• Investigative Magnetic Resonance Imaging
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• 제20권3호
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• pp.152-157
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• 2016

Purpose: Operating room management is the serious and complex task for hospital managers and the common approach is to develop relevant standard operational procedures. From patient and staff safety perspective, operating room management should be well-studied and hospital should identify and address any potential risks. Simultaneous usage of different imaging and less-invasive treatment technologies demands strong management control. Materials and Methods: We have formed the multidisciplinary expert panel (surgeons, anesthesiologists, radiologists, healthcare managers etc.) for hybrid theater management standard operational procedure development. On the first stage the general concept of hybrid room design and patient routing was developed. The second stage included the technical details discussion. For patient safety improvement we modified the Surgical Safety Check-list in accordance with potential MRI-related safety challenges and concerns. Results: WHO Surgical Safety Checklist is a simple and easy-to use tool which includes three blocks of question (grouped by the surgery process). We have developed two additional blocks of questions for the intraoperative magnetic resonance investigation. It is very important to have a special detailed routing with a strong control of ferromagnetic devices and anesthesiology care. Conclusion: High-energy MRI (1.5-3.0T) is characterized by potential influence on patient and staff safety in case of hybrid surgery. It is obvious to have a strong managerial control of ferromagnetic devices and anesthesiology care. Surgical Safety Checklist is the validated tool for improving patient safety. Modification and customization of this check-list potentially provides the opportunity for surgery processes improving.

• 디지털콘텐츠학회 논문지
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• 제17권4호
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• pp.279-286
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• 2016

최근 남성들의 외모관리를 통한 이미지 개발에 대한 욕구가 강해짐에 따라 화장품 산업계는 남성들을 소비적이고 활동적이며 구매력 있는 고객층으로 높이 평가하며 남성을 주 소비층으로 무한 경쟁체제에 돌입하였다. 특히, 근래 경기침체로 인해 소비심리가 위축되는 상황에서 화장품 브랜드들은 남성들의 외모관리에 대한 정확한 인식과 그들이 뷰티 정보를 수용하는 매체들의 특징에 기반하여 효과적인 홍보 및 정보전달 전략이 필요하게 되었다. 이와 같은 사회문화적 맥락에서 본 연구는 20, 30대 젊은 남성들을 대상으로 헤어 관리, 피부 관리, 메이크업, 손발 관리, 성형 수술 등의 주요 외모관리 양식에 대한 인식과 정보수용매체의 특징을 분석하였다. 또한, 연구 결과로 밝혀진 정보 취득경로의 주요 매체인 TV CF와 실제 정보 획득의 주요 매체인 온라인 카페/블로그 간의 시공간적 분리 문제를 해결하기 위해 TV CF를 시청하면서 바로 관련 정보를 획득할 수 있는 TV CF 연동 데이터방송 서비스를 기획하고 데이터방송 국제표준인 MHP 기반 서비스 운영 방식을 고안하였다.

• 한국컴퓨터정보학회논문지
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• 제4권4호
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• pp.163-169
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• 1999

Mobile-IP는 모빌컴퓨터 이용자가 IP 주소를 변경하지 않으면서 자유로이 장소를 이동할 수 있도록 개발된 프로토콜이다. 본래 IP 주소는 고정된 위치를 가정하고 개발되었기 때문에, Mobile-IP에서는 사용자의 이동성을 지원하기 위해 홈 에이전트(Home Agent)와 외부에이전트(Foreign Agent) 라는 개념을 도입하였으며 에이전트 발견(Agent Discovery), 등록(Registration), 터널링(tunnelling)등의 기법을 사용한다. 경로 최적화(route optimization)는 통신노드에게 이동 호스트의 care-of address를 알려 줌으로써 triangle routing 문제를 피할 수 있게되었다. 이외에도 보다 진보된 성능향상 방안으로 한 사이트 안에서 빈번한 지역이동성으로 야기되는 오버헤드를 줄이기 위한 외부 에이전트들의 계층화(Hierarchical FAs), 통신에 참여하는 외부 에이전트에 버퍼링 메카니즘(Buffering Mechanism)을 설치하여 이동 호스트로 향한 패킷을 분실하지 않도록 하는 Smooth handoffs 등의 방법들이 제안되었다. 본 논문에서는 호스트의 이동성을 지원하기 위해 고려해야 할 문제점과 기존에 제안된 기법들을 살펴보고자 한다.

