• 한국병원경영학회지
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• 제27권1호
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• pp.43-57
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• 2022

Background: Avoidable mortality rate has been widely used as an indicator of the quality of health care and the degree of inequality in health levels. The purpose of this study was to identify the factors affecting the avoidable mortality rate in the region. Methods: The data was MDIS(Microdata Integrated Service) Causes of Death Statistics, and the analysis period was from 2010 to 2019. Panel analysis was performed to identify the influencing factors on the avoidable mortality rate. Findings: Result showed that the current smoking rate had a significant positive effects on the avoidable mortality rate of both men and women. And the smoking cessation trial rate, low salt diet rate, weight control trial rate, annual vaccination rate had a significant negative effect. In the social environment, the divorce rate had a significant positive effect. In the economy environment, financial independence and social welfare budget rate had a significant negative effect. In the physical environment, the factory area rate had a significant positive effect. Practical Implication: Practical implication in order to lower the local avoidable mortality rate, various social determinants of health as well as health care resources should be considered together.

• 한국도서관정보학회지
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• 제45권3호
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• pp.63-92
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• 2014

본 연구에서는 정책정보서비스의 고도화를 위한 정책 분야별 가이드를 개발하고 관련 정보원 구축을 위한 시스템을 설계하며, 이를 기반으로 시범적으로 정책정보원을 구축하고자 하였다. 정책분야 주제별 가이드 개발 및 구축을 위하여 첫째, 수집된 정보자료의 유형을 상위 9개로, 세부 유형을 총 19개로 구분하였다. 둘째, 정부기능분류체계인 BRM분류체계를 기준으로 주제별 가이드 서비스를 위한 콘텐츠를 구축하였고, BRM 서비스 주제 단계는 3단계, 총 133개 세부 주제 분야로 가이드 구축범위를 확정하였다. 셋째, 133개 BRM 주제분야별로 개발된 주제가이드에 따라 총 6,305건의 콘텐츠를 구축하였다. 결론적으로 본 연구에서 개발된 정책분야 주제가이드는 실험적 데이터 구축을 통해 그 실효성을 검증하였다고 할 수 있다.

• 지역사회간호학회지
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• 제32권1호
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• pp.116-129
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• 2021

Purpose: This study aimed to investigate the maternal health effects of internet-based education interventions on parturients during the postpartum period through a systematic review of randomized controlled trials. Methods: An electronic literature search of the Cochrane Library, CINAHL, EMBASE, Eric, PsycINFO, PubMed, RISS, and KISS databases was performed, using the combination of keywords such as 'parenthood education', '*natal education', '*birth intervention', 'internet-based intervention', 'randomized controlled trial'. The inclusion criteria were peer-reviewed papers in English regarding randomized controlled trials of internet-based postnatal education interventions. Educational interventions were delivered through any web, mobile, eHealth, mHealth, virtual reality, short message service, or social networking service platform. Quality appraisal was performed using the Risk of Bias 2 (RoB 2) for randomized controlled trials. Nine articles were yielded, and the intervention effects were analyzed. Results: Internet-based education interventions during the postpartum period affect maternal self-efficacy, postpartum depression, and successive breastfeeding; however, they do not affect maternal satisfaction and parenting confidence. Conclusion: This study demonstrated that internet-based education interventions affect maternal health status in terms of psychological, emotional, and physical wellness. Therefore, maternal health care professionals can utilize remote education using the internet or mobile-based interventions during the postpartum period.

• 한국동물위생학회지
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• 제41권2호
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• pp.71-78
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• 2018

Bovine tuberculosis (bTB) is a wide-spread zoonotic disease in cattle, which is casued by Mycobacterium bovis that is a part of Mycobacterium tuberculosis complex (MTC). This study describes a field trial conducted in 42 herds with the history of prevalence bovine tuberculosis. Two cell-mediated immunity tests, the gamma-interferon (${\gamma}-IFN$) assay and the single intradermal tuberculin test (SIT) were applied for the diagnosis of bovine tuberculosis in 5,289 animals. The ${\gamma}-IFN$ assay presented 144 (2.7%) head of cattle with the positive result, and 112 (2.1%) head of cattle were shown to be bTB-positive by the SIT. The positive concordance was 45.5%, and the negative concordance was 98.2%. The ${\gamma}-IFN$ assay showed more positive results in younger cattle, especially between 12 and 23 months of age. It is shown that the strategic combination of both cell-mediated immunity test methods is more efficient for the detection of bTB to reduce the number of false positive individuals which are being slaughtered.

