• Title/Summary/Keyword: follow-up service

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Adolescent Idiopathic Scoliosis Treated by Posterior Spinal Segmental Instrumented Fusion : When Is Fusion to L3 Stable?

  • Hyun, Seung-Jae;Lenke, Lawrence G.;Kim, Yongjung;Bridwell, Keith H.;Cerpa, Meghan;Blanke, Kathy M.
    • Journal of Korean Neurosurgical Society
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    • v.64 no.5
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    • pp.776-783
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    • 2021
  • Objective : The purpose of this study was to identify risk factors for distal adding on (AO) or distal junctional kyphosis (DJK) in adolescent idiopathic scoliosis (AIS) treated by posterior spinal fusion (PSF) to L3 with a minimum 2-year follow-up. Methods : AIS patients undergoing PSF to L3 by two senior surgeons from 2000-2010 were analyzed. Distal AO and DJK were deemed poor radiographic results and defined as >3 cm of deviation from L3 to the center sacral vertical line (CSVL), or >10° angle at L3-4 on the posterior anterior- or lateral X-ray at ultimate follow-up. New stable vertebra (SV) and neutral vertebra (NV) scores were defined for this study. The total stability (TS) score was the sum of the SV and NV scores. Results : Ten of 76 patients (13.1%) were included in the poor radiographic outcome group. The other 66 patients were included in the good radiographic outcome group. Lower Risser grade, more SV-3 (CSVL doesn't touch the lowest instrumented vertebra [LIV]) on standing and side bending films, lesser NV and TS score, rigid L3-4 disc, more rotation and deviation of L3 were identified risk factors for AO or DJK. Age, number of fused vertebrae, curve correction, preoperative coronal/sagittal L3-4 disc angle did not differ significantly between the two groups. Multiple logistic regression results indicated that preoperative Risser grade 0, 1 (odds ratio [OR], 1.8), SV-3 at L3 in standing and side benders (OR, 2.1 and 2.8, respectively), TS score -5, -6 at L3 (OR, 4.4), rigid disc at L3-4 (OR, 3.1), LIV rotation >15° (OR, 2.9), and LIV deviation >2 cm from CSVL (OR, 2.2) were independent predictive factors. Although there was significant improvement of the of Scoliosis Research Society-22 average scores only in the good radiographic outcome group, there was no significant difference in the scores between the groups. Conclusion : The prevalence of AO or DJK at ultimate follow-up for AIS with LIV at L3 was 13.1%. To prevent AO or DJK following fusion to L3, we recommend that the CSVL touch L3 in both standing and side bending, TS score is -4 or less, the L3/4 disc is flexible, L3 is neutral (<15°) and ≤2 cm from the midline and the patient is ≥ Risser 2.

A Study on Application of the Korea Human Scale to Anthropometric Design

  • Lee, Dhong-Ha
    • Journal of the Ergonomics Society of Korea
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    • v.31 no.1
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    • pp.211-217
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    • 2012
  • Objective: The aim of this study is to show a correct application procedure using the compact Korean anthropometric data application program called Korean Human Scale(KHS) for anthropometric design. Background: The nation-wide anthropometric survey project called 'Size Korea' developed KHS and distributed it to the public on the web site. But some insufficiency of the current web service of KHS misleads the users; they just put their own statue and pick up a meaningless data for a body dimension. Method: This study provides five steps to follow to read appropriate data from KHS for an anthropometric design. Results: As a case study, the depth dimension of the supervisory and control console used in the Korea nuclear power plant was determined following the procedure and compared with the console design guideline recommendation. Conclusion: The supplementary anthropometry table should be added on the web service of KHS for users to read a meaningful data for design. Application: If properly used, the KHS has a lot more potential application area than users can expect such as in control center design area.

Seroprevalence of Coxiella burnetii infection in cattle on Ulleung Island, Korea

  • Seo, Min-Goo;Ouh, In-Ohk;Kim, Young-Hoan;Kim, Joong-Kew;Kwon, Oh-Deog;Kwak, Dongmi
    • Korean Journal of Veterinary Research
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    • v.58 no.3
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    • pp.147-151
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    • 2018
  • We assessed the seroprevalence of Coxiella burnetii (C. burnetii) in cattle on Ulleung Island, Korea in a population-based follow up study for 4 years and determined the spatial distribution and risk factors associated with C. burnetii. The seroprevalence of C. burnetii was determined to be 1.4-2.0% during 2011-2014. Overall, nine cattle from three farms that tested seropositive showed C. burnetii antibody seroconversions between 2011 and 2014. The number of seropositive cattle was low, suggesting that movement of and contact between animals was possible risk factors for the transmission of C. burnetii.

