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A Research of Trend on Russian Medical Tourism in Spine Specialty Korean Medicine Hospital (척추전문 한방병원에 내원한 러시아 환자의 의료관광 현황 조사)

  • Jeong, Hoon;Kim, Dong-Sub;Kim, Mi-Riong;Kim, Eun-Soo;Park, Ji-Yong;Park, Hyun-Min;Cho, Nam-Hoon;Kim, Ha-Neul;Woo, In
    • Journal of Korean Medicine Rehabilitation
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    • v.23 no.3
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    • pp.177-186
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    • 2013
  • Objectives This study is to evaluate the current situation of Russian tourists for medical tourism of Spine Specialty Korean Medicine Hospital. Methods 133 Russian tourists visiting Spine Specialty Korean Medicine Hospital from January 1, 2012 to December 31, 2012, were analysed in the statistics. Their data was sourced from the computerized medical records. And 87 of them answer a questionnaire about reasons for selection of Spine Specialty Korean Medicine Hospital and satisfactory for medical service. Results A total of 133 Russian visited Spine Specialty Korean Medicine Hospital for medical service, consisting of 73 females (54.8%), the fourties to fifties 58.9% by age. They avoided visiting in the winter. The average number of visiting was 7.1 times. The average treatment period was 9.9days. Majority of the elapsed time from the onset to the arrival was more than 1 year (56.6%). Low back pain (56.4%) is the most in musculoskeletal disorders and obesity (21.7%) and gynecological diseases (30.4%) were the most in a non-musculoskeletal disorders. Medication and acupuncture was the major treatment. 89.2% of the prescribed medication was the efficacy of musculoskeletal. Russian medical tourists most visited by support of travel agent (58.6%). The main reason of their visiting was non-surgical treatment for spinal disorder (31%). 96.6% of them were satisfied because rapid pain relief and kindness. Conclusions For this study, we confirmed a possibility for the Korean medical treatment of Russian tourists for medical tourism. Still, more research and goverment support for the expansion of Korean medical tourism is needed.

Association Factors for CT Angiography Spot Sign and Hematoma Growth in Korean Patients with Acute Spontaneous Intracerebral Hemorrhage : A Single-Center Cohort Study

  • Moon, Byung Hoo;Jang, Dong-Kyu;Han, Young-Min;Jang, Kyung-Sool;Huh, Ryoong;Park, Young Sup
    • Journal of Korean Neurosurgical Society
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    • v.56 no.4
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    • pp.295-302
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    • 2014
  • Objective : This study was conducted to clarify the association factors and clinical significance of the CT angiography (CTA) spot sign and hematoma growth in Korean patients with acute intracerebral hemorrhage (ICH). Methods : We retrospectively collected the data of 287 consecutive patients presenting with acute ICH who arrived within 12 hours of ictus. Baseline clinical and radiological characteristics as well as the mortality rate within one month were assessed. A binary logistic regression was conducted to obtain association factors for the CTA spot sign and hematoma growth. Results : We identified a CTA spot sign in 40 patients (13.9%) and hematoma growth in 78 patients (27.2%). An elapsed time to CT scan of less than 3 hours (OR, 5.14; 95% CI, 1.76-15.02; p=0.003) was associated with the spot sign. A CTA spot sign (OR, 5.70; 95% CI, 2.70-12.01; p<0.001), elevated alanine transaminase (GPT) level >40 IU (OR, 2.01; 95% CI, 1.01-4.01; p=0.047), and an international normalized ratio ${\geq}1.8$ or warfarin medication (OR, 5.64; 95% CI, 1.29-24.57; p=0.021) were independent predictors for hematoma growth. Antiplatelet agent medication (OR, 4.92; 95% CI, 1.31-18.50; p= 0.019) was significantly associated with hematoma growth within 6 hours of ictus. Conclusion : As previous other populations, CTA spot sign was a strong predictor for hematoma growth especially in hyper-acute stage of ICH in Korea. Antithrombotics medication might also be associated with hyper-acute hematoma growth. In our population, elevated GPT was newly identified as a predictor for hematoma growth and its effect for hematoma growth is necessary to be confirmed through a further research.

