• Journal of Yeungnam Medical Science
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• 제5권1호
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• pp.181-189
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• 1988

저자들은 경련성 발작후 의식소실이 자주 발생하였으며 그로 인해 항경련제를 장기간 투여하였고 저혈당으로 인한 의시소실의 상태로 내원한 비만한 여자 성인 환자에서 Insulinoma를 경험하였기에 문헌 고찰과 함께 보고하고자 한다.

• 한국산학기술학회:학술대회논문집
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• 한국산학기술학회 2012년도 춘계학술논문집 1부
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• pp.22-24
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• 2012

The tools that classify the severity of patients based on the prediction of mortality include APACHE, SAPS, and MPM. Theses tools rely crucially on the evaluation of patients' general clinical status on the first date of their admission to ICU. Nursing activities are one of the most crucial factors influencing on the quality of treatment that patients receive and one of the contributing factors for their prognosis and safety. The purpose of this study was to identify the goodness-of-fit of CPSCS of critical patient severity classification system(CPSCS) and Glasgow coma scale(GCS) and the clinical usefulness of its death rate prediction. Data were collected from the medical records of 187 neurological patients who were admitted to the ICU of C University Hospital. The data were analyzed through $x^2$ test, t-test, Mann-Whitney, Kruskal-Wallis, goodness-of-fit test, and ROC curve. In accordance with patients' general and clinical characteristics, patient mortality turned out to be statistically different depending on ICU stay, endotracheal intubation, central venous catheter, and severity by CPSCS. Homer-Lemeshow goodness-of-fit tests were CPSCS and GCS and the results of the discrimination test using the ROC curve were $CPSCS_0$, .734, $GCS_0$,.583, $CPSCS_{24}$,.734, $GCS_{24}$, .612, $CPSCS_{48}$,.591, $GCS_{48}$,.646, $CPSCS_{72}$,.622, and $GCS_{72}$,.623. Logistic regression analysis showed that each point on the CPSCS score signifies1.034 higher likelihood of dying. Applied to neurologically ill patients, early CPSCS scores can be regarded as a useful tool.

• 한국정보통신설비학회:학술대회논문집
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• 한국정보통신설비학회 2009년도 정보통신설비 학술대회
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• pp.99-103
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• 2009

Recently, as wired and wireless communication services have rapidly developed and multimodal mobile devices which have various characteristics have widely spread, the need for new convergence services increases. The growing population of VoIP technologies and the high communication expense yield that the market of IP based telephony such as WiFi phone and IP phone is substituted for one of the conventional PSTN telephony. With the help of this trend, the wireline network operators desire to find a market in mobile networks. Therefore, they focus on Fixed Mobile Convergence (FMC) service as one of the key factors to accomplish this goal. FMC services are able to provide the mobility of voice services between circuit switched and packet switched networks. IP Multimedia Subsystem (IMS) based Voice Call Continuity (VCC) is one of the schemes to embody FMC services. As Application Server (AS) which has this VCC function provides seamless handover of services between heterogeneous networks, FMC subscribers can communicate seamlessly with others m WiFi domain and COMA domain using WiFi-COMA dual phone. Most of enterprises have already introduced IP network infrastructure and IP-PBX (Private Branch eXchange) for telephony. However, the problems of high communication cost and work inefficiency due to frequent outside jobs or business trips have remained. In order to solve these problems, demands for enterprise FMC services increase. In this paper, we introduce a new IP-PBX based VCC model that can provide seamless handover of voice services between WiFi and COMA networks for enterprise users and we investigate some interworking and security issues between Soft Switch (SSW) and IMS, or between IMSs. In addition, we introduce a new service that can provide the continuity of voice sessions as well as video sessions using Multimedia Session Continuity (MMSC) technology which has evolved from VCC. This service is expected to be one of the next-generation personalized services based on user's context.

• 천문학회보
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• 제42권1호
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• pp.29.1-29.1
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• 2017

