• Journal of Chest Surgery
• /
• v.50 no.3
• /
• pp.197-201
• /
• 2017

Background: Video-assisted thoracoscopic sympathicotomy has been determined to be the best way to treat palmar hyperhidrosis. However, satisfaction with the surgical outcomes decreases with the onset of compensatory hyperhidrosis (CH) over time. The ideal level of sympathicotomy is controversial. Therefore, we compared the long-term results of R3 and R4 sympathicotomy. Methods: We retrospectively reviewed 186 patients who underwent video-assisted thoracoscopic sympathicotomy between September 2001 and September 2015. We analyzed the long-term results with respect to hand sweating and CH, and the overall satisfaction in 186 patients. Results: With respect to hand sweating, significantly more patients complained of overly dry hands in the R3 group (25% versus 3.7%, p<0.001) and of mildly wet hands in the R4 group (2.9% versus 13.4%, p=0.007). There was a significantly increased occurrence rate of CH in the R3 group (97.1% versus 65.9%, p< 0.001). The most frequent site of CH was the trunk area. The overall satisfaction was higher in the R4 group, but without significance (75% versus 85.4%, p=0.082). Significantly more patients reported being very satisfied in the R4 group (5.8% versus 22.0%, p=0.001). Conclusion: T he R4 group had a higher rate of satisfaction than the R3 group with respect to hand sweating. CH and hand dryness were significantly less common in the R4 group than in the R3 group. The lower occurrence of hand dryness and CH resulted in a higher satisfaction rate in the R4 group.

• Journal of Powder Materials
• /
• v.22 no.3
• /
• pp.197-202
• /
• 2015

In this study, porous stainless steel (STS316L) sintered body was fabricated by powder metallurgy method and its properties such as porosity, compressive yield strength, hardness, and permeability were evaluated. 67.5Fe-17Cr- 13Ni-2.5Mo (wt%) powder was produced by a water atomization. The atomized powder was classified into size with under $45{\mu}m$ and over $180{\mu}m$, and then they were compacted with various pressures and sintered at $1210^{\circ}C$ for 1 h in a vacuum atmosphere. The porosities of sintered bodies could be obtained in range of 20~53% by controlling the compaction pressure. Compressive yield strength and hardness were achieved up to 268 MPa and 94 Shore D, respectively. Air permeability was obtained up to $79l/min{\cdot}cm^2$. As a result, mechanical properties and air permeability of the optimized porous body having a porosity of 25~40% were very superior to that of Al alloy.

• Journal of muscle and joint health
• /
• v.23 no.3
• /
• pp.197-205
• /
• 2016

Purpose: The purpose of this study was to conduct a comparison analysis on requirements of online continuing education requirements according to practical experience of nurses at small and medium-sized hospitals. Methods: Data had been collected with 236 nurses from May to June, 2015. The data were analyzed with the use of SPSS. Results: Among them, 45.8% participated in online continuing education. Nurses in beginning level required musculoskeletal diseases (20.9%), care for injuries and stomas (5.8%), and surgical disease and operation care (4.7%). Competent nurses required musculoskeletal diseases (19.7%), cerebrovascular diseases (9.9%), emergency care and CPR (8.5%), and medical nursing (8.5%). Skillful nurses required cerebrovascular diseases (13.9%), care for internal diseases (8.9%), and rehabilitation care (8.9%). Among the educational contents of diseases, the items that were significantly different according to practical experience were operation management ($x^2$=23.92, p<.001) and drug care ($x^2$=7.85, p=.020). Among continuing education methods, the items that were significantly different were video ($x^2$=16.81, p<.001), webtoon ($x^2$=8.96, p=.011), and test ($x^2$=10.56, p=.005). Among continuing education evaluation methods, the items that were significantly different were multiple-choices ($x^2$=9.43, p=.009) and OX ($x^2$=6.47, p=.039) based quizzes. Conclusion: Based on the study results, it is necessary to develop a differentiated continuing education program according to practical experience of nurses.

