• Title/Summary/Keyword: 충북대병원

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  • Korea Hospice Association
    • 한국호스피스협회지
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    • s.77
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    • pp.4-4
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    • 2004
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회원작품

  • Korea Institute of Registered Architects
    • Korean Architects
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    • no.4 s.145
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    • pp.43-53
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    • 1981
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Analysis of characteristics of out-of-hospital cardiac arrest patients by region in Chungcheong buk-do (충청북도 내 지역별 병원 전 심장정지 환자의 특성에 대한 분석)

  • Seong Bin Im;Hyeon Mo Yang;Young Jae Kim
    • Smart Media Journal
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    • v.13 no.5
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    • pp.33-44
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    • 2024
  • Chungbuk has various regional characteristics in terms of population composition by region, industrial facilities, and distribution of emergency medical institutions. However, there are no studies yet that have analyzed regional characteristic factors related to the occurrence characteristics of cardiac arrest patients. Therefore, this study provided basic data to establish a response system for OHCA patients suitable for the characteristics of the Chungcheongbuk-do region by analyzing the characteristics of OHCA patients and the transfer status of 119 paramedics in Chungcheongbuk-do. This study is a retrospective study that analyzed 1,188 cardiac arrest patients transferred by ambulance based on raw data from the survey on acute cardiac arrest in Chungbuk (2020). There are a total of 11 emergency medical institutions in Chungbuk-do, which are concentrated in city-level areas, so the transfer time of patients to hospitals in county-level areas was delayed. In the county-level area, the frequency of dispatch of special paramedics was relatively small, and the frequency of administration of cardiac arrest drugs to help resuscitate cardiac arrest patients was also low. In conclusion, efforts should be made to improve accessibility of emergency medical services (deployment of emergency vehicles in marginal areas, proper placement of emergency medical institutions, etc.), to promote prevention of traumatic cardiac arrest patients, and to expand the scope of work to strengthen the first aid expertise of paramedics.

특집: AI발생과 대응방안 - HPAI 발생과 현황 - '10/'11년 HPAI 발생현황

  • 대한양계협회
    • KOREAN POULTRY JOURNAL
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    • v.43 no.3
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    • pp.92-95
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    • 2011
  • 지난 '10. 12. 29일을 기점으로 국내 또다시 발생한 고병원성 조류인플루엔자(HPAI, 이하 AI)는 충북, 경남을 제외한 전 지역에서 발생하면서 예년과 달리 유난히 빠른 속도로 확산되고 있다. 특히나 금번 발생지를 살펴보면, 계사와 멀지 않은 곳에 철새와 물오리가 서식하는 하천이 있었고, 계사주변에는 야생조류의 분변이 확인되면서 정부는 철새로 인한 직접 또는 간접오염(분변)으로 AI가 확산된 것으로 중간점검 결과를 발표했다. 이웃나라 일본의 경우에도 최대 양계지역인 가고시마현을 비롯해 대규모 양계단지를 중심으로 빠른 속도로 AI가 확산되었고, 역학조사 결과 북방철새로 인한 감염이 유력한 것으로 발표되었다. 현재 의심축신고와 발생건수가 줄어들고 있지만, 2월에도 4건의 발생을 보이면서 아직까지는 긴장을 늦출 수 없는 상황이다.

특집-저병원성 조류인플루엔자에 대한 사독오일백신의 이해

  • Mo, In-Pil
    • KOREAN POULTRY JOURNAL
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    • v.39 no.2 s.448
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    • pp.88-92
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    • 2007
  • 1996년 저병원성조류인플루엔자(Lowpathogenic avian influenza:LPAI)가 국내에서 처음으로 발생된 지 10년이 지난 지금 백신접종이 실시될 것 같다. 아니면 이 글이 발표될 시점에는 이미 출시가 되었을 수도 있을 것이다. 국내방역이 잘 되었다면 이와 같은 백신접종이 필요 없었을 것 이라는 아쉬움을 간직하며 한편으로는 어차피 백신접종을 할 것이라면 좀 더 잘 알고 해야 하겠기에 저병원성 사독백신에 대하여 소개하고자 한다. 오늘 소개하고자 하는 자료는 LPAI 백신을 개발하는 과정 중 일부인 백신의 안전성과 효능평가에서 획득한 것으로 다소 학문적인 표현도 있으나 개발된 백신의 본질을 이해하기 위하여 그대로 표현하고자 한다. 참고로 본 사업은 농림기술관리센터의 연구비 지원과 (주)중앙백신연구소와의 산학협동으로 충북대 수의대에서 진행되었다. LPAI 백신도 다른 사독백신과 마찬가지로 야외바이러스를 사멸시켜 만든 것으로 효능을 평가하기 위해서는 1) 백신 접종 후에 야외감염으로부터 방어가 가능하도록 역가가 충분히 높아야하고 2) LPAI의 특징적인 임상증상을 충분히 감소시켜야 하며 3) 감염된 바이러스의 총배설강 배설을 최대한 억제시켜야 한다. 따라서 이러한 관점에서 본 원고를 작성하였음을 이해해주기 바란다.

