• Title/Summary/Keyword: 불편정도

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Clinical Outcomes of Thoracic Sympathicotomy for Palmar Hyperhidrosis (수부 다한증에서 흉부교감신경 절제술의 성적)

  • Lee, Jang-Hoon;Lee, Jung-Cheul
    • Journal of Chest Surgery
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    • v.41 no.1
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    • pp.89-94
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    • 2008
  • Background: Thoracoscopic R3 sympathicotomy can effectively treat palmar hyperhidrosis. Here, we evaluated post-operative outcomes of patients receiving a thoracoscopic R3 sympathicotomy due to palmar hyperhidrosis. Material and Method: From January 2001 to December 2006, 225 patients were treated with a R3 sympathicotomy, and follow up was completed for 200 patients, with an average follow up period of 51.7 ($11{\sim}80$) months. We measured postoperative hand sweating according to four grades; dry (grade 1), proper (grade 2), light sweating (grade 3), heavy sweating (grade 4) and evaluated patient satisfaction using 4 grades: very good (grade 0), good (grade1), regular (grade 2), and deficient (grade 3). Result: There were no differences in clinical parameters between the compensatory sweating group and the non-compensatory sweating group. There was a 83.5% compensatory sweating rate. The degree of compensatory sweating related to the patient's body mass index and was influenced by the season, environmental temperature, and emotional stress. Conclusion: The satisfaction rate was 61.5%, and the degree of satisfaction related to the development of compensatory sweating. Therefore, reducing compensatory sweating would increase patient satisfaction with R3 sympathicotomies.

Influences of Unilateral Mandibular Block Anesthesia on Motor Speech Abilities (편측 하악전달마취가 운동구어능력에 미치는 영향)

  • Yang, Seung-Jae;Seo, In-Hyo;Kim, Mee-Eun;Kim, Ki-Suk
    • Journal of Oral Medicine and Pain
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    • v.31 no.1
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    • pp.59-67
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    • 2006
  • There exist patients complaining speech problem due to dysesthesia or anesthesia following dental surgical procedure accompanied by local anesthesia in clinical setting. However, it is not clear whether sensory problems in orofacial region may have an influence on motor speech abilities. The purpose of this study was to investigate whether transitory sensory impairment of mandibular nerve by local anesthesia may influence on the motor speech abilities and thus to evaluate possibility of distorted motor speech abilities due to dysesthesia of mandibular nerve. The subjects in this study consisted of 7 men and 3 women, whose right inferior alveolar nerve, lingual nerve and long buccal nerve was anesthetized by 1.8 mL lidocaine containing 1:100,000 epinephrine. All the subjects were instructed to self estimate degree of anesthesia on the affected region and speech discomfort with VAS before anesthesia, 30 seconds, 30, 60, 90, 120 and 150 minutes after anesthesia. In order to evaluate speech problems objectively, the words and sentences suggested to be read for testing speech speed, diadochokinetic rate, intonation, tremor and articulation were recorded according to the time and evaluated using a Computerized Speech $Lab^{(R)}$. Articulation was evaluated by a speech language clinician. The results of this study indicated that subjective discomfort of speech and depth of anesthesia was increased with time until 60 minutes after anesthesia and then decreased. Degree of subjective speech discomfort was correlated with depth of anesthesia self estimated by each subject. On the while, there was no significant difference in objective assessment item including speech speed, diadochokinetic rate, intonation and tremor. There was no change in articulation related with anesthesia. Based on the results of this study, it is not thought that sensory impairment of unilateral mandibular nerve deteriorates motor speech abilities in spite of individual's complaint of speech discomfort.

