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A Study on Archive Description Using RiC-CM (RiC-CM을 적용한 영구기록물 기술방안 연구)

  • Kim, Soohyun;Lee, Sungsook
    • Journal of Korean Society of Archives and Records Management
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    • v.20 no.1
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    • pp.115-137
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    • 2020
  • This study aims to examine the limitations of status that describe archives based on the Archival rules, and to propose a new method using the Records in Context - Conceptual model (RiC-CM) as a solution. Given this, the study conducted literature reviews and case studies. The solutions based on RiC-CM and its effects on the limitations of the existing environment are as follows. First, RiC-CM can describe multiple provenances about archives. This can be solved by defining individual records and provenances as "entity" and expressing their associations as relationships. The interrelation of entities alone can more accurately represent the information of provenances associated with a particular archive, making it easier to identify the overall context that makes records. Second, RiC-CM can link related files. Those that belong to a specific records group (fonds) can be resolved by assigning them to individual entities and making interrelation according to the context that makes records. This method makes it possible to serve information about the context that makes records. From the user's point of view, more options are available for searching records. Third, RiC-CM can link all relevant producer-made records related to a specific production organization. If organizations are related to each other, they can be defined as "entity," and their relationship can be expressed as "associated with." It helps to comprehensively examine the context of provenances. The findings of this study are expected to be used as a basis for future research on RiC-CM, in response to the paradigm shift for electronic records management systems.

Association between Prognosis of Low Back Pain Patients with Severity of Abnormal Lumbar Lordosis (한방병원에 입원한 요통 환자의 요추 전만각, 요천각 변화의 심각도에 따른 예후 분석 연구)

  • Han, Su-Bin;Kim, Eun-San;Kim, Hyo-Jun;Jo, Hoo-In;Kim, Mi-hye;Lee, Nam-Woo;Han, Jeong-Hun;Park, Byung-Hak;Son, Jae-Min;Kang, Do-Hyeon;Min, Tae-Woon;Lee, Hyun-Jun;Ahn, Jae-Seo;Lee, Han-Sol
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.4
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    • pp.143-154
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    • 2020
  • Objectives To analyze the prognosis of patients with low back pain according to the severity of abnormal lumbar lordotic angle and Ferguson's angle. Methods Data from electronic medical record of a total of 199 patients hospitalized in Korean medicine hospital were analyzed. With the sagittal view of lumbar spine X-ray, lumbar lordotic angle was defined as the angle between the superior endplate of L1 with the inferior endplate of L5. Ferguson's angle was defined as the angle between the superior surfaces of the sacral with a horizontal line. 'Measure Cobb's Angle Tool' of 'INFINITT PACS' was used to measure both angles. Lumbar lordotic angle and Ferguson's angle were subdivided into five sections. The number of days from onset and the duration of hospitalization were analyzed in each section. Results Severe hypolordotic lumbar lordotic angle group were found to have longer medical history and hospitalization duration than the control group. The ratio of long-term hospitalization (over 15 days) and chronic medical history (over 180 days) of patients with severe hypolordotic Ferguson's angle were significantly higher than the control group. The ratio of patients with chronic medical history (over 180 days) was significantly higher in severe hyperlordotic Ferguson's angle group than the control group. Conclusions Severe hypolordotic lumbar lordotic angle was related to patient's prognosis. Both severe hyperlordotic and severe hypolordotic Ferguson's angle were found to be related to patient's prognosis. However, a moderate loss of lumbar lordotic angle and Ferguson's angle was not related to prognosis of low back pain patients.

