• 한국재난정보학회 논문집
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• 제10권3호
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• pp.466-480
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• 2014

대한민국은 사회적 고령화 문제와 더불어 재난현장 대응활동의 주역인 소방공무원 조직의 연령 구성비의 고연령화 문제 또한 심각한 상황에 이를 것으로 전망된다. 대표적인 재난대응조직인 서울소방의 경우 향후 10년~15년 사이에 50대 이상의 비율이 31%에서 40%에 이를 것으로 예상되는데, 이는 재난 현장에서 강인한 체력과 건강한 신체를 필수 요소로 하는 소방공무원에 있어서는 일반직 공무원과는 달리 심각한 문제가 되지 않을 수 없다. 본 연구는 서울 소방공무원의 연령현황과 추이를 분석하고 국내 최초로 현장활동 소방공무원의 현장활동 한계의 기준 연령을 정의하고 3가지 분석기준을 통해 개괄적이나마 현장활동 한계기준을 도출하고, 이 기준을 통해 추이분석을 하였다.

• 한국산업정보학회논문지
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• 제21권2호
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• pp.31-37
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• 2016

낙상은 응급상황이 발생한 노인에게는 적절한 시간이 응급처치가 요구되는 주요한 상태이다. 응급상황의 경우, 낙상의 발생과 낙상 방향은 초기 상태의 응급처치를 위한 중요한 정보로 사용될 수 있다. 본 논문에서는 낙상의 발생과 방향을 정확히 판단하는 시스템을 구현하였다. 낙상과 방향을 감지하기 위하여 하나의 3축 자이로도센서(MPU-6050)를 사용하였다. 제안된 낙상 방향 알고리듬은 X와 Y축 가속도값을 사용하여 낙상여부와 앞, 뒤 좌,우 및 중간방향을 포함한 8개 낙상방향을 감지하였다. 제안된 시스템은 선택적인 가속도 임계값을 사용하여 97% 이상의 낙상과 낙상방향을 성공적으로 감지함을 보였다.

• 보건행정학회지
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• 제18권3호
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• pp.110-127
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• 2008

Expenditures on pharmaceuticals of different concepts were estimated and their functional, financing and providers' breakdowns were examined in line with the OECD's System of Health Accounts (SHA) manual. This study also shows the way such estimates are made. The results are then analyzed particularly from the international perspective. Data from both Household Survey by the National Statistical Office and the National Health and Nutritional Survey by the Ministry of Health and Welfare of Korea were used to estimate pharmaceutical expenditures that. are financed by out-of-pocket payments of the household, while national health insurance data etc. were used for estimation of pharmaceutical expenditures that are financed by public funding sources. The 'per capita expenditure on pharmaceutical/medical non-durables' in Korea stood at 380 US$ PPPs, less than the OECD average of 443 US$ PPPs in 2006, but its share of the per capita health expenditure of 25.9% noticeably outnumbered the OECD average of 17.1%, due partly to low per capita health expenditure as a denominator of the ratio. This indicates that Koreans tend to spend less on health care than an OECD average, while tending to spend more on pharmaceuticals than on other health care services, much like the pattern found in relatively low income countries. An international pharmaceuticals pricing mechanism is most likely responsible for such a tendency. In addition, it is to be noted that the percentage comes down to 21.0%, when expenditures on both medical non-durables and herbal medicine, which is locally quite popular among the elderly, have been excluded.

• 보건행정학회지
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• 제30권1호
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• pp.26-36
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• 2020

Background: The purpose of this study was to analyze the relationship between the regional characteristics and the age-adjusted cardio-cerebrovascular disease mortality rates (SCDMR) in 229 si·gun·gu administrative regions. Methods: SCDMR of man and woman was used as a dependent variable using the statistical data of death cause in 2017. As a representative index of regional characteristics, health behavior factors, socio-demographic and economic factors, physical environment factors, and health care factors were selected as independent variables. Ordinary least square (OLS) regression and geographically weighted regression (GWR) were performed to identify their relationship. Results: OLS analysis showed significant factors affecting the mortality rates of cardio-cerebrovascular disease as follows: high-risk drinking rates, the ratio of elderly living alone, financial independence, and walking practice rates. GWR analysis showed that the regression coefficients were varied by regions and the influence directions of the independent variables on the dependent variable were mixed. GWR showed higher adjusted R² and Akaike information criterion values than those of OLS. Conclusion: If there is a spatial heterogeneity problem as Korea, it is appropriate to use the GWR model to estimate the influence of regional characteristics. Therefore, results using the GWR model suggest that it needs to establish customized health policies and projects for each region considering the socio-economic characteristics of each region.

