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A Study on Medical Laws and External Evaluation Criteria with Reference to the Essential Forms consisting Medical Records and to the Items for Each Medical Record (의료기관 종별 의무기록 중요서식 항목별 작성 실태 및 의무기록 완결점검표 분석)

  • Seo, Sun Won;Kim, Kwang Hwan;Hwang, Yong-Hwa;Kang, Sunny;Kang, Jin Kyung;Cho, Woo Hyun;Hong, Joon Hyun;Pu, Yoo Kyung;Rhee, Hyun Sill
    • Quality Improvement in Health Care
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    • v.9 no.2
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    • pp.176-197
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    • 2002
  • Backgound : This study is to suggest the standardized format of the clinical sheets and the standardized items of every clinical sheet. The standardization of the medical records will increase the faithfullnes of the contents in them and it will contribute to construct the good health information system. Method : From Jan. 1st. 2001 to March 31st 2001, we gathered as many paper clinical sheets as possible by every class of institutions to review the faithfulness of the clinical contents in them. Clinical sheets of 9 tertiary care hospitals, 6 general hospitals and 56 clinics were gathered. Two experienced medical record administrators reviewed them. The review focus was to check whether the items recommend by the hospital standardization review criteria and hospital service evaluation organization were appeared in the clinical sheets and whether the contents of every item were written. Results : Tertiary care hospitals; In case of administrative data, the contents were filled well if the items were fixed. The clinical data like C.C, history,physical examiniation were filled well, but if the items were not fixed, some items were omitted. The result is that more items are to be filled if they are fixed. General hospitals Administrative data were filled more than 50%. Final diagnosis was filled about 66.7%.But other clinical data were not filled well and not many clinical related items were appeared in the sheets.In the legal point of view, the reason for visiting hosptals or the right diagnosis, patient condition at discharge could not be confirmed well.In surgery cases, surgical procedures could not be confirmed well as many surgical related information(surgery time, fluids and blood, number of sponges, biopsy, etc) were omitted. Clinics More than 70% administrative data were filled and fixed as items. Among the clinical related data, laboratory result was the most credible data. But without the right diagnosis, drug orders were given and doctors' written signatures were not appeared over 96.4%. So the clinical sheets cannot be used as a legal document. Conculusion : There was a tendency that the contents were filled well if the items were fixed in the documents, We also suggest a clinical check list to review the completeness and faithfulness of the clinical sheets. If many hospitals use the suggested clincal check list and if they make the necessary items fixed in the clinical sheets, the quality of the medical record will increase dramatically.

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Design of Dynamic Buffer Assignment and Message model for Large-scale Process Monitoring of Personalized Health Data (개인화된 건강 데이터의 대량 처리 모니터링을 위한 메시지 모델 및 동적 버퍼 할당 설계)

  • Jeon, Young-Jun;Hwang, Hee-Joung
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.15 no.6
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    • pp.187-193
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    • 2015
  • The ICT healing platform sets a couple of goals including preventing chronic diseases and sending out early disease warnings based on personal information such as bio-signals and life habits. The 2-step open system(TOS) had a relay designed between the healing platform and the storage of personal health data. It also took into account a publish/subscribe(pub/sub) service based on large-scale connections to transmit(monitor) the data processing process in real time. In the early design of TOS pub/sub, however, the same buffers were allocated regardless of connection idling and type of message in order to encode connection messages into a deflate algorithm. Proposed in this study, the dynamic buffer allocation was performed as follows: the message transmission type of each connection was first put to queuing; each queue was extracted for its feature, computed, and converted into vector through tf-idf, then being entered into a k-means cluster and forming a cluster; connections categorized under a certain cluster would re-allocate the resources according to the resource table of the cluster; the centroid of each cluster would select a queuing pattern to represent the cluster in advance and present it as a resource reference table(encoding efficiency by the buffer sizes); and the proposed design would perform trade-off between the calculation resources and the network bandwidth for cluster and feature calculations to efficiently allocate the encoding buffer resources of TOS to the network connections, thus contributing to the increased tps(number of real-time data processing and monitoring connections per unit hour) of TOS.

