• Title/Summary/Keyword: Protocols

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Current Trends in the Treatment of Ankle Ligament Injuries: Analysis of the Korean Foot and Ankle Society (KFAS) Member Survey (족관절 인대 손상 치료 동향: 대한족부족관절학회 회원 설문조사 분석)

  • Cho, Byung-Ki;Cho, Jaeho;Lee, Myoungjin;Lee, Jun Young;Bae, Su-Young;The Academic Committee of Korean Foot and Ankle Society,
    • Journal of Korean Foot and Ankle Society
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    • v.26 no.1
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    • pp.22-29
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    • 2022
  • Purpose: Despite continuous updates of standard treatment guidelines for acute ankle sprain and chronic ankle instability (CAI), in practice preferred treatment protocols vary widely. Based on a Korean Foot and Ankle Society (KFAS) member survey, this study reports current trends in the management of ankle ligament injuries. Materials and Methods: A web-based questionnaire containing 34 questions was sent to all KFAS members in September 2021. Questions mainly addressed clinical experience and preferences for the diagnosis and treatment of ankle ligament injuries. Answers with a prevalence of ≥50% among respondents were considered to reflect tendencies. Results: Eighty-four of the 550 members (15.3%) responded. Answers that showed a tendency were as follows: commonest additional image study (ultrasound), conservative treatment modality (immobilization, oral medication), frequency of surgical treatment (<5 cases per annum), most important factor when deciding on surgical treatment (activity level, e.g., occupation or sport), and commonest surgical procedure (open ligament repair). Answers that showed a tendency for CAI were as follows: most important symptom (repeated sprain, giving way), radiological factors (talar tilt, osteochondral lesion, anterior talar translation), and patient factors (occupation, sports activities, recurrent instability after surgery, etc.). For decision making regarding surgical treatment and method, the most preferred surgical procedure was the modified Broström procedure, and the most common repair technique was suture anchor technique. The following were considered poor prognostic factors; generalized laxity, failed previous surgery, cavovarus, severe mechanical instability, heavy work, obesity, and dissatisfaction after surgery because of residual pain. Conclusion: This study updates information regarding current trends in the management of ankle ligament injuries in Korea, and reveals consensus opinions and variations in approaches to patients with an acute or chronic injury. The divergence of approaches identified indicates the need for further studies to determine standard guidelines and long-term results.

The Relationship between Serum Vitamin D Levels and Lifestyle Risk Factors in Office Workers (사무직 근로자의 혈청 Vitamin D 수준과 생활습관위험인자와의 연관성)

  • Jin, Young-Yun;Kang, Hyun-Sik
    • 한국체육학회지인문사회과학편
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    • v.54 no.5
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    • pp.727-737
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    • 2015
  • The study investigated the relationship between vitamin D status and lifestyle risk factors in office workers. A total of 515 office workers(336 men and 179 women) aged 30 years or older were voluntarily recruited from S-city. Along with serum vitamin D levels, lifestyle risk factors including obesity index, physical fitness, metabolic risk factors, lipids profile and sedentary behavior were measured using standardized protocols. Subjects were classified as deficiency (<20ng/mL), insufficiency (20-29ng/mL), and sufficiency (≥30ng/mL) based on serum vitamin D levels. Linear contrast analysis using one-way ANOVA showed significant linear decreases in mean body fat (p=.030) and sedentary behavior (p<.001) and significant linear increases in skeletal muscle (p=.037), cardiorespiratory fitness (p<.001) and HDL-C (p=.013) across incremental serum vitamin D levels. Compared with the low cardiorespiratory fitness group, the high cardiorespiratory fitness group had a significantly higher odds ratio (men OR=2.144, p=.042, women OR=1.971, p=.045) for having vitamin D insufficiency or deficiency even adjustment after age. Compared to the shortest sitting time group, the longest sitting time group had a significantly higher odds-ratio in a group of female office workers (OR=1.262, p=.043) for having vitamin D insufficiency or deficiency even adjustment after age. The current findings of the study showed that poor physical fitness and sedentary behavior were the risk factors of low serum vitamin D levels, implying the urgent need for a healthy lifestyle modification along with vitamin D supplementation.

