• Clinics in Shoulder and Elbow
• /
• 제26권2호
• /
• pp.182-190
• /
• 2023

Elbow traumas represent a relatively common condition in clinical practice. However, there is a lack of evidence regarding the most accurate tests for screening these potentially serious conditions and excluding elbow fractures. The purpose of this investigation was to analyze the literature concerning the diagnostic accuracy of clinical tests for the detection or exclusion of suspected elbow fractures. A systematic review was performed using the Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies (PRISMA-DTA) guidelines. Literature databases including PubMed, Cumulative Index to Nursing and Allied Health Literature, Diagnostic Test Accuracy, Cochrane Library, the Web of Science, and ScienceDirect were searched for diagnostic accuracy studies of subjects with suspected traumatic elbow fracture investigating clinical tests compared to imaging reference tests. The risk of bias in each study was assessed independently by two reviewers using the Quality Assessment of Diagnostic Accuracy Studies 2 checklist. Twelve studies (4,485 patients) were included. Three different types of index tests were extracted. In adults, these tests were very sensitive, with values up to 98.6% (95% confidence interval [CI], 95.0%-99.8%). The specificity was very variable, ranging from 24.0% (95% CI, 19.0%-30.0%) to 69.4% (95% CI, 57.3%-79.5%). The applicability of these tests was very high, while overall studies showed a medium risk of bias. Elbow full range of motion test, elbow extension test, and elbow extension and point tenderness test appear to be useful in the presence of a negative test to exclude fracture in a majority of cases. The specificity of all tests, however, does not allow us to draw useful conclusions because there was a great variability of results obtained.

• Archives of Plastic Surgery
• /
• 제50권4호
• /
• pp.361-369
• /
• 2023

The latissimus dorsi (LD) flap is a reliable option for breast reconstruction. This is particularly true in patients with contraindications to abdominally based autologous breast reconstruction. A systematic review of patient satisfaction and health related quality of life following LD breast reconstruction using the BREAST-Q survey was conducted. The scope of the review was to determine the degree of patient satisfaction following the procedure and to examine how patient satisfaction from the pedicled LD flap compares to other breast reconstructive procedures. A literature search on BREAST-Q in LD flap reconstruction was performed. Only articles written in English and in published peer-reviewed journals were included. Studies with less than 20 patients in their sample and those with a follow-up period of less than 1 year were excluded. Five articles representing 331 patients were reviewed, including one case-control study and four retrospective cohort studies. Level of evidence was either III (4) or IV (1). The average age was 53 with average body mass index of 25. Most reconstructions were delayed (67%) and unilateral (88%), and most patients required radiation (79%). The average length of follow-up was 36 months, and the response rate was 75%. Overall, patients who underwent LD flap reconstruction reported favorable outcomes in satisfaction domains and quality of life domains with few complications. A meta-analysis also demonstrated higher satisfaction in LD flap without implants compared with LD flap with implants. Patient-reported outcomes following LD breast reconstruction compare favorably with other techniques of breast reconstruction.

• Journal of Preventive Medicine and Public Health
• /
• 제56권2호
• /
• pp.111-127
• /
• 2023

Objectives: Pre-pregnancy diet has an important role in preparing for healthy generation. However, evidence on this issue has been scarce. A scoping review synthesising current evidence will support the demand to map 'what has been researched' on pre-pregnancy diet and maternal and child health. Methods: Systematic search was performed using PICOS (Population, Intervention, Comparison, Outcomes, and Study design) framework in electronic databases. Articles were screened for eligibility, summarized, and the quality was assessed using the National Institute of Health assessment tool. The review structure complies with Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guide. Results: Forty-two articles were included after full-text screening. Twenty-five studies were in high-income countries (HICs), six in each upper-middle income, five in lower-middle income countries (LMICs), and one in low-income countries (LIC). Based on the regions: North America (n=16), Europe (n=5), South America (n=4), Australia (n=4), Asia (n=5), Middle East (n=2), and sub-Saharan Africa (n=1). The two-most observed diet-related exposures were dietary pattern (n=17) and dietary quality (n=12). The most assessed outcome was gestational diabetes mellitus (n=28) and fetal and newborn anthropometry (n=7). The average quality score±standard deviation was 70±18%. Conclusions: Research related to pre-pregnancy diet is still concentrated in HICs. The context of diet may vary; therefore, future research is encouraged in LMICs and LICs context, and Mediterranean, South-East Asia, Pacific, and African regions. Some maternal and child nutrition-related morbidity, such as anemia and micronutrient deficiencies, have not been discussed. Research on these aspects will benefit to fill in the gaps related to pre-pregnancy diet and maternal and child health.

