• 제목/요약/키워드: a serious case

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고객 맞춤 웹 컨텐츠 : 국민은행 인터넷뱅킹의 eCRM 사례 (A Customization of Web Contents : The Case of Kookmin Interned Banking eCRM)

  • 함유근;윤태주
    • 정보기술과데이타베이스저널
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    • 제8권2호
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    • pp.1-15
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    • 2001
  • In trying to bring about online CRM(customer relationship management), companies have paid much attention to eCRM. The key of eCRM is a recommendation system, which is being used by E-commerce sites to find products to purchase. To maintain a constant flow of marketing information and feedback it is important to staying in touch with customers. In this respect, eCRM becomes a serious business tool for sales activities. In this article we present tee case of Kookmin Internet banking eCRM welch is one of the first examples of implementing eCRM in commercial web site in Korea. We examine how Kookmin Internet banking develops eCRM and how it provides customized services to customers. We also explore the role of eCRM in Internet banking and the level of personalization technology used in Kookmin eCRM case.

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Ischemic Stroke after Use of Cannabis: a Case Report and Review of Literature

  • Jung, Jo Sung;Park, Yae Won;Lee, Seung Ah;Song, Tae Jin;Lim, Soo Mee
    • Investigative Magnetic Resonance Imaging
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    • 제22권3호
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    • pp.168-171
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    • 2018
  • Cannabis or marijuana is the most commonly used recreational drug after alcohol in the world, and usage is generally recognized as having few serious adverse effects. However, usage is restricted in South Korea. The report of ischemic stroke associated with cannabis is rare in literature. We present a case of a 47-year-old female patient with no underlying disease presenting with acute ischemic stroke after smoking cannabis in South Korea. The result for synthetic cannabinoid metabolites (delta-9 tetrahydrocannabinol) screening was positive. Absence of other vascular risk factors and drug screening results suggest a causal role of cannabis in this ischemic stroke case. The patient eventually progressed to brain death. The underlying mechanism, clinical manifestation, and imaging findings of cannabis-related stroke will be reviewed.

백반증의 치험 1례 (One Case Report of Vitiligo)

  • 정재호;서형식
    • 한방안이비인후피부과학회지
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    • 제18권3호
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    • pp.121-126
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    • 2005
  • Vitiligo does not have a baneful influence on life and function of the body directly, but is a serious disease in that most patients suffer from difficulties in social life and considerable stress. We cured a vitiligo patient with a few depigmented patches in front of the left ear using aqua-acupuncture with hominis placenta and psoraleae fructus extract. Since this is just one case report, more case studies and research will be necessary.

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Anesthetic management for dental surgery in a child with glycogen storage disease type IIIa: a case report

  • Bugra, Aykenar;Nedim, Cekmen
    • Journal of Dental Anesthesia and Pain Medicine
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    • 제22권6호
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    • pp.451-455
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    • 2022
  • Glycogen storage disease (GSD) is a group of inherited disorders, which result in the deficiency of enzymes involved in glycogen metabolism, leading to an accumulation of glycogen in various organs. Deficiency of amylo-1-6-glicosidase (debranching enzyme) causes glycogen storage disease type III (GSD III). The main problems that anesthesiologists face in patients with GSD III include hypoglycemia, muscle weakness, delayed awakening due to abnormal liver function, possible difficulty in airway, and cardiomyopathy. In the face of these difficulties, airway preparation and appropriate glucose monitoring and support during the fasting period are important. The doses of the drugs to be used should be calculated considering the increased volume of distribution and decreased metabolic activity of the liver. We present the case of a child with GSD IIIa who underwent dental prosedation under general anesthesia. She was also being prepared for liver transplantation. This case was additionally complicated by the patient's serious allergic reaction to eggs and milk.

Radiological assessment and follow-up of a nonsurgically treated odontoid process fracture after a motor vehicle accident in Egypt: a case report

  • Ahmad Mokhtar Abodahab
    • Journal of Trauma and Injury
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    • 제36권4호
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    • pp.411-415
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    • 2023
  • An odontoid process fracture is a serious type of cervical spine injury. This injury is categorized into three types based on the location of the fracture. Severe or even fatal neurological deficits can occur due to associated cord injury, which can result in complete quadriplegia. Computed tomography is the primary diagnostic tool, while magnetic resonance imaging is used to evaluate any associated cord injuries. These injuries can occur either directly from the injury or during transportation to the hospital if mishandled. There are two main treatment approaches: surgical fixation or external nonsurgical fixation, with various types and models of fixation devices available. In this case study, computed tomography follow-up confirmed that external fixation can yield successful results in terms of complete healing, even in cases complicated by other factors that may impede healing, such as pregnancy.

