• The Journal of Korean Physical Therapy
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• 제34권5호
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• pp.224-233
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• 2022

Purpose: In Japan, the Long-Term Care Insurance Act has stipulated visiting rehabilitation since 2000. This study aimed to identify the actual conditions of visiting rehabilitation in Japan through a literature review of reports published by the Japanese government. Methods: This literature review was conducted on eight articles among various government reports on the topic of the actual conditions of visiting rehabilitation. These reports were published by the Ministry of Health, Labor and Welfare of Japan based on their own investigations or reports from an external agency entrusted with the task, and were issued between 2000 and 2021. Results: The characteristics of the visiting rehabilitation offices, their number, manpower allocation, the number of users, and their visits to each office were identified. Also, the characteristics of the users, number of users, age and required degree of long-term care, causative disease, and required medical care were identified. To evaluate the actual status of the visiting rehabilitation service, the service use time, frequency, period of use, intervention by doctors and the degree of such intervention, therapist's service content, visitors' address before the use of the service, reason, and timing of the service introduction, evaluation of the service effectiveness, combination of services and transfer destination after termination, and status after service termination were checked. Conclusion: Based on the Japanese experience where visiting rehabilitation was introduced and applied to long-term care insurance, it would be meaningful to review the factors that required benchmarking among the Japanese service models while designing a similar model in Korea.

• 한국농공학회논문집
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• 제58권6호
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• pp.23-30
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• 2016

Soil loss is an accompanying phenomenon of hydrologic cycle in watersheds. Both rainfall drops and runoff lead to soil particle detachment, the detached soil particles are transported into streams by runoff. Here, a sediment-laden water problem can be issued if soil particles are severely detached and transported into stream in the watershed. There is a need to estimate or simulate soil erosion in watersheds so that an adequate plan to manage soil erosion can be established. Universal Soil Loss Equation (USLE), therefore, was developed and modified by many researchers for their watersheds, moreover the simple model, USLE, has been employed in many hydrologic models for soil erosion simulations. While the USLE has been applied even in South-Korea, the model is often regarded as being limited in applications for the watersheds in South-Korea since monthly conditions against soil erosion on soil surface are not capable to represent. Thus, the monthly USLE factors against soil erosion, soil erodibility and crop management factors, were established for four major watersheds, which are Daecheong-dam, Soyang-dam, Juam-dam, and Imha-dam watersheds. The monthly factors were established by recent fifteen years from 2000 to 2015. Five crops were selected for the monthly crop management factor establishments. Soil loss estimations with the modified factors were compared to conventional approach that is average annual estimations. The differences ranged from 9.3 % (Juam-dam watershed) to 28.1 % (Daecheong-dam watershed), since the conventional approaches were not capable of seasonally and regionally different conditions.

• 동의생리병리학회지
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• 제18권5호
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• pp.1520-1526
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• 2004

The writers present this additional paper to supplement the treatise (Clinical Cases of Skin Diseases treated with Hyungsang Medicine) issued at Hyungsang Medicine Conference in 2001. New other cases have been added in this paper because we didn't deal with sufficient cases in the former treatise and there is also a need for continuous research. The skin is the part that is exposed to the outer environment. Consequently, it is not only under the direct influence of the outside, but also shows internal abnormalities. Therefore, it should be carefully examined, when diagnosing a skin disease, whether the disease is caused by the outside influence, or it reveals internal abnormalities, or it shows both outer and internal abnormalities. For skin disease diagnoses, there are still limits in finding out the cause of a disease only by means of feeling pulses and analysing symptoms. In order to overcome those limitations, and for more accurate and appropriate treatments, Hyungsang diagnosis should be fully understood and well recognized. Accordingly, for skin disease treatment especially, along with all the other disease treatments, we should take the four combined factors (configuration, color, pulse and symptoms) into consideration to bring out the merits and the characteristics of the oriental medicine and be able to prepare for any cases.

