• Title/Summary/Keyword: 분당

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Comparison of Fornix and Stria Terminalis Connectivity among First-Episode Schizophrenia, Chronic Schizophrenia and Healthy Controls (초발 조현병, 만성 조현병과 건강 대조군의 뇌활과 분계섬유줄 연결성 비교)

  • Lee, Arira;Yun, Mirim;Yook, Ki Hwan;Choi, Tai Kiu;Lee, Kang Soo;Bang, Minji;Lee, Sang-Hyuk
    • Korean Journal of Biological Psychiatry
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    • v.26 no.1
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    • pp.8-13
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    • 2019
  • Objectives Disrupted integrities of the fornix and stria terminalis have been suggested in schizophrenia. However, very few studies have focused on the fornix and stria terminalis comparing first-episode schizophrenia (FESZ), chronic schizophrenia (CS), and healthy controls (HCs) with the application of diffusion-tensor imaging (DTI) technique. The objective of this study is to compare the connectivity of the fornix and stria terminalis among FESZ, CS, and HCs. Methods We included the 44 FESZ patients, 39 CS patients and 20 HCs in this study. Voxel-wise statistical analysis of the fractional anisotropy (FA) data was performed using Tract-Based Spatial Statistics to analyze the connectivity of fornix and stria terminalis. In addition, the Scale for the Assessment of Positive Symptoms (SAPS) and the Scale for the Assessment of Negative Symptoms (SANS) were used to evaluate clinical symptom severities. Results There were no significant differences between the FESZ, CS, and HCs in age, sex, education years. The SAPS and SANS scores of the schizophrenia groups showed no significant differences. FA values of the right fornix cres/stria terminalis in the CS group were significantly lower than those in FESZ and HCs. There were no significant differences of FA values of the right fornix cres/stria terminalis between the FESZ and the HCs. Pearson correlation analyses revealed that significant correlation between FA values of the right fornix cres/stria terminalies of the the FESZ group and positive, negative symptom scales, and FA values of the right fornix cres/stria terminalis of the CS group and negative symptom scales. Conclusions This study shows that FA values of the fornix and stria terminalis in the CS were lower than in the FESZ and the HCs. These results suggest that the fornix and stria terminalis can play a role in pathophysiology of schizophrenia. Thus current study can broaden our understanding of the pathophysiology of schizophrenia.

Greenhouse Gas Mitigation Effect Analysis by Establishing Additional Heat Storage System for Combined Heat and Power Plant (열병합발전소에서의 축열조 증설에 의한 온실가스 감축 효과 분석)

  • Kim, Shang Mork;Yoon, Joong Hwan;Lim, Kyoung Mi
    • Journal of Climate Change Research
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    • v.2 no.3
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    • pp.175-189
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    • 2011
  • In this research, we describe the methodology and the quantification about GHG reduction effects, expected by optimization of operation mode according to establishing additional heat storage system of Bundang Combined Cycle Power Plant. As an intermediate form of General Combined Cycle Power Plant and Heat supply only district heating plant, Bundang Combined Cycle Power Plant(and Ilsan, Anyang, Bucheon) is possible to satisfy demand for the electrical load and thermal load capacity at the same time through changes to the operation mode itself. Therefore, through the operating transition of high-efficiency mode that the condenser cooling water is recovered and supplied to district heat and cooling, establishing additional heat storage system have flexible supply ability at the power and heat market. In this research, We calculated using the operating performance for the last three years(2008~2010) and efficiency of each mode-specific values. As a result, GHG reduction effects were calculated as $97.95kg_{-}CO_2/Gcal$ per heat energy 1 Gcal supplied at the heat storage system and we expected emmision reduction effect about $13,500Ton_{-}CO_2/yr$.

Effects of Medication Reconciliation and Cost Avoidance Analysis by Clinical Pharmacists in a Neurocritical Care Unit (뇌신경계 중환자실 전담 약사의 활동에 따른 약물 조정 효과 및 회피비용 분석)