A Study on the Method of High-Speed Reading of Postal 4-state Bar Code for Supporting Automatic Processing (우편용 4-state 바코드 고속판독 방법에 관한 연구)

  • Park, Moon-Sung;Kim, Hye-Kyu;Jung, Hoe-Kyung
    • The KIPS Transactions:PartD
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    • v.8D no.3
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    • pp.285-294
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    • 2001
  • Recently many efforts on the development of automatic processing system for delivery sequency sorting have been performed in ETRI, which requires the use of postal 4-state bar code system to encode delivery points. This paper addresses the issue on the extension of read range and the improvement of image processing method. For the improvement of image processing procedure, applied information acquisition method through basic two thresholds onto the horizontal axial line of gray image based on reference information of 4-state bar code symbology. Symbol values are computed after creating two threshold values based on the obtained information through search of horizontal axial values. The implementation result of 4-state bar code reader are obtained the symbol values within 30~60 msec (58,000~116,000 mail item/hour)without noise removal or image rotation in spite of the incline $\pm 45^{\circ}$.

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A Survey of the Effect of Nursing Students on Community Health Knowledge (간호학생 실습이 지역주민의 보건지식 및 태도에 미치는 영향 -연세대학교 간호대학 보건간호학 실습을 중심으로-)

  • 조원정;김의숙;이정숙
    • Journal of Korean Academy of Nursing
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    • v.3 no.2
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    • pp.111-119
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    • 1973
  • The purpose of this study was to determine whether or not the delivery of health services effects the health knowledge of the recipients of that service. 10 was hypothesized that the practical application of theory, though health services rendered by public health nursing students during their field experiences. would have a positive relationship with the quantity and quality of health knowledge of the female population of a given community. In April 1970, ninety five women(between an age 15-49) from Koyang-Gun were interviewed regarding their knowledge and attitudes in four areas of health: maternal health, child health. family planning and tuberculosis prevention. After 11 years(Nov. l971), during which time the women received home visits by student nurses, the women were again interviewed using the original questionnaire. Additionally, they were asked where they had received information about each question. During the 1$\frac{1}{2}$ year period the visits were made by a total of 112 students. They visited the community twice a week. The result were as follows: Maternal health There was marked improvement in the knowledge of specific aspects of maternal health such as the proper instruments needed for cutting the cord and nutritional precaution of pregnancy (p<0.05). In each case 42.0 percent of more of this knowledge was attributed to information gained from the nursing students. However even after the nursing students'visits, the knowledge of other general areas of maternal remained poor. Child health There were increases in the knowledge of the respondents for the time to supplement breast feeding and for time to wean infants (p<0.05). In each case 35.0 percent or more of this information was attributed to the student. The increase in knowledge regarding types of immunization was more often attributed to the clinic nurse than to the nursing students. Knowledge of the necessity of booster immunization was poor both before and after the visits by the nursing students. Family planing There were significant increases in correct information regarding the time of I.U.D. insertion (P<0.05) and method of taking the oral pill (P<0.05). More than 42.0 percent of the increase was attributed to the nursing students'visits. However there was a slight decrease in correct information about concept of family planning. Tuberculosis There was a general lack of improvement in all areas concerned with tuberculosis. Two thirds of the respondents felt tuberculosis was hereditary and did not know what B.C.G. was. From this study, it could be concluded that in specific area the health knowledge of the female population studied was positively effected by the visits of the nursing students. The study also, suggests, however, that there was a marked unevenness in the overall increase in health knowledge. This raises serious questions which require further research. Suggested areas for further research are (1) Adequacy of the course content preparing nurses for the field experience. (2) A public health nursing manual for student reference. (3) Where and when specific aspects of health can be taught most effectively.

