• 한국문헌정보학회지
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• 제57권1호
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• pp.457-483
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• 2023

ISNI가 확산되면서 개인명이나 단체명을 식별하고 연계하는 전거제어의 프로세스와 활용방식도 확장되고 있다. 이에 본 연구에서는 미국, 영국, 프랑스, 독일 등의 국가전거와 ISNI 연계와 활용의 특징을 도출하여, 우리나라 국립중앙도서관을 중심으로 국가전거와 ISNI의 연계와 활용의 개선 방안을 제시하였다. ISNI 창립부터 정착과 활용에 적극적으로 참여하고 있는 주요국을 중심으로 국가전거와 ISNI 연계 방식 및 서비스에 활용된 ISNI 데이터 등을 분석하였다. 본 연구에서 제시된 ISNI를 활용한 국가전거 개선 방안은 첫째, ISNI를 활용한 전거 업무 지원, 둘째, 국가서지작성기관과 출판계와의 긴밀한 협력체계 마련, 셋째, 국가차원에서 ISNI와 전거레코드 연계를 위한 인프라 구축, 마지막으로 전거데이터를 바탕으로 이용자 서비스 페이지 제공 등이었다.

• 한방비만학회지
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• 제22권2호
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• pp.136-146
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• 2022

Objectives: The objective of this study is to evaluate weight change and analyze adverse events in overweight and obese women with polycystic ovary syndrome (PCOS) who were prescribed with Gamitaeeumjowee-tang. Methods: A retrospective chart review was conducted for medical records of patients with PCOS, who were administered with Gamitaeeumjowee-tang for a period of 12 weeks between January 2019 and December 2021. Outcomes were total weight loss/weight loss rate, the percentage of patients who lost more than 5% and 10% of their baseline weight. Adverse events (AEs) reported by patients were evaluated by severity, causality and system-organ classes. Results: A total of sixty-seven patients were included (mean±standard deviation, Age 28.78±5.25 years, weight 76.78±12.84 kg, body mass index 29.2±4.26 kg/m²). The average total weight loss in PCOS patients was 6.57±3.07 kg and the average weight loss rate was 8.55±3.65%. The percentage of patients with more than 5% and 10% weight loss compared to their baseline weight was 86.56% and 25.37% respectively. The analysis of adverse events are as follows: Causality assessment with World Health Organization-Uppsala Monitoring Centre of AEs showed 'Unlikely' was the most common (71.7%) and severity evaluations with Common Terminology Criteria for Adverse Events showed almost all symptoms were mild (98.9%). Conclusions: Gamitaeeumjowee-tang helps to lose weight of PCOS patients, which is overweight or obese, and no serious adverse events have occurred. Additional well-designed clinical studies are recommended.

• 지역사회간호학회지
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• 제33권4호
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• pp.357-371
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• 2022

Purpose: This study aims to investigate factors related to long-term length of stay (LOS) of patients with chronic diseases in Korean veterans hospitals. Methods: The subjects were 196 elderly patients with chronic disease staying in the hospital for more than 10 days, Data were collected by the survey of patients with structured questionnaires and medical records review by nurses from July 15 to August 10, 2019. Collected data were analyzed using t-test, ANOVA, Pearson's correlation coefficient and stepwise multiple regression. Results: The present and desired LOS were 37.78±32.66 days and 60.87±45.95 days, respectively. Factors affecting hospital LOS were found to be main disease (genitourinary) (p<.001), assistance in activities of daily living (p<.001), area of hospital (p<.001), payment of medical fees (p=.026), hospital satisfaction (p=.036) and the explanatory power of these variables was 26.4%. The most common health problems that need to be solved after discharge were symptom alleviation and health promotion. These problems can be solved using community-based facility services or visiting medical-welfare services (especially home care nursing). Conclusion: In order to reduce hospital LOS, the following measures are required: personalized self-management education, provision of transportation services for dialysis therapy of inactive patients, linking patients with visiting medical-welfare services including home care nursing and mobile healthcare services, operation of the case management system including the notice of the discharge date at admission, interim check of patient status, and connecting the patient with community resources or transferring the patient to long-term care facilities at discharge.

