• Title/Summary/Keyword: Follow-up result

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Clinical & Radiologic Result of Arthroscopic Bankart Repair Using Knotless Suture Anchor (비매듭 금속 봉합 나사못을 이용한 관절경적 방카트 복원술: 임상적 및 방사선학적 결과의 비교)

  • Oh, Jung-Hwan;Lee, Sang-Hoon;Park, Hong-Keun;Jeon, Suk-Ha;Park, Joon-Suk;Kim, Cheol-Ki;Park, Jin-Young
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.2
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    • pp.135-141
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    • 2008
  • Purpose: To study the clinical and radiologic results with arthroscopic Bankart repair using knotless metal suture anchor. Materials and Methods: From February 2001 to January 2005, 68 patients, who underwent arthroscopic Bankart repair using knotless suture anchor and were followed up more than 12 months, were evaluated. A mean follow-up period was 34 months. All shoulders were evaluated by Rowe scoring system, range of motion of the shoulder, pain degree of VAS, and This was compared by radiologic findings after surgery. Results: The Rowe scoring system was 43.30 preoperatively, which improved to 95.55 postoperatively. At last follow-up, there was no significance difference between operated shoulder and non-operated shoulder in range of motion. The degree of VAS was measured from 3.3 preoperatively to 0.5 postoperatively. The radiolucent line was shown around suture anchor in 15 shoulders. 2 shoulders of 15 shoulders were reoperated due to redislocation and anchor arthropathy. In Odds ratio, this group (15 patients) had more 2.6 times the subjective instability than other group (53 patients). Conclusion: Arthroscopic Bankart repair using knotless anchor suture is very effective operative technique. But we have to be careful because the radiolucent line around anchor showed up during a follow -up period may indicate poor prognosis.

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Effect of Breast-feeding Education and Follow-up care on the Breast-feeding Rate and the Breast-feeding Method - Focused on Home Visit and Phone Counselling - (모유수유교육과 추후간호방법이 산모의 모유수유실천율과 모유수유방법에 미치는 효과 - 가정방문과 전화상담을 중심으로 -)

  • Park, Sook-Hee;Koh, Hyo-Jung
    • Women's Health Nursing
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    • v.7 no.1
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    • pp.30-43
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    • 2001
  • This was a pre-experimental study to confirm the breast-feeding ability and effect of follow up care on the breast-feeding rate and the breast-feeding method by the mother-infant breast-feeding assessment tool for the mothers who got the breast-feeding education. The subjects were 46 mothers who experienced normal delivery of infants at a college hospital in K-city, Kyungsangbuk-do, from July 1 to October 21, 2000. The instrument for data obtainment were The Mother-Infant Breast-Feeding Assessment Tool of Johnson et al. (1999), and The Breast- Feeding Method Measurement Tool of Jeong, Geum-hee(1997). This instrument was reliable, showing Cronbach $\alpha$.751. This study classified them into 3 groups: at high risk for breast-feeding failure, at risk for breast-feeding problems, and at low risk for breast-feeding failure by the mother-infant breast-feeding assessment tool on the day of discharge from the hospital after delivering individual breast-feeding education to the subjects. This study investigated the breast-feeding rate and the breast-feeding method through mail questionnaire at the four week after childbirth, and through the phone counselling and the home visit for follow up care at the first week and the second week after childbirth. The sixth week after childbirth, this study investigated the breast-feeding rate by phone. The data analyzed the hypothesizes by $x^2$-test, paired t-test, ANOVA, Wilcoxon signed rank test, Wilcoxon rank sum test and trend analysis using SPSS/PC+ WIN 10.0 program. The results were as follows : 1) Hypothesis 1-1, "there won't be any difference the breast-feeding rate of a group at risk for breast-feeding failure by the time elapsed" was supported through constant the breast-feeding rate, because changes in the breast-feeding rate by the time elapsed after childbirth wasn't statistically significant(t= -1.501, p=.270). Hypothesis 1-2, "there won't be any difference the breast-feeding rate of group at low risk for breast-feeding failure by the time elapsed" was supported through constant the breast-feeding rate, because changes in the breast-feeding rate by the time elapsed after childbirth wasn't statistically significant(t=-1.732, p=.225). 2) Hypothesis 2-1, "there won't be any difference between the breast-feeding method of group at risk for breast-feeding failure for four weeks after childbirth and just after childbirth” was rejected, because the mean point of post test appeared to be higher than that of pre test(t=-7.267, p=.000). Hypothesis 2-2, "there won't be any difference between the breast-feeding method of the group at low risk for breast-feeding failure for four weeks after childbirth and just after childbirth" was rejected, because the mean point of post test appeared to be higher than that of pre test(t=-2.501, p=.012). 3)The 3rd hypothesis, "there won't be any difference between breast-feeding method of groups at risk for breast-feeding problems and at low risk for breast-feeding failure at the 4th week after childbirth and just after childbirth" didn't show any difference between the breast-feeding method of groups at risk for breast-feeding problems and at low risk for breast-feeding failure in the advance test(t=-1.521, p=.130) but there was difference between them in post test (t=-2.012, p=.044). As a result, the 3rd hypothesis was supported by pre test, but it was rejected by post test. In conclusion, this study confirmed breast- feeding education and follow up care just after childbirth were effective for the breast-feeding rate and method. Accordingly, it is proposed that successful nursing intervention of breast-feeding to be necessary by continuously providing follow up care through the mother-infant breast-feeding assessment tool as well as to execute individual breast-feeding education to mothers just after childbirth.

