• Journal of Korean Neurosurgical Society
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• 제29권8호
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• pp.1080-1084
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• 2000

Spinal neurenteric cyst results from the persistence of an abnormal communication between endodermal and ne-uroectodermal layer. Embryologically, neurenteric cyst is derived from endoderm that is fused with the developing notochord during the third week of gestation. It is a rare malformation that lead to spinal cord compression. The patient is 19-year-old male presented with chest pain, paresthesia and progressive weakness in his low extremities(grade II/II). Preoperative MR imaging revealed intradural extramedullary cyst with intracystic hemorrhage in T1 and T2 level that is ventrally located and compressed the spinal cord. Involved vertebral bodies were scalloped and fused. The cystic tumor were totally removed through costotransversectomy approach. Postoperatively, motor weakness of the low extremities were improved to the level of grade IV/V. And chest pain and paresthesia were gradually disappeared. Postoperative MR imaging showed the decompression of the thoracic spinal cord. Histologic examination revealed a ciliated columnar epithelial neurenteric cyst. The pre- and postoperative clinical, radiological features of a case of upper thoracic neurenteric cyst is described with review of literature.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2008년도 정기학술발표대회 논문집
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• pp.301-304
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• 2008

본 연구는 토공현장의 토사관리를 중심으로 토공사에 대한 시공관리시스템 구현을 목적으로 한다. 본 연구 결과는 토공사 시공관리에 대한 DB 설계 및 시스템 구현으로 구분한다. 첫째, 토공사 시공관리에 대한 DB설계는 토공사 장비에 대한 작업계획 대비 실적의 분석을 통한 시공관리와 노무관리 등 자원관리 DB를 구성하여 작업과 자원 분류체계를 연계하여 구성하였으며, 둘째 토공사 시공관리 시스템은 토공사 작업계획을 평면도에 구획단위로 구분하여 실적을 그래픽으로 표시하며, 이를 기반으로 공정 현황, 진도보고 등폭 시각적으로 표시하여 현장의 실무자간에 의사소통 및 업무 수행에 원활히 사용하도록 개발하였다. 본 연구는 토공전문회사의 토공사 업무에 특화한 시스템으로 시험적용 단계를 거쳐서 현장에 사용 가능한 시스템이다.

• 한국비블리아학회지
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• 제18권1호
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• pp.61-93
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• 2007

이 연구는 공공도서관 독서교실 운영 현황을 분석하여 그 문제점과 개선점을 파악하여 독서교실의 운영 방안을 제안하였다. 독서교실 운영 현황 분석을 위한 데이터 수집은 부산지역 22개 공공도서관에서 실시하였던 2007년 겨울 독서교실 운영계획서와 결과보고서를 활용하였다. 또한 부산지역 22개 공공도서관 독서교실 담당사서에게 질문지를 배포하여 답변을 듣고 독서교실의 문제점과 개선점에 대해 분석하였다. 공공도서관 독서교실 운영의 문제점과 개선점으로는 정체성과 참여도, 교육내용, 인력, 사서재교육, 예산 시설 업무조직임을 밝혔다. 공공도서관의 고유성과 전통성을 유지하기 위한 독서교실 운영방안으로는 운영과정 전반에 관해 안내하는 독서교실 운영 매뉴얼 개발이 필요하다.

• 한국환경과학회지
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• 제27권5호
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• pp.281-289
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• 2018

