• Title/Summary/Keyword: Systematic diagnosis

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A Study on the Greenhouse Gas (CO2) Emission Reduction through Constructing Inventories and Process Diagnostic Techniques in Chemical Industry (A case of Ulsan City, Korea) (화학산업의 인벤토리 구축 및 공정진단을 통한 온실가스 배출 저감에 관한 연구)

  • Ahn, Jun-Ki;Cho, Kyoung-O;Cho, Hyun-Rae;Lee, Man-Sig
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.7
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    • pp.3302-3309
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    • 2011
  • This study showed the reduced greenhouse gas(GHG) emission through GHG inventory establishment and process diagnosis for a response to climatic change. Also, it presented a direction for company's response to climatic change. Ulsan from its industrial complex has many energy-intensive companies such as petrochemistry, automobile and shipbuilding, and as we judged that the systematic reduction of GHG emission would make a considerable reduction of GHG emission in national dimension we executed this study from 10 companies. It showed the high rate of direction GHG emissions by its process that 5 of 10 companies calculated GHG emission and built its inventory. Also, in order to reduce energy and GHG, it produced about 227,554 million won of its economic effect and 50,740 ton/yr of its sparing effect.

Factor Analysis on Cerebrovascular Disease of Korean Police Officers (한국 경찰관들의 뇌혈관 질환 요인 분석)

  • Jeon, WooJin;Cho, Jaehwan
    • Journal of the Korean Society of Radiology
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    • v.7 no.4
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    • pp.293-299
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    • 2013
  • The aim of this study is to investigate the correlation cerebrovascular disease factors in police officers, to provide basic data for a systematic and effective resource management of police officers in the future. This study was conducted on police officers who visited the national police hospital and who underwent MRI for the diagnosis of cerebrovascular diseases. In study result, the probability of cerebrovascular disease was 1.63 times higher in patients with a hypertension. And, the probability of cerebrovascular disease was 1.95 times higher in patients with a Cardiovascular disease. Beside, the probability of cerebrovascular disease was 0.54 times higher in patients with a drinking. And, the probability of cerebrovascular disease was 0.32 times higher in patients with a high homocysteine level.

Survey for Current Status and Prospect of Traditional Medical Market (전통의료 서비스 시장의 현황 및 전망에 대한 조사연구 -한의원을 중심으로-)

  • Yoo, Jong-Hyang;Lee, Jun-Hyuk;Park, Ki-Hyun;Jin, Hee-Jeong;Jang, Eun-Su
    • Korean Journal of Acupuncture
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    • v.27 no.1
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    • pp.143-150
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    • 2010
  • Objectives: This research aims to know the current status and prospect of traditional medical market to provide sources in setting a development strategy and making a policy on the traditional medicine Methods: This research categorized 11,611 clinics registered in telephone directory as of 2008 by region and some clinics were extracted with simple random method. The inquiry was made with questionnaires and analyzed on the base of frequency. Results: 1. The number of the employee in a clinic were slightly decreased from 2.9 in 2005 and 2006 to 2.8 in 2007. That of the patients also showed a downward tendency from 11,811 in 2005 through 11,716 in 2006 to 11,344 in 2007. 2. An annual turnover in a clinic amounted to 257 million won in 2007 from 232 million won in 2005 through 245 million won in 2006. 3. Approximately 92% of the responses made a negative diagnosis on the traditional medical market and 21% of responses indicated the overall economic recession as a primary reason in their opinions. 4. About 29% of responses presented the extension of medical insurance on traditional medicine as a prior policy. Conclusions: Based on the survey, the prospect of traditional medical market is positive, but the effort of the people in traditional medical system and the systematic support from government are required to activate the stagnated traditional medical market.

Some Practice in Math & Science Classes Found by Clinical Interview with Focus Groups of North Korean Students Who Live in South Korea (탈북 학생들의 교육을 위해 포커스 그룹들과 면담을 통한 교육의 실제 - 수학.과학을 중심으로 -)

  • ChoiKho, Sang-Sook;Shin, Dong-Hee;Kim, Ae-Hwa
    • The Mathematical Education
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    • v.49 no.2
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    • pp.125-148
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    • 2010
  • This study was to find the perception of mathematical & scientific learning of North Korean students who lived in Korea. To understand their perception, three groups as the focus group for clinical interview, consisting of North Korean students, their teaches and their parents, were investigated through narrative description of qualitative method, North Korean students experienced the gap between what they had learned and what they learned in Korea, due to visiting the 3rd country before they came to Korea. So they were in need of well developed instructional instruments based on a precise diagnosis of language ability to help them get over their difficulties. Second, they have difficulties in math & science classes due to differences between curricular and to the differences between the ways of expression of terminologies used in two countries. They expressed that the group work in learning and a great deal of number of problems could be helpful for their needs. Third, the community-service center should be operated in a systematic way to compensate their lack of getting a private education. Fourth, they thought that the supplemental materials should provide some sources that might help them to get over the language barrier and difficulties from the differences, because they depended on them.

