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Correlation between Fatty Infiltration of Lumbar Paraspinal Muscle and Slip Percentage on 45 Korean Medicinal Treatment Cases of Spondylolisthesis: A Retrospective Study (척추전방전위증 환자 45예의 요추주변근육의 지방침착도와 전위정도의 상관성에 대한 후향적 연구)

  • Kim, Yu-Gon;Kim, Dae-Ho;Jeong, Hyeon-Gyo;Lim, Jin-Woong;Kim, Yong-Hwa;Kang, Deok;Jeong, Hwe-Joon;Shin, Kyung-Moon;Shin, Dong-Hoon;Yang, Jae-Woo;O, Ji-Hoon;Cho, Jae-Seong
    • Journal of Korean Medicine Rehabilitation
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    • v.32 no.1
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    • pp.51-62
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    • 2022
  • Objectives Objective of this study is to investigate the role of paraspinal muscles by examining the correlation between slip percentage (SP) of spondylolisthesis and fatty infiltration of lumbar paraspinal muscle. Methods Retrospective analysis was performed on 45 patients diagnosed with spondylolisthesis based on medical records. Using T2-weighted axial magnetic resonance imaging, cross-sectional areas (CSAs) of psoas major (PM), multifidus (MU) and erector spinae (ES) were calculated and divided by CSA of lower level vertebral body (VB). SP was measured using sagittal T2-weighted images. Correlation of SP with muscle relative cross-sectional area (RCSA) and muscle fatty infiltration by Goutallier classification was respectively analyzed using Spearman correlation. Statistic assessment conducted by Wilcoxon signed rank test and paired t-test using program GraphPad prism 5 (GraphPad Software, Inc., San Diego, CA, USA). Results Spondylolisthesis forward slip percentage by Taillard's method was negatively associated with both side MU RCSAs. No significant correlation was found between PM RCSA, ES RCSA and SP. Forward slippage was significantly correlated with fatty infiltration of lumbar paraspinal muscle measured by Goutallier classification. Conclusions This study is to understand the role of paraspinal muscle affecting spinal instability by investigating correlation between statistical deviation of lumbar muscle characters (RCSA, fatty infiltration of lumbar muscle) and SP. We found that spondylolisthesis SP is positively related to fatty infiltration of lumbar paraspinal muscle. and is negatively associated with both side MU RCSAs.

A Case Study on the Restoration to Designated State Based on the Scientific Analysis of Gold Threads of Gwanghwadang-Wonsam (광화당 원삼의 금사 분석과 원형복원 사례)

  • An, Boyeon;Lee, Ryangmi;Lee, Jangjon
    • Journal of Conservation Science
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    • v.37 no.2
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    • pp.144-153
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    • 2021
  • Gwanghwadang-Wonsam was designated as National Folklore Cultural Heritage No. 52 in 1979, it is in good condition. However, a problem is the attached a phoenix insignia badge that did not exist when it was designated recently. As it became known as the only purple Wonsam artifact with "phoenix insignia", raising the need for its conservation. In this regard, scientific analysis was required to correct misinformation about designated cultural assets and restore the original designated state by analyzing the history of the Gwanghwadang-Wonsam, other relics of the phoenix insignia and its making design patterns. An X-ray fluorescence analysis was used to confirm that the Phoenix insignia's metal threads were titanium-plated silver. Phoenix insignia using titanium-plated gold thread was not identified in Gwanghwadang-Wonsam photographs in 1986, and the TiN-type membrane plating method was used in various industries in the 1990s, which can be estimated to be attached in the early and mid-1990s. Especially, the scientific analysis results from the X-ray fluorescence analysis in this study provide key evidence for conservation processing. This study demonstrates the importance of investigating relics and similar artifacts in the conservation process of inherited relics and as a precedent for restoration that corrects misinformation about designated cultural properties.