The Korean environmental impact assessment(EIA) system, and explored ways to improve it as a more efficient and viable institution relevant to the demand of our time and conditions in study. The first problem this study identified is found in the fact that the party to write up the assessment report is itself the business operator or the one who is planning to work out the business plan. This structure translates into placing an order with an agent for EIA report. The reporting job may br subcontracted to the agent at a cost far below the rate specified in the 'Standard for Estimate of Agency Fee for Environmental Impact Assessment.' This practice also causes the vicious circle of producing a report that is written to justify the project or business in question or it leads to rough-and ready and poor documentation to minimize the time required. Second, in order to achieve the goal of the plan or business, which is the target of EIA, the local residents tend to ve regarded as an obstacle. This means elimination of the local people from participating in the EIA or their opinion being frequently ignored. This is the seed of distrust and hostility that sometimes provoke disagreements or fierce conflicts. The first proposal to improve these problem is to improve the factors that cause poor documentation of the assessment report as well as improve the understanding of the EIA system. This study proposes the following measures for improvement. The agency cost for EIA should be paid by the business operator or a third party that can ensure faithful implementation of the payment. A system should be established to verify transparent estimation of the agency cost. In order to enhance the professional quality of EIA agents, there should be implementation of qualification test for industrial engineer of related engineers in addition to the current EIA Qualification Test. The second proposal for improvement is to improve the citizen participation process by instituting a legal framework to make clear the purpose of the briefing session for local residents, which is held as a procedure of EIA, and to ensure more positive publicity during the stage of listening to the opinion of the local community. For a smooth and rational communication process, a moderator and a communicator of opinion, as is the case in a public hearing, could be instituted to clearly get the purpose of the briefing session across to the residents and to help to carry out the explanation and Q & A sessions according to the categories of the opinion of the residents. At present, the notification of the public inspection of the draft of the assessment report and briefing session for the residents is made on the newspaper and internet network. But some people have difficulty with access to this method of announcement. A higher participation rate could be secured if a legal provision is added to specify putting up placards in specific places such as the entrance to the place for the briefing session for residents or the building of administrative agencies of the area concerned.

• 대한예방한의학회지
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• 제22권1호
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• pp.91-105
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• 2018

Objectives : The purpose of this study was to introduce the case of using eCRF system in the Smoking Cessation Program project in Vietnam (2017). And aimed to derive the usefulness of the eCRF system and it potential for future global health business. Method : Introduce the smoking cessation program in vietnam (2017). Smoking Cessation was conducted in three provices of central vietnam Tamphu, Binhtu, Duytrinh) and eCRF was developed on the web environment by building AMP(Apache, PHP, MySQL). Dedicated application have also been developed for user. Result : Using the eCRF, the results of the program of the smoking cessation participants were recorded on the Database server. The implemented system focused on the role of a case recording platform that was simplified in function rather than an electronic version of the case report. It was useful for monitoring. Conclusions : The eCRF system was useful in global health business, and upgrading the system to reflect the feedback derived from the project could potentially be used in other projects. In addition, there are few cases where ICT is used in overseas health promotion projects using Oriental medicine, so further research is needed.

• Nutrition Research and Practice
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• 제9권2호
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• pp.174-179
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• 2015

BACKGROUND/OBJECTIVES: The relationship between food intake and nutritional status has been clearly established. Yet, there are only limited studies on food intake among family members and their nutritional status. The study examined the relationship between intra-household food distribution and coexistence of dual forms of malnutrition (DFM) in the same household. SUBJECTS/METHODS: Households with a malnourished child and overweight mother were categorized as DFM. Intra-household food distribution among family members was reported using ratios, which are a measure of individual intakes as compared to all household member intakes adjusted to RDA. RESULTS: A1,899 families were included in the study. The prevalence of DFM was 29.8% (95%CI 26.5-31.2). Children consumed lower amounts of energy (OR 1.34; 95%CI 1.06-1.69, P = 0.011), carbohydrates (OR 1.2; 95%CI1.03-1.61, P = 0.022), protein (OR 1.3; 95%CI 1.03-1.64, P = 0.026), and fat (OR 1.3; 95%CI 1.05-1.66, P = 0.016) than their mothers and other family members. In contrast, mothers consumed more carbohydrates than children and other family members (OR1.24; 95%CI 1.02-1.51, P = 0.03). CONCLUSIONS: This study is the first to report on the food distribution among family members and its relationship with occurrence of DFM in Indonesia. The results confirm the occurrence of an unequal food distribution between children and mothers, which increases risk of DFM in the household. The results also demonstrate that nutritional education at the household level is important to increase awareness of the impact of DFM.

