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Effect and Safety of Oxygen Chamber Therapy on Cold Hypersensitivity: A Randomized, Controlled Trial (냉증에 대한 산소챔버의 임상 효능 및 안전성 연구)

  • Ha, Hun-Yong;Yoon, Dal-Hwan;Go, Ho-Yeon;Han, Yong-Dae;Kim, Nam-Sik;Nam, Eun-Young;Kim, Hyung-Jun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.26 no.4
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    • pp.123-139
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    • 2013
  • Purpose: Cold hypersensitivity is regarded to be associated with blood circulation. This study is aims to evaluate the effects and safety of oxygen chamber therapy on cold hypersensitivity by comparing the temperature and Visual Analogue Scale. Methods: 42 outpatients who visited ${\bigcirc}{\bigcirc}$ University Oriental Hospital from July 11th, 2013 to August 28th, 2013 were analyzed. Patients were subjected to thermometer, and those with thermal difference greater than $0.3^{\circ}C$ between upper arm and palm and also with more than VAS 4 of cold hypersensitivity were diagnosed with cold hypersensitivity. 42 outpatients diagnosed with cold hypersensitivity are divided into two groups, one is the experimental group consisted of 21 patients and other was control group consisted of 21 patients. The experimental group had oxygen chamber therapy 10 times for 4 weeks. Thereafter the effects of oxygen chamber therapy on cold hypersensitivity was analyzed with t-text using SPSS for Windows version 21. Results: After the oxygen chamber therapy, experimental group had considerable improvement on cold hypersensitivity, in consequence of decreasing rate of thermal difference and VAS of cold hypersensitivity. Ear deafness and hand numbness were reported as an adverse effects in experimental group, but there was no serious adverse effects. Conclusions: This clinical trial showed oxygen chamber therapy could be effective and safe to reduce cold hypersensitivity.

The Effect of Medical Service Design Thinking Teaching-learning on Empathic Problem Solving Ability: Convergence Analysis of Structured and Unstructured Data (의료서비스 디자인싱킹 교육의 공감적 문제해결능력 향상 효과: 정형 및 비정형 데이터 융복합 분석 중심으로)

  • Yoo, Jin-Yeong
    • Journal of Digital Convergence
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    • v.18 no.6
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    • pp.311-321
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    • 2020
  • The purpose of the study is to verify the effectiveness the Freshman Preliminary Health Administrators(FPHA)' Empathic Problem Solving Ability(EPSA) through the application of Medical Service Design Thinking(MSDT) conducted by undergraduate school of SNS hospital marketing education. The pre-post questionnaire survey was conducted on 39 students in the freshman year of the Department of Health Administration after applying MSDT for 15 weeks from September to December, 2019 at a college in Daegu. MSDT was positive influenced on the improvement of Empathic Imagine, Empathic interest, Empathic awakening of the FPHA' EPSA. In the analysis of key common words, the use of neutral and negative words was low, while the use of positive words was high. In order to systematically equip Empathic problem solving job competency in the age of artificial intelligence, it is meaningful to develop a program for the freshmen curriculum and to conduct a analysis of the structured and unstructured data to verify its effectiveness. Additional program development research is needed for the application of theoretical subjects.

Long-Term Efficacy of Anti-Tumor Necrosis Factor Agents in Pediatric Luminal Crohn's Disease: A Systematic Review of Real-World Evidence Studies

  • Rheenen, Hanna van;Rheenen, Patrick Ferry van
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.2
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    • pp.121-131
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    • 2020
  • Purpose: To determine the long-term efficacy of the anti-tumor necrosis factor (TNF) agents, infliximab (IFX) and adalimumab (ADA), in pediatric luminal Crohn's disease (CD) by performing a systematic literature review. Methods: An electronic search was performed in Medline, Embase, and the Cochrane Library from inception to September 26, 2019. Eligible studies were cohort studies with observation periods that exceeded 1 year. Studies that reported time-to-event analyses were included. Events were defined as discontinuation of anti-TNF therapy for secondary loss of response. We extracted the probabilities of continuing anti-TNF therapy 1, 2, and 3 years after initiation. Results: In total, 2,464 papers were screened, 94 were selected for full text review, and 13 studies (11 on IFX, 2 on ADA) met our eligibility criteria for inclusion. After 1 year, 83-97% of patients were still receiving IFX therapy. After 2 and 3 years the probability of continuing IFX therapy decreased to 67-91% and 61-85%, respectively. In total, 5 of the 11 studies subgrouped by concomitant medication consistently showed that the probabilities of continuing IFX therapy in patients with prolonged immunomodulator use were higher than those in patients on IFX monotherapy. Conclusion: This review of real-world evidence studies confirms the long-term therapeutic benefit of IFX therapy in diverse cohorts of children with luminal CD. Moreover, it supports the view that combination therapy with an immunomodulator prolongs the durability of IFX therapy in patients who previously failed to recover following first-line therapy. The limited number of time-to-event studies in patients on ADA prevented us from drawing definite conclusions about its long-term efficacy.

