• 정신신체의학
• /
• 제1권1호
• /
• pp.81-91
• /
• 1993

The consulting internist will encounter patients with psychiatric symptoms and those who take psychotropic medications in many settings. The internist must loam to feel comfortable interacting with patients who display psychiatric symptoms. while maintaining an open and unprejudiced attitude toward their evaluation. The proper delineation of psychiatric disorders from normal emotional reactions resets on a careful history, a mental status evaluation. and a knowledge of psychiatric syndromes. Many physicians tend erroneously to view behavioral changes only in a psychological framework Abrupt changes in behavior, personality, mood. or ability to function should be evaluated for possible organic causes. Then, the internists should take their consultation to psychiatrists and freely discuss psychologic problems of the patients.

• 대한기계학회논문집A
• /
• 제29권3호
• /
• pp.403-410
• /
• 2005

This study presents the benchmark results of several design frameworks for the purpose of developing an efficient design framework in view of Excel interface. For the benchmark, three optimum design problems are chosen and solved by using the design frameworks. In order to compare the frameworks with each other, the evaluation criteria are specified and modified to fit the problems with Excel interface. Three example cases are solved and compared. The evaluation report is summarized in terms of efficiency, ease of use, internal structure, API, etc. However, the optimization result itself is not focused because the specific optimization algorithm is not our concern. Finally, some suggestions of how to develop an efficient design framework with Excel interface are presented.

• 대한방사선기술학회지:방사선기술과학
• /
• 제38권3호
• /
• pp.221-228
• /
• 2015

목적: 디지털 유방촬영에서 QC 프로그램을 이용하여 방사선 피폭 선량의 감소와 고화질의 영상을 목적으로 하였다. 재료 및 방법: 디지털 유방촬영술에서 QC phantom을 사용하여 노출 방식에 따른 평균유선선량을 MLO view에서 $0^{\circ}C$, $30^{\circ}C$, $45^{\circ}C$, $50^{\circ}C$, $55^{\circ}C$, $70^{\circ}C$, $90^{\circ}C$ 구간에서 측정하였고, Hologic사의 QC 프로그램으로 영상에서 SNR과 CNR을 측정하여 평가하였다. 결과: 평균유선선량은 $90^{\circ}C$ 일 때 1.75 mGy로 최대치였고, $45^{\circ}C$에서 약 6 % 감소한 1.65 mGy 측정되었다. 또한 auto filter에서 1.67 mGy, manual에서는 1.52 mGy의 평균유선선량을 기록하여 노출 방식에 따라 선량이 차이가 있었다. 화질평가의 모든 각도 구간에서 SNR 50~52, CNR 11~12로 근소한 차이를 나타내고, 제조사의 권고치 내에 포함되었다. 결론: MLO view $45^{\circ}C$에서 가장 적은 선량이었고, SNR 및 CNR의 차이는 미미하였다. 이때의 노출방식은 환자의 체형이나 특성을 고려한 설정으로 차이를 두어 불필요한 환자의 피폭 선량을 줄이기 위한 방법이 필요하다.

• 한국임상수의학회지
• /
• 제39권6호
• /
• pp.326-333
• /
• 2022

The purpose of this study was to evaluate the radiographic positioning techniques used in local animal hospitals, identify the most common positioning problem, and determine whether there were changes after teleradiology consultations. From September 2016 to April 2021, 15 local animal hospitals that requested radiographic interpretation more than 10 times and for more than six cases of thoracic radiographs were selected. Six sets of two-views of (lateral and ventrodorsal [VD] or dorsoventral [DV] views) digital thoracic radiographs from six dogs per hospital were evaluated in four categories. For the lateral view, radiographic technique scores used in ten local animal hospitals improved, one remained the same, and four became worse. For the VD/DV view, the score for eleven hospitals improved and worsened for four. The most common problem was rotation (57/90) for the lateral view, followed by an inappropriate field of view (59/90), and incorrect beam center (71/90). For the VD/DV view, an inappropriate field of view (54/90) was the most common problem, followed by asymmetry (63/90), and incorrect beam center (73/90). Every factor, except rotation in the lateral view, improved after obtaining technical consultation; however, the degrees of improvement were not remarkable. There was no significant correlation between the number of requests and the degree of improvement. According to the results, the radiographic technique used in local animal hospitals was improved by technical advice on teleradiology. These changes make it possible to provide accurate diagnoses of the requested images. There are some limitations regarding the indicators of evaluation and the number of cases; therefore, further studies that use detailed indicators in large cohort group are needed. In addition, an effective method of teaching should be developed to improve radiographic techniques in local animal hospitals.

