• Title/Summary/Keyword: Consultations

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Evaluation of Radiographic Positioning Techniques Used in Local Hospitals after Teleradiology Consultation

  • Sojin Kim;Miju Oh;Yooyoung Lee;Minju Lee;Jiyoung Ban;Uhjin Kim;Jiwoon Park;Jaepung Han;Dongwoo Chang
    • Journal of Veterinary Clinics
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    • v.39 no.6
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    • pp.326-333
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    • 2022
  • The purpose of this study was to evaluate the radiographic positioning techniques used in local animal hospitals, identify the most common positioning problem, and determine whether there were changes after teleradiology consultations. From September 2016 to April 2021, 15 local animal hospitals that requested radiographic interpretation more than 10 times and for more than six cases of thoracic radiographs were selected. Six sets of two-views of (lateral and ventrodorsal [VD] or dorsoventral [DV] views) digital thoracic radiographs from six dogs per hospital were evaluated in four categories. For the lateral view, radiographic technique scores used in ten local animal hospitals improved, one remained the same, and four became worse. For the VD/DV view, the score for eleven hospitals improved and worsened for four. The most common problem was rotation (57/90) for the lateral view, followed by an inappropriate field of view (59/90), and incorrect beam center (71/90). For the VD/DV view, an inappropriate field of view (54/90) was the most common problem, followed by asymmetry (63/90), and incorrect beam center (73/90). Every factor, except rotation in the lateral view, improved after obtaining technical consultation; however, the degrees of improvement were not remarkable. There was no significant correlation between the number of requests and the degree of improvement. According to the results, the radiographic technique used in local animal hospitals was improved by technical advice on teleradiology. These changes make it possible to provide accurate diagnoses of the requested images. There are some limitations regarding the indicators of evaluation and the number of cases; therefore, further studies that use detailed indicators in large cohort group are needed. In addition, an effective method of teaching should be developed to improve radiographic techniques in local animal hospitals.

A Study on the Strategic and Competitive Analysis of Public Libraries: Focusing on a Case of C Public Library (공공도서관의 전략경쟁분석에 관한 연구 - C도서관의 사례를 중심으로 -)

  • Noh, Dong-Jo
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.17 no.2
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    • pp.223-238
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    • 2006
  • For a public library. which is a regional information service agency. to acquire high competitiveness, preparation for uncertainties of future through understanding its own internal strengths and weaknesses. and external opportunities and threats based on assessments regarding knowledge information environment and characteristics of regional community. current status of the library, etc. Therefore. in this study, through SWOT analysis. one of competitive strategy analysis methods, the status of competitive strategy of C library was analyzed. In order to carry out the study interview and survey were performed with professional librarians, then through final consultations from management consulting experts, a plan to strengthen competitiveness for C library was devised. Conclusions from this study were as below. In order to strengthen competitiveness of C library offering distinguished high quality services through active cooperations with external institutions, efforts to improve library's position and stand following being selected as a library to visit for 2006 World Library and Information Congress, and revitalization of library usage through providing user oriented differentiated services are needed.

Automatic Electronic Medical Record Generation System using Speech Recognition and Natural Language Processing Deep Learning (음성인식과 자연어 처리 딥러닝을 통한 전자의무기록자동 생성 시스템)

  • Hyeon-kon Son;Gi-hwan Ryu
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.731-736
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    • 2023
  • Recently, the medical field has been applying mandatory Electronic Medical Records (EMRs) and Electronic Health Records (EHRs) systems that computerize and manage medical records, and distributing them throughout the entire medical industry to utilize patients' past medical records for additional medical procedures. However, the conversations between medical professionals and patients that occur during general medical consultations and counseling sessions are not separately recorded or stored, so additional important patient information cannot be efficiently utilized. Therefore, we propose an electronic medical record system that uses speech recognition and natural language processing deep learning to store conversations between medical professionals and patients in text form, automatically extracts and summarizes important medical consultation information, and generates electronic medical records. The system acquires text information through the recognition process of medical professionals and patients' medical consultation content. The acquired text is then divided into multiple sentences, and the importance of multiple keywords included in the generated sentences is calculated. Based on the calculated importance, the system ranks multiple sentences and summarizes them to create the final electronic medical record data. The proposed system's performance is verified to be excellent through quantitative analysis.

