• Gut and Liver
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• 제12권6호
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• pp.615-622
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• 2018

Despite the well-proven, safe and effective therapies for hepatitis B infection, delivery of treatment remains a significant challenge in resource-poor settings. Geopolitical and economic restrictions present additional difficulties in providing care in North Korea. However, treatment of patients with chronic hepatitis B remains a top priority for both the North Korean Ministry of Public Health and international agencies working in North Korean hepatitis healthcare facilities. Working in partnership, a path was created to institute this much-needed program. A consortium of United States and Australian humanitarian non-governmental organizations along with generous individual and corporate donors working in concert with local and national health authorities have succeeded in establishing the first hepatitis B treatment program in North Korea. The essential elements of this program include renovation of existing hepatitis hospitals, access to antiviral medications, establishment of laboratory facilities, creation of medical documentation and record-keeping, training of local health care professionals, and quarterly visits by international volunteer physicians and laboratory experts. Management and treatment decisions are made bilaterally. To date, nearly 1,500 patients have been evaluated, and over 800 have been started on long-term antiviral therapy. It is envisioned that this program will eventually be managed and funded by the Democratic People's Republic of Korea Ministry of Public Health. This program's success demonstrates a potential model for delivery of antiviral therapy for patients suffering from hepatitis B in other developing countries.

• 기록학연구
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• 제1호
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• pp.7-22
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• 2000

It is almost impossible to fulfill the users' information needs efficiently without any finding aids. The idiosyncrasy of archival materials had led the archivists to develop their own descriptive rules until the mid of 1980s. It was the arrival of computers and information networks that stimulated the archival community to standardize its variant descriptive practices. The primary purpose of the national and international archival description standards is to facilitate the cooperative archival data exchange. The Ad Hoc Commission on Descriptive Standards of the International Council on Archives adopted ISAD(G) and ISAAR(CPF) in 1993 and in 1995 respectively. ISAD(G) guides the formulation of information in each of 26 elements that may be combined to constitute the description of an archival entity. ISAAR(CPF) is to give general rules for the establishment of archival authority records in descriptions of archival documents. Histories, structures and fundamental principles of those two international archival standards have been studies in this article. Most of the present archival description standards are based on the principle of provenance and the authority model. The instability of modern organizations and the digitalization of record keeping systems have been making the archivists to review these basic archival principles. It is suggested that Korean archival community should attempt to draft a national archival descriptive standard suitable to the Korean archival practice and Korean language in the framework of the international standards.

• 복식문화연구
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• 제14권5호
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• pp.802-812
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• 2006

The purpose of this study is to investigate effects of natural incense on the preservation of paper- and textile-based remains and the kinds and applications of natural anti-insect incense by reviewing relevant literatures of the ancient times. There are few ancient literatures of incense published in Korea. The researcher deducted how incense was used in this nation through reviewing verses contained in ancient literatures and medical books. In contrast, the kinds and applications of anti-insect incense used in China, where incense culture prospered, were investigated here through reviewing technical books about incense published during the Song(宋) and Ming(明) periods, $\ll$Incense record(香譜)$\gg$, $\ll$Chen's Incense record(陳氏香譜)$\gg$ and $\ll$Incense record(香乘)$\gg$. There were several methods of keeping clothes better from insects. In relation, how to use anti-insect incense varied in accordance with main materials of clothes, paper, textile, leather and others. Cymbopogon dstans(芸香), Brassica rapu var and Incarvillea sinensis(角蒿) are anti-insect incense which were used for paper. Anti-insect incense for textiles is classified into single and mixed incenses depending on whether only one kind of incense was used or more than seven kinds of the substance. Acori rhizoma(菖蒲), Capsella bursa-pastoris(薺菜花), Lactuca sativa L., Erigeron canadensis(莽草), Stemona japonica(百部) and Moschus sifanicus(麝香) are single anti-insect incense which were used for textile. While, the latter was called. ‘Yi Xiang(衣香)’ is mixed anti-insect incense which was used for textile. Artemisia asiatica(艾葉) and Zanthoxylum schinifolium(花椒) are anti-insect incense which were used for leather. Angelica dahurica(芳香) and Bamboo are anti-insect incense which were used for others. There were three main methods of using incense to prevent insects, that is, diffusing incense's strong scent and ingredients, exposing to smokes from burnt incense and washing with incense-boiled water. Diffusing incenses had a strong scent and antibiotic ingredients, which were put between books or clothes or into a storage box without being processed. If necessary, however, they were processed into rough powders that were in turn used singly, or otherwise mixed for a stronger scent and better insect elimination. Exposing to smokes from burnt incense was done as follows. A clothes was put on 'Long(籠)' underneath which there was a boiling water. The clothes was humidified by the water and then exposed to smokes from burnt incense. 'Long(籠)' had been long used since it was manufactured in the QinHan(秦漢) period for the first time. A local literature, $\ll$Koryo TuGing(高麗圖經)$\gg$ shows that in the Koryo(高麗) period, BoShaLu(博山爐) were used as a means of exposing clothes to smokes to prevent moths, similarly to China. Washing clothes with incense-boiled water was more effective in removing lots of worms and germs from clothes, but leaving the scent and ingredients of the used incense and maintaining the effect of anti-insect.

