• 대한간호학회지
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• 제50권5호
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• pp.686-698
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• 2020

Purpose: This study was aimed to investigate experiences, perceptions, and educational needs related to patient safety and the factors affecting these perceptions. Methods: Study design was a descriptive survey conducted in November 2019. A sample of 1,187 Koreans aged 20-80 years participated in the online survey. Based on previous research, the questionnaire used patient safety-related and educational requirement items, and the Patient Safety Perception Scale. Descriptive statistics and a decision tree analysis were performed using SPSS 25.0. Results: The average patient safety perception was 71.71 (± 9.21). Approximately 95.9% of the participants reported a need for patient safety education, and 88.0% answered that they would participate in such education. The most influential factors in the group with low patient safety perceptions were the recognition of patient safety activities, age, preference of accredited hospitals, experience of patient safety problems, and willingness to participate in patient safety education. Conclusion: It was confirmed that the vulnerable group for patient safety perception is not aware of patient safety activities and did not prefer an accredited hospital. To prevent patient safety accidents and establish a culture of patient safety, appropriate educational strategies must be provided to the general public.

• Journal of Chest Surgery
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• 제14권3호
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• pp.210-214
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• 1981

The bronchogenic cysts result from an abnormal budding or branching of the tracheo-bronchial tree from the primitive foregut. Bronchogenic cysts may be pulmonary or mediastinal. The most common location for a mediastinal bronchogenic cyst is in relation to the carina. They are usually solitary. They usually are thin walled and contain fluid that is most often clear. The cyst is lined by ciliated columnar epithelium. The bronchogenic cyst i~ usually asymptomatic. They can cause pressure symptoms. When they become infected, symptoms do occur. We report 3 cases of bronchogenic cysts experienced at the Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital. Case I, a man of 20 year-old, had a cyst at the site between aortic arch and left pulmonary artery. He complained cough and dyspnea. The cyst wasn`t communicated with tracheobronchial tree. Case II was 55-year-old male who had had hemoptysis. A huge cyst was located within the lower lobe of left lung and removed by pulmonary lobectomy. There were not any symptoms in Case III that was 6-year old girl. That cyst was located just next to the right main bronchus.

• 전기전자학회논문지
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• 제20권1호
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• pp.16-25
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• 2016

의학적 진단을 내리기 위해 시행되는 검사의 소요시간(turnaround time, TAT)은 환자대기시간과 직결되며 중요한 의료서비스 평가항목 중 하나이다. 본 연구에서는 주요 영상의학검사를 대상으로 TAT를 측정하고, 그 결과가 의료기관이 설정한 기준치를 달성하는지 여부를 분석하였다. 분류회귀나무 알고리즘을 이용한 예측 결과, "진료과", "상병", "검사종류", "실시월"이 적기처리 달성에 가장 큰 영향을 주는 요인으로 확인되었다. 본 연구는 의료서비스의 적기처리를 예측하는 모형을 통하여 의료서비스 지연을 사전에 조치할 수 있는 수단을 제공하였다는 데에 큰 의미가 있다.

• International Journal of Internet, Broadcasting and Communication
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• 제15권3호
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• pp.32-42
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• 2023

There are serious problems worldwide, such as a pandemic due to an unprecedented infection caused by COVID-19. On previous approaches, they invented medical vaccines and preemptive testing tools for medical engineering. However, it is difficult to access poor medical systems and medical institutions due to disparities between countries and regions. In advanced nations, the damage was even greater due to high medical and examination costs because they did not go to the hospital. Therefore, from a software engineering-based perspective, we propose a learning model for determining coronavirus infection through symptom data-based software prediction models and tools. After a comparative analysis of various models (decision tree, Naive Bayes, KNN, multi-perceptron neural network), we decide to choose an appropriate decision tree model. Due to a lack of data, additional survey data and overseas symptom data are applied and built into the judgment model. To protect from thiswe also adapt human normalization approach with traditional Korean medicin approach. We expect to be possible to determine coronavirus, flu, allergy, and cold without medical examination and diagnosis tools through data collection and analysis by applying decision trees.

