• Journal of Korea Multimedia Society
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• v.11 no.3
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• pp.364-372
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• 2008

It is highly useful in an actual clinical setting to apply appropriate medical terms to every area of electronic medical record (EMR) and link them effectively, as a single medical terminology system cannot cover all medical concepts. In order to use standardized terms conveniently and efficiently, it is required to categorize them depending on the purpose of individual departments or physicians and thereby develop organized subsets of extracted terms highly likely to be used. In addition, it is important to such a subset to make it possible to change or correct standardized terminology system and continue to develop and upgrade to meet renewed demands of users. In this paper, data including chief compliant, symptoms, diagnosis, operation, and history of previous treatments were collected from discharge summary of patients with Department of Neurosurgery at Busan National University Hospital for analysis. In addition, subset database was created, and for terms needed to be added, the physician directly performed mapping through connection with reference terminology server and developed subset editor for the purpose of creating new subset database. Therefore, it is expected that this can serve as a practical and effective management method to reduce problems and inefficiency caused by existing vast terminology system.

• Korean Journal of Clinical Pharmacy
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• v.22 no.3
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• pp.211-219
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• 2012

Nonsteroidal antiinflammatory drugs (NSAIDs) are used in the treatment of extensive diseases related to various symptoms; inflammation, pain and fever. NSAIDs work by blocking prostaglandin synthesis, but adverse drug events (ADEs) have been increasing dramatically such as gastrointestinal bleeding, perforation and stenosis, a kind of serious ADEs. Therefore, NSAID-related ulcer complication guidelines have been announced containing various risk factors and symptoms. Thus, this study aims to evaluate of NSAID usage and appropriateness for prevention of NSAID-related ulcer complication based on American journal of gastroenterology (AJG) guideline 2009. Further, the study suggests Korean guideline for prevention of NSAID-related ulcer compared to AJG guideline. For this study, data was collected through electronic medical record (EMR) at Seoul national university of Bundang hospital. The primary end point was a composite of NSAID-related ulcer risk factor, types of NSAIDs, co-prescribed NSAID ulcer prevention drugs and NSAID-related ulcer after taking NSAID. The risk factors include over 65 years, high dose NSAID, previous ulcer history and taking drugs (e.g. aspirin, anticoagulant and steroid) causing ulcer. If a patient has 3 or 4 factors, that patient was classified high risk group. And if 1 or 2 factors that patient was classified moderate risk group. The patient who has no risk factor was in low risk group. I studied 8,120 patients who received NSAID from 1 January 2009 to 31 December 2009. High risk group was 16(0.2%), moderate risk group was 4,364(53.7%), and low risk group was 3,740(46.1%). The results show that high risk group should be prescribed COX-2 inhibitors with ulcer prevention drugs, and moderate or low risk group need traditional NSAIDs with ulcer prevention drugs. This may be different with 2009 AJG guideline because AJG guideline suggested taking COX-2 inhibitor alone in moderate group or taking traditional NSAID alone in low risk group could get higher ulcer complication. The results indicated that choosing preventive drug is important in case that how many risk factors the patients have. The proper drugs would be helpful for safe and effective NSAID usage in each patient group.

• Information Systems Review
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• v.18 no.1
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• pp.141-155
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• 2016

This study identified terminologies related to the proximity and frequency of disaster by social network analysis (SNA) and text mining, and then expressed the outcome into a mind map. The termdocument matrix of text mining was utilized for the terminology proximity analysis, and the SNA closeness centrality was calculated to organically express the relationship of the terminologies through a mind map. By analyzing terminology proximity and selecting disaster response-related terminologies, this study identified the closest field among all the disaster response fields to disaster response and the core terms in each disaster response field. This disaster response terminology analysis could be utilized in future core term-based terminology standardization, disaster-related knowledge accumulation and research, and application of various response scenario compositions, among others.

