• Clinical and Experimental Pediatrics
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• v.53 no.4
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• pp.519-524
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• 2010

Purpose : To determine the efficacy of the N-terminal fragment of B-type natriuretic peptide (NT-proBNP) as a useful diagnostic method in children with incomplete Kawasaki disease (KD). Methods : Ninety-six patients who were diagnosed as having KD between January 2008 and June 2009 were enrolled in the study. American Heart Association recommendations for diagnosis were used, and patients were divided into the complete KD and incomplete KD groups. Blood tests including NT-proBNP were performed on admission day. Nineteen patients who had other febrile diseases other than KD were enrolled as control. Results : Thirty-three patients (34%) had incomplete KD. Change in the lips and oral cavity and conjunctivitis were the most common clinical features, but their frequency was lower than complete KD (76% vs 98%, 76% vs 90%). Patients with incomplete KD exhibited significantly higher NT-proBNP level than that of control ($1,407.7{\pm}1633.5pg/mL$ vs $126.2{\pm}135.5pg/mL$, $P$<0.001). An NT-proBNP cutoff value of 158 pg/mL provided a sensitivity of 81% and a specificity of 74% for diagnosis of incomplete KD. Conclusion : NT-proBNP assay can be clinically useful for the diagnosis of incomplete KD, if the patient has persistent fever, change in the lips and oral cavity, and conjunctivitis, and if the patient with those symptoms is suspected to have incomplete KD.

• Journal of Biomedical Engineering Research
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• v.18 no.4
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• pp.381-388
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• 1997

In this paper, we present the design and implementation of the interbed network communication protocol, which links patient monitors, central stations, DB servers, and clinical workstations together in a patient monitoring system. We describe the requirements to be met thor real-time patient monitoring, propose 2 services Patient Locator Service(PL:7) and Remote Patient Monitoring Service( RPMS). PLS provides the information about how many patients are currently being monitored and where they are located, while RPMS allows the doctors to monitor their patients'vital sign in real-time. The messages for the services, their formats and exchange scheme are also presented with a whole picture of how they are implemented. We adopted the object-oriented programming paradigm in all the analysis and design processes. In the experiment performed in a real clinical setting, the services turned out to meet all the requirements needed for real-time patient monitoring.

• Journal of dental hygiene science
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• v.10 no.1
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• pp.55-61
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• 2010

The main purpose of this study was to identify the service quality of some dental clinics located in Gwangju and find an association between service quality and patient's intention to re-visit the same dental clinic. The search objects were 197 patients from five dental clinics, and data collected by self-administered questionnaire which was composed general characteristics, characteristics relating to visit of clinics, quality of service, patients satisfaction and intentions to re-visit. The used statistical analysis to find the association between quality of service and intention to re-visit was multiple regression analysis. This study looked at relations between quality of dental service, service satisfaction and intentions to visit again, and found that quality of service including six service areas had a statistically significant positive correlations with satisfaction and intentions of re-visit. When this study conducted a multiple regression analysis to identify variables that influence intentions of re-visit, it found that patients revisited the dental clinic only when quality of service was included. In conclusion, quality of service evaluated by patients influenced on their intention of re-visit and especially. Therefore, this study concludes that improvement in satisfaction and intentions of re-visit relies on Accessibility, that is, providing of medical information, consultant telephone, how delivery the dental medical system is. Service quality of dental institutes measured by SERVQUAL model and intention to re-visit.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.4
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• pp.710-717
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• 2016

This study was progessed from March 3, 2015 to March 31 for purpose of evaluating the effects of the trauma-patient practice education using simulation on knowledge, satisfaction and problem-solving in paramedic students. To closely examine the adequacy of education for paramedic students in one university, a comparison was made by dividing 28 male and female students into two groups of experimental group with 14 students and control group with 14 students. The experimental group was carried out the practice education of the trauma-patient simulation using simulator. The control group was conducted the theoretical and practical education through a traditional instructor-led class. As a result of the research, the experimental group can be known to be significantly higher(t=2.09, p<.05) than the control group in the post-knowledge survey and satisfaction following the development in each educational method for 4 weeks. Also, in consequence of the variable-based correlation in the sub-factors of satisfaction, a correlation was shown between interest and clinical help or between interest and problem-solving ability(p<.05, p<.01). Based on the results of this study, it is considered that the simulation practice education in the emergency department is demanded and that the practice education will need to be continuously applied through developing a proper scenario.

• Journal of Digital Convergence
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• v.15 no.1
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• pp.363-372
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• 2017

This study aimed to identify influences which nutritional status and depression have on satisfaction with life on middle-aged long-term care patients. This study is a descriptive study conducted with 120 patients aged 40-65 from February 1st to March 31th, 2015 in hospital. Data were analyzed using t-test, ANOVA, Scheff's test, Pearson's correlation coefficients, multiple regression. The average of nutrition status, depression, satisfaction of life was $15.85{\pm}3.85$, $24.70{\pm}15.85$, $3.54{\pm}1.22$ each. The findings show nutritional status(r=.281, p<.005) have correlation(+) with satisfaction of life, otherwise, nutritional status(r=.439, p<.001) and satisfaction of life(r=-.-574, p<.001) have correlation(-) with depression both. Influencing factors on satisfaction of life were subjective health(${\beta}=.387$, p=.000) and depression(${\beta}=.251$, p=.010), explained 36.0% of the variance. Therefore, management program for improving satisfaction of life is needed on middle-aged long term care patients.

