Objective: To find that the patients who conducted home self-exercise in conjunction with intra-articular corticosteroid injection will have better improvement in subacromial subdeltoid (SASD) bursitis symptoms than those who received only an injection. Method: A prospective, nonrandomized, comparison study was conducted in outpatient rehabilitation clinic in a tertiary university hospital. Patients diagnosed with SASD bursitis with physical examination and ultrasound evaluation were included and received ultrasound guided injection (UGI). Patients were divided into two groups according to the compliance of self-exercise: UGI-exercise group and UGI only group. Visual analog scale (VAS) was checked before, at 3 weeks, 3 months, and 6 months after the UGI. A patient's global impression of change (PGIC) survey was made at 3 months after the UGI. Results: A total of 82 patients with SASD bursitis were included. At 3 weeks after the injection, the mean VAS for the UGI-exercise group was 2.6 ± 1.7 and for UGI only group was 1.9 ± 1.3 (p=0.030). At 3 months after the injection, the mean VAS for the UGI-exercise group was 4.0 ± 1.3 and for UGI only group was 5.4 ± 1.4 (p<0.001). Conclusion: We concluded that home-based self-exercise of the shoulder provides an additional benefit for pain alleviation possibly with prolonging the effect of injection in SASD bursitis.
In this study, we investigated the time signal devices of Deungnu (circa 1270) and Gungnu (1354), the water clocks produced during the Yuan Dynasty (1271-1368). These clocks influenced Heumgyeonggaknu (1438) of the Joseon Dynasty (1392-1910), exemplifying the automatic water clocks of the Yuan Dynasty. Deungnu, Gungnu, and Heumgyeonggaknu can be considered as automatic mechanical clocks capable of performances. The Jega-Yeoksang-Jip (Collection of Calendrical and Astronomical Theories of Various Chinese Masters) contains records of Deungnu extracted from the History of the Yuan Dynasty. We interpreted these records and analyzed reproduction models and technical data previously produced in China. The time signal device of Deungnu featured a four-story structure, with the top floor displaying the four divine constellations, the third floor showcasing models of these divinities, the second floor holding 12-h jacks and a 100-Mark ring, and the first floor with four musicians and a 100-Mark Time-Signal Puppet providing a variety of visual attractions. We developed a 3D model of Deungnu, proposing two possible mechanical devices to ensure that the Time-Signal Puppet simultaneously pointed to the 100-Mark graduations in the east, west, south, and north windows: one model reduced the rotation ratio of the 100-Mark ring to 1/4, whereas the other model maintained the rotation ratio using four separate 100-Mark rings. The power system of Deungnu was influenced by Suunuisangdae (the water-driven astronomical clock tower) of the Northern Song Dynasty (960-1127); this method was also applied to Heumgyeonggaknu in the Joseon Dynasty. In conclusion, these automatic water clocks of East Asia from the 13th to 15th centuries symbolized creativity and excellence, representing scientific devices that were the epitome of clock-making technology in their times.
