• 재활치료과학
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• 제3권1호
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• pp.57-65
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• 2014

목적 : 본 연구는 뇌졸중 환자를 대상으로 스마트폰 인지 어플리케이션을 이용한 집중력과 기억력 효과를 알아보고자 하였다. 연구방법 : 단일사례연구 방법 중 ABA 설계를 사용하여 기초선 A 5회, 중재기 B 10회, 기초선 A' 5회기로 총 20회기를 총 4주에 걸쳐 적용하였다. 기초선 A와 기초선 A' 기간에는 별도의 중재를 하지 않았고 중재기 B 기간 동안 '기억의 달인(숫자, 도형, 과일 모드)'과 'Matching cute animals'라는 어플리케이션을 통해 중재하였다. 전 회기에 걸쳐 '기억의 달인(랜덤 모드)'과 'Memory free(그림외우기)'어플리케이션을 이용해 기억력과 집중력을 평가하였다. 결과 자료는 그래프와 기술통계량으로 제시하였다. 결과 : 회기 별 실시한 기억력과 집중력 평가 결과, 기초선 A와 기초선 A' 기간보다 중재기 B 기간 동안 집중력과 기억력의 향상을 보였고, 중재 전과 후에 실시한 평가에서도 중재 후의 평가에서 집중력과 기억력의 향상을 보였다. 결론 : 본 연구를 통해 검증된 스마트폰 어플리케이션을 이용한 중재 효과가 임상적 근거를 제공하는데 유용하게 사용되기를 기대하며, 향후 연구에서는 더 많은 표본을 대상으로 장시간에 걸쳐 시행한 연구가 진행될 필요가 있다.

• 대한원격탐사학회지
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• 제28권1호
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• pp.121-128
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• 2012

조간대 지역의 고해상 지형도는 해수 운동에 의한 퇴적 및 침식량의 변화와 같이 과학적인 연구의 기초자료로 쓰일 뿐만 아니라 연안 습지의 실제적인 관리 및 환경변화 모니터링의 도구로서도 그 활용의 가치가 높다. 그러나 조간대는 하상 퇴적물의 유입과 조석현상에 의해 빠르게 변화하고 있어 원격탐사와 같이 단기간에 넓은 지역을 조사할 수 있는 기술의 적용이 필요하다. 레이더 간섭기술은 가장 보편적이면서 성공적인 고해상 지형도 작성 기술로 알려져 있으나, 조간대에서는 지표노출시간의 제약 및 빠른 상태변화로 인해 일반적인 repeat-pass 간섭기술로는 충분한 긴밀도를 얻기 힘들다. 이 연구에서는 재방문주기가 짧은 Cosmo-SkyMed 1일 간격 관측자료와 ERS2-ENVISAT 30분 간격 관측자료를 이용하여 레이더 간섭기술을 이용한 조간대 지형도 작성을 실험하였다. 두 자료 모두 긴 수직기선으로 인한 높은 고도민감도와 짧은 관측주기로 인한 높은 긴밀도로 간섭위상을 구할 수 있었으나, Cosmo-SkyMed 관측자료에서는 대기에 의한 위상지연 효과와 조석에 의한 조간대 표층의 함수율 변화로 인하여 조간대와 같이 평평한 지역의 지형정보를 추출하는데에 어려움이 발생한다. 반면에 ERS2-ENVISAT 관측자료는 이종센서간의 관측중심주파수 차이를 상쇄하기 위해 설정된 긴 수직기선 덕분에 매우 높은 고도민감도를 가지며, 30분이라는 짧은 관측주기는 간섭쌍을 이루는 두 영상에 포함된 대기지연효과를 대부분 상쇄시키므로 조간대의 지형도 작성에 이상적인 자료로 판단된다.

• 대한치과교정학회지
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• 제40권3호
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• pp.145-155
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• 2010

악교정 수술은 안면골격형태 뿐만 아니라 상기도 공간에도 영향을 준다. 본 연구는 골격성 III급 부정교합자 중 하악골 후퇴술을 시행 받은 환자를 대상으로 상기도 공간의 부피변화를 관찰하기 위하여 시행되었다. 기존의 연구들이 측모두부방사선사진을 중심으로 시행하였으나 본 연구에서는 3차원 cone-beam computed tomography (CBCT)를 이용하여 영상을 재구성한 뒤 분석하였다. 연구 대상은 하악골 후퇴술을 시행 받은 20명(남성 12, 여성 8)이었으며, 수술 전 평균 1.8주(Baseline), 술 후 평균 2.3개월(T1) 그리고 술 후 평균 1년(T2) 시기에 CBCT를 촬영하였다. 상기도공간은 기준평면에 따라 비인두, 구인두, 하인두로 나누어 계측하고 Baseline, T1, T2를 각각 비교하였다. 결과로 수술 후 2.3개월(T1)시기에 상기도 공간은 상당히 감소하였으며 (p < 0.001), 술 후 1년 후(T2)에도 감소된 양은 증가하지 않았다. 구인두는 상기도 공간 중 가장 많은 감소폭을 보였다. 이러한 결과로 하악골후퇴술은 상기도 공간을 장 단기간동안 감소하는 것으로 나타났다.

