• Korean Journal of Acupuncture
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• 제36권2호
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• pp.104-114
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• 2019

Objectives : The purpose of this study is to review the effectiveness of fire needling treatment for knee osteoarthritis in comparison with manual acupuncture treatment. Methods : Through four foreign online databases (PubMed, Cochrane library, EMBASE, and CNKI) and five domestic online databases (NDSL, RISS, KISS, OASIS, and KTKP), we searched for clinical studies that performed fire needling treatment for knee osteoarthritis until May 10, 2019. Only randomized controlled trials were selected and we assessed the risk of bias according to the Cochrane RoB criteria. This review examined the selected studies into first author, publication year, sample size, outcome measurements, results, acupoints, treatment time & period and so on. Results : A total of 7 RCTs were selected in this review and all were conducted in China. Treatment period of more than 4 weeks and treatment visits of 10 to 20 times were the most common. EX-LE4 and ST35 (=EX-LE5) acupoints were most frequently selected in treatment. Among the evaluation indexes, a total efficacy rate was used the most. Most of fire needling groups showed more significant results compared with the manual acupuncture groups statistically. Conclusions : All studies showed that fire needling treatments for knee osteoarthritis were more effective than manual acupuncture treatments statistically. Therefore, the results of this study could be utilized as a preliminary data for another clinical research on fire needling treatment for knee osteoarthritis. However, further well-designed randomized controlled trials will be needed to develop sufficient evidence about the effectiveness and safety of fire needling treatment for knee osteoarthritis in the future.

• 한국임상약학회지
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• 제30권4호
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• pp.250-258
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• 2020

Background: Dopamine receptor agonists (DRAs) have been associated with impulse control disorders (ICDs) in Parkinson's disease (PD) in preliminary studies. Whether the association holds true when DRAs are used to treat non-PD, such as restless legs syndrome, prolactinoma, and several mood disorders is uncertain. Objective: The present study aimed to understand the research gaps related to the risk of ICDs associated with pramipexole or ropinirole (PRX/ROP) use as a treatment for specific underlying diseases, excluding Parkinson's disorders. Methods: We conducted a scoping review, systematically searching databases to identify literature on the types, prevalence, and factors associated with ICD in non-PD patients receiving PRX/ROP. All relevant information that helped understand the epidemiology of ICDs among non-PD patients taking PRX/ROP were extracted and analyzed. We also evaluated the potential associations between PRX/ROP and ICDs, utilizing the Naranjo scale or statistical analysis, depending on the type of literature. Results: We included 24 articles (19 case reports or case series and 5 population-based studies) in this scoping review. Evaluating the 19 case reports or case series using Naranjo scores led to the discovery of a possible link between PRX/ROP exposure and ICDs. However, important information to assess causality is frequently missing. Moreover, the population-based studies lack diversity in the study populations and enough study samples to draw conclusive results. Conclusion: Our scoping review suggests that the currently available literature requires more details in future case reports and for well-powered studies in various disease conditions where PRX/ROP is frequently used.

• Journal of Dental Anesthesia and Pain Medicine
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• 제22권2호
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• pp.75-86
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• 2022

This review aims to identify the influence of the vehicle and its concentration used to carry calcium hydroxide (Ca(OH)₂) medicament on postoperative pain. The protocol for this review was registered in the open science framework (Registration DOI-10.17605/OSF.IO/4Y8A9) and followed the guidelines provided by the Joanna Briggs Institute. Reporting was based on the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR). Literature screening and searches were performed on PubMed/Medline, Scopus, and EBSCO hosts. Furthermore, additional records were manually analyzed using various sources. The selected studies were published in English and included the use of any vehicle adjunct to Ca(OH)₂ to evaluate postoperative pain using qualitative and quantitative pain assessment tools. Descriptive analysis was conducted to review the study design, vehicle elements, and their effects. A preliminary search yielded 7584 studies, of which 10 were included. According to the data collected, the most commonly used Ca(OH)₂ vehicles were chlorhexidine (CHX), normal saline, and camphorated paramonochlorophenol/glycerine (CPMC/glycerine), which had a significant effect on postoperative pain. Among the included studies, six evaluated the effect of CHX as a vehicle. It was observed that a higher concentration of the vehicle (2%) showed a favorable response in reducing postoperative pain. A majority of studies have validated a positive consequence of using a vehicle on postoperative pain. Although higher vehicle concentrations were found to alter postoperative pain levels, the data were insufficient to draw a firm conclusion. Our scoping review indicates that further clinical studies should focus on using different vehicles at various concentrations and application times to check for feasible and safe exposure in addition to providing pain relief.

