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Clinical Results of Arthroscopic Anterior Cruciate Ligament Reconstruction using Hamstring Tendon (슬괵건을 이용한 관절경적 전방십자인대 재건술)

  • Song, Eun-Kyoo;Seo, Hyoung-Yeon;Lee, Geun-Bae;Yoon, Taek-Rim;Shim, Sang-Don
    • Journal of the Korean Arthroscopy Society
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    • v.3 no.1
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    • pp.17-23
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    • 1999
  • Purpose : We intend to review clinical results after Anterior cruciate ligament(ACL) reconstruction using hamstring tendon arthroscopically. Materials & Methods : Sixty two patients who had underwent arthroscopic ACL reconstruction using hamstring tendon from Mar. 1996 to Mar. 1997 were reviewed. The average follow-up was 16 months and average age at operation was 27 years old. Clinical results were evaluated with physical examination, Lysholm Knee score and instrumented anterior laxity test with Telos Results : The average preoperative Lysholm knee score was 57.0 and postoperative average of that was 91.8. All cases of 62 patients had normal range of motion of knee and were able to walk with no problems at follow-up. On the Lachmann test, there were mild(+) instability in 24 cases, moderate(++) in 24 cases, severe(+++) in 14 cases preoperatively and 48 cases were converted to negative, 14 cases mild postoperatively. On instrumented anterior laxity test with Telos, difference between normal and affected knee on 20 lb which was 13.4mm preoperatively was decreased to 4.7mm at follow-up and anterior stability was regained(P<0.05). Parapatellar complications such as crepitus in 18 cases(29.5%), atrophy of quadriceps in 23 cases(36.5%) were observed. There were 2 cases of inaccuracy of guide pin of semifix screw intraoperatively and 3 cases of malposition of semifix screw postoperatively. Conclusion : ACL reconstruction using hamstring tendon seems to be a effective procedure to establish the stability of knee joint but is technically demanding procedure and leaves some parapatellar complications.

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The Follow-up Results of Anterior Cruciate Ligament Reconstruction Using The Flexible Reamer (유연성 연마기를 이용한 관절경적 전방 십자 인대 재건술의 추시 결과)

  • Chae, In-Jung;Wang, Joon-Ho;Choi, Gi-Won;Song, Dong-Ik
    • Journal of the Korean Arthroscopy Society
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    • v.12 no.1
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    • pp.18-23
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    • 2008
  • Purpose: The purpose of this study is to evaluate the clinical results of the function and stability of ACL reconstruction using the flexible reamer. Materials and Methods: We reviewed 98 patients who taken ACL reconstruction using the flexible reamer from March, 1999 to May, 2004. And the follow-up period was more than 12 months in all cases. We used the subjective tests including Lysholm knee score and 2000 International Knee Documentation Committee(IKDC) subjective knee score, and the objective tests such as anterior drawer test, Lachman test, pivot shift test, and KT-2000 arthrometer to evaluate the clinical results. Results: In the range of motion of the affected knee, the extension deficit more than 5 degree was 8 cases preoperatively and 1 case postoperatively. The flexion deficit more than 5 degree was 12 cases preoperatively and 2 cases postoperatively. The mean Lysholm knee score was 61.3 point(${\pm}3.5$ SD) preoperatively and 87.7 point(${\pm}2.0$ SD) postoperatively. The mean 2000 International Knee Documentation Committee(IKDC) subjective knee score was 49 point(${\pm}3.3$ SD) preoperatively and 84 point (${\pm}2.2$ SD) postoperatively. 93 cases were more than grade II in Lachman test preoperatively and 5 cases postoperatively. 71 cases were more than grade II in pivot shift test preoperatively but 89 cases were negative postoperatively. The mean maximal manual difference by KT-2000 arthrometer was 6.8 mm(${\pm}1.9$ SD) preoperatively and 1.8 mm(${\pm}0.8$ SD) postoperatively. Conclusion: ACL reconstruction using the flexible reamer achieved the ideal isometric point of femur and anatomic graft placement, so we could obtain good results, especially in rotational stability.

