• 디지털융복합연구
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• 제19권5호
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• pp.175-186
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• 2021

국내 공공도서관의 역할과 기능은 다양해지고 있는 반면, 내부적으로는 편향된 도서 대출로 다양한 문제들이 나타나고 있다. 또한 최근 4차 산업혁명으로 공공도서관에서 인기도서 위주의 도서 추천시스템이 도입되고 있으나, 이용자가 접할 수 있는 도서의 다양성은 제한되고 있다. 이에 본 연구에서는 공공도서관 이용자의 만족을 제고하기 위해 공간적으로는 대구시 두류도서관으로 한정하여 대출이력 자료(213,093건), 회원정보(35,561명) 등을 활용하여 군집분석과 토픽 모델링, 콘텐츠 기반 필터링 추천 알고리즘으로 공공도서관 미대출 도서 추천시스템을 구현하였으며, 이에 대한 실제 이용자들의 만족도 설문조사를 실시하여 미대출 도서 추천시스템의 가능성과 시사점을 제시하였다. 분석 결과 대다수의 이용자들이 높은 만족도로 응답하였으며, 특정 성·연령대, 직업, 평소 독서량 등으로 분류된 계층에서 만족도가 상대적으로 높게 나타난 것을 확인할 수 있었다. 본 연구결과를 통해 공공도서관의 편향된 도서 대출, 운영 효율성 저하 등의 문제를 일부 개선할 수 있을 것으로 기대하며, 연구의 한계점 또한 제시하였다.

• 대한한방소아과학회지
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• 제35권4호
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• pp.16-33
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• 2021

Objectives This study aims to provide directions for future Korean pediatric medicine treatment and researches by analyzing the characteristics of diseases of Korean pediatric outpatients before and after the COVID-19 epidemic. Methods We analyzed the medical records of 10,868 new patients aged 0-18 who visited the Korean pediatrics at Kyung Hee university hospital from January 1, 2019 to June 30, 2021. All patients were divided into 2 groups; patients who visited from January 1, 2019 to December 31, 2019, before the coronavirus epidemic, and patients who visited from January 1, 2020 to June 30, 2021, after the coronavirus epidemic. Within the two groups, the diagnosis distribution was performed for the entire population, by gender and by age group. Diagnoses were classified as allergy, growth, gastrointestinal, respiratory, general body supplementation, neuropsychiatric, skin, urogenital, musculoskeletal, and other systems. Results According to the comparative analysis results of before and after the COVID epidemic, there was a decreasing trend of diagnoses in relates to allergy, respiratory, urogenital, musculoskeletal system. On the other side, there was an increasing trend in gastrointestinal, general body supplementation, growth, neuropsychiatric, skin and other system. Changes in diagnosis based on gender and age group will be described below. Conclusions This study analyzed the characteristics of diseases of Korean pediatric outpatients before and after the COVID-19 epidemic, and suggested the direction of future Korean medicine treatment and researches for pediatrics. Also, this study aimed to propose proper treatments for children by showing the role of Korean pediatric medicine related to growth and development of children during the epidemic. However, this study has limitations such as failure to track the long-term impact of COVID-19. Thus, long term follow-up studies are needed to show the effect of COVID-19 on Korean pediatric medicine.

• 동의신경정신과학회지
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• 제30권3호
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• pp.165-175
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• 2019

Objectives: This study was conducted to investigate the emotional characteristics of the patients within one year after stroke using the Core Seven Emotions Inventory-Short Form. Methods: It analyzed the medical records of 39 stroke patients who had visited W University hospital and completed the Core Seven-Emotions Inventory-Short Form (CSEI-S), the K-MBI, the PWI-SF, and the HADS. Patients data were analyzed by descriptive analysis, frequency analysis, the Mann-Whitney U test, and the nonparametric test of the CSEI according to the period of stroke onset in patients and Spearman's correlation analysis using the SPSS (Statistical Package for the Social Science, IBM, United States of America) Version 23.0. Results: First, in the case of depression, all subjects were in the danger group, although more than half of the joy, anger, thinking, sadness and fear were included in the normal group in the shortening of the key seven-point scale. Secondly, in measuring the social and psychological stress and hospital anxiety and depression, social and psychological stress were indicated to be a potential danger group, while anxiety and depression were shown to be a healthy group. Thirdly, the emotional characteristics were explored according to the sub-factor of the shortening of the key seven-figure emotional scale after being classified within two months, between two and six months and over six months depending on the duration of the outbreak. As a result, statistically significant, Joy was the highest score over six months and the lowest score between two and six months. On the other hand, the case of depression was depicted to be significantly lower at over six months, and was highest between two and six months. Finally, the correlations on each scale were statistically significant. Conclusions: This study provided that the CSEI-S can be used to simply to measure the emotions of patients according to the period of the onset of stroke in the clinical scene.

