• Clinics in Shoulder and Elbow
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• 제26권1호
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• pp.55-63
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• 2023

Background: Common questions about shoulder arthroplasty (SA) searched online by patients and the quality of this content are unknown. The purpose of this study is to uncover questions SA patients search online and determine types and quality of webpages encountered. Methods: The "People also ask" section of Google Search was queried to return 900 questions and associated webpages for general, anatomic, and reverse SA. Questions and webpages were categorized using the Rothwell classification of questions and assessed for quality using the Journal of the American Medical Association (JAMA) benchmark criteria. Results: According to Rothwell classification, the composition of questions was fact (54.0%), value (24.7%), and policy (21.3%). The most common webpage categories were medical practice (24.6%), academic (23.2%), and medical information sites (14.4%). Journal articles represented 8.9% of results. The average JAMA score for all webpages was 1.69. Journals had the highest average JAMA score (3.91), while medical practice sites had the lowest (0.89). The most common question was, "How long does it take to recover from shoulder replacement?" Conclusions: The most common questions SA patients ask online involve specific postoperative activities and the timeline of recovery. Most information is from low-quality, non-peer-reviewed websites, highlighting the need for improvement in online resources. By understanding the questions patients are asking online, surgeons can tailor preoperative education to common patient concerns and improve postoperative outcomes. Level of evidence: IV.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제25권2호
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• pp.65-72
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• 2014

Objectives : The objective of this study was to evaluate the treatment duration and adherence of osmotic-controlled release oral delivery system (OROS) methylphenidate for treatment of attention-deficit hyperactivity disorder (ADHD). Methods : A total of 843 children with ADHD were recruited : 213 children (25.3%) who had previously taken medications for ADHD and 630 drug-na$\ddot{i}$ve children (74.7%) were recruited. The dosage was adjusted according to the clinician's judgment. The primary efficacy endpoint of this study was treatment retention rate, which was estimated at Week 12 and Week 20 using the Kaplan-Meier curve. The Swanson, Nolan and Pelham-IV (SNAP-IV), Clinical Global Impression-Severity (CGI-S), Clinical Global Impression-Improvement, and the side effect rating scale were measured at every visit. Remission rates were presented based on SNAP-IV and CGI-S, respectively. Results : The treatment retention rate at 12 weeks and at 20 weeks was 76.2% and 66.8%, respectively. Divided according to 6-8, 9-11, 12-14 and 15-18 years of age, younger children tended to show a statistically higher treatment retention rate (p=.02). Based on SNAP-IV and CGI scores, children with better response to medication showed tendencies of statistically higher treatment retention rate. The most common adverse events included loss of appetite (7.1%) and insomnia (3.3%). There was no serious adverse event related to the treatment, such as death. Conclusion : The use of OROS methylphenidate for treatment of ADHD was safe and tolerable for children. In this study, lower age and better treatment response showed a statistically significant relationship with higher treatment adherence. Boys showed a trend of high treatment adherence. The treatment adherence at 20 weeks was satisfactory, however, the treatment adherence after 20 weeks showed a sharp decrease. Therefore, treatment persistence for six months after the beginning of ADHD treatment is important. In addition, the positive role of psycho-education for children and parents is necessary for increasing treatment adherence.

• Asian-Australasian Journal of Animal Sciences
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• 제24권5호
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• pp.623-635
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• 2011

Inefficient rumen microbial fermentation is a major factor limiting intake of low quality roughage in ruminants. In this study, the effect of energy supplementation on rumen microbial fermentation, absorption of balanced digestion products and voluntary feed intake in sheep was investigated. A basal diet of a urea-treated mixture of wheaten chaff and barley straw (3:1 DM) containing 22.2 g N/kg DM was used. Four Merino-cross wethers weighing $45{\pm}4.38\;kg$ and fitted with permanent rumen and abomasal cannulae were allocated to four treatments in a $4{\times}4$ Latin square design. The dietary treatments were basal diet ($E_0$), or basal diet supplemented with sucrose (112.5 g/d) administered to the animals intra-ruminally ($E_R$), abomasally ($E_A$), or through both routes (50:50) ($E_{RA}$). Feed intake (basal and dietary) was increased (p<0.05) by sucrose supplementation through the rumen ($E_R$) or abomasum ($E_A$). However, there was no difference (p>0.05) in intake between animals on the control diet and those supplemented with sucrose through both intraruminal and abomasal routes ($E_{RA}$). The digestibility of DM and OM was highest in $E_R$ and $E_A$ supplemented animals. Although the rumen pH was reduced (p<0.001) in animals supplemented with sucrose entirely intra-ruminally ($E_R$), the in sacco degradation of barley straw in the rumen was not adversely affected (p>0.05). Intra-ruminal sucrose supplementation resulted in a higher concentration of total VFA, acetate and butyrate, while the pattern of fermentation showed a higher propionate: acetate ratio. Intra-ruminal supplementation also increased (p<0.05) the glucogenic potential (G/E) of the absorbed VFA. However, there was no difference (p>0.05) in microbial protein production between the four dietary treatments. Protozoa numbers were increased (p<0.05) by intra-ruminal supplementation of sucrose.

