• 한국병원경영학회지
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• 제6권1호
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• pp.107-119
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• 2001

There has been pointed out that a great portion of hospitalized patients stay in hospitals longer than necessary, often even after the completion of necessary care. This causes that hospital resources are not used efficiently. In order to identify underlying forces in postponing inpatients' discharge, this study aimed to investigate reasons for long-term stay of patients admitted in general hospitals. A total of 135 patients, who were staying at 7 general hospitals in Inchon and Kyonggi-Do for more than 60 days, were surveyed with a self-administered questionnaire between April 3 and April 10, 2000. Medical reasons including incompleteness of necessary care, difficulty in receiving outpatient-based care, and being under physical therapy were the most significant factors associated with long-term stay, followed by the lack of familial resources to take care of patients after discharge. Financial problems such as inability to pay for hospital bills were not significant factors influencing long-term stay. Regression analyses were conducted for medical reasons, familial resources, and financial problems, respectively. It was shown that receiving physical therapy and the number of admission in the past were significant predictors for medical reasons. The lack of familial resources as a reason for long-term stay had a positive relationship with the degree of need for aid in daily living. It may be recommended for the hospitals to cope with administrative problems due to the patients' long-term stay, considering the reasons of it, and their characteristics. And also, institutional efforts like vitalizing the home care service systems by hospitals as the continuing care after discharge should be needed.

• 대한수의학회지
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• 제30권1호
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• pp.107-112
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• 1990

The purpose of this study is to derive indirect values of volume of packed red cell(VPRC), without centrifugation, from erythrocyte sedimentation rate(ESR) of blood diluted with isotonic dextrose solution in cattle. Each of ten blood samples taken from apprently healthy Korean cows and Holstein cows was used to produce eight different mixture of autologous plasma and blood corpuscles such that their values of VPRC lay between 15 to 50ml/100ml, and then each of the blood mixture was again diluted with 5% dextrose solution. The measurements of ESR using 45 degree-angled capillary hematocrit tube, 1.1~1.2mm bore, ($45^{\circ}$-micro-ESR) were practised for the diluted blood of various levels of VPRC under the ambient temperature of $10^{\circ}$, $20^{\circ}$ and $30^{\circ}C$. Reliable values of VPRC on the basis of the correlating linear regressive equation to the ESR could be derived from the values of $45^{\circ}$-micro-ESR/hr in the mixture of one part of whole blood and one part of 5% dextrose solution(1:1). For an aid of practical use, authors suggested a list of the $45^{\circ}$-micro-ESR/hr values of the diluted blood equivalent to VPRC of whole blood.

• The Korean Journal of Pain
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• 제33권4호
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• pp.294-304
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• 2020

The sacroiliac joints connect the base of the sacrum to the ilium. When inflamed, they are suspected to cause low back pain. Inflammation of the sacroiliac joints is called sacroiliitis. The severity of the pain varies and depends on the degree of inflammation. Sacroiliitis is a hallmark of seronegative spondyloarthropathies. The presence or absence of chronic sacroiliitis is an important clue in the diagnosis of low back pain. This article aims to provide a concise overview of the anatomy, physiology, and molecular biology of sacroiliitis to aid clinicians in the assessment and management of sacroiliitis. For this narrative review, we evaluated articles in English published before August 2019 in PubMed. Then, we selected articles related to the painful manifestations of the sacroiliac joint. From the retrieved articles, we found that chronic sacroiliitis may be caused by various forms of spondyloarthritis, such as ankylosing spondyloarthritis. Sacroiliitis can also be associated with inflammatory bowel disease, Crohn's disease, gout, tuberculosis, brucellosis, and osteoarthritis, indicating common underlying etiological factors. The pathophysiology of sacroiliitis is complex and may involve internal, environmental, immunological, and genetic factors. Finally, genetic factors may also play a central role in progression of the disease. Knowing the genetic pre-disposition for sacroiliitis can be useful for diagnosis and for formulating treatment regimens, and may lead to a substantial reduction in disease severity and duration and to improved patient performance.