• 헤리티지:역사와 과학
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• 제47권4호
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• pp.178-191
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• 2014

진상제는 지방의 특산물을 왕실에 봉진하는 제도이다. 진상물은 물품의 성격, 봉진시기, 용도에 따라 제향진상, 방물진상, 물선진상, 약재진상으로 구분된다. 이 중에서 물선진상은 전국의 산해진미를 봉진하는 것으로, 주로 식재료로 구성되었다. 그리고 물선진상은 다른 진상물과 달리 물품의 수량 경감 내지 일시적인 봉진 중지가 빈번하였다. 이는 물선진상의 경감을 통해 백성에게 물질적인 혜택을 줌으로써 자애로운 군주상을 확보하기 위한 국왕의 의도였다. 숙종 역시 재위기간 동안 빈번히 물선진상을 경감하거나 폐지하였다. 그러나 이 같은 물선진상 변경내역의 문서 보완이 미비하면서, 영조 즉위 직후 물선진상의 물종 및 수량이 불분명한 상태였다. 이에 영조는 "진상별단등록" 간행을 통해 물선진상의 물종 및 수량, 경감내역을 분명히 하였다. "진상별단등록"은 진상지역, 봉진시기, 봉진대상, 물종 및 수량, 경감내역이 기재되어 있다. 이 중에서 물선진상의 물종 및 수량은 다른 내용에 비해 중요하다. "진상별단등록"에 수록된 물선진상은 총 176종에 이르는데, 이 중에서 어류, 패류, 건어류 등 수산물이 117종으로 약 67%를 차지하고 있었다. 그리고 대부분의 물선진상이 원재료로 구성되어 있었고, 생물 이외에 말리거나 절이는 등 다양한 형태로 가공되었다. 물선진상의 지역별 분정특징을 살펴보면, 경상도, 함경도, 강원도 순으로 물선진상이 많이 수록되어 있다. 그리고 이들 지역은 동해안과 접해 있다보니, 수산물의 비중이 상대적으로 높은 편이다. 경상도와 전라도는 석류, 유자 등 양남지역의 대표적인 과실류가 분정되어 있었고, 제주도는 감귤류, 각종 전복가공품 등 전국에서 유일하게 분정된 물종이 대부분을 차지하고 있었다. 그리고 서울과 지리적으로 먼 곳에 위치한 도에는 건어류, 염어류 등을 집중적으로 분정하였다.

• 대한신경집중치료학회지
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• 제11권2호
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• pp.110-118
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• 2018

Background: The role of clinical pharmacists in medication therapy to improve clinical and economic outcomes has been reported in the literature. This study was conducted to analyze the changes in details of medication interventions before and after the introduction of clinical pharmacists into the care of neurocritical care unit (NCU) patients, and to evaluate the economic effects of clinical pharmacists by calculating the avoidance cost. Methods: A retrospective study was conducted reviewing the electronic medical records from June 2013 to May 2014 (before), and from June 2016 to May 2017 (after). We calculated the number and rates of intervention, the acceptance rates of it, and also reviewed the list of interventions. We calculated avoidance cost if there was no intervention. Results: The monthly mean number of interventions increased from 8.0 (${\pm}5.7$) to 31.7 (${\pm}12.8$) (P<0.001) and the frequency of intervention also increased from 0.8% to 1.6% (P=0.003). The most frequently provided pharmacist intervention was nutritional support before introduction of clinical pharmacists and discussions on the medication plan after. The number of classified interventions was 14 before introduction of clinical pharmacist services and 33 after. The calculated cost avoidance associated with a clinical pharmacists' integration was 77,990,615 won per year. Conclusion: Introduction of clinicals pharmacist into the NCU was associated with increased intervention rates and expanded types of clinical interventions. The cost avoidance achieved by the pharmacists' interventions can be further explored to evaluate if similar expansions of pharmacists' services achieve similar results in other settings.

