Lee, Dong Seong;Lee, Young Il;Ahn, Jeong Bae;Kim, Mi Jin;Kim, Jae Hyun;Kim, Nam Hee;Hwang, Jong Hee;Kim, Dong Wook;Lee, Chong Guk;Song, Tae Won
Clinical and Experimental Pediatrics
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v.58
no.3
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pp.112-115
/
2015
Hand, foot, and mouth disease (HFMD) is an acute, mostly self-limiting infection. Patients usually recover without any sequelae. However, a few cases are life threatening, especially those caused by enterovirus 71 (EV71). A 12-month-old boy was admitted to a primary hospital with high fever and vesicular lesions of the mouth, hands, and feet. After 3 days, he experienced 3 seizure episodes and was referred to our hospital. On admission, he was conscious and his chest radiograph was normal. However, 6 hours later, he suddenly lost consciousness and had developed a massive pulmonary hemorrhage that continued until his death. He experienced several more intermittent seizures, and diffuse infiltration of both lung fields was observed on chest radiography. Intravenous immunoglobulin, dexamethasone, cefotaxime, leukocyte-depleted red blood cells, fresh frozen plasma, inotropics, vitamin K, and endotracheal epinephrine were administered. The patient died 9 hours after intubation, within 3 days from fever onset. EV71 subgenotype C4a was isolated retrospectively from serum and nasopharyngeal swab by real-time reverse transcription-polymerase chain reaction. Here, we report a fatal case of EV71-associated HFMD with sudden-onset massive pulmonary hemorrhage and suspected encephalitis.
The brain is the body's most organized and controlled organ, and it governs various psychological and mental functions. A brain abnormality could greatly affect one's physical and mental abilities, and consequently one's social life. Brain disorders can be broadly categorized into three main afflictions: stroke, brain tumor, and dementia. Among these, stroke is a common disease that occurs owing to a disorder in blood flow, and it is accompanied by a sudden loss of consciousness and motor paralysis. The main types of strokes are infarction and hemorrhage. The exact diagnosis and early treatment of an infarction are very important for the patient's prognosis and for the determination of the treatment direction. In this study, texture features were analyzed in order to develop a prototype auto-diagnostic system for infarction using computer auto-diagnostic software. The analysis results indicate that of the six parameters measured, the average brightness, average contrast, flatness, and uniformity show a high cognition rate whereas the degree of skewness and entropy show a low cognition rate. On the basis of these results, it was suggested that a digital CT image obtained using the computer auto-diagnostic software can be used to provide valuable information for general CT image auto-detection and diagnosis for pre-reading. This system is highly advantageous because it can achieve early diagnosis of the disease and it can be used as supplementary data in image reading. Further, it is expected to enable accurate medical image detection and reduced diagnostic time in final-reading.
The purpose of this study was to analyze the characteristics of 1980s' oversize fashion. Especially in 1980s, there were some characteristics that the leading style did not exist as the other decades, but instead of that, various styles coexisted and the existing traditional rule of fashion was destroyed. On the basis of such background, the moulding nature resident in oversize fashion is considered and analyzed as follows. Firstly, 1980s is the time of power suit booming and through such clothes, women disclosed their consciousness that they want to be equal with men. Secondly, In contrast to that a shoulder pad was the trademark of 1980s' clothes, the social aspect that Japanese designers' clothes of layered look and them of grunge look coexisted is directly expressed through these oversize clothes. Thirdly, In 1980s of the time that people's interest to health risen, sports wear was developed to be everyday wear and furthermore, it had variously influences on high fashion so that developed to big look. Fourthly, when it comes to 1980s' clothes, the atmosphere of society denying apparent boundary between sex at that time was resident in androgynous look and the folklore image of sexless style by their appearance in oversize fashion. What is this situation that the style of the past time is popular in the 21st century even such intentional spirit of challenge already passed? Maybe for women, the one way of expressing themselves is through their clothes, and for such reason, it can be considered that the social meaning resident in 1980s' clothes is re-examined in the present age.