척수 손상 환자에 관한 실태 조사 (A Study of the Evaluation of the Spinal Cord Injuries)

  • 김명훈
    • 대한물리치료과학회지
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    • 제3권2호
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    • pp.1011-1019
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    • 1996
  • The incidence of spinal cord injury increase due to traffic accident, industrial accident and leisure sports. Spinal cord injury damages motor and sensory function below the injury level, also affects autonomic functions associated with voiding and defecation. Sexual dysfunction and psychosocial, vocational maladaptations are also some of the unwanted consequences of injury. The purpose of this study is look for means to prevent and to manage complications in spinal cord injury through investigation and analysis. The subjects of this study in spinal cord injured patients were admitted to the department of physical therapy, Kwangju christian Hospital, Nam Kwang Hospital, Chun Nam university Hospital and Cho Sun university Hospital, from April, 1, 1995 to March, 31, 1996. The results are as follows: 1. The subjects comprised 96 cases of spinal cord injury, ranging from 17 to 85(mean-40.8 yrs) and included 72 males and 24 females. Among these patients, 58 were cervical injury, 20 were thoracic injury and 18 were lumbar injury. 2. As for a major causative of spinal cord injury were traffic accident(59.4%), fall down (27.1 %), and motocycle(4.2%).. 3. The bladder control were taken by indwelling cathetar(41.7%), Crede maneuver(37.5%) and self voiding(16.7%). The bowel control were taken by all aid(61.5%), assitance(32.3%) and self defecation(6.2%). 4. Possible of sexual function were 35 cases (47.9%). 5. The device of transfer used wheel chair(69.8%) and bed(16.7%). 6. The patients with higher cord lesion got more serious pain than lower cord lesion. Also the patients with higher cord lesion got a serious spasticity. 7. The incidence of decubitus ulcer among 96 patients were in case 46(47.9%). The largest group of the pressure sore sites were sacral portion(82.0%), less than 1 month of onset occured a large numbers(50%). Incidence of pressure sore by spasticity occured many patients in case of mild or moderate. Incidence of pressure sore by pain occured many patients in case of severe pain.

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One year of treating patients with open fractures of the lower extremity in a new military trauma center in Korea: a case series

  • Ji Wool Ko;Giho Moon;Jin Geun Kwon;Kyoung Eun Kim;Hankaram Jeon;Kyungwon Lee
    • Journal of Trauma and Injury
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    • 제36권4호
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    • pp.376-384
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    • 2023
  • Purpose: The Armed Forces Trauma Center of Korea was established in April 2022. This study was conducted to report our 1-year experience of treating soldiers with open fractures of the lower extremity. Methods: In this case series, we reviewed the medical records of 51 Korean soldiers with open fractures of the lower extremity between April 2022 and March 2023 at a trauma center. We analyzed patients with Gustilo-Anderson type II and III fractures and reported the duration of transportation, injury mechanisms, injured sites, and associated injuries. We also presented laboratory findings, surgery types, intensive care unit stays, hospital stays, rehabilitation results, and reasons for psychiatric consultation. Additionally, we described patients' mode of transport. Results: This study enrolled nine male patients who were between 21 and 26 years old. Six patients had type II and three had type III fractures. Transport from the accident scene to the emergency room ranged from 75 to 455 minutes, and from the emergency room to the operating room ranged from 35 to 200 minutes. Injury mechanisms included gunshot wounds, landmine explosions, grenade explosions, and entrapment by ship mooring ropes. One case had serious associated injuries (inhalation burn, open facial bone fractures, and hemopneumothorax). No cases with serious blood loss or coagulopathies were found, but most cases had a significant elevation of creatinine kinase. Two patients underwent vascular reconstruction, whereas four patients received flap surgery. After rehabilitation, six patients could walk, one patient could move their joints actively, and two patients performed active assistive movement. Eight patients were referred to the psychiatry department due to suicidal attempts and posttraumatic stress disorder. Conclusions: This study provides insights into how to improve treatment for patients with military trauma, as well as medical services such as the transport system, by revising treatment protocols and systematizing treatment.

외상성 유미흉, 2례 보고 (Traumatic Chylothorax - Two Case Report -)

  • 이건;박형주;최영호;이인성;김학제;김형묵
    • Journal of Chest Surgery
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    • 제25권12호
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    • pp.1440-1443
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    • 1992
  • Traumatic chylothorax is the presence of lymphatic fluid in the pleural space resulting from thoracic duct rupture, This condition is a serious and often life-threatening clinical entity. Operative trauma is most common mechanism of injury, but we experienced two case of chylothorax due to blunt trauma. One case was treated conservatively, another case was treated surgically.

