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Non-Watertight Intermittent Dural Closure in Neurological Surgery (뇌수술의 비방수성 경막 봉합)

  • Cho, Yong Woon;Moon, Jae Gon;Hwang, Yong Soon;Park, In Suk;Jeon, Byung Chan;Kim, Han Kyu
    • Journal of Korean Neurosurgical Society
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    • v.29 no.5
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    • pp.640-643
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    • 2000
  • Objective : In neurosurgical practice, it has been generally accepted that when the dura is opened, it should be watertightly closed, and traditionally non-watertight closure has not been performed. We clinically tried non-watertight closure, analyzed the frequency of CSF leakage and evaluated the possible clinical application of non-watertight closure. Methods : After classifying our cases with supratentorial and infratentorial approach, we tried non-watertight and watertight closures and compared the results. We also analyzed the cases with or without dural graft. Results : In supratentorial approach, the rate of cerebrospinal fluid leakage noted in non-watertight closure was similar to that of watertight closure. In infratentorial approach, except microvascular decompression(MVD), the rate of cerebrospinal fluid leakage in non-watertight closure was higher than that of watertight closure. Dura graft application did not seemed to influence the cerebrospinal fluid leakage. Conclusion : Since the frequency of cerebrospinal fluid leakage was not higher in non-watertight closure than that of watertight closure, non-watertight closure can be applied in supratentorial approach. In infratentorial approach, non-watertight closure may be applied in surgery with relatively short dural incision, such as MVD. However, non-watertight closure doesn't seem to be appropriate in surgery that requires wide dural incision, such as skull base surgery.

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A Study on Factors to the Non-Use of Public Libraries in Users, Former Users and Non-Users (공공도서관 비이용 요인에 관한 연구: 이용자, 이용 중단자, 비이용자를 중심으로)

  • Kim, Hayana;Kim, Giyeong
    • Journal of the Korean Society for information Management
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    • v.31 no.3
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    • pp.201-226
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    • 2014
  • This study aims to develop measures to turn former users and non-users of public libraries back into users by understanding the differences between the user, former user and non-user groups in terms of their perceptions to public libraries, as well as the differences between these groups in their perceptions regarding the factors to non-use of public libraries. A literature review and statistical analysis of the results from a questionnaire survey were conducted to identify the differences. The results from the statistical analysis showed significant differences between the user, former user and non-user groups in terms of their perceptions to public libraries and the non-use factors. From the results, we could categorize the factors into common non-use factors, non-use-only factors, and use interrupt factors, and we develop suggestions to improve the factors in order to move non-users and former users to frequent users of the public libraries.

Throughput Analysis of Non-Transparent Mode in IEEE 802.16j Mobile Multi-Hop Relay Networks (IEEE 802.16j MMR 네트워크에서 Non-Transparent 중계모드의 전송률 분석)

  • Lee, Ju-Ho;Lee, Goo-Yeon;Jeong, Choong-Kyo
    • Journal of the Korea Society for Simulation
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    • v.21 no.2
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    • pp.51-58
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    • 2012
  • In IEEE 802.16j MMR protocol, two modes about usage of RS are proposed; one is transparent mode to enhance data throughput and the other is non-transparent mode to extend coverage. In this paper, we focus on non-transparent mode and find that the mode can also improve data throughput. Therefore, we analyze data throughput on various RS topology and their extended coverage area by simulation in IEEE 802.16j non-transparent mode. We also compare the simulation results with the single MR-BS system of which coverage is extended by higher transmission power. From the comparisons of simulation results, we see that higher throughput can be obtained in the proposed non-transparent mode.

