• Title/Summary/Keyword: 아산호

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The Usefulness of Sector Blocks in Gamma Knife Surgery with Trigeminal Neuralgia (삼차신경통 환자의 감마나이프 수술 시 섹터블록 사용의 유용성 평가)

  • Jung, Chang-Young;Back, Geum-Mun;Woo, Sung-Ho;Kim, Myoung-Jun;Hwang, Jung-Ho;Lee, Hyun-Bi;Kim, Ho-Sung
    • Journal of Radiation Industry
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    • v.12 no.4
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    • pp.337-341
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    • 2018
  • Sector block is not used for Gamma Knife surgery in patients with generalized trigeminal neuralgia but sector block is used to reduce the dose reaching the brain stem when the trigeminal ganglgia and the 'Brain stem', radiation sensitive tissue, are adjacent. In the Gamma Knife surgical plan of this study, a surgical plan was established using a Leksell Gamma Plan 11. 1.0 (Elekta Instrument AB, Sweden) with one patient (Block unused, Brain stem dose No volume over 12 Gy, Case 1) who did not need a sector block and four patients (Block unused, Brain stem dose 12 Gy or more, Case 2~5) with a sector block. Magnetic resonance images were obtained by MPRAGE T1 and CISS Respectively. When the trigeminal ganglion is in close proximity to the brain stem, the brain stem volume is decreased when the sector block is used, while the treatment time was increased. In conclusion, This Study evaluates the usefulness of the Sector block in brain stem through Gamma Knife surgery in trigeminal neuralgia, which is considered to be the most important factor for the Gamma Knife surgery.

Impact of the Ventilator-associated Pneumonia Bundle in a Medical Intensive Care Unit (내과계중환자실에서 인공호흡기관련 폐렴 번들 적용의 효과)

  • Yoo, Song Yi;Jeong, Jae Sim;Choi, Sang Ho;Kim, Mi Na
    • Journal of Korean Biological Nursing Science
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    • v.20 no.4
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    • pp.205-213
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    • 2018
  • Purpose: The purpose of this study was to confirm the compliance of the application of a ventilator-associated pneumonia bundle and understand its effects on the decrease in the incidence of ventilator-associated pneumonia. Methods: This was a retrospective observational study with history control group design. Subjects were selected from January to June 2014, prior to the intervention using the ventilator-associated pneumonia bundle. Subjects were also selected from October 2014 to March 2015, 3 months after the intervention. The number of subjects was 112 before the intervention, and 107 after the intervention. Results: The number of nurses who followed the bundles increased from 8 out of 29 (27.6%) before the intervention to 19 out of 29 (65.5%) after the intervention (odd ratio= 4.99, confidence interval= 1.63-15.25, p= .004). There were 3 cases of ventilator-associated pneumonia before the intervention and 1 case after the intervention. The ventilator days were 2,143 days before the intervention and 2,232 days after the intervention. The ventilator-associated pneumonia rate of the 1,000 ventilator days was 1.40 before the intervention and decreased to 0.45 after the intervention. Conclusion: This study is meaningful, as there has been little research conducted regarding the application of the ventilator-associated pneumonia bundle in South Korea.

Focus Group Study on Health Care Professionals' Experience of Patient Safety Education (의사와 간호사의 환자안전교육 경험에 관한 포커스 그룹 연구)

  • Park, Jeong-Yun;Lee, Yu-Ra;Lee, Eu-Sun;Lee, Jae-Ho
    • Quality Improvement in Health Care
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    • v.26 no.2
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    • pp.56-65
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    • 2020
  • Purpose:This study aims to understand and explore the subjective experiences of patient safety education among health care professionals in developing a patient safety curriculum in South Korea. Methods: A qualitative descriptive study was conducted through two focus group interviews in the period October-December 2018. Eleven participants who underwent patient safety education participated in each session. All interviews were recorded and transcribed as spoken, and qualitative content analysis was used to identify categories of discussion depicting participants' subjective experience with patient safety education. Results: A total of three categories and seven themes were identified out of 77 units of analysis. Topics were identified in the dimensions of a patient safety curriculum, as follows: (1) activities for patient safety; (2) principle of patient safety (five rights, ethics, patient participation) and patient participation; (3) leadership, teamwork, and communication; and (4) reporting and learning system for patient safety events. In the dimension of methods, (5) case and evidence-based education and (6) multidisciplinary and small group teaching were identified. Finally, in the dimension of the system, (7) policies for patient safety education were identified. Conclusion: Our findings indicate that patient safety education is a significant area for health care professionals. Health care professionals suggested that a systematic patient safety curriculum would improve their knowledge and attitude toward patient safety. Moreover, it enables them to better construct a safety environment in a hospital.

