• 대한한방소아과학회지
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• 제24권1호
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• pp.104-116
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• 2010

Objectives The Medical record consist of symptoms, the cause of a disease, diagnostic studies, medical treatment, prescription, and so on. Doctors can use medical records as data for diagnosis, treatment, and education. Therefore, medical records are beneficial. Methods Translating $\ll$Xiao Er Yao Zheng Zhi Jue$\gg$ into modern Korean, and studying the medical records of Qian Yi(錢乙)'s Medical concept in $\ll$Xiao Er Yao Zheng Zhi Jue$\gg$ were examined. Results Regarding the diagnosis of the pediatric diseases, Si Zhen He Can(四該合參), consider in the eye exam closely. In addition, he closely combined the concept of Wu Zang Bian Zheng(五藏辨證), and diagnosis the pediatric diseases. Wu Zang Bian Zheng(五藏辨證). what Qian-Yi(錢乙) established method was based on Zheng Ti Guan(整體觀) in Huang Di Nei Jing(黃帝內經). Qian-Yi(錢乙) took a close look on Chuang Zhen(瘡疹) which had been an inadequate field in those days. He criticized on the habitual misuse of medications. He treated Ji Jing(急驚) and Man Jing(慢驚) separately; Ji Jing(急驚) as Liang Xie(凉瀉) and Man Jing(慢驚) as Wen Bu(溫補). He proposed Zong Gan Zhu Feng and Xin Zhu Jing(縱肝主風, 心主驚) theory and formulated Jing Feng(驚風) theory as well. He emphasized the treatment to Gong Bu Shang Zheng, Bu Bu Zhi Xie, Xiao Bu Jian Shi(攻不傷正, 補不滯邪, 消補兼施) because he had a clear demonstration to Han Re Xu Shi(寒熱虛實) of the five viscera in the field of Fang yao(方藥). Conclusions Understanding $\ll$Xiao Er Yao Zheng Zhi Jue$\gg$ and its medical records of Qian Yi(錢乙)'s medical concept had quintessential meaning to both modern pediatrician and oriental medical doctors of all medical fields in treating children.

• 한방안이비인후피부과학회지
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• 제35권4호
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• pp.47-62
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• 2022

Objectives : To analyze and understand the clear meaning of Nochae(勞瘵), which is used in the same meaning as tuberculosis in Korean medicine. Methods : Nochae was mainly investigated using the Korean medicine classic DB(https://mediclassics.kr). Records that clearly revealed the visual observation of Nochaechung(勞瘵蟲), the cause of Nochae, and those that do not were arranged in chronological order. It was also analyzed what modern diseases are similar to Nochae. Results : Records that Nochaechung can be observed visually through feces or vomiting suggested the possibility of ascariasis. Nochaechung, which has a shape similar to silkworms and causes symptoms such as coughing and hemoptysis similar to those of tuberculosis while parasitic on human, suggested the possibility of paragonimus westermani. Based on the record that it showed symptoms of coughing and hemoptysis along with chills, fever, and weight loss, Nochae might have been a disease such as pneumonia and lung cancer as well as tuberculosis. Records of women's bloating, weight loss, anorexia, and jaundice suggested that Nochae might have been a liver cirrhosis. Conclusions : Records that clearly reveal the visual observations of Nochaechung, suggested that Nochae was a parasitic disease such as ascariasis or paragonimiasis. Records that visual observation of Nochaechung was not clearly revealed, suggested that Nochae might have been diseases such as pneumonia, lung cancer, and liver cirrhosis in addition to tuberculosis.

• 대한두개안면성형외과학회지
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• 제20권5호
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• pp.304-309
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• 2019

Background: Treatment for venous malformations of the head and neck includes sclerotherapy, surgical resection, or a combination of both. Surgical resection can remove or reduce the volume of vascular lesions; however, surgery can cause postoperative scarring and potential surgical complications. This study sought to determine the effectiveness of surgery for the treatment of venous malformations of the head and neck. Methods: A retrospective review of the medical records of patients who received surgeries for venous malformations of the head and neck from January 2011 to July 2019 was performed. Using clinical photographs, preoperative and postoperative Doppler ultrasonography, outpatient clinic records, and operation records, the postoperative result and complications were evaluated for each case. Results: Among patients who visited our vascular anomalies clinic, 43 patients (ratio of male to female= 24:19) received surgeries for venous malformations of the head and neck. Twenty-nine patients had undergone surgery only, five patients received sclerotherapy after surgery, and nine patients received surgery after preoperative sclerotherapy. In postoperative evaluations, the result was excellent in 24 patients, good in 18 patients, and poor in one patient. Four patients experienced a recurrence of lesions with lagophthalmos, drooping of the corner of the mouth, partial wound necrosis, and scar widening found in one patient each. Conclusion: Because the head and neck region is the most exposed area in the body, more active implementation of surgical treatments with or without sclerotherapy is essential to reduce the functional and cosmetic impairments associated with venous malformations.

