• Title/Summary/Keyword: thought record

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의무기록의 질에 영향을 미치는 요인 분석 - 주치의사의 관심도를 중심으로 - (A Study on the Factors Related to the Quality of Medical Records - focused on physician's commitment -)

  • 홍준현;최귀숙;이은미
    • 한국의료질향상학회지
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    • 제5권1호
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    • pp.16-26
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    • 1998
  • Background : As many previous studies proved, the quality of medical record is thought to reflect the quality of care. In this study, we analyzed the relationship between the quality of record and some factors influencing the quality of record, especially the commitment of the attending physician. Method : We developed checklist for evaluation of medical record with 36 criteria. 300 inpatient records of 10 attending physicians' patients were evaluated and the quality' of records were scored. The attending physician's commitment to medical records were scored by 34 residents. The relationship of the quality of records with physician's commitment to records, and some other factors were analyzed. Results : More than 75% of the immediate postoperative notes on the progress note were missed. More than 69% of the contents of explanation about the procedures on the consent form or on the other forms were also missed. The physician whose quality score of records was the highest(78.9) got the highest commitment score. The score of attending physician's commitment to the record, and his seniority were positively related with the quality score of his medical records when number of patients and department were adjusted. Conclusion : The quality of the 5 forms of the record reviewed were evaluated as moderate or excellent except 2 or 3 items. The quality of record was positively related with the attending physician's commitment to the record, and the seniority of the physician.

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Enhancing the accounting record keeping practices of advanced agricultural managers: Policy implications

  • Myeong, Suhwan;Hong, Seungjee;Yeo, Minsu
    • 농업과학연구
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    • 제44권1호
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    • pp.133-143
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    • 2017
  • The purpose of this study was to investigate the status of agricultural management accounting information, education status, and policy demands through a questionnaire survey of advanced agricultural managers. These people are expected to play a key role in the changing agricultural environment in Korea. Based on survey results, several policy implications were derived for the advanced agricultural managers' agricultural management accounting information record activation. Survey results of 303 respondents identified that 63.4% of them record their agricultural management accounting information. The biggest reason given for not recording this information was lack of time for record keeping. The biggest problem was a 'lack of Question and Answer system'. In addition, 37.2% of the respondents were not aware of the current agricultural accounting guidelines. In terms of education, 71.3% of the respondents have completed course work in accounting and responded that an 'On-off parallel education system', which offers both online and offline classes, was the most effective method to prevent dropout. Respondents thought that agricultural management accounting records were helpful for the management of agriculture and their participation in government policies. They also thought that customized education programs should be further implemented for enhancing the effectiveness of education programs, and 'One-stop Question and Answer system on related web sites and organizations' is required for them to keep better records. The following policy implications can be derived from the survey results. First, interoperability between agricultural management accounting information recording programs is needed. Second, accessibility should be strengthened. Third, the education system needs to be improved. Fourth, voluntary participation should be encouraged. Last, the government needs to establish a post-verification system.

조현병 환자의 인지행동치료 기반 사례관리를 위한 스마트폰 애플리케이션 개발 (Development of Smartphone Application for Cognitive Behavioral Therapy-Based Case Management in Patients with Schizophrenia)

  • 김성완;이가영;유혜영;박지현;이용성;김주완;박철;이주연;이요한;김재민;윤진상
    • 대한조현병학회지
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    • 제19권1호
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    • pp.10-16
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    • 2016
  • Objectives : This article aims to describe the development of smartphone application for the case management of patients with schizophrenia. Methods : Gwangju Bukgu-Community Mental Health Center developed and launched a smartphone application (HYM) for cognitive-behavioral case management and symptom monitoring. The development of the application involved psychiatrists, nurses, social workers, psychologists, and software technicians from a software development company (Goosl Corp.). Results : The HYM application for clients includes six main modules including Thought record, Symptom record, Daily life record, Official notices, Communication, and Scales. The key module is the 'Thought Record' for self-directed cognitive-behavioral treatment (CBT). When the client writes and sends the self-CBT sheet to the case manager, the latter receives a notification and can provide feedback in real time. 'Communication' and 'Official notices' are useful for promoting communication between case managers and clients with schizophrenia. Ratings in 'Symptom record', 'Daily life record', and 'Scales' modules are stored in graphic or table form representing changes in them and shared with case managers. Conclusion : The interactive function of this application is the key characteristics that distinguishes it from other mobile self-treatment tools. This smartphone application may contribute to the development of a youth- and customer-friendly case management system for individuals with early psychosis.