• 한국의료질향상학회지
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• 제12권1호
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• pp.52-61
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• 2006

Background : The promotion and advertisement of pharmaceuticals should be based on evidence from clinical trials. We conducted this study to assess whether the pharmaceutical advertisement claims in Korean medical journals had relevant references, and whether the claims were supported by the references. Methods : We reviewed pharmaceutical advertisements in five Korean medical journals issued during the first half of 1999 and during the first half of 2004. Three investigators independently reviewed the advertisements to see whether the studies quoted to endorse the advertising messages supported the corresponding claims. Using multiple logistic regression analyses, we investigated which factors were associated with the quality of the advertisement claims. Results : From the 550 advertisements in the five journals, we identified 157 different advertisements and 475 different promotional claims. Only 149 claims had at least one reference, and 105 claims had references of published article. We could find supporting evidences in the 90 claims. The factors which were associated with the quality of advertisement claims were category of drugs, category of claims, and the manufacturer characteristics. Claims for cardiovascular and endocrine drugs, and claims on efficacy, and claims of multinational company were more evidence-based. Conclusion : Majority of the pharmaceutical advertisement claims in Korea did not have appropriate references. Drug category, claim category, and the manufacturer characteristics were associated with the quality of advertisement claims, and the manufacturer characteristics was the most important determinants.

• 수산해양기술연구
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• 제51권4호
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• pp.520-526
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• 2015

A tragic disaster happened by capsizing O-Ryong 501 trawler at Western Bering Sea in 1st, Dec. 2014. The disaster was caused by the severe weather and the long deferred escape from the storm in fully developed high sea. Lots of sea water from poop deck rushed into the fish ponder with fishes all together after hauling net and then remove the fishes from codend. The vessel became to incline to the one side caused by the weight and the free surface effect of flood sea waters and fishes at initial stage. In spite of crews all effort to discharge the waters, but the work was not achieved successfully. For the worse thing, the order of abandon ship was issued too late. After all, the ship capsized and sank, then almost crews became to the victims of the casualty including captain. In this paper, author carried out restrictively the calculation of dynamic factors influenced on the disaster including the weather condition and effects of the flood sea waters, and found out that the most important causes of the disaster were the decrease of stabilities, GM was decreased from 0.9m to 0.08 m, and the high waves which led to the vessel disaster.

• 한국항해항만학회:학술대회논문집
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• 한국항해항만학회 2019년도 추계학술대회
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• pp.134-136
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• 2019

국제해사기구(IMO)는 2017년 해상 사이버 위험관리 지침(Guidelines on maritime cyber risk management)을 발표했다. IMO의 해상 사이버 위험관리 지침에 따라 각 기국은 2021년 1월 1일 이후 도래하는 첫 번째 연차심사 전까지 안전관리규약(ISM, International Safety Management Code)의 선박안전관리시스템(SMS, Safety Management System)에서 사이버 리스크에 관한 사항을 통합·관리 하여야 한다. 본 논문에서는 해상분야의 사이버 보안 관리대상 및 위험요소를 식별하고 취약성 분석을 수행하기 위하여 IMO가 제시한 산업계 지침 및 국제표준을 근거로 해상분야의 사이버 보안 취약분야를 관리적·기술적·물리적 보안의 세 가지 영역으로 구분하였다. 또한, 리스크 매트릭스(Risk Matrix)를 사용하여 보안영역별 위험요소에 따른 정성적 리스크 평가(RA, Risk Assessment)를 수행하였다.

• 품질경영학회지
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• 제45권4호
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• pp.781-810
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• 2017

Purpose: This paper studied about the integration for management system of representative international standard related to sustainable development. The well-known International standards such as ISO 9001, ISO 14001 and OHSAS 18001 (ISO 45001) can be operated in accordance with the organizational situation individually, or in a variety of ways of integration. It can be applied to help organizations utilizing the newly established "ISO IEC Directive Part1 Annex SL", when integrating quality, environmental and safety & health management systems based on international standards. Methods: We conducted an empirical survey of management executives and experts to study how three factors (management systems, organizational capabilities and integration methods) could affect business performance. Results: The questionnaire was analyzed using AMOS structural equation model. Quality, environmental and safety and health management systems affected management performance, and integration methods of management system affected business efficiency, risk performance and financial performance. Integration method is also important because organizational competence affects various aspects of integrated management. However, factors that affect integration should also be considered in terms of organizational capabilities. This is because organizational capacity influences the integration plan. Conclusion: To integrate the document system at the strategic level, management should actively participate in integrated operations to integrate organizations, eliminate duplicate tasks, and foster document integration experts to reflect the characteristics of individual standard. In the case of document integration, quality management is focusing, but once ISO 45001 is issued, the use of Annex SL is increasing, and Quality, environment and safety & health integration will also be expanded. It is possible to increase the effect of integration by strategically approaching and establishing organization document system rather than simple integration according to management system standard arrangement.

