• Journal of KIISE:Software and Applications
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• v.37 no.12
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• pp.871-881
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• 2010

Objective: A clinical contents model is an essential data model to exchange clinical data, among existing computer systems and enhance consistency of necessary data, in terms of its meaning and reusability. However, there has not been a domestic case where such clinical model is developed till present. Methods and Results: This research is based on determining principles of developing clinical information model which is a specified model of Health level 7 Reference Information Model and attempts to identify clinical contents with types of ENTITY-ATTRIBUTE-VALUE, based on terminology standard by clinicians and domain modelers. Conclusion: This model is projected to be utilized in the next generation of EMR as core contents.

• Restorative Dentistry and Endodontics
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• v.36 no.1
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• pp.1-11
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• 2011

Introduction: The aim of this paper is to discuss the mechanical and geometric features of Nickel-titanium (NiTi) rotary files and its clinical effects. NiTi rotary files have been introduced to the markets with their own geometries and claims that they have better ability for the root canal shaping than their competitors. The contents of this paper include the (possible) interrelationship between the geometries of NiTi file (eg. tip, taper, helical angle, etc) and clinical performance of the files as follows; - Fracture modes of NiTi rotary files - Non-cutting guiding tip and glide path - Taper and clinical effects - Cross-sectional area and clinical effects - Heat treatments and surface characteristics - Screw-in effect and preservation of root dentin integrity - Designs for reducing screw-in effect Conclusions: Based on the reviewed contents, clinicians may have an advice to use various brands of NiTi rotary instruments regarding their advantages which would fit for clinical situation.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.12
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• pp.5926-5930
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• 2012

This study was conducted to identify the factors related between clinical health management and laparoscopy-aided gastrectomy patients. Data were surveyed using interview and questionnaires by 201 patients who visited the surgical department of a general hospital which was located in Metropolitan area from January 16 to February 16, 2012. As a result of study, first, the degree of performativity was significantly positively correlated with efficiency(r=0.24, p<.01). Secondly, the explanatory power of the model in clinical health management was to 42.7% by selected variables. Thirdly, multiple regression analysis results showed that efficiency was investigated the most influential and significant factor to affect the degree of health management practices with 0.25(p=.02). In conclusion, in order to improve the health management level of laparoscopy-aided gastrectomy patients, it needs to develop and apply a comprehensive education program including the personal characteristics of performativity, self-achievement, and perceived barriers.

• The Journal of the Korean dental association
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• v.34 no.12 s.331
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• pp.861-865
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• 1996

복합레진의 성질과 삽입기술에 대한 많은 개선들이 1970년대부터 이루어져 왔으며 많은 실험적 연구와 임상적 연구를 통해 제 1급 및 제 2급 와동에 적용가능한 다양한 복합레진이 개발되었다. 1980년대 초반부터 많은 제품들이 아말감이나 금수복물의 대용물로써 소개되고 있으며, 장기적인 임상연구에서 색깔의 안정성, 적은 미세파절, 감소된 마모도와 재발성 우식증의 감소등 좋은 개선점들이 알려졌으며, 교합접촉을 하지 않거나 거의 하지 않는 구치부 복합레진 수복에서 표면 상실이 거의 나타나지 않음이 관찰되었다. 그러나 많은 힘이 가해질 때 외형을 상실한다는 점이 아직도 가장 큰 문제점으로 남아있다.

• The Journal of the Korea Contents Association
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• v.5 no.6
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• pp.20-30
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• 2005

In the anaerobe identification, when we develop the clinical decision support system for department of laboratory medicine, we must consider expression of an incomplete knowledge structure and addition of an evolving knowledge based on an expert's informal and heuristic knowledge is very complicated work flow. In the present study, we developed the system for anaerobe identification to advise on identification of unknown bacillus using knowledge base and inference engine. In the future, we are planning to develop the clinical decision support system for the whole bacteria not only an anaerobe but also aerobe to offer an expert's static and dynamic knowledge.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.5 no.1
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• pp.184-193
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• 1994

This study was purposed to find out clinical characteristic of intra and extrafamilial sexual abuse, nature of offenders, difference of symptoms describe that sexually abused children and adolescents were experienced. Subjects were 10 sexually abused children and adolescents who visited Seoul National Mental Hospital, from Jan. 1992 to Dec. 1993. In intrafamilial sexual abuse, they had more chronic course than extrafamilial abuse and had more family psychopathology. In symptomatology, The preschool children mainly presented to somatic symptoms and anxiety, and The school children prominently exhibited depressive reaction and withdrawal. Most common reaction of parents was anger and guilt. They were treated with crisis intervention, play therapy, and hospitalization, if needed. The maintenance of treatment was difficult due to parent's avoidance and repression.

