• 한국전문물리치료학회지
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• 제13권1호
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• pp.54-60
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• 2006

This study aimed to compare movement patterns of shoulder joints between the right and left symmetry in stroke patients and control subjects. This study proposes use of the voluntary response index (VRI) calculated from quantitative analysis of surface electromyographic (sEMG) and motion data recorded during voluntary movement as a feeding task. The VRI is comprised of two numeric values, one derived from the total muscle activity recorded for the voluntary motor task (magnitude), and the other from the sEMG distribution across the recorded muscles with the similarity index (SI). Five stroke patients and five age-matched healthy controls were recruited. Feeding motion was performed using the provided spoon five times with rests taken on a chair in between tasks. EMG data were digitized and analyzed on the basis of the root mean square (RMS) envelope of activity. The average amplitude of responses was calculated. Responsiveness and clinically meaningful levels of discrimination between stroke patients and control for EMG magnitude and SI were determined. The similarity index of the results from two successive examinations of both sides apart for stroke patients and control subjects were .86 and .95 in motion analysis and .84 and .99 in electromyographic analysis. The SI of sEMG data and motion data was significantly correlated in stroke patients. The data suggest that SI is a sensitive program for comparing and analyzing the symmetry of muscle activity and motion in both sides. This analysis method has a clinical value in grading muscular activity and movement impairment after brain injury.

• 대한골관절종양학회지
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• 제4권1호
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• pp.30-36
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• 1998

Squamous cell carcinoma is a neglected disease entity in orthopedic oncology. The purpose of this study was to analyze overall survival and the role of surgery on survival and to evaluate the significance of possible prognostic factors. From Oct, 1986 to Aug, 1996, 57 patients were enlisted and 42 patients ere eligible. Inclusion criteria included more than one year follow-up and no distant metastasis at the first visit. Staging and survival followed AJC classification and Kaplan-Meier plot. Stage II included 17 cases and stage III, 25 cases. Thirty-eight patients underwent operations, chemotherapy, and/or radiotherapy, and the remaining four had operations only. The chemotherapeutic regimen was adriamycin-cisplatin. The average follow-up period was 45 months. The ten-year actuarial survival rate of whole patients was 65.4%. Location of primary lesion, stage, pathologic grading, and intensity of chemotherapy in the same stage showed a significant difference in survival. Nine out of 42 patients had local recurrence. Seven patients had inadequate wide margins and two had intralesional margins. Average period of recurrence from operation was 13(4-35)months. The operation itself had no impact on survival but a surgical margin of no less than 3cm from the lesion was important for local control. Pathological grade and staging were significant variables for long term survival. Acral lesion had a significantly higher chance of regional and distant metastasis but actual survival showed no difference. In stage II, aggressive chemotherapy could delay or reduce the chance of regional or distant metastasis.

• 한국환경과학회지
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• 제16권6호
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• pp.735-743
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• 2007

A grouting method is the way to effectively prevent pollutants from spreading into the ground during the digging process of groundwater. This study, based on the comparative study of grouting methods being generally accepted, suggests various construction methods which are suitable for geological structure as follows: In Jeju Island, it is very likely that rocks may fall in shuttered zones such as cracks, joints, scoria layers, and clinker layers. For this reason, it is recommended that materials be injected from the bottom toward the top, not from the top to the bottom. In the case where the amount of injected materials become too large in the areas of cracks or joints because of high level of permeability coefficient, grouting materials which smeared into surrounding areas may cause unwanted cut in the aquifer of the bottom level. To avoid this, the amount of water should be reduced from the typical water-cement ratio of 1:2, and grouting materials with larger grading should be used. If the deep excavation of ground is made in Jeju Island, it is likely to have lots of voids because of geological characteristics. Based on the results of this research, it is found that to construct interior casing, the centralizer should be attached to the casing to prevent the casing from being in contact with the counter fort. The grouting in Jeju Island should be thicker than usual. To avoid over-use of grouting materials, to prevent grouting in more than necessary zone, and to facilitate grouting of void areas, the flexible selection of materials is required. And, to exactly figure out the interior of dug well, an examination through CCTV should necessarily be performed when grouting work is in progress.

