• Journal of Preventive Medicine and Public Health
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• 제29권4호
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• pp.877-897
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• 1996

In recent years, the Korean Medical Association has undertaken the feat of establishing the Korean Standard Terminology of Medical Procedures with the dedicated help of 32 medical academic societies. However, because the project is being conducted by several different circles, it has yet to see a clear system of classification. This thesis, therefore, proposes the three principles of scientific properties, usefulness and ideology as the basis for classification system and has developed the Classification System of Medical Procedures in Korea upon their foundation. The methodology and organization of this thesis as follows. First, by adopting scientific classification system of Feinstein(1988), an analysis of the classification systems of the medical procedures in the United States, Japan, Taiwan, WHO was carried out to reveal the framework and the basic principles in each system. Second, the direction of classification system has been constructed by applying the normative principle of medical field in order to show the future direction of the medical field and realize its ideology. Third, a finalized framework for the classification system will be presented as based on the direction of classification system. Of the three basis principles mentioned above, the analysis on the principles of usefulness was left out of this thesis due to the difficulty of establishing specific standards of analysis. The results of the study are as follows. The overall structure of the thesis is aimed at showing the 'Prevention-Therapy-Rehabilitation' quality of comprehensive health care and consists of six chapters; I. Prevention and Health Promotion II. Evaluation and Management III. Diagnostic Procedures IV. Endoscopy V. Therapeutic Procedures VI. Rehabilitation Chapter three Diagnostic Procedures is divided into four parts : Functional Diagnosis, Visual Diagnosis, Pathological Diagnosis, Biopsy and Sampling. Chapter five Therapeutic Procedures is divided into Psychiatry, Non-Invasive Therapy, Invasive Therapy, Anaesthesia and Radiation Oncology. Of these sub-divisions, Functional Diagnosis, Biopsy and Sampling, Endoscopy and Invasive Therapy employs the anatomical system of classification. On the other hand, Visual Diagnosis, Pathological Diagnosis, Anesthesia and Diagnostic Radiology, namely those divisions in which there is little or no overlapping in services with other divisions, used the classification system of its own division. The classification system introduced in this thesis can be further supplemented through the use of the cluster analysis by incorporating the advice and assistance of other specialists.

• 한국산학기술학회논문지
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• 제17권9호
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• pp.279-291
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• 2016

본 연구의 목적은 영아의 기질, 아버지의 양육 참여와 영아의 사회 정서 행동발달간의 구조적 관계를 알아보기 위한 것이다. 이를 위해 J지역에 소재하고 있는 55개 어린이집의 만 1~2세 영아의 부모 330명을 대상으로 실시하였다. 자료 분석은 SPSS 21.0과 AMOS 21.0을 이용하여 빈도분석, 신뢰도분석, 상관분석, 확인적 요인분석, 구조방정식 모형분석을 실시하였으며, 연구 결과는 다음과 같다. 첫째, 영아기질은 아버지 양육참여 중 여가지도, 생활지도와 부적 상관이 나타났고, 사회 정서행동의 외현적 문제행동인 활동성/충동성과 정적인 상관이 나타났다. 아버지의 양육 참여는 사회 정서행동의 주의집중, 모방/놀이와 정적 상관이 나타났으며, 사회 정서행동은 영아기질 접근회피와 정적 상관이 나타났다. 둘째, 최종모형의 변인 간 경로계수를 통한 적합도 검증결과, 영아기질은 아버지 양육참여와 사회 정서행동에 부적영향을 미치는 유의한 경로임이 검증되었다. 본 연구의 결과로 영아의 사회 정서행동에 영향을 미치는 영아기질과 아버지 양육참여의 역할을 확인하고, 영아기 자녀의 사회 정서행동에 영향을 미치는 아버지 양육참여에 대한 올바른 이해와 교육적 시사점을 제공하고자 한다.

