• 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.

• Archives of Plastic Surgery
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• 제49권5호
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• pp.569-579
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• 2022

Open and closed rhinoplasty are two main approaches to perform nasal modifications. According to current literature, there is no current consensus among plastic surgeons and otolaryngologists on which technique is preferred in terms of aesthetic result, complications, and patient satisfaction. This study uses published research to determine whether open or closed rhinoplasty leads to superior patient outcomes. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for systematic reviews were followed and a literature search was conducted in four databases based on our search strategy. Articles were then imported into COVIDENCE where they underwent primary screening and full-text review. Twenty articles were selected in this study after 243 articles were screened. There were 4 case series, 12 retrospective cohort studies, 1 prospective cohort study, 1 case-control, and 2 outcomes research. There were three cosmetic studies, eight functional studies, and nine studies that included both cosmetic and functional components. Sixteen studies utilized both open and closed rhinoplasty and four utilized open rhinoplasty. Both techniques demonstrated high patient and provider satisfaction and no advantage was found between techniques. Based on available studies, we cannot conclude if there is a preference between open or closed rhinoplasty in terms of which technique leads to better patient outcomes. Several studies determined that open rhinoplasty and closed rhinoplasty leads to comparative patient satisfaction. To make outcome reporting more reliable and uniform among studies, authors should look to utilize the Nasal Obstruction and Septoplasty Effectiveness scale and the Rhinoplasty Outcome Evaluation.

• Archives of Plastic Surgery
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• 제48권4호
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• pp.361-365
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• 2021

Background Pain in the postoperative body contouring patient has traditionally been managed with narcotic medication. In an effort to minimize side effects and prevent addiction, plastic surgeons are searching for novel ways to provide adequate analgesia, one of which is nerve blocks. This study was conducted with a meta-analysis that evaluates the efficacy of these blocks for patients who undergo breast surgery. Methods A search of the PubMed/MEDLINE database for articles including the terms "post-operative analgesia" OR "postoperative pain management" AND "in plastic surgery" OR "in cosmetic surgery" OR "in elective surgery" in February 2019 generated five studies on elective breast augmentation and reduction mammoplasty that reported pain scores and quantities of opioids consumed. Independent samples t-tests, one-way analysis of variance, and a random effects model were implemented for evaluation. Results A total of 317 patients were identified as having undergone body contouring of the breast, about half of which received a nerve block. Pain scores on a 1-10 scale and opioid dose-equivalents were calculated. Those who were blocked had an average score of 2.40 compared to 3.64 for those who did not (P<0.001), and required an average of 5.20 less narcotic doses (P<0.001). Pain relief following subpectoral augmentation was best achieved with type-II blocks as opposed to type-I and type-II with serratus plane (P<0.001). Conclusions The opioid epidemic has extended to all surgical specialties. Implementation of a nerve block seems to be an efficacious and cost-effective mechanism to not only help with post-operative pain, but also lower the need for narcotics, especially in subpectoral augmentation.

• Journal of Periodontal and Implant Science
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• 제52권1호
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• pp.3-27
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• 2022

Purpose: This study was conducted to evaluate and compare the effects of different graft materials used in alveolar ridge preservation on dimensional hard tissue changes of the alveolar ridge, assessed using cone-beam computed tomography (CBCT) scans. Methods: A systematic electronic search of MEDLINE and the Cochrane Central Register of Controlled Trials and a manual search were conducted from November 2019 until January 2020. Randomized controlled trials were included if they assessed at least 1 variable related to vertical or horizontal hard tissue changes measured using CBCT scans. After a qualitative analysis of the included studies, subgroups were formed according to the graft material used, and a quantitative analysis was performed for 5 outcome variables: changes in vertical alveolar bone height at 2 points (midbuccal and midpalatal/midlingual) and changes in horizontal (buccolingual) alveolar bone width at 3 different levels from the initial crest height (1, 3, and 5 mm). Results: The search resulted in 1,582 studies, and after an independent 3-stage screening, 16 studies were selected for qualitative analysis and 9 for quantitative analysis. The metaanalysis showed a significantly (P<0.05) lower reduction of alveolar ridge dimensions for the xenogenic subgroup than in the allogenic subgroup, both vertically at the midbuccal aspect (weighted mean difference [WMD]=-0.20; standard error [SE]=0.26 vs. WMD=-0.90; SE=0.22) as well as horizontally at 1 mm (WMD=-1.32; SE=0.07 vs. WMD=-2.99; SE=0.96) and 3 mm (WMD=-0.78; SE=0.11 vs. WMD=-1.63; SE=0.40) from the initial crest height. No statistical analysis could be performed for the autogenic subgroup because it was not reported in sufficient numbers. Conclusions: Less vertical and horizontal bone reduction was observed when xenogenic graft materials were used than when allogenic graft materials were used; however, the loss of alveolar ridge dimensions could not be completely prevented by any graft material.

