• 한국임상수의학회지
• /
• 제21권2호
• /
• pp.115-121
• /
• 2004

The purpose of this study was to ascertain the breeding efficiency in Thoroughbred mare. A total of 106 mares were investigated for the status of follicle (462 cases), ovulation (179 cases) and pregnancy (346 cases). Of total examination, 46.8% was follicle measure to determine breeding time, and mating rate per cases examined was 39.9%. There was no correlation between reproductive results and size of follicles or endometrial edema or degrees of teasing alone. 143 cases were ovulated among 179 cases which were performed ovulation examination, and ovulation rate and fertilization rate per mating times were 79.9% and 39.0%, respectively. The use of hCG(human chorionic gonadotropin), to facilitate ovulation, presented to increase occurrence of double ovulations and twin fertilizations In conclusion, though more examination to estimate the optimal breeding time and higher mating rate was performed, fertilization rate per mating times was lower and then reproductive efficiency also became decreased. Therefore, it seemed that accurate examination of reproductive tracks, appropriate teasing programme and hCG administration before ovulation were of help to improve ovulation rate and fertilization rate.

• 대한한의학방제학회지
• /
• 제20권1호
• /
• pp.133-147
• /
• 2012

Objectives : This study was intended to understand characteristics of symptoms, oriental medicine prescription and laboratory test results according to elapsed time of stroke. Methods : Through the medical records of 205 stroke inpatients in the oriental medical hospital in the year 2010, we investigated manifested symptoms, administered oriental medicine prescription and clinical pathological examination results. Collected items were classified to depend on stroke types, cerebral infarction and hemorrhage. We analyzed association between manifested symptoms, the oriental medicine prescription, and laboratory test results of stroke patients and elapsed time. Chi-square tests were performed to determine the significance level of association. Results : All symptoms, prescriptions and laboratory test results in cerebral infarction patients were associated with elapsed time. Especially, symptoms, prescriptions and pathological examination results showed very high statistical significance with elapsed time (a symptom; chi-square(df)=164.3(22), p<0.001, prescription; chi-square(df)=93.5(22), p<0.001, and pathological examination results; chi-square(df)=164.3(22), p<0.0004). But in the case of cerebral hemorrhage, there was not statistical significance. Conclusions : The elapsed time of stroke may be an essential requisite in catching symptoms and prescribing for stroke patients in oriental medical treatment.

• 대한임상검사과학회지
• /
• 제40권2호
• /
• pp.153-162
• /
• 2008

The main purpose of this study was to investigate relationship between WRMD (Work Related Musculoskeletal Disorders) symptoms and dangerous factors in medical technologistes who work in Gwang-ju city and Jeollanam-do province. Experimental group was 74 medical technologistes at hospital centers, hospitals, general hospitals, university hospitals. From the this survey, we found that significant statistical difference in WRMD symptoms by general characteristics (sex, exercise) and working environmental characteristics (examination numbers, time of margin, repetition, intensity of work, time of using PC). In the general factors, Odds ration in male vs female, do exercise vs do not exercise were 4.557 (95% CI=1.003-20.713), 2.747 (95% CI=0.59-12.783). In working environment factors, Odds ration in little of examination numbers vs a lot of examination numbers, little of time margin vs a lot of time margin, non repetitive vs repetitive, non intensity of work vs intensity of work, little of pc using time vs a lot of pc using time were 1.901 (95% CI=0.828-4.363), 1.15 (95% CI=0.335-3.944), 3.952 (95% CI=1.095-14.262), 1.411 (95% CI=0252-7.891), 2.606 (95% CI=1.055-6.437) respectively. For prevention of WRMD symptoms, Most of hospitals should improve medical technologists of working circumstances, especially control a intensive of work, working speed and guarantee enough break time. Therefore, This study suggests that increasing workers and examination of automation, streching during working be needed.

• 임상간호연구
• /
• 제27권2호
• /
• pp.179-186
• /
• 2021

Purpose: The purpose of our study was to identify the bleeding risk factors and to validate the safety of shortening the bed rest time after bone marrow examination in pediatric hemato-oncologic patients. Methods: From July 2019 to September 2020, 145 patients were enrolled from a single center. Medical records were reviewed retrospectively. Descriptive statistics were presented, and the data were analyzed using 𝑥²-test, Fisher's exact test, and a logistic regression. Results: After two hours of bed rest, most of the patients (91.7%) did not have bleeding complications, and only 8.3% of the patients had a minor bleeding. The rate of major bleeding complications, including hematoma, retroperitoneal hemorrhage rate was zero. The bleeding complications was frequently found on bilateral procedures than unilateral procedures and the difference were statistically significant (p<.05). Conclusion: Two hours of bed rest time after bone marrow examination could be safe and adequate in pediatric hemato-oncologic patients.