• 대한가정학회지
• /
• 제29권2호
• /
• pp.241-248
• /
• 1991

The aim of this study is to propose the criteria for a evaluation model of the lifetime household work and organize the model. The results were as follows: Three criteria for a evaluation model of the life-time household work were proposed. $\circled1$ An appropriate framework of the evaluation model should be based on the transition of the family life. $\circled2$ The model should include major variables influencing the value of household work of homemaker. $\circled3$ The model should be flexible enough to accommodate various evaluation methods, and should reflect idiosyncracies of different evaluation methods. In view of the criteria stated above, the present study is based on the family life cycle framework. And the age of the last offspring exhibits a consistent major influence in the evaluation based on the household work hours, while the education level of homemakers shows a consistent major influence in the evaluation based on household worker. So as to reflect these two major variables in the family life cycle framework.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제17권1호
• /
• pp.77-78
• /
• 2017

• KIEAE Journal
• /
• 제10권2호
• /
• pp.25-30
• /
• 2010

The daylited space can improve visual comfort and occupant's well-being. However discomfort glare from the daylight is a common problem in indoor environments and in general, the window is the main glare sources. Some formulas have been proposed for predicting glare from the daylight, however, they do not consider the effect on glare of the view through a window and some studies proved that they are inadequate in real daylight situation. This research aims to identify the relationship between view and discomfort glare considering the subjective impressions. As a preliminary experiment, this paper sets up the experimental protocol to reveal relationships between views from a window and visual perception in a controlled laboratory experiment. $1.2m{\times}1.2m$ artificial window was developed and $0.9m{\times}0.9m$ view image was placed on the window. Discomfort glare and impression evaluation was carried out under four different views and one blank view as a reference condition. The results showed that the subjects evaluated discomfort glare differently with the views even under the same luminance conditions and tended to feel less glare with distance views compared to near views.

• 대한방사선기술학회지:방사선기술과학
• /
• 제32권4호
• /
• pp.401-410
• /
• 2009

목 적 : 골반 및 요추 엑스선검사는 진단 엑스선검사 중 생식선을 포함하고 있고 환자가 받는 방사선량이 많은 검사로서 우리나라에는 골반 및 요추 엑스선검사에서의 환자선량 권고량이 마련되어 있지 않다. 따라서 국내 의료기관에서의 골반 및 요추 엑스선검사 시 환자가 받는 방사선량을 측정 평가하고 골반 및 요추 엑스선검사에서 환자의 방사선 방어 최적화를 위한 환자선량 권고량을 확립한다. 방 법 : 전국 125개 의료기관에서 골반 전후면 촬영, 요추 전후면 및 측면 촬영시 촬영조건과 진단영상정보를 조사 분석하고 환자가 받는 입사표면선량을 유리선량계를 사용하여 측정 평가한다. 환자가 받는 방사선량 중 제3사분위값에 해당하는 선량값을 의료기관에 권고할 골반 및 요추 엑스선검사에서의 환자선량 권고량으로 확립한다. 결 과 : 전국 125개 의료기관에서 골반 및 요추 엑스선검사 시 진단영상정보를 조사하고 환자가 받는 입사 표면선량을 측정한 결과 골반 전후면 엑스선검사에서는 관전압이 60~97 kVp, 평균 75 kVp를 사용하였고, 관전류-시간곱(mAs)는 8~123 mAs, 평균 29.7 mAs를 사용하였다. 요추 전후면 및 측면 엑스선검사에서는 관전압을 각각 65~100 kVp, 평균 78 kVp와 70~109 kVp, 평균 87 kVp를 사용하였고, mAs도 각각 10~100 mAs, 평균 35.2 mAs와 8.9~300 mAs, 평균 64.1 mAs를 사용하였다. 골반 및 요추 엑스선검사에서의 환자가 받는 입사표면선량을 측정한 결과, 골반 전후면 엑스선검사에서는 최소값 0.59 mGy, 최대값 12.69 mGy, 평균값 2.88mGy이었으며, 제1사분위값은 1.91 mGy, 중앙값은 2.67 mGy, 제3사분위값은 3.42 mGy이었다. 요추 전후면 엑스선검사에서는 최소값 0.64 mGy, 최대값 23.84 mGy, 평균값 3.68 mGy이었으며, 제1사분위값은 2.41 mGy, 중앙값은 3.40 mGy, 제3사분위값은 4.08 mGy이었다. 요추 측면 엑스선검사에서는 최소값 1.90 mGy, 최대값 45.42 mGy, 평균값 10.08 mGy이었으며, 제1사분위값은 6.03 mGy, 중앙값은 9.09 mGy, 제3사분위값은 12.65 mGy이었다. 결 론 : 우리나라의 의료기관에서 골반 전후면 엑스선검사에서 의료기관에 권고할 환자선량 권고량은 3.42 mGy, 요추 전후면 엑스선검사에서는 4.08 mGy, 요추 측면촬영에서는 12.65 mGy로 세계보건기구 등 6개 국제기구가 공동으로 권고한 골반 전후면 검사 10 mGy, 요추 전후면 검사 10 mGy 및 요추 측면 검사 30 mGy 보다는 낮았다.

