• Health and Mission
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• s.17
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• pp.15-23
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• 2009

영적 돌봄을 하는 방법들이 의미하는 것에 대해 제일 먼저 과학이 중요하다는 말을 하면서 시작하겠다. 과학이 중요한 것은 우리가 과학 기술을 이용하여 건강과 질병에 대해 이해하고 질병이 있는 환자들을 치료할 수 있는 방법들을 개발할 수 있도록 도와주기 때문이다. 민감하게 잘 이용한다면 과학은 영성과 건강의 복합적인 관계를 이해할 수 있도록 돕는다. 하지만 과학기술만으로는 환자들에게 좋은 돌봄을 제공할 수 없다는 것이다. 이것이 어떤 의미인지에 대해 우리의 상상력을 동원하여 설명해 보도록 하겠다.

• Proceedings of the KSLP Conference
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• 1996.11a
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• pp.93-93
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• 1996

최근 많은 음성검사기들의 개발에 의해 발성의 원리에 대한 많은 연구가 진행되었고 실제 임상에 이용되므로써 각종 음성질환의 기전을 연구하는데 많은 도움이 되어왔다. 그중 전기 glottogra-phy(EGG)는 값싸고 완전히 noninvasive한 음성검사기로서 각종 음성질환에 대해 진단, 치료 및 예후판정 등에 이용되어왔으며, 또한 정상 발성시의 성대진동 기전에 대해 연구되어왔다. 그러나 판독하는데 있어 실제 많은 논란이 있는데 이러한 논란은 복잡한 성 대진동 양상에 의해 생기는 것으로 EGG에 의한 양측 성대 사이의 전기 저항도는 실제 성문의 열림의 정도를 의미하는 것이 아니라 성문접촉율을 의미하기 때문이다. (중략)

• 건강소식
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• v.14 no.11 s.144
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• pp.2-5
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• 1990

뚱뚱한 아이들이 늘고 있다. 어린이 비만의 문제는 아이들이 뚱뚱하다는 것에서 그치지 않는다. 흔히 얘기하는 성인병을 어릴 때부터 앓게 하는가 하면, 어른이 되어서도 여전히 성인병의 늪에서 헤매이게 하는 커다란 원인으로 작용한다. 이렇게 무서운 어린이 비만을 해결하기 위해 한국사회체육센터(강동구 둔촌동 482-1105)에서는 비만아 체력단력교실을 ‘84년부터 열어오고 있다. 이 교실은 단기간에 살을 뺀다는 의미보다는, 비만아들에게 움직이는 것을 즐겁게 생각하도록 하고 자신감과 사회성을 갖도록 해주는데 더 큰 목적이 있다. 치료 위주가 아닌 예방의학적 차원의 건강관리와 밀접하게 접목되는 사회체육의 의미를 보여준 비만아 체력단련 교실의 프로그램과 의의를 소개한다.

• Radiation Oncology Journal
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• v.16 no.2
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• pp.147-157
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• 1998

