• Title/Summary/Keyword: 성심

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Analysis of Actual Cross-Sectional Area During Scanning According to MRI Bore Size (MRI 보어 구경에 따른 검사 시 실효 단면적 분석)

  • Jeong, Hyunkeun;Jeong, Hyundo;Kim, Seongho;Jeon, Mincheol;Yoo, Sejong;Ko, Hyuncheol;Cho, Yonghyun
    • Journal of Biomedical Engineering Research
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    • v.41 no.6
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    • pp.219-227
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    • 2020
  • In this study, we tried to quantify the actual cross-sectional area inside the bore when scanning by the MRI system with various bore sizes. To this end, a comparative analysis was conducted by both of blueprint of each MRI equipment and actual measurement in the field. As a result of analysis, ACSA(Actual Cross-Sectional Area) in Ingenia CX, Elition X, uMR 780, Omega, Vida, Lumina, Architect, Premier is recorded as 171230, 232150, 242100, 309332, 230760, 230760, 229380 and 235990 ㎟, respectively ACSA% was 60.6, 60.3, 73.0, 70.0, 60.0, 60.0, 59.6, and 61,3%. In addition, DTB (Distance from Table top to Bore top) recorded 400, 407, 445, 495, 405, 405, 405, 403, and 412 mm. Through this study, it was confirmed that there is a difference between the bore size according to each MRI system and the actual cross-sectional area during MRI scanning. Accordingly, if we consider the internal actual area just not bore size at the clinical site, useful diagnostic images can be obtained in the end with better convenience.

Intraoral Scan for Virtual Skull-Dentition Hybrid Images of Young Patients (가상 골격-치열 하이브리드 이미지 생성을 위한 구강 스캐너의 활용)

  • Lee, Joohee;Yang, ByoungEun;Lee, Hyelim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.1
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    • pp.57-64
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    • 2022
  • Additional dentition images are needed because the dentitions are distorted in cone-beam computed tomography (CBCT) due to streak artifacts and non-uniformity of the x-ray beam. The purpose of this study is to evaluate the feasibility of improving the dentition image of CBCT scan with intraoral scanner instead of plaster models. Maxilla images from plaster models, two intraoral scanners, and CBCT of 20 patients aged 12 to 18 were used in this study. With one of the intraoral scanners, the full arch was scanned by three segments and combined into a complete full arch. Virtual skull-dentition hybrid images from intraoral scanners were superimposed with the images from plaster models to evaluate the coordinate value difference and distance at reference points. The results showed that the coordinate value difference and distance were smallest with segmented intraoral scan, which showed only 2 ㎛ distance. Intraoral scan may provide good dentition images for virtual skull-dentition images.

Serum Lactate, Creatinine and Urine Output: Early Predictors of Mortality after Initial Fluid Resuscitation in Severe Burn Patients (중증 화상에서 초기 수액치료 이후 소변량, 혈중젖산, 크레아티닌 수치 변화와 이에 따른 사망률 예측)

  • Oh, Seyeol;Kym, Dohern
    • Journal of the Korean Burn Society
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    • v.23 no.1
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    • pp.1-6
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    • 2020
  • Purpose: PL, creatinine and urine output are biomarkers of the suitability and prognosis of fluid therapy in severe burn patients. The purpose of this study is to evaluate the usefulness of predicting mortality by biomarkers and its change during initial fluid therapy for severe burn patients. Methods: A retrograde review was performed on 733 patients from January 2014 to December 2018 who were admitted as severe burn patients to our burn intensive care unit (BICU). Plasma lactate, serum creatinine and urine output were measured at the time of admission to the BICU and after 48 hours. ABSI score, Hangang score, APACHEII, revised Baux index and TBSA were collected after admission. Results: 733 patients were enrolled. PL was the most useful indicators for predicting mortality in burn patients at the time of admission (AUC: 0.813) and after 48 hours (AUC: 0.698). On the other hand, mortality prediction from initial fluid therapy for 48 hours showed different results. Only creatinine showed statistical differences (P<0.05) in mortality prediction. But there were no statistical differences in mortality prediction with PL and UO (P>0.05). Conclusion: In this study, PL was most useful predictor among biomarkers for predicting mortality. Improvement in creatinine levels during the first 48 hours is associated with improved mortality. Therefore, efforts are needed to improve creatinine levels.

