• Title/Summary/Keyword: Clinical Information Exchange

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Role of Chemical Exchange Saturation Transfer and Magnetization Transfer MRI in Detecting Metabolic and Structural Changes of Renal Fibrosis in an Animal Model at 3T

  • Anqin Li;Chuou Xu;Ping Liang;Yao Hu;Yaqi Shen;Daoyu Hu;Zhen Li;Ihab R. Kamel
    • Korean Journal of Radiology
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    • v.21 no.5
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    • pp.588-597
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    • 2020
  • Objective: To investigate the value of combined chemical exchange saturation transfer (CEST) and conventional magnetization transfer imaging (MT) in detecting metabolic and structural changes of renal fibrosis in rats with unilateral ureteral obstruction (UUO) at 3T MRI. Materials and Methods: Thirty-five Sprague-Dawley rats underwent UUO surgery (n = 25) or sham surgery (n = 10). The obstructed and contralateral kidneys were evaluated on days 1, 3, 5, and 7 after surgery. After CEST and MT examinations, 18F-labeled fluoro-2-deoxyglucose positron emission tomography was performed to quantify glucose metabolism. Fibrosis was measured by histology and western blots. Correlations were compared between asymmetrical magnetization transfer ratio at 1.2 ppm (MTRasym(1.2ppm)) derived from CEST and maximum standard uptake value (SUVmax) and between magnetization transfer ratio (MTR) derived from MT and alpha-smooth muscle actin (α-SMA). Results: On days 3 and 7, MTRasym(1.2ppm) and MTR of UUO renal cortex and medulla were significantly different from those of contralateral kidneys (p < 0.05). On day 7, MTRasym(1.2ppm) and MTR of UUO renal cortex and medulla were significantly different from those of sham-operated kidneys (p < 0.05). The MTRasym(1.2ppm) of UUO renal medulla was fairly negatively correlated with SUVmax (r = -0.350, p = 0.021), whereas MTR of UUO renal medulla was strongly negatively correlated with α-SMA (r = -0.744, p < 0.001). Conclusion: CEST and MT could provide metabolic and structural information for comprehensive assessment of renal fibrosis in UUO rats in 3T MRI and may aid in clinical monitoring of renal fibrosis in patients with chronic kidney disease.

A Study on the Preferences of Dental Technology Students for Overseas Employment (치기공과 학생들의 해외취업에 대한 선호도 조사)

  • Kim, Im-Sun;Kim, Jeong-Sook
    • Journal of Technologic Dentistry
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    • v.34 no.3
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    • pp.303-314
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    • 2012
  • Purpose: This study aimed to find overseas workplace and improve global competence through the preference survey on overseas employment by dental technology students. Methods: The survey sample consisted of 250 randomly selected dental technology students. Survey was conducted from March 1 to May 1 in 2012. Total of 245(98.0%) replies and analyzed 236 questionnaires excluding 9 incomplete questionnaires. The questionnaires used in this study consisted of 7 items for general information, overseas employment characteristics of 10 items, 7 items for overseas employment activation plane and job competency development of 7 items. Collected data were analyzed using SPSS(Statistical Package for Social Sciences) Win 19.0 statistics program. Results: Regarding general characteristics of the subjects, there were 131 third graders(55.5%), 63 first graders(26.7%) and 42 second graders(17.8%) among 130 males(55.1%) and 106 females(44.9%). 221(93.6%) of the subjects had no experience in language training. Students who had clinical training for 1-5 months were 123(52.1%), and 24(10.2%) students had more than six months. 89(37.7%) of the subjects had no clinical training. 155(65.7%) of the subjects hope to work with korean owner, and 81(34.3%) chose foreign owner. Favored working countries were Australia(41.5%), the United States(29.2%), Canada(18.2%) and other(11.0%). The field of dental ceramic was indicated to be the highest proportion of 104(44.1%). Period of training were 3 hours(40.3%) and 6 hours(35.2%). The most important training were language-centered education(54.2%), Job-oriented education(24.2%), local culture education(16.1%), other(3.0%) and Leadership Training(2.5%). The subjects chose overseas worker(44.9%), working-level practitioner (28.8%), successfully employed dental technology graduate(19.5%a) and professor(3.4%) as an instructor. The subjects get education and training information from professor(40.3%), other(28.0%), senior(14.4%), job site(8.9%) and acquaintance(8.5%). A credit exchange(2.46 points), a joint degree program(2.46 points), and a foreign professor(2.33 points) were needed to activate the overseas employment. A kind of dental prosthesis(3.58 points), carving tooth morphology(3.38 points), and majors of dental technology(3.30 points) were indicated to develop job competency for overseas employment. Age, year, clinical training experience and company owner were statistically meaningful data among the general characteristics affecting job competency development. Conclusion: The college needs to offer variety programs such as foreign language-centered education and a local job competency development program to graduates to be connected with international workplace and employment.