• Korean Journal of Clinical Pharmacy
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• v.28 no.3
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• pp.167-173
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• 2018

Background: In July 2016, the Infectious diseases society of america and the american thoracic society (IDSA & ATS) published a guideline recommending piperacillin/tazobactam (Pip/Tazo) 18 g/day as the anti-pseudomonal dose for the treatment of pathogenic pneumonia. After the guideline was published, the Pip/Tazo dose used for the treatment of pathogenic pneumonia was changed from 13.5 g/day to 18 g/day in a superior general hospital intensive care unit (ICU). In this study, we analyzed the effectiveness and safety of the new dose. Methods: Adult patients aged ${\geq}19years$ who were diagnosed with pneumonia in ICU and who received Pip/Tazo for 7 days or more from September 1, 2015 to May 31, 2017 were included in the study. The electronic medical record (EMR) was retrospectively analyzed. Results: At baseline, there was a significant difference between 44 patients treated with 13.5 g/day and 31 patients treated with 18 g/day of Pip/Tazo. The 18 g/day-treatment group comprised more elderly patients than the 13.5 g/day-treatment group (p=0.028). The results of the treatment-effects analysis showed no significant difference between the two groups. In case of safety data, there were significant differences in two parameters related to blood count, namely hemoglobin (p=0.016) and platelet count (p=0.011). Conclusion: Based on the significant difference in baseline age, there is a possibility that high-dose Pip/Tazo showed improved therapeutic effect. However, when high-dose Pip/Tazo was used, the blood cell count was found to drop from the reference value more frequently. Therefore, blood cell count should be monitored carefully when high-dose Pip/Tazo is administered.

• The Journal of the Korea Contents Association
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• v.15 no.6
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• pp.290-296
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• 2015

The purpose of this study was to derive the proposals and to suggest the exposure dose reduction scheme on pediatric head CT scan by analyzing and comparing CT dose index (CTDI) and the national diagnostic reference levels. From January 2014 to December, 231 children under 10years who were requested a pediatric head CT scan with head injury were examined. Research methods were to research and analyze the general characteristics kVp, mA test coverage $CTDI_{vol}$ and DLP referring to dose reports and electronic medical record (EMR). As a result, 7.4%(17 patients) of the total subjects in $CTDI_{vol}$ showed a national diagnostic reference levels exceeding. For DLP 41.6%(96 patients) in excess was relatively higher than $CTDI_{vol}$. DLP was exceeded more than about 60% that is higher than the CT dose index presented by Korea Food & Drug Administration. it is cause of high DLP that scan range increased more than about 30% wider than the standard test coverage presented in Health Insurance Review & Assessment Service. In conclusion, it is able to significantly lower the dose if it is complied with checking the baseline scan range of pediatric head CT scan and appropriately adjusting the protocol.

• Journal of the Korean Institute of Intelligent Systems
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• v.21 no.4
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• pp.456-462
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• 2011

As the ARRA enacted recently in the United States, the interest in EHR systems have been increased in the field of medical industry. The passage of the ARRA presents a program that provides incentives to office-based physicians and hospitals adapting the EHR systems to guarantee interoperability with various medical standards. Thanks to the incentive program, a great number of EHR systems have been developed and lots of office-based physicians and hospitals have adapted the EHR systems certified by CCHIT. Keeping pace with the rapid changes in the market of healthcare, some enterprises try to push in to the United States healthcare market based on the experience acquired by developing EHR systems for hospitals in Korea. However, the developed system must be customized because of the different medical environment between Korea and the United States. In this paper, therefore, we design and develop an integrated EHR platform to guarantee the interoperability between different medical information systems based on medical standard technologies. In the developed platform, an integrated system has been composed by integrating various basic techniques such as data transmission standards and its methods, medical standard terminologies and its usage, and knowledge management for medical decision-making support. Moreover, medical data can be processed electronically by adapting an HL7 interface engine and the terminologies for exchanging medical information and the standardization of medical information. We develop SeniCare, an EHR system for supporting ambulatory care of the office-based physicians, based on the platform, and we verify the usability of the platform by confirming whether SeniCare satisfies the criteria of "meaningful use" issued by CMS or not.