Changes in Subjective/Objective Symptoms and the Light Transmissibility of Lens Associated with Overusage of Daily Disposable Circle Contact Lenses in Normal Eyes (일회용 써클소프트렌즈의 초과 착용에 의한 정상안의 자·타각적 증상 및 렌즈 광투과율의 변화)

  • Park, Mijung;Kwon, Hae Lim;Choi, Sae Ah;Kim, So Ra
    • Journal of Korean Ophthalmic Optics Society
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    • v.18 no.4
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    • pp.429-439
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    • 2013
  • Purpose: This study was assessed to investigate the change of subjective and/or objective symptoms and the light transmissibility of lens caused by over-usage of daily disposable circle contact lenses (circle lens). Methods: Three daily disposable circle lenses made of etafilcon A, hilafilcon B, and nelfilcon A were applied on 20 normal eyes free from any eye diseases by when subjects complained any kind of discomfort. On the first and the last days of lens wearing, subjective discomfort, blinking rate, non-invasive break-up time, lens centration on corneal surface and visible light transmissibility of lens were recorded at every case and compared. Results: The circle lens wearers complained discomfort when they wore the circle lens more than 15 hours, in excess of 8 hours being the recommended wearing time and the most circle lens wearers quit the lens wearing when they wore more than 30 hours. On the last day of lens wearing, the representative subjective discomforts were stiffness, dryness and tiredness. When the subjects wore circle lens more than the recommended time, a tendency of increased blinking rate and decreased NIBUT was observed when it compared with the values right after lens wearing. On the last day of lens wearing, the lens centration was shown to be decentrated from the pupil center compared with the centration right after the wearing. These changes in lens centration and blinking rate were consistently shown in all cases of lens wearing however, the difference in the degree of subjective and/or objective change was present depending on lens materials and subjects. The visible light transmissibility of circle lens has largely been changed. Conclusions: From these results, it was thought that the decreased NIBUT induced dryness and stiffness and decreased visible light transmissibility caused more blinking when daily disposable circle lens was exceedingly used, which provoked lens decentration and subjective discomfort. However, the difference of subjective and/or objective change was largely varied in accordance with the lens material types and individuality and thus it may occur some unexpected problems by the individual base. Therefore, the education about the necessity to comply with the recommended wearing time and the problem will be essential.

An Analysis on Income-related Health Inequality of the Aged Applied to EQ-5D (소득계층에 따른 노인들의 건강 불평등 측정: EQ-5D 척도를 중심으로)

  • Kim, Jun Gu
    • 한국노년학
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    • v.32 no.3
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    • pp.759-776
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    • 2012
  • This study analysed the income-related health inequality of the aged in Korea applied to EQ-5D. Two decompositions were used in analysis. One was the decomposition of income-related health inequality into six different dimensions of EQ-5D, and the other was to decompose it by sub-group such as sex, region, existence of spouse. The results are summarized as follows. First, the health concentration index(CI) of the aged was .0254, which meant that there were pro-rich inequality in elderly people's health levels. The same patterns were also seen in the analysis of different dimensions of EQ-5D such as mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Second, mobility accounted for 35.8% of total EQ-5D score, most contributing to CI of the dimensions of EQ-5D. The CIs by the dimensions ranged from .0091 for mobility to .0013 for self-care. Third, The decompositions by sub-groups showed that the contributions of sex, region, and existence of spouse to health inequality was similar to each other, all of three sub-groups accounted for 10 % of inequality respectively. Fourth, the inequality within group was higher in female group, rural area, and the aged without spouse. The average health level of these groups was lower than that of the other ones, too. These facts indicated that old women, the aged without spouse, and the elderly in rural area were the most vulnerable groups in health problems. Therefore, it is necessary to pay more attention to health problems of these groups in the policy making of health security and social welfare services.

