• 한국병원경영학회지
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• 제13권1호
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• pp.42-64
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• 2008

This study was conducted to evaluate the quality in medical records by analyzing its completeness through setting up the level of record on the patient's past history and through examining the actual medial records. Targeting the information on the patient's past history in interns' records, residents' records and nurses' records toward 403 inpatients who were admitted first in 2004 at an university hospital due to stomach cancer. We analyzed whether the charts were recorded or not, recording level, the satisfaction with the expectant level of the records in the hospital targeted for a research and the level of agreement. The results were as follows; first, as for the rate of recording those each items, they were high in the chief complaint & present illness and the past illness history. Depending on the group of recorders, the recording rate showed big difference by items. Second, as a result of measuring the level after dividing the recording level of items for the patient's past history from Level 1 to Level 4 by each item, the admission history, the past illness history, and the family history were about Level 3, and the smoking history, the medication history, the chief complaint & present illness, the drinking history and allergy were about Level 2. In the admission department, it was excellent in the interns' records for the medical department. Third, as a result of its satisfactory level by comparing the expect level of a record and the actual record by item in information on the patient's past history, which was expected by the medical-record committee members of the hospital targeted for a study. And forth, we analyzed the level of agreement with Kappa score in the level of 'Yes' or 'None' related to the corresponding matter in Level 1, in terms of information on the past history in the intern's record, the resident's record, and the nurse's record. The level of agreement in the resident's record & the nurse's record, and in the intern's record & the resident's record was from "excellent" to "a little good". There were differences in the level of completeness and in reliability for the information on the past history by the recorder group or by the admission department. The encounter process that was performed by the admission department or the recorder group, indicated the result that was directly reflected on the quality of medical records, thus it was required further study about the medical record documentation process and quality of care. The items that showed the high recording rate quantitatively were rather low, consequently we'd should develop the tool for the qualitative inspection and evaluate the medical records further. And the items were needed to be detailed in the record level were rather low, and hence there needed to be a documentation guideline and education by the clinical departments.

• 동서간호학연구지
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• 제23권2호
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• pp.150-159
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• 2017

Purpose: The purpose of this study was to identify the educational status and level of knowledge of nursing records. Methods: Research participants of this study were 310 senior students of five nursing colleges in two cities of South Korea. A self-report instrument was used to measure knowledge about nursing records. The descriptive analysis, t-test, ANOVA, with SPSS/Win 21.0 program were used. Results: The experience in nursing education and necessity of nursing records education had influence on the knowledge of nursing records while the average level of knowledge was 44.15 out of 65. The correct answer rate was 77.3%, and this score was slightly higher than average. Conclusion: In order to raise the efficiency of nursing work and also to protect nurses from a risk of medical lawsuits, teaching nursing students how to make systematic and concrete nursing records should be preferentially considered for the course of college education.

• Journal of Nutrition and Health
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• 제27권4호
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• pp.336-346
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• 1994

balance and to estimate daily energy requirement in 43 Korean female college students maintaining their usual diet and activity level. Energy intake and expenditure were measured in two separate periods about one month apart, each period lasting for 3 days. All the subjects participated in both periods. Energy intake was assessed by two methods ; weighed diet record and duplicate portion analysis of diet minus fecal and urinary excretion. Mean daily energy intake level calculated from diet records was 28.5 kcal/kgB.W(1, 476 kcal/day), and similar to the level of 27.8 kcal/kgB.W(1, 438 kcal/days) obtained from the chemical analysis of duplicate portions. Mean daily energy expenditure, calculated from activity records of each subject, was 34.6 kcal/kgB.W, or 1.39 times BMR, which corresponds to light activity level. Mean daily energy balance of subjects was -5.9 kcal/kgB.W. Mean daily requirement of energy, calculated from the activity records of the subjects, was 34.6 kcal/kgB.W, similar to the level of the Korean RDA for light activity level. The results of this study indicate that 1) the activity level of the study subjects corresponds to the sedentary level ; 2) present Korean RDA for energy for light activity is adequate for the subjects ; and 3) the subjects should increase their energy intake since they are largely in negative energy balance.

• 대한한의학회지
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• 제30권4호
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• pp.37-46
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• 2009

Objectives: The purpose of this study was to investigate the external application of paste preparation recorded in the Annals of the Chosun Dynasty (朝鮮王朝實錄) and to clarify the significance of modern use of plaster therapy. Methods: Of many paste preparations, records of All-applying ointment (萬應膏), One-great ointment (太一膏), Pain-relieving plaster (救苦膏), and Pus-promoting powder (促膿膏) were especially examined from the Annals of the Chosun Dynasty. Other medical records regarding how these preparations were passed onto later generations were also studied. Results: According to the records from the Annals of the Chosun Dynasty, paste preparations were mainly used to cure abscess and sore, partly to treat pain diseases. From other medical documents, it could be found that these preparations were continuously used in subsequent eras. Conclusions: From these records, the level and features of Chosun Dynasty medicine could be speculated. It is necessary to find and restore effective paste preparations in Traditional Korean Medicine to use for treating disease today. Therefore, records from the Annals of the Chosun Dynasty are important and meaningful materials.

