• 제목/요약/키워드: Classification Database

검색결과 941건 처리시간 0.03초

Clostridioides difficile Infection Is Associated with Adverse Outcomes among Hospitalized Pediatric Patients with Acute Pancreatitis

  • Thavamani, Aravind;Umapathi, Krishna Kishore;Khatana, Jasmine;Sankararaman, Senthilkumar
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제25권1호
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    • pp.61-69
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    • 2022
  • Purpose: Studies in adults have shown an increasing incidence of Clostridioides difficile infection (CDI) in patients hospitalized with acute pancreatitis (AP). There is lack of epidemiological data on CDI and its impact on hospitalized pediatric patients with AP. Methods: We analyzed the National Inpatient Sample and Kids' Inpatient Database between the years 2003 and 2016 and included all patients (age <21 years) with a primary diagnosis of AP using specific International Classification of Diseases codes. We compared clinical outcomes between children with CDI and those without CDI. Our primary outcome was severe AP and secondary outcomes included length of stay and hospital charges. Results: A total of 123,240 hospitalizations related to AP were analyzed and CDI was noted in 0.6% of the hospital. The prevalence rate of CDI doubled from 0.4% (2003) to 0.8% (2016), p=0.03. AP patients with CDI had increased comorbidities, and also underwent more invasive surgical procedures, p<0.05. AP patients with CDI had a higher in-hospital mortality rate and increased prevalence of severe AP, p<0.001. Multivariate regression models showed that CDI was associated with 2.4 times (confidence interval [CI]: 1.91 to 3.01, p<0.001) increased odds of severe AP. CDI patients had 7.24 (CI: 6.81 to 7.67, p<0.001) additional hospital days while incurring $59,032 (CI: 54,050 to 64,014, p<0.001) additional hospitalization charges. Conclusion: CDI in pediatric patients with AP is associated with adverse clinical outcomes and increased healthcare resource utilization. Further studies are needed to elucidate this association to prevent the development of CDI and to improve outcomes.

자치분권의 시작, 성북마을아카이브 (The Beginning of Decentralization: Seongbuk Village Archive)

  • 강성봉
    • 한국기록관리학회지
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    • 제22권1호
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    • pp.237-243
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    • 2022
  • 성북마을아카이브는 성북구청과 성북문화원이 협력하여 지역의 고유성과 특수성을 담고자 구축한 마을아카이브이다. 공동체의 기록물을 보존하는 공동체 아카이브이자, 원천자료의 디지털화를 통해 데이터베이스를 구축해가는 디지털 아카이브이다. 민·관 거버넌스로 연차적·단계별 추진을 거쳐 관리시스템과 홈페이지를 구축하였다. 성북마을아카이브의 시스템은 고도화된 마을기록 표준분류체계를 바탕으로 자료축적과 개별 기록물 간의 연결이 원활히 이루어지도록 설계되었다. 성북문화원은 이를 바탕으로 기록물을 온·오프라인으로 연계하면서 융합문화콘텐츠를 생산하려고 노력하였다. 또한 기록물의 보존뿐 아니라 콘텐츠 생산 및 활용을 위해 홈페이지에 보여지는 항목 구성을 다양화했다. 성북의 역사문화자원을 어떻게 하면 이용자들에게 그 생성 및 존재를 맥락과 함께 보여줄 수 있을지에 대한 고민 끝에 만든 구조이다. 또한 다채로운 큐레이션과 주민기록단의 활동을 통해 보다 풍부한 아카이브 플랫폼을 구축하였다.

