• Tuberculosis and Respiratory Diseases
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• 제69권2호
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• pp.75-80
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• 2010

The year of 2009~2010 brought a number of concepts and new ideas were evaluated with promising results. However, some studies that challenged many beliefs. In acute respiratory distress syndrome (ARDS), recent clinical studies took into consideration of pathophysiologic changes of respiratory system compliance. Meta-analysis of positive end-expiratory pressure trials showed survival benefit of high positive end-expiratory pressure in ARDS. Until now, prone positioning did not show survival benefit in patients with ARDS. Extracorporeal membrane oxygenation (ECMO) based management improved survival in patients with severe ARDS. ECMO can be a management option in severe ARDS. Sedation is a standard practice in critically ill patients needing mechanical ventilation. However, Danish group reported less sedation of critically ill patients receiving mechanical ventilation was associated with an increase in days without ventilation. Although this single center study has some limitations, the overall results are promising. Use of maximal sterile barrier precautions (mask, sterile gown, sterile gloves, and large sterile drapes) with chlorhexidine-impregnated dressing reduced central venous catheter related infection. Selective oropharyngeal decontamination (application of topical antibiotics in the oropharynx) reduced the mortality rate of an intensive care unit (ICU) population. Normoglycemia in Intensive Care Evaluation and Survival Using Glucose Algorithm Regulation (NICE-SUGAR) trial reported intensive glucose control increased mortality among adults in the ICU. Some of the results of above papers are promising. However, some ideas may need for more frequent individual assessment and increase the workload of ICU staffs. Before implementation of new practice in ICU, we should take into consideration of individual hospital situation including human and material resources.

• Restorative Dentistry and Endodontics
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• 제39권1호
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• pp.17-23
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• 2014

Objectives: This study evaluated the efficacy of Endosolv-R and Xylene in softening epoxy resin based sealer after 1 to 2 min exposure. Materials and Methods: Sixty Teflon molds ($6mm{\times}1.5mm$ in inner diameter and depth) were equally divided into 3 groups of 20 each. AH 26 (Dentsply/De Trey), AH Plus (Dentsply/De Trey), Adseal (Meta-Biomed) were manipulated and placed in the molds allotted to each group and allowed to set at $37^{\circ}C$ in 100% humidity for 2 wk. Each group was further divided into 2 subgroups according to the solvents used, i.e. Xylene (Lobachemie) and Endosolv-R (Septodont). Specimens in each subgroup were exposed to respective solvents for 1 and 2 min and the corresponding Vicker's microhardness (HV) was assessed. Data was analysed by Mauchly's test and two-way analysis of variance (ANOVA) with repeated measures, and one-way ANOVA. Results: Initial hardness was significantly different among the three sealers with AH Plus having the greatest and Adseal having the least. After 2 min, Xylene softened AH Plus and Adseal sealer to 11% and 25% of their initial microhardness, respectively (p < 0.001), whereas AH 26 was least affected, maintaining 89.4% of its initial microhardness. After 2 min, Endosolv-R softened AH 26, AH Plus and Adseal to 12.7, 5.6 and 8.1% of their initial microhardness, respectively (p < 0.001). Conclusions: Endosolv-R was a significantly more effective short term softener for all the tested sealers after 2 min whereas Xylene was an effective short term softener against AH plus and Adseal but less effective against AH 26.

• 대한수학교육학회지:학교수학
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• 제19권3호
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• pp.571-591
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• 2017

본 연구는 정적분으로 정의되는 곡선의 길이를 다루는 수업에서 나타나는 길이에 대한 수학적 담론의 특성을 파악하는 것을 목적으로 한다. 이를 위해 의사소통적 접근을 토대로 수업 참여자들이 길이라는 단어를 사용하는 용법에 주목하며 길이에 대한 담론을 조사하였다. 그 결과 담론 참여자들이 의사소통하는 과정에서 길이라는 단어를 세가지-일상적, 조작적, 구조적-용법으로 사용하고 있음을 확인하였다. 특히 참여자들이각자 서로 다른 용법의 단어를 사용하면서도 그 차이를 인식하지 못함으로써 효과적이지 못한 의사소통이 이루어짐을 확인할 수 있었다. 본 연구에서는 참여자들이 사용하는 단어의 용법 차이가 의사소통의 효과성을 떨어뜨린다는 사실을 강조하는 한편, 참여자들이 그러한 용법의 차이를 인식하고 주목한다면 의사소통적 단절을 극복하고 메타 수준의 학습이 가능할 수 있음을 제안하였다.