• 자원ㆍ환경경제연구
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• 제20권3호
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• pp.595-628
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• 2011

본 연구는 한국개발연구원의 예비타당성조사에서 문화 과학 시설 등의 비정형 사업에 대한 편익 평가의 기법으로 활용도가 커지고 있는 CVM의 분석체계를 고찰하고 개선과제를 제시하였다. CVM의 설계에서 시장영역, 즉 목표모집단의 설정, 소득세라는 지불수단, 5년간 연단위로 한정하는 지불 방법, 저항응답의 사유 등에 대해서는 추가적인 논의가 필요하고, CVM의 설계에서 편의를 줄일 수 있는 전문가 검토, 표적집단조사, 사전조사, 본조사가 운영되도록 하여야 한다. 한편 CVM의 지불의사 유도 방법으로 활용되고 있는 단일 및 이중 양분선택형 질문방식에 의한 지불의사 유도 방법이 일반적이지만, 이 모형들과 관련된 쟁점에 대한 검토와 더불어 이외의 모형에 대해서도 검토하는 작업이 필요하다. WTP 함수 추정에 가정하고 있는 특정 분포 가정을 다양화하여 WTP의 변동성을 검토하고, 모수적 분포 이외에 비모수적 기법을 활용하여 WTP 함수를 추정하는 연구가 필요한 시점이다. 아울러 0의 지불의사 문제와 저항응답을 처리하기 위한 다양한 시도가 필요하며, 지불거부여부를 제시금액 이전에 제시하는 등의 질문 순서의 변화 등을 통한 지불거부자 파악 과정에서 발생하는 편의를 회피하는 노력 등도 검토되어야 한다.

• 기본간호학회지
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• 제15권1호
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• pp.34-44
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• 2008

Purpose: The purpose of this study was to develop an eye care protocol for intensive care unit (ICU) patients. Method: A systematic review was conducted to develop an eye care protocol for ICU patients. Searches were performed using computerized databases (CINAHL, MEDLINE, EBM Review) and citation search from 1996 to January 2007. For the keywords, "eye care", and "randomized controlled trial" were used to identify experimental studies regarding eye care for ICU patients. After reviewing the collected studies, a preliminary eye care protocol algorithm was created. Then, content validity was examined with ophthalmologists and ICU nurses. Results: Six studies were included to serve as a basis for framing of the preliminary algorithm. The final eye care protocol was completed after verifying the preliminary algorithm's content validity. The final eye care protocol was organized in the following manner: 3 items in the assessment stage, 7 items in the no-risk stage, 4 items in the low-risk stage, and 5 items in the high-risk stage. Conclusion: The results indicate that, for ICU patients, nurses can broaden their knowledge regarding ocular diseases, as well as improve their practice-based eye care nursing performance.

• 성인간호학회지
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• 제13권2호
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• pp.291-304
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• 2001

