• Title/Summary/Keyword: 전향적 연구

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Predictors of Postpartum Depression: Prospective Cohort Study (산후우울증 관련요인: 전향적 코호트 연구)

  • Youn, Ji Hyang;Jeong, Ihn Sook
    • Journal of Korean Academy of Nursing
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    • v.43 no.2
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    • pp.225-235
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    • 2013
  • Purpose: This prospective cohort study was done to investigate recall bias to antepartum variables measured at postpartum periods and predictors of postpartum depression. Methods: Participants were 215 women who answered a self-administered questionnaire which included demographics, Postpartum Depression Predictors Inventory-Revised and Korean version of Edinburgh Postpartum Depression Scale at antepartum 36-40 weeks and postpartum 2 weeks and 6 weeks. Data were analyzed using kappa, and hierarchical multiple logistic regression. Results: Agreement between antepartum variables at both antepartum and two postpartum periods was relatively high (${\kappa}$=.55- .95). Postpartum depression rates were 36.3% and 36.7% at two follow-up points. In hierarchical multiple logistic regression analysis, prenatal depression (OR=4.32, 95% CI: 1.41-13.19; OR=5.19, 95% CI: 1.41-19.08), social support (OR=1.40, 95% CI: 1.18-1.66; OR=1.27, 95% CI: 1.06-1.53) and maternity blues (OR=4.75, 95% CI: 1.89-11.98; OR=4.22, 95% CI: 1.60-11.12) were commonly associated with postpartum depression at two follow-up points. Child care stress (OR=1.85, 95% CI: 1.01-3.37) was only associated with postpartum depression at 2 weeks postpartum and pregnancy intendedness (OR=1.57, 95% CI: 1.09-2.27) was only associated with postpartum depression at 6 weeks postpartum. Conclusions: The results indicate a need to apply nursing interventions such as prenatal education and counseling with families from antenatal period.

Safety and Efficacy of the Mandibular Advancement Device 'Bioguard' for the Treatment of Obstructive Sleep Apnea : A Prospective, Multi-Center, Single Group, and Non-Inferiority Trial (폐쇄성 수면무호흡증의 치료에 사용되는 하악전방이동장치-'바이오가드'의 안전성과 유효성 검증을 위한 전향적, 다기관, 단일군 및 비열등성 연구)

  • Kim, Hyoung Wook;Hwang, Chungpoong;Eun, Hun Jeong
    • Sleep Medicine and Psychophysiology
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    • v.23 no.2
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    • pp.84-92
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    • 2016
  • Objectives: The purpose of this study was to estimate the safety and efficacy of a mandibular advancement device (MAD), 'Bioguard,' for the treatment of obstructive sleep apnea (OSA). Methods: In this 5-week prospective, multi-center, single group, and non-inferiority trial, patients who chose 'Bioguard' as their treatment option were evaluated using both questionnaires (Pittsburgh Sleep Quality Index (PSQI), Epworth sleepiness scale (ESS)) and polysomonography (PSG) (apnea hypopnea index (AHI), oxygen saturation). All patient data, including clinical records, PSG studies (both pre- and post-treatment), and adverse events (AEs), were reviewed and analyzed. Results: Results were obtained for 59 of 62 patients (95.16%). No significant difference in success rate was found between the MAD treatment and surgical treatment (95% CI). AHI, PSQI, ESS and oxygen saturation demonstrated significant improvement (p < 0.001) after MAD treatment, and 39 of 62 patients (62.9%) reported 85 AEs. 79 of the 85 AEs (91.8%) were mild cases, and there were no severe AEs related to the MAD treatment. Conclusion: The MAD 'Bioguard' should be considered as an alternative treatment option for OSA patients.

