• 제목/요약/키워드: Case record

검색결과 671건 처리시간 0.028초

한국인 여성 유방암 발생률 추정에 관한 역학적 연구 -충북지역을 대상으로- (Incidence of Female Breast Cancer in a Defined Area in Korea)

  • 유근영;박수경;성주헌;노동영;최국진
    • Journal of Preventive Medicine and Public Health
    • /
    • 제31권4호
    • /
    • pp.592-603
    • /
    • 1998
  • This study was conducted to estimate incidence rate of female breast cancer in a defined area of Chungchongbuk-do in Korea. The presumptive breast cancer cases were selected from two different sources, i.e., medical utilization database of the National Health Insurance Corporation and the database from the National Cancer Registry. Medical students visited each hospital where the presumptive cases had been treated as a breast cancer patient, and made a dictation of medical record of each patient based on the claims stored in the Insurance Corporation from January to December 1995. The diagnoses in the claims included one of the following diagnostic codes; ICD-9 174-175(malignant neoplasms of the breast), 233(carcinoma in situ of the breast and genito-urinary system)or ICD-10 C50(malignant neoplasms of the breast), D05(carcinoma in situ of the breast and genito-urinary system). Each case has been confirmed as having a breast cancer by a breast surgeon through a medical record review. Age-standardized incidence rate of female breast cancer to the Korean population was estimated to be 10.5(95%confidence interval : 8.1-12.9)per 100,000 persons in 1995. Age-standardized rate to the world population was 9.8 per 100,000 persons, and the truncated rate for ages 35-64 was 27.2 per 100,000 persons. Validity of these estimates is discussing in comparison with previous methods of incidence estimation in Korea.

  • PDF

전자문서 아카이빙 표준모델 연구 (A Study of Standard Model for Electronic Document Archiving)

  • 이원영;강진영
    • 정보관리학회지
    • /
    • 제22권2호
    • /
    • pp.147-164
    • /
    • 2005
  • 2003년 개정된, 공공기관의기록물관리에관한법률 동 시행령에서는 전자문서의 생산의무와 보존의무를 지정하였으나 장기보존과 관련된 법조항이나 관련 표준은 그 내용이 아주 미미하여 보강이 필요하다. 이에 본 연구는 전자문서의 장기보존을 위한 표준요소를 제공하여 전자문서의 보존기반을 마련하는데 그 목적이 있다. 관리 전략수립을 위하여 생산시점의 장기보존요소 추출을 기본으로 하였으며 현용${\cdot}$준현용 단계 전자문서의 장기보존은 ISO 15489의 관리요소를 아카이브단계는 ISO 14721: OAIS(Open Archival Information System)참조모델을 분석하여 장기보존기능이 반영된 법률과 보다 개선된 시스템 환경을 제안하였다.

중심위 교합채득 방법에 따른 하악과두의 상대적 위치와 재현도 비교에 관한 연구 (RELATIVE POSITION OF MANDIBULAR CONDYLE AND COMPARISON OF REPRODUCIBILITY UTILIZING DIFFERENT CENTRIC RELATION RECORD TAKING METHODS)

  • 문흥엽;황현식
    • 대한치과교정학회지
    • /
    • 제24권4호
    • /
    • pp.945-956
    • /
    • 1994
  • In the past the jaw and occlusal relationship in centric occlusion were merely considered in case of orthodontic diagnosis and treatment planning. As the fact that functional disturbance of the temporomandibular joint may be caused by occlusal interference was recognized, the importance of functional occlusion and centric relation is emphasized today. Known the importance of centric relation, there are various opinions about definition of centric relation and its taking methods. The purpose of this study was to investigate the relative centric condyle position and to compare the reproducibility of the recordings utilizing different centric relation records obtained by different taking methods. The 15 adults with normal occlusion were participated in this study. Every four centric relation records were taken in each of three methods - leaf gauge, Dawson and myomonitor method. Then the relative centric condyle position, the distance between the condylar position in centric occlusion and the position in centric relation and the reproducibility were studied using SAM 2 articulator and mandibular position indicator. The results were as follows ; 1. The trend of condyle position was different depending on centric relation taking methods. 2. The position of condyle in centric relation by leaf gauge and Dawson methods was superior to that by myomonitor method, and the position by myomonitor method was relatively antero-inferior. 3. The distance between the condylar positions in centric occlusion and the position in centric relation was longest in myomonitor method. 4. The reproducibility had little differences in transverse direction among three methods, while leaf gauge method showed the highest reproducibility and myomonitor method did the lowest reproducibility in antero-posterior and supero-inferior direction.