• The Monthly Diabetes
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• s.166
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• pp.64-67
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• 2003

인슐린 치료를 필요로 하는 당뇨병 환자에서는 당뇨병성 합병증의 발생을 예방하거나 합병증이 진행된 경우에는 기존의 고식적인 치료로 만족할 만한 효과를 거두기가 어려워 이상적인 치료 방법에 대한 기대가 높은 상태이다. 특히 췌도이식 대상자는 급증하고 있으나 공급 가능한 췌장은 한정되어 있어 이식에 필요한 췌도는 절대적인 부족 상태로 오직 일부 제 1형 당뇨병 환자에서만 제한적으로 췌도이식이 적용 가능하다. 따라서 충분한 췌도 이식원을 확보할 수 있는 췌도 이식원의 개발은 췌도이식의 가장 큰 목표라 할 수 있다. 본 난에서는 당뇨병 치료에서 시험관내 및 생체실험에서 줄기세포의 현황과 줄기세포를 이용하여 당뇨병을 극복하고자 하는 연구의 성과와 이에 따른 새로운 치료법에 대한 최근 내용을 고찰해 보고자 한다.

• Proceedings of the KSLP Conference
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• 1994.06b
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• pp.86-86
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• 1994

후두 전적출술 후 음성의 소실은 환자에게 정신적으로 많은 영향을 주기 때문에 음성의 회복은 환자의 재활에 중요한 부분으로 여러 가지 방법 이 고안되었으나 아직 만족할 만한 방법은 없다. 식도발성은 기구나 손을 사용할 필요가 없이 정상인과 같이 자연스럽게 말할 수 있어 가장 이상적인 음성재활 법이나, 습득하는데 오랜 시간과 노력이 필요할 뿐만 아니라 음성의 질이 나쁜 단점이 있다. 또한 현재까지 식도발성의 성공여부를 예측할 수 있는 방법이나 성공 율을 높일 수 있는 수술법 등에 대한 연구는 많았지만 음성재활을 위한 식도발성의 특성이나 언어의 명료도에 대한 연구는 부족하다. (중략)

• Journal of the Korean Arthroscopy Society
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• v.14 no.2
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• pp.79-87
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• 2010

고관절경을 시행하는 집도의사는 관절경을 통해 관찰되는 정상 고관절의 해부학적 구조물에 대한 정확한 지식과 삽입구 위치에 대한 숙지를 통해 환자의 증상과 비정상 관절경 소견을 임상적으로 연관 시키는 것이 중요하며, 적절한 환자의 선택과 고관절경의 술기에 대한 항상성을 유지할 수 있어야 최소 침습적인 술기의 장점을 가지고 있는 고관절경의 만족할 만한 치료 결과를 기대할 수 있다.

• The Academic Congress of Korean Shoulder and Elbow Society
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• 2007.11a
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• pp.104-109
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• 2007

외상성 전방탈구의 경우 일차성 탈구이거나 일상생활에 큰 불편을 호소하지 않는 불안정성이 있을 경우 및 비외상성 다방향 불안정성의 경우 보존적 치료가 바람직하며, 10대 및 20대의 재탈구로 인한 불안정성이 유발될 경우 관절경적 혹은 개방성 Bankart 술식을 통하여 관절순의 해부학적 정복 및 술 후 잘 조절된 재활치료를 시행할 경우, 좋은 결과를 얻을 수 있다. 치료 방법의 선택 시 가장 중요한 요소는 환자의 원하는 결과를 만족 시켜줄 수 있는 치료 방법을 선택하는 것이며, 이는 불안정성의 원인, 정도, 탈구의 횟수, 환자의 활동도 및 재활 의지등을 종합적으로 감안하여 결정되어야 한다.

• The Safety technology
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• no.110
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• pp.74-75
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• 2007

사람의 외모를 나타내는 요소 중 하나인 모발은 그 사람의 새로운 이미지를 연출하기도 하고, 자신만의 개성과 자신감이 창출하기도 한다. 이런 측면에서 대머리 남성들은 대머리가 아닌 남성들에 비해 자신의 외모에 대한 자신감이 많이 결여되어 있을 뿐 아니라 심리적 측면에서도 심각한 영향을 준다. 탈모가 이들 남성에게 심각한 스트레스를 주는 이유는 머리숱이 적은 대머리 남성이 호감을 덜 주며, 10년은 더 늙어 보이기 때문이라고 한다. 모발은 사람의 첫인상을 결정짓는 중요한 요소라 보면 탈모증 환자들은 탈모로 인하여 자신의 신체상:Body Image)에 부정적이거나 만족하지 못하게 된다. 탈모 경험이 없는 사람들은 절대로 알지 못하는 그들만의 고민을 경희대병원에서 탈모환자들을 대상으로 설문조사를 벌였다.