• 제목/요약/키워드: CHIEF method

검색결과 238건 처리시간 0.154초

임상용어의 효율적 적용을 위한 참조용어 Subset 에디터의 개발 (A Development of Reference Terminology Subset Editor for effective adaption of Clinical Vocabulary)

  • 조훈;김형회;최병관;최영연;김화선;홍해숙
    • 한국멀티미디어학회논문지
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    • 제11권3호
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    • pp.364-372
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    • 2008
  • 하나의 의학용어체계가 모든 의학 개념을 표현할 수 없으므로 전자의무기록의 각 영역에 적합한 의학용어를 적용하고 용어들을 효과적으로 연계하는 것이 실제 임상에서 매우 유용한 방법이다. 표준용어의 편리하고 효율적인 활용을 위해서는 임상과나 임상의의 사용목적에 적합한 범주를 구분하고, 구분한 범주에 입각하여 사용가능성 높은 용어들을 추출하여 정리한 용어 Subset의 개발이 요구된다. 또한 Subset은 표준용어체계의 변경이나 수정, 사용자의 새로운 요구에 알맞도록 지속적으로 개발과 업그레이드가 가능해야 한다. 본 연구에서는 부산대학교병원 신경외과환자의 퇴원요약지를 대상으로 추출된 주호소, 증상, 진단 및 수술명, 과거 시술명의 추출된 자료를 추출하고 분석하였다. 그리고 subset 데이터베이스를 생성하고 추가되는 용어에 대해서는 임상의가 직접 참조용어와의 매핑을 통해 새로운 데이터베이스를 생성될 수 있도록 Subset 에디터를 개발하였다. 결론적으로 본 연구는 용어체계의 방대함으로 인해 생기는 문제점과 비효율성을 줄일 수 있는 효과적인 관리 방법이 될 것이다.

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요통치료에서 승마요법의 영향 (The Influence of Therapeutic Horseback Riding on Treatment of Low Back Pain)

  • 장상철;이기승;김인창;김진희;정명수
    • 대한한의정보학회지
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    • 제21권1호
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    • pp.23-34
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    • 2015
  • This study is aimed to verify what effects horseback riding has in treating hospitalized patients with low back pain in the Korean medicine hospital. The method of this study is choosing 31 people among hospitalized male and female patients whose chief complaints were low back pain in 2 Korean medicine hospital in Gyeonggi Province. 14 people who agreed to take horseback riding treatment were classified into experimental group and 17, the rest of the people, were classified into control group. Both experimental group and control group were treated with Korean medicine. In addition, only experimental group performed horseback riding program. Changes of temperature difference by digital infrared thermal imaging(DITI), sit and reach test and visual analogue scale(VAS) survey were used as measuring tools. IBM SPSS Statistics 21 was used in processing statistics. Mean ${\pm}$standard deviation was indicated down to two places of decimals and the level of significance was judged as p<0.05. The summary of this study's result is as in the following. First of all, the meaningful difference was shown in the experimental group but not in the control group in the difference of temperature between Yintang and Kwanwon(the difference between up and down). Secondly, there were significant difference in the experimental group which performed horseback riding treatments but not in the control group resulting from examining the change of temperature difference between left and right Yongchon. Thirdly, there were significant difference between experimental and control group in the change of sit and reach. Especially, the change was much more in experimental group. As known from the results above, patients who only were treated with Korean medicine relieved low back pain, reordered pelvis and improved the motor ability. However, the group which carried out horseback riding at the same time reordered pelvis and improved the motor ability more obviously.

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동서한방병원에 내원(來院)한 녹용가미제(鹿茸加味劑)을 복용한 외래환아(患兒)의 임상적 연구 (The change of clinical symptoms of children patients using herbal medication combined with Cervi cornu parvum in Dong-seo oriental Hospital)

