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The Analysis of MMPI and Clinical Study for Somatization Disorder and Depressive Disorder Patients (우울증성 장애 및 신체형 장애 환자에 대한 MMPI분석과 임상고찰)

  • Choe, Byeong-Man;Jung, In-Chul;Lee, Sang-Ryong;Park, Ji-Un
    • Journal of Oriental Neuropsychiatry
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    • v.13 no.2
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    • pp.41-56
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    • 2002
  • The Analysis of MMPI and Clinical Study was carried out the 28 patients with somatoform disorder and depressive disorder who were treated in Daejeon University Oriental Hospital from 19 June 2001 to 17 April 2002. The results were summarized as follows. 1. The ratio of female was higher, especially in the depressive disorder, the ratio of female was higher and in the age distribution, the 40 aged were higher frequence. 2. In the somatoform disorder, symptoms appeared to be busy in physical symptoms, and they were in descending order the digestive organs system, head and face portion and musculoskeletal system symptoms, in the depressive disorder, appeared to be busy in psychosomatic system symptoms and in the prescription drugs, soyosan(逍遙散), punsimkiyyin(分心氣飮) were used to be busy. 3. In the scales of L, F, K, somatoform disorder showed ${\wedge}$ typed graph, and depressive disorder showed ${\vee}$ typed graph. 4. In the somatoform disorder, scales of Hs, Hy, D, Pa were higher, and in the depressive disorder, scales of Hy, Hs, Pd, D were higher. 5. In the scales of Hs, D, Hy, somatoform disorder showed ${\vee}$ typed graph, and depressive disorder showed/typed graph. 6. the average of T-scores and the ratio over 65 score and 70 score showed common distribution.

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Transient Inferior Subluxation of the Shoulder (견관절의 일과성 하방 아탈구)

  • Tae Suk-Kee;Jung Young Bok;Park Keun-Hyung;Song Kwang-Sup
    • Clinics in Shoulder and Elbow
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    • v.1 no.2
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    • pp.167-174
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    • 1998
  • Since the first description by Cotton, there have been sporadic reports about the inferior subluxation of the shoulder. Nevertheless there is still a lack of consensus regarding the mechanism of occurrence, evolution and treatment. We have experienced six cases of inferior sublusation(five cases after trauma and one case after surgery) which resolved over time. Analysis of the clinical informations including serial radiographs, data from clinical examination and electromyography(EMG) revealed the following results. All the five post-traumatic inferior subluxations were noted in women with an average age of 59 years after direct trauma resulting in fracture of the proxiaml hrnerus(4) or clavicle(1), of which nerve injury was proven by EMG in three. One case occurred after Bankart repair by stretch injury to the axillary nerve. The presenting symptom was unusually severe pain on passive motion. Absence of anterior or posterior displacement wasl confirmed by radiographs. All the cases seemed to have delayed onset of subluxation except one. The subluxed hu.meral head was concentrically reduced at an average 11 weeks(range 3-23 weeks) from the supposed time of occurrence and the acromiohumeral interval measUred on the standing anteroposterior radiographs decreased to 9.4 mm ftom 23 mm. Improvement of pain paralled the reduction. In conclusion, the most common cause of transient inferior subluxation was nerve injury in ou~ series and the prognosis was excellent, however protraction of recovery or leaving permanent subluxation would be possible if .the injured nerve is unrecoverable.

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Efficient Determination of Iteration Number for Algebraic Reconstruction Technique in CT (CT의 대수적재구성기법에서 효율적인 반복 횟수 결정)

  • Joon-Min, Gil;Kwon Su, Chon
    • Journal of the Korean Society of Radiology
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    • v.17 no.1
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    • pp.141-148
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    • 2023
  • The algebraic reconstruction technique is one of the reconstruction methods in CT and shows good image quality against noise-dominant conditions. The number of iteration is one of the key factors determining the execution time for the algebraic reconstruction technique. However, there are some rules for determining the number of iterations that result in more than a few hundred iterations. Thus, the rules are difficult to apply in practice. In this study, we proposed a method to determine the number of iterations for practical applications. The reconstructed image quality shows slow convergence as the number of iterations increases. Image quality 𝜖 < 0.001 was used to determine the optimal number of iteration. The Shepp-Logan head phantom was used to obtain noise-free projection and projections with noise for 360, 720, and 1440 views were obtained using Geant4 Monte Carlo simulation that has the same geometry dimension as a clinic CT system. Images reconstructed by around 10 iterations within the stop condition showed good quality. The method for determining the iteration number is an efficient way of replacing the best image-quality-based method, which brings over a few hundred iterations.

