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Management of Diabetic Foot Problems (당뇨병성 족부병변의 관리)

  • Park, Yoon-Jeong;Yun, So-Young
    • Physical Therapy Korea
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    • v.5 no.2
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    • pp.98-105
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    • 1998
  • The purposes of this article are to review the pathogenesis, prevention, and management of amputation due to diabetes mel1itus complications, and to report one case who had lost his toes due to diabetes mellitus. A primary cause for hospital admission of the patient was foot ulcer. Since many amputations in diabetic patients are precipitated by such ulcers, a program for active prevention and optimal treatment of diabetic foot lesions might decrease the risk of amputation. Diabetic foot ulcers and, ultimately, amputation can stem from a variety of pathways. The combination of peripheral neuropathy, peripheral vascular disease and infections is the harbinger of the final cataclysmic events of gangrene and amputation. As the physical therapist is often involved in the treatment of diabetic patients, the therapist should be aware of the followings: the patient's type of diabetes and the severity of the diabetes, the complications of the disease, the effects of exercise, the importance of wearing proper shoes and education to patients about appropriate diabetic foot care.

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Classification of the General Hospital Employees according to Information Requirements (정보 요구에 따른 종합 병원 종사자들의 분류)

  • 박찬석;고석하
    • Journal of Information Technology Applications and Management
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    • v.10 no.2
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    • pp.43-59
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    • 2003
  • In this study the information requirements of the personnel of Korean general hospitals are investigated. The results of the survey reveal that the information requirements of the general hospital personnel are quite different from each other according to their occupation type. The results show that the integrity of information about patients and the pervasiveness of information regarding to overall hospital operations are two major factors that differentiates the information requirements variation among occupation types of general hospital personnel. The results show that doctors, nurses, and medical technologists can be grouped into a occupation group, and that the admission department personnel and the patient affairs personnel can be grouped into another group. The results also show pharmacists and nutrition technicians constitute separate occupation groups of their own, respectively.

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Effect of a Turbo-Expander for Regeneration in the Expansion Process (팽창과정에서의 터보엑스펜더 영향에 관한 연구)

  • Cho, Chong-Hyun;Cho, Bong-Soo;Kim, Chae-Sil;Cho, Soo-Yong
    • 유체기계공업학회:학술대회논문집
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    • 2006.08a
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    • pp.157-160
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    • 2006
  • A turbo-expander is developed for the regeneration in the expansion process. The turbo-expander operates in the partial admission and supersonic flow, and an axial-type single stage turbine is applied to the turbo-expander. Its outer diameter is 82mm and the operating gas is R134a. A 15kW reciprocating compressor is applied in this experiment and the turbo-expander is installed in the expansion process instead of the commonly using expansion valve. Two supersonic nozzles are applied for the expansion process. The high speed of R 134a after passing the supersonic nozzles gives the impulse force to the turbo-expander and some powers are generated on this process. A generator is installed at the end of the turbo-expander shaft. The generating output power from the turbo-expander is controlled by the power controller. Pressures and temperatures are measured on the lines for the performance investigation. More than 600W/(kg/sec) are generated in this experiment.

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Analysis of Consumer Behavior on Using Food Label (식품표시에 대한 소비자 행동연구)

  • 이경희
    • Journal of the Korean Home Economics Association
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    • v.34 no.5
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    • pp.235-248
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    • 1996
  • The purpose of this study was to search for new food labeling system that would support effective consumer decision-making, by examining consumer behavior of food labels and its' related factors. The survey was conducted on 410 housewives under 60-year-old who live in Seoul or Metropolitan area, using questionnaires and the illustrated material of labels. Respondents generally considered food labels very important as devices. Among 12 items of label which are required to disclose, they evaluated circulation period, and nutritional information. Among 12 items of label, housewives read manufacture date, circulation period, and price more often than business admission number and self standard number. The respondents preferred the format of marking both manufacture date and expiration date on the same side, the format of printing both price and weight on the same side of package, the diagramatic type, and the format represented by ration graph per daily value.

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Tracheobronchial Rupture following Blunt Chest Trauma -1 case report- (외상성 기관지 파열 -1례 보고-)

  • 김용한
    • Journal of Chest Surgery
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    • v.23 no.3
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    • pp.588-593
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    • 1990
  • The rupture of tracheobronchial tree caused by non penetrating blunt trauma is being increased in incidence though it is still rarely occurred on now Because this type of injury is uncommon, a high index of suspicion should be maintained in all crush injuries involving the chest. Early diagnosis and primary repair not only restore normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. We experienced a case of tracheobronchial rupture caused by non penetrating blunt chest trauma without rib fracture. The patient was a 16 year old male who was a high school student. He was compressed on anterior chest by hand ball goal post being failed down on the morning of admission day. After this accident, he was suffered from progressively developing dyspnea and subcutaneous emphysema on face, neck and anterior chest. The diagnosis, tracheal rupture, was made by chest CT and bronchoscopy. After right thoracotomy, the ruptured site was directly closed by using interrupted suture. Post-operative course was uneventful. Thus we report this case of traumatic tracheal rupture with review of literature.

