• 중환자간호학회지
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• 제11권3호
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• pp.71-84
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• 2018

Purpose : This study develop a Video Recording-Based Standardized Handoff (VRSH) program at shift change for ward nurses. Methods : The study was conducted in five medical, three surgical, and one comprehensive nursing care service wards affiliated with a secondary general hospital. In this methodological study, the VRSH program was developed between April and December, 2017. It is noted that 65 nurses who were involved in the VRSH program participated in this study. Results : In line with the modified Situation, Background, Assessment, Recommendation tool, the VRSH program consisted of three phases. In the VRSH program, the average time for handoff duration was 3-5 minutes per patient. More than 90% of the ward nurses were satisfied with the VRSH program since it benefited them by reducing overtime work and improving the performance, as well as effective communication, of nurses. The content analysis of nurses' VRSH program experience, revealed three categories and eight sub-categories. Conclusions : This study provides evidence that the VRSH program improves effective nursing performance and, the handoff communication and relationships between nurses. Future studies on large sample sizes and multiple settings are required to substantially evaluate the impact of the VRSH program on clinical outcomes.

• 한국의학물리학회지:의학물리
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• 제16권3호
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• pp.148-154
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• 2005

망막에서 나오는 활동전위와 같이 복잡한 신경망을 거쳐 처리되는 전기신호를 분석하기 위해서는 기존의 단일 전극 기록법으로는 어렵다. 단일 전극을 통한 활동전위의 기록은 개개의 신경세포 특성을 알아내는 데에는 유용한 방법이나 신경세포 간의 시간적, 공간적인 관계는 알아낼 수 없다는 한계를 가지고 있으므로 이같은 한계를 극복하기 위하여 다채널 전극을 이용한 신경신호 기록방법이 최근에 개발되어 널리 이용되고 있다. 다채널전극 기록 방식인 MEA60 시스템은 세포 밖에 위치한 60개의 전극이 생체신호를 동시에 기록한다. 세포 fi에 위치한 각각의 전극이 포착한 신경 신호는 하나의 망막신경절세포 반응이라기보다는 여러 세포의 반응이 동시에 기록될 가능성이 높다. 그러므로 여러 세포의 반응이 함께 기록된 신호로부터 각각의 세포로부터 나오는 파형을 구분하는 작업이 반드시 필요하다. 본 연구에서는 다채널 전극으로 기록한 망막 신경절세포 신호로부터 MATLAB을 이용하여 활동전위 파형을 검출하고 분류하는 과정을 구현하여 보았다. 이러한 분류과정은 추후 진행되는 신호분석방법인 자극 후 시간 히스토그램(poststimulus time histogram, PSTH), 자기상관관계(autocorrelogram), 상호상관관계(cross-correlogram)를 보기 위하여 반드시 거쳐야 하는 전처리(preprocess) 과정이다. 본 연구에서는 MATLAB을 이용한 파형 구분 프로토콜을 확립하였을 뿐만 아니라 이러한 프로토콜이 신경절 세포의 활동전위 파형을 검출하는 데 유용한 방법임을 입증하였다

• Clinical and Experimental Pediatrics
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• 제46권1호
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• pp.51-55
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• 2003

목 적 : 심전도상 빈맥이 확인되지 않은 상태로 심계 항진을 호소하는 소아에서 빈맥의 유무를 확인하고 그 기전을 밝히는데 있어서 경식도 심전도 검사의 유용성을 검토해 보고자 하였다. 방 법 : 1997년 1월 1일부터 2001년 12월 31일까지 심계 항진을 호소하는 소아에서 심실 조기 흥분 증후군이 없고 심장이 정상이면서 경식도 심전도 검사 전까지 심전도상 빈맥이 기록되지 않았던 67명을 대상으로 경식도 심전도 기록을 후향적으로 다시 검토하여 경식도 심방 조율을 통해서 빈맥이 유발되는 정도와 유발된 경우에는 그 기전에 대하여 검토하였다. 결 과 : 심계항진을 호소하는 소아의 70.1%에서 경식도 심방조율을 통해서 빈맥을 유도할 수 있어서 빈맥이 심계항진의 원인임을 알 수 있었다. 빈맥은 대부분 빠른 심방 조율로 유도되었으며 21.3%에서는 isoproterenol을 사용한 후에 빈맥이 유발되었다. 6세 이상에서 보다 6세 미만의 소아에서 빈맥이 유도되는 경우가 유의하게 많았다(P<0.05). 빈맥이 유발된 경우에는 그 기전을 검토해 보았고 빈맥의 기전은 부전도로로 인한 방실 회귀성 빈맥이 53.2%, 방실결절 회귀성 빈맥은 34.0%이었고, 나머지는 특발성 좌심실 빈맥이 12.8%이었다. 이들 중 10명에서 전기 생리 검사가 시행되었는데 빈맥의 기전은 1명을 제외하고 경식도 심전도 검사와 그 기전이 일치하였다. 결 론 : 경식도 심전도 검사는 심계항진을 호소하는 소아에서 빈맥의 유무를 확인하고 그 기전을 밝혀 치료에 대한 방침을 정할 수 있는 침습적이지 않고 간편하고 유용한 검사이다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권3호
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• pp.1945-1949
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• 2013

