• Title/Summary/Keyword: Outcomes Evaluation System

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Arthroscopic Release of the Extensor Carpi Radialis Brevis Tendon for Chronic Recalcitrant Lateral Epicondylitis (만성 불응성 외 상과염에서 시행한 관절경적 단 요 수근 신건 유리술)

  • Ku, Jung Hoei;Hwang, Tae Hyok;Lee, Jung Su;Cho, Hyung Lae;Kim, Jung Woo
    • Journal of the Korean Arthroscopy Society
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    • v.16 no.2
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    • pp.140-146
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    • 2012
  • Purpose: The objective of this study was to assess the clinical outcome of arthroscopic release of the extensor carpi radialis brevis (ECRB) tendon in chronic recalcitrant lateral epicondylitis and tried to determine any prognostic factors. Materials and Methods: A retrospective review of 24 patients with lateral epicondylitis treated by arthroscopic ECRB release was performed. Outcome measures included a patient self rating and visual analog scale (VAS). Functional evaluation was made with Quick-disabilities of the arm, shoulder and hand (DASH) score system to identify preoperative factors that might be associated with the outcomes. Results: Twenty one (88%) elbows received benefit from the procedure. A mean preoperative VAS pain score and the mean Quick-DASH were significantly improved at final follow up. Age, sex, dominant arm and duration of symptom, presence of capsular tear or calcification did not correlate significantly with the clinical outcome. Three of four patients without T2-weighted high signal focus of the ECRB origin on preoperative magnetic resonance imaging (MRI) showed higher Quick-DASH score. Conclusion: Arthroscopic release of the ECRB is an effective option for chronic recalcitrant lateral epicondylitis. Lack of high signal focus on preoperative MRI is significantly associated with a poor surgical outcome and a considerable factor for the proper surgical indication.

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The Honolulu Strategy and Its Implication to Marine Debris Management in Korea (호놀룰루 전략과 우리나라 해양쓰레기 관리를 위한 시사점)

  • Hong, Sunwook;Lee, Jongmyoung;Jang, Yong-Chang;Kang, Daeseok;Shim, Won Joon;Lee, Jongsu
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.16 no.2
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    • pp.143-150
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    • 2013
  • The Honolulu Strategy is a framework document to address marine debris issue globally. The Fifth International Marine Debris Conference held in March 2011 and organized by NOAA and UNEP catalyzed the development of the Holonulu Strategy. Goals of the Strategy are to reduce the amount and impact of land-based, sea-based, and accumulated marine debris. A set of strategies for each goal were provided for education and awareness, legislation, and alternative technologies. The Strategy also lists indicators that could be used to evaluate outcomes of strategies. The adoption of the Honolulu Strategy by the international community has led the international organizations such as GPA, IMO, and CBD to strengthen their responses to the marine debris issue. UN has also set up specific actions that will be implemented until 2025 through its resolutions on marine debris. Recent global developments related to the marine debris issue might lead to a change in the character of the international marine debris management from the current soft law regime to a mandatory one. The Honolulu Strategy could provide a guideline when the Korean government formulates the Second Basic Plan for Marine Debris Management, especially with its prevention-oriented approaches, utilization of scientific policy development tools, and adoption of evaluation system using performance indicators.

Mobile Source Emissions Estimates for Intra-zonal Travel Using Space Syntax Analysis (공간 구문론을 이용한 존내 자동차 배출량 추정 모형)

  • LEE, Kyu Jin;CHOI, Keechoo
    • Journal of Korean Society of Transportation
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    • v.34 no.2
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    • pp.107-122
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    • 2016
  • This study aims to develop a framework to estimate mobile source emissions with the macroscopic travel demand model including enhanced estimates of intra-zonal travel emissions using Space Syntax analysis. It is acknowledged that "the land-use and transportation interaction model explains the influence of urban structure on accessibility and mobility pattern". Based upon this theory, the estimation model of intra-zonal travel emissions is presented with the models of total travel distance, total travel demand, and average travel speed of intra-zonal trips. Thess statistical models include several spatial indices derived from the Space Syntax analysis. It explains that urban spatial structure is a critical factor for intra-zonal travel emissions, which is lower in compact zone with smaller portion of land area, lower sprawl indicator, and more grid-type of road network. Also the suggested framework is applied in the evaluation of the effectiveness of bicycle lane project in Suwon, Korea. The estimated emissions including intra-zonal travel is as double as the results only with inter-zonal demands, which shows better performance of the suggested framework for more realistic outcomes. This framework is applicable to the estimation of mobile source emissions in nation-wide and the assessment of transportation-environment policies in regional level.

