• 한국컴퓨터정보학회논문지
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• 제28권9호
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• pp.35-46
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• 2023

본 연구에서는 문서 분류기의 정확도를 높이기 위해 문맥 정보와 키워드 정보를 모두 사용하는 이중 접근(Dual Approach) 방법론을 제안한다. 우선 문맥 정보는 다양한 자연어 이해 작업(Task)에서 뛰어난 성능을 나타내고 있는 사전학습언어모델인 Google의 BERT를 사용하여 추출한다. 구체적으로 한국어 말뭉치를 사전학습한 KoBERT를 사용하여 문맥 정보를 CLS 토큰 형태로 추출한다. 다음으로 키워드 정보는 문서별 키워드 집합을 Autoencoder의 잠재 벡터를 통해 하나의 벡터 값으로 생성하여 사용한다. 제안 방법을 국가과학기술정보서비스(NTIS)의 국가 R&D 과제 문서 중 보건 의료에 해당하는 40,130건의 문서에 적용하여 실험을 수행한 결과, 제안 방법이 문서 정보 또는 단어 정보만을 활용하여 문서 분류를 진행하는 기존 방법들에 비해 정확도 측면에서 우수한 성능을 나타냄을 확인하였다.

• 한국엔터테인먼트산업학회논문지
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• 제13권4호
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• pp.363-368
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• 2019

본 연구는 국민건강영양조사 자료를 이용하여 20세 이상 성인(n=9,409)에서 비만 및 복부비만과 CKD의 관련성을 평가하고자 실시하였다. 연구결과 CKD와 관련 있는 변수를 통제한 상태에서 남성의 경우 비만군[BMI ≥ 25.0kg/m², 1.83(95% CI, 1.20-2.80)]의 CKD의 OR값이 유의하게 높게 나타났으며, 여성에서는 복부비만군[WM ≥80cm, 1.52(95% CI, 1.52-2.28)]의 CKD의 OR값이 유의하게 높게 나타났다. 결론적으로, 여성에서는 복부비만 그리고 남성에서는 비만이 CKD의 발생률 증가와 관련이 있는 것으로 확인되었다.

• 한국임상약학회지
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• 제33권1호
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• pp.22-34
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• 2023

Background: With the increasing use of narcotic analgesics, the Ministry of Food and Drug Safety has been operating the National Narcotics Information Management System (NIMS) since 2018 in Korea. Some studies are related to the narcotic analgesics use, but the evaluation studies of system, including NIMS users are insufficient. Objective: This study evaluated the NIMS enforcement process through in-depth interviews on the experience of using NIMS of doctors and pharmacists who prescribe or dispense opioid analgesics. Methods: Participants in this study were selected through purposeful sampling as three doctors and two pharmacists in the metropolitan area. The interviews were conducted from August 27 to October 19, 2022. Each interview was analyzed using a phenomenological method. Results: Six components of this study included "Doctors and pharmacists come across drug abusers", "They respond individually to drug abusers", "They use NIMS tailored to the needs of system managers", "They are concerned about the role of NIMS in practice settings", "They face challenges against drug abusers" and "They find a way to utilize the system to deal with drug abusers." The interviews confirmed that doctors and pharmacists used NIMS little in their work, and they only reported data. Therefore, it might be difficult for doctors and pharmacists to take measures for the safe use of narcotic analgesics. Conclusion: It is likely that adding data-feedback and medication-check function can reduce the abuse of narcotic analgesics. In the future, further studies on the evaluation of the empirical results of NIMS and review of systems in other countries will be required.

• 한국치위생학회지
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• 제22권6호
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• pp.477-483
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• 2022

Objectives: The purpose of this study was to provide basic data that would inform the direction of oral rehabilitation and how to expand of the role of dental hygienists in Japan. Methods: A systematic literature review was conducted on the role of dental hygienists in the field of oral rehabilitation in Japan. Results: Japan has been making academic and practical developments in the field of oral rehabilitation for over 30 years, and has been gradually implementing a fee support policy since the 1990s. In addition, Japan has been operating a dental hygienist system specializing in oral rehabilitation since 2006. The related work was being carried out with the dental hygienist's expertise in the field of rehabilitation medical treatment secured. Dental hygienists work full-time at long-term care facilities for the elderly in addition to conducting oral care activities under the local comprehensive care system, in the areas of convalescence and acute rehabilitation, as well as in the field of visiting rehabilitation. It can be seen that, in the field of nursing care, they are specialized in oral care tasks for the elderly. Conclusions: In the future, a policy and related fee system should be gradually prepared to expand the role of dental hygienists in the field of oral rehabilitation that can contribute to improving oral health linked to systemic diseases.

• 대한방사선기술학회지:방사선기술과학
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• 제46권2호
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• pp.151-157
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• 2023

The purpose of this study was to develop an assist device that could correct and support patient position during biopsy on computed tomography (CT) using 3D printing technology. The development method was conducted in the order of 3D design, 3D output, intermediate evaluation for product, final assist device evaluation. The 3D design method was conducted in the order of prior research data survey, measurement, primary modeling, 3D printing, output evaluation, and supplementary modeling. The 3D output was the 3D printer (3DWOX 2X, Sindoh, Korea) with additive manufacturing technology and the polylactic acid (PLA) materials. At this time, the optimal strength was evaluated to infill degree of product as the 3D printing factors into 20%, 40%, 60%, and 80%. The intermediate evaluation and supplementation was measured noise in the region of interest (ROI) around the beam hardening artifact on the CT images. We used 128-channel MDCT (Discovery 75 HD, GE, USA) to scan with a slice thickness of 100 kVp, 150 mA, and 2.5 mm on the 3D printing product. We compared the surrounding noise of the final 3D printing product with the beginning of it. and then the strength of it according to the degree of infill was evaluated. As a result, the surrounding noise of the final and the early devices were measured at an average of 3.3 ± 0.5 HU and 7.1 ± 0.1 HU, respectively, which significantly reduced the noise of the final 3D printing product (p<0.001). We found that the percentage of infill according to the optimal strength was found to be 60%. Finally, development of assist devices for CT biopsy will be able to minimize artifacts and provide convenience to medical staff and patients.