• Journal of Korean Neurosurgical Society
• /
• v.57 no.3
• /
• pp.197-203
• /
• 2015

Objective : The potassium disturbance associated with thiopental continuous infusion in neurosurgical patients is well known. However, the effect of propofol continuous infusion on serum potassium levels has not been investigated extensively. Methods : We reviewed the medical records of 60 consecutive patients who received coma therapy or deep sedation for intracranial pressure control using either thiopental or propofol between January 2010 and January 2012. Results : The overall incidence of hypokalemia (K<3.5 mmol/L) was comparable between thiopental and propofol groups (89.2% vs. 82.6%). But, the incidence of moderate to severe hypokalemia (K<3.0 mmol/L) was significantly higher in thiopental group (51.4% vs. 13.0%, p=0.003). The lowest potassium level (2.9 mmol/L vs. 3.2 mmol/L, p=0.020) was lower in thiopental group. The patients in the thiopental group required greater potassium replacement than the propofol group patients (0.08 mmol/kg/h vs. 0.02 mmol/kg/h, p<0.001). On multivariate analysis, thiopental [odds ratio, 95% confidence interval, 7.31 (1.78-27.81); p=0.005] was associated with moderate to severe hypokalemia during continuous infusion. The incidence of rebound hyperkalemia (K>5.0 mmol/L, 32.4% vs. 4.3%, p=0.010) and the peak potassium concentration (4.8 mmol/L vs. 4.2 mmol/L, p=0.037) after the cessation of therapy were higher in thiopental group. On multivariate analysis, thiopental [8.82 (1.00-77.81); p=0.049] and duration of continuous infusion [1.02 (1.00-1.04); p=0.016] were associated with rebound hyperkalemia once therapy was discontinued. Conclusion : Propofol was less frequently associated with moderate to severe hypokalemia after induction and rebound hyperkalemia following the cessation of continuous infusion than thiopental.

• Proceedings of the Korean Vacuum Society Conference
• /
• 2011.02a
• /
• pp.197-197
• /
• 2011

고온 스퍼터 공정과 구리 리플로우 공정을 통해 다공성 니켈 지지체에 팔라듐-구리-니켈 삼원계 합금 수소 분리막을 제조하였다. 그러나 스퍼터와 같은 물리적 증착법은 주로 주상정 형태로 증착되기 때문에 다공성 니켈 지지체 표면의 수마이크론 내외의 기공이 존재할 경우 다공성 니켈 지지체에 기인한 많은 기공들 때문에 스퍼터 증착에 영향을 주어 수소 분리막 표면에 기공들이 존재하게 된다. 이를 방지하고 균일한 증착이 이루어지도록 다공성 지지체 표면의 전처리 공정이 필요하다. 본 연구에서는 스퍼터 코팅에 의한 균일한 팔라듐 금속층 형성하고 표면에 미세기공이 없는 수소 분리막을 제조하기 위해 다공성 니켈 지지체를 니켈도금, 알루미나 분말 주입 및 미세연마 전처리 공정을 통하여 다공성 니켈 지지체의 표면기공들을 매립하여 치밀한 팔라듐 합금 층을 형성하였다. 전처리를 하지 않은 다공성 니켈 지지체는 팔라듐 및 구리의 고온 스퍼터 증착 및 구리 리플로우 공정에 의해 표면 기공을 막을 수가 없었고 수소분리기능이 없어 수소 분리막으로 역할을 하지 못했다. Al2O3 분말 주입 전처리 공정을 한 다공성 니켈 지지체에 팔라듐 및 구리 고온 스퍼터 증착과 구리 리플로우 공정을 이용하여 제조된 수소 분리막은 다공성 니켈 지지체에 기인한 기공을 메우기 위해서 팔라듐 합금 층이 두꺼워지는 어려움이 있었다. 니켈도금 전처리 공정을 한 다공성 니켈 지지체에 형성한 수소 분리막은 우수한 선택도를 가졌으나 도금 전처리에 사용된 $2{\mu}m$ 두께의 니켈층이 수소의 확산을 방해하는 저항막 역할을 하여 수소 투과도가 3.96 $ml{\cdot}cm-2{\cdot}min-1{\cdot}atm-1$으로 낮게 나타났다. 미세연마 전처리 공정을 한 다공성 니켈 지지체에 형성한 수소 분리막 역시 우수한 수소 선택도를 가졌으며, 수소의 확산을 방해하는 저항막이 존재하지 않아 13.2 $ml{\cdot}cm-2{\cdot}min-1{\cdot}atm-1$의 우수한 수소 투과도를 나타내었다.