• 대한간호학회지
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• 제27권1호
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• pp.7-12
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• 1997

A computerized Community Health Posts information system was developed in 1991 by Yonsei University, College of Nursing and disseminated to more than four hundred Community Health Posts. The content of was published in the journal, The Korean Nurses in 1995, volumne M, number 4. Successful adoption to the computer program is related to many factors, such as personal factors and environmental factors. For the computer program to succeed it must be significantly related to the users and therefore it is necessary to analyze these related factors. This study describes the status of the utilization of computer programs in Community Health Posts and analyzed the factors related to utilization of the computer program. Of the 801 community health practitioners, 656 responded and data were analyzed using SPSS computer programs. Responents were from six provinces and about 85% had been working as CHPs for more than five years and 84.1% had graduated from a community college. Of these 656, 42.1% had a computer and about 60% had funding aid from the community or government. The percentage using the community health post's computer program was 22.3%. Community health practitioners were most often using the following content of the computer program : treatment activities (65.5%). medication management(53.5%). counselling and education(46.4%). bookkeeping(39.5%). chronic disease management (28%), and insurance billing(15.9%), The factors which were significantly related to the computer utility were degree of support from province, years of working. and age. The Community health practitioners who had more support from the province. who had fewer working years. and were younger used the computer program more frequently.

• 대한치과교정학회지
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• 제48권4호
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• pp.236-244
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• 2018

Objective: The aim of this study is to compare the adaptation of a straight wire between brackets positioned at the mid-lingual surface and those placed gingivally by using a three-dimensional simulation software. Methods: This cross-sectional study was performed using OrthoAid, an in-house software. The subjects were 36 adolescents with normal Class I occlusion. For each dental cast, two bracket positioning approaches, namely the middle and gingival, were examined. In the middle group, the reference points were placed on the mid-lingual surface of each tooth, while in the gingival group, the reference points were positioned lingually on the anterior teeth. A 4th degree polynomial was adopted, and the in-plane and off-plane root mean squares (RMSs) of the distances between the reference points and the fitted polynomial curve were calculated using the software. Statistical analysis was performed using the paired-samples t-test (${\alpha}=0.05$). Results: The mean in-plane RMS of the polynomial curve to the bracket distance in the gingival group was significantly lower than that in the middle group (p < 0.001). The off-plane RMS was higher in the gingivally positioned brackets in the maxilla than in the middle group (p < 0.001). However, the off-plane RMS in mandible was not statistically significantly different between the two groups (p = 0.274). Conclusions: The results demonstrated that the gingival placement of lingual brackets on the anterior teeth could decrease the distance between a tooth and the straight wire.

• 대한소아치과학회지
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• 제34권3호
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• pp.498-505
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• 2007

매복치의 치료는 발생 원인, 치아 발육 상태, 매복 위치 및 맹출 경로, 맹출 공간 여부, 환자의 연령이나 협조도 등을 고려하여 시행하며 방해 요인 제거 후 자연 맹출 관찰, 매복치의 외과적 노출 후 교정적 견인, 매복치의 재위치 또는 치아이식, 발거 후 보철수복을 할 수 있다. 이 중 치아이식은 매복치가 맹출 경로를 크게 벗어나 외과적인 노출과 교정적 견인이 어려운 경우 시행할 수 있다. 자가치아이식의 성공을 위해 이식치아의 외상을 최소화하며 치주인대의 생활력을 보존하는 것이 중요하다. 본 증례에서는 상악 좌측 견치의 미맹출을 주소로 내원한 10세 여자 환자에서 Rapid Prototyping model을 이용하여 자가치아이식술을 시행하였다. RP technique을 이용하여 제작한 공여치의 모델로 수용부의 골와동 형성을 공여치 발치전에 미리 시행함으로써 공여치의 구강 외 소요시간을 단축시키고 공여치를 수용부에 여러 번 시적할 때 생길 수 있는 치근 손상을 최소화할 수 있었다. 치료 후 상악 좌측 견치는 6개월 후 치근 흡수 등의 합병증 없이 정상 치아 동요도와 타진시 음성을 나타내었으며 전기치수검사에서 양성 반응을 보였다.

• 한국전자파학회논문지
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• 제14권5호
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• pp.506-512
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• 2003

위성 중계기의 무게와 부피를 최소화 하기 위하여 출력 멀티플렉서는 매니폴드(manifold) 형태로 많이 설계한다. 매니폴드 형태의 출력 멀티플렉서의 정확한 성능을 구현하기 위해서는 이에 사용하는 각각의 채널 필터는 단일 종단으로 설계하여야 한다. 본 논문에서는 필터의 전달 함수로부터 orthogonal projection 및 행렬의 평면회전(plane rotation)을 이용하여 6차 단일종단 이중모드 필터의 회로망 파라미터인 입출력 저항 및 결합 행렬을 구할 수 있는 합성 방법에 대하여 설명하였다. 특히 평면 회전 과정에서의 회전 행렬의 피벗 및 회전각을 제시하여 구현 가능한 결합 계수를 용이하게 얻을 수 있도록 하였다. 두 개의 서로 다른 구조를 갖는 필터에 대하여 동일한 전달 함수로부터 각각의 회로망 파라미터를 추출하였다. 본 논문에서 서술한 단일종단 필터의 회로망 파라미터 추출법은 다른 차수의 필터에도 적용이 가능하다.

