• Title/Summary/Keyword: 서울대병원

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Statistical Approach of Measurement of Signal to Noise Ratio in According to Change Pulse Sequence on Brain MRI Meningioma and Cyst Images (뇌 수막종 및 낭종에서 자기공명영상 펄스 시퀀스 변화에 따른 신호대잡음비의 통계적 접근)

  • Lee, Eul-Kyu;Choi, Kwan-Woo;Jeong, Hoi-Woun;Jang, Seo-Goo;Kim, Ki-Won;Son, Soon-Yong;Min, Jung-Whan;Son, Jin-Hyun
    • Journal of radiological science and technology
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    • v.39 no.3
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    • pp.345-352
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    • 2016
  • The purpose of this study was to needed basis of measure MRI CAD development for signal to noise ratio (SNR) by pulse sequence analysis from region of interest (ROI) in brain magnetic resonance imaging (MRI) contrast. We examined images of brain MRI contrast enhancement of 117 patients, from January 2005 to December 2015 in a University-affiliated hospital, Seoul, Korea. Diagnosed as one of two brain diseases such as meningioma and cysts SNR for each patient's image of brain MRI were calculated by using Image J. Differences of SNR among two brain diseases were tested by SPSS Statistics21 ANOVA test for there was statistical significance (p < 0.05). We have analysis socio-demographical variables, SNR according to sequence disease, 95% confidence according to SNR of sequence and difference in a mean of SNR. Meningioma results, with the quality of distributions in the order of T1CE, T2 and T1, FLAIR. Cysts results, with the quality of distributions in the order of T2 and T1, T1CE and FLAIR. SNR of MRI sequences of the brain would be useful to classify disease. Therefore, this study will contribute to evaluate brain diseases, and be a fundamental to enhancing the accuracy of CAD development.

Prevalence and Treatment Pattern of Korean Patients with Temporomandibular Disorders (한국인 턱관절장애 환자의 유병률과 진료 양태)

  • Yang, Hee-Young;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.34 no.1
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    • pp.63-79
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    • 2009
  • While previous epidemiological studies on temporomandibular disorders (TMD) have been based on a given health center or population sample, no study has been performed on general population of Korea, especially concerning about treatment pattern such as clinician’s specialty involved in TMD treatment, types and amount of prescription medication and cost. This study aimed to investigate magnitude of health visits and treatment patterns for Korean patients with TMD through the computerized database of Health Insurance Review and Assessment Service (HIRAS). Inclusion criteria were all patients registered on the HIRAS database over 3 years' period from 2003 to 2005 and the medical records of patients with TMD as a main diagnosis were extracted. Information collected was as follows; distribution related to gender, age and region and type of hospital the patients visited, treatment duration, clinicians' specialty involved in treatment, cost, types of prescription medication and surgical treatment. The results of this study indicated that 0.15% of the population yearly sought TMD treatment, presenting with increase of incidence over the three years. Most of TMD patients were women (99.8%) and the biggest age group was second and third decades and decreased with age. Seoul and Kyeonggi province presented with higher incidence of TMD compared to the other regions of Korea, which seems to be related with magnitude of population. 56% of TMD patients visited primary care sector and the numbers of treatment visits was the highest in dental clinic (38.4%), followed by orthopedics (28%) and ENT (13.6%) clinics in order. Duration of prescription medication was the longest for anti-inflammatory analgesics, followed by antipsychotic drugs and muscle relaxants. Inpatient care related to TMD was primarily performed in dental hospital compared to medical hospital. Medical database of HIRAS provided comprehensive and vast information on epidemiologic characteristics and treatment patterns for patients seeking TMD treatment, which can be more reliable data to expect medical demand for TMD in condition that accurate diagnosis and standardized treatment is delivered in clinical settings.

Physical Function and Fatigue in Mastectomy Patients (유방절제술 환자의 신체기능과 피로)

  • Yoo, Yang-Sook
    • Journal of Hospice and Palliative Care
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    • v.6 no.2
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    • pp.164-171
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    • 2003
  • Purpose : The purpose of this study was to provide information for developing a rehabilitation intervention that improves adaptation and the quality of life after mastectomy by investigating the level of physical function and fatigue in mastectomy patients. Methods : The subjects were 63 patients selected from St. Mary's Kangnam hospital Data were collected from March to June, 2003. Physical function was measured by the range of motion of the shoulder joint, shoulder function, and physical symptoms. fatigue was measured by using the Brief Fatigue Inventory (BFI). Results : The range of motion on the affected side was significantly lower than that in the healthy side. Shoulder function score was highest in the item of 'pull on pants', and lowest in the item of 'back zipper'. Physical symptom score was highest in the item of 'numbness', and lowest in the item of 'Itching sensation'. The highest item interfered by fatigue was 'normal work (includes both work outside the home and daily chores)'. Conclusion : The result of this study suggests that effective rehabilitation intervention for mastectomy patients should be needed to improve physical function, and reduce fatigue.

