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Perioperative Orbital Volume Change in Blowout Fracture Correction through Endoscopic Transnasal Approach (안와파열골절의 비강내 내시경적 접근을 통한 교정에서 수술 전후 안와 용적 변화)

  • Lee, Jae Woo;Nam, Su Bong;Choi, Soo Jong;Kang, Cheol Uk;Bae, Yong Chan
    • Archives of Plastic Surgery
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    • v.36 no.5
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    • pp.617-622
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    • 2009
  • Purpose: Endoscopic transnasal correction of the blowout fractures has many advantages over other techniques. But after removal of packing material, there were some patients with recurrence of preoperative symptoms. Authors tried to make a quantitative anterograde analysis of orbital volume change over whole perioperative period which might be related with recurrence of preoperative symptoms. Methods: 10 patients with pure medial wall fracture(Group I) and 10 patients with medial wall fracture combined with fracture of orbital floor(Group II) were selected to evaluate the final orbital volume change, who took 3 CT scans, pre-, postoperative and 4 months after packing removal. By multiplying cross - section area of orbit in coronal view with section thickness, orbital volume were calculated. Then, mean orbital volume increment after trauma, mean orbital volume decrement after endoscopic correction and volume increment after packing removal were found out. And we tried to find correlations between type of fracture, initial correction rate and final correction rate. Results: The mean orbital volume increment of the fractured orbits were 7.23% in group I and 13.69% in group II. After endoscopic surgery, mean orbital volume decrement were 11.0% in group I and 12.46% in group II. Mean volume increment after packing removal showed 3.10% in group I and 6.50% in group II. The initial correction rate(%) showed linear correlation with final correction rate(%) after packing removal. And there were negative linear correlation between increment percentage of orbital volume by fracture and final correction rate(%). Conclusion: Orbital volume was proved to be increasing after removal of packing or foley catheter and it was dependent upon type of fracture. Overcorrection should be done to improve the final result of orbital blowout fracture especially when there are severe fracture is present.

Effects of Aromatherapy on Menstrual Cramps and Dysmenorrhea in College Student Woman : A Blind Randomized Clinical Trial (아로마테라피가 여대생의 생리통 및 월경곤란증에 미치는 효과)

  • Han, Sun-Hee;Ro, You-Ja;Hur, Myung-Haeng
    • Korean Journal of Adult Nursing
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    • v.13 no.3
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    • pp.420-430
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    • 2001
  • This study was designed to verify the effect of aromatherapy on menstrual cramps and dysmenorrhea by a quasi experiment (nonequivalent control group pretest-posttest design), from March to October, 2000. The subjects of this experiment consisted of 45 college women with menstrual cramps and dysmenorrhea. They were randomized by 25 for the experimental group and 20 for the control group. Their mean age was 20.6 years, mean menstrual period 28.7 days, mean menstrual cramps(VAS) 7.25, mean dysmenorrhea (Dysmenorrhea Scale) was 27.34. As treatment, aromatherapy was to give effleurrage of the abdomen with lavender, clary sage and rose as aroma oil, almond oil as carrier oil. For the control group, abdominal massage was given with only almond oil. Data collection included menstrual cramps, dysmenorrhea, the change of symptoms(low abdominal pain, lumbago, headache, nausea, fatigue, edema). Menstrual cramps, dysmenorrhea and general, menstrual characteristics of subjects were measured the first day of the pre menstrual period before treatment (pre-test), menstrual cramps, dysmenorrhea, the change of symptoms were measured the first and second day of post menstrual period after treatment (posttest). Data were analyzed by t-test, $\chi^2$- test, repeated measures ANOVA, Cronbach's ${\alpha}$ with SAS Program. The results of this study was as follows; 1. Menstrual cramps was significantly lower in the experimental group(p = .001). 2. Dysmenorrhea was significantly lower in the experimental group(p = .027). 3. Less women in the experimental group complained about the six symptoms than women in the control group after treatment on the first day of the menstrual period(p < 0.05, p < 0.01) In conclusion, these findings indicate that aromatherapy with lavender, clary sage, and rose could be effective to decrease menstrual cramps, and dysmenorrhea. So, aromatherapy could be applied to women suffering with menstrual cramps, dysmenorrhea periodically as an nursing intervention.