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A RESEARCH ON RISK FACTORS OF ADOLESCENT SEXUAL BEHAVIORS (청소년의 성행동 위험요인에 관한 연구)

  • Park, In-Seon;Baek, Yeon-Ok;Han, In-Young
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.12 no.1
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    • pp.138-148
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    • 2001
  • The focus of the research was on identifying the risk factors that may result in unprepared intercourse among the adolescent from an ecological systems prospective. A survey questionnaire was conducted from September through December 1999 to 2326 youths, ages from 13-18 years old. After eliminating thirty respondents from Unwed Mother's Home we found that 8.8% of the remaining respondents had experienced sexual intercourse. Of those, 5% of the female and 13.4% of male adolescents has had sexual intercourse, showing 2.7 times more for the male sample population. Broken down to age groups, 3.2% of the thirteen years old group and 19.2% of the eighteen years old group had experienced intercourse, an almost six fold increase in the older age group. To find out the differences between those who had and not had experienced intercourse the group was then divided into two comparative groups by same sex and age variables. Findings from comparative analysis identified five ecological system risk factors among the youth sample that had intercourse;First, individual factor:adolescents who thought less of themselves or didn't consider their potentials, those more exposed other risk behaviors such as drinking, smoking, drugs, runaway and come in contact with pornography, those who thought they knew more about sex and etc. Second, family factor:those who thought family was less important, had less supportive family, higher or lower income family and etc. Third, peer factor:Both groups thought friends were important and had their support. The group with intercourse experience seems to be think that more peers are experiencing other risk behavior. Fourth, school factor:Those in the group who had experienced intercourse seems to think school is less important and with lower academic achievements. Fifth, community factor:There were no statistical significant differences found between the two groups. The overall results from this study implies that if we want to prevent our youths from having unprepared intercourse during adolescence the significance of having meaningful emerging self, family relationship and school experience is important. This study identified the risk factors leading to adolescent sexual intercourse but further research is necessary in finding out about their predictability.

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A CASE-ANALYSIS OF THE PSYCHIATRIC SEQUELAE IN ADOLESCENTS VICTIMIZED BY SCHOOL VIOLENCE (학교폭력 피해 청소년의 정신의학적 후유증에 관한 사례 연구)

  • Yook, Ki-Hwan;Lee, Ho-Bun;Noh, Kyung S.;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.8 no.2
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    • pp.232-241
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    • 1997
  • The psychological problems following the experiences of school-violence could be more important than the physical problems. Victims could suffer from fear, depression, anger, lowered self-esteem, suicidal thought, and personality changes. To study the risk factors for school violence and the psychiatric problems after the experiences to school-violence provide us important informations to prevent and solve the problems of school violence. We examined clinical characteristics and psychosocial backgrounds of 13 adolescents who visited the psychiatric clinic after exposures to school violence from September, 1996 to May, 1997. The clinical data included intensity, motivations, durations, and methods of violence, psychiatric symptoms following exposure, findings of psychological test, and treatment course. The socioeconomic data included developmental characteristics of subjects, family characteristics, school life, and peer relationships. Of the 13 adolescents who experienced exposure to violence, 8 have experienced chronic psychiatric disturbances, 5 experienced transient psychiatric symptoms such as anxiety, depression, suicidal attempt who eventually returned to home and school life. Of the 8 adolescents who experienced chronic psychiatric disturbances, 4 experienced PTSD and depression lasting 3-6 months more, otherwise 4 showed converted features, such as aggressive behavioral disorder or perpetrator by strong compensatory effects after psychological shock. The subjects who have experienced chronic psychiatric disturbance have clinical characteristics such as physical or emotional abuse, physical illness or handicap, defects of ego functionings, and lack of family support. In summary, victims by school-violence manifested serious psychiatric disturbances, and they had clinically significant risk factors and some of them became perpetrators of school-violence.