I present new near-infrared (NIR) photometry of globular cluster (GC) systems associated to a cD galaxy NGC 4874 in the core of the Coma cluster and 16 early-type galaxies in the Fornax and Virgo clusters of galaxies using the Infrared Channel of the Wide Field Camera 3 (WFC3/IR) on board the Hubble Space Telescope (HST). Combining these high-resolution NIR data with new HST Advanced Camera for Surveys (ACS) optical photometry for NGC 4874 and existing ACS GC catalogs from the ACS Fornax and Virgo Cluster Surveys, I have examined for the first time the GC systems in a statistically significant optical/NIR sample of galaxies spanning a wide range of luminosities and colors. A primary goal of this study is to explore empirically whether the distributions of purely optical and hybrid optical - NIR color indices for extragalactic GCs have different forms and whether the relations between these color indices are nonlinear, indicating that they behave differently with underlying metallicity. I find that some GC systems of large galaxies in our sample show color bimodalities that differ between the optical and optical - NIR colors, in the sense that they have disparate ratios of "blue" and "red" peak GCs, as well as differing ratios in their color dispersions. Consistent with these results, I find empirically that the dependence of hybrid optical-NIR color on purely optical color is nonlinear, with an inflection at intermediate metallicities. These findings underscore the importance of understanding the nature of galaxy-to-galaxy variations in the GC color distributions and color-color relations, as well as the exact forms of the color-metallicity transformations, in interpreting the observational data on GC color bimodality. Our ACS data for NGC 4874 shows that its GC system exhibits a very strong blue tilt, implying a very steep mass-metallicity scaling, and the centroid of this GC system is offset by $4{\pm}1kpc$ from the luminosity center of NGC 4874, in the direction of NGC 4872. Finally, I discuss the asymmetrical GC distribution around a dwarf elliptical galaxy in Coma that has a very high relative velocity with respect to the cluster mean at small clustercentric radius.

• 한국화재소방학회:학술대회논문집
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• 한국화재소방학회 2012년도 춘계학술발표회 초록집
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• pp.190-193
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• 2012

The tools that classify the severity of patients based on the prediction of mortality include APACHE, SAPS, and MPM. Theses tools rely crucially on the evaluation of patients' general clinical status on the first date of their admission to ICU. Nursing activities are one of the most crucial factors influencing on the quality of treatment that patients receive and one of the contributing factors for their prognosis and safety. The purpose of this study was to identify the goodness-of-fit of CPSCS of critical patient severity classification system(CPSCS) and Glasgow coma scale(GCS) and the clinical usefulness of its death rate prediction. Data were collected from the medical records of 187 neurological patients who were admitted to the ICU of C University Hospital. The data were analyzed through $x^2$ test, t-test, Mann-Whitney, Kruskal-Wallis, goodness-of-fit test, and ROC curve. In accordance with patients' general and clinical characteristics, patient mortality turned out to be statistically different depending on ICU stay, endotracheal intubation, central venous catheter, and severity by CPSCS. Homer-Lemeshow goodness-of-fit tests were CPSCS and GCS and the results of the discrimination test using the ROC curve were $CPSCS_0$,.734, $GCS_0$,.583, $CPSCS_{24}$,.734, $GCS_{24}$,.612, $CPSCS_{48}$,.591, $GCS_{48}$,.646, $CPSCS_{72}$,.622, and $GCS_{72}$,.623. Logistic regression analysis showed that each point on the CPSCS score signifies1.034 higher likelihood of dying. Applied to neurologically ill patients, early CPSCS scores can be regarded as a useful tool.

• 동국한의학연구소논문집
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• 제8권1호
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• pp.171-190
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• 1999

본 실험은 전갈 추출물이 어혈병태 모델과 KCN으로 유발된 전뇌허혈, 뇌세포독성 등에 미치는 영향을 관찰하였다. 전갈은 Dextran에 의해 유도된 혈전으로 감소된 혈소판수, fibrinogen량, hemocrit치를 유의성 있게 증가시키고, 증가된 prothrombin time을 유의성 있게 단축시켰다. 전갈은 thrombin과 ADP에 의해 유도된 혈소판 응집을 억제하였으나 collagen에 의해 유도된 혈소판 응집에는 저해효과를 나타내지 않았다. 또한 collagen과 epinephrine에 의해 유도된 pulmonary embolism에 대하여 보호 효과를 나타내었다. 전갈은 KCN에 의한 전뇌허혈 유발 실험에서 혼수시간을 유의성 있게 단축시켰고, Amyloid ${\beta}$ protein(25-35)에 의해 유도된 PC12 세포의 독성에 대하여 보호효과를 나타내었다.

