• Journal of Trauma and Injury
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• 제32권3호
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• pp.172-175
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• 2019

Although thoracic endovascular aortic repair (TEVAR) has grown to become the standard of care to treat blunt thoracic aortic injury (BTAI), the long-term effects of TEVAR are still unclear. We here present a 72-year-old man with BTAI due to a traffic accident. He successfully underwent TEVAR and was transferred to another rehabilitation hospital 2 months after the accident. However, 1 month later, he underwent gastroscopy with fever and hematemesis and was diagnosed with aorto-esophageal fistula (AEF). After being re-transferred to Niigata University Medical and Dental Hospital, we tried to convince him to undergo surgical treatment, but he strongly refused. He received palliative care and died due to rupture of the aortic pseudoaneurysm 3 days after the hospital transfer. Fatal complications like AEF may occur after TEVAR, so clinicians need to carefully follow patients who underwent TEVAR.

• 대한디지털의료영상학회논문지
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• 제10권2호
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• pp.33-37
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• 2008

To keep the online medical records available to anyone without constraint of time and space, introducing EMR (Electronic medical record), which is a clinical support management system. The purpose of this study is to develop interface standard of clinical test device. Integration and sharing of medical information is faced with enormous obstacles because medical organizations and associated companies are separately developing the interface. I hope that multi-function management system with workstation concept is operated to efficiently transmit clinical device result data based on this study. Transfer of precise medical result data available for decision making will improve quality of health care service.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제13권2호
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• pp.37-44
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• 2007

Rehabilitation medicine is an area which tries to help people who have physical inconvenience in everyday activities to live like healthy people as much as possible by training programs. As society gets more advanced and as the standard of living continuously rises, the need of the "Rehabilitation medicine" is also increasing. Also as we are entering into the aging society, especially geriatric rehabilitation medicine is getting more and more attention as a method to maintain the healthy lives of the elders. However, the standards related to medical care space for rehabilitation medicine is not thoroughly prepared. Although requirement for geriatric hospital is increasing, the standard of geriatric hospital is not following up to regulate them properly. Therefore, in this study, I will propose a 'suitable planning' needed in geriatric rehabilitation by analyzing the rehabilitation sections of 5 general hospitals and 1 geriatric hospital.

• 한국방사선학회논문지
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• 제16권1호
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• pp.45-51
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• 2022

본 연구는 Chest CT에서 Care Dose 4D+Care kV System을 사용하여 촬영할 때와 CARE DOSE 4D 기능만을 사용했을 때, 그리고 Care Dose 4D와 관전압을 각각 80 kVp, 100 kVp, 120 kVp, 140 kVp로 변화를 주고 검사했을 때의 DLP값과 팬텀의 입사표면선량, 화질을 비교하여 최소의 선량으로 가장 최상의 화질을 유지할 수 있는 방법을 찾아보고자 하였다. DLP값은 Chest Care Dose 4D + Care kV semi 100으로 촬영하였을 때 6.727%, Chest Care Dose 4D + Care kV 로 촬영하였을 때 6.481% 감소하는 것으로 나타났다. Chest Non을 기준으로 입사표면선량에서 Chest Care Dose 4D + Care kV semi 100으로 검사하였을 때 16.519%, Chest Care Dose 4D + Care kV 로 검사하였을 때 15.705% 감소하는 것으로 나타났다. 영상의 화질에 대한 비교에서 Chest Non과 비교해서 Care Dose 4D + Care kV를 포함한 모든 촬영조건에서 SNR값과 CNR값을 비교한 결과 P>0.05로 유의한 차이가 없는 것으로 나타났다. Chest CT에서 Chest Care Dose 4D + Care kV를 사용해서 촬영한 결과 수동으로 kV와 mAS를 조정해서 얻은 최상의 조건의 결과 값과 비슷하게 피폭선량이 감소한 것으로 나타났으며, 영상의 SNR과 CNR에서도 유의한 차이가 없는 것으로 나타났다. Chest Care Dose 4D + Care kV 기능을 사용한다면 영상의 화질을 유지하면서 환자피폭을 줄일 수 있는 좋은 방법이라 생각된다.

• 한국치위생학회지
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• 제19권1호
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• pp.79-91
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• 2019

Objectives: The purpose of this study was to contribute to the development of an oral hygiene care program for patients with dementia by understanding the oral care status and oral health knowledge of care workers and caregivers with regard to patients with dementia. Methods: For about two months from May to June 2018, a survey of care workers and caregivers working in long-term nursing homes and elderly-specialized nursing hospitals was performed, and 442 people were selected for the final analysis. The frequency and percentage were calculated to understand the oral care status and oral health knowledge regarding patients with dementia, and an independent t-test was conducted to determine the difference between the elderly oral health knowledge of care workers and caregivers. Multiple regression analysis was also carried out to examine factors affecting elderly oral health knowledge. Results: With respect to the factor of oral health education in elderly oral health knowledge, oral health knowledge was shown to be highest when participants responded that education was unnecessary (p<0.001), and regarding the will to participate in oral health education, oral health knowledge was highest when participants responded as having no desire to participate (p<0.05). Conclusions: These results suggest that a standard manual should be developed for the accurate and qualitative management of oral hygiene care tasks performed by care workers and caregivers who are in charge of oral care for patients with dementia in order to provide continuous and systematic oral care.

