• The Journal of Korean Orthopaedic Ultrasound Society
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• v.4 no.2
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• pp.111-122
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• 2011

Platelet rich plasma (PRP) has been widely used nowadays for several common orthopaedic-related sports medicine conditions with the theoretical basis that PRP supplies numerous autologous growth factors from concentrated platelets needed to promote the healing process of injured tissue. Even though there are many basic sciences, animal studies and some clinical studies regarding PRP injections for musculoskeletal injuries which suggested good results, it is difficult to compare these various studies due to marked methodological differences such as PRP preparation method, the timing, volume and number of injection, and the outcome measurement tool. In addition, many studies have no control groups or a limited sample size, and there are few prospective randomized controlled trials assessing the efficacy of PRP injections. Therefore, well designed high-quality randomized studies are required to confirm the preliminary results until now and provide scientific evidence to support its use, and the paucity of scientific clinical evidence suggest that the administration of PRP on humans for musculoskeletal injuries should be performed with caution.

• Journal of Korean society of Dental Hygiene
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• v.9 no.2
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• pp.147-163
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• 2009

This study was attempted in order to look into 'Assist work' as to Implant system which dental hygienists perform in a clinical field. Subjects of this research were 362 dental hygienists who work at general hospital, University hospital, dental hospital, and dental clinics located in Seoul, Kyeong-gi, In-chon, and Jeon-buk area. As to research tool, we produced questionnaire which was comprised of the total 25 items regarding 3 of general features (age, career of dental hygienist, and personality), 6 of implant system assist work, 3 of Informed consent before surgery, 6 of preoperative preparation and maintenance related business, and 7 items related to postoperative maintenance. By using SPSS program, collected data was analyzed. Results of analysis in this study were as follow; 1. As to implant related education, dental hygienists' experience of education was high as 77.7%, and the people who is needed more education was 86.3%. Consequently, dental hygienists' concern about the implant related education was very high. 2. It was observed that most of informed consent making approvement by announcement to the surgical operation was made by dental hygienist before implant as 95%. 3. Over 80% of dental hygienists performed acquisition of cleanliness technology, motivation, back up articles preparation, treatment area arrangement, and etc. which we can check by preoperative maintenance items. In particular, response about the motivation was very high as more than 90%. 4. When performing an operation, in the case of disinfecting finger was low for 53.9% and the method was mainly washing with drug solution, and gown sterilization was performed only in 52.2%. Therefore education regarding disinfection was urgently needed. 5. Significance of education could be known that answers of hygienists experienced education appeared highly in items of maintenance method and there was statistically significant difference(p<0.05). 6. In case that assist work were 21cases or greater, agitation measurement was the most many performed in 68.9% and difference was showed up significantly(p<0.001). 7. Evaluation about periodontal tissue was high in dental hygienists who had experienced education and also there was statistically significant difference. In conclusion, assist work of dental hygienists was very comprehensive when implant surgery was performed, and all of items excluding hand disinfection or gown disinfection were highly showed up in most of hygienists. However, since there is the limit that we didn't investigate the quality of performing contents. It is considered that further study regarding the content has to be progressed for supporting this result in the future.

• Journal of Korea Water Resources Association
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• v.41 no.12
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• pp.1187-1198
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• 2008

Many reservoirs in Korea and their downstream environments are under increased pressure for water utilization and ecosystem management from longer discharge of turbid flood runoff compared to a natural river system. Turbidity($C_T$) is an indirect measurement of water 'cloudiness' and has been widely used as an important indicator of water quality and environmental "health". However, $C_T$ modeling studies have been rare due to lack of experimental data that are necessary for model validation. The objective of this study is to validate a coupled three-dimensional(3D) hydrodynamic and particle dynamics model (ELCOM-CAEDYM) for the simulation of turbid density flows in stratified Daecheong Reservoir using extensive field data. Three different groups of suspended solids (SS) classified by the particle size were used as model state variables, and their site-specific SS-$C_T$ relationships were used for the conversion between field measurements ($C_T$) and state variables (SS). The simulation results were validated by comparing vertical profiles of temperature and turbidity measured at monitoring stations of Haenam(R3) and Dam(R4) in 2004. The model showed good performance in reproducing the reservoir thermal structure and propagation of stream density flow, and the magnitude and distribution of turbidity in the reservoir were consistent with the field data. The 3D model and turbidity modeling framework suggested in this study can be used as a supportive tool for the best management of turbidity flow in other reservoirs that have similar turbidity problems.