• 한국환경보건학회지
• /
• 제49권2호
• /
• pp.57-65
• /
• 2023

Background: The association between exposure to extremely low frequency-magnetic fields (ELF-MF) and childhood leukemia has been controversial. There is a need to clarify this relationship by summarizing key conclusions from systematic review articles. Objectives: The major aim of this study is to summarize key conclusions from systematic review articles on the association between exposure to ELF-MF and childhood leukemia based on childhood exposure to ELF-MF, proximity from childhood household to high voltage cables, and parental occupational exposure to ELF-MF. Methods: This study was conducted through a brief literature review focusing on systematic, meta-analysis, and pooled analysis methods. We conducted a literature search in PubMed using the key words "ELF-MF" and "childhood leukemia" singly or combined. Results: In 2002, the World Health Organization (WHO)'s International Agency for Research on Cancer (IARC) reviewed two manuscripts to conduct pooled analysis and concluded that there is a significant association between exposure to >0.3 μT or 0.4 μT and childhood leukemia. We found a total of four manuscripts for systematic or pool analysis that have been published since the IARC's conclusion. They consistently concluded that there was a significant association between exposure to >0.4 μT and childhood leukemia compared to ELF-MF exposure to below 0.1 μT. The proximity of children's households to high voltage cable lines and occupational exposure by their parents to ELF-MF during certain periods prior to or during pregnancy were inconsistently associated with childhood leukemia. The study found that many EU countries have implemented precautionary policies to prevent potential childhood leukemia due to exposure to ELF-MF. Conclusions: This study recommends implementing a precautionary policy that includes legal exposure limits for ELF-MF to minimize exposure to ELF-MF.

• 한국비블리아학회지
• /
• 제20권4호
• /
• pp.85-100
• /
• 2009

본 연구는 교사와 학생들이 가르치고 배우는 상황 즉, 교육적 맥락을 고려하여 학교도서관의 목록 서비스를 제공한다면 목록의 유용성을 높이고, 교수-학습 과정과 목록 서비스를 직접적으로 연계시킬 수 있다는 전제하에 교육적 맥락에 관한 정보를 목록 데이터 요소에 추가로 목록 정보를 확장하기 위한 방안을 제시하였다. 우선 학교도서관의 정보자료와 교육 즉, 교수-학습 과정에 관련된 맥락 요인을 분석하고, 실제로 교육적 맥락 요소를 제공하고 있는 정보 시스템의 사례를 분석하여 교육적 맥락을 고려한 목록 정보의 확장 방안을 제시하였다. 분석 결과를 바탕으로 학교도서관 목록(DLS)에 추가로 기술해야 할 교육적 맥락 요소를 이용자(학생, 교사), 수업상황(교수방법, 수업목표, 교육과정, 평가방법, 학습집단 편성, 준비물, 수업환경), 자료 내용 유형(성격, 학문분야, 형태), 독서 상황(상황별 독서, 문학 주제), 관련 자료(교사 표현물, 학생 표현물) 등 5개 요소로 추출하였다.

• 대한통합의학회지
• /
• 제11권4호
• /
• pp.177-188
• /
• 2023

Purpose : To identify trends in studies on the intersection of neurofeedback (NF) training and rehabilitation interventions for patients with stroke, as conducted over the past decade. Methods : This review included studies published from 2012 to 2022. A comprehensive database search was conducted using keywords such as "stroke", "electroencephalogram (EEG)", "brain wave", "nerve feedback", and "upper extremity function". Results : A total of 703 studies were initially retrieved. Of these, literature predating 2012, duplicate literature, non-experimental studies, and studies that did not target patients with stroke were excluded. After this screening, we retrieved the full texts of 15 articles and re-checked whether each study met the inclusion criteria of this study. The advisory members who participated in this study consisted of people with doctoral degrees and more than 5 years of clinical experience related to the rehabilitation of patients with stroke. Disagreements were resolved through discussions. Ultimately, 8 papers met the inclusion criteria and were included in the final analysis. Despite differences in the type and duration of NF training, the combination of NF training and rehabilitation intervention was found to be effective in promoting the functional recovery of the upper extremities, eliciting positive EEG changes, and inducing neurological changes in the brain. Conclusion : A meta-analysis involving a wider search range is needed in future studies. In addition, efforts are required to generalize the clinical application of these interventions. This can be achieved by supplementing the research methodologies through extensive review studies that encompass a diverse array of study designs.

• 한국수학교육학회지시리즈E:수학교육논문집
• /
• 제37권4호
• /
• pp.591-614
• /
• 2023

오래전부터 NCTM(National Council of Teachers of Mathematics)과 같은 수학교육기관에서 글쓰기는 필수적인 부분으로 언급해 왔다. 그리고 최근 교육부 조사에 따르면 코로나 시대 이후 기초학력 저하의 심각성을 보고하였다. 본 연구는 수학교육에서 수학 쓰기를 재정의하고, 현재 수학교육에서 제시되는 역량 중 과거부터 언급해 온 문제해결, 의사소통, 추론 영역을 중심으로 글쓰기의 역할과 그 중요성을 파악하는 것을 목적으로 하였다. 연구 결과에서 문제해결에서의 글쓰기는 인지적인 부분을 정리함으로써 개념과 방법을 습득할 수 있는 능력을 기를 수 있고, 의사소통에서의 글쓰기는 재인지 과정을 통해 자신감을 가질 수 있으며, 추론에서의 글쓰기는 단계적으로 어떤 부분이 부족한지를 스스로 파악할 수 있다. 특히, AI를 활용하는 미래 사회에서 수업 환경이 달라지는 만큼 쓰기를 통한 진위성 판단이나 올바른 쓰기 문화 정착을 위해 연구가 이루어질 필요가 있다.

