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Economic Evaluation of Eastern, Western and Collaborative Treatments for Patients with Frozen Shoulder Pain (견비통의 한${\cdot}$양방 진료 및 협진의 경제성 평가)

  • Jang, Hye-Jung;Hong, Sang-Min;Park, You-Seon;Nam, Dong-Woo;Lim, Doo-Ik;Lee, Jae-Dong;Lee, Yun-Ho;Lim, Sabina
    • The Journal of Korean Medicine
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    • v.28 no.1 s.69
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    • pp.72-86
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    • 2007
  • Objectives : The purpose of this study was to evaluate and compare the cost-effectiveness of Eastern, Western, and collaborative treatments and suggest a cost-effective approach for patients with frozen shoulder pain. Methods : Using the data of fifty-two patients, treatment effectiveness was measured by CSA, SPABI, and ROM scales and changes from the baseline score were evaluated. Data source for cost estimation was based on the national health insurance (NHI) payment system. Because the price in NHI was differentiated by health care institutions, five collaborative types were considered in assessing costs. Cost-effective ratios were computed for economic evaluation. Results : Compared with Eastern treatment, collaborative and Western treatments showed better effects on CSA scale after 4 weeks' treatment. The collaborative approach was also the most effective treatment on SPADI and ROM scales. The direct cost per patient receiving Eastern treatment was less than other treatments. In general, collaborative treatment dominated Eastern and Western treatments in cost-effectiveness an analysis. However, the cost-effectiveness ratio of Eastern treatment resulted in \9,000 compared to \29,000 of collaborative treatment on SPADI. Four different indicators of ROM scales resulted in different approaches as the cost-effective treatment. Conclusions : Considering cost-effectiveness ratios, collaborative treatment was the best treatment on CSh and SPADI scales after 4 weeks' treatment. As for ROM scales, the recommended alternatives were Eastern treatment for patients with abduction and adduction disabilities, Western treatment for those with flexion disability, and collaborative approach fir those with extension disabiliry.

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Analysis and Evaluation of the Earth Science Content Relevance in the 7th National Science Curriculum (제7차 과학과 교육과정 지구과학 내용의 적정성 분석 및 평가)

  • Lee, Yang-Rak;Kwak, Young-Sun;Kim, Dong-Young
    • Journal of the Korean earth science society
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    • v.26 no.8
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    • pp.759-770
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    • 2005
  • The purpose of this study is to examine the Earth science content relevance of the 7th national science curriculum. For this purpose, we (1) analyzed science curriculum or content standards of Korea, California, England and Japan, (2) compared science textbooks of Korea and Japan, (3) conducted a nationwide survey to gather opinions from students, teachers, professors and textbook authors about the relevance of the science curriculum and textbooks. According to the results, the Earth science contents of the 7th national science curriculum were not appropriate in terms of the objectives of science curriculum and the needs of students and society. The main reasons include the equal division among physics, chemistry, biology and earth science, iack of connection due to fractionation of units, overly strict application of spiral curriculum, and redundant amount of activities and concepts to cover in the textbook. Major suggestions fir securing the relevance of Earth science contents are as follows: First, the science contents and the size of units at each grade level should be determined according to the students' characteristics, not by equal portion rule. Second, the excessive overlapping and repetition of contents due to the spiral curriculum should be avoided. In addition, the number of activities should be reduced and the quality of required science activities should be improved. Third, to raise students' interest in Earth science, real-life applications and real-world Earth science contents should be emphasized including natural disasters, safety, universe and space exploration, and natural resources. Lastly, considering one of the relevance criteria is feasibility, supports for schools and science teachers are needed to realize the goal of the intended science curriculum.

A STUDY ON THE RESISTANCE OF WEAR AND CYTOTOXICITY OF THE TITANIUM SURFACE AFTER FILM DEPOSITIONS (박막증착시 티타늄 표면의 마손저항도와 세포독성에 관한 연구)

