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A Study on the Level of Medical Record Documentation and Agreement in the Information on the Patient's Past History (과거력 의무기록 정보의 기재정도 및 일치도 분석)

  • Seo, Jung-Sook;Yu, Seung-Hum;Oh, Hyohn-Joo;Kim, Yong-Oock
    • Korea Journal of Hospital Management
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    • v.13 no.1
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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.

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The study on the determinants of the number of job changes (중소기업 청년인턴 이직횟수 결정요인 분석)

  • Park, Sungik;Ryu, Jangsoo;Kim, Jonghan;Cho, Jangsik
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.2
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    • pp.387-397
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    • 2015
  • In this paper, the determinants of the number of job changes in the SMEs (small and medium enterprises) youth-intern project is analysed, utilizing SMEs youth-intern DB and employment insurance DB. Since the number of job changes are count data which take integer values other than negative values, general linear regression analysis becomes inappropriate. Therefore, four models such as Poisson regression model, zero inflated Poisson regression model, negative binomial regression model and zero inflated negative binomial regression model are tried to fit count data. A zero inflated negative binomial regression model is selected to be the best model. Major results are the followings. First, the number of job changes is shown to be significantly smaller in the treatment group than in the control group. Second, the number of job changes turns out to be significantly smaller in the young-age group than in the old-age group. Third, it is also shown that the number of job changes of man is significantly greater than that of woman. Lastly, the number of job changes in the bigger firm is shown to be significantly less than that of the smaller firm.

Internal Based Cooperative Network Model for University's Internship Abroad with Cooperation of International NGOs: Cooperative Case of CBMC (대학의 해외인턴쉽을 위한 인터넷에 기초한 국제NGO 협력 Network Model - CBMC와 협력사례를 중심으로)

  • Kang Young-Moo
    • The Journal of Information Systems
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    • v.15 no.3
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    • pp.159-174
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    • 2006
  • Employment rate of graduating students has been one of the most important issues at universities. Recently interest on internship abroad has been increased significantly due to globalization of the society In particular, central and local governments have developed policies and encouraged university students to participate in internships abroad. However, activities and resources for internships abroad are very limited to a few organizations. This paper investigated the current status of internship in the U.S. and Korea. Then, this paper analyzed differences in demand and supply of the internship and matching mechanism of the internship between the U.S. and Korea. From the results of those analyses, this paper developed an international network model which can help effective and efficient increase in the demand and supply of the internship as well as the internship matching mechanism in Korea. This network model utilizes international NGOs in order to develop internationally cooperative environment. This model provides mechanism for (1) effectively identifying intern applicants who like to work abroad and evaluating thent (2) effectively identifying new internship positions and evaluating companies which plan to hire interns, (3) efficiently matching demand for and supply of internship by identifying appropriate candidates, (4) monitoring companies for their quality of working conditions and interns for their qualities of work This model for internship has been applied for a NGO which is International CBMC (Christian Businessman Committee International)

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A Study of Navajo Textiles in the Transitional Period (19세기후반 전환시대 Navajo 인디언직물의 고찰)

  • 정미실
    • Journal of the Korean Home Economics Association
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    • v.40 no.8
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    • pp.37-48
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    • 2002
  • The purpose of this study was to survey Navajo's textiles of the transitional period(1868-1890) and to examine appearance background of those textiles. The two study questions were central to the project. 1) What were characteristics of eye-dazzler and pictorial in the transitional period? 2) How developed was the American trader's role? To perform the purpose, literatures on this subject were surveyed, investigation of textiles in Arizona State Museum and Historical Museum of Arizona were accomplished. The results of this study were as follows: 1. Eye-dazzler is called because of their small, serrate triangle and diamond patterns in intense, contrasting colors. Eye-dazzler mostly used Germantown yam and wedge-weave technique. Germantown was a plied yam colored with synthetic dyes. Wedge-weave technique used optical illusions and an undulating technique to create an effect of motion and rhythmic symmetry. 2. The Americans began to intern Navajos at Bosque Redondo, New Mexico in 1863. During their stay at Bosque Redondo, the Navajo came into greater contact with Rio Grande blankets. The influence of designs of these becomes increasingly important in the eye-dazzler. 3. Pictorial materials included rich new sources the railroad provided and living environment of animals, plants, hogans, neighbors, deities that interested the Navajo. Also, sandpainting textiles were a pictorial. Three types of textiles utilized: yei, yeibichai, and sandpainting tapestry. 4. The arrival of the railroad caused many changes for the lives and textiles of the Navajos. The railroad brought a new client into the Navajo, and the Navajos attempted new textiles with design-inspiring fresh materials to adjust taste of the eastern purchasers.