• 산업융합연구
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• 제21권5호
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• pp.133-142
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• 2023

최근 학력 위변조 문제는 단순히 교육기관에서 생성된 증명서 조작, 재학 중에 수료를 졸업으로 속여 기록하는 등 자동화된 관계 검증과 검증 자체를 신뢰하기 어려운 문제가 존재한다. 이는 대학 기관들의 학력 데이터베이스 공유 부재와 학력 추적이 어려운 독립된 시스템을 구축/운영하고 있기 때문이다. 본 연구는 대학 기관을 중심으로 학력 검증을 위한 E-AV 모델을 설계 및 구현한다. 기존 학력에 대한 연계 정보들을 요약하여 암호화된 데이터베이스로 저장하고, 기존 시스템의 호환성과 확장성을 고려하여 웹 표준 기술로 구현했다. 샘플 데이터 검증 결과 위변조에 안전성을 개선하고, 저장 공간과 실행성능의 준수한다는 것을 확인했다. 본 연구는 향후 국내 대학 교육기관 학력 관리 등 온라인 검증 서비스 개선에 이바지하고자 한다.

• 지역사회간호학회지
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• 제33권1호
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• pp.1-12
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• 2022

Purpose: This secondary data analysis study evaluated the effects of ICT enhanced home-visit nursing in long-term care insurance on health-related quality of life among community-dwelling older adults. Methods: This study included data of 131 older adults who had experienced a pilot service for ICT enhanced home-visit nursing. ICT enhanced home-visit nursing refers to a method of sharing health records and teleconference between a visiting nurse and a doctor during the home-visit nursing services to community-dwelling older adults. Health-related quality of life and influencing factors were analyzed by t-tests, logistic regression analysis using the Stata 17/SE program. Results: After a pilot service for ICT enhanced home-visit nursing, their health-related quality of life increased. The teleconferencing method had a significant effect on the increase in health-related quality of life. Conclusion: The findings indicate a pilot service for ICT enhanced home-visit nursing can be applied to the domestic community-based healthcare service model in terms of health management. In the future, the advanced service model of a pilot service for ICT enhanced home-visit nursing in which subjects conduct detailed for each health problem, and a well-designed evaluation system should be developed.

• Journal of Korean Neurosurgical Society
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• 제65권3호
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• pp.415-421
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• 2022

Objective : Seizure recurrence after the first-ever seizure in patients with a supratentorial cerebral cavernous malformation (CCM) is almost certain, so the diagnosis and treatment of epilepsy is justified. The optimal method of management of these patients is still a matter of debate. The aim of our study was to identify factors associated with postoperative seizure control and assess the surgical morbidity rate. Methods : We retrospectively analysed 45 consecutive patients with a supratentorial CCM and symptomatic epilepsy in a single centre. Pre- and postoperative epidemiological data, seizure-related patient histories, neuroimaging results, surgery details and outcomes were obtained from hospital medical records. Seizure outcomes were assessed at least 12 months after surgery. Results : Thirty-five patients (77.8%) were seizure free at the long-term follow-up (Engel class I); six (13,3%) had rare, nocturnal seizures (Engel class II); and four (8.9%) showed meaningful improvement (Engel class III). In 15 patients (33%) in the Engel I group; it was possible to discontinue antiepileptic medication. Although there was not statistical significance, our results suggest that patients can benefit from early surgery. No deaths occurred in our study, and mild postoperative neurologic deficits were observed in two patients (4%) at the long-term follow-up. Conclusion : Surgical resection of CCMs should be considered in all patients with a supratentorial malformation and epilepsy due to the favourable surgical results in terms of the epileptic seizure control rate and low postoperative morbidity risk, despite the use of different predictors for the seizure outcome.

• Structural Engineering and Mechanics
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• 제86권5호
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• pp.589-605
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• 2023

This paper investigates the ductility demands of steel frames equipped with self-centring fuses under near-fault earthquake motions considering multiple yielding stages. The study is commenced by verifying a trilinear self-centring hysteretic model accounting for multiple yielding stages of steel frames equipped with self-centring fuses. Then, the seismic response of single-degree-of-freedom (SDOF) systems following the validated trilinear self-centring hysteretic law is examined by a parametric study using a near-fault earthquake ground motion database composed of 200 earthquake records as input excitations. Based on a statistical investigation of more than fifty-two (52) million inelastic spectral analyses, the effect of the post-yield stiffness ratios, energy dissipation coefficient and yielding displacement ratio on the mean ductility demand of the system is examined in detail. The analysis results indicate that the increase of post-yield stiffness ratios, energy dissipation coefficient and yielding displacement ratio reduces the ductility demands of the self-centring oscillators responding in multiple yielding stages. A set of empirical expressions for quantifying the ductility demands of trilinear self-centring hysteretic oscillators are developed using nonlinear regression analysis of the analysis result database. The proposed regression model may offer a practical tool for designers to estimate the ductility demand of a low-to-medium rise self-centring steel frame equipped with self-centring fuses progressing in the ultimate stage under near-fault earthquake motions in design and evaluation.