Journal of the Korea Institute of Building Construction
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v.12
no.2
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pp.211-219
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2012
On January 27, 2005, the central government of the Republic of Korea designated Jeju Island as an Island of World Peace based on Article 12 of the Special Act for the Jeju Free International City, and the WHO designated Safe Community Jeju in July, 2007. Whenever an industrial accident occurs on Jeju Island, reports in the media raise the question of whether Jeju is a safe city or not. But due to the characteristics of construction sites in Jeju, it is very difficult to employ workers of a certain level. For the safety of workers, it is also thought that owners should make a decisive investment to introduce an education and reward system in order to improve the consciousness level of workers. This research focuses on first-aid on construction sites. It then surveys the level of construction safety management, and suggests improvements in construction safety control and first-aid.
Background : This study aims to examine actual conditions of college students' life, behaviors to prepare for employment, and employment performance, thereby providing basic materials to create efficient measures for college students' employment strategies. Method : The subjects of this study were 207 graduates from the Department of Physical Therapy employed in medical and health institutions in Gyeongsangnam-do and Busan. Aquestionnaire devised by Yu Yeon-wha and Lim Gyeong-ae(2012, 2011) was revised and complemented into a self-reporting questionnaire composed of 29 questions. The collected data was analyzed using SPSS Win 18.00 program. Results : 1) The biggest reason for the respondents' selecting physical therapy as a major was bright prospect for employment, and the largest percent of the respondents answered that they started to prepare for employment in the second semester of junior year. 2)Regarding behaviors to prepare for employment, those who largely provided information on employment were the respondents' seniors and friends. 62.3% of the respondents owned certificates and diplomas. 59.9% took part in programs related to employment in order to prepare for employment. Their weakest area was English and what they wanted to know most was annual salaries provided by companies. They put self-development and growth potential before everything as what should be considered in priority when getting a job. 3)The most frequently asked question in their interviews for employment was the motive for application. The biggest reason for their employment at their current institution was their good personality and manner. 4)As for employment performance, they were unsatisfied with their current average annual salary. Conclusion : School should provide consciousness education and employment coaching so that students can early prepare for employment with an active attitude. In particular, educational environment where many students can gain easy access to information about employment in diverse areas should be provided and student coaching should be actively conducted.
Older drivers have an increased risk of accidents due to poor function, but they also develop self-regulation ability to check their own changes. Thus, information on whether the actual elderly driver responds to changes in driving ability and risk may provide a meaningful basis for the clinic and research of the elderly's driving ability assessment. Therefore, the purpose of this study is to provide basic data for the evaluation of elderly drivers by analyzing the driving risk self-perception characteristics in terms of driving behavior and function with Korean elderly drivers. A self-reporting assessment was conducted on 500 elderly drivers living in the community and the characteristics of driving risk perception were analyzed. As a result, it was confirmed that many elderly drivers are aware of the driving risk when their vision and hearing are impaired or when they find it difficult to adapt to changes in driving conditions. On the other hand, the characteristics of insensitive reactions to changes in medical health conditions, such as drug use or epilepsy, seizures, and loss of consciousness, were identified. The researcher hopes this study will contribute to the safety management of elderly drivers in Korea, where aging is accelerating.
Purpose: The purpose of this study was to develop the adapted standard items of situation, background, assessment, recommendations (SBAR) processing for handover between nursing units in Korean hospitals and evaluate the validity and relevance of the standard items. Methods: A delphi method with 33 experts was used to evaluate content validity of the standard items. Then, 1,175 nurses working in general hospitals of more than 500 beds were recruited to evaluate the validity and relevance of the standard items for clinical implication. Results: Content validity was higher than 0.8. The highest scores for relevance among items in handover standards were state of consciousness in the assessment domain for a ward to a ward transfer ($3.82{\pm}0.40$), for a ward to an ICU ($3.85{\pm}0.38$), an ICU to a ward ($3.81{\pm}0.39$) and an ER to a ward ($3.85{\pm}0.37$). Congenital malformation was the highest relevance score for handover from a delivery room to a neonatal unit ($3.91{\pm}0.30$). Conclusion: This study evaluated validity and relevance of the essential contents for handover standards between units to improve communication quality among nurses. The findings of this study should also be applied in clinical nursing areas and the quality of information and effectiveness of usage of the standard should be evaluated.
