• 제목/요약/키워드: Records System

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Breast Cancer Inpatients Undergoing Mastectomy from a Hospital in Guangzhou, China: A Retrospective Analysis 2004-2013

  • Lu, Jian-Jun;Li, Heng-Ai;Xiong, Ying
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권11호
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    • pp.4577-4581
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    • 2015
  • Background: To explore the hospitalizations of breast cancer patients undergoing mastectomy, and to provide a basis for management, clinical prevention and treatment. Materials and Methods: We conducted an investigation by means of the retrospective survey and the medical records retrieval system, and made out the data of patients suffered from breast cancer in a hospital in Guangzhou from 2004 to 2013, including age, medical payment methods, pathological type, treatment, treatment results, complications, hospitalization days, cost and so on. Results: The average age of the inpatients was 50.14 years old. The main histologic types were infiltrating duct carcinoma (88.06%). The main surgery was modified radical mastectomy (80.41%). The cure rate was 90.80% during the 10 years. The main medical payment method was self-paying (57.28%). The average hospital stay was 13.51 days, and average hospitalization cost was RMB 23,083.66 yuan, proportion of drug fees up to 39.70%. Postoperative complication rate was 0.79%. The self-paying group was with the highest proportion of drug fees (P<0.05), while the free medical service group was with the longest hospitalization days (P<0.05). Conclusions: The payment methods significantly affected the proportion of drug fees and hospitalization days. The therapeutic effect was satisfactory with less complications and reasonable proportion of drug fees in our hospital.

주의력결핍 과잉행동장애, 과거에도 있었을까? - 역사적 고찰을 중심으로 - (ADHD, New Developed or Newly Found : Historical Review)

  • 반건호;배재호;문수진;민정원
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제22권2호
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    • pp.57-66
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    • 2011
  • Introduction : Attention-deficit hyperactivity disorder (ADHD) was a newly coined term for a disease that existed prior to its naming in the mid 20th century. The issue about whether ADHD is a new disorder or merely a new name for an existing disorder is still controversial. The authors tried to find the clues to the answer for this question through reviewing historical documents for traces of ADHD. Contents : We could find literatures and medical records that contain possible ADHD symptoms. In particular, in 1845, Heinrich Hoffmann's 'fidgety Philip' or 'Johnny Look-in-the-air' nearly satisfies today's criteria for ADHD. Methylphenidate was approved as a promising chemical for inattention in 1957 before the establishment of the concept of ADHD. In 1968, ADHD was first officially introduced as "Hyperactivity Reaction of Childhood" by DSM-II. In 1980, DSM-III, 'Attention Deficit Disorder (ADD)' was adopted as an official diagnostic term and changed to 'ADHD' since the creation of DSM-III-R in 1987. Conclusion : As stated above, ADHD has existed since long ago and became familiar via an advanced diagnostic system and therapeutic options.

개인정보보호를 위한 안드로이드 로그캣 시스템 연구 (Android Log Cat Systems Research for Privacy)

  • 장혜숙
    • 한국컴퓨터정보학회논문지
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    • 제17권11호
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    • pp.101-105
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    • 2012
  • 최근 스마트폰의 급격한 보급으로 개인정보 침해사고 및 프라이버시 침해를 통한 여러 가지 사회문제가 급속도로 증가하고 있으며, 이에 따라 개인 정보보호를 위한 다양한 연구 및 기술 개발이 이루어지고 있다. 개인의 모든 정보가 거의 들어 있다고 해도 과언이 아닌 스마트폰의 정보유출은 우리의 일상에서 쉽고 빈번하게 발생할 수 있는데, 포렌식 분석 툴을 이용하여 증거를 수집하거나 분석하기란 쉽지 않은 일이다. 현재 안드로이드 포렌식 연구는 비휘발성 메모리로부터 데이터를 수집하여 분석하는 기법에 집중되어 왔으며, 휘발성 데이터에 대한 연구는 미미한 실정이다. 안드로이드 로그는 휘발성 저장매체로부터 수집될 수 있는 휘발성 데이터이다. 안드로이드 로그는 안드로이드 시스템에서부터 애플리케이션에 이르기까지 최근의 모든 구동내역과 관련한 기록이 로그로 저장되기 때문에 안드로이드폰 사용을 추적할 수 있는 자료로 활용이 충분하다. 본 논문에서는 포렌식 분석 툴을 이용하지 않고 로그를 필터링하여 개인의 정보 유출 유무를 판단하여 대응할 수 있는 방법을 제시한다.