The Survey of Activities and Fear of Falling in the Community Dwelling Elderly (지역사회 재가 노인들의 낙상공포에 관한 연구)

  • Sohng Kyeong Yae;Moon Jung Soon;Kang Sung Sil;Choi Jung Hyun
    • Journal of Korean Public Health Nursing
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    • v.15 no.2
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    • pp.324-333
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    • 2001
  • The purpose of this cross-sectional study was to explore fear of falling in relation to activity restriction of in the community dwelling elderly. Two hundred ninety-nine community dwelling elderly residing in Seoul and Kyonggi-do were interviewed using a structured questionnaire. The results were as follows : 1. Subjects were predominantly women$(70.6\%)$, an average 72.5 years old; the incidence of falls in last one year was $45.5\%$. 2. The highest level of fear found for activity in those who say they do engage and those who do not engage in the activity was 'going out when it is slippery '(m=2.53, 2.81) and 'reach for something over your head'(m=1.66, 2.60). Fear of falling scores were significant lower for those who say they do engage in eight kinds of activities (excluded activities of given were 'go to the store', 'take a tub bath', 'get out of bed') than for those who do not engage in the activities. 3. Among those who did not perform the activity, the three activities, when it is slippy(n=80), reaching overhead(n=70), and walk outside(n=59),were most often avoided because fear alone as well as for reasons in addition to fear. 4. The significant variables associated with fear of falling were female(p=0.0000), 1 educational status(p=0.000l), poor economic condition(p=0.0007), and experience of falls in last one year(p=0.0007). Fear of falling is common in the community dwelling elderly in Korea and is associated with several demographical variables. Therefore, to prevent falls and to reduce fear of falling, further study for development of education program for the elderly is needed.

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Molecular environments of a Planck Cold Clump: G108.8-00.8

  • Kim, Jungha;Lee, Jeong-Eun;Liu, Tie;Kim, Kee-Tae;Menten, Karl;Wu, Yuefang;Thompson, Mark;Yuan, Sheng
    • The Bulletin of The Korean Astronomical Society
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    • v.40 no.2
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    • pp.53.2-53.2
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    • 2015
  • We present preliminary results from a series of observations toward G108.8-00.8, which is one of Planck Cold Clumps and a promising candidate of massive prestellar cores. In the integrated intensity map of SCUBA 850 micron dust continuum emission, highly fragmented structures appear. These are distributed along one long filamentary structure seen in the CO 1-0 and 13CO 1-0 integrated intensity maps obtained with the PMO 13.7 m telescope. The northern part of the filament is divided into two parts, as seen in the CO 2-1, 13CO 2-1, and C18O 2-1 integrated intensity maps obtained with the CSO 10 m telescope. The observations of HCO+ 1-0, N2H+ 1-0, and HCN 1-0 with the IRAM 30 m telescope focus on the northern part of the CSO maps, which show a head-tail structure. NH3 (1,1) also shows similar distribution with IRAM maps. The depletion factors, derived by the comparison between the dust continuum and C18O 2-1 emission, varies from 1.5 to 6 over the region, suggesting different evolutionary status of each component. To study the chemical and physical environments of G108.8-00.8, more detailed analysis is in progress.

