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

  • Lee, Gi-Eon;Byun, Da-Young;Han, Si-Hoon;Yoo, Hyung-Jin;Lee, Jin-Hyun
    • Journal of Korean Medicine Rehabilitation
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    • v.28 no.1
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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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    • v.45 no.6
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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.

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

  • Park, Ji-Yeon;Kim, Jung-Eun;Min, Yoon-Kyung
    • Journal of the Korean Society for information Management
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    • v.27 no.1
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    • pp.249-267
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    • 2010
  • The h-index is a new tool for measuring research outputs based on citation and many variants of h-index have been proposed to improve the weaknesses of h-index. The h-index and its variants can be applied to institutional evaluation in three different ways. We worked out 447 practical cases of professors from 10 business schools and examined h-index and its variants. And then we compared three evaluation methods of research institution based on the h-index and its variants.

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

  • Kong, Inhak;Kim, Kwangjin;Lee, Yangwon
    • Journal of Cadastre & Land InformatiX
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    • v.47 no.2
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    • pp.107-120
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    • 2017
  • There are many wildfire risk indices worldwide, but objective comparisons between such various wildfire risk indices and surface dryness indices have not been conducted for the wildfire cases in Korea. This paper describes a sensitivity analysis on the wildfire risk indices and surface dryness indices for Korea using LDAPS(Local Analysis and Prediction System) meteorological dataset on a 1.5-km grid and MODIS(Moderate-resolution Imaging Spectroradiometer) satellite images on a 1-km grid. We analyzed the meteorology-based wildfire risk indices such as the Australian FFDI(forest fire danger index), the Canadian FFMC(fine fuel moisture code), the American HI(Haines index), and the academically presented MNI(modified Nesterov index). Also we examined the satellite-based surface dryness indices such as NDDI(normalized difference drought index) and TVDI(temperature vegetation dryness index). As a result of the comparisons between the six indices regarding 120 wildfire cases with the area damaged over 1ha during the period between January 2013 and May 2017, we found that the FFDI and FFMC showed a good predictability for most wildfire cases but the MNI and TVDI were not suitable for Korea. The NDDI can be used as a proxy parameter for wildfire risk because its average CDF(cumulative distribution function) scores were stably high irrespective of fire size. The indices tested in this paper should be carefully chosen and used in an integrated way so that they can contribute to wildfire forecasting in Korea.

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

  • Youn Sung-Ho;Rhee Kwang-Zin;Ahn Sang-No
    • The Korean Journal of Pharmacology
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    • v.15 no.1_2 s.25
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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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Optimization of Process Capability Index for Economic Coalify Assurance Level (경제적인 품질보증수준확보를 위한 공정능력지수의 최적화에 관한 연구)

  • 송서일
    • Journal of Korean Society of Industrial and Systems Engineering
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    • v.11 no.18
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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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Effects of Korean Medicine Treatment on Medial Collateral Ligament Tear with Meniscal Tears : Report of 3 Cases (반월상 연골판 손상을 동반한 내측 측부인대 부분파열 환자의 한방 치료 효과: 증례보고)

  • Jeon, Yong-Hyun;Kim, Doo-Ri;Moon, Hee-Young;Park, Ji-Won;Lee, Yun-Ha;Chai, Ji-Won;Choi, Dong-Joo;Choi, Hyo-Jung
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.14 no.2
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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.

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

  • Cho, Dong-In;Yoon, Jeong-won;Kim, Soon-Joong;Park, Dong-Su
    • Journal of Korean Medicine Rehabilitation
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    • v.25 no.4
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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.

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

  • Shin, Jung-Sub;Min, Hyun-Gi;Lee, Ju-Hyon;Lee, Dong-Hyun;Kim, Myung-Rae;Kang, Na-Ra
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.6
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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.

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

  • Cho, Woong-Hee;Park, Won-Hyung;Cha, Yun-Yeop
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.1
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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.