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A Comparison of Patterns of Emergency Care Between Resident and Staff (전공의와 전문의의 응급진료 형태에 대한 비교 연구 - 전공의 파업기간을 전후로 -)

  • Lee, Jeong-Heon;Shin, Im-Hee
    • Quality Improvement in Health Care
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    • v.10 no.1
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    • pp.20-27
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    • 2003
  • Background : The doctors' strike was not only a manmade disaster but also a chance to apply a new pattern of emergency medical service for patients. We hope to propose a new pattern of emergency medical service by comparing the patterns of emergency medical service given by resident and staff during the doctors' strike. Methods : We reviewed the medical records of patients who received emergency medical service in the Emergency Department(ED) of Deagu Catholic University Hospital during 3 days a week prior to the residents' strike (July 21-23, 2000) with those of patients receiving emergency medical service during the first 3 days of the residents' strike (July 28-30, 2000). We evaluated the patient's severity, the cause of the ED visit, the performance on the laboratory study, ECG, and radiological study, the disposition, and the length of ED stay. Also, we compared the collected data by presenting doctor and by patient's severity. Results : The staff performed fewer tests admitted fewer emergent and non-emergent patients than the residents. Also, the length of ED stay was shorter in both the emergent (212.76 vs. 321.40 minutes) and the non-emergent groups (117.68 vs. 171.39 minutes) for patients presenting to staff. Conclusion : It is desirable that emergency medical service is given by staff, not by resident.

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The Effects of Personalized Residential Environment Improvement on Occupational Performance Satisfaction and Activities of Daily Living : Case Studies in Stroke Patients (개인맞춤형 주거환경개선이 작업수행만족도 및 일상생활활동에 미치는 효과 : 뇌졸중 환자를 대상으로 한 사례연구)

  • Kim, Minho;Park, Sungho
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.1
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    • pp.41-51
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    • 2015
  • Purpose: The purpose of this study was to investigate the effects of personalized residential environment improvement on occupational performance satisfaction and activities of daily living(ADL) in stroke patients, and desire to use as the basis for presenting an effective method for improving the residential environment of the disabled patients. Method: This study has been carried out with 3 stroke patients undergoing therapy for rehabilitation at the S hospital from August 2014 to January 2015. Residential environment improvement was conducted based on the desired space. Occupational performance, satisfaction and ADL assessed by modified COPM, K-MBI. Intervention has provided grab bar and aids fit to the environment of each person. Result: After residential environment improvement, ADL score was improved, but improved scores for specific items only. In occupational performance and satisfaction, there was a significant difference. Conclusion: The results of this study were to find out that there is a positive effect of personalized residential environment improvement on occupational performance satisfaction and activities of daily living in stroke patients, could be used as a basis for presenting an effective way to residential environment improvement of the disabled patients.

Two Cases of Metastatic Cancer Presenting as A Cervical Cyst (경부 낭종의 형태로 발현한 전이암 2례)

  • Son Young-Ik;Baek Chung-Hwan;Ha Byung-Suk;Chang Byung-Chan
    • Korean Journal of Head & Neck Oncology
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    • v.13 no.2
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    • pp.260-264
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    • 1997
  • Metastatic cancer presenting as a cervical cyst is uncommon, and often misdiagnosed as branchial cleft cyst. Authors experienced two cases which presented clinically with features of branchial cleft cyst, but were subsequently found to be metastatic cancer. Radiologic examination and fine needle aspiration biopsy proved to be non-diagnostic, and pathologic findings after surgical excision showed metastatic cancer. Further evaluation and examination were made to find out the primary focus, which revealed tonsillar squamous cell cancer and thyroid papillary cancer in each case. When cervical cysts are noted in aged patients, it is mandatory to rule out metastatic cancer until it is proven otherwise. Surgical excision and pathologic diagnosis should be always accompanied to make correct diagnosis and further treatment.

