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Venous angioma may be associated with epilepsy in children

  • Kim, Bo Ryung;Lee, Yun Jin;Nam, Sang Ook;Park, Kyung Hee
    • Clinical and Experimental Pediatrics
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    • 제59권8호
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    • pp.341-345
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    • 2016
  • Purpose: Venous angioma (VA) is the most common congenital abnormality of the intracranial vasculature. This study aimed to investigate the relationship between VA and epilepsy and to identify the characteristics of children with VA and epilepsy. Methods: The records of all patients aged less than 18 years who underwent brain magnetic resonance imaging (MRI) at Pusan National University Hospital were retrospectively reviewed. Patients with isolated VA and patients with normal MRI were compared in terms of the prevalence of epilepsy. Results: In total, 2,385 pediatric patients who underwent brain MRI were enrolled. Isolated VA was identified in 26 patients (VA group). Among the patients with normal MRI findings, 225 age- and sexmatched patients to the VA-group were assigned to the control group. Nine patients in the VA group (9 of 26, 34.6%) and 27 patients in the control group (26 of 225, 11.5%; P<0.001) had epilepsy. In the VA group, 20 patients (76.9%) had the VA in the cerebral hemispheres, and 6 patients (23.1%) had the VA in the brainstem and cerebellum. The latter showed a higher prevalence of epilepsy (5 of 6, 83.3%) than the former (4 of 20, 20.0%; P=0.004). Among the nine patients who had epilepsy with VA, patients whose VA involved the brainstem and cerebellum showed a significantly higher frequency of abnormal Electroencephalographic findings than patients whose VA involved the cerebral hemispheres (P=0.016). Conclusion: VA, especially in the brainstem and cerebellum, might be associated with epilepsy.

폐경 전후 여성의 핵심감정척도 단축형을 활용한 정서적 특성 연구 (Evaluation of Emotional Characteristics of Premenopausal and Postmenopausal Women Using the Core Seven Emotions Inventory-Short Form)

  • 이가원;이나현;강형원;유영수
    • 동의신경정신과학회지
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    • 제31권2호
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    • pp.77-88
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    • 2020
  • Objectives: The study evaluated middle-aged women using the Core Seven Emotions Inventory-short form (CSEI-s) followed by a correlation analysis with Menopause Rating Scale (MRS). Methods: In this study, the medical records of 47 women who visited W University Oriental Medicine Hospital and completed the CSEI-s and MRS were evaluated. A total of 47 women were analyzed using SPSS (Statistical Package for the Social Science, IBM, United States of America, Version 23.0). Frequency analysis, descriptive analysis, independent t-test, one-way ANOVA, Scheffe test, and correlation analysis were conducted. Results: 1. Approximately one-third of all subjects were more than cautious expressing joy and fright. 2. According to their educational status, high-school graduates thought they were superior to those with a bachelor's degree or above. 3. Anger was expressed with caution in the group with severe menopausal symptoms. 4. Anger, thought, depression, sorrow, fear, and fright showed a positive correlation with MRS scores. 5. Among premenopausal and postmenopausal women, fright was associated with menopausal symptoms and response by the autonomous nervous system. Conclusions: The results suggest that CSEI-s can be used to measure the psychological symptoms of middle-aged women.

비무장지대 부근에서 발생한 양성 삼일열 말라리아 환자 2례 (Two vivax malaria cases detected in Korea)

  • 조승열;공윤;박실무;이준승;임영애;채석래;고원규;이종수;심재철;신학균
    • Parasites, Hosts and Diseases
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    • 제32권4호
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    • pp.281-284
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    • 1994
  • On .lune and .truly 1994, two cases of vivax wl,Blaria were consecutively diagnosed at the Yongsan Hospital, Chung-Ang University in Seoul. The first patient was a soldier sewing in western parts of the demilitarized zone (DMZ) while the second case was a resident of a village near DMZ. Neither patients had history of being abroad. Republic of Korea (ROK) has been free of malaria since the mid-1970s except for imported cases. The two ivfn malaria cases, together with an additional patient detected in 1993, occurred in relatively small areas near DMZ. This necessitated an epidemiologic surveillance. When medical records and blood smears in the areas were examined, no other cases were found. Of 7,723 mosquitoes collected by a black light trap for ho nights in June, 7,066 (91.5%) were Anopheles sinensis. In order to evaluate a significance of the recent malaria occurrence, a surveillance system should be operated in the areas.

