• Clinics in Shoulder and Elbow
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• 제20권3호
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• pp.117-125
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• 2017

Background: To compare the clinical outcomes of arthroscopic capsular release in patients with and without inferior capsular release for shoulder stiffness. Methods: Between January 2010 and December 2015, 39 patients who underwent arthroscopic capsular release for shoulder stiffness were enrolled and randomized into two groups. In group I, 19 patients underwent arthroscopic capsular release of the rotator interval and anterior capsule. In group II, 20 patients underwent arthroscopic capsular release of the anterior to inferior capsule, including the rotator interval. The American Shoulder and Elbow Surgeons score, Constant scoring system, Simple Shoulder Test, visual analogue scale for pain, and range of motion (ROM) were used for evaluation before surgery, at 3, 6, and 12 months after surgery and on the last follow-up. Results: Preoperative demographic data revealed no significant differences (p>0.05). The average follow-up was 16.07 months. Both groups showed significantly increased ROM at the last follow-up compared with preoperative (p<0.05). At the last follow-up, no statistical differences were found (p>0.05) between groups I and II in functional scores and ROM (forward flexion, p=0.91; side external rotation, p=0.17; abduction external rotation, p=0.72; internal rotation, p=0.61). But we found that group II gained more flexion compared to group I at 3 months and 6 months (p<0.05) after the surgery. Conclusions: Both techniques of capsular release are effective for stiffness shoulder. However, the extended inferior capsular release shows superiority in forward flexion over anterior capsular release alone during 6 months of follows-up (level of evidence: Level I, therapeutic randomized controlled trial).

• 대한공간정보학회지
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• 제12권1호
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• pp.11-20
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• 2004

GPS오차 중 하나였던 SA(Selective Availability)에 의한 오차의 제거 이후(2000년 5월 1일 기점) GPS 오차의 해제 전후의 교통정보의 신뢰성을 비교하고, GIS-GPS 교통정보수집단계에서의 수집신뢰성을 높일 수 있도록 하는 방안을 제시하는 것이 본 연구의 주요목적이다. 크게 두 가지를 다루고 있는바, 첫 번째는 GPS의 오차의 변화에 대한 것으로 GPS수신기에서 1초마다 수집된 원시데이터에 대하여 SA 해제 전과 후의 정확도를 고정점밀도를 이용하여 분석하였고 그 결과 SA 해제 후에는 도로중심선에서 20m의 범위 안에 전체 GPS 포인트의 87.23%가 포함된 반면 해제 전에는29.94%가 포함되어 SA 해제 이후 GPS데이터의 이용가능정도 및 정확도가 전체적으로 향상된 것을 알 수 있었다. 두 번째는 5분$^{1)}$동안 수집된 모든 자료에 대하여 각 링크의 참통행시간(실측통행시간)과 프로브차량의 통행시간의 차이를 산출하였다. 실측통행시간과 구간통행시간의 비교 결과 버퍼크기가 SA 해제 전(60m)보다 작은 40m에 가장 오차가 작게 산출되었다. 이는 SA 해제 이후 GPS 오차의 감소로 버퍼크기를 축소해도 산출된 구간통행 시간의 신뢰도에는 관계가 없다는 것을 보여주는 것이 된다. 하지만 SA 이외에 다른 오차는 여전히 존재하기 때문에 버퍼설계 시 GPS 오차를 완전히 무시하기는 힘든 것으로 나타났다. 하지만 구간통행시간의 오차평균을 볼 때 DGPS를 사용하지 않고 단지 GPS만 이용해도 교통정보의 획득을 위한 이용에 큰 문제가 없다고 판단되어졌다.

