• Title/Summary/Keyword: Jang, Taek Sang

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치면열구전색술(치아홈메우기) 건강보험 급여기준 개발

  • Lee, Sang-Ho;Lee, Gwang-Hui;Jang, Gi-Taek
    • Journal of the korean academy of Pediatric Dentistry
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    • v.36 no.4
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    • pp.654-666
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    • 2009
  • 우식활성이 높은 어린이와 청소년 전체를 수용할 수 있는 치면열구전색(치아홈메우기) 사업의 확대 재생산을 위한 방안으로 건강보험 급여에 포함하는 정책이 2009년 12월부터 실시됨에 따라 본 연구는 급여화 기준 설정, 상대가치지수 개발 및 수가산정, 소요 재정추계 등, 급여화 운용을 위한 제반사항을 연구, 개발하는데 그 목적이 있다. 본 연구에서는 치면열구전색술의 적응증, 실시연령, 대상치아등에 대해 문헌고찰과 함께 상기 항목에 대한 정책적인 면에서의 검토를 시행하였으며, 치과의사를 대상으로 전국규모의 설문조사를 실시하여 치면열구전색술의 상대가치지수(RBRVS)와 연계한 의사업무량을 산출하고, 행위 기술서를 작성하였으며, 직접 및 간접비용의 세부내역 산출하였다. 도출된 상대가치지수를 바탕으로 예상수가를 산정하였으며 이를 근거로 대상 연령 및 대상치아, 의료 이용율 대비 재정추계 시행하였다. 이와함께 치면열구전색술의 급여화 순조로운 정착을 위한 외국사례 연구, 보험적용추진을 위해 치면열구전색의 유지율 및 비용효과, 예방적 레진수복과의 차등화문제, 재료적 고찰, 대국민 및 시술기관 대상 홍보 사항 등 급여화에 관련된 제반 사항을 검토, 제안하였다.

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Two Cases of Spinal Epidural Abscess in Hemodialysis Patients

  • Kim, Young Hwan;Yoo, Jin Taek;Jung, Soon Myung;Kwon, Sang Chang;Ryu, Seung Min;Jang, Mun;Choi, Jung
    • Journal of Yeungnam Medical Science
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    • v.30 no.1
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    • pp.36-38
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    • 2013
  • While epidural abscesses are rare in hemodialysis patients, they can cause severe neurological complications that can be fatal because only nonspecific symptoms appear in the early stages of the infection. Their incidence increased recently due to intravenous drug abuse, invasive spinal surgery, percutaneous vertebral procedures, and the development of diagnostic modalities. The increased number of cases is related to the use of dialysis catheters in hemodialysis patients. If a patient has fever and back pain, doctors should eliminate the possibility of other common diseases and consider spinal epidural infection. Early diagnosis and proper treatment are important to prevent neurological complications. In this paper, the symptoms, blood work, magnetic resonanceimaging (MRI) findings, and clinical course of two hemodialysis patients who developed spinal epidural abscesses are described.

Evaluation of Hand- Arm Vibration of Steel Processing Factory Workers (금속가공 작업자의 국소진동 평가)

  • Youn, Jeong Taek;Park, Sang Kyu;Kim, So Yeon;Lee, Tae Yeoung;Jang, Jae Yeon
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.9 no.2
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    • pp.52-65
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    • 1999
  • This study was performed to evaluate the hand-arm vibration of the steel processing factory workers. Measurement, evaluation and as sessment were based on the International Standard(ISO 5349). The frequency weighted accelerations of the various hand-held tools and total exposure time were measured to assess the periods for the white finger symptom to occur. As a result, it was found that the air angle grinder and the air baby grinder are more harmful than other hand-held tools. It was also found that using various vibratory tools together is more harmful than using a single tool.

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A case of colonic lymphoid tissue invasion by Gymnophalloides seoi in a Korean man

  • SEO Min;CHUN Hokyung;AHN Geunghwan;JANG Kee-Taek;GUK Sang-Mee;CHAI Jong-Yil
    • Parasites, Hosts and Diseases
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    • v.44 no.1 s.137
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    • pp.87-89
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    • 2006
  • A 55-year old Korean man, living in Mokpo-city, Jeollanam-do, Republic of Korea, visited a local clinic complaining of right upper quadrant pain and indigestion. At colonoscopy, he was diagnosed as having a carcinoma of the ascending colon, and thus, a palliative right hemicolectomy was performed. Subsequently, an adult fluke of Gymnophalloides seoi was incidentally found in a surgical pathology specimen of the lymph node around the colon. The worm was found to have invaded gut lymphoid tissue, with characteristic morphologies of a large oral sucker, a small ventral sucker, and a ventral pit surrounded by strong muscle fibers. This is the first reported case of mucosal tissue invasion by G. seoi in the human intestinal tract.