• 한국치위생학회지
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• 제13권3호
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• pp.395-401
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• 2013

Objectives : The purpose of this research was to investigate the awareness of an adult on implants and the relevant factors which affect the satisfaction of a patient after an implant treatment. Methods : This study was conducted to 407 adult subjects in Seoul and Gyeonggi. A total of 384 data were analyzed except the questionnaires having poor responses or errors. Results : The acquaintance route of implant was TV advertisements, self-knowledge, internet, news, and newspapers. Dentist's ability to practice implant was the most important factor in patient's choice. The responents answered the expected lifespan of an implant was more than 5 years to 10 years. In terms of dental health management behavior on implants, the average response of the highest 4.07 points of 5 Likert scale. Generally women are more concerned with implant than men(p<0.01). The highly educated and elderly patients had tendency to receive more treatment(p<0.0001). Patients were more satisfactory after receiving regular checkups after treatment(p<0.05). The low expenses of implant satisfied the patients(p<0.05). Conclusions : As implant technology advances, the concern of patients on implants also increase. So reduction of cost can make the patients have access to the dentist and the patients' oral health must be improved through continuous dental care.

• 한방안이비인후피부과학회지
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• 제33권2호
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• pp.1-11
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• 2020

Objectives : The purpose of this study was to analyze and report status of Korean Medicine Ophthalmology patients who did funduscopy examination. Through this, we hope that the development of our diagnosis and treatment. Methods : From June 1, 2010 to May 31, 2019, Based on the electronic medical records of patients who had funduscopy examination at Korean Medicine Ophthalmology, Busan University Korean Medicine Hospital, the gender, age, visiting motives and paths, diagnosis, examination number of years, other eye examinations and treatments method were summarized and analyzed. Results : 463 patients were able to check the electronic medical records. They were 283 females and 180 males. The mean age of the patients was 51.5 years and elderly patients who 50s and 60s were 49.3% of whole patients. The most common motives for Korean Medicine Ophthalmology visitation was 'combination treatment with other department in Korean Medicine Hospital'. Outer eye diseases were 283 cases, inner eye diseases were 198 cases. Dry eye syndrome, asthenopia, visual discomfort, conjunctivitis, and eye discomfort were most common in the outer eye diseases. Cataracts, Vitreous floater, Macular Degeneration, Glaucoma and Ocular Pain were most common in the inner eye disease. The most common parts of outer eye diseases were Conjunctival, lacrimal gland, paralytic, corneal, eyelid and front uveal, scleral disease and then in inner eye diseases parts, Retinal, lens, vitreous, glaucoma, optic nerve, behind uveal, choroid disease were most common. The number of funduscopy examination was ups and downs. Herbal medicine was the most common used. Conclusions : The funduscopy examination is essential for diagnosis and treatment of eye disease. We hope that the use of fundus examination and other ophthalmologic examination will be expanded soon in Korean Medicine Ophthalmology.

• 한국인터넷방송통신학회논문지
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• 제20권4호
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• pp.73-79
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• 2020

