• 제목/요약/키워드: Time of Examination

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사이버 한방진료시스템에서의 글로벌 진료를 지향하는 자료처리시스템 설계 및 구현 (Design and implementation of data processing system for global medical examination in cyber Korean medical examination system)

  • 김석수
    • 한국콘텐츠학회논문지
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    • 제2권4호
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    • pp.17-22
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    • 2002
  • 본 논문에서는 ASP와 SQL을 연동한 사이버한방진료와 자료처리를 위한 시스템 통합과 환자와 한의사간의 on-line 상담, 진료데이터의 저장 및 검색으로 인한 반영구적인 진료데이터의 활용(환자 및 한의사의 본 진료데이터를 이용한 보다 정확한 진료 및 처방등이 가능)이 가능하다. 본 논문에서는 사이버한방병원 자료처리 프로세스에서 전문가 상담, 유료회원 접근절차, 처방프로토콜, 전자진료차트을 구현함으로써, 웹상에서의 시공간을 초월한 on-line 및 off-line 겸용모드의 진료형태로 전환하는 한방원격진료 시스템을 설계 및 구현하였다.

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벽식 아파트 내진보강을 위한 신설벽체 벽량에 관한 연구 (A study on the quantity of shear-wall by seismic retrofit of wall-type apartment)

  • 정우경;홍건호;송진규
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2006년도 추계 학술발표회 논문집
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    • pp.169-172
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    • 2006
  • Wall construction apartment built before 1988 years need internal examination reinforcement according to existing laws ans regulations at remodeling because do not earthquake resistant design. Established newly wall to interest paid back at the same time a the principal direction for wall construction apartment internal examination reinforcement, and satisfied internal examination standard because uses width displacement between floor. This study analyzes displacement value such as latitude and presented position of efficient reinforcement wall and wall quantity at earthquake resistant design of wall construction apartment.

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Moyamoya 질환에서 1차 통과기법을 이용한 자기공명관류영상의 이해 (Understanding on MR Perfusion Imaging Using First Pass Technique in Moyamoya Diseases)

  • 류영환;구은회;정재은;동경래;최성현;이재승
    • 대한디지털의료영상학회논문지
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    • 제12권1호
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    • pp.27-31
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    • 2010
  • The purpose of this study was to investigated the usefulness of MR perfusion image comparing with SPECT image. A total of pediatric 30 patients(average age : 7.8) with Moyamoya disease were performed MR Perfusion with 32 channel body coil at 3T from March 01, 2010 to June 10, 2010. The MRI sequences and parameters were as followed : gradient Echo-planar imaging(EPI), TR/TE : 2000ms/50ms, FA : $90^{\circ}$, FOV : $240{\times}240$, Matrix : $128{\times}128$, Thickness : 5mm, Gap : 1.5mm. Images were obtained contrast agent administrated at a rate of 1mL/sec after scan start 10s with a total of slice 1000 images(50 phase/1 slice). It was measured with visual color image and digitize data using MRDx software(IDL version 6.2) and also, it was compared of measurement with values of normal and abnormal ratio to analyze hemodynamic change, and a comparison between perfusion MR with technique using Warm Color at SPECT examination. On MR perfusion examination, the color images from abnormal region to the red collar with rCBV(relative cerebral blood volume) and rCBF(relative cerebral blood flow) caused by increase cerebral blood flow with brain vascular occlusion in surrounding collateral circulation advancement, the blood speed relatively was depicted slowly with blue in MTT(Mean Transit Time) and TTP(Time to Peak) images. The region which was visible abnormally from MR perfusion examination visually were detected as comparison with the same SPECT examination region, would be able to confirm the identical results in MMD(Moyamoya disease)judgments. Hymo-dynamic change in MR perfusion examination produced by increase and delay cerebral blood flow. This change with digitize data and being color imaging makes enable to distinguish between normal and abnormal area. Relatively, MR perfusion examination compared with SPECT examination could bring an excellent image with spatial resolution without radiation expose.