• 산업진흥연구
• /
• 제8권4호
• /
• pp.139-146
• /
• 2023

본 연구는 2019년에서 2023년 사이의 5년간 꿈분석 관련 해외학술지를 중심으로 연구동향을 살펴봄으로써 꿈분석과 관련된 앞으로의 국내 연구 방향에 대한 시사점을 도출해 보는데 목적이 있다. 이를 위해 2019년부터 2023년까지 Google scholar에서 검색한 해외학술지 84편을 선정하여 게재 연도, 주제별 학술지, 주 사용이론, 주요 연구 주제, 연구방법 등 연구 동향을 분석하였다. 분석 결과는 첫째, 2019년부터 2021년까지 게재된 연구 수가 증가 후 감소하는 추세이고, 코로나19 기간 동안 관련 연구가 각 국가에서 활발했다. 둘째, 꿈분석을 통해 무의식을 해석하고 다양한 분야로 접목하는 경향성을 보였다. 셋째, 연구방법의 동향은 질적연구를 이용한 연구가 53편, 양적연구 24편, 혼합연구 5편, 메타분석 2편순으로 나타났다. 끝으로 연구 결과에 대한 논의와 꿈분석 분야에서의 후속연구에 대해 제언하고자 한다.

• Journal of Ecology and Environment
• /
• 제47권4호
• /
• pp.168-176
• /
• 2023

Background: Many insectivorous bats have flexible diets, and the difference in prey item consumption among species is one of the key mechanisms that allows for the avoidance of interspecies competition and promotes coexistence within a microhabitat. In Korea, of the 24 bat species that are known to be distributed, eight insectivorous bats use forest areas as both roosting and foraging sites. Here, we aimed to understand the resource partitioning and coexistence strategies between two bat species, Myotis ikonnikovi and Plecotus ognevi, cohabiting the Mt. Jumbong forests, by comparing the differences in dietary consumption based on habitat utilization. Results: Upon examining their dietary composition using the DNA meta-barcoding approach, we identified 403 prey items (amplicon sequence variants). A greater prey diversity including Lepidoptera, Diptera, Coleoptera, and Ephemeroptera, was detected from M. ikonnikovi, whereas most prey items identified from P. ognevi belonged to Lepidoptera. The diversity index of prey items was higher for M. ikonnikovi (H': 5.67, D: 0.995) than that for P. ognevi (H': 4.31, D: 0.985). Pianka's index value was 0.207, indicating little overlap in the dietary composition of these bat species. Our results suggest that M. ikonnikovi has a wider diet composition than P. ognevi. Conclusions: Based on the dietary analysis results, our results suggests the possibility of differences in foraging site preferences or microhabitat utilization between two bat species cohabiting the Mt. Jumbong. In addition, these differences may represent one of the important mechanism in reducing interspecific competition and enabling coexistence between the two bat species. We expected that our results will be valuable for understanding resource partitioning and the coexistence of bats inhabiting the Korean forests.

• Clinical Endoscopy
• /
• 제56권5호
• /
• pp.578-589
• /
• 2023

Background/Aims: The safety of endoscopic retrograde cholangiopancreatography (ERCP) in hepatic cirrhosis and the impact of Child-Pugh class on post-ERCP complications need to be better studied. We investigated the post-ERCP complication rates in patients with cirrhosis compared with those without cirrhosis. Methods: We conducted a literature search of relevant databases to identify studies that reported post-ERCP complications in patients with hepatic cirrhosis. Results: Twenty-four studies comprising 28,201 patients were included. The pooled incidence of post-ERCP complications in cirrhosis was 15.5% (95% confidence interval [CI], 11.8%-19.2%; I²=96.2%), with an individual pooled incidence of pancreatitis 5.1% (95% CI, 3.1%-7.2%; I²=91.5%), bleeding 3.6% (95% CI, 2.8%-4.5%; I²=67.5%), cholangitis 2.9% (95% CI, 1.9%-3.8%; I²=83.4%), and perforation 0.3% (95% CI, 0.1%-0.5%; I²=3.7%). Patients with cirrhosis had a greater risk of post-ERCP complications (risk ratio [RR], 1.41; 95% CI, 1.16-1.71; I²=56.3%). The risk of individual odds of adverse events between cirrhosis and non-cirrhosis was as follows: pancreatitis (RR, 1.25; 95% CI, 1.06-1.48; I²=24.8%), bleeding (RR, 1.94; 95% CI, 1.59-2.37; I²=0%), cholangitis (RR, 1.15; 95% CI, 0.77-1.70; I²=12%), and perforation (RR, 1.20; 95% CI, 0.59-2.43; I²=0%). Conclusions: Cirrhosis is associated with an increased risk of post-ERCP pancreatitis, bleeding, and cholangitis.