  • Kim Hyung-Woo;Kim Chang-Whe;Kim Yung-Soo
    • The Journal of Korean Academy of Prosthodontics
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    • v.39 no.1
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    • pp.84-95
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    • 2001
  • Titanium is widely used in dentistry for its low density, high strength, fatigue resistance, corrosion resistance, and biocompatibility. But it has a tendency of surface damage under circumstance of friction and impact for its low hardness of the surface. Coating is one of methods fir increasing surface hardness. Its effect is to improve surface physical characteristics without change of titanium. Diamond-like carbon and titanium nitride are known for its high hardness of the surface. So that this study was aimed at the wear test and the cytotoxicity test of the commercially pure titanium and Ti-6Al-4V alloy which were deposited by diamond-like carbon film or titanium nitride film to acertain improvement of the surface hardness and the biocompatibility. A disk (25mm diameter, 2mm thickness) was made of commercially pure titanium and Ti-6Al-4V alloy and these substrates were deposited by diamond-like carbon film or titanium nitride film. Diamond-like carbon film was deposited by the method of radiofrequency plasma assisted chemical vapor deposition and titanium nitride film was deposited by the method of reactive arc ion plating. Then these substrates were tested about wear characteristics by the pin-on-disk type wear tester in which ruby ball was used as a wear causer under the load of 32N, The fracture cycles were measured by rotating the substrates until their films were fractured. The wear volume was measured after 150 cycles and 3,000 cycles using surface profiler. The cytotoxicity test was peformed by the method of the MTT assay. The results were as follows : 1. In the results of the wear volume test, commercially pure titanium and titanium alloy which were coated by diamond-like carbon film or titanium nitride aim had higher resistance against wear than the substrates which were not coated by any films (P<0.05). 2. In the results of the fracture cycle test and the wear volume test, diamond-like carbon film had higher resistance against wear than titanium nitride film (P<0.05). 3. In both coatings of diamond-like carbon aim and titanium nitride film, Ti-6Al-4V alloy had higher resistance against wear than commercially pure titanium (P<0.05) 4. In the results of the cytotoxicity test, diamond-like carbon film and titanium nitride film had little cytotoxicity as like commercially pure titanium or Ti-6Al-4V alloy (P>0.05).

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A STUDY OF NI-RESISTANT BACTERIA ISOLATED FROM GINGIVAL CREVICULAR FLUID ON THE PATIENTS WEARING NI-CR ALLOY PROSTHESIS (IN TERMS OF MOLECULAR BIOLOGICAL ASPECTS) (니켈-크롬 합금 보철물 주위 치은 열구내에서 발견된 니켈 내성 균주에 관한 분자생물학적 연구)

  • Chae Young-Ah;Woo Yi-Hyung;Kwon Kung-Rock
    • The Journal of Korean Academy of Prosthodontics
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    • v.41 no.2
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    • pp.207-222
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    • 2003
  • As a material of metal-ceramic prosthesis, nickel as a form of Ni-Cr alloy has been used for many dental prostheses in many cases. However, several problems in use of the alloy have been revealed (ex ; tissue stimulation, skin allergy, hypersensitivity cytotoxicity and carcinogenecity). Little is known about nickel with respect to the relationship between Ni-prosthesis and gaining of Niresistance in oral microorganisms. The present study was undertaken to check whether use of Ni-prosthesis leads to occurrence of Ni-resistant microorganisms. So this study may suggest the possible relationships between the oral microorganisms and nickel-resistance in oral environment. Bacteria were isolated from the gingival crevicular fluid on the patients wearing Ni-Cr prosthesis. The isolated bacteria were tested fir their Ni-resistance in nickel containing media at different concentration from 3mM to 110mM. E. coli HB101 was used as control. The Ni-resistant bacteria were isolated and biochemically identified. The Ni-resistant bacteria were tested several biochemical, molecular-biological tests. Performed tests were : measuring the growth curve, antibiotic test, growth ability test in liquid media, isolation of the chromosome and plasmid, digestion of DNA by restriction enzyme, electrophoresis of chromosome and plasmid DNA, identification of Ni-resistant genes by the DNA hybridization. The results were as follows 1) The bacteria isolated from gingival crevicular fluid on the patients wearing Ni-Cr alloy prosthesis showed nickel-resistance. 2) The isolated microorganisms grew at nickel containing media of high concentrations (60mM-110mM). 3) Based on the biochemical tests, the isolated microorganisms were identified as Enterococcus faecalis(13 cases), Klebsiella pneumoniae(1 case) and Enterobacter gergoviae(1 case). 4) Enterococcus faecalis expressed not only nickel resistance but also the multi-drug resistance to several antibiotics ; chloramphenicol, kanamicin, streptomycin, lincomycin, clindamycin, However, all strain showed the sensitivity against the tetracycline. 5) DNA hybridization result suggests that there is no homology between the previously known gene of nickel resistance in Klebsiella pneumoniae and chromosomal DNA of Enterococcus faecalis.