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EFFECTS OF SURFACE ROUGHNESS AND MULTILAYER COATING ON THE CORROSION RESISTANCE OF Ti-6Al-4V ALLOY

  • Ko, Yeong-Mu;Choe, Han-Cheol
    • Proceedings of the Korean Institute of Surface Engineering Conference
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    • 2003.10a
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    • pp.134-135
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    • 2003
  • The dental implant materials required good mechanical properties, such as fatigue strength, combined with a high resistance to corrosion. For increasing fatigue resistance and delaying onset of stress corrosion cracking, shot peening has been used for > 50 years to extend service life of metal components. However, there is no information on the electrochemical behavior of shot peened and hydroxyapatite(HA) coated Ti-6Al-4V alloys. To increase fatigue strength, good corrosion resistance, and biocompatibility, the electrochemical characteristics of Ti/TiN/HA coated and shot peened Ti-6Al-4V alloys by electron beam physical vapor deposition(EB-PVD) have been researched by various electrochemical method in 0.9%NaCl. Ti-6Al-4V alloys were prepared under the condition of hydrogen and vacuum arc furnace. The produced materials were quenched at 1000$^{\circ}C$ under high purity dried Ar atmosphere and were hold at 500$^{\circ}C$ for 2 hrs to achieve the fatigue strength(1140㎫) of materials. Ti-6Al-4V alloys were prepared under the condition of hydrogen and vacuum arc furnace. Shot peening(SP) and sand blasting treatment was carried out for 1, 5, and 10min. On the surface of Ti-6Al-4V alloys using the steel balls of 0.5mm and alumina sand of 40$\mu\textrm{m}$ size. Ti/TiN/HA multilayer coatings were carried out by using electron-beam deposition method(EB-PVD) as shown Fig. 1. Bulk Ti, powder TiN and hydroxyapatite were used as the source of the deposition materials. Electrons were accelerated by high voltage of 4.2kV with 80 - 120mA on the deposition materials at 350$^{\circ}C$ in 2.0 X 10-6 torr vacuum. Ti/TiN/HA multilayer coated surfaces and layers were investigated by SEM and XRD. A saturated calomel electrode as a reference electrode, and high density carbon electrode as a counter electrode, were set according to ASTM GS-87. The potentials were controlled at a scan rate of 100 mV/min. by a potentiostat (EG&G Co.273A) connected to a computer system. Electrochemical tests were used to investigate the electrochemical characteristics of Ti/TiN/HA coated and shot peened materials in 0.9% NaCl solution at 36.5$^{\circ}C$. After each electrochemical measurement, the corrosion surface of each sample was investigated by SEM.

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A Study of Platform for Management and Real-Time Service of Distributed Objects (분산 객체들의 관리와 실시간 서비스를 위한 플랫폼의 연구)