A Case Study of Improving Instruction by Utilizing Online Instruction Diagnosis Item Pool

  • SHIM, Mi-Ja
    • Educational Technology International
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    • v.6 no.2
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    • pp.23-41
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    • 2005
  • One of the main factors that determine the quality of instruction is the teaching ability of the instructor administering the class. To evaluate teaching ability, methods such as peer review, student feedback, and teaching portfolio can be used. Among these, because feedback from the students is directly associated with how well the students feel they have learned, it is essential to improving instruction and teaching ability. The principal aim of instruction evaluation lies in the evaluation of instructor's qualification and the improvement of instruction quality by enhancing professionalism. However, the mandatory instruction evaluations currently being carried out at the term's end in universities today have limitations in improving instruction in terms of its evaluation items and times. To improve the quality of instruction and raise teaching abilities, instruction evaluations should not stop at simply being carried out but also be utilized as useful data for students and teachers. In other words, they need to be used to develop teaching and improve instruction for teachers, and consequently, should also exert a positive influence on students' scholastic achievements and learning ability. The most important thing in evaluation is the acquisition of accurate information and how to utilize it to improve instruction. The online instruction diagnosis item pool is a more realistic feedback device developed to improve instruction quality. The instruction diagnosis item pool is a cafeteria-like collection of hundreds of feedback questions provided to enable instructors to diagnose their instruction through self-diagnosis or students' feedback, and the instructors can directly select the questions that are appropriate to the special characteristics of their instruction voluntarily make use of them whenever they are needed. The current study, in order to find out if the online instruction diagnosis item pool is truly useful in reforming and improving instruction, conducted pre and post tests using 256 undergraduate students from Y university as subjects, and studied the effects of student feedback on instructions. Results showed that the implementation of instruction diagnosis improved students' responsibility regarding their classes, and students had positive opinions regarding the usefulness of online instruction diagnosis item pool in instruction evaluation. Also, after instruction diagnosis, analyzing the results through consultations with education development specialists, and then establishing and carrying out instruction reforms were shown to be more effective. In order to utilize the instruction diagnostic system more effectively, from planning the execution of instruction diagnosis to analyzing the results, consulting, and deciding how those results could be utilized to instruction, a systematic strategy is needed. In addition, professors and students need to develop a more active sense of ownership in order to elevate the level of their instruction.

The Approach of Land Use Planning for Climate Change on Coastal Areas - Focus on the Case of US, Mediterranean Sea and Caribbean Sea Coastal Areas - (기후변화 적응을 위한 연안완충구역 정책 개선방안 - 미국 연안도시와 지중해, 카리브해 연안지역 사례를 중심으로 -)

  • Jiwoon Oh;Hansol Mun;Yeonju Kim;Jiwoo Han;Juchul Jung
    • Journal of Environmental Impact Assessment
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    • v.33 no.1
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    • pp.18-29
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    • 2024
  • The aggravation of coastal erosion due to climate change has recently emerged as a global issue, and the international community is aware of the risk and is applying national consultations and various policies. In the case of coastal countries located in the Mediterranean Sea and the Caribbean Sea, coastal buffer zones and coastal management plans are established at a national level, and the United States is establishing coastal area management plans at the city level. In Korea, coastal erosion management areas are designated and managed to prevent coastal erosion and coastal disasters, but the number of designated areas and policies for coastal land areas are lacking. Therefore, in this study, we study policy cases applied to coastal land to prevent and reduce coastal erosion and coastal disasters through policy status and overseas cases, and seek ways to improve coastal buffer zone policies. As a result of the study, implications were drawn that expansion of the coastal buffer zone for coastal land areas and standards for establishing buffer zones based on scientific analysis are necessary.

A Study on Student Players' Mental Strength in Taekwondo Competition from a Philosophical Perspective (철학적 관점에서의 태권도 겨루기 학생 선수 정신력에 관한 연구)