Improving the Performance of Blood Transfusion Management Division (수혈관리실의 역할 수행에 따른 개선 효과)

  • Ho-Keun CHOI;Kyung-Suk CHOI
    • Korean Journal of Clinical Laboratory Science
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    • v.55 no.1
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    • pp.65-70
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    • 2023
  • The effect of improvement by keeping the former as the priority was examined through an evaluation of the role of the blood transfusion management (BTM) division. This division manages the status of blood for transfusion, evaluates the adequacy of blood transfusion (EABT), monitors and responds to the occurrence of transfusion-related side effects, and performs other tasks necessary for BTM. Although the establishment and operation of the BTM division can lead to the efficient evaluation of transfusion adequacy, there are disadvantages in that it takes time for EABT and it is difficult for the staff in charge of the BTM division to evaluate the adequacy of all the blood. In the future, it is essential to introduce a BTM division and committee specific to Korean patients to implement safe and appropriate BTM in medical institutions, and to assist medical institutions in training their personnel.

Exploring of the Economy of Communion as Communities of Practice (실천공동체로서 나눔 경제 운영 탐색)

  • Kim, Jin-Hee;Kim, Byoung-Soo
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.7 no.6
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    • pp.937-945
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    • 2017
  • Economy of Communion (EoC) is an emerging economic principle that recognizes the dilemma of traditional perspectives and turns to human centered values and ideas. Furthermore the EoC encompasses all the principles derives from free market economy, ethical norm and social solidarity. This study aims to understand Economy of Communion concepts and its ripple effects under current Korean economy condition which mainly follows Neo-liberalism. Korean economy needs new paradigm to deal with intensifying economical inequality in Korea these days. By understanding EoC's primary value and studying research cases and Sungsimdang, Seokwangsa one of EoC enterprise cases in Korea, this study suggests new economic paradigm. In response to the needs, two important practices should be manifested through fraternity: 1) mutural equity, and 2) dissemination of giving culture. These are construct the economy of communion, which is defined as unique humanism. This study is also expected to suggest new paradigm that establishes new economy system that can cover current economy system's problems.

Explorative Study on Multicultural Perspectives in the Philosophy of Zhuāngzǐ (장자 철학에서 나타난 다문화 관점에 관한 탐색적 연구)

  • Woo, Su Myung
    • Korean Journal of Social Welfare Studies
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    • v.41 no.2
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    • pp.101-125
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    • 2010
  • It is need to reestablish multicultural perspectives when we coming into the multicultural society. The Zhuāngzǐ who lived in the Age of the Warring States 2300 years ago showed the way multicultural society pursues. We reorganized his works into the two categories as follows. First, we need to know multicultural society. The beginning of harmonious multicultural society is to know others. For this we should disregard Ceng-Xin and experience the variety of multicultural societies. Second, it is about the way multicultural society purse. Liang-Xing based on the altruism which includes Xuxin and self determination is important. For this, equality of variety and differences in multi culture should be materialized in a way to help each other. Therefore, we need to respect and impose a positive role of the strength of other culture in order to make active image. In addition, desirable multicultural society will sustain when we realize grand alliance with goodness of respecting others.

A Case of Gemcitabine Plus Nanoparticle Albumin Bound (nab)-paclitaxel Induced Cardiotoxicity in Patient of Metastatic Pancreatic Cancer (전이성 췌장암 환자에서 Gemcitabine과 Nanoparticle Albumin Bound (nab)-Paclitaxel로 인한 허혈성 심독성 발생 1례)

  • Mi Kang Kim;Se Woo Park
    • Journal of Digestive Cancer Research
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    • v.5 no.1
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    • pp.62-65
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    • 2017
  • Pancreatic cancer is an aggressive disease and despite the efforts of the past few decades, the 5-year overall survival (OS) rate remains disappointing and does not exceed 10% in Korea. Especially, only 15-20% of patients are candidates for surgical resection because most patients are diagnosed with locally advanced or metastatic disease, and their only treatment approach is palliative chemotherapy. Since the first chemo-regimen of Gemcitabine and Nanoparticle albumin bound (nab) - paclitaxel was brought to clinical practice in 2013, the improvement in overall survival, progression-free survival, and response rate was achieved in patients with metastatic pancreatic adenocarcinoma. We report the case of a young patient with cardiogenic shock accompanied by multi-organ failure after 4th cycle Gemcitabine and nab-paclitaxel chemotherapy with partial response.

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The Impact of Chatbot Usage on Health Changes Among the Baby Boomer Generation Women (베이비부머 세대 여성의 챗봇 활용에 따른 건강변화)

  • Kim SangMi;Choi Hui Chul;Ahn Moo Eob
    • The Journal of the Convergence on Culture Technology
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    • v.10 no.2
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    • pp.349-356
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    • 2024
  • By 2025, South Korea is expected to enter an ultra-aged society with the elderly comprising 20.6% of the population. We measured changes in health status before and after by the use of a "Cognition-Emotion Enhancement Chatbot Integrated Product" among Baby Boomer generation women. Fifty participants, proficient in smart device usage and willing to provide data, were selected from health communities in Seoul. After excluding some applicants, 43 Baby Boomer women were analyzed. Results revealed significant differences in post-chatbot use physical activity (43.5.21 ± 1310.39 MET) and depression levels (6.84 ± 3.53). Correlation between the two variables was not statistically significant. The findings suggest specific effects of the chatbot on physical activity and depression, emphasizing the need for future research with diverse health indicators.