• Proceedings of the Korea Contents Association Conference
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• 2011.05a
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• pp.393-394
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• 2011

국내 임상시험기관에서 수행되는 다국가 임상시험은 매년 증가하고 있지만, 국내 임상시험의 대부분은 종이기반 시스템이 주로 사용되면서 데이터 오류와 시간 및 비용의 증가등의 문제점을 내포하고 있었다. 또한 다국적 임상시험의 경우 임상 데이터의 효율적인 관리를 위해 CDISC 표준을 이용한 전자 임상자료 관리 시스템 사용을 요구하고 있다. 본 연구에서는 국제표준에 적합한 효율적인 데이터 관리와 기존 시스템의 한계를 극복하기 위해 CDISC 표준을 기반으로 한 전자데이터관리(EDC) 시스템을 개발하였다. 이를 통해 데이터의 유효성 확보뿐만 아니라 실험실 데이터를 통한 안전성 분석의 효율적 진행, 시간 단축 등의 효과를 거두고 있다.

• Journal of Korean Academy of Oral and Maxillofacial Radiology
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• v.25 no.1
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• pp.141-150
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• 1995

종양유발성 골연화증은 종양에 의하여 생성된 활동성 펩티드호르몬과 유사한 물질이 골이나 위장관에 작용하여 칼슘대사와 인대사의 변화를 일으키거나, 정상적인 비타민 D대사에 장애를 일으킴으로써 2차적으로 발생되는 대사성 질환으로 알려져 있다. 이의 발생빈도는 매우 낮으며, 임상적으로는 체중과 신장의 감소, 전신적인 골격의 동통 및 근무력증과 병적 골절이 동반되어 나타난다. 방사선사진에서는 골소주의 전반적인 소실, 피질골의 비박, 위골절, 치조백선의 소실 등을 보이고, 실험실 소견에서는 혈청인의 농도와 신세뇨관에서 인의 재흡수율의 감소 및 혈청 알칼리성 인산화효소 농도의 상승이 관찰된다. 본질환은 종양이 제거되면 별도의 부가적인 치료 없이도 임상적, 방사선학적 소견 및 실험실 소견의 뚜렷한 개선을 보이므로 이의 치료에 있어서 정확한 진단이 매우 중요하다. 저자들은 전신적인 동통과 근무력증을 주소로 내원한 환자들에게서 발생된 종양유발성 골연화증 3예를 경험하였기에 문헌고찰과 함께 이를 보고하는 바이다.

• 대한임상약리학회:학술대회논문집
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• 2005.12a
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• pp.31-32
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• 2005

• Clinics in Shoulder and Elbow
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• v.13 no.1
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• pp.1-6
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• 2010

Purpose: To evaluate the results and complications of antegrade intramedullary interlocking nailing in humerus shaft fractures. Materials and Methods: We evaluated the clinical outcomes, radiologic results and complications in 47 patients with humerus shaft fracture treated with antegrade intramedullary interlocking nailing, and followed up until bony union. Bony union was confirmed by serial plain radiographs and the clinical outcomes were assessed according to the ASES scoring system. Results: Bony union was confirmed in 41 (87.2%) out of a total 47 patients, and the mean union period was 14.5 weeks. Major complications were as follows: 6 non-union, 3 delayed union, 2 intraoperative posterior cortex fracture in the distal humerus and 2 permanent shoulder pain, including 1 case of adhesive capsulitis. The clinical outcomes were as follows: 29 excellent, 11 good, 4 fair and 3 poor. Satisfactory outcomes were demonstrated in 40 patients (85.1%). Conclusion: Anterograde intramedullary interlocking nailing as treatment for humerus shaft fracture showed satisfactory bony union and clinical outcomes. It is considered an efficacious treatment, especially in patients with associated injury, such as multiple fractures and segmental fracture.