Kim, Hyosun;Jung, Jinsang;Lee, Jinhong;Lee, Sangil
Journal of Korean Society for Atmospheric Environment
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v.31
no.5
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pp.449-460
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2015
Carbonaceous aerosol is generally classified into OC (organic carbon) and EC (elemental carbon) by thermal optical analysis. Both NIOSH (National institute of occupational safety and health) with high temperature (HighT) and IMPROVE-A (Interagency monitoring of protected visual environments) with low temperature (LowT) protocols are widely used. In this study, both protocols were applied for ambient $PM_{2.5}$ samples (Daejeon, Korea) in order to underpin differences in OC and EC measurements. An excellent agreement between NIOSH and IMPROVE-A protocol was observed for TC (total carbon). However, significant differences between OC and EC appeared and the differences were larger for EC than OC. The main differences between two protocols are temperature profile and charring correction method. For the same charring correction method, HighT_OC was 10% higher than LowT_ OC, while HighT_EC was 15% and 33% lower than LowT_EC for TOT (thermal-optical transmittance) and TOR (thermal-optical reflectance), respectively. This difference may be caused by the temperature of OC4 in He step and possibly difference in POC (pryorilized OC) formation. For the same temperature profile, OC by TOT was about 26% higher than that by TOR. In contrast, EC by TOT was about 50% lower than that by TOR. POC was also dependent on both temperature profile and the charring correction method, showing much distinctive differences for the charring correction method (i.e., POC by TOT to POC by TOR ratio is about 2). This difference might be caused by different characteristics between transmittance and reflectance for monitoring POC formation within filters. Results from this study showed that OC and EC depends on applied analysis protocol as shown other studies. Because of the nature of the thermal optical analysis, it may not be possible to have an absolute standard analysis protocol that is applicable for any ambient $PM_{2.5}$. Nevertheless, in order to provide consistent measurement results for scientists and policy makers, future studies should focus on developing a harmonized standard analysis protocol that is suitable for a specific air domain and minimizes variations in OC and EC measurement results. In addition, future elaborate studies are required to find and understand the causes of the differences.
The representation of point-observed environmental variables in Geographic Information Systems(GIS) has often been inadequate to meet the need of regional-scale ecological and environmental applications. To create a map of continuous surface that would represent more reliable spatial variations for these applications, I present three spatial estimation methods. Using a secondary variable of the proximity to coast line together with rainfall acidity data collected at the 63 acid rain monitoring stations in Korea, average rainfall acidity map was cteated using co-kriging. For comparison, two other commonly used interpolation methods (inverse distance weighting and kriging) were also applied to rainfall acidity data without reference to the secondary variable. These estimation methods were evaluated by both visual assessments of the output maps and the quantitative comparison of error measures that were obtained from cross validation. The co-kriging method produced a rainfall acidity map that showed noticeable improvement in repoducing the inherent spatial pattern as well as provided lower statistical error as compared to the methods using only the primary variable.
KSCE Journal of Civil and Environmental Engineering Research
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v.29
no.6D
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pp.761-770
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2009
The energy efficiency and environment-friendly aspect of the railway system would be superior to other on-land ransportation systems. In a preliminary feasibility study stage and selection of optimal railway route, the energy efficiency and problems related to environment are usually considered. For the selection of optimal railway route, geographical features and facility of management are generally considered. Environment effect factors for the selection of environment-friendly railway router are focused and studied in this paper. In this study, various analysis of opinion of specialists (railway, environment, transport, urban planning, survey) and the guideline for construction of environment-friendly railway were accomplished. From these results of various analysis, 7 major categories (topography/geology, flora and fauna, Nature Property, air quality, water quality, noise/vibration, visual impact/cultural assets) were extracted. To select environment friendly railway route, many alternatives should be compared optimal route must be selected by a comprehensive assessment considering these 7 categories. To solve this problem, the selected method was AHP which simplifies the complex problems utilizing hierarchy, quantifying qualitative problems through 1:1 comparison, and extracting objective conclusions by maintaining consistency. As a result, a GUIbased program was developed which provides basic values of weighted parameters of each category defined by specialists, and a quantification of detailed assessment guidelines to ensures consistency.
