• Title/Summary/Keyword: 보고지침

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Survey of COPD Management among the Primary Care Physicians in Korea (우리나라 일차 진료의사의 만성폐쇄성폐질환(COPD) 진료실태조사)

  • Park, Myung Jae;Choi, Cheon Woong;Kim, Seung Joon;Kim, Young Kyoon;Lee, Sung Yong;Kang, Kyung Ho;Shin, Kyeong-Cheol;Lee, Kwan Ho;Lee, Jin Hwa;Kim, Yu-Il;Lim, Sung-Chul;Park, Yong Bum;Jung, Ki-Suck;Kim, Tae-Hyung;Shin, Dong Ho;Yoo, Jee-Hong
    • Tuberculosis and Respiratory Diseases
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    • v.64 no.2
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    • pp.109-124
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    • 2008
  • Background: The incidence of chronic obstructive pulmonary disease (COPD) is increasing and the disease is becoming an important cause of morbidity and mortality worldwide. It is important to implement evidence-based guidelines by primary care physicians (PCPs) to establish qualified management of COPD patients. The aim of this survey is to investigate the pattern of COPD management among PCPs and to apply it to the development of Korean COPD guidelines. Methods: A web-based questionnaire was prepared that consisted of 25 questions on the pattern of COPD management. A total of 217 PCPs participated in the survey from June 2006 to May 2007. Results: Many PCPs (61.8%) possessed a spirometer, but the application rate was relatively low (35.8%) and more than half of the COPD patients (57%) did not receive a diagnosis based on spirometry. Administration of oral medication was preferred than the administration of inhaled medication for both stable COPD and acutely exacerbated COPD. More than 90% of the PCPs endorsed educational measures to quit smoking and vaccinate against influenza. It was noted that 56.7% of the PCPs were aware of the GOLD guidelines, but only 7.3% tended to fully implement the recommendations of the guidelines in daily practice. Conclusion: The results of the survey indicate that despite the high awareness rate of the current COPD guidelines, deficits exist among the PCPs with respect to the diagnosis and treatment of COPD. The results of this survey should be applied for the development of new COPD guidelines in order to decrease the discrepancy between the guidelines and the daily practice of the PCPs.

소 해면형 뇌증/양 스크래피 -병리학적 감별진단과 진단방법 국제표준-

  • 강영배;진영화;위성환;조남인
    • Journal of the korean veterinary medical association
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    • v.32 no.4
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    • pp.234-246
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    • 1996
  • 양의 스크래피(scrapie)는 우리나라에서의 발생보고가 없는 해외가축전염병의 일종이며, 동물의 전염성 해면형 뇌증(Transmissible Spomgifrom Encephalopathies; TSEs)중 역사가 가장 오랜 질병인데, 현재 영국에서 문제되고 있는 새로운 전염병인 소 해면형 뇌증(Bovine Spongiform Encephalopathy; BSE) 즉 일명 광우병(mad cow disease)과의 어떤 연관 가능성 때문에 수의학계의 관심의 대상이 되고 있는 질병이다. 일단 감염되어 발병되면 치료대책 없이 100$\%$ 폐사되는 세기의 불치병으로 알려진, 소 해면형 뇌증(BSE)은 영국에서 현재 사람의 크로이츠휄트-야콥병(Creutzfeldt-Jakob disease; CJD)과의 관련 가능성 여부를 놓고 독특한 문제가 되고 있는 세계적인 희귀질병이다. 이들 질병에 대하여는 아직까지 확실한 병인체가 밝혀져 있지도 않으며, 그렇기 때문에 면역 혈청학적 진단방법도 확립되어 있지 못할 뿐만아니라 예방백신의 개발 또한 불가능하다. 다만, 임상적인 병력과 임상소견, 뇌조직 표본에 대한 현미경 검사 또는 전자현미경 검사에 의한 특이소견 관찰 등 조직병리학적 진단만이 가능할 뿐이다. 본편에서는 소 해면형 뇌증(BSE)의 병리학적 감별진단과 관련, 지금까지 보고된 임상증상을 검토해보고, 우리나라에서 경험한 소의 광견병에 대한 조직병리학적 진단 재료를 근거로하여 감별진단을 위한 참고자료로 설명하고, 국제수역사무국(Office de International Epizooties; O.I.E.)에서 발생한 Manual of Standards for Diagnostic Tests and Vaccines for List A and B Diseases of Mammals, Birds and Bees(1992)(포유류, 조류, 꿀벌에 있어서의 A급 및 B급 질병에 대한 진단시약 및 예방백신에 대한 표준지침) 중에서 소 해면형 뇌증(B 83; p 742-747)과 스크래피(B 32; p 424-427)에 관한 내용 (Chapter 22, 205-215)을 기본자료로 제공하고자 한다.

