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An objective assessment of the impact of tendon retraction on sleep efficiency in patients with full-thickness rotator cuff tears: a prospective cohort study

  • Ashley E. MacConnell;William Davis;Rebecca Burr;Andrew Schneider;Lara R Dugas;Cara Joyce;Dane H. Salazar;Nickolas G. Garbis
    • Clinics in Shoulder and Elbow
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    • v.26 no.2
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    • pp.169-174
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    • 2023
  • Background: Sleep quality, quantity, and efficiency have all been demonstrated to be adversely affected by rotator cuff pathology. Previous measures of assessing the impact of rotator cuff pathology on sleep have been largely subjective in nature. This study was undertaken to objectively analyze this relationship through the use of activity monitors. Methods: Patients with full-thickness rotator cuff tears at a single institution were prospectively enrolled between 2018 and 2020. Waist-worn accelerometers were provided for the patients to use each night for 14 days. Sleep efficiency was calculated using the ratio of the time spent sleeping to the total amount of time that was spent in bed. Retraction of the rotator cuff tear was classified using the Patte staging system. Results: This study included 36 patients: 18 with Patte stage 1 disease, 14 with Patte stage 2 disease, and 4 patients with Patte stage 3 disease. During the study, 25 participants wore the monitor on multiple nights, and ultimately their data was used for the analysis. No difference in the median sleep efficiency was appreciated amongst these groups (P>0.1), with each cohort of patients demonstrating a generally high sleep efficiency. Conclusions: The severity of retraction of the rotator cuff tear did not appear to correlate with changes in sleep efficiency for patients (P>0.1). These findings can better inform providers on how to counsel their patients who present with complaints of poor sleep in the setting of full-thickness rotator cuff tears.

New Record of the Brassy Trevally, Caranx papuensis (Carangidae, Perciformes) in Jeju Island of Korea (한국 제주 연안에서 채집된 전갱이과(Carangdiae) 어류, Caranx papuensis의 첫 기록)

  • Hyeon-Jeong Kim;Do-Hyun Oh;Jin-Koo Kim
    • Korean Journal of Ichthyology
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    • v.36 no.2
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    • pp.199-206
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    • 2024
  • A single specimen belonging to the family Carangidae was first collected by angling in Seogwi-dong, Seogwipo-si, Jeju-do on 16 October 2023. This individual was identified as Caranx papuensis Alleyne & MacLeay based on morphological traits as following: lateral line gently curving below the first dorsal fin, presence of scaleless area on the thorax, and gill rakers 26. A total of 619 base pairs sequences of the mitochondrial DNA cytochrome c oxidase subunit I region was analyzed, and we found it closely matched to the Japanese C. papuensis (K2P distance=0.54%). We propose its new Korean name "Hwang-jul-jeon-gang-i" based on a yellow band along the lateral line.

PRELIMINARY STUDY OF MENTAL REPRESENTATIONS OF PRESCHOOL CHILDREN EXPERIENCING SINGLE, SEVERE TRAUMA (심한 정신적 외상 경험을 한 학령 전기 아동의 정신적 표상에 대한 예비연구)

  • Eon, So-Yong;Song, Won-Woung;Oh, Kyung-Ja;Choi, Eui-Gyum;Shim, Eun-Ji;Shin, Yee-Jin
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.1
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    • pp.61-74
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    • 2004
  • Objectives:This study was performed to introduce a psychoeducational family therapy model for the families of schizophrenic patient and to investigate the effect of this model on the changes in coping style and depressive symptoms of the family members, and in perception of emotional support by families and depressive symptoms of patients. Methods:Nine preschool children, 3-5 years old, experiencing physical injuries caused by attack from a psychotic patient at kindergarten, were evaluated for psychological assessments;Intelligence test, MSSB(MacArthur Story-Stem Battery), H-T-P test(House-Tree-Person test). And their parents completed rating scale, KPI-C(Korean Personality Inventory for Children about children’s psychological conditions). Results:With respects to the contents and emotional reactions of MSSB, 9 preschool children showed generally high levels of anxiety, depression, avoidance, aggression, probably related to the traumatic experiences. Even though children couldn't verbally report directly about their traumatic experiences, in both MSSB, structured play narrative assessment tool, and HPT, free drawing and association test, they demonstrated psychiatric problems through reenactment plays, regardless of clinical diagnoses. Conclusion:Present study allowed us the chance to see beyond the outer pathological behaviors of PTSD in preschool children, through deeper evaluations of their mental representation. These preliminary data suggest deep understanding of internal representation would be of help for thorough evaluations and treatment plan for preschool children, experiencing severe trauma.

