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Skeletal stability following mandibular advancement: is it influenced by the magnitude of advancement or changes of the mandibular plane angle?

  • Tabrizi, Reza;Nili, Mahsa;Aliabadi, Ehsan;Pourdanesh, Fereydoun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제43권3호
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    • pp.152-159
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    • 2017
  • Objectives: The aim of this study was to investigate the effects of advancement magnitude and changes in mandibular plane angle on the stability of mandibular advancement. Materials and Methods: This retrospective cohort study evaluated the postoperative stability of mandibular advancement in class II skeletal subjects who underwent bilateral sagittal split osteotomy. Radiographs taken preoperatively, immediately postoperatively and 1 year postoperatively were traced and analyzed using linear and angular measurements. To determine horizontal and vertical relapse, an X-Y coordinate system was established in which the X-axis was constructed by rotating S-N downward by $7^{\circ}$ (approximation of the Frankfort horizontal plane) and the Y-axis was defined as a line perpendicular to the X-axis and passing through the point Sella. For certain reference points including point A, point B, pogonion and menton, the perpendicular distance between each point and both axes was determined and cephalometric variables were recorded as X and Y coordinates. Results: Twenty-five subjects were studied. A significant correlation between the amount of mandibular advancement and relapse in the B point (vertical and horizontal) and the pogonion point was observed (vertical and horizontal, P<0.001). Evaluation of data demonstrated a positive correlation between the mandibular plane angle (SN/ML) change and vertical relapse in the B point (P<0.05). A simple regression model demonstrated that 74% of horizontal relapse and 42.3% of vertical relapse in the B point was related to the amount of mandibular advancement. The receiver operating characteristic test showed that 8.5 mm mandibular advancement is related to a relapse rate of 1 mm or more in the pogonion, vertically or horizontally. Conclusion: The magnitude of mandibular advancement is a stronger surgical predictor for horizontal rather than vertical relapse at the B point. Changes in mandibular plane angle (SN/ML) during surgery affect vertical, but not horizontal relapse at the B point.

In vivo에서 수종이장재의 산도변화에 관한 연구 (IN VIVO CHANGES OF THE ACIDITY OF VARIOUS DENTAL LINERS)

  • 이미정;안연실;이용우;손호현;이광원
    • Restorative Dentistry and Endodontics
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    • 제23권1호
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    • pp.433-442
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    • 1998
  • The purpose of this study was to observe the changes of acidity of resin cement(Time Line), glass ionomer cement(GC Fugi Lining LC), zinc phosphate cement(Fleck's zinc cement). zinc oxide eugenol cement(Sultan,Chemists.) in vivo and in vitro. Class I cavities with 3mm depth were prepared on the occlusal surfaces of 20 recently extracted human Mn. molar teeth and 20 human Mn. 3rd molar teeth in oral cavity. The prepared cavities were divided into 4 groups of each 5 teeth using the above 4 cavity liners. Each cement was mixed in accordance with manufacturer's direction at the room temperature of $23^{\circ}{\pm}5^{\circ}C$ and filled into the cavity in a width of 1 mm. The microelectrode of pH meter was inserted into the prepared cavity which was filled with mixed cement, and the acidity of cement was measured for 3 days from the beginning of cement mix in vitro and in vivo. The measured acidity was then statistically analyzed by ANOVA. The results were as follows. 1. In vitro, the pH of zinc oxide eugenol cement was statistically lower than that of the three other groups at 2min, 4min, 6min, 8min, 10min, 12min, 18min, 20min. (p<0.05). 2. The pH of zinc oxide eugenol cement in vivo was statistically higher than that in vitro at 16min,16min, 20min(p<0.05). 3. The pH of zinc phosphate cement in vivo was statistically higher than that in vitro at 4min, 20min(p<0.05). 4. In vitro and in vivo, there was no significant difference in the pH between the resin cement and the glass ionomer cement(p>0.05). 5. The initial acidity was not high, but almost neutral in all kinds of the cements.

