• 대한두개안면성형외과학회지
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• 제20권6호
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• pp.354-360
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• 2019

Background: Keloids are benign fibro-proliferative lesion, related to excessive inflammatory reactions in certain anatomical areas, including the auricles. Their specific etiology remains unclear; nonetheless they exhibit tumor-like characteristics of significant recurrence and cause emotional distress, even with various treatment strategies. We applied intermittent magnetic pressure therapy on ear keloids in combination with surgical excision, and present its effectiveness herein. Methods: Ear keloid patients were treated with surgical excision followed by magnetic pressure therapy. The keloid tissues underwent excision and keloid marginal flaps were utilized for wound closure. Intermittent magnetic pressure therapy was applied 2 weeks after the surgical procedure. The pressure therapy consisted of a 3-hour application and 2-hour resting protocol (9 hr/day), and lasted for 6 months. The results were analyzed 6 months after the therapeutic procedures, using the scar assessment scale. Results: Twenty-two ear keloids from 20 patients were finally reviewed. Among the keloids that completed the therapeutic course, 20 ear keloids out of 22 in total (90.9%) were successfully eradicated. Two patients (2 keloids) exhibited slight under-correction. Postoperative complications such as wound dehiscence or surgical site infection were not noted. The scar assessment scale demonstrated a significant improvement in each index. The intermittent pressure therapy led to patient compliance, and avoided pressure-related pain and discomfort. Conclusion: Excision followed by intermittent pressure application using a magnet successfully reduced the burden of fibro-proliferative keloids, and had good patient compliance. The role of intermittent pressure application and resting should be studied with regard to keloid tissue remodeling.

• Archives of Plastic Surgery
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• 제41권4호
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• pp.330-336
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• 2014

Background For patients with full thickness skin defects, autologous Split-thickness skin grafts (STSG) are generally regarded as the mainstay of treatment. However, skin grafts have some limitations, including undesirable outcomes resulting from scars, poor elasticity, and limitations in joint movement due to contractures. In this study, we present outcomes of Matriderm grafts used for various skin tissue defects whether it improves on these drawbacks. Methods From January 2010 to March 2012, a retrospective review of patients who had undergone autologous STSG with Matriderm was performed. We assessed graft survival to evaluate the effectiveness of Matriderm. We also evaluated skin quality using a Cutometer, Corneometer, Tewameter, or Mexameter, approximately 12 months after surgery. Results A total of 31 patients underwent STSG with Matriderm during the study period. The success rate of skin grafting was 96.7%. The elasticity value of the portion on which Matriderm was applied was 0.765 (range, 0.635-0.800), the value of the trans-epidermal water loss (TEWL) was 10.0 (range, 8.15-11.00)$g/hr/m^2$, and the humidification value was 24.0 (range, 15.5-30.0). The levels of erythema and melanin were 352.0 arbitrary unit (AU) (range, 299.25-402.75 AU) and 211.0 AU (range, 158.25-297.00 AU), respectively. When comparing the values of elasticity and TEWL of the skin treated with Matriderm to the values of the surrounding skin, there was no statistically significant difference between the groups. Conclusions The results of this study demonstrate that a dermal substitute (Matriderm) with STSG was adopted stably and with minimal complications. Furthermore, comparing Matriderm grafted skin to normal skin using Cutometer, Matriderm proved valuable in restoring skin elasticity and the skin barrier.

• Journal of Chest Surgery
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• 제30권8호
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• pp.809-814
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• 1997

마약성 진통제와 국소마취제에 의한 지속적 경막외마취는 개흉술후 통증감소를 위한 방법으로 널리 사용되고 있다. 본 연구에서는 지난 1994년 1월부터 1995년 7월까지 본원 흉부외과에서 츠방 혹은 후측방 개흉술을 받은 환자 38명을 대상으로 19명씩 실험군과 대조군으로 구분하여 실험군에 경막외마취를 시행하여 그 효과를 조사하였다. 먼저 lidocaine과 norphine을 섞어 경막서 지속적 외도관을 통해 주사하고 그후 bupivacaine과 morphine을 섞어 술후 5∼6일간 지속투여를 하였다. 대조군에 비해 실험군에서 환자의 통증수치와 상지거상능력과 호흡수는 주사추 30분부터 통계적으로 의미 있게 변화되어 술후 통증이 경감되고 있음을 알 수 있었고, 말초동맥혈 이산화탄소분압은 2시간 후부터 통계적으로 의미 있게 줄어들어 환자가 효과적인 호흡을 하고 있음을 알 수 있었다. 술후 재원기간도 의미 있게 줄어들었다. 경막외마취의 주요한 합병증으로는 뇨정체가 있었으나 심각하지는 않았다. 이상의 결과로 우리는 개흉술후 경막외마취가 우수한 통증완화 효과가 있어 술후 폐합병증을 예방하고 술후 빠른 회복에도 좋은 영향을 미치는 것으로 생각한다.