Human Sparganosis in Korea

  • Kim, Jeong-Geun;Ahn, Chun-Seob;Sohn, Woon-Mok;Nawa, Yukifumi;Kong, Yoon
    • Journal of Korean Medical Science
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    • v.33 no.44
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    • pp.273.1-273.15
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    • 2018
  • Background: Sparganosis is a larval cestodiasis caused by the plerocercoid of Spirometra spp. Since the first description of human sparganosis in 1924, several hundred cases have been reported in Korea. However, systematic approaches for literature surveys of Korean sparganosis have seldom appeared. Methods: We searched publicly available databases such as PubMed, Research Information Sharing Service, and Korea Medical Citation Index with relevant Medical Subject Headings. Results: At least 438 Korean sparganosis cases have been described from 1924 to 2015. Preoperative diagnosis has been significantly increased since the 1980s due to popularization of serological and imaging diagnostics. Cases were largely detected from fifth decades in general, but cerebral sparganosis was detected in relatively young age groups (third and fourth decades). Sparganosis was prevalent in men (75.9%). Consumption of frog/snake and drinking unfiltered water were found in 63.4% and 16.9% of patients, respectively. Most frequently affected sites were subcutaneous tissues (49.9%), followed by the central nervous system (36.2%). Involvements of visceral organs (7.6%), ocular regions (3.6%), and muscles (2.7%) were noticed. In women, breast sparganosis constituted a large proportion (34.2%). Sparganosis associated with immunocompromised patients has recently been reported. Conclusion: Sparganosis has been continuously reported in Korea during the past 90 years, although its incidence has decreased during the last 20 years. The disease is mostly characterized by subcutaneous nodule, but infection of the worm in vital organs often results in serious illness. Continuous awareness is warranted to monitor sparganosis occurrence and associated clinical consequences.

The Review of Clinical Studies Published in The Journal of Korean Medical Ophthalmology & Otolaryngology & Dermatology (한방안이비인후피부과학회지에 게재된 임상실험연구에 대한 고찰)

  • Kim, Chul-Yun;Seo, Hyung-Sik;Kim, Nam-Kwen;Lee, Dong-Jin;Kwon, Kang
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.4
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    • pp.1-15
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    • 2014
  • Objective : This study was carried out to analyze the quality and quantity of Clinical Trials that have been published in the journal of korean medical ophthalmology, otolaryngology, dermatology(JKOOD). Methods : We analyzed 25 clinical trials that published in JKOOD from 1988 to 2014. We excluded case reports, protocol and retrospective studies and classified searched papers into three categories; Randomized Clinical Trials(RCT), Non Randomized Clinical Trials(NRCT), Before After Study(BAS) by using study Design Algorithm for Medical literature of Intervention(DMAI). All articles were analyzed according to diagnosis, statistics program and intervention period. The bias of RCTs were evaluated by Cochrane Risk of Bias(RoB). Result : 1. The number of searched journals is 25 papers; 13 RCT, 2 NRCT, 10 BAS 2. Distribution of clinical trial; 'Atopic dermatitis' ranked the highest(44%) in disease, 'External application' raked the highest(71%) in treatment method. 3. 'allocation sequence' and 'prevention of allocated intervent to patients and therapists' are graded 'Low' but 'incomplete outcome date' and 'selective outcome' are graded 'Uncertain'. Conclusions : It is necessary to study more RCT. It will be helpful to study systematic reviews and meta analysis in JKOOD.

Management of Food Allergy in the Facilities Registered at Center for Children's Foodservice Management in Gangdong-gu (강동구 어린이급식관리지원센터 등록 시설의 식품알레르기 관리 현황)

  • Kim, Soon Mi
    • Korean Journal of Community Nutrition
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    • v.26 no.5
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    • pp.396-407
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    • 2021
  • Objectives: We examined the common allergenic foods, symptoms and management of food allergies in children attending the facilities registered at Center for Children's Foodservice Management in Gangdong-gu, Korea. Methods: The survey was conducted among the directors or head teachers of 186 children's food service facilities with 7,591 children in 2019. The questionnaire consisted of three parts, including general information about food service facilities, information related to food allergies and allergenic foods and symptoms in individual children. Results: The number of children with food allergy was 271 (3.6%), and the proportion decreased with the increase of age. There were 91 children (33.6%) with a medical certificate, and these children had a significantly higher number of allergenic foods and symptoms than those without a medical certificate. Allergenic food groups included meat, fish, eggs and legumes (59.1%), fruits (12.4%), milk and dairy products (8.9%), cereals (7.8%), vegetables (6.2%), processed foods (3.8%) and oils and sugars (1.9%). Eggs accounted for 22.1%, followed by peanut and tree nuts (18.6%), fruits (12.4%), milk and dairy products (8.9%), shellfish (8.6%), vegetables (6.2%), fish (5.7%), cereals (4.3%) and meat (1.1%). The common allergenic foods were eggs, peanuts, walnuts, kiwi, shrimp, milk, tomatoes, mackerel, blue-green fish, peaches, shellfish (clams and abalone), buckwheat, wheat and soybeans. The most common allergic symptoms were skin and mucous membrane symptoms, such as hives, rash, itching and oral angioedema. Meal management for children with food allergies showed different trends depending on the causative food. Conclusions: The objective diagnosis by an allergist should be done for food allergy management in children's catering facilities. A system for systematic meal management of causative foods should be prepared.