  • Ki-Sam Kim
    • Journal of Industrial Convergence
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    • v.22 no.1
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    • pp.105-115
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    • 2024
  • This study aimed to analyze the impact of mental strength on the competitive performance of student Taekwondo sparring athletes. A total of 343 middle school, high school, and university students registered as Taekwondo sparring athletes with the Korea Taekwondo Association were conveniently sampled. The Mental Toughness Test developed by Loehr was utilized after expert consultations. Data analysis involved t-tests and one-way ANOVA to assess the levels of mental strength sub-factors based on general characteristics, followed by post hoc tests using the Schéffe method for intergroup comparisons. Correlation analysis and multiple regression were conducted to examine the relationship between sub-factors of mental strength and competitive ability. The results indicated significant differences in mental strength sub-factors-confidence, level of awakening regulation, visualization and mental imagery regulation, motivation level, positive energy, and attitude control-based on gender and age among Taekwondo sparring student athletes. In terms of perceived competitive ability, significant differences were found based on age and sports experience. Consequently, beyond psychological training, the study revealed that age and diverse experiences positively influence specific aspects of mental strength among Taekwondo sparring student athletes. Therefore, coaching and training for these athletes, particularly during middle and high school years, should incorporate psychological aspects alongside diverse competition experiences and training to help overcome performance evaluation anxieties during matches.

A Case Study Evaluating the Effectiveness of an Interdisciplinary Team-Based Integrated Medical Service Model in Improving the Quality of Life of a Fibromyalgia Patient and Caregiver through Psychological and Various Counseling Interventions (섬유근통 환자와 보호자의 삶의 질 증진을 위한 의·한 협진 기반의 통합의료서비스모델 적용평가 사례 연구: 심리 및 매체 상담개입을 중심으로)

  • Moon Joo Cheong;Do-Eun Lee;Myeung Su Lee;Chang Hoon Lee;Jung Han Lee;Won Bae Ha;Hyung Won Kang;Chong Hyuk Chung
    • Journal of Oriental Neuropsychiatry
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    • v.35 no.2
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    • pp.191-203
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    • 2024
  • Objectives: To evaluate the effectiveness of an integrated medical service model for a fibromyalgia patient and their caregiver, focusing on reducing pain and improving quality of life. Methods: A single-case study design was employed, involving a fibromyalgia patient and their primary caregiver treated at W University Hospital. The integrated medical service program, based on the Ministry of Health and Welfare's model, included medical consultations and complementary therapies such as psychological counseling, art therapy, music therapy, horticultural therapy, yoga, and meditation. The program was conducted weekly for 8 weeks, with each session lasting up to 100 minutes. Data collection involved both quantitative and qualitative assessments. Quantitative data included demographic surveys, psychological tests, health-related quality of life measures, pain indices, and sleep quality indices. Qualitative data were gathered through feedback evaluations and emotional assessments. Results: The patient showed improvements in mobility, self-care, daily activities, and anxiety/depression, with EQ-VAS scores increasing from 20 to 40 and pain perception decreasing from 67.41 to 42.58. The caregiver reported reduced anxiety/depression and an increase in EQ-VAS scores from 95 to 98. Both patient and caregiver exhibited emotional changes, with decreased depression and increased happiness. However, the patient showed an increase in fear and anger. Conclusions: The integrated medical service model positively impacted the emotional and psychological well-being of the fibromyalgia patient and their caregiver. Despite the limitations of a small sample size and a single-case study design, the findings suggest that an integrated approach can be beneficial. Larger-scale studies are needed to confirm and generalize these results.

Sharing Experiences in Selecting Clinical Outcome and Approving Validated Questionnaires : Insights from an Elderly Registry Study (노인등록연구 사례를 통한 임상평가지표 선정 과정 및 검증된 설문도구 승인 경험의 공유)

  • Nahyun Cho;Hyungsun Jun;Won-Bae Ha;Junghan Lee;Mi Mi Ko;Young-Eun Kim;Jeeyoun Jung;Jungtae Leem
    • The Journal of Korean Medicine
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    • v.45 no.1
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    • pp.17-43
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    • 2024
  • Objectives: Underpinned by the context of a Korean traditional medicine cohort study on healthy aging, this research primarily aims to guide the selection of Clinical Outcome Assessments (COAs) for elderly healthy aging patient registry research, offering insights into the selection process; and secondly, to streamline the resource-intensive process of obtaining permissions for validated COAs, benefiting future traditional Korean medicine clinical researchers. Methods : In this study, we identified outcomes through a review of previous studies, followed by a process involving expert consultations to select the final outcomes. Subsequently, for the selected outcomes that were Clinical Outcome Assessments (COAs) developed tools, we searched in commercial databases to confirm the availability of Korean versions and the necessity of obtaining permissions. Finally, we obtained permissions for their utilization and, when needed, acquired the original instrument questionnaire through payment. Results: Through a literature review of existing observational studies, a total of 57 outcomes were selected, with 19 of them identified as COA instruments. Upon verifying usage permissions for these 19 instruments, it was found that 17 required author-specific permissions, and among these, 2 needed a purchase as they were commercially available. Conclusion: This study provides a detailed overview of outcome selection and permission acquisition for elderly patient registry research. It underscores the importance of Clinical Outcome Assessment (COA) tools and the rigorous approval process, aiming to enhance research reliability. Continuous verification of COA information is essential, and future research should explore Core Outcome Set (COS) development through consensus-building approaches like Delphi studies.