• 한국응급구조학회지
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• 제13권3호
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• pp.77-90
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• 2009

Civil complaints and lawsuits filed in the process of providing emergency medical service include fall accident on the way of carrying the patient, transfer consent, refusal and rejection of rescue request, range and behavior restriction of emergency medical technicians, false registry of logbook, neglect of duty and emergency patient, and violation of traffic laws on the way of dispatch to the scene of accident. This study suggested the measures by cases as follows. 1. The accidents on the way of carrying a patient could be divided into fall of patient and fall by paramedic's mistake. In the former case, damages caused by the ambulance's shaking must be notified to the patient and guardian and recommended to fasten seat belt, in the latter case, the plan of patient's posture, route of transport, rescue and equipments should be comfirmed before fixing the patient. 2. Transfer consent must be made as implied when the patient is unconscious under delusion and was not able to consent physically, and paramedic must take an action by his judgment and record details of services on logbook. 3. When a patient refused to transfer, get 'confirmation of transfer refusal' and inform him of refusal. Paramedic should receive the signature. In addition, in case of refusal, transfer request should be made after hearing doctor's opinion and it should be notified to transfer request and superintendent of fire station after making 'confirmation of transfer refusal'. 4. Emergency medical technicians should perform their duties within the range of services prescribed by Article 41 of Law of Emergency Medical Service and Article 33 of Its Enforcement Regulations and shall not make announcement of death. In case of reporting the death to guardian, it is desirable to use record data like ECG results. 5. The best way to have protection from legal problems is making and keeping the exact records of accident and patient. Paramedic should not mention his subjective opinion about the accident-related matter. He must record correctly and keep the original medical records. 6. As emergency medical technicians are responsible for taking care of emergency patients, they must contact a briefing room when they meet a difficult situation suddenly due to vehicle stop or treatment of other patients and then must have support from neighboring hospital and other safety centers. 7. Since the ambulance operator is responsible for safety and careful driving of ambulance, he must be careful when he violates traffic regulations unavoidably. The operator should drive slowly below 10km/h at an intersection and pass it after getting way from general vehicles driving from all directions.

• 기록학연구
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• 제19호
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• pp.251-291
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• 2009