• 한국식품영양학회지
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• 제11권6호
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• pp.647-686
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• 1998

The purpose of this study was to investigate selected nutrient intakes, dietary atherogenesity, energy balance and activity level of college students. One hundred and thirty onoe students (61 males and 70 females) made their three-day dietary records and one-day activity records along with one-day dietary records. BMI of the surveyed students was 22.33 for males and 20.28 for females. Average calorie intakes of male and female students was respectively 2166.20kcal and 1793.60kcal. Females had slightly higher fiber intakes than males in terms of fiber g/1000kcal. Carbohydrate, protein and fat ratios in energy composition of males and females were respectively 56.62 : 15.33 : 24.70 and 57.64 : 16.49 : 25.79. Average cholesterol intakes of male and female students were 295.66mg and 259mg respectively. The male showed higher saturated fat intake. and had higher atherogenic indices of diets such as cholesterol index(CI) and cholesterol-saturated fat index(CSI) than the female. Males spent an average of 1039.00 kcal/day compared to females of 687.93 kcal/day for all physical activities. Most students participated in light (100% of males and females) and moderate (33% of males and 3% of females) activities level. Few students spent time at severe and very severe activity level. Seventeen of the 131 students were in positive energy balance whereas 83% were in negative balance. Both genders with positive energy balance tended towards smaller weight and BMI, and larger food intakes than those with negative energy balance. Students with positive energy balance had higher saturated fat intakes and dietary atherogenic scores of CI and CSI than the counterparts with negative energy balance. Males with positive energy balance had decreased physical activity and daily energy expenditure whereas increased food and saturated fat intakes. Females with positive energy balance had singificantly increased food, saturated fat and sugar intakes.

• 한국비블리아학회지
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• 제32권1호
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• pp.171-197
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• 2021

본 연구의 목적은 기록관을 운영 중인 대학의 단과대학 및 학과 수준의 실질적인 기록관리 현황을 조사하여 이를 바탕으로 단과대학 및 학과의 체계적인 기록물관리를 위한 개선방안을 제안하는 데 있다. 연구 목적 달성을 위해 K 대학을 연구대상으로 선정하여 학과에서부터 단과대학까지 업무 흐름에 따라 발생하는 행정기록물들이 실질적으로 어떻게 생산, 관리되고 있는지를 담당자들을 대상으로 한 설문 및 면담 조사와 대학기록관의 기록관리 현황 조사를 통해 파악하였다. 분석결과는 다음과 같다. 첫째, 본부 중심의 기록물관리가 이루어지고 있었다, 둘째, 기록관리 업무에 대한 처리과 직원의 인식이 부족하였다. 셋째, 대학기록관이 공공기록물 관리에 수반되는 기록업무를 포함하여 대학사 기록관리 업무 및 아카이브 기능을 수행하고 있어 기록연구사 한명이 감당하기에는 업무가 과중하였으며, 이는 대학기록관의 운영상의 한계로 나타나고 있었다. 이러한 문제점 해결을 위해 다음과 같이 제언하였다. 첫째, 업무분장에 기록관리를 명시하여 부수적인 업무가 아님을 처리과 직원에게 인식시킬 필요가 있으며, 처리과 직원도 기록물관리 업무에 자발적으로 참여할 수 있는 방안을 마련하는 등 업무담당자의 기록관리에 대한 인식을 개선할 수 있는 방안 마련이 필요하다. 둘째, 단과대학 기록물과 학과 기록물에 대한 지침을 마련하고, 업무담당자의 의견을 통해 대학의 특성에 맞는 교육을 개발하여 시행할 필요가 있다. 셋째, K 대학기록관은 공공기록물 관리에 수반되는 업무 이외에 대학사 기록물관리에 수반되는 업무, 아카이브 기능까지 하고 있어 현재의 인력으로는 분명 한계가 있으므로, 인력 충원이 필요하다. 따라서 대학사 기록물, 공공기록물을 관리하는 기록연구사가 각각 배치될 필요가 있으며 전자기록물 관리의 중요성이 증가함에 따라 전산센터와의 협업이 아닌 전산요원이 기록관에 배치되어야 한다.

• 한국보건간호학회지
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• 제3권2호
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• pp.143-156
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• 1989