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개심술시 단기적인 예방적 항생제 투여요법에 관한 연구 (Short Term Antibiotic Prophylaxis in Open Heart Surgery)

  • 이건우
    • Journal of Chest Surgery
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    • 제18권4호
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    • pp.740-745
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    • 1985
  • A retrospective double blind study comparing 7 day with 2 day regimen of antibiotic prophylaxis was conducted among 200 patients undergoing open heart surgery. No case of endocarditis and wound infection occurred. Pneumonia developed in 5 cases of the 7 day and 1 case of the 2 day group. Urinary tract infection without clinical significance developed in 1 case of the 7 day and 3 cases of the 2 day group. Bacteremia developed in 2 cases of the 7 day and 1 case of the 2 day group. We concluded as follows: l. Administration of antibiotics for 2 days appears to be without substantial risk of infection comparing long term 7 day regimen. 2. 7 days of antibiotics may actually increase the risk of serious infection such as nosocomial pneumonia, and predispose to the development of infections with fungi or antibiotic resistant bacteria. 3. 2 days of prophylaxis is more beneficial than long term 7 day regimen for example economically.

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학교 내 안전에 영향을 미치는 요인: 미국 공립학교의 경비활동 유형을 중심으로 (Affecting Factors on the Safety on School -Focusing on U.S Public School Security Guard Patterns-)

  • 신소라;조윤오
    • 시큐리티연구
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    • 제37호
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    • pp.137-163
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    • 2013
  • 이 연구는 미국 공립학교의 사례를 통해 학교 내 안전을 미치는 요인과 학교 내 안전에 효율적인 경비형태를 분석함으로서 국내 학교 내 안전을 높일 적절한 방안을 제시하는데 그 목적이 있다. 이 연구는 학교 내에서 발생하는 범죄를 종속변수로 하는 중범죄모델과 범죄의 유형에는 포함되지 않더라도 학생들의 안전을 위협할 수 있는 비행행위 및 집단행위로 범위를 한정시켜 종속변수로 하는 학교폭력모델로 나뉜다. 첫 번째, 학교 내 안전에 영향을 미치는 요인의 분석결과, 중범죄안전 모델과 학교폭력 안전 모델의 설명력은 각각 10.3%, 12%이며, 중범죄안전 모델을 살펴보면 학생을 대상으로 한 안전교육(t=2.521, p=0.012), 학교활동 부모참여(t=11.733, p=0.000), CPTED활동(t=3.206, p=0.001), 학교 내 경비활동(t=2.983, p=0.003)이 통계적으로 유의미하게 중범죄로 부터의 안전에 긍정적인 영향을 미치는 요인으로 나타났다. 학교폭력안전 모델에서도 유사하게 학교활동의 부모참여(t=10.399, p=0.000), CPTED활동(t=7.238, p=0.000), 학교내 경비활동(t=4.018, p=0.000)이 통계적으로 유의미하게 학교폭력으로 부터의 안전에 영향을 미치는 요인으로 나타났다. 두 번째, 어떠한 유형의 경비활동이 학교 내 안전을 높이는지 분석한 결과, 중범죄안전 모델과 학교폭력안전 모델, 두가지 모델의 설명력은 각각 4.4%, 3.9%이며, 중범죄 안전 모델에서는 학교에서 실행하는 경비활동 중 지역경찰과의 협조(t=2.112, p=0.035), 교칙관리(t=3.309, p=0.001), 경비순찰활동(t=2.548, p=0.011)이 통계적으로 유의미하게 중범죄로 부터의 안전에 영향을 미치는 요인으로 나타났고, 학교폭력안전 모델에서는 경비활동 중 지역경찰과의 협조(t=2.364, p=0.018), 교칙관리(t=4.142, p=0.000)가 통계적으로 유의미하게 중범죄로 부터의 안전에 영향을 미치는 요인으로 나타났다. 이 연구의 결과에 따라 교사에 대한 교육보다 학생에 대한 교육이 학교 내 안전에 긍정적이고, 학교 운영에 부모참여도 교육과 마찬가지로 지속적이고 계속적인 참여가 학교안전을 위해 필요하다. CPTED활동의 경우, 미국의 사례의 결과를 그대로 받아들여 강화하는 방안을 마련하고, 경비활동에 관하여는 가시성을 높이고 지역경찰과의 협조를 원활히 하는 방안이 학교 내 안전에 긍정적 영향 줄 것이다.

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