행정정보시스템은 계속 숫자가 증가하고 있음에도 불구하고 기록관리의 사각지대에 있어서 시스템이 노후화되거나 새로 개발되는 경우 기록이 손실될 위험을 내포하고 있다. 또한 기록관리를 염두에 두지 않고 설계되었기 때문에 기록의 특성과 요건을 만족하지 않은 상태로 관리되고 있다. 기록관리 선진국에서는 정부차원에서 데이터세트 기록의 중요성을 인지하여 데이터세트 아카이브를 운영하는 사례도 있고, 보존을 위한 관리체계나 보존포맷에 대한 프로젝트를 수행한 사례도 있다. 우리나라도 데이터세트에 대한 기록관리 체제와 개별 행정정보시스템에 대한 연구가 조금씩 수행되고 있으나 공식적인 관리 체계가 수립되지는 않은 상태이다. 본 논문에서는 이러한 방향성에 기본 하여 전자정부 추진 전략의 틀에서 데이터세트 식별체계의 수립과 기록관리기준의 설정 전략을 제안하였다. 행정정보시스템 기록화를 위한 데이터세트 선별 절차를 (1)기록화 대상 데이터세트 결정, (2)데이터세트 기록 건 식별 단계, (3)데이터세트 기록의 관리계층 구성 단계로 나누어 정리해보았다. 이 논문은 데이터세트에 대한 보존포맷이나 데이터세트 아카이브 단계에서의 관리절차 등 아카이빙 단계의 문제는 연구내용에 포함하지 않았다.

• 대한간호학회지
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• 제24권4호
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• pp.597-615
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• 1994

This study is designed to facilitate the creation of home environment conducive to the family taking care of chronic bed-ridden patients with more effective method. The need for this study has emerged against the background of marked changes in the structure of ailments and causes of death, resulting in the number and plights of chronic bed-ridden patients as well as of a rapid increase in demand for medical care and resulting premature discharge. Keeping these in mind, this study focused on home-wards where the majority of chronic bed-ridden patients are being cared for. Despite. their overriding importance, home-words are less than efficient in caring (or chronic bed-ridden patients. These circumstances require the designing of home-wards that can offer greater comfort to patients and at the same time make things easier for caregivers, on the basis of an overall analysis of patients' life and home - ward situation. According1y this study adopted a Participant Observation Method derived cultural anthropology, Toward this end, 3 patients were chosen as subjects of this study for intensive interviewing and participant observation. In the process of this field re-search efforts were made to collect emprical data, that is, to faithfully record the words of the subjects and their caregivers for analysis and interpretation. The findings of these analyses are as follows. Firstly, the chronic bed-ridden patients are mostly being taken care by close family members. Secondly, a room for the exclusive use of the patient, floor, kitchen, bathroom and multipurpose space were found to be necessary for proper caring of the patient. These spaces were respectively used with a view to 1) accomodating the patient as well as caregivers' activities, 2) keeping general and medical supplies and other appliances for patient's care and drying the patient's washing, 3) preparing and keeping the patient's foods and beverages, 4) keeping the supplies necessary for cleaning the patient's body and treating the patient's eliminations, 5) washing the patient's clothes, underwears and bedclothes. The patient's room in turn is subdivided into six portions in terms of uses : specifically the places for accomodating 1) the patient, 2) medical supplies, 3) medicines, 4) linens St clothes, 5) bedclothes and, 6) diapers. Thirdly, the activities of the caregiver are subdivided into seven key areas : hygiene, exercise, diet, elimination, therapeutic nursing, prevention of sore, and other activities. Each area is further classified into several different activities of caring. These activities we mainly carried out in the patient's room. Fourthly, the supplies for caring the chronic bed-ridden patient is divided into two large domains : medical and general supplies. Finally, three main problems areas were found in this study on the part of caregivers, that is, sore prevention, hygiene problem related frequent urination / defecation, the caregiver's physical, psych ological and emotional burden. In consideration of the aforesaid problem areas, a model home-ward was developed in this study. The newly-developed model has been found to have the following six advantages. Firstly, the time and effort required for maintaining the patient's hygiene are reduced, thus relievins the caregiver's physical and psychological bur-den. Secondly, the patient's hygiene can be maintained in satisfactory conditions, because the patient's eliminations are more easily removed. Thirdly, skin irritations caused by the patient's eliminations were remarkably reduced and so were the patient's sores due to moisture and bacteria. Fourthly, the home-ward have a tilt-table ef-fect thanks to the inclining room floor. This improves the patient's cardiovascular function as well as constantly changes pressed skin areas and thus prevents sores. Fifthly, improved shelf arrangements help make the best use of patient's supplies. Sixthly, the trouble of continuously changing clothes, underwears, diapers & bedclothes is remarkably reduced simply by covering the patient with cotton sheets when laid in bed. This is espected to cut down expenses by reducing the comsumptions of diapers and other disposable supplies.