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경주분지의 고지형과 대릉원 일원 신라고분의 입지 (Paleotopography of the Gyeongju Basin and the location of the Silla Tombs of Daerungwon)

  • 심현철
    • 헤리티지:역사와 과학
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    • 제51권4호
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    • pp.234-253
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    • 2018
  • 경주분지 내에는 신라 지배층의 핵심묘역인 중심지고분군(소위 월성북고분군)이 있다. 대체로 평지로 알려진 이 일대 고분의 입지를 정확히 파악하는 것은 고분군의 조영과정과 방향 등을 이해하는 단서가 된다. 이를 위해서는 고분군이 위치한 곳을 포함한 주변일대의 지형양상을 정확히 이해할 필요가 있다. 즉, 고분군이 위치한 경주 분지 내의 고지형을 최대한 복원할 수 있어야 한다. 따라서 조선 후기 고지도, 일제강점기 지적원도, 각종 지형도, 1950~60년대 항공사진 등 가능한 한 모든 자료를 분석하여 고분군 조영당시의 지형양상을 파악하고자 하였다. 그 결과, 고분군이 위치하는 곳은 선상지의 선앙 말단부나 선단부에 해당하며, 이 일대에는 다수의 용천천과 습지가 분포하는 것을 확인하였다. 용천천과 습지로 이뤄진 곳은 상대적으로 저지대에 해당하며, 지표면에 수분이 많아 고분을 조성하기에는 부적합한 지대이다. 이러한 지형특성은 고분군의 분포양상과 직접 관련되며, 고분은 용천천과 습지를 완벽히 피해 조성된 것을 알 수 있었다. 한편, 고분군은 용천천과 습지에 의해 몇 개의 구역으로 구분 되며, 각 구역 내에서도 경계부분의 돌출되고 독립된 곳에는 대형분들이 입지하는 특징을 가진다. 또한, 이러한 양상은 남천변의 오릉일대에도 그대로 적용되는 것을 알 수 있었다. 결국, 대릉원 일원에 위치하는 신라고분의 입지와 분포양상은 경주분지 내의 미세한 지형특성이 그대로 반영된 결과이며, 그 핵심요인은 바로 용천천과 습지이다.

활엽수림(闊葉樹林)에 대(對)한 자원조사법(資源調査法)의 연구(硏究) (On the Study of Forest Sampling Methods in Natural Deciduous Forest)