The Prognostic role of Electrocardiographic Signs of Cor Pulmonale in Chronic Obstructive Pulmonary Disease (폐성심을 시사하는 심전도 소견 유.무에 따른 만성폐쇄성 폐질환 환자의 예후)

  • Shin, Moo-Chul;Park, Jae-Yong;Bae, Moon-Seob;Bae, Nack-Cheon;Chae, Po-Hee;Kim, Chang-Ho;Jung, Tae-Hoon
    • Tuberculosis and Respiratory Diseases
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    • v.48 no.6
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    • pp.944-955
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    • 2000
  • Background : In patients with chronic obstructive pulmonary disease(COPD), several factors have been associated with a poor prognosis. These include old age, low $FEV_1$ low diffusing capacity, high alveolar-arterial oxygen pressure difference, and finally cor pulmonale. This study was done to investigate if the ECG signs suggesting cor pulmonale were independent prognostic factors in patients with COPD. Method : We analyzed ECG, pulmonary function data and arterial blood gas values in 61 patients who were admitted through the emergency department with an acute exacerbation of COPD. The ECG signs reflecting cor pulmonale were right strial overloading(RAO), right bundle branch block, right ventricular hypertrophy and low-voltage QRS. The 61 patients were divided into 2 groups ; group I with no ECG signs(n=36) and group II with one or more ECG signs(n=25) suggesting cor, pulmonale. Results : Poor, prognostic factors by univariate analysis were low $FEV_1$, $FEV_1$ % pred., VC % pred., DLco, DLco % pred., $PaO_2$ and $SaO_2$ high $PaCO_2$ presence of ECG signs reflecting cor pulmonale, presence of mental status change, use of mechanical ventilator, and long term use of glucocorticoid. A multivariate analysis indicated that age(risk ratio=1.13, 95% confidence interval 1.05-1.23), DLco % pred. (risk ratio=0,97. 95% confidence interval 0.94-0.99), $PaO_2$ (risk ratio=0.95, 95% confidence interval 0.90-0.99) and RAO(risk ratio=5.27, 95% confidence interval 1.40-19.85) were independent prognostic factors of survival. There was a significant difference in survival between the patients with and without RAO(p=0.038). The survival rates at 1, 2, and 5 years were 94.5%. 81.4%, and 50.0% in patients without RAO and 82.4%, 70.6%, and 27.5% in patients with RAO, respectively. Conclusion : These results suggest that the presence of ECG signs reflecting cor pulmonale is a predictor of survival and that RAO of these ECG signs is a significant independent predictor of survival in patients with COPD.

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Clinical Results of Footprint Restoration Anterior Cruciate Ligament Reconstruction with Remnant Preservation (잔여부 보존술식을 이용한 고유부착부 재현 전방십자인대 재건술의 임상결과)

  • Chung, Hyun-Min;Seo, Young-Jin;Song, Si Young;Cha, Myoungsoo
    • Journal of the Korean Orthopaedic Association
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    • v.54 no.6
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    • pp.537-546
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    • 2019
  • Purpose: Anteromedial (AM), posterolateral (PL), anterior, and posterior remnant preserving anterior cruciate ligament (ACL) reconstructions were conducted on patients with partial ACL tears based on the arthroscopic findings. The clinical results of the four groups were compared. Materials and Methods: This study included 98 patients who underwent a remnant preserving ACL reconstruction from January 2013 to June 2016 and could be followed-up for at least two years. The subjects were categorized into four groups according to the selective bundles reconstructed: group A, anteromedial selective bundle reconstruction; group B, posterolateral selective bundle reconstruction; group C, anterior bundle reconstruction; and group D, posterior bundle reconstruction. The preoperative and postoperative anterior translation from the stress X-ray, International Knee Documentation Committee Subjective Knee Form (IKDC SKF) score, Lysholm score, and hospital for special surgery (HSS) score were compared. Results: All four groups showed significant improvement in anterior translation on the stress X-ray conducted with knees at 15° flexion, IKDC SKF score, Lysholm score, and HSS score postoperatively (in all groups, p<0.001). No intergroup differences were observed in terms of the functional outcomes except that preoperative IKDC SKF score was higher in the C group than in the A group (p=0.021), and the preoperative Lysholm score was higher in the B group than in the A group (p=0.03). Conclusion: After the AM, PL, anterior, and posterior remnant preserving ACL reconstructions, all four groups showed satisfactory results in terms of the anteroposterior stability and functional knee scores with no significant intergroup differences.