• 의료법학
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• 제13권1호
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• pp.359-395
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• 2012

In a broad term, health and medical data means all patient information that has been generated or circulated in government health and medical policies, such as medical research and public health, and all sorts of health and medical fields as well as patients' personal data, referred as medical data (filled out as medical record forms) by medical institutions. The kinds of health and medical data in medical records are prescribed by Articles on required medical data and the terms of recordkeeping in the Enforcement Decree of the Medical Service Act. As EMR, OCS, LIS, telemedicine and u-health emerges, sharing and protecting digital health and medical data is at issue in these days. At medical institutions, health and medical data, such as medical records, is classified as "sensitive information" and thus is protected strictly. However, due to the circulative property of information, health and medical data can be public as well as being private. The legal grounds of health and medical data as such are based on the right to informational self-determination, which is one of the fundamental rights derived from the Constitution. In there, patients' rights to refuse the collection of information, to control recordkeeping (to demand access, correction or deletion) and to control using and sharing of information are rooted. In any processing of health and medical data, such as generating, recording, storing, using or disposing, privacy can be violated in many ways, including the leakage, forgery, falsification or abuse of information. That is why laws, such as the Medical Service Act and the Personal Data Protection Law, and the Guideline for Protection of Personal Data at Medical Institutions (by the Ministry of Health and Welfare) provide for technical, physical, administrative and legal safeguards on those who handle personal data (health and medical information-processing personnel and medical institutions). The Personal Data Protection Law provides for the collection, use and sharing of personal data, and the regulation thereon, the disposal of information, the means of receiving consent, and the regulation of processing of personal data. On the contrary, health and medical data can be inspected or delivered of the copies, based on the principle of restriction on fundamental rights prescribed by the Constitution. For instance, Article 21(Access to Record) of the Medical Service Act, and the Personal Data Protection Law prescribe self-disclosure, the release of information by family members or by laws, the exchange of medical data due to patient transfer, the secondary use of medical data, such as medical research, and the release of information and the release of information required by the Personal Data Protection Law.

• 한국콘텐츠학회논문지
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• 제16권8호
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• pp.169-179
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• 2016

본 연구는 전문대학교 언어재활과 학생들의 실습불안, 진로결정자기효능감, 진로결정수준을 평가하여 학생들의 진로 지도에 효율적인 지도 방안을 모색하고자 하였다. 자료들은 18.0 SPSS 통계 패키지를 사용하여 학생들의 성적, 실습시간에 따라 Mann-Whitney test와 kruskal-wallis test 등 비모수 검정과 Bonferroni 사후검정을 실시하였다. 본 연구의 결과는 다음과 같다. 첫째, 언어재활과 학생들은 학년에 따라 실습불안의 실습내용 및 운영과 실습평가와 진로결정수준의 확신수준에서 집단 간 유의미한 차이를 나타내었다. 둘째, 언어재활과 학생들은 성적과 실습시간에 따라 실습불안, 진로결정자기효능감과 진로결정 수준의 대부분 하위 요인에서 유의미한 차이가 나타났다. 본 연구의 결과와 앞으로 다양한 분석과 표집을 통한 차후 연구로 전문대학교 언어재활과 학생들의 진로 지도 지원에 대한 토대를 이룩하도록 하여야 할 것이다.

• 대한간호학회지
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• 제29권6호
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• pp.1221-1232
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• 1999

The purpose of this study was to study how nurses interpreted the meaning of Hwa-Byung. It was carried through a review of literature, and the result is expected to explore ways that nursing intervention can promote the understanding of Hwa-Byung. The literature review focused on cultural psychology and psychiatrists' views toward Hwa-Byung. After that, it was reconfirmed concept of Hwa-Byung in nursing devived from historical analysis of the examples of Hwa-Byung from a true record of the Cho-Sun Dynasty(CD ROM, 1997). Characteristics of patients with Hwa-Byung include 'Hwa', an aspect of somatization, and self-diagnosing. It also could find that Hwa-Byung is characterized as 'Hwa', 'somatization' and 'self-diagnosis(subjectiveness)' according to a true record of the Cho-Sun Dynasty(CD ROM, 1997). The conceptual definition of 'Hwa', 'somatization' and 'self-diagnosing (subjectiveness)' are as follows. The core concept of Hwa-Byung, 'Hwa,' has the property of 'fire', and equals the feeling of injustice. Hwa-Byung means congestion of 'Hwa'. Therefore Hwa-Byung is the accumulation of being mistreated and mortified. The feeling of mistreatment comes from subjective experiences, which cannot be in harmony with the values, beliefs and rights of the patients. The situations that they have to endure again and again, though they are the sufferers, connote suppressed aggression and powerlessness endured over time. Suppressed aggression subordinated hostility, hatred and revengeful thoughts; powerlessness subordinates frustration, resignation, and fatalism. Somatization is another form of expressing 'Hwa' through physical symptoms. The somatization of clients with Hwa-Byung plays a role in expressing non-verbalized and suppressed emotions within themselves. The clients who experiences Hwa-Byung think that they know the cause of their illness and self-diagnose their problem as Hwa-Byung. Therefore, the feeling of unfairness which is the premise of Hwa-Byung infers 'subjectiveness' In conclusion, nursing's concept of Hwa-Byung is the accumulation of feelings of being mistreated and mortified. Hwa-Byung is the internalized 'Hwa' from enduring again and again. The feeling of being mistreated comes from subjective judgements about unfairness that cannot be harmonized with the clients' values, beliefs and rights. Those who can express their 'Hwa' only through their bodies imply suppressed aggression and powerlessness.

