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A Study on the Effectiveness of Care of Patients with Alzheimer s Disease According to Residence Arrangement and Types of Services (치매노인의 거주형태 및 서비스유형에 따른 간호관리의 효과분석)

  • 홍여신;박현애;조남옥
    • Journal of Korean Academy of Nursing
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    • v.26 no.4
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    • pp.768-781
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    • 1996
  • The problem of care of patients and families with Alzheimer's disease has become a conscious raising social policy issue in Korea. The government of the Republic of Korea has become cognizant of the situation and has begun searching for ways to remedy it. Thus, there is a need for a comprehensive under-standing of the situation in which patients and their families are struggling and the enormous problems of care. With a realization of the urgent need, this study was done to investigate the situation and the care needs of families with patients with Alzheimer's Disease, and to compare the effectiveness of services utilized by the families in terms of cost and effects on patient's conditions and on family live. The Subjects for the study were 29 families with hospitalized patients, 25 families utilizing hospital outpatient clinics, 14 families utilizing day care facilities, and 16 families with homebound patients. A total of 84 families were interviewed by four trained interviewers using structured and semistructured questionnaires. The data produced from these interviews included : the patient's stage of Alzheimer's disease, patient's bizarre behavior, hours spent on patient care per day, family burden and quality of life, direct and indirect costs encountered in the care of patients, and the families' evaluation of the effectiveness of the services received. The data were analyzed to determine the relationships between family charactersistics, patient's conditions and services utilization. The effectiveness of each of the service entities was assessed through families evaluation and hoped for service and comparisons were made between services in terms of the cost-effectiveness ratios. After initial comparison of cost-effectiveness ratios, further analysis was done to compare between groups for incremental effectiveness for each incremental unit of cost to determine the most cost-effective service entities. The findings of the study are as fellows : 1. The choice of living arrangement and the types of services are a function of the stage of Alzheimer's condition and the economic status of the family. 2. Comparision of the cost of care showed that most expenses were encountered in by families with hospitalization, families using outpatient services, and families using day care services in that order. The least expense was involved in the care of homebound patients. The economic burden felt by families was in the same order as expenses. 3. The average number of hours spent on daily patient care was 9.9 hours for the outpatient clinic users, 9.7 hours for homebound patients, and 5.4 hours for day care users. 4. There were significant differences in the patient's conditions (CDRL), bizarre behaviors and the families's burden by living arrangement and /or types of service. However, no significant difference was found between groups in the family's quality of life. 5. The families rated the services of day care center as most effective for the care of the patients and families, except for a few families who had experienced some improvement in the patient's conditions. The outpatient clinic users expressed psychological comforts mainly in that the patient was being taken care of. For those hospitalized patients, families expressed the comfort of being relieved of the burden of care and that the patient is being professionally cared for. Form the analysis of the costs, hours of patient care, patient's bizarre behaviors, family's quality of life and burdens, and family's evaluation of services, it is concluded that up to the mid stage of Alzheimer's condition, the utilization of day care center services is found to be the most cost-effective, and toward the end stage of the Alzheimer's disease, it is hoped that there will be a establishment of long term or short term in-patient facilities for the protection of patients and preservation of the integrity of families for less cost. Thus. it was concluded that the family centered system of care is the most effective for Korea with systematic support systems developed for the care of patients and their families according to the needs of families as the patient's condition deteriorates.

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An investigation on the recognition degrees of the dental clinics' homepages by students of dental hygienic departments in some areas (일부지역 치위생과 학생들의 치과홈페이지 인식도 조사)

