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Endoscopic Release of Carpal Tunnel Syndrome; Temporal Correlation between Symptomatic and Electrophysiologicallmprovements in Postoperative Carpal Tunnel Syndrome

  • Park, Jin-Soo;Yoo, Chan-Jong;Chun, Young-Il;Kim, Woo-Kyung;Lee, Sang-Gu;Park, Cheol-Wan
    • Journal of Korean Neurosurgical Society
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    • 제37권1호
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    • pp.8-15
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    • 2005
  • Objective: We evaluate temporal correlations between postoperative symptomatic and electrophysiological improvements, and assessed the recovery time required for patients with carpal tunnel syndrome(CTS) before returning to routine activities. Methods: 30 CTS patients were treated via the endoscopic monoportal approach, from March 2001 to September 2003. We assessed the symptoms (hyperesthesia in the finger tips, or abnormal sensations and painful numbness or night pain) and electrophysiological changes in the preoperative state, 1 month and 6 months after surgery. We marked the times at which patients became able to return to activities of daily living and work, after undergoing endoscopic carpal tunnel release. Results: At the end of the follow-up period, high levels of achievement and good outcomes were observed, with respect to both the symptoms and electrophysiological studies. We discovered significant differences between the preoperative and postoperative periods, especially in terms of motor nerve onset latency from $4.50{\pm}1.43$ to $3.97{\pm}0.69$ and sensory nerve conduction velocity, the wrist-to-finger from $19.81{\pm}10.03$ to $28.18{\pm}11.01$ and wrist-to-palm from $23.34{\pm}13.40$ to $31.79{\pm}13.38$(P<0.05 for each comparison). The average time interval required before return to activities of daily living was 26.4 days, and time interval required before return to work was 48.08 days. Conclusion: Electrophysiological improvements are largely consistent with symptomatic relief, but there is some disparity between electrophysiological and symptomatic improvement.

소나무와 떡갈나무의 주요 부위별 열적특성에 관한 연구 (The Thermal Characteristics of Tree Branches, Barks, Living Leaves and Dead Leaves in Pinus Densiflora and Quercus Dentata)

  • 박영주;이시영;이해평
    • 한국화재소방학회논문지
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    • 제22권1호
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    • pp.84-92
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    • 2008
  • 본 연구에서는 영동지역의 대표 수종인 소나무와 떡갈나무를 대상으로 주요 부위별 열적특성을 고찰하고자 콘칼로리미터 시험을 수행하여 중량변화, 착화시간, 화염유지시간, 발열량 그리고 CO와 $CO_2$ 배출농도를 비교 분석하였다. 소나무와 떡갈나무 모두 가지의 총중량감소가 가장 크게 나타났으며, 낙엽의 착화시간이 9 s 정도로서 가장 빠르게 나타났다. 낙엽과 수피부위의 화염유지시간은 $640{\sim}1,016s$ 정도였으며, 총방출열량은 낙엽비 생엽의 2배 정도인 60.1 $MJ/m^2$로 가장 높게 나타났다. 또한, CO 및 $CO_2$의 최대 배출농도는 떡갈나무의 가지부위가 소나무의 가지보다 2.82배 이상 높게 나타남으로써 소나무와 떡갈나무의 열적특성은 부위별로 많은 차이가 있음을 확인하였다.

초등학교 비만아동의 생활습관 변화와 자아존중감 향상을 통한 비만개선프로그램의 시행효과 (Effects of an Educational Program for Obesity Improvement by Changing the Living Habits and Improving the Self-esteem of Obese Elementary School Children)

  • 정운선;이혜상;박응임
    • 대한가정학회지
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    • 제43권12호
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    • pp.125-134
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    • 2005
  • This study was conducted to develop a comprehensive program for improving obese children's living habits such as wearing clothing and eating, and their self-esteem. Thirteen obese elementary school children, six boys and seven girls in the 4th to 6th grade, voluntarily participated in a ten-week intervention program. During the program, the obese children filled out a checklist consisted of daily ambient temperature inside the house, weight of clothing, meal diary, time taken for physical exercise, time taken for watching TV, etc. After carrying out the program, its effect was testified and evaluated. Percent body fat of the children measured using a body composition analyzer was reduced by $1.9\%$ after the program (p<.01). Wearing behavior of clothing was positively changed in view of the high correlation between ambient temperature and clothing weight (r=-.917, p<.01). Ability of dietary self control was improved and eating time was lengthened. Self-esteem was improved in global self-worth, athletic competence, and behavior/conduct. It was suggested that active interest of the family would be helpful and that an intervention program over longer than ten week would be necessary to improve childhood obesity.

