• 제목/요약/키워드: classified record

검색결과 272건 처리시간 0.025초

표준화된 간호용어체계를 이용한 암환자 간호기록의 분석 (Analysis of nursing records of cancer patients with standardized nursing language systems)

  • 이미순;이병숙
    • 간호행정학회지
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    • 제10권2호
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    • pp.243-254
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    • 2004
  • Purpose: The purpose of this study was cross-mapping unique nursing statements which were identified in the nursing records of patients with six most common cancers in Korea with the standardized nursing languages of NANDA, NIC, NOC and ICNP. Method: The subjects were 72 nursing records which covered 1,502 admission days from August 1, 2003 to June 30, 2003. They were the records of the patients of six most common cancers who were treated at the six 3rd level general hospitals in Busan and Daegu. The unique nursing statements were identified by dividing the statements from the nursing records into the single statements according to their meanings. For cross-mapping, identified unique nursing statements were classified as 'Data(D)' for the subjective, objective data of the patients and the other data such as treatment, admission, discharge, and residence of patient, 'Problem(P)' for nursing problem or diagnosis defined by the nurse's decision, 'Intervention(I)' for nursing intervention for problem solving, and 'Outcome(O)' for patient reaction and results of the provided nursing interventions. Unique nursing statements classified to D, P, I, O were cross-napped by using Microsoft Excel 2000. The statements of D were cross-mapped with ICNP Nursing phenomena, P with NANDA nursing diagnosis and ICNP nursing phenomena, I with NIC and ICNP nursing intervention, and O with NOC and ICNP nursing phenomena Result: The results of this study were as follows. 1. Number of unique nursing statements were 506 in the records of lung cancer patients (18.12%), 480 in stomach cancer(17.19%), 458 in liver cancer(16.40%), 456 in colon cancer (16.33), 457 in breast cancer (16.36%) and 436 in cervix cancer (15.60%). 2. The range of percentage of cross-mapped unique nursing statements with the standardized nursing languages were as follows: P with NANDA nursing diagnosis $87.50{\sim}100%$, I with NIC $59.72{\sim}74.43$, O with NOC $61.05{\sim}72.64%$, and D, P, I and O with ICNP $60.92{\sim}69.95%$. 3. Number of the standardized nursing languages identified in this study were 21(12.66%) from 155 NANDA nursing diagnosis, 76(15.64%) from 486 NIC Nursing interventions, 54(17.47%) from 260 NOC nursing outcomes, and 343(13.03%) from ICNP 2,634. Conclusions: By the results of this study, NANDA, NIC, NOC and ICNP were found that they can be used as the language systems for nursing record and nursing information system for cancer patients. But, further study on the unique nursing statements which were not cross-mapped with the standardized nursing language systems will be necessary.

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비스테로이드소염제로 인한 궤양 합병증 예방을 위한 비스테로이드소염제 사용 현황 및 적절성 평가 (Evaluation of NSAID Usage and Appropriateness for Prevention of NSAID-Related Ulcer Complications)

  • 조정원;이은숙;신완균
    • 한국임상약학회지
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    • 제22권3호
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    • pp.211-219
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    • 2012
  • Nonsteroidal antiinflammatory drugs (NSAIDs) are used in the treatment of extensive diseases related to various symptoms; inflammation, pain and fever. NSAIDs work by blocking prostaglandin synthesis, but adverse drug events (ADEs) have been increasing dramatically such as gastrointestinal bleeding, perforation and stenosis, a kind of serious ADEs. Therefore, NSAID-related ulcer complication guidelines have been announced containing various risk factors and symptoms. Thus, this study aims to evaluate of NSAID usage and appropriateness for prevention of NSAID-related ulcer complication based on American journal of gastroenterology (AJG) guideline 2009. Further, the study suggests Korean guideline for prevention of NSAID-related ulcer compared to AJG guideline. For this study, data was collected through electronic medical record (EMR) at Seoul national university of Bundang hospital. The primary end point was a composite of NSAID-related ulcer risk factor, types of NSAIDs, co-prescribed NSAID ulcer prevention drugs and NSAID-related ulcer after taking NSAID. The risk factors include over 65 years, high dose NSAID, previous ulcer history and taking drugs (e.g. aspirin, anticoagulant and steroid) causing ulcer. If a patient has 3 or 4 factors, that patient was classified high risk group. And if 1 or 2 factors that patient was classified moderate risk group. The patient who has no risk factor was in low risk group. I studied 8,120 patients who received NSAID from 1 January 2009 to 31 December 2009. High risk group was 16(0.2%), moderate risk group was 4,364(53.7%), and low risk group was 3,740(46.1%). The results show that high risk group should be prescribed COX-2 inhibitors with ulcer prevention drugs, and moderate or low risk group need traditional NSAIDs with ulcer prevention drugs. This may be different with 2009 AJG guideline because AJG guideline suggested taking COX-2 inhibitor alone in moderate group or taking traditional NSAID alone in low risk group could get higher ulcer complication. The results indicated that choosing preventive drug is important in case that how many risk factors the patients have. The proper drugs would be helpful for safe and effective NSAID usage in each patient group.

