• Title/Summary/Keyword: 심장지역

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Exploring the Patterns of Group model Development about Blood Flow in the Heart and Reasoning Process by Small Group Interaction (소집단 상호작용에 따른 심장 내 혈액 흐름에 대한 소집단 모델 발달 유형과 추론 과정 탐색)

  • Lee, Shinyoung;Kim, Chan-Jong;Choe, Seung-Urn;Yoo, Junehee;Park, HyunJu;Kang, Eunhee;Kim, Heui-Baik
    • Journal of The Korean Association For Science Education
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    • v.32 no.5
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    • pp.805-822
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    • 2012
  • The purpose of this study was to explore the patterns of group model development about blood flow in the heart and reasoning process by small group interaction. The subjects were 14, 8th graders in a Science Gifted Center. The group discussion was made possible by using triggering questions that can be answered based on experiences of hands-on activities such as a siphon pump analogy model activity and a dissection of pigs' hearts. Despite participating in same activities, the groups showed different model development patterns: unchanged, persuasive, and elaborated. Due to the critical revising, the group's explanatory model was elaborated and developed in the added and elaborated pattern. As critical revising is a core element of the developing model, it is important to promote a group interaction so that students become critical and receptive. The pedagogical analogy model and conflict situation enabled students to present elaborated reasoning. The Inquiry activity with the pedagogical analogy model promote students' spontaneous reasoning in relation to direct experience. Therefore offering a pedagogical analogy model will help students evaluate, revise and develop their models of concerned phenomena in science classroom. Conflict situation by rebuttal enable students to justify more solid and elaborate a model close to the target model. Therefore, teachers need to facilitate a group atmosphere for spontaneous conflict situation.

The Northeast Asian Rim:A geopolitical perspective (지정학적 관점에서 본 동북아권)

  • Yu, Woo-ik
    • Journal of the Korean Geographical Society
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    • v.28 no.4
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    • pp.312-320
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    • 1993
  • Along with the fade out of the Cold War the world is undergoing a fundamental restructuring. The process is generally refered to regionalization and globalization. In this context, the Paper presents a geopolitical perspective on the future of Northeast Asia. To meet the global trend, it is expected that the countries in the area organize an economically cooperative unity, the concept of which the author calls the northeast Asian Rim (NEAR). With its huge potentials to become the largest economic area in the world and with its rather complicated historical and social background, the Rim is tentatively supposed to have a loose and soft organization, to be flexible in dealing with the intra-and interregional relations. The idea underlying the view is that the former area of confrontation between the land power and the sea power is, under the new world environment, going to recover its proper locational attributes and develop into a merging area, a new core. As a physical framework of the Rim a spatial structurc is assumed to consist of two-subrims and two development axes with four development centers.

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A survey of canine heartworm infections among German shepherds in South Korea (국내 독일세퍼드(German shepherd)종의 개심장사상충 감염실태)

  • 이정치;이채용
    • Parasites, Hosts and Diseases
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    • v.34 no.4
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    • pp.225-232
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    • 1996
  • A survey of canine heartworm (nirofilaria inmitis) infections among German shepherds in five areas of South Korea was performed from October 1994 to August 1995 using a microfilarial test (modified Knott's test) and an antigen test (DiroCHEKⓑ Synbiotics, USA). The infection rate of 127 German shepherds (71 males and 56 females) was 10.2% (13/127) by the microfilarial test, but was 28.3% (36/127) by the antigen test, revealing that 24 of the 36 antigen-positive dogs were microfilaria-negative in the peripheral blood . All dogs that were microfilaria-positive were also antigen-positive. Three of the microfilaria-negative and antigen-positive dogs contained 4-15 adult heartworms in the heart and pulmonary arteries upon necropsy. The infection rate among German shepherds was the highest in Hoengsong-gun (Kangwon-do, 84.4%) , while those of Yechon-gun (Kyongsangbuk-do) and Chungwon-gun (Chungchongbuk-do) areas were 20.0% and 14.3%, respectively. None of the dogs in the Kimhae-shi (Kyongsangnam-do) and Kwangiu areas was heartworm positive. The infection rates of heartworm in dogs at the age of 1-3, 4-6. and 7-11 years were 6.3%, 21.4%, and 56.4%, respectively. Based on the fact that the antigen test is more accurate than the microfilarial test, this study strongly indicates that the prevalence rate of canine heartworm in Korea may be higher than previously reported (3.1-23.0%) which utilized microfilarial tests.

