국방연구개발사업에 대한 총사업비 관리 현황, 문제점 그리고 개선방안

이현무 ( Hyun Moo Lee ),김주혁 ( Ju Hyeok Kim ),백재옥 ( Jae Ok Paek ) 중앙대학교 국가정책연구소 2020 국가정책연구 Vol.34 No.1

본 연구는 현재 국방연구개발사업의 총사업비 관리 현황을 검토하여 문제점을 식별하고, 이를 개선하기 위한 방안을 도출하기 위해 수행되었다. 국방연구개발사업의 총사업비관리는 2011년 기획재정부가 “국방사업 총사업비관리지침”을 시행하면서 시작되었다. 총사업비관리의 시행목적은 재정지출의 효율성을 제고하기 위함인데, 국방연구개발사업을 대상으로 수행된 연구들을 조사한 결과 총사업비관리제도 시행 전·후 차이 없이 재정지출의 효율성은 향상되지 않았다. 그 이유는 국방연구개발사업이 착수된 이후 진행되는 과정에서 총사업비 증가문제가 지속적으로 발생하기 때문인데, 이로 인해 한정된 예산범위 내에서 신규사업과 계속사업을 추진해야 하는 국방사업의 특성상 신규 편입되는 사업의 기회를 축소시킴으로써 군 전체의 전력 증강 효율성은 개선되지 않았다. 본 논문에서는 그동안 수행된 연구들의 조사·분석을 통해 현국방연구개발 사업의 문제점을 식별하고 개선방안을 도출하였다. 문제점으로는 현 「국방사업 총사업비관리지침」의 한계, 방위사업청 목표비용관리제도의 형식적 운영 등이 식별되었다. 이러한 문제를 해결하기 위해 국내 제도의 모체가 되는 미국의 제도를 조사하여 시사점을 모색하고, 국내제도에 적용할 수 있는 개선방안을 도출하였다. 개선방안으로는 첫째, 개발단계에서 양산 사전총사업비를 관리하도록 하는 「국방사업 총사업비관리지침」의 확대 적용 둘째, 현 목표비용관리제도의 강화 셋째, 일관성 있고 체계적인 비용관리를 위한 목표양산단가의 구속력을 강화를 제시하였다. 기존 국방연구개발 사업의 문제를 다룬 연구는 소요결정 및 사업계획에 초점을 둔 연구들이 대부분 이다. 그러나 본 연구는 국방사업의 문제점을 총사업비관리 관점에서 접근한 최초의 연구로서 국가재정 운용의 효율성을 제고하는데 그 의의가 있다. This study was conducted to identify problems by reviewing the current state of total cost management of defense R & D programs, and to draw up ways to improve them. The defense R & D program's total program cost management began in 2011 when the Ministry of Strategy and Finance implemented the “Defense Program Cost Management Guidelines”. The purpose of the total program cost management is to improve the efficiency of fiscal expenditure. However, as a result of researching the studies conducted since 2011 on defense R & D programs, the efficiency of fiscal expenditure has not improved comparing before and after the implementation of the total program cost management system. It is that the program cost growth problem continues to occur in the course of proceeding of the defense R & D program. And as a result, these problems limit the entry of new R&D program. Because the defense R & D programs should be carry out simultaneously on-going and new programs within a limited defense budget. In this paper, through investigations of studies conducted so far, the problems of defense R & D programs were identified and improvements were drawn. Problems were identified such as the limitations of the current “Defense Program Cost Management Guidelines”, and the perfunctory operation of the DAPA’s target cost management system. In order to resolve these problems, implications and improvements were derived from the related systems in the United States. The improvements are as follows. First, in consideration of the characteristics of the Defense R&D program, total cost management guidelines of Defense program should be extended to manage the pre-total production cost of the program in the development stage. Second, the CAIV system should be strengthened in order to escape from the poor operation of the target cost management system, and have an actual effectiveness. Third, it is necessary to strengthen the binding of the target production unit cost to maintain the justification of the Defense R&D program and systematic management for target cost.

