• Title/Summary/Keyword: concept of records

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Clinical implications of the newly defined concept of ventilator-associated events in trauma patients

  • Lee, Tae Yeon;Oh, Jeong Woo;Lee, Min Koo;Kim, Joong Suck;Sohn, Jeong Eun;Wi, Jeong Hwan
    • Journal of Trauma and Injury
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    • v.35 no.2
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    • pp.76-83
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    • 2022
  • Purpose: Ventilator-associated pneumonia is the most common nosocomial infection in patients with mechanical ventilation. In 2013, the new concept of ventilator-associated events (VAEs) replaced the traditional concept of ventilator-associated pneumonia. We analyzed risk factors for VAE occurrence and in-hospital mortality in trauma patients who received mechanical ventilatory support. Methods: In this retrospective review, the study population comprised patients admitted to the Jeju Regional Trauma Center from January 2020 to January 2021. Data on demographics, injury characteristics, and clinical findings were collected from medical records. The subjects were categorized into VAE and no-VAE groups according to the Centers for Disease Control and Prevention/National Healthcare Safety Network VAE criteria. We identified risk factors for VAE occurrence and in-hospital mortality. Results: Among 491 trauma patients admitted to the trauma center, 73 patients who received ventilator care were analyzed. Patients with a chest Abbreviated Injury Scale (AIS) score ≥3 had a 4.7-fold higher VAE rate (odds ratio [OR], 4.73; 95% confidence interval [CI], 1.46-17.9), and those with a glomerular filtration rate (GFR) <75 mL/min/1.73 m2 had 4.1-fold higher odds of VAE occurrence (OR, 4.15; 95% CI, 1.32-14.1) and a nearly 4.2-fold higher risk for in-hospital mortality (OR, 4.19; 95% CI, 1.30-14.3). The median VAE-free duration of patients with chest AIS ≥3 was significantly shorter than that of patients with chest AIS <3 (P=0.013). Conclusions: Trauma patients with chest AIS ≥3 or GFR <75 mL/min/1.73 m2 on admission should be intensively monitored to detect at-risk patients for VAEs and modify the care plan accordingly. VAEs should be closely monitored to identify infections early and to achieve desirable results. We should also actively consider modalities to shorten mechanical ventilation in patients with chest AIS ≥3 to reduce VAE occurrence.

An Analysis of Cases of Emulation for Long Term Electronic Records Preservation Strategy (전자기록 장기보존 전략으로서의 에뮬레이션 사례 분석)

  • Kim, Myung-Hun;Oh, Myung-Jin;Lee, Jae-Hong;Yim, Jin-Hee
    • The Korean Journal of Archival Studies
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    • no.38
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    • pp.265-309
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    • 2013
  • In response to the current electronic record environment, storing electronic records for necessary long terms have been the topic of the times. Especially, the method to preserving original form such as original functional property and bit stream becomes the key to long term preservation of electronic records. Until now in Korea migration methods were chosen as long term preservation strategy for public records, but the limitations were that the functionality and the original bit stream could not be maintained. Among the strategies for long term preservation of electronic records, emulation has significant strengths in that it can replicate the original form of electronic records without changes in the bit stream, and that unlike migration it can establish a single preservation strategy without needing to apply individual strategies according to type of electronic record. Especially because it can replicate the functional components that cannot be implemented in the current long term preservation format, there is a need to study the application method based on the studies of electronic record types currently used by public institutions. This study, to explore the methods for applying emulation as a strategy for the long term preservation of electronic records, reviews the latest study cases from the west about emulation as base study, and tries to analyze the specific cases about the feasibility, target, and methods of emulation. Through this the study tries to explore the implications for domestic application as well as the strengths and weaknesses of emulation. To do this, the study analyses the concept, strengths and weaknesses of emulation as a long term preservation strategy, the analyses the latest best cases of emulation in the west; CAMiLEON, KB, Planets, and KEEP project. Based on these analysis this study tries to suggest implications and application methods for electronic records in the future in Korea.

A Historical Approach to the Development of Democracy and the Archival Society in Korea (한국 기록관리와 '거버넌스'에 대한 역사적 접근)