Effects of Blood Flow Restriction Exercise on the Alacrity and Balanced Capacity of Female University Students in Their 20s for Health-Care Increase (헬스케어증진을 위한 하지혈류제한운동이 20대 여대생의 순발력과 균형에 미치는 영향)

  • Seo, Tae-Hwa;Kim, Eun-Ho;Jeong, Yeon-Woo
    • Journal of Korea Entertainment Industry Association
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    • v.14 no.4
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    • pp.333-340
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    • 2020
  • This study aims to examine the effects of squat exercise on the vitality and balanced capacity of female university students in their 20s with lower blood flow control. This study selected 40 volunteers from normal adult women in their twenties. Blood flow restriction used Blood Flow Restriction bands (BFR bands). The application method was to put on a blood flow restriction belt in the lower leg of the restricted blood flow area and put 120 mmHg of pressure to limit blood flow while the subject was standing comfortably. It was found that there were statistically significant differences in Height, Maximum concentric power and Take off speed between two groups(p<.05), There was statistically unimportant differences in foot scan between two groups(p>.05). This study found that to find out the changes in balance and alacrity, the experimental and control groups were divided into two groups. In conclusion, there were no significant differences in balance capability, but there were significant differences over time in net power.

Trends in the Use of Artificial Intelligence in Medical Image Analysis (의료영상 분석에서 인공지능 이용 동향)

  • Lee, Gil-Jae;Lee, Tae-Soo
    • Journal of the Korean Society of Radiology
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    • v.16 no.4
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    • pp.453-462
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    • 2022
  • In this paper, the artificial intelligence (AI) technology used in the medical image analysis field was analyzed through a literature review. Literature searches were conducted on PubMed, ResearchGate, Google and Cochrane Review using the key word. Through literature search, 114 abstracts were searched, and 98 abstracts were reviewed, excluding 16 duplicates. In the reviewed literature, AI is applied in classification, localization, disease detection, disease segmentation, and fit degree of registration images. In machine learning (ML), prior feature extraction and inputting the extracted feature values into the neural network have disappeared. Instead, it appears that the neural network is changing to a deep learning (DL) method with multiple hidden layers. The reason is thought to be that feature extraction is processed in the DL process due to the increase in the amount of memory of the computer, the improvement of the calculation speed, and the construction of big data. In order to apply the analysis of medical images using AI to medical care, the role of physicians is important. Physicians must be able to interpret and analyze the predictions of AI algorithms. Additional medical education and professional development for existing physicians is needed to understand AI. Also, it seems that a revised curriculum for learners in medical school is needed.

An Exploratory Study on the Learning Community: Focusing on the Covid19 Untact Era (배움공동체에 대한 탐색적 연구 : covid19 언택트시대를 중심으로)

  • Jeong, Su-Jeong;Im, Hong-Nam;Park, Hong-Jae
    • Journal of Convergence for Information Technology
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    • v.12 no.5
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    • pp.237-245
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    • 2022
  • This study examines the social discourse on the characteristics of the learning community in the untact era, and discusses the directions that learning communities for children could explore and consider in the pandemic situation and beyond. For this purpose, big data for one year, from January 20, 2020 to January 20, 2021, were collected through internet portal sites (includingincluding Google News, Daum, Naver and other News surfaces), using two keywords "untact" and "learning community", and analyzed by employing a word frequency and network analysis method. The analysis results show that several important terms, such as 'village education community', 'operation', 'activity', 'corona 19', 'support', and 'online' are closely related to the learning community in the untact era. The findings from this study also have implications for developing the learning community as an alternative model to fill the existing gaps in public care and education for children during the prolonged pandemic and afterwards. In conclusion, the study findings highlight that it is meaningful to identify key terms and concepts through word frequency analysis in order to examine social trends and issues related to the learning community.