Esophageal cancer (EC) incidence rates in Kazakhstan were assessed by component analysis based on primary registered cases in 2001-2010. It was found that despite an apparent general decrease in the number of EC patients in Kazakhstan, a potential increase should be evaluated, due to changes in aging as well as the increase in population. Some problems of EC patients' registration were broached with an emphasis on the importance of the expected absolute number and reasons for undercounting in the country. Based on these, ways of improving the recording and registration of such patients in the country were suggested.

• 대한의용생체공학회:의공학회지
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• 제38권1호
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• pp.16-24
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• 2017

For the development of feasible retinal prosthesis, one of the important elements is acquiring proper judging tool if electrical stimulus leads to patient's visual perception. If evoked potential to electrical stimulus is recorded in primary visual (V1) cortex, it means that the stimulus effectively evokes visual perception. Therefore, in this study, we established VEP recording system on V1 cortex using BioPAC modules as the judging tool. And the measuring system was evaluated by recording VEP of mice. After anesthesia, normal mice (C57BL/6J strain; n = 6) were secured to stereotaxic apparatus (Harvard Apparatus, USA). For the recording of VEP, the stainless steel needle electrode (impedance: $2-5k{\Omega}$) was positioned on the surface of the cortex through the burr hole at 2.5 mm lateral and 4.6 mm caudal to bregma. DA 100C and EEG 100C BioPAC modules were used for the trigger signal and VEP recording, respectively. When left eye was blocked by black cover and right eye was stimulated by flash light using HMsERG (RetVet Corp, USA), VEP response at left V1 cortex was detected, but there was no response at right V1 cortex. Amplitudes and latencies of P2, N3 peaks of VEP recording varied according to the depths of the electrodes on V1 cortex. From the surface upto $600{\mu}m$ depth, amplitudes of P2 and N3 increased, while deeper than $600{\mu}m$, those amplitudes decreased. The deeper the insertion depth of the electrode, the latency of N1 peaks tends to be delayed. However, there was no statistically significant difference among the latencies of P2 and N3 peaks (P > 0.05, ANOVA). Our VEP recording data such as the insertion depth and the latency and amplitudes of peaks might be used as guidelines for electrically-evoked potential (EEP) recording experiment in near future.

• The Korean Journal of Physiology and Pharmacology
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• 제1권4호
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• pp.355-366
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• 1997

Although cerebellar Purkinje cells display spontaneous electrical activity in vivo and in slice experiments, the mechanism of the spontaneous activity generation has not been clearly understood. The aim of this study was to investigate whether cerebellar Purkinje cells of postnatal rats generate spontaneous electrical activity without synaptic inputs. Dissociated cerebellar Purkinje cells were used for reducing synaptic inputs in the present study. Cerebellar Purkinje cells with dendrites were dissociated from postnatal rats using enzymatic treatment followed by mechanical trituration. Spontaneous electrical activities were recorded from dissociated cells without any stimulus using whole-cell patch clamp configuration. Two types, spontaneously firing or quiescent, of dissociated Purkinje cells were observed in postnatal rats. Both types of cells were identified as Purkinje cells using immunocytochemical staining technique with anti-calbindin after recording. Spontaneously active cells displayed two patterns of firing, repetitive and burst firings. Two thirds of dissociated Purkinje cells displayed repetitive firing and the rest of them did burst firing under same recording condition. Repetitive firing activities were maintained even after further isolation using either physical or pharmacological techniques. Neither high magnessium solution nor excitatory synaptic blockers, AP-5 and DNQX, block the spontaneous activity. These results demonstrate that spontaneous electrical activity of isolated cerebellar Purkinje cells in postnatal rats is generated by intrinsic membrane properties rather than synaptic inputs.

• 대한한의학회지
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• 제34권1호
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• pp.69-79
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• 2013

Objectives: The aim of this survey was to investigate utilization, intended use, problems with and demand for medical devices by surveying members of the traditional Korean medical society. Methods: We distributed questionnaires to 13,957 traditional Korean medical doctors via e-mail, and received replies from 1,225. The questionnaire consisted of 4 multiple-choice questions for survey respondent information, 8 multiple-choice questions about the status of medical devices utilizing, and a short answer question about the demand for medical devices. Results: Use of medical devices in traditional Korean medical clinics is common. Diagnostic medical devices are mainly used to assess the patient's condition and to establish a close rapport with clients. In case of therapeutic medical devices, they are usually used for secondary treatment. Issues with traditional Korean medical devices currently in use were ineligibility for national health insurance, low reliability, uncertain validity, and high price. In development of traditional Korean medical equipment, the need for diagnostic medical devices was greater than for therapeutic, and the need for the recording and analysis of medical image data and visualization of medical information was great. Conclusions: There is growing demand for facilitating the development and commercialization of traditional Korean medical devices. To satisfy this demand, research on evaluation indicators that reflect functional and structural clinical information and how to clinically assess the indicators should proceed.

