• Korean Journal of Radiology
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• v.22 no.10
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• pp.1640-1649
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• 2021

Objective: Flattening in the anteroposterior direction (AP flattening) of the terminal ileum (TI) or sigmoid colon (SC) lying across the psoas muscle, on magnetic resonance enterography (MRE), might mimic bowel inflammation in the coronal view. This study investigated the prevalence of AP flattening and the factors associated with its development. Materials and Methods: A total of 364 surgery-naïve patients with Crohn's disease (CD) who had undergone MRE were retrospectively reviewed. AP flattening was defined as a luminal collapse in the anteroposterior direction, with a bowel width in the axial plane < 1/4 of the normal diameter without reduction of bowel width in coronal images. The prevalence of AP flattening of the TI and SC on MRE in patients with bowel segments lying across the psoas muscle was determined. We further compared the rate of AP flattening between MRE and computed tomography enterography (CTE) in a subcohort of patients with prior CTE. The factors associated with AP flattening were analyzed using multivariable logistic regression in a subcohort of patients with endoscopic findings of TI. Results: Three hundred and twenty-two and 363 patients, respectively, had TI and SC lying across the psoas muscle. The prevalence of AP flattening on MRE was 7.5% (24/322) in TI and 5.2% (19/363) in SC. The prevalences were significantly higher on MRE than on CTE in both the TI (7.3% [12/164] vs. 0.6% [1/164]; p = 0.003) and SC (5.8% [11/190] vs. 1.6% [3/190]; p = 0.039). AP flattening of the TI was independently and strongly associated with the absence of CD inflammation on endoscopy, with an adjusted odds ratio of 0.066 (p = 0.003) for the presence versus the absence (reference) of inflammation. Conclusion: AP flattening of the TI or SC lying across the psoas muscle was uncommon and predominantly observed on MRE of the bowel without CD inflammation.

• Proceedings of the KOSOMBE Conference
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• v.1995 no.11
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• pp.257-261
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• 1995

Confocal laser scanning microscopy (CLSM)는 기존의 coherent or incoherent microscopic imaging 보다 횡축 방향 (lateral direction)으로 고해상도를 가지며, 층과 층 사이를 구분하는 광축 방향 (axial direction)의 optical sectioning에 의해 샘플의 3D 구조를 고해상도로 영상화함으로써 3D 구조 및 생체 기능 분석을 가능하게 해 준다. 본 논문에서는 CLSM에 의한 3D 영상화 원리와 촛점면 부근에서 얻어지는 광세기 분포, 얻어진 2D slice 영상의 시각화 및 응용에 대해 논의된다.

• Journal of Biomedical Engineering Research
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• v.8 no.1
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• pp.75-80
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• 1987

With the conventional CW Doppler velocity meter, bl-directional velocities cannot be separated. The new CW Doppler system uses quadrature detection and phase rotation to produce simultaneous independent audio and velocity signals for forward and reverse blood flow direction, is fabricated. Specially, this system shows that phase rotation method for flow direction separation provides easy and satisfactory feature. From in vivo blood flow measurement, we can easily differentiate typical artery flow from vein flow, and measure both velocity characteristics qualitatively.

• Journal of Korean Neurosurgical Society
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• v.58 no.2
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• pp.107-111
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• 2015

Objective : Patients treated with surgical clipping for anterior communicating artery (A-com) aneurysm often complain of anosmia, which can markedly impede their quality of life. We introduce a simple and useful technique to reduce postoperative olfactory dysfunction in A-com aneurysm surgery. Methods : We retrospectively reviewed the medical records of patients who underwent surgical clipping for unruptured aneurysm from 2011-2013 by the same senior attending physician. Since March 2012, olfactory protection using gelfoam and fibrin glue was applied in A-com aneurysm surgery. Therefore we categorized patients in two groups from this time-protected group and unprotected group. Results : Of the 63 enrolled patients, 16 patients showed postoperative olfactory dysfunction-including 8 anosmia patients (protected group : unprotected group=1 : 7) and 8 hyposmia patients (protected group : unprotected group=2 : 6). Thirty five patients who received olfactory protection during surgery showed a lower rate of anosmia (p=0.037, OR 10.516, 95% CI 1.159-95.449) and olfactory dysfunction (p=0.003, OR 8.693, 95% CI 2.138-35.356). Superior direction of the aneurysm was also associated with a risk of olfactory dysfunction (p=0.015, OR 5.535, 95% CI 1.390-22.039). Conclusion : Superior direction of aneurysm appears associated with postoperative olfactory dysfunction. Olfactory protection using gelfoam and fibrin glue could be a simple, safe, and useful method to preserve olfactory function during A-com aneurysm surgery.

• Radiation Oncology Journal
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• v.36 no.3
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• pp.227-234
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• 2018

Purpose: We compared how doses delivered via two-dimensional (2D) intracavitary brachytherapy (ICBT) and three-dimensional (3D) ICBT varied anatomically. Materials and Methods: A total of 50 patients who received 30 Gy of 3D ICBT after external radiotherapy (RT) were enrolled. We compared the doses of the actual 3D and 2D ICBT plans among patients grouped according to six anatomical variations: differences in a small-bowel V_2Gy, small bowel circumference, the direction of bladder distension, bladder volume, sigmoid V_3.5Gy, and sigmoid circumference. Seven dose parameters were measured in line with the EMBRACE recommendations. Results: In terms of bladder volume, the bladder and small-bowel D_2cc values were lower in the 150-250 mL bladder volume subgroup; and the rectum, sigmoid, and bladder D_2mL values were all lower in the >250 mL subgroup, for 3D vs. 2D ICBT. In the sigmoid V_3.5Gy >2 _mL subgroup, the sigmoid and bladder D_2mL values were significantly lower for 3D than 2D ICBT. The bladder D_2mL value was also significantly lower for 3D ICBT, as reflected by the sigmoid circumference. In patients with a small bowel V_2.0Gy >10 mL or small bowel circumference >15%, most dose parameters were significantly lower for 3D than 2D ICBT. The bladder distension direction did not significantly affect the doses. Conclusion: Compared to 2D ICBT, a greater bladder volume can reduce the internal 3D ICBT organ dose without affecting the target dose.