• 대한정형도수물리치료학회지
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• 제29권1호
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• pp.81-93
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• 2023

Purpose: The current case study focuses on identifying the effects of manual therapy and home self-therapeutic exercise including on mouth opening and pain relief in patients with continuous neck pain with myofascial temporomandibular disorders (TMDs) accompanied by headache induced by masticatory myalgia Subjects: The study participant was a 27-year-old woman who was treated a year ago for pain related to TMDs accompanied by a headache. Methods: Manual therapy of the cervical spine with upper cervical spine posterior-to-anterior mobilization (C1~C2), upper cervical spine flexion mobilization (C0~C2), upper cervical spine lateral flexion mobilization (C0~C1), upper cervical spine thrust manual therapy (C1~C2) and manual therapy of the temporomandibular joint and muscles with transverse medial accessory temporomandibular joint mobilization, manual therapies for the temporal, the masseter, and medial pterygoid muscles were performed twice a week for about 30 minutes for 4 weeks. This protocol included 3 sessions in total. The home self-therapeutic exercise was to be performed two to three times a day. Results: The values more improved MMO increased to 41.4 mm, left masseter muscle PPT to 2.9 kgf/cm², right masseter muscle PPT to 3.1 kgf/cm², KHIT-6 to 46 points, neck pain intensity (by NRS) to 2 points, headache frequency to per weeks, cervical kyphotic angle to -8.06%, and GCPS to grade 1 (low-intensity pain without pain-related disorder). Conclusion: Manual therapy and home self-therapeutic exercise can be helpful for mouth opening and pain relief in patients with myofascial TMDs accompanied by secondary headaches induced by masticatory myalgia.

• 임상간호연구
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• 제15권1호
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• pp.149-165
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• 2009

Purpose: This study was done to identify the causes of turnover in nursing staff in small and medium‐size hospitals and prepare measures to decrease turnover. Nurses in these hospitals were surveyed focusing on their nursing activities, reasons for turnover, and content of their work. Method: A mail survey of hospitals with 300 beds or less was conducted using a questionnaire including items on the current state of nursing, performance of nursing tasks, turnover of nurses, working conditions, and supports and policies related to insufficient number of nurses. Results: The average number of nurses per 100 beds was 37.5, 3.3 less than the prescribed level of 40.8. The turnover rate was higher when the level of remuneration for nursing care was low, and the most frequent reason for nurses leaving was 'move to another hospital', showing that there is a continuous chain of moves for nurses. Other frequent reasons were situations related to working conditions such as childbirth, child care, irregular working hours, night work, and low wages. Conclusion: To guarantee adequate nursing coverage in these hospitals, working conditions for nurses should be improved, including higher wages, a more flexible work system, and installation and operation of 24-hour child care facilities.

• 한국방사선학회논문지
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• 제17권2호
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• pp.267-275
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• 2023

전 세계적으로 방사선종사자들의 피폭 기록은 관심의 대상이며 피폭이 일어나는 분야에 대한 분석이 수행되고 있다. 한국에서는 유관부처에 따라 보건복지부, 농림축산식품부, 원자력안전위원회에서 종사자들의 피폭을 11개 업종으로 나누어 기록을 수집 분석하고 있다. 그러나 이러한 분류 체계는 유엔방사선영향과학위원회를 비롯한 주요 국가들의 분류 체계와는 정합성이 부족하다. 국내의 종사자 피폭 분류 체계는 명확한 분류 기준이 없고 업종 특성 등을 반영해주지 못하고 있다. 유엔방사선영향과학위원회의 분류 체계를 바탕으로 국내의 분류 체계를 핵주기 분야, 의료분야, 산업분야, 그 외 분야(교육/연구, 군사/공공)의 5개 대분류 체계와 그에 따른 세 분류 및 직군 분류를 본 연구를 통해 제안하였다.

• 지역사회간호학회지
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• 제33권1호
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• pp.1-12
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• 2022

Purpose: This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults. Methods: This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program. Results: After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life. Conclusion: The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.

• 디지털융복합연구
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• 제20권5호
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• pp.661-669
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• 2022

본 연구는 종합병원, 요양병원, 한방병원 이용자의 선택요인과 고객만족, 재이용의도에 미치는 영향을 비교 분석하였다. 본 연구는 2019년 11월 1일부터 2020년 4월 30일까지 4개 종합병원, 6개 요양병원, 3개 한방병원을 대상으로 설문조사를 실시하였다. 종합병원, 요양병원, 한방병원은 인적 요인, 효율성 요인이 고객만족에 양(+)의 영향력이 있었다. 요양병원은 소득이 높을수록 고객만족도가 높았으며, 효율적 요인이 재이용의도에 양(+)의 영향력이 있었다. 한방병원은 대외이미지 요인이 고객만족과 재이용의도에 중요한 요인이었다. 이러한 연구결과를 바탕으로 경쟁 시대에 접어든 병원들이 고객만족도와 재이용의도를 높이고 효율적 경영을 위한 유용한 자료가 될 것을 기대된다.