• 의학교육논단
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• 제25권2호
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• pp.126-131
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• 2023

The aim of this study was to systematically collect data for evaluating short- and long-term outcomes using Kirkpatrick's four-level evaluation model, Chonnam National Medical School has established plans for developing and managing a database of student and graduate cohorts. The Education Evaluation Committee, with assistance from the Medical Education Office, manages the development and maintenance of cohort data. Data collection began in the 2022 academic year with first- through fourth-year medical students and graduates of the year 2022. The collected data include sociodemographic characteristics, admission information, psychological test results, academic performance data, extracurricular activity data, scholarship records, national medical licensing exam results, and post-graduation career paths. The Education Evaluation Committee and the Medical Education Office analyze the annually updated student and graduate cohort data and report the results to the dean and relevant committees. These results are used for admissions processes, curriculum improvement, and the development of educational programs. Applicants interested in using the student and graduate cohort data to evaluate the curriculum or conduct academic research must undergo review by the Educational Evaluation Committee before being granted access to the data. It is expected that the collected data from student and graduate cohorts will provide a sound and scientific basis for evaluating short- and long-term achievements based on student, school, and other characteristics, thereby supporting medical education policies, innovation, and implementation.

• 대한족부족관절학회지
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• 제9권1호
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• pp.74-80
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• 2005

Purpose: A retrospective review of the radiographs of the proximal metatarsal osteotomy and distal soft tissue procedure for hallux valgus, evaluating the correction of the tibial sesamoid, was undertaken. We evaluated the correlation between the reduction of the tibial sesamoid and the clinical outcomes. Materials and Methods: 17 patients (23 cases) with moderate to severe hallux valgus deformity underwent the proximal metatarsal osteotomy and distal soft tissue procedure. The preoperative and last follow-up radiographs were reviewed according to the tibial sesamoid grade classification recommended by the Research Committee of the American Orthopedic Foot and Ankle Society (AOFAS). We divided them into two groups according to the reduction of the tibial sesamoid. We anaylyzed the clinical outcomes in each group according to Mayo Clinic Forefoot Scoring System (FFSS). Results: In all of the patients, the preoperative tibial sesamoid position were grade 2 or greater. At the last follow-up, 52% (n=12) were grade 1 or less (Group I) and 48% (n=11) were grade 2 or greater (Group II). In group I, the forefoot score was improved from preoperative mean value of 32.0 points to final follow-up value of 66.3 points. In group II, the forefoot score was improved from preoperative mean value of 31.7 points to final follow-up value of 65.9 points. There was no statistical significance between postoperative, average scores in group I and II (p>0.05). Conclusion: The position of the tibial sesamoid was corrected insufficiently in almost half of all cases. In view of clinical outcomes, there was no significant difference between the corrected group and the other group.

• Archives of Plastic Surgery
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• 제44권2호
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• pp.124-135
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• 2017

Background In cases of total knee arthroplasty (TKA) threatened by potential hardware exposure, flap-based reconstruction is indicated to provide durable coverage. Historically, muscle flaps were favored as they provide vascular tissue to an infected wound bed. However, data comparing the performance of muscle versus fasciocutaneous flaps are limited and reflect a lack of consensus regarding the optimal management of these wounds. The aim of this study was to compare the outcomes of muscle versus fasciocutaneous flaps following the salvage of compromised TKA. Methods A systematic search and meta-analysis were performed to identify patients with TKA who underwent either pedicled muscle or fasciocutaneous flap coverage of periprosthetic knee defects. Studies evaluating implant/limb salvage rates, ambulatory function, complications, and donor-site morbidity were included in the comparative analysis. Results A total of 18 articles, corresponding to 172 flaps (119 muscle flaps and 53 fasciocutaneous flaps) were reviewed. Rates of implant salvage (88.8% vs. 90.1%, P=0.05) and limb salvage (89.8% vs. 100%, P=0.14) were comparable in each cohort. While overall complication rates were similar (47.3% vs. 44%, P=0.78), the rates of persistent infection (16.4% vs. 0%, P=0.14) and recurrent infection (9.1% vs. 4%, P=0.94) tended to be higher in the muscle flap cohort. Notably, functional outcomes and ambulation rates were sparingly reported. Conclusions Rates of limb and prosthetic salvage were comparable following muscle or fasciocutaneous flap coverage of compromised TKA. The functional morbidity associated with muscle flap harvest, however, may support the use of fasciocutaneous flaps for coverage of these defects, particularly in young patients and/or high-performance athletes.