• 한국식생활문화학회지
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• 제12권2호
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• pp.137-147
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• 1997

The purpose of this study was to determine the influences on physical status and study achievement by the dietary behavior of the youth in Korea. The survey was carried from June to July, 1995 by way of questionnaire to 397 students. The students' study achievement records and physical status were analyzed by the factor of dietary behavior. The results were as follows: 1 The average physical status of male students was lean, but females were standard. 76ft of mothers of the subjects were working in specialty farming. The monthly income of their family was $1000{\sim}1500$ thousand Won and students' pocket money was $20{\sim}40$ thousand Won per month. 2. The aspects of meal behavior included the general idea that the meal was thought to relieve hunger, and preference of taste was spiciness The most important factor of the meals for the students was taste. Their bad meal habits were quick eating and irregularity of meals. 3. There was a significant difference in the comparison of the study achieving records with the frequency of supper However, there was no one meaningful difference between study achievement records and the attendance rate to school, health status, and living conditions. However, there was a significant difference between their study records and eating with family. The students, who had the breakfast and/or supper with family, remarked better study records than other groups. 4. Also, there was a significant difference of study records with physical status. The overweight or obese students had a lower degree of study score (p<0.1). Adolescence is considered a period of setting up dietary behavior, so it is necessary to educate good nutrition and dietary habits for students to keep in healthy physical condition and with high study achievements.

• 한국병원경영학회지
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• 제15권2호
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• pp.84-106
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• 2010

Ensuring the confidentiality of patient records is critical requirement for quality of care and in fulfilling legal obligation of healthcare organizations. This study analyzed the behavior of hospital employees who are dealing with confidential patient information in a hospital. Theory of Planned Behavior(TPB) model and TPB expanded models that add habit concept to TPB are tested for the validity in explaining the predisposing factors that affect the behavior of hospital employee in ensuring the confidentiality of patient records. Data were collected by administrating a survey to the 350 employee of a tertiary care hospital. Of the 350 questionaries distributed, 321 were responded resulting 92% of response rate. The mean differences among the groups classified by age, years of experience, gender, and occupation were analysis using ANOVA. The relationships among the concepts suggested in the models were analysed by applying the Structural Equations Modeling method. The results of ANOVA indicated significant mean differences in the frequency of confidentiality ensuing behavior. Administrative staff and medical technicians show higher frequency of ensuing behavior compared to the physicians and the nurses. And more experienced employee show more confidentiality ensuring behavior. The results of Structural Equations analysis showed that the strong effect of habit and attitude in predicting the behavior. However, the effect of perceived behavioral control was not significant. Based on the results the theoretical and practical implications are discussed.

• 한국비블리아학회지
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• 제25권2호
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• pp.5-23
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• 2014

학교도서관에서 학교도서관업무지원시스템인 Digital Library System(DLS)의 목록입력 규칙을 이용해 서지레코드를 구축해왔다. 그러나, DLS 목록입력 규칙은 규칙 자체가 상세하지 않고, 규칙 상호 간에 모순이 있고, KCR4에 일치되지 않기 때문에, 서지레코드 구축시 표준화된 지침으로 사용될 수 없다. 이에 본고에서는 학교도서관에서 생산하는 서지레코드의 품질을 향상시키고, 표준화된 서지레코드 구축을 위해, DLS 목록입력 규칙의 개선방안을 제시하고자 한다. DLS 목록입력 지침의 문제점을 조사하기 위해 DLS 목록입력 규칙을 KCR4와 비교 분석하고, 3년 이상 경력의 학교도서관 사서교사를 대상으로 서면 및 전화 면담을 실시하였다. 그 결과 DLS 목록입력 규칙에서 사용한 용어가 KCR4와 일치하도록 수정이 필요하고, 기술영역별로 목록규칙의 개정이 요구되었다.