인구 고령화와 저출산으로 인해 대부분의 국가는 고령화 문제에 직면해있다. 그 결과, 고령화에 대한 연구와 고령화 지원 수단은 전 세계 많은 정부의 우선순위가 되었다. 전천후 생활보조 접근법은 혁신적인 기술과 서비스의 개발을 통해 건강 상태를 모니터링하고 노인들의 더 나은 삶의 상태를 보장하는 방법이다. 전천후 생활보조 기술은 노인을 위한 더 많은 안전을 지원하고, 응급 대응 수단과 낙상 감지 해결책을 제공할 수 있다. 하지만, 전천후 생활보조 시스템에서 전송되는 정보는 매우 사적인 정보이므로, 이러한 데이터의 보안 및 개인 정보 보호는 해결해야 할 중요한 문제가 되고 있다. 본 논문에서는 전천후 생활보조 시스템을 위한 카멜레온 해시 기반의 안전한 인증 프로토콜을 제안한다. 제안된 인증 프로토콜은 전천후 생활보조 시스템에 필요한 여러 가지 중요한 보안 요구 사항을 지원할 뿐만 아니라 다양한 유형의 공격으로부터 안전하다. 또한 보안 분석 결과를 통해 제안된 인증 프로토콜이 기존 프로토콜보다 더 효율적이고 안전하다는 것을 보여준다.

• 한국산학기술학회논문지
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• 제16권2호
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• pp.1045-1053
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• 2015

본 연구에서는 1990년대부터 2013년까지의 '소진'에 관련된 논문을 분석하여 메타분석을 하였다. 본 분석의 결과 소진에 영향을 미치는 요인으로는 근무경력, 업무환경으로서의 보상, 슈퍼비전, 승진, 직무자율성 요인과 클라이언트 관련요인인 클라이언트 문제의 심각성, 클라이언트 수의 적절성, 클라이언트와의 관계요인을 제외한 모든 변인에서는 유의미한 상관관계를 가지고 있었다. 또한 연령과 근무경력이 높을수록 사회복지사의 자기효능감과 감성지능, 사회적 지지가 높을 수록소진이 낮음을 알 수 있었다. 이러한 연구결과를 통하여 조직 내 외적인 환경뿐만 아닌, 서비스제공자의 소진방지를 위한 프로그램의 필요성이 제시된다.

• 한국산학기술학회논문지
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• 제15권10호
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• pp.6056-6065
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• 2014

본 연구는 한국 도시거주자의 목적 지향성향 척도 개발에 관한 연구이다. 목적지향성향의 개념을 정립하기 위하여 종교적 학문적 연구를 참조하고 기존의 생산성이나 성공적 노화 또는 삶의 질 척도를 검토하였다. 그 결과 설문을 위해 57개의 문항을 작성하였으며 목회자, 신학대학교수, 사회복지사 등의 축조심의를 거쳐 44개 문항으로 예비문항을 만들었다. 이후 응답자로부터의 효과적 설문을 위해 통계전문 교수와 중복조항 제거, 체계적인 연구 모델 수립을 위해 당해 전문 교수의 검토를 통해 문항을 수정하여 최종 27개 문항을 확정하였다. 수도권을 중심으로 설문을 실시하여 380부를 수집한 후 요인분석을 한 결과 측정도구의 타당성을 검증하였으며, "존재의 인지", "자율적 삶", "자기완성", "적극성", "수용성", "경제성" 등 6개의 하위 요인으로 분류되었다. 신뢰도의 경우 Cronbach's ${\alpha}$값이 0.6 이상으로 신뢰할만한 수준이었다.

• Journal of Preventive Medicine and Public Health
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• 제40권2호
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• pp.162-168
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• 2007

Objectives : This prospective population-based cohort study was conducted to evaluate the risk factors of cognitive impairment and the degree of cognitive function change through a 5-year follow-up. Methods : The baseline and follow-up surveys were conducted in 1998 and 2003, respectively, Among 176 subjects who had normal cognitive function in the baseline study, 136 were followed up for 5 years. The cognitive function was investigated using the Korean version of the Mini-Mental State Examination (MMSE-K). The collected data were analyzed using SPSS and Stata. Results : Of the 136 subjects analyzed, 25 (18.4%) were cognitively impaired. Old age and low social support in the baseline survey were risk factors for cognitive impairment after 5 years. In the generalized estimating equation for 128 subjects except severe cognitive impairment about the contributing factors of cognitive function change, the interval of 5 years decreased MMSE-K score by 1.02 and the cognitive function was adversely affected with increasing age, decreasing education and decreasing social support. Conclusions : Although the study population was small, it was considered that the study results can be used to develop a community-based prevention system for cognitive impairment.