• 제목/요약/키워드: records usage

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전자허약지수(electronic frailty index)를 활용한 만성질환 노인의 허약평가와 건강결과 간의 관계: 체계적 고찰 (Frailty assessed by the electronic frailty index and its impact on health outcomes in older adults with chronic diseases: a systematic review)

  • 신정욱;유민영;손연정
    • Journal of Korean Biological Nursing Science
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    • 제25권4호
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    • pp.229-242
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    • 2023
  • Purpose: The electronic frailty index (eFI), which is derived from electronic health records, has been recommended as screening tool for frailty due to its accessibility and ease of use. The objective of this systematic review was to identify the prevalence of frailty assessed by the eFI and its influence on health outcomes in older adults with chronic diseases. Methods: We searched PubMed, Embase, Web of Science, CINAHL, SCOPUS, Cochrane, Google search, and nursing journals in Korean from January 2016 to December 2022. Results: Twelve studies were analyzed. The eFI score, based on routine clinical data, was associated with adverse health outcomes. The most frequent outcome studied was mortality, and the eFI was associated with increased mortality in nine studies. Other outcomes studied included hospitalization, length of stay, readmission, and institutionalization in relation to hospital care usage, and cardiovascular events, stroke, GI bleeding, falls, and instrumental activities of daily life as health conditions. Conclusion: Early identification of frailty in older adults with chronic diseases can decrease the burden of disease and adverse health outcomes. The eFI has a good discriminative capacity to identify frail older adults with chronic diseases.

영건(營建) 관련 자료를 통해 본 조경단(肇慶壇)의 건축특성 (A Study on the Architectural Characteristics of Jogeongdan Examined through Construction-Related Records)

  • 안선호
    • 건축역사연구
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    • 제32권5호
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    • pp.59-68
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    • 2023
  • Jogyeongdan is an altar built by the Korean Empire within the burial grounds of Sijomyo(始祖墓), the Jeonju Lee clan, as a part of their posthumous respecting project. This site adheres to strict rules and formalities that are comparable to those of the royal tombs of the Joseon Dynasty, with its altars and monument House demonstrating construction techniques that hold high value in architectural history. This study compares and analyzes construction-related records such as Uigwe, Statements, and Figure, along with their historical context. Through this effort, the study explores in detail the original form of Jogyeongdan at the time of its construction and subsequent transformations in later periods. Findings showed that the Figure was drawed by Chae Yongsin and was only a blueprint prior to the construction; it was modified during the actual construction process. A part of Jogyeongdan project was carried out by demolishing four government office buildings that were closed because of the Gabo Reform in order to secure wood and roof tiles, among other materials. Additionally, concluded the Jaesil was by relocated Deokryudang from Samryeyeokcham. Further, instances of distinctive terminology usage were found related to construction materials in the Jogyeongdan Uigwe, which were not used in another Uigwe. These terms were distinguished in detail according to the locations in which the materials were used.

종(从)"상한론(伤寒论)"용계지간중경적호양양생사상(用桂枝看仲景的护阳养生思想) (A Study on Zhang Zhong-Jing's Ideology of Health Cultivation by Protecting Yang Analyzed from the Usage of Guizhi in Treatise on Cold Damage)

  • 류춘원
    • 대한한의학원전학회지
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    • 제22권1호
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    • pp.87-91
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    • 2009
  • "Treatise on cold damage and miscellaneous disease" is a ancient formula records on keeping in good health, provided "Internal classic" is a ancient codes on keep in good health. It can be inferred that Zhang Zhongjing was a first inheritor of academic ideology from "formula followed by establishment of the therapeutic principles". Before writing and compiling the "Treatise on cold damage and miscellaneous disease", Zhang zhongjing got the essence of "Internal classic" after composing and utilizing "Plain Questions", "Miraculous pivot and classic of difficult issues", so all the theory foundations of "Treatise on cold damage and miscellaneous disease" came from "Internal classic". The keynote of internal classic lies in obeying the Yin and Yang in natural world and preserving and maintaining the yang-qi of human body to attain the longest life-span. Zhang assimilated the essence of "Internal classic" and then generated a new ideological system - "Treatise on cold damage and miscellaneous disease" when studying it. This article is to expound ideology inheritance of keeping in good health by protecting Yang in "Internal classic" from analyzing the usage of Guizhi in "treatise on cold damage diseases".

