• The Korean Journal of Pain
• /
• v.14 no.2
• /
• pp.234-238
• /
• 2001

Percutaneous laser discectomy has potential advantages over conservative therapy and classical open surgery as a minimally invasive procedure, although clinical experiences are limited. We experienced a patient treated with herniated lumbar discs using Nd：YAG laser. A 55-year-old woman complained of severe back pain with sciatica on L4/5 and L5/S1 dermatome for several months. The MRI finding showed bulging discs at L4/5 and L5/S1. Epidural, transsacral and root block treatments were attempted without effect. Under fluoroscopic guidance, a 14 G biopsy needle was inserted into the L4/5 and L5/S1 disc spaces to the margin of the nucleus pulposus. Laser irradiation for vaporization of tissue was performed at 20 W/second to 1200 J. A laser fiber ($600{\mu}m$) was advanced 1 cm from the tip of the needle. At the end of the procedure, the patient began to feel relief of pain (VAS changed from 9 to 4) and was discharged the same day after staying 2 hours in the recovery room. Antibiotics were administered for prevention of discitis. She had no complaints of pain until the 1-month follow up visit. Percutaneous laser discetomy technique has the disadvantages of expensive equipment, high temperature and amount of vaporing disc tissue is empirical. However, this technique, as one of the therapeutic modalities for disc herniation, provides faster relief from acute attack than conservative management techniques in carefully selected patients with sciatica due to disc prolapse.

• Journal of Korean Academy of Nursing
• /
• v.48 no.3
• /
• pp.289-297
• /
• 2018

Purpose: This study aimed to evaluate the usefulness of a behavioral cue checklist (BCC) containing 17 items developed by Wilkes et al. (2010) for identifying potentially violent patients in emergency departments. Methods: This was a prospective observational study to evaluate the usefulness of the Korean version of a BCC (K-BCC) as an assessment tool for predicting patient violence in emergency departments, and was conducted over 4 weeks in a regional emergency medical center located in B City. A total of 1,324 patients were finally analyzed. Results: Logistic regression analysis was performed to investigate whether each item of the K-BCC predicts violence, and a parsimonious set of 8 statistically significant items was selected for the tool. Receiver operating characteristic analysis of the BCC showed that the area under the curve was .97 (95% confidence interval: .94~1.0). The sensitivity, specificity, positive predictive value, and negative predictive value at the cut-off score of 2 were 75.6%, 98.9%, 68.2%, and 99.2%, respectively. Conclusion: The K-BCC was found to be useful in predicting patient violence toward emergency department staff. This tool is simple, and fast to use and can play a significantly role identifying potentially violent patients. Owing to this advance identification, this tool can be helpful in preventing the potential for violence from manifesting as violent behaviors.

• The Journal of the Korea institute of electronic communication sciences
• /
• v.8 no.2
• /
• pp.363-370
• /
• 2013

The purpose of this study is to investigate the parental distress of disabled children's fathers. The survey was conducted targeting 50 fathers with disabled children who are under 13 years old and undergoing rehabilitation treatment in G city And 38 questionnaires excluding data with inadequate answer were adopted. The questionnaire was composed of general peculiarities of disabled children and their fathers, and K-PSI-SF of parents. The results are as followings. First of all, among the parenting stress of disabled children's fathers, parental distress got the highest score and difficult child and dysfunctional interaction are next in sequence in the sub items of K-PSI-SF. Secondly, fathers' stress upon the children's general characteristics showed the significant difference depending on diagnostic categories and paralysis area. Thirdly, fathers' stress upon fathers' general characteristics showed the significant difference depending on their education level and age.