  • 김갑덕
    • 한국산림과학회지
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    • 제17권1호
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    • pp.35-42
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    • 1973
  • 천연활엽수림(天然闊葉樹林)은 수형(樹型)이 불규칙(不規則)하며 이용가치(利用價値)도 떨어진다. 우리나라에서의 활엽수림(闊葉樹林)은 대체(大體)로 오지(奧地)에 위치(位置)하고 있으며 개발(開發)에 문제점(問題點)이 허다(許多)하겠으나 총축적량(總蓄積量)이 부족(不足)한 현금(現今) 이의 개발이용(開發利用)의 필요성(必要性)이 대두(擡頭)되고 있다. 이러한 시점(時點)에서 본(本) 연구(硏究)는 천연활엽수(天然闊葉樹) 조사(調査)에 알맞은 추출법(抽出法)을 구명(究明)하므로서 조사사업(調査事業)에 이바지할 수 있다고 하겠다. 본(本) 조사(調査)는 1. 10ha되게 3개소(個所)를 선정(選定)하고 이를 대상(對象)으로 4가지 추출법(抽出法)을 적용(適用)하여 0.1ha($20m{\times}50m$) 구형표본점(矩形標本點) 6개(個) 즉(卽) 6%의 추출율(抽出率)로 표본(標本)을 추출(抽出) 조사(調査)하였는데 조사결과(調査結果)는 표(表) 1과 같으며 적용(適用)된 추출법(抽出法)은 (1) 격자법(格子法)에 의(依)한 임의추출법(任意抽出法) (2) 좌표법(座標法)에 의(依)한 임의추출법(任意抽出法) (3) 선표본점법(線標本點法) (4) 부차추출법(副次抽出法)이다. 2. 1:15, 000 항공사진(航空寫眞)을 이용(利用)하여 위 지역(地域)을 포함(包含)하는 지역(地域)에서 150ha 되게 구획(區劃)한 후(後) Mirror Stereoscope로 임상(林相)을 구분(區分)하였다. 경급(經級)과 소밀도(疎密度)를 기준(基準)으로 구분(區分)하였더니 3계급(階級)으로 나눠졌는데 150ha에서 계통적(系統的)으로 7개(個)(추출율(抽出率) 0.46%)의 표본점(標本點)을 배치(配置)하고 현지(現地)에서 0.1ha 원형표본점(圓形標本點)을 조사(調査)하였는데 그 결과(結果)는 표(表) 4와 같다. 3. 추출법(抽出法)에 따른 값과 매목조사결과(每木調査結果)(모평균(母平均))와를 비교(比較)하였더니 유의차(有意差)가 없었다(표(表3)). 4. 이상(以上)의 결과(結果)로 다음과 같은 결론(結論)을 얻었다. 1) 격자법(格子法)과 선표본점법(線標本點法)에 의(依)한 조사(調査)가 타추출법(他抽出法)에 비(比)하여 양호(良好)하다. 2) 원형표본점(圓形標本點)을 사용(使用)했을때는 구형표본점(矩形標本點)을 사용(使用)했을때 보다 과대치(過大値)를 가져온다. 3) 천연활엽수림(天然闊葉樹林)은 임목(林木)이 고르게 서있지 않으므로 표본점(標本點)의 수(數)를 적게 취(取)하면 오차가 커질 위험(危險)이 있다.

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지속적 관여도 및 인지된 위험이 소비자의 온라인 상인선택 프로세스에 미치는 영향에 관한 연구: 요구신뢰 수준 개념을 중심으로 (How Enduring Product Involvement and Perceived Risk Affect Consumers' Online Merchant Selection Process: The 'Required Trust Level' Perspective)

