• Journal of Korean Biological Nursing Science
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• v.20 no.4
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• pp.236-243
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• 2018

Purpose: The purpose of this study was to identify the factors associated with the discontinuation of patient controlled analgesia (PCA) after surgery. Methods: The data of 1,092 adult patients that were over 20 years of age and underwent PCA after surgery in the Gachon University Hospital from May 1 to June 30, 2017, were collected through the patients' Electronic Medical Record (EMR). The collected data was analyzed via the use of the Chi-test, t-test and multivariate logistic regression analysis using SPSS 18.0 program. Results: The postoperative PCA discontinuation rate was 26.1%. It was associated with various symptoms, such as those of nausea, dizziness, and headache. The PCA discontinuation was also related with female (odds ratio, OR= 1.75; confidence interval, CI= 1.09-2.82), nausea (OR= 105.27; CI= 61.03-181.58), total intravenous anesthesia (TIVA) of the thyroidectomy (OR= 10.43; CI= 5.01-21.70). Conclusion: It is necessary to provide additional medication and nursing interventions to reduce nausea, which is the symptom associated with PCA discontinuation, especially in the operation of female subjects and thyroidectomy under TIVA. That is, those who are at a high risk for PCA discontinuation should be able to administer additional antiemetics or reduce non medication nursing interventions.

• Journal of Korean Clinical Nursing Research
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• v.24 no.1
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• pp.1-9
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• 2018

Purpose: The study was to examine the effects of the individual education about chemotherapy for cancer patients as well as their family who are receiving the first chemotherapy on self-care knowledge, self-care performance, family support, and anxiety level. Methods: A non-equivalent control group was used in this interventional study. A total of 50 patients with cancer aged above 19 in the K university hospital, Seoul, Korea, participated in the study (Experimental group: n=25, Control group: n=25). The education about chemotherapy was offered one week after hospital discharge, which was followed by telephone counseling Data were analyzed by the SPSS/WIN 20.0 program using percentage, frequency, mean, standard deviation, $x^2$ test, and independent t-test. Results: The experimental group showed a significantly better self-care knowledge (t=4.094, p<.001), self-care performance (t=3.532, p=001), family support (t=2.170, p=.035), and anxiety control (t=4.780, p<.001) than the control group. Conclusion: The findings suggest that the individual education should be considered for cancer patients and their family in the clinical fields.

• Journal of TMJ Balancing Medicine
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• v.13 no.sup
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• pp.27-33
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• 2023

The purpose of this study is to describe the effects of temporomandibular joint balancing therapy on a patient with a spinal accessory neuropathy. A patient reported sternocleidomastoid muscle and trapezius muscle weakness after self-massage. The patient was instructed to wear the Accurate Balancing Appliance (ABA) for at least 8 hours per day and maintain an upright posture. The patient received cervical spine manipulation on day 2, 4, and 6. The patient's progress was tracked based on the angle at which the head turned to the right from the midline when she lifted her head while lying down, as well as the muscle strength and pain in the right trapezius muscle. The patient recovered spontaneously after 7 days. The ABA and cervical spine manipulation assisted the patient in reducing fatigue and discomfort during daily activities.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2017.10a
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• pp.491-493
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• 2017

본 논문에서는 PCM 알고리즘을 적용하여 한국인 고유의 신체적 특성에 맞는 한의학 기반의 한방 자가 진단 시스템을 제안한다. 제안된 방법은 사용자로부터 입력받은 각 증상들에 가중치를 설정한다. 입력받은 증상의 개수가 많아질 경우에는 해당되지 않는 질병이 도출되기 때문에 각 증상 클러스터의 가중치를 낮게 설정하여 적은 입출력 변화에도 전체 결과의 신뢰도에 영향을 주지 않도록 한다. 입력 데이터와 가중치를 기반으로 하여 이미 학습된 질병의 증상과 비교한 후, 유사도가 높은 상위 5개의 질병을 도출한다. 도출된 상위 5개의 질병과 도출된 질병의 원인과 민간요법을 제공한다. 질병과 증상에 대한 데이터베이스는 여러 한의학 서적을 통해 구축한 후, 한의학 전문의의 검증을 거쳐 구현하였다. 제안된 한방 자가 진단 시스템은 진료 기록을 바탕으로 증상을 학습함으로써 기존의 질병 진단 시스템 보다 다양한 증상에 대한 질병 정보를 제공할 수 있는 것으로 확인되었다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.2
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• pp.619-624
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• 2017

This study examined the effects of taping therapy on knee pain and depression in older adult women. A nonequivalent control group pre-post design was used. A total of 63 older adult women in the senior welfare center were recruited and assigned to the experimental group (31) or control group (32). Taping therapy was provided to the experimental group three times a week for two weeks. Data were collected before and after the intervention program. The data were analyzed using frequency, percentage, Chi-square test, and t-test with SPSS Statistics Win 21.0 program. Knee pain (t= -9.91, p<0.001) and depression (t= -4.59, p<0.001) were decreased significantly in the experimental group. The results show that taping therapy is an effective nursing intervention for decreasing knee pain and depression in older adult women.

