• The Korean Journal of Pain
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• 제26권4호
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• pp.368-373
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• 2013

Background: Bertolotti's syndrome (BS), a form of lumbago in lumbosacral transitional vertebrae, is an important cause of low back pain in young patients. The purpose of this study was to assess the etiology of low back pain and the efficacy of treatment offered to patients with BS. Methods: All patients of BS Castellvi type1a during a period of 6 months were enrolled in the study. The patients underwent interventional pain procedures for diagnosis and pain relief. Response to the therapy was assessed based on VAS and ODI scores. A 50% decrease in VAS score or a VAS score less than 3 would be considered adequate pain relief. Results: All 20 patients diagnosed with BS during the 6-month observation period had scoliosis. Common causes of back pain were the ipsilateral L5-S1 facet joint, neoarticulation, the SI joint, and disc degeneration. Responses to various interventions for pain relief were different and inconsistent from patient to patient. In particular, responses to interventions for neoarticular pain were generally poor. Conclusions: Pain in patients with BS does not usually respond to interventional pain treatment. A very dynamic treatment approach must be pursued while managing BS patients, and the treatment plan must be individualized at various stages in order to obtain satisfactory pain relief.

• 대한간호학회지
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• 제43권2호
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• pp.247-255
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• 2013

Purpose: This study was done to evaluate the effects of 3 times/week and 5 times/week abdominal meridian massage with aroma oils (AMMAO) on the relief of constipation among hospitalized children with disabilities involving the brain lesions (cerebral palsy, epilepsy, and others). Methods: The participants were 33 hospitalized children with a disability involving the brain (15 were in the 5 times/week of AMMAO group and 18 were in the 3 times/week of AMMAO group). Data were collected from March 21 to May 1, 2011. Chi-square test, t-test, and repeated measures ANOVA with SPSS 18.0 were used to evaluate the effects of AMMAO. Results: While there was no significant difference between the two groups, there was a significant difference within groups between baseline and the end of the intervention period for the following, frequency of suppository use or enemas, amount of stool, and number of bowel movements. Conclusion: The results of this study indicate that AMMAO is an effective nursing intervention in relief of constipation for hospitalized children with a disability involving the brain. Therefore it is recommended that AMMAO be used in clinical practice as an effective nursing intervention for relief of constipation to these children.

• The Korean Journal of Pain
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• 제23권4호
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• pp.254-257
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• 2010

Background: Epidural steroid injection is an established treatment modality for intervertebral disc prolapse to radiculopathy. In cases where two levels of radiculopathy are present, two separate injections are warranted. Herein, we present our experience of management of such cases with a single epidural injection of local anaesthetic, tramadol and methylprednisolone, and table tilt for management of both radiculopathies. Methods: 50 patients of either sex aged between 35-65 years presenting with features of cervical and lumbar radiculopathic pain were included and were subjected to single lumbar epidural injection of local anaesthetic, tramadol and methylprednisolone, in the lateral position. The table was then tilted in the trendelberg position with a tilt of 25 degrees, and patients were maintained for 10 minuted before being turned supine. All patients were administered 3 such injections with an interval of 2 weeks between subsequent injections, and pain relief was assessed with a visual analogue scale. Immediate complications after the block were assessed. Results: Immediate and post procedural complications observed were nausea and vomiting (20%), painful injection site (4%), hypotension (10%) and high block (4%). Pain relief was assessed after the three injections by three grades: 37 (74%) had complete resolution of symptoms; 18% had partial relief and 8% did not benefit from the procedure. Conclusions: This technique may be used as an alternative technique for pain relief in patients with unilateral cervical and lumbar radiculopathies.

• 응용통계연구
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• 제34권2호
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• pp.153-166
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• 2021

약물유전체학 연구의 주요 목표는 고차원의 유전 변수를 기반으로 개인의 약물 반응성을 예측하는 것이다. 변수의 개수가 많기 때문에 변수의 개수를 줄이기 위해서는 변수 선택이 필요하며, 선택된 변수들은 머신러닝 알고리즘을 사용하여 예측 모델을 구축하는데 사용된다. 본 연구에서는 400명의 뇌전증 환자의 차세대 염기서열 분석 데이터에 로지스틱 회귀, ReliefF, TurF, 랜덤 포레스트, LASSO의 조합과 같은 여러 가지 혼합 변수 선택 방법을 적용하였다. 선택된 변수들에 랜덤포레스트, 그래디언트 부스팅, 서포트벡터머신을 포함한 머신러닝 방법들을 적용했고 스태킹을 통해 앙상블 모형을 구축하였다. 본 연구의 결과는 랜덤포레스트와 ReliefF의 혼합 변수 선택 방법을 이용한 스태킹 모형이 다른 모형보다 더 좋은 성능을 보인다는 것을 보여주었다. 5-폴드 교차 검증을 기반으로 하여 적합한 최적 모형의 평균 검증 정확도는 0.727이고 평균 검증 AUC 값은 0.761로 나타났다. 또한, 동일한 변수를 사용할 때 스태킹 모델이 단일 머신러닝 예측 모델보다 성능이 우수한 것으로 나타났다.