일개 교육병원에서 의무기록의 충실도의 대한 조사 (Survey of completeness of medical records in one educational hospital using new checklist)

  • 박석건;김홍태;김광환;서순원
    • 한국의료질향상학회지
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    • 제4권2호
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    • pp.174-183
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    • 1997
  • Background : Medical records thought to be reflecting the quality of medicine. By this ground, examination of medical records can be served to evaluate, and to improve the quality of medical care. To examine the medical records, we need some standards or checklists which can be used to sort out the problems. Methods: We developed checklists for medical records evaluation. We studied 1,677 medical records about its completeness using this checklists in one educational hospital. Survey was completed by 5 well trained staffs of medical record department. Results are analyzed. SPSS/PC+ program was used for statistics. Results : 13.8% of discharge summary was incomplete. Recording of the demographic information was also poor in incomplete medical records compared to complete ones. Progress note was recorded average 4.16 times during 11.9 hospital days. After 4th hospital day, recording rate of progress note dropped sharply. Rate of professor's signature on operation records was poor(27%). He or she who described the discharge summary well also wrote progress note well. Conclusions: Fill-up of demographic date should be stressed during medical record education program. Strategy to create the environment emphasizing the responsibility of professor on quality medical record should be made. We suggest new index (number of records/hospital stay) for the evaluation of completeness of progress note.

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고대(古代) 의안(醫案)에 나타난 불교사상 연구 -의료윤리와 정신치료를 중심으로- (Research for the Buddhist Thought of Ancient Medical Record -Focus on Medical Ethics and Psychotherapy-)

  • 김근우;박서연
    • 동의신경정신과학회지
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    • 제24권1호
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    • pp.109-122
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    • 2013
  • Objectives : To research the needed Buddhistic ethical beliefs and psychotherapy from representative medical records of oriental medicine. Methods : The baseline data this research used is Myeong-Ui-Lyu-An, Sok-Myeong-Ui-Lyu-An, Ui-Bu-Jeol-Lok and from the variety of medical records; we extracted 22 medical records that refer to Buddhist thoughts. The sequence of medical records is determined by analyzing the contents of all medical records and grouping them by their categories. Results : The representative ethical mind that a doctor needs is the 'mercy thought' from Buddhism. This way, the doctor has 'pity' on patients and expects no reward for what he had done. 'Spells and religious beliefs developed into medical treatment procedures by Buddhism and oriental medicine psychotherapy. Using the belief that everything is made of the mind, which is the point of the 'Hwa-Eum' theory and the realization that the psychotic factors have a big role in the occurrence and progress of sicknesses, we emphasized supportive psychotherapy or more specifically, the suggestive therapy. 'Anguish' is an important point in the occurrence and progress of illnesses. To solve this, we used 'Zen family's 'Zen self-discipline' and ascetic life from Buddhism. According to Buddhism, a human's metal conflict and love or malingering from obsession is the cause of all mind illnesses. To heal these, a doctor must have an insight of the patient's mind more than the symptoms. Conclusions : Buddhistic thoughts suggested clearly the mentality necessary for oriental medical psychotherapist and medical ethics for a doctor.

