• Healthcare Informatics Research
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• 제24권4호
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• pp.371-375
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• 2018

Objectives: To successfully introduce an Internet of Things (IoT) system in the hospital environment, this study aimed to identify issues that should be considered while implementing an IoT based on a user demand survey and practical experiences in implementing IoT environment monitoring systems. Methods: In a field test, two types of IoT monitoring systems (on-premises and cloud) were used in Department of Laboratory Medicine and tested for approximately 10 months from June 16, 2016 to April 30, 2017. Information was collected regarding the issues that arose during the implementation process. Results: A total of five issues were identified: sensing and measuring, transmission method, power supply, sensor module shape, and accessibility. Conclusions: It is expected that, with sufficient consideration of the various issues derived from this study, IoT monitoring systems can be applied to other areas, such as device interconnection, remote patient monitoring, and equipment/environmental monitoring.

• Archives of Plastic Surgery
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• 제49권1호
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• pp.19-24
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• 2022

Background Blepharoplasty has both aesthetic and functional benefits in patients with pseudoptosis; however, previous studies could not demonstrate its beneficial effects quantitatively and objectively. The authors objectively analyzed the visual field before and after surgery and investigated whether measurements of the visual field can be applied as a suitable predictor of surgical outcomes. Methods In total, 18 eyelids in nine patients with pseudoptosis who had undergone simple skin excision blepharoplasty were evaluated prospectively from February to May 2016. The visual fields were analyzed preoperatively and 3 months postoperatively using the Goldmann kinetic perimetry test. The visual field test area was assessed using Adobe Photoshop. Results Blepharoplasty had an average 4.99-fold beneficial effect on the superior visual field. In particular, more improvement was seen in the superior temporal quadrant than in the nasal quadrant. No correlation was found between the preoperative margin-to-reflex distance 1 (MRD1) and the surgical outcome (P=0.119). However, there was a strong correlation between the preoperative superior visual field and the surgical outcome (P=0.001). Conclusions Using the Goldmann kinetic perimetry test, we objectively and quantitatively proved the beneficial effect of blepharoplasty on patients with pseudoptosis. Furthermore, we demonstrated that the preoperative visual field is a better preoperative surgical outcome predictive factor than the preoperative MRD1.

• 한국도서관정보학회지
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• 제49권4호
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• pp.237-263
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• 2018

본 연구에서는 의료분야 관련 도서관 유형을 모두 도출하여 각 도서관에 대한 개념을 분석함으로써, 혼용되어 사용되어지고 있는 의료분야 관련 도서관들의 명칭 및 개념을 명확히 정의하고, 도서관 유형 및 관종 구분, 관련한 법적 개선사항 등을 도출하고자 하였다. 그 결과, 첫째, 의료분야 관련 도서관의 개념을 정리하였으며, 의료분야 도서관 간의 유형 및 관계성에 대해 종합정리하였다. 둘째, 현재 부재한 병원도서관의 기준을 국내외 연구 및 기준들을 기반으로 제시하였다. 마지막으로 향후 의료분야 관련 도서관의 활성화를 위해 의료분야 관련 도서관의 실태조사가 필요하며, 국가적 정책의 일환으로 병원급 이상의 공립병원에 우선적으로 병원도서관 설치 의무화를 제안하였다.

• 한국병원경영학회지
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• 제28권4호
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• pp.33-46
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• 2023

Purpose: This study analyzed the research published in KCI-registered journals related to healthcare marketing for the last 27 years from 1995 to 2022 to identify academic research trends, the specificity of the healthcare field and to suggest future research directions. Methodology: A total of 213 articles were selected for this study, and a descriptive analysis of the period and journals was conducted, as well as the analysis of research topics and keywords from the perspective of marketing strategy factors and performance factors. Findings: A total of 213 articles related to healthcare marketing have been published in the last 27 years. The descriptive analysis showed a steady quantitative increase, but the STP field showed a decreasing trend, and many papers were mainly published in the Korean Journal of Hospital Management. According to the analysis of research topics and keywords, STP field will be hard to become an active research topic in the future, and even in the 7P field, only Product, People, and Process can be researched according to medical law regulations, and other factors such as PX & WOM, CRM, and the Internet fields are expected to be research topics. Implications: Through the analysis of research trends over the past 27 years, we were able to identify the specificity of the healthcare marketing field in Korea and suggest future research directions based on this.