The Analysis on Characteristics according to Sasang Constitution of Patients with Parkinson's Disease in a Korean Medicine Hospital (일개 한방병원에 파킨슨병으로 내원한 환자의 사상의학적 특성에 관한 고찰)

  • Kim, So-Hyoung;Lee, Seul;Lee, Yong-Jae;Bae, Na-Young;Lee, Jeong-yun
    • Journal of Sasang Constitutional Medicine
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    • v.30 no.3
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    • pp.62-73
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    • 2018
  • Objectives The aim of this study was to make an analysis of clinical characteristics and status of Sasang constitutional medicine of patients with Parkinson's Disease who visited a Korean medicine hospital. Methods We studied 129 patients with Parkinson's Disease who visited a Korean medicine hospital from September 1, 2012 to June 30, 2018. We retrospectively collected medical history and characteristics of subjects using data of EMR (electronic medical record). Results The proportion of female was higher than male. The average age was 60s. The patients visited a hospital more than one year after the occurrence of symptoms. And they were mostly under western medicine treatment. Among the 129 patients, 56 persons(43.4%) were Taeeumin, 45 persons(34.9%) Soyangin and 28 persons Soeumin(21.7%). In the distribution of prescription according Sasang Constitutional Medicine symptomatology, there was no significant difference in the proportion of exterior cold disease(48.9%) and interior heat disease(51.1%) in Soyangin. Meanwhile the proportion of heat disease's prescription was higher than cold disease in Taeeumin(73.2%) and Soeumin(84.1%). The majority of disease were Dry-febrile symptom(73.2%) of heat disease in Taeeumin, Yang depletion-syndrome(64.3%) of heat disease in Soeumin, and Gyolhyung-symptom(33.3%) of exterior cold disease and Wasting thirst-syndrome(22.2%) of interior heat disease in Soyangin, Conclusions By Developing of guideline for treatment of Parkinson's Disease through analyzing on clinical characteristics and distribution of Sasang Constitutional Medicine symptomatology could contribute to the improvement of the cure rate and accuracy of constitution pattern.

Referral Trends of Children in Jeonbuk National University Dental Hospital for Last 3 years (최근 3년간 전북대학교 치과병원의 소아청소년환자 의뢰경향)

  • Bae, Cheolhyeon;Lee, Daewoo;Kim, Jaegon;Yang, Yeonmi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.4
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    • pp.362-368
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    • 2019
  • The purpose of this study was to analyze outpatient referral patterns of children in Jeonbuk National University Dental Hospital. All patients under 16 years old who were consulted from the external facilities were reviewed based on the electronic medical record of Jeonbuk National University Dental Hospital from 2015 to 2018. Total 720 boys and 460 girls with an average age of 7.4 years were referred from local dental clinic (85.2%) for treatment severity (90.2%). 3.2% of patients has disability with the highest number of intellectual disabilities. The patients were usually referred at the pre-treatment stage with higher rates if they had disability or medical problem. Referral rate by chief complaints was highest in surgery, followed by reparative treatment and orthodontic treatment. 2nd referrals in pediatric dentistry had a higher rate of referrals to minor surgery and pulp treatment than of first referrals. The time point of 2nd referral was relatively delayed with increased ratio of 'during treatment'. These results suggest necessities of appropriate case selection and referral based reasonable criteria for pediatric dentist.

Clinical Characteristics of Lung Cancer Diagnosed in Chonnam National University Hospital(CNUH) Since 2000 (전남대학교 병원에서 2000년 이후 진단된 폐암의 임상 특성)

  • Lim, Jung Hwan;Ban, Hee Jung;Oh, In Jae;Kim, Soo Ok;Son, Jun Gwang;Jeong, Jong Pil;Kim, Kyu Sik;Kim, Yu Il;Lim, Sung Chul;Kim, Young Chul
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.5
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    • pp.427-432
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    • 2006
  • Background: Lung cancer has been the leading cause of cancer death in South Korea since 2000. This study examined the clinical characteristics of lung cancer patients diagnosed in a community hospital from the year 2000 to 2005, and compared these results with previously reported statistical data. Method: The lung cancer data in a form of an electronic medical record was downloaded from the hospital medical information system. The clinical characteristics of the 1,509 patients with lung cancer were analyzed retrospectively. Result: The mean age of the patients was 63.7 years. 82.5% and 74.5% of the patients were men and smokers, respectively. Squamous cell carcinoma (41.6%) was the most common pathology type followed by adenocarcinoma(32.3%) and small cell carcinoma(13.9%). When 604 patients who were diagnosed from 2000 to 2003 were compared with 905 patients diagnosed from 2004 to 2005, the age of patients increased significantly (61.5 years vs. 65.1 years; p<0.001) and the proportion of adenocarcinomas was significantly higher(29.3% vs. 34.4%; p=0.046). Conclusion: Among the major histology types of lung cancer, the incidence of adenocarcinoma has been increasing recently. The age of the lung cancer patients at diagnosis is getting older. This is despite the fact that the distributions of the initial anatomic stages have not changed significantly.