Korean Domestic Trends in Clinical Research on Rheumatoid Arthritis since 2008 (류마티스 관절염의 임상 연구 동향: 2008년 이후 국내 학술 문헌을 중심으로)

  • Han, Yun-Hee;Woo, Hyeon-Jun;Park, Soo-Yeon;Lee, Chang-Hoon;Chung, Chong-Hyuk;Lee, Myeung-Su;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.3
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    • pp.19-29
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    • 2021
  • Objectives To investigate the trends in clinical study on rheumatoid arthritis in all academic fields in Korea. Methods We searched seven Korean web databases for clinical studies published from 2008 to 2021. All identified studies were reviewed and classified by the year of publication, academic field, and study design. Results A total of 347 clinical studies were selected. An average of 26.7 studies were published each year. Regarding the distribution of studies by academic fields, 309 studies were published in the medical field and 17 studies were published during the same period in Korean medicine, and 21 studies were published in other fields. The distribution of studies by study design was as follows: 8 studies, meta-analyses; 5 studies, systematic reviews; 16 studies, experimental studies; and 318 studies, observational studies. Conclusions Multidisciplinary access and management are required for the early diagnosis of rheumatoid arthritis, effective management of disease progression, and prevention of rheumatoid joint deformities. Additionally, study design with high-level of evidence on the intervention of rheumatoid arthritis are warranted.

Acute cardiovascular complications in patients with diabetes and hypertension: management consideration for minor oral surgery

  • Jadhav, Ajinath Nanasaheb;Tarte, Pooja Raosaheb
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.45 no.4
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    • pp.207-214
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    • 2019
  • Objectives: Medically compromised patients often fear required dental surgical procedures that can increase the risk of medical emergency when combined with reduced tolerance for stress. A stress reduction protocol (SRP) helps doctors minimize treatment-related stress and improves patient management with minimum complications. Diabetes and co-morbid hypertension carry 4-fold risk of aggravation of cardiovascular emergencies and 7.2-fold risk of mortality. Diabetic neuropathy can result in difficult diagnosis of myocardial infarction and reduces chances of surviving a myocardial infarction compared with a non-diabetic person. The aim of the study was to assess the feasibility of a protocol for management of patients having both diabetes and hypertension who required minor oral surgery to minimize the rate of cardiovascular emergencies. Materials and Methods: A prospective study was conducted in 140 patients having both diabetes and hypertension who required minor oral surgical procedures. A systematic approachable protocol was designed for management of such patients. Results: Among 140 patients, 6 patients (4.3%) had cardiovascular complications, while 3 patients (1 with syncope and 2 with hypertension) did not require any intervention other than observation. Two patients were managed with aspirin and nitroglycerin, and 1 patient had possible myocardial infarction (overall incidence 0.7%) with chest pain, S-T segment elevation on electrocardiogram, and troponin level of 0.60 ng/mL. Conclusion: The proposed protocol helps to improve management of patients having both diabetes and hypertension. We recommend that patients with uncontrolled diabetes and uncontrolled hypertension and/or patients having history of cardiovascular complication should be treated in a medical facility with a readily available cardiology unit. This facilitates prompt response to emergency and instant implementation of treatment, helping to reduce morbidity and mortality.

Maxillary anterior prosthetic treatment concerning anterior guidance of a patient who lost stable holding contact (안정적인 교합접촉을 잃은 환자에서의 전방유도를 고려한 치료증례)

  • Park, Jong-Hoon;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.4
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    • pp.467-474
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    • 2019
  • Recently, many patients undergo anterior prosthetic treatment for esthetic reasons. In some patients complain about functional reasons such as inaccurate pronunciation and occlusal discomfort after the treatment. Anterior teeth are important esthetically but in the occlusal point of view, anterior guidance is the second most important factor in occlusion, next to centric relation. Failure to determine an appropriate anterior guidance might lead to posterior occlusal interference, which can highly affect the stability of the posterior teeth. Also, discomfort might occur if the customized interior guidance is not in harmony with the patient's envelope of function. The patient in this case complained of overall discomfort in the maxillary anterior area after prosthetic treatment. The expressed difficulty in pronunciation, unstable occlusion due to lack of stable holding contact and discomfort of the facial muscles. Maxillary anterior prostheses were refabricated through systematic diagnosis and treatment and thus, this case presents esthetical and functional satisfaction to both the patient and the dentist.