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Distribution and Antimicrobial Resistance of Non-Tuberculous Mycobacteria during 2015~2020: A Single-Center Study in Incheon, South Korea (2015~2020년 동안 인천 지역 단일기관에서의 비결핵항산균 분포 및 항균제 내성률)

  • Kim, Jiwoo;Ju, Hyo-Jin;Koo, Jehyun;Lee, Hyeyoung;Park, Hyeonhwan;Song, Kyungcheol;Kim, Jayoung
    • Korean Journal of Clinical Laboratory Science
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    • v.53 no.3
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    • pp.225-232
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    • 2021
  • This study sought to investigate the distribution, antimicrobial resistance rate, and bacterial co-infection frequency of non-tuberculous mycobacteria (NTM) in a single center in Incheon, South Korea. A total of 8,258 specimens submitted for tuberculosis (TB)/NTM real-time PCR tests during the years 2015 to 2020 were retrospectively reviewed. In total, 296 specimens (3.6%) were NTM positive, and the positivity increased from 2.5% (30/1,209) in 2015 to 3.8% (66/1,740) in 2020. Of 296 NTM specimens, 54.7% (162/296) were identified as the Mycobacterium avium complex (MAC) followed by the Mycobacterium abscessus complex (MABC) 20.9% (62/296), M. fortuitum 6.4% (19/296) and M. flavescens 3.4% (10/296). Of the NTM-positive specimens, 76.7% (227/296) were tested for drug resistance. The results showed multidrug-resistant NTM in 40.1% (91/227) and extensively drug-resistant NTM in 59.9% (136/227) of these specimens. Of the 145 isolates taken for bacterial culture, bacteria/fungi co-infection with NTM accounted for 43.4% (63/145), in which the most common bacterial species was Klebsiella pneumonia (23.8%, 15/63). This study is the first report on the distribution and antimicrobial resistance of NTM in Incheon. As the proportion of NTM infections increases, active treatment and thorough infection control are required for effective management.

A Research about Open Source Distributed Computing System for Realtime CFD Modeling (SU2 with OpenCL and MPI) (실시간 CFD 모델링을 위한 오픈소스 분산 컴퓨팅 기술 연구)

  • Lee, Jun-Yeob;Oh, Jong-woo;Lee, DongHoon
    • Proceedings of the Korean Society for Agricultural Machinery Conference
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    • 2017.04a
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    • pp.171-171
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    • 2017
  • 전산유체역학(CFD: Computational Fluid Dynamics)를 이용한 스마트팜 환경 내부의 정밀 제어 연구가 진행 중이다. 시계열 데이터의 난해한 동적 해석을 극복하기위해, 비선형 모델링 기법의 일종인 인공신경망을 이용하는 방안을 고려하였다. 선행 연구를 통하여 환경 데이터의 비선형 모델링을 위한 Tensorflow활용 방법이 하드웨어 가속 기능을 바탕으로 월등한 성능을 보임을 확인하였다. 그럼에도 오프라인 일괄(Offline batch)처리 방식의 한계가 있는 인공신경망 모델링 기법과 현장 보급이 불가능한 고성능 하드웨어 연산 장치에 대한 대안 마련이 필요하다고 판단되었다. CFD 해석을 위한 Solver로 SU2(http://su2.stanford.edu)를 이용하였다. 운영 체제 및 컴파일러는 1) Mac OS X Sierra 10.12.2 Apple LLVM version 8.0.0 (clang-800.0.38), 2) Windows 10 x64: Intel C++ Compiler version 16.0, update 2, 3) Linux (Ubuntu 16.04 x64): g++ 5.4.0, 4) Clustered Linux (Ubuntu 16.04 x32): MPICC 3.3.a2를 선정하였다. 4번째 개발환경인 병렬 시스템의 경우 하드웨어 가속는 OpenCL(https://www.khronos.org/opencl/) 엔진을 이용하고 저전력 ARM 프로세서의 일종인 옥타코어 Samsung Exynos5422 칩을 장착한 ODROID-XU4(Hardkernel, AnYang, Korea) SBC(Single Board Computer)를 32식 병렬 구성하였다. 분산 컴퓨팅을 위한 환경은 Gbit 로컬 네트워크 기반 NFS(Network File System)과 MPICH(http://www.mpich.org/)로 구성하였다. 공간 분해능을 계측 주기보다 작게 분할할 경우 발생하는 미지의 바운더리 정보를 정의하기 위하여 3차원 Kriging Spatial Interpolation Method를 실험적으로 적용하였다. 한편 병렬 시스템 구성이 불가능한 1,2,3번 환경의 경우 내부적으로 이미 존재하는 멀티코어를 활용하고자 OpenMP(http://www.openmp.org/) 라이브러리를 활용하였다. 64비트 병렬 8코어로 동작하는 1,2,3번 운영환경의 경우 32비트 병렬 128코어로 동작하는 환경에 비하여 근소하게 2배 내외로 연산 속도가 빨랐다. 실시간 CFD 수행을 위한 분산 컴퓨팅 기술이 프로세서의 속도 및 운영체제의 정보 분배 능력에 따라 결정된다고 판단할 수 있었다. 이를 검증하기 위하여 4번 개발환경에서 운영체제를 64비트로 개선하여 5번째 환경을 구성하여 검증하였다. 상반되는 결과로 64비트 72코어로 동작하는 분산 컴퓨팅 환경에서 단일 프로세서 기반 멀티 코어(1,2,3번) 환경보다 보다 2.5배 내외 연산속도 향상이 있었다. ARM 프로세서용 64비트 운영체제의 완성도가 낮은 시점에서 추후 성공적인 실시간 CFD 모델링을 위한 지속적인 검토가 필요하다.