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청대 의과시험의 실제 사례에 대한 고찰 (A Study on the Actual cases of Medical Examination in the Qing Dynasty)

  • 국수호
    • 한국의사학회지
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    • 제34권2호
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    • pp.79-87
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    • 2021
  • The civil service examination system is an important part of the history of education in East Asia. In China, the civil service examination system lasted for almost 1,300 years. Through this, each dynasty was able to prevent the concentration of power to the hereditary nobles and to give competent talents an opportunity to rise to an important position in the state. In terms of medical education, in China, doctors have already been selected through tests since the Song Dynasty. However, the actual cases of medical tests currently remaining in each dynasty are very rare. This paper, firstly, examines the implementation method of the medical test during the Qing Dynasty and examines how it influenced the merit rating. and secondly, this paper examines the actual cases of the remaining Qing medical exam questions, in terms of content, related to the medical text "Uijonggeumgam (醫宗金鑑)" and was influenced by the style of the civil service examination at that time.

신생아중환자실 간호사의 간호업무량 분석 (Nursing Time Use in a Newborn Intensive Care Unit (NICU))

  • 전은경
    • 간호행정학회지
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    • 제6권1호
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    • pp.55-81
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    • 2000
  • This study examined nursing care in a Newborn Intensive Care Unit (NICU) by reviewing nursing activities for the newborns. Through direct observation, time used for nursing care according to the nursing activity, shift, day of the week, and position of the nurses was measured. This study was done on November 15, 21, 24, 1999 at a university medical center hospital and included eight nurses and 179 newborns as the study subjects. The data were collected from the medical records, and by using a nursing activity record for the NICU, and a nursing activity time record for the NICU. The first step in the data collection process was to develop a list of nursing activities which was done through a literature review, examination of medical affairs and duty records. Content validity was measured by a panel of three professors who were experienced clinicians. In the second step two pre-training sessions were held with three sophomore student nurses who then measured the time for each nursing activity using a stopwatch. The data were analyzed using frequencies for nursing activities, averages, percentages and ANOVA for differences between shift and between days of the week, and percentages and t-test for differences according to position of the nurse. The results are as follows: 1) The total number of activities was 156, direct or indirect nursing activities. Direct nursing activity classified according to physical, educational, emotional/social/economic/spiritual needs. There were 109 direct nursing activities in 16 fields. 2) The order of nursing activities, according to time required, was record keeping, nutritional care, measurement/observation, medication, hygiene care, examination and specimen collection, and checking supplies, and according to frequency, measurement/ examination, record keeping, nutrition care, hygiene care, elimination care and medication. 3) According to shift, direct care during the night shift at 313.4 minutes was the longest time and indirect nursing care during the night shift at 252.2 minutes was the highest time. 4) For days of the week, Monday had the highest time for direct care 275.8 minutes (34.6%) and Wednessday had the highest time for indirect nursing care 269.6 minutes (36.1%). 5) For nursing time according to position of nurse, general nurses had the highest for direct care (330.7 minutes), nurse managers for indirect nursing activities (239.0 minutes) and general nurses for individual private time (63.9 minutes). The results of this study show that the major nursing time consuming activities included record keeping, nutrition care and measurement/examination. For newborns, time needs to be allowed for care to be sensitive, sophisticated and specialized rather than concentrated on indirect nursing tasks such as record keeping. Therefore, it is imperative to develop computerized systems that support a systematic approach to record keeping which is more efficient. Moreover, nursing needs according to shift, day or position of nurse can be utilized in assessing nursing resources through a computerized process.

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감지기의 점검 기술향상을 위한 복합시험기의 개발 (Development of Composite Examination Equipment for Improvement of Fire Detectors Checking Technology)

  • 공하성;이종화
    • 대한안전경영과학회지
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    • 제10권4호
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    • pp.135-143
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    • 2008
  • Recently as the testing of fire detector used the testing device for fire detector, there are something the matter in the perception function loss of fire detector, structure and form of the testing device for fire detector. The problem at oxidation of emitting smoke ashes hazardous article part and so on that checking person absorbs be. In this paper the problem or the conventional the examination equipment of fire detectors is analysed and researched. To solve these problems after the theoretical study and design and paint drawing of equipment the prototype of composite examination equipment of fire detectors was made. After compared with the conventional, part that improve of composite examination equipment of fire detectors are verified through the examination. In the future it will be useful the operation state and correct operation time of the fire detectors are measured after the research about the quality of the material and transparency of bellows cover is done.

