• 지역사회간호학회지
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• 제33권1호
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• pp.1-12
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• 2022

Purpose: This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults. Methods: This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program. Results: After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life. Conclusion: The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.

• Journal of Korean Neurosurgical Society
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• 제65권3호
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• pp.415-421
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• 2022

Objective : Seizure recurrence after the first-ever seizure in patients with a supratentorial cerebral cavernous malformation (CCM) is almost certain, so the diagnosis and treatment of epilepsy is justified. The optimal method of management of these patients is still a matter of debate. The aim of our study was to identify factors associated with postoperative seizure control and assess the surgical morbidity rate. Methods : We retrospectively analysed 45 consecutive patients with a supratentorial CCM and symptomatic epilepsy in a single centre. Pre- and postoperative epidemiological data, seizure-related patient histories, neuroimaging results, surgery details and outcomes were obtained from hospital medical records. Seizure outcomes were assessed at least 12 months after surgery. Results : Thirty-five patients (77.8%) were seizure free at the long-term follow-up (Engel class I); six (13,3%) had rare, nocturnal seizures (Engel class II); and four (8.9%) showed meaningful improvement (Engel class III). In 15 patients (33%) in the Engel I group; it was possible to discontinue antiepileptic medication. Although there was not statistical significance, our results suggest that patients can benefit from early surgery. No deaths occurred in our study, and mild postoperative neurologic deficits were observed in two patients (4%) at the long-term follow-up. Conclusion : Surgical resection of CCMs should be considered in all patients with a supratentorial malformation and epilepsy due to the favourable surgical results in terms of the epileptic seizure control rate and low postoperative morbidity risk, despite the use of different predictors for the seizure outcome.

• 대한조현병학회지
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• 제22권2호
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• pp.66-73
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• 2019

Objectives: This study aimed to elucidate the effectiveness of long-term psychosocial intervention in reducing the disabling period of patients with major psychiatric disorders by their rehospitalization rate. Methods: Of the 210 patients with major psychiatric disorders received psychosocial interventions in a Mental Health and Welfare Center, 192 patients (147 with schizophrenia spectrum disorders, 45 with mood disorders) who received interventions more than 6 months were selected. Review of case management records was conducted to obtain information. Results: The number and length of hospitalization and the hospital days per year significantly decreased after psychosocial intervention. Additional analysis of 102 patients followed up for more than 5 years suggested that the effectiveness of the intervention persisted for a sufficient period. However, no significant difference was observed in the number of rehospitalization in 45 patients with mood disorders, though the length of hospitalization significantly decreased. In addition, the hospital days per year of 21 patients with mood disorder followed up for more than 5 years also showed no significant decrease. Conclusion: Long-term psychosocial intervention had a significant effect on reducing the number and length of hospitalization for patients with major psychiatric disorder and the effectiveness maintained for more than 5 years.

• Journal of Gastric Cancer
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• 제24권4호
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• pp.406-419
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• 2024

Purpose: This study aimed to evaluate the long-term prognosis of patients with gastric mucosa-associated lymphoid tissue (MALT) lymphoma, including overall survival (OS), remission, and factors associated with an aggressive disease course. Materials and Methods: Medical records of 153 patients diagnosed with gastric MALT lymphoma between 2013 and 2020 were retrospectively reviewed. Patients experiencing relapse, progression, high-grade transformation, or residual diseasewere included in the aggressive group and were compared with those in the indolent group. Additionally, the endoscopic findings of Helicobacter pylori-negative patients were reviewed. Results: Patient characteristics were as follows: mean age (56.9±11.2 years), sex (male, 51.0%), H. pylori infection (positive, 79.7%), endoscopic location (distal, 89.5%), endoscopic feature (superficial, 89.5%), clinical stage (stage I, 92.8%), invasion depth by endoscopic ultrasound (mucosa, n=115, 75.7%), and bone marrow result (no involvement, n=77, 100.0%). The median follow-up period was 59 months (mean, 61; range, 36-124) and the continuous remission period (n=149) was 51 months (mean, 50; range, 3-112). The 5-year survival rate was 97.7% while the 5-year continuous remission was 88.3%. Factors associated with the patients in the aggressive group were old age, sex(male), and clinical stage II or higher. H. pylori-negative patients' endoscopy revealed a high incidence of atrophic gastritis in the antrum. Conclusions: The long-term prognosis of gastric MALT lymphoma appears indolent and is indicated by the 5-year OS and continuous remission rates. Aggressive disease courses are associated with old age, sex (male), and clinical stage II or higher, but are not related to OS.