A Study on the Historical Status of Giovanni Marinoni in the Tradition of Cadastre and Cartography in 18th Century Italy (18세기 이탈리아의 지도제작의 전통과 조반니 마리노니의 역사적 위상에 관한 연구)

  • Kim, Il-Hyun;Kim, Kwan-Soo
    • Journal of architectural history
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    • v.21 no.5
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    • pp.47-56
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    • 2012
  • This research focuses on the role of Giovanni Marinioni during the formation of the modern cartography and cadastre during the 18th century. Initial study began with Giambattista Nolli's Roman map noticing not much information was available to acknowledge his activities during his Milan period before the departure to Rome. It became evident that Marinoni was a key person to understand the complex circumstances in which the professional training and formation of Giambattista Nolli took place as later worked as an anonymous intern during the elaboration of Theresian Cadastre of Milan. The other important figures are Leandro Anguissola and Giovanni Filippini. Anguissola's position and precedent work facilitated Marinoni's multidisciplinary activities that he had performed in Vienna and Milano in the field of making urban maps of those two cities. On the other hand, Filippini not only collaborated with Marinoni but also introduced Nolli in the field of cartography. These activities show transitional and dual aspects that characterized the period in which important irreversible changes that occur during the reign of Habsburg empire and in the rest of the Europe toward the formation of modern society and state. Marinoni's theories and praxis greatly influenced Nolli's later commitment under the Savoia and later on the elaboration of the 'Pianta Grande di Roma' in 1748.

Changes in the Clerkship in Korean Medical Schools: The Prospect of a Student Internship (의과대학 임상실습의 변화: 학생인턴제도의 가능성에 대한 전망)

  • Yoon, Tai Young;Lee, Jong Keun;Oh, In Hwan
    • Korean Medical Education Review
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    • v.15 no.2
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    • pp.75-81
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    • 2013
  • The subinternship (student internship), a subtype of bedside and clinical training was first developed in the United States. Currently, some medical schools conduct a student internship and many other universities are considering the implementation of a student internship in Korea. If the intern system is abrogated beginning in 2016 as in the United States, then the importance of the student internship will be greatly emphasized for clinical training. To produce good and competent medical doctors, members of medical schools and affiliated hospitals must acknowledge the role of the educational hospital and support student internships. In addition, the effort of the medical community to develop and apply a standard curriculum to the student internship is also required. Above all, the attention of society and the nation is essential to make legal policy changes regarding the conducting of student internships and enhance understanding about the authorized practices in university hospitals. The medical community's effort to draw attention to this issue is greatly required to implement a student internship at this time.

Efficacy of Carcinogenic Embryonic Antigen in Differential Diagnosis of Diseases of Pancreas and Liver - A Comparative Study in a Tertiary Care Hospital of Western Nepal

  • Mittal, Ankush;Farooqui, Shamim Mohammad;Pyrtuh, Samuel;Poudel, Bibek;Sathian, Brijesh;Yadav, Shambhu Kumar
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.1
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    • pp.275-277
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    • 2012
  • Objective: The objective of our present study was to assess the efficacy of carcinoembryonic antigen (CEA) for differentiating and diagnosis of pancreatic and liver diseases in Pokhara valley. Materials and methods: A hospital based retrospective study was carried out using data retrieved from the register maintained in the Department of Biochemistry of the Manipal Teaching Hospital, Pokhara, Nepal between 1st January, 2011 and 31st October, 2011. Estimation of CEA was performed by ELISA reader for all cases. Approval for the study was obtained from the institutional research ethical committee. Results: Of the 771 subjects, 208 (27%), 60(7.8%), 240(31.1%), 54(7.0%), 75(9.7%), 59(7.7%), 75(9.7%) cases were of active chronic hepatitis, cryptogenic cirrhosis, alcoholic cirrhosis, primary biliary cirrhosis, hepatoma, acute or chronic pancreatitis, carcinoma of pancreas respectively. The majority of cases (104) of active chronic hepatitis had CEA levels <5ng/ml(50%). CEA levels were found to be increased in cases of alcoholic cirrhosis with maximum number of cases (106) in range of 10 to 20 ng/ml (44%). There were no cases having more than 20ng/ml of CEA in primary biliary cirrhosis and acute or chronic pancreatitis. In cases of pancreatic cancer, maximum number of cases (35) were having CEA >20ng/ml(47%). Conclusion: High levels of CEA are associated with advanced stage of disease. CEA can thus provide an important improvement in the diagnosis by differentiating pancreatic cancer especially from chronic pancreatitis when there is a high suspicion of malignancy. Increased CEA levels may also signify progression from benign to malignant transformation in the liver.