  • 신지나;신원규
    • 대한한방소아과학회지
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    • 제15권2호
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    • pp.75-83
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    • 2001
  • Background and method : The Cervi cornu parvum for children patients have been widely used nowadays: however, there have been no reports about the children patients' conditions and the parents' responses. To investigate these things, the questionnaires were used for the children patients(the ages between 0 and 15) who took the herbal medication combined with Cervix cornu parvum and their parents from January 1, 2000 to June 31 at the Dong-seo oriental Hospital. The chief complaints such as common cold, dyspepsia of using Cervi cornu parvum were divided into five categories and the changes were observed, scoring each stages. Besides, the quantity of taking herbal medication combined with Cervix cornu parvum, the expectancy, the satisfaction, the continual favor were included in the questionnaires. The result : 1. The trackable sample was 53: male infants 34(64.2%), female infants 19(35.8%). There is no differences between genders in the treating results. The treating results were increased after taking herbal medication combined with Cervi cornu parvum 2. When age is grouped by three categories(0-1, 2-6, 7-14 ages), the statistics shows that the treating results have no differences between each group(P>0.05) Regardless of the ages, the treats have correlated.(P<0.05) 3. When each symptoms made treated one case are analyzed, there have been correlations between the taking herbal medication combined with Cervi cornu parvum and recovery.(P<0.05) 4. The treating result have not affected by the expectancy.(P>0.05) Each group(good, moderate, poor) showed the recovery after the treatment.(P<0.05) 5. When the satisfaction divided into three groups(good, moderate, poor) there existed differences between groups.(P<0.05) Especially, the group with high expectancy increased the treatment. 6. About the recognition of herbal medication combined with Cervi cornu parvum is like this: the health refreshment, ordinary taking whenever turning-point of seasons comes, treatment, disbelieving the overdose of herbal medication combined with Cervi cornu parvum, disbelief about the security of the medicine such as fake medicine, mad cow diseases, the imported medicine, ignorance about the way of taking the medicine.

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유물에 표현된 전통매듭에 대한 연구 - 온양민속박물관을 중심으로 - (A Study on a Traditional Knot Represented in the Remains - Focusing on the Remains of the Folklore Museum of On Yang -)

  • 임상임;임영주
    • 한국생활과학회지
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    • 제10권2호
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    • pp.189-203
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    • 2001
  • The pulpous of this study is to investigated the kind and feature of the knots used in four categories, "living, clothing, ceremony, and decoration", after analysing and examining 42 knot remains of the folklore museum of On yang. The method were by old books and various kind's related books, history of knots and kind of knots investigated and analyze relics were actual proof investigation of real things and supplementary materials were photos, drawings, and museum's explanation used. The results are as is following ; First, a knot is twisted by two threads, formed in the process of twisting, become in equal shape, and made in symmetry. Second, In knot's names, there are sangkang, karakge, ankyongchip, jamjary, kukhwa, bol, byongary, memi, kkondiki, kong, yonbong which are easily seen in nature. Third, a knot was used in as living things in the era of the three Kingdoms, as a decoration such as Buddhism goods in Koryo. In the era of Cho sun, Because of the development of knot's kind and the variety of service, it was the target of restriction as a luxury. Fourth, as a result of investigating museum's relics, a knot was smaller than the chief object because that is a decoration. Fifth, there are 8 kinds for living and clothing which are simple knots "doramaetup, karakgemaetup, and sangtchokmaetup". Sixth, the complex knots such as kukhwamaetup, byongarymaetup, and 3bolkamkae emaetup are used on pangchang, chokja, nambawi, and chobawi. Seventh, there are 10 kinds for ceremony, the simple knots are twisted and the complex knots such as kukhwamaetp, maehwamaetup, nabimaetup, and sasaekgupoki are used. Eighth, there are 14 kinds for decoration, the simple knots such as doraemaetup, kakagemaetup, santchokmaetup, and ankyongchipmaetup and the applied knots such as kukhwamaetup, byongarymaemaetup, changkumaetup, nabimaetup, and seokssima etup are used. There are 42 knot remains in the folklore museum of On yang. Of them, there are 33 kinds in the present, 17 used. that is because only several knots have been used. Finally, to forget the knot's way, we will set up a plan to keep with it.

