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Treatment Guidelines for Community-acquired Pneumonia in Korea: An Evidence-based Approach to Appropriate Antimicrobial Therapy (지역사회획득 폐렴의 치료지침 권고안)

  • Song, Jae-Hoon;Jung, Ki-Suck;Kang, Moon Won;Kim, Do Jin;Pai, Hyunjoo;Suh, Gee Young;Shim, Tae Sun;Ahn, Joong Hyun;Ahn, Chul Min;Woo, Jun Hee;Lee, Nam Yong;Lee, Dong-Gun;Lee, Mi Suk;Lee, Sang Moo;Lee, Yeong Seon;Lee, Hyukmin;Chung, Doo Ryeon
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.4
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    • pp.281-302
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    • 2009
  • The successful treatment of community-acquired pneumonia requires appropriate, empirical antimicrobial therapy. The etiology and antimicrobial susceptibility of major pneumonia pathogens can differ by country. Therefore, the ideal treatment guidelines for community-acquired pneumonia should be based on the studies performed in each country. We developed a treatment guideline for community-acquired pneumonia for immunocompetent adults in Korea. This guideline was developed by the joint committee of the Korean Society for Chemotherapy, the Korean Society of Infectious Diseases, and the Korean Academy of Tuberculosis and Respiratory diseases.

Management of Severe Trauma Patients in the Emergency Intensive Care Unit (응급중환자실에서의 중증외상환자 치료)

  • Kim, Ji-Ju;Suh, Gil-Joon;Jeong, Ki-Young;Kwon, Woon-Yong;Kim, Kyung-Su;Lee, Hui-Jai;Kim, Yeong-Cheol;Choi, Seok-Ho;Lee, Young-Ho;Lee, Kyung-Hag;Han, Kook-Nam;Jae, Hwan-Jun;Kim, Hyo-Cheol
    • Journal of Trauma and Injury
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    • v.24 no.2
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    • pp.98-104
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    • 2011
  • Purpose: The aim of this study was to evaluate the quality of the trauma care system of our hospital, in which emergency physicians care for major trauma patients in the emergency intensive care unit (ICU) in consultation with intervention radiologists and surgeons. Methods: This was a retrospective observational study conducted in an emergency ICU of a tertiary referral hospital. We enrolled consecutive patients who had been admitted to our emergency ICU with major trauma from March 2007 to September 2010. We collected data with respect to demographic findings, mechanisms of injury, the trauma and injury severity score (TRISS), emergency surgery, angiographic intervention, and 6-month mortality. Then, we compared the observed and predicted survivals of the patients. The Hosmer-Lemeshow test and calibration plots by using 10 groups, one for each decile, of predicted mortality were used to evaluate the fitness of TRISS. P-values of greater than 0.05 represent a fair calibration. Results: Among 116 patients, 12 (10.34%) were dead within 6 months after admission to the ICU, and 29 (25.00%) and 38 (32.80%) patients received emergency surgery and angiographic intervention, respectively. The mean injury severity score and revised trauma score were $36.97{\pm}17.73$ and $7.84{\pm}6.75$, respectively. The observed survival and the predicted survival of the TRISS were 89.66% (95% confidence interval [CI]: 84.03~95.28%) and 69.85% (95% CI: 63.80~75.91%), respectively. The calibration plots showed that the observed survival of our patients was consistently higher than the predicted survival of the TRISS ($p$ <0.001). Conclusion: The observed survival for the trauma care system of our hospital, in which emergency physicians care for major trauma patients in the emergency ICU in consultation with intervention radiologists and surgeons, was higher than the predicted survival of the TRISS.

Relation with Mothers of Oral Health Knowledge and Practice for Infants Oral Health Management (유아의 구강건강관리를 위한 어머니의 구강건강관리 인식과 구강보건지식과의 관계)

  • Lee, Young-Mee;Yeun, Young-Ran;Kim, Sung-Joong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.3
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    • pp.407-413
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    • 2016
  • This study examined the relationship between the oral health knowledge of infants and the oral health management of their mothers. The participants were 198 mothers living in D city. The data were analyzed using descriptive statistics, Pearson's correlation coefficients with the SPSS/PC 20.0 program. The results revealed oral health to be a serious problem, and that a visit to a dentist regularly is important. The relationship between the oral health awareness and the confidence that can keep cavities from children did not show significant progress on any topic. A relationship was observed between oral health knowledge and confidence in children who visit a dentist once a year, and a negative correlation between the first visit times and the effects of fluoride on the teeth. The relationship between oral health awareness and mothers' confidence when their children felt a toothache was better when they visited a dental clinic and their knowledge about infant food and beverages without sugar improved. The results of this study can be used to improve the program for the mother's oral health knowledge and effective management in children's education.