  • 홍일유;이정민;조휘형
    • Asia pacific journal of information systems
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    • 제22권1호
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    • pp.29-52
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    • 2012
  • Consumers differ in the way they make a purchase. An audio mania would willingly make a bold, yet serious, decision to buy a top-of-the-line home theater system, while he is not interested in replacing his two-decade-old shabby car. On the contrary, an automobile enthusiast wouldn't mind spending forty thousand dollars to buy a new Jaguar convertible, yet cares little about his junky component system. It is product involvement that helps us explain such differences among individuals in the purchase style. Product involvement refers to the extent to which a product is perceived to be important to a consumer (Zaichkowsky, 2001). Product involvement is an important factor that strongly influences consumer's purchase decision-making process, and thus has been of prime interest to consumer behavior researchers. Furthermore, researchers found that involvement is closely related to perceived risk (Dholakia, 2001). While abundant research exists addressing how product involvement relates to overall perceived risk, little attention has been paid to the relationship between involvement and different types of perceived risk in an electronic commerce setting. Given that perceived risk can be a substantial barrier to the online purchase (Jarvenpaa, 2000), research addressing such an issue will offer useful implications on what specific types of perceived risk an online firm should focus on mitigating if it is to increase sales to a fullest potential. Meanwhile, past research has focused on such consumer responses as information search and dissemination as a consequence of involvement, neglecting other behavioral responses like online merchant selection. For one example, will a consumer seriously considering the purchase of a pricey Guzzi bag perceive a great degree of risk associated with online buying and therefore choose to buy it from a digital storefront rather than from an online marketplace to mitigate risk? Will a consumer require greater trust on the part of the online merchant when the perceived risk of online buying is rather high? We intend to find answers to these research questions through an empirical study. This paper explores the impact of enduring product involvement and perceived risks on required trust level, and further on online merchant choice. For the purpose of the research, five types or components of perceived risk are taken into consideration, including financial, performance, delivery, psychological, and social risks. A research model has been built around the constructs under consideration, and 12 hypotheses have been developed based on the research model to examine the relationships between enduring involvement and five components of perceived risk, between five components of perceived risk and required trust level, between enduring involvement and required trust level, and finally between required trust level and preference toward an e-tailer. To attain our research objectives, we conducted an empirical analysis consisting of two phases of data collection: a pilot test and main survey. The pilot test was conducted using 25 college students to ensure that the questionnaire items are clear and straightforward. Then the main survey was conducted using 295 college students at a major university for nine days between December 13, 2010 and December 21, 2010. The measures employed to test the model included eight constructs: (1) enduring involvement, (2) financial risk, (3) performance risk, (4) delivery risk, (5) psychological risk, (6) social risk, (7) required trust level, (8) preference toward an e-tailer. The statistical package, SPSS 17.0, was used to test the internal consistency among the items within the individual measures. Based on the Cronbach's ${\alpha}$ coefficients of the individual measure, the reliability of all the variables is supported. Meanwhile, the Amos 18.0 package was employed to perform a confirmatory factor analysis designed to assess the unidimensionality of the measures. The goodness of fit for the measurement model was satisfied. Unidimensionality was tested using convergent, discriminant, and nomological validity. The statistical evidences proved that the three types of validity were all satisfied. Now the structured equation modeling technique was used to analyze the individual paths along the relationships among the research constructs. The results indicated that enduring involvement has significant positive relationships with all the five components of perceived risk, while only performance risk is significantly related to trust level required by consumers for purchase. It can be inferred from the findings that product performance problems are mostly likely to occur when a merchant behaves in an opportunistic manner. Positive relationships were also found between involvement and required trust level and between required trust level and online merchant choice. Enduring involvement is concerned with the pleasure a consumer derives from a product class and/or with the desire for knowledge for the product class, and thus is likely to motivate the consumer to look for ways of mitigating perceived risk by requiring a higher level of trust on the part of the online merchant. Likewise, a consumer requiring a high level of trust on the merchant will choose a digital storefront rather than an e-marketplace, since a digital storefront is believed to be trustworthier than an e-marketplace, as it fulfills orders by itself rather than acting as an intermediary. The findings of the present research provide both academic and practical implications. The first academic implication is that enduring product involvement is a strong motivator of consumer responses, especially the selection of a merchant, in the context of electronic shopping. Secondly, academicians are advised to pay attention to the finding that an individual component or type of perceived risk can be used as an important research construct, since it would allow one to pinpoint the specific types of risk that are influenced by antecedents or that influence consequents. Meanwhile, our research provides implications useful for online merchants (both online storefronts and e-marketplaces). Merchants may develop strategies to attract consumers by managing perceived performance risk involved in purchase decisions, since it was found to have significant positive relationship with the level of trust required by a consumer on the part of the merchant. One way to manage performance risk would be to thoroughly examine the product before shipping to ensure that it has no deficiencies or flaws. Secondly, digital storefronts are advised to focus on symbolic goods (e.g., cars, cell phones, fashion outfits, and handbags) in which consumers are relatively more involved than others, whereas e- marketplaces should put their emphasis on non-symbolic goods (e.g., drinks, books, MP3 players, and bike accessories).

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「가정과 논리 및 논술」 교과목의 운영 실태 및 가정교육과 학생의 인식 (The status of 「Logic and Writing in Home Economics Education」 course and the students' perception about the course)

