• Journal of Korean Neurosurgical Society
• /
• 제56권2호
• /
• pp.121-129
• /
• 2014

Objectives : Patients with cervical ossification of posterior longitudinal ligament (OPLL) are susceptible to cord injury, which often develops into myelopathic symptoms. However, little is known regarding the prognostic factors that are involved in minor trauma. We evaluated the relationship between minor trauma and neurological outcome of OPLL and investigated the prognostic factors with a focus on compressive factors and intramedullary signal intensity (SI). Methods : A total of 74 patients with cervical myelopathy caused by OPLL at more than three-levels were treated with posterior decompression surgeries. We surveyed the space available for spinal cord (SAC), the severity of SI change on T2-weighted image, and diabetes mellitus (DM). The neurological outcome using Japanese Orthopedic Association (JOA) scale was assessed at admission and at 12-month follow-up. Results : Among the variables tested, preoperative JOA score, severity of intramedullary SI, SAC, and DM were significantly related to neurological outcome. The mean preoperative JOA were $11.3{\pm}1.9$ for the 41 patients who did not have histories of trauma and $8.0{\pm}3.1$ for the 33 patients who had suffered minor traumas (p<0.05). However, there were no significant differences in the recovery ratios between those two groups. Conclusions : Initial neurological status and high intramedullary SI in the preoperative phase were related to poorer postoperative outcomes. Moreover, the patients with no histories of DM and larger SACs exhibited better improvement than did the patients with DM and smaller SACs. Although the initial JOA scores were worse for the minor trauma patients than did those who had no trauma prior to surgery, minor trauma exerted no direct effects on the surgical outcomes.

• Nutrition Research and Practice
• /
• 제10권5호
• /
• pp.524-529
• /
• 2016

BACKGROUND/OBJECTIVES: Use of smaller plates to control food intake is a commonly recommended strategy for restricting energy intake, despite conflicting results. Therefore, the aim of this study was to examine whether or not three different sizes of plates influence energy intake during a multi-itemed buffet meal in normal weight women. SUBJECTS/METHODS: This was a cross-over study conducted on 37 female participants aged 19-25 years with normal BMI levels. Participants were recruited from Hacettepe University and the surrounding community. On experimental days, participants ate a standard breakfast and were then randomly assigned to eat lunch using a small (19 cm), medium (23 cm), or large (28 cm) diameter plate. Visual analogue scale (VAS) scores on sensory and satiety outcomes were measured for all meals. Energy and macronutrient intakes during lunch were recorded. RESULTS: There was no evidence that use of a smaller plate size reduced energy or specific macronutrient intake during the free choice lunch meal. Multiple visits to the serving table were not associated with energy or macronutrient intake. Plate size did not affect VAS scores during the test days. CONCLUSIONS: Plate size did not influence energy intake, meal composition, or palatability in normal weight women during a multi-itemed open buffet lunch. Studies in natural settings at the population level are needed to clarify current outcomes.

• Journal of Korean Neurosurgical Society
• /
• 제59권6호
• /
• pp.628-636
• /
• 2016

Objective : Chronic subdural hematoma (cSDH) is common condition in neurosurgical field. It is difficult to select the treatment modality between the surgical method and the conservative method when patients have no or mild symptoms. The purpose of this study is to provide a suggestion that the patients could be cured with conservative treatment modality. Methods : We enrolled 16 patients who had received conservative treatment for cSDH without special medications which could affect hematoma resolution such as mannitol, steroids, tranexamic acid and angiotensin converting enzyme inhibitors. The patients were classified according to the Markwalder's Grading Scale. Results : Among these 16 patients, 13 (81.3%) patients showed spontaneously resolved cSDH and 3 (18.7%) patients received surgery due to symptom aggravation and growing hematoma. They were categorized into two groups based on whether they were cured with conservative treatment or not. The first group was the spontaneous resolution group. The second group was the progression-surgery group. The mean hematoma volume in the spontaneous resolution group was 43.1 mL. The mean degree of midline shift in the spontaneous resolution group was 5.3 mm. The mean hematoma volume in the progression-surgery group was 62.0 mL. The mean degree of midline shift in the second group was 6 mm. Conclusion : We suggest that the treatment modality should be determined according to the patient's symptoms and clinical condition and close observation could be performed in patients who do not have any symptoms or in patients who have mild to moderate headache without neurological deterioration.