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The Effect of the Weight of a Backpack on Craniovertebral Angle and Neck Muscle Activities on Some University Students (백팩 무게가 일부 대학생의 머리척추각과 목 근활성도에 미치는 영향)

  • Park, Cheon-jun;An, Duk-hyun
    • Physical Therapy Korea
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    • v.27 no.1
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    • pp.45-52
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    • 2020
  • Background: A backpack is available equipment for moving some objects. Most studies have found that the appropriate weight limit of backpack for students is between 10% to 15% of their body weight (BW). However, Some students should carry a backpack heavier than 15% of BW. Therefore, It is associated with abnormal shoulder and neck posture on students. Objects: This study tested the effects that various amounts of weight carried by university students in their backpacks had on their cervical posture and electromyography of neck muscle. Methods: The subjects consisted of 12 students (6 male, 6 female) in university. There were three loading conditions tested: no backpack, a backpack that weighed 10% and 15% of the student's BW. The dependent variables were the craniovertebral angle (tragus to C7) and the neck muscle activities (sternocleidomastoid, upper trapezius). All 12 subjects were asked to walk while wearing a backpack for 5 minutes and were then instructed to rest for 2 minutes. Results: When assessing the craniovertebral angle, the results of this study were significantly decreased in the order of 0%, 10%, and 15%. And then, there were significantly increased electromyography of neck muscles that comparison of the weight of 10% and 15% on 0%. It was found that as the weight of the backpack increased, the craniovertebral angle decreased (p < 0.05) and the muscle activities increased (upper trapezius p = 0.012, sternocleidomastoid p = 0.013). Conclusion: Our study recommended that some students shouldn't carry on over the 15% backpack of own weight, and also they should distribute backpack load to equal on body for optimal posture.

Clinical Evaluation of Chest Trauma (흉부 손상의 임상적 고찰)

  • 김용한
    • Journal of Chest Surgery
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    • v.25 no.9
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    • pp.968-975
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    • 1992
  • A clinical analysis was performed on 404 cases of the chest trauma who were admitted and treated at department of thoracic and cardiovascular surgery, Chung Ang University, Yong San Hospital during the past 8 years from July 1984 to April 1992. The results were as follows. 1. The sex ratio was 3: 1 with male predominence. 2. The common age groups were 3rd, 4th, 5th and 6th decades. 3. The most common chief complaint was chest pain[58.2%]. 4. Of 404 cases of chest trauma, 50 cases were resulted from penetrating injuries whereas 354 cases were from non penetrating injuries. The most common cause of the non penetrating injuries was traffic accident[234/354, 66.1%] and of the penetrating injuries were stab wound[47/50, 94%]. 5. The left thorax was the preferred site of chest trauma. 6. The range of hospital stay was from less than 1 week to over 6 weeks and the average duration was about 2 weeks. 7. The common chest trauma was rib fracture[51.6%] and others were simple contusion [18.8%], hemothorax[14.6%], hemopneumothorax[14.9%] and pneumothorax[8.7i]. The rib fracture was prevalent between 4th to 9th rib laterally. 8. There were 92 cases of associated injuries which were bone fracture[66/92, 71.7%], head injury[17/92, 18.5%] and abdominal injury[9/92, 9.8%]. 9. The methods of treatment were conservative management[58.6%], closed tho-racostomy[23.3%], open thoracotomy[3.4%] and others. 10. There were 28 cases[6.9%] of complication, such as pneumonia, atelectasis, emp-yema, respiratory failure and others. 11. The overall mortality was 2.5%[10 cases] and causes of death were hypovolemic shock, acute renal failure, adult respiratory distress syndrome, sepsis and multiple organ failure.

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A Survey on Head Nurses' Perceptions and Performances on Staff Evaluation (수간호사가 활용하는 근무성적 평정에 관한 조사연구)

  • Kim, So-In
    • Journal of Korean Academy of Nursing Administration
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    • v.1 no.1
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    • pp.35-45
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    • 1995
  • This study was designed and carried out to identify the methodologies of the staff evaluation used by the headnurses and their perception on the purpose of the evaluations, and to measure the degree and type of perceived purpose and the degree of implementation of staff evaluation principles into preactice. A hundred and eleven from four general hospitals with 600 beds and over were conveniently sampled. Data were gathered from August 20, through September 10, 1994 ; demographic data of respondents and 'methodologies used for staff evaluation' by questionaires, level of 'perceived purposes of staff evaluation' and level of implementation of the 'principles of staff evaluation into practice' by Likert-type rating scales developed by the researcher. Raw and percentile scores and means were calculated and data were processed further by t-tests and ANOVA. Results are as follows ; 1. Traditional methodlogies : checklists(90.1%) and ranking methods(45.9%) revealed to be the two mostly prefered and used methods. 2. Of the 20 item-descriptions of the 'purpose of staff evaluation': 10 'control, evaluative' and 10 'non-control, developmental' the first(mean=3.19) to the ninth(mean=2.74) in rank order revealed to be the 'control, evaluative purpose', while the tenth in rank order revealed to be the first among the 'non-control, evaluative' item(mean-1.57). 3. Level of purpose of staff evaluation perceived as 'control ; evaluative'(mean=43.76, S.D.=5.01) revealed to be significantly(t=-3.86, p<.05) highter than 'non-control ; developmental'(mean=40.65, S.D.=3.41). 4. Level of implementation of 'staff evaluation principle into practice' revealed to be moderately high(mean=2.40).

