• 전자공학회논문지CI
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• 제40권6호
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• pp.106-117
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• 2003

선진 의료정보시스템은 텍스트 기반 정보를 위한 HL7 표준과 의료 영상 정보를 위한 DICOM 표준을 기반으로 한 HIS(병원정보시스템)/RIS(방사선진단시스템), PACS(의료영상시스템)와 같은 독립적인 시스템이 상호 유기적으로 결합된 형태로 구축된다. 최근 들어 시스템(HIS/RIS, PACS) 상호간의 원활한 정보 교환의 필요성과 환자의 타 병원으로의 이송, 원격진료(Teleradiology) 서비스, 기타 의료 데이터 공유에 대한 필요성이 증가함에 따라 통합의료정보시스템의 개발과 인터넷을 통한 통합검색 및 교환을 위한 적절한 대안이 요구되고 있다. 본 논문에서는 이에 대한 방안으로 XML을 활용한 통합의료정보시스템을 제안하였다. 기존 문서의 XML화를 위하여 HL7과 DICOM 두 표준에서 제안하는 표준 문서의 특성을 분석하고 이를 기초로 통합 XML DTD를 설계하였다. 시스템 구현은 1)HL7 메시지와 DICOM 파일로부터 관련 데이터에 대한 정보의 추출. 2)통합 DTD를 기반으로 한 XML 문서 인스턴스와 XSL 스타일시트의 생성 및 저장. 3)최종적으로 ASP를 사용한 웹 검색 인터페이스를 구현함으로써 웹상에서 데이터의 공유와 상이한 두 표준간 의료 정보의 교환 및 검색을 위한 통합의료정보 시스템을 구현하였다. 본 논문에서 제안한 XML 기반 통합 의료정보 시스템은 의료정보의 통합과 인터넷을 통한 데이터의 교환 및 공유를 가능하게 함으로써 기존 의료정보시스템의 문제점을 해결할 수 있을 것으로 보인다. 또한 XML의 유용성과 확장성으로 기존의 HTML 기반 웹 의료정보 서비스와의 차별화도 기대할 수 있을 것이다.

• Investigative Magnetic Resonance Imaging
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• 제22권4호
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• pp.205-208
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• 2018

The purpose of this study is to establish an appropriate protocol for breast magnetic resonance imaging (MRI) in the discipline of image quality standards. The intention of the protocol is to increase effectiveness of medical image information exchange involved in construction, activation, and exchange of clinical information for healthcare.

• BMB Reports
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• 제54권7호
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• pp.380-385
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• 2021

Proper targeting of the βPAK-interacting exchange factor (βPIX)/G protein-coupled receptor kinase-interacting target protein (GIT) complex into distinct cellular compartments is essential for its diverse functions including neurite extension and synaptogenesis. However, the mechanism for translocation of this complex is still unknown. In the present study, we reported that the conventional kinesin, called kinesin-1, can transport the βPIX/GIT complex. Additionally, βPIX bind to KIF5A, a neuronal isoform of kinesin-1 heavy chain, but not KIF1 and KIF3. Mapping analysis revealed that the tail of KIF5s and LZ domain of βPIX were the respective binding domains. Silencing KIF5A or the expression of a variety of mutant forms of KIF5A inhibited βPIX targeting the neurite tips in PC12 cells. Furthermore, truncated mutants of βPIX without LZ domain did not interact with KIF5A, and were unable to target the neurite tips in PC12 cells. These results defined kinesin-1 as a motor protein of βPIX, and may provide new insights into βPIX/GIT complex-dependent neuronal pathophysiology.