• 디지털융복합연구
• /
• 제10권2호
• /
• pp.269-278
• /
• 2012

본 연구는 도시, 농촌지역에 거주하고 있는 암 검진 수검자들을 대상으로 원하는 암 검진 서비스와 과정, 환경, 결과 등에 대한 분석을 통하여 암 검진 수검률에 영향을 미치는 요인을 파악하기 위한 것이다. 본 연구는 빈도분석, 교차분석, t-test, ANOVA, 다중회귀분석을 실시하여 결론을 도출하였다. 도시지역 암 검진 수검률에 영향을 미치는 요인으로는 검진예약절차, 의료진전문성, 검진통보내용, 검진결과설명, 검진통보날짜, 검진예약기간이, 농촌지역은 검진통보내용, 총 검진시간, 검진결과설명, 의료진전문성, 검진예약기간, 검진과정설명이 주요 요인으로 분석되었다. 도시 농촌별로 암 검진 수검 시 수검률에 영향을 미치는 주요요인에는 큰 차이는 없는 것으로 조사되었다. 검진 절차와 서비스에 대한 요구파악은 지속적으로 실행되어야 하며, 도시 농촌지역간의 형평성을 고려한 차별화 전략과 정책수립이 요구된다고 하겠다.

• Journal of Korean Neurosurgical Society
• /
• 제63권2호
• /
• pp.188-201
• /
• 2020

Objective : The purpose of this study was to suggest that computed tomography angiography (CTA) is valuable as the only preliminary examination for mechanical thrombectomy (MT). MT after single examination of CTA including noncontrast computed tomography (NCCT) and maximum intensity projection (MIP) improves door-to-puncture time as well as results in favorable outcomes. Methods : A total of 157 patients who underwent MT at Dong Kang Medical Center from April 2015 to March 2019 were divided into two groups based on the examination performed prior to MT : CTA group who underwent CTA with NCCT and MIP, and NCCT+magnetic resonance image (MRi) group who underwent MRI including perfusion images after NCCT. In the two groups, time to CTA imaging or NCCT+MRi imaging after symptom onset, and time to arterial puncture and reperfusion were characterized as time-related outcomes. The evaluation of vascular recanalization after MT was defined as a modified thrombolysis in cerebral infarction (mTICI) scale. National Institutes of Health Stroke Scale (NIHSS) was assessed at the time of the visit to the emergency room and modified Rankin Scale (mRS) was assessed after 90 days. Results : Typically, there were 34 patients in the CTA group and 33 patients in the NCCT+MRi group. A significantly shorter delay for door-to-puncture time was observed (mean, 86±22.1 vs. 176±47.5 minutes; <0.01). Also, a significantly shorter door-to-imege time in the CTA group was observed (mean, 13±6.8 vs. 93±30.8 minutes; p<0.01). Moreover, a significantly shorter onset-to-puncture time was observed (mean, 195±128.0 vs. 314±157.6 minutes; p<0.01). Reperfusion result of mTICI ≥2b was 100% (34/34) in the CTA group and 94% (31/33) in the NCCT+MRi group, and mTICI 3 in 74% (25/34) in the CTA group and 73% (24/33) in the NCCT+MRi group. Favorable functional outcomes (mRS score ≤2 at 90 days) were 68% (23/34) in the CTA group and 60% (20/33) in the NCCT+MRi group. Conclusion : A single-phase CTA including NCCT and MIP images was performed as a single preliminary examination, which led to a reduction in the time of the procedure and resulted in good results of prognosis. Consequently, it is concluded that this method is of sufficient value as the only preliminary examination for decision making.

