• 임상간호연구
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• 제26권3호
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• pp.374-384
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• 2020

Purpose: To explore the scope and method of applying standardized nursing terminologies to nursing diagnosis and problems used in nursing practice. Methods: A descriptive study was done with a retrospective analysis of the nursing records of 141,420 patients that were hospitalized in 4 tertiary hospitals. The nursing diagnosis and problems collected from the records were standardized, and the standardized nursing diagnosis and problems cross mapped with NANDA-I, confirmed in a nursing focus group. Results: 65 (67.7%) of the 96 standardized nursing diagnosis and problems were equal with NANDA-I and included in the 10 domains of NANDA-I. Among 86 nursing diagnosis and problems excluded from the cross mapping with NANDA-I, the 63 terms (73.3%) related to surgery/procedure were the most common. Conclusion: It is meaningful that multi-tertiary hospital nursing diagnosis and problems were standardized and cross mapping with standard nursing terminologies was performed. As for the method of applying standardized nursing terminologies in nursing practice, it is appropriate to use several standardized nursing terminologies complementarily.

• Journal of Korean Biological Nursing Science
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• 제23권2호
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• pp.138-150
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• 2021

Purpose: This retrospective study aimed to investigate nursing interventions in patients with severe thoracic injury in trauma bay of a regional trauma center. Methods: Of the 1,780 patients admitted to the trauma bay of a regional trauma center in a university hospital in the Gyeonggi Province between January 1, 2019 and December 31, 2019, 120 adult patients with severe thoracic injury who met the inclusion criteria were enrolled. Participants' clinical characteristics and nursing interventions were collected from electronic medical records after receiving ethical approval. Nursing interventions were classified using the terminology in the Nursing Intervention Classification. Results: The mean age of participants was 52.25 years and 72.5% of participants were male. The main areas of thoracic injury included lung parenchyma and pleura (95.8%). The mean Abbreviated Injury Scale (AIS) for thoracic injury was 3.13 and the mean Injury Severity Score (ISS) was 17.81. Fluid resuscitation, invasive hemodynamic monitoring, chest tube care, respiratory monitoring, artificial airway management, gastrointestinal tube care, mechanical ventilation management: airway insertion and stabilization, blood product administration, allergy management, and surgical preparation were performed significantly more frequently in thoracic injury patients with unstable vital signs or a higher AIS score. Conclusion: This study is significant as it investigated the types of nursing interventions given to patients with severe thoracic injury in the trauma bay. These results would contribute to developing more detailed educational materials for initial nursing interventions in trauma bay.

• 수산해양기술연구
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• 제58권1호
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• pp.10-18
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• 2022

Fishery sea anchor is widely used for many fishing vessels. However, standardization of the dimension and terminology of the fishery sea anchor has not been achieved, reducing the reliability of the performance and safety of the fishery sea anchor. Therefore, this study researches the reality of usage of fishery sea anchor and then attempts to suggest the development direction of the standard draft as basic data. As a result of the survey on the reality of usage show that various terms were used for each part of the fishery sea anchor (including the incorrect form of non-standard words derived from Japanese) and that the production of this product in the fishery sea anchor market was concentrated on one specific manufacturer. In addition, the main specifications of the fishery sea anchor are set and manufactured based on conventional experience without standards. In the field, there was no standardized drawing for fishery sea anchor and users had low awareness of the main specifications of fishery sea anchor. Therefore, this study suggested the following regarding the fishery sea anchor: standard terms for each part including Korean and English names and standard drawing of sea anchor. It is hoped that this study will contribute to research for the standardization of fishery sea anchor, which will increase in reliability and lead to increased interest in standardization in the fishery field.

• 한방비만학회지
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• 제22권2호
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• pp.136-146
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• 2022