Development of an Experimental Method for Understanding the Effects of the Coriolis Force on the Typhoon Genesis and its Movement (전향력이 태풍 발생 및 이동에 미치는 영향을 이해할 수 있는 실험 방법 개발)

  • Wie, Jieun;Jang, Swunghwan;Moon, Byungkwon
    • Journal of the Korean earth science society
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    • v.33 no.6
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    • pp.544-553
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    • 2012
  • A simple experimental method was developed to help students understand the effect of the Coriolis force on typhoon genesis and movement. It consists of rotating tanks with and without a sloping bottom, and a small stirrer to produce cyclonic typhoon-like vortices by locally stirring the water. Vortices were able to last for more than 3 minutes without dissipation in the rotating tank. However, vortices were hardly maintained without rotation, and would rather disappear as soon as the stirrer stopped mixing. Since the dynamical properties of the rotating water are similar to those of the atmosphere influenced by the Coriolis force, the experiments show that the Coriolis force is indispensable to the typhoon genesis. When the tank had both the sloping bottom and rotation, vortices would move in a particular direction. Considering the topographical beta effect, this result indicates that typhoons are drifted not only by the steering wind but also by the meridional gradient of the Coriolis force. The methodology developed in this study, would be useful for both students and teachers to better the relationship between the Coriolis force and the typhoon genesis.

A Study on freedom of information in the Government 2.0 era (거버먼트 2.0 기반의 정보공개제도 개선방안에 대한 연구)

  • Kim, You-seung
    • The Korean Journal of Archival Studies
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    • no.25
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    • pp.197-231
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    • 2010
  • The concept of Government 2.0 is spreading rapidly in many countries and is fundamentally changing existing freedom of information system which has passively responded to information demands. This study aims at discussing possible strategies for a new freedom of information system that is based on the Government 2.0 notion which presents revolutional approaches to public sector information's creation, management, and usage. For the purpose of the study, precedence studies and researches about both freedom of information system and Government 2.0 are analyzed. Furthermore, mutual relationships between them are discussed. Through this discussion, social and economic benefits from freedom of information systems which are based on Government 2.0 are explored. As a case study, Data.gov services in the US, the UK, and Australia which are recognised as a feasible plan to set up Government 2.0 are analyzed. Their three common characteristics- revaluating public sector information's reuse, establishing exclusive agencies, and providing raw data-are discussed. Then, various mashup services which use Data.gov services' raw data are also studied. Issues related to the freedom of information system in South Korea are examined. As a result, a policy framework for establishing Government 2.0 based freedom of Information system is discussed in terms of three aspects, law, technology and organization.

A Prospective and Open-Label Trial of Quetiapine and Haloperidol in the Treatment of Delirium (섬망의 치료에 대한 Quetiapine과 Haloperidol의 전향적 개방형 연구)

  • Choi, Hag-Gyu;Park, Byoung-Sun;Lee, Hyun-Jung;Choi, Jin-Sook;Jho, Kyeong-Hyeong;Shin, Young-Min
    • Korean Journal of Psychosomatic Medicine
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    • v.13 no.2
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    • pp.85-94
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    • 2005
  • Objectives: This prospective and open-label study was conducted to evaluate the efficacy and safety of quetiapine and haloperidol in patients with delirium. Methods : Fourty patients(19 patients in a quetiapine group : 21 patients in a haloperidol group) with delirium by DSM-IV were treated with flexible doses of open-label qvetiapine and haloperidol. To evaluate the primary efficacy of the medication, scores from the Korean version of Delirium Rating Scale(K-DRS) were assessed every seven days and to evaluate the secondary efficacy and safety, scores from the Clinical Global Impression-Severity, Korean Version of Mini-Mental State Examination, and the Drug-Induced Extrapyramidal Symptoms Scale were assessed at the baseline and the seventh day. Data were gathered from November 2004 to June 2005. Results : K-DRS scores for each group decreased significantly over the study period; however, no significant differences between groups were found. The group-by-time effect was not significant. In addition, there was no significant difference in the frequency of response to drugs between the two groups. No patients reported clinically significant side effects. Conclusion : These data show no significant difference in the efficacy and safety between quetiapine and haloperidol in the treatment of delirium. Since haloperidol has a great possibility of causing a extrapyramidal side effect resulted by previous studies, it is expected that quetiapine, a renowned medication with low side effects, may be a useful alternative agent to haloperidol, the classical antipsy-chotics, in the treatment of delirium.