• 대한기관식도과학회지
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• 제5권2호
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• pp.130-137
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• 1999

Background and Objectives : Provox, a recently developed tracheoesophageal prosthesis, had been widely used for voice rehabilitation after total laryngectomy for its low resistance and easiness of speech ability. But, long-term use of Provox resulted in many complications and resulted in cessation of Provox as a primary method of vocal rehabilitation. The aim of this study is to report Provox-related problems and the long-term results of Provox voice prosthesis. Materials and Methods : Medical records from patients who had undergone total laryngectomy with Provox insertion at seoul National University Hospital between January 1993 and December 1998 were reviewed retrospectively. Results : 36 patients had used 79 Provox voice prostheses during the observed period. The most common complication causing prosthesis change or removal was leakage and/or aspiration, followed by granulation formation, crusting and/or obstruction, and non-function. Median in situ lifetime of Provox was 274 days and 1-year-in situ rate was 31.0% Among 36 patients, 17 patients had undergone tracheoesophageal shunt closure at the last follow-up visit. 10 patients had complications but got along without further treatments, and 1 patient changed to Blom-Singer voice prosthesis. Only 8 patients experienced no complication, and 5 out of whom had several times of Provox change. Conclusion : long-term use of Provox resulted in discontinuation of its use due to complications in many cases. A better voice prosthesis with lower complication rate and longer in situ lifetime is needed.

• 한국치위생학회지
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• 제9권2호
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• pp.57-71
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• 2009

This study aims to investigate the stress factors of students in Dental Hygiene Department who will soon take the national examination, corresponding countermeasures and relationship of internal and external personality. On the basis of the results from investigation, this study will identify the methods to effectively cope with stress and to take the national examination with more positive thinking for the students and faculty members in Dental Hygiene Department, who have to pass the difficult test, the national examination. The structured questionnaires were given to junior students in Dental Hygiene Department in three colleges, to identify the stress factors, methods to deal with stress and A/B personality types. For the stress factor by field, the M college showed significantly higher stress about curriculum and assignment than the C college. In the stress factor analysis by item, the lack of information on national examination in the test area, all items in learning environment, a quantity of assignment that doesn't help the preparation of national examination in the assignment area, and lack of information on employment in job area demonstrated the significant difference(p<0.05). For the methods of subjects to deal with stress, several subcategories of long-term and short-term adaptation had significance. In case of the methods to deal with stress by personality type, B type in the short-term adaptation method in M college and A type in the long-term adaptation method in C college were significantly higher(p<0.05). As for the correlation between the population sociological features and stress factors by personality type, health status had the high correlation with test in the test area. In other areas, the travel hours to school showed the significant correlation. The higher the records were, the longer the travel hours were and the better the health status was, the higher the long-term adaptation method scores were. Moreover, the personality of A type showed the higher scores in the long-term adaptation method than that of B type. The health status and personality type showed the significant correlation(p<0.05). In conclusion, it is required to prevent any situations b identify the personality type and stress reasons of the students in Dental Hygiene Department who will take the national examination soon. The additional requirement is the continuing interest and counseling of faculty members to help students to cope with stress with positive attitude.

• 기록학연구
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• 제5호
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• pp.3-37
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• 2002

Today the market of EDMS is esteemed more than 100 billions won. It signifies a comming of age of electronic records. The traditional archival theories which are based on the paper records are confronted with a new challenge. In some leading countries of archival studies reorientation of archives management has been tried by a number of distinguished specialists such as Bearman and Hedstrom since 10 years. As a consequence new paradigm of archival theories has been developed. Also in Korea this new paradigm has been introduced by some expert such as Lee, Sang-Min, Sul, Moon-won, Lee, Seung-Eok. However their arguments are too general to offer a concrete clue for new paradigm. Faced by new age of electronic records, it's important to start a discussion for the reasonable methods of electronic records management at once. The most drastically changed part of record management by the electronic technique is the life-cycle of records. The commonly practiced three-stage life-cycle is to be reduced to the two-stage life-cycle, and the concept of the spatial movement of records is to be changed. It can be also pointed that the public emerges as user from the early creating stage of records beyond time and space. Thus is can be said that the method of the management features dynamic and cohesive. The method of appraisal must be also changed and reproduced, so that it can reflect the various levels considering dynamics of the electronic records. Supposedly it will be a core factor that causes the change of methodology in records management with the change of life-cycle theory. It must be noted that various subjects would be involved in the work of classification and description over time and space and that feedback between them is of important. Description also tends to be made at the crating stage of records and structured dynamically. It results from the change of life-cycle and the introduction of the concept of continuum. Such trend allows us to start discussions on the assumption that description of both creator and archival professionals act together an important role. Of course, it is linked with the methodology in which most descriptions are made automatically at the early drafting stage of the structure. The meat date is formed on the assumption that there should be feedback between areas of automatic description, description of creators and archival professionals. The most important thing in description is to develop a suitable way how it is structured. An alternative must be offered for managing data set. As iweb that is being operated by Myongji university shows, records created in daily business are managed not as electronic records but as date base. This is because they exist outside the repository in the EDMS system. Since data set often has various sources, an alternative for classification needs to be developed. It is now likely that database is filed according to the created year to be transferred automatically to the repository. Over a long-term the total management of database, electronic records and electronic information will be a topic. A right direction of new paradigm will be found for both iweb and E-government, when practice and studies of theories are combined and interacted.