A Test to Compare the Water Resistance Sun Protection Factor of General Water, Artificial Seawater, and Natural Seawater of Sunscreen (자외선 차단제의 일반 물, 인공 해수, 자연 해수의 내수성 차단지수를 비교하기 위한 시험)

  • Hyoung Hoon Hwang;Eun Young Kang;Su Yeong Kim;Hui Jeong Jung;Jun Seong Yang;Won Kyu Hong;Hong Suk Kim
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.49 no.4
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    • pp.349-354
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    • 2023
  • Sunscreen is a product that protects against ultraviolet rays by blocking and scattering ultraviolet rays, and has now become a daily necessity beyond cosmetics. Applying sunscreen is a common and easy way to prevent skin damage caused by ultraviolet rays. Due to its significance, the evaluation of sunscreen has evolved since its regulation by the FDA in 1978, progressing to standardized methods established by ISO. Additionally, to assess the loss of sunscreen due to activities such as water exposure or sweating, the Ministry of Food and Drug Safety in Korea and ISO have established protocols for evaluating the water-resistant sun protection factor (SPF). However, existing evaluations of water resistance have been mainly confined to test methods involving plain water, and methods accounting for the impact of seawater during activities like beach leisure, sports, and recreation are yet to be established. Based on the existing guidelines for testing the water-resistant UV protection index, this study compared the water-resistant UV protection index in water, artificial seawater (salt water) and natural seawater (sea water) to evaluate the UV protection index in real-world situations such as marine leisure, sports, and leisure activities. Through these results, we were able to compare the differences between water resistance sun protection index tests in ordinary water, artificial seawater, and natural seawater, and suggest a method for water resistance sun protection index tests using natural seawater.

The coping and defense features of the North Korean Defectors in the Rorschach test (로샤 검사에 나타난 북한이탈주민의 대처와 방어)

  • Yun Kyeung Choi;Jong Nam Kim;Jung-Min Chae
    • Korean Journal of Culture and Social Issue
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    • v.15 no.4
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    • pp.507-528
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    • 2009
  • Coping and defense are similar psychological mechanisms to reduce stress response, but they are regarded as distinct from each other. Defense involved distortions of reality, but coping was used for strategies associated with accepting the true nature of the situation. The purpose of the present study was to investigate the coping and defense features of the North Korean Defectors in the Rorschach test. The subjects were then categorized into four groups based on their birth place and gender: Male North Korean defectors( N=16), female North Korean defectors(N=28), male South Koreans(N=17), and female South Koreans(N=25). All subjects were individually administered the Rorschach test, and protocols were scored according to the Exner(2003)'s Rorschach Comprehensive systems. Coping or defense-related Rorschach variables were selected for analysis: EA, CDI, Adj D, EB style, Lamda, Zd, X-%, Xu%, W:Dd:D, P, reaction time, and other behavior characteristics during the testing. Compared with other groups, female North Korean defectors were more likely to show poor coping resources(low EA), adjustment difficulties(Adj D), and distortions of reality(high X-%). They also demonstrated more 'don't know' responses and more delayed responses than other groups. These findings suggest that poor coping resources make female North Korean defectors more vulnerable to stress, and psychological intervention such as social skills training may help them settle successfully in south Korea. Limitations of the current study and implications for future research were discussed.

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Improved pregnancy rate and sex ratio in fresh/frozen in vivo derived embryo transfer of Hanwoo (Bos taurus coreanae) cows

  • Jihyun Park;Wonyou Lee;Islam M. Saadeldin;Seonggyu Bang;Sanghoon Lee;Junkoo Yi;Jongki Cho
    • Journal of Animal Science and Technology
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    • v.65 no.4
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    • pp.779-791
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    • 2023
  • This study aimed to assess the effects of embryonic developmental stage, quality grade, and fresh or frozen/thawed conditions on the pregnancy rate and sex ratio of live offspring in Hanwoo (Bos taurus coreanae) cows. The quality and developmental stage of in vivo-derived (IVD) transferred embryos were evaluated using the standard criteria of the International Embryo Technology Society. The recipient cows were synchronized using conventional (estradiol benzoate and progesterone) protocols before embryo transfer. Embryos were transferred to 297 cows, and pregnancy was monitored for 60-70 days after embryo transfer. The pregnancy rates of fresh and frozen/thawed embryos were 56.90% and 52.49%, respectively. Pregnancy rates varied according to embryo quality (56.18% for grade 1 vs. 36.67% for grade 2). Pregnancy rates also varied by developmental stage and cryopreservation (67.86% vs. 63.49% for stage 4-1, 64.00% vs. 54.72% for 5-1, and 50.00% vs. 47.83% for 6-1, in fresh embryos vs. frozen/thawed embryos, respectively). For stage 7-1, the pregnancy rates were 72.73% for fresh embryos and 20.00% for frozen/thawed embryos. In 66 fresh embryos, the sex ratio of live offspring was 5:5, whereas it was 4(female):6(male) for frozen/thawed embryos among the 95 frozen/thawed embryos. The miscarriage rate was approximately 3% higher for frozen/thawed embryos than for fresh embryos (18.1% for fresh vs. 21.1% for frozen). Seasonal fertility rates were 33.3% in spring, 55.67% in summer, 52.8% in autumn, 60.0% in winter. The following male-to-female ratios were observed in different seasons: 6.7:3.3 in spring, 4.0:6.0 in summer, 5.5:4.5 in autumn, and 3.3:6.7 in winter. The current data revealed no significant differences in pregnancy rates between fresh and frozen/thawed IVD embryos. However, there was a lower pregnancy rate with advanced-stage frozen/thawed embryos (stage 7-1). The current study provides comprehensive results for the better optimization of embryo transfer in Hanwoo cattle to obtain the desired fertility rate, pregnancy rate, and sex ratio of calves. These results provide important insights into the factors that influence the viability and success of IVD embryo transfer in Hanwoo cows and may have practical applications for improving breeding programs and reducing production costs.