The purpose of this study was to develop Intensive Care Unit (ICU) admission and discharge criteria that would lead to the appropriate utilization of ICU resources and nursing services. For this study, a conceptual framework was developed through a review of the literature. Then in order to identify the overall health condition of patients in the ICU, and to draw up preliminary criteria, the medical records of 58 patients who were admitted to the ICU of Y Medical Center in Seoul between March, 1999 to February, 2000 of were analyzed. Two expert validity tests were done for the preliminary criteria for admission and discharge with 21 patients over 18 years of age who were admitted patients and for 12 patients who were discharged between May 30, 2000 and June 5, 2000 a clinical validity test was also done. After this process, the final admission and discharge criteria were developed. The results of this study are summarized as follows: 1. After a review of the literature, there were 9 categories for admission criteria cardiologic, gastrointestinal, neurologic, endocrine, post-op care of major surgery, vital signs, laboratory values, and a category of miscellaneous items. Discharge criteria had 3 categories which were vital signs, laboratory values, and a category of miscellaneous items. 2. From the medical records of the 58 patients who were admitted to the ICU, 45 items for preliminary criteria for admission and 17 for discharge were identified. 3. The two expert validity tests showed that of the 45 items 29 admission items received over 75 percent agreement. The 16 admission items which received less than 75 percent agreement were revised or deleted from the admission criteria. Of the 17 discharge items, 11 had over 75 percent agreement and 6 less then 75 percent agreement. These were revised or deleted from the discharge criteria. 4. In the clinical validity test, 14 admission items showed more than 75 percent agreement and 11 discharge items more than 83 percent agreement. 5. The final criteria consisted of 29 items for admission and 11 items for discharge. Since patients being considered for admission to the ICU have complex problems, there is a need to make the decision based on more than a single issue. This tool will insure that the ICU nursing care and treatment resources are appropriately used by allowing a multi-professional health team to make admission and discharge decisions.

• 한국우주과학회:학술대회논문집(한국우주과학회보)
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• 한국우주과학회 2008년도 한국우주과학회보 제17권2호
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• pp.27.1-27.1
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• 2008

KASI (Korea Astronomy and Space Science Institute) is developing a compact wide-field survey space telescope system, MIRIS (The Multi-purpose IR Imaging System) to be launched in 2010 as the main payload of the Korea Science and Technology Satellite 3. Through recent System Design Review (SDR) and Preliminary Design Review (PDR), most of the system design concept was reviewed and confirmed. The near IR imaging system adopted short F/2 optics for wide field low resolution observation at wavelength band 0.9~2.0 um minimizing the effect of attitude control system. The mechanical system is composed of a cover, baffle, optics, and detector system using a $256\times256$ Teledyne PICNIC FPA providing a $3.67\times3.67$ degree field of view with a pixel scale of 51.6 arcsec. We designed a support system to minimize heat transfer with Muti-Layer Insulation. The electronics of the MIRIS system is composed of 7 boards including DSP, control, SCIF. Particular attention is being paid to develop mission operation scenario for space observation to minimize IR background radiation from the Earth and Sun. The scientific purpose of MIRIS is to survey the Galactic plane in the emission line of Pa$\alpha$ ($1.88{\mu}m$) and to detect the cosmic infrared background (CIB) radiation. The CIB is being suspected to be originated from the first generation stars of the Universe and we will test this hypothesis by comparing the fluctuations in I (0.9~1.2 um) and H (1.2~2.0 um) bands to search the red shifted Lyman cutoff signature.

• 한국임상보건과학회지
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• 제2권1호
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• pp.35-45
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• 2014

Purpose: This study analyzes occupational therapy interventions to improve activities of daily living (ADL) in dementia patients and the instruments used to verify their effects through a systematic review and attempts to use the results as preliminary data in selecting further interventions and instruments. Method: The databases searched included NDSL, DBpia, RISS, KISS and National Assembly Library with search words including 'Alzheimer's disease', 'Alzheimer', 'daily living' and 'ADL.' The subjects of analysis were a total of 7 studies, and a frequency analysis was used for the usage count of the interventions used in each study. In order to provide evidence, PICO Method was used for sorting. Result: As a result of this study, there were 7 occupational therapy interventions applied to improve ADL in dementia patients, which were used 7 times total. As for the instruments used to validate the effects of the interventions for the ADL, it turned out that '3 studies used AMPS (42.9%),' which was the most, followed by 'Allen Cognitive Level Screen' (ACLS) and Functional Independence Measure' (FIM), respectively used in 2 studies (28.6%); and 'Modified Barthel Index' (MBI) and 'Philadelphia Geriatric Center IADL' (PGC IADL), respectively used in 1 study. Regarding the qualitative level of evidence, it turned out that 4 studies were Level III (57.1%), followed by 2 studies at Level IV (28.6%) and 1 study at Level I (14.3%). Conclusion: This study suggested the kinds and frequencies of usage of the interventions and instruments of occupational therapy for the improvement of ADL in dementia patients, and the studies of evidence were presented by the PICO Method. It is judged that the results of this study can be used as preliminary data in selecting interventions and instruments to improve the ADL in dementia patients. In the future, studies should be carried out on the ADL in other areas related to dementia.