  • Kim, Seon-Yeong;Jang, Sun-Hee;Moon, Sang-Eun
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.4
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    • pp.753-767
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    • 2009
  • Objectives : The study is to gain some basic material for the improvement of dental clinics' homepages through a survey investigation, in which college students of three Dental Hygienic departments participated in Kwangju and Cheollanamdo Province. Methods : In the investigation three factors were analyzed : the degree of knowledge on dental clinics' homepages, the degree of recognition on them, and whether they have paid a visit on them or not. A total of 509(96.8%) respondents are valid except 17sheets of responses. Results : 1. When asked about the degrees of knowledge on the formation of the homepages by students' years, the correct rate on Information Service was higher in a row of the second year, the first year, and the third year. And it shows statistically significant difference(p<0.05). In the part of Counseling Service, the rate of correct answers was highest in the second year, and then the first year and the third year. It also shows significant difference(p<0.05). In case of Visual Service, the second year got the highest rate of correct answers, and then the first year and the third year. Here is significant difference by the school years<0.01) 2. It was asked whether they have visited the dental clinics' homepages. The results are like this: 145 sophomores(28.5%) have visited them, and 115 juniors(22.6%) and 85 freshmen(16.7%), and it show significant difference (p<0.001). 3. It was asked how many sites they have visited. Among the freshmen, not a few students visited two sites (34, 9.9%), among sophomores 48 students visited five sites(13.9%), and among juniors the highest answers were two sites (41, 11.9%). It shows signigicant difference(p<0.01). 4. It was asked what is the purpose of the visits. At this 27 freshmen answered for having counseling(7.8%), and 80 sophomores(23.3%) and 43 juniors(12.5%) answered they visited them for the purpose of gaining some materials about their major. It shows significant difference(p<0.001). 5. It was asked with what opportunity they have visited them. They answered through searching activities like this : freshmen (68, 19.8%), sophomores (130, 37.9%), and juniors (98, 28.6%). It shows significant difference(p<0.05). 6. In regard with the recognition of the homepages, all the participants said that the management of the homepages are closely related with the images of the clinics($3.96{\pm}0.781$). But it is found that they do not think that the effective management of dental clinics' homepages is the task of dental hygienic workers as a part of dental hygienic($3.12{\pm}0.971$). 7. There is some difference concerned with the homepages among each group of students; sophomores have highest recognition on them and then juniors and freshmen, and it shows significant difference(p<0.01). In addition, those who have visited them show higher recognition than those who have never visited them(p<0.001). Conclusions : There are some differences among each group of students in regard with the formation service, the purpose of visiting them and such experiences, and the opportunities. Whereases they think that the management of the homepages are closely related with the images of the clinics, they do not think that the effective management of dental clinics' homepages is the task of dental hygienic workers as a part of dental hygienic. Therefore it is necessary to study actively for the qualitative improvement of the dental clinics' homepages, which will result in the higher recognition on the homepages by the dental hygienic students and the workers.

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The Records and Archives Administrative Reform in China in 1930s (1930년대 중국 문서당안 행정개혁론의 이해)