  • Kim, Myung-Hee;Joo, Su-Chong
    • Proceedings of the Korea Information Processing Society Conference
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    • 2001.10a
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    • pp.297-300
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    • 2001
  • 최근의 컴퓨팅 환경은 이질적인 클라이언트와 서버들간의 상호 운용성을 요구하는 분산 어플리케이션을 위한 프로그래밍 파라다임을 지원하기 위한 분산 객체 컴퓨팅 환경으로 발전되고 있다. 여기에는 복잡한 네트워킹과 다양한 멀티미디어 응용 서비스를 위한 객체지향 기술들이 접목되고 있다. 이러한 분산 컴퓨팅 환경에서 처리되는 어플리케이션들의 실시간 서비스 지원을 위해 요구되는 실시간 특성과 분산 객체들의 관리의 어려움을 해결하기 위하여 본 논문에서는 실시간 객체그룹 플랫폼을 구축한다. 기존의 연구들은 실시간 CORBA를 사용하거나 또는 ORB를 수정하거나 실시간 운영체제상에 특정 CORBA 제품군을 사용하여 분산 환경의 특정 영역의 성능향상만을 도모하고 있다. 그러므로, 본 논문은 ORB의 수정 없이 표준 CORBA상에서 실시간 특성을 지원한 수 있는 실시간 객체그룹 플랫폼을 설계한다. 본 논문의 실시간 객체그룹 구조는 객체들의 관리적인 측면과 실시간 어플리케이션 서비스 지원 측면에 대한 요구사항들을 분석하여 정립한 모델이며, 구성요소들의 기능을 관리와 서비스로 분리하여 각각의 기능수행시에 발생하는 객체간의 상호작용이 다른 기능에 영향을 미치지 않도록 한다. 또한, 구축된 플랫폼은 실시간 어플리케이션 개발자에게 실시간 특성 파라미터의 표현과 처리에 대한 투명성을 부여하여 어플리케이션에 유연성과 확장성을 제공하기가 용이하도록 한다. 따라서, 본 논문은 실시간 객체그룹 플랫폼의 구성요소들에 대한 역할을 정의하고 기능을 정립하며, 각 구성요소들을 설계하고 구현하였으며, 구현되어진 실시간 객체그룹 플랫폼의 기능과 수행 성능을 검증한다.가지 유기화합물 중에서는 35.6%를 차지하였다. BTEX 각각 개별물질은 미국 환경보호청이 제시하는 일일 노출 기준량(Reference Concentration; RfC) 보다는 현저히 낮았다. 총 휘발성 유기화합물읜 농도는 실내가 실외 보다 높았다(I/O ratio 2.5). BTEX의 상대적 함량도 실내가 실외보다 높아 실내에도 발생원이 있음을 암시하고 있다. 자료 분석결과 유치원 실내의 벤젠은 실외로부터 유입되고 있었고, 톨루엔, 에틸벤젠, 크실렌은 실외뿐 아니라 실내에서도 발생하고 있었다. 정량한 8개 화합물 각각과 총 휘발성 유기화합물의 스피어만 상관계수는 벤젠을 제외하고는 모두 유의하였다. 이중 톨루엔과 크실렌은 총 휘발성 유기화합물과 좋은 상관성 (톨루엔 0.76, 크실렌, 0.87)을 나타내었다. 이 연구는 톨루엔과 크실렌이 총 휘발성 유기화합물의 좋은 지표를 사용될 있고, 톨루엔, 에틸벤젠, 크실렌 등 많은 휘발성 유기화합물의 발생원은 실외뿐 아니라 실내에도 있음을 나타내고 있다.>10)의 $[^{18}F]F_2$를 얻었다. 결론: $^{18}O(p,n)^{18}F$ 핵반응을 이용하여 친전자성 방사성동위원소 $[^{18}F]F_2$를 생산하였다. 표적 챔버는 알루미늄으로 제작하였으며 본 연구에서 연구된 $[^{18}F]F_2$가스는 친핵성 치환반응으로 방사성동위원소를 도입하기 어려운 다양한 방사성의 약품개발에 유용하게 이용될 수 있을 것이다.었으나 움직임 보정 후 영상을 이용하여 비교한 경우, 결합능 변화가 선조체 영역에서 국한되어 나타

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A Study on Development of Digital Nautical Publication (전자항해서지 개발 연구)

  • Oh, Se-Woong;Park, Jong-Min
    • Journal of Navigation and Port Research
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    • v.34 no.1
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    • pp.9-14
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    • 2010
  • Nautical Publications is a special purpose book, or a specially compiled database, that is issued officially by or on the authority of a Government, authorized Hydrographic Office and is designed to meet the requirements of marine navigation such as SOLAS and PSC. Nautical publications include List of Lights, Sailing directions. The SNPWG(Standardization Nautical Publications Working Group) from the IHO is working to implement in computer systems all those elements of interest for Hydrography and Navigation Concerning nautical publications' digitization process, the SNPWG has defined three types of nautical publications: Type 1 : Hard copy(NP1), Type 2 : Digital version, A slight modification of type 1(NP2), Type 3 : Digital version for ECDIS(NP3). Nautical Publications is essential with nautical charts as reference information to navigate. Development of digital nautical publications is needed for liaison with the chart production system, up-to-dateness of hydrographic information, improvement of service. But, Korean status is positioned in NP1. In our study, we surveyed the present status of nautical publications for development strategy of digital nautical publications. We build database of south coast of sailing direction, develop a manager program, convert the contents to KML( Keyhole Markup Language), develop a user program.