A Lightweight HL7 Message Strategy for Real-Time ECG Monitoring (실시간 심전도 모니터링을 위한 HL7 메시지 간소화 전략)

  • Lee, Kuyeon;Kang, Kyungtae;Lee, Jaemyoun;Park, Juyoung
    • KIISE Transactions on Computing Practices
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    • v.21 no.3
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    • pp.183-191
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    • 2015
  • Recent developments in IT have made real-time ECG monitoring possible, and this represents a promising application for the emerging HL7 standard for the exchange of clinical information. However, applying the HL7 standard directly to real-time ECG monitoring causes problems, because the partial duplication of data within an HL7 message increases the amount of data to be transmitted, and the time taken to process it. We reduce these overheads by Feature Scaling, by standardizing the range of independent variables or features of data, while nevertheless generating HL7-compliant messages. We also use a De-Duplication algorithm to eliminate the partial repetition of the OBX field in an HL7 ORU message. Our strategy shortens the time required to create messages by 51%, and reduces the size of messages by 1/8, compared to naive HL7 coding.

Interoperability Framework between GRID and PACS based on Web Services (웹서비스 기반의 Grid-PACS 상호운용성 프레임워크)

  • Lee, Bong-Hwan;Cho, Hyun-Sug
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.8
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    • pp.1799-1808
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    • 2010
  • Recently the increasing collaborative research requires the remote medical and clinical data sharing and access of external institutions. In this paper, an interoperability framework between Grid and PACS using Web services is proposed and implemented in order to provide flexible and efficient medical data management. The Digital Imaging and Communications in Medicine(DICOM) standard defines medical image data exchange and transfer between PACSs and image databases. However, medical data exchange between hospitals is limited within the trusted and static environments. Moreover, DICOM does not provide medical data management and the Grid middleware does not include standard toolkit to access DICOM data. To address this issue, a Web services-based Grid Service Mediator (WGSM) which provides PACS integration and medical image data management is developed. The WGSM consists of several service mediators such as compress mediator, GridFTP mediator, RFT mediator, MyProxy mediator, MDS mediator, and RLS mediator and others. The proposed Web services-based framework provides user authentication and secure data access between PACSs in collaborative environments. In particular, the WGSM allows ordinary users to access remote PACS data in a simple and efficient manner without any the knowledge about underlying Grid middleware.

Korean-Japan Medical Culture Exchange through The Choson Delegation in The 18th Century (18세기 조선통신사를 통한 한일의학문화교류)

  • Cha, Wung-Seok
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1418-1430
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    • 2006
  • In the 18th century, Joseon and Japan corresponded politically and culturally through the Joseon Missionary. During this time, the people in Japan who received the Joseon Missionary left many records of their visits and among them were numerous accounts related to medicine, In the years 2003 and 2004, the Korea Institute of Oriental Medicine gathered records that were dispersed throughout japan, and in 20005, it organized the information and put it up on the web along with the original text. This research is an overall report on the documentary records. It analyzes individual documents and looks into what the mainly interested the joseon and Japanese medical worlds at that time. The documents located up till now are 21 medical dialogue records from the 18th century. Through the process of these medical dialogues, the Joseon medical circle discovered a different side of japanese medicine, and the japanese medical world had a chance to directly receive advanced medical skills. Through these medical dialogues, the two countries also exchanged bountiful information about clinical patients. The japanese scholars showed deep interest in Joseon's ginseng, and asked many questions about practical usages of the contents in the medical documents. It is thought that these medical dialogue records will greatly assist studies on the medical history of this time, because it reveals new research data on Korean medical history and Japanese medical history in the latter half of the Joseon Dynasty that has never been reported in the academia before.

Suggested Protocol for Efficient Medical Image Information Exchange in Korea: Breast MRI (효율적 의료영상정보교류를 위한 프로토콜 제안: 유방자기공명영상)

  • Park, Ji Hee;Choi, Seon-Hyeong;Kim, Sungjun;Yong, Hwan Seok;Woo, Hyunsik;Jin, Kwang Nam;Jeong, Woo Kyoung;Shin, Na-Young;Choi, Moon Hyung;Jung, Seung Eun
    • Journal of the Korean Society of Radiology
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    • v.79 no.5
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    • pp.254-258
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    • 2018
  • Purpose: Establishment of an appropriate protocol for breast magnetic resonance imaging (MRI) in the study of image quality standards to enhance the effectiveness of medical image information exchange, which is part of the construction and activation of clinical information exchange for healthcare informatization. Materials and Methods: The recommended protocols of breast and MRI scans were reviewed and the questionnaire was prepared by a responsible researcher. Then, a panel of 9 breast dedicated radiologists was set up in Korea. The expert panel conducted a total of three Delphi agreements to draw up a consensus on the breast MRI protocol. Results: The agreed breast MRI recommendation protocol is a 1.5 Tesla or higher device that acquires images with prone position using a breast dedicated coil and includes T2-weighted and pre-contrast T1-weighted images. Contrast enhancement images are acquired at least two times, and include 60-120 seconds between images and after 4 minutes. The contrast enhancement T1-weighted image should be less than 3 mm in thickness, less than 120 seconds in temporal resolution, and less than $1.5mm^2$ in-plane pixel resolution. Conclusion: The Delphi agreement of the domestic breast imaging specialist group has established the recommendation protocol of the effective breast MRI.