• 한국보건간호학회지
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• 제14권2호
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• pp.318-331
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• 2000

The purposes of this study were to examine the relationships among health promoting lifestyle, stress. depression, and general characteristics and to reveal these variables affecting depression in college female students. The data were collected between November 29th and December 4th. 1999 by using self-administered questionnaire. Data analysis were conducted by using Peason's correlation. t-test, ANOVA. stepwise multiple regression. The results were as follows : 1. Health promoting lifestyle was significantly different by religion, smoking. school record, perceived health status. satisfaction of school life, and department. 2. The mean score of stress was 2.28. the level of stress showed significant differences according to economic status, perceived health status, and satisfaction of school life. 3. The mean score of depression was 12.05. the level of depression showed significant differences according to religion, smoking, school record, economic status. perceived health status, satisfaction. of school life, and department. 4. The mean score of health promoting lifestyle was 2.43. both interpersonal relationship(M=2.96) and self-actualization(M=2.79) of the subscales of health promoting lifestyle revealed high scores, whereas the scores of health responsibility(M=2.07), and exercise (M=1.64) were below. 5. Negative correlations were observed between health promoting lifestyle and stress(r=-.21), between heath promoting lifestyle and depression(r=-38). Positive correlations were observed between stress and depression(r= .60). 6. Negative correlations were observed between self-actualization(r=-.29). nutrition Cr=-.17), and stress management(r=-.17) domains of health promoting lifestyle and stress. 7. Negative correlations were observed between self-actualization(r=-.47), nutrition (r=-.31), stress management(r=-.25), interpersonal relationship(r=-.23), health responsibility(r=-.13), and exercise(r=-.l1) domains of health promoting lifestyle and depression. 8. Depression was significantly predicted by stress$(36.2\%)$, health promoting lifestyle $(7.0\%)$. these variables explained $43.2\%$ of variance of depression.

• 지역사회간호학회지
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• 제23권4호
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• pp.451-459
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• 2012

Purpose: The purpose of this study was to identify the relationship between anger expression and self-esteem in nursing college students. Methods: A total of 297 subjects aged between 18 and 28 were selected through convenience sampling. Data were collected from March 2 to 25, 2011 using a self-reporting questionnaire. Collected data were analyzed with SPSS/WIN 15.0. Results: Differences in anger expression according to general characteristics were as follows. There were significant differences in violent attitude depending on gender (t=3.003, p<.01). Violent actions differed significantly depending on year in school (F=3.279, p<.05) and whether there is a dual income families (t=-2.23, p<.05). There were significant differences in self-esteem depending on year in school (F=4.553, p<.01), school record (F=15.18, p<.001) and the economic status of the parents (F=4.878, p<.01). There were positive correlations between violent attitude and violent actions, except between violent actions and self-esteem. 10.3% of the variance in violent actions was explained by violent attitude, self-esteem and school in year and perceived acceptance. Conclusion: The findings of this study may be useful in understanding the anger expression of nursing college students and developing more specific programs to improve personality and self-control of the mind.

• 한국전자통신학회논문지
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• 제12권4호
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• pp.707-714
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• 2017

최근 대표적인 구강질환인 치주질환이 심혈관 질환을 비롯한 각종 전신질환과 밀접한 관련성이 있다는 보고가 늘어나고 있다. 그러므로 전자의무기록 의료 환경에서 개인뿐만 아니라 인구집단의 치주질환 상태를 효과적이면서 경제적으로 모니터링 할 수 있는 방법이 필요한 실정이다. 그러나 전통적인 치주검사법인 치주 탐침법은 치과전문가들이 상당한 시간과 노력을 들여서 조사해야할뿐만 아니라 침습적인 방법이기 때문에 이로 인해서 균혈증을 야기 시킬 수 있는 위험이 있다. 따라서 본 연구에서는 치주질환을 스크리닝 하는 대규모 역학조사에서 한국형 치주 자가설문지의 효용성에 대한 평가를 하기 위해 전통적 치주질환 검사 방법인 영상 사진 판독 결과와 비교하여 새로운 진단도구로써의 가능성을 찾기 위해 연구를 진행하였다.