근대건축 등록문화재의 보존 방안에 관한 연구 (A Study on the Preservation Method of Modern Registered Architectural Cultural Properties)

  • 신웅주;이상선
    • 한국농촌건축학회논문집
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    • 제16권1호
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    • pp.119-127
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    • 2014
  • This study suggests institutional and methodological approaches for preservation of South Korea's registered cultural properties of modern architecture. The suggested approaches are as follows. First, in order to improve the current registration and preservation system for cultural properties, we need to employ both structure-based classification and style-based classification. Registration criteria for modern architecture properties need to include more detailed classification in terms of their structure: brick structure, steel concrete structure and post lintel structure. In terms of construction style, the properties need to be further classified into the western style, the traditional style and the Korean-western eclectic style. In addition, protection of registered cultural properties need to be achieved through legislation of a protection system. Second, while the current system sets out six methods for preservation of registered cultural properties of modern architecture, more specific preservation methods types and plans need to be continuously introduced. In particular, as for the method of partial preservation, the method needs to be further classified based on the usage of the relevant structure so as to allow for more diverse options. First, the 'Preservation by Interior Alteration' needs to be added to the category, where the exterior is preserved as it is and the interior is preserved through alteration. Also needs to be added the preservation method where the interior space is preserved as it is and the exterior space is altered, in case the finishing materials of the exterior has deteriorated. Third, if the records on registered cultural properties of modern architecture are to provide the functions of legal evidences regarding management of architectural cultural properties, sources of knowledge required for policy making and implementation and past management record for the future, each phase needs to be closely connected in an organic manner, and we need to establish a management system and plan that go beyond the relevant organizations. Fourth, in order to preserve South Korea's registered cultural properties of modern architecture in its original state, it is imperative to prepare separate criteria for registration of technicians with expertise on modern architecture, and train experts and technicians on modern architecture, which is distinguished from the traditional architecture.

삼국시대 화살집[화살통]의 유형과 변화과정 (Types and Changes of Arrow Quivers in the Three Kingdoms Period)

  • 이건용
    • 헤리티지:역사와 과학
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    • 제55권3호
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    • pp.152-176
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    • 2022
  • 본고는 삼국시대 화살집 복원에 대한 기초 연구로, 기존 화살집 복원 안에 대한 세부내용을 보완하기 위한 연구이다. 현재 발굴된 삼국시대 화살집은 화살을 담는 주머니인 수납부, 그리고 화살집의 등판에 해당하는 배판부로 구성된다. 그러나 2부위는 남아있지 않고, 금속 부품만 발굴되고 있다. 출토된 화살집을 3가지 유형으로 분류하여 복원하였다. 수납부 금구를 중심으로 W자형 부품과 ㄷ자형 부품으로 구성된 1유형, 띠형 금구만 확인된 2유형으로 분류했다. 3유형은 2유형과 비슷하지만 적수금구에서 뻗친 철띠가 띠형 금구에 연결되는 화살집으로, 별도의 유형으로 상정하였다. 3가지 유형의 화살집에 대한 복원 안을 제시하기 전에 적수금구 위치와 유기물 관찰 내용을 반영하였다. 또 출토정황만으로 알 수 없는 적수금구의 위치와 같은 내용은 조선시대 화살집과 일본의 정창원, 하니와에서 관찰되는 화살집 착용방법에서 착안하였다. 적수금구를 기준으로 삼은 기존 화살집 변천 안을 참고하면, 화살집은 본고의 1유형에서 2·3유형으로의 변화한다. 변화의 요인에 대해 화살을 담는 수납부 공간과 화살집을 착용하는 방법의 변화에서 찾았다. 그러나 일부 2·3유형은 1유형의 착장 방식을 유지하고 있고 구식의 부품을 유지된 사례도 있었으며, 함안지역에서는 전형적인 1유형이 늦게까지 부장되는 양상을 확인할 수 있었다.

