• 제목/요약/키워드: Index cases

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반월상 연골판 손상을 동반한 전방 십자인대 부분파열 환자의 한의학적 치료 효과: 증례보고 (Korean Medicine Therapy to Ruptured Anterior Cruciate Ligament with Meniscal Tears: Report of 4 Cases)

  • 이기언;변다영;한시훈;유형진;이진현
    • 한방재활의학과학회지
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    • 제28권1호
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    • pp.175-184
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    • 2018
  • The purpose of this study is to report the effectiveness of complex Korean Medicine treatment for anterior cruciate ligament (ACL) injuries with meniscus tear. Four patients were treated with complex Korean Medicine by acupuncture, pharmacopuncture and herbal medication. We evaluated the improvement of knee pain and function by Numeric Rating Scale (NRS), Western Ontario and McMaster Universities Arthritis Index (WOMAC Index), EuroQol-5 Dimension Index (EQ-5D Index). After treatment, we found that knee pain was reduced and joint function was improved by NRS and WOMAC index in all cases. In the evaluation of health-related quality of life through EQ-5D index, there was no significant difference in patients with degenerative knee osteoarthritis and severe meniscal injury. This results show that complex Korean Medicine may be an effective option for ACL injuries with meniscus tear. Further clinical studies are needed to clarify the effect of Korean Medicine therapy on ACL injuries with meniscus tear.

Modified difficult index adding extremely difficult for fully impacted mandibular third molar extraction

  • Kim, Jae-Young;Yong, Hae-Sung;Park, Kwang-Ho;Huh, Jong-Ki
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제45권6호
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    • pp.309-315
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    • 2019
  • Objectives: The aim of this study was to evaluate the validity of the existing classification and difficulty index of impacted mandibular third molars in clinical situations and propose a more practical classification system. Materials and Methods: This study included 204 impacted mandibular third molars in 154 patients; panoramic x-ray images were obtained before tooth extraction. Factors including age, sex, and pattern of impaction were investigated. All impacted third molars were classified and scored for spatial relationship (1-5 points), depth (1-4 points), and ramus relationship (1-3 points). All variables were measured twice by the same observer at a minimum interval of one month. Finally, the difficulty index was defined based on the total points scored as slightly difficult (3-4 points), moderately difficult (5-7 points), very difficult (8-10 points), and extremely difficult (11-12 points). Results: The strength of agreement of the total points scored and difficulty index were 0.855 and 0.746, respectively. Most cases were classified as moderately difficult (73.0%). Although only 13 out of 204 cases (6.4%) were classified as extremely difficult, patients classified as extremely difficult were the oldest (P<0.05). Conclusion: For difficulty classification, the authors propose one more difficult category beyond the existing three-step difficulty index: the clinician should consider the patient's age in the difficulty index evaluation.

기관단위 연구성과 평가방법에 관한 연구: h-지수 및 변형지수를 중심으로 (A Study on the Evaluation Methods of Research Institution: Based on the h-index and its Variants)

  • 박지연;김정은;민윤경
    • 정보관리학회지
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    • 제27권1호
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    • pp.249-267
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    • 2010
  • h-지수는 개인의 연구성과를 측정하는 지표로 지수의 강건성과 계산의 용이성 등이 인정되면서 이를 보완하는 다양한 변형지수들이 연구되었으며, 이 지수들을 이용하여 연구자 개인의 영향력 평가는 물론, 저널, 학과, 대학, 연구소 등 기관단위 평가를 하려는 시도가 이루어지고 있다. h-지수를 이용한 기관단위의 평가 방법으로는 기관 h-지수, 평균 h-지수, 메타 h-지수 등 세 가지가 있으며, 본 연구에서는 국내 10개 경영대학을 대상으로 h-지수 및 변형지수들의 특징 및 상관관계를 살펴 본 후, 위의 세 가지 방법을 모두 적용하여 각 방법론을 비교 분석하였다.

기상기반 산불위험지수와 위성기반 지면건조지수의 우리나라 산불발생에 대한 민감도분석 (Sensitivity Analysis of Meteorology-based Wildfire Risk Indices and Satellite-based Surface Dryness Indices against Wildfire Cases in South Korea)