A Study on Matching Method of Hull Blocks Based on Point Clouds for Error Prediction (선박 블록 정합을 위한 포인트 클라우드 기반의 오차예측 방법에 대한 연구)

  • Li, Runqi;Lee, Kyung-Ho;Lee, Jung-Min;Nam, Byeong-Wook;Kim, Dae-Seok
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.29 no.2
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    • pp.123-130
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    • 2016
  • With the development of fast construction mode in shipbuilding market, the demand on accuracy management of hull is becoming higher and higher in shipbuilding industry. In order to enhance production efficiency and reduce manufacturing cycle time in shipbuilding industry, it is important for shipyards to have the accuracy of ship components evaluated efficiently during the whole manufacturing cycle time. In accurate shipbuilding process, block accuracy is the key part, which has significant meaning in shortening the period of shipbuilding process, decreasing cost and improving the quality of ship. The key of block accuracy control is to create a integrate block accuracy controlling system, which makes great sense in implementing comprehensive accuracy controlling, increasing block accuracy, standardization of proceeding of accuracy controlling, realizing "zero-defect transferring" and advancing non-allowance shipbuilding. Generally, managers of accuracy control measure the vital points at section surface of block by using the heavy total station, which is inconvenient and time-consuming for measurement of vital points. In this paper, a new measurement method based on point clouds technique has been proposed. This method is to measure the 3D coordinates values of vital points at section surface of block by using 3D scanner, and then compare the measured point with design point based on ICP algorithm which has an allowable error check process that makes sure that whether or not the error between design point and measured point is within the margin of error.

The Relationship of Social Support, Stress, Health Status and Quality of Life in Caregivers of Home-stay Cancer Patient in a Comminity (지역사회 재가 암환자 가족의 사회적 지지 스트레스, 건강상태 및 삶의 질과의 관계)

  • Kim, Boon-Han;Kim, Tae-Su;Kim, Eui-Sook;Jung, Yun
    • Journal of Hospice and Palliative Care
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    • v.3 no.2
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    • pp.144-151
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    • 2000
  • Purpose : This investigation was to identify the relationship of social support, stress, health and quality of life in caregivers of home-stay cancer patient. Method : We used a questionnaire and obtained data from the records of 79 caregivers of home-stay cancer patient in a community. Window SPSS-PC was used for the data analysis and the statistical method used were the t-test, ANOVA and Pearson's correlation coefficient. Result : The mean score of family support(3.24) was higher than nurse's support(3.03). The mean score of stress was 3.52 and that of health status was 2.98. The mean score of quality of life was 2.34. The health status of caregivers of cancer patient was influence by age(F=3.17, p=0.018) and education(F=3.59, p=0.032). There was a correlation between nurse's support and family support(r=.263, p<0.05). There was a correlation between stress and health status(r=0.597, p<0.01). The quality of life was correlated with stress(r=-.678, p<0.01) and health status(r=-0.741, p<0.01). Conclusion : The above result indicate that we must consider of social support, stress and health status to promote of quality of life of the caregiver of cancer patient.

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A Spatially Adaptive Post-processing Filter to Remove Blocking Artifacts based on POCS (POCS 기반의 블록화 현상 제거를 위한 적응적 후처리 기법)

  • Jeong, Jae-Hyun;Kim, Myoung-Jin;Hong, Min-Cheol
    • Proceedings of the Korean Society of Broadcast Engineers Conference
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    • 2010.11a
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    • pp.192-195
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    • 2010
  • 영상 정보의 정확성을 필요로 하는 다양한 서비스 및 여러 학문 분야의 적용성으로 인해 물리적인 한계성을 극복할 수 있는 고해상도 영상처리 기법의 요구가 대두되고 있다 뿐만 아니라, 인터넷 상의 디지털 콘텐츠 중의 하나인 동영상 UCC의 제작환경이 보편화됨으로써 비전문적인 제작으로 인한 다양한 형태의 해상도 저하 및 영상의 왜곡 현상이 발생하여 고품질의 영상을 추구하는 사용자들의 요구를 충족시키지 못하고 있다. 이러한 문제점을 해결하기 위한 압축 동영상의 개선 된 영상 정보를 획득하기 위한 연구가 이루어지고 있지만 다음과 같은 문제점이 있다. 기존의 방법은 일반적으로 저역 통과 필터 기법과 정규화 영상 복원 방식으로 구분되어 연구되고 있으며, 저역 통과 기법은 계산량 측면에서 장점이 있으나, 영상과 양자화 정도에 따라 적응적이지 못한 단점이 있다. 또한 정규화 복원 방식은 압축 영상의 시각적으로 불편한 현상의 완화 정도를 결정하는 정규화 매개변수를 일괄적으로 모든 화소에 적용해, 화소의 위치에 대한 적응도가 낮고 정규화 매개 변수 선택 시 원 영상에 대한 정보를 알고 있다는 가정을 사용했으므로 실제 사용이 불가능하며, 영상들 사이의 불균일로 인해 적응적으로 처리하지 못하는 단점이 있다. 본 연구에서는 이러한 문제점을 극복할 수 있도록 압축 정보 활용을 통한 POCS 방식을 사용한 coding artifact 제거 방식에 대해 기술한다.