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The comparative study of arthroscopic meniscectomy with or without high tibial osteotomy in patients with degenerative medial meniscus posterior horn tear (내반 변형을 지닌 내측 반월상 연골판 후방 골 기시부 퇴행성 파열 환자에서 반월상 연골판 절제술 단독과 근위 경골 절골술 동반 수술의 결과 비교)

  • Moon, Jae-Young;Seon, Jong-Keun;Song, Eun-Kyoo;Kim, Hyung-Soon;Yim, Ji-Hyeon;Cho, Hyun-Jong
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.11 no.1
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    • pp.30-36
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    • 2012
  • Purpose: We compared the clinical and radiological results of meniscectomy with HTO or without HTO for degenerative medial meniscus posterior horn with varus deformity. Materials and Methods: Forty-two patients who had medial meniscus degenerative root tear with varus deformity more than 3 degrees were included for this study. Among them, 30 patients were performed meniscectomy combined with open wedge HTO and 12 patients were performed only meniscectomy without HTO. The mean follow-up period was 52.5 months. The clinical results were evaluated based on symptom improvement, patients' subjective satisfaction for surgery and HSS score. We also compared the osteoarthritic progression between the group on preoperative and at the final follow up radiographs. Results: Symptom improvement was achieved in 83.3% (25 cases) with HTO group and 66.7% (8 cases) without HTO group at final follow up with a significant difference. Patients' satisfaction was achieved in 83.3% (25 cases) with HTO group and 58.3% (7 cases) without HTO group which has a significant difference. The HSS score was improved in both group (90.8: with HTO group, 89.0: without HTO group) at the final follow up without significant difference. WOMAC score was improved in both groups at the final follow up without significant difference. There were no significant differences in the osteoarthritic progression between two groups. Conclusion: The good clinical result for treatment of patient who have medial meniscus degenerative root tear with varus deformity, proximal high tibial osteotomy is considered absolutely necessary. However, the progression of degenerative arthritis, its effect on long term follow up will be needed.

