• Journal of Acupuncture Research
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• 제27권2호
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• pp.43-49
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• 2010

Objectives : Among young generation, the prevalence of spinal disorders is known to be increasing. This study aimed to analyze the clinical data of spinal disorder in young ages in Korea. Methods : Number of patient, kinds of disorder, and medical cost were analyzed for patients(7~18 years) underwent spinal disorders using computerized database of Health Insurance Review and Assessment Service(HIRAS) from 2004 to 2008. We included dorsopathies as spinal disorder according to Korean Classification of Diseases(KCD) and excluded spinal disorder caused by trauma. We compared the data of traditional Korean medicine treatment with that of western medical care. Results : 4.8% of the children and adolescents had medical treatment with spinal disorder in 2008. The claim number and medical cost for both traditional Korean medicine and western medicine treatment are increasing 1.8 and 1.3 times respectively over 5 years. Total medical spent of western clinic was 2.1 times than those of traditional Korean clinic. The most common spinal disorder was dorsalgia(31.8%) and scoliosis(13.5%) in western clinics while back pain(29.0%) and neck pain(10.8%) in oriental clinic. Conclusions : We first reported the clinical tendency of spinal disorder in Korean children adolescents from 2004 to 2008. This study will support the development of a strategy for traditional Korean medicine-based prevention or treatment of spinal disorders in young generation.

• 지식경영연구
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• 제16권1호
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• pp.209-224
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• 2015

Previous studies provided that limiting the number of services provided in hospital had influences in decreasing cost in delivering medical services. Hospitals could have positive effects on their profit by concentrating small number of services which they have comparative advantages. This study purposed to analyze the relationship between the concentration status of hospitals and medical charge for inpatients. National Inpatient sample data provided by the Health Insurance Review and Assessment Service (HIRA) for three years, 2009 to 2011 was used to compute the three concentration indices (Information Theory Index (ITI), Internal Herfindahl Index (IHI), and number of distinct Diagnosis-Related Groups (DRGs) treated) and total medical charge per inpatient case in each year. It was also used to select the control variables such as bed size, number of doctors per 100 beds, and locations. The ordinary least square regression models were developed and tested for hospital and general hospitals separately. The results showed that the total medical charge per inpatient case was significantly differed depending on the concentration indices, and there were positive relationships in ITI and IHI. The number of distinct DRGs had different directions in regression coefficients depending on the locations and hospital types. Hospitals had larger absolute standardized regression coefficients compare to those of general hospitals. However, their effects could be varied by the hospital types, number of doctors, and locations. It seems that hospitals have more influences on medical charges by concentrating their services than general hospitals. Study results provide knowledges to hospital administrators that concentration strategy can positive influences on the performance of small size hospitals.

• 대한예방한의학회지
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• 제22권2호
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• pp.25-32
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• 2018

Objectives : This study was conducted to investigate the frequent diseases among the people who had been treated by collaborative treatment of Korean medicine and Western medicine, and to compare their medical use behaviors before and after the collaborative first-stage pilot project between Korean medicine and Western medicine. Methods : 4,467 patients were identified as the patients who are participated in the collaborative first-stage pilot project between Korean medicine and Western medicine during the period between July 15, 2016 and March 31 2017. We used 28,480 records of Korean national health insurance claim data from January 1 2016 to March 31 2017 to analyzed present condition of cooperative medical usage. Also we conducted a paired t test to compare the percentage of collaborative treatment days before and after the pilot project period. Results : We found that the most frequent diseases treated in the pilot project were the diseases of musculoskeletal and nervous system and then 10 major diseases such as H, K, J, C (D), N, L, E, A, H and F disease codes in order. Also it was confirmed that 14 major and 53 medium diseases are included from more than 90% of total patients. As a result of high frequency of medical treatment in Western medicine or Korean medicine is "administration of Korean medicine", which is same as before and within the pilot project. The ratio of utilizing both Western and Korean medical care for the same disease on the same day by both general patients and patients in KCD-7 disease code group C, G, I, M and S had been increased significantly. Conclusions : The pilot project might change the behavior of utilizing the medical care service by increasing the ratio of collaborative treatment of Western medicine and Korean medicine for the same disease on the same day.