Text Mining-Based Analysis for Research Trends in Vocational Studies (텍스트 마이닝을 활용한 직업학 연구동향 분석)

  • Yook, Dong-In
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.586-599
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    • 2017
  • This study attempts to understand the overall research trends in Vocational Studies using a text mining method, which is a means to analyze big data. The findings of the research show that Vocational Studies in Korea has been directly influenced by global economic crises, as evidenced by its exponential growth after the 1997 foreign exchange crisis that resulted in a bailout from the IMF. In addition, the topics of research have been shifting from such macro subjects as government policies and systems to such micro topics as individual career development. Moreover, the perspective of research is being moved from the socially vulnerable, including women and the disabled, to the economically marginalized, including retirees and the unemployed. As for the research targets, college students overwhelmingly outnumbered primary and secondary school students. However, few cases analyzed the clinical outcomes of career counseling or attempted to process job information and study the history of jobs. This research is limited in that it only analyzed journal abstracts. Nonetheless, it is meaningful because it used topic analysis, one of the text mining methods, to give a complete enumeration of all articles available for search, thereby crafting a framework of quantitative analysis methodology for Vocational Studies. It is also significant in that it is the first attempt to analyze themes in every stage of the development of Vocational Studies.

A Study on the Design of DICOM Integration Engine in the Ubiquitous Computing Environments (유비쿼터스 컴퓨팅 환경에서의 DICOM 설계에 대한 연구)

  • Im, In-Chul;Ha, An-Rye;Kim, Chang-Soo;Hwang, In-Chul;Ok, Chi-Sang
    • Journal of radiological science and technology
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    • v.28 no.4
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    • pp.307-315
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    • 2005
  • In the ubiquitous computing environments, ICT industries of current society are developed in enormous growth. Medicine or patients with mobile devices can access at any time, any place. The medical procedures at the patient bedside are out of the scope of current systems, which means that patient record and image data access during the medical visit or the execution, recording and confirmation of the medicine prescriptions, still do not enjoy computerized support. Today, the exchange of medical images and clinical information is well defined by DICOM and HL7 standards. The DICOM independent terminal equipment image access system was developed in which a DICOM Engine acts as the gateway between a PACS DB and user's terminal. Implementation system is compatible with most currently available Integration system models. This paper presents a software technology where the medical and nursing staff will be equipped with any device connected by wire and wireless to a central server that provides access to the electronic patient records and that will actively inform about tasks pending distribution. The prototype described in this article implements a medical images and structured reports server that makes the search and recovery of data stored in the DICOM standard possible.

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Convergent Study on Microbial Contamination of Toothbrushes According to Intraoral Bacteria Acidogenicity and Toothbrush Care (구강내 세균의 산생성도와 칫솔 관리법에 따른 칫솔 세균 오염에 관한 융합연구)

  • Park, Young-Nam;Ryu, Jae-ki
    • Journal of Convergence for Information Technology
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    • v.10 no.8
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    • pp.223-228
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    • 2020
  • Objective of this study was to compared the amount of bacteria in the toothbrush according to the management method of the toothbrush in use and the acidity of intraoral bacteria. Toothbrushes in use in more than one month of 50 healthy adults were collected and the number of bacteria and pH of the toothbrushes were measured. When the number of brushings per day was 4, the pH 4.97 and the microbial numbers was the lowest at 42.16(104×CFU/ml). When the replacement period of the toothbrush was 1 month, the pH 5.35 and the microbial numbers was the lowest at 19.80(104×CFU/ml). When stored in the bathroom, the pH 4.78, and the microbial numbers was highest at 149.46(104×CFU/ml). As a result, in order to block the germs of the toothbrush, it is necessary to develop a method that can easily disinfect the contaminated toothbrush at home. In addition, I think that it is necessary to educate about the proper brush cleaning and storage method when teaching brushing.

Web viewer for sharing of prosthesis design between laboratory and clinic: Case report (웹뷰어를 이용한 기공실과 진료실 측 간의 보철물 설계 형태의 공유: 증례 보고)

  • Jang, Sung Won;Lee, Ho Jin;Kim, So-Yeun;Lee, Du-Hyeong
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.3
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    • pp.276-282
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    • 2022
  • Close communication between clinicians and dental technicians is an important factor in providing successful prostheses. The exchange of opinions with laboratories has mainly been in the form of written prescriptions and a photos, but it has been reported that information transmission may be limited. Currently, as digital technology-based prosthesis fabrication is common, 3D image objects can be stored on the web and can be easily viewed through a mobile web browser. In this article, we introduce cases where the design of the prosthesis was improved by designing the prosthesis using CAD software and reviewing the prosthesis designed with the clinical side through a web viewer. Through this protocol, it was possible to improve the occlusal surface and crown contour, the opposing teeth condition, the size of the gingival embrasure, and the shape of pontic. The process of sharing, discussing, and modifying the prosthesis design with the clinician and technician through a web viewer contributes to reflecting the diversity of oral conditions and individualized needs, thereby helping to make functional and esthetic prostheses.