• 복식
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• 제64권4호
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• pp.91-105
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• 2014

As luxury goods market has expanded and has become more affordable, luxury consumption value has become more diversified. The purpose of this study is to classify visible characteristics of luxury consumption by the degree of logo clarity, and to explain this classification in relation to personal luxury consumption values. Also, the study utilized the concept of cultural capital, in addition to the concept of economic capital, in order to aid understanding of current new luxury consumption trend and give directions on brand signal strategies for luxury brands. In order to develop a survey that could measure an individual's cultural capital, focus group interviews, each composed of 5 women in their twenties and thirties, were conducted. Then, the survey was conducted on 230 females residing in Seoul who have purchased at least one product from a luxury brand within a year. The results suggest that luxury consumption can be explained by 'self-oriented value' and 'others-oriented value' as suggested in precedent studies. However, no significant difference was found between economic capital and these two luxury consumption values. However, the more cultural capital one possesses, the more one is likely to pursue 'self-oriented consumption value'. In studying the correlation between luxury consumption values and preference for brand signal clarity, respondents with 'self-oriented consumption value' has shown low preference towards highly visible brand logo when design and quality were equivalent. Also, respondents with 'other-oriented consumption value' has shown high preference towards highly visible brand logo.

• Journal of Applied Biological Chemistry
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• 제54권1호
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• pp.51-55
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• 2011

마(Dioscorea batatas)의 건강보조제로의 개발을 위해, 3가지 유산균, Lactobacillus acidophilus, Lactobacillus plantarum 그리고 Bifidobacterium longum 균주를 이용하여 발효를 하였다. 발효물은 10% 발효물 수용액으로 pH 측정결과 3.83, 총 유산균수는 $8{\times}10^6$ CFU/mL로 표준화 하였다. TNBS-로 유도된 대장염 마우스 모델에 일반 마(400 mg/kg)와 발효된 마(200, 400mg/kg)를 섭취한 결과, 조직학 및 형태학적 손상정도 그리고 MPO 활성 등이 비발효 마처리군에 비하여 발효된 마를 처리한 군에서 현저하게 감소되는 것을 확인하였다. 농도별로는 발효된 마가 200 mg/kg으로 처리된 군보다 400 mg/kg으로 처리된 마에서 설변이나 조직의 붕괴 현상을 현저하게 억제시키는 것을 알 수 있었다. 유산균 발효 마를 투여한 대장염 마우스에서는 체중감소 및 염증세포의 침윤을 효과적으로 억제하였다. 이러한 결과를 통하여, 유산균 발효물이 대장염 모델에서 매우 효과적으로 항염효과를 보였으며, 대장염 치료 및 예방에 매우 유용한 자료로 활용될 것으로 사료된다.

• Journal of Korean Neurosurgical Society
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• 제52권2호
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• pp.80-84
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• 2012

Objective : This study analyzed the relationship between prognosis and multiple clinical factors of ruptured middle cerebral artery (MCA) aneurysm with intracerebral hemorrhage (ICH), to aid in predicting the results of surgical treatment. Methods : Enrolled subjects were 41 patients with ruptured MCA aneurysm with ICH who were treated with surgical clipping. Clinical factors such as gender, age, and initial Glasgow coma scale were assessed while radiological factors such as the volume and location of hematoma, the degree of a midline shift, and aneurysm size were considered retrospectively. Prognosis was evaluated postoperatively by Glasgow outcome scale. Results : Age and prognosis were correlated only in the groups with ICH over 31 mL or ICH at the frontal lobe or sylvian fissure. When initial mental status was good, only patients with ICH on the temporal lobe had a better prognosis. If the midline shift was less than 4.5 mm, the probability of better prognosis was 95.5% (21 of 22). If the midline shift was more than 4.5 mm, the probability of poor prognosis was 42.1% (8 of 19). Patients with ICH less than 31 mL had higher survival rates, whereas if the ICH was more than 31 mL, 41.2% (7 of 17) had a poor clinical pathway. Conclusion : Even if the initial clinical condition of the patient was not promising, by carefully examining and taking into account all factors, neurosurgeons can confidently recommend surgical treatment for these patients.