This study was done in order to analyze the factors which influenced the performance level of urban family planning health personnels' task. Interview survey was done during the period May, 1989. Interviewee were 130 family planning health personnels among total of 140 family planning health personnels in Seoul metropolitan city area. The internal consistency reliability was tested by Cronbach’s Alpha and the construct validity of the survey tool was tested by Factor analysis. Multiple stepwise regression analysis was used to identify major factors influenced to perform family planning health personnels' task. The results of this study were summarized as follows: 1. The internal consistency reliability was high and very significant (Cronbach's Alphs=0.8445, p<0.0000). 2. The construct validity was high and very significant. This analysis was contained 5 factors; registering and keeping of eligible woman records, health educating for FP & MCH, referral for vasectomy and tubal ligation and loop, supplying contraceptive appliances, sending moved-out eligible woman records. 3. Among a total of 15 contents of their functions recording of daily report and monthly report (76.2%), classifying and keeping of records(66.2%), registering of eligible woman records(60.85ti), distribution of leaflets and pamplets(54.6%), counselling & supervision about family planning(53.8%) were actively performed. Sending moved-out eligible woman records(60.8%), health education for community people(49.2%), referring contraceptors' side-effects were poorly performed. 4. The factors which influenced the performance level of urban family planning health personnels' function were age, marital status, educational level, certification, number of residents, number of eligible women, job car-eer, work responsibility, job satisfaction knowledge, position, cooperation of community people, cooperation of Dong Office, cooperation of Health Center. These 14 variables were able to explain job function from 21.4% of follow-up care of contraceptor to 9.1% of classifying & keeping of eligible woman records.

• Journal of Preventive Medicine and Public Health
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• 제52권6호
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• pp.377-383
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• 2019

Objectives: Self-reported disease history is often used in epidemiological studies. In this study, we acquired the hospital records of subjects who self-reported stroke or myocardial infarction (MI) and evaluated the validity of the participants' self-reported disease history. We also determined the level of agreement between specialists and non-specialists. Methods: Among the participants in the Health Examinees study, 1488 subjects self-reported stroke or MI during 2012-2017, and medical records were acquired for the 429 subjects (28.8%) who agreed to share their medical information. Each record was independently assigned to 2 medical doctors for review. The records were classified as 'definite,' 'possible,' or 'not' stroke or MI. If the doctors did not agree, a third doctor made the final decision. The positive predictive value (PPV) of self-reporting was calculated with the doctors' review as the gold standard. Kappa statistics were used to compare the results between general doctors and neurologists or cardiologists. Results: Medical records from 208 patients with self-reported stroke and 221 patients with self-reported MI were reviewed. The PPV of self-reported disease history was 51.4% for stroke and 32.6% for MI. If cases classified as 'possible' were counted as positive diagnoses, the PPV was 59.1% for stroke and 33.5% for MI. Kappa statistics showed moderate levels of agreement between specialists and nonspecialists for both stroke and MI. Conclusions: The validity of self-reported disease was lower than expected, especially in those who reported having been diagnosed with MI. Proper consideration is needed when using these self-reported data in further studies.

• Asian-Australasian Journal of Animal Sciences
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• 제15권8호
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• pp.1098-1102
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• 2002

A set of 313,169 reproduction records of Japanese Black cows calving between 1987 and 1996 were collected in nation widely Japan to investigate the current level of reproductive performances and the factors influencing the performances such as calving interval, first calving age, services per conception, calving difficulty, non-gestation period and gestation length. All the records of reproductive performances are outcome of artificial insemination. The means of first calving age, calving interval, non-gestation period and gestation length were 25.0 months, 389.9, 101.9 and 287.5 days, respectively. Services per conception were 1.41 and degree of calving difficulty was 1.07, which suggests most of the calving, did not need assistance. There were chronological tendencies that first calving age became younger while calving interval became longer. Differences in reproductive performance were found for seasons and calving numbers. Calving interval became shorter towards the fourth calving but became longer afterwards. The cows calving in May had the shortest calving interval followed by those in April and June and first calving age had a similar tendency. The cows with the standard body condition score showed more favourable reproductive performances compare with those with rather fatty or thin body condition scores.

• 지역사회간호학회지
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• 제9권2호
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• pp.303-312
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• 1998

The purpose of this study was to survey the knowledge level, attitude and practice of nurses toward their work. The subjects of the study were composed of 98 nurses from 3 general hospitals, 1 oriental medical hospital, 2 health centers and several community health posts and schools. Data were collected from May to October, 1998. In data analysis, an SPSS PC program was utilized for descriptions. 1) 16 nurses (16.3%) experienced medical accidents on the 7 nurses(7.1%) 1 time, 6 nurses (6.1%) 2 times, and 3 nurses(3.1%) 3 times. 2) Concerning knowledge of their legal obligations ; the prohibition of telling secrets was .89, the prohibition of reading medical records was .58, the keeping of medical records was 1.0 and the teaching of recuperation was. 79. The total mean score was. 86. Concerning attitude and practice; the prohibition of telling secrets was 81.6%, 63.3%. The prohibition of reading medical records was 61.2%, 60.2%. The keeping of medical records was 98%, 98%. The explanation for treatment, care and test was 91.8%, 66.3%. The teaching for recuperation was 63.3%, 63.3%. 3) Knowledge of their legal responsibilities; 29. 6% of the subjects thought that they should report a medical accident to their headnurse, but 75.5% of the subjects actually reported to the headnurse. 39.8% of the subjects thought that nurses were liable for the faults of nursing aides. The total mean score was .45. 46% of the subjects asked a senior staff's advide on difficult affairs. Nurses obeyed legal obligations when concern ing the protection of a client, but were passive when concerning self protection. Also, headnurses were required as adviser, guide and advocate.