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A CASE OF TREATMENT-RESISTANT CHILDHOOD-ONSET SCHIZOPHRENIA WITH LONG-TERM TRIAL OF CLOZAPINE (치료저항성 소아기 발병 정신분열증의 Clozapine 장기치험 1례)

  • Jang, Soon-Ah;Kim, Kyung-Hee;Lee, Hong-Shick;Song, Dong-Ho
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.9 no.1
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    • pp.98-104
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    • 1998
  • A 12-year-old girl with a 6 year history of childhood-onset schizophrenia required 2 hospitalizations and long-term clozapine trial due to inadequate responses to combinations of typical neuroleptics and traditional treatments of schizophrenic disorder. On admission, she had continuous auditory and visual hallucinations, persecutory delusion, emotional instability, regression of behaviors including temper tantrums as well as specific developmental delays in learning, language, and motor coordination. The clozapine trial significantly reduced most of the positive symptoms, and facilitated in successful discharge from the hospital. During the 4 year clozapine treatment, no significant adverse reactions were noted, and she returned to a structured school setting with minimal degrees of schizophrenic symptoms. From this clinical experience, we suggest that clozapine might be safe and effective in treating treatment-refractory schizophrenic children.

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Analysis of PM2.5 Distribution Contribution using GIS Spatial Interpolation - Focused on Changwon-si Urban Area - (GIS 공간내삽법을 활용한 PM2.5 분포 특성 분석 - 창원시 도시지역을 대상으로 -)

  • MUN, Han-Sol;SONG, Bong-Geun;SEO, Kyeong-Ho;KIM, Tae-Hyeung;PARK, Kyung-Hun
    • Journal of the Korean Association of Geographic Information Studies
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    • v.23 no.2
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    • pp.1-20
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    • 2020
  • The purpose of this study was to analyze the distribution characteristics of spatial and temporal PM2.5 in urban areas of Changwon-si, and to identify the causes of PM2.5 by comparing the characteristics of land-use, and to suggest the direction of reduction measures. As the basic data, the every hour average from September 2017 to August 2018 of Airpro data, which has measurement points in kindergartens, elementary schools, and some middle and high schools in Changwon-si was used. Also, by using IDW method among spatial interpolation methods of GIS, monthly and time-slot distribution maps were constructed, and based on this, spatial and temporal PM2.5 distribution characteristics were confirmed. First, to verify the accuracy of the Airpro data, the correlation with AirKorea data managed by the Ministry of Environment was confirmed. As a result of the analysis, R2 was 0.75~0.86, showing a very high correlation and the data was judged that it was suitable for the study. In the monthly analysis, January was the highest year, and August was the lowest. As a result of analysis by time-slot, The clock-in time at 06-09 was the highest, and the activity time at 09-18 was the lowest. By administrative district, Sangnam-dong, Happo-dong, and Myeonggok-dong were the most severe regions of PM2.5 and Hoeseong-dong was the lowest. As a result of analyzing the land-use characteristics by administrative area, it was confirmed that the ratio of traffic area and commercial area is high in the serious area of PM2.5. In conclusion, the results of this study will be used as basic data to grasp the characteristics of PM2.5 distribution in Changwon-si. Also, it is thought that the severe regions and the direction of establishing reduction measures derived from this study can be used to prepare more effective policies than before.