• Journal of Animal Science and Technology
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• 제65권3호
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• pp.588-595
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• 2023

The aim of this study was to investigate the effects of heat stress on milk traits in South Korea using comprehensive data (dairy production and climate). The dataset for this study comprised 1,498,232 test-day records for milk yield, fat- and protein-corrected milk, fat yield, protein yield, milk urea nitrogen (MUN), and somatic cell score (SCS) from 215,276 Holstein cows (primiparous: n = 122,087; multiparous: n = 93,189) in 2,419 South Korean dairy herds. Data were collected from July 2017 to April 2020 through the Dairy Cattle Improvement Program, and merged with meteorological data from 600 automatic weather stations through the Korea Meteorological Administration. The segmented regression model was used to estimate the effects of the temperature-humidity index (THI) on milk traits and elucidate the break point (BP) of the THI. To acquire the least-squares mean of milk traits, the generalized linear model was applied using fixed effects (region, calving year, calving month, parity, days in milk, and THI). For all parameters, the BP of THI was observed; in particular, milk production parameters dramatically decreased after a specific BP of THI (p < 0.05). In contrast, MUN and SCS drastically increased when THI exceeded BP in all cows (p < 0.05) and primiparous cows (p < 0.05), respectively. Dairy cows in South Korea exhibited negative effects on milk traits (decrease in milk performance, increase in MUN, and SCS) when the THI exceeded 70; therefore, detailed feeding management is required to prevent heat stress in dairy cows.

• 문화기술의 융합
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• 제8권3호
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• pp.605-611
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• 2022

본 연구는 아악과 속악의 개념과 범주를 어떻게 규정할 것인가는 논외로 하고, 조선 전기에서부터 후기로 이어지는 과정에서 궁중음악과 풍류방 중심의 민간음악에 일관되게 투영되어 있는 전통 음악의 아속적 심미 체계에 대해 구체적 사료를 통해 밝혀보았다. 본 연구를 통해, 조선전기 아속과 관련된 음악의 심미는 주로 궁중의 제례악과 연향악에 투영되었고, 특히 거문고[玄琴]의 심미적 사유가 그 중심에 있었다. 조선 후기로 내려오면서 아속과 관련된 음악의 심미는 민간으로 확장되어 풍류방 음악에 투영되어 있으며, 거문고[玄琴]의 심미적 사유가 그 중심에 있었다는 것을 살펴볼 수 있다.

• 한국임상약학회지
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• 제33권2호
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• pp.135-142
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• 2023

Background: Pharmacists communicate with a variety of healthcare experts to prevent medication errors. Situation-Background-Assessment-Recommendation (SBAR) is a tool used for concise and accurate communication. In 2018, we developed the pharmacy-SBAR (P-SBAR) to deliver pharmacists intervention more quickly and effectively through quality improvement activities. Objectives: This study evaluates the efficacy of P-SBAR on pharmacists' intervention activities before and after the implementation of P-SBAR applications. We assessed the impact of P-SBAR on reducing the burden of intervention work, promoting pharmacists' participation, and enhancing the acceptance rate. Methods: This is a retrospective study of the two groups before and after P-SBAR implementation. All pharmacists' intervention records during two periods (2016-2017 and 2019-2020) were extracted from the data warehouse system at Kyunghee University Hospital at Gangdong, Seoul. The outcome was the number of inpatients and pharmacists who participated in the prescription monitoring activity, the number of interventions, and the physicians' acceptance rate. Results: Although the total number of inpatients decreased (364,753 vs. 348,229), the number of pharmacists who participated in intervention activity increased (monthly mean: 15.8 vs. 18.0, p=0.001). The total number of interventions (2,767 vs. 4,389), the frequency of full acceptance (2,018 vs. 3,710), and the monthly acceptance rate increased significantly (73.8% vs. 83.8%, p<0.001). Conclusion: P-SBAR improved accessibility and convenience by digitalizing the intervention activities performed in an offline environment. Improvement in work burden and acceptance rate using P-SBAR is expected to contribute toward reducing medication errors.