Purpose : The aim of this retrospective study is to assess the necessity of s1aging laparotomy in the management of supradiaphragmatic CS I-II Hodgkin's disease. Prognostic factors and the usefulness of prognostic factor groups were also analyzed. Materials and Methods : From 1985 to 1995, fifty one Patients who were diagnosed as supradiaphragmatic CS I-II Hodgkin's disease at Yonsei Cancer Center in Seoul, Korea were enrolled in this study Age range was 4 to 67 with median age of 30. The number of patients with each CS IA, II A, and IIB were 16, 25, and 10, respectively. Radiotherapy(RT) was delivered using 4 or 6 MV photon beam to a total dose of 19.5 to 55.6Gy (median dose : 45Gy) with a 1.5 to 1.BGy per fraction. Chemotherapy(CT) was given in 2-12 cycles(median : 6 cycles). Thirty one Patients were treated with RT alone, 4 patients with CT alone and 16 patients with combined chemoradiotherapy. RT volumes varied from involved fields(3), subtotal nodal fields(18) or mantle fields(26). Results : Five-year disease-free survival rate(DFS) was $78.0\%$ and overall survival rate(05) was $87.6\%$. Fifty Patients achieved a complete remission after initial treatment and 8 patients were relapsed. Salvage therapy was given to 7 patients, 1 with RT alone, 4 with CT alone, 2 with RT+CT. Only two patients were successfully salvaged. Feminine gender and large media-stinal adenopathy were significant adverse prognostic factors in the univariate analysis for DFS. The significant adverse prognostic factors of OS were B symptom and clinical stage. When patients were analyzed according to European Organization for Research and Treatment of Cancer(EORTC) prognostic factor groups, the DFS in Patients with very favorable, favorable and unfavorable group was 100, 100 and $55.8\%$(p<0.05), and the 05 in each patients' group was 100, 100 and $75.1\%$(p<0.05), respectively. In very favorable and favorable groups, the DFS and 05 were all $100\%$ by RT alone, but in unfavorable group, RT with CT had a lesser relapse rate than RT alone. The subtotal nodal irradiation had better OFS than mantle RT in patients treated with RT. Conclusion : In present study, the DFS and OS in patients who did not undergo s1aging laparotomy were similar with the results in the literatures of which patients were surgically staged. Therefore, we may suggest that staging laparotomy would not influence the outcome of treatments. In univariate analysis, gender, large mediastinal adenopathy. B symptoms and clinical stage were significant prognostic factors for the survival rate. We confirm the usefulness of EORTC prognostic factor groups which may be a good.

• Journal of Korean Library and Information Science Society
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• v.43 no.1
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• pp.53-72
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• 2012

The purposes of this research are to search and analyze information theories which are useful to approach bibliotherapy in terms of 'therapeutic' readers' advisory service, and to propose a conceptual model of 'therapeutic' readers' advisory service on the basis of such theoretical foundations. To the end, Dervin's sense-making theory and Kuhlthau's ISP model are introduced and applied to the conceptual model. The conceptual model is profoundly based on Dervin's situation-gap-use metaphor and Kuhlthau's Uncertainty Principle.

• Radiation Oncology Journal
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• v.17 no.3
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• pp.179-187
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• 1999

Brachytherapy has been proved to be an effective method for the purpose of increasing radiation dose to the tumor and reducing the dose to the surrounding normal tissue. In head and neck cancer, the rationale of brachytherapy is as follows; Firstly, early small lesion is radiocurative and the major cause of failure is local recurrence. Seondly, it can diminish evidently the dose to the normal tissue especially masseteric muscle and salivary gland. Thirdly, the anatomy of head and neck is suitable to various technique of brachytherapy. On background of accumulated experience of LDR iridium brachytherapy of head and neck cancer for the last 15 years, the author reviewed the history of radioisotope therapy, the characteristics of radionuclides, and some important things in the method, clinical technique and treatment planning. The author analyzed the clinical result of 185 cases of head and neck cancer treated in the Korea Cancer Center Hospital. Finally the future prospect of brachytherapy of head and neck cancer is discussed.

• Clinical and Experimental Pediatrics
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• v.49 no.3
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• pp.312-316
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• 2006

Purpose : Growth hormone(GH) has been recognized as an effective treatment for short children born small for their gestational ages(SGA), and nowadays it has been widely used for the treatment of short children born SGA. The aim of this study is to assess the efficacy of GH treatment for the children born SGA. Methods : The study population was made of 40 short children born SGA with GH-treated(n=26) and untreated control group(n=14). In order to evaluate the effect of GH treatment, the changes in standard deviation scores(SDS) of the GH-treated group were compared to the changes in SDS before and after treatment from the control group in the same period. Results : There were no differences between the GH-treated group and the control group in gestational age, birth weight, chronological age, target height and the period of follow-up observation; however, the GH-treated group had lower height SDS($-3.3{\pm}0.9$) than the control group($-2.4{\pm}0.4$) before treatment(P<0.05). The GH-treated group had gained $1.2{\pm}1.0$ height SDS during GH treatment while the control group had gained $0.5{\pm}0.6$ height SDS. In the GH treatment group, HDL-cholesterol increased from $48.5{\pm}9.9mg/dL$ to $56.1{\pm}8.7mg/dL$(P<0.05) and LDL-cholesterol decreased from $88.1{\pm}23.3mg/dL$ to $76.4{\pm}19.4mg/dL$(P<0.05) after treatment. There were no changes in total cholesterol, triglyceride, free fatty acid and fasting blood sugar. IGF-I increased from $224.9{\pm}191.3{\mu}g/L$ to $443.2{\pm}152.5{\mu}g/L$(P<0.05) and IGFBP-3 also increased from $3.7{\pm}1.3mg/L$ to $5.6{\pm}1.2mg/L$(P<0.05). Conclusion : We conclude that growth hormone treatment is effective in the treatment of short children born SGA.

