• 한국의료질향상학회지
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• 제22권2호
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• pp.43-73
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• 2016

Purpose: The aims of this study were to assess the presence of core patient safety practices in Korean hospitals and assess the differences in reporting and learning systems of patient safety, infrastructure, and safe practices by hospital characteristics. Methods: The authors developed a questionnaire including 39 items of patient safety staffing, health information system, reporting system, and event-specific prevention practices. The survey was conducted online or e-mail with 407 tertiary, general and specialty hospitals. Results: About 90% of hospitals answered the self-reporting system of patient safety related events is established. More than 90% of hospitals applied incidence monitoring or root cause analysis on healthcare-associated infection, in-facility pressure ulcers and falls, but only 60% did on surgery/procedure related events. More than 50% of the hospitals did not adopted present on admission (POA) indicators. One hundred (80.0%) hospitals had a department of patient safety and/or quality and only 52.8% of hospitals had a patient safety officer (PSO). While 82.4% of hospitals used electronic medical records (EMRs), only 53% of these hospitals adopted clinical decision support function. Infrastructure for patient safety except EMRs was well established in training, high-level and large hospitals. Most hospitals implemented prevention practices of adverse drug events, in-facility pressure ulcers and falls (94.4-100.0%). But prevention practices of surgery/procedure related events had relatively low adoption rate (59.2-92.8%). Majority of prevention practices for patient safety events were also implemented with a relatively modest increase in resources allocated. Conclusion: The hospital-based reporting and learning system, EMRs, and core evidence-based prevention practices were implemented well in high-level and large hospitals. But POA indicator and PSO were not adopted in more than half of surveyed hospitals and implementation of prevention practices for specific event had low. To support and monitor progress in hospital's patient safety effort, national-level safety practices set is needed.

• 한국시뮬레이션학회논문지
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• 제12권3호
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• pp.69-81
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• 2003

To manage a cluster of distributed server systems, a number of management aspects should be considered in terms of configuration management, fault management, performance management, and user management. System performance monitoring and reporting take an important role for performance and fault management. In this paper, we present distributed system architecture modeling of a performance monitoring and reporting tool. Modeling architecture of four subsystems are introduced: node agent, data collection, performance management & report, and DB schema. The performance-related information collected from distributed servers are categorized into performance counters, event data for system status changes, service quality, and system configuration data. In order to analyze those performance information, we use a number of ways to evaluate data corelation. By using some results from a real site of a company and from simulation of artificial workload, we show the example of performance collection and analysis. Since our report tool detects system fault or node component failure and analyzes performances through resource usage and service quality, we are able to provide information for server load balancing, in short term view, and the cause of system faults and decision for system scale-out and scale-up, in long term view.

• 식품과학과 산업
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• 제48권4호
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• pp.16-20
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• 2015

• 한국통신학회논문지
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• 제18권4호
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• pp.537-548
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• 1993

OSI 장애 관리 기능 서비스는 경보 보고 기능, 사건 보고 관리 기능 그리고 로그 제어 기능의 서비스로 구성된다. 장애 관리는 사건을 통지하고 관리하는 것이며, 장애 관리 정보로 전달되는 경보 데이터는 효과적으로 관리되어져야 한다. 그리고 이러한 기능들을 사용하여 적절한 장애 관리 모델을 설정하는 것은 네트워크 관리 활동의 연구에 필수적이다. 따라서, 본 논문에서는 경보 보고 기능 서비스를 기반으로 사건보고 관리와 로그 제어 기능의 통합 모델을 연구한다. 또한, 효과적인 OSI 장애 관리를 위하여 관리자 시스템내에 부가된 경보 수집자 요소를 제안하고 연구한다.

