• Title/Summary/Keyword: Outcome Generation

검색결과 103건 처리시간 0.02초

Ankle Salvage Procedure without Internal Fixation for Large Bone Defect after Failed Total Ankle Arthroplasty: A Case Report (실패한 족관절 인공관절 치환술 후 큰 골결손에서 내고정 없이 시행한 족관절 구제술: 증례 보고)

  • Park, Man-Jun;Eun, Il-Soo;Jung, Chul-Young;Ko, Young-Chul;Yoo, Chong-Il;Kim, Min-Woo;Hwang, Keum-Min
    • Journal of Korean Foot and Ankle Society
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    • 제18권2호
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    • pp.76-79
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    • 2014
  • In treatment of failure in ankle joint replacement therapy, talar avascular necrosis with massive bone defect, talus fracture with severe comminution and bone defect and ankle dislocation, treatment of large bone defects is considerably important for ankle joint stability and union, therefore, the choice of treatment for large bone defects is use of femoral head or iliac crest bone graft and rigid internal fixation. Because first generation total ankle arthroplasty performed for the first time using a cemented fixation technique requires a large amount of bone resection during re-surgery and there is some possibility of a larger bone defect after removal of implants, in cases where prosthesis for the defect is needed, performance of palliative femoral head or iliac crest bone graft and rigid internal fixation can be difficult. We report on a case of a 48-year-old woman who had experienced ankle pain for 25 years since undergoing total ankle arthroplasty. Because the patient had little ankle motion and rigid soft tissue despite a large bone defect caused by aseptic loosening, a good outcome was obtained only for the femoral cancellous bone graft using allo femoral head without internal fixation.

A Study on Digital Divide Influence Factors of the Elderly: Comparison between Baby Boomer and Elderly (장·노년층의 디지털 정보격차 영향요인: 베이비붐 세대와 노인세대의 비교를 중심으로)

  • Yim, Jeong-Hoon;Lee, Hyuk-Joon;Lee, Ji-Hoon
    • The Journal of the Korea Contents Association
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    • 제20권9호
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    • pp.475-485
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    • 2020
  • The purpose of this study is to examine factors influencing the digital divide between the baby boomer and elderly generation. Under this relationship, we investigated the age, education, family type, income, using attitude, using motivation, using outcome, cognition of intelligence information society, anxiety of intelligence information society, life satisfaction, social support. Research data were Using the data of 2017 Digital Divide Survey conducted by the National Information Society Agency(NIA), The final sample were 2300 who fully responded. As a result of factor, age, education, using attitude, using object, cognition of intelligence information society, life satisfaction significantly effected directly in baby boomer. Also, family types, cognition of information intelligence society, life satisfaction in elderly. Based on the results of this study, the implications and future studies of the baby boomer and elderly are suggested.

Suitability Assessment of Rural Public Spaces and Facilities - A Case Study of Okgwa-myeon(Myeon Unit, Region Unit, Village Unit), Gokseong-gun, Jeollanam-do - (농촌마을 공공공간 및 시설의 입지적합성 평가를 위한 사례연구 - 전남 곡성군 옥과면 일대(거점면단위, 권역단위, 마을단위) 대상으로-)

  • Suh, Joo-Hwan;Kim, Jin-Oh;Song, Byeong-Hwa
    • Journal of Korean Society of Rural Planning
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    • 제21권3호
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    • pp.145-154
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    • 2015
  • With the rapid change of rural communities and increasing desire for social welfare, the demand for the quality of public spaces and facilities is increasing. However, inefficient location of rural public space and facility has caused problems such as economic inefficiency, inconvenient accessibility, environmental pollution, unsustainable energy use, and disturbance of visual landscape. This study aims to evaluate suitability of public spaces and facilities in three types of rural village: rural downtown village, rural clustered village, and individual village. As a way to measure the suitability of public spaces and facilities, we assessed indicators of suitability in terms of accessibility, usability, biophysical environment, and sustainable management. To evaluate the accessibility, we applied indicators such as distance from residential areas, public transit, market and public facilities. For the evaluation of biophysical environment, we applied indicators such as slope, elevation, aspect, and occurrence of natural disasters. We analyzed digital maps representing the indicators listed above using GIS. We also conducted a survey and face-to-face interviews to evaluate usability and sustainability of management which are not possible to understand through maps. As a result, we identified that suitability of public spaces and facilities in downtown villages is higher than clustered and individual villages. In particular, suitability of infrastructure facilities, social welfare facilities, and income generation facilities in downtown village are higher than those in clustered and individual villages. The suitability of tourism facilities is generally lower than other types of public facility across the three types of villages. Tourism facilities in clustered village have been identified especially unsuitable compared to other types of villages. We expect the outcome of the research is helpful to improve allocation of public spaces and facilities in rural villages.

