• 제목/요약/키워드: Follow-up monitoring

검색결과 255건 처리시간 0.023초

Detection of planetary signals in extremely weak central perturbation microlensing events via next-generation ground-based surveys

  • Chung, Sun-Ju;Lee, Chung-Uk
    • 천문학회보
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    • 제38권2호
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    • pp.72.1-72.1
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    • 2013
  • Even though current microlensing follow-up observations focus on high-magnification events due to the high efficiency of planet detection, it is very difficult to do a confident detection of planets in high-magnification events with extremely weak central perturbations (i.e., the fractional deviation is ${\delta}{\leq}0.02$). For the confident detection of planets in the extremely weak central perturbation events, it is needed both the high cadence monitoring and the high photometric accuracy. A next-generation ground-based observation project, KMTNet (Korea Microlensing Telescope Network), satisfies both the conditions. Here we investigate how well planets in high-magnification events with extremely weak central perturbations are detected by KMTNet. First, we determine the probability of occurrence of events with ${\delta}{\leq}0.02$. From this, we find that for ${\leq}100M_E$ planets in the separation of $0.2AU{\leq}d{\leq}20AU$, events with ${\delta}{\leq}0.02$ occur with a frequency of more than 70%, in which d is the projected planet-star separation. Second, we estimate the efficiency of detecting planetary signals in the events with ${\delta}{\leq}0.02$ via KMTNet. We find that for main-sequence and subgiant source stars, ${\geq}1M_E$ planets can be detected more than 50% in a certain range that has the efficiency of ${\geq}10%$ and changes with the planet mass.

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Undetermined Fibrous Tumor with Calcification in the Cerebellopontine Angle

  • Cheon, Se-Hun;Kang, Shin-Hyuk;Park, Kyung-Jae;Chung, Yong-Gu
    • Journal of Korean Neurosurgical Society
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    • 제48권2호
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    • pp.173-176
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    • 2010
  • In this report, we introduce an undetermined fibrous tumor with calcification occurring in the cerebellopontine angle (CPA). A 51-year-old woman was admitted with a short history of dizziness. Computed tomography and magnetic resonance images revealed a $2{\times}2{\times}2\;cm$ sized mass at the left CPA which was round and calcified. There was no dura or internal auditory canal involvement. At surgery, the tumor was located at the exit of 7th and 8th cranial nerve complex. It was very firm, bright yellow and well encapsulated. Histologic findings revealed that the tumor was predominantly composed of fibrous component, scant spindle cells and dystrophic calcification. Immunohistochemical staining demonstrated positive for vimentin and negative for epithelial membrane antigen (EMA), S-100 protein, CD34, factor XIIIa and smooth muscle actin. The diagnosis was not compatible with meningioma, schwannoma, metastatic brain tumors, and other fibrous tumors. Although the tumor was resected in total, long term follow-up monitoring is necessary due to the possibility of recurrence.

수학영재를 위한 STEAM교육 방안 마련을 위한 델파이 조사 (Delphi Study about Mathematics Gifted Education Based on STEAM Education)

  • 백희수
    • 대한수학교육학회지:학교수학
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    • 제15권4호
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    • pp.867-888
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    • 2013
  • 본 연구의 목적은 수학교육, STEAM 교육, 영재교육 전문가를 대상으로 델파이 설문 조사를 통해 수학영재를 위한 STEAM교육 방안을 마련하는 것이다. 총 3차에 걸쳐 이루어진 조사 결과 수학영재들에게 필요한 STEAM교육은 융합적 사고와 창의적 사고를 가지고 새로운 문제를 발견하고 해결하는 데 있어 자기주도적인 탐구를 통하여 다양한 사람들과 의사소통할 수 있는 전인적인 역량을 함양하는 교육이라고 개념화 할 수 있었다. 이에 따라 수학영재를 위한 STEAM교육의 목표와 방법, 내용, 평가 등에 대한 전문가들의 합의를 도출하였으며, 이에 기초한 후속연구로 수학영재를 위한 STEAM 교수-학습 모형을 개발하고자 한다.

