• Journal of Hospice and Palliative Care
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• v.19 no.3
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• pp.201-210
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• 2016

Delirium is a common symptom in patients with terminal cancer. The prevalence increases in the dying phase. Delirium causes negative effects on quality of life for both patients and their families, and is associated with higher mortality. However, some studies reported that it tends to remain unrecognized in palliative care setting. That may be related with difficulties to distinguish the symptom from others with overlapping characteristics such as depression and dementia, and a lack of knowledge regarding assessment and diagnostic tools. We suggest that accurate recognition with validated tools and early diagnosis of the symptom should be highly prioritized in delirium management in palliative care setting. After diagnosing delirium, it is important to identify and address reversible precipitants such as medication, dehydration, and infection. Non-pharmacological interventions including comfortable environment for the patient and family education are also essential in the management strategy. If such interventions prove ineffective or insufficient to control hyperactive symptoms, pharmacologic interventions with antipsychotics and benzodiazepine can be considered. Until now, low levels of haloperidol remains the standard treatment despite a lack of evidence. Atypical antipsychotics such as olanzapine, quetiapine and risperidone reportedly have similar efficacy with a stronger sedating property and less adverse effect compared to haloperidol. Currently, delirium medications that can be used in palliative care setting require more clinical trials, and thus, clinical guidelines are not sufficiently available. We suggest that it is warranted to develop clinical guidelines based on well-designed clinical studies for palliative care patients.

• Proceedings of the KIEE Conference
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• 2009.07a
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• pp.432_433
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• 2009

분산전원의 소유자(발전사업자) 및 시공하는 공사업체들은 배전계통에 분산전원을 설치하고 운용할 때, 보호방식에 대한 상세한 검토 없이 연계공사를 추진하여, 많은 문제점에 부닥치고 있는 실정이다. 이들 복잡한 기술적 고려사항을 정확하게 파악하기 위해서, 한전에서 정한 계통연계기술 지침과 관련 해설서 등을 모두 이해해야 하는데, 발전사업자나 시공업자가 수권의 분량을 모두 해석하고 이해하기에는 어려운 점이 있다. 분산전원의 역 조류에 의하여 분산전원의 설치 공사 후, 운용상에 많은 문제점이 유발되고 있는 실정이다. 특히 계통 측의 사고나 분산 전원 소유자의 사고 발생 시에 다른 수용가에게 피해를 끼치는 사례들이 보고되고 있다. 따라서 본 연구에서는 분산전원의 보호 협조에 예상되는 기술적인 문제점을 자동적으로 검토, 분석할 수 있는 사고해석 자동평가시스템을 개발하였다.

• Proceedings of the Korean Information Science Society Conference
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• 2012.06d
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• pp.354-356
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• 2012

최근, 원전 디지털 계측제어 시스템에서의 다양한 사이버 공격이 보고되고 있다. 이러한 사이버 위협에 대응하기 위해, 원자력 산업분야에서는 여러 규제 요건들을 소개하고 있으나, 이러한 규제 요건을 만족하기 위한 효율적인 개발 과정에 대한 연구 또는 가이드는 제시되지 않고 있어서 원전 설계 및 개발에서 혼란과 어려움이 가중되고 있다. 이 논문은 사이버보안 대응을 위한 중요 규제지침을 종합적으로 분석하여 효율적인 원전 계측제어 시스템 개발 과정을 제안하고 있다.

• Proceedings of the Korean Information Science Society Conference
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• 2000.04a
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• pp.528-530
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• 2000

소프트웨어 시스템에 대한 요구사항이 증가하고 그 규모가 점차 거대.복잡해짐에 따라 시스템을 개발하기 위한 절차, 방법 등이 무수히 생겨나게 되었다. ISO/IEC 12207 소프트웨어 생명주기 공정 표준은, 존재하고 있는 소프트웨어 개발 및 유지보수에 대한 절차 및 방법에 대한 일반적인 지침을 제시하기 위해 제정되었다. 이 표준은 표준 자체의 특성의 하나인 보편성을 유지하기 위해, 특정 프로세서 모델에 치우치지 않고 기반 표준(Base Standard)의 성격을 갖는다. 결국 표준은, 어떠한 프로젝트에서 어떠한 프로세스 모델을 사용하고 임의의 방법론을 사용하든 모든 경우에 적용될 수 있어야 한다. 그런데 최근 소프트웨어 산업의 새로운 패러다임으로 받아들여지고 있는 컴포넌트 기반 소프트웨어 개발(CBSD)환경에서는, 전통적인 개발환경과 많은 차이점을 지적하며 새로은 개발 프로세서들이 제안되고 있다.[4]. 따라서 본 논문에서는 CBSD환경에서의 ISO/IEC 12207 표준의 적용성을 고찰해보고 표준의발전, 개선 방향에 대해 모색해 보고자한다.

