• 대한간호학회지
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• 제26권4호
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• pp.768-781
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• 1996

The problem of care of patients and families with Alzheimer's disease has become a conscious raising social policy issue in Korea. The government of the Republic of Korea has become cognizant of the situation and has begun searching for ways to remedy it. Thus, there is a need for a comprehensive under-standing of the situation in which patients and their families are struggling and the enormous problems of care. With a realization of the urgent need, this study was done to investigate the situation and the care needs of families with patients with Alzheimer's Disease, and to compare the effectiveness of services utilized by the families in terms of cost and effects on patient's conditions and on family live. The Subjects for the study were 29 families with hospitalized patients, 25 families utilizing hospital outpatient clinics, 14 families utilizing day care facilities, and 16 families with homebound patients. A total of 84 families were interviewed by four trained interviewers using structured and semistructured questionnaires. The data produced from these interviews included : the patient's stage of Alzheimer's disease, patient's bizarre behavior, hours spent on patient care per day, family burden and quality of life, direct and indirect costs encountered in the care of patients, and the families' evaluation of the effectiveness of the services received. The data were analyzed to determine the relationships between family charactersistics, patient's conditions and services utilization. The effectiveness of each of the service entities was assessed through families evaluation and hoped for service and comparisons were made between services in terms of the cost-effectiveness ratios. After initial comparison of cost-effectiveness ratios, further analysis was done to compare between groups for incremental effectiveness for each incremental unit of cost to determine the most cost-effective service entities. The findings of the study are as fellows : 1. The choice of living arrangement and the types of services are a function of the stage of Alzheimer's condition and the economic status of the family. 2. Comparision of the cost of care showed that most expenses were encountered in by families with hospitalization, families using outpatient services, and families using day care services in that order. The least expense was involved in the care of homebound patients. The economic burden felt by families was in the same order as expenses. 3. The average number of hours spent on daily patient care was 9.9 hours for the outpatient clinic users, 9.7 hours for homebound patients, and 5.4 hours for day care users. 4. There were significant differences in the patient's conditions (CDRL), bizarre behaviors and the families's burden by living arrangement and /or types of service. However, no significant difference was found between groups in the family's quality of life. 5. The families rated the services of day care center as most effective for the care of the patients and families, except for a few families who had experienced some improvement in the patient's conditions. The outpatient clinic users expressed psychological comforts mainly in that the patient was being taken care of. For those hospitalized patients, families expressed the comfort of being relieved of the burden of care and that the patient is being professionally cared for. Form the analysis of the costs, hours of patient care, patient's bizarre behaviors, family's quality of life and burdens, and family's evaluation of services, it is concluded that up to the mid stage of Alzheimer's condition, the utilization of day care center services is found to be the most cost-effective, and toward the end stage of the Alzheimer's disease, it is hoped that there will be a establishment of long term or short term in-patient facilities for the protection of patients and preservation of the integrity of families for less cost. Thus. it was concluded that the family centered system of care is the most effective for Korea with systematic support systems developed for the care of patients and their families according to the needs of families as the patient's condition deteriorates.

• 한국전자파학회논문지
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• 제24권8호
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• pp.849-859
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• 2013

최근 각국은 무선 광대역 서비스용 주파수 확보를 위하여 공공주파수와 방송용 주파수의 효율적 이용을 도모하고 있다. 본 연구는 해외의 공공주파수 및 방송용 주파수 관리 정책 동향을 살펴보고, 이를 참고하여 우리나라의 관련 현안에 대한 정책 방안을 제시하고자 한다. 공공주파수의 효율적 활용을 위한 정책 방안으로, 공공주파수에 대한 이용실태 조사, 공공주파수에 대한 기회비용 부과, 주파수 효율성 기금의 설치, 군주파수의 효율적 이용을 위한 유인 제공, 공공주파수에 대한 공유정책 도입 등을 제안하였다. 그리고 방송용 주파수의 효율적 활용을 위하여는 단기적으로는 방송통신발전기금의 부과기준 변경, 중장기적으로 상업용 방송주파수에 대한 할당방식 변경과 행정가격 부과를 제안하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권9호
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• pp.4327-4333
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• 2016

Purpose: To systematically review efficacyand safety of robotic gastrectomy (RG) compared with conventional laparoscopic gastrectomy (LG) for gastric carcinoma. Materials and Methods: A systematic literature search was carried out using PubMed, Cochrane Library, CBM, CNKI, WanFang, VIP and other sources like relevant references to obtain comparative studies assessing the effectiveness and safety between RG and LG published between 2013 and 2016. Then the literature was screened and the data were extracted by 2 independent reviewers. The quality of the literature was assessed, and the data analyzed using Stata/SE 14 software. Fixed effects or random effects models wereapplied according to heterogeneity. Results: A total of 12 non-randomized observational clinical studies involving 3,580 patients were included, of which 1,096 had undergone RG and 2,484 had received LG. The results of the meta-analysis showed in terms of effectiveness, RG was associated with less blood loss, less time to first flatus and greater number of harvested lymph nodes, but there were no significant differences in proximal and distal resection margins, compared with LG. In terms of efficiency, RG was associated with shorter hospital stay, but longer operative time. In terms of safety, there were no statistically significant differences in complications, mortality and conversions between RG and LG. Conclusions: RG can achieve comparable or better short-term and radical effects than LG, with respect to effectiveness, efficiency and safety in treatment of gastric carcinoma. Future studies involving RG should focus on decreasing operative time and reducing cost. Moreover, there is a need for randomized controlled trials comparing the two techniques with long-term follow-up.