Performance Evaluation of Concrete using Performance Improving-type Polycarboxylic acid-based Admixture (성능개선형 폴리카르본산계 혼화제를 사용한 콘크리트의 성능평가에 관한 실험적 연구)

  • Seo, Tae-Seok;Choi, Hoon-Jae;Gong, Min-Ho
    • Journal of the Korea Institute of Building Construction
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    • v.17 no.5
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    • pp.445-451
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    • 2017
  • Because of the supply-demand problem of aggregate, recently, the construction sites using 100% crushed sand are increasing and the use of low quality aggregate such as farmland sand is increasing too. When the low quality aggregate is used, the various quality defect of concrete such as the strength reduction, the increase of shrinkage and bleeding can be occurred. Therefore, in this study, the performance improvement PC admixture was developed to minimize the quality defect of plain concrete of basement parking area, when the low quality aggregate was used at the plain concrete of basement parking area. The slump loss to elapsed time test, the compressive strength test, the bleeding test and the drying shrinkage test were carried out.

Synthesis of O-(3-[18F]Fluoropropyl)-L-tyrosine (L-[18F]FPT) and Its Biological Evaluation in 9L Tumor Bearing Rat

  • Moon, Byung-Seok;Kim, Sang-Wook;Lee, Tae-Sup;Ahn, Soon-Hyuk;Lee, Kyo-Chul;An, Gwang-Il;Yang, Seung-Dae;Chi, Dae-Yoon;Choi, Chang-Woon;Lim, Sang-Moo;Chun, Kwon-Soo
    • Bulletin of the Korean Chemical Society
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    • v.26 no.1
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    • pp.91-96
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    • 2005
  • O-(3-[$^{18}$F]Fluoropropyl)-L-tyrosine (L-[$^{18}$F]FPT) was synthesized by nucleophilic radiofluorination followed by acidic hydrolysis of protective groups and evaluated with 9 L tumor bearing rat. L-[$^{18}$F]FPT is an homologue of O-(2-[$^{18}$F]fluoroethyl)-L-tyrosine (L-[$^{18}$F]FET) which recently is studied as a tracer for tumor imaging using positron emission tomography (PET). [$^{18}$F]FPT was directly prepared from the precursor of O-(3-ptoluenesulfonyloxypropyl)- N-(tert-butoxycarbonyl)-L-tyrosine methyl ester. FPT-PET image was obtained at 60 min in 9 L tumor bearing rats. The radiochemical yield of [$^{18}$F]FPT was 0-45% (decay corrected) and the radiochemical purity was more than 95% after HPLC purification. The total time elapsed for the synthesis of [$^{18}$F]FPT was 100 min from EOB (End-of-bombardment). A comparison of uptake studies between [$^{18}$F]FPT and [$^{18}$F]FET was performed. In biodistribution, [$^{18}$F]FPT showed similar pattern with [$^{18}$F]FET in various tissues, but [$^{18}$F]FPT showed low uptake in brain. Furthermore, [$^{18}$F]FPT showed higher tumor-to-brain ratio than [$^{18}$F]FET. In conclusion, [$^{18}$F]FPT seems to be more useful amino acid tracer than [$^{18}$F]FET for brain tumors imaging with PET.

Option Pricing and Sensitivity Evaluation Methodology: Improvement of Speed and Accuracy (옵션 가치 및 민감도 평가 방법: 속도와 정확도 개선에 대한 고찰)

  • Choi, Young-Soo;Oh, Se-Jin;Lee, Won-Chang
    • Communications for Statistical Applications and Methods
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    • v.15 no.4
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    • pp.563-585
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    • 2008
  • This paper presents how to improve the efficiency and accuracy in the pricing and sensitivity evaluation for derivatives, since the need for the evaluation of complicated derivatives is increased. The Monte Carlo(MC) simulation using the quasi random number instead of pseudo random number can improve the elapsed time and accuracy for the valuation of European-type derivatives. However, the quasi MC simulation method has its limit for applying it in the multi-dimensional case such as American-type and path-dependent options due to the increased correlation between dimensions as the dimension of random numbers is increased. In order to complement this problem, we develop a modified method in which correlation values are controlled to be below a pre-specified value. Thus, this method is applicable for the pricing of either derivatives ill which underlying assets or risk factors are several or derivatives having path-dependent or early redemption property. Furthermore, we illustrate that it is important to take an appropriate grid interval for the use of finite difference method(FDM) by applying the FDM to one example of non-symmetrical butterfly spreads.

