• Journal of Yeungnam Medical Science
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• 제36권3호
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• pp.192-200
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• 2019

Stereotactic body radiotherapy (SBRT) is an advanced form of radiotherapy (RT) with a growing interest on its application in the treatment of hepatocellular carcinoma (HCC). It can deliver ablative radiation doses to tumors in a few fractions without excessive doses to normal tissues, with the help of advanced modern RT and imaging technologies. Currently, SBRT is recommended as an alternative to curative treatments, such as surgery and radiofrequency ablation. This review discusses the current status of SBRT to aid in the decision making on how it is incorporated into the HCC management.

• 센서학회지
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• 제32권6호
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• pp.357-369
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• 2023

Wound healing is a complex and dynamic process, making the accurate and timely assessment of skin wounds a crucial aspect of effective wound care management, especially for chronic wounds. Unlike conventional wound dressings that simply cover the wound area once some form of medicine is administered onto the wound, recent studies have introduced versatile approaches to smart wound dressings capable of interacting with wound fluids to monitor physicochemical and pathological parameters to determine the wound healing status. Such electrochemical wound dressings can be integrated with on-demand, closed-loop drug delivery or stimulation systems and ultimately expanded into an ideal technological platform for the prevention, treatment, and management of skin wounds or illnesses. This article briefly reviews the wound healing mechanism and recent strategies for effective wound care management. Specifically, this review discusses the following aspects of smart wound dressings: sensor-integrated smart bandages to detect wound biomarkers, smart bandages developed to accelerate wound healing, and wireless, closed-loop automatic (on-demand) wound healing systems. This review concludes by providing future perspectives on effective wound care management.

• 보건의료산업학회지
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• 제3권1호
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• pp.47-58
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• 2009

This study is to grasp selection factors and habits of information searching of customers of ophthalmic service and to verify the differences in them and to investigate how they affect in selecting medical institute by demographic sociological characters, selection factors by classification and habits of information searching, how many times they used and the type of medical treatment. The result of analysis of importance of selection factors of medical institute, it showed that doctors' career were evaluated high by classification and it showed in order of university hospital, hospital, clinic in facilities and equipment and in order of university hospital, clinic, hospital in distance transportation Analysis of importance of selection factors by sex distinction, it showed that doctors' career were high for both male and female and according to the result of analysis of selection factors by an age, doctors' career variable was measured high and it showed in order of facilities, equipment, distance and convenient transportation. The result of analysis by the form of medical treatment, doctors' career were measured high in all diseases. Facilities and equipment were measured high in case of a corrective operation of eyesight and distance transportation variable showed high in simple eye diseases. According to the result of analysis of habits of searching information by utility frequency, one's own experience in the past(direct visits) was the highest over all and it showed in order of introduction of other ophthalmic department in case of people who go to the institutes many times.

• 경영과정보연구
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• 제2권
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• pp.355-390
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• 1998

The purpose of this study was to determine the conflict plan of the foreign worker in Korea. The concrete purpose of this study as follows : First, To Analyze Conflict factor of job according to the foreign worker conflict. Second, To present rethinking plan of job and efficiency management foreign worker in Korea. The Subject of this study were consisted of 308 foreign worker form 408 small and medium business in taejon city, Chung-Nam. Conflict factor of job was measured according to questionare used in precedent study. Statistical treatment were the mean, Standard, Deviation, One-way ANOVA analysis. The conclusions of the paper research were as follows. First, Foreign worker showed occasionally lower degree conflict of job. Second, Woman foreign worker had higher conflict of job than man foreign worker in wage, working condition, human relation, communication. Third, The foreign worker is short In Job-experience. therefore, efficiency management of job was fall. Fourth, The relationships between Korea-worker and foreign-worker were conflict in communication, human relation. Fifth, The relationships between Korea-worker and foreign-worker were conflict wage-discrimination. Sixth, The more education-level had lower conflict. Seventh, According to cultural characteristic had different.

