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모바일 AAC(보완대체의사소통) 애플리케이션 “공통(공평한 소통)” 개발
정유성(Yu-Seong Jeong),김규호(Kyu-Ho Kim),신범석(Beom-Seok Shin),이재익(Jae-Ik Lee),정재헌(Jae-Heon Jeong),김은한(Eun-Han Kim) 한국정보기술학회 2022 Proceedings of KIIT Conference Vol.2022 No.6
본 논문에서는 AAC를 적용한 TTS를 사용하여 발달장애인들에게 원활한 의사소통 서비스를 제공하기 위한 공통(공평한 소통)에 대해 소개한다. 기존의 AAC 애플리케이션들은 여러 가지 문제점들로 인해 발달장애인들에게 원활한 의사소통을 제공해주지 못했다. 해당 서비스는 모바일 애플리케이션으로 구현하였으며 기존의 문제점을 개선하여 의사소통 측면에서 발달장애인들이 가지고 있던 불편함을 개선하는 것을 목표로 한다. In this paper, we introduce GongTong (fair communication) to provide smooth communication services to people who have developmental disabilities using TTS applied with AAC. Existing AAC applications have failed to provide smooth communication for people with developmental disabilities due to a number of problems. This service was implemented as a mobile application and aims to improve the inconvenience of people with developmental disabilities in terms of communication by improving existing problems.
지속성 외래 복막투석 ( CAPD ) 환자에서 영양 상태를 반영하는 지표들과 요소 동력학 모형 ( Urea Kinetic Modeling ) 및 크레아티닌 청소율과의 비교 관찰
이종명(Jong Myoung Lee),허동(Dong Hu),정유성(yu Seong Jeong),장익득(Ik Deuk Jang),배현호(Hyun Ho Bae),김지윤(Jee Yoon Kim),김중경(Joong Kyoung Kim),윤명순(Meung Soon Yoon),이시래(Si Rhae Lee) 대한내과학회 1997 대한내과학회지 Vol.52 No.3
N/A Objectives: Protein-calorie malnutrition has been shown to be prevalent among patients on chronic dialysis, And assessment of nutritional status of continuous ambulatory peritoneal dialysis(CAPD) patients has assumed greater importance because of the association of protein-calorie malnutrition with increasing morbidity and mortality. So we observed the incidence and clinical effect of protein-calorie malnutrition, and we compared the indices of nutrition with dialysis adequacy utilizing urea kinetic modeling and cretinine clearance in CAPD patients. Methods: We performed a cross-sectional study in which eight parameters, based on anthropometry, blood chemistry and subjective symptoms, were scored according to the degree of abnormalities in 82CAPD patients. A malnutrition index was derived from these scores. We also performed comparative analysis to identify significant correlations of the indices of urea kinetic modeling and creatinine clearance with the other parameters of nutritional status. Results: The malnutrition index classified 47(57%) patients as normal, 30(37%) intermediately malnourished, and 5(6%) as severely malnourished. Malnutrition index showed a significant correlation with the body mass index(BMI), triceps skinfold thickness(TSF), mid-arm circumference(MAC), mid-arm muscle area (MAMA), duration of CAPD, subjective symptoms, serum albumin, transferrin, cholesterol, and triglyceride. The malnutrition index also showed a significant correlation with residual renal function(RRF), and standardized creatinine clearance(SCCr). The TWR-Kt/V(total Kt/Vurea per week with consideration of residual renal urea clearance) was significantly lower in the severely malnourished group than in the normal group. Serum alkaline phosphatase and BUN levels were higher in the severely malnourished group than in the normal and inter- mediate groups. Conclusion: In assessing the nutrition status of CAPD patients, body weight, TSF, MAC, MAMA, subjective symptoms, serum albumin, transferrin, cholesterol, triglyceride, urea nitrogen, and alkaline phosphatase were considered useful parameters. There was a trend of increased BUN and decreased TWR-Kt/V in severely malnourished patients, and the value of SCCr was significantly lower in mal- nourished patients. However, no meaningful relationships between TW-Kt/V and malnutrition index or between NPCR(normalized protein catabolic rate) and malnutrition index were found m this cross- sectional study. As the number of patients with longer duration of CAPD or negligible RRF has increased in the malnourished patients, regular monitoring of these parameters, especially TWR-Kt/V and SCCr, may be helpful to assess dialysis adequacy to keep good nutritional status of each CAPD patient.