  • Lee, Won-Kyu
    • The Korean Journal of Archival Studies
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    • no.10
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    • pp.276-322
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    • 2004
  • Historical interest in China in 1930s has been mostly focused on political characteristic of the National Government(國民政府) which was established by the KMT(中國國民黨) as a result of national unification. It is certain that China had a chance to construct a modern country by the establishment of the very unified revolutionary government. But, it was the time of expanding national crises that threatened the existence of the country such as the Manchurian Incident and the Chinese-Japanese War as well as the chaos of the domestic situation, too. So it has a good reason to examine the characteristic and pattern of the response of the political powers of those days. But, as shown in the recent studies, the manifestation method of political power by the revolutionary regime catches our attention through the understanding of internal operating system. Though this writing started from the fact that the Nationalist Government executed the administrative reform which aimed at "administrative efficiency" in the middle of 1930s, but it put stress on the seriousness of the problem and its solution rather than political background or results. "Committee on Administrative Efficiency(行政效率委員會)", the center of administrative reform movement which was established in 1934, examined the plan to execute the reform through legislation by the Executive Council(行政院) on the basis of the results of relevant studies. They claimed that the construction of a modern country should be performed by not political revolution anymore but by gradual improvement and daily reform, and that the operation of the government should become modern, scientific and efficient. There were many fields of administrative reform subjects, but especially, the field of records and archives adminstration(文書檔案行政) was studied intensively from the initial stage because that subject had already been discussed intensively. They recognized that records and archives were the basic tool of work performance and general activity but an inefficient field in spite of many input staff members, and most of all, archival reform bring about less conflicts than the fields of finance, organization and personnel. When it comes to the field of records adminstration, the key subjects that records should be written simply, the process of record treatment should be clear and the delay of that should be prevented were already presented in a records administrative meeting in 1922. That is, the unified law about record management was not established, so each government organization followed a conventional custom or performed independent improvement. It was through the other records administrative workshop of the Nationalist Government in 1933 when the new trend was appeared as the unified system improvement. They decided to unify the format of official records, to use marker and section, to unify the registration of receipt records and dispatch records and to strengthen the examination of records treatment. But, the method of records treatment was not unified yet, so the key point of records administrative reform was to establish a unified and standard record management system for preventing repetition by simplifying the treatment procedure and for intensive treatment by exclusive organizations. From the foundation of the Republic of China to 1930s, there was not big change in the field of archives administration, and archives management methods were prescribed differently even in the same section as well as same department. Therefore, the point at issue was to centralize scattered management systems that were performed in each section, to establish unified standard about filing and retention period allowance and to improve searching system through classification and proper number allowance. Especially, the problem was that each number system and classification system bring about different result due to dual operation of record registration and archives registration, and that strict management through mutual contrast, searching and application are impossible. Besides, various problems such as filing tools, arrangement method, preservation facilities & equipment, lending service and use method were raised also. In the process this study for the system improvement of records and archives management, they recognized that records and archives are the identical thing and reached to create a successive management method of records and archives called "Records and Archives Chain Management Method(文書檔案連鎖法)" as a potential alternative. Several principles that records and archives management should be performed unitedly in each organization by the general record recipient section and the general archives section under the principle of task centralization, a consistent classification system should be used by classification method decided in advance according to organizational constitution and work functions and an identical number system should be used in the process of record management stage and archive management stage by using a card-type register were established. Though, this "Records and Archives Chain Management Method" was developed to the stage of test application in several organizations, but it was not adopted as a regular system and discontinued. That was because the administrative reform of the Nationalist Government was discontinued by the outbreak of the Chinese-Japanese War. Even though the administrative reform in the middle of 1930s didn't produce practical results but merely an experimentation, it was verified that the reform against tradition and custom conducted by the Nationalist Government that aimed for the construction of a modern country was not only a field of politics, but on the other hand, the weak basis of the government operation became the obstacle to the realization of the political power of the revolutionary regime. Though the subject of records and archives administrative reform was postponed to the future, it should be understood that the consciousness of modern records and archives administration and overall studies began through this examination of administrative reform.

A digital Audio Watermarking Algorithm using 2D Barcode (2차원 바코드를 이용한 오디오 워터마킹 알고리즘)