• 수산해양기술연구
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• 제50권1호
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• pp.12-20
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• 2014

The objective of this paper is to aid in basic directions for the countermeasure against marine accidents by using the statistical data of Jeju Coast Guard from 1983 to 2012. Marine accidents of about 600~1,000 vessels was reported in all the waters around South Korea from 2000 to 2008. From 2009, these accidents increased rapidly and reached 1,600~2,000 vessels. Although marine accidents of longline fishing vessels did not show a big change prior to 1993, the number have increased steadily until 2007. This is considered a tendency that appears when longline vessels, using the Port of Sungsanpo as a base and operating in fishing grounds in the East China Sea, are converted to long-term fishing from short-term fishing for reasons such as cost reduction due to the sudden rise of oil prices and the performance improvement of the fishing vessels. The number of vessels in marine accidents decreased gradually from 1999 to 2002 and for nearly 7 years from 2002 to 2008, the annual average of marine accidents stayed at 97 vessels. This is seemed to be the result of a change in the policy of either the central or local government and largely associated with changes in the way of statistical processing. This tendency is resulted in lower number of the accidents due to careless navigation which can be viewed as a human error than the number of marine accidents due to poor maintenance as a cause of mechanical failure in the same period. The increase rate in the marine accidents of Jeju Island-based fishing vessels is greater than that of other area-based fishing vessels among the fishing vessels operating in coastal and near sea around Jeju Island each year.

• 한국시스템다이내믹스연구
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• 제10권1호
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• pp.77-95
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• 2009

The ever-increasing government budget constraints have led to a continued decline in the increase rate for defense spending, and the government's 5-year National Fiscal Management Plan has served to reinforce the verification and validation procedures for the Force Improvement Programs (FIP) budget requirements and performance. Additionally, as large programs are controlled in accordance with the Total Program Cost Management Guidelines, timely and credible feasibility study and performance measurement need to be conducted. Due to these internal and external circumstances, needs have surged for feasibility and economic effectiveness study for big ticket projects in the FIP sector, with an increasing number of studies conducted by external research institutes. However, questions have been raised regarding the credibility and thoroughness of the program analyses performed by these research institutes due to various restrictions. This paper analyzes and identifies the structural limitations and problems using a systems thinking approach, and examines the systemic characteristics of the program analysis system. It also presents policy intervention recommendations based on the theory of systems thinking, a method to regularize and reinforce the program analysis system. Policy interventions recommended to ensure alignment of the external studies to the clear analysis objectives and resolve the bottlenecks in the external analysis include training those in charge of external study commissioning for a short term intervention, and increasing the number of research institutes and consulting agencies utilizing analysis and evaluation experts who transition to the private sector from the military for a long term intervention. additionally presented are strategies and policy alternatives to best utilize these policy interventions. They will contribute to the stable funding of Force Improvement Programs and efficient utilization of defense budget.

• 대한임상검사과학회지
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• 제36권2호
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• pp.121-126
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• 2004

The primary goal of six sigma is to improve patient satisfaction, and thereby profitability, by reducing and eliminating defects. Defects may be related to any aspect of customer satisfaction: high product quality, schedule adherence, cost minimization, process capability indices, defects per unit, and yield. Many six sigma metrics can be mathematically related to the others. Literally, six means six standard deviations from the mean or median value. As applied to quality metrics, the term indicates that failures are at least six standard deviations from the mean or norm. This would mean about 3.4 failures per million opportunities for failure. The objective of six sigma quality is to reduce process output variation so that on a long term basis, which is the customer's aggregate experience with our process over time, this will result in no more than 3.4 defect Parts Per Million(PPM) opportunities (or 3.4 Defects Per Million Opportunities. For a process with only one specification limit (upper or lower), this results in six process standard deviations between the mean of the process and the customer's specification limit (hence, 6 Sigma). The results of applicative six sigma experiment studied on 18 items TP, ALB, T.B, ALP, AST, ALT, CL, CK, LD, K, Na, CRE, BUN, T.C, GLU, AML, CA tests in clinical chemistry were follows. Assessment of process performance fits within six sigma tolerance limits were TP, ALB, T.B, ALP, AST, ALT, CL, CK, LD, K, Na, CRE, BUN, T.C, GLU, AML, CA with 72.2%, items that fit within five sigma limits were total bilirubin, chloride and sodium were 3 sigma. We were sure that the goal of six sigma would reduce test variation in the process.