A study on species composition and bycatch status of fishes by a three-side fyke net fisheries in Asanho Lake and Chungjuho Lake (아산호와 충주호의 삼각망에 의한 어획물 종 조성과 혼획 실태 연구)

  • Min Ah HEO;Heui Chen AN;Wan Ok LEE;Yong Beam PYEON;Seong Hun KIM
    • Journal of the Korean Society of Fisheries and Ocean Technology
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    • v.59 no.3
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    • pp.196-205
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    • 2023
  • This study investigated the species composition and bycatch status of fishes by fyke net between June and November 2020 in Asanho lake and Chungjuho lake. During the survey period, the catches in Asanho lake were identified as 2,931 individuals of 16 species from a total of six families and in Chungjuho lake were identified as 1,645 individuals of 14 species from a total of eight families. The dominant species in Asanho lake was Erythroculter erythropterus which accounted for 59.6% of the the total number of individuals and 40.5% of the total biomass caught. The dominant species in Chungjuho lake was Lepomis macrochirus which accounted for 48.2% of the the total number of individuals and Erythroculter erythropterus which accounted for 60.2% of the total biomass caught. The bycatch rates of non-commercial species in Asanho lake and Chungjuho lake were 77.0% and 82.6%, respectively. As a result of analyzing the frequency distribution of the total length of Carassius auratus and Siniperca scherzeri, which were the dominant species among commercial species, the bycatch rate of small individuals was 87.1%, and 42.7%, respectively.

Trends of Phytoplankton Community and Water Quality and Implications for Management in Estuarine River Systems (국내 연안 하구역의 식물플랑크톤 생체량 (chlorophyll a) 및 수질 동향)

  • Lee, Chang-Hee;Cho, Ki-An;Song, Eun-Sook;Sin, Yong-Sik
    • Korean Journal of Ecology and Environment
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    • v.38 no.2 s.112
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    • pp.160-180
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    • 2005
  • Long-term data (Ministry of Environment Water Quality Monitoring data) of phytoplankton biomass (chlorophyll a) and water quality were analyzed to investigate trends in biomass of the primary producers and water quality for the estuarine systems in Korea: Sumjin River, Han River, Asan Lake- Bay, Youngsan River, Keum River and Nakdong River. The literatures were also reviewed to examine the characteristics of phytoplankton biomass and water quality in the estuarine systems. The Sumjin River estuary, the single estuary without a dike in Korea showed the characteristics similar to other typical estuarine systems. Phytoplankton biomass was high during the fall at transitional regions (5 ${\sim}$ 15 psu) after riverine freshwater inputs were increased in summer. Concentrations of the nitrate and silicate were increased with the high river discharge rates. Phytoplankton biomass and nutrient concentrations were high during spring at the lower regions in the Han River whereas phytoplankton biomass and nutrient concentrations were high during spring at the upper regions in the Youngsan River. Phytoplankton biomass was the highest in the Asan Lake and nutrient concentrations were high at the upper region of the lake. In Nakdong River, phytoplankton biomass was high during winter and the biomass was slightly higher at upper region than at lower region. Long-term trends showed that total nitrogen and total phosphorus were mostly increased in the river systems. Implications of these results relevant to the water quality management for the river systems were also discussed.