• 가정간호학회지
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• 제7권1호
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• pp.5-14
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• 2000

This study was conducted during the time period of September 1997 to February 1999. in order to provide data concerning important facets of horne care nursing and the degree to which practicing hospital and public health nurses believe themselves to be competent in each area. The study subjects consisted of 610 hospital nurses, 158 public health nurses and 21 other nurses from Seoul and the province of Kyunggi. Korea. Data was collected through self-reporting questionnaires which was used by Kim et al.(1999) to evaluate the status of home health nursing and the varying ideas of self-competence that practicing nurses have. The results of the study were as follows: 1) The mean scores of perceived important components and competencies on home health nursing measured on the Likert 4 point scale were $3.15{\pm}0.36$ for importance. and $2.56{\pm}0.36$ for competency. Of the four categories regarding nursing services, the 'Nursing skill' factor had the highest importance and competency. 2) There were significantly higher scores for hospital nurses' importance components and competencies of home care nursing as compared to those scores for public health nurses. 3) The significant factors of the importance component of home care nursing listed in order of priority were 'general infection control', 'bed sore care skill', 'rehabilitation care', 'keeping maintenance of the client's confidentiality', 'malpractice', 'diabetes patient care', 'ability for problem solving' respectively. In contrast, of low priority in the importance components of home care nursing were 'referring nursing as a job to others'. 'record keeping', 'family dynamics', 'medical equipment', 'economic problems', 'environmental assessment', 'suture removal', 'multidisciplinary coordination' respectively. 4) The high priority of the degree to which practicing nurses believe themselves to be competent in home health nursing were the 'blood sugar test', 'enema skill', 'injection skill', 'skin care', 'bed sore care skill', etc. In contrast, lower competence for home care nursing as perceived by nurses were 'AIDS care', 'family violence care', 'substance abuse care', 'mental health care' respectively.

• 한국임상수의학회지
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• 제34권2호
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• pp.140-145
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• 2017

The goal of this study was to investigate risk factors associated with porcine reproductive and respiratory syndrome (PRRS) in pig farms in the Republic of Korea using logistic regression and a multilevel model. A cross-sectional study was applied to 305 pig farms with a questionnaire-based interview by veterinarians between March 2014 and February 2015. The questionnaire comprised eight categories: proximity to neighbors, disinfection, visitors, vehicles, insecticides, wild animals, gilts, and feeding. In total, 61 questions in eight categories related to pig farm biosecurity were investigated. Farms were classified as PRRS stable or unstable based on the results of an antibody test and PCR. For univariate analysis, keeping production records with computers (OR = 0.283, 95% CI = 0.056 - 1.425), accredited farm with no use of antibiotics (OR = 0.412, 95% CI = 0.134 - 1.269), reviewing health record of semen prior to purchasing (OR = 0.492, 95% CI = 0.152 - 1.589), complete isolation of runt pigs (OR = 0.264, 95% CI = 0.084 - 0.829), compulsory registering for visitors (OR = 0.424, 95% CI = 0.111 - 1.612), keeping records of insecticide history (OR = 0.406, 95% CI = 0.089 - 1.846), routine on-farm monitoring by veterinarians (OR = 0.314, 95% CI = 0.069 - 1.423), and use of on-farm checklist for biosecurity monitoring (OR = 0.313, 95% CI = 0.063 - 1.553) were found to decrease the probability of PRRS infection. Multivariate and multilevel analysis revealed only two factors, complete isolation of runt pigs (OR = 0.165, 95% CI = 0.045 - 0.602 and OR = 0.208, 95% CI = 0.055 - 0.782) and compulsory registering for visitors (OR = 0.106, 95% CI = 0.017 - 0.655 and OR = 0.119, 95% CI = 0.017 - 0.809) were found to decrease the probability of PRRS infection. The intracluster correlation coefficient of a province for multilevel model was 0.05. The results of this study might facilitate biosecurity measures for individual farms to reduce the probability of PRRS infection.

