이 최적위치들을 바탕으로 VMS의 설치비용과 설치에 따른편익을 고려한 경제성분석을 통하여 VMS의 최적개수를 도출하였다. 본 연구에서는 시뮬레이션에서 교통량의변화, 돌발상황의 빈도와 지속 시간, 전환교통량 등을 고려하여 현실적인 측면이 최대한 고려하도록 노력하였다. 본 연구의 주요내용을 살펴보면, VMS의 위치에 따른 운전자의 VMS정보 선택에 의 편익을 도출하기 위해 시나리오분석을 통한 교통량과 돌발상황을 고려하여 가변적인 상황을 고려하였다. 또한 유전자 알고리즘에 의해서 도출된 VMS 최적 지점을 비교하여 통행시간 절감효과를 경제성분석을 통하여 선정하였다. 따라서 본 연구의 분석결과는 일반 선험적인 기준의 VMS 설치위치에 비해 본 연구에서 제시하는 VMS의 위치와 VMS의 개수에서 총 통행시간이 절감됨을 알 수 있다.