• 디지털융복합연구
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• 제19권10호
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• pp.105-110
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• 2021

양돈 ICT 자동 급이기는 설정된 조건에 맞춰 사료 등을 자동 급이가 가능하다. 그러나, 설정 조건 자체는 사용자의 경험에 의존해야 하는 단점이 있다. 그렇기 때문에, 시행착오를 유발하고, 효율성이 떨어지는 문제가 발생하고 있다. 따라서, 데이터에 기반한 최적의 급이 설정 조건을 제시해 양돈 생산성을 향상시킬 수 있는 시스템 개발 및 서비스 모델 구현이 필요하다. 따라서, 본 논문에서는 기존의 급이 데이터, 사양관리 데이터 및 양돈 생산 관리 시스템 등의 성적분석 프로그램을 활용한 양돈 급이 관리 서비스 모델을 개발하였다. 이를 통해, 양돈 데이터 분석으로 효율적으로 활용할 수 있는 수요자 중심의 급이 관리 서비스 모델을 개발하였다. 또한, 지능화된 자동 급이 관리 서비스로 농가의 폐사율 감소 및 MSY 증가에 일조함으로써 양돈 농가의 생산성 향상과 이로 인해 양돈 농가의 소득 증대에 기여하는 서비스를 제공할 수 있다.

• 한국정보통신학회논문지
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• 제25권4호
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• pp.595-602
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• 2021

우리나라의 경우, 중소형선박에 의한 해양사고의 발생 비중이 상대적으로 매우 높으며, 통계에 따르면 각종 안전지원 장비의 탑재 의무화에도 불구하고 크게 감소되지 않고 있는 실정이다. 본 논문에서는 대형선박에 비해 상대적으로 탑재 장비가 적은 중소형 선박을 위한 음성합성 기반 자동 안전항해 지원 서비스 제공 시스템의 아키텍처를 제안한다. 시스템의 주목적은 주변 선박들에게 VHF 무전기를 통해 합성된 음성 안전 메시지를 자동으로 제공하여 해양사고를 예방하는 것이다. 안전항해 지원 서비스는 GPS 및 AIS를 연계하여 음성 안전 지원 메시지를 합성하고, VHF를 통하여 자동으로 방송해주는 형태로 동작된다. 따라서 시스템을 구성하는 데이터 처리 모듈, 단계별 위험도 분석 모듈, 음성합성 안전 메시지 생성 모듈, VHF 방송장비 제어 모듈 등을 개발하였다. 또한, 개발한 시스템을 활용하여 실험실 수준의 테스트와 해상 실증 시험을 진행하였으며, 이를 통해 서비스 유용성을 검증하였다.

• 한방재활의학과학회지
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• 제33권4호
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• pp.15-29
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• 2023

Objectives The purpose of this study is to systematically review the effects of Neuromuscular Electrical Stimulation treatment on muscle wasting in cancer patients. Methods Randomized controlled trials (RCTs) were searched from seven online databases (PubMed, Cochrane Library, EMBASE, China National Knowledge Infrastructure, Oriental Medicine Advanced Searching Integrated System, Korean studies Information Service System, Research Information Sharing Service. The selected RCTs were evaluated for methodological quality through the Cochrane RoB. Results A total of 126 articles were identified, and 4 randomized controlled trials were selected for systematic review. In one study, it was found that there were statistically significant improvements in the Health-Related Quality of Life (FACTH&N total score, p<0.001). Additionally, significant effects were observed in measurements that represented the size of the quadriceps muscle (cross-sectional area of Vastus lateralis and Rectus femoris, p=0.004), maximum muscle strength, the twitch response of resistance muscles, and voluntary activation (p<0.001). However, no significant differences were observed between the intervention and control groups in terms of quadriceps muscle strength in two other studies (p>0.05). Lastly, while one study showed no significant differences in muscle fiber characteristics between the two groups, it did report significant improvements in measurements related to mitochondria within muscle tissue and muscle strength in the intervention group (p<0.05). Conclusions Neuromuscular electrical stimulation can be a method used to improve muscle strength in muscle wasting of cancer patients, but it is difficult to see its effects as significant compared to other treatments.

