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한 대학병원에서 조사된 재택산소요법을 받고 있는 환자의 특성과 재택산소요법 처방에 대한 순응도: 건강보험급여전환 후 조사
구호석 ( Ho Seok Koo ),송영진 ( Young Jin Song ),이승헌 ( Seung Heon Lee ),이영민 ( Young Min Lee ),김현국 ( Hyun Gook Kim ),박이내 ( I Nae Park ),정훈 ( Hoon Jung ),최상봉 ( Sang Bong Choi ),이성순 ( Sung Soon Lee ),허진원 ( Jin 대한결핵 및 호흡기학회 2009 Tuberculosis and Respiratory Diseases Vol.66 No.3
고립성폐결절의 경피적 바늘생검 이후 발생한 결핵성 흉수
구호석 ( Ho Seok Koo ),김태균 ( Tae Kyun Kim ),박성길 ( Sung Kil Park ),최상분 ( Sang Bun Choi ),김애란 ( Ae Ran Kim ),최상봉 ( Sang Bong Choi ),정훈 ( Hoon Jung ),박이내 ( I Nae Park ),허진원 ( Jin Won Hur ),이혁표 ( Hyuk Pyo Le 대한결핵 및 호흡기학회 2007 Tuberculosis and Respiratory Diseases Vol.63 No.3
A tuberculous pleural effusion may be a sequel to a primary infection or represent the reactivation of pulmonary tuberculosis. It is believed to result from a rupture of a subpleural caseous focus in the lung into the pleural space. It appears that delayed hypersensitivity plays a large role in the pathogenesis of a tuberculous pleural effusion. We encountered a 52 years old man with pleural effusion that developed several days after a CT guided percutaneous needle biopsy of a solitary pulmonary nodule. He was diagnosed with TB pleurisy. It is believed that his pleural effusion probably developed due to exposure of the parenchymal tuberculous focus into the pleural space during the percutaneous needle biopsy. This case might suggest one of the possible pathogeneses of tuberculous pleural effusion. (Tuberc Respir Dis 2007; 63: 268-272)
구호,김나리,최명애,이경완,박병건,김민선,박병림 한국시각장애교육&재활학회 2014 시각장애연구 Vol.30 No.1
Tactile or thermal sensory substitution is applied to persons with sensory loss of vision or hearing. It has been known that the blind has more sensitive tactile acuity than the normal person. In this study, thermal acuity was assessed in groups of control, blind and deaf to investigate a thermal display system for blind and deaf. Thermal threshold on heat pain, warm, cool, and cold pain was measured by home-made thermal stimulator in five fingers. Thermal acuity in control group did not show any significant difference between male and female, and among five fingers. Range of threshold of heat pain, warm, cool, and cold pain in five fingers was 43.2~44.9℃, 35.0~36.0℃, 23.1~23.8℃, 15.1~15.8℃, respectively, in control group, 43.0~43.7℃, 33.2~34.5℃, 22.5~23.9℃, 14.4~15.8℃, respectively, in blind group, and 42.5~43.2℃, 34.1~34.6℃, 22.0~23.6℃, 15.0~16.1℃, respectively, in deaf group. Indifferent thermal zone was 23.8~35.0℃ in control group, 22.9~33.2℃ in blind group, and 23.6~34.1℃ in deaf group, which did not show any significant difference among three groups. These results suggest that thermal acuity does not show any significant difference among control, blind, and deaf groups. Thermal display system for blind and deaf should be considered the thermal threshold and indifferent thermal zone. 시각 또는 청각장애인에서 상실된 감각기능을 보조할 목적으로 촉감이나 온열감을 사용하며, 시각장애인은 정상인과 비교하여 촉감인지능이 우수한 것으로 알려져 있다. 이 연구에서는 시각 또는 청각장애인에서 감각기능을 보조하기 위한 온열감제시장치를 개발할 목적으로 시각장애인과 청각장애인에서 온열감인지능을 측정하였다. 연구실에서 개발한 온열감제시장치를 이용하여 온자극과 냉자극을 다섯 개의 손가락에 가하였을 때 열통, 온감, 냉감, 냉통에 대한 온도역치를 측정하였다. 온열감인지능에 대한 남자와 여자의 차이는 보이지 않았으며, 측정된 다섯 개의 손가락에서 차이를 보이지 않았다. 정상인에서 열통, 온감, 냉감, 냉통에 대한 다섯 손가락의 역치온도 범위는 각각 43.2~44.9℃, 35.0~36.0℃, 23.1~23.8℃, 15.1~15.8℃이었으며, 시각장애인에서는 각각 43.0~43.7℃, 33.2~34.5℃, 22.5~23.9℃, 14.4~15.8℃이었고, 또한 청각장애인에서는 각각 42.5~43.2℃, 34.1~34.6℃, 22.0~23.6℃, 15.0~16.1℃으로 정상인, 시각장애인, 청각장애인에서 차이를 보이지 않았다. 무감각온열범위는 정상인 23.8~35.0℃, 시각장애인 22.9~33.2℃, 그리고 청각장애인 23.6~34.1℃로 실험군간에 차이를 보이지 않았다. 이상의 실험결과는 정상인, 시각장애인, 청각장애인에서 온열감인지능의 차이를 보이지 않았으며, 시각장애인과 청각장애인에서 온열감제시장치를 이용할 경우 열통, 온감, 냉감, 냉통의 역치온도를 기준으로 설정하고, 또한 무감각온열범위의 온도는 사용할 수 없음을 제시하였다.
구호석,김성호,김혜현,정희준,박유랑,김주한 대한의료정보학회 2014 Healthcare Informatics Research Vol.20 No.2
Objectives: Health Avatar Beans was for the management of chronic kidney disease and end-stage renal disease (ESRD). This article is about the DialysisNet system in Health Avatar Beans for the seamless management of ESRD based on the personal health record. Methods: For hemodialysis data modeling, we identified common data elements for hemodialysis information (CDEHI). We used ASTM continuity of care record (CCR) and ISO/IEC 11179 for the compliance method with a standard model for the CDEHI. According to the contents of the ASTM CCR, we mapped the CDHEI to the contents and created the metadata from that. It was transformed and parsed into the database and verified according to the ASTM CCR/XML schema definition (XSD). DialysisNet was created as an iPad application. The contents of the CDEHI were categorized for effective management. For the evaluation of information transfer, we used CarePlatform, which was developed for data access. The metadata of CDEHI in DialysisNet was exchanged by the CarePlatform with semantic interoperability. Results: The CDEHI was separated into a content list for individual patient data, a contents list for hemodialysis center data, consultation and transfer form, and clinical decision support data. After matching to the CCR, the CDEHI was transformed to metadata, and it was transformed to XML and proven according to the ASTM CCR/XSD. DialysisNet has specific consideration of visualization, graphics, images, statistics, and database. Conclusions: We created the DialysisNet application, which can integrate and manage data sources for hemodialysis information based on CCR standards.