• 대한한방내과학회지
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• 제41권3호
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• pp.362-413
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• 2020

Objectives: The purpose of this research is to examine the recent clinical research trends on the efficiency of traditional herb medicine (THM) on gastroesophageal reflux disease (GERD), and to provide clinical evidence of herbal medicine, Banhasasin-tang or Banxiexin decoction by using a systemic review and meta-analysis of randomized trials (RCTs). Methods: In this study, randomized controlled trials (RCTs) were included that verified effects of traditional herbal medicine (THM), including a Banxia-xiexin-tang decoction, as a treatment for GERD. A study of the literature in Chinese and Korean databases was performed for papers published from January 1, 2010, to January 1, 2020. The selected literature was assessed by Cochrane's risk of bias (RoB). Results: A total of 90 RCTs met the inclusion criteria. Except for four RCT studies, all studies identified the effect of a Banxia-xiexin-tang decoction in the treatment of GERD. The effectiveness of treatment was significantly higher in the intervention group than in the control group, as shown through various evaluation indicators, including the reflux disease diagnostic questionnaire (RDQ). Adverse effects were reported in 22 articles (24.44%). Conclusions: Treatment with Banhasasin-tang, or a Banxia-xiexin-tang decoction, was found to be effective in treating GERD. However, due to the low quality of available studies, the significance of this conclusion is somewhat limited. This study could serve as a foundation for further clinical studies on the development of diagnosis and treatment methods for GERD based on Korean medicine.

• 한국멀티미디어학회논문지
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• 제3권2호
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• pp.101-111
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• 2000

VBR로 압축된 멀티미디어 데이터는 비트 변화율이 매우 큰 편차로 변하기 때문에 자원 예약 관리가 매우 힘들다. 따라서 VOD 서버는 MPEG데이터의 참조 패턴을 오프라인으로 분석한 메타 테이블을 근거로 과부하구간에서 미리 선반입하여 시스템 활용율을 높이는 선반입 기법을 사용한다. 이러한 선반입 기법을 과부하구간에서도 상영실패는 발생하지 않으나, 선반입 임계슬롯이 증가함으로써 버퍼 점유량이 증가하여 버퍼의 최소 적재시간과 적재비용을 유지할 수 없다. 따라서 본 논문에서는 선반입 구간을 고정적으로 사용하여, 과부하 구간에서도 적재비용과 적재시간을 일정한 범위 이하로 유지하면서 시스템 자원의 활용율을 높이는 방법을 제안한다. 그리고 선반입 구간을 고정시킴으로써 발생하는 상영 실패는 Drop 모듈을 사용하여 GOP내의 B프레임에 한정하며, 미디어의 질 저하를 전체 사용자에게 고르게 분산시키는 방법을 제안한다.

• 한국정보통신학회논문지
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• 제23권11호
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• pp.1321-1329
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• 2019

소셜 정보망의 발달로 마케팅의 방법도 다양하게 변화되고 있다. 기존의 유명인, 경제적 지원 기반의 성공적인 마케팅방법론과 달리, 최근 인플루언서 기반 유튜브 마케팅이 큰 대세를 이루고 있다. 본 논문 에서는 처음으로 유튜브 양적 정보 및 댓글분석 기반 다각도 질적 분석을 활용하여 54개 이상의 유튜브 채널에서 인플루언서 특징을 추출하고 대표적인 주제들을 모델링하여 개인 맞춤형 영상 만족도 극대화는 물론 기업체가 새로운 아이템을 마케팅 할 때 기존의 인플루언서 특징을 참고하여 새로운 아이템의 영상을 제작하고 배포함으로써 성공적인 홍보 효과를 누릴 수 있도록 보조 수단 제공을 목적으로 한다. 유튜브 채널 별 다양한 영상의 모든 댓글을 각 문서로 가정하고 TF-IDF 및 LDA알고리즘을 적용하여 성능 극대화 향상을 보였다.

• 한국정보통신학회논문지
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• 제24권9호
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• pp.1193-1201
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• 2020

이동통신에서 이동단말의 위치관리를 위해 셀 구조를 결정하는 셀 계획은 네트워크 성능을 결정하는 중요한 연구과제로 다루어지고 있다. 이동통신에서 셀 구조를 계획하는데 영향을 주는 요소 중 위치관리를 위한 신호비용이 가장 중요한 역할을 하고 있다. 본 논문에서는 이동통신에서 리포팅 셀 구조를 가진 네트워크에서 셀 구조를 계획하기 위해 사용되는 모든 셀의 위치관리비용을 최소화 하는 최적화 알고리즘을 제안한다. 제안된 알고리즘은 메타휴리스틱 알고리즘인 타부서치 알고리즘을 사용하며, 제안된 알고리즘은 새로운 이웃해 생성방식을 제안하여 최적해에 가까운 결과를 도출한다. 제안된 알고리즘의 성능을 평가하기 위해 위치관리비용과 알고리즘 수행시간 관점에서 시뮬레이션을 수행하였다. 평가 결과에서 기존의 유전 알고리즘 및 모의 담금질 기법과 비교 평가하여 제안된 알고리즘의 성능이 우수함을 볼 수 있었다.

