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상악골에 발생한 비뇌감염형 Mucormycosis 1례 (RHINOCEREBRAL MUCORMYCOSIS ON MAXILLA : A CASE REPORT)

  • 허원실;이민정;강승우;오상윤;백경식;최규철
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제15권1호
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    • pp.21-25
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    • 1993
  • We experienced a case of rhinocerebral form of mucormycosis in a 9-year-old male suffered from acute lymphocytic leukemia (FAB $L_2$). On 15th day of induction chemotherapy (Hospital day 23) pain, tenderness and swelling on left maxillary area of face were noticed. We confirmed mucormycosis by biopsy of mass in left maxillary sinus. He expired on Hospital day 47.

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TATE PAIRING COMPUTATION ON THE DIVISORS OF HYPERELLIPTIC CURVES OF GENUS 2

  • Lee, Eun-Jeong;Lee, Yoon-Jin
    • 대한수학회지
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    • 제45권4호
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    • pp.1057-1073
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    • 2008
  • We present an explicit Eta pairing approach for computing the Tate pairing on general divisors of hyperelliptic curves $H_d$ of genus 2, where $H_d\;:\;y^2+y=x^5+x^3+d$ is defined over ${\mathbb{F}}_{2^n}$ with d=0 or 1. We use the resultant for computing the Eta pairing on general divisors. Our method is very general in the sense that it can be used for general divisors, not only for degenerate divisors. In the pairing-based cryptography, the efficient pairing implementation on general divisors is significantly important because the decryption process definitely requires computing a pairing of general divisors.

소형 항공기용 복합재료의 기술동향에 관한 연구 (A Study on Technical Trends of Composite Materials for Small Aircraft)

  • 이종원;김진원;김필종;박일경
    • 한국복합재료학회:학술대회논문집
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    • 한국복합재료학회 2005년도 춘계학술발표대회 논문집
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    • pp.231-234
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    • 2005
  • The present study provides the legislative backgrounds and contents of the America's General Aviation Revitalization Act of 1994 as well as the general impacts of the Advanced General Aviation Transport Experiments Program on the composite materials and associated general aviation aircraft structures

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응급실과 일반병동 간호사의 밤번 근무시 Circadian rhythm과 피로도 비교 (The Difference in Circadian Rhythm and Level of Fatigue Between ER and General Ward Nurse)

  • 최선윤;홍해숙
    • Journal of Korean Biological Nursing Science
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    • 제1권1호
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    • pp.86-99
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    • 1999
  • The purpose of this study is to find out the difference in circadian rhythm and level of fatigue between ER and General Ward Nurse. This study was done through analyzing body temperature, heart rate and major electrolytes such as $Na^+$ and $K^+$ concentration on urinalysis, which are related to factors of circadian rhythm and level of fatigue. The subjects, 17 nurses from Emergency Room and 25 nurses from general ward, were selected from a General Hospital in Taegu City on August 8 to 23, 1998. And the data were analyzed by proportion, t-test, chi-square and Pearson's Correlation, ANCOVA, using SAS program. The results of this study were shown as follows: First, The difference of Maximal and minimal heart rate was significant between ER group and general ward group. However, body temperature difference wasn't notable. Second, Urine $Na^+$ concentration on urinalysis was lower and $K^+$ concentration on urinalysis was higher in ER group than general ward group significantly. Third, Fatigue level was higher in ER group than general ward group significantly. Fourth, through urine concentration, significant relations in circadian rhythm of ER nurse group and general ward group and their fatigue level were found. Urine $Na^+$ concentration on urinalysis of ER nurse was significant related with their fatigue level. In conclusion, the effect of fatigue on circadian rhythm is greater in ER group than general ward group during night shift. This study could be a help in improvement of nurse's health and understanding the effect of fatigue on health.

