• Journal of Rhinology
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• 제25권2호
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• pp.63-68
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• 2018

본 종설에서는 부비동 수술 후 후각 회복에 영향을 미치는 인자들에 대해 서술 하였으며, 이들을 숙지함으로써 술 전에 후각 회복 여부를 예측할 수 있고, 술 후 후각 회복율을 높이는데 도움을 주고자 하였다. 부비동 내시경 수술 후 후각 기능은 다양한 치료 결과를 나타내고, 호전되었다고 하더라도 저후각증 상태로 남아있는 경우도 많은데, 이는 반복적인 감염과 상피조직의 손상이 후각신경세포들의 불가역적인 손상이나 편평상피화 및 섬유화를 초래함으로써 기인할 수 있다. 수술 후에도 지속되는 점막의 부종이나 후열 부위의 염증도 후각 회복을 저해할수 있다. 술 전 후각이 무후각증 일수록, 비용종이 있을수록, CT상 후열 혼탁이 경도일수록, 부비동 수술 과거력이 없을수록, 후각장애 기간이 짧을수록, 비호산구성 부비동염, 상처 회복이 순조로울수록 수술 후 후각 회복율이 높다고 할 수 있다. 만성부비동염에 동반되는 후각 장애는 환자나 의사 모두에게 해결이 힘든 문제이자 수술 후 결과를 정확하게 예측하기 어려운 문제로 남아있으며, 향후 더 많은 연구가 필요할 것으로 생각한다.

• 청소년시설환경
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• 제17권1호
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• pp.131-141
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• 2019

The purpose of this study is to derive and type utilization indexes by comparing public design indicators with preceding studies related to closed school facilities, and to derive preliminary classification systems through a correlation review between indicators. Pre-research was conducted in the scope of academic papers, academic journals, research reports, and special act for promoting the utilization of closed school assets. Public design indicators were set in the scope of domestic design guidelines, the Seoul city public design assessment system, the 'Good Building' designation system, and the UK Design Quality Index (DQI). and the design review of the British architects. First of all, the research method looked at laws, procedures and utilization of closed schools, and reviewed the preceding study and domestic and international public design indicators sequentially. Next, the association was reviewed through a comparison between the preceding study and the public design indicators, and a preliminary classification system for the use of closed schools was derived from this.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제40권
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• pp.3.1-3.8
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• 2018

Background: In this research article, we evaluate the use of sub-periosteal tunneling (tunnel technique) combined with alloplastic in situ hardening biphasic calcium phosphate (BCP, a compound of β-tricalcium phosphate and hydroxyapatite) bone graft for lateral augmentation of a deficient alveolar ridge. Methods: A total of 9 patients with deficient mandibular alveolar ridges were included in the present pilot study. Ten lateral ridge augmentation were carried out using the sub-periosteal tunneling technique, including a bilateral procedure in one patient. The increase in ridge width was assessed using CBCT evaluation of the ridge preoperatively and at 4 months postoperatively. Histological assessment of the quality of bone formation was also carried out with bone cores obtained at the implant placement re-entry in one patient. Results: The mean bucco-lingual ridge width increased in average from 4.17 ± 0.99 mm to 8.56 ± 1.93 mm after lateral bone augmentation with easy-graft CRYSTAL using the tunneling technique. The gain in ridge width was statistically highly significant (p = 0.0019). Histomorphometric assessment of two bone cores obtained at the time of implant placement from one patient revealed 27.6% new bone and an overall mineralized fraction of 72.3% in the grafted area 4 months after the bone grafting was carried out. Conclusions: Within the limits of this pilot study, it can be concluded that sub-periosteal tunneling technique using in situ hardening biphasic calcium phosphate is a valuable option for lateral ridge augmentation to allow implant placement in deficient alveolar ridges. Further prospective randomized clinical trials will be necessary to assess its performance in comparison to conventional ridge augmentation procedures.

