• 한국정보과학회:학술대회논문집
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• 한국정보과학회 2011년도 한국컴퓨터종합학술대회논문집 Vol.38 No.1(B)
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• pp.114-115
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• 2011

Chronic disease may leads to other life threatening health complications like heart disease, stroke, diabetes and peripheral vascular disease that diminished quality of life. This paper points out the importance of social interaction and smart space integration in existing CDSS for chronic diseases. Social interaction allows the patients to interact with system, through this continuous learning and digesting patient experience, our CDSS becomes intelligent and dynamically enhanced. Smart spaces automatically provide new knowledge and construct the behavioral profile by monitoring the daily life activities. Through these features, patients can get continuous relevant recommendations from the system, so they can get a chance to improve their health condition which in terms keeping on their quality of life. It also helps the health practitioners in better decision making about medication and living patterns.

• 한국비블리아학회지
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• 제24권4호
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• pp.99-113
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• 2013

본 연구는 학술지를 이용한 동시인용분석을 통해 문헌정보학 분야의 지적구조를 분석하고자 하였다. Journal Citation Reports의 Journal Impact Factor를 바탕으로 선택한 문헌정보학 분야의 30개 학술지를 대상으로 조사된 동시인용 수치를 이용하여 네트워크 분석을 시행하였으며, 이 연구의 결과를 통해 어떤 학술지가 이 분야의 주요한(core) 학술지이며 그렇지 않은 학술지는 어떤 것들이 있는지 파악할 수 있다. 네트워크 분석을 통해 비교적 간단한 방법으로 얻어진 결과임에도 불구하고, 군집분석이나 다차원축적법 같은 통계적 접근법을 통한 대부분의 지적구조분석과 매우 유사한 결과를 보여주었다.

• Archives of Plastic Surgery
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• 제45권5호
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• pp.479-483
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• 2018

Malignant peripheral nerve sheath tumor (MPNST) is a very rare type of sarcoma, with an incidence of 0.001%. MPNST has a 5-year survival rate near 80%, so successful reconstruction techniques are important to ensure the patient's quality of life. Sarcoma of the forearm is known for its poor prognosis, which leads to wider excision, making reconstruction even more challenging due to the unique anatomical structure and delicate function of the forearm. A 44-year-old male presented with a large mass that had two aspects, measuring $9{\times}6cm$ and $7{\times}5cm$, on the dorsal aspect of the right forearm. The extensor compartment muscles (EDM, EDC, EIP, EPB, EPL, ECRB, ECRL, APL) and invaded radius were resected with the mass. Tendon transfer of the entire extensor compartment with skin defect coverage using a $24{\times}8cm$ anterolateral thigh (ALT) perforator free flap was performed. The patient was discharged after 18 days without wound complications, and has not complained of discomfort during supination, pronation, or wrist extension/flexion through 3 years of follow-up. To our knowledge, this is the first report of successful reconstruction of the entire forearm extensor compartment with ALT free flap coverage after resection of MPNST.

• 대한전기학회:학술대회논문집
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• 대한전기학회 1987년도 전기.전자공학 학술대회 논문집(II)
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• pp.1329-1332
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• 1987

This paper describes a design of the expert system for diagnosis of abnormal gait patients. This system makes the rule-based representation that can easily extend the knowledge-base and naturally represent the uncertainty, and the inference engine that uses forward chaining which covers the reasoning from the first condition to the goal. The results of inferring various maladies using this system are as follows: 1) In cases of progressive muscular dystrophy, cerebral vascular accident, peripheral neuropathic lesion and peroneal nerve injury, the result of inference is the same as that of medical specialists' with 100% accuracy. 2) In cases of Neuritis, Paralysis agitan and Brain tumor, the accuracy of inference is less than 50% compared to that of medical specialists. With above results, we decide that the rule-based representations of some maladies ard accurate relatively, but that the correction and the extention of some rules and some methods of problem solving are required in order to construct the complete expert system for diagnosis of abnormal gait patients.

• The Journal of Korean Physical Therapy
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• 제13권1호
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• pp.219-227
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• 2001

Capsaicin. a vanillyl amide(8-methy1-N-vanilly1-6-nonenamide) with a molecular weight of 305.42, was substance, interrupting the pain conducting pathway Until recently the neurotoxic effects of Capsaicin to adult animals were thought to be limited to the peripheral nervous system. But several reports suggest the possibility of central nervous system changes after Capsaicin administration to the adult rat. Capsaicin desensitization is defined as long lasting, reversible suppression of sensory neuron activity. How fast and for how long the desensitization develops is related to the dose and time of exposure to Capsaicin, and the interval between consecutive dosing. In the long term Capsaicin treatment can lead to morphological degeneration and changes in some small sensory neurons, predominantly unmyelinated C fiber afferent nerve fibers. Clinical interest has recently been roused by evidence that Capsaicin's desensitizing action may be of therapeutic value and that an endogenous Capsaicin-1 ike substance may exist. This study summarizes the fundamental knowledge(mechanism, receptors, et al of Capsaicin) of Capsaicin for physical therapists.