• 기록학연구
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• 제20호
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• pp.3-32
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• 2009

기록관리 분야가 정보화 환경을 맞게 되면서 자체기준에 의하여 제반업무를 수행하던 방식은 좀 더 종합적인 사고가 필요하게 되었다. 기록을 정보로 활용하고 정보를 기록으로 보려는 상호연동적인 시각이 나타나며, 나아가서 기록을 생산할 때부터 정보환경에서 활용하게 될 것을 고려하고 정보시스템에서는 관리중인 정보자료의 기록가치를 고려하게 될 것이다. 현재까지는 기록을 잘 생산시켜 잘 이관시키고 잘 보존시키는 것에 초점이 맞추어져 있었기 때문에 관련 법령이나 업무지침, 연구교육이 이를 중심으로 이루어져 왔다. 앞으로는 보존 이후의 단계, 즉 공개, 공유, 사본제작, 정보보호, 시스템 연계, 기록컬렉션 사후보충 등 일반인에 대한 정보서비스가 강화되어야 할 것이다. 본 논문에서는 최근의 보도사건을 통하여 기록과 정보간의 혼란을 살펴보고 이들의 융합이 필요함을 설명하며, 기록관리 시스템과 정보시스템 상호간의 환류체계를 제안한다.

• 부모자녀건강학회지
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• 제10권1호
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• pp.36-47
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• 2007

Purpose: This study examined the relationship between sexual attitudes, sexual behaviors and self-esteem of male high school students in Busan. Method: A cross-sectional, descriptive study was conducted. Data were collected from four male high schools in Busan. Two hundreds boys were enrolled in this study. Descriptive statistics, t-test or ANOVA with Scheffe's test and Pearson's Correlation Coefficients were used for data analysis. Results: The mean sexual attitude($43.0{\pm}7.1$), sexual behaviorse($12.8{\pm}7.5$) and self-esteem($103.0{\pm}15.5$) were relatively low. The score of sexual attitude was affected by the subjects-parents relationship and sexual experience. The score of sexual behaviors was affected by religion, the subjects-parents relationship and sexual experience. The score of self-esteem was affected by the subjects's school record and the subjects-parents relationship. There was a positive correlation between sexual attitudes and behaviors, but the correlations between self-esteem and sexual attitudes, and self-esteem and sexual behaviors were not significant. Conclusion: Sexual attitudes and sexual behaviors of male high school students are changed openly and there is difference by a person's standard. An educational program may be needed to develope sexual attitude in high school students.

• 한국학교ㆍ지역보건교육학회지
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• 제15권1호
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• pp.61-75
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• 2014

Objectives: The objective of this study is to analyze the relationship among self-esteem, optimism, and smart phone addiction of middle school students and examine the variables on smart phone addiction. Methods: Data were collected by questionnaires from 475 middle school students in U city. To analyze the sample survey data, descriptive statistics, t-test, ANOVA, duncan test and multiple regression analysis were performed with SPSS/WIN 15.0. Results: There were statistically significant differences among general characteristics sex, grade, school record, satisfaction with school life, economic state, romantic relationship, the period of smart phone usage, and smart phone usage fee with smart phone addiction. Also, there were significant negative relationships between self-esteem and optimism. Significant factors that affect smart phone addiction in middle school students were sex, self esteem, smart phone usage fee. These variables explained 10.8% of smart phone addiction. Conclusions: The results of this study reveal that the significant factors of smart phone addiction are sex and self-esteem. This study indicates that it is important to develop self esteem promotion programs that focus on sex trait in order to prevent smart phone addiction on adolescents.

• 임상간호연구
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• 제16권3호
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• pp.133-144
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• 2010

Purpose: This study intended to evaluate the intermediate effects of using Electronic Nursing Record System which was introduced 4 years and 4 months ago. Methods: Participants were 65 nurses engaged in 3 shifts in a general hospital. The specific methods were identification of nursing activity times by means of nurses' self-recording in structured forms, survey of user satisfaction using questionnaires, and examination of nurses' responses to open-ended questions about using the system. Results: The direct nursing activities took more than 50% of the time during day and evening shifts. In night shift, direct nursing activities took more than 41% of the time. Comparing to the initial evaluation, measured at 10 months after the introduction, the time spent in indirect nursing activities have decreased about 10% in each shift. The user satisfaction was 3.54 points which was higher than 3.33 points measured at 10 months after the introduction. The nurses recommended some changes needed in the current system to make it better, such as speeding up the system. Conclusion: The intermediate evaluation shows reduced indirect nursing time, increased direct nursing time, and improved user satisfaction.