• 한국컴퓨터산업학회논문지
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• 제3권1호
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• pp.9-18
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• 2002

최근 의료환경의 변화와 함께 병원 간 경쟁이 더욱 심화되어 병원경영의 목표가 새로 정립되고 있다. 이러한 목표를 달성하기 위해 진료지원부서인 병원 급식 및 영양 서비스 분야에서도 혁신적인 방안을 모색하고 있다. 모색된 여러 가지 방안들을 구체적으로 실행하는데 있어 전산화를 기반으로 한 정보시스템의 구축은 필수적이다. 본 연구에서는 병원 급식 및 영양서비스분야에서 사용하고 있는 각종 정보의 통합적 관리를 위한 정보시스템을 구축하고자 하였다. 기존의 단순 반복적인 업무들을 전산화하는 것은 물론이고, 병원 정보시스템과 유기적으로 연계할 수 있는 정보시스템 구축을 통해 급식분야의 생산성을 향상시키고, 비용 절감의 효과를 얻고자 하였다. 이는 병원 경영의 효율성을 제고하고 타 병원에 대한 경쟁력을 확보할 뿐 아니라 궁극적으로는 최고의 환자 식사 서비스 만족을 도모하는데 큰 역할을 할 것이다. 본 연구를 통해 구축된 병원 급식 및 영양서비스 분야의 정보시스템을 TASTY(Time-based Advanced Service Technology for Yong-Dong Severance Hospital, Nutrition Department)라 명명하였다. TASTY는 식단관리, 구매관리, 임상영양서비스관리, 작업관리, 급식경영분석의 5가지 업무 분야와 이들의 바탕이 되는 기본 정보관리 업무를 수행한다.

• 사상체질의학회지
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• 제14권2호
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• pp.25-34
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• 2002

To understand characteristic of preservation of health in Sasang constitutional medicine, 1 first study preservation of health In ${\ulcorner}$Dongyi Bogam${\lrcorner}$, and then study preservation of health in the ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun${\lrcorner}$ particularly Inherent vitality(命脈實數) and Regimen in ordinary life(生息充補之道) which shows early thought of Lee Je-ma. I acquire relation and difference between ${\ulcorner}$Dongyi Bogam${\lrcorner}$ and Dongyi Soose Bowon Sasang Chobongyun${\lrcorner}$, and conclude as follows. 1. In preservation of health ${\ulcorner}$Dongyi Bogam${\lrcorner}$ says Ups and downs of Qi according to degree, tells congenital health and acquired care of health, grades Jin-In, Ji-In, Seong-In, Hyeon-In according to degree of moral culture, and especially emphasizes managing mind which is based on Taoism. 2. In ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun${\lrcorner}$ Dongmu divides human being to Sasangin(Taeyangin, Taeumin, Soyangin, Soeumin) according to Large & small of viscera, and regards as determine lift span and rendition of disease & health according to Inherent vitality which is degree of Small viscera. 3. Inherent vitality of Sasangin is supplemented by Regimen in ordinary life. Because Regimen in ordinary life decreases according to age, Dongmu emphasizes managing mind through an autonomic Knowledge Deed to maintain Regimen in ordinary life. 4. In the way of managing mind ${\ulcorner}$Dongyi Bogam${\lrcorner}$ says Taoist moral culture, but Dongmu emphasized control of knowledge and Deed by Confucian moral culture and the mind of control others through confucian self-control.

• 대한화장품학회지
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• 제41권4호
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• pp.375-382
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• 2015

진세노사이드(인삼 사포닌)는 인삼의 대표적 약리성분 중의 하나로 생물학적 활성을 가진 배당체 화합물이다. 이들 사포닌은 가수분해 되어 저분자화 되었을 때, 항주름 및 항산화, 항암 등에 높은 약리효능효과를 나타낸다. 본 연구에서는 인삼 esculin 배지를 활용하여 ${\beta}$-glucosidase 활성을 가진 균주를 분리하였고 인삼 사포닌 전환을 미생물을 이용하여 수행하였다. 본 균주들을 16S rRNA sequencing을 통하여 동정하여 본 결과 Stenotrophomonas rhizopilae strain GFC09로 확인되였다. 균주의 최적 활성 조건을 결정하기 위해 조효소 1 mM와 인삼사포닌 $Rb_1$과 함께 배양한 후 생물학적 전환을 TLC, HPLC를 사용하여 확인하였다. 조효소에 의한 인삼 사포닌 $Rb_1$의 전환 경로는 다음과 같다. LB: RbNeobio R&D center, Gyeonggi-do 16954, Korea${\rightarrow}$Rd${\rightarrow}$FNeobio R&D center, Gyeonggi-do 16954, Korea${\rightarrow}$compound K, TSB: $Rb_1{\rightarrow}Rd{\rightarrow}F_2$. 가수분해된 생성된 물질은 NMR로 구조 동정하였다. 전환 산물의 효능 분석결과, 콜라겐 생성을 농도 의존적으로 증가시키는 것이 관찰되었다. 이에 본 연구에서는 ginsenoside $F_2$와 compound K 함유 인삼 전환 산물의 주름 개선 소재로서 활용가능성을 확인하였다.