고용량의 면역 글로불린 주사 치료로 호전된 Salmonella 그룹 D 균혈증과 골수섬유증을 동반한 전신성 홍반성 루푸스
이혜순 ( Hye Soon Lee ),배상철 ( Sang Cheol Bae ),윤형란 ( Hyung Ran Yun ),이지현 ( Ji Hyun Lee ),정유성 ( Yu Seong Jeong ),배윤상 ( Yun Sang Bae ),김태환 ( Tae Hwan Kim ),전재범 ( Jae Bum Jun ),정성수 ( Sung Soo Jung ),이인홍 ( I 대한류마티스학회 2000 대한류마티스학회지 Vol.7 No.1
A 22-year-old woman presented with fever and pancytopenia. One year ago, she was diagnosed as Salmonella group D bacteremia and myelofibrosis associated with SLE at another hospital. She was placed on high dose steroid, however, there was no improvement. Two months ago, she was diagnosed as recurrent Salmonella group D bacteremia. After admission to our hospital, she was placed on intravenous antibiotics and high dose intravenous immunoglobulin. A significant improvement in laboratory and clinical condition occurred and bone marrow biopsy showed complete resolution of fibrosis. We report a case of SLE with myelofibrosis and recurrent Salmonella group D bacteremia.
약물에 의한 무과립구중에 동반된 급성 맹장염(Acute Typhlitis) 1 예
윤명순,정유성,이시래,배현호,장인득,이종명,허동,홍윤범,허길,이종명 대한내과학회 1997 대한내과학회지 Vol.52 No.5
Increasingly aggressive chemotherapy regimens, advances in transplantation technology, and the acquired immunodeficiency syndrome have resulted in a growing number of immunocompromised patients. Infections are a major cause of morbidity and mortality in this population. One of the most ominous complications is the development of typhlitis in this immunocompromised patients. Treatment of this process is controversial, and no consensus has emerged. We report a case of typhlitis who complicated agranulocytosis after exposure to drugs to treat $quot;flu$quot; like illness and recovered completely after two operations of appendectomy and ileocolectomy. Reviewing articles and this case, the favorable outcome seemed to be related to following three factors recognition of the acute surgical abdomen by abdominal CT scan, a prompt return of normal circulating white cells by the use of Granulocyte Colony Stimulating Factor and discontinuation of causative drugs, and an appropriately timed surgical intervention.
자기 공명 영상으로 확인한 중추성 시야 결손을 동반한 Thrombotic thrombocytopenic purpura-Hemolytic Uremic Syndrome 1예
이주홍,박용기,김진도,김용은,이태윤,서경덕,구대영,임권조,정유성,신용훈 대한내과학회 1999 대한내과학회지 Vol.56 No.1
Thrombotic thrombocytopenic purpura (TTP) and the related hemolytic uremic syndrome (HUS) are disorders characterized by thrombocytopenia, microangiopathic hemolytic anemia, a variable degree of impairment of renal function and fluctuating neurological symptoms, which are thought to be due to platelet activation and subsequent formation of thrombi in the microcirculation. The fact that there was no clear-cut clinical and laboratory features that differentiate HUS from TTP has lead to view these two syndromes as a clinical continuum. Microvascular thrombosis is the typical lesion and closely related with endothelial injury and platelet activation. Pathologic alterations of the brain parenchyma are mainly manifested by small multiple infarcts. Numerous cases of CNS complications of these syndromes have been evaluated by using CT, but few reports have mentioned the MR findings. We experienced a case of TTP-HUS that had clinical features of cortical blindness and the brain lesion was confirmed by MRI showing cerebral infarct at the occipital area but it was reversible course. So we report this case with a brief review of literature.