• 한국컴퓨터정보학회논문지
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• 제25권11호
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• pp.195-200
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• 2020

우리나라는 2011년 3월에 「공익신고자 보호법」을 제정하여 민간부문에서 발생하는 공익침해 행위로부터 공익신고자를 보호하고 있다. 대부분의 공익침해행위는 조직 내부에서 은밀하게 이루어지고 있어 조직 내부의 문제점을 잘 알고 있는 조직 구성원들의 신고로 인하여 외부에 알려지게 된다. 그러나 공익신고자는 신고로 인하여 불이익을 받게 되므로 신고를 주저하게 된다. 또한 실질적인 보호조치가 미흡하여 신고자를 효과적으로 보호하기 위한 비밀보장, 신변보호, 책임감면, 불이익조치 금지 등 제도적 장치를 강화하는 방안이 필요하다. 따라서 공익신고자 보호의 취지에 맞게 공익신고자에 대한 실질적인 보호조치가 필요하며 그에 상응하는 보상체계를 확대하는 방안도 필요할 것이다. 이에 본 연구에서는 현행 우리나라 공익신고자 보호제도에 대한 주요 내용을 검토하고, 공익신고자의 보호 등을 위한 합리적인 개선방안을 제시하고자 한다.

• 대한예방한의학회지
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• 제21권3호
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• pp.29-42
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• 2017

Background : Efforts towards increasing insurance coverage for traditional Korean medicine (TKM) are being continued. However, various difficulties are faced in generating evidence for TKM due to limited financial support and the low quality of research methodology. Objectives : The objectives of this study were to review the Swiss evaluation program for complementary and alternative medicine (CAM) and assess the expansion in public health insurance coverage of complementary medicine as approved by referendum in Switzerland. Methods : The regulations of CAM in the European Union were assessed. Research articles, reports, government publications and websites which deal with the 'Programm Evaluation $Komplement{\ddot{a}}rmedizin$ (PEK)' and the referendum in Switzerland were searched for and analyzed. Results : The PEK was conducted from 1998 to 2005. The PEK evaluated the efficacy, utilization and cost-effectiveness of anthroposophical medicine, homeopathy, neural therapy, phytotherapy and traditional Chinese medicine. However, clear conclusions could not be drawn from the evaluation according to the PEK Report. Later, a referendum was implemented in which 5 therapies would be added to the Switzerland Constitution with the support of the public. The coverage of CAM was approved by Swiss a plebiscite with an approval rate of 67.0%. Conclusions : The reason for the successful referendum is suggested to be public support and the solidarity with CAM experts and politicians. It may be surmised that recognition of the political efforts and scientific aspects required to expand insurance coverage of TKM, and towards obtaining public support, is necessary.

• 지역사회간호학회지
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• 제6권2호
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• pp.275-285
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• 1995

The purpose of the study is to evaluate the visiting nurses service of a public health center. Data were collectd from the 36 clients who received services from a public health center. In terms of the process evaluation, the tool is composed 4 parts, 27 items such as assessment planning, implementation, and evaluation. It was measured through the health records by 2 peer review. In terms of the outcome evaluation, the level of client satisfaction was measured by self report or interview by 2 supervisor. The result were as follows: 1. 30% of 36 health records showed narsing process was not and out of them, nursing care plann including spectific activities were rarely established or unclear. 2. The lack of systematic data collection' showed and nursing diagnosis was not adressed in health records review. 3. Client satisfaction score was 32, 97, out of maximum score 36. 4. The lack of sufficent objective data, care plan, record of client's health status change, and evaluation was founded therefore quality assurance for visiting nurses service and in-service education are required and the development of standardized record system need.

• 기록학연구
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• 제56호
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• pp.5-48
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• 2018

전문적 기록관리에 가장 기본적이면서도 핵심적인 기반은 조직과 인력, 그리고 조직과 인력에 부여되는 책임과 권한이라고 볼 수 있다. 따라서 공공기록관리의 혁신에서 역점을 두어야 할 점은 기록관을 필두로 각급 기록물관리기관들이 전문성을 가지고 활동할 수 있도록 역할을 재규정하고, 조직 및 인력 배치를 정상화하며 법규상의 걸림돌을 제거하는 것이다. 따라서 이 논문에서는 기록관, 지방기록물관리기관, 헌법기관, 기타 공공기관 등이 조직과 인력 배치 기준을 개선하고 법규 개선을 통해 전문성을 높일 수 있는 방안을 제시하고자 하였다. 국가기록관리 혁신 TF(2017.9-2017.12) 보고서의 내용을 토대로 하였지만 현안 과제를 중심으로 논리적으로 재정리하고, 기록전문직의 의견을 반영하여 혁신과제 설정의 근거를 보강하였다.