• 대한한방부인과학회지
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• 제21권4호
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• pp.228-236
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• 2008

Purpose: The purposes of this study is to provide basic informations on oriental medical research and treatment through analysis of breast cancer patients, who visited M $\mu$ integrative cancer center, O O university East-West neo medical center. Methods: Electronic medical records of 106 breast cancer patients who visited oriental medical center from June 2, 2006 to February 28, 2008 were selected to collect clinical data of those patients. Clinical data were analyzed for types of clinical characteristics, and received therapies. For analysis of survival and recurrence, Kaplan-Meier method was used. All the data were processed and analyzed using SPSS version 13.0. Results: Average age of breast cancer patients, who visited oriental medical center was 48.72 ($\pm$10.13). The stage distribution record indicated stage I (5.8%), stage II (7.0%), stage III (5.8%), and stage IV (81.4%). Original purposes of patients were analyzed to be supplementary treatment for western therapy (68.9%), treatment for recurrence prevention (18.9%), and oriental medical treatment (12.2%) in order. While receiving oriental medical treatment, 60.4% of patients received conventional medical treatment simultaneously. Conclusion: Majority of patients who visited oriental medical hospital were stage IV at terminal stage and mainly visited for the purpose of supportive care. Further clinical study of breast cancer patients is needed to validate the effectiveness of oriental medical treatment based on this study.

• Journal of Korean Neurosurgical Society
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• 제64권6호
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• pp.882-890
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• 2021

Objective : The aim of this study to investigate the benefits of patient-based 3-dimensional (3D) cerebral arteriovenous malformation (AVM) models for preoperative surgical planning and education. Methods : Fifteen patients were operated on for AVMs between 2015 and 2019 with patient-based 3D models. Ten patients' preoperative cranial angiogram screenings were evaluated preoperatively or perioperatively via patient-based 3D models. Two patients needed emergent surgical intervention; their models were solely designed based on their AVMs and used during the operation. However, the other patients who underwent elective surgery had the modeling starting from the skull base. These models were used both preoperatively and perioperatively. The benefits of patients arising from treatment with these models were evaluated via patient files and radiological data. Results : Fifteen patients (10 males and five females) between 16 and 66 years underwent surgery. The mean age of the patients was 40.0±14.72. The most frequent symptom patients observed were headaches. Four patients had intracranial bleeding; the symptom of admission was a loss of consciousness. Two patients (13.3%) belonged to Spetzler-Martin (SM) grade I, four (26.7%) belonged to SM grade II, eight (53.3%) belonged to SM grade III, and one (6.7%) belonged to SM grade IV. The mean operation duration was 3.44±0.47 hours. Three patients (20%) developed transient neurologic deficits postoperatively, whereas three other patients died (20%). Conclusion : Several technological innovations have emerged in recent years to reduce undesired outcomes and support the surgical team. For example, 3D models have been employed in various surgical procedures in the last decade. The routine usage of patient-based 3D models will not only support better surgical planning and practice, but it will also be useful in educating assistants and explaining the situation to the patient as well.

