• Title/Summary/Keyword: 카이와

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Peer Review of Teleradiology at a Teleradiology Clinic: Comparison of Unacceptable Diagnosis and Clinically Significant Discrepancy between Radiology Sections and Imaging Modalities (원격판독 의료기관에서 시행한 원격판독의 동료평가: 세부전공분야와 촬영장비에 따른 판독 불일치 정도와 불일치 판독의 임상적 의의 비교)

  • Hyung Suk Seo;Jai Soung Park;Yu-Whan Oh;Dongwook Sung;A Leum Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.6
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    • pp.1545-1555
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    • 2021
  • Purpose The purpose of this study was to evaluate the rates of unacceptable diagnosis and clinically significant diagnostic discrepancy in radiology sections and imaging modalities through a peer review of teleradiology. Materials and Methods Teleradiology peer reviews in a Korean teleradiology clinic in 2018 and 2019 were included. The peer review scores were classified as acceptable and unacceptable diagnoses and clinically insignificant and significant diagnostic discrepancy. The diagnostic discrepancy rates and clinical significance were compared among radiology sections and imaging modalities using the chi-square test. Results Of 1312 peer reviews, 117 (8.9%) cases had unacceptable diagnoses. Of 462 diagnostic discrepancies, the clinically significant discrepancy was observed in 104 (21.6%) cases. In radiology sections, the unacceptable diagnosis was highest in the musculoskeletal section (21.4%) (p < 0.05), followed by the abdominal section (7.3%) and neuro section (1.3%) (p < 0.05). The proportion of significant discrepancy was higher in the chest section (32.7%) than in the musculoskeletal (19.5%) and abdominal sections (17.1%) (p < 0.05). Regarding modalities, the number of unacceptable diagnoses was higher with MRI (16.2%) than plain radiology (7.8%) (p < 0.05). There was no significant difference in significant discrepancy. Conclusion Peer review provides the rates of unacceptable diagnosis and clinically significant discrepancy in teleradiology. These rates also differ with subspecialty and modality.

Analyzing Domestic Research Trends on Disclosure of Information By Comparing Major Academic Disciplines (주요 학문분야 비교를 통한 국내 정보공개 연구동향 분석)

  • Na-yun Bae;Hyo-Jung Oh
    • Journal of the Korean Society for information Management
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    • v.41 no.2
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    • pp.295-316
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    • 2024
  • Analyzing research trends is essential for the sustainable development of a discipline and is important for understanding the value of prior research and laying the groundwork for subsequent research. This study aims to draw implications for the future direction of convergence research on the disclosure of information from various disciplines by comparing and analyzing the trends in disclosure of information research in Korea. For this purpose, we analyzed the publication frequency of information disclosure papers listed in the Korea Citation Index (KCI) from 2002 to 2023 and the publication trend by discipline as a time series. In addition, we compared the keyword relationships and specialized research topics of each discipline by applying network analysis and LDA topic modeling techniques to the names and keywords of papers in law, public administration, and library and information science. As a result of the analysis, the law focuses on legal regulations and policy improvement, public administration focuses on changing social needs and administrative operation methods, and LIS focuses on practical approaches to record management and disclosure of information. Based on this, future research directions include combining policy research in law with social change research in public administration and developing realistic policies and operational guidelines from the practical perspective of LIS. Such convergent research will enable the systematic and efficient implementation of disclosure of information systems, contributing to the guarantee of the public's right to know and the enhancement of state transparency.

Diagnostic Conundrum: Fever and Pyuria Preceding Diagnosis of Kawasaki Disease in Children

  • Jiseon Park;Young June Choe;Seung Ah Choe;Jue Seong Lee;Hyung Eun Yim;Yun-Kyung Kim
    • Pediatric Infection and Vaccine
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    • v.30 no.3
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    • pp.139-144
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    • 2023
  • Purpose: Children with incomplete Kawasaki disease (KD) and pyuria may be misdiagnosed with urinary tract infection (UTI) during the early phase of the prodrome. We investigated the percentage of UTI diagnoses preceding a KD diagnosis. Methods: Using the National Health Insurance data of South Korea, we assessed differences in UTI diagnoses made during the week preceding a KD diagnosis, according to demographic and geographic factors from November 2007-October 2019. Results: A total of 53,822 KD cases were identified, including 304 patients (0.56%) diagnosed with a UTI during the week preceding a KD diagnosis. The younger age group (0-11 months) showed the highest percentage of preceding UTI diagnoses (0.95%), with higher odds than 4-year-old children (3.12; 95% confidence interval, 2.05-4.77). Conclusions: These findings suggest a potentially misleading presentation of incomplete KD, a clinical conundrum requiring further investigation and validation, particularly in infants.

