• Journal of Korean Medicine Rehabilitation
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• v.31 no.4
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• pp.167-191
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• 2021

Objectives Degenerative osteoarthritis of knee is a disease with an increasing number of patients worldwide and its general treatments have some side effects. Methods 102 subjects were classified into test group 1, test group 2, and control group, and clinical trial products were taken for 12 weeks. The effectiveness was evaluated with changes in visual analogue scale, Korean-Western Ontario and McMaster Universities Osteoarthritis Index, inducible nitric oxide synthase, and cyclooxygenase-2. Results Both test group 1 and test group 2 were effective in reducing the pain of degenerative osteoarthritis of knee, and only test group 2 was effective in improving the ability to perform daily activities. No clinically significant changes were observed for any safety parameter. Conclusions In conclusion, the data of this study indicate that Zanthoxylum piperitum leaf extract has effectiveness and safety against mild degenerative osteoarthritis of knee.

• The Journal of the Korea Contents Association
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• v.21 no.10
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• pp.508-519
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• 2021

The purpose of this study was to develop an ICT education program using films to understand and expand of the Interpersonal Caring Theory (ICT). The study was conducted from February 2020 to October 2020. The films were selected by analyzing 10 elements of ICT and the program was developed according to Kolb's Experience Learning Model. 11 experienced nurses participated in the pilot operation of the program and evaluated the validity of the films as experts. The films selected for the ICT education program included The Blind Side (Noticing), Babette's Feast (Participation), Good Will Hunting (Sharing), The King's Speech (Active-listening), The Cure (Companioning), Mr. Holland's Opus (Complimenting), Patch Adams (Comforting), The Shawshank Redemption (Hoping), Mission (Forgiving), The Throne (Accepting). The program consisted of a total of 12 sessions, and each session included discussion questions for the steps of the Experimental Learning Model. After the program was piloted, it was found that the selected films were considered appropriate (I-CVI=0.98) as a result of evaluating the feasibility of films selection according to ICT elements. The developed ICT education program using films can be used to enhance caring competencies of nurses and nursing college students.

• Journal of the Korea Institute of Information and Communication Engineering
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• v.25 no.10
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• pp.1375-1380
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• 2021

Korea's security response to application service app is still insufficient due to the initial opening of the public safety network. Therefore, preemptive security measures are essential. In this study, we proposed to establish a 'public safety network app security system' to prevent potential vulnerabilities to the app store that distributes app in public safety network and android operating system that operate app on dedicated terminal devices. In order for an application service app to be listed on the public safety network mobile app store, a dataset of malicious and normal app is first established to extract characteristics and select the most effective AI model to perform static and dynamic analysis. According to the analysis results, 'Safety App Certificate' is certified for non-malicious app to secure reliability for listed apps. Ultimately, it minimizes the security blind spots of public safety network app. In addition, the safety of the network can be secured by supporting public safety application service of certified apps.

• Clinics in Shoulder and Elbow
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• v.22 no.4
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• pp.195-202
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• 2019

Background: This study investigates the effects of neuromuscular electrical stimulation (NMES) in preventing deltoid atrophy during the first 12 weeks after arthroscopic rotator cuff repair. Methods: Eighteen patients undergoing arthroscopic repair of a medium-sized rotator cuff tear by a single surgeon, were randomized into two groups: NMES and transcutaneous electrical nerve stimulation (TENS). Each group used the respective device for 6 weeks after surgery. Pain was measured at baseline, 6, and 12 weeks postoperatively, using the visual analogue scale (VAS); range of motion (ROM), abduction strength and functional scores were measured at baseline and 12 weeks postoperatively. Deltoid thickness and cross-sectional areas were measured using magnetic resonance imaging at 12 weeks postoperatively. Results: At 12 weeks post-surgery, no statistically significant difference was observed between the NMES and TENS groups in the pain VAS, the Disabilities of the Arm, Shoulder and Hand score, ROM, and abduction strength. Postoperative decrease in the thickness of the anterior, middle, and posterior deltoid, at the level just below the coracoid, was -2.5%, -0.7%, and -6.8%, respectively, in the NMES group, and -14.0%, -2.6%, and -8.2%, respectively, in the TENS group (p=0.016, p=0.677, and p=0.791, respectively). At the level of the inferior glenoid tubercle, postoperative decrease in area of the deltoid was -5.4% in the NMES group and -14.0% in the TENS group, which was significantly different (p=0.045). Conclusions: NMES has the potential for reducing deltoid atrophy after arthroscopic rotator cuff repair, suggesting that NMES might help minimize postoperative atrophy after various shoulder surgeries.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.19 no.5
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• pp.101-106
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• 2019

This paper propose the VSS-FC-MMA algorithm that is possible to improve the equalization performance based on varying step size to the FC-MMA adaptive equalization algorithm in order to reducing the intersymbol interference effect occurred in the nonconstant modulus signal transmission, and improved performance were confirmed. The FC-MMA is possible to improve the convergence speed, and degrades the steady state performance based on the fixed step size and modified dispersion constant considering the level number of signal symbol for obtain the error signal in adaptive equalization compared to MMA. The proposed VSS-FC-MMA uses varying step size and current FC-MMA possible to improve the steady state equalization performance, it was confirmed by computer simulation. For this, the signal recovery capabilities and residual isi, MSE, SER were applied for performance comparison index in the same channel and signal to noise ratio. As a result of computer simulation, the proposed VSS-FC-MMA improve the risidual value in steady state and SER performance than the FC-MMA, but has 1.7 times slow convergence time by using varying step size.