Design and Experiment of a Micro Electronic System for Prediction of Alveolar-Gas Partial Pressures

  • Kim, Da-Jung;Chang, Keun-Shik;Kim, Sa-Ji;Park, Hye-Yun;Suh, Gee-Young
    • Journal of Biomedical Engineering Research
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    • v.31 no.3
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    • pp.187-193
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    • 2010
  • In this study we have designed and fabricated an inexpensive micro electronic system that we call Alvitek. It can indirectly but accurately predict and display the partial pressures of alveolar oxygen and carbon dioxide for the patients in the ICU of a hospital. Alvitek consists of both hardware part and software part. Performance of the system is tested by animal experiment with pigs for various $F_{t}e_{2}$ and RR(Respiratory Rate) values under the mechanical ventilation. The predicted alveolar gas partial pressures are cprpared with the approximate alveolar oxygen partial pressures easily calculated by the physician’s bedside formula. As a result, we have concluded that the relative error of A-$aDe_2$ calculated by the bedside formula grows seriously for lower $F_{t}e_{2}$ values. The present prediction method of Alvitek is henceforth believed very meaningful to the physicians. The system hardware and software are described in the text.

Study on the circulated versions of Major Essentials of Huangdi's Internal Classic Plain Questions (黃帝內經素問大要), and its original publication: Chosun's version of Huangdi's Internal Classics Plain Questions (黃帝內經素問) (이규준 의서 『황제내경소문대요』의 유통본과 그 저본이 된 조선 간본 『황제내경소문』)

  • Oh, Chaekun
    • Journal of Korean Medical classics
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    • v.26 no.4
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    • pp.203-221
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    • 2013
  • Objectives : The Major Essentials of Huangdi's Internal Classics Plain Questions (黃帝內經素問大要, MEHP) is one of the late-Chosun's literate physician Lee Gyoojoon (李圭晙, 1885-1923)'s main work, which is known to have logically proofread the Huangdi's Internal Classics Plain Questions (黃帝內經素問, HP). This study aims to examine two elements of the text: (1) the types of MEHP currently in circulation; (2) the types of publications of HP to be the MEHP's original script. Methods : In this study, basically bibliographical analyses of the form and contents was utilized about the types of MEHP and HP. However, to compare the sentences and phrases between prints, I've used 20 examples that Qian Chaochen (钱超尘) had proposed in his preceding studies. Also, regarding Lee Wonse (李元世)'s proofreading on the MEHP in 1999, I've used interviews of his students. Results : First, I've discovered that there are three versions MEHP in circulation: the woodblock printed version; Lee Wonse's handwritten version; Lee Wonse's proofreading version; and confirmed that Lee's proofreading version should be regarded as good version of MEHP. Also, I've discovered the possibility of other types of printed versions of the MEHP in existence, which is considered Lee's handwritten version's original draft. Second, I've confirmed that the original script of HP, which Lee Gyoojoon utilized for MEHP, is indeed not Gu Congde (顧從德) printed version HP, however, is the Chosun's bureau for military drill (訓練都監) printed version HP. Conclusion : Through this study, I've provided strong evidence that Lee Gyoojoon's MEHP is a unique and original research completed within the traditional realm of Korean medicine, which possesses the universality of Eastern Asian medicine represented by Huangdi's Internal Classics (黃帝內經).

A Research on the Su Chang(水脹) of the Young Chu((靈樞) (영추수창(靈樞水脹)에 대(對)한 연구(硏究))

  • Kim, Hyeong-Jin;Sin, Yeong-Il
    • Journal of Korean Medical classics
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    • v.12 no.1
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    • pp.113-138
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    • 1999
  • Distension of hydrops is the pathosis that the hydration is retented in abdomen and that is caused by disturbance of hydrometabolism. Most of hydrops belongs to Consolidation. In part of OhRyungJinAek-Byeul of Youngchu"靈樞 五癃津液別", the general explanation of hydrops is briefed. But there was nothing about pathogenesis, pathology, symptoms and the method of treatment. The part SuChang of Youngchu "靈樞 水脹" divided it by Superficial-swelling, Hidden-swelling, Ovarian-hydrops, Stony-uterin-mass and explained it to cure by Category of pathology. So, the books JeByeongWonHuRon"諸病源候論" ChonGeumYoBang"千金要方", WoiDaeBiYo"外臺秘要", TaePyeungSeongHyeBang"太平聖惠方", BoJeBang"普濟方", EuiHakGangMok"醫學綱目", DongEuiBoGam"東醫寶鑑" etc. published later, show the method of treatments and medications with quotation the original text of this part. And it is convinced that more profound research of this part is inevitable to understand the correct meaning of hydrops that explained by many of ancient medical scholars, and to apply it to clinical medicine. There is an explanation on Distension hydrops in the prologue of this part. And t six kinds of disease in this part is simila to edema, so it is called SuChang"水脹", pathology of Edema. Superficial-swellin Hidden-Swelling is reported in the fir chapter, differential diagnosis of Ovarian-hydrops, Stony-uterin-mass is rep in the second chapter, and treatment Superficial swelling. Hidden Swelling reported in the third chapter. Briefly looking over that chapter, Distension of hydrops is recognized as stay of hydration at the abdomen as a result of disturbance of hydrometabolism and it says about symtoms, pathogenesis, pathology, differential diagnosis, treatment of Hydrops Superficial-swelling Hidden-swelling Ovarian-hydrops Stony-uterinmass. And it says about a few things that Superficial-swelling, Hidden-swelling could be differentiated by colors of skin and distension of abdomen, and Ovarian-hydrops, Stony-ulerin-mass could be differentiated that it occurs which sex and whether mensturation occurs or not, and treatment of Superficial-swelling, Hidden-swelling, Ovarian-hydrops.