Variation of the Detection Efficiency of a HPGe Detector with the Density of the Sample in the Radioactivity Analysis (방사능 분석에서 밀도에 따른 HPGe 검출기의 검출효율 변화)

  • Seo, Bum-Kyoung;Lee, Kil-Yong;Yoon, Yoon-Yeol;Jung, Ki-Jung;Oh, Won-Zin;Lee, Kune-Woo
    • Analytical Science and Technology
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    • v.18 no.1
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    • pp.59-65
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    • 2005
  • When the low level radioactivity sample is measured, it is required to have many samples. For increase of the sample volume, a scattering and absorbing probability of the emitted gamma-ray in the sample are to be increased. In order to correct the self-absorption effect, the counting efficiency must be calibrated according to a geometrical condition and sample density. But, it is impossible to determine efficiency for counting sample using standard source with the same geometrical condition and density. In this study, the measuring efficiencies were determined with various counting containers and densities. In order to compare the self-absorption effect with the sample density in the various sample container, the variation of the counting efficiency with the densities was investigated by adding NaI, which has high solubility and density. Also, they were compared with Monte Carlo simulation. The self-absorption effect was found to be significant in the low energy region below 0.5 MeV.

A survey on installation and management of automated external defibrillators (자동심장충격기 설치현황 및 관리 실태 조사)

  • Seo, Hye-Jin;Yoon, Susie;Kim, Hyo-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.7
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    • pp.245-251
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    • 2018
  • This study was conducted to investigate the status of the installation, maintenance and management of automatic external defibrillators (AEDs) in all mandatory institutions and buildings of the providence to be equipped with AEDs. The study was conducted from November 20, 2017 to December 20, 2017, during which time 169 AED units were surveyed. The collected data was analyzed by frequency analysis and the percentage was determined using the SPSS/WIN 20.0 program. A total of 168 units (99.41%) of AEDs were installed inside. Additionally, 47 units (27.80%) were available 24 hours a day, and 44 units (26.00%) were available outside business hours of the institution. Moreover, 87 units (51.43%) of the responsible managers received rescue and first aid training. Evaluation of the management status of the AEDs revealed two (1.20%) that had problems with their battery state of charge battery charge and seven (4.10%) for which the AED pads were past the expiration date. A management system for the manager of AEDs should be established and a regular training program for their systematic maintenance should be developed and applied. It is also suggested that awareness of the necessity of continuous management be raised through reinforcement of laws and legal system reorganization.

Affecting Inter-department Rotation and Organizational commitment in Radiological Technicians (방사선사의 이동근무에 대한 태도와 조직몰입에 대한 연구)

