• Journal of Korean Neurosurgical Society
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• 제30권2호
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• pp.173-179
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• 2001

Purpose : To assess therapeutic effects of percutaneous polymethylmethacrylate(PMMA) vertebroplasty on the pain caused by osteoporotic thoracic and lumbar vertebral body compression fractures in a large scale of a prospective clinical design, and to determine clinical factors influencing its therapeutic effects. Methods : A prospective clinical study was carried out in 349 vertebral levels of 159 patients between April 1998 and July 1999. The compression fractures were confirmed with bone scan and spine CT, and bone marrow density was measured. Visual analogue scale(VAS) score was used for pre- and post-operative assessments of the pain. All 159 patients were assessed immediately after surgery, and 140 patients of them were followed-up for about 6 months in average. Results : Partial and complete pain relief was sustained immediately after operation in 73%, through follow-up period in 88% of the patients. Pain relief was not proportional to the amount of PMMA or the rate of increase in the height of the compressed vertebral body. It appears that 3 to 6cc of PMMA was proper enough to sustain pain relief. Better clinical improvement was achieved in the patients treated within 6 months after occurrence of vertebral body fracture. The most frequent surgical complication was epidural leakage of PMMA, and the most serious complication was extravertebral leakage into the paravertebral muscles, which appeared to exert the worst influence on the outcome. However, surgery was not required in these patients. Conclusion : Therapeutic effects of PMMA percutaneous vertebroplasty on osteoporotic vertebral body compression fractures were confirmed in a relatively large scale of prospective clinical study. It appears that good outcome can be achieved in patients treated within 6 months after fracture, treated each level with 3 to 6cc of PMMA in amount. without serious complications.

• 한국구조물진단유지관리공학회 논문집
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• 제26권3호
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• pp.29-38
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• 2022

본 연구에서는 실규모의 2층 철골 구조물에 7종의 건축 및 비건축 비구조요소를 설치하여 진동대 실험을 수행하였다. 진동대 실험은 현행 비내진상세와 면진장치를 적용한 실험으로 두 차례 수행되었으며 본 연구에서는 무정전전원장치(UPS)의 내진성능에 대하여 실험 및 분석하였다. 비내진정착상세로는 UPS 하단에 ㄷ형강 다리부가 설치되었고, 면진장치로는 고감쇠고무와 와이어로프로 구성된 개발 복합면진장치가 사용되었다. 지진하중모사를 위하여 ICC-ES AC156 (2010)에 따라 인공지진파를 생성 후, 동일 지진파의 크기를 점증하여 가진하였다. 진동대실험을 통해 복합면진장치의 적용여부에 따른 UPS의 거동 및 동적 특성(응답가속도, 응답변위, 동증폭계수, 고유진동수, 감쇠비)을 비교 및 분석하였다. 실험결과, 복합면진장치를 적용함에 따라 UPS의 고유진동수가 감소하여 응답가속도 및 증폭계수가 크게 감소하는 것으로 확인되었다.

• 한국측량학회지
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• 제24권1호
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• pp.89-97
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• 2006

토양침식은 지구상에 존재하는 자원의 기반을 위협하는 중요한 환경문제로 대두되고 있다. 본 연구에서는 토양 침식모형중 GIS와의 연계가 가능하고 중규모유역에서 범용적으로 활용가능한 RUSLE 침식모형을 선정하여 모형에 입력되는 인자들을 GSIS 공간분석기법을 활용하여 추출하였다. 먼저 댐 유역의 토양침식량 평가를 위해 토양도, DEM, 토지피복도와 같은 GIS 자료와 2003년 태풍매미 강우사상을 적용하고, 상하류 유역특성을 고려한 토양침식의 변화를 분석하고자 토양침식인자, 지형인자 그리고 식생피복인자를 분석한 결과, 상류유역에서는 산림의 높은 비율로 인해 토양침식인자와 지형인자의 평균값이 하류유역에 비해 높게 나타났고, 반면 하류유역에서는 완만한 경사의 농경지의 영향으로 식생피복인자의 평균값이 높게 나타남을 알 수 있었다. 그리고, 상하류 유역특성을 고려한 토양침식량 평가 결과, 상류유역의 단위토양침식량이 하류유역보다 약 4.3배 높게 나타남을 알 수 있었다. 따라서 토양침식 저감을 위한 유역대책 수립시 상류유역을 중점 대상지역으로 선정하는 것이 효과 적임을 알 수 있었다.