Shopping behavior, attitude and characteristics of internet clothing shoppers (인터넷 의류구매자의 의류쇼핑행동, 태도 및 특성)

  • 하오선;신혜원
    • Journal of the Korean Society of Clothing and Textiles
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    • v.25 no.1
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    • pp.71-82
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    • 2001
  • In this study, Internet users were separated into 3 groups(clothing shoppers, clothing non-shoppers, non-shoppers). Shopping behavior of clothing shoppers(those who used the internet channel for clothing shopping) and the attitude to internet clothing shopping were examined. And characteristics of clothing shoppers were compared with characteristics of clothing non-shoppers(those who purchased goods except clothing on internet) and non-shoppers(those who purchased nothing on internet). The reason why clothing non-shoppers and non-shoppers didnt purchase clothing on internet was also investigated. Questionaire was used as method of gathering data. Mean, ANOVA, Duncan-test, t-test and $\chi$$^2$-test were used for data analysis. 1. Clothing shoppers considered carefully design, exchange & refund, quality and price and purchased generally T-shirt, underwear, jeans and sports wear. 2. Clothing shoppers thought clothing in internet shopping malls was not various in item, design, color, size and price. But they were satisfied with shopping convenience. 3. Clothing shoppers were more conscious of the shopping cost compared with clothing non-shoppers and non-shoppers Recreational shopping orientations and fashion leader orientations were low in both groups. Self-confidence in connection with clothing purchase were high in each groups, but that of clothing shoppers were relatively higher than clothing non-shoppers and non-shoppers. 4. The reason why clothing non-shoppers and non-shoppers didnt purchase clothing in internet shopping malls was that they wanted to buy after trying on clothing in a store, didnt believe the quality of clothing, didnt need to purchase clothing in internet shopping malls, and worried about exchange & refund.

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The comparison of clinical changes during maintenance phase after non-surgical or surgical therapy of chronic periodontitis (만성 치주염에서 비외과적 또는 외과적 치주치료 후 유지관리기 동안 임상적 변화의 비교)

  • Kim, Jee-Hyun;Chung, Hyun-Ju
    • Journal of Periodontal and Implant Science
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    • v.36 no.1
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    • pp.69-84
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    • 2006
  • Reports on the comparison of clinical effect between non-surgical and surgical therapy, and the change of the clinical parameters during maintenance phase have been rarely presented in Korea. This study was to observe the clinical changes during maintenance phase of 6 months in patients with chronic periodontitis treated by non-surgical or surgical therapy in Department of Periodontics, Chonnam National University Hospital. Among the systemically healthy and non-smoking patients with moderate to severe chronic periodontitis, twenty eight patients (mean age: 47.5 years) treated by non-surgical therapy (scaling and root planning) and nineteen patients (mean age: 47.3 years) treated by surgical therapy (flap surgery) were included in this study. The periodontal supportive therapy including recall check and oral hygiene reinforcement was started as maintenance phase since 1 month of healing after treatment. Probing depth, gingival recession. clinical attachment level and tooth mobility were recorded at initial, baseline and 1, 2, 3 and 6 month of maintenance phase. The clinical parameters were compared between the non-surgical and surgical therapies using Student t-test and repeated measure ANOVA by initial probing depth and surfaces. Surgical therapy resulted in greater change in clinical parameters than non-surgical therapy. During the maintenance phase of 6 months, the clinical effects after treatment had been changed in different pattern according to initial probing depth and tooth surface. During maintenance phase, probing depth increased more and gingival recession increased less after surgical therapy, compared to non-surgical therapy. The sites of initial probing depth less than 3 mm lost more clinical attachment level, and the sites of initial probing depth more than 7 mm gained clinical attachment level during maintenance phase after non-surgical therapy, compared to surgical therapy. Non-surgical therapy resulted in greater reduction of tooth mobility than surgical therapy during maintenance phase. These results indicate that the clinical effects of non-surgical or surgical therapy may be different and may change during the maintenance phase.

Performance-based Tracing Non-Functional Requirements of Embedded Software (내장형 소프트웨어의 비기능적 요구사항 성능 중심 추적)

  • Choi Jung-A;Chong Ki-Won
    • Journal of KIISE:Software and Applications
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    • v.33 no.7
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    • pp.615-623
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    • 2006
  • A non-functional requirement is a property or quality that the proposed systems have to support the functional requirements. A non-functional requirement is reflected by quality attribute These non-functional requirements playa crucial role during system development, serving as selection criteria for choosing among decisions. It should be continuously considered through the software development process. In spite of the importance of the non-functional requirements, it received little attention because of ambiguousness and invisibility of non-functional requirements. Therefore non-functional model which is a process to analyze the non-functional requirement is proposed for improving the management efficiency of non-functional requirements. Also, this paper presents the trace among the UML diagrams to the conceptual model. According to the non-functional requirement development process, this paper achieved performance-based case study. After then, non-functional requirement should be traced using the UML diagrams.