• Journal of Preventive Medicine and Public Health
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• 제14권1호
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• pp.13-22
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• 1981

A study was conducted to provide comprehensive information on epidemiological state of crippled schoolchildren in Chungnam area from November 23,1979 to June 19,1980. In this study, two step survey was conducted upon whole primary, middle and high school, and subsequent selected 537 cases in total 3,063 crippled children. The results obstained are as follows; 1. The prevalence rate of orthopedic defect children was 3.7 per 1,000 and dominant male as 6:4. 2. It was relatively higher the school grade and prevalence rate more increased. Prevalence rate was highest in high school as 4.7 per 1,000, middle in middle school as 4.4 per 1,000 and lowest in primary school as 3.1 per 1,000. 3. The most predominant group was $15{\sim}19$ age as 52.9 percent. 4. The most common job of their parent was agriculture as 52.9 percent and next job sales and service. Economic state of Cripple's parent have revealed no particular difference. 5. In a family, the most common incidence rate was first children in both sex and decreased by ordered sibling. 6. Poliomyelitis was the most common cause as 71.5 percent and next cerebral palsy 11.9 percent. 7. The most common affected site was lower extremity (Right: 42.3%, Left: 35.5%) and next upper extremity. Right was more dominant as 55 : 45. 8. Intelligence was decresed in cerebral palsy predominantly than other cause of defect, including poliomyelitis. 9. For the treatment of their condition at onset of illness, crippled children was utilized private clinic and herb medicine, but was changed tendency of treatment as acupucture and moxibustion after diagnosis of cause of defect.

• 동의신경정신과학회지
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• 제14권2호
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• pp.95-105
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• 2003

Alzheimer's disease(AD) is a geriatric dementia that is widespread in old age. In the future AD will be the largest problem in public health service. From old times, Much medicines have been used for treatment of dementia, but there is no medicine having obvious effect. AD is one of brain retrogression disease. So We studied on herbal medicine that have a relation of brain retrogression. From old times, In Oriental Medicine, Radix Polygalae and Rhizoma Acori Graminei have been used for disease in relation to brain retrogression. We studied of anti-Alzheimer effect on CT105-induced neuroblastoma cell lines by Radix Polygalae(RP) and Rhizoma Acori Graminei(RAG) water extract. As the result of this study, In RP and RAG group, the apoptosis in the nervous system is inhibited, the repair against the degeneration of Neuroblastoma cells by CT105 expression is induced. These results indicate that In RP and RAG, RAG possess the strongest in inhibitory effect of apoptosis in the nervous system and repair effect against the degeneration of Neuroblastoma cells by CT105 expression.

• 한국문헌정보학회지
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• 제45권4호
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• pp.271-286
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• 2011

The role of information in knowledge society has changed. Library refers to information centre, which is actively involved information collection and promoting use of for the development of individual and society. Modern libraries are the centres of interaction for all interested in accessing information and in participating in the marathon of the present competitive age. Information and a conducive environment of its free flow is a vital tool in all forms of human endeavour. It is the link pin of national development. For a nation to develop it needs to have and provide relevant, updated and adequate information on food security, health, democracy, population, education, family planning, youth empowerment, gender quality, environment etc. The information intermediaries are the persons to modulate these complexities and find match between the information sources and users needs to satisfaction of Ranganathan's law: Books are for use; Every reader his/her book; Every book its reader; Save the time of the reader; Library is a growing organism. The relative importance of these norms in modern context has been evident from experience, study, observations, discussions, etc., and only by scientists and technologists, but also by managers, planners, and policy makers. They recognize the usefulness of information in the performance of their needs information needs. Libraries are therefore proper management, provision and dissemination of such information. It is clearly visible in the contemporary context, that the libraries in the knowledge society are much more than the book depositories This article looks at the theory/practice divide in library and information science and particularly Ranganathan's contributions, basic statements remain as valid in substance if not in expression as -to-day as when they were promulgated, concisely representing the ideal service and organizational philosophy of libraries today.

• Journal of Hospice and Palliative Care
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• 제21권1호
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• pp.33-39
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• 2018

목적: 본 연구는 2015년 7월 새로이 등장한 완화의료 도우미를 양성하기 위한 완화의료 도우미 교육 프로그램이 요양보호사의 호스피스에 대한 인식과 임종환자 돌봄에 대한 태도에 미치는 효과를 확인하고자 시도되었다. 방법: 본 연구는 비동등성 대조군 사전사후 설계 실험연구로서, 대조군 43명 실험군 58명의 요양보호사를 대상으로 실시되었다. 실험군은 완화의료학회에서 제공하는 이론 20시간 실습 20시간의 완화의료 도우미 교육 프로그램을 이수하였고, 대조군은 요양병원에서 근무하는 요양보호사를 편의 표출하였다. 결과변수는 ANCOVA로 분석하였다. 결과: 실험군은 완화의료 도우미 교육을 받지 않은 대조군에 비해 호스피스에 대한 인식(F=21.09, P<0.001)과 말기환자 돌봄에 대한 태도(F=13.28, P<0.001)가 유의하게 향상되었다 결론: 본 연구의 결과는 완화의료 도우미 교육이 호스피스 완화의료 서비스 제공자로 준비시키는데 효과적임을 입증하였다.