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폐격리증에 대한 임상적 고찰 (Case Analysis of Pulmonary Sequestration)

  • 전양빈;신성호;정태열;김혁;함시영;이철범;정원상;김영학;강정호;지행옥
    • Journal of Chest Surgery
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    • 제31권12호
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    • pp.1206-1211
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    • 1998
  • 배경:폐격리증은 흔한 질환이 아니며, 이외 진단을 위하여는 대동맥조영술이나 흉부 CT가 필요하다. 대상 및 방법: 저자는 1990년 1월부터 1997년 9월까지 폐격리증을 가진 13명의 환자를 치험하였다. 결과: 남자가 6명이었고, 여자가 7명이었으며, 그들의 평균 연령은 25.8±14.3세였다. 주증상은 기침과 흉통, 무증상순이었다. 내엽형 폐격리증이 9예이고 외엽형 폐격리증이 3예였으며 한환자의 경우 두가지를 다 가지고 있었다. 내엽형이 외엽형보다 많았으며, 좌측과 우측의 호발차이는 없었다. 그들은 주로 대동맥 촬영술로 진단을 하였으며 영양공급 동맥은 주로 하행 대동맥에서 유래되었다. 치료는 내엽형의 경우는 폐엽 절제술을 하였으며, 외엽형의 경우 격리폐 절제술을 하였다. 결론: 폐격리증을 적절히 치료하기 위하여는 비정상적으로 기시되는 동맥을 발견하기 위하여 대동맥조영술 또는 흉부 CT 촬영을 반드시 해야 한다.

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뇌성 마비를 동반한 악안면 기형 환자의 치험례 (TREATMENT OF DENTOFACIAL DEFORMITY PATIENT WITH CEREBRAL PALSY)

  • 김기호;박성연;이충국
    • 대한장애인치과학회지
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    • 제2권1호
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    • pp.39-44
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    • 2006
  • Cerebral palsy(CP) is one of the most common motor disease, due to brain injury during fetal and neonatal development which results in neuromotor paralysis and associated neuromuscular symptoms. Features of CP include motor disability due to the lack of muscle control, often accompanied by sensory disorders, mental retardation, speech disorders, hearing loss, epilepsy, behavior disorders, etc. There are increasing chances of treatment of dental patients with cerebral palsy, as the occurrence of CP is increasing with the decrease in infant mortality and an increase in immature birth and premature birth and also, there is a trend to pursue of higher quality of life. Reports on the relationship between CP and maxillofacial deformity are uncommon, but it is well known that the unbalance and discontrol of the facial muscles, lip, tongue and the jaws leads to malocclusion and temporomandibular joint disorders, and statistics show that class 2 relationship of the jaws and open bite is frequently reported. However, it is difficult to perform maxillofacial deformity treatment, which consists of orthodontic treatment, maxillofacial surgery and muscle adaptation training, due to difficulties in communication and problems of muscle adaptation caused by difficulties in motor control which leads to a high recurrence rate. This case report is to trearment of maxillofacial deformity in CP patient. A 26 year old female patient came to the department with the chief complaint of prognathism of the mandible and facial asymmetry. According to the past medical history, she was diagnosed as cerebral palsy 1 week after birth, classified as GMFC, classII accompanied with left side torticollis. The patient's intelligence was moderate, and there were no serious problems in communication. For two years time, the patient underwent lingual frenectomy, pre-operation orthodontic treatment and then bimaxillary orthognathic surgery to treat mandibular prognathism and facial asymmetry followed by rehabilitatory exercise of facial muscle. After 6 months of follow up, there was a good result. This is to report to the typical signs and symptoms of DFD in CP patient and the limitation of the usual method of the treatment of DFD in CP patient with literature review.

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기업가 정신과 진정성 리더십이 비영리 조직의 성과에 미치는 영향 (The Effect of Entrepreneurship and authentic leadership on the Performance of Nonprofit Organizations)

  • 박은미;서정해
    • 한국융합학회논문지
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    • 제11권2호
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    • pp.231-240
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    • 2020
  • 본 연구에서는 OO법인의 사례를 통해 OO법인의 경영성과와 방식을 검토한 후 그것을 가능하게 한 경쟁우위 및 성공요인들을 고찰하였으며, 본 연구의 진행을 위해 비영리 조직의 핵심역량으로 제시한 기업가정신과 진정성리더십 그리고 조직유효성에 관련된 문헌 및 선행연구를 검토한 후 대상 조직의 홈페이지와 신문기사를 통한 문서정보 자료를 확보하였고 마지막으로 대상 조직의 최고경영자와 인터뷰를 통해 연구에 필요한 데이터를 수집하였다. 이러한 과정과 분석을 통해 첫째 CEO의 기업가정신은 비영리 조직의 운영에 있어 핵심역량이 될 수 있으며, 둘째, CEO의 역할과 리더십은 비영리 조직의 운영에 있어 핵심역량이 될 수 있다는 명제를 도출하였다. 본 연구는 그동안 기업만을 대상으로 연구되어왔던 많은 이론들과 전략들이 비영리 조직의 연구에 적용 및 활용될 수 있다는 것을 시사하며, 또한 현대 기업경영에 있어, 비영리 조직의 특성인 사명감, 공정성, 윤리성 등의 전략적 접근을 통하여 지속가능한 경쟁우위 창출을 도모할 수 있을 것이다.