• 한국항공우주학회지
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• 제50권4호
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• pp.287-295
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• 2022

저고도 궤적의 장사정포 위협이 대두됨에 따라 이를 방어할 요격 시스템의 개발이 시작될 예정이다. 이러한 장사정포의 공격을 방어하는 문제는 전형적인 동적 무기 표적 할당 문제다. 동적 무기 표적 할당 문제에서는 한 시점에서의 의사결정 결과가 이후 시점의 의사결정 과정에 영향을 주며, 이는 마코브 의사결정 모형의 특징이기도 하다. 장사정포의 공격을 방어하기 위한 의사결정 과정에 허용되는 시간은 공격자와 방어자의 거리를 고려할 때 저고도 궤적의 동시 다발성 발사체에 대한 대응은 수 초 이내에 결정되어야 하나, 짧은 시간 내에 마코브 의사결정 과정으로 최적해를 구하는 것은 불가능하다. 본 논문에서는 장사정포 공격을 방어하는 동적 무기 표적 할당 문제를 마코브 의사결정 문제로 나타내고, 3가지 시나리오를 작성한 후 근사적 동적계획 방법을 적용하여 요격이 가능 시간 안에 해의 도출이 가능한지를 시뮬레이션을 통하여 확인하였다. 도출된 해의 품질을 검증하기 위하여 각 시나리오에 대하여 근사적 동적계획을 적용한 결과와 Shoot-Shoot-Look 방법을 적용한 결과를 비교하였다. 시뮬레이션 결과, 장사정포의 방어 시나리오에 대하여 근사적 동적계획의 결과가 Shoot-Shoot-Look 방법을 이용한 결과보다 우수함을 보였다.

• 대한간호학회지
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• 제45권1호
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• pp.35-45
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• 2015

Purpose: This study was done to determine whether muscle strength training programs have an impact on improving symptoms of urinary incontinence (UI) and physical function among elderly women with UI who reside in long-term care facilities. Methods: A randomized controlled trial was conducted. Participants had to be over 65 years, score over 15 score on the mini-mental state examination, and be able to walk alone or with an assistant. Seventy residents were randomly allocated to either the training group (n=35) or control group (n=35). The program consisted of 50 minutes, twice a week for 8 weeks, and included Kegel's exercise, Thera-band training and indoor walking. Main outcomes were UI symptoms, peak vaginal pressure and physical functions measured with timed up and go test (TUG), one leg standing test (OLST), activities of daily living (ADL) and grip strength. Changes in outcome measurements were calculated from baseline to 4 weeks and to 8 weeks using repeated measures ANOVA. Results: There were significant differences in peak vaginal pressure (p<.001), TUG (p<.001), OLST (p=.012) and grip strength (p<.001) in the interaction between groups and time. Conclusion: Future studies are suggested to confirm the effect of muscle strength training in long-term care facilities where elderly women with UI reside.

• 생물정신의학
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• 제13권3호
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• pp.162-169
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• 2006

Objective : Since some studies have shown that the brain-derived neurotrophic factor(BDNF) has an important role in the pathophysiology of depression, this study investigated the relationship between BDNF genetic polymorphism and the long-term outcome of the antidepressant treatment. Method : One hundred and eight patients with major depressive disorder were evaluated for the long-term outcome(up to 3 years) of antidepressant treatment. The severity and improvement of depression were assessed with the Clinical Global Impression(CGI) Scale. The genotypes of BDNF 196A/G polymorphism in the patients were determined using Restriction Fragment Length Polymorphism(RFLP). Result : The genotypes of 128 patients were investigated and 95 patients of those have been evaluated for 3 years. No significant differences were noted comparing three-genotype groups for CGI scales at baseline, 4 weeks, 8 weeks, 1 year, 2 years and 3 years. Conclusion : This result shows that BDNF polymorphism investigated in this study was not associated with the long-term outcome of the antidepressant treatment. However, further studies with another BDNF polymorphism should be needed.

• 산경연구논집
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• 제11권3호
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• pp.39-50
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• 2020

Purpose: Agriculture, which is heavily influenced by climate conditions, is one of the industries most affected by climate change. In this respect, various studies on the impact of climate change on the agricultural market have been conducted. Since climate change is a long-term phenomenon for more than a decade, long-term projections of agricultural prices as well as climate variables are needed to properly analyze the impact of climate change on the agricultural market. However, these long-term price projections are often major constraints on studies of climate changes. The purpose of this study is to analyze the impacts of climate changes on the Korean onion market using ex-post analysis approach in order to avoid the difficulties of long-term price projections. Research design, data and methodology: This study develops an annual dynamic partial equilibrium model of Korean onion market. The behavioral equations of the model were estimated by OLS based on the annual data from 1988 to 2018. The modelling system is first simulated to have actual onion market conditions from 2014 to 2018 as a baseline and then compared it to the scenario assuming the climatic conditions under RCP8.5 over the same period. Scenario analyses were simulated by both comparative static and dynamic approach to evaluate the differences between the two approaches. Results: According to the empirical results, if the climate conditions under RCP8.5 were applied from 2014 to 2018, the yield of onion would increase by about 4%, and the price of onion would decrease from 3.7% to 17.4%. In addition, the average price fluctuation rate over the five years under RCP8.5 climate conditions is 56%, which is more volatile than 46% under actual climate conditions. Empirical results also show that the price decreases have been alleviated in dynamic model compared with comparative static model. Conclusions: Empirical results show that climate change is expected to increase onion yields and reduce onion prices. Therefore, the appropriate countermeasures against climate change in Korean onion market should be found in the stabilization of supply and demand for price stabilization rather than technical aspects such as the development of new varieties to increase productivity.