A Study on the Current Status and Utilization of Old Map in Library and Museums in Korea (국내 도서관·박물관 소장 고지도의 현황 및 활용에 관한 연구)

  • Gi Young Kim
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.35 no.1
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    • pp.97-125
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    • 2024
  • The purpose of this study is to increase access to information on old maps and to discuss efficient ways to utilize old maps, such as providing services and information using old maps. To this end, the information search system of domestic institutions that provide old map information was investigated, and methods of searching for old map data and accessing information were searched on the website. In addition, the current status of the collection of old maps in domestic libraries and museums was analyzed by referring to the homepage, book, research book, and publication of each institution. As a result of the analysis, about 2,200 old maps were housed in 76 institutions, including national, public, and university libraries and museums nationwide. Each institution in the collection of old maps was carrying out publication business, such as publication of English manuscripts, exhibitions and books, publication of research document edits such as lists and summaries. However, reading and using of original documents are limited due to the rare nature of old maps and the data characteristics of the only one. In order to effectively utilize old maps, first, it is necessary to improve access to old map information services and expand academic information services. Second, it is proposed to use old maps as data for archival construction that reflects the identity of the region. Third, it is necessary to cultivate professional manpower who selects and provides information based on knowledge of old map data and humanities literacy.

A Study on the Improvement of Entity-Based 3D Artwork Data Modeling for Digital Twin Exhibition Content Development (디지털트윈 전시형 콘텐츠 개발을 위한 엔티티 기반 3차원 예술작품 데이터모델링 개선방안 연구)

  • So Jin Kim;Chan Hui Kim;An Na Kim;Hyun Jung Park
    • Smart Media Journal
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    • v.13 no.1
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    • pp.86-100
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    • 2024
  • Recently, a number of virtual reality exhibition-type content services have been produced using archive resources of visual art records as a means of promoting cultural policy-based public companies. However, it is by no means easy to accumulate 3D works of art as data. Looking at the current state of metadata in public institutions, there was no digitalization of resources when developing digital twins because it was built based on old international standards. It was found that data modeling evolution is inevitable to connect multidimensional data at a capacity and speed that exceeds the functions of existing systems. Therefore, the elements and concepts of data modeling design were first considered among previous studies. When developing virtual reality content, when it is designed for the migration of 3D modeling data, the previously created metadata was analyzed to improve the upper elements that must be added to 3D modeling. Furthermore, this study demonstrated the possibility by directly implementing the process of using newly created metadata in virtual reality content in accordance with the data modeling process. If this study is gradually developed in the future, metadata-based data modeling can become more meaningful in the use of public data than it is today.

Some Thoughts on Reestablishing Appraisal System of Presidential Records (대통령기록물 평가제도 재정립을 위한 몇 가지 단상)

  • Kim, Myoung-hun;Lee, Seung-il
    • The Korean Journal of Archival Studies
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    • no.79
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    • pp.271-303
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    • 2024
  • In our country, which has a strong presidential system, the power and responsibilities of the president are truly enormous. He is the head of state and diplomatic representative, and at the same time exercises authority over all areas of the country, including the legislature, judiciary, and constitutional institutions, along with his responsibilities as head of the executive branch. Considering these aspects, it can be said that presidential records created during the president's rule have a high level of national and historical significance and value compared to other public records. Considering these importance of presidential records, the Presidential Records Management Act was enacted in 2007 to establish an institutional mechanism to systematically manage presidential records. However, the current institutional basis for appraisal of presidential records is very weak. In this regard, there is a need to begin discussions on the appraisal of presidential records in earnest. Considering the national importance and symbolism of presidential records, it is necessary to establish a new direction for appraisal of presidential records that is different from general public records. Accordingly, in this paper, as part of reestablishing Korea's presidential records appraisal system, this article analyzed the status and problems of the current presidential records appraisal system and presented directions needed to find future improvement measures. To this end, as a premise for discussing the importance and value of presidential records, it examined the powers and responsibilities of the presidency as defined in our country's Constitution.Next, we looked at the appraisal system and method for presidential records that are currently in operation, and then analyzed the problems that emerged here in connection with the characteristics of presidential records. Based on this, it presented five perspectives on issues that need to be discussed publicly in the records management community in order to reestablish Korea's presidential records appraisal system in the future.

A Study on the Development of a Selection System for Preservation Formats of Image-Type Electronic Records (이미지 유형 전자기록물의 보존포맷 선정체계 구축방안 연구)

  • Song, ChaeEun;Yang, Dongmin
    • The Korean Journal of Archival Studies
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    • no.79
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    • pp.343-387
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    • 2024
  • Electronic records, characterized by their inherent volatility and instability, necessitate sustainable preservation measures to ensure their long-term accessibility. The National Archives of Korea has instituted a selection system for preservation formats tailored predominantly for document-type electronic records. However, this system falls short in accommodating other record types such as audiovisual records. This study endeavors to broaden the applicability of the existing system, with a concentrated focus on image-type electronic records, and to formulate foundational guidelines for their long-term preservation. In South Korea, image-type electronic records rank as the second most prevalent category following document-type. The image-type electronic records are the most basic form of audio-visual records, and research on this lays the foundation for future discussions on other audio-visual records. Consequently, this research has led to the development of a selection system for preservation formats specifically for image-type electronic records. This system is designed to facilitate the prompt and efficient evaluation of preservation format suitability, even in the context of emerging image formats. The efficacy of this system was validated through its application to extant image formats, resulting in the selection of TIFF, JFIF, and PNG as the optimal preservation formats. The outcomes of this study offer valuable insights and practical reference points for future preservation format evaluations within the field of electronic record management.