• 대한토목학회논문집
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• 제28권6B호
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• pp.665-673
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• 2008

본 연구에서는 SWAT(Soil and Water Assessment Tool) 모형을 이용하여 (I)연구에서 기구축된 현재의 유역 수문환경 조건을 활용하여 미래수문환경에 따른 유역 수문-수질 변화 분석하는데 목적이 있다. 미래의 수문자료 중 기후변화 시나리오는 Downscaling된 GCMs 자료를 이용하였으며, 미래 토지이용 시나리오는 미래 토지이용 예측 기법인 개선된 CA-Markov 기법으로 분석하여 구축하였다. 그 결과 미래의 토지이용 시나리오에 따라 주거지와 나지 등의 도시지역의 꾸준한 증가와 산림과 농경지 등의 감소가 예측되었고 미래의 기후변화 경우 강우의 변동성이 커 현재보다 더욱 더 기후변화의 대응전략이 필요할 것으로 판단된다. 미래 토지이용 시나리오와 기후변화 시나리오를 결합한 미래의 수문환경을 30-40년 주기로 나누어 장기적인 미래의 특정기간에 대한 자료를 가지고 수문 변화 분석을 실시한 결과, 강우에 의해 양상이 변할 수 있으며 그에 따라 영양물질의 부하량 또한 Sediment는 120%, T-N은 16%, T-P는 10% 증가할 수 있는 것으로 분석되었다. 따라서 수문환경의 전반적인 변화에 따른 유출 영향의 평가가 필요하다고 판단되고 향후 수자원 분배와 물자원 관리와 기후변화 적응전략을 수립하는데 있어 본 연구가 도움이 될 것이라고 판단한다.

• 동의생리병리학회지
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• 제25권6호
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• pp.1089-1094
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• 2011

We examined the decision-making capacity of seniors of consent to oriental clinical research. This study was performed in order to improve the quality of ethical aspects before obtaining informed consent. Oriental investigators interviewed 251 seniors who participated in Sasang clinical research. The questionnaire was about the capacity of consent and the subjective awareness of informed consent. Two hundred fifteen out of 250 questionnaires were collected. One hundred thirty four(62.3%) seniors had the capacity of consent to research and 81(37.7%) seniors did not pass. The subjective awareness of informed consent in having the capacity group is $78.02{\pm}12.92$ and not having group is $72.17{\pm}9.17$. The investigation of senior capacity of consent was aimed at protecting seniors' interests and completing investigators' ethical responsibilities. This study found that only 62.3% of senior participants had the capacity of consent. This investigation will be expected to raise the importance of seniors' capacity of consent. Also we expect methods and procedures for capacity assessment of informed consent to be followed for increasing quality of clinical research.

• Imaging Science in Dentistry
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• 제47권4호
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• pp.233-239
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• 2017

Purpose: This study was performed to quantify the repeat rate of imaging acquisitions based on different clinical examinations, and to assess the prevalence of error types in intraoral bitewing and periapical imaging using a digital complementary metal-oxide-semiconductor(CMOS) intraoral sensor. Materials and Methods: A total of 8,030 intraoral images were retrospectively collected from 3 groups of undergraduate clinical dental students. The type of examination, stage of the procedure, and reasons for repetition were analysed and recorded. The repeat rate was calculated as the total number of repeated images divided by the total number of examinations. The weighted Cohen's kappa for inter- and intra-observer agreement was used after calibration and prior to image analysis. Results: The overall repeat rate on intraoral periapical images was 34.4%. A total of 1,978 repeated periapical images were from endodontic assessment, which included working length estimation (WLE), trial gutta-percha (tGP), obturation, and removal of gutta-percha (rGP). In the endodontic imaging, the highest repeat rate was from WLE (51.9%) followed by tGP (48.5%), obturation (42.2%), and rGP (35.6%). In bitewing images, the repeat rate was 15.1% and poor angulation was identified as the most common cause of error. A substantial level of intra- and inter-observer agreement was achieved. Conclusion: The repeat rates in this study were relatively high, especially for certain clinical procedures, warranting training in optimization techniques and radiation protection. Repeat analysis should be performed from time to time to enhance quality assurance and hence deliver high-quality health services to patients

• 인터넷정보학회논문지
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• 제15권4호
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• pp.57-65
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• 2014

최근 한국의 대규모 IT 서비스 프로젝트의 수익률은 저하되고 있는 것으로 파악된다. IT 서비스 프로젝트의 수익률을 저하시키는 가장 큰 이유는 프로젝트와 관련된 여러 위험 요인들이 프로젝트의 일정 지연 및 비용 초과를 초래한 것으로 파악 된다. 이러한 일정 지연 및 비용 초과 현상을 방지하기 위해서는 프로젝트의 위험 요인들을 계약 체결 전에 식별하는 것이 매우 중요하다. 왜냐하면 발주사와 개발사간 계약 조건 협상 시 식별된 위험 요인들을 제거할 수 있기 때문이다. 본 연구에서는 IT 서비스 프로젝트의 특성으로 인해 프로젝트 수행 과정에서 발생할 수 있는 계약 위험 요인들을 사전에 파악하고 평가할 수 있는 체크리스트를 제시하고, 이를 실제 금융 산업의 IT 서비스 프로젝트에 적용하여 그 효과를 확인하고자 하였다. 적용 사례를 분석한 결과 IT 서비스 프로젝트의 위험 요인들을 식별하고 제거하는데 본 연구에서 제시된 체크리스트가 효과가 있음을 확인하였다.