  • Bae, Kyoung-Yul
    • Journal of Intelligence and Information Systems
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    • v.17 no.2
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    • pp.97-107
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    • 2011
  • Nowadays there are a lot of issues about copyright infringement in the Internet world because the digital content on the network can be copied and delivered easily. Indeed the copied version has same quality with the original one. So, copyright owners and content provider want a powerful solution to protect their content. The popular one of the solutions was DRM (digital rights management) that is based on encryption technology and rights control. However, DRM-free service was launched after Steve Jobs who is CEO of Apple proposed a new music service paradigm without DRM, and the DRM is disappeared at the online music market. Even though the online music service decided to not equip the DRM solution, copyright owners and content providers are still searching a solution to protect their content. A solution to replace the DRM technology is digital audio watermarking technology which can embed copyright information into the music. In this paper, the author proposed a new audio watermarking algorithm with two approaches. First, the watermark information is generated by two dimensional barcode which has error correction code. So, the information can be recovered by itself if the errors fall into the range of the error tolerance. The other one is to use chirp sequence of CDMA (code division multiple access). These make the algorithm robust to the several malicious attacks. There are many 2D barcodes. Especially, QR code which is one of the matrix barcodes can express the information and the expression is freer than that of the other matrix barcodes. QR code has the square patterns with double at the three corners and these indicate the boundary of the symbol. This feature of the QR code is proper to express the watermark information. That is, because the QR code is 2D barcodes, nonlinear code and matrix code, it can be modulated to the spread spectrum and can be used for the watermarking algorithm. The proposed algorithm assigns the different spread spectrum sequences to the individual users respectively. In the case that the assigned code sequences are orthogonal, we can identify the watermark information of the individual user from an audio content. The algorithm used the Walsh code as an orthogonal code. The watermark information is rearranged to the 1D sequence from 2D barcode and modulated by the Walsh code. The modulated watermark information is embedded into the DCT (discrete cosine transform) domain of the original audio content. For the performance evaluation, I used 3 audio samples, "Amazing Grace", "Oh! Carol" and "Take me home country roads", The attacks for the robustness test were MP3 compression, echo attack, and sub woofer boost. The MP3 compression was performed by a tool of Cool Edit Pro 2.0. The specification of MP3 was CBR(Constant Bit Rate) 128kbps, 44,100Hz, and stereo. The echo attack had the echo with initial volume 70%, decay 75%, and delay 100msec. The sub woofer boost attack was a modification attack of low frequency part in the Fourier coefficients. The test results showed the proposed algorithm is robust to the attacks. In the MP3 attack, the strength of the watermark information is not affected, and then the watermark can be detected from all of the sample audios. In the sub woofer boost attack, the watermark was detected when the strength is 0.3. Also, in the case of echo attack, the watermark can be identified if the strength is greater and equal than 0.5.

Context Sharing Framework Based on Time Dependent Metadata for Social News Service (소셜 뉴스를 위한 시간 종속적인 메타데이터 기반의 컨텍스트 공유 프레임워크)

  • Ga, Myung-Hyun;Oh, Kyeong-Jin;Hong, Myung-Duk;Jo, Geun-Sik
    • Journal of Intelligence and Information Systems
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    • v.19 no.4
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    • pp.39-53
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    • 2013
  • The emergence of the internet technology and SNS has increased the information flow and has changed the way people to communicate from one-way to two-way communication. Users not only consume and share the information, they also can create and share it among their friends across the social network service. It also changes the Social Media behavior to become one of the most important communication tools which also includes Social TV. Social TV is a form which people can watch a TV program and at the same share any information or its content with friends through Social media. Social News is getting popular and also known as a Participatory Social Media. It creates influences on user interest through Internet to represent society issues and creates news credibility based on user's reputation. However, the conventional platforms in news services only focus on the news recommendation domain. Recent development in SNS has changed this landscape to allow user to share and disseminate the news. Conventional platform does not provide any special way for news to be share. Currently, Social News Service only allows user to access the entire news. Nonetheless, they cannot access partial of the contents which related to users interest. For example user only have interested to a partial of the news and share the content, it is still hard for them to do so. In worst cases users might understand the news in different context. To solve this, Social News Service must provide a method to provide additional information. For example, Yovisto known as an academic video searching service provided time dependent metadata from the video. User can search and watch partial of video content according to time dependent metadata. They also can share content with a friend in social media. Yovisto applies a method to divide or synchronize a video based whenever the slides presentation is changed to another page. However, we are not able to employs this method on news video since the news video is not incorporating with any power point slides presentation. Segmentation method is required to separate the news video and to creating time dependent metadata. In this work, In this paper, a time dependent metadata-based framework is proposed to segment news contents and to provide time dependent metadata so that user can use context information to communicate with their friends. The transcript of the news is divided by using the proposed story segmentation method. We provide a tag to represent the entire content of the news. And provide the sub tag to indicate the segmented news which includes the starting time of the news. The time dependent metadata helps user to track the news information. It also allows them to leave a comment on each segment of the news. User also may share the news based on time metadata as segmented news or as a whole. Therefore, it helps the user to understand the shared news. To demonstrate the performance, we evaluate the story segmentation accuracy and also the tag generation. For this purpose, we measured accuracy of the story segmentation through semantic similarity and compared to the benchmark algorithm. Experimental results show that the proposed method outperforms benchmark algorithms in terms of the accuracy of story segmentation. It is important to note that sub tag accuracy is the most important as a part of the proposed framework to share the specific news context with others. To extract a more accurate sub tags, we have created stop word list that is not related to the content of the news such as name of the anchor or reporter. And we applied to framework. We have analyzed the accuracy of tags and sub tags which represent the context of news. From the analysis, it seems that proposed framework is helpful to users for sharing their opinions with context information in Social media and Social news.

