• 대한골관절종양학회지
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• 제15권2호
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• pp.160-164
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• 2009

골반문증은 장관골의 골단 및 골간단에 다발성의 경화성 병변이 발생하는 매우 드문 골 이형성 질환으로 아직 원인이 명확히 알려지지 않았다. 일반적으로 상염색체 우성으로 유전되며 대부분 무증상으로 단순방사선학적 검사에 의해 우연히 발견되는 경우가 대부분이다. 저자들이 경험한 증례는 전형적인 골반문증의 방사선학적 소견 및 임상적 특징을 보이고 있었고, 감별진단을 위하여, 조직검사를 시행하였다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제31권5호
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• pp.427-435
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• 2005

The purpose of this study was to compare clinical availability of fibrin adhesive technique with microneural suture technique. We applicated fibrin adhesive technique and microneural suture technique on cut sciatic nerve in rat and used to Compound muscle action potential of rat thigh muscle compartment and histologic finding for comparision of clinical availability. The results were as following. 1. Using latency and amplitude in Compound muscle action potential test, we compared microneural suture technique with fibrin adhesive technique for nerve regeneration effect. the means was slightly different between two method. but there's no statistically significant differences. 2. Histologic finding was similar in microneural suture technique and fibrin adhesive technique for regeneration of axon and myelin sheath in destruction site after nerve anastomosis. These results showed that the efficacy of fibrin adhesive technique was similar to that of conventional microneural suture technique. Moreover, fibrin adhesive technique is decreased operating time and imporved of incapability of accessment in conventional suture technique. Therefore this technique is a useful method to nerve anastomosis in nerve enervation and neurotransplantation.

• 한국컴퓨터정보학회논문지
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• 제10권3호
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• pp.331-337
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• 2005

DICOM(Digital Imaging and Communications on Medicine) 표준은 2004년 4월에 발표된 "Supplement 23:DICOM SR(Structured Reporting)"을 통해 모든 임상정보의 표준화된 교환이 가능하도록 확장함으로써 의사의 판독보고서와 신체의 특정 부위와의 관계를 체계적으로 연결할 수 있게 되었다. DICOM SR은 정보를 정확하게 표현하기 위해 코드체계를 사용하며, 구성 항목들의 계층적인 트리로써 구조화된 정보를 표현할 수 있다. 본 논문에서는 병원정보시스템의 영상 판독결과 보고서를 분석하여 발견(finding), 결론(conclusion) 및 권고(recommendation)로 세분화하고 구조화한 후 실제로 의사가 진료에 활용할 수 있도록 DICOM SR 시스템을 구현하였다. X-ray와 같은 영상 데이터는 판독결과나 환자의 정보와 같은 텍스트 데이터와 별도로 관리되고 있다. DICOM SR로 표현된 판독결과 보고서는 영상에 대한 참조가 가능하므로 텍스트와 영상이 통합된 정보를 제공할 수 있다.

• Advances in pediatric surgery
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• 제10권2호
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• pp.117-122
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• 2004

Diagnosis of acute appendicitis in children is sometimes difficult. The aim of this study is to validate a clinical scoring system and ultrasonography for the early diagnosis and treatment of appendicitis in childhood. This is a prospective study on 59 children admitted with abdominal pain at St. Mary's Hospital, the Catholic University of Korea from July 2002 to August 2003. We applied Madan Samuel's Pediatric Appendicitis Score (PAS) based on preoperative history, physical examination, laboratory finding and ultrasonography. This study was designed as follows: patients with score 5 or less were observed regardless of the positive ultrasonographic finding, patients with score 6 and 7 were decided according to the ultrasonogram and patients above score 8 were operated in spite of negative ultrasonographic finding. The patients were divided into two groups, appendicitis (group A) and non-appendicitis groups (group B). Group A consisted of 36 cases and Group B, 23 cases. Mean score of group A was 8.75 and group B was 6.13 (p<0.001). Comparing the diagnostic methods in acute appendicitis by surveying sensitivity, specificity, positive predictive value, negative predictive value, and accuracy, PAS gave 1.0000, 0.3043, 0.6923, 1.0000, and 0.7288, and ultrasonography gave 0.7778, 0.9130, 0.9333, 0.7241, and 0.8300 while the combined test gave 1.0000, 0.8696, 0.9231, 1.0000, and 0.9490, respectively. Negative laparotomy rate was 3 %. In conclusion, the combination of PAS and ultrasonography is a more accurate diagnostic tool than either PAS or ultrasonography.

• 대한골관절종양학회지
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• 제10권2호
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• pp.79-87
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• 2004

목적: 최근 자기공명영상의 개발로 다양한 연조직종양의 영상의학적 진단이 가능해 졌다. 그러나 연조직종양의 다양한 조직구성이나 시간에 따라 구성분의 변화는 자기공명영상 만으로 악성과 양성 종양조차 감별을 어렵게 한다. 이에 본 저자들은 임상과 자기공명영상의 복합적인 소견으로 악성과 양성 연조직종양을 감별해 보고자 하였다. 대상 및 방법: 병리조직학적으로 확진된 82례(중간성종양을 악성종양으로 포함하여 37례와 염증성 종괴를 양성종양으로 포함하여 45례)를 후향적으로, 임상적 소견으로 연령, 크기, 위치, 그리고 자기공명영상 소견으로 종양경계, T2신호강도양상, 조영제T1신호강도양상, 그리고 조영증강 범위를 연관시켜 분석하였다. 자기공명영상으로 진단이 어렵지 않는 많은 전형적인 지방종과 결절종 그리고 농양같은 낭종은 양성종양 분류에서 제외하였다. 결과: 악성연조직종양은 양성에 비하여 연령으로 21~40세와 61~80세, 크기로 3.0 cm 이상, 발생위치로 몸체-골반-하지, 그리고 자기공명영상에서 불규칙한 경계, 50%이상의 조영증강범위 소견들의 빈도가 높았다. 결론: 발생위치로 몸체-골반-하지 와 상지-어깨-척추 로 나눈 임상소견이 악성과 양성 연조직종양을 감별하는데 통계학적으로 유의성있는 차이를 보였으며 나머지 다른 소견들은 특이적이지는 않았지만 부가적으로 악성과 양성을 감별하는데 도움이 되는 소견이었다.