Kinematic Analysis of Horse-Riding Posture According to Skill Levels during Rising Trot with JeJu-horse (제주마를 이용한 승마 경속보시 숙련도에 따른 기승자세의 운동학적 비교분석)

  • Oh, Woon-Yong;Ryew, Che-Cheong;Kim, Jin-Hyun;Hyun, Sung-Hyun
    • Korean Journal of Applied Biomechanics
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    • v.19 no.3
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    • pp.467-479
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    • 2009
  • The purpose of this study was to present the quantitative data which riders can utilize teaching field by comparison analysis of kinematics according to skill level of rider during 2 strides rising trot with the JeJu's-Horse. Participated subjects was consisted of total 10 riders(unskilled: n=5, skilled: n=5). The method of experiment & analysis was based on 3D cinematography. Variables were consisted of temporal, linear & angular kinematics by each event & phase. The skilled assigned more ratio of elapsed time in air than support phase, had the less range of motion in up-down direction and more consistent velocity in lateral & forward direction and performed periodic up-down movement with alignment in vertical direction according to elapsing of phases. The skilled more flexed at elbow and extended backwardly according to elapsing of phases, while more flexed forwardly at hip & knee and plantarflexion at ankle. The skilled postured backward extension but the unskilled do forward flexion. That is, It was considered that the unskilled continued more unstable posture than the skilled during 2 strides in rising trot.

Analysis of the Prognostic Factors in Trauma Patients with Massive Bleeding (외상으로 인한 대량 출혈 환자에서의 예후인자 분석)

  • Choi, Seok Ho;Suh, Gil Joon;Kim, Yeong Cheol;Kwon, Woon Yong;Han, Kook Nam;Lee, Kyoung Hak;Lee, Soo Eon;Go, Seung Je
    • Journal of Trauma and Injury
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    • v.25 no.4
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    • pp.247-253
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    • 2012
  • Purpose: Hemorrhage is a main cause of death in trauma patients. The goal of this study is to describe the characteristics of trauma patients with massive bleeding and to evaluate the prognostic factors concerning their survival. Methods: This study was performed retrospectively and included trauma patients with massive bleeding who had been treated from March 2007 to August 2012. The inclusion criterion was patients who received more than 10 U of packed red blood cells within the first 24 hours after visiting the emergency department. Based on their medical records, we collected data in terms of demographic findings, mechanisms of injury, initial clinical and laboratory findings, methods for hemostasis (emergency surgery and/or angioembolization), transfusion, injury severity score (ISS), revised trauma score (RTS) and trauma and injury severity score (TRISS). We used the Mann-Whitney U test and Fisher's exact test to compare the variables between the patients that survived and those that did not. We performed a logistic regression analysis with the significant variables from the univariate test. Results: Thirty-two(32) patients were enrolled. The main mechanisms of injury were falls and motor vehicle accidents. The mean transfusion amount of packed red blood cells (PRBC) was 17.4 U. The mean elapsed time for the first hemostasis (surgery or embolization) was 3.5 hours. The initial technical success rates were 83.3%(15/18) in angioembolization and 66.7%(8/12) in surgery. The overall mortality rate was 34.4%(11/32). The causes of death were bleeding, brain swelling and multiple organ failure. The ISS(25.5 vs 46.3, p=0.000), TRISS(73.6 vs 45.1, p=0.034) and base excess(<-12 mmol/L, p=0.020) were significantly different between the patients who survived and those who did not. Conclusion: The ISS was a prognostic factor for trauma patients with massive bleeding.

Phylogenetic Analysis of env Gene V3-V5 Region of HIV-1 Subtype A Isolates from Korean (한국인 HIV 감염자에서 분리된 HIV-1 Subtype A의 env 유전자 V3-V5 부위의 계통적 분석)