The Autonomy, Nursing Performance based on the Awareness and satisfaction of EMR System for Nurses (간호사의 전자의무기록(EMR) 인식도와 만족도에 따른 자율성 및 간호업무성과)

  • Kang, Jisook;Kim, Sunja;Kim, Wonjeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.9
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    • pp.6061-6070
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    • 2015
  • The purpose of this study was to examine relations on the autonomy, nursing performance based on the awareness and satisfaction of electronic medical record system for nurses. This Study was a descriptive survey design using convenience sampling. There were 194 general hospital nurses, who agreed to participate in this study, taken a structured questionnaire during august 2013. SPSS 20.0 version was used for descriptive analysis, frequency, percentage, mean, standard deviation, independent t-test, one-way ANOVA and Pearson correlation coefficiency. The major findings of this study were as follows. The mean score on the awareness of EMR was 3.68, the mean score on the satisfaction was 3.47 and nursing autonomy mean score was 3.25, nursing performance mean score was 3.55. There were significant differences in the awareness according to working field and computer certificate. There were significant differences in satisfaction depending on whether they held computer certificates Head nurses and the above scored significantly higher in nursing performance compared to nurses at the lower position. Also, higher awareness was significantly related to higher satisfaction. Higher satisfaction was significantly related to higher nursing autonomy and performance. The findings of this study imply that nurses need to raise their EMR awareness and satisfaction and make best used of their qualification with their computer certificate.

A Survey on the Radiation Exposure Doses Reduction Plan through Dose Index Analysis in the Pediatric Brain Computed Tomography (소아 두부 컴퓨터단층촬영검사에서 선량지표 분석을 통한 방사선 피폭선량 감소 방안에 대한 연구)

  • Kim, Hyeon-Jin;Lee, Hyo-Yeong;Im, In-Chul;Yu, Yun-Sik
    • Journal of the Korean Society of Radiology
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    • v.10 no.3
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    • pp.161-169
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    • 2016
  • In this study, the proposal to seek ways to reduce the amount of radiation is drawn by comparing and analyzing CT Dose Index(CTDI) on the pediatric head CT which was performed at the busan regional hospitals, to the national diagnostic reference levels. As a result, it was appeared to exceed the amount of the dose recommendation in order of hospital, general hospital and senior general hospital in the hospital-specific classification and from 2 to 5 year, from 1 month to 1 year and from 6 to 10 year in the age-specific classification. In addition, the amount of the dose recommendation was exceed in order of helical, axial and volume in the scan-specific classification. As the results of the scan range reset to match the diagnostic reference level, the dose reduction showed 11.68%, 15.79% and 20.66% in senior general hospital, general hospital and hospital respectively. In the results of analysing patient average scan ranges which does not deviate from the guideline of patient dose recommendation, there was age of 1 month to 1 year, 2 to 5 year and 6 to 10 year of $03.2{\pm}11.8mm$, $110.5{\pm}14.5mm$, and $117.8{\pm}17.2mm$ respectively.

