Benefits and problems in implementation for integrated medical Information system

Park, Chang-Seo,Kim, Kee-Deog,Park, Hyok,Jeong, Ho-Gul 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.4

Purpose : Once the decision has been made to adopt an integrated medical information system (IMIS), there are a number of issues to overcome. Users need to be aware of the impact the change will make on end users and be prepared to address issues that arise before they become problems. The purpose of this study is to investigate the benefits and unexpected problems encountered in the implementation of IMIS and to determine a useful framework for IMIS. Materials and Methods : The Yonsei University Dental Hospital is steadily constructing an IMIS. The vendor's PACS software, Piview STAR, supports transactions between workstations that are approved to integrating the healthcare enterprise (IHE) with security function. It is necessary to develop an excellent framework that is good for the patient, healthcare provider and information system vendors, in an expert, efficient, and cost-effective manner. Results : The problems encountered with IMIS implementation were high initial investments, delay of EMR enforcement, underdevelopment of digital radiographic appliances and software and insufficient educational training for users. Conclusions : The clinical environments of dental IMIS is some different from the medical situation. The best way to overcome these differences is to establish a gold standard of dental IMIS integration, which estimates the cost payback. The IHE and its technical framework are good for the patient, the healthcare provider and all information systems vendors.

전산화 단층촬영을 이용한 법랑모세포종의 방사선학적 연구

박혁,정호걸,김기덕,박창서 대한구강악안면방사선학회 2005 Imaging Science in Dentistry Vol.35 No.2

Purpose : To reveal what is the distinct differential diagnostic differences between unicystic ameloblastoma and solid or multicystic ameloblastoma. Materials and Methods : 56 cases of ameloblastoma were retrospectively reviewed and evaluated among the patients who had taken CT scans at the department of Oral & Maxillofacial Radiology in Yonsei University Dental Hospital from January 1996 to December 2003. Results : In 56 cases, 21 cases (37.5%) were unicystic ameloblastoma, 35 cases (62.5%) were solid or multicystic ameloblastoma. Only 1 case (4.8%) of unicystic ameloblastoma and 4 cases (11.4%) of solid or multicystic ameloblastoma were occurred in maxilla. 13 cases (61.9%) of unicystic ameloblastoma were observed as unilocular, and 8 cases (38.1%) as lobulated. 5 cases (14.3%) of solid or multicystic ameloblastoma were observed as unilocular, 13 cases (37.1%) as lobulated, and 17 cases (48.6%) as multilocular. In the results from the measurements after correction of the buccolingual widths and heights to the mesiodistal lengths, there is a statistically significant difference between unicystic ameloblastoma and solid or multicystic ameloblastoma in ANCOVA test (p<0.05). Hounsfield units in the lesion were 24.9±8.8 HU in unicystic ameloblastoma, 31.2±11.5 HU in solid or multicystic ameloblastoma. There is no statistically significant difference (p>0.05). Conclusion : Characteristic differences between unicystic ameloblastoma and solid or multicystic ameloblastoma is that there is higher prevalence of solid or multicystic ameloblastoma that have lobulated or multilocular patterns. To measure the Hounsfield units in the lesion is helpful, but it is not a differential diagnostic point between unicystic ameloblastoma and solid or multicystic ameloblastoma.

