• Korean Journal of Acupuncture
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• v.25 no.4
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• pp.31-47
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• 2008

Objectives : The objective of this study is to apply the contents of "WaHyul(訛穴 : The errors of acupoint locations"of "ChimGuKyungHumBang" to modern acupoint locations. Methods : The text of "WaHyul" was closely examined and analyzed. "WHO standard acupuncture point locations in the western pacific region" was reviewed based on its contents. Results : According to the analysis, the correct 少商(LU11) was mentioned as a spot appropriately distanced from the corner of the nail root under the skin. This is the most accurate and reasonable synthesis of other related texts. Furthermore, the necessity of defining the locations of all the well points was also emphasized and their locations were mentioned that could be located by the same method. There is no further discussion of other acupoints apart from descriptions of their locations from other texts. Some parts that were pointed out as common errors included not only commonly made mistakes, but errors made in acupuncture texts as were true for 神門(HT7) and 肩井(GB21). The standards of 少商(LU11), 合谷(LI4) and 足三里(ST36) presented in the WHO Standardization are not only similar to what 「WaHyul」 indicated as errors in acupoint locations, but also deviate other acupuncture texts; appropriate corrections must be made. The standard of 肩井(GB21) presents a new acupoint locating method never mentioned before in received classic acupuncture texts and so a rediscussion is in need. Other standards, such as the 絶骨(GB39), had some points of controversy, yet somewhat incomplete while HT7 did not go beyond the bounds of "WaHyul". Conclusions : "WaHyul" can be used to revise WHO standards, and has practical value in modern acupoint locating.

• Tuberculosis and Respiratory Diseases
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• v.75 no.6
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• pp.238-243
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• 2013

Background: The aim of our study was to evaluate the "diagnosis changed" rate in patients notified as tuberculosis (TB) on the Korean TB surveillance system (KTBS). Methods: A total of 1,273 patients notified as TB cases on the KTBS in one private tertiary hospital in 2011 were enrolled in the present study. Patients were classified into three groups: "diagnosis maintained", "diagnosis changed" (initially notified as TB, but ultimately diagnosed as non-TB), and "administrative error" (notified as TB due to administrative errors). Results: Excluding 17 patients in the "administrative error" group, the "diagnosis maintained" and "diagnosis changed" groups included 1,097 (87.3%) and 159 patients (12.7%), respectively. Common causes of "diagnosis changed" were nontuberculous mycobacterial (NTM) disease (51.7%, 61/118), and pneumonia (17.8%) in cases notified as pulmonary TB, and meningitis (19.5%, 8/41) and Crohn's disease (12.2%) in cases notified as extrapulmonary TB. Being older than 35 years of age (odds ratio [OR], 2.18) and a positive acid-fast bacilli stain (OR, 1.58) were positive predictors and a TB-related radiological finding (OR, 0.42) was a negative predictor for a "diagnosis changed" result via multivariate logistic regression analysis in pulmonary TB cases. Conclusion: Because of a high "diagnosis changed" rate in TB notifications to the KTBS, the TB incidence rate measured by the KTBS may be overestimated. Considering the worldwide trend toward increased NTM disease, the "diagnosis changed" rate may increase over time. Thus, when reporting the annual TB notification rate in Korea, the exclusion of "diagnosis changed" cases is desirable.

• Clinical and Experimental Pediatrics
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• v.59 no.sup1
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• pp.45-48
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• 2016

Short-chain acyl-CoA dehydrogenase deficiency (SCADD) is a rare autosomal recessive mitochondrial disorder of fatty acid ${\beta}$-oxidation, and is associated with mutations in the acyl-CoA dehydrogenase (ACADS) gene. Recent advances in spectrometric screening for inborn errors of metabolism have helped detect several metabolic disorders, including SCADD, without symptoms in the neonate period. This allows immediate initiation of treatment and monitoring, so they remain largely symptomless metabolic disease. Here, we report a 15-month-old asymptomatic male, who was diagnosed with SCADD by newborn screening. Spectrometric screening for inborn errors of metabolism 72 hours after birth revealed an elevated butyrylcarnitine (C4) concentration of $2.25{\mu}mol/L$ (normal, < $0.99{\mu}mol/L$). Urinary excretion of ethylmalonic acid was also elevated, as detected by urine organic acid analysis. To confirm the diagnosis of SCADD, direct sequencing analysis of 10 coding exons and the exon-intron boundaries of the ACADS gene were performed. Subsequent sequence analysis revealed compound heterozygous missense mutations c.164C>T (p.Pro55Leu) and c.1031A>G (p.Glu344Gly) on exons 2 and 9, respectively. The patient is now growing up, unretarded by symptoms such as seizure and developmental delay.