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Study on the Prediction of Turning Point of Typhoon Tracks using COMS Water Vapor Images (천리안 수증기 영상을 이용한 태풍진로의 전향위치 예측 연구)

  • Kim, Jong-Seok;Yoon, Ill-Hee
    • Journal of the Korean earth science society
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    • v.35 no.3
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    • pp.168-179
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    • 2014
  • The purpose of this study focuses on the prediction time and location of turning-point of typhoon tracks using the water vapor images of Communication, Ocean and Meteorological Satellite (COMS) which has a very short observation interval. It targets a more accurate prediction of turning-point of typhoon tracks through the relationship between dry slot and northern/southern oscillations of jet stream. Jet stream moves by the position of jet streak and the ${\upsilon}$-component velocity of geostrophic wind. If the ${\upsilon}$-component of geostrophic wind gets stronger toward south, jet stream develops into a circular jet. In that condition, dry slot in satellite water vapor imagery extends toward south, and typhoon track turns as the distance of curved moisture band (CMB) gets narrowed down. If the interval of CMB is below $15^{\circ}$ of latitude, the typhoon track is turning toward north or northeast within 24 hours. As a result, typhoon track showed that when dry slot position was located less than $32^{\circ}N$, typhoon turned its track at $20-23^{\circ}N$ ($1^{th}$ Kong-Rey 2007 and $17^{th}$ Jelawt at 2012), and when in $35^{\circ}N$ above, it turned at $27^{\circ}N$ ($4^{th}$ Man-yi 2007).

The Prospective Comparing Study of Autologous Hamstring Tendon grafts with Autologous Bone-Patella Tendon-Bone Grafts for Anterior Cruciate Ligament Reconstruction (자가 슬괵건과 자가 슬개골건골을 이용한 관절경적 전방십자인대 재건술의 전향적 비교)

  • Ahn, Gil-Yeong;Nam, Il-Hyun;Moon, Gi-Hyuk;Lee, Yeong-Hyeon;Kim, Ki-Choul;Kim, Jung-Hyun
    • Journal of the Korean Arthroscopy Society
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    • v.15 no.1
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    • pp.1-6
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    • 2011
  • Purpose: The purpose of this prospective study is to compare the results of arthroscopic reconstruction of ACL using autologous hamstring tendon (Group 1) and autologous bone patella tendon bone (Group 2). Materials and Methods: From Jan. 2004 to Dec. 2007, fifty patients were analyzed in this study. A single surgeon performed the ACL reconstruction with autologous hamstring tendon (25 patients) and autologous bone patella tendon bone (25 patients) alternatively each other. The mean follow up period of two groups was 38 months (range 25~58 months). We evaluated the result of Lachman test, Pivot shift test as a physical examination and Lysholm score, Tagner activity scale as patients' satisfaction and functional status and Telometer for anterior instability of each groups at the time of final follow up. Results: In final results, negative or mild positive findings on Lachman test were 24 out of 25 cases (equally) in each groups.) Twenty two cases in the Group 1 and 21 cases in the Group 2 were negative on Pivot shift test. Lysholm scores mark 94.6 points in group 1 and 92.3 points in group 2 at the final follow up and Tegner activity scales mark 8.5 points (Group 1) and 8.1 points (Group 2) at the time of last follow up and there were no differences between the two groups statistically. The numbers of patients who have less than 5 mm of anterior translation of tibia under telometer at 20 degrees of knee flexion are 24 cases in group 1 and 23 cases in group 2. Conclusion: The overall improvements of clinical scores (Lysholm scores and Tegner Activity scales) of the group 1 were a little bit superior to those of the group 2, but there were no significant statistical difference between two groups.

