• 제목/요약/키워드: Specialized Center

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한국, 일본, 미국 임상병리사 전문자격 (Professional Certification of Medical Technologists in Korea, Japan, and United States of America)

  • 구본경
    • 대한임상검사과학회지
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    • 제51권1호
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    • pp.1-14
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    • 2019
  • 우리나라, 일본, 미국의 임상병리사 명칭은 의료체계, 교육제도, 업무영역에 따라 차이가 있다. 전통적으로 medical technologist (별칭 clinical laboratory technologist, medical laboratory technologist, clinical laboratory scientist, medical laboratory scientist)와 동등하거나 유사한 직종은 histotechnologist, cytotechnologist, genetic technologist이다. Extracorporeal technologist, medical electrophysiology technologist, medical sonographer는 medical technologist를 포함한 다른 보건의료인도 자격을 취득할 수 있는 직종이다. 임상병리사의 업무영역은 임상병리기술학, 병리기술학, 임상유전기술학, 핵의학기술학, 임상생리기술학으로 분류하였다. 새로운 전문임상병리사 종별은 CLMJ, CMAJ, ASCP, IAC, ABRET, ARMDS 등의 자격인정제도를 참고하였다. 현재 전문임상병리사 종별은 전문과목학회의 협조 하에 기존의 8종으로 혈액학, 수혈학, 화학, 면역학, 미생물학, 조직학, 세포학, 핵의학분야가 있으며 앞으로 미세질량분석, 감염관리, Pathologists' Assistant, 유세포분석, HLA, 세포유전학, 분자유전학, 심폐생리학, 신경생리학(뇌파/근전도/수면다원 등), 심장초음파학, 신경초음파학(뇌혈류/경동맥), 기기품질관리사 등 업무영역별로 20종으로 세분화할 수 있다.

대전역중심 연계교통체계 구상계획에 관한 연구 (The research on the concept plan of linked transport systems in Daejon station center)

  • 오윤식;홍천희;박완용
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2011년도 춘계학술대회 논문집
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    • pp.775-789
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    • 2011
  • Centering on KTX stations, Korea is implementing specialized development of metropolitan business zones nationwide and is in the process of building the transfer link system of transportation in order to actualize intermodalism nationwide. Daejeon station, hub of high-speed railway requires the effective transportation transfer system considering Daejeon station area reorganization plan and opening of second phase high-speed railway. Based on the analysis of the possibility and validity of building a transit center under the Transportation System Efficiency Act, it is necessary to make a mutual benefit in a regional development by installing the resonable transfer system between railway and other transportation services. Through analysis of current situations and technical, economic and environmental feasibility evaluation, design plan of effective transportation transfer system in Daejeon station is proposed.

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치종청(治腫廳)에 대한 의사학적 고찰 (Historical research of the Chi Jong Cheong, - korean ancient tumor medical center)

  • 서지연;김남일;안상우
    • 한국의사학회지
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    • 제20권1호
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    • pp.13-21
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    • 2007
  • In Korea tumors occurred frequently, and the tumor medicine used to treat them developed. Because tumors due to Koreans' physical constitution and environment and there has always been an impeding need for a cure, traces of such efforts can be found throughout Korean medical history. During the mid-Chosun dynasty, the government founded a government office that specialized in curing tumors. This study observes the establishment and operation of this institution.

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Computational Methods for On-Node Performance Optimization and Inter-Node Scalability of HPC Applications

  • Kim, Byoung-Do;Rosales-Fernandez, Carlos;Kim, Sungho
    • Journal of Computing Science and Engineering
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    • 제6권4호
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    • pp.294-309
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    • 2012
  • In the age of multi-core and specialized accelerators in high performance computing (HPC) systems, it is critical to understand application characteristics and apply suitable optimizations in order to fully utilize advanced computing system. Often time, the process involves multiple stages of application performance diagnosis and a trial-and-error type of approach for optimization. In this study, a general guideline of performance optimization has been demonstrated with two class-representing applications. The main focuses are on node-level optimization and inter-node scalability improvement. While the number of optimization case studies is somewhat limited in this paper, the result provides insights into the systematic approach in HPC applications performance engineering.