1002 Students in the dept. of the dental laboratory technology of 8 college around the nation were surveyed on the three items-the professional attitude, their job-plan after graduation and the conditions and causes exerting influence on their choice of a job. 1. professional Consciousness About the purpose to take a job, 41.8% of all the students replied the economic stability. Another question is on the formation of the professional consiousness. 34.7% said they didn't accomplish it yet, while 32.1% did. This shows that the number of those hwo are resolute isnt's too low in comparison with those not. On the considering factors when they take a job, stability was first favored, with the capacity to improve itself and then profitability following on as second and third. 2. Job-plan after School 78.9% of all wanted to work in their major field as a dental technician. About their knowledge of the job, 60.4% know it well; though, their confidence in getting the job is close to the low level wholly. 3. Factors Having Influence on the selection of a job About the most decisive point in one's choice of job, 37.3% selected first the degree of completion of his major-field knowledge and skill. The most critical person when choosing his job was himself, a great number of students answered. About the working area favored, 52.9% first answered Seoul on the reason why it is a familiar place where their family or relatives have already lived and the special knowledge related to the job is easilly accessed.
The Journal of Korean Institute of Communications and Information Sciences
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v.33
no.12B
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pp.1123-1130
/
2008
Baby's diseases diagnosis has inconvenient for received direct coming to help that order expression ability was insufficiency which consciousness situation concern about the infant health because of birth rate and decrease the marriage rate and divorce rate. So in this paper through the infant crying sound about home a foundation which infant diseases develop the system comparison normal infant with take a infant that analysis the extract the voice analytics component. Especially this paper propose about the methodology for development system that infant cold, infant pneumonia, infant asthma among extract the crying sound feature part for infant respiratory diseases discussion the most easy has involved the infant. So infant respiratory put case stimulus diseases about all voice organs and experiment the analysis method through the bandwidth about phonetics analysis component that comparison normal infant with take a respiratory infant. Through these method, we were extracted to results that infant's frequency bandwidth suffering from respiratory diseases than a normal infant is short.
The study aims to investigate the process of professional socialization of oriental medical students, to analyze influencing factors on it, and to compare the results with those of western medical students. Professional socialization, in the context of this study, means the process through which a layperson becomes a profession equipped with professional identity and values. A survey using specially designed questionnaire was carried out in 1999. The data were collected from 11 oriental medical colleges for 2,656 students. A total of 2,597 cases was finally included in the statistical analysis. Analysis of factors related to professional value found that oriental medical students thought highly of human-oriented factors, followed by science and status, and this trend remained unchanged as they moved on to qualification. Among professionalism related items, those involved in professional regulation and dominance factors showed high scores, while showing low scores on items related to bio-ethics and autonomy factors. Unlike items of professional value, those of professionalism showed a notable difference in attitude statistically by schooling level. The average scores of factors for professionalism increased with increasing schooling years. This trend proved that oriental medical students acquired professional norms and attitudes through their educational period. Multiple regression analysis with the factors related to professional value and professionalism as dependent variables found that independent variables had some impact on science, status, and clinical autonomy, but no impact on human, policy autonomy, and professional regulation factors. In conclusion, with increasing schooling years, professional norms and attitudes of oriental medical students were also strengthened. And, in spite of the differences in general propensity, they have a base consciousness in common with western medical students. The difference of mind-set and attitudes related to professionalism in the two groups, however, considering the necessity of future cooperative relations, indicated that a common curriculum between both schools is needed, and the education of social medicine should be strengthened in oriental medical colleges.
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