• 한국시뮬레이션학회논문지
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• 제19권1호
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• pp.73-82
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• 2010

전 세계 조선 산업에서 생산성의 향상이 크게 이슈화되면서, 생산 라인의 생산성 향상을 위해 새로운 방법론, 생산 자동화, 향상된 생산계획 및 일정계획 등의 연구가 진행되어 왔다. 본 연구는 조선 생산의 일정계획과 관련하여 소조립 라인의 소일정계획의 최적화를 통한 생산성 향상에 관한 것이다. 소조립 라인의 소일정계획 최적화를 위하여 공정 별 작업자 배치와 운용에 관한 시나리오와 스키드 패턴의 투입 순서를 미정 다항식 문제로 정식화하고 문제 해결하기 위해 메타휴리스틱 방법 중 하나이며 확률변수를 사용하는 시뮬레이티드 어닐링을 적용하여 지역 최소값에 빠지는 것을 막고 전역 최소값을 찾도록 하였다. 실제 조선소의 소조립 라인의 작업 시간 데이터와 스키드 투입 순서 데이터를 사용하여 최적화를 수행하고 최적화 결과의 효과를 검증하였다.

• Geomechanics and Engineering
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• 제30권6호
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• pp.489-502
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• 2022

In this study, a Gaussian process regression (GPR) model as well as six GPR-based metaheuristic optimization models, including GPR-PSO, GPR-GWO, GPR-MVO, GPR-MFO, GPR-SCA, and GPR-SSO, were developed to predict fly-rock distance in the blasting operation of open pit mines. These models included GPR-SCA, GPR-SSO, GPR-MVO, and GPR. In the models that were obtained from the Soungun copper mine in Iran, a total of 300 datasets were used. These datasets included six input parameters and one output parameter (fly-rock). In order to conduct the assessment of the prediction outcomes, many statistical evaluation indices were used. In the end, it was determined that the performance prediction of the ML models to predict the fly-rock from high to low is GPR-PSO, GPR-GWO, GPR-MVO, GPR-MFO, GPR-SCA, GPR-SSO, and GPR with ranking scores of 66, 60, 54, 46, 43, 38, and 30 (for 5-fold method), respectively. These scores correspond in conclusion, the GPR-PSO model generated the most accurate findings, hence it was suggested that this model be used to forecast the fly-rock. In addition, the mutual information test, also known as MIT, was used in order to investigate the influence that each input parameter had on the fly-rock. In the end, it was determined that the stemming (T) parameter was the most effective of all the parameters on the fly-rock.

• 대한통합의학회지
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• 제11권2호
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• pp.231-242
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• 2023

Purpose : This study aimed to identify ways to improve the quality of physical therapy research and ultimately review the current situation to improve evidence-based decision-making in physical therapy. Methods : For better evidence-based decision-making in physical therapy, researchers should review the quality assessment of articles in more detail and report their findings for valid and appropriate level of evidence and strength of recommendations. The level of evidence affects how well the findings are derived from well-designed literature. The evaluation of the evidence focuses primarily on the study design and the degree of bias that may compromise the validity of the findings. The final recommendation is based on a combination of the study design and literature quality. To uncover gems of information in each paper, a risk of bias assessment should be performed after the literature has been initially selected. Results : Researchers should consider the complexity of the intervention, appropriate grouping, and calculation of effect sizes for the intervention. Researchers conducting systematic reviews should provide a detailed description of the quality assessment performed and present a detailed analysis of their interpretation of the results. The results of systematic reviews and meta-analyses should be interpreted with caution and include a risk of bias assessment. Guidelines for the level of evidence and strength of recommendations should be developed and utilized more broadly to improve reporting practices in physical therapy. Conclusion : Researchers should be knowledgeable about the strengths and limitations of each study design and methodology. In the future, researchers will also need to improve their ability to critically evaluate their findings, given the potential for their results to influence clinical practice.