• 대한의용생체공학회:의공학회지
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• 제42권5호
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• pp.211-224
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• 2021

Purpose: The purpose of this study is to present a way to alleviate motion sickness(MS) by stimulating acupoint through PEMFs, and to assess the effectiveness of PEMFs against stimulation previously used to stimulate acupoint using biosignal evaluations and surveys. Materials and Methods: Thirteen healthy men participated in the experiment. MS was induced in the participants, and MS relief stimulation was applied for 30 minutes. There were 4 types of MS relief stimulation, and Sham, Reliefband, Transcutaneous electrical nerve stimulation(TENS), and Pulsed electromagnetic fields stimulation(PEMFs) were used. The biosignals were measured during 30 minutes of applying MS relief stimulation, and the symptoms of MS were evaluated through a questionnaire survey. The measured biosignals are Electrocardiogram(ECG), Electrodermal activity(EDA), Respiration, Skin temperature(SKT), and Electrogastrogram(EGG). A one-way ANOVA test was performed for the rate of change by stimulation for MS relief over time. Results: Participants who were stimulated had a sharp decrease in MS symptoms. Biosignals were analyzed to evaluate autonomic nervous system activity, and the parasympathetic nervous system could be activated through stimulation. Conclusion: TENS and PEMFs were more effective in relieving MS symptoms than Reliefband. It is believed that PEMFs will be effective in consideration of the comfort of participants to be applied to actual vehicles, and studies to further verify the effects of PEMFs on MS should be conducted.

• 한국재난정보학회 논문집
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• 제18권4호
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• pp.729-745
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• 2022

연구목적: 본 논문은 방사선비상계획구역 내 거주하는 주민의 방사능재난 발생시 대피방법과 대피시설 등에 대한 인식 현황 기초자료를 수집하는 것이다. 연구방법: 무작위표집으로 표집된 방사선비상계획구역 주민을 대상으로 구조화된 설문지를 이용하여 1:1 면접조사를 실시하였으며 미니탭 프로그램을 이용하여 통계분석 하였다. 연구결과: 조사대상자들은 첫째, 방사능재난에 대한 지자체 업무에 관해 비교적 낮으면서 부정적인 인지도를 나타냈다. 둘째, 주민안전교육 측면에서는 교육 경험이 적으나 필요하다고 느끼며 주민대피방법과 행동요령, 구호소 위치 등에 대한 교육을 원하였다. 셋째, 방사능재난 관련 구호소는 위치를 잘 모르고 있고 안내를 받은 적이 없으며 구호소 이용시 가족과 함께하겠다는 응답이 많았다. 구호소 시설에 대해서는 대체로 만족도가 낮은 편이었다. 넷째, 방사능재난에 대비하여 필요한 우선순위는 방사능재난에 대한 교육과 훈련, 시설 보완, 방호약품 보급 등을 지적하였다. 결론: 본 연구에서 원전 주변 지역 주민은 방사능재난 발생에 대비하여 정부나 지자체의 정책과 업무 내용을 비교적 부정적으로 인식하고 만족도는 낮았다. 우선순위로 지적한 사항에 대해 정부와 지자체는 방사능재난에 대한 정확한 정보와 정책 내용을 주민에게 홍보하고 교육해야 한다.

• Journal of Korean Neurosurgical Society
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• 제48권3호
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• pp.240-243
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• 2010

