• Tuberculosis and Respiratory Diseases
• /
• v.45 no.1
• /
• pp.45-56
• /
• 1998

Background: Lung cancer continues to increase worldwide. Also, the proportion of female patients incease and adenocarcinoma is the predominant histological type among lung cancer in many western countries. So, we studied these current trends of lung cancer by clinical approach of recent patients from our department Method: We conducted a retrospective analysis on 212 subjects who were diagnosed with lung cancer at the department of chest medicine in National Medical Center between January 1990 and July 1996. The contents of analysis were patient's profile, clinical manifestation, smoking habits, accuracy of diagnostic methods, histological cell type, staging and treatment, etc. Results: The results were as follows. 1) The ratio of male to female was 5.2 : 1. The peak incidence of age was 7th decade(35.4%). 2) Chief complaints were cough, dyspnea and chest pain, etc. The most common duration of symptoms before the first admission was less than 3 months(57.7%). On the other side, duration more than 1 year represented 6.5%. The early diagnosed patients has been increased from the 1980s. 3) Smokers among the total patients were 77.2%. The proportion of smokers in sqamous cell carcinoma, small cell carcinoma and adenocarcinoma were 88.4%, 85.7% and 55.7%, respectively. Smoking history and histological cell type were correlated in squamous and small cell carcinoma. 4) Squamous cell carcinoma is still the predominant histological type (44.8%), but, adenocarcinoma increased more than the previous study(30.7%). The other histological types were small cell carcinoma(17.0%) and large cell carcinoma(3.8%) in order of their proportions. 5) The accuracy of diagnostic methods were as follows: sputum cytology 75.3%, bronchoscopic biopsy 65.7%, lymph node aspiration cytology 95.8%, percutaneous lung aspiration cytology 94.6% and open lung biopsy 100%. The general accuracies of diagnostic methods were improved than previous studies. 6) Performance status scales on admission were relatively good. After diagnosis, chemotherapy and/or radiotherapy were undertaken in 69.3% of the patients, and only 7.5% of the patients were operated. Conclusion: In our study, squamous cell carcinoma is still the predominant histological cell type, but, adenocarcinoma continues to increase. Because adenocarcinoma is less correlated with smoking habits, further evaluation of other carcinogens than smoking is requested. Screening and early diagnosis of lung cancer is important for good performance status scales in spite of advanced stages. But, we think that the prevention, for example, stop smokings is more important as because of no perfect treatment for lung cancer.

• Journal of the Korea Convergence Society
• /
• v.6 no.3
• /
• pp.79-86
• /
• 2015

Recently, the tendency in the education system is toward the convergent curriculum to developing people of interdisciplinary abilities. This study was conducted to develop a clinical competence assessment program that assists health department students' clinical practice and to examine its learning effects. Study samples were composed 94 graduating student nurses who were from nursing dept of on M city. This study employed a one-group pre-post test design. knowledge, clinical competence and professional images were significantly higher in post test group. That was enhanced by clinical competence assessment program than that of the pretest group (p<.001). The results indicate that it will help students in clinical adaptability of the department of healthcare-Affiliated. Further study will be needed to identify the effect of a clinical competence and communication skills.

• Radiation Oncology Journal
• /
• v.10 no.2
• /
• pp.255-259
• /
• 1992

We have treated adult acute leukemia 64 patients between January 1990 and October 1991 at the Chungnam National University Hospital. They were examined for the impact of presenting WBC count on the initial course and from them we have chosen twenty patients whose leukocyte count is over one hundred thousands per cubic milimeter, We divided the twenty patients into 4 groups on the base of treatment modalities: conservative therapy only, chemotherapy only, cranial irradiation only, and chemotherapy with cranial irradiation. Early sudden death rate is lower in cranial irradiation with/without chemotherapy groups than the conservative only or chemotherapy only patients. Also the remission rate is high in cranial irradiation with chemotherapy patients. Therefore we suggest that the rapid intervention of cranial irradiation in adult acute leukemia could be helpful in reducing the early sudden death rate and perhaps in increasing the remission rate.

• Journal of the Korea Society of Computer and Information
• /
• v.17 no.1
• /
• pp.41-52
• /
• 2012

According to 2005 Korea National Health and Nutrition Survey, it has been reported that 32.9% men and 31.8% women have Metabolic syndrome among the population of age 30 and over. The importance of prevention and management is being emphasized in Metabolic syndrome which is a complex disease related to various generic and environmental factors like other chronical disease. In this study we suggest an service based on the data using the system architecture, ontology and Jena2.0 inference engine and organizing the disease-related guideline. The study also arrives at the result through proper interpretation and reasoning process using health management service model based on ontology. The accuracy according to the situation was tested and 930 data samples were selected and experimented. We drew a conclusion that the much personalized data is available, the more personalized services are possible. Since the risk factors of Metabolic syndrome are various, it would be effective to suggest customized services based on various personalized data.

