• 대한한방소아과학회지
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• 제31권3호
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• pp.46-63
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• 2017

Objectives The Korean Medicine (KM) PHR platform is a personalized healthcare service which allows individuals to keep and manage their own health records. When parents are reporting for their children from their memories, there is high possibility of recall errors. In these cases, it could be useful for doctors to collect the patient's symptoms through PHR platform. In this study, we aimed to investigate the clinical significance of the PHR by using the KM PHR platform in the pediatric clinic. Methods The PHR platform was used to collect child health information from parents and child care teachers. The collected data were analyzed in comparison with the results of screening by pediatrician. Results A total of 58 children were recruited, 44 of which health information were collected from their parents and their child care teachers. The remaining 14 children's health information were collected from their parents only. As a result the parents tended to perceive their children weaker than the child care teacher. Compared to other organs, there was a only significant difference in the heart weakness score and spleen weakness score in the comparison of the weak and healthy children. Conclusions Although the study was conducted on a small group of subjects, and used PHR platform developed specifically for adults to indirectly input child's symptoms, and analyzed their health information, there was a difference in health records between information providers. Development of PHR platform for children is needed to collect more reliable information.

• 한국컴퓨터정보학회논문지
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• 제16권12호
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• pp.205-214
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• 2011

본 논문에서는 아이폰의 GPS 기능과 Mapkit 프레임워크를 이용하여 사용자 간에 길 안내를 전달하는 모바일 어플리케이션을 제안한다. 아이폰의 GPS 기능은 사용자의 현재 위치를 얻을 수 있으며, Mapkit 프레임워크를 이용하여 지도에 각각의 위치를 표시 할 수 있다. 사용자는 목적지로 이동하면서 안내가 필요한 지점에서 어플리케이션을 터치하여 기록한다. 사용자는 목적지에 도착할 때까지 기록된 내용을 Google 지도를 통해 확인할 수 있으며, 목적지로 찾아올 다른 사용자에게 데이터를 전달한다. 데이터를 받은 다른 사용자는 카메라의 Overlay 위에 나타나는 다음 위치 아이콘으로 목표 위치를 보거나, 지도 화면을 확인 하면서 목적지로 가기 위해 이동해야 할 다음 위치를 쉽게 안내 받을 수 있다. 즉, 제안 어플리케이션은 사용자가 처음 가는 길 임에도 다른 사용자의 데이터를 전송 받아 손쉽게 길을 안내하는 유용한 기능을 제공한다.

• Journal of Yeungnam Medical Science
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• 제32권2호
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• pp.90-97
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• 2015

Background: Contrast-induced nephropathy (CIN) can cause serious adverse effects. To reduce the occurrence of CIN related computed tomography (CT) in emergency patients, we assessed the respective roles of serum creatinine (SCr) alone and estimated glomerular filtration rate (eGFR) as an early predictor for CIN related CT. Methods: For patients with SCr <1.5 mg/dL who underwent CT in emergency department (ED) between September 2012 and October 2013, we assessed the prevalence of CIN and its adverse effects. The Modification of Diet in Renal Disease Study (MDRD) and Cockcroft-Gault (CG) formula was used for the calculation of eGFR. Practical calculation was performed by electronic medical record (EMR) system for MDRD and internet calculating service for CG. And we investigated the prevalence of CIN in eGFR $<60mL/min/1.73m^2$ before CT. Results: A total of 1,555 patients were enrolled. The prevalence of CIN after CT was 4.6% and it showed correlation with renal deterioration, increased in-hospital mortality, and prolonged hospitalization. Despite baseline SCr <1.5 mg/dL, among enrolled patients, 11.3% as MDRD equation and 29.5% as CG formula were $<60mL/min/1.73m^2$ and in this condition, the prevalence of CIN was significantly high (odds ratio was 2.87 [1.64-5.02] as MDRD equation and 2.03 [1.26-3.29] as CG formula). Conclusion: Just SCr <1.5mg/dL was not appropriate to recognize preexisting renal insufficiency, but eGFR using MDRD equation was useful in predicting the risk of CIN related CT in ED. Using EMR, calculation of eGFR can be easier and more convenient.