Study on the Estimation of Knock Position in a LPG Engine with Ion-probe Head Gasket (LPG엔진에서 이온프로브를 이용한 노킹 발생 위치 추정에 관한 연구)

  • Lee, Joung-Won;Choi, Hoi-Myung;Cho, Hoon;Hwang, Seung-Hwan;Min, Kyoung-doug
    • Transactions of the Korean Society of Automotive Engineers
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    • v.11 no.1
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    • pp.42-48
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    • 2003
  • LPG has been a broad concern of pro-environmental alternative fuel for vehicles. Recently, the new Liquid Phase LPG Injection(LPLI) system extends the limit of power of LPG engine and gives a chance to substitute LPG engine for diesel engine of heavy duty vehicles that are the main resources of air pollution in urban area. Large bore size of heavy duty LPG engine derives a serious knock problem. To find an optimal MBT conditions, it is necessary to know how the flame develops in the combustion chamber and find where the knock positions are. In this study. the ion-probe head gasket was used to estimate the knock position. Inverse operation of the ion-probe signal provides the flame developing characteristics. The further the position is from the spark plug, the later the flame arrives and the more times knock occurs. The main factor that effects knock position is inferred a flor situation of mixed gas in the combustion chamber.

The Effect of Government Intership Program on Accumulation of the Human Capital (미취업 이공계 석·박사 지원정책의 경제적 효과분석 : 인적자본 투자수익률을 중심으로)

  • Hong, Sung-Pyo;Lee, Sung-Kyu
    • Journal of Labour Economics
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    • v.26 no.3
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    • pp.29-47
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    • 2003
  • The study analyzes how effective the Government Internship Program has been on accumulation of the human capital. The Program was designed under the foreign exchange crisis to support the new, but unemployed graduates with MA or Ph.D degree in the science and the engineering fields. The survey data is collected from the participants in the Program. The Tobit model is estimated to find the economic effects of the Program in terms of the rate of return of investment in the human capitals of the intern researchers. Considering that the Program is tentative and that the human capitals of the participants are easily obsolescent, the rate of return is observed to be substantially large. These results imply that the Internship Program has been successful in terms of providing not only the researchers with the opportunity to accumulate the human capital by means of the on-the-job-training, but also the institutes or the firms with the opportunity to utilize the high-quality researchers at the low cost.

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The Dispute Resolution Method on The FIDIC Form of Construction Projects (건설 사업에서 FIDIC 규정의 분쟁해결 방법)

  • Lee Moo-Jong
    • Journal of Arbitration Studies
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    • v.16 no.2
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    • pp.239-264
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    • 2006
  • Globalization of business activities and the market is making intern ational movement of capital much freer. Therefore the introduction of global standard is inevitable. Each and every country has had its own standard which restrain free exchange and cause misunderstanding and conflict between countries. A country or a company which is not capable of meeting the global standard can not be accepted in the global market. Consequently, it will eventually be left behind. It is right to say that countries and companies should accept the global standard and abide by it to survive in the competitive global market. The following preface which was introduced in the international conference co_organised by BAC, FTCTC and Tsinghua University in May, 2004 shows a timely movement for the globalization of construction business. *B A C, Beijing Arbitration Commission *FTCTC, The FIDIC-Tsinghua-CNAEC Training Center *CNAEC, China National Association of Engineering Consultants Introduction, As arbitration becomes more and more popular in the ways of alternative disputes resolution all over the world, the BAC is devoted to promoting international arbitration in China. As FIDIC contracts constitute an accepted point of reference for international construction contract, the BAC, characteristic of construction projects, is willing to facilitate the FIDIC contracts as the referred construction contracts in China. In order to carry out its purposes, the BAC, together with FTCTC is going to convene for discussion of dispute resolution and arbitration of international construction projects. FIDIC, construction contract management guide, explains arbitration as the ultimate dispute resolution method. The detail of FIDIC will be suggested in this essay.

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