A Study of Today's Concept and Application of the Principle of the Provenance in Archives management (출처주의의 새로운 경향과 적용에 관한 연구)

  • Bang, Hyo-Soon
    • Journal of Korean Society of Archives and Records Management
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    • v.2 no.2
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    • pp.69-92
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    • 2002
  • The objective of this study is to examine the re cent trend of the interpretation of the Principle of the Provenance in today s new environment of Archives Management and to identify the effective way of the application of the Principle of Provenance to Archives Management. Because of the continued change and the flexibility of the administrative organization and the development of information network, the traditional concept of the Principle of Provenance which put emphasis on a single creator and the physical entity of the archives has been gradually modified to a rather conceptual, abstract and realistic one. A method to apply the recent concept of the Principle of Provenance is to separate the descriptions of the record entity, the creators and the context and use the organic linkage of the separated description areas. Also we can control the provenance from the current stage or even from the pre-current stage by utilizing the classification scheme and the retention schedule. In case of the electronic records, we can manage the provenance and the context by using metadata inherent in the computerized information system. Above all it is critical that we need to structure and control the provenance by building the Korean rules for archival description corresponding to the international standards. And it is another an essential point that we have to develop a guideline for constructing the fond and maintaining its consistency.

Clinical Data Analysis of 106 Breast Cancer Patients Who Received Oriental Medical Treatment (한방의료기관에 내원한 106명 유방암 환자 기초자료 분석)

  • Choi, Jin-Young;Lee, Ji-Young;Kim, Eun-Sook;Lee, Sang-Hun;Jung, Hyun-Sik;Lee, Jin-Moo;Lee, Kyung-Sub
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.4
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    • pp.228-236
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    • 2008
  • Purpose: The purposes of this study is to provide basic informations on oriental medical research and treatment through analysis of breast cancer patients, who visited M $\mu$ integrative cancer center, O O university East-West neo medical center. Methods: Electronic medical records of 106 breast cancer patients who visited oriental medical center from June 2, 2006 to February 28, 2008 were selected to collect clinical data of those patients. Clinical data were analyzed for types of clinical characteristics, and received therapies. For analysis of survival and recurrence, Kaplan-Meier method was used. All the data were processed and analyzed using SPSS version 13.0. Results: Average age of breast cancer patients, who visited oriental medical center was 48.72 ($\pm$10.13). The stage distribution record indicated stage I (5.8%), stage II (7.0%), stage III (5.8%), and stage IV (81.4%). Original purposes of patients were analyzed to be supplementary treatment for western therapy (68.9%), treatment for recurrence prevention (18.9%), and oriental medical treatment (12.2%) in order. While receiving oriental medical treatment, 60.4% of patients received conventional medical treatment simultaneously. Conclusion: Majority of patients who visited oriental medical hospital were stage IV at terminal stage and mainly visited for the purpose of supportive care. Further clinical study of breast cancer patients is needed to validate the effectiveness of oriental medical treatment based on this study.

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A Study on the Design of Data Collection System for Growing Environment of Crops (작물 근권부 생장 환경 Data 수집 시스템 설계에 관한 연구)

  • Lee, Ki-Young;Jeong, Jin-Hyoung;Kim, Su-Hwan;Lim, Chang-Mok;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.11 no.6
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    • pp.764-771
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    • 2018
  • Domestic and foreign agricultural environments nowadays are undergoing various changes such as aging of agricultural population, increase of earned population, rapid climate change, diversification of agricultural product distribution structure, depletion of water resources and limited cultivation area. In order to respond to various environmental changes in recent agriculture, practical use of Smart Greenhouse to easily record, store and manage crop production information such as crop growing information, growth environment and agriculture work log, Interest is growing. In this paper, we propose a system that collects the situation information necessary for growth such as temperature, humidity, solar radiation, CO2 concentration, and monitor the collected data, which can be measured in the rhizosphere of the crop. We have developed a system that collects data such as temperature, humidity, radiation, and growth environment data, which are measured by data obtained from the rhizosphere measuring section of a growing crop and measured by a sensor, and transmitted to a wireless communication gateway of 400 MHz. We developed the integrated SW that can monitor the rhythm environment data and visualize the data by using cloud based data. We can monitor by graph format and data format for visualization of data. The existing smart farm managed crops and facilities using only the data within the farm, and this study suggested the most efficient growth environment by collecting and analyzing the weather and growth environment of the farms nationwide.