A Study on Replica Restoration Methods through Scientific Analysis of Seongju Lee Family's Portraits (성주 이씨가(家) 초상화의 과학적 분석을 통한 모사복원방안 연구)

  • Jeong, Ji-Youn;Lee, Jang-Jon;Han, Min-su
    • Journal of Conservation Science
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    • v.38 no.3
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    • pp.201-216
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    • 2022
  • Materials and techniques used for two portraits (Jo-nyeon Lee and S ung-in Lee) of the Lee family from Seongju enshrined in Seongsan temple were scientifically analyzed, and based on the data, an optimal replica restoration method was designed. According to the expression technique investigation, both portraits were expressed mainly in line drawing, but there were differences in shoes, pupils, the color expression of flesh, overpainting, and traces of reinforcement. Pigment analysis revealed that a mixture of cinnabar and minium, organic pigment, azurite, malachite, lead white, and yellow pigment were used in common. In the case of Sung-in Lee's portrait, seokganju and atacamite were also used. In addition, comparison with the contemporaneous portraits of gentry showed that the portrait style at the time was found in the two portraits, but the singularity was modified differently there. Based on the scientific analysis, it was decided to replicate the old color restoration for Jo-nyeon Lee's portrait while for Sung-in Lee's portrait, it was decided to replicate the phenomenon. Detailed coloring techniques were presented by supplementing the expression techniques that are difficult to confirm visually using scientific data. In addition, by measuring the chromaticity of representative positions in the portrait for each color and presenting the color reference value calculated as the average value, the current color of the artifact can be replicated and restored based on the objective data as much as possible.

A Study on the Relationship among Parents' Social Networks, Information-Sharing Intention, and Satisfaction (학부모 소셜네트워크와 정보공유 의도 및 만족도 간 관계에 대한 연구)

  • Lee, Go-Eun;Park, Ji-Hong
    • Journal of the Korean Society for information Management
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    • v.39 no.3
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    • pp.69-97
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    • 2022
  • Parents' interest and care are very important for their children in the process of growing up, but parenting is also very unfamiliar and difficult for themselves. Parents constantly need information related to parenting, and in order to solve this problem, they try to obtain information through informal meetings or social relationships among parents at an individual level, which often brings up conflicts and stresses. Accordingly, the purpose of this study is to explore the characteristics of social networks among parents and to understand the influence of the network characteristics on information-sharing intention and information-sharing satisfaction. To this end, a survey questionnaire was developed based on previous studies and was administered among parents whose children are in a daycare center. Then, the data was analyzed using social network analysis (SNA) method. Findings indicate that the correlation among the social networks, the information -sharing intention, and the information-sharing satisfaction was significant, but the influence of the social networks on the information-sharing intention, and the information-sharing satisfaction was not established. It was also found that the intention to receive help was higher than the desire to help others. Policy suggestions to meet parents' information needs and the need to reconsider the role of local public libraries were presented.

Analysis of the annual changes in dental institutions that claimed dental sedatives in Korea and the types of sedatives using health care big data

  • Minjae Lee;Seong In Chi;Hyuk Kim;Kwang-Suk Seo
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.23 no.2
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    • pp.101-110
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    • 2023
  • Background: Dentists make various efforts to reduce patients' anxiety and fear associated with dental treatment. Dental sedation is an advanced method that dentists can perform to reduce patients' anxiety and fear and provide effective dental treatment. However, dental sedation is different from general dental treatment and requires separate learning, and if done incorrectly, can lead to serious complications. Therefore, sedation is performed by a limited number of dentists who have received specific training. This study aimed to investigate the proportion of dentists who practice sedation and the main sedatives they use in the context of the Republic of Korea. Methods: We used the customized health information data provided by the Korean National Health Insurance. We investigated the number of dental hospitals or clinics that claimed insurance for eight main sedatives commonly used in dental sedation from January, 2007 to September, 2019 at the Health Insurance Review and Assessment Service. We also identified the changes in the number of dental medical institutions by region and year and analyzed the number and proportion of dental medical institutions prescribing each sedative. Results: In 2007, 302 dental hospitals prescribed sedatives, and the number increased to 613 in 2019. In 2007, approximately 2.18% of the total 13,796 dental institutions prescribed sedatives, increasing to 3.31% in 2019. In 2007, 168 institutions (55.6%) prescribed N2O alone, and in 2019, 510 institutions (83.1%) made claims for it. In 2007, 76 (25.1%) hospitals made claims for chloral hydrate, but the number gradually decreased, with only 29 hospitals (4.7%) prescribing it in 2019. Hospitals that prescribed a combination of N2O, chloral hydrate, and hydroxyzine increased from 27 (8.9%) in 2007 to 51 (9%) in 2017 but decreased to 38 (6.1%) in 2019. The use of a combination of N2O and midazolam increased from 20 hospitals (6.6%) in 2007 to 51 hospitals (8.3%) in 2019. Conclusion: While there is a critical limitation to the investigation of dental hospitals performing sedation using insurance claims data, namely exclusion of dental clinics providing non-insured treatments, we found that in 2019, approximately 3.31% of the dental clinics were practicing sedation and that N2O was the most commonly prescribed sedative.