• Annual Conference of KIPS
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• 2003.11c
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• pp.1953-1956
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• 2003

현재 기관들은 정보통신기반시설에 대한 위험을 여러 가지 다른 방식으로 분석하고 있다. 또한, 각종 위험관리방법론, 지침 및 절차, 수준 측정 등에서 사용되는 기준들 사이에는 일관성이 없거나 서로 비교할 수가 없는 경우가 많다. 해당 기관의 보안 목표와는 상관없이 보안시스템이 설치 운영되고 있으며 그나마 없는 경우도 많다. 또한 당국에 보고하는 위험 분석 결과와 실제 기관 내에 위험 통제를 하기 위해 사용하는 위험 분석 결과도 서로 다른 경우가 흔하다. 기관 전체 차원에서의 일관성 있는 보안위험관리 방법의 부재로 말미암아 경제적으로 효율적인 위험 관리가 불가능하다고 할 수 있다. 본 논문에서는 이러한 문제점을 해결하기 위하여 정보통신기반시설에 대한 보안위험관리시스템을 제안하고 이에 대한 구현 방안을 제시한다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.13 no.1
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• pp.129-138
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• 2002

Objectives：In order to treatment guideline of ADHD, present clinical practise of child psychiatrists and their opinion of optimal intervention were evaluated. Methods：Structured questionnaire items about diagnostic workup, drug choice of 5 different situations according to different co-morbid disorders, and non - pharmacological treatment were applied to 32 child psychiatrists working at university and general hospital. we compared the data with Texas Algorithm Project guideline. Results：(1) Intelligence Test, Sentence Completion Test, sustained attention test, and Conner's questionnaire were the basic routine test that must be performed. (2) Main trend of medication in this study was not different from TAP guideline. (3) In case of co-morbid tic disorder, first recommending drug is still psychostimulant in the TAP guideline. But in this study initial psychostimulant prescription was not main trend. (4) In case of MPH non-response co-morbid disruptive behavior disorder, MPH medication combined with other drug were more common than switching to other drug as suggested the TAP guidelines. (5) In non-pharmacological treatment, most child psychiatrists reported the importance of parent management. Conclusion：There were some difference in medication trend in this study compared with TAP guideline. Further study and conference are needed for experts consensus in Korea.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.2
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• pp.688-697
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• 2014

The current accounting for the long term care facilities are enforced by either financial accounting stipulations of social welfare legal entity or the guiding principles of long term care insurance law. In addition, some facilities are not eligible to access to the Korea Health and Welfare information system and even don't have any obligation to report financial information. Thus financial position and performance of activities are not well known to the interested parties. This study investigated the way how to improve the current accounting stipulation of the long term care facilities. In conclusion, we should introduce the accounting standards based on the double entry system but on other aspect, also more simplified financial statement based on single entry system for smaller facilities. Also we should introduce three important appropriation accounts for the net income of institution which matches GAAP. For a successful plantation of accounting standards, it is necessary to establish provisions, government subsidy account, depreciations concept.

• Journal of the Korean BIBLIA Society for library and Information Science
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• v.35 no.3
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• pp.105-135
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• 2024

This study aims to analyze the current state of record-related regulations in Korean universities and suggest improvement measures. The research involved a three-step process: exploratory analysis of existing regulations, establishment of classification criteria, and comparative analysis with the National Archives' guidelines. Data were gathered from 66 regulations across 63 universities. The findings reveal that many universities revised their regulations after 2020, often without clear standards, leading to inconsistencies. Notably, many private universities still lack proper record-related regulations. Discrepancies between the National Archives' guidelines and university practices were identified. To address these issues, it is recommended that the National Archives incorporate feedback from universities in guideline revisions, universities enhance their record management by consulting experts and increasing personnel, and record management professionals report their institutional status and share best practices. Accurate terminology use is essential to avoid confusion.

• Journal of Digital Convergence
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• v.19 no.11
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• pp.135-144
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• 2021

This study investigates the underlying mechanism of YOLO in millennial consumer, especially the influence of perceived economic recession on the present-biased preference. In addition, it was attempted to expand the implicit theory by proposing the individual's entity belief as a mediator for the effect of perceived economic situation on consumers' present-biased seeking behavior. In three experimental studies, undergraduate students who both highly primed and measured negative economic situation showed more favorable attitudes towards present-biased persuasive message and related products. The results of this research provides practical implication for marketers especially in the current situation experiencing economic slowdown due to low economic growth and COVID 19.

• Journal of the Korean Society of Radiology
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• v.84 no.5
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• pp.999-1008
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• 2023

Thyroid cancer, characterized by high incidence rates, good prognosis, and frequent recurrence, is typically treated surgically. However, since the early 2000s, radiofrequency ablation, which is commonly utilized in liver, lung, and kidney cancers, is being performed for management of primary and recurrent thyroid cancers. Many studies have focused on inoperable cases of low-risk papillary microcarcinoma (≤ 1 cm) and some have investigated its role in larger lesions (up to 4 cm). Overall, these studies have reported positive results. Radiofrequency ablation for recurrent cancer has primarily been performed for locally recurrent cervical cancer, and this therapeutic approach has been attempted for treatment of distant metastases in lungs and bones, with encouraging outcomes. A growing global trend, particularly in South Korea, the United States, and Europe supports radiofrequency ablation for thyroid cancer. However, this therapy is currently not recognized as a treatment option recommended by universally accepted clinical guidelines such as those established by the National Comprehensive Cancer Network. Based on past efforts and future research, radiofrequency ablation is expected to play a key role in thyroid cancer treatment in the near future.