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Current Trends in the Treatment of Osteochondral Lesion of the Talus: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey (거골 골연골병변 치료 동향: 대한족부족관절학회 회원 설문조사 분석)

  • Cho, Byung-Ki;Cho, Jaeho;Young, Ki Won;Lee, Dong Yeon;Bae, Su-Young;The Academic Committee of Korean Foot and Ankle Society,
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.4
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    • pp.149-156
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    • 2021
  • Purpose: Given the lack of definite evidence-based guidelines in clinical practice, there may be a wide variation in treatment protocols for osteochondral lesions of the talus (OLT). Based on the Korean Foot and Ankle Society (KFAS) member survey, this study aimed to report the current trends in the management of OLT. Materials and Methods: A web-based questionnaire containing 30 questions was sent to all KFAS members in September 2021. The questions were mainly related to clinical experience and preferences in diagnosis, conservative, and surgical treatments for patients with OLT. Answers with a prevalence of ≥50% of respondents were considered a tendency. Results: Sixty-two (11.3%) of the 550 surgeons queried responded to the survey. The responses to 9 (30.0%) of the total of 30 questions established a tendency. Answers exhibiting a tendency were as follows; additional diagnostic tools except for plain radiograph (magnetic resonance imaging), most common conservative treatment method (oral medication, rest), most important radiological factor in decision making for surgical treatment and method (size of the lesion, ankle instability, loose bodies), most important patient factors in decision making for surgical treatment and method (age, activity or occupation), infrequently requiring posterior arthroscopy (less than 3%), most common revision surgery for failed bone marrow stimulation procedure (osteochondral autograft transplantation [OAT]), not requiring additional procedure for donor site in OAT, the main reason for unsatisfactory result after OAT (persistent pain without radiological abnormality), no generalization of autologous chondrocyte implantation or chondrogenesis using stem cells. Conclusion: This study presents updated information on current trends in the management of OLT in Korea. Both consensus and variations in the approach to patients with OLT were revealed through this survey. Since recent biologic efforts to regenerate cartilage have been unsuccessful, further studies to identify clinical evidence would be needed.

Current Trends in the Treatment of Hallux Valgus: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey (무지외반증 치료 동향: 대한족부족관절학회 회원 설문조사 분석)

  • Cho, Jaeho;Cho, Byung-Ki;Park, Hyun-Woo;Sung, Ki-Sun;Bae, Su-Young;The Academic Committee of Korean Foot and Ankle Society,
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.4
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    • pp.157-164
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    • 2021
  • Purpose: This study aimed to report the current trends in the management of the hallux valgus (HV) deformity over the last few decades through a survey of the Korean Foot and Ankle Society (KFAS) members. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in September 2021. The questions were mainly related to the preferred techniques and clinical experience in correction in patients with an HV deformity. Answers with a prevalence of ≥50% of respondents were considered a tendency. Results: One hundred and nine (19.8%) of the 550 members responded to the survey. The most common symptom for determining surgical treatment was bunion pain (68.8%), and different surgical techniques were selected according to the following radiological parameters: HV angle 30 to 40 degrees and intermetatarsal angle 15 to 20 degrees. The two procedures most preferred by the respondents were distal chevron osteotomy (55.0%), and proximal chevron osteotomy (21.1%). In an average of 71.6% of respondents, Arkin osteotomy was performed simultaneously during HV surgery. HV accompanied by an overriding deformity of the second toe was most often addressed with a combination of second metatarsal osteotomy and soft tissue rebalancing procedure (35.8%). After HV surgery, the recurrence rate of HV deformity was found to be 12.2% on average and the surgeons who had performed minimally invasive surgery (MIS) for HV comprised 34.9% of the total respondents. Conclusion: This study provides updated information on the current trends in the management of the HV deformity in Korea. Both consensus and variation in the approach to patients with HV were identified by this survey study. Although MIS for HV has increased, it appears the consensus for selecting this method has not yet been established.