  • PDF

국제무역거래(國際貿易去來)에서의 신용상거래(信用狀去來) 사기사건(詐欺事件)의 대처방안(對處方案) (How to deal with Fraud Cases in L/C-based Transactions in International trade business)

  • 남선모
    • 한국중재학회지:중재연구
    • /
    • 제18권2호
    • /
    • pp.173-199
    • /
    • 2008
  • A letter of credit transaction of the preexistence have been raising one's head fraud charge problem as a result of abusing the principles of independence and abstraction. Every society has certain rules and conventions which it regards as important and most of people in any society. The paper document means a document in a traditional paper form. The eUCP credit must specify the formats in which electronic records are to be presented. In these present times, the issuance of documentary credit are performed by the SWIFT(Society for Worldwide Inter bank Financial Telecommunication) system. The eUCP have been written to allow for presentation completely electronically or for a mixture of paper documents and electronic presentation. Presentation is deemed not to have been made if the Beneficiary's notice is not received. An electronic record that cannot be authenticated is deemed not to have been presented. The e-UCP is the supplement of current existing UCP but is superior to UCP under some circumstances. The document shall include an electronic record. The place for presentation of electronic records means an electronic address. The current e-UCP is not clear on this matter. We have to note followings in case of presenting the documents electronically and applying the e-UCP. There are three principles in the letter of credit transaction, that is to say, independence and abstraction, document dealing, strict compliance. IN the electronic letter of credit, these principles are called as independence and abstraction, electronic document dealing, strict compliance.

  • PDF

여수지역 비정규직 플랜트 건설 근로자의 안전보건 실태와 개선방안 (Health Status and Improvement Measures for Irregular Plant Construction Workers at Yeosu National Industrial Complex)

  • 최상준;김신범
    • 한국산업보건학회지
    • /
    • 제19권3호
    • /
    • pp.182-194
    • /
    • 2009
  • This study was conducted to evaluate health status and to propose health protection measures of irregular plant construction workers in Yoesu National Industrial Complex (YNIC). The status of safety and health management was examined in five areas including safety and health education, work environment monitoring, health examination, health management record, and personal protective equipment (PPE) for plant construction workers. The safety training rate for plant construction workers was reached high at 91%, The training was mostly consisted of safety accident related things, but training on hazardous materials was found to be insufficient. Workplace monitoring results showed that the compliance rate for work environment for irregular construction workers was 54% and workplace monitoring during turnaround (TA) period with high risk of exposure to hazardous agents has not been implemented. While 61.4% of irregular workers received the general health examination but only 36.8% received the special health examination. The special health examination was found to be conducted only upon welders from 2-3 years ago. The issue of health management record upon irregular construction workers was not being implemented. In case of PPE, basic safety protective equipments such as safety shoes, safety belt, safety helmet were being supplied well while the supply rate of respirator for organic vapor was relatively low at 40%. Based on this study, two suggestions to maximize the utilization of the current safety and health program were made while boosting its effectiveness in protecting workers' health. First, the role of owners (petrochemical plant) related to safety and health should be strengthened. Second, in consideration of the characteristics of construction workers who usually engage in short term employment and frequent movement, community based health management organization is suggested that can overcome such structural problem and carry out the implementation of health examination and sustained health management.