• Journal of Computing Science and Engineering
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• 제11권4호
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• pp.142-151
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• 2017

Spontaneous intracerebral hemorrhage (sICH) has a high mortality rate. Research has demonstrated that sICH occurrence is related to weather conditions; therefore, this study used the decision tree method to explore the impact of climatic risk factors on sICH at different ages. The Taiwan National Health Insurance Research Database (NHIRD) and other open-access data were used in this study. The inclusion criterion was a first-attack sICH. The decision tree algorithm and random forest were implemented in R programming language. We defined a high risk of sICH as more than the average number of cases daily, and the younger, middle-aged and older groups were calculated as having 0.77, 2.26 and 2.60 cases per day, respectively. In total, 22,684 sICH cases were included in this study; 3,102 patients were younger (<44 years, younger group), 9,089 were middle-aged (45-64 years, middle group), and 10,457 were older (>65 years, older group). The risk of sICH in the younger group was not correlated with temperature, wind speed or humidity. The middle group had two decision nodes: a higher risk if the maximum temperature was >$19^{\circ}C$ (probability = 63.7%), and if the maximum temperature was <$19^{\circ}C$ in addition to a wind speed <2.788 (m/s) (probability = 60.9%). The older group had a higher risk if the average temperature was >$23.933^{\circ}C$ (probability = 60.7%). This study demonstrated that the sICH incidence in the younger patients was not significantly correlated with weather factors; that in the middle-aged sICH patients was highly-correlated with the apparent temperature; and that in the older sICH patients was highly-correlated with the mean ambient temperature. "Warm" cold ambient temperatures resulted in a higher risk of sICH, especially in the older patients.

• Journal of Ecology and Environment
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• 제41권8호
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• pp.223-234
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• 2017

Background: Spatial structure of plants in a population reflects complex interactions of ecological and evolutionary processes. For dioecious plants, differences in reproduction cost between sexes and sizes might affect their spatial distribution. Abiotic heterogeneity may also affect adaptation activities, and result in a unique spatial structure of the population. Thus, we examined sex- and size-related spatial distributions of old-growth forest of dioecious tree Torreya nucifera in extremely heterogeneous Gotjawal terrain of Jeju Island, South Korea. Methods: We generated a database of location, sex, and size (DBH) of T. nucifera trees for each quadrat ($160{\times}300m$) in each of the three sites previously defined (quadrat A, B, C in Site I, II, and III, respectively). T. nucifera trees were categorized into eight groups based on sex (males vs. females), size (small vs. large trees), and sex by size (small vs. large males, and small vs. large females) for spatial point pattern analysis. Univariate and bivariate spatial analyses were conducted. Results: Univariate spatial analysis showed that spatial patterns of T. nucifera trees differed among the three quadrats. In quadrat A, individual trees showed random distribution at all scales regardless of sex and size groups. When assessing univariate patterns for sex by size groups in quadrat B, small males and small females were distributed randomly at all scales whereas large males and large females were clumped. All groups in quadrat C were clustered at short distances but the pattern changed as distance was increased. Bivariate spatial analyses testing the association between sex and size groups showed that spatial segregation occurred only in quadrat C. Males and females were spatially independent at all scales. However, after controlling for size, males and females were spatially separated. Conclusions: Diverse spatial patterns of T. nucifera trees across the three sites within the Torreya Forest imply that adaptive explanations are not sufficient for understanding spatial structure in this old-growth forest. If so, the role of Gotjawal terrain in terms of creating extremely diverse microhabitats and subsequently stochastic processes of survival and mortality of trees, both of which ultimately determine spatial patterns, needs to be further examined.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제16권2호
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• pp.261-269
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• 2005

연구 목적 : 본 연구는 가벼운 비행을 저지른 '훈방대상 비행청소년'을 대상으로 분노, 분노대처, 스트레스반응 각각의 특성과 이들의 성별, 학년에 따른 차이를 파악하기 위하여 시행되었다. 방법 : 본 연구의 대상자는 서울시 '사랑의 교실' (비행예방 프로그램)에 참석한 비행청소년 285명과 서울시내 일반청소년 391명(남 : 377명, 여 : 299명/중 346명, 고 : 330명)이었으며, 이들에게 한국판 상태-특성분노표현척도와 사건충격척도를 실시하였다. 결과 : 1) 비행청소년은 일반청소년에 비해서 상태분노, 특성분노, 전체분노 분노표출은 높았고 분노억제, 분노조절, 스트레스반응은 낮았다. 2) 남자 비행청소년이 여자 비행청소년보다 분노조절과 스트레스반응이 더 높았고 분노에서는 유의미한 차이가 없었다. 3) 고등학교 비행청소년에서 중학교 비행청소년에 비해서 특성분노와 분노조절이 더 높았고, 고등학교 일반청소년이 중학교 일반청소년에서보다 스트레스반응이 더 높았다. 결론 : '훈방대상 비행청소년'은 일반청소년과는 분노, 분노대처, 스트레스반응에서 차이를 보였으며, 학년과 성별에 따라서도 차이를 보였다. 이러한 특성들은 이들을 대상으로 하는 프로그램에 더욱 쉽고 효과적으로 적용 될 수 있다.