The Circadian Rhythm Variation of Pain in the Orofacial Region

  • Kim, Moon Jong;Chung, Jin Woo;Kho, Hong-Seop;Park, Ji Woon
    • Journal of Oral Medicine and Pain
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    • 제40권3호
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    • pp.89-95
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    • 2015
  • All living organisms have a biological clock that orchestrates every biological process and function, and this internal clock operates following a circadian rhythm. This biological clock is known to influence various clinical indicators such as blood pressure and body temperature. Also, the fluctuation of signs and symptoms of diseases including pain disorders are affected by circadian rhythm. It has been reported that the pain intensity of various somatic and neuropathic pain disorders show unique pain patterns that depend on the passage of time. The generation of pain patterns could be explained by extrinsic (e.g., physical activity, tactile stimulation, ambient temperature) and also intrinsic factors (neural and neuroendocrine modulation) that are related to the circadian rhythm. It is important to recognize and identify the individual pain pattern in pain therapy to approve treatment outcome. Moreover, chronotherapeutics which considers pain patterns and pharmacokinetics in context of the circadian rhythm could produce greater analgesia in response to medication. However, only a limited number of studies handle the issue of pain patterns according to circadian rhythm and chronotherapeutics in the orofacial region. The present review intends to reflect on the most recent and relevant data concerning the bidirectional relation between pain disorders of the orofacial region and circadian patterns.

A Study of New Possibility on Computer Music (컴퓨터음악의 새로운 가능성에 대한 연구)

  • Kim, Sung-Eun;Song, Eun-Jee
    • Journal of Digital Contents Society
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    • 제10권4호
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    • pp.561-568
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    • 2009
  • In 21C, computer is having a powerful influence on every fields. As music field is no exception, the computer music is regarded as a next generation music. Especially the focus of 21st century's music is now moving from MIDI of 20th century to the Realtime interactive music in which computer is used as a practical instrument. Most european countries and America are doing a lot of research and performing these music. But in Korea, known as a fairly strong IT country, there is no enough perception of the importance of this new outcome of the new media era, and introduction of this music is slow as well. In this paper, we suggest the possibility of using the new way of composition by realtime interactive music in Korea. This can be a strong merit for Korean composers who want to use Korean instruments which were limited to be used as international instruments because of their restricted registers, techniques and so on.

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GSTT1 null and MPO -463G>A Polymorphisms and Carboplatin Toxicity in an Indian Population

  • Bag, Arundhati;Pant, Nirdosh Kumar;Jeena, Lalit Mohan;Bag, Niladri;Jyala, Narayan Singh
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권8호
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    • pp.4739-4742
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    • 2013
  • Carboplatin, a second generation platinum drug, is widely used to treat different types of cancers. However, myelosuppression remains a major consideration in its use. Genetic polymorphisms of enzymes involved in drug disposition can influence therapeutic outcome. The homozygous null deletion of phase II metabolic gene GSTT1 that abolishes its xenobiotic- detoxifying ability may be associated with carboplatin toxicity. Further, since carboplatin generates oxidative stress, polymorphisms of oxidative stress genes that regulate the cellular level of free radicals may have important roles in generating drug- related adverse effects. We here investigated the null polymorphism of GSTT1, and the -463G>A promoter polymorphism of oxidative stress gene myeloperoxidase (MPO) for carboplatin toxicity in a population of northern India. Cancer patients who were treated with carboplatin, and developed toxicity was considered. The study group comprised of 10 patients who developed therapy- related adverse effects. Peripheral blood was taken from patients for DNA isolation. GSTT1 null genotype was determined by conducting duplex PCR and MPO-463 G>A was determined by PCR followed by RFLP. Hematologic toxicity was experienced by 5 patients, 2 of them had grade 3 and 4 toxicity and 3 others had grade 2 toxicity. They also had gastrointestinal (GI) toxicity. Remaining 5 individuals developed GI toxicity but no hematological toxicity. While GG homozygous of MPO was present in majority of patients having hematologic toxicity (in 4 out of 5 individuals), one A allele (AG genotype) was present in 4 patients who did not have any hematological toxicity. Thus variant A allele of MPO -463G>A may be related to lower hematological toxicity. These preliminary data, however, are required to be confirmed in larger studies along with other relevant polymorphisms.

Evaluation of Photoneutron Dose in Radiotherapy Room Using MCNPX (MCNPX를 이용한 방사선 치료실의 광중성자 선량 평가)

  • Park, Eun-Tae
    • The Journal of the Korea Contents Association
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    • 제15권6호
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    • pp.283-289
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    • 2015
  • Recently, high energy photon radiotherapy is a growing trend for increasing therapy results. Commonly, if you use high energy photons above 6~8 MeV nominal accelerator voltage, It lead the photo-nuclear reaction and the generation of photo-neutron are accompanied and these problematic factors are issued in the view of radiation protection. Therefore, in this study analyzed for dose distribution of photo-neutron in radiotherapy room based on MCNPX. As a result, absorbed dose is increased sharply from 10 MV to 12 MV. It was founded that the rapid increasement of photoneutron fluence was related to the absorbed dose at above 10 MV. Also, in case of the recommendation of ICRP 103, the outcome of an exchanged equivalent dose which based on calculated an absorbed dose, showed lower equivalent dose than ICRP 60 by reflecting the contribution of secondary photon for absorbed dose of human body in the low energy band.