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Collecting Health Data from Wearable Devices by Leveraging Salient Features in a Privacy-Preserving Manner

  • Moon, Su-Mee;Kim, Jong-Wook
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.10
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    • pp.59-67
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    • 2020
  • With the development of wearable devices, individuals' health status can be checked in real time and risks can be predicted. For example, an application has been developed to detect an emergency situation of a patient with heart disease and contact a guardian through analysis of health data such as heart rate and electrocardiogram. However, health data is seriously damaging when it is leaked as it relates to life. Therefore, a method to protect personal information is essential in collecting health data, and this study proposes a method of collecting data while protecting the personal information of the data owner through a LDP(Local Differential Privacy). The previous study introduced a technique of transmitting feature point data rather than all data to a data collector as an algorithm for searching for fixed k feature points. Next, this study will explain how to improve the performance by up to 75% using an algorithm that finds the optimal number of feature points k.

Tumor Motion Tracking during Radiation Treatment using Image Registration and Tumor Matching between Planning 4D MDCT and Treatment 4D CBCT (치료계획용 4D MDCT와 치료 시 획득한 4D CBCT간 영상정합 및 종양 매칭을 이용한 방사선 치료 시 종양 움직임 추적)

  • Jung, Julip;Hong, Helen
    • Journal of KIISE
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    • v.43 no.3
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    • pp.353-361
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    • 2016
  • During image-guided radiation treatment of lung cancer patients, it is necessary to track the tumor motion because it can change during treatment as a consequence of respiratory motion and cardiac motion. In this paper, we propose a method for tracking the motion of the lung tumors based on the three-dimensional image information from planning 4D MDCT and treatment 4D CBCT images. First, to effectively track the tumor motion during treatment, the global motion of the tumor is estimated based on a tumor-specific motion model obtained from planning 4D MDCT images. Second, to increase the accuracy of the tumor motion tracking, the local motion of the tumor is estimated based on the structural information of the tumor from 4D CBCT images. To evaluate the performance of the proposed method, we estimated the tracking results of proposed method using digital phantom. The results show that the tumor localization error of local motion estimation is reduced by 45% as compared with that of global motion estimation.

Comparative Study on Cheorwon Onion Phenolic Compounds by Phosphate Treatment (아인산염 처리에 따른 철원양파의 페놀화합물 비교 분석 연구)

  • Kim, Yeon Bok;Lee, Hee Jong;Kim, Dong Hyun;Park, Cheol Ho;Jang, Kwang Jin
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2018.10a
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    • pp.107-107
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    • 2018
  • 양파는 백합과에 속하는 여러해살이풀로 서남아시아의 페르시아가 원산인데 세계 각국의 온대지방에서 많이 재배하고 있다. 양파의 생약명은 옥총(玉憁)으로 피 속의 콜레스테롤을 떨어뜨리고 심장혈관의 혈류량을 증가시켜 성인병 예방에 좋다. 철원지역은 내륙지방이면서도 고도가 높아 기온차가 큰 대륙성 기후의 성격이 강하기 때문에 이 지역에서 재배한 양파는 남부지방에서 재배된 양파보다 당도가 높고 맛도 좋다고 알려져 있다. 인산질 성분은 특히 근의 발육을 촉진시키는 중요한 성분이다. 하지만 토양부의 인산성분이 수확 시까지 다량 지속되면 양분의 경합으로 뿌리부의 부패를 초래하기 쉽다. 따라서 수확기에 환원형 인산질을 중심으로 엽면시비 방법으로 영양균형을 유도하여 양파의 품질과 저장성을 향상시키는 것이 중요하다. 본 연구는 아인산(H3PO3)과 수산화칼륨(KOH)을 희석하여 산도조절 후, 아인산염으로 철원양파에 엽면 처리한 후 성분을 비교분석하였다. 본 연구에서 아인산염의 농도를 500, 1000, 1500배 희석하여 철원양파에 2018년 5월에 분무기를 이용하여 3회 엽면살포 한 후 6월 말경 수확한 후 HPLC를 이용하여 페놀화합물을 분석하였다. 그 결과 양파에서 중요한 물질 중의 하나인 큐에르세틴(quercetin)함량은 대조구(96.39 ug/g)에 비해 500배(179.70 ug/g), 1000배(150.27 ug/g), 1500배(105.95 ug/g) 처리구에서 높은 함량을 보였다. 또한 caffeic acid, p-coumaric acid, ferulic acid, rutin, kaempferol, 당도 함량은 처리구에서 대조구보다 높은 함량을 보였다. 따라서 아인산염 처리는 철원양파에서 페놀화합물의 함량을 높이는데 중요한 역할을 한다는 것을 알 수 있었다. 본 연구를 통하여 아인산염과 같은 환원형 엽면시비법을 이용하여 재배한다면 고품질의 기능성 양파를 생산할 수 있을 것이라 생각한다.