  • 최민지;채정현;전미경
    • 한국가정과교육학회지
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    • 제27권1호
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    • pp.51-65
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    • 2015
  • 본 연구는 "가정과 논리 및 논술" 교과목의 운영 실태와 이 과목을 수강한 가정교육과 재학생의 인식을 알아보는데 목적이 있다. 이를 위해 전국 사범대학 가정교육과에서 개설된 "가정과 논리 및 논술" 교과목의 강의계획서를 수합하여 내용 분석하였다. 이를 바탕으로 설문지를 구성하여 사범대학 가정교육과에 재학 중인 학생 가운데 이 교과목을 수강한 학생들을 대상으로 설문조사를 실시하였다. 전체 응답자는 116명이며, SPSS/WIN 21.0으로 분석하였다. 본 연구의 주요결과는 다음과 같다. 첫째, "가정과 논리 및 논술"의 강의계획서 분석 결과, 교과목의 목표는 가정교육과와 관련된 다양한 주제에 대한 논리적 서술 능력 함양의 목표가 가장 많았고, 다음으로 논리적인 설득력 강화를 통한 가정과교사의 전문성 향상, 논리적 글쓰기 함양, 임용고사 준비, 그리고 학교 현장에서 학생들의 글쓰기를 잘 지도할 수 있는 능력 함양의 순이었다. 이 교과목에 대한 강의내용은 가정교과 세부전공 중심의 글쓰기, 일반적인 글쓰기 기초, 가정과 임용고사 준비, 논리논술 관련 이론, 가정과 교육 관련 최근의 이슈, 중등학교 현장에서의 논술교육 및 논술지도 방안의 순이었다. "가정과 논리 및 논술" 강의의 학습평가방법은 대개 출석, 시험, 과제, 토론 및 발표, 수업참여를 중심으로 제시되었으며 이 교과목의 과제는 모두 '글쓰기'였다. 둘째, "가정과 논리 및 논술"과목을 수강한 학생들의 인식 조사에서 강의목표에 대한 만족도가 가장 높았으며, 학습평가방법에 대한 만족은 가장 낮았으나 모두 4점 만점에서 2점 이상으로 나타나 수강생들은 이 교과목에 대해서 대체로 만족하였다. 셋째, 가정교육과 재학생들은 "가정과 논리 및 논술" 교과목이 논리적 비판적 분석 능력의 향상, 가정과교육 및 교육학 관련 글쓰기 실력의 향상, 그리고 자신의 생각을 정확하고 체계적으로 표현하는 능력의 향상이 도움이 되었다고 하였다. 이 교과목 수강 시 어려운 점에 대하여 글쓰기 연습이 가장 어려웠고, 다음으로 잦은 토의 및 토론활동, 모호한 학습평가방법 기준, 빈번한 발표, 교수자의 피드백 부족, 과도한 과제, 어려운 강의내용 순으로 인식하였다. 결론적으로, "가정과 논리 및 논술" 교과목은 논리적 비판적 사고력을 키워 가정과교육에 대한 이해를 넓히는 것을 목표로 하는데, 조사결과 본 교과목은 비교적 목표에 잘 부합되게 운영되고 있었다. 다만 교과교육학영역에 '논리 및 논술에 관한 교육'이 신설된 이후 임용시험 유형도 논술형으로 바뀌면서, 학생들은 이 교과목에서 임용시험을 대비할 수 있기를 기대하고 있다. 따라서 "가정과 논리 및 논술" 교과목의 특성과 목표를 유지하면서 학생들의 임용시험 준비에 대한 요구를 제대로 반영하여 이 교과목에 대한 운영을 보완하여야 할 것이다.

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한국(韓國).몽고복식(蒙古服飾)의 상관성(相關性) 연구(硏究)(II) - 고려시대(高麗時代)의 몽고침략기(蒙古侵略期)를 중심(中心)으로 - (A Study On Interrelationship Between Korean And Mongolian Costume Laying Emphasis On The Age Of Mongolia's Invasion Upon Corea)