• 대한족부족관절학회지
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• 제6권2호
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• pp.190-194
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• 2002

Purpose: We present our experience about the clinical aspect and treatment modalities of ostechondritis dissecans of the talus. Material and Method: This study included 35 patients, 38 cases diagnosed as ostechondritis dissecans of the talus that were proved by clinical and radiologic finding. The methods of treatment were conservative (2 cases), multiple drilling (1 case), excision (1 case), excision, curettage & multiple drilling (23 cases), curettage & bone peg fixation (2 cases), curettage & bone graft (2 cases), and autogenous osteochondral transfer(Mosaicplasty) (7 cases). Results: Of the 38 cases, 30 cases were associated with a history of trauma (17 cases of medial lesion, 13 cases of lateral lesion), and 9 cases of which had major trauma history and 21 cases, minor repetitive trauma history. According to O'Farrel grading system, 21 cases (55%) had good results, 11 cases (29%) had fair results, and 6 cases (16%) had poor results. Of the medial lesion 16 cases had good results, 6 cases, fair results, and 2 cases, poor results. Of the lateral lesion 5 cases had good results, 5 cases, fair results, and 4 cases, poor results. Conclusion: There were fair or good results in 84% of patients with surgical treatment. Curettage and multiple drilling reveals a good result in medial lesion in grade I, II, III and lateral lesion in grade I, II. Autogenous osteochondral transfer(Mosaicplasty) is considered for the cases in grade III, IV(medial and lateral), lesion exceeds 1Cm of size and poor result with another treatment modality.

• 대한족부족관절학회지
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• 제6권2호
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• pp.195-200
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• 2002

Purpose: To investigate the MRI and arthroscopic findings of osteochondral lesion of the talus which looked normal on plane radiography. Materials and methods: We investigated the MRI and arthroscopic findings of seven osteochondral lesions in which there were no abnormal finding on plane radiography and no cystic changes on MRI. Average age was 31 years(range, 19-43 years). Arthroscopic findings were classified according to the Ferkel's criteria. Results: History of injury was reported in all cases and the average duration from injury to presentation was 4 years and 4 months. Low signal change in T1WI was found in 6 of 7 lesions, no signal change in 1 case. Low signal change in T2WI was found in 4, no signal change in 3. 6 STIR images were obtained. High signal change was found in 3, no signal change in 2 and intermediate signal change was in 1. Arthroscopic grading was A in 1, C in 1, D in 2 , E in 1 and F in 2. We could not find any correlation between the findings on MRI and arthroscopic examination. Conclusion: We suggest arthroscopic examination is needed for accurate diagnosis of the osteochondral lesions of the talus which looked normal on plane radiography, because they have various MRl findings and high likelihood of existence of unstable cartilage lesions.

• 대한족부족관절학회지
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• 제6권2호
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• pp.167-171
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• 2002

Purpose: To analyze the result of Modified Brostr$\ddot{O}$m procedure for Chronic ankle lateral instability without associated injury. Materials and Methods: Forty-one patients(Forty-one feet) diagnosed and operated with chronic ankle lateral instability without associated injury were evaluated retrospectively from June 1995 to December 1999. Twenty-three patients were athletes. For the evaluation of clinical outcome, a subjective grading scale of modified Hamilton was used, and pain relief, relief of instability symptom and anterior drawer test were evaluated. Results: Among forty-one operations, there were six excellent, thirty-five good results as a whole. All cases showed over the grade good. The average time to ordinary life in the non-atheletes was 2.5 months and average time to sport activity in the athletes was 4 months postoperatively. Conclusion: The modified Brostr$\ddot{O}$m procedure seems to be effective method for chronic ankle lateral instability without associated injury.

• Restorative Dentistry and Endodontics
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• 제45권3호
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• pp.26.1-26.18
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• 2020

Objectives: This study aimed to systematically review the pain and flare-up effects of calcium hydroxide (CH) as intracanal medication (ICM) in non-vital mature teeth. Materials and Methods: Electronic-databases searching for published and grey literature and manual searching were conducted. Only randomized clinical trials (RCTs) were included comparing CH to other ICMs in non-vital mature teeth. The risk of bias was assessed using the RoB 2.0 Cochrane tool. The main outcomes were pain and flare-up. Qualitative and quantitative analysis, wherever applicable, was performed. The certainty of evidence (CoE) was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Results: Sixteen articles were included in 6 comparisons at different time points for different outcomes. CH reduced pain risk than no ICM within the 1-14-days interval (p < 0.05) and than triple-antibiotic paste within the first day (p < 0.05) and was similar to corticosteroid/antibiotics combination (p > 0.05). Chlorhexidine (CHX) or CH/CHX, however, reduced pain levels than CH alone (p < 0.05). CH showed higher flare-up risk than CHX (p < 0.05). CoE, however, ranged from very low to moderate. Conclusion: Most comparisons for different outcomes are based on very few studies, mostly low-powered, with an overall low CoE. Thus, the available evidence is considered insufficient to either support or refute CH effectiveness or to recommend one ICM over another. Therefore, further well-designed, larger RCTs are required.