• 간호행정학회지
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• 제10권1호
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• pp.97-107
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• 2004

Purpose: This study aims to secure basic data required to enhance the organizational efficiency as increasing the organizational citizenship behavior of nurses through identifying the influence of leader-member exchange and organizational commitment en organizational citizenship behaviors in nursing organization. Method: The subjects of this study were 352 nurses. Data was collected using structured questionnaires for 15 days from 10 to 24 April 2003. Result: According to the analysis on the influence of leader-member exchange, organizational commitment and general characteristics on organizational citizenship behaviors, the organizational commitment, leader-member exchange and tenure of office had significant influences, as 23.0%, 30.2% and 31.3%, respectively. Conclusion: It is required to increase the organizational commitment and to enhance leader-member exchanges for the purpose of inducing the organizational citizenship behaviors. Furthermore, it is also necessary to develop the strategies through development of medical environment and clinical carrier experiences for self-development of member based en long-term tenure of nursing organization

• 한국정보통신학회:학술대회논문집
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• 한국정보통신학회 2016년도 춘계학술대회
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• pp.336-337
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• 2016

FHIR는 HL7의 차세대 메시지 교환의 표준으로 의료 환경에서 이벤트 발생시점부터 데이터 교환을 손쉽게 할 수 있도록 지원하는 프로토콜이다. 심전도 등 의료기기로부터 의미있는 메시지를 생성하고, 생성된 메시지를 표준화된 FHIR 메시지로 표현하여, EMR 등 병원정보시스템에 전달하고 스마트 폰을 통해 해당 결과를 조회 할 수 있도록 하여 다양한 의료기관에서 사용 될 것으로 생각한다.

• 이베로아메리카
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• 제22권1호
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• pp.111-148
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• 2020

One way for phatic communication to be linguistically realized involves ritual activities, such as greetings and leave-takings. These conventionalized acts in medical contexts can significantly influence both transactional and interpersonal goals. The analysis in this paper confirms that exchanging rituals such as greeting and leave-taking between doctors and patients is not a simple exchange of conventionalized linguistic symbols. In addition, the use of discursive strategies means that to determine whether an expression is phatic or not, it is necessary to analyze it from the multidimensional perspective. The phaticity is established based on the negotiation between the participants during the interaction. We have found that the interrogative form of greeting like "¿Qué tal?" (How are you?) becomes a versatile resource in the medical context. Thus, professionals need to be attentive to the discourse progress, because the phaticity of the interrogative greetings (illocutionary force) is linked, in the vast majority, with the reaction of the patients. Also, the data confirms that when participants coordinate closings, the exchange of turns lengthens and the intervention of various discursive strategies for phatic communion becomes more prominent.

• Korean Journal of Radiology
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• 제21권5호
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• pp.588-597
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• 2020

Objective: To investigate the value of combined chemical exchange saturation transfer (CEST) and conventional magnetization transfer imaging (MT) in detecting metabolic and structural changes of renal fibrosis in rats with unilateral ureteral obstruction (UUO) at 3T MRI. Materials and Methods: Thirty-five Sprague-Dawley rats underwent UUO surgery (n = 25) or sham surgery (n = 10). The obstructed and contralateral kidneys were evaluated on days 1, 3, 5, and 7 after surgery. After CEST and MT examinations, ¹⁸F-labeled fluoro-2-deoxyglucose positron emission tomography was performed to quantify glucose metabolism. Fibrosis was measured by histology and western blots. Correlations were compared between asymmetrical magnetization transfer ratio at 1.2 ppm (MTR_asym(1.2ppm)) derived from CEST and maximum standard uptake value (SUV_max) and between magnetization transfer ratio (MTR) derived from MT and alpha-smooth muscle actin (α-SMA). Results: On days 3 and 7, MTR_asym(1.2ppm) and MTR of UUO renal cortex and medulla were significantly different from those of contralateral kidneys (p < 0.05). On day 7, MTR_asym(1.2ppm) and MTR of UUO renal cortex and medulla were significantly different from those of sham-operated kidneys (p < 0.05). The MTR_asym(1.2ppm) of UUO renal medulla was fairly negatively correlated with SUV_max (r = -0.350, p = 0.021), whereas MTR of UUO renal medulla was strongly negatively correlated with α-SMA (r = -0.744, p < 0.001). Conclusion: CEST and MT could provide metabolic and structural information for comprehensive assessment of renal fibrosis in UUO rats in 3T MRI and may aid in clinical monitoring of renal fibrosis in patients with chronic kidney disease.