Effect of artificial aging on mechanical and physical properties of CAD-CAM PMMA resins for occlusal splints

  • Julia Correa Raffaini;Eduardo Jose Soares;Rebeca Franco de Lima Oliveira;Rocio Geng Vivanco;Ayodele Alves Amorim;Ana Lucia Caetano Pereira;Fernanda Carvalho Panzeri Pires-de-Souza
    • The Journal of Advanced Prosthodontics
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    • v.15 no.5
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    • pp.227-237
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    • 2023
  • PURPOSE. This study aimed to assess and compare the color stability, flexural strength (FS), and surface roughness of occlusal splints fabricated from heat-cured acrylic resin, milled polymethyl methacrylate (PMMA)-based resin, and 3D-printed (PMMA) based-resin. MATERIALS AND METHODS. Samples of each type of resin were obtained, and baseline measurements of color and surface roughness were recorded. The specimens were divided into three groups (n = 10) and subjected to distinct aging protocols: thermomechanical cycling (TMC), simulated brushing (SB), and control (without aging). Final assessments of color and surface roughness and three-point bending test (ODM100; Odeme) were conducted, and data were statistically analyzed (2-way ANOVA, Tukey, P <.05). RESULTS. Across all resin types, the most significant increase in surface roughness (Ra) was observed after TMC (P < .05), with the 3D-printed resin exhibiting the lowest Ra (P < .05). After brushing, milled resin displayed the highest Ra (P < .05) and greater color alteration (∆E00) compared to 3D-printed resin. The most substantial ∆E00 was recorded after brushing for all resins, except for heat-cured resin subjected to TMC. Regardless of aging, milled resin exhibited the highest FS (P < .05), except when compared to 3D-printed resin subjected to TMC. Heat-cured resin exposed to TMC demonstrated the lowest FS, different (P < .05) from the control. Under control conditions, milled resin exhibited the highest FS, different (P < .05) from the brushed group. 3D-printed resin subjected to TMC displayed the highest FS (P < .05). CONCLUSION. Among the tested resins, 3D-printed resin demonstrated superior longevity, characterized by minimal surface roughness and color alterations. Aging had a negligible impact on its mechanical properties.

An Effect to the Exposure Index and Entrance Surface Dose according to the Sub-ROI in Chest PA Radiography (흉부 후·전방향 검사 시 보조관심영역의 변화가 노출지수와 입사표면선량에 미치는 영향)

  • Yong-Hui Jang;Ho-Chan An;Han-Yong Kim;Dong-Hwan Kim;Young-Cheol Joo
    • Journal of the Korean Society of Radiology
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    • v.17 no.5
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    • pp.685-691
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    • 2023
  • This study aims to raise awareness of the exposure index according to the Sub-ROI in clinical use by studying the effect of Sub-ROI's change on exposure index and dose during Chest PA examination. In this study, to examine the changes in EI and ESD according to the Sub-ROI setting, the irradiation conditions were set to 120 kVp, 200 mA, 2 mAs, and the SID was fixed to 180cm. Five types of Sub-ROI were used. The average value of EI according to the Sub-ROI's change was 135.58 ± 0.89 in AEC, 100.80 ± 0.80 in VR, 143.43 ± 0.76 in HR, 103.22 ± 0.68 in LS, and 102.79 ± 0.84 in SS. The mean value of ESD was 30.28±0.50 µGy in AEC, 30.16 ± 0.44 µGy in VR, 30.30 ± 0.46 µGy in HR, 30.23 ± 0.46 µGy in LS, and 30.28 ± 0.51 µGy in SS. As a result of this study, based on the AEC mode recommended by the manufacturer, the VR (25.7%), LS (23.9%), and SS (24.2%) modes decreased, and the HR mode increased by 5.7%. However, ESD was not affected by the Sub-ROI's change. Therefore, Sub-ROI may change EI during the Chest PA examination, it is considered that Sub-ROI should be used appropriately when setting protocols in clinical use.