• Korean Journal of Agricultural Science
• /
• v.40 no.3
• /
• pp.197-202
• /
• 2013

This study was aimed to find the storage potential of low temperature adapted shiitake mushroom under freezing temperature ($-3^{\circ}C$). Fresh shiitake mushroom was harvested at late Feb. and cooled to target temperature, $-3^{\circ}C$ in the cooling room for 24 hr. Cooled mushroom were then placed in plastic boxes, wrapped with plastic film ($30{\mu}m$), and stored at $-3^{\circ}C$ for 2 months. Weight loss of mushroom was ranged from 2.1 to 3.2%. Dry weight per unit fresh weight, however, was slightly increased because of moisture loss. Firmness of fruit body increased from $0.95kg/cm^{-2}$ (before storage) to $1.13kg/cm^{-2}$ (after 2 month storage). About half amount of starch was lost during 2 month storage. The amount of total and reducing sugars remained relatively constant. After storage, freshness of mushroom was recovered by thawing treatment. When recovered mushroom were packaged with styrofoam tray and PVC wrapping, and exposed to ambient and $10^{\circ}C$, respectively, brown spot on the gill of fruit body was found and slight decay symptom was also found at ambient temperature only but not at $10^{\circ}C$. Results indicated that low temperature adapted shiitake mushroom has a storage potential under freezing temperature ($-3^{\circ}C$). Freezing storage technology of fresh shiitake mushroom will contribute the increase of storability up to 2 months.

• The korean journal of orthodontics
• /
• v.50 no.3
• /
• pp.197-205
• /
• 2020

Objective: To investigate the prevalence of malocclusion with respect to grade, sex, and year among Korean pre-adolescent and adolescent students during 2012-2017. Methods: A total of 165,996 students (first grade [E1, 6-7 years of age], fourth grade [E4, 9-10 years], seventh grade [M1, 12-13 years], and tenth grade [H1, 15-16 years]) were selected by stratified sampling method and underwent the nationwide oral health examination performed by the Ministry of Education, Republic of Korea. The malocclusion assessments based on dentists' judgments were "no malocclusion," "needs orthodontic treatment (N-OTx)," and "under orthodontic treatment (U-OTx)." The sum of N-OTx and U-OTx cases was determined as the number of students with malocclusion. After analyzing the prevalence of malocclusion according to grade, sex, and year-by-year differences, Pearson correlation analyses and two-way analyses of variance were performed. Results: The prevalence of malocclusion was 18.7%, which increased with the grades (E1 [8.3%] < E4 [15.8%] < M1 [22.9%] < H1 [25.3%], p < 0.001). However, there was no significant difference in the prevalence of malocclusion in each grade group for the period (p > 0.05) without significant correlation (E1, ρ = 0.129; E4, ρ = -0.495; M1, ρ = 0.406; H1, ρ = -0.383; all p > 0.05). The prevalence of malocclusion within each grade group over the six-year period was more prominent in the female (p < 0.0001). Conclusions: Further studies are necessary to modify the malocclusion assessment method to account for specific types of malocclusion in pre-adolescent and adolescent students.

• Korean Journal of Occupational Health Nursing
• /
• v.23 no.4
• /
• pp.197-207
• /
• 2014

Purpose: The purpose of this study was to investigate the status and characteristics of visiting nurses' management for elders with cognitive impairment living in a community focused on health centers in a metropolitan city and five medium-sized cities. Methods: Data were collected from 47 visiting nurses working in a metropolitan city and 47 visiting nurses working in five medium-sized cities from November to December 2012. Results: There were no statistically significant differences in knowledge, attitudes, and nursing behaviors of cognitive impairment between two groups (F=2.13, p=.148; F=3.64, p=.060; F=0.28, p=.595). Among the elders referred to a physician in a metropolitan city by visiting nurses, 42.4% were diagnosed as mild cognitive impairment and 15.2% were diagnosed as severe dementia. The major intervention programs which visiting nurses currently applied for elders were medication and exercise intervention programs, and the intervention programs which they would want to apply in the future were playing, music and recall intervention programs. Conclusion: The cognitive impairment screening test can be done effectively by visiting nurses. This study also suggests to develop various kinds of intervention programs to improve cognitive function for elders living in a community.