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A Case Study on ERP Implementation for the Apparel Industry (OEM형태의 의류산업에 대한 ERP 도입 사례 연구)

  • Yim, Sung-Sic;Kwon, Young-Sik
    • 한국IT서비스학회:학술대회논문집
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    • 2003.05a
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    • pp.420-427
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    • 2003
  • 최근 국내 기업들의 ERP시스템 도입 사례는 대기업에서 중소기업으로, 제조업중심에서 금융, 서비스, 유통 등의 다양한 산업분야로 그 영역을 확장하고 있다. 또한 SCM(Supply Chain management), CRM(Customer Relationship Management)과 같은 확장ERP 시스템의 도입도 활발히 진행되고 있다. 여러 가지 측면의 ERP시스템의 확장 방향 중에서 산업별 특성에 따른 ERP시스템의 개발은 해당 산업분야의 규모와 중요성의 순서에 따라 그 깊이와 범위가 다르게 이루어 졌으며, 소수 특이한 산업에 대한 솔루션은 미개발 상태인 경우가 많이 있다. ERP 소프트웨어 공급업체들은 주요 산업별로 특징적인 업무 프로세스를 지원하기위해 추가적인 프로그램을 공급하거나 개발 중에 있다. 본 연구는 국내 기업 중 다소 특수한 업무 프로세스를 가지고 있는 OEM(Original Equipment Manufacturing) 형태의 생산방식을 가진 의류 제조, 판매 업체의 ERP도입 사례를 통하여 ERP시스템 유연성의 한계에 대해 검토하여 보고 OEM산업과 의류산업이라는 산업특성에서의 ERP시스템 도입이 어떠한 문제점을 지니고 있는지 조사해 보고자 한다. 본 연구는 이를 위해 OEM산업에 대한 고찰과 의류업종의 업무적 특징을 정리하여 보고 실제 ERP 도입 사례를 통해 발견된 도입 특성 또는 도입시의 문제점과 해결 방안을 제시함으로서 향후 유사 업종의 ERP 시스템 도입 시 유용한 지침(Guideline)을 제공하고자 한다. ERP 도입사례는 SAP R/3를 채택하여 약 9개월간의 도입기간에 나타난 현상들을 기반으로 한다.

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Reporting Guidelines for Health Promotion Research (건강증진 연구 보고지침)

  • Yoo, Seung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.29 no.4
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    • pp.83-99
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    • 2012
  • Objectives: The purpose of this review is to introduce reporting guidelines for health promotion research in an effort to enhance systematic structure and quality of health promotion research reported in academic papers. Methods: Widely accepted guidelines were selected for description, which focus on 4 distinct types of research design. Checklists and flow diagrams are described and compared. Results: CONSORT Statement is reporting guidelines for randomized controlled trials with a 25-item checklist and a flow diagram. TREND Statement with a 22-item checklist is to guide reporting of health research in nonrandomized design. STROBE Statement is a compiled guidelines for observational health research, accompanied by a 22-item checklist in a combined edition. PRISMA Statement consists of a 27-item checklist and a flow diagram, providing guidelines for reporting systematic reviews and meta-analyses. All items on the checklists and flow diagrams were introduced and discussed. Conclusion: Solid understanding of research designs and adoption of reporting guidelines will enhance the quality of research with information on internal and external validity. Education and training of researchers on the research reporting is required along with systems level adoption of efforts for research enhancement.