• 벤처창업연구
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• 제8권3호
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• pp.147-155
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• 2013

본 연구의 목적은 생산현장의 생산성향상을 위한 낭비를 분석하여 객관적이고, 과학적으로 현장낭비를 종합적으로 분석하여 이를 개선함으로써, 최적의 생산 라인을 구축하여 원가절감을 하고, 나아가 기업경쟁력을 강화하고자 한다. 많은 기업들이 현장의 낭비를 분석하는데 있어서 명확한 로드 맵이 없어 기존의 IE(Industrial Engineering)기법과 응용 IE기법을 기업현실과 상황을 고려하여 각각 활용, 그 성과측면에서의 아쉬움을 가지고 있다. 본 연구의 생산혁신 프로세스는 조립라인, 가공라인, 자동화 라인 등에 존재하는 모든 낭비를 분석할 수 있도록 추진 단계별로 고전 IE 및 응용 IE 기법을 체계적으로 정리함으로써 생산현장의 낭비를 종합적으로 분석/파악하여 전체 낭비가 얼마나 존재하며, 이를 개선하기 위한 선택과 집중을 기할 수 있도록 개선성과를 극대화하고, 개선활동계획 수립에 기여하고자 함이다.

• 디지털융복합연구
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• 제11권10호
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• pp.305-311
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• 2013

경제시장의 규모가 지속적으로 발전함에 따라 올바른 의사결정을 위하여 경제시장을 정확하게 예측하는 문제가 중요한 문제로 떠오르고 있다. 현대 경제시스템을 표현하는 다양한 경제지표 중 가장 큰 축인 주식지표의 올바른 이해와 분석 그리고 의사결정문제에 적용을 위하여 시계열자료의 모델에 적합한 은닉마아코프모델과 이를 토대로 시계열자료의 시간 및 계산비용의 절감을 위한 차원감소기법들을 모델의 추정과 예측 문제에 적용하였으며 그 유효성을 확인하였다. 실험 결과, 은닉마아코프모델과 차원감소기법을 적용한 모델 모두에서 장기예측보다는 단기의 예측에서 최적의 모델 추정과 유사패턴 예측률이 모두 실제의 자료와 매우 유사함을 확인할 수 있었다.

• 한국산학기술학회논문지
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• 제17권10호
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• pp.13-20
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• 2016

교량은 지속적인 규모의 증가와 노후화의 확대로 인해 전산화된 관리 체계가 요구되었다. 국내외 교량관리시스템(Bridge Management System; BMS) 개발 동향 및 기능의 비교, 고찰을 통해 생애주기 관리가 가능한 ICT (Information and Communication Technology) 기반 교량 관리 체계를 제안하였다. BMS는 인터넷과 모바일이 결합된 운영 체계에 GIS 기능과 객체 기반 정보 관리 체계를 바탕으로 개발되었다. BMS는 교량의 생애주기 동안 발생되는 모든 정보의 객체 기반 정보화를 수행하여, 생애주기 성능 변화와 소요 예산의 추정을 바탕으로 중장기 관리 전략과 단기 관리 계획의 수립을 지원한다. 실제 공용중인 교량 약 6천 개소에 대한 생애주기 관리 전략 수립을 통해 의사 결정 지원을 위한 유용한 지식 정보를 도출하였다. 전국의 모든 도로교량에 적용 가능하도록 개발된 BMS는 정확한 이력 관리를 통한 성능 유지, 합리적인 예산 관리를 통한 비용 절감, 현장 정보 수집의 편의성 및 신뢰성 증진을 위해 실제적, 실용적으로 활용될 수 있을 것으로 판단된다.

• 국제지역연구
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• 제12권2호
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• pp.149-173
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• 2008

본 연구에서는 연구개발투자와 기업가치 간의 실증분석을 실시하였다. 우선 기업의 연구개발비 투자가 실질적으로 기업가치의 향상에 이바지하고 있음을 유추해 볼 수 있었다. 이러한 결과는 비록 미국회계기준 상 대차대조표 상에 자산의 항목이 아닌 비용의 항목으로 계상되지만 비용 측면 보다는 자산의 성격에 더 가깝다는 기존 연구자들의 주장을 뒷받침하는 결과라고 볼 수 있었다. 둘째, 연구개발비 증가율과 기업가치 간에는 단기적으론 연구개발비의 비용계상으로 오도 가격이 발생하여 즉각적인 기업가치의 증대를 기대하기는 어려웠다. 그러나 장기적으론 투자자들에게 있어 지속적적인 연구개발비 투자의 증가는 투자자 유인요인으로 작용할 수 있음을 예측해 볼 수 있었다. 셋째, 자본효율중시경영을 근간으로 한 기업의 연구개발투자 지출이 ROE의 상승을 가져올 수 있었으며 투자자들은 ROE가 높은 기업에 대해 해당기업의 투자 안의 선택에 있어 기업을 신뢰할 수 있어 주식시장에서 투자자 유인요인으로 작용 할 수 있을 것으로 판단되었다. 마지막으로, 연구개발을 통한 신기술의 개발은 실질적으로 기업 경쟁우위의 증대로 이어질 수 있으며 비용절감, 생산성 향상을 가질 수 있어 결국 기업의 수익성 배양 및 기업가치의 향상 요인으로 작용할 수 있을 것으로 분석되었다.