Floristic study of Mt. Baekasan (백아산의 식물상)

  • Sun, Eun-Mi;Kim, Byeol-Ah;Son, Hyun-Deok;Jeong, Jeong-Chae;Im, Hyoung-Tak
    • Korean Journal of Plant Taxonomy
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    • v.47 no.3
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    • pp.236-263
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    • 2017
  • This study presents a discussion of vascular plants found on Mt. Baekasan, Hwasun-gun, Jeollanam-do, based on specimens collected during 32 separate field trips amounting to a total of 36 days conducted between May of 2011 and October of 2016. There are 651 taxa on Mt. Baekasan, consisting of 109 families, 366 genera, 576 species, 5 subspecies, and 70 varieties. Twelve plants endemic to Korea were found, including Cirsium setidens (Dunn) Nakai and Scutellaria insignis Nakai. There are a total of 61 taxa of floristic regional indicator plants specially designated by the Ministry of the Environment. Rare plants such as Jeffersonia dubia (Maxim.) Benth. & Hook. ex Baker & S. Moore in Mt. Baekasan are 17 taxa in total, and red list plants number 8 taxa, including Cremastra variabilis (Blume) Nakai ex Shibata. Nine calciferous plants were found, including Asplenium ruprechtii Sa. Kurata, Ulmus davidiana var. japonica (Rehder) Nakai and Morus cathayana Hemsl. Thirty-three naturalized plants were also found, including Ambrosia artemisiifolia and Rumex acetosella.

Metropolitan Area Development Planning and Environmental Impact Assessment in Korea : With Special Reference to Pusan and Asan-Bay Metropolitan Area Development Planning (광역개발계획과 환경영향평가 : 아산만권 및 부산권 광역개발계획을 중심으로)

  • Lee, Jong-Ho
    • Journal of Environmental Impact Assessment
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    • v.4 no.1
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    • pp.47-57
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    • 1995
  • This study analyzes the problems of environmental laws, development planning laws, Metropolitan Area Development Planning(MADP), and the level of environmental pollution at Pusan and Asan-Bay Metropolitan Area where MADP will be realized in the near future. In order to prevent the environmental pollution by realization of MADP, Environmental Impact Assessment Act and environmental impact assessment systems in Korea should be revised so as to reflect the followings. First, the impact of national landuse planning change on the environment should be considered at the beginning of environmental impact assessment procedures. Second, the overlapping and greater impact of many projects, whose part is the subject of environmental impact assessment, upon surrounding metropolitan area should be simultaneously evaluated and the environmental pollution protection and abatement alternatives must be made according to the above impact of the projects. Thirdly, total effluent regulation of water pollution, air pollution and solid wastes should be enforced based on the self-purification of the metropolitan area environment.

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성인병 뉴스 제310호

  • The Korea Association of Chronic Disease
    • The Korean Chronic Disease News
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    • no.310
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    • pp.1-18
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    • 2006
  • 강원도 인제군 보건소 권장원 소장/‘만성질환관리사업지원단’설치.운영/경기도립노인전문병원 2008년 건립/전통 한의약 세계적 브랜드로 육성/인터넷 이용 결핵환자 원격판독/“간호조무사 대체 법적 근거 마련”/건보-자보 일원화 추진 논란/“아시아 당뇨 대란 심각하다”/2010년 세계뇌졸중학회 서울 유치/“성분명처방, 시간 필요하다”/생동성 관련 품목허가취소 가처분 수용/KGMP“ 의약품 품목별로 평가한다”/식약청, 11번째 국산 신약 시판 허가/내년부터 의약품 설명서 알기 쉽게 교체/군부대장병 금연환경조성을 위한 이동금연클리닉 사업/외래환자 1위는‘서울아산병원’/‘대한네트워크병의원협회’발족/뇌혈관질환 50대 이후 사망원인 1위 차지/건강한 생활습관이 심혈관질환 예방의 첩경/