Effectiveness of Controling Micro Climate by the Pine (Pinus Densiflora) Forests of the Temple in Southeast Area of Korea (영남권 사찰림일대 소나무장령림의 미기후 조절 효과 연구)

  • Hong, Suk-Hwan;An, Mi-Yeon;Kang, Rae-Yeol;Choi, Song-Hyun
    • Korean Journal of Environment and Ecology
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    • v.34 no.4
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    • pp.294-303
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    • 2020
  • This study aimed to examine was conducted to the ability of microclimate control in old pine forests by surveying pine forest in Buddhist temples, where the pine forest are stably growing through active protection in the Gyeongnam region, and comparing variation characteristics of microclimate characteristics (temperature and humidity) and distribution of vegetation type. The study sites were pine forests protected well by Buddhist temples (Haein-sa, Beomeo-sa, Tongdo-sa, and Bulguk-sa) in the southeast region of Korea and thus known for stably growing young pine trees. According to the vegetation distribution status analysis, these pine forests did not have a high ratio of pine trees. Except for Tongdo-sa, the ratio of deciduous forest and mixed (deciduous and pine trees) forest had a much larger presence than that of pine forest. Measured data of microclimate showed that the Tongdo-sa area had significantly different characteristics compared to the other three areas. Tongdo-sa area showed a significantly higher diurnal range of temperatures and humidity than the other three areas, in both spring and summer. It is due to the difference in vegetation management. The forests around Tongdo-sa are mostly pine forests, except for the developed areas, while those in the other three areas have a dominant ratio of deciduous brad-leaved forests. Intensive control of pine forest is not effective in mitigating microclimate, i.e., temperature and air humidity. Stress caused by rising temperatures and decreasing air humidity is blamed for the decline of pine forests. Thus, the current active management of pine forests, such as the Tongdo-sa case, has been found to have a greater negative impact on the temperature and humidity stress. Therefore, we believe that a new change in forest management is necessary to increase the effect of mitigating the microclimate of pine forests.

A Study on the Phonology of the Striped Rice Borer, Chilo suppressalis (Walker), in Relation to the Introduction of New Agricultural Practices (경종법에 변천에 따르는 이화명나방 발생상의 변동에 관한 연구)

  • Song Yoo Han;Choi Seung Yoon;Hyun Jai Sun
    • Korean journal of applied entomology
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    • v.21 no.1 s.50
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    • pp.38-48
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    • 1982
  • This study was conducted to investigate the changes in moth occurrence of striped rice barer, Chilo suppressalis (Walker), in relation to climatic factors, rice varieties, and cultural practices. The light trap data from 41 forecasting stations for 14 years from 1966 to 1979 were analyzed by means of the changes in the time and amount of borer occurrence in connection with the introduction of new rice varieties, the accumulated effective day-degree and its variation for completing one generation, and the climatic factors affecting the moth occurrence. The total number of moths caught by light traps in both spring and summer generations were considerably decreased with the wide cultivation of new rice varieties. In fact, the spring moths were remarkably decreased since the new varieties were introduced in 1972. The occurrence ratio of summer moths against the preceeding spring moths was higher in the middle region and middle southern mountainous area than the other regions. Its high ratio of regions was annually expanded from the middle region to the southern region. The $50\%$ emergence dates of both generations were later in the southeastern region than in the middle region. The ecological characteristics were clearly shown between the northern and southern region of Chupungryeong in terms of the occurrence of summer moths, the ratio of occurrence of summer moths to the preceeding spring moths, and $50\%$ emergence dates of the summer moths during the years of $1977\~1979$. The ratio of the summer moth occurrence to the preceeding generation was negatively correlated with the average temperature in lune and July, respectively, and the average precipitation in late June. The ratio of spring moth occurrence over the preceeding generation was positively correlated with the average temperature in September, October, November, and March, respectively, whereas it was negatively correlated with the average precipitation in early September and March, and the average humidity in early May. The effective day-degree for one generation was in the range from 600 to 900 DD at upper threshold $30^{\circ}C$ and lower threshold $10^{\circ}C$.