  • 손경자
    • 복식
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    • 제16권
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    • pp.15-42
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    • 1991
  • A nation's culture isn't consisted by the characteristics of the nation only, but it is greatly affected by the geographical features and natural conditions, and it could be also dominated by the continual effect through mutual contact on economic exchange or social problem and political interests with neighboring countries. It is a well known fact that the contact of culture between Korea and Mongolia established under the special political situation that Corea was invaded by Won. But more basically, the Nomad including Mongolia had influenced upon neighboring countries, therefore, our country was also greatly influenced on consisting of our own culture by them. Moreover. the fact that our language belongs to their language's category(mostly Tweigru and Mongolian language) proves that the origin of our culture was deeply related with Mongolia. Accordingly, we could not limit the cultural relation between Korea and Mongolia within a special era. But especially, since unification of China by Mongolia, Won which appeared as a new great nation had dominated Corea for one hundred years, and the Corea's costume culture had a point of conversion to the mongolian. Therefore, this study expects to comment upon the relations of costume between Corea and Mongolia from a view point of Corea's tribute and royal gifts gifts by Mongolia written on the reference literatures. 1) From the ancient times, between our country and Mongolia there has been a direct or indirect exchange caused by the people's movement or invasion due to very closed neighboring. The relations between Corea and Mongolia have started from the mongolia's requests of tribute for the reason why they helped Corea against the Keoran's invasion, and these relation had continued by King Kongmin's age. 2) Mongolia had plundered a tribute such as dress, cereals, horses, military supplies, soldiers, maiden and little girls etc. from Corea, and therefore, a great confusion occurred on political, economic and social fields. And since King Chungyoul of Corea got married with a Princess of Won, the Corea's position was placed as the Buma nation(nation of son in law) and then high class people of Corea preferred to follow the mongolian costume such as Byunbal (pigtail), Ho dress (mongolian dress), Rouges, Chockturi (a kind of formal cap) and Doturak pigtail ribbon, and some have been applied up to date. On the other hand, the custom of Corea had transmitted to the Mongolian nobility, they called it "Corea Yang(style)". 3) The costume of Corea could be divided into three different periods, the first is the period influenced by Tang and Song's regime, the second is affected by the Won's costume and the third is applying the Myung's regime in the end of Corea. The Mongolian dress was based on the Ho dress form and it has been developed through compounding artistic traditional fields and foreign customs in long history. And Mongolia is composed of various tribes, therefore, they have their own dress for each tribe. Our country and Mongolia had a similar dress form based on Ho dress and both used the Chacksukunggo (jacket with small sleeves and slacks) and Seon(line). And the ornaments of costume such as Chockturi, Doturak pigtail ribbon and Rouges had transmitted and fixed down as a traditional wedding garment, but the Rouges has been used by noble women from the ancient times in our country. Since a member of the Society of Korean Costume has visited Mongolia in August 1990 for the first time, I really recognized the neccesity of more detailed study on the costume relation between Korea and Mongolia, and I will proceed with the study on various fields of costume under cooperation of Institute of Oriental Academy of Mongolia.

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가상대학 구현에 관한 연구 (A study on the developing and implementation of the Cyber University)