  • Lee, Joo-Shil;Kim, Eun-Young;Kang, Chun;Nam, Jeong-Gu;Lee, Sung-Rae;Koo, Bon-Ki;Shin, Yung-Oh
    • The Journal of Korean Society of Virology
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    • v.29 no.2
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    • pp.119-127
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    • 1999
  • Phylogenetic analysis was conducted to monitor transmission of HIV and to investigate the genetic structure of primary isolates from 12 HIV-1 subtype A infected Koreans. The individuals infected with subtype A viruses had been diagnosed as HIV-1 seropositives during the period 1987 to 1995 and blood samples have been collected from 1991 to 1997. DNA of each individual was isolated from uncultured or cultured peripheral blood mononuclear cells. V3-V5 (0.7 kb) fragment of HIV-1 env gene was amplified by nested polymerase chain reaction and the PCR products were sequenced. The mean value of the divergence of nucleotide of HIV-1 env V3-V5 fragment was $17.0{\pm}4.06%$ ($8.6{\sim}25.8%$) within HIV-1 subtype A isolates from Koreans. This diversity was higher than those of African isolates ($13.7{\pm}2.66%$). In the phylogenetic tree, Korean subtype A isolates were not grouped together, but intermingled into African isolates. The results of this study suggested that HIV-1 subtype A variants be introduced from multiple sites of Africa into Korea and the big genetic diversity of Korea HIV-1 subtype A isolates may be further influenced by the range of geographic locations in which the infection occurred rather than the elapsed time between infection and collection of samples and the disease progression.

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Petrological and Mineralogical Characteristics of Matrix of Pumice in Ulleung Island (울릉도 부석 기질의 암석.광물학적 특성)

  • Im, Ji-Hyeon;Choo, Chang-Oh;Jang, Yun-Deuk
    • Journal of the Mineralogical Society of Korea
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    • v.24 no.3
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    • pp.151-164
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    • 2011
  • Mineralogical and petrological characteristics were investigated on matrix of dense gray, vesiculate gray, brown and black pumice in Ulleung Island by using XRD, FT-IR, XRF, SEM and thermal analysis. According to the analysis, most of pumice matrix are amorphous and include very small amount of sanidine and anorthoclase. Since the adsorption moistures, which commonly observed as O-H peak in FT-IR spectrum, are not identified in thermal analysis, it seems reasonable to conclude that content of the adsorption moisture has very low level. Although pumice has a large specific surface area, with long time elapsed after eruption, pumice matrix shows very low degree of hydration alteration due to the low level of water content. In SEM images, most surfaces of pumice show morphological characteristics such as various shapes of vesicle with wrinkled and thin walls resulted from ductile coalescence. Dense gray pumice formed in the initial stage includes small vesicles less than $15{\mu}m$ in size with subangular to angular shapes, free of ovoid vesicle. These characteristics are interpreted to have related to the hydrous environment derived from phreato-plinian eruption. Submicron particles observed as amorphous alumina silicate assemblages in vesicle surface are considered as particles sticked to the matrix surface through rapidly cooling process during ascent of alkali phonolitic magma. It indicates that these particles coexisted partly with crystallized alkali feldspar.

Effect of Salinity-stratified Waters on Upward Migration and Ratio of Extracted DNA/RNA in Cochlodinium polykrikoides Margalef Based on the Ratio of Absorbance at 260 and 280nm (염분 구배가 Cochlodinium polykrikoides Margalef의 수직이동 및 DNA/RNA 비율에 미치는 영향)

  • Cho Eun Seob;Lee Young Sik
    • Journal of Life Science
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    • v.15 no.3 s.70
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    • pp.468-473
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    • 2005
  • The coastal regions of Yeosu, the South Sea of Korea, has occurred annually the red tide which is caused by potentially ichthyotoxic dinoflagellate C. polykrikoides, with a wide avenue for exchange with oceanic waters and freshwater runoff from Sumjin river. We attempted to examine the variability in response to vertical migration and concentration of extracted DNA/RNA of C. polykrikoides exposed to salinity-stratified waters. The experimental aquarium of the 60 liter was employed to culture C. polykrikoides. One aquarium was supplied with only sea water, the other was consisted of sea water and freshwater. Experiment was conducted for 5 days. In experimental column (mixture of freshwater and sea water), salinity was maintained to 20 at upper and approximately 30 at bottom during the period of this study. The fluctuation with related to dissolved oxygen and pH was similar pattern to both columns. Chlorophyll a was significantly higher value at upper than bottom. During 24h, chlorphyll a on experimental column was extremely high on the top as soon as lighting, compared with control. With elapsed time, the gap between experimental and control columns was a little. In darkness, chlorophyll a was not significantly different between upper and bottom, most cells appeared to randomly distribute on column regardless of water layer. Fluctuation with related to concentration of extracted DNA and RNA based on ratio of absorbance of 260 and 280 nm in experimental column was higher at final day or diel migration than control. These results implied that a large volume of freshwater could be associated with influence of concentration of DNA and RNA, in particular, rapid upward movement caused massive fish kills as soon as sunset.