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Clinical Analysis for 120 Cases with Pediatric Airway Foreign Bodies (유소아 기도 이물의 임상 양상과 환기형 기관지 내시경술의 결과 : 서울대 병원의 경험 120례)

  • Cha, Won-Jae;Choi, Hyo-Geun;Moon, Sung-Joong;Hah, J.-Hun;Sung, Myung-Whun;Kim, Kwang-Hyun
    • Korean Journal of Bronchoesophagology
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    • v.12 no.2
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    • pp.26-30
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    • 2006
  • Backgroud and Objectives: Inhalation of foreign bodies in respiratory tract can be fatal to infants and child. After ventilating bronchoscopy technique was widelyused, most of the pediatric airway foreign bodies could be managed effectively. In this study, we aimed to analyze clinicalfeatures and outcomes of ventilating bronchoscopic removal of pediatric airway foreign bodies. Materials and Methods: One hundred twenty cases of ventilating bronchoscopy for pediatric airway foreign bodies at Seoul National University Hospital for the past 15 years were analyzed retrospectively. Results: In 120 cases, sex ratio (male: female) was 2.2:1 and mean age was 27.0 months. Most frequent type of airway foreign was peanut (60.2%). One hundred thirteen patients, in whom a foreign body was confirmed in the airway, were successfully managed by ventilating bronchoscopy. Delayed diagnosis and management made a significantly long postoperative hospital stay. Conclusion: Great care must be given when feeding young children, especially younger than 36 months, with nuts. Early intervention with ventilating bronchoscopy following a clinical suspicion is critical to successful treatment.

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Early Result of Bentall Operation (Bentall 술식의 조기 성적)

  • 송명근
    • Journal of Chest Surgery
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    • v.31 no.2
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    • pp.113-117
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    • 1998
  • From October 1993 to April 1997, 37 patients(30 male and 7 female patients), ranging in age from 23 to 73 years, were operated for annuloaortic ectasia with or without aortic dissection. Four patients were in New York Heart Association Class I, 10 in Class II, 20 in Class III, and 3 in Class IV. In cases of annuloaortic ectasia with aortic dissection, the surgical treatment in all cases consisted of total replacement of the ascending aorta with composite graft and reimplantation of the coronary arteries to the tube graft. The postoperative complication, as postoperative bleeding or LV dysfunction, was 18%(7 cases) and late mortality for entire group was 2.7%(one death). The period of follow-up ranged from 1 month to 36 months(average 9.6 months). In conclusion, Bentall operation for annuloaortic ectasia with or without aortic dissection is reliable method with low mortality and excellent short-term results.

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Cenangium Dieback Associated with Cenangium ferruginosum (Cenangium ferruginosum에 의한 소나무류 피목가지마름병)

  • Kim, Myoung-Ju;Kim, Kyung-Hee
    • Asian Journal of Turfgrass Science
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    • v.23 no.2
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    • pp.361-368
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    • 2009
  • Cenangium ferruginosum was known as the causal agent of dieback of pines including Pinus koraiensis and Pinus densiflora. Since the first report of the disease in Korea in 1989, a group dying occurred in Seoul, Gyeonggi, Kangwon and Chungbuk in 2007 spring. Although C. ferreginosum was known as a weak pathogen or a parasite, this disease caused in stressed pine by drought, wounding, extremely cold weather or unusual warm winter. In this study, we explained the features of cenangium dieback with the characteristics of pathogen to understand the trend of disease associated with the climatic change of the world. We collected pycnidia and apothecia from the diseased branches and stems of P. koraiensis and P. densiflora in Gyeonggi, Chungcheong and Gyeongsang province to characterization of pathogen. The fungal development on the diseased branches were observed and the isolates from pycnidia and apothecia were identified as Cenangium ferruginosum by their morphological characteristics and the molecular techniques.

A Study on the Healing Environment with Natural Elements in Healthcare Facility - Focused on the Case Study of Seoul National University Hospital - (의료시설 내 치유환경 조성을 위한 자연요소 도입에 관한 연구 - 서울대학교병원 사례분석을 중심으로 -)

  • Jeong, Tae-Jong
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.35 no.11
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    • pp.61-68
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    • 2019
  • The analysis of outdoor and indoor spatial composition with natural elements is required for the creation of healing environment in healthcare facility to provide basic data for the planning of hospital architecture. Literature review of healing environment and investigation on characteristics of spatial composition in architectural works and healthcare facilities have been conducted. The spatial composition of outdoor space for refuge and prospect from indoor space of Seoul National University Hospital have been analyzed. The result of this research can be summarized as followed. First of all, the main natural elements for healing environment are consisted with refuge in outdoor space and prospect from indoor space. The second one is that natural elements in Seoul National University Hospital are located in central, posterior, and lateral area of main hospital and connectivity, integration, and ERAM(3) which the characteristics of outdoor spatial composition with space syntax are focused on the museum of medicine and landscape area in the center of hospital. The third one is that the outdoor refuge and prospect from indoor space in Seoul National University Hospital can be replaced with cultural heritage like the site of Kyungmogungji and Changgyeonggung palace in and next to the hospital. In addition to the outdoor and indoor spatial composition, it is necessary to analyze the relationship between elements to develop the healing environment of hospital architecture.