• 한국해안·해양공학회논문집
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• 제21권2호
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• pp.174-181
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• 2009

본 연구는 우리나라 환경평가제도에서 해안침식 문제를 합리적으로 다루기 위한 시도의 일환으로 기존 환경평가서를 대상으로 해안침식 환경평가 현황을 조사 분석하였으며 이를 토대로 기술적 제도적 개선방안을 제시하였다. 해안침식 검토가 필요한 개발계획은 전체 검토사업 중 약 20%를 차지하였으며 사업규모가 클수록 그 비율은 증가하였다. 환경평가 대상사업 중 해안침식 검토가 필요한 사업에 대한 재정비와 함께 현재 검토가 이루어지고 있는 사업에 대해서도 항목설정, 영향예측, 및 사후관리 등 전반적인 개선이 필요한 것으로 나타났다. 본 연구에서는 현황에 대한 개선방안으로 작성규정 재정비, 관련 가이드라인 개발, 누적영향평가 실시 등을 제시하였다. 또한 해안침식 영향평가의 과학적 불확실성을 감안할 때 사후관리가 주요한 과정으로 인식되어야 하며 해안침식과 관련하여 사후관리 기간의 재검토, 과학적 보상방안 도입 및 사후관리 기관의 설치 등의 제도적 개선방안을 제시하였다. 더불어 연안토사의 효율적 관리를 위한 국가종합정책의 개발이 필요하며, 전략 환경평가를 통한 이들 정책 및 계획의 합리성을 검토하고 사업환경평가를 통하여 일관성이 유지되는 과정이 구축되어야 한다.

• 지적과 국토정보
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• 제51권2호
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• pp.83-106
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• 2021

대기오염, 지구온난화 문제 등 환경 문제의 심각성이 대두되면서 청정 연료의 관심이 커지고 있다. 그 중 수소는 기존 화석연료와는 달리 연소 시 부산물로 수분만이 발생하는 대표적인 친환경 에너지원으로 현재 다양한 분야에서 주목을 받고 있다. 물류 분야에서도 수소를 활용한 물류 네트워크를 구축하기 위해 다양한 정책적 노력이 활발히 이루어지고 있다. 이러한 수소 물류 네트워크의 구축에 있어 수소충전소의 입지 결정은 매우 중요한 문제이다. 최근 개발된 수소추진(수소연료전지) 화물차에 수소를 공급하는 충전소는 수소 기반 물류체계가 본격적으로 자리 잡는 데 있어 필수 불가결한 요소이다. 이러한 수소충전소의 최적 입지를 결정하는 선행연구는 대부분 수리적 모형에 기반한 최적화 기법만을 사용하여 수소충전소의 최적 입지를 결정하고자 하였다. 본 연구에서는 기존 연구의 동향과는 차별화하여 최적화 기법의 중요한 투입 변수 중 하나인 충전소 후보지에 대한 공간적 특성을 검토하는 방법으로 머신러닝 모형들을 활용하고 그 적용가능성을 확인하였다. 머신러닝은 다양한 분야에서 우수한 성과를 증명한 기법이지만 수소충전소의 최적 입지를 결정하는 연구 분야에서는 아직 적용된 바가 없다. 이를 위해 본 연구에서는 개별공시지가, 수소공급지와의 거리 등 전국 고속도로 휴게소와 고속도로의 무작위 지점들의 위치와 관련된 변수들을 독립변수로 선정하여 단일 머신러닝 모형과 앙상블 모형을 적용하고 그 성과를 비교하였다. 분석 결과, 랜덤포레스트(Random Forest) 모형이 가장 우수한 성과를 보였으며, 다른 모형들 또한 우수한 분류 성능을 보여 최적 입지 문제에 대해 공간적 특성을 예비적으로 검토하는 방법론으로써 머신러닝의 적용 가능성을 확인할 수 있었다. 따라서 머신러닝 모형은 수소충전소의 최적 입지 결정 분야에서 향후 최적화 기법을 적용한 연구의 예비적 검토 방법론으로 널리 활용할 수 있을 것으로 기대된다.