  • Park, Seok-Kyu;Hong, Jee-Young;Lee, Moo-Sik;Na, Baeg-Ju;Lee, Jin-Yong;Bae, Seok-Hwan;Lee, Bo-Woo
    • Proceedings of the KAIS Fall Conference
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    • 2010.11b
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    • pp.911-914
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    • 2010
  • 본 연구는 이동근무를 시행하는 종합병원 방사선사의 이동근무에 대한 태도와 조직몰입도를 파악하기 위하여 시도 하였으며, 연구의 대상은 대전지역 이동근무를 시행하는 종합병원 4곳의 방사선사 110명을 대상으로 설문지를 이용하였다. 인구사회학적 특성은 성별은 남자가 많았으며 연령별로는 30~34세가 가장 많았으며 응답자 대다수가 부서이동 경험이 있었다. 정기적 근무부서 이동 필요성에 관한 문항은 대다수가 필요하다고 답하였으나 현 부서에서 이동 요구도는 비슷하게 나타났다. 근무부서 이동에 대한 태도의 영역별 점수에서는 전문직 발전이 가장 높게 나타났다. 인구사회학적 특성별 근무부서 이동에 대한 태도와 조직몰입의 차이검증에서는 성별, 결혼상태, 학력에 따라 유의한 차이는 없었으며 연령 19~29세에서 유의한 차이를 나타냈다. 미혼인 경우에 전문직 발전과 개인발전, 공통욕구에서 유의한 차이를 나타냈으며 종교를 가지고 있는 공통욕구 부문에서 유의한 차이를 나타냈다. 직무관련 특성에 따른 근무부서 이동에 대한 태도와 조직몰입의 차이검증에서는 월 급여 수준에서 199만원 이하의 전문직 발전과 개인발전, 현부서 근무기간 1년~5년의 개인발전에서는 유의한 차이를 나타냈으나 나머지 문항에서는 유의한 차이가 없었다. 월급여 수준에서 조직몰입은 250만원 이상이 가장 높게 나타났고, 근무유형에서는 정규직, 직위에서는 관리자가 조직몰입이 높게 나타났다. 11년 이상의 근무기간에서 병원에 대한 조직몰입이 높게 나타났다. 근무부서 이동 필요성에 대해서는 근무부서 이동이 필요하며 현 부서에서도 이동하는 것을 긍정적으로 생각하였으나 이동을 원하지 않는 경우에서 조직몰입이 높게 나타났다. 근무부서 이동에 대한 태도와 조직몰입도간의 상관관계에서 두 변수는 양의 상관관계가 있었고 이는 통계적으로 유의하였고, 근무부서 이동에 대한 4개의 영역 중에서 공통욕구만이 가장 큰 관련성을 나타냈다. 이상의 연구 결과를 종합하여 보면 연령이 낮은 군에서는 이동근무를 원하고 조직 몰입이 낮으나 이와 반대로 연령이 높은 군에서는 이동근무를 원하지 않고 조직 몰입도 높게 나타났다. 또한 낮은 급여, 비정규직, 현 부서에서 이동을 원할수록 이동근무에 대해 긍정적인 점수가 높게 나타났다. 이동근무에 대한 태도는 대부분 전문직 발전이라는 이유에서 이동근무가 필요하다고 느꼈으나 현 부서에서 이동 유무는 비슷한 분포를 보였고, 조직몰입은 이동근무를 원하지 않는 경우에서 높게 나타났다. 조직몰입은 정규직이고, 연령이 높고, 관리자이며 연봉이 높을수록 높게 나타났다. 이는 안정적인 위치에 있을수록 조직몰입이 좋다는 걸 보여준다.

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A Study on the Environmental Radiation Dose Measurement in the Nuclear Medicine Department (핵의학과에서 환경방사선량 측정에 대한 연구)

  • Kang, Bo-Sun;Lim, Chang-Seon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.6
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    • pp.2118-2123
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    • 2010
  • Korean individual occupational exposure control is focused on the retrospective service to the over-exposed person by the reading of personal dosimeter. Since the radiophamaceuticals using in the nuclear medicine department are uncontained radiation sources, the potential exposure at working environment is very high. Moreover, a patient remains radioactive for hours or even days after the administration of a radiopharmaceutical for diagnosis or treatment. Thus, the proper working environmental exposure control must be established and executed to protect not only the affiliated employees, but also guardians accompanying patients and temporarily visiting public from the exposure by the patients. Japanese radiation protection law regulates working environmental radiation exposure by regularly measuring and filing the environmental dose for years. This study was aimed at measuring working environmental radiation dose in the nuclear medicine department of an university hospital located in Daejeon, Korea. We measured the accumulation radiation dose in air at 8 locations in the nuclear medicine department by using the same method as in Japan with glass dosimeters. The highest dose rate, 0.23 mSv per month, was measured at the waiting room, and the second one is at reception desk. Even though the doses were lower than the Korean constraint dose rate (0.3 mSv/week) at the boundary of the radiation controlled area, it was over the dose limit of public (1 mSv/y) and environment (0.25 mSv/y). Conclusionally, it was found that the new or additional procedure was necessary to less the exposure dose to the receptionist and guardians by the environmental radiation dose in the nuclear medicine department.