침전지 내장형 산화구법에서 침강특성과 질소 제거효율에 미치는 간헐포기 싸이클시간비의 영향

이현동(Hyun Dong Lee),조영무(Young Moo Cho),정원식(Won Sik Chung) 한국물환경학회 1998 한국물환경학회지 Vol.14 No.4

This research was to evaluate the characteristics of organic material, nitrogen removal, and settling with HRT and to find the proper ratio of aeration and deaeration time for intermittent aeration process on nitrogen removal in the intrachannel oxidation ditch which was modified oxidation ditch and designed the capacity of 2 ㎥/day. The results were showed that the removal efficiencies of BOD, COD_(Mn), SS and N were about 90%, 90%, 93% and 50%, respectively. The major characteristics of settling and removal efficiency were not showed by the changes of HRT and intrachannel type. In case nitrogen removal, the rate of nitrification showed more than 93%, and denitrification rate was 30∼60%. But the efficiencies of settling and organic removal are equal to or higher than thouse of conventional oxidation ditch. Therefore, the most advantages of intrachannel oxidation ditch are lower construction cost which caused from the reduction of area and feasibility of O&M Management than the conventional oxidation ditch.

종합상사와 손해보험사의 비윤리적 기업경영과 주가변화에 관한 연구

이현복(Hyun-Boc Lee),정홍주(Hong-Joo Jung),이인무(In-Moo Lee) 한국무역학회 2009 貿易學會誌 Vol.34 No.1

Predictive Factors for Acute Urinary Retention After Transperineal Template-Guided Mapping Biopsy

Si Hyun Sung(성시현),Chung Un Lee(이충언),Jae Hoon Chung(정재훈),Wan Song(송완),Minyong Kang(강민용),Hyun Hwan Sung(성현환),Byong Chang Jeong(정병창),Seong Il Seo(서성일),Seong Soo Jeon(전성수),Hyun Moo Lee(이현무),Hwang Gyun Jeo 대한비뇨기종양학회 2021 대한비뇨기종양학회지 Vol.19 No.3

Purpose: We investigated the predictive factors for acute urinary retention (AUR) after transperineal template-guided mapping biopsy (TTMB). Materials and Methods: We retrospectively reviewed the records of 459 patients who had undergone TTMB between May 2017 and July 2020. Overall complications after TTMB were analyzed and categorized according to the Clavien-Dindo classification. Factors that were likely to affect AUR were analyzed using a logistic regression model. Results: Overall complications after TTMB were observed in 95 of the 459 patients (20.7%), of which AUR was the most commonly reported (17.4%, n=80), followed by hematuria (3.1%, n=14). Hematuria in one patient was categorized as Clavien-Dindo grade IIIa. All remaining complications were Clavien-Dindo grade I. In the multivariate regression model, age ≥65 (odds ratio, 2.44; 95% confidence interval [CI], 1.42–4.17; p=0.001), prostate volume ≥30 mL (odds ratio, 3.72; 95% CI, 1.19–11.62; p<0.02), and number of biopsy cores ≥30 (odds ratio, 2.89; 95% CI, 1.29–6.43; p=0.01) were identified as the predictors for AUR after TTMB. Conclusions: AUR is the most common complication after TTMB. Age ≥65 years, prostate volume ≥30 mL, and number of biopsy cores ≥30 were significant predictors of AUR following TTMB.

Is Radiotherapy Necessary for Stage 1 Testicular Seminoma?

Jung Ae Lee(이정애),Won Park(박원),Do Hoon Lim(임도훈),Yong Chan Ahn(안용찬),Seung Jae Huh(허승재),Jeong Il Yu(유정일),Han Yong Choi(최한용),Hyun Moo Lee(이현무),Eun Yoon Cho(조은윤) 대한방사선종양학회 2009 Radiation Oncology Journal Vol.27 No.2