  • 공인학;김광진;이양원
    • 지적과 국토정보
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    • 제47권2호
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    • pp.107-120
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    • 2017
  • 산불은 한번 발생하면 기상, 지형 등 여러 악조건으로 인해 효과적인 진화가 어려워 넓은 면적으로 확대되는 경우가 많다. 따라서 산불의 예방이 중요하기 때문에 세계 각국에 다양한 산불위험지수와 예측시스템이 존재한다. 그러나 이러한 산불위험지수 및 지면건조지수가 우리나라의 산불발생에 적용가능한지에 대한 객관적인 평가는 이루어진 바 없다. 이에 본 연구에서는 1.5km 격자의 LDAPS(Local Analysis and Prediction System) 기상자료 및 1km 격자의 MODIS(Moderate-resolution Imaging Spectroradiometer) 위성자료를 활용하여 각종 산불위험지수와 지면건조지수의 우리나라 산불발생에 대한 민감도분석을 수행하고자 한다. 기상기반 산불위험지수로는 호주의 FFDI(forest fire danger index), 캐나다의 FFMC(fine fuel moisture code), 미국의 HI(Haines index), 그리고 학술연구에서 제시된 MNI(modified Nesterov index)를 산출하였고, 위성기반 지면건조지수인 NDDI(normalized difference drought index)와 TVDI(temperature vegetation dryness index)를 산출하여 우리나라 산불발생에 대한 적용가능성 실험을 수행하였다. 2013년 1월부터 2017년 5월까지 발생한 피해면적 1ha가 넘는 산불 120건과 6종류의 지수를 비교한 결과, FFDI는 피해면적 10ha가 넘는 모든 산불에 대하여 극도로 높은 CDF(cumulative density function) 값을 나타냈으며, FFDI와 FFMC는 피해면적 3ha가 넘는 산불에 대하여 평균 CDF 값이 0.95가 넘게 나타나는 등 매우 우수한 성능을 보였다. 반면, MNI는 이슬점온도와 기온의 차이가 크지 않은 우리나라의 계절적 특성 때문에 2월의 산불예측을 거의 하지 못하였고, TVDI는 전체적으로 산불발생에 대한 민감도가 낮은 것으로 나타났다. NDDI는 피해면적의 크기에 상관없이 평균 CDF 값이 안정적으로 높게 산출되어 위성기반 지면건조지수로서 보조적인 활용가능성이 있을 것으로 보인다. 이러한 산불위험지수와 지면건조지수를 취사선택 및 융합하여 활용한다면, 우리나라 산불예측에 일조할 수 있을 것으로 사료된다.

류마치양 관절염 및 퇴행성관절염에 대한 Piroxicam의 사용경험 (Clinical Report for Piroxicam in Orthopedic Field)

  • 윤승호;이광진;안상노
    • 대한약리학회지
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    • 제15권1_2호
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    • pp.39-43
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    • 1979
  • Piroxicam is known to be a new nonsteroidal anti-inflammatory drug which has anti-inflammatory, antiedema, antigranuloma and analgesic activities through the mechanism of inhibition of prostaglandin synthetase. Clinical survey for piroxicam was carried cut on 40 cases of rheumatoid arthritis and 30 cases of degenerative arthritis who visited University Hospital from Feb. to June, 1979. Following results could be obtained: 1) In rheumatoid and degenerative arthritis, the effect of piroxicam was significant in decrease of joint pain, shortening of duration of morning stiffness, decrease in number of swollen joints, improvement of joint stiffness, decrease of E.S.R., increase of mean grip strength and decrease of articular index. 2) Side effects, almost all in G-I troubles were encountered in 6 cases in 40 cases of rheumatoid arthritis and 4 cases in 30 cases of degenerative arthritis.

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경제적인 품질보증수준확보를 위한 공정능력지수의 최적화에 관한 연구 (Optimization of Process Capability Index for Economic Coalify Assurance Level)

  • 송서일
    • 산업경영시스템학회지
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    • 제11권18호
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    • pp.71-80
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    • 1988
  • Process capability implies the qualitative capability of a process, and it is necessary to specify the process capability by quantification and to evaluate the level with the specified standardizaion. But the process capability index is currently used to evaluate the performance of quality control activity. without considering the characteristics of process structure or the economy of management. Here the researcher would like to redefine process capability and emphasize its index may be used as the measure of managerial assessment and the objective of process quality control in full consideration of the economic aspects of process characteristics. Too little or too much process capability causes a loss of or excess. The proper economic level of process capability varies to each process. The procedure of taking the optimum process capability index is derived from the expected profit function, whereas each method is studied in cases of normal process with one-sided specification and two-sided specification. In addition, the process capability index is presented as a method of quality assurance. And an example is exhibited on wrapping process of 'A' company. The results of this study are summarized at follows. First, though the norminalization of the process capability index is possible by the existing methods, the optimum process capability index can vary to the situation of each process. So, the optimum process capability index which is suggested in this dissertation should be used as the standard to assess process capability. Second, the process capability index can take its effect not just in indicating quality control or managerial records but also in the management of high qualify assurance.