• 한국항행학회논문지
• /
• 제16권6호
• /
• pp.944-951
• /
• 2012

위성항법의 가시성, Dilution of Precision (DOP), 신호대잡음비 등과 같은 위치결정 성능지표는 개활지 환경과 같이 항법위성의 가시성이 좋은 지역에서 그 활용도가 높으며, 육상교통환경의 경우 그 활용도가 낮다. 본 논문은 육상교통환경에서 위성항법 신호를 활용하여 위치결정을 수행하는 경우 활용도가 높은 성능지표로 Sky View based DOP (SVDOP)을 제안한다. SVDOP은 Sky-View Factor(SVF)를 응용하여 개발되었으며, 기존의 SVF의 문제점을 극복할 수 있다. Sky-View 영상을 활용하여 특징점을 선택하고 이를 활용하여 DOP를 계산할 수 있다. 제안된 방법을 이용하는 경우 SVF 사용보다 육상교통환경에서 위치결정 성능 예측에 용이함을 확인할 수 있다.

• Clinics in Shoulder and Elbow
• /
• 제21권4호
• /
• pp.200-206
• /
• 2018

Background: The purpose of this study was to assess the relevance of preoperative magnetic resonance imaging (MRI) evaluation by occupation ratio (OR) at maximum diameter of supraspinatus muscle. Methods: Patients from the Inje University Sanggye Paik Hospital who received rotator cuff repair and underwent pre- and postoperative MRI were selected as subjects of this study. On T1-weighted MRIs, OR of fat and muscle at Y-shaped view, OR at a location on supraspinatus muscle where its diameter was maximum on coronal view, and pre- and postoperative Goutallier Classification and changes in the tangent sign were measured. Statistical significance of postoperative OR was assessed regarding time from symptom onset to surgery, size of rotator cuff tear, preoperative OR, and the difference between ORs measured at maximum diameter of supraspinatus muscle and Y-shaped view. Results: Preoperative OR at Y-shaped view was $52.28{\pm}8.57$ (32.5-65.3). Preoperative OR difference between maximum diameter and Y-shaped view was $13.76{\pm}10.51$ (2.38-42.04), and Pearson correlation coefficient was 0.604 (p=0.001). Postoperative OR at Y-shaped view was $63.77{\pm}9.35$ (37.3-76.1). Pearson correlation coefficient of pre- and postoperative Goutallier Classification was -0.579 (p=0.002) and Pearson correlation coefficient of the postoperative difference between ORs measured at maximum diameter of supraspinatus muscle and Y-shaped view was -0.386 (p=0.047). Conclusions: Fatty degeneration of supraspinatus muscle in rotator cuff tear patients should be evaluated not only in the conventional Y-shaped view, but also at location of maximum diameter of supraspinatus muscle to establish patients' therapeutic plan.