대구.경북지역 산업간호사의 배치현황 및 제공실태에 관한 조사연구 (A Study on the Distribution of Industrial Nurses and Performance of Industrial Nursing Services in Taegue and Kyungpook area)

  • 김상순;김연화;김옥란;최연희
    • 지역사회간호학회지
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    • 제1권1호
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    • pp.299-317
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    • 1989
  • This study was attempted to find out the distribution of industrial nurses, analyze job performance by function and utilization state of medical dispensary among workers. The subjects for this study were 32 nurses working at industry located in Kyungpook and Taegu area. The data was collected through questionaire during the period of August 5-31, 1986, and analysed by the method of frequency and percentage. The following is the main findings of the study; 1. 72.2% of respondents was engaged in manufacturing industry, 33.3% in workplace whose regular workers was more than 2,000 workers. 67.7% in occupational health physicians was part-time system. 2. 93.1% of respondents was 20-29 years age group, 93.1% was graduates of junior nursing college, 96.6% was unmarried. 448% had 1-4 years of total working experiences. 3. For the motives which made them becomes industrial health nurse, 'good employment condition' was 62.1%. For the job satisfaction, 'moderate' was 586%. For the interest about the industrial health, 'moderate' was most frequent (58.6%). In the inservice education, 86.2% of the subjects was received education. 4. For the attitude of the dispensary and industrial nursing of employer, 'necessary' was most frequent (72.4%, 62.6%). 5. All establishment had dispensary facilities, 65.5% of them had independent dispensary. 6. In duty shift, 93.1% of respondents was working in one shift system. 41.4% of respondents was received from 250,000 won to 290,000 Won and 41.4% was belong to personnel section and 24.1% was direct controlled by general business section chief. 7. In the main health problem of their factories, 48.3% of respondents was work-environmental state, 24.1% was health education. 8. In the Dispensary budget, 60% of respondents was under 3,000 won per worker. 9. In the job performance rate by function, nursing service 73.1%, industrial health and nursing management 63.7%, environmental hygiene and safety management 54.5%, medical insurance 44.9%, welfare 38.4%. 10. Main health complaints among workers utilizing medical dispensary was 35.9% of respiratory system, 21.5% of gastro-intestinal system, 11.0% of skeletomuscular system.

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모아상호작용 관련 간호연구 분석 (An Analysis of Nursing Research related to the Mother-Child Interaction in Korea)