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반월상 연골판 손상을 동반한 내측 측부인대 부분파열 환자의 한방 치료 효과: 증례보고 (Effects of Korean Medicine Treatment on Medial Collateral Ligament Tear with Meniscal Tears : Report of 3 Cases)

  • 전용현;김두리;문희영;박지원;이윤하;채지원;최동주;최효정
    • 척추신경추나의학회지
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    • 제14권2호
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    • pp.89-100
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    • 2019
  • Objectives : The purpose of this report was to introduce 3 cases of patients diagnosed with both medial collateral ligament tear and meniscal tear that showed clinical improvement after Korean medicine treatment. Methods : These patients received Korean herbal medicine, pharmacopuncture treatment, and acupuncture treatment. We assessed these cases by using the Numeric Rating Scale (NRS), Western Ontario and McMaster Universities'Arthritis Index (WOMAC), and the European Quality of Life-5 Dimension Index (EQ-5D). Results : After Korean medicine treatment, most of the NRS, WOMAC, and EQ-5D scores showed improvement on every discharge date of these 3 cases. The NRS and WOMAC scores of all cases showed a decrease. The EQ-5D of all cases showed an increase. Conclusions : Through this research, we concluded that Korean medicine treatment can be helpful in relieving pain and improving the quality of life and function of knee joint movement in patients with medial collateral ligament tear and meniscal tears.

흉추의 추나요법을 시행한 경항통 환자 치험 7례 보고 (The Effects of Chuna for Thoracic in Patients with Nuchal Pain, Seven Cases Report)

  • 조동인;윤정원;김순중;박동수
    • 한방재활의학과학회지
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    • 제25권4호
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    • pp.147-159
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    • 2015
  • Objectives The purpose of this study is to investigate the clinical application of chuna for thoracic in the patients with nuchal pain. Methods Seven patients were treated by chuna for thoracic to evaluate the effect of the treatment. The patient's symptoms were assessed by visual analogue scale (VAS), neck disability index (NDI) and cervical lordotic curvature. Results In all cases, the pain was reduced according to VAS, NDI. Cervical lordotic curvature of 6 cases were improved in terms of Jackson's angle. 5 cases were improved in terms of Depth of cervical curve and Method of Jochumsen. 4 cases were improved in terms of Angle of cervical curve (C2~C7) and Ishihara index. 3 cases were improved in terms of Angle of cervical curve (C1~C7). Conclusions These results suggest that chuna on thoracic might be an effective method to treat nuchal pain with extension malposition of thoracic. But, it's necessary to have more observations and experiments.

구강악안면외과 소수술시 정맥 의식하 진정법에서의 Bispectral Index and Hemodynamics monitoring을 이용한 진정 깊이에 관한 연구 (THE USE OF BISPECTRAL ANALYSIS AND HEMODYNAMIC MONITORING IN PATIENTS UNDERGOING INTRAVENOUS SEDATION FOR MINOR ORAL SURGERY)

  • 신정섭;민현기;이주현;이동현;김명래;강나라
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제30권6호
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    • pp.567-571
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    • 2008
  • Purpose: The purpose was to assess the usefulness of midazolam in patients undergoing minor oral surgery under conscious sedation. Materials and methods: Bispectral index was examined in 20 patients receiving oral minor surgery with conscious sedation supplemented with local anesthesia. All patients included were ASA I and had no contraindications to the study medications. The patients were escorted to the day surgery operation room where, before the commencement of the sedation and surgical procedures, routine monitoring was applied, including the noninvasive monitoring of arterial blood pressure, arterial oxygen saturation, and 3-lead electrocardiogram (Electrocardiogram). Bispectral index electrodes were applied on the frontotemporal region after cleansing the skin with alcohol. Bispectral index was calculated with the Electrocardiogram monitor (A-2000; Aspect Co.). Midazolam was then titrated (initially 3mg wait 2min and 2mg). Vital sign and Bispectral index checked every 5 minute until the end of the procedure. The results were then compared. Results: The Bispectral index index values throughout the sedation study period alter many level. The index was dropped at 5 minutes after administration, but raised at injection and odontomy procedure. During the operation, mean Bispectral index index was higher than conscious sedation index range($60{\sim}80$). The amnesic effect was shown 17 cases out of 20 cases(85%). Conclusion: Conscious sedation technique using midazolma is a safe and effective method of controlling behavior in oral and maxillofacial surgery.

7구역 진단기와 임상지표와의 상관성 연구 (A Study on the Correlation about 7-Zone-Diagnostic System and Clinical Parameters)

  • 조웅희;박원형;차윤엽
    • 한방재활의학과학회지
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    • 제20권1호
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    • pp.167-182
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    • 2010
  • Objectives : The purpose of this study is to find correlation about 7-Zone-Diagnostic System and Clinical Parameters using Oriental Health Examination. Methods : Subjects of our study were 325 cases who took Oriental Health Examination. We collected the data of body composition analysis, 7-Zone-Diagnostic System, blood analysis and devided by 7-Zone-Diagnostic system to acceleration, normalcy and depression. Results and Conclusions : The values of muscle mass, body fat mass, abdomen obesity rate, right arm water index, left arm water index, trunk water index, right leg water index, left leg water index, BMI, BMR, GOT, GPT, ${\gamma}$-GTP, BUN, TC, triglyceride and hemoglobin were continuous with 7-Zone-Diagnostic system.