• 한방재활의학과학회지
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• 제24권4호
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• pp.97-109
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• 2014

Objectives Bee venom acupuncture (BVA) is emerging as a potential therapeutic option for several conditions. However, evidence regarding accurate estimates of its adverse events are not available. Therefore, by combining occurrence rates of adverse events in relevant randomized controlled trials (RCTs), we have aimed to give an overall estimated rate of each adverse event following BVA intervention. Methods A systematic search for adverse events of BVA in Pubmed, Cochrane Central Register of Controlled Trials, Embase, NDSL, KoreaMed, KISS, RISS, KISTI, and KMbase was performed. For the quality assessment of the trials, we applied the CONSORT harms reporting recommendations. The overall occurrence rate of each adverse event was assessed as the primary outcome. The overall drop-out rate due to adverse events was assessed as the secondary outcome. Results Ten RCTs reported adverse events following BVA. Two RCTs were eligible of further synthesis. Adverse events of pruritus, localized edema, and erythema occurred significantly more frequently in the BVA group compared to the control group. Data of drop-outs were available in seven RCTs. However, no comparisons showed a significant difference. Conclusions Currently evidence of adverse events is far from sufficient for assessing a reliable, precise occurrence rate. Still, limited evidence shows a tendency that adverse events occur more frequently after the appliance of BVA compared to the control. Thus, we await well designed future studies of BVA with more proper and strict harms reporting methods.

• 전자공학회논문지
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• 제52권1호
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• pp.140-147
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• 2015

본 연구는 의료기기법이 시행된 이래 의료기기 부작용등 안전성 정보관리를 위한 의료기기 안전성 정보 원내 보고 시스템 설계에 대한 연구이다. 본 연구는 현행 의료기기 부작용등 안전성정보 보고 관리에 대한 법적 규정 및 시스템에 대한 절차와 현황을 파악하고, MSF/CD(Microsoft Solution Framework/Component Design)설계방법론을 적용한 시스템 설계 방법을 적용하여 의료기기 안전성 정보 원내 보고 시스템 구축을 위한 설계를 하였다. 본 연구를 통해 우리나라의 부작용 등 안전성 정보 보고에 대한 식품의약품안전처 고시 규정을 포함한 의료기기 관리 제도를 파악하고, 좀 더 환자의 안전과 의료기기의 위험관리를 효과적으로 할 수 있는 의료기기 안전성 정보 원내 보고 시스템을 설계 및 구축함으로써 의료기기 부작용 등 안전성 정보 보고의 활성화에 이바지 할 수 있기를 기대한다.

• 영어어문교육
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• 제9권spc호
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• pp.113-129
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• 2003

This study aims to probe for ideological construction within the linguistic structure of newspaper reporting. The study focuses on news reports relating the issue of new IOC chairman election in English version of four mainstream newspaper published in Korea: The Donga Daily News, The Jungang Daily News, The Chosun Daily News, and The Korea Times. The analysis of these reports adheres to the analytic paradigm of critical linguistic analysis and shows how the newspaper articulate conflicting ideological positions in their reports of new IOC chairman election. The analysis demonstrates how the event of new IOC chairman election is naturalized in racist accounts. This study is important for understanding the constructive nature of language practices. The study concludes with a discussion to explain the need for critical awareness in choosing right teaching material, considering that news reports are widely accepted as an authentic material for English education.

• 한국전자통신학회논문지
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• 제13권5호
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• pp.987-994
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• 2018

본 논문에서는 교통정보의 자동 전송시스템에 대한 연구결과를 제시한다. 여기서는 구급차나 소방차와 같은 긴급차량의 진로를 방해하는 것을 교통이벤트로 정의한다. 차량 내부에 설치된 블랙박스에 기록되는 동영상으로부터 교통이벤트 발생이 판정되는 경우 해당 정보를 증거영상과 함께 전자우편을 통하여 자동적으로 관제선터에 전송하는 시스템을 구현하였다. 이를 위하여, 전방에서 주행하는 차량의 번호판으로부터 문자와 숫자를 인식하는 알고리즘, 교통이벤트 발생 판정알고리즘을 실현하였다. 또한, 신고를 위하여 텍스트와 영상 파일을 전자우편과 파일전송프로토콜을 통하여 자동 전송하는 기능도 추가하였다. 따라서 교통이벤트를 확장하여 제시된 시스템에 적용하면 다양한 교통법규 위반 사항에 대한 편리한 신고체계를 수립할 수 있으므로 교통법규 위반 사례를 크게 줄일 수 있을 것으로 판단된다.