• 아동학회지
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• 제31권1호
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• pp.163-177
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• 2010

The purpose of this study was to examine the maintenance of an evaluation accreditation indicator according to child care center teachers' participation in decision making. The subjects of this study were 139 teachers from 12 accredited national, public, private, and corporate child care centers in Seoul and North Gyeongsang Province. The TIP-2 (Teacher Involvement and Participation Scale V.2) and Accreditation Indicator for Child Care Centers were used to measure teachers' participation in decision making and accreditation indicator maintenance. Frequency, mean, standard deviation, one-way ANOVA and scheffe test were used for data analyses. The results revealed that the teachers who rated middle and high level in terms of their participation in decision-making showed higher levels of maintenance of the evaluation accreditation indicator than those with low levels of participation. This finding suggests that teachers' participation in decision making is an important factor for maintaining the quality of child care centers.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제30권2호
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• pp.150-156
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• 2004

The etiology of the obstructive sleep apnea includes the various factors such as anatomical abnormality in upper airway, craniofacial structure, obesity and personal habit. To establish reasonable treatment plan, multi-department approach is should be emphasized because the treatment modality is depend on the result of analysis for degree & site of obstruction and various behavioral factors. In Sleep Clinic in Keimyung University Medical Center, the standard of care for sleep apnea patient was established according to the Standard of practice committee of Americal Sleep Disorders Association. After one year experience of comprehensive approach for sleep apnea we could achieve following recommendation for the treatment. 1) The multi-department examination and diagnosis could prevent unnessesary treatment because the treatment plan could be established under comprehensive discussion. 2) Determination of the site of obstruction is important for treatment planning. However, no single determinant could be found. We expect multi-department approach can reduce the mistake in detection of obstruction. 3) Further evaluation of treatmet outcome should be succeeded to establish Korean standard of care for sleep apnea treatment.

• 가정과삶의질연구
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• 제26권5호
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• pp.177-194
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• 2008

The purpose of this article was to be offered data for the efficient management of healthy family support center as the deduction of the standard job of healthy family supporter. The process of this study take the major steps as subject selection based on career, investigation about range and contens of healthy family support work and deduction and examination job areas, duty and task. Consequently, the job areas of healthy family supporter are generalization, counseling, education, culture, administrative affairs, taking care of children and taking care of children for family living with a handicapped child. The standards of job analysis are frequency, importance and number of human power. The result and procedure of this article provides the main data and idea for the development of a tool of measurement, ajob analysis and information of the specialty and role of healthy family supporter.

• 아동학회지
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• 제21권4호
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• pp.177-196
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• 2000

A large sample (1090) of randomly selected early childhood education professionals and government officials rated each of the 133 standards of "A Model for Institutional Accreditation for Early Childhood Education and Care"(Yang, 1999) on a scale of 1 (least important) to 5 (most important). Findings were that all kindergartens and child care centers should be evaluated for accreditation every 3 years with 3-6 months for self-study and on-site validation visits by representatives of the appropritates agencies for 1-2 days. Evaluation results are should be used by institution personnel as a guide to self-supervision, by government officials as a funding standard and by parents as criteria of program quality. Essential accreditation standards included: facilities and equipment; curriculum; nutrition, health and safety; administration and management; and support systems. Safety and teacher-child interactions were most highly rated while parent involvement was not highly rated.

• Asian Pacific Journal of Cancer Prevention
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• 제16권15호
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• pp.6331-6334
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• 2015

Background: The main purpose of this study was to survey the education and training of certified gynecologic oncologists and fellows in Thailand. A secondary objective was to study the problems in fellowship training regarding palliative care for gynecologic cancer patients. Materials and Methods: A descriptive study was conducted by sending a questionnaire regarding palliative care education to all certified gynecologic oncologists and gynecologic oncology fellows in Thailand. The contents of the survey included fellowship training experience, caring for the dying, patient preparation, attitudes and respondent characteristics. Statistics were analyzed by percentage, mean and standard deviation and chi-square. Results: One hundred seventy completed questionnaires were returned; the response rate was 66%. Most certified gynecologic oncologists and fellows in gynecologic oncology have a positive attitude towards palliative care education, and agree that "psychological distress can result in severe physical suffering". It was found that the curriculum of gynecologic oncology fellowship training equally emphasizes three aspects, namely managing post-operative complications, managing a patient at the end of life and managing a patient with gynecologic oncology. As for experiential training during the fellowship of gynecologic oncology, education regarding breaking bad news, discussion about goals of care and procedures for symptoms control were mostly on-the-job training without explicit teaching. In addition, only 42.9 % of respondents were explicitly taught the coping skill for managing their own stress when caring for palliative patients during fellowship training. Most of respondents rated their clinical competency for palliative care in the "moderately well prepared" level, and the lowest score of the competency was the issue of spiritual care. Conclusions: Almost all certified gynecologic oncologists and fellows in gynecologic oncology have a positive attitude towards learning and teaching in palliative care. In this study, some issues were identified for improving palliative care education such as proper training under the supervision of a mentor, teaching how to deal with work stress, competency in spiritual care and attitudes on responsibility for bereavement care.