• Journal of the Mineralogical Society of Korea
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• v.26 no.4
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• pp.331-342
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• 2013

동아프리카 열곡대는 아라비아반도와 아프리카 북동부의 경계에서 부채꼴 형태로 남쪽으로 뻗은 대단층 함몰지구대이다. 아프리카 판 내부에 발달한 열곡대의 폭은 35~60 km이며 연장은 약 4,000km로 알려져 있다. 열곡대는 에티오피아에서 남서방향으로 발달하다 에티오피아 남부에서 동, 서 및 남서 열곡대로 나누어진다. 이 열곡대는 제3기초 올리고세(30~35 Ma)부터 에티오피아 북부 아파르 침강대를 중심으로 주 에티오피아 열곡대가 형성되고, 남쪽으로 확장되면서 마이오세에 활성화된다. 서부 열곡대는 동아프리카대지의 가장자리와 빅토리아 호의 서편을 따라 발달하며, 고각의 정단층에 의해 특징되는 전형적인 반지구대이다. 동부 열곡대(주 에티오피아 열곡대와 케냐 열곡대)는 30 Ma 전 화산활동과 지구조활동이 시작되었으나, 서부 열곡대는 Albert 호 북부에서 12 Ma 전에, Tanganyika 열곡에서는 7 Ma 전부터 시작되었다. 서부 열곡대의 남서 방향으로 분기된 남서 열곡대는 DR-콩고 남부와 잠비아의 Tanganyika 호에서부터 남서 방향으로 확장되어 보츠와나 Okavango 열곡대와 연결된다. 주 에티오피아 열곡대(MER)의 화산암류와 관련 퇴적암류는 지열, 소다회, 포타쉬(K), 천열수 금, 벤토나이트, 유황 및 부석자원으로 중요한 관련암으로 역할을 한다. 열곡관련 대표적인 광상으로는 Afar 열곡대에 분포하는 Danakhil K-광상과 Megenta 및 Blackrock 천열수 금광상이다. Danakhil K-광상은 제4기 화산활동과 높은 지열류에 의해 열곡대 내 분포하던 소금 선상지(salt fan)에서 증발작용에 의해 형성된 증발형 K-광상으로서 총 자원량은 약 12.6억톤으로 평가되었다. 이 광상에서는 4종의 K-광물인 실바이트, 카날라이트, 포리하라이트, 카이나이트가 산출한다. 아파르 침강대 내 분포하는 대표적인 천열수 금광상은 텐다호 지구대에 위치하는 Megenta 및 Blackrock 광상이다. 제4기에 EMR에서 산성의 과알칼리 화산활동에 의해 열수활동이 초래되어 현재까지도 활동하여 지열대가 형성되고, 저유황형금 광상들이 형성되었다. Megenta 저유황형 금 광상은 2009년 발견되었으며, 현재 영국의 Startex International사에 의해 탐사가 진행 중이다. 지금까지의 탐사 결과 옥수질 규화 변질암 분포지에서 5개의 광체가 분포하며, 그중 Hyena 광체에서는 규화 변질된 열수각력암에서 최고 16.75 g/t의 금 품위가 보고되었다. 동아프리카 열곡대의 서편인 부룬디에 분포하는 Gakara REE 광상은 카보너타이트 유형의 REE 광상이다. 이 광상은 $400km^2$ 면적 내 수 cm부터 수 m까지의 폭을 가지는 맥상 또는 망상세맥상의 광체를 형성한다. 주로 조립의 바스트너사이트와 모나자이트로 구성된다. 바스트너사이트의 형성시기는 $587{\pm}4Ma$인 신원생대로 알려져 있으며, 이 지역에 분포하는 카보너타이트와 알칼리암들이 신원생대에서 신생대까지의 광범위한 연대를 보이는 것은 동일한 구조선을 따라서 일어나는 반복되는 열곡활동으로 해석된다. 또한 REE, U, 인회석 자원의 관련암체로 생각되는 알카리 조면암(네펠린-조면암 포함)과 카보너타이트는 동아프리카 열곡대의 남동부 끝자락인 말라위와 모잠비크에 우세하게 분포한다.