• Journal of Korean Neurosurgical Society
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• 제60권1호
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• pp.1-7
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• 2017

Objective : The diagnosis of shunt malfunction can be challenging since neuroimaging results are not always correlated with clinical outcomes. The purpose of this study was to evaluate the efficacy of a simple, minimally invasive cerebrospinal fluid (CSF) lumbar tapping test that predicts shunt under-drainage in hydrocephalus patients. Methods : We retrospectively reviewed the clinical and radiological features of 48 patients who underwent routine CSF lumbar tapping after ventriculoperitoneal shunt (VPS) operation using a programmable shunting device. We compared shunt valve opening pressure and CSF lumbar tapping pressure to check under-drainage. Results : The mean pressure difference between valve opening pressure and CSF lumbar tapping pressure of all patients were $2.21{\pm}24.57mmH_2O$. The frequency of CSF lumbar tapping was $2.06{\pm}1.26times$. Eighty five times lumbar tapping of 41 patients showed that their VPS function was normal which was consistent with clinical improvement and decreased ventricle size on computed tomography scan. The mean pressure difference in these patients was $-3.69{\pm}19.20mmH_2O$. The mean frequency of CSF lumbar tapping was $2.07{\pm}1.25times$. Fourteen cases of 10 patients revealed suspected VPS malfunction which were consistent with radiological results and clinical symptoms, defined as changes in ventricle size and no clinical improvement. The mean pressure difference was $38.07{\pm}23.58mmH_2O$. The mean frequency of CSF lumbar tapping was $1.44{\pm}1.01times$. Pressure difference greater than $35mmH_2O$ was shown in 2.35% of the normal VPS function group (2 of 85) whereas it was shown in 64.29% of the suspected VPS malfunction group (9 of 14). The difference was statistically significant (p=0.000001). Among 10 patients with under-drainage, 5 patients underwent shunt revision. The causes of the shunt malfunction included 3 cases of proximal occlusion and 2 cases of distal obstruction and valve malfunction. Conclusion : Under-drainage of CSF should be suspected if CSF lumbar tapping pressure is $35mmH_2O$ higher than the valve opening pressure and shunt malfunction evaluation or adjustment of the valve opening pressure should be made.

• 임상간호연구
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• 제26권1호
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• pp.117-130
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• 2020

Purpose: This study aimed to develop a bedside nursing shift report protocol and evaluate the effect of the protocol in a tertiary hospital in South Korea. Methods: The bedside nursing handoff protocol with patient engagement was developed based on the literature review and the validation of an expert group. The effect of the protocol on clinical implication was tested in three medical-surgical units in a tertiary hospital. Outcomes were assessed by patient perception, nurse perception, and reporting time. Data collected from June to August in 2018 and analyzed with descriptive statistics and One-way ANOVA using SPSS version 25.0. Results: The bedside nursing shift report protocol with patient engagement consisted of two steps: nurse to nurse report and bedside report with patients. Nurse's perception with patient engagement was significantly increased after applying protocol (F=17.85, p<.001). Patient's perception was significantly improved in the areas of discharge plan (F=7.86, p<.001), health information privacy (F=4.46, p=.012) and identify attending nurse (F=3.19, p=.042). There were no differences in reporting time between the bedside nursing shift report and a traditional shift report (F=0.61, p=.054). Conclusion: Patient perception was significantly increased, while nurse perception was not different after applying this protocol. For the change in the perception of nurses, education may be preceded to improve nurses' competence for the bedside shift report. Furthermore, the support in enough nurse staffing should be needed for encouraging the bedside shift report. The bedside shift report may enhance patient engagement. Therefore it may improve patient safety and health outcome in clinics.

• Journal of Dental Anesthesia and Pain Medicine
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• 제21권5호
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• pp.413-429
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• 2021

Background: Migraine headaches are the second leading cause of disability worldwide and are responsible for significant morbidity, reduction in the quality of life, and loss of productivity on a global scale. The purpose of this systematic review and meta-analysis was to evaluate the efficacy of ketamine on migraines and other primary headache disorders compared to placebo and other active interventions, such as midazolam, metoclopramide/diphenhydramine, and prochlorperazine/diphenhydramine. Methods: An electronic search of databases published up to February 2021, including Medline via PubMed, EMBASE, Web of Science, and Cochrane Library, a hand search of the bibliographies of the included studies, as well as literature and systematic reviews found through the search was conducted to identify randomized controlled trials (RCTs) investigating ketamine in the treatment of migraine/headache disorders compared to the placebo. The authors assessed the risk of bias according to the Cochrane Handbook guidelines. Results: The initial search strategy yielded 398 unduplicated references, which were independently assessed by three review authors. After evaluation, this number was reduced to five RCTs (two unclear risk of bias and three high risk of bias). The total number of patients in all the studies was 193. Due to the high risk of bias, small sample size, heterogeneity of the outcomes reported, and heterogeneity of the comparison groups, the quality of the evidence was very low. One RCT reported that intranasal ketamine was superior to intranasal midazolam in improving the aura attack severity, but not duration, while another reported that intranasal ketamine was not superior to metoclopramide and diphenhydramine in reducing the headache severity. In one trial, subcutaneous ketamine was superior to saline in migraine severity reduction; however, intravenous (I.V.) ketamine was inferior to I.V. prochlorperazine and diphenhydramine in another study. Conclusion: Further double-blind controlled studies are needed to assess the efficacy of ketamine in treating acute and chronic refractory migraines and other primary headaches using intranasal and subcutaneous routes. These studies should include a long-term follow-up and different ketamine dosages in diagnosed patients following international standards for diagnosing headache/migraine.