  • Cho, Ui Sang;Song, Young Joo;Jung, Young Mi;Choi, Kyung Suk;Lee, Eunsook;Lee, Euni;Han, Moon-Ku
    • Journal of Neurocritical Care
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    • v.11 no.2
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    • pp.110-118
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    • 2018
  • Background: The role of clinical pharmacists in medication therapy to improve clinical and economic outcomes has been reported in the literature. This study was conducted to analyze the changes in details of medication interventions before and after the introduction of clinical pharmacists into the care of neurocritical care unit (NCU) patients, and to evaluate the economic effects of clinical pharmacists by calculating the avoidance cost. Methods: A retrospective study was conducted reviewing the electronic medical records from June 2013 to May 2014 (before), and from June 2016 to May 2017 (after). We calculated the number and rates of intervention, the acceptance rates of it, and also reviewed the list of interventions. We calculated avoidance cost if there was no intervention. Results: The monthly mean number of interventions increased from 8.0 (${\pm}5.7$) to 31.7 (${\pm}12.8$) (P<0.001) and the frequency of intervention also increased from 0.8% to 1.6% (P=0.003). The most frequently provided pharmacist intervention was nutritional support before introduction of clinical pharmacists and discussions on the medication plan after. The number of classified interventions was 14 before introduction of clinical pharmacist services and 33 after. The calculated cost avoidance associated with a clinical pharmacists' integration was 77,990,615 won per year. Conclusion: Introduction of clinicals pharmacist into the NCU was associated with increased intervention rates and expanded types of clinical interventions. The cost avoidance achieved by the pharmacists' interventions can be further explored to evaluate if similar expansions of pharmacists' services achieve similar results in other settings.

Respiration amount on the Growth Step of Pleurotus ostreatus (느타리버섯 생육단계별 호흡량)

  • Chang, Hyun-You;Baek, Seong-Ho;Seo, Geum-Hui;Lee, Jun-Ho
    • Journal of Practical Agriculture & Fisheries Research
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    • v.17 no.1
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    • pp.157-162
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    • 2015
  • The result of respiration amount on the growth step of P. ostreatus shows as follows. On the early and middle mycelial culture step, respiration amount per minute in the 16 bottles(850cc) maintained 184.75ppm, 185.8ppm respectively. Therefore we are able to calculate how much fresh air replace in the growth chamber for optimization optimal CO2 amount. This means early respiration amount was increased than middle a little on the proceeding mycelial culture. On the early, middle, last and post harvest growth step, the respiration amount per minute in the 16 bottles (850cc) maintained 154.5ppm, 148.1ppm, 157.1ppm and 101.6ppm respectively.

Clinical pharmacist services in general wards and perception and expectation of healthcare providers towards the services at a tertiary healthcare center (상급종합병원 병동담당약사 업무 현황 및 의료인의 인식과 기대 분석)

  • Kim, Jeongun;Baek, Sijin;Choi, Nayae;Jeon, Sujeong;Namgung, Hyung Wook;Lee, Junghwa;Lee, Euni;Lee, Ju-Yeun
    • Korean Journal of Clinical Pharmacy
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    • v.32 no.1
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    • pp.20-26
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    • 2022
  • Background and objective: The Seoul National University Bundang Hospital (SNUBH) implemented ward-based clinical pharmacy system with designated pharmacists in 10 general wards. Designated pharmacists conduct inpatient medication review, medication intervention, and medication consultation, and provide drug information for health care providers. This study aimed to evaluate the clinical pharmacy services and to examine the perception and expectations of health care providers on the services provided by the designated pharmacists in general wards. Methods: A survey was constructed to include questions on the health care providers' recognition, satisfaction, and perceived needs of designated pharmacists. We determined the frequency and type of interventions of ward pharmacist and their acceptance rate through a retrospective observational study using electronic medical records. Results: A total of 59 health care providers responded the questionnaire and 79.7% of the respondents reported moderate to high levels of satisfaction. Satisfaction with the services was positively associated with clinical interventions and nutrition support team (81.4%). Of 59 respondents, 88.1% agreed that preventing drug-related problems by designated pharmacists' activities were effective. The most common interventions included inadequate dosage (27.4%), omission and additional prescription (14.6%) and inadequate drug form (9.6%). The acceptance rate of intervention was 91.5%, and 151 potentially serious risks and 523 significant risks were prevented by the intervention. Conclusion: Positive results were confirmed in the awareness, satisfaction, and perceived needs of the health care providers for designated pharmacists. Expansion of the ward-based clinical pharmacy system with designated pharmacists to other wards may be considered.