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Microsurgical Fenestration of Middle Cranial Fossa Arachnoid Cyst

  • Kim, In-Soo;Kim, Dong-Won
    • Journal of Korean Neurosurgical Society
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    • 제40권2호
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    • pp.69-73
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    • 2006
  • Objective : The optimal surgical treatment for symptomatic middle cranial fossa arachnoid cysts is controversial. Therapeutic options include endoscopic fenestration, excision, cyst shunting, and craniotomy for fenestration of basal cistern. We reviewed the results of surgically treated middle cranial fossa arachnoid cysts. Methods : We performed a retrospective study in 18 cases of middle cranial fossa arachnoid cysts who had been treated with microsurgical fenestration between 1995 to 2003. The analysis was based on the results of the patients' age, sex distribution, developed area, clinical symptoms, treatment method, and complications. Results : Eighteen surgical treated middle cranial fossa arachnoid cysts patients were evaluated. The age range of cyst development was between 2 years and 44 years with the average of 16.4 years. The follow-up periods averaged 31.48 months. There were 15 male and 3 female patients, with significantly more cyst development in males than females. The most common clinical symptom was headache, followed by seizure. In the entire series, 77.8% of patients demonstrated a decrease in cyst size In serial imaging studies. Of them, 67.3% demonstrated a complete cyst effacement. Overall, 100% of patients with Grade I cysts, 81.8% of patients with Grade II cysts, 60% of patients with Grade III cysts exhibited evidence of decrease in cyst size during long-term monitoring. Complications included headache, meningitis, and hydrocephalus. Conclusion : Patients who were treated with microsurgical fenestration showed good outcome with acceptable complications. We concluded that microsurgical fenestration is a safe and effective surgical method for middle cranial fossa arachnoid cysts.

Superimposed Propionibacterium Acnes Subdural Empyema in a Patient with Chronic Subdural Hematoma

  • Kim, Jong-Hun;Lee, Chul-Hee;Hwang, Soo-Hyun;Kang, Dong-Ho
    • Journal of Korean Neurosurgical Society
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    • 제45권1호
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    • pp.53-56
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    • 2009
  • The authors present a case of subdural empyema in a macrocephalic patient. A 23-year-old male was admitted due to headache and fever. One month ago, he had mild head injury by his coworkers. Physical examination showed a macrocephaly and laboratory findings suggested purulent meningitis. Neuroimaging studies revealed a huge size of epidural space-occupying lesion. Under the impression of epidural abscess, operation was performed. Eventually, the lesion was located at subdural space and was proven to be subdural empyema. Later, histological examination of the specimen obtained by surgery demonstrated finings consistent with the capsule of the chronic subdural hematoma. Two weeks after operation, Propionibacterium acnes was isolated. The intravenous antibiotics were used for total of eight weeks under monitoring of the serum level of the C-reactive protein. Follow-up brain computed tomography (CT) scan showed the presence of significant amount of remaining subdural lesion. However, he has complained of minimal discomfort. It is suggested that the subdural empyema occurred with preexisting chronic subdural hematoma after head injury about one month prior to admission and it took a long time to treat Propionibacterium acnes subdural empyema with systemic antibiotics, at least over eight weeks.

간호 분담체계에 따른 간호사의 자율성 정도 (Autonomy Level of Nurse according to Nursing Delivery System)

  • 오은실
    • 한국직업건강간호학회지
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    • 제9권2호
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    • pp.155-165
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    • 2000
  • This study is to grope for a plan to increase nurse's autonomy by grasping autonomy degree according to nursing delivery system. The subject of this study are 265 nurses who work for 4 general hospitals in Seoul, and 73 of them work in primary nursing delivery system, 99 of them in team nursing delivery system and 93 of them in functional nursing delivery system. Data collection was done through questionaires from Sep. 1, 1997 to Sep. 30, 1997, and autonomy was measured by Professional Nursing Autonomy Scale developed by Schutzonhofer. Data analysis as inspected with $X^2$ test, ANOVA, and t-test, using SPSS program. The results are as follows : 1. When it comes to the autonomy of all the nurses, mean score was 161.99. Which is medium level, and autonomy degree according to nursing delivery system had no significant differences. 2. There was a significant difference in autonomy degree according to inservice education among the subject's work-related characteristics, and there was no significant difference in autonomy distribution in each grade according to general characteristics although older group, married group, and junior college graduates group showed rather higher trends. 3. Considering each item, questions related to direct nursing such as "Vital sign monitoring", "Nursing rounding", "Withhold contraindicated drug", showed high score in autonomy scores, and long-term and indirect nursing behaviors such as "Nursing administration", "Nursing research", "Follow-up care" and "Educational planning".

