• Title/Summary/Keyword: 성심

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특집_의료진과 함께 한 제 12회 성인당뇨캠프 - 강의노트-의사가 전한 당뇨정보 - 당뇨병과 혈관합병증

  • Gwak, Jeong-Eun
    • The Monthly Diabetes
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    • s.239
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    • pp.14-16
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    • 2009
  • 당뇨병은 '혈관병'이라고 한다. 대부분의 당뇨합병증이 혈관을 통해서 나타나고, 결국에는 그 혈관문제로 사망에 이르게 돼 당뇨병환자는 혈관 관리에 소홀해서는 안 된다. 이에 한국당뇨협회 제 12회 성인당뇨캠프에서도 춘천성심병원 내분비내과 류옥현 교수의 강의로 당뇨병 혈관합병증의 위험성이 강조되었다.

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A Case of Epilepsy with Mental Retardation Limited to Females in a Patient with PCDH19 Mutation Confirmed using an Epilepsy Gene Panel (뇌전증 유전자 패널 검사를 통해 확인된 PCDH 19 연관 뇌전증 1예)

  • Kim, Hyo Jin;Yu, Hee Joon
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.19 no.1
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    • pp.26-30
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    • 2019
  • PCDH19-related epilepsy is an inherited disease occurring in female patients and characterized by early onset seizure, intellectual disability, and behavioral disturbances. It is caused by de novo or familial heterozygous variation of the PCDH19 gene located on Xq22.1. Our patient was hospitalized for multiple focal seizures. The magnetic resonance imaging was normal and electroencephalogram showed focal epileptiform discharges. The child's development did not progress; she began to manifest, cognitive, behavioral and language delays. Because of that, we performed an epilepsy gene panel test. We report a case of epilepsy with mental retardation limited to female patients with mutation of PCDH19.

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Surgery for Advanced Nodal Metastasis in Thyroid Cancer (갑상선암에서 진행된 림프절 전이에 대한 수술적 치료)

  • Park, Min Woo;Rho, Young Soo
    • International journal of thyroidology
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    • v.11 no.2
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    • pp.117-122
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    • 2018
  • Metastases to regional cervical lymph nodes occur frequently in patients with thyroid cancer. The appropriate management of regional lymph node is important to achieve good disease control and to classify risk stratification for adjuvant radioactive iodine. However, there are some occasions that neck dissection is difficult and embarrassing in thyroid cancer. Especially, extensive or unusual nodal metastases bring challenges and makes neck dissection more difficult. Carotid artery management is one of the most difficult procedure in neck dissection. The management of patients who have persistent or recurrent cervical metastasis involving the carotid artery has been controversial and treatment dilemma to the surgeon. Metastasis of well differentiated thyroid cancer to the retropharyngeal lymph nodes is rare but occasionally encountered. The complete surgical excision is usually recommended for retropharyngeal lymph node metastasis of well differentiated thyroid cancer. An extensive mediastinal dissection in advanced differentiated thyroid carcinoma is occasionally required. This paper will review recent reports of management of advanced nodal metastasis of thyroid cancer and share the author's personal experience.

The Effect of Questions for Internal feedback on Functional Recovery and Task performance in chronic stroke patients (내재적 피드백을 위한 질문이 만성 뇌졸중 환자의 기능회복과 과제수행에 미치는 영향)

  • Sun, Hwa-Jung;Kim, Hee-Soo;Woo, Ji-Hea;You, Young-Youl
    • Journal of Korean Academy of Medicine & Therapy Science
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    • v.10 no.2
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    • pp.21-30
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    • 2018
  • Objective: The purpose of this study was to investigate questions and instructions for internal feedback effects on functional recovery and task performance while chronic stroke patients practised task-specific training. Method: Twenty-four chronic stroke patients were randomly divided into two groups; when patients performed same tasks, one was treated using questions and the other using instructions for internal feedback Both lasted 30 minutes, 5 times a week for 8 weeks. Outcome measures included Erasmus MC Modifications to the Nottingham Sensory Assessment (EmNSA), Measurement Properties of the Motor Evaluation Scale for Upper Extremity in Stroke patients (MESUPES), Chedoke Arm and Hand Activity Inventory (CAHAI), Korean version of Modified Barthel Index (K-MBI). Results: There were no significant differences between the two groups in EmNSA and K-MBI(p>.05). But, in MESUPES and CAHAI, there was significant difference between the two groups(p<.05). Conclusion: In this study, questions for internal feedback during task-specific training are more effective in improving upper extremity motor function and task performance than instructions for internal feedback.

Operative Treatment for Fibular Shortening after Trauma: A Case Report (외상 후 발생한 비골 단축증의 수술적 치료: 증례 보고)

  • Kim, Jiyoun;Kim, Gab-Lae;Lee, Chae-Ho
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.4
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    • pp.177-180
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    • 2021
  • Pediatric ankle fractures can cause physeal injuries which can lead to the shortening of the fibula. This induces a lateral shift of the talus, valgus tilt, and instability of the ankle joint, which can result in an arthritic change in this joint. Patients with a shortening of the fibula may complain of constant pain and restricted movements in their daily lives and during sports activities. Ankle reconstruction with fibula lengthening Z-osteotomy can provide excellent results if arthritis is absent or minimal, especially in young and active patients. To the best of the authors' knowledge, this is the first report in South Korea regarding the treatment of fibula shortening following a growth arrest due to injury.