Recognition and Attitudes on Complementary & Alternative Medicine in College Students -Focused on Comparison between Nursing and Non-Nursing Department College Students- (보완대체요법에 대한 대학생들 간의 인식 및 태도 비교 -간호대학생과 비 간호계열대학생을 대상으로-)

  • Kim, Sung-Mi
    • The Korean Journal of Health Service Management
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    • v.6 no.4
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    • pp.267-277
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    • 2012
  • The purpose of this descriptive research is to identify the recognition and attitude of college students towards Complementary & Alternative Medicine (CAM). The subjects of the study were 620 students of a junior college in the D metropolitan city. The data was collected from July 2 to July 31, 2012 and SPSS/WIN 18.0 program was used to analyze the data. From the comparison of CAM recognition between the two groups. There were significant differences for each item of CAM recognition. For the attitude on CAM, there were significant differences between the two groups. There needs to be more follow-up studies based on the current study in order to establish the basic data that can help find specific educational methods for the areas of CAM that lack recognition from the students.

Congenital epulis in a newborn

  • Min-Jun, Kang;Sang-Hoon, Kang
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.6
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    • pp.382-385
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    • 2022
  • Congenital epulis (CE) is an extremely rare benign tumor of the gingiva that is found on the alveolar ridge of newborns, and the main treatment option is simple excision. Postoperative prognosis is very good, and spontaneous regression may occur despite incomplete excision. This report presented a rare case of CE and its healing process after surgery under local anesthesia. The treatment plan was decided upon through consultation between a medical team and the patient's family, with surgical excision for the main lesion, which benefitted from surgery, and follow-up for a very small-sized lesion, which was thought to be appropriate for a newborn. No recurrence was found after its removal, and favorable healing was observed.

Minimally Invasive Parathyroidectomy using Intraoperative Ultrasonography in Parathyroid Adenoma Patients with a History of Total Thyroidectomy (갑상선 전절제술 과거력이 있는 부갑상선 선종 환자에서 수술 중 초음파 검사를 이용한 최소침습 부갑상선 절제술 1예)

  • Yunbin Nam;Hyun Taek Jung;Sang Mok Lee;Ji-Hoon Kim
    • Korean Journal of Head & Neck Oncology
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    • v.39 no.2
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    • pp.27-30
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    • 2023
  • A 65-year-old patient who underwent total thyroidectomy 10 years ago was suspected of having a parathyroid adenoma, and minimally invasive parathyroidectomy was planned. Preoperative ultrasonography(USG) and 99mTc MIBI scan indicated a left lower parathyroid lesion. In the first operation, intraoperative parathyroid hormone monitoring (IOPTH) was not possible due to hospital circumstances. Although no adenomatous lesion was found in the expected surgical field, surgery was completed after removing lesions around the left lower parathyroid gland. However, post-surgery, parathyroid hormone did not decrease at all, so a second operation was performed with IOPTH preparation. In the second operation, intraoperative ultrasonography was performed, and a suspected adenoma lesion was removed from the left upper lesion. He has been under follow-up for 3 years without complications. Surgeon-peformed intraoperative USG and preoperative scintigraphy had advantages in determining the localization of parathyroid lesion even withiout IOPTH.

The Technology-Pedagogy, and Content Knowledge differences between pre-service and in-service teachers and the related effects of gender interaction in China (중국의 예비교사와 현직교사 간의 테크놀로지-교수내용지식 차이 분석 및 성별 상호작용 효과)

  • Ma, Wanzhi;Baek, Jongnam
    • Journal of the Korea Convergence Society
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    • v.11 no.11
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    • pp.353-359
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    • 2020
  • The purpose of this study is to analyze the TPACK differences between pre-service and in-service teachers in China, and determine demographic influence variables on the differences between them. The participants of this study were 567 teachers, including 335 pre-service teachers and 232 in-service teachers from Ningxia, China. The results are as follows: First, The in-service teachers in the seven areas of TPACK scored higher than those of pre-service teachers; Second, The comparison of the average difference between teacher division and gender shows that the two factors have an interactive effect on TK. This study is meaningful because it compared the TPACK differences between pre-service and in-service teachers, and found out the effect of gender interaction on the differences in China; It provides practical suggestions for improving the TPACK ability of Chinese teachers. Finally, the discussion was conducted based on the results, and a follow-up study was suggested.