방사화 분석법을 통한 방사선량 및 포획단면적 개념 이해

박상태,김용복,육근철,이희복,김준태,정기주 공주대학교 과학교육연구소 2003 과학교육연구 Vol.34 No.-

중성자 방사화법은 여러 가지 물질의 특성을 규명하는데 매우 유용한 방법이다. 기본적으로 이러한 방법은 매우 간단하다. 임의의 시료를 저속 중성자에 조사시키면, 그 시료는 방사능을 띄게 되고 시료로부터 나오는 β^+, β^-, 그리고 γ선의 선량을 측정하거나 시료의 반감기를 측정하면, 시료를 구성하고 있는 물질의 구성성분이나 그 농도를 알아낼 수 있다. 본 연구에서는 금 박막을 방사화시킴으로서 열중성자 선량값으로 1426.68 ± 11.62n/㎠ㆍsec를 얻었다. 또한, ^55Mn의 열중성자 포획 단면적은 13.79±0.45bam 이었는데 이는 Table of Isotope에 제시된 값과 매우 잘 일치하였다. 본 연구의 실험기법은 일반적으로 널리 알려진 방법이지만, 학생들이 쉽게 접할 수 있는 실험이 아니기 때문에 '선량' 또는 '단면적' 등돠 같은 물리 개념을 가르치는데 유용하게 사용될 수 있을 것으로 기대된다. Neutron activation is very powerful technique for identifying characteristics of many elements. Basically the technique is quite simple. A sample is irradiated by slow neutrons and becomes radioactive. By measuring the β^+s, β^-s, γs and half-life of the resulting sample, the elemental constituents of the sample and their relative concentrations can be identified. In this studies, thermal neutron flux was 1426.68 ± 11.62 n/㎠ ·sec from Au activation analysis. Thermal neutron capture cross section for ^55Mn was 13.79 ± 0.45 barn, it is a good agreement with Table of Isotope data. Technique of this measurement is not special, but can be used usefully for physics concepts learning such as flux and cross section.

임상검사 측정의 정확도 관리용 요 표준시료의 제조와 중금속 성분의 분석

박창준,조경행,서정기 大韓産業醫學會 1995 대한직업환경의학회지 Vol.7 No.2

Urine certified reference material(CRM) has been developed to help clinical labolatories control analytical accuracy. Two levels of freeze-dried urine were prepared. The low level CRM was made from normal urine and the abnormal level CRM was prepared by spiking th normal urine with As, Cd, Cr, Cu, Hg, Ni and Pb. Urine reference materials were analyzed by graphite furnace atomic absorption spectrometry(GFAAS) and inductively coupled plasma mass spectrometry(ICP-MS). Analyte elements were separated from matrix elements by using ion exchange resin and hydride generation. Isotope dilution method was employed to enhance analytical accuracy. Round robin test results are also presented which were carried out with 5 clinical laboratories.

두꺼운 圓筒殼으로부터의 音波 共鳴散亂

朴正萬,金洪錫,신홍기 대진대학교 1995 大眞論叢 Vol.3 No.-

The resonance scattering of acoustic waves from thick cylindrical shells is analyzed for the case of an air-filled glass shell immersed in water. This is done by using the model of an elastic plate, and by calculating resonance frequencies, dispersion curves, and attenuations of circumferential waves. We also discuss some experimental results that deal with the backscattering of acoustic waves by cylindrical shells obtained by using short pulse excitation and Fourier spectroscopy analysis. Resonance spectra of backscattered signals show peaks corresponding to thickness resonances.

모형을 이용한 미호천 유역의 하천수질 예측

정상만,박정규,박영기,김이형 한국물환경학회 2004 한국물환경학회지 Vol.20 No.3

The QUAL2E and Box-Jenkins time series model were applied to the Miho river, a main tributary of the Geum river, to predict water quality. The models are widely used to predict water quality in rivers and watersheds because of its accuracy. As results of the study, we concluded as follows: Pollutant loadings in upper stream of Miho river were determined to 57,811 ㎏BOD/d, 19,350 ㎏TN/d, and 5,013 ㎏TP/d. The loading of TN in Mushim river was 19,450 ㎏TN/d, respectively. As the mass loadings were compared with pollutant sources, it concluded that the farming livestock contributed highly to mass emissions of BOD and TP and the population contributed to TN mass loading. The observed water quality values were applied to the models to verify and the models were used to predict the water quality. The QUAL2E Model predicted the concentrations of DO, BOD, TN and TP with high accuracy, but not for E-Coli. The Box-Jenkins time series model also showed high prediction for DO, BOD and TN. However, the concentrations of TP and E-Coli were poorly predicted. The result shows that the QUAL2E model is more applicable in Miho basin for prediction of water quality compared to Box-Jenkins time series model.