Effect of Medium Composition on in vitro Plant Root Regeneration from Axillary Buds of Cassava (Manihot esculenta Crantz) (카사바 액아배양 시 배지조성이 기내 식물체 발근에 미치는 영향)

  • Young Hee Kwon;Won IL Choi;Hee Kyu Kim;Kyung Ok Kim;Ju Hyoung Kim;Yong Sup Song
    • Proceedings of the Plant Resources Society of Korea Conference
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    • 2021.04a
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    • pp.24-24
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    • 2021
  • The Cassava (Manihot esculenta Crantz) is one of the major food crops in the tropical or subtropical regions. Recently, clean planting materials of improved cassava cultivars are in high demand. Problems in the propagation of cassava are virus vulnerable and low rates of seed germination. Thus, the study was undertaken to develop an efficient in vitro mass propagation protocol of Manihot esculenta Crantz. So we tried to optimize protocols for mass production from axillary buds of Cassava. Young and actively growing stem segments were excised from adult plants of cassava. Samples were cut into a 3~4 cm nodal segments with axillary buds, and cultivated in the different medium supplemented with various plant growth regulators for 4 weeks. For shoot multiplication, axillary buds approximately 1 cm in length were taken from in vitro derived shoots and subcultured. After 4~6 weeks, the shoot generation rate showed 55.6%. The shoot number and its length was 1.0/explant and 2.3 cm in the most favorable medium composition. The auxin β-indolebutyric acid(IBA) 0~2.0 mg/L was proved to be effective on root development. Plantlets with fibrous roots easily generated tuberous roots in vitro. The tuberous roots were induced only when both kinetin and IBA were used in combination. after 8 weeks, the root generation rate showed 100%. The root number and its length was 17.2/explant and 2.2 cm in the most promising medium composition. Our experiments confirmed that in vitro growth and multiplication of plantlets could depend on its reaction to the different medium composition, and this micropropagation techniques could be a useful system for healthy and vigorous plant production.

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Feasibility Study of Developing Ship Engineering Control System based on DDS Middle-ware (DDS 미들웨어 기반의 선박 통합기관감시제어체계 개발 가능성 연구)

  • Seongwon Oh
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.29 no.6
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    • pp.653-658
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    • 2023
  • In systems like the combat management system of a naval ship or smart city of civilians, where many sensors and actuators are connected, the middle-ware DDS (Data Distribution Service) is mainly used to transmit large amounts of data. It is scalable and can effectively respond to the increase in sensors or equipment connected to the system in the future. The engineering control system (ECS), which plays an important role similar to the combat management system of a naval ship, still uses Server-Client model with industrial protocols such as Modbus and CAN (Controller Area Network) bus, to transmit data, which is unfavorable in terms of scalability. However, as automation and unmanned systems advance, more sensors and actuators are expected to be added, necessitating substantial program modification. DDS can effectively address such situations. The purpose of this study is to confirm the development possibility of an integrated monitoring and control system of a ship by using OpenDDS, which follows the OMG (Object Management Group) standard among the middle-ware DDS used in the combat management system. To achieve this goal, field equipment simulators and an ECS server were configured to perform field equipment data input/output and simulation using DDS was performed. The ECS prototype successfully handled data transmission, confirming that DDS is capable of serving as the middle-ware for the ECS of a ship.

Pigments in the Letters of Hanging Boards of the Joseon Royal Court and Reproduction Experiments (조선왕실 현판 글자의 금색 안료와 재현 실험 연구)

  • LEE Hyeyoun;LEE Minhye;LEE Heeseung
    • Korean Journal of Heritage: History & Science
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    • v.56 no.3
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    • pp.118-135
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    • 2023
  • Hanging boards of the Joseon royal court are hung on buildings related to the royal family, such as palaces and Jongmyo Shrine, to show the hierarchy and character of the building. In addition, the manufacturing method and materials are recorded in the royal protocols of the Joseon Dynasty, so it is an important material for studying the manufacturing method and material changes at that time. However, the hanging boards were restored several times due to fire or war, and it is presumed that there is a change in the original form and material of the hanging boards. In particular, many hanging boards of the Joseon royal court were written with calligraphy by kings, so there are many forms consisting of gold letters on a black background. This study tried to analyze the pigments remaining in the letters of 44 of the Joseon royal hanging boards, which are presumed to be gold letters, and to find out the changes in the hanging board production method and materials by referring to the analysis results. The letters of the hanging boards studied were classified according to the current state of the gold pigment and the detected components. As a result of the analysis of character pigments, 24 embossing techniques and 5 intaglio techniques were mainly detected with gold (Au), but 15 embossing techniques were detected with brass (Cu, Zn). Only blue-green substances, not gold pigments, remain in some of the hanging boards in which brass components were detected. A reproduction experiment was conducted because the pigments of the brass component were not recorded in the literature and were not currently used as Dancheong pigments. In the reproduction experiment, it was difficult to confirm the application and use of brass pigments due to the limitations of materials, but it is judged that research on the timing and method of using brass pigments is needed in the future.