• 대한의용생체공학회:의공학회지
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• 제26권6호
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• pp.399-406
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• 2005

In these days, HIS(Hospital Information System) raise the quality of medical services by effective management of medical records. As computing environment was developed, it is possible to search information quickly. But, standard medical data exchange is not completed between medical clinic and another organ so far. In case of patient transfer, past medical record was not efficiently transmitted. It be feasible treatment delay or medical accident. It is trouble that medical records is transferred by a person and communicate with each other. Extensible Markup Language (XML) is a simple, very flexible text format derived from SGML. Originally designed to meet the challenges of large-scale electronic publishing, XML is also playing an increasingly important role in the exchange of a wide variety of data on the Web and elsewhere. Form in system of company product, relative organs that handle bio-signal data is each other dissimilar and integration and to transmit to supplement bottleneck this research uses XML. In this study, it is discussed about sharing of medical data using XML web technology to standard medical record between hospital and relative organization The data structure model was designed to manage bio-signal data and patient record. We experimented about data transmission and all-in-one between different systems (one make use of MS-SQL database system and the other manage existent bio-signal data in itself form in file in this research). In order to search and refer medical record, the web-based system was implemented. The system that can be shared medical data was tested to estimate the merits of XML. Implemented XML schema confirms data transmission between different data system and integration result.

• 한국환경농학회지
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• 제27권4호
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• pp.368-372
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• 2008

돈분 퇴비화 시 Alum 처리 수준이 증가함에 따라 전 퇴비화 과정에서 pH는 낮은 수준으로 유지되었지만, Alum-H 처리구는 퇴비화 초기 pH가 Alum-L와 대조구에 비해 현저히 낮았기 때문에 퇴비화 기간이 지연되었다. 퇴비화 35일 동안 누적 암모니아 휘산량은 Alum-L와 Alum-H 처리구에서 대조구에 비해 각각 31, 78% 감소되었다. Alum 처리는 돈분 퇴비 중 인산을 난용성 인산으로 전환시켜 수용성 인산의 함량을 현저히 감소 시켰다. 따라서 돈분의 퇴비화에 있어 Alum 첨가는 퇴비화 과정에서 질소 손실을 감소시키고, 농경지 활용시 인산 유출량을 저감 할 수 있을 것으로 기대된다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제45권2호
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• pp.68-75
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• 2019

Chronic recurrent multifocal osteomyelitis (CRMO) is one of the most severe form of chronic non-bacterial osteomyelitis (CNO), which could result in bone and related tissue damage. This autoinflammatory bone disorder (ABD) is very difficult for its clinical diagnosis because of no diagnostic criteria or biomarkers. CRMO in the jaw must be suspected in the differential diagnosis of chronic and recurrent bone pain in the jaw, and a bone biopsy should be considered in chronic and relapsing bone pain with swelling that is unresponsive to treatment. The early diagnosis of CRMO in the jaw will prevent unnecessary and prolonged antibiotic usage or unnecessary surgical intervention. The updated researches for the identification of genetic and molecular alterations in CNO/CRMO should be studied more for its correct pathophysiological causes and proper treatment guidelines. Although our trial consisted of reporting items from Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), there are very few articles of randomized controlled trials. This article was summarized based on the author's diverse clinical experiences. This paper reviews the clinical presentation of CNO/CRMO with its own pathogenesis, epidemiology, recent research studies, and general medications. Treatment and monitoring of the jaw are essential for the clear diagnosis and management of CNO/CRMO patients in the field of dentistry and maxillofacial surgery.

