• Title/Summary/Keyword: 동시치료

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Diagnostic Value of the Intradermal Test for the Infection with Clonorchis sinensis (간흡충증 진단을 위한 피내반응검사의 의의)

  • Kim, Jong-Ho;Yun, Bong-Yung;Lee, Heun-Ju;Lee, Hyun-Woo
    • Journal of Yeungnam Medical Science
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    • v.5 no.2
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    • pp.47-52
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    • 1988
  • The intradermal(ID) test has been widely used in Korea and several reports about the results of the ID test are known. We examined the egg of Clonorchis sinensis(C. s.) by ID test in 443, stool's egg-counting technique in 79 and direct smear(cellophane thick smear technique) in 1304 subjects. The results are as follows.: 1. The positive rate of C. s. was 3.8% out of 1304 persons. 2. The sensitivity of ID test was 82.1% out of 39 persons and, the specificity was 64.6% out of 404 persons. 3. The false positive of ID test 35.4% out of 404 persons and, the false negative was 17.9% out of 39 persons. Intradermal test is a rapid, sensitive and useful supplementary diagnostic tool for the detection of Clonorchiasis infection and must be used as screening test with direct smear of stool but cross reaction with other helminth infections and moderate false reaction are the main disadvantages in its practical application.

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An Analysis of the Vibration Characteristics through the Human Body (인체 내부에서의 진동 전달특성 분석)

  • 전종원;진용옥
    • The Journal of the Acoustical Society of Korea
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    • v.19 no.7
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    • pp.59-65
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    • 2000
  • This paper describes the analysis of vibration characteristics through the human body as the research for voice therapy and diagnosis. The oscillation signal is not external forces but the self-voice to be pronounced the vowels ('a', 'e', 'i', 'o', 'u'). The experiment system consists of microphones, accelerometers and amplifiers. The input data are stored by the computer. At the same time, the voice is stored by the microphone and the vibration signal of the human body is stored by accelerometer. The 63 points are appointed in head, neck, trunk of human body. The positions and number of times are changeable by the purpose. The analysis parameters are amplitude, phase, fundamental. frequency, formant and the correlation of vibration signal and voice is measured by coherence function. The results show that the vibration signals have characteristic vibration in the positions of human body.

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An Implementation of Radiologic Imaging Device of Remote Emergency Medical System (원격응급시스템의 방사선 영상장치 구현)

  • Cho, Dong-Heon
    • Journal of the Korean Institute of Illuminating and Electrical Installation Engineers
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    • v.21 no.1
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    • pp.60-65
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    • 2007
  • The radiologic imaging device was implemented. It can be installed in an ambulance or used when an accident happens. After an equipment which generates X-ray generating unit with a tube in DC 12[V] had been made, a trait experiment using an oscilloscope was made. An experiment was carried out where the generated X-ray was saved as a form of a file using a digital detector. In this experiment, as a result of generating X-ray and detecting it using a digital detector, 1.67[MB]-, jpg- radical rays information could be saved. One distinct advantage of the developed radiologic imaging device is the fact that we can efficiently deal with emergency cases too far from the hospital, difficult to diagnose but treat simultaneously. By using the radiologic imaging device at the urgent scene of an accident or in a moving ambulance, we can provide the patient's X-ray information with the emergency medical specialist who is in the emergent medical center and have the patients prescribed and treated appropriately. As a result the developed emergency medical treatment can be expected.

Analysis of 'Digital Divide' Research Trends in Library and Information Science (문헌정보학 분야 정보격차 연구동향 분석)

  • Kang, In-Seo;Kim, Hea-Jin
    • Journal of the Korean Society for information Management
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    • v.37 no.2
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    • pp.333-352
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    • 2020
  • This study aimed to analyze research trends of 'digital divide' in Library and Information Science. To this end, we coded research subjects with 11 subcategories, and research objectives with 4 subcategories, and research methods with 4 subcategories, and constructed keyword networks to which a pathfinder algorithm was applied. As a result of the analysis, 79.5% of studies are on the disabled, multicultural families, and the elderly among information vulnerable groups, and it was found to be concentrated in specific groups. In addition, digital divide related studies have been actively conducted for the purpose of resolving information vulnerabilities such as people with disabilities. We also found that these studies focused on verifying the effectiveness by designing and applying treatments such as informatization education, information utilization, and reading programs. Lastly, the most frequently used research method in the digital divide was found to use case studies or questionnaires simultaneously with literature research.