• 기록학연구
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• 제3호
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• pp.33-64
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• 2001

This essay introduces the basic method and program required to meet some necessary conditions of building university archives. By the phrase 'method and program', I intend the effective means of regularly but circumstantially controling the ways to the archival purposes proper which can be defined as the keeping of evidences and the broadening of information pool in terms of the evidential and informational natures or values of records. My starting point is about the matters of overcoming a standard method of induction which has long prescribed much passive procedures in the archival work. Considering the differences in the records and archives management-practices between West and Korea, I tentatively try to add some active elements to the archival work among which the collection for the expanding evidences and informations may firstly emphasized. While this collecting activity normally depends on the existing 'collections' and 'manuscripts', I cannot exclude the possibility of collections the materials, being likely to be registered in any poor or insufficient record groups. In the similar context, this kind of activity may and must be expanded beyond the university boundaries so at to arrange the cornerstones of archive-based local studies in the various disciplines. Here I premise another role of university archives, the role as 'science archives'. These archives within university archives seem likely to function in likewise the special collections within Western university libraries. What I mean here, however, is the archival groups purposedly gathered or acquisited according to more detail and narrower plan in order to meet the various demands from the different disciplines for the primary sources. The archival procedures from this revised method and program may, I hope, satisfy some of the preconditions of building university archives before the archives will actually function as a sub-institution of an university preserving legal, administrative and financial evidences, thus keeping identity and continuity of the university on the one hand, and as a local information center of supplying the archival contents on effectual demand from the field of local studies on the other. Finally, I conclude with a suggestion concerning the cooperation of all the parties of archival works. Proposing the 'Regional Research Center Program' in the field of technology and engineering as a model for the cooperation, I suggest that universities, private/public organizations, and central and local governments may work together for surveying the scattered ancient and modern documents as well as for building archives under the matching fund.

• 대한방사선치료학회지
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• 제18권2호
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• pp.67-73
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• 2006

목 적: 암 환자의 증가와 함께 방사선 치료기술도 날로 발전하고 있으며 이로인해 치료를 위해 사용되는 영상 및 데이터의 양들도 대폭 증가하는 결과를 가져오게 되어 이들을 저장, 보관, 관리하는데 많은 어려움이 있었다. 이러한 문제점 해결을 위해 과에서 발생되는 모든 영상 및 data의 PACS (picture archiving and communication system)화를 목적으로 의료정보팀의 협조 하에 본 System을 개발, 적용하게 되었다. 대상 및 방법: 본과 방사선치료 관리 시스템(RO-radiation oncology)에서 PACS에 접근할 수 있는 code를 부여한 후 영상은 R&V (Record and Verify: Varis vision, Varian, USA) 시스템 및 planning system에서 export 한다. 이때 DICOM (digital image and communication system) head에 있는 많은 정보들 중에서 필요한 정보를 이용하여 프로그램화 하였다. 결 과: 방사선종양학과에서 발생되는 모든 영상 및 자료 즉, 모의치료, CT, L-gram 영상, structure (normal organ & target volume), DRR (Digital Reconstruction Radiography), 선량 분포도, DVH (dose volume histogram) 등을 PACS에 구현 하였으며 과내 어느 컴퓨터에서도 선명히 영상을 볼 수 있고 출력할 수 있도록 하였다. 결 론: 본 시스템의 개발로 film less화가 가능하게 되어 현상 처리에 관련한 암실 공간과 유지비용이 소멸되었고 film 저장공간 및 film을 찾는데 소요되는 인력과 시간을 포함한 유, 무형의 경제적 비용뿐만 아니라 영상 저장을 위한 별도의 저장장치의 구입도 불필요하게 되었다. 아울러 방사선 치료를 위해 복잡하게 행해졌던 일련의 과정들이 본 시스템을 통해서 현재는 전산 상에서 쉽게 처리할 수 있게 되어 업무에 많은 도움이 될 것으로 사료된다.