• 정보관리학회지
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• 제29권3호
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• pp.257-285
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• 2012

전자의무기록시스템(EMR)이 도입되고 의무기록 이해당사자들의 요구가 변화함에 따라 우리나라 병원의 의무기록 생산 및 관리 환경이 급변하고 있다. 그동안 정보관리의 차원에서만 다루던 의무기록을 기록관리의 관점에서 살펴봄으로써 병원의무기록관리에 의미있는 시사점을 도출할 수 있을 것이다. 이 연구에서는 기록관리의 기본 원칙을 다루고 있는 KS X ISO 15489 표준을 병원의 의무기록관리에 적용하여 현황을 분석하고 개선과제를 도출하고자 하였다. 이를 위해 첫째, 표준에서 제시하고 있는 기록관리과정 별로 의무기록관리에 적용할 기준원칙을 작성하였는데, 획득, 등록, 분류, 저장, 접근, 추적, 처분 등 기록관리 7단계에서 총 22개의 기준원칙을 선정하였다. 둘째, 서울 소재 의과대학 부속병원인 Y병원을 대상으로 의무기록관리 현황을 평가하였다. Y병원 의무기록관리팀 부서장을 면담하여 각 기준원칙별로 준수, 부분 준수, 미흡, 미준수의 4가지 수준으로 현황을 평가하였다. 셋째, 기준원칙을 충실히 준수하지 못하고 있는 접근, 추전, 처분 단계부분을 중심으로 의무기록관리의 개선방안을 제시하였다. 이 연구를 시작으로 하여 향후 기록관리 메타데이터표준, 기록경영시스템표준, 기록관리시스템표준 등도 병원의 의무기록관리에 적용함으로서 유용한 시사점을 얻을 수 있을 것으로 기대한다.

• Earthquakes and Structures
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• 제16권2호
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• pp.165-175
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• 2019

Incremental dynamic analysis (IDA), as an accurate method to evaluate the parameters of structural performance levels, requires many non-linear time history analyses, using a set of ground motion records which are scaled to different intensity levels. Therefore, this method is very computationally demanding. In this study, a new method is presented to estimate the summarized (16%, 50%, and 84% fractiles) IDA curves of a first-mode dominated structure using discrete wavelet transform and bees optimization algorithm. This method reduces the number of required ground motion records for the prediction of the summarized IDA curves. At first, a subset of first list ground motion records is decomposed by means of discrete wavelet transform which have a low dispersion estimating the summarized IDA curves of equivalent SDOF system of the main structure. Then, the bees algorithm optimizes a series of factors for each level of detail coefficients in discrete wavelet transform. The applied factors change the frequency content of original ground motion records which the generated ground motions records can be utilized to reliably estimate the summarized IDA curves of the main structure. At the end, to evaluate the efficiency of the proposed method, the seismic behavior of a typical 3-story special steel moment frame, subjected to a set of twenty ground motion records is compared with this method.

• Earthquakes and Structures
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• 제18권3호
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• pp.391-405
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• 2020

The use of passive energy dissipation devices has been widely used in the construction industry to minimize the probability of damage occurred under intense ground motion. In this study, collapse margin ratio (CMR) and fragility curves are the main parameters in the assessment to characterize the collapse safety of the structures. The assessment is done on three types of RC frame structures, incorporating three types of dampers, viscoelastic, friction, and BRB dampers. The Incremental dynamic analyses (IDA) were performed by simulating an array of 20 strong ground motion (SGM) records considering both far-field and near-field seismic scenarios that were followed by fragility curves. With respect to far-field ground motion records, the CMR values of the selected frames indicate to be higher and reachable to safety margin more than those under near-field ground motion records that introduce a high devastating impact on the structures compared to far-field excitations. This implies that the near field impact affects the ground movements at the site by attenuation the direction and causing high-frequency filtration. Besides that, the results show that the viscoelastic damper gives better performance for the structures in terms of reducing the damages compared to the other energy dissipation devices during earthquakes.

• 동의생리병리학회지
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• 제25권2호
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• pp.155-162
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• 2011

Sinsuntaeeuljagumdan is a medical book written by Jong-jun Lee, who was an government official in Yonsan-gun period in Chosun dynasty. This book has importance in medical history, as it was the first privately published medical book in early Choson dynasty, and written by an bureaucratic gentry, not by a professional doctor. Three versions of this book remain, among which Sungam version is printed and closest to the original, while Kyoto version is facsimile manuscript of the Sungam version. The contents of the book can be divided into three subsections, i.e. constituents and making instructions, applicable symptoms and adminstration directions, and medical records and episodes. The medical records, of these three sections, are total 8 cases, with a great value as the first ever medical record in korean history.