  • 오진아;이자형
    • Child Health Nursing Research
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    • 제9권2호
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    • pp.149-161
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    • 2003
  • Purpose: The purpose of this study is to identified patterns and trend of studies and to analyzed the nursing research related to the mother-child interaction in Korea and to improve direction of nursing research in mother-child interaction in Korea. Method: The research studies related to the mother-child interaction were selected from the Korean Nurses Academic Society Journal, and from dissertation, which were conducted between 1961 and 2002 with the consideration of the condition and the cultural specialty of Korea. The total numbers of the studies were 34. These studies were classified according to 1)time of publication or presentation, 2)research design, 3)type of interaction objects, 4)measurement tool, and 5)chief content of studies. Ressult: 1) Until 1984, there was no research studies related to mother-child interaction. The number of studies on the mother-child interaction on the mother-child interaction has been increased rapidly after 1985. The mother-child interaction studies were 13(38.2%) from the doctoral dissertation, 4(11.8%) from the Master's theses and 17(50%) other papers were published in academic journals. 2) Experimental studies of research design was used in these research studies was 13(38.2%). Descriptive studies was 8(23.6%), correlational studies was 4(11.8%) and comparative studies was 4(11.8%). Qualitative study was just one(2.9%) and literature review was 4(11.8%). Especially experimental studies has been increased. 3) Participants of these studies were mother and infant 29(85.5%), father and infant 2(5.9%), mother and fetus 2(5.9%) and nurse and infant 1(2.9%) 4) Utilization of instruments as follows: 13 studies used Walker et al(1986)'s MIPIS (Mother-Infant Play Interaction Scale), 6 studies used Barnard(1978)'s NCAFS (Nursing Child Assessment Feeding Scale), 4 studies used NCATS(Nursing child Assessment Teaching Scale) for assessing mother-infant interaction. 3 studies used Stainton(1981)'s Parent-Infant Interaction Scale. Choi(1987), Kim(1999) and Kim and Son(1997) used measurement tool researcher made which was modified from NCATS (Nursing child Assessment Teaching Scale) and AMIS(Assessment of Mother-Infant Sensitivity Scale). Other tools used to survey influencing factors of interaction. 5) Content of the research studies were classified 3 different types, such as ① studies about the mother-child interactions' pattern, ② studies about influencing factors of the mother-child interaction, ③ studies about effect of nursing intervention program to improve the mother-child interaction. Conclusion: Therefore we make following suggestions which are made based on the above research analysis : 1) In the future research studies need to compare with other area of discipline in mother-child interaction. 2) More attention and in depth research is needed to validate in terms of research design and statistical data analysis. 3) It is important to develop the instruments which is culturally acceptable in Korea society. 4) The results of correlational studies and experimental studies needs to the integrated by meta analysis.

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소아 요로계 기형에 대한 임상적 고찰 (Clinical Observation of Congenital Urinary Tract Anomalies)

  • 장수희;김선준;이대열
    • Childhood Kidney Diseases
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    • 제1권1호
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    • pp.67-72
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    • 1997
  • 목적 : 소아요로계 기형은 요로 감염의 주원인이며 발견시 비가역적인 신손상으로 만성 신부전과 고혈압의 원인이 되므로 조기 진단과 적절한 치료가 필수적이다. 이에 저자들은 요로계 전반의 선천성 기형의 발생양상을 알아보고자 본 연구를 시행하였다. 방법 : 1986년 1월부터 1996년 12월까지 전북대학병원 소아과에 입원한 환자중 방사선적인 검사상 요로계 기형이 발견된 124명을 대상으로 기형의 종류와 빈도, 동반기형, 임상증상, 요로감염의 동반유무, 치료방법 등에 관하여 임상기록을 토대로 조사하였다. 결과 : 1)연령분포는 1세 미만이 61명(49%)으로 가장 많았고 다음은 4-6세가 20명(16%)으로 많았다. 성별 빈도는 남아가 여아보다 2배정도 더 많았다. 2) 주증상은 발열이 가장 많았고 측복통, 산전진찰로 진단된 수신증, 복부종괴, 배뇨통, 빈뇨, 혈뇨등의 순이었다. 3) 요로계 기형은 방광 요관 역류가 가장 많았고 신우 요관 이행부 협착, 특발성 수신증, 중복 요로계, 거대요관 등의 순이었고 이중 85례에서 수신증이 동반되었다. 4) 단순기형은 109명(87%),복합기형은 15명(12%)으로 단순기형이 더 많았다. 5) 전체 124명중 68명(54.8%)에서 배양 검사에서 증명된 요로감염으로 104회 입원하였고 이때 동반된 기형으로는 방광요관 역류가 가장 많았으며 원인균은 E.coli(70%)가 가장 많았다. 6) 수술적 교정을 시행한 경우는 124명중 46명이었으며 이중 신우요관 이행부 헙착이 가장 많았다. 만성 신부전으로 진행한 경우는 7명이었고 후부 요도 판막에 의한 신부전 1명에서 신장이식을 시행하였다. 결론 : 소아에서 요로기형은 조기 진단과 적절한 치료를 시행하고 지속적인 추적관찰을 함으로써 심각한 합병증을 예방할수 있을 것으로 생각되며 향후 요로계 기형에 대한 더 많은 연구가 진행되어야 될 것으로 생각된다.

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