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The Effects of Nutrition Counseling on Food Intakes and Bloodlipids in Cardiac Patients (영양상담에 따른 심장병환자의 영양소 섭취 및 혈중지질의 변화)

  • 왕수경;박선미
    • Korean Journal of Community Nutrition
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    • v.7 no.1
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    • pp.92-101
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    • 2002
  • The purpose of this study was to investigate whether nutrition counseling and exercise could be beneficial to patients with acquired cardiac disease (ACD). Twenty-five ACD patients participated in this program, which was based on guidelines for serum lipid management. To measure the effects of the nutrition counseling and exercise education, outpatients with ACD were selected and randomly assigned to three groups which were a control group, a diet only group and a diet and exercise group. Nine diet only group patients and nine diet and exercise group patients received nutrition counseling or nutrition counseling and exercise education every other week. Patients who served as a non counseled control group did not receive any counseling during the same study period. Various markers of disease risk, including lifestyle, anthropometric indices, eating behaviors, and serum lipid levels were measured before and after the program. The program lasted up to 12 weeks, depending on the individuals involved. Database management and statistical analyses were performed using SPSS 7.5 software. As a result, BMI and %IBW showed decreased trends in the diet only and the diet and exercise group. Food habit scores were significantly increased in the diet only group and the frequency of saturated fatty acid, dietary cholesterol, salty food and instant food intake were decreased in the diet only group. Comparisons of the daily nutrient intakes of the groups showed their total calorie, carbohydrate and protein intake had decreased significantly, and also the total fat and dietary cholesterol intake had decreased in the nutrition counseling group. The serum total cholesterol and LDL-cholesterol decreased after 12 weeks in the nutrition counseling group. The diet and exercise group showed less interest in diet control than the diet only group. These results show that a well-planned nutrition counseling program would reduce the risks of ACD and cardiovascular disease and help to care such diseases.

Effect of regional emergency medical access on the death rate of elderly individuals with ischemic heart disease (지역별 응급의료접근성이 노인의 허혈성 심장질환 사망률에 미치는 영향)

  • Ko, Eunjung;Cho, Keun-Ja
    • The Korean Journal of Emergency Medical Services
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    • v.25 no.2
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    • pp.19-38
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    • 2021
  • Purpose: This study aimed to investigate the relationship between emergency medical service accessibility in different regions and the sudden death rate in elderly patients with ischemic heart disease using data analysis techniques and suggest improvements in regional emergency medical services. Methods: The study collected data from the NEDIS database and Statistics Korea. Data on a total of 75,867 patients aged ≥65 years were reviewed among patients with ischemic heart disease who visited emergency medical institutions in 2018. Frequency analysis, chi-square test, multiple logistic regression analysis, and simple logistic regression analysis were performed using SPSS PC Window 25.0. Results: With an emergency medical resource per 100km2, there was a concomitant reduction in the risk of death. There was a decrease in the death rate by 0.967, 0.970, 0.997, and 0.391 times with the increase in the presence of a fire department, an ambulance, a paramedic, and a regional medical center, respectively. Furthermore, a decrement in the death rate was witnessed 0.844, 0.825, and 0.975 times with the initiation of a local emergency medical center, a local emergency medical institution, and an angiography device, respectively(p <.001). Conclusion: To improve the accessibility of emergency medical services, the population and geometric area of the region should be considered essential factors when deploying emergency medical resources.