• 한국도서관정보학회지
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• 제51권3호
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• pp.149-169
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• 2020

본 연구에서는 환자 및 보호자를 위한 도서관 서비스에 초점을 맞추어 국내 병원 내 도서관 사서들을 대상으로 현재 환자 및 보호자를 위해 수행하고 있는 도서관 서비스 현황과 향후 환자 및 보호자를 위한 도서관 서비스에 대한 인식조사를 실시하였다. 이를 통해 병원 내 환자 및 보호자를 위한 도서관 서비스 활성화 방안을 모색하였으며, 연구결과를 기반으로 다음과 같은 방안을 제안하고자 한다. 첫째, 병원 내 도서관의 의무적 설립을 위한 법 제정과 병원 내 도서관의 규모, 장서, 인력 등에 대한 기준이 제정되어야 한다. 둘째, 향후 국가적 차원에서 병원도서관을 의무적·자발적으로 설립할 수 있는 기반을 마련하기 위해서는 문화체육관광부와 보건복지부의 협력이 필수적이다. 셋째, 지역대표도서관 및 공공도서관, 타 기관과의 연계를 통한 운영이 고려되어야 한다.

• 유통과학연구
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• 제16권9호
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• pp.79-99
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• 2018

Purpose - Food consumption in Korea has changed in paradigm as it has grown qualitatively in the past in quantitative shortages. Consumer food consumption patterns are rapidly changing due to changes in economic, social and population conditions, scientific and technological development, climate change, and market opening. At the same time, there is a need to actively respond to these changes in terms of the food industry, market, and government policy. The purpose of this study is to examine the changes and characteristics of food consumption expenditure of Korean consumers in-depth and depth in order to provide implications for agriculture, food market and policymakers. Research design, data, and methodology - We analyzed various food consumption changes from the 1980s to 2015 through Household Income and Expenditure Survey raw data from MDIS(Microdata Integrated Service) of Statistics Korea. and conducted the age effect, generation effect, and year effect by cohort analysis. We also conducted comparisons with OECD countries on several indicators. Results - Food consumption spending was slow, and there was no significant change in home consumption, while eating out consumption increased about 20 times in 2015 compared to 1980. Income, age, residential area, number of household members showed significant changes in food consumption. According to the cohort analysis, the changes in the food consumption structure are largely due to age effect, and the year, age, and generation effects are different for each food item. Conclusions - Food consumption has a significant impact on not only the nutritional status of consumers but ultimately the public health. Therefore, they should be regarded as a strategic policy area of central government rather than a matter of size and change of food consumption expenditure.

• 디지털융복합연구
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• 제18권3호
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• pp.179-187
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• 2020

지속적인 인구 증가율 하락에도 불구하고 평균 수명 상승에 따라 인구 고령화가 빠르게 진행되고 있는 사회환경에서 기술의 진화 및 소득 수준의 상승을 기반으로 건강과 삶의 질에 대한 관심이 증가하며 헬스케어 서비스 시장은 급속히 성장하고 있는 현실이다. 이에 본 연구에서는 2000년부터 2019년 10월까지 특허정보넷(KIPRIS)에 게재된 헬스케어 관련 한국과 미국의 특허데이터를 대상으로 Keyword를 추출한 후 빈도 분석, 시계열 분석, Keyword Network 분석을 수행하였으며, 이를 통하여 헬스케어 분야의 핵심 Keyword가 전통적인 의료 관련 Keyword에서 ICT관련 Keyword로 변화하고 있는 기술 트렌드가 파악되었다. 또한 미국과 비교하여 핵심 Keyword들이 55% 유사한 분포를 보이지만 특허생산량 면에서 절대적인 격차를 확인하였다. 향후에는 핵심 Keyword에 대하여 국내외 연구동향 등 다양한 자료를 분석하여 글로벌 시장에서 유의미한 시사점을 얻을 수 있는 연구를 진행하고자 한다.