Lee Sang Jae;Park Jong Bae;Lee Song Shil;Kim Kwang Ho
Journal of Physiology & Pathology in Korean Medicine
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v.18
no.2
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pp.376-380
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2004
The purpose of this study is the develop a questionnaire for measuring Yin-Deficiency and examine the reliability and validity for its' value as a barometer for evaluating Yin-Deficiency. Questionnaire was developed according to the symptoms of Yin-Deficiency suggested in the 'Standardization of diagnostic terms and requirements of Korean Medicine', With and as a reference, each symptom has been worked on to be put on the questionnaire. Visual analogue scales(VAS) was used as a barometer for measuring frequency of manifestation of symptoms. A study was performed to measure validity and reliability of the final questionnaire for analysis. reliability of YinDQ was measured by Cronbach's alpha coefficient and test-retest method. This study utilized factor analysis and clinical validity for evaluation of validity. For the purpose of decreasing the amount of data-the number of factors, and at the same time minimize the loss of information factor analysis was performed Component factors were extracted using Principal Component Analysis. This study evaluated the clinical validity for examination of difference between the normal group and the patient group. Evaluation on the's internal consistency showed strong internal consistency with value of 0.8615. reliability from test-rest with three-week interval, followed by comparisons of the correlation coefficient and mean values of each item between the two. The Spearman correlation coefficient was 0.54-0.79. By factor analyse two factors with Eigen value of greater than 2.2 were selected. Factor 1 consists of items of 'irritable fever on the five Hearts', 'flushing of the zygomatic region in the afternoon', 'tidal fever', 'night sweats', and 'dryness on the mouth or the throat'. Factor two consists of items of 'emaciation', 'dizziness', 'insomnia', 'decreased amount of urine with yellowish color', and 'constipation'. The comparison between the patient group and the normal group showed significant differences for every ten questions. The results implies that YinDQ is a barometer with sufficient reliability and validity. The questionnaire for Yin-Deficiency may not be enough to replace the specific differential diagnosis by a doctor of Oriental medicine. Nevertheless, it can be effectively utilized as an assisting method in consultation or a method of measuring the degree of Yin-Deficiency in a group.
The consistency and homogeneity of repetitive printing of artificial fingerprint were evaluated using a visual minutiae comparison method and an Automated Fingerprint Identification System (AFIS). The standard latent fingerprint pattern was prepared by the printing of a master digital fingerprint pattern with an inkjet printer cartridge case filled with artificial sweat. The master digital fingerprint pattern was prepared with a scanning of an inked fingerprint pattern of a living subject. The intensities of the master digital fingerprint pattern were adjusted by changing the 'output level' values of the Adobe Photoshop CS 5 software. Number of standard latent fingerprint patterns were printed and then developed with conventional latent fingerprint developing methods; ninhydrin treatment method and 1,2-indandion(1,2-IND)/$ZnCl_2$ treatment method. The ridge details of the latent fingerprint patterns developed with the reagents were visually compared with the inked fingerprint pattern and could confirm that the minutiae of both patterns are visually identical. The ridge detail of the inked fingerprint and reagent developed standard latent fingerprint patterns were compared with an AFIS. The average number of minutiae searched by the AFIS was $52.4{\pm}2.4$ (range = 48~56) for 50 ninhydrin developed latent fingerprint patterns, and $50.2{\pm}1.9$ (range = 47~53) for 50 1,2-IND/$ZnCl_2$ developed latent fingerprint patterns. These low standard deviation values over 50 repetitive printing demonstrated that the 50 standard latent patterns were printed with consistent and homogeneous manner.
Park, Myung-Sik;Yoon, Sun-Jung;Choi, Seung-Min;Cho, Hong-Man;Chung, Woochull;Kang, Kyung-Rok
Journal of the Korean Orthopaedic Association
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v.54
no.3
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pp.244-253
/
2019
Purpose: Total hip arthroplasty was performed using a direct anterior approach (DAA) on an ordinary operation table and a short femoral stem. The clinical radiographic results were evaluated by a comparison with those performed using the modified hardinge (anterolateral approach, ALA) method. Materials and Methods: From January 2013 to November 2015, 102 patients who underwent total hip arthroplasty using DAA (DAA group) and the same number of patients using ALA (ALA group), both performed by a single surgeon, were compared and analyzed retrospectively. The operation time and amounts of bleeding were compared, and the improvement in post-operative pain, ambulatory capacity and functional recovery of the hip joint were checked. The location of insertion of the acetabular cup and femoral stem were evaluated radiologically, and the complications that occurred in the two groups were investigated. Results: The amount of bleeding was significantly smaller in the DAA group (p=0.018). Up to 3 weeks postoperatively, recovery of hip muscle strength was significantly higher in the DAA group (flexion/extension strength p=0.023, abduction strength p=0.031). The Harris hip score was significantly better in the DAA group for up to 3 months (p<0.001) and the Koval score showed significantly better results in the DAA group up to 6 weeks (p≤0.001). The visual analogue scale score improvement was significantly higher in the DAA group by day 7 (p=0.035). The inclination angle (p<0.001) and anteversion angle (p<0.001) of the acetabular cup were located in the safe zone of the DAA group more than in the ALA group, and there was no statistically significant difference in the position of the femur stem and leg length difference. During surgery, two cases of greater trochanter fracture occurred in the DAA group (p=0.155). Conclusion: The DAA performed in the ordinary operation table using a short femoral stem showed post-operative early functional recovery. Because a simple to use fluoroscope was used during surgery with an anatomical position familiar to the surgeon, it is considered to be useful for the insertion of implants into the desired position and for an approach that is useful for the prevention of leg length differences.