• Annals of Clinical Neurophysiology
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• 제16권1호
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• pp.15-20
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• 2014

Background: Triphasic waves are one of the electroencephalographic patterns that can be usually seen in metabolic encephalopathy. The aim of this study is to compare the clinical and electrophysiologic profiles between patients with and without triphasic waves in metabolic encephalopathy, and reassess the significance of triphasic waves in metabolic encephalopathy. Methods: We recruited 127 patients with metabolic encephalopathy, who were admitted to our hospital. We divided these admitted patients into two groups; those with and without triphasic waves. We analyzed the difference of duration of hospitalization, mortality rate during admission, Glasgow Coma Scale, severity of electroencephalographic alteration, and presence of acute symptomatic seizures between these two groups. Results: Of the 127 patients with metabolic encephalopathy, we excluded 67 patients who did not have EEG, and 60 patients finally met the inclusion criteria for this study. Patients with triphasic waves had more severe electroencephalographic alterations, lower Glasgow Coma Scale, and more acute symptomatic seizures than those without triphasic waves. After adjusting the clinical variables, Glasgow Coma Scale and acute symptomatic seizures were only significantly different between patients with and without triphasic waves. Conclusions: We demonstrated that patients with triphasic waves in metabolic encephalopathy had more significant impairment of the brain function.

• Journal of Trauma and Injury
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• 제33권4호
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• pp.227-235
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• 2020

Purpose: Alcohol intoxication is commonly associated with traumatic brain injury (TBI), but the influence of alcohol on the Glasgow Coma Scale (GCS) score remains unclear. This study investigates the effects of blood alcohol concentration (BAC) on the GCS score in head trauma patients with alcohol intoxication. Methods: In total, 369 head trauma patients with alcohol intoxication in a 1-year period were retrospectively analyzed. The patients underwent head computed tomography and had a BAC ≥80 mg/dL. Patients were divided into TBI and non-TBI groups. Brain injury severity was further classified using the head Abbreviated Injury Score (AIS). The effects according to 5 BAC groups were examined. Results: The TBI group consisted of 64 patients (16.2%). The mean BAC was significantly higher in the non-TBI group (293.4±87.3 mg/dL) than in the TBI group (242.8±89.9 mg/dL). The mean GCS score was significantly lower in the TBI group (10.3±4.6) than in the non-TBI group (13.0±2.5). A higher BAC showed a significant association with a lower mean GCS score in the TBI group, but not in the non-TBI group. Above ≥150 mg/dL, higher BACs showed significant odds ratios for a lower GCS score. Conclusions: The influence of alcohol in patients with head trauma depended on the presence of a brain injury. An association between a higher BAC and a lower GCS score was only observed in patients with TBI. Therefore, if a severe brain injury is suspected based on a GCS evaluation in patients with alcohol intoxication, prompt diagnosis and intensive care should be performed without delay.

• 대한시과학회지
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• 제20권4호
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• pp.469-482
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• 2018

목적 : 비구면 디자인의 소프트 콘택트렌즈 ASCL(aspheric soft contact lens)로 굴절교정을 한 젊은 성인 근시안에서 콘택트렌즈 착용 후 안구의 구면수차와 코마수차 변화를 확인하였다. 방법 : 건강한 성인 근시안 50명(평균 연령: $23.15{\pm}1.70$세, 평균 등가구면굴절력: $-2.90{\pm}1.75D$)을 대상으로 굴절교정용 ASCL(Biotrue, Bausch+Lomb, USA)을 착용시킨 후 검사실의 조도 100 lx에서 고위수차와 동공크기를 측정하였다. 고위수차는 Wavefront Analyzer를 사용하여 동공크기 4 mm 영역에서 측정하였고, 동공크기는 Pupillometer를 이용하여 3.5 m 거리의 물체를 주시하도록 한 후 암소시(scotopic condition, light off) 상태에서 측정하였다. 결과 : 20대 근시안의 구면수차와 코마수차는 $0.026{\pm}0.031{\mu}m$, $0.078{\pm}0.039{\mu}m$, ASCL 착용 후에는 $0.019{\pm}0.026{\mu}m$ and $0.082{\pm}0.038{\mu}m$로 구면수차는 감소하고 코마수차는 유의하게 증가하였다. 대상안 중 구면수차가 감소한 경우는 전체의 68%로 양의 구면수차를 갖는 대상안에서 감소하였고, 증가한 경우는 11%로 음의 구면수차를 갖는 대상안에서 증가하였다. 코마수차는 대상안의 53%에서 증가하였고 19%에서는 변함이 없었으며 28%에서 감소하였다. 약도 및 중등도 근시안에서 구면수차는 근시도와 상관성이 없었고, 코마수차는 근시도가 높을수록 큰 것으로 나타났다. 결론 : 조절자극이 없는 암소시 상태에서 ASCL 착용 후 안구의 구면수차는 양의 값을 갖는 경우에는 감소하지만 음의 값을 갖는 경우에는 증가하였고, 이는 ASCL 디자인과 동공크기가 영향을 준 것으로 생각된다.

• 한국광학회:학술대회논문집
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• 한국광학회 2006년도 하계학술발표회 논문집
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• pp.83-84
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• 2006