수부 감염에 대한 물리치료와 작업치료 (Physical therapy and Occupational therapy on the hand infections)

  • 정석;김정자
    • 대한물리치료과학회지
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    • 제6권1호
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    • pp.861-877
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    • 1999
  • The hand is a very specialized organ that functions to obtain information and to execute motor acts essential to human interaction with the environment. Loss of hand function through infections affects the mechanical tasks that the hand performs and psychological adjustments to their disability. Infection is a disastrous complication of hand injuries and adequacy of circulation is of greatest importance to prevention of infection. Careful debridement, incision, and adequate drainage and antibacterial treatment are of great importance. Optimal care of the infected hand demands that carefully surgical care, early postoperative exercises and other therapy. Hand rehabilitation has grown as a specialty area of both physical and occupational therapy. It is essential that the surgeon and therapist work together, and communicate freely-all of which generally require daily contact. Treating the psychological loss suffered by the patient with a hand infections is an integral part of the rehabilitation therapy as well. Treatment techniques, Whether thermal modalities or specifically designed exercises, are used as a bridge to reach a further goal of returning to functional performance.

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Regulatory T Cells in B Cell Follicles

  • Chang, Jae-Hoon;Chung, Yeonseok
    • IMMUNE NETWORK
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    • 제14권5호
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    • pp.227-236
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    • 2014
  • Understanding germinal center reactions is crucial not only for the design of effective vaccines against infectious agents and malignant cells but also for the development of therapeutic intervention for the treatment of antibody-mediated immune disorders. Recent advances in this field have revealed specialized subsets of T cells necessary for the control of B cell responses in the follicle. These cells include follicular regulatory T cells and Qa-1-restricted cluster of differentiation $(CD)8^+$ regulatory T cells. In this review, we discuss the current knowledge related to the role of regulatory T cells in the B cell follicle.

Roles for the lipid-signaling enzyme MitoPLD in mitochondrial dynamics, piRNA biogenesis, and spermatogenesis

  • Gao, Qun;Frohman, Michael A.
    • BMB Reports
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    • 제45권1호
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    • pp.7-13
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    • 2012
  • Phospholipase D (PLD), a superfamily of signaling enzymes that most commonly generate the lipid second messenger Phosphatidic Acid (PA), is found in diverse organisms from bacteria to man and functions in multiple cellular pathways. A fascinating member of the family, MitoPLD, is anchored to the mitochondrial surface and has two reported roles. In the first role, MitoPLD-generated PA regulates mitochondrial shape through facilitating mitochondrial fusion. In the second role, MitoPLD performs a critical function in a pathway that creates a specialized form of RNAi required by developing spermatocytes to suppress transposon mobilization during meiosis. This spermatocyte-specific RNAi, known as piRNA, is generated in the nuage, an electron-dense accumulation of RNA templates and processing proteins that localize adjacent to mitochondria in a structure also called intermitochondrial cement. In this review, we summarize recent findings on these roles for MitoPLD functions, highlighting directions that need to be pursued to define the underlying mechanisms.