• Korean Journal of Digital Imaging in Medicine
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• v.10 no.1
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• pp.35-40
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• 2008

I.objective The composition method with acquiring 2${\sim}$5 image not only lack perfection in compensating the geometrical distortion but could also cause inaccurate connection problem of compensating the geometrical distortion but could also cause inaccurate connection problem of continuing bone structure due to the enlargement ratio difference of ruller and bone, density difference in image composition process. This paper studies those mentioned problems through the experiments. II. Object and method Experiment 1 After attaching 3 step wedge(Pb) on detector and 2 ruller on upper, lower part of the step wedge, we have exposed them to create density difference between 1st image and 2nd image, then examined if there were any errors. Experiment 2 1st 100cm ruller was attached on the center of detector, and by escalating the distance between 2nd 100cm ruller and detector 5cm, 10cm, 15cm respectively, we investigated if there any errors caused by enlargement ratio. Experiment 3 The ruller was placed on detector, a joint photographing was performed through spot photographing after fully operating the electric field photographing to include hip joint ${\sim}$ ankle joint part and we have compared the values from two methods. III. Result : A horizontal axis error was caused when photopraphing is not poerated in equal density since the image shifted horizontally in accordance with the difference of Pb step wedge 1 due to the density difference, as the result of Epperiment 1.

• Imaging Science in Dentistry
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• v.49 no.1
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• pp.19-26
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• 2019

Purpose: It has been proposed that using new prediction methods, such as neural networks based on dental data, could improve age estimation. This study aimed to assess the possibility of exploiting neural networks for estimating age by means of the pulp-to-tooth ratio in canines as a non-destructive, non-expensive, and accurate method. In addition, the predictive performance of neural networks was compared with that of a linear regression model. Materials and Methods: Three hundred subjects whose age ranged from 14 to 60 years and were well distributed among various age groups were included in the study. Two statistical software programs, SPSS 21 (IBM Corp., Armonk, NY, USA) and R, were used for statistical analyses. Results: The results indicated that the neural network model generally performed better than the regression model for estimation of age with pulp-to-tooth ratio data. The prediction errors of the developed neural network model were acceptable, with a root mean square error (RMSE) of 4.40 years and a mean absolute error (MAE) of 4.12 years for the unseen dataset. The prediction errors of the regression model were higher than those of the neural network, with an RMSE of 10.26 years and a MAE of 8.17 years for the test dataset. Conclusion: The neural network method showed relatively acceptable performance, with an MAE of 4.12 years. The application of neural networks creates new opportunities to obtain more accurate estimations of age in forensic research.

• Journal of Biomedical Engineering Research
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• v.44 no.2
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• pp.125-138
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• 2023

The development of AI systems for radiation therapy is important to improve the accuracy, effectiveness, and safety of cancer treatment. The current system has the disadvantage of monitoring patients using CCTV, which can cause errors and mistakes in the treatment process, which can lead to misalignment of radiation. Developed the PMRP system, an AI automation system that uses depth cameras to measure patient's fine movements, segment patient's body into parts, align Z values of depth cameras with Z values, and transmit measured feedback to positioning devices in real time, monitoring errors and treatments. The need for such a system began because the CCTV visual monitoring system could not detect fine movements, Z-direction movements, and body part movements, hindering improvement of radiation therapy performance and increasing the risk of side effects in normal tissues. This study could provide the development of a field of radiotherapy that lags in many parts of the world, along with the economic and social importance of developing an independent platform for radiotherapy devices. This study verified its effectiveness and efficiency with data through phantom experiments, and future studies aim to help improve treatment performance by improving the posture correction mechanism and correcting left and right up and down movements in real time.