• 대한유전성대사질환학회지
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• 제3권1호
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• pp.4-14
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• 2003

Maple syrup urine disease or branched chain ketoacidurias caused by a deficiency in activity of the branched-chain ${\alpha}$-keto acid dehydrogenase(BCKD) complex. This metabolic block results in the accumulation of the branched-chain amino acids(BCAAs) leucine, isoleucine and valine, and the corresponding branched chain ${\alpha}$-keto acids (BCKAs). Based on the clinical presentation and biochemical responses to thiamine administration, MSUD patients can be divided into five phenotypes : classic, intermediate, intermittent, thiamine responsive and dihydrolipoyl dehydrogenase(E3)-deficient. Classic MSUD has a neonatal onset of encephalopathy, and is the most severe ad most common form. Variant forms of MSUD generally have the initial symptoms by 2 years of age. The majority of untreated classic patients die within the early months of life from recurrent metabolic crisis and neurologic deterioration. Treatment involves both longterm dietary management and aggressive intervention during acute metabolic decompensation. We report here our experience of longterm diet therapy and treatment of acute metabolic decompensation of a case of classic MSUD.

• Journal of Chest Surgery
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• 제17권2호
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• pp.269-274
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• 1984

Since tuberculosis was a common pulmonary disease in Korea, Aspergillosis was easily misdiagnosed as tuberculosis and an acute form of Aspergillosis was misinterpreted as pneumonia because of their similarities in the X-ray findings. This investigation is designed to illustrate the clinical features and preoperative diagnosis and surgical role in the management of this disease. In a retrospective review of operative cases from Jan. 1963 through Dec. 1983, 36 cases were analyzed. Peak age incidence lies in the 3rd decade [41.7%]. All cases had a history of treatment with antituberculous drugs under diagnosis of pulmonary tuberculosis and the most common chief complaint was hemoptysis [69.5%]. Only nine cases [25%] showed cavitary lesions with mycetoma and preoperative sputum study for fungus showed low positive valve [42.3%]. Anatomical location of lesion was located mainly upper lobe [66.7%] and most of cases were managed by lobectomy. We experienced 7 cases of complication; they were postoperative empyema, hepatic failure, esophageal varix bleeding. Postoperative pathologic findings showed that 29 cases [80.5%] were combined with tuberculosis 3 cases were combined with bronchiectasis and 4 cases were not combined with other disease. In conclusion, when the patient has a longstanding history of pulmonary tuberculosis and has a hemoptysis, he must be suspected fungus super infection. Resectional surgery is the treatment of choice for symptomatic localized disease and needed resection in asymptomatic patient to prevent possible fatal sequelae in the future.

• 대한간호학회지
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• 제49권3호
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• pp.298-306
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• 2019

Purpose: This study aimed to examine the levels of perceived self-management support, self-efficacy for self-management, and health-related quality of life (HRQoL) in cancer survivors, and to identify the mediating effect of self-efficacy in the relationship between perceived self-management support and HRQoL. Methods: This study used a descriptive correlational design. Two hundred and four cancer survivors who had completed treatment participated in the study. Measurements included the Patient Assessment of Chronic Illness Care Scale, the Korean version of the Cancer Survivors' Self-Efficacy Scale, and the Medical Outcomes Study Short Form-36. Data were analyzed using descriptive statistics, Pearson's correlation coefficient analysis, and multiple regression analysis using Baron and Kenny's method for mediation. Results: The mean score for perceived self-management support was 3.35 out of 5 points, self-efficacy was 7.26 out of 10 points, and HRQoL was 65.90 out of 100 points. Perceived self-management support was significantly positively correlated with self-efficacy (r=.29, p<.001) and HRQoL (r=.27, p<.001). Self-efficacy was also significantly correlated with HRQoL (r=.59, p<.001). Furthermore, self-efficacy (${\beta}=.55$, p<.001) had a complete mediating effect on the relationship between perceived self-management support and HRQoL (Z=3.88, p<.001). Conclusion: The impact of perceived self-management support on HRQoL in cancer survivors was mediated by self-efficacy for self-management. This suggests that strategies for enhancing self-efficacy in cancer survivors should be considered when developing self-management interventions for improving their HRQoL.