근대 건축물에 사용된 서양식 목조 지붕 트러스의 구조요인 및 기타 영향요인에 관한 연구 - 공공기관이 관리하는 문화재 중 근대건축물 기록을 중심으로 - (A Study on the Structural and Other Influential Characteristics of Western Timber Roof Truss in Modern Buildings - Focusing the Record of Modern Buildings among the Cultural Assets maintained by Public Institution -)

  • 이윤희;유혜란;권기혁
    • 건축역사연구
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    • 제20권4호
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    • pp.95-114
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    • 2011
  • Western style timber roof trusses used as typical roof structures of buildings during a modern period have been developed with the interactions with their facade and functionality. The shapes of trusses and member sizes have been diversely changed by the purposes of architects, historical circumstances, and structural characteristics. For this reason, the change in the shapes of western style timber trusses along the times is one of important technology assets demonstrating the development of their structures during the modern period. Therefore, the purpose of this paper is to find out their structural characteristics throughout parametric analysis of which parameters were determined from the collected and classified documents on western style timber roof structure built in the modern period carefully obtained from public institutions. Results of the parametric analysis are as follows. The number of king-post trusses and modified king-post trusses built between 1920 and 1937 reaches almost half of the total number of truss types investigated. The mean values of their spans, distances, tributary areas, and height are respectively, 10.5m, 2.4m, $24.37m^2$and 3.24m. The cross-section areas of trusses tend to reduce since the city construction law was enacted in 1920. Also, this study found that western architects usually used larger structural members than eastern architects and usages and finishing materials of roof trusses are not always considered as one of the important design parameters.

NIOSH의 건강유해도 평가 프로그램 (The Health Hazard Evaluation Program by NIOSH)

  • 정지연
    • 한국산업보건학회지
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    • 제10권1호
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    • pp.147-159
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    • 2000
  • The NIOSH health hazard evaluation program (HHE program) was created in response to the mandate to determine the toxic effect and potential health hazard of workplace exposure, which is found in Occupational Safety and Health Act of 1970 and the Federal Mine Safety and Health Act of 1977, A primary benefit of HHE program is its ability to provide current health hazard data to employers and employees, which assists them in identifying solutions to occupational health and safety problems in their workplaces, The HHE program also stimulates research in the development and review of sampling methods and diagnostic tests and may prompt additional exposure assesment efforts and toxicological and epidemiological studies. HHE projects also provide human exposure-toxicity data that are used to asses the validity of existing occupational health standards and to support criteria for new standards of recommendation, The HHE request is classified into four categories: 1) category 1: As a administratively invalid, 2) category 2: These are valid requests for which a site visit is not essential to an appropriate response, 3) Category 3 : These are valid requests for which a site visit is necessary for an adequate evaluation, 4) These are valid request which present a complex problem or an opportunity for research, To carry out HHE program one or methods of investigation might be used: 1) direct observation and evaluation of production processes and employee work practices 2) employees exposure level and air contamination level 3) medical test or physical examinations of employees 4) private, confidential interviews with employees 5) review of employer's record of injuries and illness, employee exposure data, medical tests and job histories. After investigation and analysing the data, NIOSH issues a final report, giving finding and recommendation.

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11종 패모(貝母)의 기원별 자연·약재상태 감별 (Identification of 11 species of Paemo through each original plant and medicines)

  • 이승호;주영승
    • 대한본초학회지
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    • 제29권6호
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    • pp.133-140
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    • 2014
  • Objectives : Paemo is a phlegm-resolving drug with cold properties and classified 5 kinds which come from 11 species of original plant. All the more, according to literature record, 20 species of original plant were used. As a natural result, these are easily to confuse and there are a lot of counterfeit product. So we are to present a differential standard of Paemo. Methods : It was planed a differential standard form through outer appearance of the original plant and outer appearance in the form of each medicines which was collected local market or field for 11 species which is listed in Korea or China pharmacopeia. Results : It was possible to distinguish the orignal plant between Fritillaria and Bolbostemma through its stem shape. In Fritillaria of original plant, it was possible to distinguish through its width of leaf, number of leafy bracts, color and position of flower and shape of leaf apex. In outer appearance in the form of each medicines, there are difference in color and texture of medicine between Fritillaria and Bolbostemma and there are difference in size, shape, size of inner and outter fleshy leaf of bulb, pattern of surface and apex of fleshy leaf of bulb among 10 Fritillaria species. Conclusions : This study presents various differences in the outer appearance of the original plant and the outer appearance in the form of each medicines among Paemo. It will be helpful to further applied research.