Current Status and Regulation Issues of the Functional Dairy Products in European Countries and the United States of America (기능성 유제품의 생산 현황 및 관리제도 - 미국.유럽을 중심으로 -)

  • Yoon, Sung-Sik;Song, Tae-Suk;Jeon, Sang-Rok;Park, Da-Jeong;Park, Jung-Min;Woon, Jae-Ho;Lim, Kyung-Jong;Kim, Jin-Man
    • Journal of Dairy Science and Biotechnology
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    • v.26 no.2
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    • pp.9-22
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    • 2008
  • This work has been conducted as a part to set up the regulations and the scientific evaluation systems for the functional dairy products with health claims in Korea. Toward this end, current regulations, requirements, and all kinds of provisions related to the functional dairy products overseas were taken into accounts and feasible recommendations of new initiatives on the current regulations as well. By doing so, not only protecting hopefully the innocent consumers from the false labeling statements and fake advertisements, but also eventually to revitalize the stagnated domestic dairy industries. Currently, functional daily products are simply regarded as "Dietary Supplements" in the United States, and subjected to the regulations under the Dietary Supplement Health and Education Act, established m 1994. Manufacturers and sales distributors should notify their products to the FDA, which is in charge of the dietary supplements on nutrition and labeling, in advance when they start marketing a new dietary ingredient or any foods containing it in the States. For EU countries, there exists keen interests about the functional food products between the member countries of the European Union even though the products are categorized into "Food Supplements" similar to those in the United States. Therefore, they maintain a cautious attitude in applying the health claims to the functional food products. On the other hand, under the Japanese health food system, functional foods are qualified to the functional health foods in terms of legal status as long as any traditional foods can meet the legal standards in its effectiveness, safety as well as quality, along with significant scientific evidences related to the products, thus categorized into "Foods for Specified Health Uses and "Foods with Nutrient Function Claims". Through this study, we may have some expectations and potential utilizations as follows: Legal regulations of dietary supplements especially for the dairy products will be implemented by the outcomes of this research and proposed a tentative amendment of functional ingredients for the sake of consumer protection from the false advertisements and overstatement labeling. Current regulations on the animal foods processing and advertisements will be amended and supplemented in order to revitalize the current downturn dairy sales and to harmonize the international Codex recommendations. The results obtained from this study will make the consumers a wise selection of the dairy products with health claims and be utilized for consumer education and advertisement of the functional products as well.

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A Randomized Comparative Study of a Standard Anterior Capsular Release versus Inferior Extended Release for the Treatment of Shoulder Stiffness

  • Alzeyadi, Ahmed Abdullah;Kim, Yang-Soo;Lee, Hyo-Jin;Park, Sung-Ryeoll;Sung, Gwang Young;Kim, Dong-Jin;Jung, Ji-Hwan;Kim, Jong-Ho
    • Clinics in Shoulder and Elbow
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    • v.20 no.3
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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).

Evaluation of GPS Data Applicability to Traffic Information Collection after SA Removal (SA해제 이후 GPS데이터의 교통정보수집 적용가능성 평가)

  • Choi, Kee-Choo;Jana, Jeong-Ah;Shim, Sang-Woo
    • Journal of Korean Society for Geospatial Information Science
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    • v.12 no.1 s.28
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    • pp.11-20
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    • 2004
  • The purpose of this paper is to evaluate the applicability of GPS data for real-time traffic information collection especially after SA removal. Two major results have been reported. One is the GPS data availability and/or useful data point density for travel time estimation using Circle-X algorithm. 87.23% of data points can be mobilized after SA whereas only 29.94% of data was useful in calculating travel time. The other is the possible reduction of the buffer size that is used for screening the points of all GPS into useful and useless data, respectively. With these outcomes, it is safely expected that the regular GPS alone can provide the data points for real-time travel time estimation instead of the more expensive DGPS system.

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Evaluation of Adherence to the CARE (CAse REport) Guidelines of Case Reports in the Journal of Korean Medicine Rehabilitation (한방재활의학과학회지에 게재된 증례보고의 CARE (CAse REport) 지침 준수에 대한 평가: 2016년 이후 발표된 논문들을 중심으로)

  • Ahn, Jonghyun;Ko, Junhyuk;Kim, Seyoon;Kim, Soojeon;Bae, Jun-hyeong;Yoon, Ye-ji;Lee, Hansol;Chang, Hokyung;Kim, Hyungsuk;Chung, Seok-hee;Lee, Jong-soo;Kim, Sung-soo;Chung, Won-Seok
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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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.