Comparative Analyses of Land Appropriateness Degrees Based on the Basic and Alternative Indicators : Focused on Forest Areas Surrounding Management Zones in Chungcheongbuk-Do Jeungpyeong Counties (기본지표와 대안지표를 활용한 토지적성등급 비교분석 - 충청북도 증평군을 대상으로)

  • Lee, Jin Hang;Kim, Kwang Ju;Lee, Myoung Beom;Lee, Man Hyung
    • Journal of Korean Society for Geospatial Information Science
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    • v.21 no.4
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    • pp.83-93
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    • 2013
  • Land Suitability Assessment can help to evaluate whether to preserve or to develop through analysis of various land characteristics. So, the evaluation index and method are very important for making the best result. The principle objective of this dissertation is to identify effective method that can make up for the distortion of land suitability value in the forest bordering the management area. The objective area of this study is comparative flat Jeungpyeong-gun. The procedures of the study are as follows. First, implement land suitability assessment as the normal index on Guideline. Second, verify land suitability grade about the forest bordering the management area. The third, redo land suitability assessment as two alternative index on $^*$Guideline. The fourth, identify effective method between normal index and alternative index. The results of this tests show that the development suitability value is higher than preservation suitability value in the forest bordering the management area near existing development area. For that reason, this study needed to use substitution index in order to make up for the weakness. The level of land price and distance from road were main considerations. Finally, the derivative model is as follows. The derivative model confirmed the best assessment method in the forest bordering the management area near existing development area.

A Study on the Status and Direction of the Nursing Hospital Certification System (요양병원 인증제도의 현황과 방향에 대한 연구)

  • Park, Jong-won
    • Journal of Venture Innovation
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    • v.5 no.1
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    • pp.145-154
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    • 2022
  • This study briefly compares the first-cycle certification of nursing hospitals with the second-cycle certification, reviews the changes and achievements of the second-cycle certification and the third-cycle certification, and examples of challenges and solutions in the process of preparing the third-cycle certification. In this study, it is suggested as follows. First, in order to see the practical effect of certification intended by the government, the exhibition is prepared in a short period of time before certification. Second, after the implementation of the nursing hospital certification system, research on the hospital performance of the medical institution certification system is insufficient in terms of quality and quantity. Therefore, in order to see the effect on the certification system, various research support is also required so that research on this can be actively conducted. Third, design certification standard guidelines from a long-term perspective so that the standard guidelines for certification do not change significantly, and certify not only the guidelines but also individual standards and forms that can be used by medical institutions. Fourth, in the four-cycle certification, accurate and realistic guidelines for infection control and quarantine ward operation support should be developed. The importance of managing infectious diseases will be highlighted in the future due to COVID-19. Fifth, medical institutions can improve the quality of medical care in nursing hospitals and have competitiveness if their daily activities, not short-term certification preparation, are carried out in accordance with certification standards, which affects performance. Sixth, when preparing for certification, nursing hospital officials have problems in organizing documents or processing administratively in the short term as in the past. This is also based on the certification criteria for the usual business process.

An 8-month-old Male Infant with High Grade Vesicoureteral Reflux who Developed Incomplete Kawasaki disease after Recurrent Pyelonephritis (급성 신우신염이 재발한 후 불완전 가와사끼병이 발생한 고도의 방광요관역류가 있는 8개월 남아)

  • Jung, Su Jin;Park, Sung Eun;Lee, Jun Ho
    • Childhood Kidney Diseases
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    • v.18 no.1
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    • pp.42-46
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    • 2014
  • Kawasaki disease (KD) is a systemic vasculitis that can affect many organ systems. Renal manifestations include pyuria, hematuria, proteinuria, tubulointerstitial nephritis, acute renal failure, hemolytic uremic syndrome, or renal scarring. Although its precise pathogenesis remains unknown, it is considered an autoimmune disease. In the literature, it has been reported that KD may develop in conjunction with urinary tract infections. However, many of these previous studies did not use imaging methods such as renal sonograms, dimercaptosuccinic acid renal scans, and voiding urethrocystograms. We report a case of an 8-month old male infant with high grade vesicoureteral reflux, who developed incomplete KD after recurrent pyelonephritis. Acute pyelonephritis can be an early manifestation of KD. Such cases require the evaluation of urinary tract anomalies according to the guidelines for the management of urinary tract infections.