• 대한환경공학회지
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• 제31권3호
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• pp.223-231
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• 2009

환경친화적인 도로노선대 선정을 위하여 공간분석기능을 활용한 GIS 기반 환경성평가 기법을 개발하고 실제 사례노선을 통하여 검증해 보고자 하였다. 도로건설 사업으로 인해 환경훼손을 가져오는 요인에 관한 분석을 바탕으로 영향범주를 구체화 시킨 후, 이에 관한 다양한 등급화 사례 및 법적 규제에 관한 문헌조사를 수행하였다. 공간 분석을 위한 정량화 모델로는 AHP를 선택하였다. 환경성 평가항목으로는 지형지질, 동식물, 토양생태, 수질, 대기질, 소음진동, 토지이용, 위락경관의 8개 항목을 선정하고 그에 따른 세부지표를 구성하여 이를 3등급 체계로 구분하였다. 가중치 산정을 위해 쌍대비교에 의한 설문수행 결과 동식물 1등급의 가중치가 0.191로 가장 높게 산출되었다. 위 방법을 사례지역에 대하여 검증한 결과 가장 환경친화적인 도로노선대를 생성할 수 있었다.

• 한국농공학회논문집
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• 제59권6호
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• pp.109-125
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• 2017

This study aimed to develop a parcel-unit soil loss estimation tool embedded in Excel worksheet, USLExls, required for the design of contaminated farmland restoration project and to analyze the impact of the project carried out soil-filling work on soil loss. USLE method was adopted for the estimation of average annual soil loss in a parcel unit, and each erosivity factor in the USLE equation was defined through the review of previous studies. USLExls was implemented to allow an engineer to try out different combinations just by selecting one among the popular formulas by each factor at a combo box and to simply update parameters by using look-up tables. This study applied it to the estimation of soil loss before and after soil-filling work at Dong-a project area. The average annual soil loss after the project increased by about 2.4 times than before on average, and about 60 % of 291 parcels shifted to worse classes under the classification criteria proposed by Kwak (2005). Although average farmland steepness was lower thanks to land grading work, the soil loss increased because the inappropriate texture of the cover soil induced the soil erosion factor K to increase from 0.33 before to 0.78 after the soil-filling work. The results showed that the selection of cover soil for soil-filling work should be carefully considered in terms soil loss control and the estimation of change in soil loss should be mandatory in planning a contaminated farmland restoration project.

• 대한한의진단학회지
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• 제9권2호
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• pp.72-82
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• 2005

Background and purpose: Bell‘s Palsy is a condition that causes the facial muscles to weaken or become paralyzed. It's caused by trauma to the 7th cranial nerve, and is not permanent. The aim of this study is to be convinced of differences between facial electrodermal activities of paralyzed side and those of normal side in acute stage of Bell's Palsy patients Methods: Electrodermal activity (EDA) was performed within 1 week after the onset of facial palsy and facial nerve electromyography (EMG) at 2 weeks after the onset. The recovery of facial nerve function was documented by House and Brackmann grading. All the patients were followed up weekly until recovery or up to 6 weeks. Results: There was significant differences (conductivity A: t=3.319, p=0.002; conductivity C: t=2.699, p=0.010) between facial electrodermal conductivities of paralyzed side and those of normal side in acute stage of Bell's Palsy patients (N=45). And the result showed that logarithmic scale of electrodermal conductivity A value ratio obviousely decreased with logarithmic scale of EMG zygomatic branch amplitude ratio (r=-0.472, p=0.143); logarithmic scale of capacitance B, logarithmic scale of EMG temporal branch amplitude ratio (r=-0.422, p=0.133); logarithmic scale of conductivity C, logarithmic scale of EMG buccal branch amplitude ratio (r=-0.545, p=0.083) (N=12). Conclusion: Electrodermal conductivities increased in paralyzed facial side in acute stage of Bell's Palsy patients.