  • 최성;유갑상
    • 기술경영경제학회:학술대회논문집
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    • 기술경영경제학회 1998년도 제13회 하계학술발표회 논문집
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    • pp.116-127
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    • 1998
  • The Necessity of Cyber University. Within the rapidly changing environment of global economics, the environment of higher education in the universities, also, has been, encountering various changes. Popularization on higher education related to 1lifetime education system, putting emphasis on the productivity of education services and the acquisition of competitiveness through the market of open education, the breakdown of the ivory tower and the Multiversitization of universities, importance of obtaining information in the universities, and cooperation between domestic and oversea universities, industry and educational system must be acquired. Therefore, in order to adequately cope wi th these kinds of rapid changes in the education environment, operating Cyber University by utilizing various information technologies and its fixations such as Internet, E-mail, CD-ROMs, Interact ive Video Networks (Video Conferencing, Video on Demand), TV, Cable etc., which has no time or location limitation, is needed. Using informal ion and telecommunication technologies, especially the Internet is expected to Or ing about many changes in the social, economics and educational area. Among the many changes scholars have predicted, the development and fixations of Distant Learning or Cyber University was the most dominant factor. In the case of U. S. A., Cyber University has already been established and in under operation by the Federate Governments of 13 states. Any other universities (around 500 universities has been opened until1 now), with the help of the government and private citizens have been able to partly operate the Cyber University and is planning on enlarging step-by-step in the future. It could be seen not only as U. S. A. trying to elevate its higher education through their leading information technologies, but also could be seen as their objective in putting efforts on subordinating the culture of the education worldwide. UTRA University in U. S. A., for example, is already exporting its class lectures to China, and Indonesia regions. Influenced by the Cyber University current in the U.S., the Universities in Korea is willing .to arrange various forms of Cyber Universities. In line with this, at JUNAM National University, internet based Cyber University, which has set about its work on July of 1997, is in the state of operating about 100 Cyber Universities. Also, in the case of Hanam University, the Distant Learning classes are at its final stage of being established; this is a link in the rapid speed project of setting an example by the Korean Government. In addition, the department of education has selected 5 universities, including Seoul Cyber Design University for experimentation and is in the stage of strategic operation. Over 100 universities in Korea are speeding up its preparation for operating Cyber University. This form of Distant Learning goes beyond the walls of universities and is in the trend of being diffused in business areas or in various training programs of financial organizations and more. Here, in the hope that this material would some what be of help to other Universities which are preparing for Cyber University, I would 1ike to introduce some general concepts of the components forming Cyber University and Open Education System which has been established by JUNAM University. System of Cyber University could be seen as a general solution offered by tile computer technologies for the management on the students, Lectures On Demand, real hour based and satellite classes, media product ion lab for the production of the multimedia Contents, electronic library, the Groupware enabling exchange of information between students and professors. Arranging general concepts of components in the aspect of Cyber University and Open Education, it would be expressed in the form of the establishment of Cyber University and the service of Open Education as can be seen in the diagram below.

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빅데이터와 AI를 활용한 의료영상 정보 시스템 발전 방향에 대한 연구 (A Study on the Development Direction of Medical Image Information System Using Big Data and AI)

  • 유세종;한성수;전미향;한만석
    • 정보처리학회논문지:컴퓨터 및 통신 시스템
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    • 제11권9호
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    • pp.317-322
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    • 2022
  • 정보기술의 급격한 발달은 의료 환경에서도 많은 변화를 가져오고 있다. 특히 빅데이터와 인공지능(AI)을 활용한 의료영상 정보 시스템의 빠른 변화를 견인하고 있다. 전자의무기록(EMR)과 의료영상저장전송시스템(PACS)으로 구성된 처방전달시스템(OCS)은 의료 환경을 아날로그에서 디지털로 빠르게 바꾸어 놓았다. PACS는 여러 솔루션과 결합하여 호환, 보안, 효율성, 자동화 등 새로운 발전 방향을 보여주고 있다. 그 중, 영상의 질적 개선을 할 수 있는 빅데이터를 활용한 인공지능(AI)과의 결합이 활발히 진행되고 있다. 특히 딥러닝 기술을 활용하여 의료 영상 판독을 보조할 수 있는 시스템인 AI PACS가 대학과 산업체의 협력으로 개발되어 병원에서 활용되고 있다. 이처럼 의료 환경에서 의료영상 정보 시스템의 빠른 변화에 맞추어 의료시장의 구조적인 변화와 이에 대처할 수 있는 의료정책의 변화도 필요하다. 한편, 의료영상정보는 디지털 의료영상 전송 장치에서 생성되는 DICOM 방식을 기본으로 하고, 생성하는 방법의 차이에 따라 Volume 영상, 단면 영상인 2차원적 영상으로 구분된다. 또한, 최근 많은 의료기관에서는 스마트 병원 서비스를 내세우며 차세대 통합 의료정보시스템의 도입을 서두르고 있다. 차세대 통합 의료정보시스템은 EMR을 바탕으로 전자동의서, AI와 빅데이터를 활용한 정밀의료, 외부기관 등을 통합한 솔루션으로 구축하며, 이를 바탕으로 환자 정보 DB 구축과 데이터의 표준화를 통한 의료 빅데이터 기반의 의학 연구를 목적으로 한다. 우리나라의 의료영상 정보 시스템은 앞선 IT 기술력과 정부의 정책에 힘입어 세계적인 수준에 있으며, 특히 PACS 관련 프로그램은 의료 영상정보 기술에서 세계로 수출을 하고 있는 한 분야이다. 본 연구에서는 빅데이터를 활용한 의료영상 정보 시스템의 분석과 함께 의료영상 정보 시스템이 국내에 도입되게 된 역사적 배경을 바탕으로 현재의 흐름을 파악하고 나아가 미래의 발전 방향을 예측하였다. 향후, 20여 년 동안 축적된 DICOM 빅데이터를 기반으로 AI, 딥러닝 알고리즘을 활용하여 영상 판독률을 높일 수 있는 연구를 진행하고자 한다.