A Study about Heart Rate Variability(HRV) of Examinees with Dysmenorrhea (월경통을 호소하는 수험생의 Heart Rate Variability(HRV) 특성에 관한 연구)

  • Kim, Eun-Gyung;Lee, Mi-Joo;Hwang, Deok-Sang;Lee, Jin-Moo;Jang, Jun-Bock;Lee, Kyung-Sub;Lee, Chang-Hoon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.4
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    • pp.50-61
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    • 2011
  • Purpose: This study was performed to analyse autonomic nerve function of some examinees with dysmenorrhea by comparing the characteristics of dysmenorrhea patients' Heart Rate Variability(HRV) in examinees group with non-examinees group. Methods: We studied 110 patients visiting OO Korean hospital to take medical treatment for dysmenorrhea from September, 2006 to August, 2010. The subjects were categorized in two groups, 36 examinees and 57 non-examinees controls. We investigated the difference of HRV between two groups by student's T-test using SPSS for Windows(version 12.0). Results: 1. SDNN in examinees group is statistical significantly lower than non-examinees group. RMS-SD in examinees group is lower than non-examinees group non-statistical significantly. Mean PR in examinees group is higher than non-examinees group non-statistical significantly. 2. VLF, ln TP, ln VLF and ln HF are statistically significantly lower than non-examinees group. TP, HF and ln LF are lower than non-examinees group non-statistical significantly. LF is higher than non-examinees group non-statistical significantly. Conclusions: The results suggest that stress is related to especially examinees in dysmenorrhea patients by effecting autonomic nerve function. HRV can be useful to diagnose examinees' dysmenorrhea. The further studies would be needed to study about relation between stress, dysmenorrhea and HRV for settling this.

Perception on the Traditional Korean Medicine According to the Existence of a Chronic Disease

  • Kim, Jihye;Park, Minjung;Sung, Angela Dong-Min;Kim, Kyeong Han;Sung, Soo-Hyun
    • Journal of Pharmacopuncture
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    • v.23 no.4
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    • pp.252-261
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    • 2020
  • Objectives: Chronic diseases (CDs) continue to increase due to advances in medicine and increase in lifespan, affecting quality of life and resulting in economic loss through treatment costs. This study addressed the perception characteristics of the effectiveness of Korean medicine (KM) based on the existence of a CD to determine the national preference for KM treatment. Methods: Using data from the 2017 National Survey of KM Usage, we evaluated the perception on treatment effect of 16 diseases by dividing them into the CD group and the non-CD group. Response reliability was verified by applying the chi-square test (χ2-test) analysis method of the Statistical Package for the Social Sciences (SPSS) statistical program. Results: The analysis of the perception on effectiveness of KM for patients with CD (n = 1,050, 21.0%) and for patients with non-CD (n = 3,950, 79.0%) showed an overall similar trend for all the 16 diseases. The response rates of having some treatment effect were high for nine diseases namely, disc-related disease (CD: 70.7%, non-CD: 73.1%), osteoarthritis (CD: 72.3%, non-CD: 72.4%), frozen shoulder and shoulder pain (CD: 79.6%, non-CD: 81.4%), back pain (CD: 84.6%, non-CD: 85.0%), sprain (CD: 84.8%, non-CD: 84.1%), facial nerve paralysis (CD: 73.5%, non-CD: 71.7%), stroke (CD: 66.2%, non-CD: 62.8%), digestive disease (CD: 53.3%, non-CD: 50.0%), and common cold and rhinitis (CD: 44.7%, non-CD: 44.8%). Conclusion: The present results found that there was little difference in the perception on effectiveness of KM for each of the 16 diseases in patients with CD and non-CD, however, 70% or more of the respondents recognized some treatment effect on musculoskeletal disorders, regardless of the existence of CD. Preferential political support for KM treatment of chronic musculoskeletal disorders is recommended.