• 대한방사선치료학회지
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• 제23권2호
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• pp.109-117
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• 2011

목 적: 호흡에 의하여 영향을 받는 장기의 토모 치료 시 선속 폭(Field Width) 변화에 따른 종양 용적선량의 선량 전달 정확성을 분석하고 자체 제작한 Moving car를 사용하여 선량 변화의 차이를 확인하고 실질적인 종양 선량의 전달 선량을 평가해 보고자 한다. 대상 및 방법: 자체 제작한 Moving car를 사용하여 종축 움직임 차이(0.0 cm, 1.0 cm, 1.5 cm, 2.0 cm)를 적용하고 선속 폭(Field Width) 변화(1.05 cm, 2.50 cm, 5.02 cm)에 따른 측정된 선량의 값을 계산된 선량 값과 비교하여 오차범위를 파악하였다. Gafchromic EBT 필름을 이용하여 측정한 DQA (Delivery Quality Assurance) 필름의 감광정도를 선량윤곽(Dose Profile)과 Gamma Histogram을 이용하여 비교 분석하였다. 결 과: 선속 폭(Field Width) 1.05 cm, 2.50 cm, 5.02 cm일 때 오차범위가 각각 -2.00%, -0.39%, -2.55%의 선량 전달율을 나타내었다. Gafchromic EBT 필름 분석의 선량 윤곽(Dose profile)에서는 Moving car의 움직임이 있는 상태에서 종축방향으로의 움직임이 클수록, 선속 폭(Field Width)이 좁아질수록 고선량 부분에서 계산된 선량과의 오차가 크게 나타났다. Gamma histogram에서는 gamma index가 선속 폭(Field Width)이 좁을수록 움직임의 영향이 상당히 증가하는 것을 알 수 있었다. 결 론: 자체 제작한 Moving car를 이용하여 움직이는 장기의 종축선량 차이를 확인할 수 있었으며 토모 치료 시 선속 폭(Field Width)을 작게 하고 호흡에 의한 장기의 움직임을 최소화하기 위하여 호흡조절 장치와 고정기구의 개발이 필요하리라 사료된다.

• Investigative Magnetic Resonance Imaging
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• 제19권2호
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• pp.99-106
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• 2015

Purpose: To investigate factors influencing the evaluation of background parenchymal enhancement (BPE) at follow-up breast magnetic resonance imaging (MRI) after adjuvant endocrine therapy. Materials and Methods: One hundred twelve women with breast cancer and MRI of the contralateral unaffected breast before and after endocrine therapy were identified. Two readers in consensus performed blinded side-by-side comparison of BPE (minimal, mild, moderate, and marked) before and after therapy with categorical scales. Age, body mass index, menopausal status, treatment regimen (selective estrogen receptor modulator or aromatase inhibitor), chemotherapy, follow-up duration, BPE at baseline MRI, MRI field strength before and after therapy, and recurrence were analyzed for their influences on decreased BPE. Results: Younger age, premenopausal status, treatment with selective estrogen receptor modulator, MRI field strength, and moderate or marked baseline BPE were significantly associated with decreased BPE. In multivariate analysis, MRI field strength and baseline BPE showed a significant association. Conclusion: MRI field strength and baseline BPE before and after therapy .were associated with decreased BPE at post-therapy, follow-up MRI.

• Genomics & Informatics
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• 제11권4호
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• pp.174-179
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• 2013

The large amount of data on cancer genome research has contributed to our understanding of cancer biology. Indeed, the genomics approach has a strong advantage for analyzing multi-factorial and complicated problems, such as cancer. It is time to think about the actual usage of cancer genomics in the clinical field. The clinical cancer field has lots of unmet needs in the management of cancer patients, which has been defined in the pre-genomic era. Unmet clinical needs are not well known to bioinformaticians and even non-clinician cancer scientists. A personalized approach in the clinical field will bring potential additional challenges to cancer genomics, because most data to now have been population-based rather than individualbased. We can maximize the use of cancer genomics in the clinical field if cancer scientists, bioinformaticians, and clinicians think and work together in solving unmet clinical needs. In this review, we present one imaginary case of a cancer patient, with which we can think about unmet clinical needs to solve with cancer genomics in the diagnosis, prediction of prognosis, monitoring the status of cancer, and personalized treatment decision.