Blood-neural barrier: its diversity and coordinated cell-to-cell communication

  • Choi, Yoon-Kyung;Kim, Kyu-Won
    • BMB Reports
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    • 제41권5호
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    • pp.345-352
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    • 2008
  • The cerebral microvessels possess barrier characteristics which are tightly sealed excluding many toxic substances and protecting neural tissues. The specialized blood-neural barriers as well as the cerebral microvascular barrier are recognized in the retina, inner ear, spinal cord, and cerebrospinal fluid. Microvascular endothelial cells in the brain closely interact with other components such as astrocytes, pericytes, perivascular microglia and neurons to form functional 'neurovascular unit'. Communication between endothelial cells and other surrounding cells enhances the barrier functions, consequently resulting in maintenance and elaboration of proper brain homeostasis. Furthermore, the disruption of the neurovascular unit is closely involved in cerebrovascular disorders. In this review, we focus on the location and function of these various blood-neural barriers, and the importance of the cell-to-cell communication for development and maintenance of the barrier integrity at the neurovascular unit. We also demonstrate the close relation between the alteration of the blood-neural barriers and cerebrovascular disorders.

Study on Improvement of Surface Properties of SKD61 Powder on S45C Using Laser Cladding

  • Cheol-Woo Kim;Hyo-Sang Yoo
    • Archives of Metallurgy and Materials
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    • 제67권4호
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    • pp.1465-1468
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    • 2022
  • In this study, we investigated the effect of cladding on structural carbon steel (S45C) using 5%Cr-1.5%Mo-Fe powder (SKD61), which is expected to show economically efficient production of die-casting parts. The process conditions were performed under argon atmosphere using a diode laser source with specialized wavelength of 900-1070 nm, and the output conditions were 3, 4, and 5 kW, respectively. After the cladding was completed, the surface coating layer's shape and the microstructure were analyzed. The hardness test was carried out with Micro Vickers hardness tester under 500 gram-force along the normal line at the interval of 0.2 mm from the surface to core direction on the cross-sectional area. In addition, polarization curve test of the surface coating layer was performed to investigate the corrosion resistance characteristics.

중증 외상 환자의 입원 결정 지연에 영향을 미치는 요인과 공동진료시스템 (Factors Affecting the Delay of a Decision to Admit Severe Trauma Patients and the Effect of a Multidisciplinary Department System: a Preliminary Study)

  • 강문주;신태건;심민섭;조익준;송형곤
    • Journal of Trauma and Injury
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    • 제23권2호
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    • pp.113-118
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    • 2010
  • Purpose: Prolonged stay in the emergency department (ED), which is closely related with the time interval from the ED visit to a decision to admit, might be associated with poor outcomes for trauma patients and with overcrowding of the ED. Therefore, we examined the factors affecting the delay in the decision to admit severe trauma patients. Also, a multidisciplinary department system was preliminarily evaluated to see if it could reduce the time from triage to the admission decision. Methods: A retrospective observational study was conducted at a tertiary care university hospital without a specialized trauma team or specialized trauma surgeons from January 2009 to March 2010. Severe trauma patients with an International Classification of Disease Based Injury Severity Score (ICISS) below 0.9 were included. A multivariable logistic regression analysis was used to find independent variables associated with a delay in the decision for admission which was defined as the time interval between ED arrival and admission decision exceeded 4 hours. We also simulated the time from triage to the decision for admission by a multidisciplinary department system. Results: A total of 89 patients were enrolled. The average time from triage to the admission decision was $5.2{\pm}7.1$ hours and the average length of the ED stay was $9.0{\pm}11.5$ hours. The rate of decision delay for admission was 31.5%. A multivariable regression analysis revealed that multiple trauma (odds ratio [OR]: 30.6, 95%; confidence interval [CI]: 3.18-294.71), emergency operation (OR: 0.55, 95%; CI: 0.01-0.96), and treatment in the Department of Neurosurgery (OR: 0.07, 95%; CI: 0.01-0.78) were significantly associated with the decision delay. In a simulation based on a multidisciplinary department system, the virtual time from triage to admission decision was $2.1{\pm}1.5$ hours. Conclusion: In the ED, patients with severe trauma, multiple trauma was a significant factor causing a delay in the admission decision. On the other hand, emergency operation and treatment in Department of Neurosurgery were negatively associated with the delay. The simulated time from triage to the decision for admission by a multidisciplinary department system was 3 hours shorter than the real one.