The Economic Costs of Newly Diagnosed Lyme Disease (Lyme질환의 경제적 비용분석)

  • Pauly, M. V.;;Madaglia, M.
    • Health Policy and Management
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    • v.4 no.2
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    • pp.126-147
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    • 1994
  • Lyme 질환은 미국 코넷티컷주의 라임지방에서 관절염증상을 보이는 소아과환자에게서 1975년 처음 발견되었다, 사슴, 누루, 개 등에 기생하는 진드기에 의해 전염되며, 발병초기에는 감기증상을 수반한 황소의 눈과 비슷한 붉은 반점이 생긴다. 적기에 치료하지 않으면, 관절염, 심장질환, 안면신경마비 등으로 악화될 수 있다. 본 논문의 목적은 두가지로 나누어 볼 수 있다. 먼저, 진단초기의 Lyme질환과 관련된 의료 및 기타 경제적 비용을 저렴하게 계측할 수 있는 방법론을 개발하고 그 유효성을 검증하는 것이다. 둘째로 lyme질환의 비용에 대한 여러종류의 총괄적 계측치를 제공하고 발병의 위험요인을 색출하는 것이다. 본 논문에서는 차트분석이나 임상연구 등 고가의 비용이 수반되는 분석기법 대신에 Lyme질환 다발지역에 대한 설문조사를 실시하고 그 유효성을 재설문조사를 통해서 검증하는 방법을 사용하였다. 자료분석상의 난점은 조사대상자마다 응답하지 않은 항목(Missing Value)이 다르기 때문에, 총 비용을 계산할 때 모든 항목에 응답한 조사대상자만을 사용한다면 표본의 크기가 너무 작아지는 것이었다. 이에 대한 대안으로 총비용 및 부분별 비용의 합을 계산할 때 표본의 일부가 응답하지 않은 항목에 대해서는 그 항목에 응답한 나머지 조사대상자의 응답치 평균을 대체하는 방법을 사용하였다. 통계적 분석결과, 질환의 증상시작부터 설문조사시기까지 Lyme질환과 관련된 사회적 총비용은 US$ 6400으로 추정되었다. 이중에 200가량은 환자의 보호자와 관련된 비용이고 나머지는 환자와 관련되 것이다. 총의료비용의 평균은 계산방법에 따라서 US$ 3000-4200의 범위를 보였다. 응답되지 않은 항목을 해당항목에 대한 응답치평균으로 대체하였을 때 총의료비평균은 US$ 4108이었다. 시간비용을 생산성손실에 대한 사회적 가치와 실제임금 손실의 두가지 방법에 의해 계산되었다. 실제임금손실은 생산손실의 사회적 가치의 약 30%에 불과하였다. 본 논문의 결과는 의료비용 및 비용과 생산성손실에 대한 정보가 지역보건담당자에 의한 전화설문조사에 의해 경제적이고도 일관성 있게 수집될 수 있다는 근거로 해석될 수 있다.

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Tricuspid Valve Insufficiency due to Intracardiac Migration of a Stent Inserted into Rt. Subclavian Vein to the Right Ventricle after the Treatment of Central Venous Stenosis (중심정맥 협착 환자에서 우측 쇄골하정맥에 삽입한 스텐트의 우심실 이동으로 인한 삼첨판막 폐쇄부전 치험)

  • Cho, Seong-Ho;Cho, Sung-Rae;Park, Eok-Sung;Kim, Jong-In
    • Journal of Chest Surgery
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    • v.43 no.6
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    • pp.739-742
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    • 2010
  • Two stents were placed across the right subclavian vein due to stenosis of the right subclavian vein in a 40-year-old patient with chronic renal failure on hemodialysis. During the follow up period, one of stents migrated into the right ventricle inducing tricuspid valve insufficiency. Percutaneous stent removal had failed and the stent was removed by open heart surgery with Tricuspid valve repair with a good result, and then we report the case.