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남성 갱년기

  • KOREA ASSOCIATION OF HEALTH PROMOTION
    • 건강소식
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    • v.30 no.12 s.337
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    • pp.6-11
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    • 2006
  • 남성도 갱년기를 겪는다. 중년 여성의 전유물로 여겨졌던 갱년기가 남성에게도 나타나는 것이다. 40세 이후 남성의 신체기능 저하는 최근까지 자연적인 노화현상으로 치부됐다. 그러나 평균수명의 연장과 의학의 발달 등으로 건강한 노년 생활에 대한 욕구가 커지면서 남성의 갱년기 증상이 발견되기 시작했다. 특히 20대에 최고조로 증가하는 남성 호르몬(테스토스테론)이 점차 줄어들다가 40~55세 사이에 급격히 감소하면서 여러 가지 신체적, 정신적, 심리적 변화가 나타난다. 남성호르몬 감소의 첫 번째 징후는 부부관계에 관심이 없어지고, 좀 더 진행되면 만성피로를 느끼고 얼굴이 달아오르거나 식은 땀을 흘리며 손발이 저리기도 하다. 그리고 감정이 잘 조절되지 않아 사소한 일에도 짜증을 내게 되는데, 남성 호르몬 부족 때문에 나타나는 이러한 증상들을‘남성 갱년기’라 한다. 이번 호에서는 서울아산병원 비뇨기과 안태영 교수와 성의학클리닉 연구소 강동우 전문의의 도움으로 남성 갱년기에 관해 자세히 알아본다.

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A Study on the Molluscan Fauna in the Freshwater of Asan Area (아산시 일대 담수역의 연체동물상)

  • Shim, Yoon-Bo;Shin, Hyun-Chul;Jeong, Kye-Heon
    • The Korean Journal of Malacology
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    • v.19 no.1
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    • pp.53-70
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    • 2003
  • In order to understand freshwater molluscan fauna in Asan area, a survey was conducted on the watersheds of this area during the period of October 1999 to August 2000. For the purpose of easy overlook of the molluscan fauna in Asan area, present survey was undertaken on a total of 101 sampling sites of 4 major watersheds connected along Onyang River, Gokgyo River, Sapgyo Lake, and Asan Lake. The collected freshwater mollusks were analysed based on the environment of their habitats. The freshwater mollusks collected through out the present survey were 27 species, 12 families, 5 orders, and 2 classes. Of these, gastropods were 18 species, 10 families, 3 orders; and bivalves were 9 species, 2 families, and 2 orders. The dominant gastropods in this area were Radix auricularia coreana, Cipangopaludina chinensis malleata, Hippeutis cantori, Physa acuta, Gyraulus convexiusculus and Austropeplea ollula and the dominant bivalves were Anodonta arcaeformis, Anodonta arcaeformis flavotincta, and Anodonta woodiana. Dominant species in rice fields were Fossaria truncatula, Segmentina hemisphaerula and Physa acuta, dominant species in rivers were Radix auricularia coreana, Physa acuta, and Hippeutis cantori. Dominant species in reservoirs were Cipangopaludina chinensis malleata, Radix auricularia coreana, Austropeplea ollula, and Fossaria truncatula. Dominant species collected in lakes were Cipangopaludina chinensis malleata, Hippeutis cantori, Cipangopaludina japonica, and Radix auricularia coreana. Radix auricularia coreana, Cipangopaludina chinensis malleata, and Austropeplea ollula were dominantly inhabiting on the muddy bottoms. Anodonta woodiana, Cipangopaludina japonica, and Corbicula fluminea occurred mainly in the gravel areas. Radix auricularia coreana, Cipangopaludina chinensis malleata, and Hippeutis cantori were dominant in the muddy rock areas. Rock-dominant species were Radix auricularia coreana, Semisulcospira forticosta and Koreanomelania paucicincta. Sand-dominant species were Physa acuta, Radix auricularia coreana, and Hippeutis cantori. Sand gravel-dominant species were Physa acuta, Radix auricularia coreana, and oreanomelania paucicincta. Hippeutis cantori, Cipangopaludina chinensis malleata, and Gyraulus convexiusculus occurred in the sand-muddy areas. Cristaria plicata, appointed as an endangered species from the "Natural Environmental Conservation Law", was collected from 5 sampling sites (site Nos. 45, 47, 48, and 52). For the endangered species found in this survey should be make appropriate protection.

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