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Effects of Smoking on Cost of Hospitalization and Length of Stay among Patients with Lung Cancer in Iran: a Hospital-Based Study

  • Sari, Ali Akbari;Rezaei, Satar;Arab, Mohammad;Majdzadeh, Reza;Matin, Behzad Karami;Zandian, Hamed
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권9호
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    • pp.4421-4426
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    • 2016
  • Background: Smoking is recognized as a main leading preventable cause of mortality and morbidity worldwide. It is responsible for a considerable financial burden both on the health system and in society. This study aimed to examine the effect of smoking on cost of hospitalization and length of stay (LoS) among patients with lung cancer in Iran in 2014. Materials and Methods: A total of 415 patients were included in the study. Data on age, sex, insurance status, type of hospitals, type of insurance, geographic local, length of stay and cost of hospitalization was extracted by medical records and smoking status was obtained from a telephone survey. To compare cost of hospitalization and LoS for different smoking groups, current smokers, former smokers, and never smokers, a gamma regression model and zero-truncated poisson regression were used, respectively. Results: Compared with never smokers, current and former smokers showed a 48% and 35% increase in hospitalization costs, respectively. Also, hospital LoS for current and former smokers was 72% and 31% higher than for never smokers, respectively. Conclusions: Our study indicated that cigarette smoking imposes a significant financial burden on hospitals in Iran. It is, however, recommended that more research should be done to implement and evaluate hospital based smoking cessation interventions to better increase cessation rates in these settings.

국내외 의상 관련 고등학교의 교과교육 비교 (Clothing education of domestic and foreign specialized high schools)

  • 유혜자;이영숙
    • 복식문화연구
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    • 제22권4호
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    • pp.619-631
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    • 2014
  • This study proposes an educational direction to be followed by the clothing departments of Korea's specialized high schools in order to help achieve high levels of job placements and to strengthen their students' competitiveness. A comparison was made of the curricula in Korea's specialized high schools and in several fashion schools in other countries including the United States, Italy, France, Taiwan, and Japan. To this end, publicly available educational records were retrieved from domestic school documentation, vocational high school portals, and domestic/overseas school web sites, and were then reviewed. The archival data extracted from these sources shows that the curricula of the three chosen domestic schools uniformly focus on foundational courses such as general computer skills, general design, accounting principles, design principles, and drawing, as well as practical courses such as the design of western clothing, fashion design, fashion CAD, management of clothing material, design of Korean clothing, and knitting. Unlike these standardized courses, it was found that overseas fashion schools provide a more technically-advanced and design-focused education based on the interests of the individual student. Moreover, their education system nurtures the students' creativity through adequate field experience and history/language education. The findings of this study suggest that Korean specialized high schools should find a way to accommodate their students' interests and to provide them with personalized fashion education by adopting a more flexible curriculum. An educational line that considers the individual student's aptitudes and career path will help foster creativity and novel ideas, which, in turn, will contribute to the development of the fashion industry.

세종 지리지의 자원식물고 (A Study on Botanical Resources in Sejong-Jirhiji)

  • 강춘기
    • 한국자원식물학회지
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    • 제8권1호
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    • pp.95-114
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    • 1995
  • $\ulcorner$ 세계지리지 $\lrcorner$는 1426년에 간행된 $\ulcorner$신선팔도지리지$\lrcorner$를 보완 수정하여 1454년에 완성되었다. 이 책에는 인문지리,자연지리, 경제 군사적인 내용에 이르기까지 상세히 기록되어 있다. 자원식물은 산업면에서 기 고 있는데 현대지리서에서도 추수를 수 없을 만틈 방대하게 종이 기재되어 있다. 이들 중에는 거의가 야생종이고 극소수는 재배종이다. 팔도에 기재된 자원식물 총수는 1277종(항목)이지만 분유체계에 따르면 104과 267종이다. 이는 1433년에 간행된 $\ulcorner$ 향약집성방 $\lrcorner$의 103과 281종과 거의 비슷하다. 값이 비싸고 구하기 어려운 중국약재를 피학고 향약재를 발굴하여 사용하려는 자주적인 의지를 이지리서에서 볼 수 있다. 그 중 콩과의 파고지 Cullen coryliforia와 때죽나무과의 안식향 Styrax benzoin과 꿀풀과의 영릉향Ocimum sanctum등은 열대 또는 아열대식물인데 어떤 경로로 도입되었는지 알길리 없다. 고서에서의 어려움은 동일종에 여러개이 이명이 있는 점이다. 세계지리지에 수록된 자원식물의 분포는 오늘에도 삼고가 되고 있음 뿐만 아니라 그 자원식물들은 후일 한국본초학의 토대가 되었다.대가 되었다.