WBS 기반의 국책 건설사업 기록물 분류체계에 대한 연구 (A Study on the Classification System of National Construction Project based on WBS)

  • 정기애;정국환;김창하
    • 정보관리연구
    • /
    • 제41권1호
    • /
    • pp.173-200
    • /
    • 2010
  • 정부 주도하에 정책적으로 이루어지는 국책 건설사업은 국가의 사회간접자본시설에 주로 집중되며 상당한 국가예산이 투입되고 관련 분야의 전문적 역량이 총체적으로 투입되는 장기적 사업이다. 일반적으로 사회기반시설은 반영구 혹은 영구적 국가 자산으로 유지하게 되며 그에 따른 기록물 또한 해당 시설물의 수명기간 동안 보존 활용되어야 한다. 또한 국책사업 특성상 다양한 이해관계자 간의 유기적 협의체계를 지원하고 오랜 기간 동안 일관된 문서 및 기록관리체계를 유지하기 위해서는 기관별 특성을 최대한 배제한 사업 역무 위주의 표준화된 분류체계의 수립이 필요하다. 따라서 국책사업 기록물의 분류체계는 사업 자체 업무 분석을 근거로 사업 업무분류체계(WBS : Work Breakdown Structure)를 기반으로 수립되어야 한다. WBS는 프로젝트 관리(PM) 분야에서 통상적인 사업관리 기법으로 업무구분을 위해 사업초기에 수립되며, 프로젝트 목표를 달성하고 필요한 인도물을 산출하기 위하여 프로젝트 팀이 실행할 작업을 인도물 중심으로 분할한 계층 구조체계이다. 따라서 본 연구는 WBS에 기반한 국책사업 기록물 분류체계 수립에 대한 구체적인 사례와 방안을 제시함으로써 현 관리, 행정기록물 중심의 기록물 분류 체계에 대한 새로운 시각을 제시하는 데 목적이 있다.

항공라이다 데이터를 이용한 미등록 섬 추출 연구 (Study on the Method of Extracting Unregistered Islands using LiDAR Data)

  • 위광재;윤홍식;강상구;강인구
    • 대한공간정보학회지
    • /
    • 제17권3호
    • /
    • pp.109-114
    • /
    • 2009
  • 섬은 생태 환경보전가치가 뛰어나고 후세를 위한 생태학습장 및 해상 해저개발 등에 있어 국가영역으로서 중요한 영토임에도 불구하고 체계적인 조사 미비로 인하여 관리 자체가 이루어지지 않고 있다. 지적공부의 경우 1910 년대 측량기술의 한계로 인해 접근이 불가능한 섬들은 현재의 지적공부에 등록되어 있지 않아 미등록 섬에 대한 과학적인 조사와 체계적인 관리가 시급한 실정이다. 반면, 항공라이다측량은 최신 측량기법으로 접근이 불가능한 무인도서에 대해 정확한 위치정보와 함께 영상정보의 획득이 가능해 졌기 때문에 미등록 섬의 탐지를 과학적으로 접근이 가능하게 되었다. 이에 본 연구에서는 항공라이다측량 데이터를 이용하여 흑산도 주변 섬의 해안선을 추출하고 지적도 및 정사영상과 비교하여 미등록 섬을 탐지하였다. 또한 위치 및 면적 산출하여 미등록 섬을 추출하는 방안을 제시하였다. 그 결과 흑산도 주변에 대해 총 16개의 미등록 섬을 효과적으로 추출하였다.

