• 기록학연구
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• 제37호
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• pp.145-188
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• 2013

생산현황통보는 국내 기록관리의 주요 성과이자 특징으로, 전 세계적으로 유례를 찾아보기 힘든 한국적 기능이다. 1999년 "공공기관의 기록물 관리에 관한 법률" 제정 당시, 법률에 생산현황통보 제도를 포함시키기 위한 여러 노력이 있었고, 2006년 법률개정 이후에도 여전히 그 기능이 존재하고 있다. 그러나 생산현황통보에 대한 시스템, 서식 등의 업무적 지원이 미비할 뿐만 아니라, 형식적인 기능으로 변질되고 있는 실정이다. 이에 본 연구에서는 생산현황통보 제도의 제정목적과 함께 현재 실무 현황 및 업무지원을 위한 시사점을 도출하고자 한다. 우선 생산현황통보 제도 전반을 이해하고, 취지와 목적을 확인하기 위해 법률 제정 관계자와 생산현황통보제도를 집행하는 영구기록물관리기관 관계자와의 면담하였다. 제도를 실무 현장에서 수행하고 있는 현장의 기록물관리 전문요원과의 면담도 수행하였다. 이를 통해 생산현황보고에 대한 전문가 집단의 견해와 함께 상호간의 의견 차이를 확인하였고, 시스템을 통한 실무지원이 가능하도록 현재의 기능을 평가하고, 향후 개선점을 제안하였다.

• Journal of Acupuncture Research
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• 제23권3호
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• pp.21-35
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• 2006

Objectives : Herniation of Nucleus Pulposus(HNP) of Cervical is the most important reason that causes Cervical pain. The aim of this study is to investigate the effectiveness of Carthmi-Flos Herbal acua-acupuncture therapy for Cervical disc Herniation patients. Methods : To evaluate the effectiveness of Carthmi-Flos Herbal acua-Acupuncture Therapy, 20 patients were treated by Carthmi-Flos Herbal acua-acupuncture therapy. To estimate the efficacy of treatment, we used Quardruple Visual Analog Scale (QVAS). Results & Conclusion : 1. As a objectivity treatment record, they test treatment record good 35%, fair 35%, excellent 30%. 2. After Carthmi-Flos acua-acupuncture therapy, pain rate changed from 8.80 to 5.40 3. By the results which puts out the statistics in sex , a pain rate of male changed from 8.57$({\pm}1.51)$ to 2.71$({\pm}2.63)$, a pain rate of female 8.92$({\pm}0.95)$ to 3.77$({\pm}2.09)$. Intentional difference is none as a therapy. 4. By the results which puts out the statistics in age, after forties changed from 9.07$({\pm}0.88)$ to 3.80$({\pm}2.43)$ and before forties changed from 8.00$({\pm}1.58)$ to 2.20$({\pm}1.30)$. Intentional difference is none as a therapy. 5. By the results which puts out the statistics in Duration, pain rate of the acutest group changed from 8.36$({\pm}1.12)$ to 2.18$({\pm}1.08)$, pain rate of the subacute group changed from 9.80$({\pm}0.45)$, to 5.20$({\pm}2.68)$, pain rate of the chronic group changed from 8.67$({\pm}1.53)$ to 3.33$({\pm}1.53)$. Intentional difference is none as a therapy. 6. By the results which puts out the statistics in the reading of Lumbar MID, pain rate of the Bulging type changed from 9.00$({\pm}1.05)$ to 4.30$({\pm}2.67)$, pain rate of the Protruded type changed from 8.50$({\pm}1.00)$, to 3.50$({\pm}1.29)$, pain rate of the Extruded type changed from 6.00 to 1.00, pain rate of the Mixed type changed from 9.20$({\pm}0.84)$ to 2.00$({\pm}1.23)$, Intentional difference is none as a therapy.

• 융합보안논문지
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• 제6권3호
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• pp.145-153
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• 2006

본 논문에서는 기록값 통계량을 이용한 무한 고장 NHPP 모형들이 제안되었다. 이 모형들은 결함당 고장 발생률이 단조 증가하거나 단조 감소하는 패턴을 가진다. 그리고 수명 분포에서는 어랑 분포, 랄리 분포와 굼벨를 이용한 소프트웨어 신뢰성 모형을 적용하여 비교연구에 초점을 두었다. 고장 간격 시간 자료를 이용한 무한 고장 NHPP 모형들에 대한 모수 추정법은 최우 추정법을 사용하였고 적용 분포들의 적용을 용이하게 하기 위하여 특수한 형태를 제시하였다. 고장 자료의 분석을 위하여 산술 및 라플라스 추세 검정과 적합도 및 치우침 검정을 실시하여 그 결과를 나열하였다.

