• 제목/요약/키워드: Private Records

검색결과 255건 처리시간 0.026초

한 민간종합병원에서 진단된 폐결핵 환자의 특성과 치료성적 (Clinical Characteristics and Treatment Outcomes of Patients with Pulmonary tuberculosis at a Private General Hospital)

  • 고원중;권오정;김철홍;안영미;임성용;윤종욱;황정혜;서지영;정만표;김호중;이정욱;서진숙
    • Tuberculosis and Respiratory Diseases
    • /
    • 제55권2호
    • /
    • pp.154-164
    • /
    • 2003
  • 연구배경 : 1990년대 초반까지 민간 병의원에서의 폐결핵환자 치료효율은 보건소에 비해 낮았다. 보건소에 비해 민간 병의원에서 치료받는 결핵환자의 비율이 최근 계속 증가하고 있지만, 민간부문에서 치료 받는 환자들의 특성과 치료효율은 정확히 파악되지 못하고 있다. 본 연구는 서울에 소재한 한 민간 종합병원에서 최근 진단되고 치료한 폐결핵환자의 특성과 치료효율을 조사하고자 하였다. 방 법 : 2000년 8월 1일부터 2001년 1월 31일까지 6개월간 삼성서울병원에서 진단되어 관할 보건소로 신고된 232명의 성인 폐결핵 환자를 대상으로 진단 시 연령과 성별, 입원여부, 과거 폐결핵 치료력, 객담 항산균 도발과 배양 검사 결과, 약제감수성검사 결과, 치료약제의 종류 및 치료 기간, 치료 결과 그리고 도말 양성 환자에서의 치료성적 등을 조사하였다. 결 과 : 232명의 폐결핵 환자의 평균 연령은 47세(범위 16-86세)이고 남자 136명(58.6%), 여자 96명(41.4%)이었다. 82명(35.3%)의 환자는 진단 당시 입원치료를 받았고, 13명(5.6%)이 치료 도중 사망하였다. 과거 치료력이 없는 신환이 166명(71.6%), 재발이 32명(13.8%)이었다. 도말 양성 환자가 83명(35.8%), 도말 음성 배양 양성 환자가 27명(11.6%)으로 균 양성 환자가 110명(47.4%)이었다. 47명(20.3%)에서는 객담 검사가 시행되지 않았다. 초치료 환자 188명 중 130명(69.1%)에서 INH, RFP, EMB, PZA가 처방되었고, 21명(11.2%)에서 INH, RFP, EMB가 사용되었다. 전체 폐결핵 환자 232명 중 26명(11.2%)과 도말 양성 환자 83명 중 11명(13.3%)이 치료를 중단하였다. 도말 양성 초치료 환자 68명 중 29명(42.6%)가 완치되었고, 18명(26.5%)은 치료를 종결하였으나 균 음전을 확인할 수 없었다. 결 론 : 민간 병의원에서 진단된 폐결핵 환자의 치료효율을 높이고 치료 중단률을 낮추기 위해서는 폐결핵 환자의 진단과 치료에서 대한 결핵 및 호흡기학회의 진료기준을 충실히 따르려는 보다 적극적인 노력과 함께 우리나라 실정에 맞는 적절한 공공-민간 협력체계의 국가결핵관리모델의 개발이 필요하리라 사료된다.

A Coordinated Ciphertext Policy Attribute-based PHR Access Control with User Accountability

  • Lin, Guofeng;You, Lirong;Hu, Bing;Hong, Hanshu;Sun, Zhixin
    • KSII Transactions on Internet and Information Systems (TIIS)
    • /
    • 제12권4호
    • /
    • pp.1832-1853
    • /
    • 2018
  • The personal health record (PHR) system is a promising application that provides precise information and customized services for health care. To flexibly protect sensitive data, attribute-based encryption has been widely applied for PHR access control. However, escrow, exposure and abuse of private keys still hinder its practical application in the PHR system. In this paper, we propose a coordinated ciphertext policy attribute-based access control with user accountability (CCP-ABAC-UA) for the PHR system. Its coordinated mechanism not only effectively prevents the escrow and exposure of private keys but also accurately detects whether key abuse is taking place and identifies the traitor. We claim that CCP-ABAC-UA is a user-side lightweight scheme. Especially for PHR receivers, no bilinear pairing computation is needed to access health records, so the practical mobile PHR system can be realized. By introducing a novel provably secure construction, we prove that it is secure against selectively chosen plaintext attacks. The analysis indicates that CCP-ABAC-UA achieves better performance in terms of security and user-side computational efficiency for a PHR system.