Characterization and Pathogenicity of New Record of Anthracnose on Various Chili Varieties Caused by Colletotrichum scovillei in Korea

  • Oo, May Moe;Lim, GiTaek;Jang, Hyun A;Oh, Sang-Keun
    • Mycobiology
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    • v.45 no.3
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    • pp.184-191
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    • 2017
  • The anthracnose disease caused by Colletotrichum species is well-known as a major plant pathogen that primarily causes fruit rot in pepper and reduces its marketability. Thirty-five isolates representing species of Colletotrichum were obtained from chili fruits showing anthracnose disease symptoms in Chungcheongnam-do and Chungcheongbuk-do, South Korea. These 35 isolates were characterized according to morphological characteristics and nucleotide sequence data of internal transcribed spacer, glyceraldehyde-3-phosphate-dehydrogenase, and ${\beta}$-tubulin. The combined dataset shows that all of these 35 isolates were identified as C. scovillei and morphological characteristics were directly correlated with the nucleotide sequence data. Notably, these isolates were recorded for the first time as the causes of anthracnose caused by C. scovillei on pepper in Korea. Forty cultivars were used to investigate the pathogenicity and to identify the possible source of resistance. The result reveals that all of chili cultivars used in this study are susceptible to C. scovillei.

Study on the Ontology Linking by Acupuncture Terms (혈성(효능), 치법 용어를 통한 온톨로지 연계 연구)

  • Oh, Yong-Taek;Kim, Anna;Kim, Sang-Kyun;Jang, Hyun Chul
    • The Journal of the Korea Contents Association
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    • v.14 no.9
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    • pp.556-566
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    • 2014
  • Objectives : The goal of this paper is to enhance the percentage of linkages between an acupuncture point ontology and an acupuncture treatment ontology. Methods : Terms of the effect from acupuncture points and terms of the treatment method from diseases are selected in the ontologies. We have disassembled the terms into minimum meaning units and then linked them again. Results : By linking terms of the effect and terms of the treatment method, the meaninful information on the acupuncture point and treatment ontology is increased. Conclusions : The links between points for acupuncture points and treatment methods for diseases could improve the information in the ontologies. This also enables the knowledge representation for the use of acupuncture points with accompanied symptoms, causes of disease, and treatment methods.

Research for Standards of N-Screen Service Platform for Smart Public Services (스마트 공공서비스를 위한 N-스크린 서비스 플랫폼 표준규격에 대한 연구)

  • Lee, Jeong-Heon;Lee, Hee-Joo;Jeong, Un-Gyo;Lee, Seung-Taek;Jang, Youn-Sang;Kang, Sang-Ug
    • Journal of Digital Convergence
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    • v.10 no.1
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    • pp.277-291
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    • 2012
  • Smartphone (smartpad) and cloud computing has grown rapidly. So, the users started getting interested in multi-screen services. However, various OS / platforms due to the increased content development time and cost. Increase the cost of content development for a multi-screen service, it has been an obstacle. To solve this problem in this study, HTML5-based multi-screen service platform standards specification was established. HTML5 is a specification of the next generation of Web standards. Standards specification established by this study were research in terms of the service provider. And, this standards specification can be used independently of the service infrastructure and device. In addition, this standards specification in order to develop a multi-screen services are efficient and easy to use. For verification adequacy of standards specification established in this study, Scenarios technical entries were mapped by standard specification entries.

Evaluation of Watershed Turbid Water Risk using AHP method Dimension Estimation in River Basin (AHP기법을 이용한 댐 유역의 탁수 위험도 평가)