• 대기
• /
• 제25권2호
• /
• pp.309-322
• /
• 2015

The objective of this study is to evaluate the impact of the high resolution topographies and landuses data on simulated meteorological variables (wind speed at 10 m, temperature at 2 m and relative humidity at 2 m) in WRF. We compare the results with WRF simulation using each resolution of the topographies and landuses, and with 37 AWS observation data on the Seoul metropolitan regions. According to results of using high-resolution topography, WRF model gives better topographical expression over domain. And we can separate more detail (Low intensity residential, high intensity residential, industrial or commercial) using high resolution landuses data. The result shows that simulated temperature and wind speed are generally higher than AWS observation data. However, simulation trend with temperature, wind speed, and relative humidity are similar to observation data. The reason for that is that the high precipitation event occurred in CASE 1 and 2. Temperature have correlation of 0.43~0.47 and standard deviation of $2.12{\sim}2.28^{\circ}C$ in CASE 1, while correlation of more than 0.8 and standard deviation of $3.05{\sim}3.18m\;s^{-1}$ in CASE 2. In case of wind speed, correlation have lower than 0.5 and Standard Deviation of $1.88{\sim}2.34m\;s^{-1}$ in CASE 1 and 2. In statistical analysis shows that using highest resolution (U01) results are more close to the AWS observation data. It can be concluded that the topographies and landuses are important factor that affect model simulation. However, the tendency to always use high resolution topographies and landuses data appears to be unjustified, and optimal solution depends on the combination of scale effect and mechanisms of dynamic models.

• 대기
• /
• 제29권4호
• /
• pp.343-353
• /
• 2019

The seasonal climatology of atmospheric rivers (ARs) and their effects on the seasonal precipitation and temperature in Korea are examined using the AR chronology obtained by a methodology based on the vertically integrated water vapor transport (IVT) in conjunction with a fine-scale gridded analysis of station precipitation and temperature. ARs are found to affect Korea most heavily in the warm season with minimal impacts in winter. This contrasts the AR effects in the western North America and the Western Europe that are affected most in winters. Significant portions of precipitation in Korea are associated with AR landfalls for all seasons; over 35% (25%) of the summer (winter) rainfall in the southern part of the Korean peninsula. The percentage of AR precipitation over Korea decreases rapidly towards the north. AR landfalls are also associated with heavier-than-normal precipitation events for all seasons. AR landfalls are associated with above-normal temperatures in Korea; the warm anomalies increase towards the north. The warm anomalies during AR landfalls are primarily related to the reduction in cold episodes as the AR landfalls in Korea are accompanied by anomalous southerlies/southwesterlies.

• 대한한의학회지
• /
• 제32권6호
• /
• pp.95-102
• /
• 2011

Objectives: The purpose of this study is to develop a program of group psychotherapy named "the promotion of hope program (PHP)" that will provide effective emotional support for cancer patients. Methods: In order to develop a group counseling program for cancer patients, this study utilized reality therapy based on Oriental medicine theory which is the mind affect the body. We established four steps for making positive changes to individual behavior: creating soil for hope, watering hope, sprouting hope, and the blossoming flower of hope. To verify the effectiveness of the program, we conducted a comparative clinical trial. Patients were divided into two groups by unrestricted randomization: the intervention group (n=20) and the control group (n=17). The members of each group did not exceed seven patients. We divided the trial period into three sections. The intervention group received group psychotherapy twice a week for 4 weeks. The control group watched hope-related videos and talked about members for two hours each week for four weeks. We evaluated the scale of anxiety and depression, self-esteem, and hope, both before and after the examination. Results: PHP decreased the level of anxiety and depression in the intervention group (1.21 vs. 0.75, p<0.01). PHP also improved the level of both self esteem (2.80 vs. 3.34, p<0.01) and hope (2.69 vs. 3.23, p<0.01). In contrast, the control group showed no interval change at any point in time. Conclusion: Following the above results, PHP can be seen as an effective program for helping cancer patients to increase positive emotions and behaviors while reducing negative thoughts.

• 생물정신의학
• /
• 제22권3호
• /
• pp.128-134
• /
• 2015

Objectives To examine the relationship between health-related quality of life (HRQoL) and body mass index (BMI) of obese children. Methods This cross-sectional study included 387 children. HRQoL was measured with the PedsQLTM 4.0 Generic Core Scale. BMI was classified according to the World Health Organization Asia-Pacific obesity guidelines. Psychosocial factors (body image, self-esteem, and depression/anxiety) were also measured. Data were analyzed using one-way analysis of variance, Pearson's correlation and Path analysis. Results Obese participants reported lower score for physical evaluation, self-esteem, appearance evaluation component of body image, total HRQoL score, and physical/emotional/social function components of HRQoL ; they reported higher score for depression/anxiety. In addition, results indicated that as BMI increased, appearance evaluation, total HRQoL score, and social function component of HRQoL dropped. Path analysis revealed that BMI did not directly affect HRQoL ; however, BMI directly affects body image and self-esteem, indirectly mediates depression/anxiety, and thereby impacts on an individual's HRQoL. Conclusions Body image and self-esteem, rather than BMI itself, have more influence on HRQoL. This reinforces the importance of therapeutic intervention to enhance body image and self-esteem among obese children.