• 한국기록관리학회지
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• 제19권3호
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• pp.155-178
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• 2019

이 연구의 목적은 Raw 이미지 파일 포맷의 특성과 문제점을 분석하고, 디지털 사진기록물 관리에 적합한지 평가하고, 공공기관에서 Raw 이미지 파일 포맷을 활용하기 위한 도입 방안을 제시하는 것이다. Raw 이미지 파일 포맷은 적용된 이미지 편집을 되돌릴 수 있는 가역성과 편집자의 의도를 효과적으로 반영할 수 있는 유연성을 지닌다. 하지만 Raw 이미지 파일 포맷의 대다수가 디지털카메라 제조업체에 종속된 독점 파일 포맷이라는 문제가 있다. Raw 이미지 파일 포맷을 표준화하기 위해 개발된 DNG 포맷은 해외 공공기관에서 긍정적인 평가를 받고 있다. 그러나 공식 표준 혹은 사실상 표준으로 완전히 인정받지 못했다는 한계가 있어 표준 Raw 포맷이 등장하기까지 잠정적으로 활용하는 것이 적합하다. 한편, 대검찰청에서 포맷 변환한 디지털 사진 파일을 법적 진본성을 가진 원본으로 인정하지 않는다는 문제가 있다. 따라서 단기적으로는 포맷 변환하여 생성한 DNG 파일과 원본 Raw 파일을 캡슐화하여 병행 보존하고, 장기적으로는 포맷 변환하여 생성한 DNG 파일만으로 법적 진본성을 인정받을 수 있도록 디지털 사진기록물의 해시값과 파일 크기 기준 시점을 재정의할 필요가 있다.

• 한국기록관리학회지
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• 제16권1호
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• pp.89-120
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• 2016

본 연구는 InterPARES 3와 ITrust의 배경, 주요 연구분야, 주요 연구성과를 소개하고, IP 3와 ITrust 주요 연구내용의 비교분석을 통하여 InterPARES 프로젝트의 기록관리에 대한 개념 및 변화를 이해하고자 하였다. 이를 위해 IP 3와 ITrust 연구프로젝트에 대한 내용분석을 수행하였으며 이를 통해 주요 키워드를 도출하고, 연구프로젝트 제목을 워드클라우드로 도식화하여 IP 3와 ITrust 비교에 활용하였다. IP 3와 ITrust 연구결과를 환경, 범위, 주제, 키워드, 연구목표, 기록관리 생애주기관점에서 비교분석하였다. 연구결과 InterPARES는 1) 장기보존 뿐만 아니라 생애주기 전반에 적용될 수 있는 분야로, 2) 진본성의 개념에서 신탁의 개념으로, 3) 전자기록에서 인터넷, 디지털 포렌식, 열린정부 또는 공공데이터 등을 포함하는 범위로 연구의 내용과 주제가 광범위하게 확장되고 있음을 파악하였다.

• 한국기록관리학회지
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• 제1권1호
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• pp.131-152
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• 2001

이 연구는 2000-2001년도 한국학술진흥재단 협동연구지원사업 과제인 "한국 공공기관 기록보존 관리의 현황조사 및 중 장기 정책수립에 관한 연구"에 관한 중간보고 논문이다. 본 연구에서는, 한국에서 <공공기관의 기록물 보존 관리>가 제대로 시행될 수 있는 방법을 모색하기 위하여 국내 189개 공공기관(국가공공기관 정부투자기관 대학교 대학도서관 등)을 조사대상으로 하여 이들 기관의 기록물 보존 관리의 실태, 즉 해당 기관이 소장하고 있는 기록물의 보유량 보존시설 및 장비 조건 전산화 및 마이크로필름 촬영계획 건의사항 등에 대하여 실태조사를 실시하였다. 그 결과, 공공기관에서 생산 보존되고 있는 기록물들을 '정보화 지원'으로 전환시키거나, 이를 행정적 또는 역사적인 기록물로 활용할 수 있는 기능 즉 그 활용성의 측면에서 매우 낮은 현실에 직면하여 있다는 점 등의 7개 사항이 종합 분석되었다. 그리고 결론 및 향후방향에서는 <공공기관의 기록물관리에 관한 법률>의 제정에 입각하여 이에 따른 법적 제도적인 일환으로 기록관리를 전담으로 하는 전문 인력의 배치와 예산의 확보가 수반되어야 할 것 등 6개 사항이 도출되었다.