A Systematic Review of Clinical Researches of Korean Medicine for Alopecia (탈모증의 한약제제 치료효과에 대한 체계적 문헌 고찰)

  • Ryu, Deok-Hyun;Roh, Seok-Sun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • 제30권2호
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    • pp.1-18
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    • 2017
  • Objectives : This review aims to evaluate a risk of bias by risk of bias tool and RoBANS(Risk of Bias Assessment tool for Non-randomized Study) tool for clinical trial papers proving treatment effect of Korean medicines to alopecia and provides the newest reason of effectiveness of herbs to alopecia. Methods : Data were collected through electronic database including NDSL, KISS, KMBASE, Koreantk, OASIS, KoreaMed, KISTI, Pubmed, Cochrane CENTRAL and CINAHL. Two experts in Oriental Medicine assessed risk of bias of randomized controlled trials by Cochrane group's Risk of Bias tool and non-randomized controlled trials by RoBANS tool after searching, reviewing and selecting papers. Results : Total number of selected trials is 20 including 4 randomized controlled trial, 13 non-randomized controlled trials and 3 case reports. This study evaluate the risk of bias of 17 papers including 4 randomized controlled trials and 13 non-randomized controlled trials except 3 case reports by risk of bias tool and RoBANS tool. All papers of randomized controlled trials are evaluated unclear for random sequence generation and allocation concealment as there are no word on them. And all papers of non-randomized controlled trials are evaluated unclear for blinding of outcome assessments and relatively low for others. Conclusions : Korean medicine intervention can be an effective for treatment in alopecia. It was evaluated by hair density, thickness and expert panel assessment of photographs and all results are statistically significant. But enhancing levels of evidence, we must try to reduce bias in researches and report a safety, protocol and IRB.

A Study on the Symbolism and Fashion of Gold Miss From the Perspective of Mass Media (대중 매체를 통해 본 골드미스의 상징성과 패션에 관한 연구)

  • Son, I-Jung;Lee, Un-Young;Lee, In-Seong
    • Journal of the Korean Society of Costume
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    • 제57권8호
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    • pp.89-98
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    • 2007
  • Women are playing an increasing role in the society amid the increase in the age at first marriage, reduced family size, and the weakening solidarity among family members. Gold Miss is a newly coined word which reflects the change in the value of women in the wake of the individualism and pluralism amid the structural change. Gold Miss means a new X generation that is sensitive to the latest fashion and trend with high purchasing power and self-attainment goal. They do not spare any effort to invest in themselves, lead the new culture and set the cultural trend that goes beyond the simple consumption, and come into the spotlight both socially and economically. The outcome of the analysis on the Gold Miss fashion which was revealed in the mass media indicated that the fashion was the instrument to express their own images and personalities. Though they may be some difference depending on the occupation, personality, values, and others, they pursue sophisticated, intellectual, and emotional office-look that takes the trend and personality into account. In addition, they prefer business casual attire, and pursue the total fashion with perfection which uses the gorgeous bright and vivid color, daring color, accent color arrangement and accessories. The Gold Miss fashion implies the self-identity, high-end feature, and embody the symbolism of information, which the analysis on the feature and fashion of Golden Miss indicated.

Design of Formalized message exchanging method using XMDR (XMDR을 이용한 정형화된 메시지 교환 기법 설계)

  • Hwang, Chi-Gon;Jung, Kye-Dong;Choi, Young-Keun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • 제12권6호
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    • pp.1087-1094
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    • 2008
  • Recently, XML has been widely used as a standard for a data exchange, and there has emerged the tendency that the size of XML document becomes larger. The data transfer can cause problems due to the increase in traffic, especially when a massive data such as Data Warehouse is being collected and analyzed. Therefore, an XMDR wrapper can solve this problem since it analyzes the tree structures of XML Schema, regenerates XML Schema using the analyzed tree structures, and sends it to each station with an XMDR Query. XML documents which are returned as an outcome encode XML tags according to XML Schema, and send standardized messages. As the formalized XML documents decrease network traffic and comprise XML class information, they are efficient for extraction, conversion, and alignment of data. In addition, they are efficient for the conversion process through XSLT, too, as they have standardized forms. In this paper we profuse a method in which XML Schema and XMDR_Query sent to each station are generated through XMDR(extended Meta-Data Registry) and the generation of products and XML conversion occur in each station wrapper.