Analysis of Tsunami Characteristics of Korea Southern Coast Using a Hypothetical Scenario (가상시나리오에 따른 남해안 지진해일 특성 연구)

  • Bumshick Shin;Dong-Seog Kim;Dong-Hwan Kim;Sang-Yeop Lee;Si-Bum Jo
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.36 no.2
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    • pp.80-86
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    • 2024
  • Large-scale earthquakes are occurring globally, especially in the South Asian crust, which is experiencing a state of tension in the aftermath of the 2011 East Japan Earthquake. Uncertainty and fear regarding the possibility of further seismic activity in the near future have been on the rise in the region. The National Disaster Management Research Institute has previously studied and analyzed the overflow characteristics of a tsunami and the rate of flood forecasting through tsunami numerical simulations of the East Sea of South Korea. However, there is currently a significant lack of research on the Southern Coast tsunamis compared to the East Coast. On the Southern Coast, the tidal difference is between 1~4 m, and the impact of the tides is hard to ignore. Therefore, it is necessary to analyze the impact of the tide propagation characteristics on the tsunami. Occurrence regions that may cradle tsunamis that affect the southern coast region are the Ryukyu Island and Nankai Trough, which are active seafloor fault zones. The Southern Coast has not experienced direct damage from tsunamis before, but since the possibility is always present, further research is required to prepare precautionary measures in the face of a potential event. Therefore, this study numerically simulated a hypothetical tsunami scenario that could impact the southern coast of South Korea. In addition, the tidal wave propagation characteristics that emerge at the shore due to tide and tsunami interactions will be analyzed. This study will be used to prepare for tsunamis that might occur on the southern coast through tsunami hazard and risk analysis.

Analysis of Thyroid Nodule Prevalence and Related Factors in Adult Men and Women (성인 남녀에서 갑상선결절 유병률과 관련 인자 분석)

  • Ye-Eun Oh;Jung-Hoon Kim;Sung-Hee Yang
    • Journal of the Korean Society of Radiology
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    • v.18 no.4
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    • pp.373-381
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    • 2024
  • This study aimed to identify and assess the influence of risk factors on the frequency of thyroid nodules diagnosed through ultrasonography among adults visiting for health screenings. The study analyzed 210 adult men and women who underwent thyroid ultrasound at J Hospital in Busan. The differences in variables were analyzed using Chi-square and independent t-tests, and risk ratios were calculated using binary logistic regression. The results showed significant differences in gender, age, T3, Free T4, Uric acid, T-chol, HDL-C and LDL-C. The risk ratios for risk factors indicated that women had a 2.42 times higher risk compared to men, and the age groups 41-50 and over 61 had risks 2.32 and 2.22 times higher, respectively compared to those under 40. Conversely, and increase in T3 and Free T4 levels was associated with a decreased risk of 0.12 and 0.86 times, respectively, while lipid levels had negligible influence. Based on these findings, it is concluded that regular ultrasonography monitoring, rather than solely relying on biochemical markers, is crucial for the early detection and management of thyroid nodules.

Prevalence of Dysphagia and Educational Needs in Community-Dwelling Older Adults: Focusing on Chuncheon, Gangwon-do State (지역사회 거주 노인의 연하장애 유병률과 교육 요구도 조사: 강원특별자치도 춘천 지역을 중심으로)

  • Mun, Kwangtae;Lee, Yun-Hwan;Kim, Dong-Wan;Seo, Sang-Min
    • Therapeutic Science for Rehabilitation
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    • v.13 no.3
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    • pp.69-83
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    • 2024
  • Objective : This study investigated the prevalence of dysphagia in older adults in Gangwon Special Self-Governing Province and its impact on Quality of Life (QoL) and educational needs. Methods : A cross-sectional survey was conducted from August 1 to 15, 2023, with 207 cognitively normal older adults from three senior welfare centers. Data included general characteristics, Korean-version of the Eating Assessment Tool (K-EAT-10), Swallowing-QoL, and educational needs related to swallowing disorders. Dysphagia was defined by a K-EAT-10 score of 3 or higher. Participants were divided into normal and risk groups for analysis using chi-square and Independent t-test. Results : The prevalence of dysphagia risk (K-EAT-10 score of 3 or higher) was 41.5% (86 individuals). Among the 92 individuals reporting dysphagia symptoms, 64 (69.6%) were at risk. QoL was significantly lower in the risk group, especially among those living alone or with denture discomfort. The most preferred educational need was training in eating solid foods (Mean = 4.27), with higher needs in the dysphagia risk group. Conclusion : This study underscores the prevalence of dysphagia, its impact on QoL, and the need for educational programs. Emphasizing prevention, public awareness, and early detection, along with the role of dysphagia rehabilitation experts and community collaboration, is essential for supporting healthy aging.