• Archives of Plastic Surgery
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• 제49권3호
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• pp.324-331
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• 2022

Prior abdominal liposuction can be viewed as a relative or absolute contraindication to abdominally based autologous breast reconstruction given concerns for damaged perforators and scarring complicating intraoperative dissection. This systematic review aims to explore the outcomes of abdominally based breast reconstruction in patients with a history of abdominal liposuction. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-guided literature search was conducted using PubMed, Scopus, and Web of Science from the earliest available date through June 2020. Deep inferior epigastric perforator, muscle-sparing transverse rectus abdominis musculocutaneous (TRAM), superficial inferior epigastric artery, and pedicled TRAM flaps were included for evaluation. Complications included total or partial flap loss, fat necrosis, seroma, delayed wound healing, and donor site complications. After inclusion criteria were applied, 336 non-duplicate articles were screened, yielding 11 for final review, representing 55 flaps in 43 patients. There was no instance of total flap loss, eight (14.5%) flaps developed partial loss or fat necrosis, three (5.4%) flaps had delayed wound healing, and two (4.6%) patients had donor site complications. Most authors (8/11) utilized some type of preoperative imaging. Doppler ultrasonography was the most used modality, and these patients had the lowest rate of partial flap loss or flap fat necrosis (8%), followed by those without any preoperative imaging (10%). In conclusion, this review supports that patients undergoing abdominally based autologous breast reconstruction with a history of abdominal liposuction are not at an increased risk of flap or donor site complications. Although preoperative imaging was common, it did not reliably decrease complications. Further prospective studies are needed to address the role of imaging in improving outcomes.

• 사상체질의학회지
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• 제34권2호
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• pp.48-64
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• 2022

Objectives The purpose of this study was to review and evaluate the clinical evidence of the efficacy and safety of treatment based on Sasang constitutional medicine (SCM) for post-stroke patients by systematic review and meta-analysis. Methods Randomized controlled trials (RCTs), published in 10 electronic databases up to December 2020, were searched. For the included studies, Cochrane's risk of bias assessment was performed to analyze the methodological quality. The strength of evidence was evaluated using the grading of recommendations assessment, development, and evaluation system based on the results of analyses. All review processes were performed by two independent researchers. Results Five RCTs were finally included. All included RCTs were conducted for one month on post-stroke patients in 60-80s, four studies on Tae-Eum patients and one study on So-Yang patients. Four types of constitution-specific herbal medicine (Chungpyesagan-tang, Cheongsimsanyak-tang, Yeoldahanso-tang, and Yangkyuksanhwa-tang) and constitution-specific acupuncture therapy were identified as interventions. More than half of the included studies were evaluated as low quality due to the high-risk of bias in selection, performance, and detection. The combination of constitution-specific herbal medicine, acupuncture, and conventional treatment was more effective in improving the patients' motor impairment, dysphagia, aphasia, and depression than conventional treatment alone. No serious adverse events by SCM treatment were reported. Conclusions SCM treatment may improve the sequelae of post-stroke patients safely in combination with conventional treatment. Since the quality of clinical evidence included in this study was low, higher quality clinical evidence obtained in well-designed clinical studies will be needed.

• 척추신경추나의학회지
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• 제16권2호
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• pp.1-8
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• 2021

Objectives This study aimed to evaluate the effect of chuna manual therapy (CMT) for postpartum low back pain using a systematic review. Methods We performed a literature search using 12 electronic databases up to the end of September 2021. We included randomized controlled trials (RCTs) that evaluated the effect of CMT in the treatment of postpartum low back pain. The risk of bias was evaluated using the Cochrane risk-of-bias tool. Results Four randomized controlled trials were reported statistically significant effect in pain VAS, ODI and JOA of chuna manual therapy compared with moxibution, electro acupuncture, hyperthermia or usual care. As a result of assessing the risk of bias tool, most of the contents of the evaluation items were not identified, so it was evaluated as an uncertain risk. Conclusions CMT may be effective in treating postpartum low back pain. However, evidence was limited due to the small sample size, lack of well-designed RCTs and regional bias. Further well-designed studies are required to obtain stronger evidence.