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The Evaluation of Method for Computerization of Clinical Informations of the Patients of the Department of Thoracic and Cardiovascular Surgery - About the practical method of coding and standardization of the structure of the database file(DBF) - (흉부외과환자 임상정보의 전산화 방법에 대한 고찰;데이터베이스 파일(DBF) 구조의 표준화및 코딩화 방안에 대하여)

  • Song, U-Cheol;Kim, Byeong-Ju;Hong, Gi-U
    • Journal of Chest Surgery
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    • v.25 no.10
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    • pp.989-1000
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    • 1992
  • The concepts of modern type computer are so called "General purpose, stored program and digital computer" that is proposed by Charles Babbage. ENIAC, the initial operational electronic digital computer model, was produced in 1946. During the last 50 years, an epoch-making development of the personal computer was marked. The computerization of all levels of society is going on and also computerization of the general hospital and medical college is developing. But patient data management system for clinician is not used generally. We suggest the use of computer aided data management application programs for the clinical informations of the patients of the Department of Thoracic and Cardiovascular Surgery for better management and to make best of medical informations, to co-operate with the current of this times, and to prepare against the Hospital Information Systems[HIS], actively. Also, we suggest to standardize the format and structure of database files to store the clinical data of the patients By standardization of the database files, we can integrate and relate the data of the individual department or hospital, build up the regional or national statistics of the patients easily, and promote the generation of application programs. The medical network by the communication and computer would be utilized to collect the database files. And finally, we suggest the use of code system to input and search the informations about the diagnosis and operation such as the code system of International Classfication of Disease[WHO] and the table of the classfication of operation of the Ministry of Health and Social Affairs, Korea. In this article, we tried to show the new standards, the essential items for computerization of clinical informations of the patients of the Department of Thoracic and Cardiovascular Surgery.r Surgery.

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Modification of polyamide reverse osmosis membranes seeking for better resistance to oxidizing agents

  • Silva, Lucinda F.;Michel, Ricardo C.;Borges, Cristiano P.
    • Membrane and Water Treatment
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    • v.3 no.3
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    • pp.169-179
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    • 2012
  • One of the major limitations in the use of commercial aromatic polyamide thin film composite (TFC) reverse osmosis (RO) membranes is to maintain high performance over a long period of operation, due to the sensitivity of polyamide (PA) skin layer to oxidizing agents, such as chlorine, even at very low concentrations in feed water. This article reports surface modification of a commercial TFC RO membrane (BW30-Dow Filmtec) by covering it with a thin film of poly(vinyl alcohol) (PVA) crosslinked with glutaraldehyde (GA) to improve its resistance to chlorine. Crosslinking reaction was carried out at 25 and $40^{\circ}C$ by using PVA 1.0 wt.% solutions at different GA/PVA mass ratio, namely 0.0022, 0.0043 and 0.013. Water swelling measurements indicated a maximum crosslinking density for PVA films prepared at $40^{\circ}C$ and GA/PVA 0.0043. ATR-FTIR and TGA analysis confirmed the reaction between GA and PVA. SEM images of the original and modified membranes were used to evaluate the surface coating. Chlorine resistance of original and modified membranes was evaluated by exposing it to an oxidant solution (NaClO 300 mg/L, NaCl 2,000 mg/L, pH 9.5) and measuring water permeability and salt rejection during more than 100 h period. The surface modification effectively was demonstrated by increasing the chlorine resistance of PA commercial membrane from 1,000 ppm.h to more than 15.000 ppm.h.

HPV and Cervical Cancer Epidemiology - Current Status of HPV Vaccination in India

  • Chatterjee, Sharmila;Chattopadhyay, Amit;Samanta, Luna;Panigrahi, Pinaki
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.3663-3673
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    • 2016
  • Cervical cancer (CaCx) is the second most fatal cancer contributing to 14% of cancers in Indian females, which account for 25.4% and 26.5% of the global burden of CaCx prevalence and mortality, respectively. Persistent infection with high-risk human papilloma virus (HPV- strains 16 and 18) is the most important risk factor for precursors of invasive CaCx. Comprehensive prevention strategies for CaCx should include screening and HPV vaccination. Three screening modalities for CaCx are cytology, visual inspection with acetic acid, and HPV testing. There is no Indian national policy on CaCx prevention, and screening of asymptomatic females against CaCx is practically non-existent. HPV vaccines can make a major breakthrough in the control of CaCx in India which has high disease load and no organized screening program. Despite the Indian Government's effort to introduce HPV vaccination in the National Immunization Program and bring down vaccine cost, challenges to implementing vaccination in India are strong such as: inadequate epidemiological evidence for disease prioritization, duration of vaccine use, parental attitudes, and vaccine acceptance. This paper reviews the current epidemiology of CaCx and HPV in India, and the current status of HPV vaccination in the country. This article stresses the need for more research in the Indian context, to evaluate interventions for CaCx and assess their applicability, success, scalability and sustainability within the constraints of the Indian health care system.