• 종양간호연구
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• 제9권1호
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• pp.43-51
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• 2009

Purpose: The purpose of the study was to develop an educational program reflecting the educational needs of Hospice Smart Patient service providers. Method: The description, goal, curriculum, method, and process evaluation of the educational program were constructed based on Modified Tyler-type Ends-Means Model followed by the analysis of current curriculum and needs of service providers. Results: The curriculum was constructed based on hospice volunteer program currently offered in Korea and the recommendations of hospice service volunteers and experts. A total of 90 hr was required to complete the curriculum that was composed of 'Introduction to cancer', 'Treatment and treatment complications of cancer', 'Post-treatment nutritional care', 'Helpful information', 'Introduction to hospice and palliative care', 'Comprehension of life and death', 'Holistic hospice and palliative care', 'How to communicate as a smart patient', 'Hospice and ethics', 'Pediatric hospice', 'Bereavement management', and 'Clinical practicum'. Conclusion: It is necessary to implement the developed educational program and evaluate its effectiveness, as well as making the service available to a greater number of cancer patients.

• 대한지역사회영양학회지
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• 제19권4호
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• pp.372-385
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• 2014

Objectives: The purpose of this study was to develop web-based self-nutrition management u-Health program for diabetic patients (DMDMG: Diabetes Mellitus Dietary Management Guide) for achieving systematic self-management of diet. Methods: The program consisted of five parts with different contents according to the results of needs assessment. Five major parts were 1) meal management part which contains calorie prescription, meals recording and dietary assessment, 2) prevention of disease part with information of diabetes and assessment of dietary behavior, 3) dietary behavior modification part with an education on dietary behavior modification plan and dietary behavior plan, 4) meal plan containing a training section for meal plan and self constructing part for meal planning by making tables, and 5) information about myself which composed with general and physical information. The system proposed in this study provides nutrients intake results right after input of diet intake, which is possible with simultaneous calculation of input data in the server with 3,495 food and 1,821 meal data base. The nutrients analysis program was evaluated with 26 diabetic patients with two-day 24 hr recall. Results: The differences of nutrients intakes between DMDMG and CANPRO 3.0 ranged from 13.5-16.5%, which was caused by the differences of databases of the two programs. The characteristics of DMDMG were; 1) it can provide an interactive tailored nutrition management, 2) it is a practical tool of diabetes nutritional management, 3) the program gives motivation for the dietary behavior modification. Conclusions: The effectiveness of whole program needs to be conducted, but the program was an innovative tool for self-management of nutrient intakes, diet behaviors, meal management and tailored nutrition education.

• Carbon letters
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• 제9권3호
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• pp.203-209
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• 2008

The objective of this work is to study the feasibility of the preparation of the activated carbon (AC) from coconut tree flowers using high temperature fluidized bed reactor (HTFBR). The activating agent used in this work is steam. The reactor was operated at various activation temperature (650, 700, 750, 800 and $850^{\circ}C$) and activation time (30, 60, 120 and 240 min) for the production of AC from coconut tree flowers. Effect of activation time and activation temperature on the quality of the AC preparation was observed. Prepared AC was characterized in-terms of iodine number, methylene blue number, methyl violet number, ethylene glycol mono ethyl ether (EGME) surface area and SEM photographs. The best quality of AC from coconut tree flowers (CFC) was obtained at an activation temperature and time of $850^{\circ}C$ and 1 hr restectively. The effectiveness of carbon prepared from coconut tree flowers in adsorbing crystal violet from aqueous solution has been studied as a function of agitation time, carbon dosage, and pH. The adsorption of crystal violet onto AC followed second order kinetic model. Adsorption data were modeled using both Langmuir and Freundlich classical adsorption isotherms. The adsorption capacity $q_m$ was 277.78 mg/g., equilibrium time was found to be 180 min. This adsorbent from coconut tree flowers was found to be effective for the removal of CV dye.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제10권10호
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• pp.5129-5152
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• 2016

Multi-view super-resolution (MVSR) aims to estimate a high-resolution (HR) image from a set of low-resolution (LR) images that are captured from different viewpoints (typically by different cameras). MVSR is usually applied in camera array imaging. Given that MVSR is an ill-posed problem and is typically computationally costly, we super-resolve multi-view LR images of the original scene via image fusion (IF) and blind deblurring (BD). First, we reformulate the MVSR problem into two easier problems: an IF problem and a BD problem. We further solve the IF problem on the premise of calculating the depth map of the desired image ahead, and then solve the BD problem, in which the optimization problems with respect to the desired image and with respect to the unknown blur are efficiently addressed by the alternating direction method of multipliers (ADMM). Our approach bridges the gap between MVSR and BD, taking advantages of existing BD methods to address MVSR. Thus, this approach is appropriate for camera array imaging because the blur kernel is typically unknown in practice. Corresponding experimental results using real and synthetic images demonstrate the effectiveness of the proposed method.