• Journal of Hospice and Palliative Care
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• 제16권1호
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• pp.10-19
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• 2013

목적: 경남지역 암센터와 경남지역 각 보건소와의 말기암환자를 대상으로 시행한 연계 사업을 담당자를 대상으로 한 설문조사를 통해서 평가하고자 하였다. 방법: 2008년 1월 1일부터 2011년 12월 31일까지 경남지역 암센터와 연계 사업 협약을 체결하고, 환자를 등록해서 진행한 보건소 실무자를 대상으로 진행하였다. 총 9개 지역 보건소의 실제 사업에 참여한 경험이 있는 재가암 담당자 20명을 대상으로 설문지를 개발하여 조사를 하였다. 각 문항의 평가는 Likert 5단계 척도를 변형하여 단계마다 -2에서 +2까지 점수를 부여하였고, 각 문항의 총점은 40점이었다. 결과: 2008년 1월부터 2011년 12월까지 73예(72예는 경남지역 암센터, 1예는 보건소에서 등록)가 연계되었다. 서비스에 대한 평가로 환자나 가족들의 심리적 안정에 도움이 된다라는 항목이 23점으로 가장 높았고, 전반적으로 재가암 사업에 도움이 된다는 점이 11점으로 가장 낮게 나왔다. 연계 서비스에 대한 개선 문항으로는 입원 절차의 간소화가 35점, 환자 병원 방문 시 실질적 혜택 제공이 34점으로 높게 나온 반면, 보건소의 인력 강화가 4점으로 가장 낮게 나타났다. 결론: 말기암환자를 대상으로 한 경남 지역 암센터-보건소 재가암 쌍방향 서비스는 몇 가지 한계점을 드러내었다. 보다 나은 연계 서비스를 위해서는 이번 연구를 통해 나타난 여러 점들을 개선하고, 또 지역 실정에 맞는 모델을 개발하는 등의 노력이 필요한 것으로 생각된다.

• Tuberculosis and Respiratory Diseases
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• 제86권4호
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• pp.251-263
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• 2023

The stethoscope has long been used for the examination of patients, but the importance of auscultation has declined due to its several limitations and the development of other diagnostic tools. However, auscultation is still recognized as a primary diagnostic device because it is non-invasive and provides valuable information in real-time. To supplement the limitations of existing stethoscopes, digital stethoscopes with machine learning (ML) algorithms have been developed. Thus, now we can record and share respiratory sounds and artificial intelligence (AI)-assisted auscultation using ML algorithms distinguishes the type of sounds. Recently, the demands for remote care and non-face-to-face treatment diseases requiring isolation such as coronavirus disease 2019 (COVID-19) infection increased. To address these problems, wireless and wearable stethoscopes are being developed with the advances in battery technology and integrated sensors. This review provides the history of the stethoscope and classification of respiratory sounds, describes ML algorithms, and introduces new auscultation methods based on AI-assisted analysis and wireless or wearable stethoscopes.

• Journal of Animal Science and Technology
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• 제66권2호
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• pp.266-278
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• 2024

Antibiotic resistance (AR) is a complex, multifaceted global health issue that poses a serious threat to livestock, humans, and the surrounding environment. It entails several elements and numerous potential transmission routes and vehicles that contribute to its development and spread, making it a challenging issue to address. AR is regarded as an One Health issue, as it has been found that livestock, human, and environmental components, all three domains are interconnected, opening up channels for transmission of antibiotic resistant bacteria (ARB). AR has turned out to be a critical problem mainly because of the overuse and misuse of antibiotics, with the anticipation of 10 million annual AR-associated deaths by 2050. The fact that infectious diseases induced by ARB are no longer treatable with antibiotics foreshadows an uncertain future in the context of health care. Hence, the One Health approach should be emphasized to reduce the impact of AR on livestock, humans, and the environment, ensuring the longevity of the efficacy of both current and prospective antibiotics.