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The Association of Oral Impacts on Daily Performances for Children (C-OIDP), Oral Health Condition and Oral Health-Related Behaviors (어린이 일상생활구강영향지수(C-OIDP)와 구강관리 및 구강건강행태와의 관련성)

  • Jo, Hwa-Young;Jung, Yun-Sook;Park, Dong-Ok;Lee, Young-Eun;Choi, Youn-Hee;Song, Keun-Bae
    • Journal of dental hygiene science
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    • v.16 no.3
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    • pp.242-248
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    • 2016
  • The purposes of this study were to investigate the factors affection the Oral Impacts on Daily Performances for Children (C-OIDP) in elementary and middle school students, and identify the association between oral health-related behaviors, oral health condition and C-OIDP. A cross-sectional study was conducted in three schools in Incheon, Asan, Korea. A total of 175 selected children were interviewed by a trained examiner using a questionnaire. Oral Health Related Quality of Life was assessed by the Korean version of C-OIDP. Socio-economic characteristics, oral health-related behaviors, oral health condition and C-OIDP were verified using the questionnaire. ANOVA analysis was performed to determine the oral health and C-OIDP, and multiple regression analysis was performed to determine the factors affecting the C-OIDP. The activities with the greatest effect were eating (28.0%), cleaning teeth (22.9%), and smiling (18.9%). In the logistic regression model, the high item score of C-OIDP was associated with experiencing dental caries and gum pain in the past month. The more the C-OIDP prevalence item, the more the fillng deciduous tooth surface (fs) (p=0.024), caries experienced deciduous tooth surface (dfs) (p=0.049), total caries tooth surface (ds+DS) (p=0.021), and total caries experienced tooth surface (dfs+DMFS) (p=0.047). It can be concluded that the factors affecting C-OIDP are fs, dfs, dfs+DMFS, and gingival pain. Based on these results, we can improve C-OIDP to advance preventive practice.

The Clinical Usefulness of Cephalometric Analysis in the Obstructive Sleep Apnea Syndrome (폐쇄성 수면 무호흡 증후군에서 두개골계측분석의 임상적 유용성)

  • Choi, Young-Mee;Lee, Sang-Haak;Kwon, Soon-Seog;Kim, Young-Kyoon;Kim, Kwan-Hyoung;Song, Jeong-Sup;Park, Sung-Hak;Moon, Hwa-Sik
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.2
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    • pp.218-230
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    • 1999
  • Background: Craniofacial anatomic abnormalities related to structural narrowing of the upper airway have been reported in patients with obstructive sleep apnea syndrome. In this study, we evaluated the craniofacial anatomic characteristics of Korean patients with obstructive sleep apnea syndrome, and the role of cephalometric analysis in the prediction of abnormal breathing during sleep. Methods: Thirty-nine patients with obstructive sleep apnea syndrome(OSAS), 39 simple snorers(simple snorers) and 20 controls(control) had cephalometric analysis using the technique of Riley et al, and underwent standardized polysomnographic recordings. Different variables, including sex, body mass index, cephalometric and polysomnographic data, were statistically analyzed. Results: Pm-UPW and V-LPW distances were significantly shorter in OSAS when compared with simple snorers or control. PAS in simple snorers was shorter than in control. ANS-Gn distance in OSAS was significantly longer than in control. PNS-P distance in OSAS or simple snorers was significantly longer than in control. MP-H distance in OSAS was significantly longer than in simple snorers or control and MP-H distance in simple snorers was also longer than in control. NL/Pm-P angle in OSAS was lesser than in control. MP-H distance in OSAS or in the combined groups of OSAS and simple snorers was significantly correlated with apneahypopnea index(AHI). PNS-P distance in the combined groups of OSAS and simple snorers was correlated with AHI. In male of all subjects, body mass index was significantly correlated with PNS-P or MP-H distance. Conclusion: Cephalometric analysis can be useful tool in determining the craniofacial anatomic abnormalities in patients with obstructive sleep apnea syndrome. Cephalometric parameters, especially MP-H distance, can be useful for predicting frequency of narrowing or obstruction of upper airway during sleep.

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