• 디지털융복합연구
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• 제15권11호
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• pp.407-412
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• 2017

영화<인셉션>을 살펴보면 인간의 꿈의 세계를 프로이드의 정신분석학 중 잠재의식이론을 적용하여 묘사하고 있음을 알 수 있는데 이러한 잠재의식의 표현을 통해 주인공의 마음 속 감정표현을 심층 있게 묘사함으로써 관객의 심도 있는 사고와 고찰이 가능한 등 인간의 본성을 통찰, 표현하는 데 새로운 관점을 제시하고 있다. 본 논문은 프로이드의 잠재의식이론을 바탕으로 영화 속의 꿈의 세계와 잠재의식의 표현에 대해 탐구하여 이를 통한 영화의 의미표현을 고찰하였다. 주인공은 그의 꿈을 통해 통제할 수 없는 잠재의식에 기인한 과거에 대한 집착과 강박관념 속에서 혼란스러운 삶을 살고 있음이 잘 묘사되고 있으며 억압된 생각과 소망이 위장된 방식으로 만족을 얻게 되는 꿈의 보충 기능을 통해서는 후회되는 순간들을 돌리기 위해 꿈을 꾸며 자위하는 모습으로 가책과 미련을 느끼고 있음이 잘 표현되고 있다. 또한 현실과 꿈속에서 갈팡질팡 하는 모습으로 의식과 잠재의식간의 충돌과 대립이 잘 표현되고 있다. 이처럼 인문학적 학문에 대한 적용 및 접목은 깊이 있는 구조의 설정과 플롯의 전개, 그리고 무엇보다도 창의적인 시공간 창출이라는 무게를 더해 줄 수 있음을 알 수 있듯이 이는 깊이 있는 대중예술 콘텐츠 제작에 대한 좋은 사례가 아닐 수 없다.

• 한국산림과학회지
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• 제65권1호
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• pp.48-53
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• 1984

과거(過去)에 솔잎혹파리 피해(被害)를 받은 바 있는 충청남도(忠淸南道) 서천군(舒川郡) 비인(庇仁)과 피해(被害)를 받지 않은 충청남도(忠淸南道) 홍성군(洪城郡) 장곡(長谷) 자생(自生)하고 있는 13년생내외(年生內外) 소나무의 연륜(年輪)을 Duff와 Nolan(1953)의 방법(方法)으로 비교(比較)한 바 다음과 같은 결과(結果)를 얻었다. 1) 건전(健全)한 소나무연륜(年輪)의 사선계열(斜線系列)에서 하나의 생장(生長) Pattern이 발견(發見)된다. 그러나 수선계열(垂線系列)을 위시(爲始)한 각(各) 계열(系列)에서 나무가 성장(成長)함에 따라 연륜폭(年輪幅)이 점차 증가(增加)하는 경향(傾向)도 볼 수 있었다. 2) 솔잎혹파리로 인(因)한 연륜생장저해(年輪生長沮害)는 수간기부(樹幹基部)의 수평선계열(水平線系列)에서는 발견(發見)되지 않았으나 기타계열(其他系列)에서는 모두 쉽게 식별(識別)해낼 수 있었다. 3) 경미(輕微)한 피해(被害)를 받았을 때나 생장저해(生長沮害)가 발생(發生)하는 초년도(初年度)를 판단(判斷)하기 위하여는 사선계열(斜線系列)이 가장 유용(有用)할 것으로 고찰(考察)되었다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제32권2호
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• pp.71-78
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• 2021

Objectives: This study was conducted to investigate the reliability and validity of the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure-inattention [Swanson, Nolan and Pelham, version IV (SNAP-IV)] and anger [Patient-Reported Outcome Measurement Information System (PROMIS) Anger] for parents and guardians of children aged 6-17 years. Methods: We included 104 children and adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD), ADHD with anxiety and depression, depressive disorder, anxiety disorder, and tic disorder with somatic symptoms (ADHD=41, depression=9, anxiety=14, ADHD+anxious depression=11, tic+somatic symptoms=29). Their ages ranged from 8 years to 15 years. The participants' mothers completed the SNAP-IV, PROMIS Anger scale, Korean version of the IOWA Conners Rating Scale (K-IOWA), and Korean ADHD Rating Scale (K-ARS) so that the reliability and validity of the SNAP-IV and PROMIS Anger scales, which are DSM-5 scales for assessing inattention and anger of children and adolescents, could be examined. Results: The reliability coefficient of SNAP-IV (Cronbach's α) was 0.94. The correlation coefficients between SNAP-IV, K-IOWA inattention, and K-ARS inattention scores ranged from 0.73 to 0.86. The mean SNAP-IV scores of the ADHD and the ADHD+anxious depression groups were significantly higher than those of the anxiety and the tic+somatic symptoms groups. The reliability coefficient of the PROMIS Anger was 0.91. The correlation coefficient between PROMIS Anger and K-IOWA oppositional/defiant scores was 0.75. The PROMIS Anger mean score of the ADHD+anxious depression group tended to be higher than that of the other groups. Conclusion: These results suggest that the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure-inattention and anger for parent and guardian of child age 6-17 might be a reliable and valid test and may be useful for screening children and adolescents with ADHD.