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『병부수집(兵部手集)』에 대한 연구 (A Study on Bingbushouji)

  • 송지청;박정빈;엄동명
    • 대한한의학원전학회지
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    • 제29권4호
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    • pp.1-15
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    • 2016
  • Objectives : Military Medicine, as its name suggests, deals with the subject of medicine in military settings. War has always been part of human history, and continues to be so even to this date. As such, many soldiers who take part in battles suffer from, or under the danger of, trauma and disease. Very few records in Korea deal with military medicine. Through a research, however, it was discovered that Euibangyuchwi and Hyangyakjipseongbang contains a number of mentions regarding the subject matter. As such, the paper will review military medicine as mentioned in Euibangyuchwi and Hyangyakjipseongbang. Methods : Bingbushouji as discovered in Euibangyuchwi and Hyangyakjipseongbang was reviewed and its main treatment, origin, usage, and reference were categorized and given considerations. Results : Bingbushouji was referened 29 times in Euibangyuchwi and 22 times in Hyangyakjipseongbang. In most instances, Bingbushouji was used as simple prescription, and its usage mainly revolved around the exterior of human body, such as applying directly on the skin. Conclusions : A study of the texts in Euibangyuchwi and Hyangyakjipseongbang revealed that Bingbushouji was put together to treat the ailments and diseases of the soldiers during wartime, and to provide treatment to soldiers and non-combatants statying in a region where medical expertise is scarce.

Near-Infrared Spectroscopy versus Transcranial Doppler-Based Monitoring in Carotid Endarterectomy

  • Cho, Jun Woo;Jang, Jae Seok
    • Journal of Chest Surgery
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    • 제50권6호
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    • pp.448-452
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    • 2017
  • Background: Proper monitoring of cerebral perfusion during carotid artery surgery is crucial for determining if a shunt is needed. We compared the safety and reliability of near-infrared spectroscopy (NIRS) w ith transcranial Doppler (TCD) for cerebral monitoring. Methods: This single-center, retrospective review was conducted on patients who underwent carotid endarterectomy (CEA) using selective shunt-based TCD or NIRS at Daegu Catholic University Medical Center from November 2009 to June 2016. Postoperative complications were the primary outcome, and the distribution of risk factors between the 2 groups was compared. Results: The medical records of 74 patients (45 TCD, 29 NIRS) were reviewed. The demographic characteristics were similar between the 2 groups. One TCD patient died within the 30-day postoperative period. Postoperative stroke (n=4, p=0.15) and neurologic complications (n=10, p=0.005) were only reported in the TCD group. Shunt usage was 44.4% and 10.3% in the TCD and NIRS groups, respectively (p=0.002). Conclusion: NIRS-based selective shunting during CEA seems to be safe and reliable for monitoring cerebral perfusion in terms of postoperative stroke and neurologic symptoms. It also reduces unnecessary shunt usage.

포터블 임베디드 시스템을 위한 웨이블릿 영상 부호화기 (An Efficient Wavelet Image Coder for Portable Embedded System)

  • 박성욱;조도현;박종욱
    • 전자공학회논문지 IE
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    • 제43권1호
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    • pp.52-58
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    • 2006
  • 본 논문에서는 제한된 자원을 가지는 포터블 임베디드 시스템을 위하여, 작은 메모리 사용으로 효율적으로 영상 부호화가 가능한 웨이블릿 영상 부호화기를 제안하였다. 제안된 방법은 부호화 과정시 요구되는 메모리 사용량을 줄이기 위해 웨이블릿 계수들의 비트 레벨 정보를 가지는 2차원 중요 계수 배열을 사용한다. 제안된 방법은 중요 계수에 대한 부호화 과정과 계수들의 비트 레벨 정보의 부호화 과정을 한 번에 수행할 수 있다. 실험 결과 기존의 부호화 방법보다 화질 면에서 비슷하거나 우수한 성능을 보였으며, 2차원 중요 계수 배열을 이용한 최소의 메모리 사용으로 다양한 비트율에서 영상의 일그러짐 없이 안정적으로 동작함을 확인하였다.

조선시대 군사 유삼(油衫)의 종류와 운용 체계 (Types and Management System of Military Raincoat, Yusam, of the Joseon Dynasty)

  • 박가영
    • 복식
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    • 제64권7호
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    • pp.143-155
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    • 2014
  • This study focuses on Yusam, a military raincoat that was worn during the Joseon Dynasty. The purpose of this study is to review the types and management system of Yusam. Documentary records, paintings and relics were used as research materials. Yusam was recorded as either Yusam(油衫) or Yu-ui(油衣) in writing. It usually looked like a skirt and was worn like a cape, but there were differences in length. Some of them took the form of a short coat with half-sleeves and side slits. Research analysis results of Silrok, Ilseongrok and the archives of the military camp in the later Joseon are as follows: First, Mokyusam and Jiyusam coexisted as military raincoats. Mokyusam was made with cotton and perilla oil, while Jiyusam was made with traditional Korean paper, a cotton edging and perilla oil. Second, the differences between general Yusam and military Yusam include the material of the clothing, the materials for waterproofing, the color, and the manufacturer. Third, each military camp supplied soldiers with hundreds to thousands of Yusam. Military officers and King's guards wore Mokyusam because Mokyusam was higher than Jiyusam. Fourth, soldiers Yusam together with Yujeongeon, Chorip, Galmo, or Hwihang as a hat. Fifth, the higher the rank, the higher the price of Yusam and the longer the term of usage. On the other hand, as the rank got higher, the cost of the supplementary oil rose, while the duration of usage got shorter.