Test Case Generation for Simulink/Stateflow Model Based on a Modified Rapidly Exploring Random Tree Algorithm (변형된 RRT 알고리즘 기반 Simulink/Stateflow 모델 테스트 케이스 생성)

  • Park, Han Gon;Chung, Ki Hyun;Choi, Kyung Hee
    • KIPS Transactions on Software and Data Engineering
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    • v.5 no.12
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    • pp.653-662
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    • 2016
  • This paper describes a test case generation algorithm for Simulink/Stateflow models based on the Rapidly exploring Random Tree (RRT) algorithm that has been successfully applied to path finding. An important factor influencing the performance of the RRT algorithm is the metric used for calculating the distance between the nodes in the RRT space. Since a test case for a Simulink/Stateflow (SL/SF) model is an input sequence to check a specific condition (called a test target in this paper) at a specific status of the model, it is necessary to drive the model to the status before checking the condition. A status maps to a node of the RRT. It is usually necessary to check various conditions at a specific status. For example, when the specific status represents an SL/SF model state from which multiple transitions are made, we must check multiple conditions to measure the transition coverage. We propose a unique distance calculation metric, based on the observation that the test targets are gathered around some specific status such as an SL/SF state, named key nodes in this paper. The proposed metric increases the probability that an RRT is extended from key nodes by imposing penalties to non-key nodes. A test case generation algorithm utilizing the proposed metric is proposed. Three models of Electrical Control Units (ECUs) embedded in a commercial vehicle are used for the performance evaluation. The performances are evaluated in terms of penalties and compared with those of the algorithm using a typical RRT algorithm.

The Efficacy of Oral Low Molecular Weight Collagen Peptide for Skin Recovery after Fractional Photothermolysis Laser Treatment (Fractional Photothermolysis 치료 후 피부회복 촉진에 미치는 경구용 저분자 콜라겐 펩타이드의 효과)

  • Kim, In Su;Choi, Sun Young;Kim, Byung Gyu;Kim, Jeong Kee;Kim, Eun Joo;Kim, Beom Joon;Kim, Myeung Nam
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.38 no.4
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    • pp.321-326
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    • 2012
  • Recent studies have revealed that collagen peptide plays a protective role on skin by improving the activity of antioxidants and acts as an inducer of skin regeneration. To evaluate the efficacy of low molecular weight collagen peptide for skin recovery after non-ablative 1550 nm fractional photothermolysis laser. 10 volunteers were randomly divided into two groups. Both control and experimental groups received fractional photothermolysis treatment. In the experimental group, 5 subjects received oral collagen peptide 1,000 mg/day for 8 weeks. Before and after the treatment, we measured elastic recovery of skin, transepidermal water loss (TEWL) and erythema index (EI) for each patients. The evaluation of clinical results showed that elastic recovery of skin is higher in the experimental group than the control group (p < 0.05). TEWL have no significancy between two groups and erythema rapidly disappeared in the experimental group. On the quartile grading scale, the mean patient satisfaction 4 weeks after the fractional photothermolysis treatment was 2.0 in experimental group and 1.2 in control group. The low molecular weight collagen peptide appears to be an effective conservative therapy for skin recovery after non-ablative 1550 nm fractional photothermolysis treatment.

A Morphological Comparison of Bamboo Zephyr Produced from Phyllostachys nigra var. henonis and Indonesian Gigantochloa apus (국산 솜대와 인도폐시아산 TALI를 이용한 대나무 Zephyr의 형태적 특성 비교)

  • Kim, Yu-Jung;Jung, Ki-Ho;Park, Sang-Jin;Roh, Jeang-Kwan
    • Journal of the Korean Wood Science and Technology
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    • v.29 no.2
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    • pp.84-90
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    • 2001
  • To investigate morphological characteristics of zephyr produced from two bamboo species, Phyllostachys nigra var. henonis and Gigantochloa apus, basic anatomic properties were examined by scanning electron microscopy and image analysis. According to SEM observation, zephyr from Phyllostachys nigra var. henonis was not of uniform in shape and showed macro crack between vascular bundle sheaths. This may be attributes to the sclerenchymatous fibers connected closely, thus resulting in difficult separation of intercellular layer. Zephyr from Gigantochloa apus was of uniform in shape, which may be caused by easy separation of intercellular layer of sclerenchymatous fibers having thin cell wall and large cell lumen. By image analysis in cross section of two species, the ratio of vascular bundle sheaths and cell wall ratio of sclerenchymatous fibers were examined. The ratio of vascular bundle sheaths in Phyllostachys nigra var. henonis was lower than that in Gigantochloa apus. However, cell wall ratio of sclerenchymatous fibers in Phyllostachys nigra var. henonis was higher than that in Gigantochloa apus.

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