이러닝 품질관리사의 자격 검정 체제 개발 (Development of an Examination System for a e-Learning Quality Manager's Certificate)

  • 류진선;문대영;이경순;김희필
    • 공학교육연구
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    • 제16권1호
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    • pp.35-44
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    • 2013
  • The purpose of this study is to develop an examination system for an e-learning quality manager's certificate which is composed of subjects, criteria, method of examination. The task model of e-learning quality manager was modify and task/knowledge/skill matrix was developed to design the examination system through conferences of DACUM committee and an advisory committee. And a survey was carry out to analyze validity of contents of the examination system. The major findings were as the follow: First, occupational specification, job specification, task specification and task/knowledge/skill matrix were developed. Second, examination subjects were developed based on task/knowledge/skill matrix, which were "Basis of e-Learning and plan of service", "Expulsion and management of e-learning infrastructure", "Development of e-learning contents", "Operation and evaluation of e-learning service". Third, the criteria and methods of examination for an e-learning quality manager's certificate were developed, which is composed of test type, the sum of test items, test time and acceptable standards.

신용장거래관습 최적편성방안의 모색 : UCP 600 제14조 (b)항의 재해석 (A Study on the Implication for the Optimal Reorganization in Letter of Credit Transaction based on the Reappraisal of the UCP Article 14(b))

  • 김기선
    • 무역상무연구
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    • 제49권
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    • pp.111-137
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    • 2011
  • UCP 600 Article 14(b), providing rules for the period of the examination of documents, is a radical reorganization of UCP Article 13(b). The provision changes the period of time to a maximum of five banking days instead of reasonable time. One of the critical problems giving rise to the difficulty in interpretation and application is the question of fact that there may be two possible conflicting options in determining the time of checking documents presented. The one doctrine is fixed time(safe harbor) standard, and the other is hidden reasonableness standard. This study analyzes which option should be adopted for the optimal application standard by welfare effect methodology using consumer surplus approach and suggests that safe harbor standard should be optimal solution to the determination of period of examination of documents presented in letter of credit regime.

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Merchant View 촬영 시 환자 편의와 업무 효율성 증대를 위한 새로운 촬영 보조기구 개발 및 유용성 평가 (The Evaluation of Usefulness New Assistant Device to Increase Patient Convenience and Processes Efficiency of Radiographic Procedures for Merchant View)

  • 손상혁;김성규
    • 대한디지털의료영상학회논문지
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    • 제12권1호
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    • pp.43-50
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    • 2010
  • The representative study of Patellofemoral Joint Merchant method can show the view for inspection of the sulcus angle, congruence angle and diagnose whether there are the vertical fractures and recognize the degree of dislocation and patella subluxation. However, anatomical correlation about the degree of knee joint curvature changes during position adjustment and distortion of the image reduces reproducibility. In order to resolve these problems, Merchant method needs to use assisting device which reduces the occurrence of repeat projection and effectively to increase unification of examination and the consistency of the image. However, there are disadvantages for patients who take other examinations. For example, they have to change the position for every examination and it might cause the patient's discomfort and increase of examination time. In this study, we newly devised commercial assisting device which improves the reproducibility of the images and reduces inconvenience of patients movement. Further research should be taken to obtain a image without patient's movement and to reduce the time of the examination than existing method.

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ASP와 SQL을 연동한 사이버닥터의 지능형 전자진료차트와 데이터처리 (Intelligence Type Electronic Medical Examination Chart and Data Treatment of Cyber Doctor to Interconnect ASP and SQL)

  • 김석수
    • 디지털콘텐츠학회 논문지
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    • 제4권1호
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    • pp.57-66
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    • 2003
  • 본 논문에서는 인터넷 기반에서의 3자(환자, 의사, 약사)간의 상호대화형 원격진료 시스템 구현으로서, 효율적인 진료와 빠른 처리를 위한 전자진료차트 및 자료처리에 관한 내용을 제시하고 있다. 즉, 고가형 시스템, 비호환성 등 기존 원격진료시스템의 문제점을 해결한 저가형이면서, 누구나 참여할 수 있는 웹상에서의 시공간을 초월한 on-line 및 off-line 겸용모드의 지능형 원격진료시스템이다. 데이터베이스는 IIS 4.0 웹서버상에서 ASP와 SQL을 연동한 구현하여 효율적인 자료처리를 위한 시스템 통합과 환자와 의사간의 on-line 상담, 그리고 off-line상에서의 진료와 환자가 지정한 약사로의 처방전 전송 및 조제, 그리고 진료데이터의 저장 및 검색으로 인한 반영구적인 진료데이터저장, 환자 및 의사의 본 진료데이터를 이용한 보다 정확한 진료 및 처방등이 가능하다.

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