  • Choi, Dong-Jin;Yum, Kyung-Taek;Ryu, Tae-Sang;Han, Jang-Un;Lee, Geun-Sang
    • Proceedings of the Korea Water Resources Association Conference
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    • 2009.05a
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    • pp.1729-1733
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    • 2009
  • 유역에서의 수자원관리에 큰 과제로 대두되고 있는 댐의 탁수문제에 대한 종합적인 대책 마련을 위해서 국내 댐 유역의 탁수발생의 가능성과 탁수 발생시 피해 가능성에 대한 체계적인 검토가 이루어져야 한다. 본 연구에서는 댐의 탁수문제에 대한 종합적인 대책을 마련하기 위해 댐 유역의 탁수 위험도를 평가할 수 있는 방법을 개발하였다. 종합적인 탁수 위험성을 평가하기 위해서 탁수 평가지표를 개발하였고, 이를 통해서 5개 댐 유역에 대한 시범평가를 실시하였다. 탁수 위험도 평가를 위해서 평가 분야를 탁수 취약성과 탁수 피해성, 탁수 영향의 3가지 분야로 구분하여 계층화된 형태로 종합지표화하였고, AHP기법을 적용하여 평가분야와 세부평가지표에 대한 가중치를 결정하였다. 시범평가 결과 5개댐 중 실제 탁수발생 현상은 일부 댐에서만 높게 나타나고 있으나, 대부분의 댐들이 탁수발생 잠재성이 높은 것으로 확인되었다. 평가 대상 댐 중에서는 임하댐과 소양댐 순으로 종합적인 탁수위험도가 높은 것으로 나타났다. 탁수 평가 지표를 개발하기 위하여, 기존의 국내외의 조사결과 등을 토대로 90여개의 탁수관련 인자들을 탁수발생 잠재성, 과거 탁수 발생 여부, 탁수 영향 등의 3가지 분야로 분류하여 최종적으로 7가지의 세부평가항목(강우지표, 유역지질, 토사유출량, 최고탁도, 고탁도 지속기간, 용수이용량, 호소생태기능)을 결정하였다. 7가지의 지표들은 탁수와의 상관성을 고려하여 표준화시켰고, 세부 평가항목들의 가중합이 종합적인 평가지표가 되도록 하였다. 댐의 탁수 위험성에 대한 평가는 댐유역의 종합적인 탁수 위험도 평가와 분야별 평가, 댐별 세부항목 평가로 구분하여 이루어졌다. 시범평가는 국내의 주요 5개 수계별로 1개의 댐을 선정하여 이루어졌다. 추가적으로 AHP의 적용시 생길 수 있는 지표의 중복성과 상호연계성, 평가자의 편향 등으로 인한 문제들을 어떻게 해결하여야 하는지에 대해서도 검토하였다.

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C7 Posterior Fixation Using Intralaminar Screws : Early Clinical and Radiographic Outcome

  • Jang, Sang-Hoon;Hong, Jae-Taek;Kim, Il-Sup;Yeo, In-Sung;Son, Byung-Chul;Lee, Sang-Won
    • Journal of Korean Neurosurgical Society
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    • v.48 no.2
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    • pp.129-133
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    • 2010
  • Objective : The use of segmental instrumentation technique using pedicle screw has been increasingly popular in recent years owing to its biomechanical stability. Recently, intralaminar screws have been used as a potentially safer alternative to traditional fusion constructs involving fixation of C2 and the cervicothoracic junction including C7. However, to date, there have been few clinical series of C7 laminar screw fixation in the literature. Thus, the purpose of this study is to report our clinical experiences using C7 laminar screw and the early clinical outcome of this rather new fixation technique. Methods : Thirteen patients underwent C7 intralaminar fixation to treat lesions from trauma or degenerative disease. Seventeen intralaminar screws were placed at C7. The patients were assessed both clinically and radiographically with postoperative computed tomographic scans. Results : There was no violation of the screw into the spinal canal during the procedure and no neurological worsening or vascular injury from screw placement. The mean clinical and radiographic follow up was about 19 months, at which time there were no cases of screw pull-out, screw fracture or non-union. Complications included two cases of dorsal breech of intralaminar screw and one case of postoperative infection. Conclusion : Intralaminar screws can be potentially safe alternative technique for C7 fixation. Even though this technique cannot be used in the cases of C7 laminar fracture, large margin of safety and the ease of screw placement create a niche for this technique in the armamentarium of spine surgeons.

Mobile Application for Supporting Medical Treatment in Korean Medicine (한의 진료 지원 모바일 애플리케이션)

  • Kim, Sang Kyun;Oh, Yong Taek;Kim, An Na;Kim, Ji Young;Yea, Sang Jun;Kim, Chul;Jang, Hyun Chul
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.26 no.6
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    • pp.834-841
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    • 2012
  • We in this paper propose a mobile application for supporting medical treatment based on Korean medicine ontology. It has three processes for treating patients. First, after a pattern is decided for patient' symptoms, a formula for the pattern is selected and medicinal materials constituting the formula is added or removed. Second, formulas are searched and prescribed for patient's symptoms without the process of the pattern decision. Third, after medicinal materials are searched for patient's symptoms, formulas consisting of the medicinal materials are prescribed. Our application aims to help korean medicine doctors treat patients through providing decision supporting functions such as the recommendation of symptoms of diseases accompanying patient's symptom. Doctors generally diagnosis patients according to their experiences and knowledges. Nevertheless, our application can help them, providing diverse forms of information that they may miss in the medical treatment.