• Journal of Preventive Medicine and Public Health
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• v.26 no.2 s.42
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• pp.293-309
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• 1993

With expanded and extended coverage of the national medical insurance and fast growing health care expenditures, appropriateness of health service utilization and quality of care are concerns of both health care providers and insurers as well as patients. An accurate patient classification system is a basic tool for effective health care policies and efficient health services management. A classification system applicable to Korean medical information-Korean Diagnosis Related Groups (K-DRGs)-was developed based on the U.S. Refined DRGs, and the performance of the developed system was assessed in this study. In the process of the development, first the Korean coding systems for diagnoses and procedures were converted to the systems used in the definition of the U.S. Refined DRGs using the mapping tables formulated by physician panels. Then physician panels reviewed the group definition, and identified medical practice patterns different in two countries. The definition was modified for the differences in K-DRGs. The process resulted in 1,199 groups in the system. Several groups in Refined DRGs could not be differentiated in K-DRGs due to insufficient medical information, and several groups could not be defined due to procedures which were not practiced in Korea. However, the classification structure of Refined DRGs was retained in K-DRGs. The developed system was evaluated fur its performance in explaining variations in resource use as measured by charges and length of stay(LOS), for both all and non-extreme discharges. The data base used in this evaluation included 373,322 discharges which was a random sample of discharges reviewed and payed by the medical insurance during the five-month period from September 1990. The proportion of variance in resource use which was reduced by classifying patients into K-DRGs-r-square-was comparable to the performance of the U.S. Refined DRGs: .39 for charges and .25 for LOS for all discharges, and .53 for charges and .31 for LOS for non-extreme discharges. Another measure analyzed to assess the performance was the coefficient of variation of charges within individual K-DRGs. A total of 966 K-DRGs (87.7%) showed a coefficient below 100%, and the highest coefficient among K-DRGs with more than 30 discharges was 159%.

• Korean Journal of Remote Sensing
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• v.14 no.2
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• pp.117-128
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• 1998

Topex/Poseidon satellite, launched in Auguest 1992, has provided more 5 years of very good quality data. Efficient improvements, either about instrumental accuracy or about sea level data correction, have been made so that Topex/Poseidon has become presently a wonderful tool for many researchers. The first mission data of 73 cycles, September 1992 - August 1994, was used to our study in order to know characteristics of environmental correction factors in the Amsterdam-Crozet-Kerguelen region of the South Indian Ocean. According to standard procedures as defined under user handbook for sea surface height data processes, then we have chosen cycles 43 as the cycle of reference because this cycle has provided the completed data for measurement points and has presented the exacted position of ground track compared to another cycles. It was computed variations of various factors for correction in ascending ground track 103(Amsterdam-Kerguelen continental plateau) and descending ground track170 (Crozet basin). Here the variations of ionosphere, dry troposphere, humid troposphere, electromagnetic bias, elastic tide and loading tide were generally very smaller as a few of cm, but the variations of oceanic tide(30-35cm) and inverted barometer(15-30cm) were higher than another factors. For the correction of ocean tide, our model(CEFMO: Code d' Elements Finis pour la Maree Oceanique) - This is hydrodynamic model that is very well applicated in all oceanic situations - was used because this model has especially good solution in the coastal and island area as the open sea area. Conclusionally, it should be understood that the variation of ocean free surface is mainly under the influence of tides(>80-90%) in the Amsterdam - Crozet- Kerguelen region of the South Indian Ocean.

• Korean Journal of Soil Science and Fertilizer
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• v.40 no.1
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• pp.12-17
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• 2007

This study was conducted to evaluate the characteristics of nonpoint source pollutants discharge from a small rural watershed. A typical rural area in Gongju City, Korea, was selected as the research site. Water quality and quantity in streams and rainfall samples were analyzed periodically from May to October 2005. Pollutant loads were estimated from a nonpoint source pollution model (AvSWAT, Arcview Soil and Water Assessment Tool). During the rainy season, from June 26 to 30 September 2005 and the dry season, before 26 June and after 30 September 2005, biological oxygen demands and chemical oxygen demands accounted for 91.3% and 93.7% of annual load, respectively, while total-N and total-P were 97.1% and 91.1% of annual load, respectively. The observed stream flow was $66.5m^3sec^{-1}$, while simulation stream flow was $66.2m^3sec^{-1}$. That can be assumed that simulation can be used to estimate the stream flow without practical measurement. However, the runoff trend following the occurrence of a storm event was not recorded properly.

• Design Convergence Study
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• v.15 no.3
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• pp.171-186
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• 2016

With the continuous rise of elderly population and rapid progression of aging in our society, greater emphasis is placed on the importance of local seniors welfare centers as representative service space that meets the diverse needs of local residents. In addition, there is a growing tendency among current users to seek high-quality service as their educational level, economic ability and lifestyle have changed for the better compared to past generations. Accordingly, this study analyzed the satisfaction of senior welfare centers according to life-style type of the elderly, using a lifestyle measurement tool which incorporates indicators of gerontographics. A survey was conducted with users of seven senior welfare centers located in Seoul. Analysis results are as follows: First, four types of lifestyle were derived through cluster analysis; independent activity type, protective activity type, active challenge type, and passive challenge type. Second, it was found that the overall satisfaction of seniors welfare centers by the life-style of the elderly is highest for the protective activity type followed by the passive challenge type, the active challenge type, and the independent activity type. Third, upon examining the effect of spatial characteristics of welfare centers on the satisfaction of elderly users by type of lifestyle, it was found that the independent activity type and the passive challenge type users are most influenced by intimacy, the protective activity type users by comfort, and the active challenge type users by convenience.