Change in the Limit of Viability of Fetal Infants (태아 영아의 생존 한계의 변화에 대한 연구)

  • Choi, Chang Won;Hwang, Jong Hee;Shim, Jae Won;Kim, Sung Sin;Ko, Sun Young;Lee, Eun Kyung;Chang, Yun Sil;Park, Won Soon
    • Clinical and Experimental Pediatrics
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    • v.46 no.12
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    • pp.1194-1199
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    • 2003
  • Purpose : To determine the change in the limit of viability in fetal infants and the incidence of major complications in neonatal intensive care unit(NICU) at Samsung Medical Center(SMC). Methods : Sevety-three infants weighing less than 800 g at birth and 117 infants born earlier than 27 weeks gestational age, who were admitted to NICU at SMC between November 1994 and December 2002, were enrolled. Their medical records were reviewed with a focus on the survival and major complications, including chronic lung disease, retinopathy of prematurity, intraventricular hemorrhage, and periventricular leukomalacia. The limit of viability in fetal infants was defined as the birth weight or gestational age at which a 50% survival rate is reached and the incidence of major complications were compared by period(period I : Nov. 1994-Dec. 1998, period II : Jan. 1999-Dec. 2002). Results : The limit of viability in fetal infants was markedly lowered from birth weight range of 800-900 g or gestational age range of $26^{+0}-26^{+6}$ weeks in period I to birth weight range of 600-700 g or gestational age range of $24^{+0}-24^{+6}$ weeks in period II. The incidence rates of major complications at the limit of viability were all less than 50% in period II. There was no definite trend toward increased incidence of major complications as birth weight get smaller and gestational age get younger. Conclusion : Our results indicate that at present, fetal infants whose body weight is over 600 g, or whose gestational age is over 24 weeks should be resuscitated vigorously. The risk of major complications at this birth weight or gestational age seems to be not greater than that at a bigger birth weight or an older gestational age.

Some Biologic Correlates of Perinatal Mortality (주산기사망(周産期死亡)과 생물학적요인(生物學的要因))

  • Ahn, Yoon-Ok
    • Journal of Preventive Medicine and Public Health
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    • v.9 no.1
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    • pp.129-138
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    • 1976
  • The causes and problems underlying deaths in perinatal period are often similar and might be expected to yield to same type of preventive measures. This is one of the reasons for attempting to develop a reporting of perinatal mortality and its related matters. This study aims at figuring out the biologic risk factors onto the perinatal death. Considering stillbirth and early neonatal mortality separately, considerable associations between stillbirth and reproductive history of women, are observed, ana it is found that prematurity is the the far most important factor in the early neonatal mortality.

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A Report on the Shigella Cultures Isolated in Korea (1972) (1972년(年) 한국(韓國)에서 분리(分離)된 이질균(痢疾菌)에 관(關)한 보고(報告))

  • Ryu, Young-Hat;Kim, Soon-Hee
    • The Journal of the Korean Society for Microbiology
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    • v.8 no.1
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    • pp.7-11
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    • 1973
  • The authors identified eighty-eight Shigella cultures among about four thousands specimens collected from all over the country in 1972. Of eighty-eight cultures, seventy-seven cultures belonged to Shigella flexneri and eleven cultures to Shigella sonnei. None of cultures belonging to either subgroup A or C was detected in 1972. Of seventy-seven cultures of Shigella flexneri one was $B_{1b}$, fifty-six were $B_{2a}$, nine were $B_{3a}$, six were $B_{4a}$, three were By and one was each of $B_{3b}$ and $B_{3c}$. Of eleven cultures of Shigella sonnei seven cultures appeared to be phase I and the others phase II. Although there was quite a difference found in the incidence of isolating Shigella organisms between different areas as shown in Table 1, it would not be possible to understand that there might not have been the cases or carriers of Shigella in the areas where the organisms were not isolated in 1972. Concerning the biochemical properties it was not possible to compare the results obtained from the decarboxylase and dihydrolase tests with them obtained in previous years except that of lysine decarboxylase tests since they were not reported individually by the different serotypes in the previous reports. These results obtained in 1972 would be the data for the future comparison. In regards to the antibiotics-sensitivity of Shigella cultures the most of them showed sensitive results to nitrofurantoin, ampicillin, cephalosporin, gentamycin and geopen, and the majority of them appeared to be resistant to cloxacillin, tetracycline and streptomycin by means of the In Vitro tests.

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