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검색결과 198건 처리시간 0.035초

완화 의학에서의 평가도구 (The Assessment Tools in Palliative Medicine)

  • 곽정임;서상연
    • Journal of Hospice and Palliative Care
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    • 제12권4호
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    • pp.177-193
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    • 2009
  • 완화의학에서 환자의 평가는 치료의 의사결정과 그 결과에 이르기까지 중요한 역할을 한다. 평가도구의 사용 목적은 이를 환자 진료에 반영하여 개개인 환자와 가족들에 대한 돌봄의 질을 높이는 데 있다. 환자의 기능 상태와 통증 및 비 통증 증상을 평가하는 다양한 단일 영역 및 다차원 평가 척도들이 사용 가능하며, 삶의 질을 측정하는 다양한 도구들이 존재한다. 삶의 질이나 증상 측정에서 우월하다고 추천되는 단일 도구는 없는 실정이다. 도구마다 측정하는 시간의 틀이 다르고, 특성이 다르므로 사용 목적과 상황에 따라 적절한 도구를 선택하여야 한다. 여명 예측을 위해서는 예후 지수의 병용이 권고되는 추세이고, 웹을 기반으로 하는 예측 프로그램들도 등장하였다. 예후지수로는 최근 우리나라에서 다기관 연구를 통해 개발한 객관적 예후지수가 임상적인 여명 예측을 포함하지 않으면서 새로운 객관적인 예후 요인을 반영하여, 누구나 쉽게 사용이 가능하다. 완화의학 입문자의 경우 상대적으로 사용이 용이한 도구가 좋다. 따라서 기능의 평가에는 Eastern Cooperative Oncology Group 기능지수를 사용하고, 통증에서는 10점만점의 숫자 통증 등급(Numeric Rating Scale) 도구를 활용하면서 초기 통증 평가로는 간이 통증 조사지를 추천한다. 여러 가지 증상을 한꺼번에 측정하기 위해서는 숫자 등급으로 직접 물어보거나 혹은 M.D. Anderson 증상조사지(the Korean version of MD Anderson Symptom Inventory) 설문지를 사용하기 바란다. 삶의 질을 평가하는데에는 European Organization Research and Treatment Quality of Life Questionnaire Core 15 for Palliative Care, 예후 지수로는 객관적 예후 지수(Objective Prognostic Score)를 사용하기를 권한다. 향후 완화의학에서 평가도구의 발전방향은 국제 공동 연구의 활성화와 디지털 기기를 통한환자 보고의 전산화이고, 머지않은 앞날에 우리나라에도 이러한 경향이 도입될 것이다.

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청소년의 치과진료기관 이용여부에 영향을 미치는 요인 (Affecting factors to using oral health of korean adolescents)

  • 전미진
    • 한국치위생학회지
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    • 제10권4호
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    • pp.607-616
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    • 2010
  • Objectives : This study was performed to enhance a rate of Using oral clinic and to search related factors of using oral clinics. Methods : The subjects of the study were 74,698 subjects who answered to the 2007 korea Youth Risk Behavior Web-based survey. Answers of 73,836 subjects were used for the final analysis. We used spss of version 12.0. This study conducted a Chi-square test to identify using oral clinics rate according to characteristics of subjects and a multivariate logistic regression analysis to identify whether they are independently significant. Results : Tooth scaling experiences were responded by 10,060 subjects(25.6%). Grade and metropolis, economic level had significant associations with using oral clinic experiences. The rate of using oral clinic showed significant difference in point, depending on general characteristics. Their oral health showed significant difference in point between using oral clinic experience and non-experience groups. According to the multiple logistics regression analysis whose significant independent variables were sex, grade, metropolis, economic level, blooding gum, tooth brushing, oral malodor. Conclusions : The policy is needed to prevent economic constraints from worsening oral health by supporting the poor. And our government should eventually prepare a public relation program suitable for public.

PosCFS+: A Self-Managed File Service in Personal Area Network

  • Lee, Woo-Joong;Kim, Shi-Ne;Park, Chan-Ik
    • ETRI Journal
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    • 제29권3호
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    • pp.281-291
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    • 2007
  • Wearable computers consisting of various small devices such as smart phones, digital cameras, MP3 players and specialized I/O devices in personal area networks will play an important role in future ubiquitous computing. In this environment, accessing user data is quite complex due to the dynamic and heterogeneous characteristics of the underlying networks. Moreover, since the amount of user data increases rapidly, automatic data backup management is also critical. To overcome these challenges, several studies have been conducted including our previously proposed file service system, PosCFS, which could be adapted to the requirements with a virtualization technique allowing per-user global namespace for managing and accessing data stored on physical storage spaces detected in PAN. In this paper, we present a smart file service framework, PosCFS+ which is an improved and extended version of our previous work. Performance improvement is made possible by redesigning the metadata management scheme based on database and keywords rather than ontology. In addition, the automatic data replication management is newly designed based on the OSD protocol.