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An Analysis on Core Competency of Underachievers using Data Mining Techniques (데이터마이닝 기술을 이용한 학업 부진학생의 역량 분석)

  • Jun, Bong-Gi
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2016.10a
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    • pp.857-858
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    • 2016
  • In this paper, I analyze the differences of the academic achievement of the freshmen by admission type for the eight years. I analyze the assessment collegiate essential skills and the distribution of the credits of opening courses for the problems of increasing underachievers. The results were increasing courses in curriculum of the liberal arts and having difficulty of studying foreign language courses.

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A Case of Spinal Cord Compression Caused by Rhabdomyosarcoma of the Mediastinum Associated with Type I Neurofibromatosis(NF Type I) - Case Report - (제 I 형 신경섬유종증에 병발하였던 종격동내 횡문근육종에 의한 척수압박 1례 - 증례보고 -)

  • Kim, Sei-Yoon;Whang, Kum;Hong, Soon-Ki;Pyen, Jhin-Soo;Hu, Chul;Kim, Hun-Joo;Han, Young-Pyo;Lee, Myoung-Sup;Lee, Chong-Kook;Cho, Mee-Yon
    • Journal of Korean Neurosurgical Society
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    • v.30 no.5
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    • pp.642-646
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    • 2001
  • A 12-years-old female admitted to the hospital with the complaint of pain on the right upper chest area which persisted about 1 month prior to admission. $Caf{\acute{e}}$-au-lait spots of various size laying on a whole body and freckling on the axilla were found on physical examination. A huge mass was found on the plain chest X-ray and on chest MRI. The mass encroached thoracic spine, posterior rib, back muscles, and then into the neural canal and compressed thoracic spinal cord. On the 5th day of hospitalization, the patient complained tingling on the both legs and 2 days later, monoparesis on the right leg. Open thoracotomy and decompressive laminectomy was done to remove mass. Pathologic reports confirmed rhabdomyosarcoma, embryonal type.

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Surgical Experience with Descending Necrotizing Mediastinitis: A Retrospective Analysis at a Single Center

  • Ju Sik Yun;Cho Hee Lee;Kook Joo Na;Sang Yun Song;Sang Gi Oh;In Seok Jeong
    • Journal of Chest Surgery
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    • v.56 no.1
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    • pp.35-41
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    • 2023
  • Background: We analyzed our experience with descending necrotizing mediastinitis (DNM) treatment and investigated the efficacy of video-assisted thoracoscopic surgery (VATS) for mediastinal drainage. Methods: This retrospective analysis included patients who underwent surgical drainage for DNM at our hospital from 2005 to 2020. We analyzed patients' baseline characteristics, surgical data, and perioperative outcomes and compared them according to the mediastinal drainage approach among patients with type II DNM. Results: Twenty-five patients (male-to-female ratio, 18:7) with a mean age of 54.0±12.9 years were enrolled in this study. The most common infection sources were pharyngeal infections (60%). Most patients had significantly increased white blood cell counts, elevated C-reactive protein levels, and decreased albumin levels on admission. The most common DNM type was type IIB (n=16, 64%), while 5 and 4 patients had types I and IIA, respectively. For mediastinal drainage, the transcervical approach was used in 15 patients and the transthoracic approach (VATS) in 10 patients. The mean length of hospital stay was 26.5±23.8 days, and the postoperative morbidity and in-hospital mortality rates were 24% and 12%, respectively. No statistically significant differences were found among patients with type II DNM between the transcervical and VATS groups. However, the VATS group showed shorter mean antibiotic therapy duration, drainage duration, and hospital stay length than the transcervical group. Conclusion: DNM manifested as severe infection requiring long-term inpatient treatment, with a mortality rate of 12%. Thus, active treatment with a multidisciplinary approach is crucial, and mediastinal drainage using VATS is considered relatively safe and effective.