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B-mode ultrasound images of the carotid artery wall: correlation of ultrasound with histological measurements

  • Gamble G.;Beaumont B.;Smith H.;Zorn J.;Sanders G.;Merrilees M.;MacMahon S.;Sharpe N.
    • 대한예방의학회:학술대회논문집
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    • 1994.02b
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    • pp.169-179
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    • 1994
  • B-mode ultrasound is being used to assess carotid atherosclerosis in epidemiological studies and clinical trials. Recently the interpretation of measurements made from ultrasound images has been questioned. This study examines the anatomical correlates of B-mode ultrasound of carotid arteries in vitro and in situ in cadavers. Twenty-seven segments of human carotid artery were collected at autopsy. pressure perfusion fixed in buffered 2.5% gluteraldehyde and 4% paraformaldehyde and imaged using an ATL UM-8 (10 MHz single crystal mechanical probe). Each artery was then frozen, sectioned and stained with van Gieson or elastin van Gieson. The thickness of the intima. media and adventitia were measured 'to an accuracy of 0.01 mm from histological sections using a calibrated eye graticule on a light microscope. Shrinkage artifact induced by histological preparation was determined to be 7.8%. Digitised ultra sound images of the artery wall were analysed off-line. The distance from the leading edge of the first interface ($LE_{1}$) to the leading edge of the second interface ($LE_2$) was measured using a dedicated programme. $LE_{1}$-$LE_{2}$ measurements were correlated against histological measurements corrected for shrinkage. Mean values for the far wall were: ultra sound $LE_{1}$-$LE_{2}$ (0.97 mm, S.D. 0.26), total wall thickness (1.05 mm, S.D. 0.37), adventitia (0.35 mm, S.D. 0.16), media (0.61 mm, S.D. 0.18). intima (0.09 mm, S.D. 0.13). Ultrasound measurements corresponded best with total wall thickness, rather than elastin or the intima-media complex. Excision of part of the intima plus media or removal of the adventitia resulted in a corresponding decrease in the $LE_{1}$-$LE_{2}$ distance of the B-mode image. Furthermore. increased wall thickness due to intimal atherosclerotic thickening correlated well with $LE_{1}$-$LE_{2}$ distance of the B-mode images. B-mode images obtained from the carotid arteries in situ in four cadavers also corresponded best with total wall thickness measured from histological sections and not with the thickness of the intima plus media. In conclusion, the $LE_{1}$-$LE_{2}$ distance measured on B-mode images of the carotid artery best represents total wall thickness of intima plus media plus adventitia and not intima plus media alone.

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