• Journal of Yeungnam Medical Science
• /
• v.25 no.1
• /
• pp.64-71
• /
• 2008

Evaluation of a fever of unknown origin (FUO) is complex. Recently, PET scanning has been approved for screening in FUO evaluation. We treated three cases of FUO associated with increased FDG uptake in the bone marrow of the femur and tibia on the fusion PET/CT; all three had the same pattern of uptake. Bone marrow biopsies revealed mature lymphocyte and histiocyte infiltration and myxoid changes in one case, and cortical bone involvement in another case. The cases were all young females who had fever with neutropenia and relative lymphocytosis that lasted for several weeks and then remitted spontaneously. Even though the results of the studies were not diagnostic, the unique uptake pattern on PET/CT and the histology might be related to the cause of the illness and should be studied further to assess the association with classic FUO.

• Journal of Sasang Constitutional Medicine
• /
• v.10 no.1
• /
• pp.161-170
• /
• 1998

1. Purpose : This research is a study about constitutional diagnosis through the external appearances. especialy it is for finding shape differences of the upper-face pictures of moire, according to the Sasang constitution. 2. Method : We have collected 113 cases of patients of the Sasang Constitutional Department, including employees of the Kyung-Hee Medical Center and took pictures of moire of upper face and measured 50 points. We analyzed shape differences of the upper face according to the Sasang constitution. 3. Results : Analysing the moire of upper face, tile characteristics according to sasang constitution presented. 4. Conclusion : Soyangin had a projected part of left upper face compared with taeumin and soeumin, and taeumin had a projected part of right upper face. With the image of moire, the characteristics of upper face according to sasang constitution was found.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.33 no.2
• /
• pp.269-280
• /
• 2006

The purpose of this study is to establish the concept of the evidence-based pediatric dentistry and to investigate the application methods of it. The definition of the evidence-based pediatric dentistry was suggested as 'the integration of the best scientific research evidence with the professional expertise of pediatric dentist and the value of pediatric patients and their caregivers in dental practice for the child and adolescent'. The methods of practising evidence-based pediatric dentistry were investigated, the recent conclusions of the evidence-based pediatric dentistry were summarized by topics, the research methods of systemic review and clinical practice guidlines were analyzed, and the individual research methods as randomized controlled trials were investigated. The author proposed increasing the understanding and consensus of the necessity of evidence-based pediatric dentistry, education about the evidence-based pediatric dentistry, computerization of all published articles of Korean pediatrtic dentistry, continuing research and popularization of systemic research and clinical practice guidlines, production of Korea's own evidences of pediatric dentistry, and the improvement of soical environment of pediatric practice.

• Korean Journal of Biological Psychiatry
• /
• v.16 no.2
• /
• pp.112-120
• /
• 2009

Objectives : Depression is a common psychiatric disorder in cancer patients. The Brief Edinburgh Depression Scale(BEDS), which is an abbreviated version of the Edinburgh Depression Scale, may serve as a useful tool in screening for the depression in patients with the medical illnesses. This report investigated the reliability and validity of the Korean Version of the BEDS(K-BEDS) for the depression in cancer patients. Methods : One-hundred cancer patients were enrolled in this study. All subjects completed the K-BEDS, the Hospital Anxiety Depression Scale(HADS), and the Karnofsky Performance Status Scale(KPSS). Reliability, validity and Receiver Operating Characteristic(ROC) curve analysis measures were assessed. Results : The K-BEDS showed good internal consistency(Cronbach ${\alpha}$=0.77) and test-retest reliability(0.94, p<0.001). All item-total correlations were above 0.3. Also, it revealed moderate correlation with the depression subscale of the HADS(r=0.617), but no correlation with the KPSS. Exploratory factor analysis produced only one factor, accounting for 47.1% of the total variance. The most valid cutoff value to screen for depression was a total score of 5 on the K-BEDS, which showed sensitivity of 62.5% and specificity of 86.4% with a positive predictive value of 4.60 and a negative predictive value of 0.43.

• Journal of Yeungnam Medical Science
• /
• v.18 no.2
• /
• pp.145-169
• /
• 2001

In recent years, health care cost containment concerns have resulted in an increase in outpatient (or same-day) surgery. Many procedures previously performed on an inpatient surgery basis have been shifted to outpatient settings. Anesthesia for outpatient surgery is exactly the same as inpatient anesthesia, except that the primary concern is the selection of patients who can be discharged safely on the day of surgery. The anesthesiologist should have a sound rational basis for choice of pharmacologic agents that are geared to expeditious patient discharge from the hospital. Cost concerns aside, outpatient surgery has many additional advantages in the pediatric setting. It minimizes the length of time the child is hospitalized, decreases separation anxiety, promotes parental involvement in the child's postoperative care in the more congenial environment of home, and decreases risk of nosocomial infection and iatrogenic illness.

• Journal of Sasang Constitutional Medicine
• /
• v.10 no.2
• /
• pp.271-281
• /
• 1998

1. Objective : This research is a study about constitutional diagnosis through the external appearances, especialy it is for finding shape differences of the upper-face pictures of moire, according to the Sasang constitution 2. Method : We have collected 98 cases of femail patients of the Sasang Constitutional Department, including employees of the Kyung-Hee Medical Center and took pictures of moire of upper face and measured 50 points. We analyzed shape differences of the upper face according to the Sasang constitution. 3. Results : Analysing the moire of upper face, the characteristics according to sasang constitution presented. 4. Conclusion : Soyangin had a projected part of left upper face compared with taeumin. With the image of moire, the characteristics of upper face according to sasang constitution was found.