실시간 객체 추적 기술을 활용한 스마트 케어 시스템에 대한 연구 (A Study on the Smart Care System Using Real-time Object Tracking Technology)

  • 김혜정;강민구;이혜규;고동범;김정준;박정민
    • 한국인터넷방송통신학회논문지
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    • 제18권6호
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    • pp.243-250
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    • 2018
  • 본 논문은 독거노인을 위한 스마트 케어 시스템을 설계하고 구현한다. 최근 의학, 생활수준, 환경의 급속한 개선으로 생활수준이 높아짐에 따라 고령 인구의 비율이 높아지고 있다. 또한 고령화 사회와 더불어 증가하는 독거노인 비율은 노인 케어 시스템, 응급 상황 알림과 같은 서비스의 제공이 중요한 이슈가 되고 있다는 것을 시사한다. 그러나 기존의 응급상황알림을 위한 기술들은 고정된 CCTV 영상을 분석하기 때문에 CCTV 사각지대에서의 모니터링에 대한 어려움과 카메라가 설치되지 않은 장소로 이동하는 등 정해진 범위를 벗어나는 활동을 할 경우 실시간으로 케어 할 수 없다는 문제점이 존재한다. 따라서 본 논문에서는 이러한 단점을 보완하기 위해 실시간으로 이동이 가능한 로봇과 객체 추적 기술을 활용한 스마트 케어 시스템을 설계하고 개발한다. 이를 통해 장소에 구애받지 않고 실시간 모니터링이 가능하며, 응급상황시 빠르게 도움을 요청해 보호자 및 도우미들에게 편의를 제공할 수 있도록 한다.

A comparison of using a smartphone versus a surgical microscope for microsurgical anastomosis in a non-living model

  • Jianmongkol, Surut;Vinitpairot, Chaiyos;Thitiworakarn, Navapong;Wattanakamolchai, Settapon
    • Archives of Plastic Surgery
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    • 제49권1호
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    • pp.121-126
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    • 2022
  • Background Although they may not replace standard training methods that use surgical microscopes, smartphones equipped with high-resolution screens and high-definition cameras are an attractive alternative for practicing microsurgical skills. They are ubiquitous, simple to operate, and inexpensive. This study compared anastomoses of chicken femoral vessels using a smartphone camera versus a standard operative microscope. Methods Forty anastomoses of non-living chicken femoral vessels were divided into four groups. A resident and an experienced microsurgeon performed anastomoses of femoral chicken vessels with 8-0 and 10-0 sutures, using a smartphone camera and a surgical microscope. The time to complete the anastomosis and the number of anastomosis errors were compared using the Mann-Whitney U test. Results The time taken to perform an anastomosis by the experienced microsurgeon was significantly longer when using the smartphone (median: 32.5 minutes vs. 20 minutes, P<0.001). The resident completed the anastomoses with both types of equipment without a significant difference in the operative times. When using a smartphone, the operation times were not significantly different between the resident and the experienced microsurgeon (P=0.238). The resident showed non-significant differences in operation time and the number of errors when using a smartphone or an operative microscope (P=1.000 and P=0.065, respectively). Conclusions Microsurgical practice with non-living chicken femoral vessels can be performed with a smartphone, though it can take longer than with an operative microscope for experienced microsurgeons. The resident may also experience frustration and tend to make more anastomosis errors when using a smartphone versus an operative microscope.

코로나19에 따른 유형별 소매유통시설의 아파트 가격 영향: 전역적·국지적 시계열 효과를 중심으로 (Impact of Living Retail Business by Type on Apartment Prices according to COVID-19: Focusing on Global and Local Time Series Effects)

  • 김명진;서원석
    • 토지주택연구
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    • 제14권3호
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    • pp.37-53
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    • 2023
  • 본 연구는 헤도닉가격모델과 공간적 이질성을 고려한 지리가중회귀모델을 바탕으로 코로나19에 따른 유형별 소매유통시설 접근성이 아파트 가격에 미치는 전역적·국지적 시계열 영향을 실증분석 하였다. 주요 연구 결과는 다음과 같다. 첫째, 전역적 측면에서 소매유통시설은 유형별로 주변 아파트 가격에 차별적인 영향을 미치는 것으로 나타났다. 둘째, 코로나19가 소매유통시설에 미친 영향은 존재하였으나, 역시 유형별로 차별적인 것으로 나타났다. 셋째, 국지적 측면에서 코로나19에 따라 소매유통시설이 주변 아파트 가격에 미치는 영향 변화는 지역별, 유형별로 차이를 보였다. 이러한 결과를 바탕으로 본 연구는 유형별 소매유통시설이 아파트 가격에 미치는 영향력은 차별적이라는 사실을 확인하였으며, 특히 코로나19 발생 전과 후 유형별 소매유통시설이 주변 지역에 미치는 영향 역시 국지적으로 차별화되고 있다는 점을 명확히 하였다. 이는 코로나19와 같은 외부 충격이 소매유통시설의 역할과 인식을 바꿀 수 있다는 것을 의미하며, 이를 토대로 본 연구는 엔데믹 시대 소매유통시설의 부정적 영향을 줄이고 주거지 환경을 개선할 수 있는 정책적 시사점을 제시하였다.