• 한국컴퓨터정보학회논문지
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• 제14권9호
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• pp.1-10
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• 2009

웹 서비스 조합 분야는 단일 서비스를 재사용하여 가치 있는 서비스를 생성하기 위해 등장했으며, 최근에는 차세대 웹 서비스인 시멘틱 웹을 구현하기 위해 IOPE를 기반으로 단순 검색 및 조합 대신에 규칙이나 AI를 통한 검색 및 조합 방법이 제안되고 있다. 또한 보다 효율적인 모듈화를 위해 기존의 객체지향 프로그래밍 방식보다는 관점지향 프로그래밍 방식이 도입되고 있다. 본 논문에서는 시멘틱 웹을 위해 관점지향 프로그래밍(Aspect-Oriented Programming, AOP) 및 리플렉션(Reflection)을 적용한 동적 웹 서비스 조합 및 실행 기법을 설계한다. 제안하는 기법은 웹 서비스의 메타 데이터를 동적으로 획득하기 위해 리플렉션 기법을 사용하고 아울러 동적으로 웹 서비스를 조합하기 위해 AOP 기반 접근방식을 통해 바이트 코드를 생성한다. 또한 리플렉션을 이용한 동적 프록시 객체를 통해 조합된 웹 서비스를 실행하는 방식을 제안한다. 제안하는 기법의 성능 평가를 위해 비즈니스 로직 계층과 사용자 뷰 계층 측면에서 조합된 웹 서비스를 검색하는 것에 대한 실험을 수행한다.

• 한국비블리아학회지
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• 제20권4호
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• pp.85-100
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• 2009

본 연구는 교사와 학생들이 가르치고 배우는 상황 즉, 교육적 맥락을 고려하여 학교도서관의 목록 서비스를 제공한다면 목록의 유용성을 높이고, 교수-학습 과정과 목록 서비스를 직접적으로 연계시킬 수 있다는 전제하에 교육적 맥락에 관한 정보를 목록 데이터 요소에 추가로 목록 정보를 확장하기 위한 방안을 제시하였다. 우선 학교도서관의 정보자료와 교육 즉, 교수-학습 과정에 관련된 맥락 요인을 분석하고, 실제로 교육적 맥락 요소를 제공하고 있는 정보 시스템의 사례를 분석하여 교육적 맥락을 고려한 목록 정보의 확장 방안을 제시하였다. 분석 결과를 바탕으로 학교도서관 목록(DLS)에 추가로 기술해야 할 교육적 맥락 요소를 이용자(학생, 교사), 수업상황(교수방법, 수업목표, 교육과정, 평가방법, 학습집단 편성, 준비물, 수업환경), 자료 내용 유형(성격, 학문분야, 형태), 독서 상황(상황별 독서, 문학 주제), 관련 자료(교사 표현물, 학생 표현물) 등 5개 요소로 추출하였다.

• Clinical Nutrition Research
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• 제12권4호
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• pp.304-319
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• 2023

Previous studies have suggested that omega-3 polyunsaturated fatty acids, predominantly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), have several health benefits. However, their effect on changes in skeletal muscle mass and strength has not been established, owing to differences in study designs. This systematic review aimed to investigate the recent evidence regarding the role of dietary EPA and DHA in muscle mass changes and their association with muscle strength. Databases including PubMed and Google Scholar were searched for randomized controlled trials and single-arm interventions that investigated the effects of omega-3 fatty acids on skeletal muscle mass, strength, and body composition in adults aged 18 years and older. A total of 18,521 studies were retrieved from the databases and manual searches; 21 studies were quality assessed, and the findings were summarized. Studies were categorized into 3 main categories according to the type of omega-3 fatty acid supplementation: pure compounds such as oil tablets, formulated forms with protein, leucine, and vitamin D, and ingredients added to enteral nutrition support products. Overall, the majority of the study results appeared to indicate that omega-3 fatty acids are beneficial for muscle health. However, meta-analysis was not conducted because of the heterogeneity of the study participants, evaluation method of muscle indices, and intervention periods among the studies. High-quality studies are required to validate our conclusions. However, this systematic review of the effects of EPA and DHA on skeletal muscle and body composition provides evidence that can be applied in both clinical and industrial settings.