If a patient wearing arm sliding due to shoulder dislocation or fracture is impossible with abduction, the velpeau view is performed instead of superior-inferior axial projection view. However, it aggravates the patient's pain because it is difficult for the patient with dislocation or fracture to pull back the shoulders. Therefore, I suggest a new method of the 'modified velpeau view' that allows patients to lower their heads at examination. In order to investigate the easiness of fixing posture at examination and clinical utility, I conducted a study comparing the bone structures at the velpeau view and those at the modified velpeau view depending on wall-bucky and the patients' leaning forward angle ($30^{\circ},\;45^{\circ},\;60^{\circ}\;and\;75^{\circ}$), with the subjects of 20 velpeau view-prescribed patients amongst who had come to my hospital suspected of dislocation of shoulder or fracture and 30 healthy people from October of 2009 to January of 2010. Department of radiologists and orthopedics specialists evaluated the pictures for scales 0 to 5(best grade) under the given criteria. As a result of comparison in bone structures depending on wall-bucky and the leaning-forward angle in the group of healthy people, the velpeau view and the modified velpeau showed a similar diagnostic utility at $45^{\circ}$ and $60^{\circ}$. The picture evaluation result for proving diagnostic value showed that the anterior and posterior of shoulder heads and the anterior and posterior of glenoid fossa could be observed in the velpeau view; on the other hand, besides these areas acromioclavicular joint and coracoid process could be viewed in the modified velpeau view. This result verified that the modified velpeau view could replace the velpeau view for its diagnostic value as an examination method. This result, moreover, suggests that the modified velpeau view needs to be studied and improved from a variety of perspectives not only for an alternative for patients having troubles with the velpeau view position but also for clinical application of new test method for diagnosis of shoulder disorders other than dislocation of shoulder or fracture.
Journal of the Institute of Electronics Engineers of Korea SP
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v.47
no.4
/
pp.63-68
/
2010
The Color Management System in recent printers adopts ICC profiles for both monitors and printers. However, the ICC profile doesn't contain the characteristics of reproduced color on each monitor, because the color on each monitor is changed by user adjustment such as color temperature, brightness, and contrast adjustment. It is also depended on the backlight type and lifetime. As a result, unwanted color is reproduced on the printed paper, not like that on the monitor. To overcome the color difference between monitors and printers, it is needed to control the information of ICC profile. That is, first, the ICC profile is generated by the measurement of monitors having user set, then, through the CMS, the color on monitors can be produced on printed paper. However, it is difficult to apply the above system for normal users due to absence of measuring equipment and time consuming process. Therefore, this paper proposes a novel color matching technique based on the estimation of condition for each monitor having user set. The estimation is performed by a simple comparison visual test using a test image on printed paper and monitor. Then, the condition of monitor is applied to the ICC profile. As a result, the new ICC profile contains the color difference between user monitor and printer. The experimental results show the printed images using our proposed method have almost similar color with those on monitors.
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