  • OH, Hang-Nyeong
    • The Korean Journal of Archival Studies
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    • no.11
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    • pp.15-40
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    • 2005
  • 'Governance' is a subject that is widely discussed these days in the government and the academic world. I think that the new concept, 'governance', is a strategy to develop the democracy of the society in its institutional and functional aspects. When we are going to discuss about governance, public records and their relationships, without understanding the meaning of 'public' in Korea, we cannot expect to discuss the matter precisely. It is said that Korean public service sectors are awash with authoritarianism and unreasonableness, and that they are at the center of seething corruption and bribe scandals. It is the legacy that the regimes adopted in the aftermath of the Japanese colonial rule for 35 years. The colonial legacy included not simply the practice of the Japanese colony, but also people who had collaborated the Japanese. The American military government and Rhee, Sung-Man regime also appointed the same officials to government posts. As was the same case in other areas including economy, press, education, politics, law, etc. In this point of view, "Righting historical wrongs", a controversial issue now in Korea, aims at establishing the right relationships between an individual and the public, and eventually laying the foundation of democracy for future generation, a procedure of achieving good governance. Apparently, Korea has made progress in developing democracy, as well as in reforming the government policy and organization. Many independent commissions are performing the projects instead of the government institutions that mandated to do the job, but has not played their roles. The e-government projects in Korea was launched in 2001 by the former administration. However, the confusion of records-management after the promulgation of the act is the result of the lack of strategy and the inconsistency of the vision. Good record-keeping supports effective, transparent and accountable government. Accountability is a key element of good governance. It is a recognized fact that without information, there is no guidance for decision-making, and accountability. Thus without records, there is no accountability for the decisions of actions. Transparency means that the decisions taken and their enforcement are carried out based on led-out rules and regulations. When both accountability and transparency are non-existent, good governance is bound to fail. Archival institutions have to give an attention to inner-governance because of the new trend of archival practice, namely 'macro-appraisal'. This 'macro-appraisal' is a kind of a functions-based approach. However, macro-appraisal focuses not just on function, but on the three-way interaction of function, structure and citizen, which combined reflect the functioning of the state within civil society, that is to say, its governance. In conclusion, the public and democracy are major challenges in the Korean society. The so-called good governance requires good record management. In this respect, records managers are in the front line of instituting good governance, and achieving better public and democracy for future generation, a procedure of achieving good governance.

Conceptual Understanding of Heritage Archives (헤리티지 아카이브의 개념적 이해)

  • Jong Chul Lim
    • Journal of Korean Society of Archives and Records Management
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    • v.24 no.3
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    • pp.85-104
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    • 2024
  • While there have been ongoing discussions and attempts to utilize archives for marketing purposes in various organizations, including businesses, there has been a lack of clarity regarding what should be archived and what should be considered as marketing targets within an organization's history. Consequently, historical marketing has often been past-oriented, with results varying significantly based on the capabilities of those in charge. To introduce and effectively utilize archives in organizational settings, it is crucial to demonstrate that archives can positively impact organizational performance. The Heritage Archives is a utilization plan that offers an approach to digitizing and preserving the valuable heritage and assets of a business, explaining them to various stakeholders through records, serving as a foundation for building trust in the business, and linking them to marketing, branding, and other applications. This study focuses on fundamental concepts for constructing and utilizing heritage archives by defining and interpreting key concepts such as the affordance of records, organizational heritage, and heritage assets. To this end, the study incorporates Geoffrey Yeo's affordance and John M.T. Balmer's concept of heritage. In addition, it compares definitions of assets in KS Q ISO 55000:2021, KS X ISO 15489-1:2016, and KS X ISO 30300:2020. Through the study's findings, insights can be obtained for organizations seeking to implement heritage archives and leverage them for marketing, branding, and related purposes.

A probabilistic seismic demand model for required separation distance of adjacent structures

  • Rahimi, Sepideh;Soltani, Masoud
    • Earthquakes and Structures
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    • v.22 no.2
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    • pp.147-155
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    • 2022
  • Regarding the importance of seismic pounding, the available standards and guidelines specify minimum separation distance between adjacent buildings. However, the rules in this field are generally based on some simple assumptions, and the level of confidence is uncertain. This is attributed to the fact that the relative response of adjacent structures is strongly dependent on the frequency content of the applied records and the Eigen frequencies of the adjacent structures as well. Therefore, this research aims at investigating the separation distance of the buildings through a probabilistic-based algorithm. In order to empower the algorithm, the record-to-record uncertainties, are considered by probabilistic approaches; besides, a wide extent of material nonlinear behaviors can be introduced into the structural model by the implementation of the hysteresis Bouc-Wen model. The algorithm is then simplified by the application of the linearization concept and using the response acceleration spectrum. By implementing the proposed algorithm, the separation distance in a specific probability level can be evaluated without the essential need of performing time-consuming dynamic analyses. Accuracy of the proposed method is evaluated using nonlinear dynamic analyses of adjacent structures.

Integrated Methods of Various Media Generators in The SuperSQL Query Process System

  • Shin Sang-Gyu;Kim Tai-Suk;Toyama Motomichi
    • Journal of Korea Multimedia Society
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    • v.9 no.6
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    • pp.720-727
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    • 2006
  • In this paper, we propose a method which allows the SuperSQL query processor to share as much code as possible among various, generators, each of which is responsible for the output of a certain medium. SuperSQL is an enhanced query-processing system that converts database records into a variety of formats such as XML, HTML, PDF and etc. However, the existing SuperSQL media generator would require creation of a different processor for each medium, causing duplicated development cost. This research makes three main contributions: First, it analyzes the structures of various media, examining any possibility of integration based on their common structure. Second, it also facilitates the addition of a new output media generator by separating constructors and decorators from each medium. Last, it provides an integrated user interface to each media by method of the Media Abstraction Table Concept. We also show the performance and feasibility of our system using experimental results.