학술지 기사에 대한 메타데이터 품질의 계량화 방법에 관한 연구 (A Study on Quantitative Measurement of Metadata Quality for Journal Articles)

  • 이용구;김병규
    • 정보관리학회지
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    • 제28권1호
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    • pp.309-326
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    • 2011
  • 기존 메타데이터의 품질 측정 방법은 오류가 발생한 레코드를 단순히 계수하여 그 비율로 품질을 측정하였다. 이러한 한계를 극복하기 위해 메타데이터 요소별로 상대적 중요 정도를 나타내는 가중치를 적용함으로서, 메타데이터 품질을 체계적으로 계량화 하는 측정 방법을 제시하고자 하였다. 구체적인 가중치 부여 방법으로 엔트로피, 이용자 과업, 그리고 이용 통계를 활용하였다. 또한 이들을 결합하여 통합 가중치를 제시하고 실제 서비스 되고 있는 학술지 기사 메타데이터에 적용하였다. 실험 결과, 엔트로피 가중치 방법은 데이터 자체의 특성을 잘 반영하며, 이용자 과업을 적용한 방법은 이용자의 정보요구를 해결하는 필요한 메타데이터 요소를 제시하며, 통합 가중치는 특정 메타데이터 요소의 오류에 영향을 받지 않으면서 균형 잡힌 측정값을 제시하여 계량화 방법에 적합한 것으로 나타났다.

1970년 이후의 건축표현변용방식에 관한 연구 (A Study on the Transformal Usage of Architecture Expression Since 1970s)

  • 김용규;박영호
    • 한국실내디자인학회논문집
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    • 제19권1호
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    • pp.75-84
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    • 2010
  • This study will establish the transformal characteristics of architectural visual information by investigating: how contemporary architects perceive and process multifaceted architectural information via the expression media since 1970s. The purposes and results of this study are summarized as follows: This study established the contemporary transformal characteristics by comparing the expression methods of traditional architects with the transformal characteristics of visual information derived from the contemporary architectural expression media. In a pluralistic information society, the expression methods of the past, which recognize space as a stationary, unidimensional visual point on a drawing surface, is now changing to the mixed, multidimensional expression methods that connect various visual points on a limited drawing surface. Furthermore, the rapid advancement of digital media is changing, from a method which simply arranges visual information, to a flexible visual tool which can process architecture sequentially and simultaneously. As the communication structure of architecture is moving toward an individual-centered two-way communication type, the information delivery method is used to visualize conceptual, inferential information, rather than visualizing realistic information which simply records facts. In the past, multidimensional, non-linear forms could not be processed by the conventional design processes and sketch work, but now they can be expressed via digital media.

에이전트기반 개방병원 간호기록시스템 설계에 관한 연구 (A Study on Design of Agent based Nursing Records System in Attending System)

  • 김경환
    • 지능정보연구
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    • 제16권2호
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    • pp.73-94
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    • 2010
  • 개방병원에 환자의 입원을 의뢰한 담당 의사들은 환자들의 상태와 제대로 된 간호서비스를 받고 있는지에 대한 정보를 간호기록을 열람함으로써 확인할 수 있다. 하지만 간호기록은 병원의 내부자료로써 외부기관에 쉽게 공개할 수 없는 자료이고 표준화가 확립되어 있지 않아 병원별로 다르게 작성되고 있어 필요한 정보를 공유하는데 많은 어려움이 따른다. 따라서 본 연구에서는 개방병원 간호기록의 작성과 공유를 지원하기 위한 시스템을 개발하고자 하였다. 본 시스템은 우선 간호기록을 실제로 작성하는 간호사의 편의성을 고려하여 간호기록항목사전을 설정하게 하고 간호사와 의사간의 지능형 에이전트를 이용한 협상으로 작성과 공개의 항목을 확정하도록 하였다. 이 모든 과정은 의료기관간의 네트워킹을 지원할 수 있도록 웹기반시스템으로 설계되었고 실제 구현을 통하여 실현가능성을 확인하였다.