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Ramicotomy of T2, 3 Sympathetic Ganglia for Palmar Hyperhidrosis (수부 다한증에서 흉부 2, 3번 교감신경절 교통가지 절제술의 효과)

  • 조현민;백효채;김도형;함석진;이두연
    • Journal of Chest Surgery
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    • v.35 no.10
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    • pp.724-729
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    • 2002
  • Although variable surgical methods of sympathetic nerve for palmar hyperhidrosis are curative and safe therapeutic options, they have some limitations such as compensatory sweating and anhidrosis of hand in long term satisfaction rate. Material and Method: Therefore, we tried to decrease severity of compensatory sweating and prevent excessive dryness of hand through selective division of rami communicantes of thoracic sympathetic ganglia distributed to the hands(ramicotomy). Result: In postoperative results, about half of the patients maintained humidity of hands and most of them showed no more than mild degree of compensatory sweating. Conclusion: Therefore, ramicotomy of thoracic sympathetic ganglia can be recommended as selective and physiologic surgical method for palmar hyperhidrosis.

A Study on the Library Anxiety of Public Library Users (지역주민들의 도서관불안에 관한 연구)

  • Kim, Hong-Ryul
    • Journal of Korean Library and Information Science Society
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    • v.39 no.4
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    • pp.461-478
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    • 2008
  • This study was investigated and analyze the library anxiety of public library users utilize LAS. The main contents of this study contained the differences of library anxiety in sex, educational background, age categories, the frequency of library visit, the completion of information literacy program and library use instruction. Library anxiety is very differed according to the various factors, especially, the library anxiety of knowledge of library, barriers with staff was high, the average LAS score is 2.61, 2.60. Regard to results of this study, conclusion are suggested the recommendations for a decrease in library anxiety of public library users.

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간단한 조합펌프의 진공 특성

  • Park, Jong-Do;Ha, Tae-Gyun
    • Proceedings of the Korean Vacuum Society Conference
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    • 2012.08a
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    • pp.136-136
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    • 2012
  • 기체부하가 작은 초고진공 시스템은 보통 60~360 l/s 정도의 배기속도를 가지는 이온펌프를 사용하고 있으며 $10^{-10}$ mbar대의 진공도를, 때에 따라서는 $10^{-11}$ mabr대의 도달진공도를 얻을 수 있다. 이온펌프의 단점 중 하나는 그 부피와 무게가 상당하다는 데 있고 따라서 사용자의 불편을 초래한다. 본 논문에서는 부피, 무게를 줄이면서도 동일한 진공성능을 구현하기 위한 노력을 보고하고자 한다. 아주 작은 크기의 이온펌프(10 l/s)와 소형 게터펌프를 조합하여 초고진공용 조합펌프를 구성하였고 그 진공특성을 조사하였다. 그 결과 작은 펌프의 조합으로도 $10^{-11}$ mabr대의 진공도를 비교적 손쉽게 얻을 수 있었으며 $10^{-10}$ mbar의 진공도는 재빨리 얻을 수 있었다.

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