해양미생물로부터 카로테노이드 색소의 생산을 위한 최적조건

정영기,박정욱,주우홍,류병호,정명주,김태수 동의대학교 기초과학연구소 2000 基礎科學硏究論文集 Vol.10 No.1

The optimal medium composition for the production of carotenoid pigment from Haloarcular sp. EH-1 as a dietary for fishes were 1.0% sucrose, 1.0% yeast extract, 25% sodium chloride, 0.3% sodium citrate, 0.2% potassium chloride, 2.0% magnesium sulphate, 0.002% ferric sulphate(pH7.0). The incubation temperate, aeration rate and agitation speed were 40℃, 100ml medium/500ml vol. shaking flask, and 180 rpm/min. The carotenoid pigment production was highest after 5 days of incubation with the light.

Backpropagation 학습알고리즘을 이용한 형상검출

박경우,조정래,이기준 광주보건대학 1997 論文集 Vol.22 No.-

The Backpropagation learning method is composed of input layer, Middle layer, and Output layer as a Hierarchical Network. Because we can settle Weight of Middle layer using difference which is output value of Output layer and Error value, in proportion to the times of learning, we can obtain a good quality of output layer.

만성 호중구성 백혈병 1예

박기령,조성민,우가은,이기현,손혜영,임정윤,최진혁,이순남,정화순 梨花女子大學校 醫科大學 醫科學硏究所 1997 EMJ (Ewha medical journal) Vol.20 No.2

Chronic neutrophilic leukemia(CNL) is a very rare myeloproliferative disease, characterized by sustained mature neutrophilic leukocytosis with granulocytic bone marrow infiltration, high NAP(neutrophilic alkaline phosphatase) score and absence of philadelphia chromosome, It is frequently accompanied by hepatosplenomegaly, elevated serum vitamin B_12 and uric acid level. For the diagnosis of CNL, the leukemoid reaction, especially secondary to neoplasia, infection and autoimmune diseases, should be excluded. Since Tuohy's first description in 1920, more than 50 cases fullfilling the above criteria have been reported worldwide, and 4 cases in Korea. Several authors have demonstrated the defect of intracellualr killing in the mature neutrophil and this finding correlates well with the very high incidence of fatal infection, The hemorrhagic diasthesis in CNL is caused by functional abnormality of the platelet. This disease has tendency to transform to blastic crisis and acute leukemia as in other myeloproliferative disease, but characteristically shows frequent coexistence with multiple myeloma. Until now , the therapeutic trials in CNL have been disappointing. Hydroxyrea and busulfan can control hyperleukocytosis. On the basis of functional defect in neutrophil, alpha-2b-interferon has been tried and several reports have demonstrated the clinical and functional effect of interferon on CNL. CNL is very rate hematologic disease and there are few report about general aspect of disorder. We report here a typical CNL case presenting with splenomegaly and leukocytosis with a review of the literature.

나이에 따른 한국인 정상 이하선의 전산화단층촬영값의 차이

박창서,김기덕,이은숙,정호걸 大韓口腔顎顔面 放射線學會 1999 Imaging Science in Dentistry Vol.29 No.2

Purpose : To determine normal CT number range of parotid gland by analyzing the change by age increase and the difference among individuals and between both sexes in CT number of normal parotid gland. Materials & Methods : 134 subjects who took the CT scan between the period of Jan. 1996 and Dec. 1997 at Yonsei University, Dental Hospital were selected. Criteria for selection were that the patients must be within the normal range clinically and radiologically, and the entire parotid gland on the axial view must be shown. Among the axial views, the one showing the greatest parotid gland size was selected and its CT number was recorded. Also, CT numbers from both masseter muscle were recorded as its control. Results : There was statistically significant correlation between CT number of right and left of parotid glands and masseter muscles. With the increase of age, there is a significant decrease in the CT number of parotid gland(p<0.05). There was no statistically significant difference in CT number between sexes except the 7th decade and beyond age group of parotid gland(p>0.05). Conclusion : As age increases, CT number of parotid gland has a tendency to decrease, and there is no significant difference in the CT numbers between left and right parotid gland. Therefore in the CT scan of patients suspected of having a salivary gland disease of the parotid gland, to consider normal range of the age-dependent CT numbers of parotid gland and compare the CT numbers of the right and left parotid gland might be useful in diagnosing the disease.(J Korean Oral Maxillofac Radiol 1999;29:451-458)