Diagnostic performance of stitched and non-stitched cross-sectional cone-beam computed tomography images of a non-displaced fracture of ovine mandibular bone

  • Farzane Ostovarrad;Sadra Masali Markiyeh;Zahra Dalili Kajan
    • Imaging Science in Dentistry
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    • v.53 no.4
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    • pp.375-381
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    • 2023
  • Purpose: This study assessed the diagnostic performance of stitched and non-stitched cross-sectional cone-beam computed tomography (CBCT) images of non-displaced ovine mandibular fractures. Materials and Methods: In this ex vivo study, non-displaced fractures were artificially created in 10 ovine mandibles (20 hemi-mandibles) using a hammer. The control group comprised 8 hemi-mandibles. The non-displaced fracture lines were oblique or vertical, <0.5 mm wide, 10-20 mm long, and only in the buccal or lingual cortex. Fracture lines in the ramus and posterior mandible were created to be at the interface or borders of the 2 stitched images. CBCT images were obtained from the specimens with an 80 mm×80 mm field of view before and after fracture induction. OnDemand software (Cybermed, Seoul, Korea) was used for stitching the CBCT images. Four observers evaluated 56 (28 stitched and 28 non-stitched) images to detect fracture lines. The diagnostic performance of stitched and non-stitched images was assessed by calculating the area under the receiver operating characteristic curve (AUC). Sensitivity and specificity values were also calculated (alpha=0.05). Results: The AUC was calculated to be 0.862 and 0.825 for the stitched and non-stitched images, respectively (P=0.747). The sensitivity and specificity were 90% and 75% for the non-stitched images and 85% and 87% for the stitched images, respectively. The inter-observer reliability was shown by a Fleiss kappa coefficient of 0.79, indicating good agreement. Conclusion: No significant difference was found in the diagnostic performance of stitched and non-stitched cross-sectional CBCT images of non-displaced fractures of the ovine mandible.

Clinical Characteristics and Antibiotic Resistance of Urinary Tract Infections in Children: Escherichia. coli Versus Non-E. coli (소아 요로감염의 원인균주별 임상양상과 항생제 내성률 : 대장균과 비대장균의 비교)

  • Bae, E-Young;Lee, Soo-Young;Jeong, Dae-Chul;Kang, Jin Han
    • Pediatric Infection and Vaccine
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    • v.17 no.2
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    • pp.67-73
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    • 2010
  • Purpose : We aimed to compare the clinical features and antibiotic resistance of urinary tract infection (UTI) caused by pathogens other than E. coli (non-E. coli) with UTI caused by E. coli in children. Methods : We enrolled patients with culture-proven UTI, who were admitted to the study hospital from September 2008 to August 2009. We investigated clinical data of patients with UTI and antibiotic resistance of isolated strains. For comparison, patients were divided according by results of the urine culture into E. coli and non-E. coli UTI groups. Results : A total of 84 patients participated in this study. Twenty one cases (25.0%) were caused by non-E. coli pathogens. Frequency of non-E. coli UTI differed according to age and sex: 'male <6 months', 10.5%; 'male ${\geq}$6 months', 50.0%; 'female <6 months', 43.7%; and 'female ${\geq}$6 months', 25.0% (P=0.014). More patients who received previous antibiotic treatment (P=0.017), but fewer patients who showed hematuria (P=0.014) were included in the non-E. coli UTI group than in the E. coli UTI group. Comparison of antibiotic resistance showed that the non-E. coli UTI group possessed more strains that were resistant to cefazolin, cefotaxime, imipenem, trimethoprim/sulfamethoxazole (TMP/SMZ) and tetracycline than the E. coli UTI group (P<0.05). Conclusion : Increased incidence, different distribution by age and sex, and high antibiotic resistance of non-E. coli UTI should be considered in selection of empirical antibiotics for treatment of UTI in children.