목 적: 제 1 병기 성인 고환 정상피종 환자에 대한 임상적 고찰과 함께 근치적 고환절제술 후 보조적 방사선 치료와 고환절제술 단독치료의 결과를 후향적으로 분석 비교하고자 하였다. 대상 및 방법: 1996년 1월부터 2005년 9월까지 삼성서울병원에서 제 1 병기 정상피종으로 진단을 받은 환자 32명의 순수 정상피종(pure seminoma) 환자를 대상으로 하였다. 근치적 고환절제술 후 22명은 보조적 방사선 치료를 시행하였고, 10명은 추가치료 없이 종양표지자와 복부골반 전산화단층촬영을 이용한 정기적 추적관찰을 행하였다. 방사선 치료는 10∼15 MV 광자선을 사용하였으며 일일치료선량 1.8∼2 Gy로 총 24∼30.6 Gy (중앙값, 25.2Gy)를 대동맥주위림프절(L1∼L5)에 이문조사하였다. 전체 추적관찰기간은 근치적 고환절제술 시행일을 기준으로 24∼155개월(중앙값, 96개월)이었다. 결 과: 환자의 연령은 22∼58세(중앙값 34세)였고, 임상적으로 진단 전 주증상은 음낭 종괴 및 불편감이 대부분이었다. 이중 2명에서 잠복고환의 병력이 있었으며, 병리적으로 32명 중 23명에서 정상피종에 관내배아세포종(intratubular germ cell neoplasia)이 동반되어 있었다. 술후 보조적 방사선 치료를 시행한 군은 분석시점에 모든 환자가 무병상태로 100%의 국소제어율 및 생존율을 보였다. 술후 추적관찰만을 시행한 군은 10명 중 1명에서 좌측대동맥주위 림프절에 재발하여 구제 항암화학요법 후 완전관해되었으며 국소제어율 88.9%, 생존율 100%를 보였다. 결 론: 제 1 병기 정상피종에서 근치적 고환절제술 후 보조적 방사선 치료를 시행한 군과 추적관찰만을 시행한 군간에 생존율의 차이는 없었다. 환자수가 적고 추적관찰기간이 짧기는 하지만 재발 후 항암화학요법으로 구제가 잘되고, 방사선 치료시 이차암의 가능성이 있음을 고려한다면 정기적인 추적관찰이 가능한 환자에서 수술 후 방사선치료를 생략할 수도 있겠다. Purpose: To report on the clinical outcome of patients with stage I testicular seminoma by postoperative radiotherapy (PORT) or surveillance after radical inguinal orchiectomy. Materials and Methods: This study is a retrospective review of 32 stage I pure seminoma patients treated between 1996 and 2005 at the Samsung Medical Center. Twenty two of the patients were treated by PORT, which was directed at the paraaortic lymphatics with a median dose of 25.2 Gy in 14 fractions for 3 weeks. The 10 remaining patients were managed by surveillance. The median follow-up period was 96 months with a range of 24 to 155 months. Results: Clinically, most patients presented with a testicular mass or discomfort. Two of the patients had a history of undescended testes. Pathologically, 23 of the patients had intratubular germ cell neoplasia with seminoma. Both recurrence-free survival (RFS) and overall survival (OS) rates of patients treated by PORT were 100%. In the control group, 1 of the 10 patients suffered a para-aortic lymph node relapse. The RFS and OS rates of the surveillance group were 88.9% and 100%, respectively. Conclusion: No difference in survival was observed between the two groups. Moreover, symptom recurrence was only observed in 1 patient in the control group. The use of PORT may reduce the risk of relapse. With the availability of effective diagnostic and salvage modalities, surveillance monitoring may be considered for patients in good compliance.

Early Experiences with Nivolumab in Patients with Metastatic Renal Cell Carcinoma and Failed Target Therapy

Jong Hoon Lee(이종훈),Minyong Kang(강민용),Jae Hoon Chung(정재훈),Hyun Hwan Sung(성현환),Hwang Gyun Jeon(전황균),Byung Chang Jeong(정병창),Seong Soo Jeon(전성수),Hyun Moo Lee(이현무),Se Hoon Park(박세훈),Binnari Kim(김빛나리),Ghee 대한비뇨기종양학회 2019 대한비뇨기종양학회지 Vol.17 No.2