• 간호행정학회지
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• 제20권1호
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• pp.106-116
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• 2014

Purpose: In this paper issues and challenges of the workforce policy for nursing were explored and appropriate policy responses identified. Results: Many countries, including South Korea, are facing a shortage of nurses. In South Korea, the number of practicing registered nurses is about half the average for Organization for Economic Cooperation and Development (OECD) member countries. The shortage of nurses is not necessarily a shortage of individuals with nursing qualifications but also includes complex issues, such as lack of well-educated nurses, shortage of nurses willing to work, and geographical imbalances of nurses. The present nurse workforce policies are to increase number of nursing schools, to reduce the length of training, and to replace nurses with nursing assistants. However, the findings of many studies have shown that these attempts resulted in a worsening of patient outcomes and increasingly low quality of care. Conclusion: The findings in this study indicate that nurse workforce policy should have a multi-faceted approach in order to address the many factors affecting nurse shortages.

• Journal of Korean Neurosurgical Society
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• 제39권1호
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• pp.36-39
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• 2006

Objective : The present study attempts to address the change of management results over time during the past 13 years in good-grade patients with intracranial aneurysm. Methods : Six hundred twenty five [Hunt-Hess grade I to III] out of 826 patients with ruptured intracranial aneurysms operated by the same operator within 3 days after the attack from 1990 to 2002 were selected. Since 1998, endovascular aneurysmal occlusion was done in selected cases of 21 patients. The change of management results over time, including rebleeding rate, delayed ischemic neurologic deficit[DIND] as a cause of morbidity and mortality and surgical outcome were examined. Results : The ratio of poor-grade patients in all patients tended to decrease over the years. The early rebleeding rate declined from 5.0% to 1.2% with the use of tranexamic acid and computed tomography angiogram DIND as a cause of mortality and morbidity has decreased from 12.5% in 1990 to approximately 0% currently. Surgical outcome began to improve significantly in 1994 [poor outcome : 25% in 1990, 12.2% in 1994,6.8% in 2002]. Conclusion : These results suggest that the advances in care and increased experience of the operator significantly affect the change of overall outcome, and early detection of the aneurysm is needed for reducing the ratio of poor-grade patients.

• 대한간호학회지
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• 제48권3호
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• pp.349-361
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• 2018

Purpose: This ethnography was performed to explore patterns and meanings of healthy life among aged women using senior centers. Methods: The informants were 21 individuals aged 65 years and older at 2 community-based senior centers. Data were collected from iterative fieldwork through in-depth interviews and participant observations and analyzed using text analysis and taxonomic methods developed by Spradley. Field notes were used with follow-up interviews and dialogue between authors to enhance interpretation. Results: Patterns of healthy life among aged women using senior centers were categorized by age groups within the context of the four cultural elements of taking care of the body, relationality, temporality, and spatiality: active and passive control, maintenance of interdependence and individuality, expansion and maintenance of the daily routine, unity of peer relations and sustenance of family relations, spending time productively and tediously, and complementary and alternative space of the family relations. Conclusion: The informants in this study demonstrated healthy life by maintaining and strengthening continuous relationships developed in the senior centers without being isolated from the family and society. Patterns of their healthy life differed across age groups within the socio-cultural context. Therefore, interventions should be tailored to address age groups and community needs.

• 기본간호학회지
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• 제12권1호
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• pp.46-57
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• 2005

Purpose: The purpose of this study was to analyze the subjectivity of contents related to death as a nursing curriculum subject for nurses and students. Method: The Q-methodology which provides a method for analyzing the subjectivity of each items was used. The 34 selected Q-statements sorted by each of the 36 participants were classified into a normal distribution by using a 9 point scale. The collected data were analyzed using the QUANL PC program. Results: Four types of content related to death nursing curriculum were identified. Type I is the psychologically sympathetic type, Type II is the clinical based experience type, Type III is the physically comfort seeking type, and Type IV is the human-understanding oriented type. Conclusion: The results of this study show that different approaches to education are needed to address the four types of content related to death as a nursing curriculum subject. Both contents and characteristics need to be considered.