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한국 마라톤의 발전과정과 현황에 관한 연구 (A Study on the Development Process and Status of Korean Marathon)

  • 남상남;어경태
    • 한국융합학회논문지
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    • 제9권4호
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    • pp.357-371
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    • 2018
  • 본 연구의 목적은 한국 마라톤의 기록과 세계마라톤의 기록을 집중 분석함으로써 한국 마라톤의 기록 향상과 발전과정의 기초 자료를 제공하는데 있다. 본 연구는 한국의 3대 마라톤 대회인 동아마라톤, 춘천마라톤, 중앙마라톤의 기록을 토대로 분석 하였으며, 한국 마라톤 기록과 세계마라톤 기록의 비교 분석한 결과는 다음과 같다. 첫째, 세계 주요 마라톤 대회는 주체국이 우승하는 경우는 드물지만 최근 10년 이상 외국 선수들과 기록차이가 커지고 있는 것이 문제이다. 둘째, 올림픽 남 여 기록 비교에서는 남자가 1990년대까지 대등한 우승 기록 경쟁을 벌여왔지만 그 이후 20년 전 기록도 못 찾고 있으며 세계기록과 계속 큰 기록차이를 보이고 있다.

일개 교육병원에서 의무기록의 충실도의 대한 조사 (Survey of completeness of medical records in one educational hospital using new checklist)

  • 박석건;김홍태;김광환;서순원
    • 한국의료질향상학회지
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    • 제4권2호
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    • pp.174-183
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    • 1997
  • Background : Medical records thought to be reflecting the quality of medicine. By this ground, examination of medical records can be served to evaluate, and to improve the quality of medical care. To examine the medical records, we need some standards or checklists which can be used to sort out the problems. Methods: We developed checklists for medical records evaluation. We studied 1,677 medical records about its completeness using this checklists in one educational hospital. Survey was completed by 5 well trained staffs of medical record department. Results are analyzed. SPSS/PC+ program was used for statistics. Results : 13.8% of discharge summary was incomplete. Recording of the demographic information was also poor in incomplete medical records compared to complete ones. Progress note was recorded average 4.16 times during 11.9 hospital days. After 4th hospital day, recording rate of progress note dropped sharply. Rate of professor's signature on operation records was poor(27%). He or she who described the discharge summary well also wrote progress note well. Conclusions: Fill-up of demographic date should be stressed during medical record education program. Strategy to create the environment emphasizing the responsibility of professor on quality medical record should be made. We suggest new index (number of records/hospital stay) for the evaluation of completeness of progress note.

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Global Warming Detected by Tree Rings from Mongolia

  • Nachin, Baatarbileg;Jacoby, Gordon C.
    • 한국제4기학회지
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    • 제17권2호
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    • pp.55-61
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    • 2003
  • In the year 2000 we culminated a successful five year investigation of climate change by completing a preliminary east-west transect across Mongolia. An earlier tree-ring study at Tarvagatay Pass, Mongolia indicated unusual warming during the 20th century similar to other paleo-investigations of the northern hemisphere. This record had represented one of the few tree-ring records for central Asia. New data from several sites in western Mongolia confirmed the preliminary temperature. The highest twenty-year growth period for the composite record is from 1973-1994. The western Mongolian record was significantly correlated with the Taimyr Peninsula and two northern hemisphere temperature reconstructions reflecting large-scale temperature patterns while showing some important regional differences. These differences should prove useful for climate models. We have also developed a millennial length temperature-sensitive record at the Solongotyin Davaa site (formerly Tarvagatay Pass) using relict wood and living trees. Conspicuous features over the last 1000 years are a century scale temperature decline punctuated by the end of the Little Ice Age in the late-1800s and 20th century warming. The record also shows a cold period early in the 12th century and warm intervals late in the 10th, early in the 15th and at end of the 18th centuries. Despite a limited sample size before 900 AD, the long Solongotyin Davaa record is useful in indicating severe cold events and suggests some cold intervals nearly as severe. These tree ring series, spanning much of the circumpolar northern treeline, have been compiled to create a long-term reconstruction of the Earth's temperature over centuries. The new chronology, in addition to its value as a detailed record of Mongolian climate, provides independent corroboration for such hemispheric and global reconstructions and their indications of unusual warming during the 20th century.

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의무기록 완성도에 대한 병동순회 의무기록사제도의 개입효과 (A Study on the Ward Rounding System of Medical Record Administrator for Improving the Completeness of the Medical Records)

  • 강선희;박훈기;이금순;문옥륜;정풍만
    • 한국의료질향상학회지
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    • 제6권1_2호
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    • pp.80-91
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    • 1999
  • Background : With the CQI concepts, which emphasize doing the right things right the first time, we tried to enhance the timely completion of medical records by changing the review process from retrospective method to concurrent one. Methods : Against the current retrospective QA activity, Medical record administrator did the concurrent QA of the inpatient medical records with the deficiency sheets. One general surgery ward was chosen as a trial one. The deficiency rate of the medical records of the discharged patients was compared before and after the enforcement of the system. Job analysis of the medical record departments was done about four tertiary care hospitals located in Seoul to estimate the cost and the time consumed by current system. Results : There was a little improvement in the completion rate of the medical records after the trial. The new system was effective. And job analysis showed that much money and time were wasted by current retrospective feedback system. Conclusion : Though the result was not so satisfactory, it should be considered that this test was a voluntary one and the interns and residents were not forced to complete the medical records during this trial period. If there be any strong motivation to complete the medical record in time, this system is sure to be succeed. As the DRG system requires the concurrent review of the medical records to confirm severity of the patient's illness and to assure the timely discharge, it is desirable to enforce this method with the DRG system together. DRG coding and reducing deficiency rate of the medical records can be accomplished simultaneously.