• 한국산업보건학회지
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• 제10권2호
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• pp.27-39
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• 2000

Objectives : The purpose of this study is to analyze the factors associated with respirator usage on the basis of reasoned action theory. Methods : The data were collected from August 1 to September 30 1999, and study subjects consisted of 303 workers who were employed in the manufacturing industries. A self-administered questionnaire was used to measure the attitude, subjective norm and related factors. Results : In bivariate analysis, the variables related to protector usage were prevention of occupational disease, protection of toxic material, disturbance during working, troublesome of usage, proper exchange of protector. Multivariate logit analysis was used to estimate factors associated with respirator usage. Significant predictors that are related to respirator usage were attitude toward the behavior, size of industry and proper exchange of protector. Conclusions : The results suggest that it is strongly required to focus on attitude toward the behavior in order to improve workers' usage of respirator.

• The Korean Journal of Physiology and Pharmacology
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• 제8권2호
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• pp.101-110
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• 2004

Voltage-sensitive release mechanism was pharmacologically dissected from the $Ca^{2+}-induced\;Ca^{2+}\;release$ in the SR $Ca^{2+}$ release in the rat ventricular myocytes patch-clamped in a whole-cell mode. SR $Ca^{2+}$ release process was monitored by using forward-mode $Na^+-Ca^{2+}$ exchange after restriction of the interactions between $Ca^{2+}$ from SR and $Na^+-Ca^{2+}$ exchange within micro-domains with heavy cytosolic $Ca^{2+}$ buffering with 10 mM BAPTA. During stimulation every 10 s with a pulse roughly mimicking action potential, the initial outward current gradually turned into a huge inward current of $-12.9{\pm}0.5\;pA/pF$. From the inward current, two different inward $I_{NCX}s$ were identified. One was $10\;{\mu}M$ ryanodine-sensitive, constituting $14.2{\pm}2.3%$. It was completely blocked by $CdCl_2$ (0.1 mM and 0.5 mM) and by $Na^+-depletion$. The other was identified by 5 mM $NiCl_2$ after suppression of $I_{CaL}$ and ryanodine receptor, constituting $14.8{\pm}1.6%$. This latter was blocked by either 10 mM caffeine-induced SR $Ca^{2+}-depletion$ or 1 mM tetracaine. IV-relationships illustrated that the latter was activated until the peak in $30{\sim}35\;mV$ lower voltages than the former. Overall, it was concluded that the SR $Ca^{2+}$ release process in the rat ventricular myocytes is mediated by the voltage-sensitive release mechanism in addition to the $Ca^{2+}-induced-Ca^{2+}\;release$.

• The Korean Journal of Physiology and Pharmacology
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• 제5권6호
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• pp.487-494
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• 2001

During depolarization, extrusion of $Ca^{2+}$ from sarcoplasmic reticulum through forward-mode $Na^+-Ca^{2+}$ exchange was studied in the rat ventricular myocytes patch-clamped in whole-cell configuration. In order to confine the $Ca^{2+}$ responses in a micro-domain by limiting the $Ca^{2+}$ diffusion time, rat ventricular myocytes were dialyzed with high (14 mM) EGTA. $K^+$ current was suppressed by substituting KCl with 105 mM CsCl and 20 mM TEA in the pipette filling solution and by omitting KCl in the external Tyrode solution. $Cl^-$ current was suppressed by adding 0.1 mM DIDS in the external Tyrode solution. During stimulation roughly mimicking action potential, the initial outward current was converted into inward current, $47{\pm}1%$ of which was suppressed by 0.1 mM $CdCl_2.$ 10 mM caffeine increased the remaining inward current after $CdCl_2$ in a cAMP-dependent manner. This caffeine-induced inward current was blocked by $1\;{\mu}M$ ryanodine, $10\;{\mu}M$ thapsigargin, 5 mM $NiCl_2,$ or by $Na^+\;and\;Ca^{2+}$ omission, but not by $0.1\;{\mu}M$ isoproterenol. The $I{\sim}V$ relationship of the caffeine-induced current elicited inward current from -45 mV to +3 mV with the peak at -25 mV. Taken together, it is concluded that, during activation of the rat ventricular myocyte, forward-mode $Na^+-Ca^{2+}$ exchange extrudes a fraction of $Ca^{2+}$ released from sarcoplasmic reticulum mainly by voltage-sensitive release mechanism in a micro-domain in the t-tubule, which is functionally separable from global $Ca^{2+}{_i}$ by EGTA.