• 응용통계연구
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• 제26권6호
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• pp.857-871
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• 2013

한국을 비롯한 많은 국가에서 수출보험은 수출증진을 위한 수단으로 이용되어 왔다. 무역자유화를 위한 세계무역기구의 출범 이후에도 수출보험은 여전히 수출증진을 위한 주요 수단으로 인식된다. 본 논문은 국내 기업의 해외법인이 체결한 단기수출보험의 자료를 이용하여 수출보험과 관련한 위험요소(수입자의 신용등급, 결제기간, 모기업의 크기)의 각 등급에 따른 보험가입금액 대비 보험금 지급비율을 산출한다. 이를 위해 일반화 선형모형을 활용, 모델 선택과정을 거쳐 사고빈도(frequency)와 사고심도(severity)를 각각 음이항분포와 로그노말분포로 적합한다. 그리고 일반화 선형모형의 분석결과를 바탕으로 사고빈도와 사고심도에 미치는 각 위험요소의 등급에 따른 계약건수 대비 평균 사고발생 비율과 보험가입금액 대비 평균 지급비율을 제시한다. 이후 이를 통합함으로써 각 위험요소의 등급별 지급비율의 기댓값을 추정한다. 그리고 이 결과를 이용하여 요율산정에 대한 시사점을 논의한다.

• 한국의료질향상학회지
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• 제25권1호
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• pp.52-65
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• 2019

Purpose: Outbreaks resulting from medication injections have recently been on the rise in Korea despite various established guidelines. The objective of this study was to assess the degree to which healthcare professionals are aware of safe injection practice guidelines and to account for the adherence to and the deviation from safe injection guidelines formulated by healthcare providers. Methods: In November 2016, a cross-sectional anonymous questionnaire covering general characteristics of injections, patient safety culture, awareness of safe injection practices, and adherence to and barriers to safe injection guidelines was issued to healthcare providers who administer medication injections or manage and supervise these injections (N=550). Multivariate logistic regression analysis via enter method was performed to define the influencing factors of adherence of safe injection practices. Results: On average, respondents adhere to 17 of the 24 guidelines. Multivariate logistic regression found that those who were more likely to adhere to safe injection guidelines either underwent a patient safety training experience within the last year, provided care in a setting characterized by a highly developed patient safety culture, or were employed as physicians or nurses, as opposed to some other type of care provider. Barriers to safe injection guidelines were attributable to; thoughts of waste to discard leftover medicine, provisions that made adherence cumbersome, a weak culture of compliance, and insufficient amounts of injectable medicine, products, and education. Conclusions: The results of this study indicate that controllable factors like training experience of healthcare providers and patient safety culture were positively associated with adherence to safe injection practices. It was suggested that the training of healthcare providers on safe injection practices be a continuous process to promote patient safety. Additionally, there should be an increased focus on developing and implementing policies to improve patient safety culture from a prevention rather than post-management perspective.

• 자원ㆍ환경경제연구
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• 제27권4호
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• pp.667-694
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• 2018

2015년 1월부터 시행된 시장기반 온실가스감축수단인 한국 탄소배출권시장의 가격결정체계와 2차 이행연도로의 진행과정에서 발생하는 학습효과에 대하여 고찰한다. 분석결과, 1차와 2차 이행연도 간에 차이점이 존재하는 것으로 추정되었다. 장내요인의 경우, 2차 이행연도에서는 1차 이행연도에서 추정되지 않았던 KCU와 KOC 가격 거래량 변수가 유의하게 추정되었다. 또한, 대내외 경제상황 변수의 경우, 1차 이행연도에서는 모든 변수들이 유의하지 않았으나, 2차 이행연도에서는 금리, 환율, 주가변수에서 통계적 유의성이 확보되었다. 이는, 1차에서 2차 이행연도로 진행하면서 시장운영자인 정부와 시장참여자인 기업들이 1차 이행연도에서의 경험과 지식을 바탕으로 2차 이행연도에서의 배출권 관련 의사결정을 보다 효율화하는 학습효과에 기인한다. 한편, 중점분석대상인 KAU15와 KAU16 가격에 대하여 공통적으로 유의미한 설명변수로는 각 배출권의 이행연도 이듬해 2월과 3월의 명세서 작성 및 제출에 대한 제도이항변수가 존재하였다.