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The Influence of Position Change on Autonomic Nervous System Function (자세변화가 자율신경계에 미치는 영향)

  • Kim, In-Bae;Kim, Eun-Kyung;Kang, Jong-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.9 no.1
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    • pp.63-68
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    • 2014
  • PURPOSE: The purpose of this study was to examine the position changes with tilt table on autonomic nervous system using heart rate variability analysis. METHODS: Fourty healthy adult males volunteered in this study. The low frequency, high frequency and low frequency/high frequency ratio and mean heart rate, standard deviation of all normal R-R intervals, root mean square of successive differences, heart rate variability index were measured at the tilt table angle of $0^{\circ}$, $45^{\circ}$ and $90^{\circ}$ with pulsoximeter. Data were analyzed one-way ANOVA and LSD post hoc test. RESULTS: The mean heart rate, low frequency and low frequency/high frequency ratio increased significantly at higher angle of tilt table(p<.05). The root mean square of successive differences, heart rate variability index decreased significantly at lower angle of tilt table(p<.05). The standard deviation of all normal R-R intervals, high frequency decreased at higher angle of tilt table did not show significant difference. CONCLUSION: The symphathetic activity increased significantly at higher angle of tilt table. The parasymphathetic activity decreased at higher angle of tilt table, but the difference were not significant. The autonomic adaptation, balance and heart rate variability decreased significantly at higher angle of tilt table. Based on these results, in the treatment of patients with a change in posture precedence should be carefully treated. Further studies are necessary to determine the most safety and effective methods.

Treatment of Reverse Oblique Trochanteric Fracture with Compression Hip Screw (대퇴골 전자부 역사상 골절의 압박고 나사를 이용한 치료)

  • Kim, Dong-Hui;Lee, Sang-Hong;Ha, Sang-Ho;You, Jae-Won
    • Journal of Trauma and Injury
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    • v.23 no.1
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    • pp.1-5
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    • 2010
  • Purpose: To investigate the results of treatment of reverse oblique trochanteric fractures with compression hip screw. Methods: We reviewed the results of 12 cases of reverse oblique trochanteric fracture treated with compression hip screw from January 2000 to December 2006 which could be followed up for more than 1 year. The mean follow up period was 26 months (15~40). The mean age was 48 years old. Injury mechanism was composed of 6 cases of traffic accident and 6 cases of fall down. 8 persons were man. We investigated the union time, degree of neck-shaft angle change, amount of sliding of compression hip screw, complications, functional and clinical results. Results: 10 cases were united and the mean union time were 5 months (3~8). The mean neck-shaft angle change was 3.5 degrees (0~12). The amount of sliding of compression hip screw was 8.9 mm (2~24). There were six coxa vara, six leg due to coxa vara shortening, two nonunion, and one superficial infection. Unsatisfactory results of Jensen's social function score and Parker and Palmer's mobility score were studied. Conclusion: The results of treatment of reverse oblique trochanteric fractures with compression hip screw were relatively unsatisfied.

Comparison of Growth and Allometric Change of Stand and Dominant Trees in Pinus koraiensis Plantation over 34 Years

  • Seo, Yeongwan;Lee, Daesung;Chhorn, Vireak;Choi, Jungkee
    • Journal of Forest and Environmental Science
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    • v.34 no.3
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    • pp.235-241
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    • 2018
  • This study was conducted to find out the growth pattern of Pinus koraiensis plantation over 34 years, focusing on DBH, height, basal area and allometric change. Total increment (TI), mean annual increment (MAI) and correlation coefficient were calculated and compared with stand and dominants. Total increment and mean annual increment of both DBH and height of dominants were bigger than those of stand. The difference was apparently shown bigger in DBH than height. Unlike DBH and height the total increment and mean annual increment of basal area per hectare of dominants were distinctively smaller than those of stand. Furthermore MAI of dominant was increasing until age 42, while MAI of stand increased at early ages and then gradually decreased after culmination like MAIs of DBH and height. MAIs of basal area of dead trees at each measurement tended to increase until early age (18 years in this study), while it reached a peak and gradually decrease after that (21 years in this study). Correlation coefficient between DBH and height tended to decrease as both dominant and stand age and the difference between dominant and stand was not clearly shown over the measurement period. Correlation coefficients between DBH and crown width tended to decrease as the trees age and correlation coefficients of dominant were clearly shown smaller than that of stand. Correlation coefficients of height and crown width also was found to be similar to correlation coefficients between DBH and crown. Meanwhile correlation coefficient of height and crown width dropped more radically than coefficient of DBH and crown width as the trees age.