• 한국임상약학회지
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• 제28권3호
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• pp.230-237
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• 2018

Objective: To compare adverse event reporting patterns between ethical-the-counter and over-the-counter drugs from community pharmacies and outpatient settings. Methods: We conducted a descriptive study using the adverse event reporting database, wherein data were collected from the regional pharmacovigilance centers of the Korean Pharmaceutical Association between January 1, 2016 and December 31, 2016. The reported drugs were classified into either ethical-the-counter or over-the-counter drugs, and we compared the distribution of patient age and gender, frequent adverse events and medications, serious adverse events, and causality assessment results, where causality assessments were performed according to the World Health Organization-The Uppsala Monitoring Centre's system. Results: We included 17,570 reports (75,451 drug-adverse event pairs). Ethical-the-counter and over-the-counter drugs accounted for 81.4% and 18.6% of the total adverse event reports, respectively. The use of over-the-counter drugs was higher in females and patients aged <18 years, whereas the use of ethical-the-counter drugs was higher in those aged >65 years. Alimentary tract and metabolism drugs, and respiratory system drugs were the most frequent ethical-the-counter and over-the-counter drugs, respectively. From causality assessment results, "possible" (75.4%) was the most commonly assigned category for ethical-the-counter drugs, while "possible" (44.0%) and "unlikely" (47.7%) were the most common categories for over-the-counter drugs. The distribution of serious adverse events were similar for both ethical-the-counter and over-the-counter drugs. Conclusion: Differences were observed in age, gender, reported medications, and symptoms for both ethical-the-counter and over-the-counter drugs. Further pharmacovigilance activities considering the adverse event characteristics of over-the-counter drugs, which are comparable to ethical-the-counter drugs, should be performed.

• 정신신체의학
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• 제30권1호
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• pp.22-29
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• 2022

연구목적 본 연구는 코로나바이러스감염증-19 대유행 중 전공의 및 수련의의 스트레스와 불안 및 우울 간 상관관계를 파악하고 회복탄력성의 매개효과를 평가하고자 한다. 방 법 코로나바이러스감염증-19 대유행 기간 중 일개 대학병원에서 근무한 전공의 및 수련의를 대상으로 자가보고식 설문 조사를 통해 스트레스 인지도, 불안 및 우울, 회복탄력성 정도를 평가하였다. 이후 각 변인 간 상관관계를 평가하고 회복탄력성의 매개효과 검증절차를 시행하였다. 결 과 총 74명의 참여자에게서 스트레스 평균 18.79점, 불안 총점 평균 6.24점, 우울 총점 평균 7.81점으로 나타났고, 불안과 우울의 고위험군은 각각 28명(37.8%), 41명(55.4%)로 나타났다. 스트레스 총점이 높을수록 불안과 우울의 총점이 높게 나타났으며, 회복탄력성 총점이 높을수록 스트레스 총점, 불안 및 우울 총점 모두 낮게 나타났다. 회복탄력성의 매개효과는 스트레스와 우울 총점 간 상관관계에서만 통계적으로 유의했다. 결 론 코로나 바이러스 감염증-19 유행 기간 중 전공의 및 수련의에게서 높은 수준의 스트레스를 보였고, 이들 중 상당수가 불안 및 우울장애의 고위험군으로 확인되었다. 스트레스는 우울 및 불안을 증가시키며 이중 우울은 회복탄력성에 의해 완화될 수 있음을 보였다.