• Journal of Korean Neurosurgical Society
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• 제56권3호
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• pp.224-229
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• 2014

Objective : To report long-term clinical and radiological outcomes of minimally invasive posterior cervical foraminotomy (MI-PCF) performed in patients with unilateral single-level cervical radiculopathy. Methods : Of forty-six patients who underwent MI-PCF for unilateral single-level radiculopathy between 2005 and 2013, 33 patients were included in the study, with a mean follow-up of 32.7 months. Patients were regularly followed for clinical and radiological assessment. Clinical outcome was measured by visual analogue scale (VAS) for the neck/shoulder and arm, and the neck disability index (NDI). Radiological outcome was measured by focal/global angulation and disc height index (DHI). Outcomes after MI-PCF were evaluated as changes of clinical and radiological parameters from the baseline. Mixed effect model with random patients' effect was used to test for differences in the clinical and radiological parameters repeat measures. Results : There were no complications and all patients had an uneventful recovery during the early postoperative period. VAS scores for neck/shoulder and arm improved significantly in the early postoperative period (3 months) and were maintained with time (p<0.001). NDI improved significantly post-operatively and tended to decrease gradually during the follow-up period (p<0.001). There were no statistically significant changes in focal and global angulation at follow-up. Percent DHIs of the upper adjacent or operated disc were maintained without significant changes with time. During the follow-up, same site recurrence was not noted and adjacent segment disease requiring additional surgery occurred in two patients (6%) on the contra-lateral side. Conclusion : MI-PCF provides long-term pain relief and functional restoration, accompanied by good long-term radiological outcome.

• Clinics in Shoulder and Elbow
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• 제26권2호
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• pp.175-181
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• 2023

Background: Acromioclavicular (AC) osteoarthritis (OA) is a frequent pathology of the shoulder in elderly patients. Drug injection plays an important role in treatment of AC OA. Literature has demonstrated excellent short-term results regarding shoulder function and pain. However, mid- to long-term results are lacking. The aim of this study was to assess the efficacy of a single intra-articular AC injection in patients with AC OA and to identify predictive factors for success. Methods: A retrospective study was performed to analyze success rate, shoulder function, and pain perception after a single intra-articular injection in patients with AC OA. Success was defined as the absence of reinterventions such as additional injection or surgery. Outcome measures were 1-year success rate and clinical outcome scores of Numeric Rating Scale (NRS) for pain, Oxford Shoulder Score, and Subjective Shoulder Value. Results: Ninety-eight patients participated in this study. At a median final follow-up of 0.8 years (interquartile range, 0-6), 57 of these patients (58%) had undergone a reintervention. The 1-year success rate was 47% (95% confidence interval, 37%-57%), with NRS at rest as the sole factor significantly associated with success. Thirty patients not requiring reintervention reported significant improvement from baseline for all reported outcome measures at final follow-up. Conclusions: AC injections offer a 1-year success rate of 47%. The AC injection produces good mid- to long-term clinical outcomes regarding shoulder function, quality of life, and pain perception in one-third of patients. Further research is essential to analyze mid- to long-term outcomes of AC injections.

• 천문학회보
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• 제39권2호
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• pp.68.2-68.2
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• 2014

High Frequency Peakers (HFPs) are radio-loud Active Galactic Nuclei (AGN), which are regarded as being in the earliest evolutionary phase (102-103 years) of radio galaxies. They are expected to be small in size (< ~1 kpc) compared to their host galaxies (~a few 10s kpc), and have convex spectra, which are peaking at high radio frequency (> 5 GHz). Their size and spectral shape are the most obvious supporting evidence of extremely young ages. HFPs are therefore ideal targets to probe the earliest stage of radio sources. To date however, the young radio source classification has been relying mainly on the spectral shape which usually does not cover high enough frequencies where the true peak flux is located. Hence HFPs are often confused with blazars which may show a similar spectral shape and apparent compactness but are a somewhat evolved form of AGNs. Therefore, we have been challenging to identify HFPs among the sample of 19 candidates using the Korean VLBI Network (KVN) which enables us to extend the radio spectrum baseline up to 22 and 43 GHz. These are higher than the frequencies used in most previous studies of HFPs, allowing us to select genuine HFPs. By long-term monitoring of 18 epochs, we have also inspected the variability of the sample to select out blazars which are highly variable yet with a similar radio spectrum. In this work, we present the light curves and spectral properties of the HFP candidates. We discuss the results of our re-identification of HFPs.