Thoracoscopic Sympathetic Nerve Reconstruction with using an Intercostal Nerve Graft after Thoracoscopic Sympathetic Clipping for Facial Hyperhidrosis (안면부 다한증에서 흉부교감신경차단수술 후 발생한 보상성 다한증에서 흉강경을 이용한 흉부교감신경 재건술)

  • Haam, Seok-Jin;Lee, Doo-Yun;Kang, Cheong-Hee;Paik, Hyo-Chae
    • Journal of Chest Surgery
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    • v.41 no.6
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    • pp.807-810
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    • 2008
  • From October 2005 to August 2006, sympathetic nerve reconstruction with using the intercostal nerve was performed in 4 patients with severe compensatory hyperhidrosis following thoracoscopic sympathetic surgery for facial hyperhidrosis. The interval between the initial sympathetic clipping and the sympathetic nerve reconstruction was a median of 23.1 months. The compensatory sweating after sympathetic nerve reconstruction was improved for 2 patients, but it was not improved for 2 patients. Thoracoscopic sympathetic nerve reconstruction may be one of the useful treatment methods for the patients with severe compensatory hyperhidrosis after they under go sympathetic nerve surgery for hyperhidrosis.

Implementation of a Black-Box Program Monitoring Abnormal Body Reactions (부정기적 발생 신체이상 모니터링 블랙박스 프로그램 구현)

  • Kim, Won-Jin;Yoon, Kwang-Yeol
    • The Journal of the Korea institute of electronic communication sciences
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    • v.7 no.3
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    • pp.671-677
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    • 2012
  • A black-box program was implemented in order to monitor abnormal symptoms of human body irregularly occurring during sleep. The system consists of sensor probing body signals, auxiliary devices such as the alarm, lamp, network camera, and signal monitoring computer. Various types of sensors, PPG, ECG, EEG, temperature, respiration sensor, G-sensor, and microphone were used to more exactly identify the causes of abnormal symptoms. If a symptom occurs, the system records the patient's condition to provide information being utilized in the treatment. The sensors are attached on some locations of body being proper to check a specific type of abnormal reaction. Based on the normal range and type of measurement data, criteria of signal levels were set to distinguish abnormal reaction. An abnormal signal being probed, the program starts to operate the lamp, alarm, and network camera at the same time and stores the signal and video data.

The Verification of Dosimetric Characteristics of the 3-D Compensator with the Exit Beam Dose Profile (Exit Beam Dose Profile을 이용한 3차원 보상체의 성능확인)

  • 이상훈;이병용;권수일;김종훈;장혜숙
    • Progress in Medical Physics
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    • v.7 no.2
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    • pp.3-17
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    • 1996
  • Dose compensators have been widely used in radiotherapy fields. But, few reliable verification methods have been reported. We have developed the verification method for the evaluation of the effect of dose compensator using exit beam dose profile. The exit beam dose profiles were measured with and without dose compensator. For this purpose X-Omat V films and lead screened cassettes are used and dose distibutions are compared. Phantom data are collected using CT simulator(Picker, AcQ Sim) and compensator information can be obtained from Render Plan 3-D planning System. Aluminum Compensators are generated by computer controlled milling machine. The real dose distribution in the phantom and the exit beam dose profile can be obtained simultaneously with the films in the phantom and the opposite site of the beam. Dose compensations effects for oblique beam, parallel opposing beam and inhomogeneous human phantom can be obtained using above tools. And we could simate those effects with exit beam dose profile using the method that we have developed in this study.

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Effects of Vocalization on Upper Extremity Muscle Activity during Reaching Task in Patients with Hemiplegia (발성이 편마비 환자의 팔 뻗기 시 상지근육의 근활성도에 미치는 효과)

  • Lee, Myoung-Hyo;Choi, Young-Chul;Kim, Jin-Sang
    • The Journal of the Korea Contents Association
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    • v.12 no.12
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    • pp.356-362
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    • 2012
  • This study examined the effects of vocalization on upper extremity muscle activity during reaching task in patients with hemiplegia. Thirteen persons with right brain stroke performed reaching to a cup under four concurrent speech conditions of vocalizing the word "Ah" with hemiplegic side. These four conditions are self-vocalization, external vocalization, imaginary vocalization, and no vocalization. The muscle activity(Biceps brachii, Triceps brachii, Middle deltoid, and Upper trapezius) were measured using MP150. Muscle activity was significantly higher under self-vocalization and external vocalization conditions compared to the muscle activity under imaginary vocalization and no vocalization conditions on triceps brachii muscle.(p<0.05). Triceps brachii muscle was highly correlated with biceps brachii muscle(r=0.777, p<0.05). The results suggest that self-vocalization and external vocalization can be used in facilitating upper extremity movements in patients with stroke. When working with patients with right hemispheric stroke, therapists might explore possibilities of using patient's self-speech to enhance the quality of upper extremity movement performance.