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병원 외래환자를 대상으로 한 항응고임상약학업무의 개발과 평가에 대한 연구 (Development and Evaluation of Anticoagulation Clinical Pharmacy Sevice for Ambulatory Patients in a Community Hospital)

  • 최수임;신현택;최해미;김정선;안정순;최경업
    • 한국임상약학회지
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    • 제5권2호
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    • pp.17-31
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    • 1995
  • Pharmacist-managed Anticoagulation Service(ACS) was estabilished and the effectiveness of warfarin monitoring by ACS in maintaining therapeutic INR was evaluated. The primary goal of ACS is to maximize the control of therapy, to maintain therapeutic INR and to decrease morbidity and hospitalization caused by inadequate dosage regimen. Clinical pharmacists performed chartreview, laboratory interpretation, recommendations for warfarin dosage adjustments, physician and patient education, and coordination of follow-up in ACS. Patients receiving warfarin sodium were evaluated via retrospective chart review. Sixty-two patients were referred to ACS by primary physicians were compared with 117 patients in the physician-amtrolled group. The ACS patients maintained $88.6\%$ in the therapeutic range for anticoagulant therapy and the control group maintained $63.7\%$, where the difference was statistically significant.(P<0.001) The ACS improved warfarin dose determination, PT stability, patient compliance and provided improved therapy compared with the control group. ACS offers safe and efficient anticoagulant therapy in the ambulatory setting.

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외국인 입원환자의 복약상담과 입원약력관리 현황에 관한 탐색적 연구 (Challenges in Patient Counseling and Medication Reconciliation for Foreign Inpatients in Korea)

  • 진혜경;이정연
    • 한국임상약학회지
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    • 제25권1호
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    • pp.34-41
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    • 2015
  • Objective: This study is to evaluate the awareness, needs, and barriers in patient counseling for hospitalized foreign patients. As the number of foreign population increases in Korea, demands on quality of Korean health services are rapidly increasing. Previously most of the studies have focused on the availability and utilization of healthcare service, and prevalence of disease for foreigners, however, no study has been conducted on quality of direct-patient care such as patient counseling. Method: In the present study, a survey was conducted on a total of 161 participants between March 7 and May 7 in 2014. The study subjects were consisted with 103 foreign patients who had experienced inpatient care within 1 year and 58 hospital pharmacists who work in the hospital with foreign inpatients. Results: Firstly, the hospital pharmacists were highly aware of the necessity of counseling for foreign inpatients. Secondly, the largest portion of barrier to patient counseling service was accounted a lack of foreign language skills. Lastly, the monitoring of efficacy, potential adverse reactions and discharge follow-up were emphasized. Conclusion: Effective communication skills would be essential to improve pharmaceutical care services to foreign inpatients.

소아에서 말 언어장애 (Speech and language disorders in children)

  • 정희정
    • Clinical and Experimental Pediatrics
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    • 제51권9호
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    • pp.922-934
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    • 2008
  • Developmental language disorder is the most common developmental disability in childhood, occurring in 5-8% of preschool children. Children learn language in early childhood, and later they use language to learn. Children with language disorders are at increased risk for difficulties with reading and written language when they enter school. These problems often persist through adolescence or adulthood. Early intervention may prevent the more serious consequences of later academic problems, including learning disabilities. A child's performance in specific speech and language areas, such as phonological ability, vocabulary comprehension, and grammatical usage, is measured objectively using the most recently standardized, norm-referenced tests for a particular age group. Observation and qualitative analysis of a child's performance supplement objective test results are essential for making a diagnosis and devising a treatment plan. Emphasis on the team approach system in the evaluation of children with speech and language impairments has been increasing. Evidence-based therapeutic interventions with short-term, long-term, and functional outcome goals should be applied, because there are many examples of controversial practices that have not been validated in large, controlled trials. Following treatment intervention, periodic follow-up monitoring by a doctor is also important. In addition, a systematized national health policy for children with speech and language disorders should be provided.

Sub-mm variability of a YSO (EC53) in Serpens main region : JCMT Transient survey

  • Yoo, Hyunju;Lee, Jeong-Eun;Johnstone, Doug;Mairs, Steve;Herczeg, Gregory
    • 천문학회보
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    • 제42권1호
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    • pp.39.2-39.2
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    • 2017
  • Stars form through the gravitational collapse of molecular clouds. However, the rate at which a star gains most of its mass and the physics that drives the main phase of stellar growth is still unclear. The typical luminosity of observed protostars is smaller than what expected from the Shu's inside-out collapse model, which predicts a constant mass accretion rate. The episodic accretion model has been suggested as a solution of this luminosity problem. The JCMT Transient survey is a long term monitoring program using JCMT/SCUBA-2 to detect accretion variability of protostars in the eight nearby star-forming regions. Recently, we found a rise of the 850 micron flux at a clump in the Serpens main region at the rate of ~17% relative to the mean flux over previous observations. The submm clump is associated with a class I protostar, EC53, which has been reported as a binary system with a periodic variability. In this talk, we will provide a brief overview of the JCMT Transient Survey project, present the detection of the variable source, and discuss about follow-up observations.

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