Age, extraction rate and jaw surgery rate in Korean orthodontic clinics and small dental hospitals

  • Jung, Min-Ho
    • 대한치과교정학회지
    • /
    • 제42권2호
    • /
    • pp.80-86
    • /
    • 2012
  • Objective: This study aimed to investigate the current data regarding age, sex, and Angle Classification of Korean orthodontic patients and influence of these factors on the tendency to undergo extraction and orthognathic surgery. Methods: The recent trends of Korean orthodontic patients were assessed using questionnaire survey. The questionnaires were e-mailed to orthodontists who met the study criteria; 58% of the orthodontists opened the e-mails, and 27.7% replied to the e-mails. In all, the medical records of 11,340 patients who underwent orthodontic treatment at private clinics and small dental hospitals in Korea were analyzed. Results: The percentage of female patients in the study sample was 69.6%, and the average age of the patients was 19.87 years. The percentage of patients who were older than 19 years was 50.2%. Class II and Class III malocclusions were noted in 33.6% and 23.6% of patients, respectively. Extraction and orthognathic surgery were performed in 60.4% and 6.9% of patients, respectively. Conclusions: The results showed that there were a high percentage of adult, Class II malocclusion and extraction patients in private practices and small dental hospitals during the study period. Further, a relatively high proportion of adult patients opted to undergo orthognathic surgery.

Mukbang's Foodcasting beyond Korea's Borders: A Study Focusing on OTT Platforms

  • Lim, Jia
    • Journal of Information Processing Systems
    • /
    • 제18권4호
    • /
    • pp.470-479
    • /
    • 2022
  • Mukbang is a type of foodcasting where a host records or streams their eating rituals for audience consumption in live format. With origins in South Korea via the online broadcast genre found on Afreeca TV in the mid-2000s, the phenomenon has since found global popularity. Its development as a full-fledged genre is based on a communication culture that invites people to a meal rather than to talk to one another; viewers watch in silence as a host consumes a copious number of dishes from Korean gastronomy to fast food to other ethnic cuisine on display. An invitation to eat means the beginning of a public relationship that quickly turns to a private shared experience. This study analyzes several Mukbang video postings and makes use of Linden's culture approach model to provide a view toward a number of cross-cultural connections by Koreans and non-Korean audiences. Prior to the study, 10 Korean eating shows were selected and used as standard models. Korean Mukbang mainly consists of eating behavior and ASMR, with very few storytelling or narrative devices utilized by its creators. For this reason, eating shows make a very private connection. In other ways, this paper shows how 28 Mukbang-related YouTube contents selected by Ranker were evolving and examined through notions of acculturation and reception theory.

A STUDY ON THE LIFE CYCLE COST ANALYSIS IN LIGHT RAIL TRANSIT BRIDGES: FOCUSED ON SUPERSTRUCTURE

  • Lee Du-heon;Kim Kyoon-tai;Kim Hyun Bae;Jun Jin-taek;Han Choong-hee
    • 국제학술발표논문집
    • /
    • The 2th International Conference on Construction Engineering and Project Management
    • /
    • pp.30-40
    • /
    • 2007
  • The demand for light-rail construction projects has recently been increasing, and they are mostly supervised by private construction companies. Therefore, a private construction company that aim to raise gains from the operation of the facilities during the contract period greater than what they invested should b able to accurately calculate the costs from the aspect of Life Cycle Cost (LCC). In particular, a light-rail transit bridge that has a heavier portion from the aspect of the cost of light-rail transit construction requires a more accurate calculation method than the conventional LCC calculation method. For this, an LCC analysis model was developed and a cost breakdown structure was suggested based on literature review. The construction costs by shape of the upper part of a light-rail transit were calculated based on the cost breakdown system presented in this paper, and the cost generation cycle and cost unit price were collected and analyzed based on records on maintenance costs, rehabilitation and replacement. In addition, after forming some hypotheses in order to perform the LCC analysis, economic evaluation was conducted from the aspect of the LCC by using performance data by item.

  • PDF

지문인식 기반을 이용한 전자의무기록 시스템 접근제어에 관한 연구 (A study of access control using fingerprint recognition for Electronic Medical Record System)

  • 백종현;이용준;염흥렬;오해석
    • 디지털산업정보학회논문지
    • /
    • 제5권3호
    • /
    • pp.127-133
    • /
    • 2009
  • The pre-existing medical treatment was done in person between doctors and patients. EMR (Electronic Medical Record) System computerizing medical history of patients has been proceed and has raised concerns in terms of violation of human right for private information. Which integrates "Identification information" containing patients' personal details as well as "Medical records" such as the medical history of patients and computerizes all the records processed in hospital. Therefore, all medical information should be protected from misuse and abuse since it is very important for every patient. Particularly the right to privacy of medical record for each patient should be surely secured. Medical record means what doctors put down during the medical examination of patients. In this paper, we applies fingerprint identification to EMR system login to raise the quality of personal identification when user access to EMR System. The system implemented in this paper consists of embedded module to carry out fingerprint identification, web server and web site. Existing carries out it in client. And the confidence of hospital service is improved because login is forbidden without fingerprint identification success.

블록체인을 활용한 개인 경력 관리 및 유통 시스템 설계 (Design of Personal Career Records Management and Duistribution using Block Chain)

  • 배수환;신용태
    • 한국정보전자통신기술학회논문지
    • /
    • 제13권3호
    • /
    • pp.235-242
    • /
    • 2020
  • 본 논문은 직원 채용 시 개인의 경력을 위조하여 취업하는 경우가 발생하는 문제점을 해결하기 위해 개인 경력정보를 블록체인을 통해 관리하고 검증해 줄 수 있는 시스템을 제안한다. 블록체인 네트워크는 프라이빗 네트워크를 사용하며, 블록 내부에는 사용자의 학력과 경력 정보를 보관한다. 블록체인의 기능은 블록 생성, 블록 내부 데이터 검색, 경력 및 학력 검증의 기능을 수행하며, 이는 체인코드를 통해 동작한다. 제안하는 시스템의 성능평가 결과 트랜잭션 당 처리시간은 약 110ms, 검색 시간은 10ms로 측정되었으며, 실제 시스템에 적용하여 사용가능함을 확인하였다.