Public Records Disposition Oversight Program : A Case Study of the NARA's Records Management Oversight and Reporting Program (공공기록물의 평가·폐기에 대한 감독제도 연구 미국의 기록관리 감독·보고 프로그램을 중심으로)

  • Seol, Moon-won;Park, In-seon
    • The Korean Journal of Archival Studies
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    • no.62
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    • pp.41-75
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    • 2019
  • Although we expect the Records Freezing system to be introduced through the revision of the Public Records Management Act, the system alone has limitations in preventing illegal disposal of records. If some records have already been destroyed illegally, the agency should identify the reason and prepare corrective action and improvement measures to prevent the repetition of such a wrongful disposal. The purpose of this study is to analyze the NARA's inspection program for unauthorized disposal based on the "Records Management Oversight and Reporting Program" and to find implications for improving the control system of public records disposal. NARA's program is particularly effective in the prevention and post-processing of unauthorized disposal. In this study, firstly, the federal records management oversight and reporting program in the United States was investigated in the legal system. Secondly, the status of NARA's control of unauthorized disposal cases was reviewed and a case of SEC's MUI records was analyzed for showing the systematic procedure of NARA's inspection. Finally, we have summed up the implications of this program for improving NAK's control system of illegal disposal of public records.

An Architecture Method for Multi-Agent System Developments and its Application to Intelligent Transport Systems (다중 에이전트 시스템 구축을 위한 아키텍쳐 개발방법 및 지능형 교통 시스템에의 응용)

  • Lee, Seung-Yeon;Park, Su-Yong;Jeong, Seong-Won
    • Journal of KIISE:Software and Applications
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    • v.28 no.7
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    • pp.478-492
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    • 2001
  • 본 논문은 다양한 종류의 분산 인공지능 문제들을 에이전트라는 추상적 단위와 에이전트간의 상호작용을 토대로 해결하는 다중 에이전트 시스템을 개발하는 체계적 접근방법으로서 개발 방법론의 핵심인 아키텍쳐의 개발방법을 제안한다. 목표를 기반으로 문제영역을 이해하고, 여기에서 추출된 에이전트들을 이용하여 시스템을 개발함에 있어 지침이 되는 아키텍쳐 개발공정을 다중 에이전트 시스템의 특성인 조정과 자율성을 고려하여 제안한다. 각 관점마다 적용될 수 있는 아키텍쳐 스타일과 패턴들을 정의하고, 제안한 아키텍쳐를 UML(Unified Modeling Language)을 이용하여 표현하며, 아키텍쳐를 설명하는 ADL(Architecture Description Language)을 이용하여 정형화시킨다. 또한, 이를 지능형 교통시스템의 출발전 교통정보 안내 서브시스템에 적용, 구현함으로써, 제안하는 아키텍쳐를 검증해 보고, 이를 기반으로 소프트웨어를 개발하는 기초를 마련한다.

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감리업무수행지침서(하)

  • korea construction safety engineering association
    • Journal of the Korea Construction Safety Engineering Association
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    • s.12
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    • pp.101-126
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    • 1994
  • 정부에서는 건설산업의 부실요인을 근원적으로 제거하기 위하여 ‘부실공사방지대책’을 수립ㆍ확정하여 관련법령 및 규정을 개정하였는데 이 중 감리업무에 있어서 안전관리사항이 강화되었으며 ‘94. 1월부터 본대책의 핵심부분인 책임감리제도를 도입ㆍ시행하게 되었다. 이에 책임감리업무를 보다 효율적으로 수행할 수 있도록 건설기술관리법령에서 규정하지 못한 감리방법, 요령, 절차에 관한 세부적인 지침과 감리대가기준, 감리표준계약서 및 각종 보고서식등을 수록하여, 감리업무에 종사하는 일선실무자들이 이용하기 쉽도록 편집된 건설부 ’감리업무수행지침서‘를 본협회지 부록란에 2회에 걸쳐 수록하여 도움을 주고자 한다. 지난 11호(’94.봄호)에 (상)을 수록한 데 이어 본호(‘94. 여름호)에 (하)를 수록한다.

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