• PNF and Movement
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• 제12권2호
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• pp.81-88
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• 2014

Purpose: The purpose of this study is to examine the needs of prior field learning and the academic achievement of field experience learning in a college. Methods: This study was performed from May 1 to October 30, and students were given questionnaire. The research questionnaire as follows: (1) to investigate the academic achievement after field experience learning, (2) to verify the needs of field experience learning. A statistical analysis was performed using SPSS 17.0 for window version. Results: The results was as follows : First, satisfaction of field learning had scored good(47.2%) in lesson goal, good(51.8%) in acquisition of knowledge and techniques, good(51.0%) in preparation of study and good(45.9%) in association. Second, curriculum of field learning had scored normal(35.5%) in prior education, good(47.4%) in composition, good(50.8%) in guidance and good(47.2%) in contents. Third, curriculum of field learning had scored good(44.6%) in duration, good(46.1%) in numbers, good(51.3%) in convenience and normal(38.1%) in means of transportation. Forth, needs of field learning had scored good(46.6%) in field learning of practicum, good(48.2%) in field learning of theory subject, 3-4 times(42.0%) in frequency of field learning and 2hours(57.3%) in a field learning hour. Conclusion: These findings suggest that college student's thinking of field experience learning is positive. Field experience learning provided that college students have directly an opportunity of gaining valuable experience to feel the field.

• Korean Journal of Ophthalmology
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• 제32권6호
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• pp.488-496
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• 2018

Purpose: This study aimed to analyze the factors influencing visual field recovery after transsphenoidal approach-tumor resection (TSA-TR) in pituitary adenoma patients with visual field defects (VFDs). Methods: We retrospectively evaluated 102 eyes of 102 patients with VFDs induced by pituitary adenomas who underwent TSA-TR between January 2010 and December 2015. All patients had been observed for more than one year. The severity of the VFD in each patient was evaluated using the mean deviation (MD) and pattern standard deviation in the most-affected eye. Clinical and demographic data such as preoperative visual acuity and visual field, age, sex, tumor volume, neurological symptoms at diagnosis, duration of symptoms, patterns of the preoperative VFD, and preoperative central VFD were investigated and analyzed for association with recovery of the visual field. Results: Recovery from VFDs occurred in 71 (69.6%) eyes after a mean period of $18.36{\pm}5.21$ months. The recovery group was younger (p = 0.003), had higher preoperative MD values (p = 0.016), and had better preoperative visual acuity (p = 0.03), compared with the non-recovery group. Preoperative central VFD (p = 0.006) and preoperative bilateral VFD (p = 0.016) were significantly less frequent in the recovery group. Multivariate logistic regression revealed that age at diagnosis (odds ratio [OR], 0.962; p = 0.022), preoperative MD (OR, 1.069; p = 0.046), preoperative central VFD (OR, 0.212; p = 0.039), and preoperative bilateral VFD (OR, 0.212; p = 0.035) were associated with visual field recovery after TSA-TR. Conclusions: Younger age, higher preoperative MD, and the preoperative abscence of central VFD or bilateral VFD were favorable factors influencing visual field recovery after TSA-TR in patients with pituitary adenomas. An understanding of the associated clinical factors may help predict visual outcomes after TSA-TR in pituitary adenoma patients with VFDs.

• 대한방사선기술학회지:방사선기술과학
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• 제10권1호
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• pp.25-29
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• 1987

To compensate density of abnormal lung field for density of normal lung field, used each cellulose paper calculated sensitometry and contrast. As apply clinic part to the result: We are able to compensate density of abnormal lung that is pleural effusion atelectasis, etc for normal lung. We believe this method is good one because the method is simple to change exposure and the material is cheap enough to be accessible to every one and easily buyable and we need not be afraid of loss of image quality.