• Journal of the Korea Society of Computer and Information
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• v.25 no.4
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• pp.149-156
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• 2020

In the Fourth Industrial Revolution, successful cases using big data in various industries are reported. This paper examines cases that successfully use big data in the medical industry to develop the service and draws implications in value that big data create. The related work introduces big data technology in the medical field and cases of eight innovative service in the big data service are explained. In the introduction, the overall structure of the study is mentioned by describing the background and direction of this study. In the literature study, we explain the definition and concept of big data, and the use of big data in the medical industry. Next, this study describes the several cases, such as technologies using national health information and personal genetic information for the study of diseases, personal health services using personal biometric information, use of medical data for efficiency of business processes, and medical big data for the development of new medicines. In the conclusion, we intend to provide direction for the academic and business implications of this study, as well as how the results of the study can help the domestic medical industry.

• Korean Journal of Artificial Intelligence
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• v.10 no.2
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• pp.13-18
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• 2022

The role of artificial medical intelligence through medical big data has been focused on data-based medical device business and medical service technology development in the field of diagnostic examination of the patient's current condition, clinical decision support, and patient monitoring and management. Recently, with the 4th Industrial Revolution, the medical field changed the medical treatment paradigm from the method of treatment based on the knowledge and experience of doctors in the past to the form of receiving the help of high-precision medical intelligence based on medical data. In addition, due to the spread of non-face-to-face treatment due to the COVID-19 pandemic, it is expected that the era of telemedicine, in which patients will be treated by doctors at home rather than hospitals, will soon come. It can be said that artificial medical intelligence plays a big role at the center of this paradigm shift in prevention-centered treatment rather than treatment. Based on big data, this paper analyzes the current status of artificial intelligence technology for chronic disease patients, market trends, and domestic and foreign company trends to predict the expected effect and future development direction of artificial intelligence technology for chronic disease patients. In addition, it is intended to present the necessity of developing digital therapeutics that can provide various medical services to chronically ill patients and serve as medical support to clinicians.

• Proceedings of the Korean Institute of Interior Design Conference
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• 2006.05a
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• pp.55-58
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• 2006

There can be two definitions of modern ideal medical surroundings. One is medical services satisfied patients' with their desire and the other is places suited to remedy realized by rational operation. Particularly, in case of dental service, there is a need for an effective regard of moving lines and there are many rooms for a dental service belonged to a curer and not a curer. So a design has been developed by many concerns. flow do we proffer more familiar and comfortable places to both a curer and not a cuter. Nowadays, the design is making progress to the unprecedented and up-to-date direction. I would suggest a general plan used by a nature of an original art for this design. The design used by a nature between human beings and things is able to induce comforts and intimacies. So to speak, I would like to remove artificial design and keep up organic lines, shapes and forms of a nature like it is. This study grasps the organizational limitation of this design and the visual characteristic of organic forms used by harmonious image of a nature and a new way is applied to limited medical places, a dental service, based on the study. Also, I'm go to examine the meaning and worth of a new design and suggest the direction of it.

• Journal of Korean Public Health Nursing
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• v.29 no.3
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• pp.412-425
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• 2015

Purpose: This study was conducted to understand the trend in research by analyzing previous studies related to the case management of Medicaid and to explore the direction of future research. Methods: Thirty three studies conducted from January 2003 to June 2015 were analyzed according to characteristics of researchers and subjects, research methods, measurable variables, and key words. Results: Of the studies analyzed, 69.7% were conducted on Medicaid beneficiaries, and 65.6% were conducted on the group of high risk for over medical utilization. The mainly used research design was a survey study design, which was 51.5% of them, followed by experimental (24.2%), and qualitative (12.1%) study design. Most frequently measured variables were medical utilization (62.5%), needs for case management (41.7%), and health status (25.0%). The topics most frequently studied were related to medical utilization, effect of case management, self-care, and program development in Medicaid beneficiaries and job and socio-psychological factors in case managers. Conclusion: The future direction of nursing research in Medicaid case management is to be vitalized through the expansion of the research population, and concretization and diversification of the research topics. In addition, conduct of further studies on intervention strategies and contents for improving quality of case management program is also needed.

• Proceedings of the Korean Institute of Interior Design Conference
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• 2005.05a
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• pp.35-39
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• 2005

There can be two definitions of modern ideal medical surroundings. One is medical services satisfied patients' with their desire and the other is places suited to remedy realized by rational operation. Particularly, in case of dental service, there is a need for an effective regard of moving lines and there are many rooms for a dental service belonged to a curer and not a curer. So a design has been developed by many concerns. How do we proffer more familiar and comfortable places to both a curer and not a curer. Nowadays, the design is making progress to the unprecedented and up-to-date direction. I would suggest a general plan used by a nature of an original art for this design. The design used by a nature between human beings and things is able to induce comforts and intimacies. So to speak, I would like to remove artificial design and keep up organic lines, shapes and forms of a nature like it is. This study grasps the organizational limitation of this design and the visual characteristic of organic forms used by harmonious image of a nature and a new way is applied to limited medical places, a dental service, based on the study. Also, I'm go to examine the meaning and worth of a new design and suggest the direction of it.