Performance and Root Mean Squared Error of Kernel Relaxation by the Dynamic Change of the Moment (모멘트의 동적 변환에 의한 Kernel Relaxation의 성능과 RMSE)

  • 김은미;이배호
    • Journal of Korea Multimedia Society
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    • v.6 no.5
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    • pp.788-796
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    • 2003
  • This paper proposes using dynamic momentum for squential learning method. Using The dynamic momentum improves convergence speed and performance by the variable momentum, also can identify it in the RMSE(root mean squared error). The proposed method is reflected using variable momentum according to current state. While static momentum is equally influenced on the whole, dynamic momentum algorithm can control the convergence rate and performance. According to the variable change of momentum by training. Unlike former classification and regression problems, this paper confirms both performance and regression rate of the dynamic momentum. Using RMSE(root mean square error ), which is one of the regression methods. The proposed dynamic momentum has been applied to the kernel adatron and kernel relaxation as the new sequential learning method of support vector machine presented recently. In order to show the efficiency of the proposed algorithm, SONAR data, the neural network classifier standard evaluation data, are used. The simulation result using the dynamic momentum has a better convergence rate, performance and RMSE than those using the static moment, respectively.

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Plasma Level of Amitriptyline after Fluoxetine Addition (Fluoxetine 투여 후 Amitriptyline의 혈장농도 변화)

  • Jun, Yong-Ho;Kwon, Young-Joon;Jung, Hee-Yeon;Han, Sun-Ho
    • Korean Journal of Biological Psychiatry
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    • v.8 no.2
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    • pp.266-270
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    • 2001
  • Objective : The purpose of this study was to compare the plasma amitriptyline and nortriptyline level between before and after fluoxetine addition with patients who were currently taking amitriptyline. Method : From the inpatient and outpatient unit of Soon Chun Hyang University Hospital, Chunan, fourteen subjects who were taking amitriptyline 25mg more than 1 week at least were given fluoxetine 20mg. Before and 2 weeks after fluoxetine addition, the plasma level of amitriptyline and nortriptyline are analyzed simultaneously by High Performance Liquid Chromatography(HPLC). At the same times, HAM-D(Hamilton Rating Scale for Depression) score and the UKU(Uldvalg for Klinske Unders${\Phi}$ gelser) side effect scale were checked. Results : After fluoxetine addition to the patients who were taking amitriptyline, the plasma level of amitriptyline, nortriptyline and sum of amitriptyline and nortriptyline had risen. The mean plasma amitriptyline level increased from $168.9{\pm}89.4ng/ml$ to $183.0{\pm}102.0ng/ml$ after fluoxetine addition(p=0.011), but the change was not statistically significant. The mean plasma nortriptyline level increased significantly from $114.3{\pm}70.2ng/ml$ to $168.0{\pm}86.2ng/ml$ after fluoxetine addition(p=0.011). In addition, the mean plasma level of total amitriptyline and nortriptyline increased significantly from $283.1{\pm}125.3ng/ml$ to $350.9{\pm}78.4ng/ml$ after fluoxetine addition(p=0.016). After fluoxetine addition, no significant change was noted in the UKU side effect scale score. Conclusion : As consequence of comparison of plasma amitriptyline and nortriptyline level before and after fluoxetine addition, mean amitriptyline, nortriptyline and total plasma level was increased after fluoxetine addition. This suggests that coadministration of amitriptyline and fluoxetine may induce improvement of depressive symptom in depressive patients by way of increased plasma level of amitriptyline.

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The Effect of the Physical Therapy Treatment Room Environment Using Microwave Diathermy on the Autonomic Nervous System of Human Body (극초단파치료기를 사용하는 물리치료실의 환경이 물리치료사의 인체자율신경계에 미치는 영향)

  • Shin, Han-Ki;Lee, Tae-Kyu;Jun, Je-Yoon;Kim, Ju-Seung;Kang, Jong-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.1
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    • pp.37-43
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    • 2015
  • PURPOSE: The purpose of this study is to investigate the effect of the physical therapy treatment room environment using microwave diathermy on the autonomic nervous system of human body. METHODS: Participants were 24 healthy adults. Standard deviation of all normal R-R intervals(SDNN), root mean square of successive differences(RMSSD), low frequency(LF), high frequency(HF), LF/HF ratio were compared in microwave irradiation and non-irradiation group. Data were analyzed in Wilcoxon's signed-ranks test and Mann-Whitney U test. RESULTS: Standard deviation of all normal R-R intervals (SDNN), root mean square of successive differences (RMSSD), low frequency(LF), high frequency(HF), LF/HF ratio were not significantly different in microwave irradiation group. Standard deviation of all normal R-R intervals(SDNN), root mean square of successive differences (RMSSD), low frequency(LF), high frequency(HF), LF/HF ratio were not significantly different in microwave non-irradiation group. Standard deviation of all normal R-R intervals(SDNN), root mean square of successive differences (RMSSD), low frequency(LF), high frequency(HF), LF/HF ratio were not significantly different between two groups. CONCLUSION: There was no significant change in the sympathetic nervous system and parasympathetic nervous system regardless of the presence of microwave irradiation. There was no significant change in the autonomic nervous system adaptability regardless of the presence of microwave irradiation.According to this study, microwave diathermy does not have significant effect on the autonomic nervous system.Future study is necessary to investigate the long term effect of the physical therapy treatment room environment using microwave diathermy on the autonomic nervous system of the human body.