Procalcitonin as a Predictor of Mortality in Burn Patients with Suspected Sepsis (패혈증이 의심되는 화상환자에서 Procalcitonin이 사망률 예측인자로서의 역할)

  • Kim, In;Kym, Dohern
    • Journal of the Korean Burn Society
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    • v.23 no.2
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    • pp.37-41
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    • 2020
  • Purpose: The purpose of this study was to investigate the usefulness of Procalcitonin (PCT) as a predictor of mortality in patients with burn sepsis, which is closely related to mortality. Methods: A retrospective study was conducted on 912 PCT patients diagnosed with burn sepsis in patients who survived fluid resuscitation for at least 3 days, aged 18 years or older who were admitted to Burn Intensive Care Unit (BICU) of Hallym University Hangang Sacred Heart Hospital from January 2008 to December 2018. Results: Compared with the surviving group, TBSA (31%:65%), Inhalation (59.66%:74.23%) and ABSI (8 points:12 points) were statistically significantly higher in the death group. Looking at the changes in PCT levels in each survival and death group from Week 1 to Week 4, there was a statistically significant difference in PCT levels in the survival and death groups each week (P<0.001). Although there were statistical differences between the survival and death groups in each state (P<0.001), there was no difference in PCT values for each state in both groups (P=0.090). Conclusion: In burn patients suspected of sepsis, the use of PCT is useful for predicting survival and death. It is necessary to conduct research based on prospective study through systematization of measurement standards and data from multiple institutions to increase the utilization of PCT through research that complements the limitations.

An Efficient Study of Emotion Inference in USN Computing (USN 컴퓨팅에서 효율적인 감성 추론 연구)

  • Yang, Dong-Il;Kim, Young-Gyu;Jeong, Yeon-Man
    • Journal of the Korea Society of Computer and Information
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    • v.14 no.1
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    • pp.127-134
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    • 2009
  • Recently, much research have been done on ubiquitous computing models in advanced countries as well as in Korea. Ubiquitous computing is defined as a computing environment that isn't bounded by time and space. Different kinds of computers are embedded in artifacts, devices, and environment, thus people can be connected everywhere and every time. To recognize user's emotion, facial expression, temperature, humidity, weather, and lightning factors are used for building ontology. Ontology Web Language (OWL) is adopted to implement ontology and Jena is used as an emotional inference engine. The context-awareness service infrastructure suggested in this research can be divided into several modules by their functions.

Developing an Artificial Intelligence Algorithm to Predict the Timing of Dialysis Vascular Surgery (투석혈관 수술시기 예측을 위한 인공지능 알고리즘 개발)

  • Kim Dohyoung;Kim Hyunsuk;Lee Sunpyo;Oh Injong;Park Seungbum
    • Journal of Korea Society of Digital Industry and Information Management
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    • v.19 no.4
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    • pp.97-115
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    • 2023
  • In South Korea, chronic kidney disease(CKD) impacts around 4.6 million adults, leading to a high reliance on hemodialysis. For effective dialysis, vascular access is crucial, with decisions about vascular surgeries often made during dialysis sessions. Anticipating these needs could improve dialysis quality and patient comfort. This study investigates the use of Artificial Intelligence(AI) to predict the timing of surgeries for dialysis vessels, an area not extensively researched. We've developed an AI algorithm using predictive maintenance methods, transitioning from machine learning to a more advanced deep learning approach with Long Short-Term Memory(LSTM) models. The algorithm processes variables such as venous pressure, blood flow, and patient age, demonstrating high effectiveness with metrics exceeding 0.91. By shortening the data collection intervals, a more refined model can be obtained. Implementing this AI in clinical practice could notably enhance patient experience and the quality of medical services in dialysis, marking a significant advancement in the treatment of CKD.

How to Review a Paper Written by Artificial Intelligence (인공지능으로 작성된 논문의 처리 방안)

  • Dong Woo Shin;Sung-Hoon Moon
    • Journal of Digestive Cancer Research
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    • v.12 no.1
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    • pp.38-43
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    • 2024
  • Artificial Intelligence (AI) is the intelligence of machines or software, in contrast to human intelligence. Generative AI technologies, such as ChatGPT, have emerged as valuable research tools that facilitate brainstorming ideas for research, analyzing data, and writing papers. However, their application has raised concerns regarding authorship, copyright, and ethical considerations. Many organizations of medical journal editors, including the International Committee of Medical Journal Editors and the World Association of Medical Editors, do not recognize AI technology as an author. Instead, they recommend that researchers explicitly acknowledge the use of AI tools in their research methods or acknowledgments. Similarly, international journals do not recognize AI tools as authors and insist that human authors should be accountable for the research findings. Therefore, when integrating AI-generated content into papers, it should be disclosed under the responsibility of human authors, and the details of the AI tools employed should be specified to ensure transparency and reliability.