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A Case of Chronic Granulomatous Inflammation of Thyroid Gland Presenting as a Painless Thyroid Nodule (무통성 결절 양상의 갑상선에 발생한 만성 육아종성 염증 1예)

  • Kwak, Seul Gi;Choi, Jeon Ha;Kim, Yoon Jung;Kim, Seung Woo
    • Korean Journal of Head & Neck Oncology
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    • v.29 no.2
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    • pp.83-86
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    • 2013
  • Some clinical diseases, such as granulomatous thyroiditis, tuberculosis, and sarcoidosis can cause granulomatous inflammation in thyroid, and theses have various clinical presentations. Granulomatous thyroiditis is an inflammation of thyroid gland, and may be painful and tender in case of infection, radiation, or trauma. Otherwise, autoimmune conditions, medications, or an idiopathic fibrosis may cause to be a painless thyroididtis. It is self-limited, possibly viral, inflammatory thyroid disorder usually presented with thyroid pain and systemic symptoms. Tuberculosis of the thyroid occurs only rarely and the patient may be asymptomatic. In thyroid sarcoidosis, most common findings are painless, progressive enlargement of the thyroid with normal function. We have experienced a case of chronic granulomatous inflammation of thyroid gland presenting as a painless thyroid nodule and report it with a review of literature.

Sensory Characteristics of Chilled Buckwheat Noodle Soup (mulnaengmyun) (묘사분석을 활용한 시판 물냉면의 평가 기법 확립 및 감각적 특성 분석)

  • Kim, Hyun-Jee;Chung, Seo-Jin;Kim, Miran;Hong, Jaehee
    • Journal of the Korean Society of Food Culture
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    • v.31 no.5
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    • pp.506-514
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    • 2016
  • The objective of this study was to investigate the effect of sample presenting types on the sensory characteristics of chilled buckwheat noodle soup (Naeng-myeon). Generic descriptive analysis was performed for evaluating only stock (system 1), only noodle (system 2) and stock with noodle (system 3). Eight kinds of commercially available Naeng-myeon were samples of interest. Ten female descriptive panelists participated. ANOVA and regression analysis were used for data analysis. In the training sessions, ten sensory properties were developed for system 1, four were additionally established for noodle. In each system, the 8 products showed significantly different intensities in almost all sensory attributes like darkness of stock, overall flavor, sweetness, saltiness, sourness. When integrating the two systems, sample presenting types showed significant difference for the seven sensory attributes, especially saltiness, sourness, beef flavor tended to be rated more strongly in system 1 than system 3.

The Development Process Model of Sports Fan Loyalty via CSR of Professional Sports Teams

  • CHA, Jaehyuk;LEE, Hwan-Yeol;SEO, Won Jae
    • Journal of Sport and Applied Science
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    • v.4 no.2
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    • pp.45-51
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    • 2020
  • Purpose: The purpose of this study is to investigate how sports fans' loyalty is built via CSR activities of professional sports teams. Furthermore, the study sought to suggest the model presenting the process of developing loyalty of sport fans by teams' CSR performance. Research design, data, and methodology: For this purpose, a survey was conducted on 450 professional sports fans through the convenience sampling method. A total of 357 of the data were used for the final analysis. Based on the collected data, frequency analysis, reliability analysis, confirmatory factor analysis, and structural equation model analysis were conducted. Results: The results showed that CSR activities contribute to building a positive image of team. Regarding fan identification, team image has also a positive effect on enhancing identification. The finding has supported the notion that attitudinal loyalty is enhanced by fan identification and further attitudinal loyalty significantly influences behavioural loyalty of fans. Conclusions: The results of this study explored the function of CSR of the teams on attitudinal and behavioural outcomes, loyalty. Moreover, the study suggested the constructual model presenting its role on enhancing fans' attitudes and behaviour affecting participation and consumption. Academic and practical implications were discussed for sport marketers and practitioners.