• Radiation Oncology Journal
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• v.21 no.3
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• pp.192-198
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• 2003

Purpose: Current results of autologous stem cell transplantation (SCT) suggest that this procedure may prolong disease free survival In patients with acute myeloid leukemia (AML). Autologous SCT is increasingly used as treatment for AML in first remission. The aim of this study was to evaluate the outcome of autologous SCT for patients with AML in first remission treated by autologous SCT using cytarabine, melphalan and total body irradiation (TBI) as the conditioning regimen. Materials and Methods: Between January 1995 and December 1999, 29 patients with AML in first remission underwent autologous SCT. The median age of patients was 33 years (range, 16 to 47). The conditioning regimen consisted of cytarabine ($3.0\;gm/m^2$ for 3 days), melphalan ($100\;gm/m^2$ for 1 day) and TBI (total 1000 cGy in five fractions over 3 days). Results: The median follow up was 40 months with a range of 3 to 58 months. The 4-year cumulative probability of disease free survival was 69.0%, and median survival was 41.5 months. The 4-year relapse rate was 27.6%. The factor Influencing disease free survival and relapse rate was the French-American-British (FAB) classification ($M_3$ group vs. other groups; p=0.048, p=0.043). One patient died from treatment-related toxicity. Conclusion:: Although the small number of patients does not allow us to draw any firm conclusion, our results were encouraging and suggest that the association of cytarabine, melphalan and TBI as a conditioning regimen for autologous SCT for AML on first remission appears to be safe and effective.

• The Journal of the Korea Contents Association
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• v.9 no.5
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• pp.24-32
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• 2009

Our society is rapidly ageing and income level is rising. With the development of IT-based convergence technology and the construction of infrastructure for the u-healthcare services, the importance of the hand acupuncture prescription has known as the folk remedies is being spotlighted. In this paper, we proposed the hand acupuncture prescription using the personalized symptom according to context in the u-healthcare. The proposed method defined the context and environment of the users and predicted the profited hand acupuncture prescription service according to the personalized symptom using the collaborative filtering. The user gets the accurate hand acupuncture prescription as the personalized symptom to input only the name of a disease in the proposed system. We developed GUI for this purpose, and experimented with it to verify the logical validity and effectiveness. Accordingly, the satisfaction and the quality of services will be improved the hand acupuncture prescription by supporting the context information as well as the personalized symptom.

• Clinical and Experimental Pediatrics
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• v.52 no.1
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• pp.93-98
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• 2009

Purpose : The purpose of this study was to evaluate the clinical characteristics and outcomes of patients with neuroblastoma aged less than 1 year. Methods : From January 1997 to December 2007, 41 patients aged less than 1 year were diagnosed with neuroblastoma. Patients were divided into 3 risk groups according to the stage of the disease and N-myc amplification. Low-risk patients underwent surgery with (stage 2) or without (stage 1) short-term chemotherapy. Intermediate-risk patients underwent chemotherapy and surgery with or without local radiation therapy. High-risk patients underwent chemotherapy, surgery, radiation therapy, and high-dose chemotherapy/autologous stem cell rescue (HDCT/ASCR). Results : While tumor relapse occurred in only 1 patient, 7 patients died of treatment-related toxicities. Causes of treatment- related death included infection during conventional chemotherapy in 5 patients and acute myocarditis during HDCT/ASCR in 2 patients. The overall 5-year survival (${\pm}$ standard error) and 5-year event-free survival (EFS) rates after diagnosis for all 41 patients were $82.8{\pm}5.9%$ and $80.0{\pm}$6.3%$, respectively, with a median follow-up of 58 (9-137) months. The 5-year EFS rates for low-risk, intermediate-risk, and high-risk patients were 100%, $68.4{\pm}10.8%$, and $66.7{\pm}19.3%$, respectively. Conclusion : Increased efforts to reduce infection-associated toxicity deaths during conventional chemotherapy are needed to further improve the survival of patients with neuroblastoma aged less than 1 year.

• Clinical and Experimental Pediatrics
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• v.49 no.10
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• pp.1079-1085
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• 2006

Purpose : The purpose of this study was to evaluate factors affecting hematologic recovery and infection in high-dose chemotherapy(HDCT) and autologous stem cell transplantation(ASCT) in patients with high-risk solid tumor. Methods : From January 2004 to December 2005, 72 HDCTs and ASCTs were applied to children with high-risk solid tumor at Samsung Medical Center. Medical records of these 72 HDCTs and ASCTs were retrospectively analyzed. Results : The single most powerful predictor of neutrophil and platelet recovery was the number of transplanted $CD34^+$ cells. The duration of high fever was significantly longer in young patients, in patients treated with total body irradiation and/or thiotepa, and in patients transplanted with lower $CD34^+$ cell dose(<$2{\times}10^6/kg$). However, the difference in the duration of high fever according to the number of $CD34^+$ cells was not clinically significant. Conclusion : Findings in this study suggest that HDCT and ASCT with low $CD34^+$ cell dose is clinically feasible despite delayed hematologic recovery, especially at a dose >$1{\times}10^6/kg$ per transplantation. Therefore, it is important not to defer the appropriate time for HDCT for an additional collection of hematopoietic stem cells if the number of collected $CD34^+$ cells is >$1{\times}10^6/kg$ per transplantation.

• Proceedings of the Korea Information Processing Society Conference
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• 2011.11a
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• pp.1043-1046
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• 2011

건강에 대한 예방과 관리를 반영한 것이 대체의학이다. 대체의학 중에 이침(耳針)요법은 부작용이 적은 방법으로 널리 사용되고 있다. 이침요법은 간단한 교육과정을 거친 후 자가 진단을 통해 응급처치가 가능한 것으로 실생활에서 손쉽게 이용되고 있다. 따라서 본 논문에서는 심장에 해당하는 이(耳)혈 상응점을 자극하여 심장과 관련된 음성 요소의 변화를 측정하였다. 이를 위해 심장에 해당하는 이(耳)혈 상응점을 자극하기 전과 후의 음성을 수집하여 음성 분석 요소 중 Jitter와 2Formant Frequency Bandswidth을 적용하여 단위 시간안의 발음에서 성대 진동의 변화율과 공명강의 변화를 통해 심장과 음성의 상관성을 분석하는 연구를 수행하였다.