• 한국보건간호학회지
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• 제22권1호
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• pp.62-73
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• 2008

Purpose: To examine the outcomes of a smoking cessation clinic at a public health center, in Hwasung city in 2006 and to examine the perceptions of the users regarding the clinic services. Method: 620 smokers who visited the smoking cessation clinic from January, 2006 to November, 2006 were enrolled. An instrument developed by the researcher was used to collect their perceptions. The instrument comprised 24 questions, on a 5-point Likert scale investigating the clinic services in terms of counseling time, environment, readiness of the counselors, counseling information, campaign method, medication use, and follow-up services. The general characteristics of the participants were collected from the database developed by the Ministry of Health & Welfare. The data were analyzed with frequencies, percentage, mean and standard deviation methods. Results: The outcomes of the smoking cessation clinic in Hwasung city in 2006 showed some limitations in terms of low-income group, female smokers, and young adult smokers. Conclusion: Strategies for solving these limitations were necessary to increase the effectiveness of the smoking cessation clinic. Clinic services focused on cognitive-behavioral therapy needed to be developed in accordance with chemotherapy. More effective publicizing campaigns of the clinic services also needed to be developed for more people to know about the clinic. Strategies to increase the accessibility for the people living far from the clinic were also necessary. Assessment of the smokers who did not visit clinic was also recommended in order to determine their intentions, or barriers to visit the clinic.

• Clinics in Shoulder and Elbow
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• 제21권4호
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• pp.207-212
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• 2018

Background: Delaminated rotator cuff tear is known to be a degenerative tear having a negative prognostic effect. This study undertook to compare the anatomical and clinical outcomes of delaminated tears and single layer tears. Methods: Totally, 175 patients with medium to large rotator cuff tears enrolled for the study were divided into 2 groups, based on the tear pathology: single layer tear (group 1) and delaminated tear (group 2). Preoperatively, length of the remnant tendon, muscle atrophy of supraspinatus (SS), and fatty degeneration of SS and infraspinatus (IS) muscles were assessed on magnetic resonance imaging (MRI). For follow-up, the repair integrity of the rotator cuff was evaluated by ultrasonography. Clinical outcomes were assessed by evaluating the Constant score (CS) and Korean Shoulder Score (KSS). Results: Retears were detected in 6 cases of group 1 (6.5%) and 11 cases of group 2 (13.3%). Although higher in group 2, the retear rate was significantly not different (p=0.133). Preoperative MRI revealed length of remnant tendon to be $15.46{\pm}3.60mm$ and $14.17{\pm}3.16mm$ (p=0.013), and muscle atrophy of SS (occupation ratio) was $60.54{\pm}13.15$ and $56.55{\pm}12.88$ (p=0.045), in group 1 and group 2, respectively. Fatty degeneration of SS and IS in both groups had no significant differences. Postoperatively, no significant differences were observed for CS and KSS values between the groups. Conclusions: Delaminated rotator cuff tears showed shorter remnant tendon length and higher muscle atrophy that correlate to a negative prognosis. These prognostic effects should be considered during delaminated rotator cuff tear treatment.

• 비교문화연구
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• 제29권
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• pp.367-389
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• 2012

The aim of this paper is to briefly consider the present state regarding Korean language education for multicultural family members, and to consider the outcomes produced so far. Married woman immigrants and their children must be one of the most significant groups for Korean language education in terms of their huge number and their roles and meanings in Korean society. In order to uplift the Korean communicative ability for multicultural family members, an effective operating system for Korean language education is needed, and also live and efficient Korean language instruction must be given by capable Korean language teachers with adequate teaching materials. A customized Korean language education must also be offered based on researches about the characteristics of multicultural family members as "Korean language learners". Korean language education for married woman immigrants has almost been set up in some extent, in terms of teaching materials and the teacher training system. Therefore, an efficient operating system must be constructed so that the developed teaching materials can be actively utilized in the site of Korean language education. A periodical retraining of Korean language teachers for multicultural family members is also necessary for the improvement of Korean language teaching efficiency. However, Korean language education for multicultural children is still in its infancy due to its late start-up. By the support of the Korean government, the curriculum of Korean language education has recently been fixed, KSL text books are being developed, and a diagnostic tool for evaluating their Korean language ability is now in progress. Many continuing concerns and support must still be provided for the improvement of their Korean language ability and fostering them as competitive and capable of speaking Korean.

