• The Journal of the Korea Contents Association
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• v.8 no.12
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• pp.236-245
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• 2008

The cancer patient who leads Bone scan and the PET study from in the nuclear medical study what is enforced with the link of early detection and the time which spreads, it will be able to accomplish a positive treatment with the data which presumes that time it researches a degree as cancer discovery initially and only difference of final period the bay it knows. The patient who receives a cancer decision it will be able to accomplish the necessary defense it will be able to delay the time in order, the maximum control the possibility of doing will be becomes the judgement. Cancer decision to initially the nuclear study and treatment it will be in parallel with effort and the investment which are constant and the schedule hour will elapse and to after difficulty some the case which comes to be negligent will be frequent and it will appear with him there to be a possibility of knowing, it will be caused by and the transfer of the cancer sell will be activity. It has a treatment objective and are to each medical treatment agency against and the medical treatment agency worker it will be able to overlook is not the portion is the private plan which needs a more positive disposal, it does.

• Proceedings of the Korean Society of Computer Information Conference
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• 2009.01a
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• pp.107-111
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• 2009

의료기관의 응급실은 환자의 생명을 다루는 긴박한 현장으로 환자에 대한 실시간 모니터링 및 관리가 필수적으로 요구되는 곳이다. 본 연구에서는 기존 응급실 진료 프로세스를 체계적으로 관리하고 모니터링 하기 위해 BPM 아키텍처를 도입하여 응급실 업무들을 표준화, 가시화함으로써 의료진의 신속한 응급 업무 대응이 가능한 응급신속대응관리시스템(EQRMS-Emergency Quick Response Management System)를 제안한다. 의료기관에서 BPM의 도입은 단순히 병원 경영 목표나 병원 내외부의 운영을 모니터링 할 수 있는 이점 이외에 병원 업무의 이윤을 극대화 할 수 있는 다양한 효과가 있다. 또한 임상위험수치 (CV-Critical Value)를 정의함으로써 복잡한 검사의 단순화와 검사 시간 단축, 검사의 오류 발생률 감소 등 환자의 안정성 제고 측면에도 크게 기여할 것이다.

• Journal of the Korean Society for Nondestructive Testing
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• v.16 no.1
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• pp.19-28
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• 1996

This study has investigated the optimization of NDT method and the minimum detectable defect size for complex structures such as the solid propellant rocket motor using real time X-ray imaging system. Test specimens were made of steel plates with various defect size, and installed with proper thickness for which solid propellant, rubber, and case converted to the steel equivalent thickness according to the radiographic equivalent theory. As the results, this examination obtained optimum magnification and X-ray energy, dose rate according to steel equivalent thickness, also, obtained the relationship between minimum detectable defect size and the ratio(defect depot/object thickness). Thus, this simulated test is the preliminary procedure before performing NDT for real objects, and is possibly applied for NDT of other complex structures.

• Quality Improvement in Health Care
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• v.15 no.1
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• pp.79-87
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• 2009

문제: 본원의 외래 상황은 진료의가 짧은 시간 내에 많은 환자를 진료해야 하고, 진료 환자 모두에게 충분히 만족하도록 설명해주는 것은 매우 어려운 실정이었다. 2007년의 의료기관 본 평가에 앞서 병원 자체 평가 결과 외래환자의 설명 만족도는 57점으로 저조하였다. 목적: "이해하기 쉽게 설명하는 서울대학교 병원" 이라는 슬로건 하에 설명간호사 제도를 운영하기 시작하여, 설명간호사실 운영 활성화를 통한 외래 환자 만족도를 향상시키고자 한다. 의료기관: 서울시 종로구에 소재한 대학병원 질 향상 활동: 설명간호사실 방문율 증가 및 one-stop service care을 실현할 수 있는 방안을 모색하였고, 검사 시행 이유, 귀가 후 주의사항 검사 결과, 검사일정 외래 진료 안내 브로셔 및 표준화된 교육 자료를 개발하였다. 또한 설명간호사의 역할 및 업무의 확립을 위한 업무기술서를 개발 및 설명간호사실 환경을 개선하였다. 개선효과: 설명간호사실의 방문율이 내과는 2배, 신경과는 3배 정도 증가하였다. 표준화된 교육 자료 개발로 설명 요구도를 충족시켰고, '환자의 알 권리'와 '설명을 들을 권리'를 보장하였다. 업무기술서 개발로 설명간호사의 업무 및 역할을 확립하였으며 설명간호사실의 환경 개선으로 개인 신상 비밀을 보호받을 권리를 보장하였다. 외래 설명만족도가 2007년 57점에서 2008년 74점으로 향상되었다. 설명간호사실 자체 설문조사에서도 97%가 만족한다고 답하였고, 100% 모두 재방문 의사를 보였다. one-stop service care를 제공함으로써 외래가 복잡하다는 부정적인 이미지를 긍정적인 이미지로 변화시켰다.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1987.05a
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• pp.10.2-10
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• 1987