Purpose: The efficacy of nivolumab in metastatic renal cell carcinoma (mRCC) has been proven. However, the nivolumab experience in Korean patients with mRCC is still poorly reported. We report initial experiences with the efficacy and safety of nivolumab in patients with mRCC. Materials and Methods: We retrospectively reviewed records for 25 patients with mRCC who had failed targeted therapy and were treated by nivolumab (2 ㎎/㎏, every 2 weeks) at a single institution. The primary endpoint was objective response rate (ORR), and secondary endpoints were progression-free survival (PFS), safety profiles, and ORR in a programmed cell death receptor ligand 1 (PD-L1) expression subgroup. Results: The median age was 60 years and 16 patients (64%) were male. Objective responses were achieved in 8 patients (32.0%) (complete response, 1; partial response, 7). Median PFS was 3.0 months (95% confidence interval, 1.46–4.53). Treatment-related adverse events (AEs) of any grade were observed in 19 patients (76.0%) with 6 (24.0%) experiencing grade 3 to 4 treatment-related AEs. In subgroups by PD-L1 expression levels classified as 1% or greater and less than 1%, ORR was 50% and 0%, respectively. Conclusions: This study showed the efficacy and safety of initial experiences with nivolumab in Korean patients with mRCC who had failed targeted therapy. Our results were comparable to recent clinical trials on nivolumab in mRCC.

SEAD 임무 수행을 위한 유·무인기 협업 체계의 임무적합도 평가 방법론 연구

서원익(Wonik Seo),이현무(Hyun Moo Lee),김정훈(Jeong-Hun Kim),최기영(Keeyoung Choi),지철규(Cheol-Kyu Jee) 한국항공우주학회 2020 韓國航空宇宙學會誌 Vol.48 No.11

본 연구에서는 협업기반의 임무 수행 시 유·무인전투기 각각의 역할을 도출하고 복합 운용방안을 제시하기 위한 임무 적합도 평가 방법론을 제시하였다. 유·무인전투기 복합운용을 위한 대표 임무로 SEAD 임무를 선정하고 기체 성능, 장비성능 그리고 자율성 수준을 고려한 성능평가표를 작성하여 유인전투기와 무인전투기의 성능을 비교하였다. SEAD의 세부 임무절차를 구분하여 성능평가표의 항목과 결합된 임무적합도 평가지표를 설계하고, 전문가 설문을 통해 임무적합도를 평가하였다. 평가결과를 통해 세부 임무의 위험성과 중요도에 따라 무인기와 유인기의 적정 역할을 설정할 수 있었고, 이를 바탕으로 조종사의 임무부담을 줄이도록 임무, 통제권, 유·무인전투기의 임무 및 기동을 반영한 시간 기반의 임무계획을 수립할 수 있었다. This paper presents a methodology for evaluating suitability of a manned-unmanned aerial vehicle team for a complicated mission. The study identified vehicle performance, equipment performance and level of autonomy as the key factors that affect the mission effectiveness. A manned and an unmanned aircraft were compared, and their performance was quantized in these respects. SEAD was chosen as a representative manned-unmanned team mission. The SEAD mission was broken down to a sequence of tasks. Mission experts evaluated the importance of each mark item for the mission legs. Combining the results showed proper type of aircraft for each leg depending on the complexity, safety, and importance of the task. Finally, the whole mission plan was laid out as a time-based sequence which alleviate pilot workload significantly.

근치적 회음부 전립선적출술에서 절제면 양성의 예측인자

곽경원(Kyung Won Kwak),이현무(Hyun Moo Lee),최한용(Han Yong Choi) 대한비뇨기종양학회 2007 대한비뇨기종양학회지 Vol.5 No.3

고조파 유출 억제기술의 동향

고희석(Hee-Seog Koh),이현무(Hyun-Moo Lee),이충식(Chung-Sik Lee) 대한전기학회 2004 대한전기학회 학술대회 논문집 Vol.2004 No.7

수조모델 실험에 의한 각판상 접지극의 해석

고희석(Hee-Seog Koh),이충식(Chung-Sik Lee),최종규(Jong-Kyu Choi),이현무(Hyun-Moo Lee),김주찬(Ju-Chan Kim) 대한전기학회 2003 대한전기학회 학술대회 논문집 Vol.2003 No.7