A Study on the RCM Development Using USN/ZigBee in Power Industry - ServiceScience Prototype - (전력산업에서 USN/ZigBee를 적용한 RCM 개발에 관한 연구 - 서비스사이언스 프로토타입 -)

  • Park, Jeong-Sun;Cho, Hong-Gi;Lee, Sang-Min;Lee, Dong-Nyuk
    • Journal of the Korea Safety Management & Science
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    • v.11 no.1
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    • pp.183-191
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    • 2009
  • The purposes of this research are presenting a new business model by introducing USN/ZigBee and measuring productivity using BSC(Balanced scorecard), and becoming a cornerstone by presenting a prototype of ServiceScience which is getting more attention from Industrial Engineering and Management. The new business model consists of development of leak current monitoring sensor using USN/ZigBee and the adoption of RCM(Reliability-Centered Maintenance) using knowledge-based system at current distribution. Additionally, for the measurement of this new model's productivity, ESC is used, and the strategic map and measurement indices are produced. The main contributions of this paper are showing a concrete model of ServiceScience and demonstrating this model can be extended to similar areas like are gas, water etc.

A comparison of clinical symptoms and magnetic resonance images in temporomandibular joint disorders (측두하악관절 장애 환자의 임상증상과 자기공명영상에 관한 비교 연구)

  • Choi Yong-Suk;Hwang Eui-Hwan;Lee Sang-Rae
    • Imaging Science in Dentistry
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    • v.33 no.2
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    • pp.107-112
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    • 2003
  • Purpose : To determine the relationship between clinical symptoms and magnetic resoncance (MR) images in patients presenting with temoporomandibular joint (TMJ) disorders. Materials and Methods: This study was based on 172 joints in 86 patients presenting with TMJ disorders. Joint pain and sound during jaw opening and closing movements were recorded, and the possible relationship between disc positions and bony changes of the condylar head and the articular fossa in MR images in the oblique sagittal planes were examined. Data were analyzed by Chi-square test. Results : There was no statistically significant relationship between clinical symptoms and MR images in the patients with TMJ disorders. Conclusion: In the patient with TMJ disorders, joint pain and sound could not be specific clinical symptoms that are related with MR image findings, and asymptomatic joints did not necessarily imply that the joints are normal according to MR image findings.

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Effusion in magnetic resonance imaging of the temporomandibular joint (측두하악관절 자기공명영상에서의 삼출에 관한 연구)

  • Nah Kyung-Soo
    • Imaging Science in Dentistry
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    • v.33 no.1
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    • pp.1-4
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    • 2003
  • Purpose : The purpose of this study was to investigate the distribution and frequency of temporomandibular joint (TMJ) effusion in magnetic resonance (MR) images of patients with disc displacements. Materials and Methods: On T2 weighted MR images of 148 TMJs taken from 74 patients presenting with TMJ pain and dysfunction, we assessed the cases showing TMJ effusion, defined as an amount of fluid that exceeded the maximum amount seen in a control group of asymptomatic volunteers. The amount of TMJ fluid was graded as: I (none or minimal), II (moderate), III (marked), and IV (extensive), according to a standard set by a reference. Disc displacement categories were also recorded. Results: Of the 148 TMJs examined in this study, 52 joints (35.1%) presented with joint effusion, 24 (16.2%) showing bilateral joint effusion. 38 joints showed upper joint space effusion, 3 showed lower joint space effusion, and 11 showed both upper and lower joint space effusion. 96 joints (64.9%) had grade I joint fluid, 27 (18.2%) grade II, 15 (10.1 %) grade III, and 10 (6.8%) grade IV. 80.0% of the joints presenting with grade IV effusion showed disc displacement without reduction. Conclusion: Joint effusion was found not only in upper, but also in lower joint spaces. The higher the effusion grade, the greater the frequency of disc displacement without reduction.

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A Case of Anterior Mediastinal Mass Presenting with SVC Syndrome (상대정맥 증후군을 동반한 전종격동 종괴)

  • Park, Ik-Soo;Yoon, Ho-Joo;Shin, Dong-Ho;Park, Sung-Soo;Lee, Jung-Hee;Kim, Nam-Hoon;Lee, Jung-Dal
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.6
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    • pp.676-679
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    • 1994
  • A 36-year-old man was studied because of signs and symptoms of superior vena caval syndrome. Chest computerized tomography showed $10{\times}8{\times}6$ cm sized lobulated anterior mediastinal mass, compressing superior vena cava. Fine needle aspiration cytology revealed seminoma. There was no detectable tumor mass in the testes. We report a case of primary mediastinal seminoma presenting with superior vena caval syndrome.

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