지방자치단체 처리과 기록물관리 문제점 및 개선방안 사례연구 (A Case Study on Problem of Record Management and Improvement Method in the Department of Processing of Local Government)

  • 전가희
    • 기록학연구
    • /
    • 제70호
    • /
    • pp.119-156
    • /
    • 2021
  • 처리과란 문서의 수발 및 사무처리를 주관하는 부서를 말하며 업무와 기록물생산의 시작점이다. 처리과에서는 기록물을 생산하는 것뿐만아니라 편철·정리·보존기간 책정·이관 등 기록물관리 업무의 대부분을 수행하고 있다. 이러한 처리과 기록물관리의 중요성에도 불구하고 처리과의 기록물관리 문제는 업무담당자들의 의지부족 등 개인적인 문제로 치부되곤 했다. 이 연구는 처리과 기록물관리의 중요성과 업무담당자가 생각하는 기록물관리를 설문조사를 통해 조사한 후, 기관 기록물관리 업무에서 개선해야 할 사항들을 도출하였다.

Biorisk Assessment of Medical Diagnostic Laboratories in Nigeria

  • Oladeinde, Bankole Henry;Omoregie, Richard;Odia, Ikponmwonsa;Osakue, Eguagie Osareniro;Imade, Odaro Stanley
    • Safety and Health at Work
    • /
    • 제4권2호
    • /
    • pp.100-104
    • /
    • 2013
  • Background: The aim of this study was to assess public and private medical diagnostic laboratories in Nigeria for the presence of biosafety equipment, devices, and measures. Methods: A total of 80 diagnostic laboratories in biosafety level 3 were assessed for the presence of biosafety equipment, devices, and compliance rate with biosafety practices. A detailed questionnaire and checklist was used to obtain the relevant information from enlisted laboratories. Results: The results showed the presence of an isolated unit for microbiological work, leak-proof working benches, self-closing doors, emergency exits, fire extinguisher(s), autoclaves, and hand washing sinks in 21.3%, 71.3%, 15.0%, 1.3%, 11.3%, 82.5%, and 67.5%, respectively, of all laboratories surveyed. It was observed that public diagnostic laboratories were significantly more likely to have an isolated unit for microbiological work (p = 0.001), hand washing sink (p = 0.003), and an autoclave ($p{\leq}0.001$) than private ones. Routine use of hand gloves, biosafety cabinet, and a first aid box was observed in 35.0%, 20.0%, and 2.5%, respectively, of all laboratories examined. Written standard operating procedures, biosafety manuals, and biohazard signs on door entrances were observed in 6.3%, 1.3%, and 3.8%, respectively, of all audited laboratories. No biosafety officer(s) or records of previous spills, or injuries and accidents, were observed in all diagnostic laboratories studied. Conclusion: In all laboratories (public and private) surveyed, marked deficiencies were observed in the area of administrative control responsible for implementing biosafety. Increased emphasis on provision of biosafety devices and compliance with standard codes of practices issued by relevant authorities is strongly advocated.

주거변화의 일상사적 담론과 한국 주거의 근대화과정 (Discourse of "Alltagsgeschichte" and Modernization Process of Korean Housing)

  • 전남일;홍형옥;양세화;손세관
    • 대한가정학회지
    • /
    • 제44권8호
    • /
    • pp.181-198
    • /
    • 2006
  • The purpose of this study is to understand modernization process of korean housing during the past one century. To following up the changes of everyday lives of common peoples, magazines, news papers, tourist's records and gossip items were collected and interpreted from the microscopic point of view. In this study arguments on 'modernity' of korean housing was focused on some issues, thus, separation, differentiation, individualization, as well as privatization. Concrete discourses are; firstly, spatial isolation of housing and urban place each other, secondly, functional division of inner spaces of housing, and lastly, guarantee of privacy sphere. Historical changes of housing showed some meaningful phenomena. Before modernization housing was place of reproduction and consume at the same time. However after modern urban space came into existence and work and rest were separated, housing gained only mono function. Thus, housing have only one meaning as private place for nuclear family, that is "Home, Sweet Home." Instead of past multi-functional rooms, functional prescribed rooms, for example, dinning room, were newly born. In the past, the boundary between public and private sphere was not clear. For examples, everyday experiences of family were extended to the street and in the house in most cases spaces were shared. But after modernization the scale of individual spaces become larger and private life can be secured. Consequently, history of everyday life from traditional agricultural society to industrialized modern society demonstrates the structural context between the micro and macro dimension in the fields of human life. In other words, everyday lives and macro history response each other and create new perception of time-space structure in the modern housing.