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A Study on Changes in Biomechanical Characteristics of the Foot with Respect to Wedge-type Insole Thickness (키높이 인솔두께에 따른 족부의 생체역학적 특성변화에 대한 연구)

  • Park, T.H.;Jung, T.G.;Han, D.W.;Lee, Sung-Jae
    • Journal of Biomedical Engineering Research
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    • v.34 no.2
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    • pp.80-90
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    • 2013
  • Recently, functional insoles of wedge-type it is for the young to raise their height inserted between insole and heel cause foot pain and disease. Additionally, these have a problem with stability and excessively load-bearing during gait like high-heel shoes. In this study, we compared the changes in biomechanical characteristics of foot with different insole thickness then we will utilize for the development of the insole with the purpose of relieving the pain and disease. Subjects(male, n = 6) measured COP(center of pressure) and PCP(peak contact pressure) on the treadmill(140cm/s) using F-scan system and different insole thickness(0~50 mm) between sole and plantar surface during gait. Also, we computed changes of stresses at the foot using finite element model with various insole thickness during toe-off phase. COP moved anterior and medial direction and, PCP was increased at medial forefoot surface, $1^{st}$ and $2^{nd}$ metatarsophalangeal, ($9%{\uparrow}$) with thicker insoles and it was show sensitive increment as the insole thickness was increased from 40 mm to 50 mm. Change of the stress at the soft-tissue of plantar surface, $1^{st}$ metatarsal head represents rapid growth($36%{\uparrow}$). Also, lateral moments were increased over the 100% near the $1^{st}$ metatarsal as the insole thickness was increased from 0 mm to 30 mm. And it is show sensitive increment as the insole thickness changed 10 mm to 20 mm. As a result, it was expected that use of excessively thick insoles might cause unwanted foot pain at the forefoot region. Therefore, insole thickness under 30 mm was selected.

Development and Validation of the Expectations of Aesthetic Rhinoplasty Scale

  • Naraghi, Mohsen;Atari, Mohammad
    • Archives of Plastic Surgery
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    • v.43 no.4
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    • pp.365-370
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    • 2016
  • Background There is a growing concern in the field of aesthetic surgery about the need to measure patients' expectations preoperatively. The present study was designed to develop and validate the Expectations of Aesthetic Rhinoplasty Scale (EARS), and to compare expectations between rhinoplasty patients with and without body dysmorphic disorder (BDD). Methods In total, 162 college students and 20 rhinoplasty candidates were recruited. The measures included the newly developed EARS, a measure of psychopathology, and demographics. The DSM-IV structured clinical interview for BDD was used to confirm the diagnosis in rhinoplasty patients. Results The EARS was constructed of six items based on their significant content validity. In the scale development phase, Cronbach's alpha was 0.87. The test-retest reliability coefficient of the scale was satisfactory (intraclass correlation coefficient, 0.94; 95% confidence interval, 0.82-0.98) over a four-week period. Scores on the EARS were significantly positively correlated with psychopathological symptoms (r=0.16; P<0.05). Moreover, comparison of EARS scores between BDD (M=25.90, standard deviation [SD]=6.91) and non-BDD rhinoplastic patients (M=15.70, SD=5.27) suggested that BDD patients held significantly higher expectations (P<0.01). Conclusions The expectations of aesthetic rhinoplasty patients toward surgery may play a crucial role in their postoperative satisfaction. While the value of patients' expectations is clinically recognized, no empirical study has measured these expectations in a psychometrically sound manner. The current study developed and validated the EARS. It may be easily used as a valid and reliable instrument in clinical and research settings.