• 예술인문사회 융합 멀티미디어 논문지
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• 제9권10호
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• pp.763-774
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• 2019

협업 시스템은 협업을 위한 그룹 구성 및 데이터 관리 등의 기능을 제공하여 참여자간의 협업을 지원하는 시스템으로 최근에는 협업 과정 및 결과의 신뢰성을 보장하기 위하여 블록체인 기반의 협업 서비스에 대한 연구가 진행되고 있다. 협업을 수행하는 응용 영역의 다양성과 협업 그룹을 이루는 참여자들의 성격에 따라 협업을 수행하는 절차가 여러 가지 형태로 이루어진다. 이러한 절차가 목적하는 협업의 결과물을 차질 없이 도출하기 위해서는 적절한 협업의 과정을 미리 명세하여 참여자들이 그 과정에 대하여 이해하고 동의하면서 협업을 수행하는 것이 바람직하다. 본 논문에서는 이더리움 블록체인 기반 협업 서비스 환경에서 워크플로우 명세를 이용하여 유동적인 협업 과정을 제어하기 위한 방법에 대하여 제안한다. 제안된 방법에서는 지정된 작업의 실행 흐름을 위한 워크플로우에 대한 명세를 이더리움 스마트 컨트랙트에 저장하고, 저장된 워크플로우에 대한 명세를 이용하여 작업 과정을 제어한다. 이를 위하여, 본 논문에서는 JSON을 이용하여 간단하게 작업 과정을 명세할 수 있는 기법인 JSFlow와 이를 활용하기 위한 이더리움 라이브러리를 소개한다.

• 한방재활의학과학회지
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• 제29권3호
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• pp.75-85
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• 2019

Objectives This study was perfomed to assess the adherance to CARE (CAse REport) guideline of case reports in the Journal of Korean Medicine Rehabilitation Methods We searched the case reports published in the Journal of Korean Medicine Rehabilitation from January 2016 to April 2019 in the database of oriental medicine advanced searching integrated system (OASIS). Then we evaluated the quality of the searched case reports based on the CARE guideline. Results Totally 31 papers were selected after the screening the case reports by the inclusion and exclusion criteria. The report rate of the sub-items of the CARE guideline was 78.26% at the maximum, 60.87% at the maximum, and 70.97% on the average. The following items were reported only in less than 50% of them; 'Timeline', 'Diagnostic challenges', 'Diagnostic reasoning including other diagnoses considered' 'Prognostic characteristics', 'Follow-up and Outcomes', 'Patient Perspective', 'Informed Consent' Conclusions This study is expected to contribute to the overall improvement of the level of case reports in the Journal of Korean Medicine Rehabilitation.

• Journal of the Korean Wood Science and Technology
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• 제47권2호
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• pp.129-144
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• 2019