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국내 종합병원의 에너지 사용량에 영향을 미치는 요인 도출 (Study on the elements affecting energy consumption of general hospitals in Korea)

  • 정다운;김선숙;김혜기;권순정
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제26권1호
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    • pp.63-71
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    • 2020
  • Purpose : The purpose of this study is to analyze the elements that affect the energy consumption of general hospitals in Korea. Methods : Factors affecting energy consumption in general hospitals include facility elements and operating elements. The effects of these elements on energy consumption of general hospitals were analyzed by statistical methods such as t-test, anova, correlation analysis, and regression analysis. Results : Total floor area, number of operating rooms, number of MRI, number of staffs, and number of outpatients can be said as useful variables that can explain energy consumption in general hospitals. Implication : It is possible to save energy consumption in general hospitals by adjusting major variables that affect the energy consumption of general hospitals.

어머니의 양육유형 및 민감성이 영아의 발달에 미치는 영향 (The Effect of Maternal Parenting Style and Sensitivity on Infant Development)

  • 이형민;박성연;서소정
    • 대한가정학회지
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    • 제46권2호
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    • pp.97-111
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    • 2008
  • A total of 31 mothers of 5-month-old infants(18 boys and 13 girls) were observed and interviewed at home via a questionnaire format. Results revealed that perceived maternal parenting style had an effect on general infant general development. As mother exhibited more didactic and limit setting behaviors, the infants showed more receptive, expressive, and language development characteristics. Furthermore, the effects of maternal sensitivity on infant general development and language skills were also ascertained. The infants who showed more positive general development had mothers who interacted sensitively with them. Maternal sensitivity was the only factor that had a major effect on infant general development. The overall findings of this study indicate that perceived maternal parenting style and observed maternal sensitivity were found to have positive effects on general infant general development and language skills.

국소적 부하와 전신적 부하가 슬관절 위치 감각에 미치는 영향 (The effects of knee joint position sense following local and general load protocols)

  • 황윤태;박래준;최진호
    • The Journal of Korean Physical Therapy
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    • 제17권3호
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    • pp.429-440
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    • 2005
  • The purpose of this study was to compare the effects of knee joint position sense following local and general load protocols in 25 healthy male subjects. Proprioception of the knee joint was evaluated by measuring absolute angular errors at matching angles before, after and between 2 different types of load protocols. Proprioception tests(on the dominant knee) were performed in which proprioception of the passivepassive reproduced and active-active reproduced knee position was measured. Local load was provided with maximum isokinetic knee extension-flexion on the isokinetic dynamometer(Cybex), and general load was 10 minutes running on a treadmill. Peak torque(knee extension and flexion) and heart rate(beats per minute) was evaluated as an indicator of local and general fatigue during load protocols. The results were as follows: 1. For pasive-pasive reproduced knee position test, significant difference in absolute angular errors after general load protocol was detected compared with that before general load protocol(P<.05), significant difference in absolute angular errors after local load protocol was detected compared with that before local load protocol(P<.05). However, no significant difference in absolute angular errors of general load protocol was detected compared with that of local load protocol (P>.05), no significant difference in absolute angular errors of local load protocol was detected compared with that of general load protocol(P>.05). 2. For active-active reproduced knee position test, significant difference in absolute angular errors after general load protocol was detected compared with that before general load protocol(P<.05), significant difference in absolute angular errors after local load protocol was detected compared with that before local load protocol (P<.05). Also, significant difference in absolute angular errors of general load protocol was detected compared with that of local load protocol(P<.05), significant difference in absolute angular errors of local load protocol was detected compared with that of general load protocol(P<.05). 3. A significant decrease of peak torque of knee extensors and flexors was seen after local load, although heart rate was significantly increased(P<.05). No significant change of peak torque of knee extensors and flexors was seen after general load(P>.05), although heart rate was also significantly increased(P<.05). The previous study revealed that knee proprioception is significantly altered when the muscle mechanoreceptors are dysfunctional due to muscle fatigue, although the joint mechanoreceptors have no significantly effect on knee proprioception when the presence of knee muscle fatigue. However, the results of this study are different from those of the previous study in that muscle weakness of the knee could not be seen after general load. This study shows that general load may diminish motor control by the central nervous system. Proprioceptional decline without muscle weakness of knee after general load suggests a change in the proprioceptional pathway without influence from muscle mechanoreceptors.