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진주지역의 재래시장(중소상가) 활성화 방안

  • Kim, Se-Beom;Yong, Hwan-Jae;Yu, Jong-Geun;Kim, Dong-Ryul
    • Journal of Global Scholars of Marketing Science
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    • v.6
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    • pp.25-46
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    • 2000
  • 서민가계 및 지역 공동체와 긴밀히 연계되어 있다고 평가되는 재래시장을 전향적으로 구조조정함으로써 변화된 환경 속에서 경쟁력을 갖추도록 견인할 필요성이 제기된다. 재래시장들은 일반적으로 시설의 현대화, 업종의 전문화 등을 통해 직면한 위기를 극복해 나가려 시도한다. 재래시장 현대화의 가장 모범적인 사례는 서울 동대문 시장일 것이다. 동대문 시 장은 기존의 시설을 현대화하고 업종을 전문화, 특화함으로써 '동대문 시장 신드롬'이라는 성공 신화를 전파하고 있다 본 연구에서는 재래시장(중소상가)이 안고 있는 문제점과 특성을 파악하고 시설의 현대화와 운영의 현대화, 업종의 전문화를 통해 여건을 강춘 진주의 재래시장들을 경쟁력을 갖춘 지역 유 통업체군으로 부흥시킬 수 있는 정책적 방안을 제시하고자 한다.

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A Comparison of the Implant Stability Among the Bone Density Groups: Prospective Study (골밀도와 임플란트 안정성 변화에 대한 전향적 연구)

  • Ko, Sok-Min;Park, Seong-Jae;Lee, In-Kyung
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.1
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    • pp.11-21
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    • 2013
  • The purpose of this study was to get a proper time when implant was loaded and superstructure was fabricated by tracing a change of the implant stability in bone type for 1 year. We carried out RFA(resonance frequency analysis) of 67 implants in 36 patients at the time of surgery, 2, 6, 10, 14weeks, and 1year postoperatively for each implant, and analyzed data for different bone density. The ISQ value at the time of 10 & 14weeks postoperatively were significant(P<0.01) in subjective grouping, while that were not significant in objective grouping(P>0.05). The change pattern of ISQ value could be expressed $y=y_0+a{\times}\{1-\exp(-b{\times}x)\}$ for 1 year in this study, ISQ value at surgery might be used to estimate the time of superstructure fabrication consequentially.

The success rate of Mg-incorporated oxidized implants in partially edentulous patients: a prospective clinical study (부분 무치악 환자에서 마그네슘 이온주입 임플란트의 성공률에 대한 전향적 임상연구)

  • Choi, Su-Jung;Yoo, Jung-Ho;Lee, Ku-Bok;Kim, Jin-Wook
    • The Journal of Korean Academy of Prosthodontics
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    • v.50 no.3
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    • pp.176-183
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    • 2012
  • Purpose: This study examined the clinical success rate of Mg titanate implants (M Implant system, Shinhung, Korea), which employ a Mg coating method, by evaluating the marginal bone loss and implant stability using radiographs and Osstell$^{(R)}$, over a 1 year. Materials and methods: The locations of the implants placement were divided into 4 areas; the maxillary and mandibular premolars and molars. In the maxilla, 8 and 9 implants were inserted in the premolar and molar areas, respectively. In the mandible, 11 and 51 implants were inserted in the premolar and molar areas. Marginal bone loss and ISQ of all implants (79) were measured after insertion, mounting the prosthetic appliance, and 1, 3, 6, and 12 months after loading. The marginal bone loss was measured from the radiograph using XCP bite, which was customized, and the implant stability measured using Osstell$^{(R)}$. Fisher's exact test (${\alpha}$=.05) was used to compare the success rates of each region. Results: The mean marginal bone loss for the upper and lower jaws were 1.537 mm and 1.172 mm. The mobility showed a non-significant reduction or increase according with time. The success rates were accounted for 94.12% and 98.39% in the upper and lower jaws; the premolars and molars were accounted for 100% and 96.67%. The two cases of early failure resulted from failure of primary stability during implant insertion. The late failures were not observed for 1 year after adding a loading to the implants. Conclusion: The Mg titanate implant showed good primary stability and good clinical results in both healing and function.