• 한국농림기상학회지
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• 제23권4호
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• pp.356-365
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• 2021

농업기상재해 조기경보 서비스를 전국으로 확대하기 위해서는 각 지역별로 고유한 지리적, 농업환경적 특성에 대한 연구가 필요하다. 그리고 그에 적합한 전산 환경을 개발하는 것은 연구 대상 지역의 많은 농가에게 다양한 작물과 품종에 대한 서비스를 가능하게 하는 중요한 요소이다. 특히 확장성 있는 전산 환경의 설계는 서비스 영역이 확대되면서 전산 환경의 규모가 증가하게 되므로 농업 기상 서비스 품질에 상당한 영향을 미칠 수 있다. 이 연구의 목적은 각 지역별로 분산되어 서비스를 제공하고 있는 현재의 전산 구성에 대한 문제를 도출하고 그 해결책을 모색하는 것이다. 약 1년간 실험 운영을 통해 자체 평가한 결과 지역별로 분산된 조기경보서비스 시스템을 통합하면 중복 연산을 줄이고, 데이터의 효율적 저장과 종합적인 관리가 가능할 것으로 확인되었다. 이는 서비스 지역이 전국 규모로 확대되는 상황에서도 보다 안정적인 조기경보 서비스가 가능함을 의미한다. 이 연구를 통해 개별 농가에 대해 보다 향상된 품질의 서비스가 가능할 것으로 기대한다.

• The Korean Journal of Pain
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• 제35권1호
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• pp.106-113
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• 2022

Background: Coccygodynia is one of the chronic, refractory painful musculoskeletal disorders. Interventional procedures are applied to patients unresponsive to initial treatment in coccygodynia. This study aims to compare the treatment outcomes of ganglion impar block (GIB) and caudal epidural steroid injection (CESI) in patients with chronic coccygodynia. Methods: This study was a prospective randomized comparison study conducted between June 2019 and January 2021. Patients diagnosed with chronic coccygodynia were randomly divided into two groups: the GIB group and the CESI group. The severity of pain, presence of neuropathic pain, and quality of life were evaluated using the Numeric Rating Scale, Leeds Assessment of the Neuropathic Symptoms and Signs Scale, and Short Form-12 Health Survey (SF-12), respectively. Results: A total of 34 patients in each group were included in the final analyses. While there was a significant decrease in pain intensity in both groups in the 3-month follow-up, this decrease was more significant in the GIB group at the 3rd week. There was a significant improvement in the SF-12 physical score and the number of patients with neuropathic pain in both groups in the 3rd week, but this improvement was not observed in the 3rd month. Conclusions: Although GIB may provide more pain relief in short term, both GIB and CESI are useful treatment methods in coccygodynia unresponsive to more conservative treatments.

• 대한방사선기술학회지:방사선기술과학
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• 제47권2호
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• pp.107-116
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• 2024

In this study, we analyzed the use of general radiography imaging and effective dose in inpatients. Our aim is to help reduce national medical radiation exposure doses and develop rational health-care financial policies. The effective dose for each general radiography was calculated using the ALARA-GR program for 53 types (total: 260 codes) general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2018 inpatient patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was analyzed. 89.00% of inpatients undergo general radiography imaging at least once, with an average of 12.63 scans per person and an effective dose of 1.00 mSv. Those who received support from Medical Aid showed a higher value compared to those who were insured by National Health Insurance, with 17.39 cases and 1.43 mSv (p<.001). Chest had the highest usage rate at 23.12% for general radiography imaging, while L-spine had the highest effective dose at 24.53%. It is estimated that 420 inpatients patients undergo 121 to 820 general radiography imaging procedures per year, and 233 inpatients are estimated to have an annual effective dose of >20.00~58.25 mSv. Rational use of health-care finances and the practice of medical radiation safety management are essential for the well-being of individuals, the enhancement of quality of life, and the improvement of health-care quality.