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Could Tumor Size Be A Predictor for Papillary Thyroid Microcarcinoma: a Retrospective Cohort Study

  • Wang, Min;Wu, Wei-Dong;Chen, Gui-Ming;Chou, Sheng-Long;Dai, Xue-Ming;Xu, Jun-Ming;Peng, Zhi-Hai
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8625-8628
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    • 2016
  • Background: Central lymph node metastasis(CLNM) is common in papillary thyroid microcarcinoma (PTMC). The aim of this study was to define the pathohistologic risk grading based on surgical outcomes. Materials and Methods: Statistical analysis was performed to figure out the optimal cut-off values of size in preoperative ultrasound images for defining the risk of CLNM in papillary thyroid microcarcinoma. Receiver operating characteristic curves (ROC) studies were carried out to determine the cutoff value(s) for the predictor(s). All the patients were divided into two groups according to the above size and the clinic-pathological and immunohistochemical parameters were compared to determine the significance of findings. Results: The optimal cut-off value of tumor size to predict the risk of CLNM in papillary thyroid microcarcinoma was 0.575 cm (area under the curve 0.721) according to the ROC curves. Significant differences were observed on the multifocality, extrathyroidal extension and central lymph node metastasis between two groups which were divided according to the tumor size by the cutoff values. Patients in two groups showed different positive rate and intensity of Ki67. Conclusions: The size of PTMC in ultrasound images are helpful to predict the aggressiveness of the tumors, it could be an easy predictor for PTMC prognosis and assist us to choose treatment.

일반간호단위의 환자 분류군별 간호원가 산정연구 (Estimation of nursing costs by Patient Classification System(PCS) in general nursing units)

  • 박정호;송미숙;성영희;심원희
    • 간호행정학회지
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    • 제9권3호
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    • pp.379-389
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    • 2003
  • Purpose: The objective of our study was to figure out costs of nursing services in general nursing units based on the PCS in order to determine an appropriate nursing fee schedule. Method: The data were collected from 8 hospitals from September 9 to October 8, 2002. The costs of nursing services in general nursing units was analyzed by nursing hours based on the nursing intensity. The inpatient in the general nursing units were classified by Park's PCS tool(2000). Results: The distribution of patients by PCS ranged from class I to Class III in general nursing units. The higher PCS in general nursing units consumed more nursing hours. As a result, the higher nursing intensity, the more the daily average nursing costs in general nursing units. Conclusion: We found that the higher PCS, the more the daily average nursing costs in general nursing units. In conclusion, our study provides the evidence to refine the current nursing fee schedule that it does not differentiated from the volume of nursing services based on the nursing hours.

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A Study of Service Design for the General Hospital through analyzing the User Journey Map and the User Context

  • Kim, Jong-Hyun;Yi, Won-Je
    • 대한인간공학회지
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    • 제31권1호
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    • pp.109-116
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    • 2012
  • Objective: The aim of this study is to present a solution to problems in the services provided by the general hospitals by creating a user-centric environment through analyzing the User Journey Map and the User Context. Background: The rapid growth in aging population and the monopolization of superior medical staffs by the general hospitals increased demand for the general hospitals in Korea. But, often services provided by the general hospitals are provider-centric and low quality. Method: This study examines problems in the services provided by the general hospitals by analyzing the User Journey Map through stakeholder interviews(contextual interviews) and on-site observation. Based on the contextual analysis of the user(i.e. the patient), this study proposes new and improved user-centric services to be provided by the general hospitals. Results: Ten new user-centric services proposed by this study are: (1) "Booklet on Success Story", (2) "FAQs by Doctor", (3) "Designated Nurse", (4) "Patient Interview Record Card", (5) "Close relationship between doctor & patient", (6) "Thank You Notice Board", (7) "Step by Step", (8) "Green Cap", (9) "Patient Kit", (10) "RFID Direction Display System". Conclusion: The service design for the general hospitals proposed by this study is an important case-study on improving the environment of the general hospitals from provider(medical staffs)-centric to user(patents and its family)-centric. Application: This study is expected to be used in various areas to improve existing system(products and/or services) to be more user-centric.