HEVC Encoder Optimization using Depth Information (깊이정보를 이용한 HEVC의 인코더 고속화 방법)

  • Lee, Yoon Jin;Bae, Dong In;Park, Gwang Hoon
    • Journal of Broadcast Engineering
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    • v.19 no.5
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    • pp.640-655
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    • 2014
  • Many of today's video systems have additional depth camera to provide extra features such as 3D support. Thanks to these changes made in multimedia system, it is now much easier to obtain depth information of the video. Depth information can be used in various areas such as object classification, background area recognition, and so on. With depth information, we can achieve even higher coding efficiency compared to only using conventional method. Thus, in this paper, we propose the 2D video coding algorithm which uses depth information on top of the next generation 2D video codec HEVC. Background area can be recognized with depth information and by performing HEVC with it, coding complexity can be reduced. If current CU is background area, we propose the following three methods, 1) Earlier stop split structure of CU with PU SKIP mode, 2) Limiting split structure of CU with CU information in temporal position, 3) Limiting the range of motion searching. We implement our proposal using HEVC HM 12.0 reference software. With these methods results shows that encoding complexity is reduced more than 40% with only 0.5% BD-Bitrate loss. Especially, in case of video acquired through the Kinect developed by Microsoft Corp., encoding complexity is reduced by max 53% without a loss of quality. So, it is expected that these techniques can apply real-time online communication, mobile or handheld video service and so on.

A study on the knowledges, attitudes and behaviors of some university students about the old (일부 대학생들의 노인에 대한 지식과 태도 및 행동에 관한 연구)

  • Lee, Jung-Hwa;Park, Eui-Jung;Choi, Jung-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.11 no.2
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    • pp.233-242
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    • 2011
  • Objectives : The purpose of this study is to provide the basic data for searching for the method to induce more positive knowledges and attitudes about the old from the university students majoring in dental hygienics, health and social welfare university students majoring in the old, who will face the change of aging society directly. Methods : The study selected 1 school in Busan and Daegu respectively with convenience sampling from September 2010 to October 2010, performed questionnaire(self administered questionnaire) to 401 students majoring in dental hygienics, health and social welfare and achieved following conclusions. Results : 1. When the students without the education experience about the old have negative experiences, the degree of interest in the old was high and when they have positive experiences, the attitude score about the old was high(p<0.001). 2. For education experience about the old, the students majoring in dental hygienics have the lowest experiences(p<0.001). 3. For knowledge, attitude and behavior about the old depending on major, the students majoring in social welfare have the highest interest and for the knowledge about the old in physical area, the students majoring in health have the highest knowledge(p<0.01).4. The area related with the knowledge about the old showed significant correlation in all of physical, psychological and social area(p<0.001). 5. The factors giving effects to the attitude about the old were gender(p=.006), experience(p=.003) and education experience related with the old(p=.022) and the factors giving effects to the behavior about the old were experience(p=.036) and attitude about the old(p=.000). Conclusions : It is necessary to develop actual education program that can provide preliminary dental hygienists with positive attitude about the old and reflect a lot of matters related with psychological area and social area about the old. In addition, it is necessary to establish the opportunity to understand the old through voluntary service activity related with the old in connection with local community. It is necessary to recognize the old positively by showing the positive figure.