• The Korean Journal of Pain
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• 제32권3호
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• pp.206-214
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• 2019

Background: Although case reports have suggested that the erector spinae plane block (ESPB) may help analgesia for patients after breast surgery, no study to date has assessed its effectiveness. This retrospective observational study analyzed the analgesic effects of the ESPB after total mastectomy. Methods: Forty-eight patients were divided into an ESPB group (n = 20) and a control group (n = 28). Twenty patients in the control group were selected by their propensity score matching the twenty patients in the ESPB group. Patients in the ESPB group were injected with 30 mL 0.375% ropivacaine, followed by catheter insertion for further injections of local anesthetics every 12 hours. Primarily, total fentanyl consumption was compared between the two groups during the first 24 hours postoperatively. Secondary outcomes included pain intensity levels (visual analogue scale) and incidence of postoperative nausea and vomiting (PONV). Results: Median cumulative fentanyl consumption during the first 24 hours was significantly lower in the ESPB ($33.0{\mu}g$; interquartile range [IQR], $27.0-69.5{\mu}g$) than in the control group ($92.8{\mu}g$; IQR, $40.0-155.0{\mu}g$) (P = 0.004). Pain level in the early postoperative stage (<3 hr) and incidence of PONV (0% vs. 55%) were also significantly lower in the ESPB group compared to the control (P = 0.001). Conclusions: Intermittent ESPB after total mastectomy reduces fentanyl consumption and early postoperative pain. ESPB is a good option for multimodal analgesia after breast surgery.

• 실천공학교육논문지
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• 제14권2호
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• pp.393-404
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• 2022

한국직업능력연구원이 실시하고 있는 HCCP(Human Capital Corporate Panel) 자료는 HR연구에 실증적 연구결과를 제공해 주었고 이 데이터를 바탕으로 많은 연구들이 수행되었으나 교육훈련과 조직성과에 대해 전체적인 관점에서 수행된 연구는 부족하였다. 따라서 본 연구는 HCCP 연구에 기반하여 교육훈련이 조직성과에 미치는 영향을 선행연구의 분석을 통해 살펴보고자 하였다. 이를 위해 HCCP 자료를 활용해 교육훈련과 조직성과를 연구한 29편의 논문을 분석에 활용하였으며 연구결과는 다음과 같다. 첫째, 교육훈련은 조직몰입, 직무만족 등 비재무성과 및 매출액, 영업이익과 같은 재무성과에도 긍정적인 영향을 주고 있었다. 둘째, 교육훈련이 조직성과에 영향을 주기 위해서는 직무만족, 조직문화, 교육전이 등이 중요한 요소로 나타났다. 셋째, 효과적인 교육훈련 전이를 위해서는 교육훈련 후, 현업에 적용할 수 있는 시스템을 구축하는 것이 필요하며, 마지막으로 교육훈련이 재무성과에 기여한 정도를 보다 면밀히 측정하여 교육훈련의 실질적 효과성을 밝히는 연구가 수행될 필요성을 제언하였다.

• 한국작물학회지
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• 제27권2호
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• pp.147-154
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• 1982

식물원형질체를 이용하여 체세포잡종을 육성하기 기초자료를 얻고자 식물의 엽육부위, Callus에서 효과적인 원형질체의 분리, 적합한 배양조건 및 세포융합에 관한 조건을 조사한 결과를 요약하면 다음과 같다. 1. 배양 융합조건에 적합한 식물원형질체의 분리 방법은 여러 종류의 효소농도에 따라 다르지만 담배 및 완두엽육 원형질체분리에는 Macerozyme 0.5%, Cellulase 2.0%, KDS 0.5%, Mannitol 0.7M의 효소용액에 처리시 활성 있는 원형질체를 얻을 수 있었다. 2. 배양중인 담배 및 대두의 Callus로부터 원형질체분리는 배양기간에 따라 세포활성도가 떨어지거나 쉽게 파괴되는 현상을 보여 양호한 원형질체를 얻을 수가 없었다. 3. 원형질체의 배양은 배양배지에 Plating할 경우 세포농도에 따라 차이가 있었으며 1.0$\times$$10^4$/ml이상이어야 분열이 가능하였고 배양조건은 150Lux 12시간 광암처리후가 세포분열 및 증식이 가장 왕성하였다. 4. 세포융합은 PEG농도가 중요하며 PEG 1500 0.33M에서 CaCl_2농도가 높을수록 융합율이 증가되는 경향이었다.