• The Bulletin of The Korean Astronomical Society
• /
• v.37 no.1
• /
• pp.94.1-94.1
• /
• 2012

천리안위성은 우리나라 최초의 정지궤도복합위성(COMS: Communication, Ocean, and Meteorological Satellite)으로 2010년 6월 27일, 남미 기아나 쿠루기지에서 아리안-5 로켓에 의해 발사된 후 동경 128.2도, 적도 상공 약 35,800 km 고도의 정지궤도에 안착되었다. 이 후 궤도상시험 기간과 안정화 기간을 거쳐 2011년 4월 1일, 기상청은 위성자료 서비스를 시작하였다. 천리안위성의 기상영상기는 한반도 주변의 기상변화와 전 지구적 기후 변화 및 대기 운동을 감시하기 위해 실시간 관측 및 전송 시스템을 갖춘 탑재체이다. 이 기상영상기는 하루 8번의 지구 반면 영역과 각각 80번 내외의 북반구 및 한반도 영역을 관측하며, 이 자료는 지상에서 복사보정과 기하보정을 거친 후 위성을 통해 다시 사용자에게 배포된다. 천리안위성 기상영상기는 쉼 없이 관측하고, 일정 시간 이내에 그 자료를 배포해야 한다. 이러한 자료서비스는 운영시스템의 장애나 자연현상에 의한 자료 미수신 혹은 미처리가 발생할 경우 운영 결과 및 성과에 영향을 미친다. 이와 같은 장애에 대비해 국가기상위성센터는 이중화된 시스템을 구축했으며, 자료 백업 부기관으로서 한국항공우주연구원과의 사이트 이중화도 시행하고 있다. 그러나 정지궤도에 있는 위성과 태양 및 지구의 역학적인 관계에 따라 태양 전파 잡음의 영향인 태양간섭과, 위성 태양전지판 충전 장애를 일으킬 수 있는 위성식, 그리고 위성 자정 주변에 발생할 수 있는 태양광 침입 및 산란광 영향 등은 미리 예측되어야 하며, 이 시기 운영 방안 마련과 사용자 공지 등의 조치가 수반되어야 한다. 국가기상위성센터는 춘 추분 시기에 발생하는 이러한 태양 영향을 예측하고 검증했으며, 이 시기 위성 및 지상국의 효율적인 운영방안을 마련하였다.

• Journal of Digital Convergence
• /
• v.18 no.5
• /
• pp.337-345
• /
• 2020

The purpose of this study was to examine the validity and reliability of the Korean Version of Self-Efficacy Questionnaire (KSE-12), which is used to examine Communication Self-Efficacys for 155 nursing students. To verify the construction factor of the tool, exploratory factor analysis with varimax rotation was performed, resulting in one factors with 12 items. KSE-12 was significantly correlation with GICC (p<.001), and criterion validity was verified. Cronbach's α was .98, showing internal consistency. Therefore, we suggest that it will be useful for the accumulating the evidence data for development of the communication self-efficacy program by using the KSE-12.

• Journal of Korean Society of Transportation
• /
• v.33 no.1
• /
• pp.100-111
• /
• 2015

After empirically investigating the vehicle accident risks by age groups, various programs and policies have been imposed to reduce the old's risks in other countries. In Korea, it is little known the risk level by age groups and no policy changes has been implemented even if the number of vehicle accidents occurred by the old has been rapidly rising while the total number of vehicle accidents has been decreasing. This study empirically investigates the vehicle accident risks by age groups and the results show that the old drivers over age 65 has the highest accident risk except for the young drivers below age 25. Thus, we emphasize the necessity of reinforcing the qualifications for reissuing the drive licence and programs for educating the old drivers in Korea which is facing the most rapid population aging in the world. On the other hand, various changes are needed reflecting the old drivers such as reforming the road signs, issuing a sticker and providing them incentives such that the old drivers use the public transportation instead of self-driving.

• The Journal of the Korea Contents Association
• /
• v.10 no.3
• /
• pp.132-140
• /
• 2010

RFID-based games, which use a RFID reader and RFID chips, will expand existing computer games, which use a computer screen, a keyboard or a mouse. This paper presents 4 RFID digital board game contents which are conducted by initial developers; the three of them use the screen and control the games with RFID chips and, one is a different attempted game which can exclude the screen and be immersed to the board. While initial developers use object recognition of RFID, we need to develop game contents and game interface which can recognize positions of the objects. According to the initial developer"s developing process, the cooperative system between the game technical developers and the contents developers should be necessary. Also, the interface should be developed for young children to participate and operate.