Objective : Radiofrequency (RF) medial branch neurotomy is an effective management of lumbar facet syndrome. However, pain may recur after period of time. When pain recurs, it can be repeated, but the successful outcome and duration of relief from repeated procedures are not clearly known. The objective of this study was to determine the success rate and duration of pain relief from repeated radiofrequency medial branch neurotomy for lumbar facet syndrome. Methods : A retrospective review of medical records was done on 60 consecutive patients, from March of 2006 to February of 2009, who had an initial successful RF neurotomy but subsequently underwent repeated procedures due to recurrence of pain. All procedures were done in carefully selected patients after at least two responsive medial branch nerve blocks. C-arm fluoroscopic guide, impedance, sensory and motor threshold monitoring tools were used for the precise placement of electrodes. Responses of repeated procedures were compared with initial radiofrequency neurotomy for success rates and duration of pain relief. Results : There were 48 females and 12 males. Mean age was 52.4 years (range, 26-83). RF medial branch neurotomy was done on one side in 38 and both sides in 22 patients, each covering at least three segments. Average visual analog scale at last procedure was 6.8. Twelve patients had previous lumbar operations, including 4 patients with instrumentations. Fifty-five patients had two procedures and five patients had three procedures. Mean duration of successful pain relief (> 50% of previous pain for at least 3 months period) after initial radiofrequency neurotomy was 10.9 months (range, 3-28) in 51 (85%) patients. From repeated procedures, successful pain relief was seen in 50 (91%) patients with average duration of 10.2 months (range, 3-24). Five patients had third procedure, which was successful in 4 (80%) patients with mean duration of 9.8 months (range, 5-16). This was not statistically different from initial results. There were no permanent neurological complications from the procedures. Conclusion : Results of this study indicate that the frequency of success and durations of relief from repeated RF medial branch neurotomy for lumbar facet syndrome are similar to initial results that provided relatively prolonged period of pain relief without major side effects Each procedure seems to provide successful pain relief for about 10 months in more than 85% of carefully selected patients when properly done.

• 한국환경복원기술학회지
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• 제17권5호
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• pp.19-28
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• 2014

Given the structure of Korean mountains, it is more appropriate to apply the relative elevation method than the absolute elevation method. However, so far there were not suitable quantitative methodologies to analyze relative elevation, these analytical concepts were difficult to be utilized in urban environmental planning. This study suggested three methods for analyzing relative elevation, and one method for setting the analytical scope of relative elevation by calculating terrain relief. The results showed that the procedure considering 500m radius of each point and standardizing to 30% of the 7th height ridge was the most effective method to extract the local topography. This methodology is the quantitative tool to be able to conserve local important hills and ridges, and apply to fields of urban environmental planning and ecological restoration, especially urban ecological network.

• 제어로봇시스템학회논문지
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• 제8권11호
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• pp.935-940
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• 2002

For robot navigation and visual reconstruction, structure from motion (SFM) is an active issue in computer vision community and its properties arc also becoming well understood. In this paper, when using stereo image sequence and direct method as a tool for SFM, we present a new method for overcoming bas-relief ambiguity. We first show that the direct methods, based on optical flow constraint equation, are also intrinsically exposed to such ambiguity although they introduce robust methods. Therefore, regarding the motion and depth estimation by the robust and direct method as approximated ones. we suggest a method that refines both stereo displacement and motion displacement with sub-pixel accuracy, which is the central process f3r improving its ambiguity. Experiments with real image sequences have been executed and we show that the proposed algorithm has improved the estimation accuracy.

• Journal of Korean Neurosurgical Society
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• 제29권5호
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• pp.615-622
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• 2000

Objective : Percutaneous vertebroplasty is an effective and minimally invasive procedure consisting of the injection of a PMMA(polymethyl methacrylate) into the vertebral body compression fracture with osteoporosis. Matherials and Methods : Twenty-eight procedures were performed for vertebral body compression fractures with osteoporosis in 25 patients(22 women, 3 men). The mean age was 65.9 years old. The inclusion criteria for percutaneous vertebroplasty were 1) acute vertebral body compression fracture with osteoporosis, 2) expected high operative morbidity in old age, 3) no neurologic deficits, 4) no or minimal canal enchroachment, 5) patient refusal of invasive surgery. All patients underwent MR images before the procedure. Under local anesthesia, after the percutaneous needle puncture of the involved vertebra via a transpedicular approach and venography using the water soluble contrast material, PMMA injection was introduced into the fractured vertebral body. Results : The procedure was technically successful in all patients. All patients experienced excellent pain relief (complete pain relief ; 10, marked pain relief ; 14). One patient experienced marked pain relief, however, the patient died during the follow-up period due to stomach cancer. There were twelve paravertebral tissue leaks, twelve paravertebral venous plexus leaks, four epidural leaks and one intradiskal leak, but no clinically significant complications occurred in all patients. Conclusion : Percutaneous vertebraoplasty is a valuable procedure in the treatment of vertebral body compression fracture with osteoporosis, providing immediate pain relief and early mobilization. MRI is the most reliable diagnostic tool for identifying painful fractured vertebral body.