• Annals of Geriatric Medicine and Research
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• 제22권4호
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• pp.167-175
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• 2018

Sarcopenia, a common clinical syndrome in older adults, is defined as decreased muscle mass, strength, and physical performance. Since sarcopenia is associated with the incidence of functional decline, falls, and even mortality in older adults, researchers and health care providers have been keen to accumulate clinical evidence to advocate the screening and prevention of sarcopenia progression in older adults. The factors that may accelerate the loss of muscle mass and function include chronic diseases, inactivity, and deficiency in appropriate nutritional support. Among these, nutritional support is considered an initial step to delay the progression of muscle wasting and improve physical performance in community-dwelling older adults. However, a nationwide study suggested that most Korean older adults do not consume sufficient dietary protein to maintain their muscle mass. Furthermore, considering age-associated anabolic resistance to dietary protein, higher protein intake should be emphasized in older adults than in younger people. To develop a dietary protein recommendation for older adults in Korea, we reviewed the relevant literature, including interventional studies from Korea. From these, we recommend that older adults consume at least 1.2 g of protein per kg of body weight per day (g/kg/day) to delay the progression of muscle wasting. The amount we recommend (1.2 g/kg/day) is 31.4% higher than the previously suggested recommended daily allowance (i.e., 0.91 g/kg/day) for the general population of Korea. Also, evidence to date suggests that the combination of exercise and nutritional support may enhance the beneficial effects of protein intake in older adults in Korea. We found that the current studies are insufficient to build population-based guidelines for older adults, and we call for further researches in Korea.

• 대한의사협회지
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• 제61권12호
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• pp.765-775
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• 2018

With growing interest in novel digital healthcare devices, such as artificial intelligence (AI) software for medical diagnosis and prediction, and their potential impacts on healthcare, discussions have taken place regarding the regulatory approval, coverage, and clinical implementation of these devices. Despite their potential, 'digital exceptionalism' (i.e., skipping the rigorous clinical validation of such digital tools) is creating significant concerns for patients and healthcare stakeholders. This white paper presents the positions of the Korean Society of Radiology, a leader in medical imaging and digital medicine, on the clinical validation, regulatory approval, coverage decisions, and clinical implementation of novel digital healthcare devices, especially AI software for medical diagnosis and prediction, and explains the scientific principles underlying those positions. Mere regulatory approval by the Food and Drug Administration of Korea, the United States, or other countries should be distinguished from coverage decisions and widespread clinical implementation, as regulatory approval only indicates that a digital tool is allowed for use in patients, not that the device is beneficial or recommended for patient care. Coverage or widespread clinical adoption of AI software tools should require a thorough clinical validation of safety, high accuracy proven by robust external validation, documented benefits for patient outcomes, and cost-effectiveness. The Korean Society of Radiology puts patients first when considering novel digital healthcare tools, and as an impartial professional organization that follows scientific principles and evidence, strives to provide correct information to the public, make reasonable policy suggestions, and build collaborative partnerships with industry and government for the good of our patients.

• 한국산학기술학회논문지
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• 제19권11호
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• pp.635-644
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• 2018

수술실 욕창 예방을 위한 간호 실무지침 현황 및 적용실태를 조사하기 위한 서술적 조사연구이다. 서울, 인천, 경기지역의 상급 종합병원 4개와 전문병원 3개를 온라인 무작위화 프로그램을 이용하여 선정하였고 선정된 수술실에서 6개월이상 근무경력을 가진 수술에 직접 참여하는 간호사를 대상으로 하였다. 자료 수집 기간은 2018년 1월부터 4월까지였고 설문지는 총 150명에게 배부하여 129명에게 회수(회수율 86%)하였다. 수술실 간호사들은 측위 43명(33.3%), 앙와위 37명(28.7%), 복와위 36명(27.9%)이 수술 체위 대상자들에게 욕창예방 간호 경험을 갖고 있고 주로 사용하는 지지표면은 젤 102명(79.1%), 스폰지 62명(48.1%), 솜 47명(36.4%)이었으며 지지표면 사용 전후로 2회(90명, 69.8%) 피부사정을 실시하지만 욕창위험 사정을 위해 특별한 도구를 사용하지 않았고(76명, 58.9%) 지지표면 사용 여부를 결정하는 요인으로 수술 체위(83명,64.3%)를 지지표면 사용 여부를 결정하는 수술 소요 시간은 2시간 이상(49명,38.0%)임을 확인하였다. 수술실 간호사들이 수술 대상자들에게 욕창예방 간호을 위해 주로 사용하는 지지표면이 젤, 스폰지, 솜이었으며 지지표면 사용 여부를 결정하는 요인으로 수술 체위를 지지표면 사용 여부를 결정하는 수술 소요 시간은 2시간 이상임을 확인하였다.