최근 사회구조의 발달로 우리주변에는 뜻하지 않은 청력장애를 일으키는 경우가 많고 의료보험 실시와 더불어 생활수준의 향상으로 이비인후과 외래를 찾는 청력장애자들이 많아지고 있다. 또한 청력장애를 호소하여 청각검사를 의뢰하는 타과 입원환자도 점차적으로 증가하고 있는 실정이다. 이에 저자들은 1985년 1월 1일부터 1986년 12월 31일까지 만2 년간 연세대학교 원주의과대학부속 원주기독병원 이비인후과로 의뢰된 타과 입원환자 1063예중 청각검사를 시행한 182예를 대상으로 임상청각학적 고찰을 하여 다음과 같은 결과를 얻었다. 1) 의뢰한 과별로는 신경외과(50.5%)가 제일 많았고 다음 내과(23.6%)의 순이었다. 2) 원래질환과 청력장애사이에 연관관계가 있는 경우는 102예 (56.0%)이었으며 이중 외상이 87예(86.2%)로 제일 많았다. 3)외상의 경우 폭발사고가 35예 (40.2%)로 제일 많았고 다음 교통사고 28예(32.1%)의 순이었다. 이 중 계속적인 추적치료를 시행한 경우가 9예 (10.3%)에 불과하였다. 4) 외상의 경우 청력손실의 형태별로는 전음성이 41예 (47.1%), 감음신경성이 30예(34.4%), 혼합성이 7예 (8.2%) 였으며, 사병자(malingerer)가 9예 (10.3%) 였다. 결론적으로 강원도의 지역적 특성상 탄광폭발 사고로 인한 외상후 이차적으로 청력손실을 호소하는 환자가 많은 편으로 이에 대한 적극적인 진단 및 추적치료를 위하여 특히 신경외과와 상호협조 체제가 필요할 것으로 사료된다.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1993.05a
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• pp.99-99
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• 1993

Radiography of nasopharynx are routinely performed for nasopharyngeal soft tissue changes. Although CT scan is widely performed nowadays, the value of lateral neck radiograph is still important to detect the masses in the nasopharynx. The purpose of this study was to establish the constitution of the normal dimension of the nasopharyngeal soft tissue on the lateral neck radiograph and make a parameter of the nasopharyngeal soft tissue hypertrophy. We have made various measurements of the thickness of the nasopharyngeal soft tissue on the lateral skull films in 214 Korean adults (109 males and 104 females). We found that the diameter of the nasopharyngeal soft tissue was decreased by age and the value of males were always greater than that of females and the thickness of the roof was always less than the posterior wall.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1977.06a
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• pp.7.3-8
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• 1977

In the ENT fields, epidermoid cysts occur infrequently in the oral region and often situated on the floor of the mouth or the submental region. Moreover, epidermoid cyst on the laryngeal surface of the epiglottis occurs rarely. Authors experienced a case of epiglottic epidermoid cyst and treated successfully by transhyoid pharyngotomy approach and marsupialization. It was 46 years old male patient who has been suffered from intermittent sorethroat for 2 years prior to admission, hoarseness for 2 months and dyspnea for 1 month. Indirect laryngoscopy revealed a pigeon egg-sized, round, smooth tumor mass on the laryngeal surface of the epiglottis which had soft consistency on digital examination. Biopsy proved epidermoid cyst. Marsupialization of the cyst by transhyoid pharyngotomy approach was performed and the postoperative course was uneventful.

• 재활복지
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• v.18 no.2
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• pp.181-205
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• 2014

Ministry of Science, ICT and Future Planning established the mobile application accessibility guideline on 2011 to help people with disabilities to use mobile applications, and has intimated it for governmental and public institutions to utilize. This paper presents an analysis of relationship between success criteria in the current mobile application accessibility guideline and the issues raised by users based on user evaluation performed on 5 mobile applications. Analysis results show that the current mobile application accessibility guideline doesn't apply accessibility requirements thoroughly because some mobile applications could not be accessed by users although they are fulfilling the guideline. To fully provide mobile application accessibility, success criteria such as keyboard accessibility, control size, label and time limit that are raised from the result of user evaluation need to be added to the current guideline. And the guideline need to be amended with modification or elimination of some success criteria.

• Korean Journal of Soil Science and Fertilizer
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• v.45 no.2
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• pp.293-300
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• 2012

This study was to investigate the unsuitable rate of the storage facilities, the changes in corrosion process over time after installation according to the status, the time to install the facilities, years elapsed after facilities installation, inspection of methods and motivation, and so on, based on the results of the inspection at the petroleum storage facilities conducted by domestic soil-relate specialized agency to derive optimal management plans which meet the status of soil contamination facilities. The results showed that the facilities more than 5 years after the initial leak test at the time of the installation need to be inspected periodically by considering costs of leak test and remediation of polluted soil. The inspection period can be decided by cost and leak test methods showing discrepancies for the results obtained from individual test whether it was direct or indirect. To compensate these matters, we suggested that the direct inspection method on regular schedule is recommended. On the other hand, the inspection can be voluntarily completed to ease burden of the results by inspection or equivalent level to this inspection method. Also, it may need improved construction supervision and performance test system to minimize the occurrence of the nature defects in installing the facilities as well as the upgrade program for the facilities during intervals of inspection period.

• Tuberculosis and Respiratory Diseases
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• v.39 no.3
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• pp.236-241
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• 1992

Background: As well as fiberoptic bronchoscopy, chest computerized tomographic scan can now differentiate the benign from malignant causes and the obstructive from non-obstructive causes of lung collapse. This study was designed to evaluate the usefulness of chest CT scan and fiberoptic bronchoscopy in the diagnosis of middle lobe syndrome. Method: We reviewed the clinical features, roentgenographic changes, pathologic findings and bronchoscopic findings in 16 patients with middle lobe syndrome who were admitted to Severance Hospital during period of January, 1987 through January, 1992. Results: The male to female ratio was 1:1. The most common symptoms were cough and sputums. Crackle was the most common physical finding. Underlying disease was lung cancer, pulmonary tuberculosis and endobronchial tuberculosis in 3 each other, benign stenosis in 2, lung abscess, broncholithiasis, bronchial chondroma, pneumonia and nonspecific inflammation in 1 each other. Conclusion: We conclude that the combination of chest computerized tomogram and fiberoptic bronchoscopy was most desirable for the diagnosis of middle lobe syndrome.