• Journal of Dental Anesthesia and Pain Medicine
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• v.21 no.1
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• pp.49-59
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• 2021

Background: To evaluate changes in the effectiveness of phentolamine mesylate in combination with different local anesthetics (LAs) and vasoconstrictors. A prospective randomized double-blind study was conducted with 90 patients divided into three groups, with each group being administered one of three different LAs: lidocaine 2% 1/80,000, articaine 4% 1/200,000, and bupivacaine 0.5% 1/200,000. Methods: We compared treatments administered to the mandible involving a LA blockade of the inferior alveolar nerve. Results were assessed by evaluating reduction in total duration of anesthesia, self-reported patient comfort using the visual analog pain scale, incidence rates of the most common adverse effects, overall patient satisfaction, and patient feedback. Results: The differences among the three groups were highly significant (P < 0.001); time under anesthesia was especially reduced for both the lip and tongue with bupivacaine. The following adverse effects were reported: pain at the site of the anesthetic injection (11.1%), headaches (6.7%), tachycardia (1.1%), and heavy bleeding after treatment (3.3%). The patients' feedback and satisfaction ratings were 100% and 98.9%, respectively. Conclusions: Efficient reversal of LAs is useful in dentistry as it allows patients to return to normal life more readily and avoid common self-injuries sometimes caused by anesthesia. Phentolamine mesylate reduced the duration of anesthesia in the three studied groups, with the highest reduction reported in the bupivacaine group (from 460 min to 230 min for the lip and 270 min for the tongue [P < 0.001]).

• The Journal of the Korea Contents Association
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• v.21 no.2
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• pp.631-640
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• 2021

The purpose of this study focuses on and explain the policy-determining factors that emerged in the process of revising customized wages for the National Basic Livelihood Security Act on December 30, 2014. This is an analysis of the reasons why the rapid revision of the welfare system could have been made at a certain time in a situation that did not progress despite the specific demand for revision of the law surrounding the blind spot. To this end, using Kingdon's policy flow model, which emphasizes the contingency of policy decisions, the flow of problems, political flows, and policy alternatives were reviewed respectively. In the course of each of these flows, the suicide incident of mother and 2 daughters in Songpa served as a major medium that played a large role in the policy-making process and the window of policy could be opened. As a result, This incident triggered social and policy interest in the issue of the National Basic Livelihood Security Act. It was found that the law was revised quickly, causing a great wave of waves as a social issue.

• Journal of the Korea Institute of Building Construction
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• v.20 no.6
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• pp.545-554
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• 2020

As recent safety accidents at construction sites can lead to serious accidents that threaten the lives of workers, the role of safety managers in charge of safety management has emerged. However, the current construction safety management system requires the improvement and simplification of the work contents due to the excessive workload and inefficient safety tasks of each person. In this respect, the main purpose of this study is to reduce the occurrence of construction safety accidents by deriving correlations using 2×2 Matrix analysis techniques through expert opinion, simplifying unnecessary tasks and identifying areas requiring improvement. Therefore, if this research reduces inefficient safety manager work and reduces job stress caused by excessive simple document work, thereby efficiently reorganizing safety manager's work to prevent blind spots of hazards and risks, it will ultimately have a great effect on preventing safety accidents at construction sites.

• Journal of Korean society of Dental Hygiene
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• v.20 no.6
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• pp.831-841
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• 2020

Objectives: The purpose of this study was to investigate the oral health status and oral health behavior and identify the factors related to the oral health status by age-specific groups in vulnerable elderly individuals. Methods: We used data from the 7th Korea National Health and Nutrition Examination Survey. The differences in the oral health status and oral health behavior by age-specific groups were analyzed using complex sample chi-square tests and a generalized linear model. The relationship between the oral health status and oral health behavior by age-specific groups was analyzed using a complex samples general linear model. Results: The DMFT index of the young-old elderly was 10.65±0.60, and that of the old-old elderly was 12.78±0.72, which was higher. The condition of the mandibular prosthesis was more common in the old-old elderly, and there was a statistically significant difference (p<0.05). The DMFT index in the old-old elderly was found to be higher as the average number of brushings per day decreased, and no oral examination was performed. Conclusions: The vulnerable elderly themselves are interested in maintaining their own health, and the government needs to undertake efforts to reduce the medical blind spots by supporting institutional and environmental conditions so that health care services can be provided to the vulnerable elderly.

• Journal of Chest Surgery
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• v.54 no.3
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• pp.186-190
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• 2021

Background: Pre-lifting of the sternum marked a major turning point in pectus excavatum repair. The author developed the crane technique in 2002 and successfully applied it to more than 2,000 cases using sternal wire stitching. However, blind sternal suturing limited the use of the wire-stitch crane. We propose a novel screw for sternal lifting as a new tool for the crane technique. Methods: We developed a screw system strong enough to withstand the pressure needed for sternum lifting. The screw was designed to have a broader thread to hold the bony tissue securely. The screw's sustaining power was tested using the torsion, driving torque, and axial pull-out tests in a polyurethane block and ex-vivo porcine sternum. Results: The screws were easily driven into the sternum, and the head of the screw was connectable to the table-mounted retractor. In the torsion test, the 2° offset torsional yield was 4.53 N·m (reference value, 1 N·m). In the polyurethane block driving torque test, the maximum torque was 0.98 N·m (reference value, 0.70 N·m). The axial pull-out test was 446 N (reference value, 100 N). The maximum pull-out resistance in the ex-vivo porcine sternum model was 1,516 N. Conclusion: The screw crane was strong enough to sustain the chest wall weight to be lifted. Thus, the screws could effectively replace the sternal wire stitching in crane pre-lifting of the sternum. We expect that application of the screw-crane will be easy and that it will improve the safety and success rate of pectus repair surgery.