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임베디드 시스템들을 위한 SNMP 기반의 저부하 시스템 모니터링 (Low Overhead System Monitoring Based on SNMP for Embedded Systems)

  • 김태수;김동억;김용석
    • 전자공학회논문지CI
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    • 제43권3호
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    • pp.1-9
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    • 2006
  • SNMP는 네트워크 장비들의 관리를 위한 표준 프로토콜이지만 요즘의 대부분의 컴퓨터 시스템들은 SNMP 에이전트로서의 기능을 보유하고 있다. 본 논문에서는 임베디드 시스템을 위한 저부하의 SNMP 라이브러리를 개발하고, 이를 활용하여 많은 수의 시스템들을 일괄적으로 모니터링하기 위한 소프트웨어를 구현하였다. 모니터링 시스템은 모니터링 서버, SNMP 에이전트들, 및 클라이언트 프로그램으로 구성된다. 모니터링 서버는 모니터링 대상 시스템에서 실행되는 SNMP 에이전트들로부터 상태정보들을 수집하고 요약 정보를 클라이언트 프로그램에게 전달한다. 클라이언트 프로그램은 Java를 활용한 독자적인 프로그램과 웹 기반의 프로그램의 두 가지 버전을 구현하였다.

Association between p16 Promoter Methylation and Thyroid Cancer Risk: A Meta-analysis

  • Wu, Wei;Yang, Sheng-Fu;Liu, Fei-Fei;Zhang, Ji-Hong
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권16호
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    • pp.7111-7115
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    • 2015
  • Background: The aim of the meta-analysis was to derive a more precise assessment of the association between p16 promoter methylation and thyroid cancer risk. Materials and Methods: The PubMed, Web of Science databases and Chinese CNKI were searched for relevant articles. Ultimately, seventeen case-control studies were included with a total of 804 thyroid cancer cases and 487 controls analysis by R Software (R version 3.1.2) including meta. Crude odds ratios with 95% confidence intervals were calculated using the random-effects model which were used to assess the strength of relationship between p16 methylation and lung carcinogenesis. Funnel plots were carried out to evaluate publication bias. Results: The meta-analysis results showed that the frequency of p16 promoter methylation in cancer tissue/blood was significantly higher than that normal tissue/blood (OR=5.46, 95%CI 3.12-9.55, P<0.0001) by random effects model with small heterogeneity. Conclusions: Thus, p16 promoter methylation may be associated with thyroid cancer risk.

청소년의 음주에 따른 흡연기간과 흡연량이 치은출혈 및 통증에 미치는 영향 (Effects of the amount of smoking and the duration of smoking on bleeding and pain of gingival by drinking in adolescents)

  • 이미라
    • 한국치위생학회지
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    • 제19권6호
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    • pp.951-961
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    • 2019
  • Objectives: This study aims to evaluate how the amount and duration of smoking effects the bleeding and pain of gingival among adolescents in Korea while also taking into consideration the impact of drinking. Methods: Data were utilized from a web-based survey of youth health behaviors conducted by the Korean Center for Disease Control and Prevention in 2016. The subjects of the study included 65,528 adolescents from middle and high schools. As dependent variables, bleeding and pain of gingival were used. Data were analyzed using the SPSS Version 20.0 program. Results: After adjusting for the general characteristics and oral health behaviors of the subjects, in the long-term, the ≥0.52 PY group (heavy smoker) experienced 1.28 times higher bleeding and pain of gingival than the <0.52 PY group (light smoker) among adolescents who smoke and drink at the same time. Adolescents who smoked without drinking did not show any difference on bleeding and pain of gingival according to the amount of smoking in the short- and long-term. However, the findings reveal that there was a difference on bleeding and pain of gingival according to tooth brushing frequency. Conclusions: In order to promote the periodontal health of adolescents, it is argued that programs and projects should be implemented to prevent, educate, and control simultaneous behaviors of smoking and drinking.

다문화가정청소년과 일반가정청소년의 음주행태와 성경험과의 관련성 (Correlate of the Drinking Behavior and Sexual Experience between Multicultural Family Adolescents and General Family Adolescents)

  • 이순희;유재현;윤미은;천성수
    • 한국학교ㆍ지역보건교육학회지
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    • 제16권2호
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    • pp.45-57
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    • 2015
  • Objectives: This study identified a multicultural families and households youth targeting adolescents drinking behavior and sexual status, and alcohol problems and gender analyzes and the relevance of the cup and behavior. Methods: This study analysed drinking problem and sexual behavior among adolescents of multi-cultural and general families which is based on the primitive data from the Ninth Youth Risk Behavior Web-based Survey, 2013. All analysis were conducted using SPSS version 18. Results: Multicultural family adolescents showed significantly higher in lifetime's drinking experience, beginning age of drinking, binge drinking, CRAFFT and sex experience than general family adolescents. Conclusions: Therefore the result of this study suggests that families, schools and society should perceive and solve the problem concerning the drinking behavior and sex experience of the multicultural familiy adolescents.