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Outcome of Conservative Treatment of the Zone I, II 5th Metatarsal Base Fracture under Early Weight-Bearing (제5 중족골 제1, 2 구역 골절의 조기 체중부하의 비수술적 치료 결과)

  • Gwak, Heui-Chul;Park, Dae-Hyun;Kim, Jung-Han;Lee, Chang-Rack;Kwon, Yong-Uk;Kim, Dong-Seok
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.2
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    • pp.150-156
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    • 2021
  • Purpose: To determine how the location, displacement, intra-articular involvement, comminution of a 5th metatarsal base fracture affect results of early weight-bearing treatment. Materials and Methods: From January 2013 to July 2017, 34 cases of 34 patients diagnosed with a fracture of the zone I and II 5th metatarsal base were enrolled. The mean follow-up period was 13 months (6-15 months). One patient was excluded as a refracture during the follow-up period, and 33 patients underwent conservative treatment. Anteroposterior, lateral, and simple oblique radiography and computed tomography of the foot were performed to evaluate the location and displacement of the fracture, the degree of joint involvement, and comminution. In all 33 patients, a short leg cast or boot brace was selected immediately after the injury, tolerable weight bearing was allowed. If the pain disappeared, full weight bearing was performed after wearing a plain shoe or postoperative shoe. As a clinical result, the American Orthopedic Foot and Ankle Society (AOFAS) score was evaluated at the final follow-up. During outpatient follow-up, a simple radiograph of the foot was taken to confirm the time of radiological bone union and return to work. Results: Nine males and 24 females, with an average age of 48.7 years, were enrolled in the study. Twenty-four patients had zone I fractures, and nine patients had zone II fractures. Twenty-two out of 33 patients had a fracture displacement of 2 mm or more. Nine and five patients had joint involvement and comminution, respectively. There was a statistically significant return to work from zone I to zone II. The AOFAS score was excellent at the final follow-up and there was no significant difference. When classifying and comparing the degree of fracture displacement, joint involvement, and comminution, there were no significant differences in the radiological union time and return to work. In all cases, satisfactory results were obtained at the final follow-up. Conclusion: Satisfactory clinical results can be obtained by allowing early weight-bearing regardless of the fracture location, displacement, joint involvement, or comminution in zone I and II 5th metatarsal base fractures.

A Study on Drying Shrinkage of the High-Strength Concrete using the Garnet (가네트를 활용한 고강도 콘크리트의 건조수축 특성 연구)

  • Jang Ju-Young;Yoon Yo-Hyun;Park Jung-Min;Kim Wha-Jung
    • Proceedings of the Korea Concrete Institute Conference
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    • 2004.05a
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    • pp.676-679
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    • 2004
  • In this study, we considered the characteristic of drying shrinkage from age of high strength concrete with garnet minute powder to be industry by-product. The factors of experiment are unit water content$(160kg/m^3)$, water-binder ratio(30, $35\%$), fine aggregate ratio(40, 42, $44\%$), admixture replacement ratio(0, 10, $20\%$), admixture type(garnet minute powder, fly ash, blast-furnace slag). We make a comparative study of shrinkage about concrete with a passage of age(1, 3, 7, 14, 28, 56, 91 days). As a result of experiment, we reach a conclusion as follow. In the same mix condition, as unit water content and fine aggregate ratio go up, the drying shrinkage ratio increase. In the drying shrinkage ratio according to admixture replacement ratio, it goes up when admixture replacement Ratio increase in case of fly ash and blast-furnace slag. But, drying shrinkage ratio decrease when admixture replacement ratio increase in case of garnet minute powder.

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A Clinical Observation on 2 Cases of Patients with Partial Rupture of Gastrocnemius Muscle (비복근 부분파열 환자 치험 2례)

  • 김민정;김칠갑;장준혁;김경호;김정석
    • The Journal of Korean Medicine
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    • v.22 no.1
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    • pp.104-110
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    • 2001
  • Muscle rupture is not a common disease. But it is known that partial muscle rupture commonly occurs to active sports athletes or heavy workers who receive severe physical stress. Gastrocnemius muscle rupture(this is called ‘tennis leg’)is often caused by sudden overstretching of the muscle through concomitant ankle dorsiflexion and knee extension. This rupture may result in a swelling and pain that is easily confused with other diseases like thrombophlebitis. Ultrasonography can confirm the clinical suspicion of tennis leg and the assessment of the size of the lesion, and can discriminate from other diseases. So it is a useful, noninvasive, low-cost modality to diagnose and follow up tennis leg. We experienced 2 cases of partial gastrocnemius muscle rupture patients who were treated by conservative methods or acupuncture therapy and followed up with Ultrasonography, and arrived at some interesting results, which we report along with a review of some relevant literature.