• 대한토목학회논문집
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• 제4권2호
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• pp.113-124
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• 1984

목포항(木浦港)의 1956~1982년(年) 기간(期間)의 검조기록(檢潮記錄)에 대(對)한 철저(徹底)한 분석(分析)이 최초(最初)로 수행(遂行)되었다. 년별(年別) 조화분석(調和分析)이 확장조화분석기법(擴張調和分析技法)에 의(依)해 수행(遂行)되어 영산강(榮山江) 방조제건설(防潮堤建設)이 천문조(天文潮)에 미치는 영향(影響)이 평가(評價)되었다. 방조제건설(防潮堤建設)에 따른 해면변화(海面變化)를 조사(調査)하기 위(爲)한 1965~1980년(年) 기간(期間) 및 1981~1982년(年)의 해면통계(海面統計)의 분석(分析)이 역시(亦是) 수행(遂行)되었다. 초기결과(初期結果)가 제시(提示)되었으며 추후(追後) 연구세목(硏究細目)이 토의(討議)되었다.

• 대한간호학회지
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• 제37권7호
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• pp.1149-1158
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• 2007

Purpose: The purpose of this study was to identify the risk factors for a nosocomial urinary tract infection in intensive care units with a foley catheterization which showed a positive urine culture. Method: Three-hundred eighty-seven patients were included in the study. A retrospective review of the electrical medical record system's databases and medical record sheets in hospitalized patients from January 2003 to December 2003 was used. The collected data was analyzed by descriptive statistics, t-test, chi-square test and logistic regression analysis. Result: The frequency of the participants' nosocomial urinary tract infection was 72.9%. Significant risk factors for a nosocomial urinary tract infection were 'age', 'place of catheter insertion', 'frequency of catheter change', and 'duration of catheterization'. These variables explained 18.4% of variance in the experience of nosocomial urinary tract infection in intensive care units with foley catheterization. Conclusion: Medical personnel can decrease the incidence of a nosocomial urinary tract infection by recognizing and paying attention to the duration of catheterization, frequency of catheter change, and place of catheter insertion. As a result, specific and scrupulous strategies should be developed to reflect these factors for decreasing nosocomial urinary tract infections.

• 대한수학회논문집
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• 제17권3호
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• pp.535-540
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• 2002

Let X$_1$, X$_2$‥‥,X$\_$n/ be n independent and identically distributed random variables with continuous cumulative distribution function F(x). Let us rearrange the X's in the increasing order X$\_$1:n/ $\leq$ X$\_$2:n/ $\leq$ ‥‥ $\leq$ X$\_$n:n/. We call X$\_$k:n/ the k-th order statistic. Then X$\_$n:n/ - X$\_$n-1:n/ and X$\_$n-1:n/ are independent if and only if f(x) = 1-e(equation omitted) with some c > 0. And X$\_$j/ is an upper record value of this sequence lf X$\_$j/ > max(X$_1$, X$_2$,¨¨ ,X$\_$j-1/). We define u(n) = min(j|j > u(n-1),X$\_$j/ > X$\_$u(n-1)/, n $\geq$ 2) with u(1) = 1. Then F(x) = 1 - e(equation omitted), x > 0 if and only if E[X$\_$u(n+3)/ - X$\_$u(n)/ | X$\_$u(m)/ = y] = 3c, or E[X$\_$u(n+4)/ - X$\_$u(n)/|X$\_$u(m)/ = y] = 4c, n m+1.

• Toxicological Research
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• 제35권4호
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• pp.319-330
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• 2019

Adverse drug reactions (ADRs) constitute key factors in determining successful medication therapy in clinical situations. Integrative analysis of electronic medical record (EMR) data and use of proper analytical tools are requisite to conduct retrospective surveillance of clinical decisions on medications. Thus, we suggest that electronic medical recording and human genetic databases are considered together in future directions of pharmacovigilance. We analyzed EMR-based ADR studies indexed on PubMed during the period from 2005 to 2017 and retrospectively acquired 1161 (29.6%) articles describing drug-induced adverse reactions (e.g., liver, kidney, nervous system, immune system, and inflammatory responses). Of them, only 102 (8.79%) articles contained useful information to detect or predict ADRs in the context of clinical medication alerts. Since insufficiency of EMR datasets and their improper analyses may provide false warnings on clinical decision, efforts should be made to overcome possible problems on data-mining, analysis, statistics, and standardization. Thus, we address the characteristics and limitations on retrospective EMR database studies in hospital settings. Since gene expression and genetic variations among individuals impact ADRs, pharmacokinetics, and pharmacodynamics, appropriate paths for pharmacovigilance may be optimized using suitable databases available in public domain (e.g., genome-wide association studies (GWAS), non-coding RNAs, microRNAs, proteomics, and genetic variations), novel targets, and biomarkers. These efforts with new validated biomarker analyses would be of help to repurpose clinical and translational research infrastructure and ultimately future personalized therapy considering ADRs.