Enhanced photon shielding efficiency of a flexible and lightweight rare earth/polymer composite: A Monte Carlo simulation study

  • Wang, Ying;Wang, Guangke;Hu, Tao;Wen, Shipeng;Hu, Shui;Liu, Li
    • Nuclear Engineering and Technology
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    • v.52 no.7
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    • pp.1565-1570
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    • 2020
  • Photons with the energy of 60 keV are regularly used for some kinds of bone density examination devices, like the single photon absorptiometry (SPA). This article reports a flexible and lightweight rare earth/polymer composite for enhancing shielding efficiency against photon radiation with the energy of 60 keV. Lead oxide (PbO) and several rare earth element oxides (La2O3, Ce2O3, Nd2O3) were dispersed into natural rubber (NR) and the photon radiation shielding performance of the composites were assessed using monte carlo simulation method. For 60 keV photons, the shielding efficiency of rare earthbased composites were found to be much higher than that of the traditional lead-based composite, which has bad absorbing ability for photons with energies between 40 keV and 88 keV. In comparison with the lead oxide based composite, Nd2O3-NR composite with the same protection standard (the lead equivalent is 0.25 mmPb, 0.35 mmPb and 0.5 mmPb, respectively), can reduce the thickness by 35.29%, 37.5% and 38.24%, and reduce the weight by 38.91%, 40.99% and 41.69%, respectively. Thus, a flexible, lightweight and lead-free rare earth/NR composite could be designed, offering efficient photon radiation protection for the users of the single photon absorptiometry (SPA) with certain energy of 60 keV.

Evaluation of Patient Care, Education, and Research as Indicators of University Hospital Performance (일개 국립대학병원의 진료.교육.연구 기능에 대한 평가)

  • Cho, Kyung-Sook;Lee, Hae-Jong;Lee, Kyu-Sik;Kim, Chun-Bae;Seol, Dong-Jin;Choo, Sang-Chae
    • Korea Journal of Hospital Management
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    • v.6 no.3
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    • pp.25-45
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    • 2001
  • The purpose of this study was to evaluate the environments of patient care, education, and research as indicators of university hospital performance. The objective data for this study were collected by secondary data. The subjective data were collected by a total of 523 questionnaire survey interviews conducted in C university hospital, of which 123 were students, interns, or residents, 76 were professors, and the remaining 324 were patients. The major statistical methods used for the analysis were t-test and ANOVA. We found that the environment of patient care is better than the environment of education and research in C university hospital. While the concern for patient care of C university hospital was about 60%, the equivalent figures for education and research were both 20%. And the patients' satisfaction level was higher than the others. The environment of education and research was found to be deficient in some aspects, especially in such areas as facilities, equipment, and investment. In particular for professors the time for research was very limited because of the demands of patient care. These findings clearly demonstrate that university hospitals need to pay greater attention to the areas of education and research, as well as to patient care. This article concludes with a discussion and summary and presents issues in need of further study.

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Influence of Cognitive Conflict Strategy Through Swing Experience on the Students' Conception of Force on a Simple Pendulum (그네타기 체험을 통한 인지갈등 전략이 학생들의 단진자에 작용하는 힘 개념에 미치는 영향)

  • Kwon, Mi-Rang;Kim, Ji-Na;Choi, Hyuk-Joon;Kim, Jung-Bog;Kwon, Jae-Sool
    • Journal of The Korean Association For Science Education
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    • v.25 no.5
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    • pp.583-594
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    • 2005
  • This study examined 8th-graders' conceptions of force on a simple pendulum and investigated cognitive conflict and conceptual change through kinesthetic experience in swing. Participants of this study were guided to anticipate the direction of total force acting on a pendulum at three critical positions and observed it through swing experience. Having completed this, students read an article explaining the results they observed. Most of them considered gravity, tension, and motion-force to be the real forces acting on a pendulum in pre-test. Though they were interested in the activity and conceded their expectations to be different from observed results, the degrees of their cognitive conflict were not significantly high. In summation, 'interest' was the highest and 'anxiety' was the lowest. Most of the students memorized the direction of forces on a swing, but few could explain the reason behind the occurrence in an immediate post-test and delayed post-test.