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당뇨병환자에게 부적절하게 사용된 Metformin의 처방빈도 분석 (Frequency of Inappropriate Metformin Use in Patients with Diabetes Mellitus)

  • 신혜연;정기화
    • 약학회지
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    • 제54권6호
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    • pp.455-460
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    • 2010
  • We evaluated the inappropriateness of metformin use in patients with type 2 diabetes and chronic medical conditions to identify the frequency of the prescription metformin in violation of the food and drug administration (FDA) black box warning. We reviewed medical records of 307 outpatients who received metformin at endocrinology department in a hospital setting between January 1, 2005 and August 30, 2009. Of the 307 outpatients, 25 discontinued treatment of metformin due to elevated serum creatinine level (Scr${\geq}$1.5 mg/dl in male, Scr${\geq}$1.4 mg/dl in female), cancers, and/or liver disease. 5 were lost to follow-up. 89 (29.0%) of the patients had cardiovascular disease, 54.1% for hypertension, 9.8% for liver disease, and 60 (20.8%) for chronic kidney disease. 12 patients (3.9%) with chronic kidney disease and/or elevated serum creatinine level, and 1 patient (0.3%) with lactic acidosis were contraindicated to metformin use. Metformin should be avoided in 7 outpatients (2.3%) with active hepatitis and 1 patient (2.6%) with liver cirrhosis. Of the 307 outpatients, 13 (4.2%) patients who received metformin at the first visit and 16 (8.7%) patients who received metformin at the last visit violated to black box warning. 8 (2.6%) of the patients were in precautionary conditions to metformin use. Adjusted mean difference of serum creatinine was -0.16 mg/dl [95% CI: -0.22 to -0.11 (p<0.05)] and adjusted mean difference of alanine aminotransferase was 4.46 IU/l [95% CI: 2.47 to 6.44 (p<0.05)] between the first visit and the last visit. Critical number of elderly patients who are at the high risks of drug-disease and drug-laboratory interaction is exposed to the inappropriate metformin use in violation of black box warning. The periodic evaluation of metformin use and monitoring prescription through drug utility review (DUR) system is needed to improve patients' safety and to reduce adverse drug events.

삭제된 $UsnJrnl 파일 복구를 통한 과거 사용자 행위 확인 (Analyzing Past User History through Recovering Deleted $UsnJrnl file)

  • 김동건;박석현;조오현
    • 융합정보논문지
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    • 제10권5호
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    • pp.23-29
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    • 2020
  • 최근 디지털 범죄 수사는 많은 범죄 현장에서 사용되고 있다. 범죄 현장에서는 다양한 전자 장치가 존재하며, 이러한 장치의 디지털포렌식(Digital Forensics) 결과는 중요한 증거로 사용된다. 특히, 디지털포렌식에서 사용자의 행동과 해당 행동이 발생한 시간은 매우 중요한 정보이다. 하지만 사용자의 행동이 기록되는 주기가 짧은 한계점을 가지고 있다. 이러한 특징은 실제 디지털포렌식의 제한 요소로 작용한다. 본 논문에서는 삭제된 사용자 행동 레코드를 복구하고 이를 디지털포렌식에 적용하였으며, 이전 조사 방법과 차이점을 비교하였다. 스토리지에 따라 복구 결과에는 차이가 존재하지만 복구 된 사용자의 동작이 디지털포렌식에 활용 될 때, 사용자 행위 기록이 최소 6%에서 최대 539%로 증가하는 결과를 보여준다.

침수피해 정보를 이용한 농경지의 지형학적 침수취약지도 작성 - 진주시를 사례로 - (Mapping of Inundation Vulnerability Using Geomorphic Characteristics of Flood-damaged Farmlands - A Case Study of Jinju City -)