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Surgical Treatment of Partial Atrioventricular Septal Defect (부분 방실중격결손증의 외과적 치료)

  • 최준영
    • Journal of Chest Surgery
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    • v.20 no.4
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    • pp.760-764
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    • 1987
  • Fifty seven patients underwent repair of a partial atrioventricular septal defect from January 1980 to December 1986. The ostium primum atrial septal defect was closed with autologous or bovine pericardium. The cleft in the anterior mitral leaflet was present in 53 cases, absent in 4 cases. Of the 53 cases with a cleft in the anterior mitral leaflet, 48 received suture repair of the cleft, 3 received mitral valve replacement. There was no hospital death and all the patients were followed-up for a mean period of 26.4 months. Four required permanent pacemaker implantation due to complete heart block, and one of them died of sudden malfunction of pacemaker. Two received reoperation due to significant residual mitral insufficiency. Suture repair of the cleft in the anterior mitral leaflet resulted in significant decrease in degree of mitral regurgitation. During follow-up period 49 patients were in NYHA class I, 7 patients were in NYHA class II. This report suggests that excellent result can be achieved from repair of the partial atrioventricular septal defect by managing the left A-V valve as a bileaflet structure.

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Application possibility Consideration of Visualizations of Digital Device through Sensitivity Psychology of an Adjective (형용사의 감성심리를 통한 디지털기기의 비쥬얼라이제이션 적용 가능성 고찰)

  • Cheon, Sang-Hyeon
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2007.05a
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    • pp.27-30
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    • 2007
  • With lots of portable convergence mobile device coming out into the market, companies are now facing to take up consumers' needs. The products are popularized by 'skin function' in the field of hardware, whereas software wise, it's still a long way to follow up the needs. It's been hypothetically known that the Image of Sensitivity Adjective chosen by the users can increase the brand image and value creating capabilities through visualization. We collect the 'adjective' of images of recent products first and on that base, we sort out the most popular 'adjective' through grouping, then we actualize the image with that sample collective body. Then through analyses of the image, we find how they are correlated and what their elements are with the result.

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Properties of Antiwashout Underwater Concrete Containing Fly Ash (플라이애시를 혼합한 수중불분리성 콘크리트의 제물성)

  • 문한영;김성수;이재준;전중규
    • Proceedings of the Korea Concrete Institute Conference
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    • 1999.04a
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    • pp.609-612
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    • 1999
  • Recently, the antiwashout underwater concrete with an antiwashout admixtures has been increasingly used for underwater structures. However, the credibility of antiwashout underwater concrete was brought up as problems because it seldom was applied to fields. In this study, experiments were made on the basic properties of antiwashout underwater concrete replaced with fly ash up to 30% to improve its properties. Resultant to the test, we got the results as follow; funnel flow time was decreased, the slump flow was increased and the elevation of head was decreased rapidly whereas the amount of suspended solids became high, pH became low. In view of 70%, the standard ratio of compressive strengths between cast in water and in air, it was obtained the result that the ratio was over 90% at 28days.

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Analysis of the examples of incorrect answers of division and a study on methods of how to instruct (자연수의 나눗셈 오답사례 분석 및 지도방안에 대한 연구)

  • Yim, Geun-Gwang
    • The Mathematical Education
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    • v.49 no.2
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    • pp.267-279
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    • 2010
  • Mathematics is the subject which is distinctive in logical hierarchy, so the dificiency of prior learning or lack of understanding can result in learning disabilities of follow-up study. To minimize the learning disabilities, we should percieve student's problems and correct them through "Error Analysis" so that they can make up meaningful learning. Especially, in the case of division, its meaning is various, and the interpretation of the quotient and the remainder is the difference according to the caculation results, so students are likely to make errors often. Therefore, in this study, I presented the measures of how to instruct them under the circumstances in which division is applied by analyzing examples of incorrect answers.