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A Study on the Scope of the Word '古文' and '古篆' Definition in the Joseon Period (試論朝鮮時代'古文'及'古篆'定義的範圍)

  • 신세리
    • Journal of Sinology and China Studies
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    • v.79
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    • pp.295-312
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    • 2019
  • Through the articles written by the Joseon literati, this article first sorts out the sources and definitions of related words, then examines the specific sentence adopted by the Joseon literati, and clarifies the Joseon literati's understanding of philological related words. This article will specifically analyze the concepts of '古文' and '古篆', analyze the similarities and differences between them, and explore the reasons for the differences. This article will use the Korean classical collection of Korean classical integrated DB, as well as the documents of the Cheng zheng diary(承政院日記) and the Joseon dynasty sillok(朝鮮王朝實錄Veritable Records of the Joseon Dynasty) and so on. This article will analyze the following steps: First, sort out the general definition of '古文' and '古篆'; secondly, analyze the concept of '古文' and '古篆' in Korean literature; again, through the contact of Joseon scholars , The word font is used to discuss the concepts and differences between 'Gu Wen(古文)' and 'Gu Zhuan(古篆)'; finally, the specific scope of 'Gu Wen(古文)' and 'Gu Zhuan(古篆)' in the Joseon Period.

A Study on Bianque's pulse Diagnosis (편작맥법(扁鵲脈法)에 관한 연구(硏究))

  • Bang, Min-woo;Kim, Ki-woo
    • Journal of Korean Medical classics
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    • v.30 no.3
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    • pp.143-165
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    • 2017
  • Objectives : The paper seeks to provide a study on Bianque's Pulse Diagnosis in the contexts of Huangdi Neijing's Maijing and Nanjing. Methods : The paper provides a comparison of sentences regarding Bianque's Pulse Diagnosis discovered in Neijing, Maijing, and Nanjing. Results & Conclusions: 1. Bianque's Pulse Diagnosis was given birth through stages in accoradnce with the development of Pyobonjin, Maeggujin, Gyeongmaeghyjin, and Meridian Theory. 2. It seems that Neijing filled in Sambuguhujin and In-yeongbuyangmaegjin because they were not discovered in Canggong's Records of Diagnosis. 3. Bianque's Pulse Diagnosis diagnosed death using Osaegjin. Underneath each sentence within each biography regarding Meridian, there existed Pulse dead Hou. 4. Bianque's Pulse Diagnosis quantified the operation and length of pulse in time. The concept of small net was added which led to the establishment of Fifty circulations, Yeongwi theory, Meridians circulation, and chongu's boundary.

Commercial Arbitration and Dispute Management in Construction Project (건설공사의 분쟁관리와 상사중재)

  • 이태식;이동욱;김영현
    • Journal of Arbitration Studies
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    • v.13 no.2
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    • pp.489-517
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    • 2004
  • The resolution of the 1993 Uruguay Round and the opening of Korea's construction market in '97 marked the beginning of the globalization of Korea's domestic construction market. Consequently, the process led to changes in contracting procedures, as well as disputes in construction management. With globalization came a rapid realization of reasonable values, which forced the hierarchical vertical relationship between the owners, constructors, and subcontractors into a more equal, horizontal relationship. Once the hierarchical relationship was altered, the late 1990's witnessed a dramatic increase in managerial disagreements, in addition to escalating legal disputes and expenditures. The horizontal relationship was a new concept and brought forth many complexities. Unfortunately, because all of this was new, management of construction disputes was elementary at best. Anticipation of disputes is the key to effective dispute management. This includes thorough reviews of contract documents, document management, construction records, and checklists. Also necessary is the education of owners and contractors with pertinent knowledge concerning dispute management. The following paper focuses on the importance of observing construction disputes in order to facilitate management thereof.

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International Trends of Good Agricultural Practice(GAP)

  • Lee, Ju-Young;Park, Jin-Han
    • Journal of Evidence-Based Herbal Medicine
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    • v.1 no.1
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    • pp.19-28
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    • 2008
  • Consumers have been requiring more higher level of food and agricultural products safety. The system of Good Agricultural Practice(GAP) has been spreaded over the world. Korea also introduced the GAP system in agricultural industry. GAP is related to the production side in the whole traceability system. The establishment of GAP system is a prerequisite to secure food safety. This study reviewed the concept of GAP and necessities and backgrounds of introducing the GAP system. Also, this study analyzed the problems which have been appeared in the GAP program and proposed the policy strategies and directions for the Korean GAP system. So issues for the GAP system are as follows; computerizing of traceability system, forming the cooperative works among the related governmental departments, establishing a certification system to relate with crop features, efficient management, ensuring distribution channel and the research for estimating GAP consumer surplus is need to analyze GAP program more efficient. In addition, It is necessary to keep the records of the data to analyze the GAP program more accurately.

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