Evaluation of Variation Method to Improve the Sensitivity of Immunoradiometric Assay (면역방사계수측정법의 민감도 향상을 위한 변법의 평가)

  • Won-Hyun Kwon;Mi-Ji Kang;;Ji-Sol Park;Jung-In Kim;Kyung-Jae Lee
    • The Korean Journal of Nuclear Medicine Technology
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    • v.27 no.1
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    • pp.29-35
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    • 2023
  • Purpose The concentration of PSA (Prostate Specific Antigen) after radical prostatectomy in prostate cancer patients is a predictor of biochemical recurrence, and the AUA (American Urological Association) is defined as biochemical recurrence when the concentration of PSA is measured at 0.2 ng/mL or more, and when the concentration is measured at 0.2 ng/mL or more at the retest. This standard is also applied our hospital. In this laboratory, the PSA reagent using IRMA (Immunoradiometric Assay) is used, and the sensitivity at a very low value was not as good as the reagent used in the department of laboratory medicine. This study aims to increase the reliability of the results by improving the precision and sensitivity of very low values. Materials and Methods As a reagent for the study, PSA reagent using IRMA was used. As a method to improve the precision and sensitivity of very low values, a variation method on the serum volume(25 uL, 50 uL, 100 uL, 200 uL) was studied, and variation usefulness evaluation was conducted. The evaluation items were compared the results of precision, analytical sensitivity, recovery rate, dilution test, high-dose hook effect test, parallel test and very low concentration values(n = 20). Results The validation results were displayed in the order of 25 uL, 50 uL, 100 uL, 200 uL. As the serum volume increased, it was confirmed that CV (Coefficient of Variation)(%) improved. Analytical sensitivity(ng/mL) was 0.038, 0.041, 0.017, 0.015 and recovery rate(%) was 101±3, 101±3, 99±2, 97±4. very low concentration values(ng/mL) between each volume(n=20) were 0.135±0.068, 0.076±0.050, 0.048±0.034, 0.046±0.034. and high dose hook effect appeared as the serum volume increased. Conclusion Through the variation usefulness evaluation, it was confirmed that as the serum volume increased, the precision and sensitivity improved at very low concentration values. However, it is necessary to pay special attention to the occurrence of high-dose hook effect as the serum volume increases. In the case of tests that requires very low concentration values, it is thought that the reliability of the result will be increased if the variation method is properly used after the variation usefulness evaluation.

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erratum : A Study on Developing Safety and Performance Assessment Guideline for Electronic Warm-Acupuncture Apparatus (erratum : 전기식 온침기에 대한 안전성 및 성능평가 가이드라인 개발 연구)

  • Hansol Jang;U-Ryeong Chung;Jeong-Hyun Moon;Seong-Kyeong Choi;Won-Suk Sung;Min-Seop Hwang;Seung-Deok Lee;Kyung-Ho Kim;Jong-Hwa Yoon;Eun-Jung Kim
    • The Journal of Korean Medicine
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    • v.44 no.1
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    • pp.128-128
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    • 2023
  • Objectives: This research aimed to develop a guideline for evaluating safety and performance of electronic warm-acupuncture apparatus. With the development of medical devices like electronic warm-acupuncture apparatus with improved performance, convenience and safety measures compared to traditional warm-acupuncture needling, safety and performance guideline is a necessity. Methods: By referring to existing standards and guidelines of other electronic devices for Korean medicine with heating function, guideline for safety and performance assessment of electronic warm-acupuncture apparatus was drafted Results: The guideline, presents explanation for adequate temperature and settings of the apparatus, and safety measurements providing against thermal runaway situations along with guidelines for the manual. Guideline for detailed test method for the performance of the apparatus such as accuracy of temperature increase and the timer, and safety unit was also provided. The test items and suggested test methods for the requirements of biological, electrical and electromagnetic safety were referred to Korean approval documents of ministry of Food and Drug Safety. Conclusion: We proposed the relevant items to verify performance and safety of warm-acupuncture apparatus to assure patient safety and improve the quality of currently developing devices for application in clinical field.

SOHO-IP 사업

  • Kim, Cheol-Gyu
    • Digital Contents
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    • no.7 s.62
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    • pp.91-95
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    • 1998
  • 사업을 하는 사람은 누구나 많은 이익을 내기를 원한다. IP사업자도 예외는 아니다. 아이템을 선정할 때 누구나 이용할 수 있는 평범한 정보, 즉 대중성이 강한 정보가 무조건 수익이 높을 것이라고 판단하는 경우가 많다. 그런데 대중성이 강한 정보는 정보이용료가 매우 낮게 책정되는 경우가 많다. 대개 무료정보이거나 유료라 하더라도 분당 30원에서 50원을 넘지 않는다. 이 경우 IP의 몫은 분당 15원~20원 정도가 된다. 이런 조건으로 고수익 IP가 된다는 것은 쉬운 일이 아니다. 이런 이유로 고수익을 위해서는 계층별로 전문화된 정보를 제공해야 한다.

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