실시간 무선 원격 제어 시스템에 관한 연구 (A Study on the Realtime Wireless Remote Control Systems)

  • 이문구
    • 전자공학회논문지CI
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    • 제46권6호
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    • pp.63-69
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    • 2009
  • 인터넷의 탈 중심적, 개방적인 특징과 이동통신의 이동성, 휴대성 그리고 인터넷과 이동통신의 양방향성 이라는 특징 및 장점들의 접목은 우리생활에 무선 인터넷을 탄생하게 하였으며, 생활에 많은 변화를 가져오게 되었다. 그러나 기존 유선상의 웹 기반인 시스템 관리 소프트웨어 솔루션들은 시간적, 공간적 제약과 오류사항에 대한 통보가 불확실하거나 신속한 지원요구 및 실시간 긴급조치가 어렵다는 문제점들을 갖는다. 따라서 본 논문에서는 모바일 통신기기(휴대폰, PDA, Smart Phone, Webpad)를 이용하여 원격시스템을 관리 및 모니터링하고 실시간으로 원격지의 시스템을 제어할 수 있는 실시간 무선 원격제어 시스템을 설계 및 구현하였다. 구현된 실시간 무선 원격제어 시스템은 모바일 장비를 이용하여 원격지 서버 관리 기능, 장애 및 이벤트 통보기능, 로그기록 기능, 인증기능 그리고 클라이언트 트랜잭션별 시스템 성능평가 기능 등을 제공한다.

최적 R파 검출 기반의 R피크 패턴과 RR간격을 통한 조기심실수축 분류 (Premature Ventricular Contraction Classification through R Peak Pattern and RR Interval based on Optimal R Wave Detection)

  • 조익성;권혁숭
    • 한국정보통신학회논문지
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    • 제22권2호
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    • pp.233-242
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    • 2018
  • 조기심실수축(Premature Ventricular Contraction) 분류를 위한 기존 연구들은 분류의 정확성을 높이기 위해 신경망, 퍼지 이론, Support Vector Machine 등과 같은 비선형 방법이 주로 사용되어 왔다. 이러한 대부분의 방법들은 데이터의 가공 및 연산이 복잡하다. 이러한 문제점을 극복하기 위해서 최적의 R파를 검출하고 이를 통해 R피크 기반의 특징점만을 정확하게 검출함으로써 최소한의 연산량으로 PVC를 분류할 수 있는 알고리즘이 필요하다. 따라서 본 연구에서는 전처리를 통해 잡음이 제거된 심전도 신호에서 최적 문턱치에 따른 R파를 검출하고, RR간격과 R피크 패턴을 추출한다. 이후 RR간격과 R피크 패턴에 따라 PVC를 분류하였다. 제안한 방법의 우수성을 입증하기 위해 PVC가 30개 이상 포함된 MIT-BIH 9개의 레코드를 대상으로 한 R파의 평균 검출율은 99.02%의 성능을 나타내었으며, PVC 부정맥은 각각 94.85%의 평균 분류율을 나타내었다.

대한제국시대(大韓帝國時代) 학부(學部)의 도서편찬(圖書編纂) 및 간행(刊行)에 관한 연구(硏究) (A Study on the Compilation and Publication of the Hakbu in the Empire of Korea Dynasty)

  • 이철찬
    • 한국비블리아학회지
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    • 제27권3호
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    • pp.321-344
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    • 2016
  • 본 연구는 대한제국시대 학부의 도서 편찬 및 간행에 대하여 밝히고자, 문헌상의 기록과 현존하는 실물을 조사하여 이들을 형태서지학적으로 분석하고 특징과 내용을 고찰하는 데 그 목적을 두었으며, 연구 결과에서 밝혀진 사실들을 요약하면 다음과 같다. 첫째, 학부에서 편찬 간행한 도서의 수는 현재까지 밝혀진 것은 63종이었다. 둘째, 학부의 도서 간행은 연도별로 차이가 많은 것으로 나타났다. 셋째, 판종은 활자본이 84.1%를 차지하고 있으며, 그중 신연활자본이 35종으로 제일 많은 것으로 나타났다. 넷째, 용지 및 장정은 학부 초기에는 모든 도서에서 한지 한장본을 사용하였다. 다섯째, 도서의 가격은 지금의 도서 가격보다 조금 높은 수준의 가격이었다. 여섯째, 학부에서 편찬 간행한 도서 중 번역서는 6종이었다. 이 연구 결과는 학부에서 편찬 간행한 도서에 대한 종합적인 것으로 이후 관련 연구의 토대가 될 것이다.