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응급실 주진단명과 퇴원시 주진단명의 불일치도 조사 (Survey on Discordance Rate between Final Principal Diagnosis and Principal Diagnosis at Emergency Room)

  • 김광환;서순원;원시연;박석건;김승렬;송화식;김갑득;조혜경;부유경;이현경
    • 한국의료질향상학회지
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    • 제5권2호
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    • pp.216-223
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    • 1998
  • We surveyed the discordance rate of principal diagnosis made at emergency room(ER) & made at ward on discharge of the patients. Subjects were four hundred eighty cases who came to the ER of one third-line hospital from January 1, 1998 to January 31, 1998. The discordance rate was higher in patients admitted to medical department(8.2%) than surgical department(1.5%). If the patients were transferred to other department during hospital stay, discordance rate increased from 3.3% to 6.3%. In conclusion, discordance rate of principal diagnosis made at ER and made at ward was higher in patients with complicated problems. Medical record department should keep these findings in mind if it has a plan to support the management of ER record.

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운동의 기록방법에 관한 비교 연구 (A COMPARATIVE STUDY ON THE RECORDINGS OF MANDIBULAR MOVEMENT)

  • 신상용;김광남;장익태
    • 대한치과보철학회지
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    • 제28권2호
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    • pp.125-146
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    • 1990
  • The relationale for recording mandibular movement is to accurately adjust an articulator. Techniques to record mandibular movement include radiographic interpretation, extraoral tracing, and intraoral recording materials. This study was performed to compare the concylar guidance inclination and Bennett shift(immediate & progressive side shift)obtained by using an electronic pantograph, pantograph and wax interocclusal records in Korean. Ten adults who have normal occlusion and are free of TMJ dysfunction were selected and clutches were constructed. At first Pantronic survey was performed three times by using an kinematic hinge axis according to manufacturer's direction. Next pantographic survey was performed three times and the articulator was adjusted with each pantographic recording. And then maxillary cast was attached to the articulator with pantographic as a face-bow and the mandibular cast was mounted to the articulator with centric relation record. Three protrusive, three left lateral and three right lateral wax interocclusal records were taken on the subjects and the articulator was adjusted with each interocclusal record. Protrusive condylar inclination, lateral condylar inclination, immediate side shift and progressive side shift obtained by using electronic pantograph, pantograph and wax interocclusal record were compared and analized. The results were as follows; 1. The average left and right protrusive and orbiting condylar inclination($33.7^{\circ},\;37.1^{\circ},\;40.6^{\circ},\;43.5^{\circ}$) record with Pantronic was significantly greater than that recorded with other methods. 2. The average left and right protrusive and orbiting condylar inclination($24.8^{\circ},\;27.0^{\circ},\;31.4^{\circ},\;32.4^{\circ}$)recorded with wax interocclusal record was less than that of other methods. 3. The average left and right immediate side shift(0.57mm,0.44mm)recorded with wax interocclusal record was greater than that of other methods and the average left rigtht immmediate side shift(0.30mm,0.41mm)recorded with Pantronic was significantly greater than that recorded with pantograph(0.11mm,0.20mm). 4. The average variance of wax interocclusal was signivicantly higher than that of other methods.

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아토피피부염 개인건강기록 어플리케이션 개발을 위한 전문가 집단 설문조사 연구 (A survey research to develope a personal health record application for atopic dermatitis in Korean medicine)

  • 김영은;김안나;이동효;박민철;손미주;장현철
    • 한방안이비인후피부과학회지
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    • 제29권3호
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    • pp.1-13
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    • 2016
  • Objectives : We conducted a survey aimed at developing a personal health record application for the treatment of atopic dermatitis in Korean medicine .Methods : We conducted a survey on Korean medicine doctors who attended the Korean Medicine Ophthalmology and Otolaryngology and Dermatology conference 2016. The questionnaire was based on priority of usage of the diagnostic indices and tools, and intention to use the personal health record application for treatment of atopic dermatitis in the clinic.Results : Data were collected from 50 Korean medicine doctors. Ninety-six per cent of respondents replied that they were willing to use the personal health record application for treating atopic dermatitis. Among the diagnostic indices related to atopic dermatitis, Korean medicine doctors regarded the following as important in the order of priority, i.e., condition of skin, lifestyle, risk factors, symptoms other than those of skin, past history, family history and medical history, results of tongue, pulse, and abdomen investigation, and constitution. These results did not vary with the purpose of diagnosis, and the results were consistent with those obtained with the intention to use diagnostic. Over 50% of respondents replied that they use immunoglobulin E, scoring atopic dermatitis, and visual analogue scale among the diagnostic tools.Conclusions : Our survey was conducted on clinicians who are the intended users of the personal health record application for the treatment of atopic dermatitis; hence, the results of this study can be helpful for developing a useful personal health record application for atopic dermatitis in the clinic.