• Parasites, Hosts and Diseases
• /
• 제56권2호
• /
• pp.205-210
• /
• 2018

Waterborne parasitic protozoa, particularly Giardia lamblia and Cryptosporidium spp., are common causes of diarrhea and gastroenteritis worldwide. The most frequently identified source of infestation is water, and exposure involves either drinking water or recreation in swimming pools or natural bodies of water. In practice, studies on Cryptosporidium oocysts and Giardia cysts in surface water are challenging owing to the low concentrations of these microorganisms because of dilution. In this study, a 3-year monitoring of Cryptosporidium parvum, Giardia lamblia, and Naegleria fowleri was conducted from August 2014 to June 2016 at 5 surface water sites including 2 lakes, 1 river, and 2 water intake plants. A total of 50 water samples of 40 L were examined. Cryptosporidium oocysts were detected in 22% of samples and Giardia cysts in 32%. Water at the 5 sampling sites was all contaminated with Cryptosporidium oocysts (0-36/L), Giardia cysts (0-39/L), or both. The geometric mean concentrations of Cryptosporidium and Giardia were 1.14 oocysts/L and 4.62 cysts/L, respectively. Thus, effective monitoring plans must take into account the spatial and temporal parameters of contamination because they affect the prevalence and distribution of these protozoan cysts in local water resources.

• 한국항공우주학회지
• /
• 제36권2호
• /
• pp.163-170
• /
• 2008

혼합 보 이론과 적정변형 보 이론에 입각한 공탄성 해석 시스템을 결합하여 유연면을 갖는 복합재료 무힌지 로터에 대한 정지 및 전진 비행시의 공탄성 해석을 수행하였다. 블레이드에 작용하는 공기력은 Leishman-Beddoes의 비정상 공력 모델을 이용하여 구했다. 인장, 회전면 내외의 굽힘, 그리고 비틀림이 상호 연계된 블레이드에 대한 운동방정식은 Hamilton의 원리에 입각하여 유도하였다. 헬리콥터 블레이드의 공탄성 해석에 주요한 요소들인 단면 벽의 두께, 탄성연계, 그리고 구성방정식에 대한 적합한 가정과 같은 주요 구조 모델링 문제들에 대한 효과들을 고찰하였다. 이러한 요소들은 블레이드 단면의 복합재료 적층 구조에 민감하게 반응하며, 블레이드 안정성에도 적지 않은 영향을 나타냄을 보였다.

• 한국치위생학회지
• /
• 제12권2호
• /
• pp.285-292
• /
• 2012

Objectives : This study examined the stress-coping methods used by Dental Hygiene students according to their degree of self-leadership to provide basic data for students' self-leadership training programs. Methods : Dental Hygiene students in Seoul and Gyeonggi-do were surveyed to measure their self-leadership in six categories-self-expectation, rehearsal, goal-setting, self-compensation, self-criticism, and constructive thinking-sand, in four categories-sproblem-centered coping, social support coping, emotional coping, and wishful thinking coping-son a scale of 1 through 5. Results : The findings of the study were as follows: The overall average score of self-leadership was 3.34 and the scores for each subfactor were 3.82 for self-compensation, 3.57 for self-expectation, 3.44 for rehearsal, 3.42 for goal-setting, 3.30 for self-criticism, and 3.12 for constructive thinking. The overall average score of stress-coping was 3.29 out of 5 and the scores for active coping were 3.14 for problem-centered coping and 3.38 for social support coping and for passive coping were 3.69 for wishful thinking coping and 2.95 for emotional coping. Self-leadership showed significant difference in terms of satisfaction with major and motivation for application. The six sub-factors of self-leadership and problem-centered coping and wishful thinking coping, the sub-factors of stress-coping, had significant correlations. Self-compensation and constructive thinking were significant factors of self-leadership that affect stress-coping. Conclusions : Based on the above findings, it was found that Dental Hygiene students' self-leadership is related to the use of efficient stress-coping. Therefore, it would be necessary to develop and apply educational approaches to improve their self-leadership so they can efficiently cope with various stressors that they will face after finding jobs.