• Journal of Korean Medicine Rehabilitation
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• v.33 no.4
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• pp.45-59
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• 2023

Objectives The aim of this study was to analyze the trends of researches on oriental medicine treatments for supraspinatus tendinopathy. Methods We used five databases for searching researches; Korean studies Information Service System, Oriental Medicine Advanced Searching Integrated System, Research Information Sharing Service, PubMed, and China National Knowledge Infrastructure. Only randomized controlled trials suitable for the subject were selected. The methodological quality of included randomized controlled trials (RCTs) was assessed by the Cochrane risk of bias tool. Results Twenty randomized controlled trials were analyzed. There were 9 types of treatment interventions; acupuncture, acupotomy, pharmacopuncture, electroacupuncture, fire needling, warming needle, catgut-embedding therapy, herbal medicine, cupping. The most frequently used treatment intervention was acupuncture and acupotomy. There were 9 outcome measurements including visual analog scale (VAS), Constant-Murley Score (CMS), and range of motion. The most used measurement was VAS. As a result of meta-analysis, acupuncture was more effective than control group in VAS. Additionally, acupotomy was clinically significant compared to control groups in VAS and CMS. Conclusions In this review, we analyzed researches on effectiveness of oriental medicine for supraspinatus tendinopathy. A provisional conclusion can be produced that acupuncture and acupotomy showed beneficial effect to supraspinatus tendinopathy. Although there were some RCT studies, many of them had a high risk of bias, so it is hard to conclude that our study can include overall clinical status. Further well-designed trials are needed.

• Journal of the Korean Society of Radiology
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• v.82 no.1
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• pp.173-181
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• 2021

Purpose To evaluate the ability of the Hounsfield unit (HU) measurement of the femoral neck during multidetector computed tomography (MDCT) for assessing osteoporosis compared with dual-energy X-ray absorptiometry (DXA). Materials and Methods Forty-two patients with femoral neck fractures who underwent MDCT and DXA from July to December 2016 were included in this study. HU measurements were made of the cancellous portions of the normal contralateral femoral neck on MDCT. Bone mineral density (BMD) and T-scores were obtained at the femur DXA. Correlations of HU values with BMD and T-scores were analyzed using Spearman's correlation test. Results The mean BMD and T-score of the femoral neck were 0.650 g/cm² and -2.4, respectively. The mean HU values for the normal, osteopenia, and osteoporosis groups were 131.9, 98.9, and 41.3, respectively. HU values at the femoral neck were positively correlated with BMD (r² = 0.670; p < 0.001) and T-scores (r² = 0.676; p < 0.001). Conclusion The HU values of the femoral neck on MDCT are significantly correlated with BMD and T-scores of femur DXA. The HU values may serve as a diagnostic tool for the screening of regional bone quality when MDCT is performed for other reasons.

• Journal of Korean Society of Environmental Engineers
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• v.29 no.3
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• pp.317-324
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• 2007

Fluorescence measurements of dissolved organic matter(DOM) have the superior advantages over other analysis tools for applying to water quality management. A preliminary study was conducted to test the feasibility of applying synchronous fluorescence measurements for tracing and monitoring pollution sources in a small stream located in an upstream area of the Sooyoung watershed in Busan. The water quality of the small stream is affected by leachate from sawdust pile and discharge of untreated sewage. The sampling sites included an upstream site, two pipes discharging untreated sewage, leachate from sawdust, and a downstream site. Of the five field samples, the leachate was distinguished from the other samples by a high peak at a lower wavelength range and a blunt peak at 350nm, suggesting that synchronous fluorescence can be used as a discrimination tool for monitoring the pollution. The efficacy of various indices derived from the spectral features to discriminate the pollution source was tested for well-defined mixture of the sawdust leachate and the upstream stream by comparing (1)the difference between measured values and those predicted based on mass balance and the characteristics of the two samples and (2)the linear correlations between index values and mass ratios of the sample mixtures. Of various discrimination indices selected, fluorescence intensities at 276 nm$({\Delta}\lambda=30nm)$and 347 nm$({\Delta}\lambda=60nm)$ were suggested as promising potential discrimination indices for the sawdust pollution source. Despite the limited number of samples and the study area, this study illustrates the evaluation process that should be followed to develop rapid, low-cost discrimination indices to monitor pollution sources based on end member mixing analyses.