• Proceedings of the Korea Water Resources Association Conference
• /
• 2012.05a
• /
• pp.197-197
• /
• 2012

본 연구에서는 대기 순환패턴 및 수문 환경변화에 영향을 미치는 주요인자인 El Ni$\tilde{n}$o-Southern Oscillation (ENSO)의 서로 다른 형태인 Warm-pool (WP) El Ni$\tilde{n}$o, Cold-tongue (CT) El Ni$\tilde{n}$o에 따른 한강유역의 봄철 (March~May)과 여름철 (June~August) 강수 및 유출의 특성을 분석하였다. 봄철 강수량의 경우, WP El Ni$\tilde{n}$o 시기에 증가추세를 보이며, 강수의 변동특성 또한 크게 나타났다. 여름철 강수량의 경우, CT El Ni$\tilde{n}$o 시기에는 평년보다 대체로 건조한 경향을 보이나, WP El Ni$\tilde{n}$o 시기에는 유역 전체에서 습한 경향을 보였으며 강수의 변동성은 매우 작은 것으로 분석되었다. 봄철 유출량의 경우, CT El Ni$\tilde{n}$o 시기와 WP El Ni$\tilde{n}$o 시기에 모두 평년치보다 크게 나타났으며, WP El Ni$\tilde{n}$o 시기에 한강 남부 대부분 유역에서 유출량이 통계적으로 유의한 증가 경향을 보였다. 여름철 유출량의 경우, CT El Ni$\tilde{n}$o 시기에는 대부분 유역에서 평년치보다 감소하나 수문 변량의 변동성은 큰 것으로 분석되었다. WP El Ni$\tilde{n}$o 시기에는 거의 모든 유역에서 유출이 증가하는 것으로 나타났으며, 특히 13개 중권역에서는 유출의 변동성이 작고 통계적으로 유의한 증가패턴이 분석되었다. 따라서 본 연구는 서로 다른 두가지 형태의 El Ni$\tilde{n}$o패턴에 대하여 한강유역의 봄철과 여름철 수자원 변동성에 민감하게 영향을 미치고 있음을 확인하였으며 수자원의 효율적인 예측 및 관리와 안정적인 용수공급을 위한 수문기상인자와 수문자료간의 관계 규명에 유용하게 활용될 것으로 기대한다.

• Health Policy and Management
• /
• v.25 no.3
• /
• pp.197-206
• /
• 2015

Background: The purpose of this study was to propose a method for developing a measure of hospital-wide all-cause risk-standardized readmissions using administrative claims data in Korea and to discuss further considerations in the refinement and implementation of the readmission measure. Methods: By adapting the methodology of the United States Center for Medicare & Medicaid Services for creating a 30-day readmission measure, we developed a 6-step approach for generating a comparable measure using Korean datasets. Using the 2010 Korean National Health Insurance (NHI) claims data as the development dataset, hierarchical regression models were fitted to calculate a hospital-wide all-cause risk-standardized readmission measure. Six regression models were fitted to calculate the readmission rates of six clinical condition groups, respectively and a single, weighted, overall readmission rate was calculated from the readmission rates of these subgroups. Lastly, the case mix differences among hospitals were risk-adjusted using patient-level comorbidity variables. The model was validated using the 2009 NHI claims data as the validation dataset. Results: The unadjusted, hospital-wide all-cause readmission rate was 13.37%, and the adjusted risk-standardized rate was 10.90%, varying by hospital type. The highest risk-standardized readmission rate was in hospitals (11.43%), followed by general hospitals (9.40%) and tertiary hospitals (7.04%). Conclusion: The newly developed, hospital-wide all-cause readmission measure can be used in quality and performance evaluations of hospitals in Korea. Needed are further methodological refinements of the readmission measures and also strategies to implement the measure as a hospital performance indicator.