본 연구는 목질보드류 및 가구 생산 현장에서 주로 품질 관리를 위해 사용되는 데시케이터 방법을 개선 및 보완함으로써 측정 및 포집 시간을 단축하는 가속 포집 공정을 개발하기 위해 수행되었다. 먼저 등급별 목질 보드류에 대해 데시케이터 방법에 의한 포름알데히드를 측정하였다. 이어 개발된 공정을 가지고 데시케이터 방법과 비교하였을 때 최적 온도와 시간, 노출면적 등을 선정하여 시험한 후 그 상관성을 분석하였다. 그 결과 온도는 $100^{\circ}C$, 시간은 1시간, 시편은 2개일 때 데시케이터 방법과 비교적 유사한 결과값을 나타내었으며 그 상관성도 높은 것으로 나타났다. 개발된 시험 공정을 검증하기 위해서 설정된 표준화된 온도 및 시간, 시편의 매수를 가지고 Korea Conformity Laboratories (KCL)에 의뢰되어 실제 시험에 쓰이지 않았던 시료를 가지고 비교하였다. 그 결과 데시케이터 방법과의 상관성은 매우 높은 것으로 나타났다. 그러나 가속 포집 공정에서의 포름알데히드 방출량 결과값은 데시케이터 방법보다 대부분 높게 나타났다. 몇 개 시료의 포름알데히드 방출 등급은 한단계 더 높게 나타나는 경우도 있었다. 하지만 품질관리의 관점에서는 본 연구에서 설계된 가속 포집 공정 방법에 의해 충분히 적용될 수 있다고 판단되었다.

• 대한치과보철학회지
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• 제57권1호
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• pp.66-74
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• 2019

과도한 마모는 치료받지 않을 시 여러 문제점들을 야기시킬 수 있기 때문에, 정확한 분석 및 진단을 바탕으로 예지성 있는 치료계획을 수립하도록 노력해야 하고, 수직고경에 대한 평가 및 그에 따른 단계적인 치료를 통해 안정된 악간 관계를 회복시켜 주어야 한다. 또한 임플란트 치료의 장기적인 성공을 위해서는 이상적인 위치와 각도로 임플란트를 식립하는 것이 중요하며, 다수의 임플란트 치료에서는 그 중요성이 더욱 증가한다. 따라서 철저한 계획 및 진단에 따른 정확한 수술과 보철 과정이 중요하다. 본 증례에서는 다수의 치아 상실 및 전반적인 치아 마모로 인해 수직고경이 상실되어 있는 68세의 남자 환자에게 치료 전 단계에서부터 다양하고 체계적인 분석을 통해 수직고경을 회복하는 치료 계획을 세웠다. 콘빔컴퓨터단층촬영 데이터를 활용하여 새로 설정한 수직고경에 맞춰 가이드 수술을 시행하였고, 임플란트를 포함한 전악 고정성 보철 수복을 통해 기능 및 심미적으로 환자와 술자 모두 만족할 만한 결과를 얻었기에 이를 보고하고자 한다.

• Journal of Periodontal and Implant Science
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• 제49권1호
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• pp.2-13
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• 2019

Purpose: The aim of this study was to conduct a histologic evaluation of irradiated calvarial defects in rats 4 weeks after applying fibroblast growth factor-2 (FGF-2) with hyaluronan or biphasic calcium phosphate (BCP) block in the presence or absence of adjunctive hyperbaric oxygen (HBO) therapy. Methods: Twenty rats were divided into HBO and non-HBO (NHBO) groups, each of which was divided into FGF-2 and BCP-block subgroups according to the grafted material. Localized radiation with a single 12-Gy dose was applied to the calvaria of rats to simulate radiotherapy. Four weeks after applying this radiation, 2 symmetrical circular defects with a diameter of 6 mm were created in the parietal bones of each animal. The right-side defect was filled with the materials mentioned above and the left-side defect was not filled (as a control). All defects were covered with a resorbable barrier membrane. During 4 weeks of healing, 1 hour of HBO therapy was applied to the rats in the HBO groups 5 times a week. The rats were then killed, and the calvarial specimens were harvested for radiographic and histologic analyses. Results: New bone formation was greatest in the FGF-2 subgroup, and improvement was not found in the BCP subgroup. HBO seemed to have a minimal effect on new bone formation. There was tendency for more angiogenesis in the HBO groups than the NHBO groups, but the group with HBO and FGF-2 did not show significantly better outcomes than the HBO-only group or the NHBO group with FGF-2. Conclusions: HBO exerted beneficial effects on angiogenesis in calvarial defects of irradiated rats over a 4-week healing period, but it appeared to have minimal effects on bone regeneration. FGF-2 seemed to enhance new bone formation and angiogenesis, but its efficacy appeared to be reduced when HBO was applied.