건강 보험 청구 자료를 이용한 COPD 환자에서 치료제 처방 변화 분석: 흡입제를 중심으로 (Analysis of Treatment Pattern in COPD Patients Using Health Insurance Claims Data: Focusing on Inhaled Medications)

  • 임하나;박미혜
    • 한국임상약학회지
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    • 제32권3호
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    • pp.155-165
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    • 2022
  • Background: Chronic obstructive pulmonary disease (COPD) is not completely reversible and requires long-term management with appropriate treatment. This study aimed to analyze trends in treatment regimens and medication costs for COPD patients using a national claims database. Methods: We conducted this analysis using National Patient Sample data from the Health Insurance Review and Assessment Service covering the period from 2015 to 2018. We have constructed a dataset comprising COPD disease classification codes J43.x and J44.x (based on KCD-7 code, J43.0 was excluded) and compiled a list of drugs fitting current guidelines. To identify trends, we calculated frequency, ratio, and compound annual growth rate (CAGR) using the numbers of prescriptions and patients. Results: The number of COPD patients was 7,260 in 2018, slightly decreased from 2015. Most of these COPD patients were aged 60 or older and included a high proportion of males (72.2%; 2018). The number of patients prescribed inhaled medications increased gradually from 2015 to 2018 (9,227 (47.1%); 2015, 9,285 (51.5%); 2018), while the number of patients prescribed systemic beta-agonists and Xanthines has decreased since 2015 (CAGR -14.7; systemic beta-agonist, -5.8; Xanthines). The per capita cost of medication has increased by 0.4% (KRW 206,667; 2018, KRW 204,278; 2015) annually during the study period. Conclusion: This study showed that treatment with inhaled medications had continuously increased in accord with changing guidelines, but oral medications were still widely used. It is necessary to emphasize the importance of inhaled medications in treating COPD to reduce additional economic burden through appropriate medication use.

비만에 대한 사상의학 임상연구 동향 분석 (Clinical Research Trends in Sasang Constitutional Medicine on Obesity)

  • 이슬;박지은;채한;이정윤
    • 사상체질의학회지
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    • 제34권3호
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    • pp.50-68
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    • 2022
  • Objectives The purpose of this study is to review the current Sasang constitutional research on obesity and to provide basic data for further development in the direction of better research. Methods Clinical research articles on obesity of the Sasang Constitutional Medicine were extracted from five database. Published year, published journals, and subjects of studies were classified. Clinical methods for the classification of Sasang type and diagnostic criteria for obesity were summarized. Results A total of 36 selected research articles were published from 1998 to 2020. And 20 articles(55.6%) have been published in Journal of Sasang Constitutional Medicine and Journal of Oriental Rehabilitation Medicine. Most of the clinical study subjects were studies that identified independent factors that were correlated with obesity by Sasang constitution type. But these studies have not sufficiently reflected the distinctive characteristics of Sasang Constitution Medicine. Discussion Through this study, it was confirmed to the necessity of developing new research designs for obesity by Sasang constitution and researching on obesity treatment through improvement of symptoms by using the already developed questionnaires that have proven reliability and validity, away from the research biased towards Taeeumin and Taeeumin's prescription. If additional research based on this study is accompanied, it is expected that it can be utilized in typed obesity treatment fields.

사업실패에 관한 국내외 연구동향 (Business Failure: Overview and Research Trend)

  • 배태준;최윤형
    • 중소기업연구
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    • 제42권3호
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    • pp.43-75
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    • 2020
  • 본 연구는 중소기업학회에서 편찬한 '중소기업연구'에 게재된 논문을 분석하여 사업실패의 연구동향을 알아보는데 있다. 이를 위하여, 첫째, 문헌고찰을 통해, 해외의 연구동향과 주요 연구 주제를 탐색하고, 본 연구를 위한 분석의 틀을 작성하였다. 둘째, 1979년부터 2019년에 이르기까지, 중소기업연구에 편찬된 총 1,060편의 논문 중, 실패와 관련된 16편을 선정하고 분석하였다. 세 번째, 중소기업연구 이외의 한국의 실패 연구동향을 알아보기 위해, 키워드 분석으로 24편을 추가로 선정하여 분석하였다. 본 논문에서는 실패 연구의 동향을 총 5가지 큰 주제로 구분하여 분석하였다. (1) 실패예측, (2) 실패 전·후 감정, (3) 감정 이외 실패 비용, (4) 실패 원인, (5) 재창업 결정 및 성공요인이다. 기존연구가 가지는 함의를 살펴봄으로써, 향후 실패분야의 연구방향을 제시하고 있다.