The Clinical Investigation of Necrotizing Fasciitis in Burn Center (화상센터에서 치료한 괴사성근막염의 임상적 고찰)

  • Kim, Euimyung;Chun, Jin Woo;Kim, Young Min;Yoon, Jae Chul;Lim, Hae Jun;Cho, Yong Suk;Kim, Dohern;Hur, Jun;Chun, Wook
    • Journal of the Korean Burn Society
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    • v.22 no.2
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    • pp.66-70
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    • 2019
  • Purpose: The necrotizing fasciitis is a terrifying infectious disease that can rapidly spreads to surrounding tissues when fascia is infected and it can cause sepsis to death if not properly diagnosed and treated. The purpose of this study is to investigate the characteristics, causes, and treatment methods of necrotizing fasciitis in Korea through reviewing patients admitted to our burn center. Methods: 21 patients with necrotizing fasciitis were selected for this study among those inpatients with electronic medical records (EMR) admitted to Hallym University Hangang Sacred Heart Medical Center from Jan 1, 2008 to June 30, 2019. The medical records and wound photos of those 21 selected subjects were reviewed. Results: There were 13 male and 8 female patients and mean age was 58.76 years old. 13 of 21 subjects were survived and 8 died (38% mortality rate). The surgical treatments performed were I&D, fasciotomy, debridement, allograft, burring, STSG, flap, and amputation. The most common causes were burns in 9 subjects (6 contact burns) and cellulitis occurred on skins in 5 subjects. And other various causes were observed as fournier's gangrene, stab wound, intramuscular injection, tumor and bleu toe syndrome (toe necrosis). The infected areas were 11 feet and legs, 7 hips, 3 abdomen and trunk in 21 subjects. Of the 8 deaths, 3 were infected in feet and legs, 2 were infected in hips, and 2 were infected in abdomen and trunk. As for underlying diseases, 12 patients with hypertension or diabetes were the highest and others such as cancer and stroke were found. Conclusion: The only method to increase the survival rate is to 'suspect' the disease as much as possible and perform early extensive excision. It is advisable to treat the disease by the burn center to properly provide adequate and optimal wound management, infection control, medical care and nutritional supports.

A Study on the Leisure Activation Policy Plan for Social Integration on Married Immigrant Women (결혼이주여성의 사회통합을 위한 여가 활성화 정책 방안)

  • Kim, Young-Mee;Kim, Ill-Gwang;Park, Su-Sun;Lee, Jong-Kil;Yang, Jae-Sik
    • 한국체육학회지인문사회과학편
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    • v.54 no.5
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    • pp.77-87
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    • 2015
  • This study aimed to make the leisure activation policy plan on married immigrant women for social integration of multicultural families as a social problem. For that, this study selected total 25 professional experts who can suggest leisure activation policy plans on married immigrant women with convenience quota sampling, and, they were chiefs and instructors in multicultural family support centers, professors of social welfare and leisure, and married immigrant women who had passed Test of Proficiency in Korean and been doing leisure activities. As the results, there were classified into 6 main category like established policy direction, engage, awareness, and program improvement, operations and facility improvements, administrative support, 13 middle categories, and 37 small categories. Through above process, this study suggested 6 steps of policy plan: 1st, making systematic policy direction on the base of married immigrant women's real demand, 2nd, making administrative·institutional support system for effective policy enhancement, 3rd, improving recognitions on immigrant women's leisure activity from surrounders, 4th, improving programs by efficient management and qualitative diversification, 5th, improving management of concerned facilities, and 6th, attracting participations of married immigrant women through economical support·connection and child care service.