EFFECT OF TAPER AND SURFACE AREA OF INNER CROWN ON THE RETENTIVE FORCE OF ELECTROFORMED OUTER CROWN (전기성형술로 제작된 외관의 유지력에 내관의 축면경사도와 표면적이 미치는 영향)

  • Kang Wan-Keun;Lim Jang-Seop;Jeon Young-Chan;Jeong Chang-Mo;Jeong Hee-Chan
    • The Journal of Korean Academy of Prosthodontics
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    • v.44 no.2
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    • pp.165-173
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    • 2006
  • Purpose: With gold electroforming system fir the double crown, the secondary crown is electroformed directly onto the primary crown. An even thick layer of high precision can be acquired. It is thought that the retention of electroformed outer crown is primarily acquired by the adhesive force (surface tension) through the saliva which is interposed between precisely fitted inner and outer crown. The purpose of this study was to investigate the effect of taper and surface area of inner crown on the retentive force of electroformed outer crown according to the presence of saliva. Materials and methods: 32 titanium inner crowns with cervical diameter of 8 mm and cone angles of 0, 2, 4, 6 degrees, which had same surface area by regulated height, were machined on a lathe. Another 32 titanium inner crowns with cone angles of 0, 2, 4, 6 degrees, which had doubled surface area by increased cervical diameter. were fabricated. Eight specimens of each group, for a total of 64 titanium inner crowns, were prepared. The electroformed outer crowns were fabricated directly on the inner crowns by using electroforming machine(GAMMAT free, Gramm Technik, Germany). The tertiary frameworks were waxed-up on the electroformed outer crown and cast using nonprecious alloy($Rexillium^(R)III,\;Jeneric^(R)/Pentronh^(R)$ Inc., USA). The cast metal frameworks were sandblasted with alubimium oxides and cemented using resin cement(Superbond C&B, Sun Medical Co., Japan) over the electroformed copings of each specimen. Then, artificial saliva($Taliva^(R)$, Halim Pharm. Co., Korea) was sprayed between the inner and outer crown, and they were connected under 5 kg force. The retentive force was measured by the universal testing machine(Tinius Olsen 1000, Tinius Olsen, USA) with a cross-head speed of 66.67 mm/sec. The direction of cross-head travel was exactly aligned with the path of removal of the respective specimens. This measurement procedures for retentive force of electroformed outer crown with artificial saliva were repeated in the same way without presence of artificial saliva. Results and Conclusion: The following conclusions were drawn: 1. The retentive force of electroformed outer crown was decreased according to increased taper of inner crown(P<.05). 2. The retentive force of electroformed outer crown showed no significant differences according to surface area and the presence of artificial saliva(P>.05).

Prediction of Soil-water Characteristic Curve and Unsaturated Permeability Coefficient of Reclaimed Ground (불포화 준설매립 지반의 흙-수분 특성곡선 및 불포화 투수계수 예측)

  • 신은철;이학주;오영인
    • Journal of the Korean Geotechnical Society
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    • v.20 no.1
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    • pp.109-120
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    • 2004
  • There has been outstanding research on the soil-water characteristic curves of unsaturated soils over the past several decades. Unfortunately, unsaturated soil mechanics has not been considered as an important factor in Korea. In this paper, laboratory test and numerical analysis(SoilVision Professional ver 3.04) were performed to investigate the prediction method of soil-water characteristic curve and unsaturated permeability coefficient in reclaimed ground. The pressure cell, desiccator, and tensiometor tests were conducted on three types of reclaimed soils(dredged soil, sand, weathered granite soil). Numerical analysis was executed to compare the results with the laboratory test results and also compared with the results of each prediction method. Based on the laboratory test, three different types of soils have shown different soil-water characteristic curves. The hysteresis fir these soils is clearly defined. As a result of numerical analysis, Fredlund & Xing's method and Fredlund & Wilson's model proved to worke out well for reclaimed ground soils in Korea. Also, predicting method based on the soil-water characteristic curves from the particle-size distributions is flirty reliable for estimating unsaturated permeability coefficient.

Performance Evaluation of Channel Estimation for WCDMA Forward Link with Space-Time Block Coding Transmit Diversity (시공간 블록 부호 송신 다이버시티를 적용한 WCDMA 하향 링크에서 채널 추정기의 성능 평가)

  • 강형욱;이영용;김용석;최형진
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.28 no.6A
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    • pp.341-350
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    • 2003
  • In this paper, we evaluate the performance of a moving average (MA) channel estimation filter when space-time block coding transmit diversity (STBC-TD) is applied to the wideband direct sequence code division multiple access (WCDMA) forward link. And we present the infinite impulse response (IIR) filter scheme that can reduce the required memory buffer and the channel estimation delay time. This paper also compares the performance between MA filter scheme and IIR filter scheme in various Rayleigh fading channel environments through the bit error rate (BER) and the frame error rate (FER). Extensive computer simulation results show that transmission with STBC-TD provides a significant gain in performance over no transmit diversity technique, particularly at pedestrian speeds. If STBC-TD technique is employed in the channel estimator based on MA filter, it provides considerable performance gains against Rayleigh fading and reduces the optimum filter tap number. Consequently, the channel estimation delay time and the complexity of the receiver are reduced. In addition, the channel estimator based on IIR filter has the advantages such as little memory requirement and no delay time compared to the MA scheme. However, IIR filter coefficients is very sensitive to the mobile speed change and it exerts a serious influence upon the performance. For that reason, it is important to set uP the optimum IIR filter coefficients.