Short- to mid-term outcomes of radial head replacement for complex radial head fractures

  • Baek, Chung-Sin;Kim, Beom-Soo;Kim, Du-Han;Cho, Chul-Hyun
    • Clinics in Shoulder and Elbow
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    • v.23 no.4
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    • pp.183-189
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    • 2020
  • Background: The purpose of the current study was to investigate short- to mid-term outcomes and complications following radial head replacement (RHR) for complex radial head fractures and to identify factors associated with clinical outcomes. Methods: Twenty-four patients with complex radial head fractures were treated by RHR. The mean age of the patients was 49.8 years (range, 19-73 years). Clinical and radiographic outcomes were evaluated for a mean follow-up period of 58.9 months (range, 27-163 months) using the visual analog scale (VAS) score for pain, the Mayo elbow performance score (MEPS), the quick disabilities of the arm, shoulder and hand (Quick-DASH) score, and serial plain radiographs. Complications were also evaluated. Results: At the final follow-up, the mean VAS score, MEPS, and Quick-DASH score were 0.6±1.1, 88.7±11.5, and 19.4±7.8, respectively. The mean range of motion was 132.7° of flexion, 4.7° of extension, 76.2° of pronation, and 77.5° of supination. Periprosthetic lucency was observed in six patients (25%). Heterotopic ossification was observed in four patients (16.7%). Arthritic change of the elbow joint developed in seven patients (29.2%). Capitellar wear was found in five patients (20.8%). Arthritic change of the elbow joint was significantly correlated with MEPS (P=0.047). Four cases of complications (16.6%) were observed, including two cases of major complications (one stiffness with heterotopic ossification and progressive ulnar neuropathy and one stiffness) and two cases of minor complications (two transient ulnar neuropathy). Conclusions: RHR for the treatment of complex radial head fractures yielded satisfactory short- to mid-term clinical outcomes, though radiographic complications were relatively high.

Impact of Elevated Temperature in Growing Season on Growth and Bulb Development of Extremely Early-Maturing Onion (Allium cepa L. cv. Singsingball) (생육기 온도상승이 극조생 양파의 생육 및 구 비대에 미치는 영향)

  • Song, Eun Young;Moon, Kyung Hwan;Wi, Seung Hwan;Kim, Chun Hwan;Lim, Chan Kyu;Oh, Soonja;Son, In Chang
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.19 no.4
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    • pp.223-231
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    • 2017
  • This study was conducted to determine the impact of elevated temperature based on climate change scenario on growth and bulb quality of extremely early-maturing onion (Allium cepa L. cv. Singsingball) in the temperature gradient tunnels. There were treated with 3 groups, one is a control group (ambient temperature, mean temperature at $9.8^{\circ}C$), another ambient temperature $+2^{\circ}C$ (mean temperature at $12.0^{\circ}C$), and the other ambient temperature $+5^{\circ}C$ (mean temperature at $14.3^{\circ}C$). Compared with the control, plant height, neck diameter, leaf area, top fresh weight and dry weight were significantly increased at ambient $+2^{\circ}C$ temperature. Bulb diameter and bulb weight was highest at ambient $+2^{\circ}C$ temperature (mean temperature at $12.0^{\circ}C$) during the growth period. Bulb/neck diameter ratio, over 2.0 a good indicator of development of bulb, increased rapidly at ambient $+2^{\circ}C$ temperature. This result suggests that extremely early-maturing onion (Allium cepa L. cv. Singsingball) could maintain the higher productivity and bulb quality at ambient $+2^{\circ}C$ temperature. On the contrary, $5^{\circ}C$ higher than atmospheric temperature shows negative effects on yields under a future climate change scenario.