Record of Fimbristylis ovata (Cyperaceae) from Jejudo Island, Korea

  • YANO, Okihito;TAMURA, Yuki;YAMAJI, Yuna;CHUNG, Kyong-Sook;IM, Hyoung-Tak
    • 식물분류학회지
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    • 제50권1호
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    • pp.80-83
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    • 2020
  • We report Fimbristylis ovata (Burm.f.) J. Kern (Cyperaceae) from the sunny grasslands along the coastline on Jejudo Island, Korea, as a new distribution in Korea. This is thought to be the third confirmed record of this rare sedge in Korea; the first was from Gapari ('Is. Quelpaert') collected by Taquet in 1908, and the second was from Marado Island, collected by Kim and Kim in 2018. We found two new populations on Jejudo Island, the first with many individuals and the second with only a few plants. Following an examination of herbarium specimens, this species is considered to be rare and endangered in Korea, limited in distribution in Korea to Jejudo and Marado Islands.

마인드로그(Mindlog) : 정신건강을 위한 생각 기록 관리와 정신건강의학과 진료 절차를 지원하는 어플리케이션 (Mindlog: An application that supports mental health record management and psychiatric treatment procedures)

  • 박하은;이정원;장지민;하유림;엄성용
    • 문화기술의 융합
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    • 제10권6호
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    • pp.709-714
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    • 2024
  • 본 논문에서는 정신건강의학과 진료 및 상담을 원하는 환자의 생각 기록과 진료 기록 절차를 돕는 스마트폰용 어플리케이션인 '마인드로그' 시스템을 제안한다. 환자가 짧은 상담 시간 동안 하고 싶은 말을 명확하게 전달하지 못하고 불편한 마음으로 진료를 끝마치게 되거나, 세세한 치료 지침을 받지 못하는 경우 등을 방지하기 위해 개발된 이시스템은 간편한 작업과 체계적인 가이드를 통해 자신의 감정을 객관적으로 바라보고 정리할 수 있게 한다. 또한 진료 일정 및 내용을 체계적으로 관리하도록 함으로써 환자로 하여금 이전 진료에 비해 어떤 변화가 있었는지, 실제 진료에서 어떤 내용을 상담하고 싶은지를 보다 편리하게 확인할 수 있도록 지원한다.

초등과학 영재 학생의 영재 학급에 대한 효과성 조사 (A Survey on the Effect for the Science Gifted Class of Gifted Student in Elementary)

  • 최선영
    • 한국초등과학교육학회지:초등과학교육
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    • 제27권4호
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    • pp.437-445
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    • 2008
  • The purpose of this study was to examine about science gifted class student's effect of education for the science gifted class. For this, 21 item-questionnaires were given to 292 students at the 4th, 5th and 6th graders in 3 elementary gifted schools located in Incheon. The results of this study were as follows: First, science gifted students were positive in effect of gifted class. This was more positive as class is low. Second, gifted students are thinking that it is helped to own learning that study at gifted class in cognitive side but appeared relatively low regarding school record or utterance, study method, thinking faculty, creativity. Third, they did not think that is exerting a lot of effects about own habit that study, interest, pride in emotional side. Fourth, they thought that is effective in relation with new friends more than teachers and parents in sociocultural side. Fifth, in private tutoring side they thought that is not influencing to solve academy taking a course of decrease.

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Mechanism of E. coli RNA polymerase-promoter interactions

  • Roe, Jung-Hye;Record.Jr, M.Thomas
    • 미생물과산업
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    • 제13권1호
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    • pp.4-9
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    • 1987
  • The regulation of gene expression in procaryotes is accomplished primarily at the level of transcription. Initiation of transcription is subject to numerous promoter-specific controls which act to ensure coordinate expression of disparate genes. The kinetics of formation of a functional("open") complex at a promoter, prior to the catalytic steps of RNA chain initiation and elongation, is thought to play a major role in controlling the efficiency of transcription of that promotor, since the subsequent processes of nucleotide binding and phosphodiester bond formation are rapid and are not promoter-specific (Mangel and Chamberlin, 1974 Shimamoto et al., 1981)

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