건설사와 입주민의 공동주택 하자분쟁 쟁점 및 개선 방안 (Major Issues and Improvement Measures for Disputes between Construction Companies and Residents Related to Defects in Multi-Family Housing Complexes)

  • 방홍순;김옥규
    • 한국건축시공학회지
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    • 제22권1호
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    • pp.103-114
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    • 2022
  • 입주민은 육안으로 구별이 되는 하자를 중심적으로 보며, 건설사는 공동 주택의 구조적, 기능적 문제에 영향이 가는 하자를 중심적으로 본다. 그에 따라, 건설사와 입주민은 공동주택의 하자를 기준으로 서로 다른 관점을 가지고 있다. 이를 해결하기 위해 본 연구에서는 서로 다른 하자의 관점차이로 인하여 발생하는 공동주택 하자분쟁의 쟁점과 개선 방안을 목표로 진행하였다. 먼저, 국토교통부와 법원의 서로 다른 하자판정기준 및 보수기준을 분석하였다. 과거 청구소송 하자판결 사례분석을 통하여 문제점을 도출 하였으며, 여러 건설사의 하자 데이터를 기반으로 건설사와 입주민의 관점차이를 도출 하였다. 이를 해결하기 위해 공동주택 하자 데이터베이스의 개선방안을 제안하였다.

How do diverse precipitation datasets perform in daily precipitation estimations over Africa?

  • Brian Odhiambo Ayugi;Eun-Sung Chung
    • 한국수자원학회:학술대회논문집
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    • 한국수자원학회 2023년도 학술발표회
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    • pp.158-158
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    • 2023
  • Characterizing the performance of precipitation (hereafter PRE) products in estimating the uncertainties in daily PRE in the era of global warming is of great value to the ecosystem's sustainability and human survival. This study intercompares the performance of different PRE products (gauge-based, satellite and reanalysis) sourced from the Frequent Rainfall Observations on GridS (FROGS) database over diverse climate zones in Africa and identifies regions where they depict minimal uncertainties in order to build optimal maps as a guide for different climate users. This is achieved by utilizing various techniques, including the triple collection (TC) approach, to assess the capabilities and limitations of different PRE products over nine climatic zones over the continent. For daily scale analysis, the uncertainties in light PRE (0.1 5mm/day) are prevalent over most regions in Africa during the study duration (2001-2016). Estimating the occurrence of extreme PRE events based on daily PRE 90th percentile suggests that extreme PRE is mainly detected over central Africa (CAF) region and some coastal regions of west Africa (WAF) where the majority of uncorrected satellite products show good agreement. The detection of PRE days and non-PRE days based on categorical statistics suggests that a perfect POD/FAR score is unattainable irrespective of the product type. Daily PRE uncertainties determined based on quantitative metrics show that consistent, satisfactory performance is demonstrated by the IMERG products (uncorrected), ARCv2, CHIRPSv2, 3B42v7.0 and PERSIANN_CDRv1r1 (corrected), and GPCC, CPC_v1.0, and REGEN_ALL (gauge) during the study period. The optimal maps that show the classification of products in regions where they depict reliable performance can be recommended for various usage for different stakeholders.

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Analysis of Relationship between Construction Accidents and Particulate Matter using Big Data

  • Lee, Minsu;Jeong, Jaewook;Jeong, Jaemin;Lee, Jaehyun
    • 국제학술발표논문집
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    • The 9th International Conference on Construction Engineering and Project Management
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    • pp.128-135
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    • 2022
  • Because construction work is conducted outdoors, construction workers are affected by harmful environmental factor. Especially, Particulate Matter (PM10) is one of the harmful environmental factors with a diameter of 10㎍/m3 or less. When PM10 is inhaled by human, it can cause fatal impact on the human. Contrary to the various analyses of health impact on PM10, the research on the relationship between construction accidents and PM10 are few. Therefore, this study aims to conduct the relative frequency analysis which find out the correlation between construction accidents and PM10, and the modified PM10 grade is suggested to expect accidents probability caused by PM10 in the construction industry. This study is conducted by four steps. i) Establishment of the database; ii) Classification of data; iii) Analysis of the Relative Frequency of accidents in the construction industry by PM10 concentration; iv) Modified PM10 groups to classify the impact of PM10 on accident. In terms of frequency analysis, the most accidents were occurred in the average concentration of PM10 (32㎍/m3). However, we found that the relative frequency of accident was increased as the concentration of PM10 increased. This means the higher PM10 concentration can cause more accidents during construction. In addition, PM10 concentration was divided as 6 groups by the WHO, but the modified PM10 grade by the relative frequency on accident was suggested as 3 groups.