Objectives: The objective of this study is to evaluate weight change and analyze adverse events in overweight and obese women with polycystic ovary syndrome (PCOS) who were prescribed with Gamitaeeumjowee-tang. Methods: A retrospective chart review was conducted for medical records of patients with PCOS, who were administered with Gamitaeeumjowee-tang for a period of 12 weeks between January 2019 and December 2021. Outcomes were total weight loss/weight loss rate, the percentage of patients who lost more than 5% and 10% of their baseline weight. Adverse events (AEs) reported by patients were evaluated by severity, causality and system-organ classes. Results: A total of sixty-seven patients were included (mean±standard deviation, Age 28.78±5.25 years, weight 76.78±12.84 kg, body mass index 29.2±4.26 kg/m²). The average total weight loss in PCOS patients was 6.57±3.07 kg and the average weight loss rate was 8.55±3.65%. The percentage of patients with more than 5% and 10% weight loss compared to their baseline weight was 86.56% and 25.37% respectively. The analysis of adverse events are as follows: Causality assessment with World Health Organization-Uppsala Monitoring Centre of AEs showed 'Unlikely' was the most common (71.7%) and severity evaluations with Common Terminology Criteria for Adverse Events showed almost all symptoms were mild (98.9%). Conclusions: Gamitaeeumjowee-tang helps to lose weight of PCOS patients, which is overweight or obese, and no serious adverse events have occurred. Additional well-designed clinical studies are recommended.

• 기록학연구
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• 제75호
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• pp.299-328
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• 2023

본 연구는 국가기록원에서 개발 및 보급하고 있는 기록관리 공공표준의 적정성 검토 현행 절차를 점검하고, 그에 따른 개선방안을 탐색하여 표준 운영의 내실을 다지기 위한 기초자료로 활용하는데 목적이 있다. 이를 위해 국제표준과 한국산업표준의 사례를 살펴보고, 국가기록원이 추진해온 표준화 이력을 분석하였다. 분석 결과, 법령 개정에 따른 용어 변경, 표준명칭의 변경 등 단순개정이 주를 이루었고 표준별 표준화의 빈도수 또한 현격한 차이를 보였는데, 적정성 검토 과정이나 결과가 명시적으로 확인되지 않는 문제점이 존재하였다. 이러한 문제들을 해결하기 위해 기록관리 표준화 제도를 보완하고, 관련 심의를 위한 세부절차의 마련, 적정성 검토 평가기준의 필요성 등 다양한 개선 방안을 제안하였다.

• Journal of Yeungnam Medical Science
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• 제40권2호
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• pp.164-171
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• 2023

Background: The study aimed to evaluate the effect of prehydration solution on hearing thresholds after cisplatin chemotherapy. Methods: In this retrospective cohort study, we reviewed the data of patients who underwent ≥3 courses of cisplatin-based chemotherapy for locally advanced head and neck cancers at a tertiary referral center (n=64). The dextrose solution (DW) group (n=26) received 2 L of normal saline and 1 L of 5% dextrose. The Hartmann solution (HS) group (n=38) received 2 L of normal saline and 1 L of HS. Hearing data were measured 1 day before starting the first course of chemotherapy, and again 20 days after the first, second, and third courses of chemotherapy. The severity of hearing loss was evaluated using the Common Terminology Criteria for Adverse Events (CTCAE). Results: Thresholds at all frequencies after chemotherapy were greater in the DW group than in the HS group. The increase in thresholds in 1 to 4 kHz after the third course of chemotherapy was greater in the DW group than in the HS group. CTCAE grades after the second and third courses of chemotherapy were greater in the DW group than in the HS group. Logistic regression showed that the odds ratio for CTCAE grade 3 or 4 after the third course of chemotherapy in the DW group was 4.84 on univariate analysis. Conclusion: Prehydration using a solution with salt was associated with a decrease in change in hearing thresholds after cisplatin chemotherapy in patients with head and neck cancers.

• 한국콘텐츠학회논문지
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• 제22권5호
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• pp.667-684
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• 2022

본 연구는 현재 고등학교에서 사용되는 피부 미용 교과서를 NCS 능력 단위를 기준으로, 고등학교 교과서의 문제점과 개선방안에 대해 분석하였다. NCS 기준을 바탕으로 고등학교 과정 동안 습득 가능한 내용의 포함 여부 및 내용의 적합성을 중심으로 분석하였으며 연구의 주요 결과는 다음과 같다. 첫째, 고등학교 기간동안 학습이 가능지만 누락된 NCS 능력 단위를 추가하는 방향으로 개편이 필요하다. 둘째, 고등학교 수준을 벗어난 NCS 능력 단위 5 수준은 교체 작업이 필요하다. 셋째, 삽화 자료와 사진 자료는 학습의 이해를 돕기 위하여 선명도와 일관성을 유지하는 방향으로 개선이 필요하다. 넷째, 교과서의 실습과 관련된 내용들은 구체적인 설명과 이와 관련된 학습자료의 첨부가 요구된다. 다섯째, 피부 미용에서 사용되는 전문용어의 개념 정리와 표기 방식에 대한 논의가 필요하다. 본 연구의 결과는 피부 미용 분야 NCS 학습 모듈 개발과 고등학교 피부 미용 교과서의 개선방안을 모색하는데 기초 자료로 활용될 수 있다. 연구의 한계점으로 학습 대상자의 견해를 반영되지 못한 부분이 있다. 학생들의 교과서에 대한 만족도 및 개선방안에 대한 견해를 살펴보는 후속 연구가 필요할 것으로 생각된다.