The Effect of Internal Row on Marine Riser Dynamics (Riser의 내부유체 흐름이 Riser 동적반응에 미치는 영향)

  • Hong, Nam-Seeg
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.7 no.1
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    • pp.75-90
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    • 1995
  • A mathematical model for the dynamic analysis of a riser system with the inclusion of internal flow and nonlinear effects due to large structural displacements is developed to investigate the effect of internal flow on marine riser dynamics. The riser system accounts fir the nonlinear boundary conditions and includes a steady flow inside the pipe which is modeled as an extensible or inextensible. tubular beam subject to nonlinear three dimensional hydrodynamic loads such as current or wave excitation. Galerkin's finite element approximation and time incremental operator are implemented to derive the matrix equation of equilibrium for the finite element system and the extensibility or inextensibility condition is used to reduce degree of freedom of the system and the required computational time in the case of a nonlinear model. The algorithm is implemented to develop computer programs used in several numerical applications. The investigations of the effect of infernal flow on riser vibration due to current or wave loading are performed according to the change of various parameters such as top tension, internal flow velocity, current velocity, wave period, and so on. It is found that the effect of internal flow can be controlled by the increase of top tension. However, careful consideration has to be given in the design point particularly for the long riser under the harmonic loading such as waves. And it is also found that the consideration of nonlinear effects due to large structural displacements increases the effect of internal flow on riser dynamics.

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Consideration of Time Lag of Sea Surface Temperature due to Extreme Cold Wave - West Sea, South Sea - (한파에 따른 표층수온의 지연시간 고찰 - 서해, 남해 -)

  • Kim, Ju-Yeon;Park, Myung-Hee;Lee, Joon-Soo;Ahn, Ji-Suk;Han, In-Seong;Kwon, Mi-Ok;Song, Ji-Yeong
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.27 no.6
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    • pp.701-707
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    • 2021
  • In this study, we examined the sea surface temperature (SST), air temperature (AT), and their time lag in response to an extreme cold wave in 2018 and a weak cold wave in 2019, cross-correlating these to the northern wind direction frequency. The data used in this study include SST observations of seven ocean buoys Real-time Information System for Aquaculture Environment provided by the National Institute of Fisheries Science and automatic weather station AT near them recorded every hour; null data was interpolated. A finite impulse response filter was used to identify the appropriate data period. In the extreme cold wave in 2018, the seven locations indicated low SST caused by moving cold air through the northern wind direction. A warm cold wave in 2019, the locations showed that the AT data was similar to the normal AT data, but the SST data did not change notably. During the extreme cold wave of 2018, data showed a high correlation coefficient of about 0.7 and a time lag of about 14 hours between AT and SST; during the weak cold wave of 2019, the correlation coefficient was 0.44-0.67 and time lag about 20 hours between AT and SST. This research will contribute to rapid response to such climate phenomena while minimizing aquaculture damage.

Analysis of Anatomical Characteristics for Wood Species Identification of Commercial Plywood in Korea (국내 유통 합판의 수종식별을 위한 해부학적 특성 분석)

  • LEE, Hyun Mi;JEON, Woo Seok;LEE, Jei Wan
    • Journal of the Korean Wood Science and Technology
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    • v.49 no.6
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    • pp.574-590
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    • 2021
  • International efforts to prevent illegally logged wood are expanding around the world. The "Legal Wood Trade Promotion System" was enacted in Korea in 2019 to strengthen the legal import and distribution of commercial wood in Korea. Since then, this system has promoted and ensured that the imported wood and wood products are legal with respect to the country of origin, wood species, and harvested area. As verification methods, DNA analysis technology and anatomical analysis using a microscope are mainly used in conjunction. Therefore, in this study, wood species of plywood were identified by analyzing the anatomical characteristics of various wood products for the first time. Douglas fir (Pseudotsuga menziesii (Mirb.) Franco.) and larch (Larix kaempferi (Lamb.) Carriere) plywoods (7, 9 ply) were obtained from four companies that supply plywood in Korea. After cutting each company's plywood to a size of about 1 cm3, the layers from top to bottom were separated into single layers, and three sections were observed using an optical microscope. The results revealed that the plywood was composed of a mixture of softwood and hardwood wood species, pine wood species, poplar wood species, or a mixture of larch and pine wood species. Identification of wood species using microscopy is important and can enable the scientific analysis and verification of various wood products, including plywood, imported from countries where the likelihood of indiscriminate distribution of illegal wood and illegal logging is high.