• 한국의료질향상학회지
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• 제10권2호
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• pp.204-215
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• 2003

Background : ICD-10 Classification, which is used domestically as well as internationally, has limited use in the clinical practice since it is developed for at disease statistics and epidemiology. Therefore, the purposes of this study were to improve the quality of diagnosis by constructing a new disease classification based on the diagnoses doctors currently make in the clinical setting and connecting this classification with OCS and EMR, and to meet the demands of doctors for high quality medical study data in medical research. Methods : The specialists in each ophthalmic subfield collected clinical diagnoses and abbreviations based on the ophthalmology textbooks and confirmed the classifications. Total number of clinical diagnoses collected was totaled 672, for which ideal diagnoses had been selected and a new model of disease classification model in connection with ICD-10 was constructed. The constructed classification of clinical diagnoses consisted of six steps: the first step was the classification by ophthalmic subspecialty field; the second to fifth steps were the detailed classification by each specialty field; the sixth step was the classification by site. Results : After introducing the new disease classification, research on the use and a pre-post comparison was conducted. The result from the research on the use of the clinical diagnoses in inpatient and outpatient care has shown a gradually increasing tendency. From the pre-post comparison of EMR discharge summary diagnoses, the result demonstrated that the diagnosis was stated correctly and in detail. Since the diagnosis was stated correctly, code classification became correct as well, which makes it possible to construct high quality medical DB. Conclusion : This construction of clinical diagnoses provides the medical team with high quality medical information. It is also expected to increase the accuracy and efficiency of service in the department of medical record and department of insurance investigation. In the future, if hospitals wish to construct a classification of clinical diagnosis and a standard proposal of clinical diagnosis is presented by a medical society, the standardization of diagnosis seems to be possible.

• Journal of the Korean Data and Information Science Society
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• 제26권6호
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• pp.1417-1426
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• 2015

본 연구는 한국장학재단의 2012-2014년간 일반 학자금 대출 자료를 활용하여 부실채권 보유 및 신용유의자로 분류될 수 있는 위험요인들을 파악하고, 부실 고위험군 예측모형을 개발했다. 예측모형 개발은 데이터마이닝 방법 중 의사결정나무 분석을 적용하였으며, 분석 패키지는 SAS Enterprise Miner 13.2를 활용했다. 개발된 모형은 25가지의 그룹으로 세분화 했으며, 부실 위험군에 영향을 미치는 주요 요인은 소득분위, 국가장학금 수혜유무, 나이, 연체계좌 보유 이력, 대학구분 (학부/대학원), 전공 계열, 월평균 상환액이 주요 요인으로 나타났다. 본 연구에서 개발된 부실 고위험군 예측모형은 장기연체로 인한 부실채권 발생 및 신용유의자 발생 예방을 위한 세분화된 관리서비스 제공을 위한 기초자료가 될 수 있을 것이다.

• Journal of Acupuncture Research
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• 제21권5호
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• pp.13-25
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• 2004

Objective : Herniation of Nucleus Pulpous(HNP) of Lumbar is the most important reason that causes low back pain. The aim of this study is to investigate the effectiveness of Bee-venom acua-acupuncture therapy for protrusion disc patients. Methods : To evaluate the effectiveness of Bee-Venom Acupuncture Therapy, 20 patients were treated by bee-venom acua-acupuncture therapy. To estimate the efficacy of treatment, we used Quardruple Visual Analog Scale(QVAS). Results : 1. As a objectivity treatment record, they test treatment record good 60%, fair 25%, excellent 15%. 2. After bee-venom therapy, pain rate changed from 8.25 to 2.15. 3. By the results which puts out the statistics in sex, a pain rate of male changed from 8.75 to 2.50, a pain rate of female 7.92 to 1.92. Intentional difference is none as a therapy. By the results which puts out the statistics in age, after forties changed from 7.78 to 2.22 and before forties changed from 7.90 to 1.92. By the results which puts out the statistics in disc herniation, pain rate of central type changed from 8.29 to 2.29, pain rate of left type changed from 8.20 to 1.40, pain rate of Right type changed from 8.00 to 4.00.