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Relative Importance of Different Attributes of Graphic Health Warnings on Tobacco Packages in Viet Nam

  • Kim, Bao Giang;Le, Hong Chung;Hoang, Van Minh;Vu, Duy Kien;Vu, Van Giap;Nguyen, Duc Hinh;Nguyen, Manh Cuong;Pham, Duc Manh;Ha, Anh Duc;Yang, Jui-Chen
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup1
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    • pp.79-84
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    • 2016
  • Graphic health warnings (GHW) on tobacco packages have proven to be effective in increasing quit attempts among smokers and reducing initial smoking among adolescents. This research aimed to examine the relative importance of different attributes of graphic health warnings on tobacco packages in Viet Nam. A discrete choice experimental (DCE) design was applied with a conditional logit model. In addition, a ranking method was used to list from the least to the most dreadful GHW labels. With the results from DCE model, graphic type was shown to be the most important attribute, followed by cost and coverage area of GHW. The least important attribute was position of the GHW. Among 5 graphic types (internal lung cancer image, external damaged teeth, abstract image, human suffering image and text), the image of lung cancer was found to have the strongest influence on both smokers and non-smokers. With ranking method, the image of throat cancer and heart diseases were considered the most dreadful images. GHWs should be designed with these attributes in mind, to maximise influence on purchase among both smokers and non-smokers.

Web-based Medical Image Presentation (웹기반 의료영상 프레젠테이션)

  • 김동현;송승헌;김응곤
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.7 no.5
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    • pp.964-971
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    • 2003
  • According to the development of information processing technology and computer hardware, PACS systems have been installed in many hospitals. They can increase the efficiency and the convenience remarkably for handling medical images using digitalized data. After we compare the generation images with other cases, we can read the images correctly and decide how to treat the patients. If the results, included test method and specialist's opinion, are represented dynamically on homepage in hospital. then visitors can get their experience in directly and understand the field of examination and the area of medical treatment. In this thesis, we display the effective images such as MR of the abnormal cases according to parts and diseases, the movie and still images such as Angio image, the other multimedia materials such as the sound and text of doctor's opinions, in SMIL based on XML, concerning the problem of concurrency.

An Implementation of Mobile Medical Reservation System using Geographic Information Service (지리정보 서비스를 이용한 모바일 진료예약 시스템의 구현)

  • Rho, Kyung-Taeg;Kim, Young-Hoon
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.10 no.2
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    • pp.173-178
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    • 2010
  • Recently, Technical innovation has been implemented in a broad variety of industry fields to reach an ubiquitous society, with the object of popularizing u-Hospital, the mobile technology with no restriction to the place tends to be used positively in Health care fields. The existing mobile medical reservation system has the problem of not making good use of location information of users due to the interface based on text in the existing web pages. This paper proposes an mobile medical reservation system using geographic information service to solve the problems of current reservation system by using RIA(Rich Internet Application) technology applicable to Web 2.0 environment. Our proposed system also does the all required processes in a few page view, gets the differentiated service from the existing system by allowing efficient data exchange using XML, and expects the improvement of user friendliness by flexible user interface.

Design and Implementation of Automated Detection System of Personal Identification Information for Surgical Video De-Identification (수술 동영상의 비식별화를 위한 개인식별정보 자동 검출 시스템 설계 및 구현)

  • Cho, Youngtak;Ahn, Kiok
    • Convergence Security Journal
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    • v.19 no.5
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    • pp.75-84
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    • 2019
  • Recently, the value of video as an important data of medical information technology is increasing due to the feature of rich clinical information. On the other hand, video is also required to be de-identified as a medical image, but the existing methods are mainly specialized in the stereotyped data and still images, which makes it difficult to apply the existing methods to the video data. In this paper, we propose an automated system to index candidate elements of personal identification information on a frame basis to solve this problem. The proposed system performs indexing process using text and person detection after preprocessing by scene segmentation and color knowledge based method. The generated index information is provided as metadata according to the purpose of use. In order to verify the effectiveness of the proposed system, the indexing speed was measured using prototype implementation and real surgical video. As a result, the work speed was more than twice as fast as the playing time of the input video, and it was confirmed that the decision making was possible through the case of the production of surgical education contents.