Co-Infection of the Rat Central Nervous System with Genetically Engineered Strains of Pseudorabies Virus (유전자 조작된 Pseudorabies 바이러스에 의한 흰쥐 중추신경계의 이중감염)

  • Kim Jin-Sang;Kwon Young-Shil
    • The Journal of Korean Physical Therapy
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    • v.11 no.2
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    • pp.81-92
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    • 1999
  • 중추신경계의 미주신경동쪽핵(DMV)내 유사핵분열후 신경세포로 외래 유전자를 전달하는 매개체로서 pseudorabies 바이러스(PRV)의 유전자 조작기술은 흰쥐의 결장내로 PRV를 주입시킨 후 복잡한 신경로 추적에 관한 연구에서 하나의 바이러스에 의해 얻어지는 것보다 더욱 유용한 결과산출이 가능하게 하였다. 본 연구에서는 흰쥐의 생체내 실험모델로 하나의 바이러스 또는 이중 바이러스 주입에 PRV의 유전자 조작된 2종 바이러스를 사용하였다. 이 2종의 바이러스는 PRV의 Bartha 종에서 유래되었지만 면역조직화학적으로 검출할 수 있는 동일한 유전산물을 산출할 수 있도록 구성되었다. PRV-BaBlu는 PRV 게놈의 Us 구역 중 gC 자리에 lacZ 유전자를 삽입하여 산출되었는데 $\beta-galactosidase$ 발현은 이 바이러스에 감염된 신경원의 독특한 표시자로 나타났다. PRV-D는 2가지 단계에 의해 조성되었는데 첫째, PRV-Bartha의 Us 구역의 일부 유전자를 제거하고, 야생형인 PRV-Be DNA로 복구시켰는데 이로써 PRV-D는 PRV-Bartha 또는 PRV-Bablu에 존재하고 있지 않는 외피 당단백질인 gE와 gI를 지니게 되었다. 본 연구의 결과는 다음과 같았다. 첫째, PRV-D의 개별적 접종에 의해 얻어진 감염은 PRV-BaBlu에 의한 동일 신경회로의 감염보다 유의하게 빨랐다. 둘째, 유전자 조작된 PRV의 변이종은 변이종 상호간 및 부모 바이러스와 상이하였다. PRV-D는 PRV-Bartha 또는 PRV-BaBlu보다 감염독성이 더 강했고, PRV-BaBlu는 PRV-Bartha보다 감염독성이 약했다. 셋째, 결장을 지배하는 미주신경동쪽핵내 신경원은 변이종 바이러스들을 동시에 접종하였을 경우 이중감염을 나타내었다.

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Treatment of Infected Tibial Nonunion Combined with Soft Tissue Defect (Effectiveness of Simultaneous Free-tissue Transfer and Ilizarov Distraction Osteogenesis) (연부조직 결손을 동반한 감염성 경골 불유합 및 골결손의 치료(유리피판술과 동시에 시행한 Ilizarov기구를 이용한 골연장술의 유용성))

  • Song, June-Young;Jung, Heun-Guyn;Seo, Seung-Yong;Jang, Hyun-Ho
    • Archives of Reconstructive Microsurgery
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    • v.14 no.1
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    • pp.37-41
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    • 2005
  • Purpose: The purpose of this study was to evaluate the effectiveness of internal transport using Ilizarov apparatus with free flap surgery for infected tibial nonunion. Materials and Methods: We reviewed 8 patients of infected tibial nonunion treated with internal transport using Ilizarov apparatus and free flap surgery. Seven of eight patients were available for at least 1 year follow-up. All patients were male. The mean age at the time of the surgery was All fractures were Gustilo's type III B open fracture. The mean length of the bone defect was 8.5 cm. All used flaps for covering the soft tissue defect were free rectus abdominis muscle flap. We evaluated bone and functional results with use of the Paley and Catagni's classification. And we classified the complication with use of the Paley's classification. Results: Acceptable length and solid union of bone was achieved in all cases. The mean size of the bone length was 7.2 cm. The mean healing index was 69.5 days/cm. All but one case needed bone graft at docking site. All flaps were survived. There was no recurrence of infection. According to Paley and Catagni's classification, all cases showed excellent or good results. Complications were pin tract infection in 3 cases, persistent pain in 2 cases and limitation of joint motion in 2 cases. Conclusion: Simultaneous free-tissue transfer and Ilizarov distraction osteogenesis was thought to be an attractive treatment modality for infected nonunion of the tibia.

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