• 한국생물물리학회:학술대회논문집
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• 한국생물물리학회 2003년도 정기총회 및 학술발표회
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• pp.36-36
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• 2003

Goldfish retina has been well studied to a great extent. In spite of that, electrical characteristics of dissociated horizontal cells(HCs) have not been identified in detail. Thus the cone-and the rod- HCs dissociated from goldfish retina were investigated electrophysiologically using whole-cell patch-clamping recording. To explore the basic electrical property, We examined voltage-dependent channels in all types of HCs. For the futher understanding of GABAergic pathway, the localization and distribution of GABA receptors was examined in cone- HCs including HC axon terminals(ATs).

• 한국의사학회지
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• 제17권1호
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• pp.31-55
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• 2004

For the sake of the Restoration(to the original state) of "Sanbeon-bang(刪繁方)", in this study observed carefully the bibliographical results of "Oedaebiyo-bang", "Cheongeumyo-bang", "Cheongeumik-bang" and "Uisim-bang", which directly quoted "Sanbeon-bang". "Sanbeon-bang" is mostly remained in "Oedaebiyo-bang", and the other provisions of "Sanbeon-bang" mostly lie scattered in "Cheongeumyo-bang" and "Cheongeumik-bang", established 100years before "Oedaebiyo-bang" and "Uisim-bang", established 200years after "Oedaebiyo-bang". And there are few other documents which quoted the "Sanbeon-bang". "Cheongeumyo-bang", a synthetic medical work was compiled in 652, and which refered large quantity of medical documents before Dang-dynasty(唐代) by Son Sa-mak(孫思邈). And he linked the technical opinion of himself. The comments of medicine, as well as the prescriptions are refleting the outcome before Dang-dynasty systematically. For the most part of the medical arguments in "Sanbeon-bang" lie scattered in "Cheongeumyo-bang". "Cheongeumik-bang", also a synthetic medical work which is for the sake of supplement of "Cheongeumyo-bang" was complied in 682 by Son Sa-mak. As well as "CheongeumYo-bang" it doesn't make clear the sources of quotation from "Sanbeon-bang". So it used as the data for confirmation. "Oedaebiyo-bang" was compiled in 752 of Dang-Dynasty by Wang Do(王燾) the a governor-general of Eop-gun. Wang Do was descended from a noble family, and usually visited the palace and dealed with large number of books in Hongmunguan(弘文館), the national library. He programmed the book on the base of wide scopic collection of medical documents. And he took charge of gverment post at the same time as Wang Bing(王氷) who compiled "Chaju-Hwangje-Naegyeong-Somun(次注黃帝內經素問)" in 762. So we can guess they might have seen the same documents and holded the medical knowledge in common. The 40 volume "Oedaebiyo-bang" was a great medical complete book in those days. In particular, it became the model of medical complete books of after ages. The description of the book is mostly the qutation of medical documents of before ages. The character is recording of quotation documents and the order of volume. On the base of the recording, we can reconstruct the table of contents of Sanbeon-bang. By way of the contens, we can understand the purpose of "Sanbeon-bang". Besides, I can see a lot of qouotations of "Sanbeon-bang" in "Cheongeum-bang" and "Uisim-bang" are repeatedly quotated in "Oedaebiyo-bang". For that reason, I observed the bibliographical results of "Oedaebiyo-bang" in detail. "Uisim-bang" was compiled in 982 by the Japanese Niwayasyori(丹波綱賴). It followed the example of the structure of "Oedaebiyo-bang", refered to the contents of "Cheongeumyo-bang", collected chinese medical classic books spreaded in Japan. It contains medical documents of before Su-Dang(隋唐)-era, indicated the source of quotation. The importance of the book is summarization and preservation of large quantity of chinese medicine before 10th century. In this study, a lot of the quotation in "Uisim-bang" from "Sanbeon-bang" were not in "Oedaebiyo-bang".

• 대한의용생체공학회:의공학회지
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• 제30권4호
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• pp.341-346
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• 2009

Cutaneous electrogastrography is the measurement of electrical activity of the stomach on the abdominal surface. The validity of cutaneous electrogastrography is dependent upon the quality of the recording technique. The locations of electrodes are an important issue. We examined the influences of the inter-electrode distance of bipolar leads on electrogastrography measurements. The sensitivity distributions of EGG leads were calculated based on a 2D body fat model and evaluated according to the region of interest sensitivity ratio (ROISR). We simulated the ROISR of the inter-electrode distance in relation to various body fat thicknesses. The distance between the electrodes was proportional to the distance between the ROI and the surface of the abdomen. The results imply that inter-electrode distance can be applied in electrogastrography according to human body fat thickness.