RSA 기반의 익명 전자처방전에 관한 연구 (A Study on Anonymous Electronic Prescription based on RSA Cryptosystem)

  • 정찬주;윤정미;원동호
    • 대한전자공학회논문지TC
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    • 제47권4호
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    • pp.51-62
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    • 2010
  • 본 논문은 대학병원, 개인병원 등에서 의사의 진료에 따라 전자처방전을 발급 이용하는 RSA 기반의 익명 전자처방전을 제안한다. 전자처방전은 최근 디지털 의료정보의 통합 및 의료기관간 네트워크 구축 등을 통해 환자의 진료 데이터 및 영상공유가 보편화되고 있는 국내 의료기관에서 실제 사용되고 있다. 제안된 RSA 기반의 익명 전자처방전은 기존 PKI 환경을 활용하여 전자처방전을 발급한 의사의 익명성을 보장하고, 전자처방전을 발급 받은 환자의 프라이버시를 보호한다. 기존 방식에서는 위임 서명자 또는 건강보험기관이 전자처방전의 내용을 알 수 있지만, 제안하는 방식에서는 전자처방전으로 조제되어 판매된 이후에 건강보험기관이 전자처방전의 내용을 알 수 있다. 제안된 방식은 국내에 전자주민증이 도입되고 국민건강보험공단이 처방전달시스템을 운영한다면 건강보험의 투명성을 높이는데 기여 할 것이다.

Characteristics of thunderstorms relevant to the wind loading of structures

  • Solari, Giovanni;Burlando, Massimiliano;De Gaetano, Patrizia;Repetto, Maria Pia
    • Wind and Structures
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    • 제20권6호
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    • pp.763-791
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    • 2015
  • "Wind and Ports" is a European project that has been carried out since 2009 to handle wind forecast in port areas through an integrated system made up of an extensive in-situ wind monitoring network, the numerical simulation of wind fields, the statistical analysis of wind climate, and algorithms for medium-term (1-3 days) and short term (0.5-2 hours) wind forecasting. The in-situ wind monitoring network, currently made up of 22 ultrasonic anemometers, provides a unique opportunity for detecting high resolution thunderstorm records and studying their dominant characteristics relevant to wind engineering with special concern for wind actions on structures. In such a framework, the wind velocity of thunderstorms is firstly decomposed into the sum of a slowly-varying mean part plus a residual fluctuation dealt with as a non-stationary random process. The fluctuation, in turn, is expressed as the product of its slowly-varying standard deviation by a reduced turbulence component dealt with as a rapidly-varying stationary Gaussian random process with zero mean and unit standard deviation. The extraction of the mean part of the wind velocity is carried out through a moving average filter, and the effect of the moving average period on the statistical properties of the decomposed signals is evaluated. Among other aspects, special attention is given to the thunderstorm duration, the turbulence intensity, the power spectral density and the integral length scale. Some noteworthy wind velocity ratios that play a crucial role in the thunderstorm loading and response of structures are also analyzed.

Periodontitis among poor rural Indian mothers increases the risk of low birth weight babies: a hospital-based case control study