TOXICOLOGICAL EVALUATION OF ETHANOLIC EXTRACT FROM THE ROOT OF SCUTELLARIAE RADIX (황금(Scutellariae Radix)의 에타놀추출물과 프랄보노이드 성분들의 독성평가)

  • Chung, Chong-Pyoung;Ku, Young;Bae, Gi-Hwan
    • Journal of Periodontal and Implant Science
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    • v.25 no.3
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    • pp.470-477
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    • 1995
  • Flavonoids from Scutellariae Radix possessed a dual function both as an anti-inflammatory agent and an enhancer of cellular activity in gingival fibroblast. The purpose of this study was to evaluate on the toxicity of ethanolic extract from the root of Scutellariae Radix Georgi and its flavonoids, Wogonin, Baicalein, and Baicalin were isolated and purified by the following method. The crude drug was extracted with ethyl acetate and the residue was dissolved in ethyl alcohol. The ethyl alcohol soluble fraction was separated, concentrated, and then chromatographed on a silica gel column. The acute oral LD 50 in rats was determined for EtOH ex. of Scutellariae Radix and three compounds were evaluated with a single oral gavage at three graded dosage levels. The acute intravenous LD 50 was determined with a single intravenous injection via the jugular vein at three graded dosage levels. Groups of 5 male and 5 female rats, 6 week of age at the start of the study, were fed diets containing 3 graded dosage levels for 14 days. Groups of 5 male and 5 female hamster received O.5ml of the test article at once in a day for 5 days to the buccal cheek pouch for two minutes each. The acute oral LD50 for EtOH ex. of Scutellariae Radix is 1430mg/kg, and for Wogonin 1320mg/kg, for Baicalein 1250mg/kg, for Baicalin 1330mg/kg. The acute intravenous toxicity of EtOH ex. of Scutellariae Radix and its extracts was found to be 27mg/kg body weight No toxic effects were observed in rats fed up to 200mg/kg of EtOH ex. of Scutellariae Radix, Wogonin, Baicalein and Baicalin in the diet for 14 days. The acute Mucouse Membrane LD 50 in hamsters was found to be greater than 100mg/kg. These results suggested that EtOH ex. of Scutellariae Radix and its flavonoids are safe for oral care products using limited amount of extract.

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A Feasibility Study on Materialization of Seunglamdonoli, Korean Traditional Table Board Game (전통 Table Board 게임 <승람도놀이>의 특징과 현대적 실현 가능성)

  • Kihl, Tae-Suk;Chang, Ju-No;Baek, Yun-Cheol
    • Journal of Korea Game Society
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    • v.8 no.2
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    • pp.25-35
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    • 2008
  • Seunglamdonoli was a traditional board game played during the Chosun Dynasty. In this article, I interpret its features as a board game and discuss the possibility of turning it into a mass market game like Milton Bradley's 'The Game of Life' in the U.S. Seunglamdonoli uses the dice to determine movements around a board shaped like Korea, teaching players about important geographic locations, and traditional characters in a game that relies on strategy as well as luck. With appropriate changes such as introducing a standardized game board or digitalization for use on computers, Seunglamdonoli has potential to again become a popular pastime as well as become tool for learning about Korean history, geography, and society. Furthermore it can be adapted as an educational game for any location with minimal changes.

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A Case Report of One Patient with Paralytic Strabismus Resulting from Pontine Hematoma During Puerperium (산욕기에 발생한 뇌교출혈로 인한 마비성 사시 환자 치험 1례)

  • Kim, Yu-Kyung;Kim, Woo-Sung;Kang, Sei-Young;Sim, Kuk-Jin;Yoon, Ji-Won;Baek, Dong-Gi;Lee, Jong-Deok;Won, Jin-Hee;Lee, Sang-Kwan;Kim, Hong-Joon
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.640-647
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    • 2004
  • Pregnancy related stroke is significant because it has dire impact on both mother and the fetus. Pregnant or puerperal women are reported to have about 13-fold more risk of stroke compared to non-pregnant women. Pregnancy-related stroke must be differentiated from stroke in elderly patients, because it is different in pathophysiological etiologies and recurrence rates and also diagnostic and therapeutic methods may affect the fetal health status. Because the VI cranial nerve manages lateral rectus muscles, it' s palsy causes sudden onset of double vision. The eyes turn medially. In this article, one case of paralytic strabismus resulting from pontine hematoma during puerperium is reported. It was treated with herb medicine and acupuncture. Symptoms improved. This case is submitted with a brief overview of related lit.

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Effective Behavioral Strategies for Pediatric Feeding Problems (섭식 문제 행동에 대한 효과적인 행동전략)

  • Chung, Kyong-Mee
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.11 no.sup1
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    • pp.143-148
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    • 2008
  • It is relatively common to have various feeding problem during infancy and childhood, even for typically developing children. Treatment outcome studies for pediatric feeding disorder consistently reported that applied behavior analaysis (ABA), a type of behavior intervention, is very effective and efficacious. Interdisciplinary team approach is necessary for severe feeding problems, but similar methods could be used through parent training for moderate and mild feeding problems. This article introduced assessment procedure to identify feeding problems as well as specific methods to deal with diver feeding issues. Each strategy can be used effectively only when it is combined with several other strategies including environmental rearrangement and should be developed individually upon each child's feeding issues. In addition, systematic and continuous parent trainings are mandatory. At the end, several treatments related issues were addressed.

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