Vibration Reduction Effect and Structural Behavior Analysis for Column Member Reinforced with Vibration Non-transmissible Material (진동절연재로 보강된 기둥부재의 진동저감효과 및 구조적 거동분석)

  • Kim, Jin-Ho;Yi, Na-Hyun;Hur, Jin-Ho;Kim, Hee-Kyu
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.20 no.4
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    • pp.94-103
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    • 2016
  • For elevated railway station on which track is connected with superstructure of station, structural vibration level and structure-borne-noise level has exceeded the reference level due to structural characteristics which transmits vibration directly. Therefore, existing elevated railway station is in need of economical and effective vibration reduction method which enable train service without interruption. In this study, structural vibration non-transmissible system which is applied to vibroisolating material for column member is developed to reduce vibration. That system is cut covering material of the column section using water-jet method and is installed with vibroisolating material on cut section. To verify vibration reduction effect and structural performance for structural vibration non-transmissible system, impact hammer test and cyclic lateral load test are performed for 1/4 scale test specimens. It is observed that natural period which means vibration response characteristics is shifted, and damping ratio is increased about 15~30% which means that system is effective to reduce structural vibration through vibration test. Also load-displacement relation and stiffness change rate of the columns are examined, and it is shown that ductility and energy dissipation capacity is increased. From test results, it is found that vibration non-transmissible system which is applied to column member enable to maintains structural function.

Identification and Characterization of Aspergillus oryzae Isolated from Soybean Products in Sunchang County (순창군 장류로부터 분리된 황국균의 동정 및 특성)

  • Lim, Eunmi;Lee, Ji Young;Elgabbar, Mohammed A. Abdo;Han, Kap-Hoon;Lee, Bo-Soon;Cho, Yong Sik;Kim, Hyoun-Young
    • The Korean Journal of Mycology
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    • v.42 no.4
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    • pp.282-288
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    • 2014
  • In this study, we attempted to isolate fungi from soybean fermented foods produced in Sunchang County and to identify Aspergillus oryzae from fungal isolates. Ten fungal isolates were identified with ${\beta}$-tubulin gene. According to the sequences of ${\beta}$-tubulin gene, ten fungal isolates were identified as A. oryzae/flavus complex. For further identification of the ten of fungal isolates, omtA gene, one gene of the aflatoxin biosynthesis gene cluster, was sequenced and the sequences were compared with those of A. oryzae and A. flavus strains from the GenBank database. In addition, identification of the ten fungal isolates was further confirmed using the PCR amplicon of norB and cypA intergenic region, in which a deletion was recognized relative to A. flavus and A. parasiticus. The amplicon size of the ten fungal isolate strains was smaller than those of A. flavus and A. parasiticus, but the same as that of the reference A. oryzae strain. These results indicated that the ten isolates should be identified as A. oryzae. The protease activity in rice koji made with 6, 13, 17, 27, 37 and 38 of strain, respectively was twice higher than that in control. The kojis made with nine of the A. oryzae isolates, respectively, did not produce aflatoxin, suggesting that the strains could possibly be used as starters for soybean products.

A Study on the Research Trends on Domestic Platform Government using Topic Modeling (토픽 모델링을 활용한 한국의 플랫폼정부 연구동향 분석)

  • Suh, Byung-Jo;Shin, Sun-Young
    • Informatization Policy
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    • v.24 no.3
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    • pp.3-26
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    • 2017
  • The amount of unstructured data generated online is increasing exponentially and the analysis of text data is being done in various fields. In order to identify the research trends on the platform government, the title, year, academic society, and abstract information of the academic papers on the subject of platform government were collected from the database of the domestic papers, DBPIA(www.dbpia.co.kr). The results of the existing research on the platform government and related fields were analyzed based on each stage of the national informatization promotion. The technology, service, and governance topics were extracted from papers on platform government and the trends of core topics were analyzed by year. Entering the era of the intelligent information society, this study has significance for providing the basis for defining a new role of government - the platform government that sets the stage for the private sector to lead the innovation, and plays the role of an 'enabler' and 'facilitator' instead. The purpose of this study is to understand the platform government research through objective analysis of its trends. Looking for future directions, this study will contribute to future research by providing reference materials.