• Journal of Gastric Cancer
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• 제21권2호
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• pp.203-212
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• 2021

Purpose: The impact of the interval between previous endoscopy and diagnosis on the treatment modality or mortality of undifferentiated (UD)-type gastric cancer is unclear. This study aimed to investigate the effect of endoscopic screening interval on the stage, cancer-related mortality, and treatment methods of UD-type gastric cancer. Materials and Methods: We reviewed the medical records of newly diagnosed patients with UD gastric cancer in 2013, in whom the interval between previous endoscopy and diagnosis could be determined. The patients were classified into different groups according to the period from the previous endoscopy to diagnosis (<12 months, 12-23 months, 24-35 months, ≥36 months, and no history of endoscopy), and the outcomes were compared between the groups. In addition, patients who underwent endoscopic and surgical treatment were reclassified based on the final treatment results. Results: The number of enrolled patients was 440, with males representing 64.1% of the study population; 11.8% of the participants reported that they had undergone endoscopy for the first time in their cancer diagnosis. The percentage of stage I cancer at diagnosis significantly decreased as the interval from the previous endoscopy to diagnosis increased (65.4%, 63.2%, 64.2%, 45.9%, and 35.2% for intervals of <12 months, 12-23 months, 24-35 months, ≥36 months, and no previous endoscopy, respectively, P<0.01). Cancer-related mortality was significantly lower for a 3-year interval of endoscopy (P<0.001). Conclusions: A 3-year interval of endoscopic screening reduces gastric-cancer-related mortality, particularly in cases of UD histology.

• 헤리티지:역사와 과학
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• 제54권1호
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• pp.32-51
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• 2021

가야 건축과 관련한 건축적 증거는 그 어떤 지역보다도 미미하다. 이러한 상황에서 가야 건축을 연구하는 데에는 가형토기라고도 불리는 집모양토기가 특히 도움이 된다. 집모양토기는 사용 목적이 건축적이지는 않지만 그 모습이 건축물을 모방하였기 때문에 당시 건축의 모습을 보다 사실적으로 보여주는 자료이다. 그러나 집모양토기가 건축물을 모방하였다고는 하지만 본래 건축과는 상관없는 특별한 기능을 갖는 기물이므로 건축물에 대한 정확한 묘사보다는 본래의 기능에 맞는 형태로 변형되는 것이 일반적이다. 따라서 그 형태를 살펴 건축적인 부분과 아닌 부분을 구분해내고 건축적인 부분을 통해 건축물의 모습을 규명해내지 않으면 안 된다. 이 논문에서는 이러한 이해를 바탕으로 현존하는 집모양토기의 건축적 고찰을 통하여 가야의 건축적 특성을 추정하는 것을 시도해보았다. 여기에는 역사기록과 함께 특히 최근 발굴조사를 통해 드러난 고고학적 결과를 기초자료로 활용하였다. 그 결과는 다음과 같다. 첫째, 집모양토기는 그 형태에 따라 세 가지 유형으로 구분할 수 있으며 각 유형은 각각 구별되는 건축 구조적 특성을 갖고 있다. 둘째, 한국을 비롯한 동양 건축의 특징 중 하나인 지붕면을 정면으로 하는 것과 비교할 때, 집모양토기에 나타나는 맞배지붕의 박공면을 정면으로 하는 건축 의장적 특성은 가야 건축이 갖는 매우 큰 특징이라고 할 수 있다. 셋째, 일부 고고학적 증거가 부족하기는 하지만 가야 건축에서는 기능에 따른 다양한 유형의 건축물이 존재하였으며, 집모양토기는 이들 가운데 풍요의 상징성을 갖는 고상 창고, 축사, 주택의 형태를 모방하여 제작된 것이다.