BioAPI를 이용한 웹 기반 사용자 인증 시스템의 설계 (A Design of Web-based Biometric Authentication System using BioAPI)

  • 윤성근;김성훈;박충식;전병환
    • 한국정보처리학회:학술대회논문집
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    • 한국정보처리학회 2001년도 추계학술발표논문집 (하)
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    • pp.1037-1040
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    • 2001
  • 생체인식 기술이 차세대 보안 기술로서 주목을 받고 있으나 대부분의 생체 시스템이 독립적으로 존재하고 있어, 표준화 노력의 일환으로 세계적인 생체인식협회인 BioAPI Consortium에서 표준 BioAPI version 1.1이 제정되었다. 본 논문에서는 BioAPI에서 제안한 명세서를 토대로 하여 클라이언트-서버구조로서 웹기반 사용자 인증시스템을 설계한다. 클라이언트는 입력 장치 및 BSP에 따른 Hybrid기법을 적용함으로서 신뢰성을 부여하여 웹 상에서 사용자의 취득 가능한 여러 생체 정보를 검증 자료로 사용하고, 실 시간성을 부여하기 위하여 ActiveX를 사용하여 객체의 크기를 작게 한다. 서버는 생체검증의 기본기능인 등록, 인증, 검증을 할 수 있도록 BioAPI 인터페이스를 사용하여 BSP에 따른 기 입력된 사용자의 생체 정보를 검증하게 되며, 본 논문에서는 구조적 접근 방법을 사용한 서명과 ID 및 password 의 조합을 검증기로서 사용하게 된다. 개방형 네트워크인 웹 상에서 생체 정보를 이용한 사용자 검증시스템은 전자 상거래 등의 신원확인이 필요한 분야에 신뢰성을 제공한다.

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Accuracy of c-KIT in lung cancer prognosis; a systematic review protocol" instead of c-KIT Expression in Lung Cancer Prognostic Evaluation - a Systematic Review Protocol

  • Roudi, Raheleh;Kalantari, Elham;Keshtkar, Abbas;Madjd, Zahra
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권2호
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    • pp.863-866
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    • 2016
  • Background: Extensive efforts have been made to investigate c-KIT expression in lung cancer specimens and its correlation with clinical outcomes, but the issue remains unresolved. Thus, this study will be conducted to clarify the prognostic value of c-KIT expression in lung cancer patients. Materials and Methods: We will search Pubmed, SCOPUS, and ISI web of sciences with no restriction of language. Studies with any design (except case reports or case series) evaluating correlations of c-KIT expression with survival or outcome in patients with lung cancer will be included. The outcome measures will include all types of survival indexes, including overall survival rate and disease free survival using Kaplan-Meier analysis and hazard ratios. Study selection and data extraction will be performed by two independent researchers. Quality assessment (assessment of risk of bias) and data synthesis will be implemented using Stata software version 11.1. Results: No ethical issues are predicted. These findings will be published in a peer-reviewed journal and presented at national and international conferences. Conclusions: This systematic review protocol is registered in the PROSPERO International Prospective Register of Systematic Reviews, registration number = CRD42015023391.

RASSF1A Gene Methylation is Associated with Nasopharyngeal Carcinoma Risk in Chinese

  • Wu, Kun;Xu, Xiao-Ning;Chen, Yu;Pu, Xiao-Lin;Wang, Bo-Yuan;Tang, Xiao-Dan
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권6호
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    • pp.2283-2287
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    • 2015
  • In order to explore the association between RASSF1A methylation and nasopharyngeal carcinoma (NPC) risk of Chinese, we carried out a meta-analysis with searches of PubMed, Web of Science, ProQest and Medline databases. Ultimately, 14 articles were identified and analysised using R Software (R version 3.1.2) including meta packages. Overall, we found a significant relationship between RASSF1A methylation and NPC risk (OR 30.7; 95 % CI, 16.71~56.23; z=11.0591; p<0.0001) in a fixed effects model and (OR 32.1; 95% CI, 14.27~72.01; z=8.3984; p<0.0001) in a random effects model pooled. In tissue and NP brushings groups, similar results were found. Hence, our study identified a strong association between RASSF1A methylation and NPC and highlighted a promising potential for RASSF1A methylation in NPC risk prediction of Chinese.