  • PDF

애완토끼 (Lionhead rabbit, Oryctologus cuniculus)의 집쥐응애 기생 증례 (A Record of Ornithonyssus bacoti from Pet Rabbit (Lionhead rabbits, Oryctologus cuniculus) in Korea)

  • 손화영;김상훈;김덕환;김남수;김현철;운재호;조정곤;박배근
    • 한국임상수의학회지
    • /
    • 제26권6호
    • /
    • pp.600-602
    • /
    • 2009
  • 집쥐응애는 야생 설치류와 소동물을 포함하여 넓은 숙주 영역을 갖고 있으며 인체도 공격할 수 있다. 그러나 애완동물에서의 기생 증례 보고는 매우 적다. 동물병원에 내원한 애완토끼에서 다수의 응애를 관찰하였고 주사전자현미경을 적용하여 집쥐응애로 동정하였다. 이는 우리나라 애완토끼에서 집쥐응애 기생증례의 첫 번째 보고이다.

차세대 기록관리시스템 재설계 모형 연구 (A Study on Designing a Next-Generation Records Management System)

  • 오진관;임진희
    • 한국기록관리학회지
    • /
    • 제18권2호
    • /
    • pp.163-188
    • /
    • 2018
  • 차세대 기록관리시스템은 어떻게 만들어야 할까? 급변하는 시스템 개발 환경하에 공공기관의 기록관리시스템은 지난 10여 년간 답보 상태로 머물러 있었다. 이런 이유에는 사용자 요구사항 수용, 기록관리 신기술 적용을 하기 어렵게 만들어진 기록관리시스템 구조적 문제가 핵심 원인이라고 본다. 본 연구의 목적은 전자기록관리 현황 분석을 통한 차세대 기록관리시스템 재설계 모형을 제시하는 것에 있다. 본 연구의 선행연구격인 '차세대 전자기록관리 프로세스 재설계 연구(주현미, 임진희, 2017)' 결과와 선진 기록관리시스템의 기록관리 기술과 해외 시스템 사례를 분석하였다. 분석결과를 바탕으로 기록관리시스템 개선방향을 기능적 측면, 소프트웨어 설계 측면, 소프트웨어 배포 측면으로 분석하였고, 이 결과를 기록관리기관 유형에 적용하였다. 본 연구를 통해 마이크로서비스 아키텍처(MSA) 기반, 오픈소스 소프트웨어(OSS) 지향의 기록관리시스템을 만드는 것이 차세대 기록관리의 지향점이라고 제안한다.

예고되지 않은 응급의료센터 재방문에 영향을 미치는 요인 분석 (Factors associated with unexpected revisit to an emergency medical center)

  • 임미선;강혜영;서길준;홍준현
    • 한국병원경영학회지
    • /
    • 제10권2호
    • /
    • pp.64-80
    • /
    • 2005
  • The objectives of this study were to identify factors associated with unexpected revisit to an emergency medical center (EMC) located in Seoul and to examine reasons for revisit. During March, June, September and December, 2002, a total of 168 patients had unexpected revisits to the EMC within 48 hours of a previous discharge. As a 1:1 matched control, we included 136 patients who: discharged from the EMC during the same time period: did not return to the EMC; had the same diagnosis and age(${\pm}5$) with the case. In this study, factors associated with unexpected revisits were defined as characteristics of a previous discharge, which were classified into three: sociodemographic, EMC visit-related, and discharge management factors. Reasons for revisit were categorized into disease, physician, patients, and system-related factors. Data were collected by medical chart review with assistance from clinicians of the EMC. Logistic regression results showed that patients who headed home after discharge without follow-up schedule had a 27.6 times higher risk of revisiting EMC than those who were hospitalized following EMC visit. Patients discharged on his own will had a 5.9 times higher risk of revisiting than those discharged following physician's advice. Patients requiring continual observation at the time of discharge were more likely to revisit by 8.7 times than those discharged with improved condition. About 69.13% of the revisits were due to disease-related factors, followed by 13.90% due to patient-related factors, 8.64% due to system-related factors, and 8.34% due to physician-related factors. It appears that the most significant factors influencing revisits are discharge management factors such as patient's condition at discharge, whether the discharge was accorded with physician's advice, and whether returning home without follow-up schedule. Therefore, appropriate discharge management is necessary to prevent EMC revisit.

  • PDF