• Clinical and Experimental Pediatrics
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• 제59권sup1호
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• pp.72-75
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• 2016

Eosinophilic gastroenteritis is a rare disease characterized by prominent eosinophilic tissue infiltration of the gastrointestinal tract. Here, we report a case of eosinophilic gastroenteritis in an 18-year-old patient with prolonged nephrotic syndrome who presented with abdominal pain and peripheral hypereosinophilia. During the previous 2 years, he had visited local Emergency Department several times because of epigastric pain and nausea. He had been treated with steroid-dependent nephrotic syndrome since 3 years of age. Tests ruled out allergic and parasitic disease etiologies. Gastroduodenoscopy with biopsy revealed marked eosinophilic infiltration in the duodenum. Renal biopsy findings indicated minimal change disease spectrum without eosinophilic infiltration. The oral deflazacort dosage was increased, and the patient was discharged after abdominal pain resolved. To our knowledge, this is the first report of eosinophilic gastroenteritis in a patient with minimal change disease.

• Journal of Korean Neurosurgical Society
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• 제54권5호
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• pp.423-425
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• 2013

We present a case report to remind surgeons of this unusual complication that can occur in any surgery, even posterior cervical spine surgery under general anesthesia and discuss its causes, treatment methods, and the follow-up results in the literature. The peripheral Tapia's syndrome is a rare complication of anesthetic airway management. Main symptoms are hoarseness of voice and difficulty of tongue movement. Tapia's syndrome after endotracheal general anesthesia is believed to be due to pressure neuropathy of the vagus nerve and the hypoglossal nerve caused by the endotracheal tube. To our knowledge, no report has been published or given an explanation for Tapia's syndrome after posterior cervical spine surgery. Two patients who underwent posterior cervical surgery complained hoarseness and tongue palsy postoperatively. There is no direct anatomical relation between the operation, the vagus nerves and the hypoglossal nerves, and there is no record of displacement or malposition of the endotracheal tube. After several months, all symptoms are resolved. To avoid this problem in posterior cervical spine surgery, we suggest paying special attention to the position of the endotracheal tube to avoid excessive neck flexion before and during the positioning of the patient.

• Journal of Genetic Medicine
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• 제8권1호
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• pp.58-61
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• 2011

저자들은 출생 후 소두증 및 양안격리증과 넓은 콧마루, 얇은 입술 등의 특징정인 얼굴 모습, 손가락마디 융합증과 근위부에 위치한 엄지 손가락 등의 손의 기형이 있으면서 양측 청력 장애와 진행하는 관절의 구축을 보였던 남아의 염색체 검사에서 17번 염색체 장완의 q22-q24 부분의 염색체내 결손(interstitial deletion)을 확인한 1례를 경험하였으며 이는 국내 첫 보고이다.

• Journal of Yeungnam Medical Science
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• 제18권2호
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• pp.170-186
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• 2001

Musculoskeletal ultrasound (MSUS) has newly evolved by the mechanical improvement of the machine over past several years, becoming a part of imaging techniques for the evaluation of variable diseases in the musculoskeletal system. MSUS has proven diagnostic superiority in pathologies including rotator cuff disease of the shoulder, lateral epicondylitis of the elbow, diseases of the peripheral nerve, detection of intra-articular loose bodies and soft tissue foreign bodies, and in evaluating small superficial soft tissue tumors such as ganglion, epidermoid cyst, and glomus tumor. Besides, MSUS is very useful for obtaining tissue or fluid via percutaneous fine needle aspiration and/or biopsy for the histopathologic diagnosis. Combining MSUS with MR would play a great role in the field of the diagnostic imaging of the musculoskeletal system. The MSUS examiner should have the knowledge of cross-sectional anatomy, and of the mechanical and physical properties of ultrasound in order to interpret the ultrasound findings accurately and properly, and to avoid diagnostic errors due to variable artifacts subsequently. The goal of this article is to introduce the capabilities of MSUS in certain kinds of clinical situation and to familiarize the reader with MSUS. For the purpose, author intends to describe this article according not to the disease-, or organ-based, but to the clinical problem-based format.

• 지역사회간호학회지
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• 제29권2호
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• pp.206-219
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• 2018

Purpose: This study tries to identify and clarify the concept of fear of dementia. Methods: The hybrid model method was used to perform a conceptual analysis of fear for dementia. Results from both the theoretical review of 35 studies and the field study with 8 community-dwelling older adults were included in the final stage. Results: Fear for dementia had 4 dimensions with 14 attributes including cognitive factors (direct experience of precursor symptoms of dementia, indirect experience of dementia, preliminary knowledge of dementia, impossibility of cognitive control, and confidence in dementia), emotional factors (negative feelings and pessimistic thoughts), social factors (social isolation, economic instability, embarrassment), and behavioral factors (existing health problems, making efforts to maintain health, impossibility of body control, peripheral autonomic nervous system response) along with 34 indicators. Conclusion: This study is meaningful because it reveals the attributes of Korean elderly adults' fear for dementia. In addition, the results may serve as a basis for the early assessment and management of fear for dementia.