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R 피크 검출 정확도를 개선한 홀터 심전도 모니터의 개발 (Development of Holter ECG Monitor with Improved ECG R-peak Detection Accuracy)

  • 최정현;강민호;박준호;권기구;배태욱;박준모
    • 융합신호처리학회논문지
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    • 제23권2호
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    • pp.62-69
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    • 2022
  • 의료현장에서는 최근 디지털 헬스케어의 중요성이 대두되면서, 다양한 형태의 생체신호 측정 관련 연구가 활발히 진행되고 있다. 생체신호 중 가장 중요한 신호로 심전도를 들 수 있으며, 특히 부정맥 환자에 있어 심전도 신호의 연속 모니터링은 매우 중요하다. 부정맥은 동결절(sinus node), 동빈맥(sinus tachycardia), 심방조기수축(atrial premature beat, APB), 심실세동 (ventricular fibrillation) 등으로 그 발병원에 따른 형태가 다양하며, 발병 이후의 예후가 좋지 않으므로 일상 중 연속 모니터링은 부정맥의 조기 진단과 치료방향 설정에서 매우 중요하다. 부정맥 환자의 심전도 신호는 매우 불안정하며, 부정맥을 자동 검출하기 위한 주요 특징점으로 작용하는 정확한 R-peak 포인트의 검출이 어렵다. 본 연구에서는 연속 측정하는 홀터 심전도 모니터링 기기와 분석용 소프트웨어를 개발하였으며, 부정맥 데이터베이스를 통해 심전도 신호의 R-peak 효용성을 확인하였다. 향후 연구에서는 다양한 발병원인으로 인한 부정맥의 형태적 구분 및 예측을 위한 알고리즘과 임상 데이터에 근거한 유효성 검증에 관한 추가 연구가 필요하다.

40-64세 남성의 토르소 형태 분류에 관한 연구 - 제8차 Size Korea 인체형상으로부터 추출한 측정값을 이용하여 - (Classification of Torso Shapes of Men Aged 40-64 - Based on Measurements Extracted from the 8th Size Korea Scans -)

  • ;유은주;송화경
    • 한국의류산업학회지
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    • 제25권1호
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    • pp.92-103
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    • 2023
  • As the body shape change which occurs after middle age is the main factor affecting the fit of ready-to-wear clothes, this study was designed to classify and analyze the torso shapes of middle-aged men. This study sorted 3D body scans of 200 men aged 40-64 from the 8th Size Korea (2021) database and extracted their 47 measurement values using the Grasshopper algorithm for automatic extraction landmarks and measurements, developed by the previous research (Ryu & Song, 2022). Eight principal components (torso length, shoulder size, overall body size, abdomen prominence, back protrusion, neck inclination, upper body slope, and hip prominence) were identified and four torso shapes were classified. Shape 1 (28.5%) exhibited the shortest torso length, the narrowest shoulders, and the most protruding back. Shape 2 (21.0%) exhibited the skinniest body and the largest backward inclination of the upper body. Hence, the back appeared to be protruding, and the abdomen looked prominent. Shape 3 (25.5%) had the largest overall body size. Thus, the abdomen looked the least protruding, and it exhibited the flattest back. Shape 4 (25.0%) had the longest torso, widest shoulders, straightest neck, and the least protruding hips. This study suggested these three discriminant functions to identify a new person's torso type.