• Journal of Korean Neurosurgical Society
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• 제65권2호
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• pp.276-286
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• 2022

Objective : Spinal cord stimulation (SCS) is an effective treatment for chronic neuropathic pain. However, its clinical efficacy in regard to specific types of pain has not been well studied. The primary objective of this study was to retrospectively analyze the clinical outcomes of paddle-type SCS according to the type of neuropathic pain. Methods : Seventeen patients who underwent paddle-lead SCS at our hospital were examined. Clinical outcomes were evaluated pre- and postoperatively (3 months, 1 year, and last follow-up) using the Neuropathic Pain Symptom Inventory (NPSI). The NPSI categorizes pain as superficial, deep, paroxysmal, evoked, or dysesthesia and assess the duration of the pain (pain time score). Changes in NPSI scores were compared with change in Visual analogue scale (VAS) scores. Results : After SCS, the pain time score improved by 45% (independent t-test, p=0.0002) and the deep pain score improved by 58% (independent t-test, p=0.001). Improvements in the pain time score significantly correlated with improvements in the VAS score (r=0.667, p=0.003, Spearman correlation). Additionally, the morphine milligram equivalent value was markedly lower after vs. before surgery (~49 mg, pared t-test, p=0.002). No preoperative value was associated with clinical outcome. Conclusion : The NPSI is a useful tool for evaluating the therapeutic effects of SCS. Chronic use of a paddle-type spinal cord stimulation improved the deep pain and the pain time scores.

• 정보교육학회논문지
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• 제24권1호
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• pp.59-69
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• 2020

본 연구에서는 Computational Thinking 기반의 인공지능(AI)교육에 대한 학습자의 내재적 사고의 변화를 살펴보기 위한 평가도구 개발의 기준과 프레임워크를 구성하여 제시하고자 하였다. 이를 위해 데이터수집을 위한 인지적 학습보조(Agency)의 단계, 수집된 데이터의 특징을 분해하여 데이터의 패턴을 인식하고 카테고리화 과정을 수행하는 추상화(Abstracting)의 단계, 추상화과정을 수행한 정제된 데이터를 토대로 알고리즘을 구성하는 모델링(Modeling)단계의 일련의 순차적 과정이 평가요소로 구성되었다. 또한 학습자의 인식, 학습, 행동, 결과에 대한 인지적영역에 대한 평가가 구성되었으며, 학습자의 문제해결의 과정과 결과에 대하여 지식, 역량, 태도의 영역에 대하여 측정을 하게 됨으로써 AI교육에 대한 학습의 내재적인 인지영역의 변화와 결과에 대한 평가를 할 수 있도록 프레임 워크가 설계되었다. 연구의 결과는 교수학습의 맥락에 따른 개별화된 평가도구 개발에 대한 프레임워크를 구성하였다는 점에서 의미가 있으며, 향후 AI교육의 다양한 영역에서 활용될 수 있는 기준으로서 활용될 수 있을 것이다.

• 대한교통학회지
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• 제26권5호
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• pp.51-62
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• 2008

최근 각종 센서 및 통신기술의 발달은 다양한 교통류의 정보를 실시간으로 수집하고 관리, 제공 할 수 있는 환경을 제공하게 되었다. 본 연구에서는 이러한 실시간 모니터링 환경에서 차량추종 및 차로변경 이벤트 발생 시 안전도를 평가할 수 있는 방법론을 개발하였다. 이를 위해 이미지 트랙킹을 통해 추출된 개별차량 주행 정보와 기존 교통상충분석기법을 응용하였다. 차량 간 안전거리 개념을 반영한 RSI(Real-time Safety Index)와 첨단안전차량의 효과 및 성능평가 등에 주로 사용되는 TTC(Time-to-Collision), 모멘텀 보존의 법칙을 이용한 충돌에너지 개념을 추출된 개별차량의 주행정보에 적용하여 교통사고 위험도를 분석하였다. 본 연구에서 제시된 방법론은 향후 교통사고 분석 및 실시간 안전평가를 위한 자료수집이 가능한 검지시스템의 개발과 평가 등에 효과적으로 활용될 것으로 기대된다.

• 대한교통학회지
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• 제25권5호
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• pp.173-182
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• 2007

기존의 교통안전도 평가 방법은 이력자료에 대한 의존도가 높았기 때문에, 실시간 모니터링 환경에서는 교통안전평가에 한계가 있었다. 그러나 최근 급속한 센서 및 통신기술의 발달은 개별차량의 주행궤적과 같은 미시적 자료 수집이 가능한 환경을 제공하게 되었다. 이런 미시적 자료수집이 가능한 환경을 최대한 반영하기위해, 본 연구에서는 영상 이미지 트랙킹을 통해 추출되는 개별차량의 주행정보와 기존 교통상충분석기법을 응용한 실시간 교통안전 평가 방법론을 제시하였다. 차량 간 안전거리 개념을 반영한 RSI(Real-time Safety Index)와 첨단안전차량의 효과 및 성능평가 등에 주로 사용되는 TTC(Time-To-Collision) 개념을 추출된 차량 주행정보에 적용한 실시간 교통안전 평가 방법론을 개발하였다. 본 연구에서 제시된 방법론은 향후 교통사고 분석 및 실시간 안전평가를 위한 자료수집이 가능한 검지시스템의 개발과 평가 등에 효과적으로 활용될 것으로 기대된다.