• 근관절건강학회지
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• 제22권3호
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• pp.185-194
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• 2015

Purpose: The purpose of this study is to determine the mediator or moderator effect of clinical nurses' emotional intelligence on the relationship between the emotional labor and psychological well-being. Methods: Data was collected from 240 nurses in tertiary hospitals located in B city using structured questionnaires. Data was analyzed with descriptive statistics, Pearson's correlation coefficient and hierarchical multiple regression using the SPSS program. Results: Clinical nurses' emotional intelligence had a significant correlation with emotional labor (r=-.13, p=.039) and psychological well-being (r=.52, p<.001). Also, clinical nurses' emotional intelligence showed mediating effects between the emotional labor and psychological well-being. However, emotional intelligence did not show moderating effects. Conclusion: The results of this study show that the clinical nurses' emotional intelligence has an important influence on nurses' emotional labor and psychological well-being. This finding points to the importance of emotional intelligence to increase psychological well-being and suggests that the hospital should develop education and training programs to enhance nurses' emotional intelligence and promote clinical nurses' psychological well-being.

• 가정간호학회지
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• 제29권1호
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• pp.50-59
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• 2022

Purpose: Establishing a professional identity is important for nurses in providing quality nursing care and adapting to changing roles in various clinical settings. The aim of this study was to investigate the effects of nursing students' academic self-efficacy and clinical practice satisfaction on their professional identity. Methods: A total of 180 nursing students were recruited using convenience sampling from a university in G city in July, 2021. Results: The professional identity scores were higher than the average, and differed significantly according to nurses' academic grade, department satisfaction, interpersonal relations, and subjective health status. Professional identity showed a significant positive correlation with academic self-efficacy (r=.69, p<.001), major satisfaction (r=.72, p<.001), and clinical practice satisfaction (r=.71, p<.001). The factors affecting professional identity were clinical practice satisfaction (ß=.42, p<.001) and academic self-efficacy (ß=.38, p<.001). Conclusion: Our finding suggest that nursing students should be encouraged to develop their professional identity by improving clinical practice satisfaction and academic self-efficacy. Therefore, it is necessary to provide nursing education programs that increase their pride as nurses and establish their professionalism in nursing.

• Journal of Acupuncture Research
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• 제26권2호
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• pp.59-70
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• 2009

Objectives : Although CTTH is one of the most common symptom in primary headache, the mechanism and treatment is not definite. The purpose of this study is to research about clinical characteristic and roentgenographic finding of the cervical spine in CTTH to determine relationship between the cervical spine and headache. Methods : This study was carried out on 93 patients with CTTH. By roentgenographic finding, they were classified into four groups - HNP, Spondylosis, Sprain, Normal. Then the HNP group was divided again into two groups - singer type and multiple type. Results: 1. Among 93 patients with CTTH, 69(74.19%) patients had abnormal cervical spine by roentgenographic finding. 2. There were HNP, spondylosis, sprain in abnormal roentgenographic finding. And a great majority of the patients were diagnosed as cervical sprain. 3. There were no significant difference between four groups on sex, weight, height, blood pressure, pulse, respiratory rate. But on ages, the HNP group showed the highest average while the sprain group showed the lowest. 4. The patients in HNP group had more frequent, severe pain, longer onset and higher onset-age than those of the other three group. 5. The patients in Multiple-type HNP group had severe pain, longer pain-duration, longer onset, more pre-symptoms and younger onset-age than those of the Single-type HNP group. Conclusions : A great majority of the patients with CTTH had abnormal cervical spines. Also, we found out that the worse the grade of HNP, heavier the level of headache.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제18권2호
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• pp.279-285
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• 1996

The odontogenic keratocyst(OKC) was used of term and described some of clinical, radiological and microscopic features by Philipsen 1956. The microscopic finding of OKC is characterized by the production of keratin, Which sometimes fills the lumen and thinning of epithelium of cyst. The most clinical importance of OKC is its extraordinary recurrence rate owing to the incomplete removal of the cyst wall. The final diagnosis of OKC should be evaluated by histologic findings and follow-up of any case of OKC with annual roentgenograms and clinical evaluations is essential for at least five years after surgery. This article is report of 2 cases of large OKC involved both molar portion and symphysis of mandible with facial asymmetry, severe bone destruction and paresthesia of lower lip on clinically, roentgenographically. By the postoperative findings the patients showed normal regeneration of bone defect area without recurrence signs by panorama films after surgery.

• 간호행정학회지
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• 제22권5호
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• pp.424-436
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• 2016

Purpose: The aim of this study was to identify the influence of professionalism, role conflict and work environment in clinical nurses with expanded role (CNE) on job embeddedness. Methods: The participants in this study were 136 CNE working in general hospitals in Seoul, the wider metropolitan area and Gangwon Province. Results: Job embeddedness, work environment and professional performance of the participants showed positive correlation with each other. Significant predictors of embeddeness were belief in public service and sense of calling in the professional subcategory and participation in hospital affairs and nurse-doctor relationship in the work environment subcategory. Conclusion: Finding from this study indicate the need to evaluate and improve the significant predictors of job embeddedness for CNE.