• Annual Conference on Human and Language Technology
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• 2016.10a
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• pp.51-55
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• 2016

본 논문에서는 임상 의사 결정 지원을 위한 UMLS와 위키피디아를 이용하여 지식 정보를 추출하고 질병 중심 문서 클러스터와 단어 의미 표현을 이용하여 질의 확장 및 문서를 재순위화하는 방법을 제안한다. 질의로는 해당 환자가 겪고 있는 증상들이 주어진다. UMLS와 위키피디아를 사용하여 병명과 병과 관련된 증상, 검사 방법, 치료 방법 정보를 추출하고 의학 인과 관계를 구축한다. 또한, 위키피디아에 나타나는 의학 용어들에 대하여 단어의 효율적인 의미 추정 기법을 이용하여 질병 어휘의 의미 표현 벡터를 구축하고 임상 인과 관계를 이용하여 질병 중심 문서 클러스터를 구축한다. 추출한 의학 정보를 이용하여 질의와 관련된 병명을 추출한다. 이후 질의와 관련된 병명과 단어 의미 표현을 이용하여 확장 질의를 선택한다. 또한, 질병 중심 문서 클러스터를 이용하여 문서 재순위화를 진행한다. 제안 방법의 유효성을 검증하기 위해 TREC Clinical Decision Support(CDS) 2014, 2015 테스트 컬렉션에 대해 비교 평가한다.

• 보건세계
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• v.45 no.2 s.498
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• pp.12-15
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• 1998

일본 후생성과 일본결핵예방회에서 '결핵의 통계 1997년판' 책자를 발간했다. 동지에는 1996년 일본 전국의 결핵발생 현황과 대책에 관한 제반 역학 통계치들을 수록하였는데 주로 전국 보건소의 결핵발생동향조사(서베이런스)정보 시스템에 의한 자료를 정리$\cdot$분석하였다. 몇 개의 주요한 과제에 대해서는 최근 국내$\cdot$외의 학회, 학술지에 수록된 정보, 인구통계, 보건소, 운영보고 등의 자료를 취합하여 이해하기 쉽게 도표를 사용하여 설명했다. 특히 종전의 '서베이런스'에서 '발생동향조사'로 용어를 바꾼 것과 환자발생 동향뿐만 아니라 대책 및 조사결과의 해석과 현장으로의 환원이라고 하는 광의의 의미를 함께 담고 있다. 본문에서는 결핵의 통계에서 가장 중요한 지표인 발생상황(이환율) 및 치료상황(치료성공률-발견한 환자를 치유시키고 있는가)을 중심으로 전개하고자 한다.

• Journal of Digital Convergence
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• v.12 no.6
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• pp.375-384
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• 2014

This research was done to determine and analyze a qualitative on the essential structure of the experiences of stroke patients with combined treatment of oriental and western medicine. Methods: Participants in this study were targeting 25 stroke patients who live mostly in D city and received the combined treatment of oriental and western medicine, but received oriental medicine treatments based on their own wills. Data were collected and recorded through in-depth interviews. Data analysis was conducted by Colaizzi's phenomenological method. Results: As a result, their acculturation were classified into 21 clusters of theme and 6 categories. Selected 6 categories as follows. 'being severely shocked from sudden attack', 'being depressed with rehabilitation', 'western therapy was more effective in emergency situations', 'having limitations in western therapy', 'selecting oriental therapy for themselves', 'discovering the meaning of rehabilitation in oriental therapy'. Conclusion: Based on these necessary data for systematic oriental rehabilitation development.