Analysis of Student's Satisfaction Types of the Campus-Life and Affecting Factors using Latent Profile Analysis (잠재프로파일 분석을 이용한 대학생활 만족유형 분류 및 영향요인 분석)

  • Ryu, HoJun;Kil, HyeJi;Rah, Min-Joo
    • The Journal of the Korea Contents Association
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    • v.22 no.8
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    • pp.482-491
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    • 2022
  • The purpose of this study was to classify latent profiles based on satisfaction of student by the campus-life&educational-experiences and to identify factors affecting satisfaction according to each type. For this study, data from the survey of the A univ(1,952 data) were used. To analyze this, a latent profiles analysis was applied to identify subgroups, in which the students by the campus-life&educational-experiences satisfaction, and a multinomial logistic regression model was applied to verify factors affecting group classification. As a result of the analysis, first four groups were classified in the order of 'average·class·highest·relationship satisfaction type'. Second the factors affecting the classification into the remaining three types with 'the average satisfaction type' as a reference group were found to be significant influencing factors(gender, grade, admission process, GPA grade). Based on these results, this study suggested implications for planning and promoting student-tailored education and student support policies at the university level.

A Prioritized Call Admission Control using Prediction-Based Adaptive Bandwidth Reservation in High-Speed Multimedia Wireless Networks (고속 멀티미디어 무선 망에서 예측 기반의 적응적 대역폭 예약을 이용한 우선순위 호수락 제어)

  • Kim, Mi-Hui;Chae, Gi-Jun
    • Journal of KIISE:Computer Systems and Theory
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    • v.26 no.8
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    • pp.984-998
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    • 1999
  • 최근 개인 휴대 통신에 대한 관심도가 증가하면서 B-ISDN (Broadband Integrated Services Digital Network)과 같은 기존의 유선 망에서 제공하던 다양한 멀티미디어 응용 지원을 무선 망으로 확장시키기 위한 연구가 활발히 진행되고 있다. 그러나 기존의 유선 망에서는 멀티미디어 응용 지원을 위해 QoS (Quality of Service) Provisioning에 관한 많은 연구가 되어 있으나 무선 망에서는 이동성과 무선 전파의 열악한 전송으로 인해 새로운 QoS Provisioning 방법에 관한 연구가 필수적이다. 본 논문에서는 이러한 무선 망의 특수성으로 인해 발생할 수 있는 서비스의 질 저하와 강제 종료를 줄임으로써 지속적인 QoS를 보장해 주고 한정된 무선 자원을 효율적으로 사용하며 처리에 의한 오버헤드를 줄이기 위하여 다음과 같은 세 가지 방법을 제안하였다. 첫째, 핸드오프 강제 종료율을 줄이기 위하여 대역폭 예약 방법을 사용하되 특정 셀의 트래픽 특성에 맞게 또한 시간대에 따른 트래픽 특성에 따라 예약 대역폭의 양을 조절하는 적응적 대역폭 예약 방법이다. 둘째, 많은 경우 각 셀의 트랙픽 변화는 일정한 주기로 변화한다는 특성에 따라 과거의 트래픽 정보를 이용하는 예측 기반의 대역폭 예약 방법이다. 마지막으로 호의 종류, 트래픽 특성, 단말기의 이동 속도에 따라 다른 우선 순위에 의해 호 수락 제어를 수행하는 우선 순위 기반의 호 수락 제어를 제안하였다. 시뮬레이션을 통하여 기존에 제안된 방법과 성능 비교하여, 요구되는 수준의 QoS 보장과 효율적인 자원의 사용, 요구되는 처리비용의 최소화를 통해 전체 시스템의 성능 향상을 입증하였다.Abstract As interest in wireless hand-held terminals and in personal communications services increases recently, there have been broad studies on the ways to support multimedia applications provided in wired networks such as B-ISDN (Broadband Integrated Services Digital Network) in wireless networks. However, since many studies have focused on Quality of Service (QoS) Provisioning in wired networks to provide multimedia applications, new methods of QoS Provisioning are needed in wireless networks to resolve the problem of wireless channel fading and the difficulty of mobility occurred in wireless networks. This paper proposes three schemes of QoS Provisioning in wireless networks which will make continuous QoS guarantee and efficient use of limited wireless resources possible. The first scheme reserves bandwidth in proportion to the amount of real-time traffic in the neighbor cells to decrease the handoff dropping rate of delay sensitive real-time connections, adapting reserved bandwidth for efficient resource utilization. The second scheme is predictive bandwidth reservation scheme that utilizes the past handoff information. It can decrease overheads required to adapt bandwidth reservation. The last scheme is priority-based call admission control prioritizing traffic type (real-time traffic/ non-real-time traffic), connection type (new connection /handoff connection), and mobile terminal speed (fast mobile/slow mobile). Simulation results show that the proposed QoS Provisioning schemes improve the total system performance by achieving three goals - required QoS guarantee, higher bandwidth utilization and less overhead.