• 한국도로학회논문집
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• 제16권4호
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• pp.75-86
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• 2014

PURPOSES: The aim of this paper is developing user-oriented flexible Level Of Service (LOS) system for integrated asset management of various road facilities. It is essential to overcome limitations of general management systems which only focus on a type of assets (e.g. pavement, bridge etc.), and to serve a customizable LOS platform for smooth implementation and future improvement of the LOS considering various managerial environments of road agencies. METHODS: This study suggested a total framework of the LOS system as a process for self-development, operation and improvement of LOS system to conduct the PDCA (Plan-Do-Check-Act) in management process. In the process, we adopted user-customizable elements regarding asset definition, service index and evaluation method to match with the managerial environment of road agencies. In addition, we conducted an empirical study on the entire process of the suggested LOS system with a real road agency (Korea Express Highway) to prove applicability of the LOS system. RESULTS: From the empirical study, we confirmed that the suggested LOS system framework were suitable for development of customized LOS system. In addition, evaluation of asset conditions by LOS ratings, and quantification of vision achievement of the Korea Express Highway were successfully made. It would be the first trial in integrated management approach with LOS systems for numerous road facilities. CONCLUSIONS : It was recognized that easy application and sustainable improvement of the LOS was the most critical point in asset management. The suggested LOS system would be a powerful weapon as a managerial tool in preparing tight budget, aging infrastructures, and increased demands for more accountability both in Korea and internationally. Implementation of the LOS system needs to be expanded to the other infrastructure members to serve satisfactory level of service to taxpayers.

• Korean Journal of Acupuncture
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• 제27권2호
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• pp.79-94
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• 2010

Objectives : Many researchers in western societies raised questions on methodological limitations of randomized controlled trial (RCT) for studying Complementary and Alternative Medicine (CAM), and they have tried to find alternatives to RCT. Some of them recently have interest in health service research as one of the alternatives. Discussing the significance of health services research in CAM studies will be helpful to guide the researchers in Korea who are also interested in developing an appropriate research methodology for traditional Korean medicine. Methods : Previous studies on methodological issues of studying CAM and health service researches published in western societies until 2009 were searched mainly from Pubmed. The definition, main research domains, and research methods of health service research and the significance of it for researches on CAM were summarized. Results & Conclusions : Health service researches are important in two aspects. First, health service researches evaluate the actual practice of CAM, including the individualized diagnosis as well as treatment and interaction between practitioners and patients. Second, when evaluating the outcomes, they put an emphasis on subjective evaluation by patients as well as objective evaluation by doctors. Thus, it can reflect the treatment goals of CAM which is improving the overall quality of life and the physical and psychological health. Therefore, health services researches such as descriptive studies, qualitative studies, outcomes studies including economic evaluation, and whole systemic research should be more utilized in order for studying traditional Korean medicine.

• 한국컴퓨터정보학회논문지
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• 제26권5호
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• pp.95-101
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• 2021

본 연구는 지진의 영향을 등치선의 형태로 표현할 수 있는 Shake을 활용하여 현행 지진재난 정보제공 서비스를 개선하는 방법에 관한 것이다. 미국 지질조사국이 제공하고 있는 ShakeMap 소프트웨어를 사용하여 자동화된 신속 ShakeMap 생성 시스템을 구현하였으며 이를 바탕으로 지진발생 후 사용자의 위치를 기준으로 지진의 위험도를 진도나 지반최대가속도의 형태로 파악할 수 있는 지진재난 정보서비스 개선모델을 제시하였다. 개선된 모델의 구현 가능성과 효과를 검증하기 위하여 경북 포항지역을 대상으로 지진재난 정보서비스앱을 개발하여 시범적으로 운영한 결과 신속 ShakeMap을 활용한 정보제공을 통해 보다 상세한 지진위험도 정보를 제공함으로써 사용자의 안전행동을 보다 효과적으로 유도할 수 있음을 확인할 수 있었다.