• 지역사회간호학회지
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• 제32권4호
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• pp.430-444
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• 2021

Purpose: This study is an integrated literature review to analyze health problems and social determinants of multicultural adolescents in South Korea. Methods: An integrative review was conducted according to Whittemore & Knafl's guideline. An electronic search that included publications from 2018 to 2020 in the PubMed, EMBASE, Cochrane Library, CINAHL, RISS, and KISS databases was conducted. Of a total of 67 records that were identified, 13 finally met full inclusion criteria. Text network analysis was also conducted to identify keywords network trends using NetMiner program. Results: The health problems of multicultural adolescents were classified into mental health (depression, anxiety, suicide and acculturative stress) and health risk behaviors (smoking, risky drinking, smartphone dependence and sexual behavior). As social determinants affecting the health of multicultural adolescents, the biological factors such as gender, age, and visible minority, and the psychological factors such as acculturative stress, self-esteem, family support, and ego-resiliency were identified. The sociocultural factors were identified as family economic status, residential area, parental education level, and parents' country of birth. As a result of text network analysis, a total of 41 words were identified. Conclusion: Based on these results, mental health and health risk behaviors should be considered as interventions for health promotion of multicultural adolescents. Our findings suggest that further research should be conducted to broaden the scope of health determinants to account for the effects of the physical environment and health care system.

• 우주기술과 응용
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• 제1권2호
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• pp.217-240
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• 2021

본 논문은 다가오는 달 유인 탐사시대를 대비하여 달의 지형 및 지질학적 기초 지식을 우주과학자들에게 소개한다. 달 지형 용어에 대한 학술적 기원을 간단히 정리하였으며, 현재 통용되는 한글 용어를 확장하여 새로운 지형 용어들을 제안하였다. 특히, 일반인도 꼭 알아야 할 대표적인 달의 지형으로 1 대양(폭풍의 대양), 10대 바다(비의 바다, 평온의 바다, 고요의 바다, 감로주의 바다, 풍요의 바다, 위난의 바다, 증기의 바다, 인식의 바다, 습기의 바다, 구름의 바다), 6대 충돌구(티코, 코페르니쿠스, 케플러, 아리스타쿠스, 스테비누스, 랑그레누스)를 제안한다. 달의 지형으로 고원(highland), 바다(maria), 산맥(mountains), 충돌구(crater), 함몰 용암굴/열구(rille, rima), 지구대(graben), 돔(dome), 용암동굴(lava tube), 주름 능선(wrinkle ridge), 참호(trench), 절벽(rupes), 그리고 달의 표면 흙을 표토(regolith)로 사용할 것을 제안한다. 또한, 달의 내부 구조 표준 모델과 대표적 암석을 소개하였다. 지구의 지질 시대구분은 발견 화석과 방사성 동위원소를 이용한 절대연령 측정을 기준으로 하는 반면, 표준적인 달의 지질 시대 구분은 대표적인 충돌구 형성을 기준으로 선-넥타리스 기(Pre-Nectarian), 넥타리스 기(Nectarian), 임브리움 기(Imbrian), 에라토스네스 기(Erathostenesian), 코페르니쿠스 기(Copernican)로 나뉜다. 마지막으로 인간의 달 활용에 획기적인 계기가 되는 최근의 달 표면 물 발견에 대한 내용을 정리하였으며, 향후 한국지질자원연구원에서 개발될 물 채취 장치의 개념도 소개하였다.

• 대한한의학회지
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• 제42권2호
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• pp.31-49
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• 2021

Objectives: The purpose of this study is to statistically analyze the demographic characteristics of patient who visited the department of Acupuncture & Moxibustion, korean medicine hospital(KMH) in Daejeon before and after COVID-19. Methods: This study retrospectively analyzed the medical records of 63,185 patients who received treatment at KMH in Daejeon for 3 years from January 1, 2018 to August 31, 2020. Data were classified by year, month, new/old type, gender, age and Disease group. IBM-SPSS-Statistics ver25.0. was used for the data analysis. Results: 1. According to the analysis by gender, the rate of new patients after COVID-19 outbreak was similar to that of the previous years. The old patients showed an increase in the rate of visits by men and a decrease in the rate of visits by women. 2. According to the analysis by age group, the rate of new patients was similar to that of the previous year. the rate of patients in their 20s and 50s decreased, and the rate of patients over 60 increased. 3. According to the analysis by frequent disease, after the outbreak of COVID-19, the number of patients decreased in 14 disease groups excluding cervical sprains among the 15 frequent disease groups. 4. For inpatients, even after COVID-19 outbreak, the results of all variables were similar to the previous years. Conclusions: After COVID-19, on outpatients, the percentage of female visits, the percentage of patients in their 20s to 50s and Number of patients with frequent disease decreased significantly. On Inpatients, the results of all variables were similar to those before COVID-19.