• Journal of Korean Neurosurgical Society
• /
• v.29 no.12
• /
• pp.1577-1583
• /
• 2000

Objectives : Among the various types of minimally invasive spine surgeries, thoracoscopic surgery is becoming more widely accepted and increasingly utilized. This report delineates our clinical experience using thoracoscopy to resect herniated thoracic discs in 16 patients who suffered from myelopathy or intolerable radiculopathy. Patients and Methods : Between Mar. 1997 and Sep. 1999, 16 consecutive patients underwent thoracoscopic discectomy for treatment of herniated thoracic discs. There were 12 men and 4 women(mean age 43.5 years ; range 18-61 years). Eleven patients presented with myelopathic signs and symptoms from spinal cord compression and 5 patients had incapacitating thoracic radicular pain without myelopathy. The surgical level was varied between T3 and T12. The pathology of specimen were 11 hard discs and 5 soft discs herniations. Thoracoscopic techniques were performed with long narrow spine instruments and high speed drill through 3 or 4 ports under one lung ventilated general anesthesia. During the operation three patients were converted to open thoracotomy due to intolerable one lung ventilation, excessive bleeding and inadequate operation field. The mean operation time was 264min.(range : 100-420min.), and postoperative mean admission period was 11 days. Results : Clinical and neurological outcomes were good in all patients(mean follow-up period 20 months). Among the eleven myelopathic patients, 8 improved neurologically, and 3 stabilized. Among the five radiculopathic patients, 4 recovered completely and no patient had worsened. Postoperative complications were pleural effusion in one case, intercostal neuralgia in one, delayed hemopneumothorax in one, prolonged air leakage in one and pneumonia in one case. Conclusions : Thoracoscopic discectomy needs a steep learning curve to be familiar to anatomical space and handling of endoscopic instruments. However, it is technically feasible and can be effectively performed with acceptable results.

• Journal of the Korean Society of Marine Environment & Safety
• /
• v.18 no.1
• /
• pp.49-54
• /
• 2012

The purpose of this study is to define emergency response procedures by BDMS [Building Disaster Management System] when earthquake occurs on long-span bridge structures. The study is about developing a computer-based algorithm for various earthquake intensities that works with the System. Presently, long-span bridge disaster prevention relies on closed-system centered on human intervention alone. However, this study combines IT technology and internet-based open system creating a more practical system. Additionally, assigned duties and tasks are clearly defined to all personnel involved in various disaster situations using the Active Action Diagram(AAD) techniques. Also, the design of 3-dimensional view assists to determine the appropriate initial response in times of earthquake and other disasters. The combination of the existing manual emergency response procedures and the scenario-based (IT) response system being developed will create an efficiency and fast response actions in times of emergencies.

• The Journal of the Korea Contents Association
• /
• v.6 no.11
• /
• pp.65-73
• /
• 2006

The purpose of this study is to suggest guidelines for drawing and keeping customers through knowing function of herbal and food. Customers have known herbal foods to high nutritional foods, prevention of high blood pressure, heart disease, and obesity. Also, people recognized highly garlic which has function prevention cancer, brown seaweed which is controlled blood pressure, and ginkgo nut which is helpful for asthma, detoxication. They know specifically function of herbal materials such as mugwort, ginseng, and royal golly. The guidelines are as followed. The first, seasonal herbal tea provide in stead of water like medicinal foods. The second, various cereals, Chinese herbal materials, and vegetables are added to the main rice. So it can make to eat everyday like nutrition rice which is mixed with garlic and ginkgo. The third, specific function food' and herbal's should be explained on the menu. Therefore, it make attract customer's curious and interest.