  • Jacob, Pulikottil Shaju;Nath, Sonia
    • Journal of Periodontal and Implant Science
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    • 제44권2호
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    • pp.85-93
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    • 2014
  • Purpose: Low birth weight (LBW) is one of the major public health problems in India. Hence, there is a need to identify risk factors that, when modified, will reduce the burden of unhealthy children on the healthcare system. The objective of this study was to determine whether periodontitis among mothers in the rural population of India is a risk factor for LBW babies. Methods: A hospital-based case control study was conducted among 340 postpartum mothers. The cases consisted of 170 women who had given birth to babies weighing <2,500 g, while the control group consisted of 170 women who had given birth to babies weighing ${\geq}2,500g$. Details of the mothers were taken from the hospital records and through a personal interview, and a full-mouth periodontal examination was performed postpartum, which included probing depth, clinical attachment level, and bleeding on probing on six sites per tooth. Results: LBW cases had a significantly worse periodontal status than the controls, having an odds ratio (OR) of 2.94 (P=0.01). The multivariate logistic regression model demonstrated that periodontal disease is a significant independent risk factor with an adjusted odds ratio (aOR) of 2.85 for the LBW group (95% confidence interval [CI], 1.62-5.5). Other factors showing significant associations with LBW were pre-eclampsia (aOR, 4.49; 95% CI, 1.4-14.7), preterm labor (aOR, 5.5; 95% CI, 3.2-9.9), and vaginal type of delivery (aOR, 2.74; 95% CI, 1.4-5.2). Conclusions: Periodontitis represents a strong, independent, and clinically significant risk factor for LBW. Periodontal therapy should form a part of the antenatal preventive care among rural women in India.

남성독거노인의 홀로 살아가는 경험에 관한 연구 (The Study on the Living-Alone Experience of Elderly Men)

  • 석희정
    • 한국사회복지학
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    • 제66권3호
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    • pp.29-53
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    • 2014
  • 본 연구는 남성독거노인들이 홀로 살아가는 과정에서 겪었던 경제적, 심리사회적, 신체적 고통의 내용과 고립된 삶에서 벗어나기 과정과 재구성된 삶의 의미를 살펴봄으로써 남성독거노인들의 홀로살기를 지원할 수 있는 사회적 지지프로그램구성에 기여하고자 하는 목적을 지니고 있다. 연구주제를 분석하기 위해 해석학적 근거이론방법으로 접근했으며 총6명의 남성독거노인들이 참여했다. 자료는 심층면담을 통해 구성했으며 자료 분석은 Rennie(2007)가 제안한 방식에 따라 분석했다. 연구결과는 다음과 같다. 의미단위를 분석하고 범주화 작업을 통해 총 12개의 범주를 구성했다. 연구 참여자들의 홀로 살아가는 경험을 관통하는 핵심범주는 "고립의 늪에서 망각한 자기존재를 인수하고 복된 죽음을 준비하기"로 드러났다. 이러한 연구결과를 토대로 남성독거노인의 특성을 반영한 사회적 지지프로그램의 구성, 남성독거노인의 홀로살기를 지원할 수 있는 방안과 의미치료의 필요성을 제안하였다.

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"호수경(狐首經)"의 문헌적 연구 (A Philological Study on Hushoujing(狐首經))

  • 장성규;김혜정
    • 건축역사연구
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    • 제19권1호
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    • pp.51-70
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    • 2010
  • Hushoujing(狐首經) is Fengshui documents traditionally known to be written by Baihe(白鶴) of Han(漢) dynasty, which is hardly known in Korea. Baihe, the author, like Qingwuzi(靑烏子) has no evident personal background in history. There is a copy known to be written by Baihe of Han dynasty included in Dilitongyiquanshu(地理統一全書), which was published in 1628. The editor is known as Yuxiangtou(余象斗) from Fujiansheng(福建省) Jianyangxian(建陽縣) the same home town as Zhuxi(朱熹)'s. In contents and system, Hushoujing has the deep(profound) relationships between Qingwujing(靑烏經) and Zangshu(葬書), which attracts attention nowadays. Studying the relationships between Qingwujing, Zangshu and Hushoujing is the realm which requires systematic approach. Another reason for Hushoujing's attraction in Fengshui research lies in the contents related with Liqilun(理氣論). Mentioning Xingqilun(形氣論), Hushoujing also includes the explanation of Chinese compass needle, Deshui(得水) and Pokou(破口), and it is directly connected with the main theme of Liqilun. Hushoujing reveals a view point that both Xingqi(形氣) and Liqi(理氣) are important. Accordingly this means that we can understand Liqilun more clearly through studying Hushoujing. It is clearly recorded in the documents of Song(宋) dynasty that there was odd notes documents of Hushoujing as well as mentioning it. Therefore it is very likely that Hushoujing had been written before Song dynasty. Being contained in Huxianshengyinyangbeiyong(胡先生陰陽備用), Dilicanzanxuanjixianp oji(地理參贊玄機仙婆集), Dilitongyiquanshu, Lidaidilizhengyimishuershisizhong(歷代地理正義秘書二十四種), Xingjiaershizhong(形家二十種), 5 kinds of Hushoujing's copies are descended. The contents of Hushoujing are also introduced in documents of sejong period in The Annals of the Choson Dynasty. This means that Hushoujing is the geographical books prevailed representatively in early years of Choson Dynasty and studying Hushoujing is indispensible to studying Fengshui history or Chinese compass(羅盤) as well as deep understanding of Fengshui theory.