Quality Evaluation of the Scientific and Technical Information Services and Its User Study (과학기술전문정보서비스 품질평가 및 이용자 정보요구 분석)

  • Moon, Sung-Been;Choe, In-Sook;Choi, Sang-Hee;Lee, Sung-Sook;Chang, Hye-Young
    • Journal of Information Management
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    • v.33 no.1
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    • pp.31-47
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    • 2002
  • The main purpose of this research is to look into not only how users evaluate two major databases(BIST and SATURN) of the scientific and technical literature in Korea, but also what users expect from scientific and technical information services in general. The result of the user evaluation shows that there is a very little difference between two databases in database quality. It was found that BIST is better than SATURN in terms of accuracy, customer support, searching capability, and currency, whereas SATURN is preferred to BIST for completeness and the average number of retrieved items. User expectation for scientific and technical information is also investigated by surveying its user community. Among three user groups, there is notable disagreement in language uses to search non-korean literature. Each group also shows different demands for translation of original literature. This study attempted to evaluate the quality of the scientific and technical information (BIST and SATURN) and simultaneously to investigate users demands in general. By doing so, the specificity implied in quality evaluation of specific information services as well as the generalization of the users behaviors in scientific and technical community were accommodated in this study.

Design and Implementation of RTLS based on a Spatial DSMS (공간 DSMS 기반 RTLS의 설계 및 구현)

  • Kim, Joung-Joon;Kim, Pan-Gyu;Kim, Dong-Oh;Lee, Ki-Young;Han, Ki-Joon
    • Journal of Korea Spatial Information System Society
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    • v.10 no.4
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    • pp.47-58
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    • 2008
  • With the recent development of the ubiquitous computing technology, there are increasing interest and research in technologies such as sensors and RFID related to information recognition and location positioning in various ubiquitous fields. Especially, a standard specification was required for compatibility and interoperability in various RTLS(Real-Time Locating Systems) according to the development of RTLS to provide location and status information of moving objects using the RFID Tag. For these reasons, the ISO/IEC published the RTLS standard specification for compatibility and interoperability in RTLS. Therefore, in this paper, we designed and im plemented RTLS based on the spatial DSMS(Data Stream Management Stream) for efficiently managing and searching the incoming data stream of moving objects. The spatial DSMS is an extended system of STREAM(STanford stREam datA Manager) developed by Standford University to make various spatial operations possible. RTLS based on the spatial DSMS uses the SOAP(Simple Object Access Protocol) message between client and server for interoperability and translates client's SOAP message into CQL(Continuous Query Language) of the spatial DSMS. Finally, we proved the efficiency of RTLS based on the spatial DSMS by applying it for the staff location management service.

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A Study of Digitalization Performance of Sinological Resource in Korea (고문헌의 디지털화 성과 연구)

  • Cho Hyung-Jin
    • Journal of the Korean Society for Library and Information Science
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    • v.40 no.3
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    • pp.391-413
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    • 2006
  • This study analyzed the procedures and contents of digitalization of sinological resources owned by major sinological resource institutes in Korea. It investigated the united organizations that use such sinological resources It also assessed governmental policies and future Plans for digitalization of sinological resources. Finally, it proposed steps and conditions necessary for successful digitalization of sinological resources. (1) The level of digitalization of library management, searching, and usage system of national library, university library, and research library that has been applied since 1980s has already been highly advanced. The amount of sinological resources collected is significant and its substance value is very high. The digitalized resources are already distributed on internet partially. However, the level of digitalization of sinological resources still lacks some aspects and requires further effort. (2) The data base for digitalized sinological resources already available can be grouped into bibliographic information, contents and annotation, and full text. and it includes both domestic and foreign resources. The quantities of resources are as described in the body (3) The types of digital sinological resources include antient books. archives, micro, and book blocks. (4) The encoding DB methods of digital sinological resources include text. image, PDF. and etc. (5) The united organizations of sinological resources enable us to avoid duplicated investigation and enhance service efficiency. Here are some factors to consider in order to accomplish ideal digitalization of sinological resources. (1) First of all, it is necessary to organize a control center for digitalization procedures of old materials, and allow it a certain degree of authority to develop and Proceed a comprehensive Plan. (2) Both short- and long-term plans need to be developed in order to analyze various aspects of digitalization process. and their steps need to be taken gradually (3) It is necessary to train experts for old materials and let them construct and manage DB.