• 한국방사선학회논문지
• /
• 제11권2호
• /
• pp.109-116
• /
• 2017

위장조영검사는 위내시경검사에 비해 비침습적이고, 일시적인 변비나 복통 외에 특별한 부작용이 없어 위내시경 검사가 어려운 환자나 노약자에게 유용하며, 위의 전체 모습을 볼 수 있어 병변의 위치를 정확히 묘사할 수 있는 장점으로 현재 상부위장관 질환의 진단에 많이 이용되고 있다. 하지만 수검자의 위장조영 검사에 대한 전반적인 이해 부족으로 인하여 발생되는 검사 중 부적절한 움직임과 호흡조절로 피폭선량이 증가할 가능성이 있다. 위장조영검사 수검자의 검사에 대한 이해를 도와 검사 중 적절한 협조를 유도하고, 재촬영 건수의 감소와 검사 시간의 단축, 수검자의 피폭선량을 감소시키기 위한 방법으로 위장조영검사의 검사 과정과 주의사항을 동영상으로 제작하여 검사 전 대기시간을 이용하여 시청하게 함으로써, 동영상을 이용한 사전교육이 검사시간 단축과 재촬영 건수, 피폭선량 감소에 어느 정도 효과가 있는지 조사하였다. 30대부터 80대까지 각각 20명씩 선출한 120명을 대상으로 교육 전 후의 피폭선량과 검사 시간, 재촬영 건수를 평가하였다. 그 결과 전 연령대 평균으로 나타낸 교육 전 수검자의 피폭선량은 $3171.83{\mu}Gy{\cdot}m^2$, 교육 후 수검자의 피폭선량은 $2931.73{\mu}Gy{\cdot}m^2$로 나타났고, 검사시간은 교육 전 8.05 min, 교육 후 6.75 min으로 나타났으며, 재촬영 건수는 교육 전 1.68건, 교육 후 1.22건으로 나타났다. 따라서 동영상 교육을 이용하여 위장조영검사 수검자를 대상으로 시행한 위장조영검사에 대한 사전 정보제공이 위장조영검사 수검자의 검사시간 단축, 재촬영 건수와 피폭선량의 감소에 영향을 미쳤다는 것을 확인할 수 있었다.

• 한국컴퓨터산업학회논문지
• /
• 제3권9호
• /
• pp.1245-1250
• /
• 2002

본 논문은 누구나 참여할 수 있는 웹상에서의 시공간을 초월한 on-line 및 off-line 겸용모드의 지능형 원격 진료시스템으로서, 데이터베이스는 IIS 4.0 웹서버 상에서 ASP와 SQL을 연동한 구현하여 효율적인 자료처리를 위한 시스템 통합과 환자와 의사 및 한의사간의 on-line 상담, 그리고 off-line상에서의 진료와 환자가 지정한 약사로의 처방전 전송 및 조제, 그리고 진료데이터의 저장 및 검색으로 인한 반영구적인 진료데이터저장이 가능하며, 가족간의 진료데이터 검색 및 공유등 유전에 대한 치료효과 및 개인 병력관리를 통한 과거진료상황에 따른 빠른 치료효과 및 의사간의 협조진료등이 가능한 지능형 객체관리를 이용한 데이터베이스 구성이 되어있다.

• 한국학교보건학회지
• /
• 제16권1호
• /
• pp.37-54
• /
• 2003

Recent domestic findings indicate steep increase of geriatric diseases such as obesity, diabetes, and high blood pressure among children and adolescents. It is, therefore, necessary to establish a new system for constitution inspection that reflects domestic adolescents' health conditions by the introduction of feasible items and systematic methods in the inspect ion. The objective of this study is to grasp the problems and to present proper ways of improving the system. As the method of the research during the period from September 2001 to March 2002 we refer to the domestic and foreign literature, and ask the advice of the specialists in pediatrics, family medicine, endocrine, cardiology. As on-site research we us e survey of nationwide elementary, middle, and high schools, visit representative local schools and have an interview with school nurses. Through the interview we try to find practical problems of school heath care and find proper method of students physic al examination. The abstract of the problems of student examination system is as following. To the question about the extent of the result of physical examination 46. 46.4%(school doctor) and 42.6%(parents and students) of the respondents answered "don't know". It means neglectfulness about examination itself. 62% of the school nurses responded "unsatisfactory" people who take charge of practical affairs have complaint about pre sent examination method. Because of the short time of the examination, and numerous students, the examination was incomplete. Several questions, method of physical examination, content of physical examination and list of physical examination, were raised. Reform measures for physical examination system of students were presented by physician, school nurses, students and parents of student.

• 대한장애인치과학회지
• /
• 제14권2호
• /
• pp.78-87
• /
• 2018

Patients with mental disability who are classified as dental severely disabled, have poor oral health status and many difficulties in taking health services. The purpose of this study was to investigate factors of influencing in visiting oral health care services. After receiving approval from institutional review board in Seoul National University, 39 participants were recruited and the oral health examination and questionnaire were taken. Data were analyzed using one-way ANOVA, independent t-test, hierarchical linear regression for predicting influence of each participants' characteristics on oral examination time and care time. In regression model, the higher the disability grade and the lower the degree of cooperation, the more oral examination time increased. However possibility of communication was not significantly influenced. Also, the higher the disability grade and the lower the degree of cooperation, the more oral care time increased. However possibility of communication was not significantly influenced. These results are expected to provide objective data for introduction and establishment of visiting dental care.