초등학교 과학영재학급 학생선발을 위한 과학 창의적 문제해결력 검사도구 개발 (Development of the Scientific Creative Problem Solving Test for the Selection of Gifted Science Students in Elementary School)

  • 최선영;강호감
    • 한국초등과학교육학회지:초등과학교육
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    • 제25권1호
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    • pp.27-38
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    • 2006
  • The purpose of this study was to develop a test of a creative problem solving (CPS) for the selection of gifted science students in elementary school. For this, the methods and procedures of the selection of gifted science students was investigated through the internet homepages 23 gifted science education centers of universities and 16 city. province offices of education. The results of this study were as follows: Most of the gifted science students were selected through a multi-step examination process. They were selected on the basis of their records by recommendation of a principal or a classroom teacher in their school, by operation of standardized tests (ex. intelligence quotient score, achievements in science and mathematics, interest and attitude/aptitude for science as well as through other means), as well as through intensive observation of those gifted science students who are selected by interview and oral tests. The selection of gifted students was not evaluated through creativity testing; giftedness in city. province office of education. Testing of CPS was found to be especially lacking in these organizations. For the development of the test items of CPS in science, the five elements were extracted through the framework for the content analysis of the CPS: problem exploration, problem statement, solution thinking, experiment design, and assesment. In addition, suggestions were made regarding an appropriate scoring system for the test of the CPS. As the result of the developed test was applied to the 4th grade of the gifted and general student, we found that gifted students were superior to general students. In conclusion, it was that the CPS test developed in this study should be used to evaluate the CPS for the selection of gifted students.

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소아 림프관종의 OK-432 병변내 주사요법 (OK-432 Intralesional Injection Therapy for Lymphangioma in Children)

  • 김경헌;김현학;이석구;서정민;장원영;이병붕
    • Advances in pediatric surgery
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    • 제7권2호
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    • pp.142-146
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    • 2001
  • Lymphangioma is a congenital malformation of the lymphatic system, commonly seen in the neck. Operation was the treatment of choice but it is difficult to resect the lymphangiomas completely. The aim of this study is to evaluate the result of intralesional injection of OK-432 as a treatment strategy of lymphangioma in children. Medical records of 51 cases of lymphangioma from March 1996 to February 2001 were reviewed retrospectively. Intralesional injection of 0.1mg OK-432 in 10ml normal saline was performed after the aspiration of as much fluid as possible. The location of the lesion was the face and neck in 26 patients, the chest wall in 14, the extremities in 9, and the abdominal wall in 2. The cystic type was present in 45 patients and the cavernous type in 6. Four postoperative recurrent cases were included. Fluid aspiration from the lesion was impossible in 5 patients. Development of fever after injection was observed in 27 patients and local inflammatory reaction was in 5 patients. There was no scar formation at injection sites. Complete shrinkage was observed in 20 patients, remarkable shrinkage in 23, slight shrinkage in 3, and no response in 5. Cystic type or aspiration-possible cases showed better outcome than cavernous type or aspiration-impossible cases. All of four recurrent cases after surgical excision showed at least remarkable shrinkage. These results indicate that intralesional injection of OK-432 is a safe and satisfactory treatment modality of lymphangiomas in children and might be considered as a treatment of choice, even in recurrent cases.

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