Bacillus Subtilis NRLSI IV로 제조한 청국장의 접종포자농도와 발효시간에 따른 품질 특성 (The Quality Characteristics of Chunggujang Prepared by Bacillus Subtilis NRLSI IV on the Different Inoculum Levels and Fermentation Times)

  • 김경미;김행란;박홍주
    • 한국지역사회생활과학회지
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    • 제17권3호
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    • pp.123-131
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    • 2006
  • To compare the quality characteristics, chunggugjang was prepared with Bacillus subtilis NRLSI IV on the different inoculum levels$(10^2,\;10^4,\;10^6,\;and\;10^8 CFU/ml)$ and fermentation times(0, 12, 24, 36, and 48 hours). Although significant change in total nitrogen content was not found, the content of amino type, soluble and ammonia type nitrogen was generally increased according to the increase in fermentation time. Decomposition rate of nitrogen was also increased by fermentation time and nitrogen solubility was the highest value(62-75.9%) at 48 hour fermentation. In results of color changes, it was found that L and a value were decreased but there was no significant changes in b value as fermentation time was increased. In chunggugjang made with long fermentation time, hardness was decreased and relative viscosity of viscous substance was gradually decreased after little increase at initial fermentation time. The effect of inoculum level on hardness and relative viscosity were similar to that of fermentation time, i.e. the decrease of these at high inoculum level. In activity of V-GTP, 36 hour incubation could produce the highest value whereas no effect of inoculum level was found during fermentation except at 48 hour. In chunggugjang made with $10^2CFU/mL$ of Bacillus subtilis NRLSI IV, the content of glucose, sucrose, raffinose and stachyose was dramatically decreased at initial fermentation time and that of phytic acid, oxalic acid, citric acid, tartaric acid and malic acid was also decreased during fermentation, although the increase in acetic acid was found.

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맞벌이 부부의 응집 및 적응이 역할갈등에 미치는 영향 (An Effect of Cohesion & Adaptability on Role Conflicts of Dual-Earner Couples)

  • 김수연
    • 대한가정학회지
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    • 제32권3호
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    • pp.121-134
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    • 1994
  • This study was to examine the factors effecting the role conflicts of dual-earner couples. The sample consisted of 168 husbands and wives living in Pusan. The findings of this study were as follows; 1. Husbands' role conflicts were negatively related to cohesion wives' role conflicts were negatively related to adaptability. 2. Husbands' role conflicts were significantly affected by spouses' support time spent at work cohesion and the youngest child age. 3. Wives' role conflicts were significantly affected by spouses' support adaptability time spent at work and the degree of husbands' support, adaptability time spent at work and the degree of husbands' housework participation.

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한국의 농작업환경과 인체부담에 관한 연구(III) - 작목별 농작업 모형을 중심으로 - (Study on Farm Work Environment and Physical Load in Korea - Focused on Farm Work Model by Crops -)

  • 최정화;안옥선;황경숙
    • 한국농촌생활과학회지
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    • 제10권2호
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    • pp.85-100
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    • 1999
  • This study was to get basic data for the establishment of proper labor counterplan so that we estimated farm work volume and work loads by crops. We examined the method of work practices such as a work posture, work time, measured work environment such as hot, cold, humidity and ultraviolet rays and calculated physical loads induced by them. Also we surveyed work environment, work posture, sleeping time and work time because they affect on farmer's health. Farmer's health survey was investigated by questionnaire and measured farmer's physical load. The types of farm work were classified into greenhouse farming, rice farming, dry field farming, stock farming and special crop farming. 11 crops were selected, for example, greenhouse melon, riceㆍred pepper, milky cow farming, pear, grapes, dropwort, sweet potato, potato, radish, and cabbage. We also chose subject districts haying the most yield of 11 crops. Our survey was conducted for the period when farmers think the hardest period in physical work load. The farm work models based on work standard were presented according with farmer's health.

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밤껍질에서 추출되는 천연염료의 염색성 연구 (The Dyeability of Natural dye Extracted from Chesnut Shell)

  • 정영옥
    • 한국농촌생활과학회지
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    • 제8권2호
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    • pp.83-91
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    • 1997
  • In this study, the dyeability of natural dye extracted from chesnut shell was investigated in order to explore the using of discarded chesnut shell in natural dyeing. Dyeing experiments were done in various dyeing conditions which were different in dyeing temperature, concentration of dyebath, dyeing time, repitition of dyeing. pH of dyebath and mordant with 3 kinds of experimental fabrics silk, nylon and cotton. Color and color difference ($\Delta$ E) of every dyed fabrics were measured and color fastness to drycleaning, washing, perspiration and light were measured. The results were as follows ; 1. The dyebath became thicker with time and temperature of extraction and the characteristics of dyebath prepared chesnut shell 1g : distilled water 30㏄ after 3 hrs-boiling were 32,400ppm and 3.7pH. 2. The dyeabilities of silk and nylon fabrics were good and color difference was increased with dyeing temperature, concentration of dyebath, dyeing time, number of repitition and acidity of dyebath. But the dyeability of cotton was very poor compared to silk and nylon. 3. Without the treatment of mordant, the dyeability of silk was little lower than that of nylon, but after the treatment of mordants it became higher than nylon. After the treatment of mordant Cu and Fe, the dyeability of cotton was increased although the natural dye from the chesnut shell was hardly absorved in cotton without mordant. 4. On the whole, the colorfastness of dyed silk and nylon were very good except the colorfastness to washing in silk and the colorfastness to light in nylon.

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