  • 김수진;서교;김상민;이경도;장민원
    • 농촌계획
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    • 제19권3호
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    • pp.51-59
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    • 2013
  • The objective of this study was to make a map of farmland vulnerability to flood inundation based on morphologic characteristics from the flood-damaged areas. Vulnerability mapping based on the records of flood damages has been conducted in four successive steps; data preparation and preprocessing, identification of morphologic criteria, calculation of inundation vulnerability index using a fuzzy membership function, and evaluation of inundation vulnerability. At the first step, three primary digital data at 30-m resolution were produced as follows: digital elevation model, hill slopes map, and distance from water body map. Secondly zonal statistics were conducted from such three raster data to identify geomorphic features in common. Thirdly inundation vulnerability index was defined as the value of 0 to 1 by applying a fuzzy linear membership function to the accumulation of raster data reclassified as 1 for cells satisfying each geomorphic condition. Lastly inundation vulnerability was suggested to be divided into five stages by 0.25 interval i.e. extremely vulnerable, highly vulnerable, normally vulnerable, less vulnerable, and resilient. For a case study of the Jinju, farmlands of $138.6km^2$, about 18% of the whole area of Jinju, were classified as vulnerable to inundation, and about $6.6km^2$ of farmlands with elevation of below 19 m at sea water level, slope of below 3.5 degrees, and within 115 m distance from water body were exposed to extremely vulnerable to inundation. Comparatively Geumsan-myeon and Sabong-myeon were revealed as the most vulnerable to farmland inundation in the Jinju.

암석과 광물에 저장된 태양계 탄생과 초기 진화의 기록 (Records of the origin and early evolution of the solar system in rocks and minerals)

  • 최변각
    • 천문학회보
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    • 제43권1호
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    • pp.71.2-71.2
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    • 2018
  • 태양계 질량의 대부분은 플라즈마, 기체, 또는 액체 상태로 존재하며, 극히 일부만이 고체 즉 암석과 광물로 존재한다. 하지만, 반응 특히 혼합(mixing)이 일어나는 속도가 매우 느린 고체의 특성상 태양계의 탄생과 진화 과정의 기록은 고체태양계 물질에 더 잘 보관되어 있다. 지구를 제외한 고체 태양계 물질을 확보하기 위해서는 지구로 낙하한 암석인 운석(meteorites)을 발견하거나, 우주로 나가 시료를 가져와야 한다. 아폴로 미션(Apollo mission)에 의한 월석(lunar rocks) 채취(Papike et al., 1998), 하야부사 미션(Hayabusa mission)에 의한 소행성(asteroid) 시료 채취(Nakamura et al., 2011), 스타더스트 미션(Stardust mission)에 의한 혜성 시료 채취(Zolensky et al., 2006) 등이 후자에 속한다. 능동적으로 가져온 시료는 아직까지는 그 종류와 양에서 운석에 비해 매우 부족하므로 현재까지 우리가 알고 있는 고체 태양계에 관한 대부분은 운석 연구를 통해 얻어졌다. 운석은 크게 미분화운석 즉 콘드라이트(chondrites)와 분화운석(differentiated meteorites)으로 구분한다. 분화운석 중 일부는 달운석(lunar meteorites) 또는 화성운석(martian meteorites)이며, 나머지 분화운석과 콘드라이트는 암석-지구화학적 특징과 성인적 연관성에 의해 다양한 그룹으로 세분되는데 각 그룹은 하나의, 또는 둘 이상의 매우 유사한, 소행성에서 유래한 것으로 해석된다(Krot et al., 2014; 최변각 2009). 다양한 종류의 운석과 구성 광물에 포함된 기록으로는 (1) 태양계 이전 존재한 항성의 대기에서 생성된 광물, 즉 선태양계 광물(presolar grains), (2) 태양계 성운 탄생과 각 진화 단계의 정확한 시기, (3) 태양계 성운의 화학조성-동위원소 조성, 온도-압력 조건 등을 포함한 물리-화학적 특징, (4) 가스-먼지로부터 미행성, 소행성, 행성으로의 진화 과정, (5) 행성 진화의 열원, (6) 소행성 핵의 생성 과정 등이 있다. 강연에서는 이들을 간략히 살펴보고자 한다. 운석연구 등을 통해 태양계 생성과 진화과정에 관한 다양한 정보가 축적되었지만, 앞으로 연구할 것들이 더 많다. 또한 태양계 물질 중에는 운석의 형태로 지구로 들어왔거나 앞으로 들어올 수 있는 것도 있지만 그렇지 않은 것도 있다. 가스나 기체의 경우가 그러할 것이며, 고체지만 결합이 약해 일부라도 원형을 유지한 채 대기권을 통과 할 수 없는 것도 있을 것이다. 또 공전궤도나 중력 등 물리적 이유로 지구권 진입이 불가능한 것도 있다. 이러한 태양계 구성원에는 우리가 아직까지 얻지 못한 정보들이 다량 보존되어 있을 것이다. 미래의 태양계탐사가 기대되는 이유 중 하나이다.

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