Development of a General Occupational Safety and Health (OSH) Guide for Maintenance Work at Electronics Industry Processing Facilities (전자산업 공정 설비 작업 안전보건가이드 개발)

  • Soyeon Kim;Seunghee Lee;Jeongyeon Park;Taek-hyeon Han;Jae-jin Moon;Ingyun Jung;Kyung Ehi Zoh;Seyoung Kwon;Kwang Jae Chung;Dong-Uk Park
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.34 no.1
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    • pp.18-25
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    • 2024
  • Objectives: The primary aim of this study is to create an Occupational Safety and Health (OSH) guide for high-risk maintenance tasks, specifically one designed for maintenance work (MW) in the electronics industry. Methods: The methodology involved a literature review, field investigations, and discussions. An initial draft of the OSH guide was created and then refined through consultations with experts possessing extensive experience in MW for electronic processes. Results: Specific MW tasks within electronics processing facilities identified as high-risk by the research were selected. A comprehensive OSH guide for these tasks was developed consisting of approximately 11 to 12 components and encompassing about 20-25 pages. Implementing safety and health measures before, during, and after MW is crucial for the protection of maintenance personnel. The guide is enriched with real-case scenarios of industrial accidents and occupational diseases to enhance maintenance workers' comprehension of the OSH principles. For a clearer understanding of and adherence to the safety protocols, the guide incorporates visual aids, including cartoons and photographs. Conclusions: This OSH guide is designed to ensure the protection of workers involved in maintenance activities in the electronics industry. It aligns with global standards set by the International Organization for Standardization (ISO) and Semiconductor Equipment and Material International (SEMI) to ensure a high level of safety and compliance.

Schematic Maps of Ocean Currents in the Yellow Sea and the East China Sea for Science Textbooks Based on Scientific Knowledge from Oceanic Measurements (관측 기반 과학적 지식에 근거한 과학교과서 황해 및 동중국해 해류모식도)

  • PARK, KYUNG-AE;PARK, JI-EUN;CHOI, BYOUNG-JU;LEE, SANG-HO;SHIN, HONG-RYEOL;LEE, SANG-RYONG;BYUN, DO-SEONG;KANG, BOONSOON;LEE, EUNIL
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.22 no.4
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    • pp.151-171
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    • 2017
  • Most of oceanic current maps in the secondary school science and earth science textbooks have been made on the base of extensive in-situ measurements conducted by Japanese oceanographers during 1930s. According to up-to-date scientific knowledge on the currents in the Yellow Sea and the East China Sea (YES), such maps have significant errors and are likely to cause misconceptions to students, thus new schematic map of ocean currents is needed. The currents in the YES change seasonally due to relatively shallow water depths, complex terrain, winds, and tides. These factors make it difficult to construct a unified ocean current map of the YES. Sixteen major items, such as the flow of the Kuroshio Current into the East China Sea and its northward path, the origin of the Tsushima Warm Current and its path into the Korea Strait, the path of Taiwan Warm Current, the Jeju Warm Current, the runoff pattern of the Yangtze River flow, the routes of the northward Yellow Sea Warm Current, the Chinese Coastal Current, and the West Korea Coastal Current off the west coast of the Korean Peninsula, were selected to produce the schematic current map. Review of previous scientific researches, in-depth discussions through academic conferences, expert discussions, and consultations for three years since 2014 enabled us to produce the final ocean current maps for the YES after many revisions. Considering the complexity of the ocean currents, we made seven ocean current maps: two representative current patterns in summer and winter, seasonal current maps for upper layer and lower layer in summer and winter, and one representative surface current map. It is expected that the representative maps of the YES, connected to the current maps of the East Sea and the Northwest Pacific Ocean, would be widely utilized for diverse purposes in the secondary-school textbooks as well as high-level educational purposes and even for scientific scholarly experts.