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말기 암 환자의 생존기간 예측: 혈액학 검사와 PPI에 대한 전향적 연구
손효림 ( Hyo Rim Son ),김대은 ( Dae Eun Kim ),강현욱 ( Hyun Wook Kang ),김하나 ( Ha Na Kim ),서일국 ( Il Kook Seo ),윤주영 ( Ju Young Yoon ),황준일 ( Jun Eul Hwang ),심현정 ( Hyun Jeong Shim ),조상희 ( Sang Hee Cho ),정익주 ( Ik J 대한내과학회 2011 대한내과학회지 Vol.81 No.3
Background/Aims: The palliative prognostic index (PPI) was designed to predict life expectancy based on clinical symptoms. In this study, a PPI was constructed and used with other biological parameters to predict 3-week survival in patients with advanced cancer. Methods: The study included 222 patients. The PPI was constructed with five variables (performance status, oral intake, edema, dyspnea at rest, and delirium). PPI scores were grouped as follows: 4 (group 1); > 4 and ≤ 6 (group 2); and > 6 (group 3). At admission, seven biological variables (white blood cell count, lymphocyte, C-reactive protein [CRP], bilirubin, albumin, creatinine, and lactate dehydrogenase) were measured. Results: The overall survival duration was 50 days in group 1, 22 days in group 2, and 14 days in groups 3. Using the PPI, a survival of < 3 weeks in group 3 was predicted with a sensitivity of 76.5% and a specificity of 65.4%. The important factors significantly affecting the 3-week survival rate were a PPI score > 6 and increases in serum bilirubin and CRP levels. Furthermore, the 3-week survival rate in patients with hepatopancreatobiliary cancer was more accurately predicted using a combination of the PPI, CRP, and serum bilirubin levels. Conclusions: Although a PPI has limitations, it can be quickly applied to determine survival duration in patients admitted to hospice and accurately predicts 3-week survival. Furthermore, bilirubin and CRP are useful factors for predicting 3-week survival in patients with gastrointestinal cancer, including hepatopancreatobiliary cancer. (Korean J Med 2011;81:359-365)
사용 목적과 체험 방식에 따른 메타버스 플랫폼 유형과 특성에 관한 연구
손효림(Hyo-Rim Son),이창근(Chang-Keun Lee) 한국디지털콘텐츠학회 2022 한국디지털콘텐츠학회논문지 Vol.23 No.11
Metaverse is breaking down the boundaries between the real world and the virtual world, and companies are rushing into the metaverse platform competition. Type analysis of metaverse utilizes classification according to function the most, but there is a limit to classifying it due to the emergence of various types of platforms. In this study, a framework for classifying metaverse platforms according to the purpose of use and experiential methods was presented, and the platforms were classified. In addition, each type of characteristic keyword was presented and the frequency of use of each type was investigated. It was found that immersion was the most used in game-type platforms and highly immersive in industrial platforms. It is meaningful as a case in which the classification criteria, characteristics, and related terms of the platform are conveyed in the metaverse industry, and is expected to be used as a useful data in metaverse-related research conducted from various perspectives.
지역사회 기반 참여모형(CBPR)을 중심으로 한 고혈압·당뇨병환자의 전문가 치주질환관리프로그램 평가
박수경 ( Su-kyung Park ),이가영 ( Ga-yeong Lee ),김연주 ( Yeun-ju Kim ),이민영 ( Min-young Lee ),변도화 ( Do-hwa Byun ),김경희 ( Kyung-hee Kim ),손효림 ( Hyo-rim Son ),김춘배 ( Chun-bae Kim ),안양희 ( Yang-heui Ahn ),김남희 ( Nam- 대한예방치과·구강보건학회 2017 大韓口腔保健學會誌 Vol.41 No.1
Objectives: To evaluate the Community-Based Participatory Research (CBPR) professional periodontal care program model for patients with hypertension and diabetes. Methods: This descriptive case study included 151 participants of the professional periodontal care program. The CBPR-based professional periodontal care program consists of 5-steps: `Issue identification and prioritization` (Step 1), `Strategy development` (Step 2), `Entry into community` (Step 3), `Implementation` (Step 4), and `Transition` (Step 5). Quantitative data were analyzed using frequency analysis, and descriptive data with PASW 23.0 (SPSS Inc., Chicago, IL, USA). The results of the Focus group interview (FGI) were classified as `general opinions regarding the program planning and operation receptiveness`, `sustainability`, `potential spread of the program`, and `improvement of program`. The interviews were qualitative research involving seven people. Results: 1. Participants increased their interest in health and oral health by managing their hypertension, diabetes, and periodontal disease using community resources. Through this, healthy practices and improved awareness helped to prevent complications and manage periodontal diseases. 2. Community organizations actively cooperated, resulting in positive changes in oral health practices (increased registration of patients in education centers for hypertension and diabetes, and increased number of patients visiting the local dental clinic). In the future, it was positive to participate in the program continuously. Conclusions: The most important step is `Entry into community`, which has led to active participation and cooperation of community organizations and participants. Therefore, community organizations and strategy development should be discussed, and the role of community leaders should be emphasized to build cooperative relationships. In addition, participation in and collaboration with health-based projects should be achieved through a search of various community organizations.