A Survey on Prehospital Emergency Medical Service for the Improvement of Acute Coronary Syndrome Assessments - Focus on the Jecheon.Danyans Area - (급성관상동맥증후군 환자의 병원 전 119구급의료서비스 실태 및 개선방안 -충북 제천.단양을 중심으로-)

  • Roh, Sang-Gyun
    • Fire Science and Engineering
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    • v.22 no.3
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    • pp.293-299
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    • 2008
  • From January, 2004 to July, 2007, 97 patients were diagnosed with Acute coronary syndrome(ACS) in Emergency Medical Center in Jecheon City in Korea. Among 97 patients, the prehospital assessment rates were as follows ; blood pressure check(27.80%, pulse rate check(33.0%), respiration check(23.7%). In hospital emergency care, oxygen supply was 52.6%, absolute bed rest was 12.4%, electrocardiogram(EKG) check was 4.1%, and nitroglycerin and intravenous fluid therapy was 0%. Therefore, ACS patients have not received sufficient prehospital cares till now. In order to improve the proficiency of the first aid emergency medical technicians(EMTs), it is necessary to provide the continuing On-the-job training(OJT) programs for prehospital emergency care.

Current Trends in the Treatment of Ankle Ligament Injuries: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey (족관절 인대 손상 치료 동향: 대한족부족관절학회 회원 설문조사 분석)

  • Cho, Byung-Ki;Cho, Jaeho;Lee, Myoungjin;Lee, Jun Young;Bae, Su-Young;The Academic Committee of Korean Foot and Ankle Society,
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.1
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    • pp.22-29
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    • 2022
  • Purpose: Despite continuous updates of standard treatment guidelines for acute ankle sprain and chronic ankle instability (CAI), in practice preferred treatment protocols vary widely. Based on a Korean Foot and Ankle Society (KFAS) member survey, this study reports current trends in the management of ankle ligament injuries. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in September 2021. Questions mainly addressed clinical experience and preferences for the diagnosis and treatment of ankle ligament injuries. Answers with a prevalence of ≥50% among respondents were considered to reflect tendencies. Results: Eighty-four of the 550 members (15.3%) responded. Answers that showed a tendency were as follows: commonest additional image study (ultrasound), conservative treatment modality (immobilization, oral medication), frequency of surgical treatment (<5 cases per annum), most important factor when deciding on surgical treatment (activity level, e.g., occupation or sport), and commonest surgical procedure (open ligament repair). Answers that showed a tendency for CAI were as follows: most important symptom (repeated sprain, giving way), radiological factors (talar tilt, osteochondral lesion, anterior talar translation), and patient factors (occupation, sports activities, recurrent instability after surgery, etc.). For decision making regarding surgical treatment and method, the most preferred surgical procedure was the modified Broström procedure, and the most common repair technique was suture anchor technique. The following were considered poor prognostic factors; generalized laxity, failed previous surgery, cavovarus, severe mechanical instability, heavy work, obesity, and dissatisfaction after surgery because of residual pain. Conclusion: This study updates information regarding current trends in the management of ankle ligament injuries in Korea, and reveals consensus opinions and variations in approaches to patients with an acute or chronic injury. The divergence of approaches identified indicates the need for further studies to determine standard guidelines and long-term results.

KMMQL-AF-based evaluation of the quality of life for survivors of childhood cancer by age (KMMQL-AF기반의 다기관 소아암 생존자의 연령별 삶의 질 평가)

  • Cho, Young-Bok;Lee, Sang-Ho;Park, Jong-Hyock;Park, Min-Hee
    • Journal of Convergence Society for SMB
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    • v.6 no.3
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    • pp.71-77
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    • 2016
  • In this paper, we analyze the quality of life of children and adolescents with cancer. Separated children and adolescents to treat more than 293 patients myeongreul quit two years to analyze the quality of life. In most previous studies it was to compare the quality of life of the patient to feel the parent to evaluate the quality of life in children and adolescents with cancer. Or It was common practice to evaluate Pediatrics as a group. However, to evaluate a wide range of ages of children and adolescents cancer patients as a basis, there is a problem. Therefore, in the paper according to the degree language understanding and 10 to 12 years old and 13-20 years old classified as two groups. In addition, we use KMMQL-AF questionnaires written in korean. Accurate across the 10 local hospital the experts have described the extraction accompanied by an in-depth interview research surveys for data collection (15.07.2011 - 01.31.2012).