• 대한토목학회논문집
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• 제43권6호
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• pp.851-863
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• 2023

일정 규모 이상의 공공 건설 프로젝트에 대한 BIM(Building Information Model) 적용이 의무화됨에 따라 입찰단계에서부터 BIM 요구사항에 대한 관련 절차 및 기술에 대한 폭넓은 이해가 요구되고 있다. 그러나 대부분의 중소 시공 및 엔지니어링 기업은 BIM 수행역량이 낮고 관련 기존 업무 프로세스의 BIM 적용에 대한 이해 높지 않아, 입찰 요구사항에 대한 인지가 어렵고 입찰단계의 합리적인 의사결정이 쉽지 않다. 따라서 본 연구는 BIM 입찰문서 용어를 포함한 형태소 분석기를 딥러닝 모델에 결합하여 입찰문서의 BIM 요구사항의 난이도 판별 방법을 제시한다. 제안된 딥러닝 모델의 매개변수 영향이 조사되었으며 예측 결과의 타당성이 검토되었다. 그 결과, 제안된 모델이 시험 데이터에 대해 F1-score 0.83의 성능을 가지며, 모델의 판별 결과 또한 실제 BIM 수행 난이도를 타당하게 반영하고 있음을 보였다.

• 한국전자통신학회논문지
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• 제19권1호
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• pp.295-300
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• 2024

본 논문에서는 SNOMED CT 용어체계가 가지는 불완전성을 논의하고 이를 유지하는 방법으로 형제 노드 간 유사성을 평가하는 지표를 제안한다. SNOMED CT는 방대한 양의 의학용어를 포함하고 있으나 계층구조 내 컨셉의 누락 등 온톨로지의 불완전성 문제가 존재한다. 누락된 컨셉 발견을 위해 다수의 노드로 구성된 형제 노드 그룹 내에서의 노드 간 유사도 평가를 위한 지표를 제안하고 유사도가 낮은 그룹을 도출하였다. 2023년 3월 SNOMED CT 국제 배포판에 적용하여 형제 노드 그룹들의 유사도를 분석한 결과 임상적 발견 컨셉의 하위 컨셉들 중 2개 이상의 형제 노드를 가진 29,199개의 형제 노드 그룹의 평균 유사도는 0.81로 나타났다. 반면, 유사도가 가장 낮은 그룹은 중독 컨셉의 자식 컨셉으로 그 유사도는 0.0036으로 확인되었다.

• 대한한의학원전학회지
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• 제37권1호
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• pp.57-75
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• 2024

Objectives : The objective of this paper is to study the literature on stagnation pattern, to further determine reasoning for the emphasis on Liver-qi stagnation out of all the Five Zang stagnation patterns. Methods : Stagnation patterns in literature from the Xian-Qin/Liang-Han period, Sui-Tang-Song period, Jin-Yuan period and Ming-Qing period were studied and analyzed. Results & Conclusions : Based on chronological analysis on discussions of stagnation pattern, the Five stagnation in the Neijing were related to the excessiveness and deficiency of the Five circuits. After the discussions of the Four Masters of the Jin-Yuan period, WangAndao explained that stagnation could happen without relation to external contraction in his discussion of Benqiziyubing. Yutuan focused on the inter-relationship between the six stagnation patterns, emphasizing qi stagnation, while Sunyikui discussed stagnation pattern within the framework of the Five Zang stagnation. Zhaoxianke argued for the first time that one of the treatment methods of Wood stagnation could replace the five treatment methods, focusing on Wood stagnation which could be the clue to stagnation pattern. Of current Zangfu diagnostic terminology, the influential Liver qi stagnation remains to this day.