• 종양간호연구
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• 제12권3호
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• pp.230-236
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• 2012

Purpose: This study was to investigate the effect of the application of cancer pain management guidelines on pain management among patients in Cancer Emergency Room. Methods: This study was a retrospective descriptive study. Before application, data were collected by analyzing the Electronic Medical Record in Cancer Emergency Room in September, 2011, and after application in February, 2012. The subjects of this study consisted of 231 patients (pre-application group 83, post-application group 148), who stayed over 24 hours and complained of pain higher than Numeric Rating Scale score 4. The post-test was conducted after educating the nurses about the application of the pain management guidelines in the Electronic Medical Record. Results: This survey showed that, as the cancer pain management guidelines were applied for cancer patients with above moderate pain, the pain intensity decreased, the number of patients reaching the treatment goal score increased. Furthermore, the estimated time to reach the treatment goal decreased significantly. Conclusion: Pain intensity of the cancer patients was decreased through regular pain assessments by nurses and the medication of analgesics according to the cancer pain management guidelines. Therefore, it is necessary to develop the pain management program and to provide the physicians and nurses with intensive education about the pain management guidelines for systematic and effective pain management.

• 한국의학물리학회지:의학물리
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• 제30권2호
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• pp.59-63
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• 2019

Purpose: To manage radiation measurement equipment, a web-based management program has been developed in this study. Materials and Methods: This program is based on a web service and Java Server Pages (JSP) and employs compatibility and accessibility. Results: The first step in the workflow has been designed to create accounts for each user or organization and to log in. The program consists of two parts: fields for listed instruments, and measurement information. The instruments for measuring radiation listed in this program are as follows: ionization chambers, survey meters, thermometers, barometers, electrometers, and phantoms. Instrument properties can be put in the recording fields and browsing for associated instruments can be performed. The main part of the program is the cross-calibration for each ion chamber. For instance, the ionization chamber to be used as a relative dosimeter can be registered by cross-calibration data with a reference chamber calibrated by an accredited laboratory. This program supports methods using the central axis transfer theory for cross-calibration for the ionization chambers. The reference and field ionization chambers were placed in a solid water phantom along the beam central axis at two different depths, and then the positions were switched. Each measured value was used for calculating the cross-calibration factor. Conclusions: Because many instruments are used and managed in radiation oncology departments, systematic, traceable recording is very important. The web-based program developed in this study is expected to be used effectively in the maintenance of radiation measurement instruments.

• 한국임상수의학회지
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• 제26권6호
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• pp.600-602
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• 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.

• Journal of Information Science Theory and Practice
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• 제4권1호
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• pp.49-64
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• 2016

What government does/fails to do is conveyed to the public largely by records and information of various types in the public service, without which there will be no government. When records are poorly managed, much time is involved in sorting and locating needed information from large volumes of records. The rate of records misplaced or lost from which useful information for decision making is usually obtained makes it difficult to provide concise and up-to-date records of both past and present operations, raising the challenge of effective record-keeping. Thus this study examined records management practices in selected local government councils in Ogun State, Nigeria, adopting the descriptive survey research method using questionnaires for data collection. Its population comprised 415 records of personnel in the selected councils, of which 208 were sampled using simple random technique. From the 208 copies of the questionnaire administered on the registry personnel, 150 copies were useable, with a 72.12% response rate. Descriptive statistics were used for the analysis. The results indicated a prevalence of paper as the dominant medium for recording/conveying information in the councils with most of these being either in active state, semi-active, and vital and were kept and maintained in the registry, while in-active records were kept in the records store. Storage facilities for record-keeping were insufficient. Security measures against unauthorized access to records were by restrictions and subject users to managerial clearance. The study concluded that council records were in chaos and recommended the formulation of coherent records management policy, adequate budgetary provision, and adequate finance.