• Journal of Korean Medical classics
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• v.31 no.4
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• pp.47-67
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• 2018

Objectives : Sinhyeongjangbudo found in Dongeuibogam is one of the most unique picture of viscera and bowels, or picture of internal body, produced in East Asia, but there has been no cohedrent explanation based on historical data as to how the details of the pictures were composed. This paper attempted to provide just that for each part in the Sinhyeongjangbudo. Methods : Sinhyeongjangbudo found in Dongeuibogam Side view picture found in the Wanbinghuichun, which is the jangbudo that is the closest to Sinhyeongjangbudo, and the Yishengjieti's jangbudo were compared for their compilation periods to follow the path via which Sinhyeongjangbudo was created. Results : Comparing the above three sets of pictures of viscera and bowels revealed that Yishengjieti's pictures were simplified and Wanbinghuichun's side view pictures contained many errors. The Sinhyeongjangbudo found in Dongeuibogam was the result of correcting the errors of the side view picture while maintaining the simplification. Conclusions : Sinhyeongjangbudo is the simplification based on Wanbinghuichun's side view pictures with corrections.

• Journal of Korean Academic Society of Home Health Care Nursing
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• v.28 no.3
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• pp.285-294
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• 2021

Purpose: The study examined the effects of knowledge, attitude, and confidence on the education needs of nursing students with respect to patient safety management. The participants were 119 students from nursing college. Data were analyzed using descriptive statistics, t-test, analysis of variance(ANOVA), Pearson's correlation coefficient, and multiple regression analysis with the SPSS program. Results: The student's educational needs with respect to patient safety management differed significantly by experience of patient safety accidents (p=.026) and experience of reporting medical errors (p<.001). Additionally, the educational needs with respect to patient safety management were found to have statistically significant positive relationships with both attitude (r=.39) and confidence (r=.37). Further, a total of 23% of the education needs with regard to patient safety management were explained by attitude and confidence. Conclusion: These results can be used to develop nursing students' education programs to enhance patient safety management competence be emphasizing the experience of patient safety accidents and reporting medical errors as well as improving the attitude and confidence of the students.

• Journal of Korean Biological Nursing Science
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• v.26 no.2
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• pp.83-98
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• 2024

Purpose: This study investigated how interprofessional education (IPE) related to medication for undergraduate healthcare students, including nursing students, has been designed and conducted. Furthermore, the outcomes of these IPE programs were evaluated. Methods: A scoping review was performed to understand the content and methods of IPE on medication for undergraduate healthcare students, including nursing students. A literature search was done using PubMed, Cumulative Index to Nursing and Allied Health Literature, Embase, Research Information Sharing Service, and Korean Nursing Database in English between January 2000 and December 2022. In total, 14 papers were selected and reviewed. Results: Eleven research studies were conducted on the implementation of one-time IPE on medication safety or errors. Among them, six studies focused on providing IPE to nursing students alongside medical and pharmacy students, while three studies targeted nursing and medical students, and two studies focused on nursing and pharmacy students. The most commonly employed educational method was simulation, which was utilized in 12 studies. All studies consistently reported a positive impact on attitudes toward IPE and effective communication. Additionally, five studies evaluating medication knowledge reported improvements in participants' understanding of drugs. Conclusion: The effects of IPE related to medication for undergraduate nursing students have been confirmed. It is necessary to introduce IPE in the field of pharmacology.

• Journal of Korean Academy of Nursing
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• v.37 no.2
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• pp.185-191
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• 2007

Purpose. The purpose of this study was to develop and evaluate an error reporting promoting program(ERPP) to systematically reduce the incidence rate of nursing errors in operating room. Methods. A non-equivalent control group non-synchronized design was used. Twenty-six operating room nurses who were in one university hospital in Busan participated in this study. They were stratified into four groups according to their operating room experience and were allocated to the experimental and control groups using a matching method. Mann-Whitney U Test was used to analyze the differences pre and post incidence rates of nursing errors between the two groups. Results. The incidence rate of nursing errors decreased significantly in the experimental group compared to the pre-test score from 28.4% to 15.7%. The incidence rate by domains, it decreased significantly in the 3 domains-"compliance of aseptic technique", "management of document", "environmental management" in the experimental group while it decreased in the control group which was applied ordinary error-reporting method. Conclusion. Error-reporting system can make possible to hold the errors in common and to learn from them. ERPP was effective to reduce the errors of recognition-related nursing activities. For the wake of more effective error-prevention, we will be better to apply effort of risk management along the whole health care system with this program.