• Journal of Sasang Constitutional Medicine
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• v.30 no.3
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• pp.62-73
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• 2018

Objectives The aim of this study was to make an analysis of clinical characteristics and status of Sasang constitutional medicine of patients with Parkinson's Disease who visited a Korean medicine hospital. Methods We studied 129 patients with Parkinson's Disease who visited a Korean medicine hospital from September 1, 2012 to June 30, 2018. We retrospectively collected medical history and characteristics of subjects using data of EMR (electronic medical record). Results The proportion of female was higher than male. The average age was 60s. The patients visited a hospital more than one year after the occurrence of symptoms. And they were mostly under western medicine treatment. Among the 129 patients, 56 persons(43.4%) were Taeeumin, 45 persons(34.9%) Soyangin and 28 persons Soeumin(21.7%). In the distribution of prescription according Sasang Constitutional Medicine symptomatology, there was no significant difference in the proportion of exterior cold disease(48.9%) and interior heat disease(51.1%) in Soyangin. Meanwhile the proportion of heat disease's prescription was higher than cold disease in Taeeumin(73.2%) and Soeumin(84.1%). The majority of disease were Dry-febrile symptom(73.2%) of heat disease in Taeeumin, Yang depletion-syndrome(64.3%) of heat disease in Soeumin, and Gyolhyung-symptom(33.3%) of exterior cold disease and Wasting thirst-syndrome(22.2%) of interior heat disease in Soyangin, Conclusions By Developing of guideline for treatment of Parkinson's Disease through analyzing on clinical characteristics and distribution of Sasang Constitutional Medicine symptomatology could contribute to the improvement of the cure rate and accuracy of constitution pattern.

• Journal of the Korean Magnetics Society
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• v.13 no.5
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• pp.204-210
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• 2003

Electron magnetic resonance (EMR) of paramagnetic Cr$^{3+}$, Mn$^{2+}$, and Fe$^{3+}$ impurity ions in ferroelectric LiNbO$_3$ and LiTaO$_3$ single crystals has been studied. The actual sites location of paramagnetic impurity ions in the crystals was suggested from the experimental results and zero field splitting parameters calculated by superposition model. It turns out that Cr$^{3+}$ ions in LiNbO$_3$ crystal have two resonance centers and enter both the Li$^{+}$ and Nb$^{5+}$ ions. Mn$^{2+}$ and Fe$^{3+}$ impurity ions in LiNbO$_3$ substitute for Nb$^{5+}$ ions. However, both Cr$^{3+}$ and Fe$^{3+}$ ions in LiTaO$_3$ crystal reside at Li$^{+}$ ions.$ +/ ions.+/ ions.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.10 no.6
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• pp.1124-1131
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• 2006

The recent medical treatment guidelines and the development of information technology make hospitals reduce the expense in surrounding environment and it requires improving the quality of medical treatment of the hospital. Moreover, MIS, PACS(Picture Archiving and Communication System), OCS, EMR are also developing. Medical Information System is evolved toward integration of medical IT and situation is changing with increasing high speed in the ICT convergence. Mobile component refers to construct wireless system of hospital which has constructed in existing environment. Through RFID development in existing system, anyone can log on easily to internet whenever and wherever. It is the core technology to implement automatic medical processing system. This paper provides a basic review of RFID model, PACS application component services. In addition, designed and implemented database server's component program and client program of mobile application that recognized RFID tag and patient data in the ubiquitous environments. This system implemented mobile PACS that performed patient data based db environments, and so reduced delay time of requisition, medical treatment, lab.