• 디지털융복합연구
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• 제12권5호
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• pp.311-323
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• 2014

본 연구는 간호학과 학생의 스마트폰 이용 동기와 중독, 자기 통제력의 관계를 파악하여 중독을 예방할 수 있는 기초자료를 마련하고자 2013년 6월 10-18일까지 자료를 수집, 분석하였다. 여학생이 남학생보다, 성적 하위학생이 상위 학생보다 이용 동기와 중독(일상생활장애, 가상세계지향, 금단, 내성)에 높은 점수를 나타내었고 자기 통제는 낮은 점수를 나타내었다. 스마트폰의 고위험 사용자군이 오락/여가, 서비스, 기능성의 이용 동기에 높은 점수를 나타내었고 자기 통제력(특히 즉각적 만족)은 낮은 것으로 나타났다. 성적과 중독 하위요인 중 내성, 금단, 일상생활장애, 가상계지향과 학년 특성이 중독의 88.2%를 설명하였고 이용 동기의 하위요인 중 오락/여가와 과시/유행이 중독의 12.9%를 설명하였다. 결론적으로 스마트폰 이용 동기(특히 오락/여가와 과시/유행)는 중독과 정적 상관관계를, 중독은 자기 통제력과 부적 상관관계를 나타내었다. 따라서 스마트폰의 긍정적이고 바람직한 이용을 유도하고, 자기 통제력을 향상시킬 수 있는 방안을 강구하여 중독에 이르는 것을 예방해야 할 것이다.

• 한국기록관리학회지
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• 제10권2호
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• pp.31-52
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• 2010

본 연구는 아카이브와 웹 2.0의 단순한 결합이 아닌, 이용자를 중심으로 하는 아카이브 관리 운영의 새로운 패러다임으로서의 아카이브 2.0을 연구한다. 기존의 아카이브를 지칭하는 아카이브 1.0과 관리운영, 이용자관계, 아키비스트의 역할이라는 3가지 측면에서 명확히 구분되는 다양한 특징으로 아카이브 2.0의 개념을 논하고, 적용 기술에 따른 기록정보서비스의 유형과 이용자 참여 유형을 다수의 사례를 들어 분석한다. 이를 통해, 아카이브 2.0의 핵심 요소인 이용자중심성과 개방성에 가장 부합하는 서비스 형식이라 할 수 있는 위키 형식의 기록정보서비스로 '유어 아카이브즈(Your Archives)'와 '아워 아카이브즈(Our Archives)'의 사례를 살핀다. 이를 바탕으로, 본 연구는 아카이브 2.0의 편익과 문제점들을 알아보고, 아카이브 2.0 구축을 위한 정책적, 기술적, 조직적 필수 요소들을 논의한다.

• 한국학교보건학회지
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• 제20권1호
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• pp.25-35
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• 2007

Purpose: This study was to identify the types and characteristics of health problems of middle school students in Gangwondo. Methods: The subjects of the study were 11 middle schools from 47 schools with nurse teachers in Gangwondo. The anecdotal records of the school health clinics were collected from March to December in 1998 with the agreement of nurse teachers of the schools. Results: 71.0% of the middle students visited the school health care clinics once or more than once. The mean frequency of health problems was 2.03 times per one year. The rate of health problems did not show any statistical differences by sex, school location, age, the day of the week and weather. However, there were statistical differences of the rate by month. The highest rate was showed in September, followed by June and April (F=2.52, p=0.01). Health problems were classified into 11 types. Gastrointestinal illness showed the largest proportion (60.6%). The oral illness showed statistical differences among the location of school, between municipal and rural area (t=-2.97, p=0.016). There were 411 types of signs and symptoms recorded. Among them, headache was showed the highest proportion with 2,122 cases (11.2%). Conclusion : The incidence rate of health problems was higher than that of earlier studies. It showed that the incidence rates and the types of diseasps in middle school students were different by school locations, characteristics of students, and months. To improve the qualities of primary cares in school health services, the reformed and unified anecdotal record system and the standardized guidelines for primary care are necessary.