유형고정자산 가치평가 현황: 우리나라 사례를 중심으로 (Present Status and Prospect of Valuation for Tangible Fixed Asset in South Korea)

  • 조진형;오현승;이세재
    • 산업경영시스템학회지
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    • 제46권1호
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    • pp.91-104
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    • 2023
  • The records system is believed to have started in Italy in the 14th century in line with trade developments in Europe. In 1491, Luca Pacioli, a mathematician, and an Italian Franciscan monk wrote the first book that described double-entry accounting processes. In many countries, including Korea, the government accounting standards used single-entry bookkeeping rather than double-entry bookkeeping that can be aggregated by account subject. The cash-based and single-entry bookkeeping used by the government in the past had limitations in providing clear information on financial status and establishing a performance-oriented financial management system. Accordingly, the National Accounting Act (promulgated in October 2007) stipulated the introduction of double-entry bookkeeping and accrual accounting systems in the government sector from January 1, 2009. Furthermore, the Korean government has also introduced International Financial Reporting Standards (IFRS), and the System of National Accounts (SNA). Since 2014, Korea owned five national accounts. In Korea, valuation began with the 1968 National Wealth Statistics Survey. The academic origins of the valuation of national wealth statistics which had been investigated by due diligence every 10 years since 1968 are based on the 'Engineering Valuation' of professor Marston in the Department of Industrial Engineering at Iowa State University in the 1930s. This field has spread to economics, etc. In economics, it became the basis of capital stock estimation for positive economics such as econometrics. The valuation by the National Wealth Statistics Survey contributed greatly to converting the book value of accounting data into vintage data. And in 2000 National Statistical Office collected actual disposal data for the 1-digit asset class and obtained the ASL(average service life) by Iowa curve. Then, with the data on fixed capital formation centered on the National B/S Team of the Bank of Korea, the national wealth statistics were prepared by the Permanent Inventory Method(PIM). The asset classification was also classified into 59 types, including 2 types of residential buildings, 4 types of non-residential buildings, 14 types of structures, 9 types of transportation equipment, 28 types of machinery, and 2 types of intangible fixed assets. Tables of useful lives of tangible fixed assets published by the Korea Appraisal Board in 1999 and 2013 were made by the Iowa curve method. In Korea, the Iowa curve method has been adopted as a method of ASL estimation. There are three types of the Iowa curve method. The retirement rate method of the three types is the best because it is based on the collection and compilation of the data of all properties in service during a period of recent years, both properties retired and that are still in service. We hope the retirement rate method instead of the individual unit method is used in the estimation of ASL. Recently Korean government's accounting system has been developed. When revenue expenditure and capital expenditure were mixed in the past single-entry bookkeeping we would like to suggest that BOK and National Statistical Office have accumulated knowledge of a rational difference between revenue expenditure and capital expenditure. In particular, it is important when it is estimated capital stock by PIM. Korea also needs an empirical study on economic depreciation like Hulten & Wykoff Catalog A of the US BEA.