• 한국산학기술학회논문지
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• 제16권7호
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• pp.4641-4650
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• 2015

본 연구는 지방의료원의 고객세분화를 통하여 향후 전문화된 의료기관으로 진료전문성을 강화하여 경쟁력을 확보할 수 있는 진료전문화 전략을 제시하는데 목적이 있다. 조사기간은 2013년 1월부터 12월까지 입원한 환자 26,658명을 연구대상을 선정하였다. 분석방법은 군집분석과 의사결정나무분석을 이용하였다. 결론을 보면, 성별은 여자, 연령은 60세 이상, 질환별로는 근 골격계 및 결합조직의 질환이 충성고객으로 선정되었다. 이들은 지방의료원의 고객관리측면에서 향후 구전의 효과가 높은 고객 군으로 금전적인 소비규모가 높은 점을 고려하여 이들에게 제공된 의료서비스에 대한 모니터링과 커뮤니케이션을 통해 지속적인 관계를 유지하는 것이 중요하다. 앞으로 전문 분야의 전문의와 전문적 시설 확보 등의 적합한 조직구조와 환경을 갖추는 것이 중요하며, 지역 내 개원의, 유관기관간의 전략적 제휴 통한 진료협력 및 의뢰, 의료서비스 범위의 집중화가 필요하다.

• 대한영양사협회학술지
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• 제11권2호
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• pp.216-222
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• 2005

In Korea, there are many kinds of functional foods to manage diabetes, however, they have not been evaluated or investigated systematically. The purpose of this study was to investigate the status of recognition and intake of functional foods among diabetic patients. The study subjects were 307 patients(male 135, female 172), who diagnosed with type 2 diabetes at Seoul National University of Bundang Hospital. Questionnaire survey was done from July to October, 2004 for the characteristics of patients and factors related to the use of functional foods. The mean age of the subjects was 64$\pm$10.2 years, and the mean duration of disease was 9.5$\pm$8.90 years. Approximately 49.8% of the subjects had experience to use functional foods at least once in past. Total number of functional foods used were 56 types. Red ginseng was used most frequently(27.9%), then followed by Silkworm powder(13.6%), Vitamin supplements(10.4%), Mulberry tree(7.1%), Cordyceps sinensis(6.8%) and Ginseng(4.2%). Functional foods were introduced by their friends.relatives(38.4%), family(29.1%), internet(13.9%), and the mass media(10.6%). Among respondents, 94.7% took functional foods with conventional diet therapies(diet, exercise and medication). The purpose of functional food use was to control blood glucose level(49.0%), to relieve fatigue and improve stamina(19.9%), to treat and prevent a disease(17.2%) and to help blood circulation(7.9%). Upon the question of further recommendation of functional foods to others, 74.8% of the subjects answered negative response. However, 12.6% of the subjects showed the further intention of using new product. Therefore, to guide the appropriate use of functional foods for diabetic patients, diabetic educator should provide the knowledge of the efficacy of functional foods and the desirable guidelines.

• 디지털융복합연구
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• 제10권1호
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• pp.413-422
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• 2012

본 연구는 급성심근경색증 입원환자를 대상으로 중증도가 보정된 적정 재원일수 예측모형을 개발하여 의료의 질 관리 및 정책 개발에 필요한 기초자료를 제시하고자 하였다. 2004-2006년 퇴원손상심층조사 자료 중 급성심근경색증 입원환자 2,309명을 대상으로 급성심근경색증 입원환자의 적정 재원일수 예측모형은 데이터마이닝을 이용하여 개발하였다. 의사결정나무 모형에 따라 급성심근경색증 입원환자의 평균재원일수에 가장 큰 영향을 미치는 변수는 관상동맥우회술(CABG)과 동반질환 건수로 나타났다. 앙상블 모형을 이용하여 개발된 급성심근경색증 입원환자의 중증도 보정 재원일수 모형 결과, 적정 재원일수와 실제 재원일수의 차이는 보험유형과 의료기관 소재지가 통계적으로 유의하게 나타났다. 따라서 재원일수의 변이를 줄이고 효율적으로 관리하기 위해 의료기관에서는 다빈도 질환에 대한 중증도 보정 적정 재원일수 예측모형을 개발하여 이를 의료정보시스템에 적용하고 관리하는 활동을 전개해야 할 것이다.