Correlation between sagittal condylar guidance angles obtained using radiographic and protrusive occlusal record methods

  • Kwon, Oh-Kyun;Yang, Seung-Won;Kim, Jee-Hwan
    • The Journal of Advanced Prosthodontics
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    • 제9권4호
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    • pp.302-307
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    • 2017
  • PURPOSE. This study compared the SCGAs measured in three types of radiographic images (panoramic, CBCT panoramic-section, and CBCT cross-section images) with values measured using the protrusive occlusal record. MATERIALS AND METHODS. SCGAs were measured in 20 patients on a semi-adjustable articulator using the protrusive interocclusal record. Panoramic and CBCT images were obtained. SCGAs were measured on CBCT images in panoramic and cross sections. In all of the radiographic images, SCGAs were measured using the Frankfort horizontal reference line and the mean curvature line. The most-superior and most-inferior points of the curvatures were identified to determine the mean curvature line. Each measurement was performed twice by two operators independently. The data were analyzed by the t-test, Pearson's correlation test, and Cronbach's ${\alpha}$ using SPSS (${\alpha}=.05$). RESULTS. The mean right and left SCGAs were as follows: protrusive occlusal record (30.1 and 30.2 degrees, respectively), panoramic (38.9 and 38.7 degrees), CBCT panoramic sections (35.4 and 36.8 degrees), and CBCT cross sections (35.3 and 36.1 degrees). The SCGAs differed significantly among the groups. The Pearson coefficients for the correlations with the protrusive occlusal record measurements on the left and right sides were as follows: panoramic (0.834 and 0.791, respectively), CBCT panoramic-section (0.918 and 0.837), and CBCT cross-section (0.918 and 0.845) images. CONCLUSION. Strong correlations were found between SCGAs obtained using radiographic images and the protrusive occlusal record.

인터넷기반의 개인전자건강기록 시스템 적용사례 연구: 구글헬스를 중심으로 (A Study on Application of Internet-based Personal Health Record(PHR) System: Using Google Health)

  • 정성희
    • 디지털콘텐츠학회 논문지
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    • 제10권3호
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    • pp.433-439
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    • 2009
  • 최근 인터넷 보급의 확산은 e-Health 분야의 급속한 발전을 가져오고 있으며, 그 결과 개인의 건강정보에 대한 기록 및 관리의 디지털화에 대한 관심이 증대되고 있다. 본 연구에서는 개인전자건강기록의 특징을 검토하고, 인터넷 기반의 개인전자건강기록 시스템을 적용한 구글헬스 서비스의 구조를 분석해 보고자 하였다. 구글헬스를 통하여 소비자들은 개인의 건강기록을 구축하고 병원과 약국의 의무기록을 불러와 저장하며 자신의 건강기록을 타인과 공유함으로써 보다 편리하게 건강관리를 할 수 있을 뿐 아니라 온라인 건강정보 검색을 손쉽게 할 수 있다. 이는 현재의 의료시스템에 큰 변화의 흐름뿐 아니라 미래 의료시스템의 발전 방향의 예측을 가능하게 하는 사례로서 중요한 의미를 가진다. 따라서 본 연구는 다양한 서비스로의 발전이 예상되는 e-Health 산업에서 개인전자건강기록의 중요성을 인식시켜 줄 뿐 아니라 장단점을 비교분석함으로써 보다 보완적인 개인전자건강기록의 체계를 제시하여 준다.

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교육청 소속 기록연구사의 직무 분석에 관한 연구 (A Study on the Analysis of the Tasks of Record Managers in Offices of Education)

  • 이을지;이호신
    • 한국기록관리학회지
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    • 제16권3호
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    • pp.131-156
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    • 2016
  • 이 연구는 교육청 소속 기록연구사들의 직무를 분석하여, 그 중요도, 난이도, 수행 빈도를 분석하고 이를 바탕으로 교육청 기록관리 업무 환경과 문제점을 파악하여 개선 방안을 마련하기 위한 것이다. 문헌조사와 운영규정 분석을 통해서 교육청 기록관리 업무를 5개 업무영역 24개 업무요소로 도출하였으며, 업무영역별, 업무요소별 중요도, 난이도, 수행 빈도를 파악하기 위하여 교육청 소속 기록연구사를 대상으로 설문을 실시하였다. 조사 결과를 IPA기법을 활용하여 중요도와 수행 빈도, 중요도와 난이도를 교차하여 분석하였고, 이를 통하여 교육청 소속 기록연구사의 업무 환경에서의 문제점을 진단하고 개선방안을 제시하였다.