A Study on the Satisfaction Analysis of Information Service for Port Logistics (항만물류 정보서비스의 만족도 분석에 관한 연구)

  • Lee, Hong-Girl
    • Journal of Korea Port Economic Association
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    • v.30 no.1
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    • pp.57-71
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    • 2014
  • Information which port provide to users including shipping companies is essential information for their business performance. Thus, information service of several services which port provide to shipping company is also very important port-logistics service. However, despite of this importance, there have been little research related to port-logistics information service. The aim of this study is to analyze the satisfaction of information service for port logistics. To achieve this objective, evaluation criteria consisting of 16 items based on the previous research was established. And satisfaction index that can effectively show the current level of information service for port logistics was developed. The results of analysis showed that satisfaction index of information service provided by Busan port was 61.90. And from the data analysis, it was revealed that current level of information service in whole area was less than 63 points. It was implied that improvement for overall port-logistics information service was needed. Finally, from the follow-up research, it was found that information service provided by Busan port have weakness in the aspects of unification of information and celerity of information.

A Report of the Assistive Technology Service Operating System for the Disabled in Sweden (스웨덴 장애인 보조기구 제공 시스템에 대한 소고)

  • Choi, Young Soon
    • 재활복지
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    • v.18 no.4
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    • pp.25-45
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    • 2014
  • The present report aims to examine the assistive technology(AT) service operating system for the Disabled in Sweden, and will give it to NHIS(National Health Insurance Service) to manage of policy for AT service operating system. The user of AT is around 10% of the Disabled in Sweden which is introduced the AT service system to support the independence for the Disabled. To provide AT service, the role of the Ministry of Health(planning and regulation, controling Handisam and Hi as a subsidiary), County councils(providing and follow up medical AT service, operating AT service center) and Municipalities(providing general AT service) in Sweden is decentralized strictly. Specially, all the AT device is lent freely and recycled suitably for persons with Disabilities, moreover nurses, physical therapist and occupational therapist has a qualification for prescription of AT device . This finding will be the basis to improve Assistive Technology Operating System in Korea.

Association between Smoking and Mortality: Khon Kaen Cohort Study, Thailand

  • Kamsa-ard, Siriporn;Promthet, Supannee;Lewington, Sarah;Burrett, Julie Ann;Sherliker, Paul;Kamsa-ard, Supot;Wiangnon, Surapon;Parkin, Donald Maxwell
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2643-2647
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    • 2013
  • Background: Despite anti-smoking campaigns, smoking prevalence among Thai males aged 30 or older is high, at around 50%. The purpose of this study was to determine the relationship between smoking and mortality in a rural Thai community. Materials and Methods: Subjects enrolled into the Khon Kaen cohort study between 1990 and 2001 were followed up for their vital status until $16^{th}$ March 2012. The death resource was from the Bureau of Policy and Strategy, Ministry of Interior, Thailand. A Cox proportional hazards model was used to analyse the association between smoking and death, controlling for age, education level and alcohol drinking, and confidence intervals were calculated using the floating risk method. Results: The study recruited 5,962 male subjects, of whom 1,396 died during a median 13.5 years of follow-up. Current smokers were more likely to die than never smokers after controlling for age, education level and alcohol drinking (HR, 95%CI: 1.41, 1.32-1.51), and the excess mortality was greatest for lung cancer (HR, 95%CI: 3.51, 2.65-4.66). However, there was no increased risk with increasing dose of tobacco, and no difference in risk between smokers of yamuan (hand-rolled cigarettes) and manufactured tobacco. Conclusion: Mortality from cancer, particularly lung cancer, and from all causes combined is dependent on smoking status among men in rural Thailand, but the relative risks are lower than have been reported from studies in high income countries, where the tobacco epidemic is more established.