Literature Review on Health Effect Surveys of Residents in Environmentally Contaminated Areas in South Korea from 1997 to 2021 (한국 환경오염 취약지역 주민 건강영향조사 문헌고찰(1997~2021))

  • Kyung-Hwa Choi;Sujung Kim;Hyun A Jang;Dahee Han;Ho-Jang Kwon;Yong Min Cho
    • Journal of Environmental Health Sciences
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    • v.49 no.3
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    • pp.134-148
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    • 2023
  • Background: The conducting of health effect surveys (HESs) in environmentally contaminated vulnerable areas (ECVAs) by the central and local governments has been increasing apace with the increase in demand for HESs since the Environmental Health Act was enacted in South Korea in 2008. Objectives: This study aimed to review the HESs of residents in ECVAs conducted in South Korea. Methods: An analysis was performed on 125 reports obtained from the Environment Digital Library, PRISM, and local government websites after selecting from 803 projects obtained as ECVAs from the Korea ON-Line E-Procurement System (1997~2021), National Institute Environment Research (2000~2021), and Korea Environmental Industry and Technology Institute (2009~2021). The reports were classified by background (residents' demand, HES, and more), research design (cross-sectional study, cohort, ecological study, and panel), pollution source (abandoned metal mine (AMM), industrial complex (IC), and more), and assessment method of exposure and health effects. The survey area was converted into administrative district codes for geographical mapping. Results: There were 37, 34, 18, and 10 cases associated with AMM, IC, waste incinerators, and coal-fired power plants, respectively. Most of the studies conducted were cross-sectional studies and ecological studies. The proportion of epidemiological investigations by residents' demand showed an increase from 0.0% to 8.9% for the central government while decreasing from 16.7% to 14.3% for local governments after 2008 compared to before 2008. HESs increased at both the central and local government levels since 2014. For the evaluation method, 365 environmental hazards, 319 health outcomes, and 302 biological markers were investigated, with the most commonly investigated items being metals, cancer, and blood metals. Conclusions: HESs of residents in ECVAs in South Korea have been continuously developed both quantitatively and qualitatively. Future improvements are expected, and systematic review and classification of the HESs is warranted.

Development of Scaffold for Cell Attachment and Evaluation of Tissue Regeneration Using Stem Cells Seeded Scaffold (세포부착을 위한 스캐폴드 개발 및 줄기세포를 적용한 스캐폴드의 조직재생능력 평가)

  • You, Hoon;Song, Kyung-Ho;Lim, Hyun-Chang;Lee, Jung-Seok;Yun, Jeong-Ho;Seo, Young-Kwon;Jung, Ui-Won;Lee, Yong-Keun;Oh, Nam-Sik;Choi, Seong-Ho
    • Implantology
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    • v.18 no.2
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    • pp.120-138
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    • 2014
  • Purpose: The purpose of this study was to review the outcomes of a series of studies on tissue regeneration conducted in multiple institutions including the Department of Periodontology, College of Dentistry, Yonsei University. Materials and Methods: Studies were performed divided into the following three subjects; 1) Development of three-dimensional nano-hydroxyapatite (n-HA) scaffold for facilitating drug release and cell adhesion. 2) Synergistic effects of bone marrow-derived mesenchymal stem cells (BMMSC) application simultaneously with platelet-rich plasma (PRP) on HA scaffolds. 3) The efficacy of silk scaffolds coated with n-HA. Also, all results were analyzed by subjects. Results: Hollow hydroxyapatite spherical granules were found to be a useful tool for the drug release and avidin-biotin binding system for cell attachment. Also, BMMSC simultaneously with PRP applied in an animal bone defect model was seen to be more synergistic than in the control group. But, the efficacy of periodontal ligament cells and dental pulp cells with silk scaffolds could not be confirmed in the initial phase of bone healing. Conclusion: The ideal combination of three elements of tissue engineering-scaffolds, cells and signaling molecules could be substantiated due to further investigations with the potentials and limitations of the suggested list of studies.

Home Economics Teachers' Perception on Process-Based Assessment Using the Concerns-Based Adoption Model (CBAM을 활용한 가정과교사의 과정중심평가 인식조사)

  • Bae, Jinhee;Yu, Nan Sook
    • Journal of Korean Home Economics Education Association
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    • v.35 no.3
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    • pp.117-133
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    • 2023
  • This study investigates the perceptions, Stages of Concern (SoC), and Levels of Use (LoU) regarding process-based assessment among Home Economics (HE) teachers to determine the necessary support for its implementation in schools. Data were gathered from a survey administered to HE teachers. The results are as follows. First, HE teachers viewed process-based assessment favorably, valuing its multifaceted evaluation approach over result-based assessment. The feedback from process-based assessments was seen as an opportunity for reflection for both educators and students. While some teachers expressed uncertainty about the optimal timing of implementation, they generally demonstrated a sound understanding of the feedback concept within the assessment process. HE teachers were predominantly concerned with their own professional expertise and the learning outcomes of their students. The majority of HE teachers have utilized process-based assessments for at least one semester. None deemed it irrelevant to their practice or showed disinterest in its adoption. Those who had yet to implement it were either in the first(introduction) or the second(preparation) stages.