• 한국문헌정보학회지
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• 제48권3호
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• pp.193-215
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• 2014

본 연구는 간호학과 학생들의 그룹과제 시 협동적 정보행태에서 나타나는 만족도 및 정서적 경험 등을 설문조사하여 이들의 관계에 대해 종합적으로 분석해 보고자 하였다. 이를 위해 본 연구는 이용자들의 협동적 정보검색에서 나타나는 긍정적 또는 부정적 정서에 대한 평가는 동일 설문지에서 PANAS 척도를 이용하여 정서적 경험을 측정하였다. 학생들의 협동적 정보검색에 대한 경험은 정서적 측면과 상관관계를 살펴보고, 일반적 특성, 협동적 정보검색에 대한 경험, 정서적 측면과의 통계적 우의성은 t-test로 분석하였다. 연구결과, 간호학과 학생들의 협동적 정보검색과 정서적 경험은 상관관계가 있었으며, 또한 학생들의 일반적 특성, 협동적 정보검색과 정서적 경험은 통계적으로 유의미한 관계가 있는 것으로 나타났다. 특히 학생들의 성별과 '전반적 협동에 대한 만족도', 학생들의 성별과 긍정적 정서에서 유의미한 상관관계를 나타내었다. 본 연구를 통해서 협동적 정보행태에서 정서적 경험에 대한 후속 연구에 가능성을 발견하였다.

• The Journal of Asian Finance, Economics and Business
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• 제7권6호
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• pp.209-220
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• 2020

This research examines the affect of destination image factors on revisit intention of domestic tourists at Ba Ria Vung-Tau (BRVT), by questioning directly 510 domestic tourists. The convenient sampling method is used in dividing the crowds into four groups; the four main surveyed areas in BRVT are: Vung Tau, Long Hai-Phuoc Hai, Xuyen Moc and Con Dao. A combination of qualitative and quantitative methodologies were utilized.A focus group of 10 domestic tourists wasset up to review and explore the variousfactors as well as the conceptual model. An in-depth interview with 12 participants was developed to fine-tune measurement items. The questionnaire applied a 5-point Likert scale. Checking the reliability by Cronbach's Alpha, exploratory factor analyzing and linear multiple regression were used with the SPSS program. The results show that there are eight main destination image factors affecting domestic tourists revisit intention to BRVT using linear regression and arranged by decreasing importance: Infrastructure, Variety Seeking, Accessibility, Local food, Atmosphere, Environment, Price Value, Leisure and Entertainment. From that, the research offers some suggestions and policy recommendations for the tourism business and provincial policy-makers to identify the main issues and develop better customer services to increase domestic tourists'revisit intention.

• 대한인간공학회지
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• 제29권5호
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• pp.797-810
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• 2010

This study examined perceived discomforts encountered in residential facilities such as individual houses and apartments, and suggested a procedure for improving the problems in the living residence. The participants consisted of two groups of people: normal and underprivileged people; the underprivileged group was classified into 3 sub-groups: elderly people (over 65 years old), handicapped people and pregnant women. To identify inconvenient places and design factors in the residential housing, a total of 200 subjects (50 for each group) participated in the survey using the 7-point Likert scale. As a result, all the user groups mainly answered a high degree of discomfort due to narrow parking places, doorsills, and height differences between floors. The elderly, the handicapped, and the pregnant women replied that it is uncomfortable to use ramps and utility rooms. In a follow-up study, one-to-one in-depth interviews were conducted with some of the participants to analyze the detailed causes of inconvenient places and design factors. This study also suggested the procedure for solving the problems in various design factors from perspective of universal design, by considering prior studies which focused on a certain user group like the elderly. This procedure was suggested to consider as many user groups as possible at the same time. The results can be used to understand the discomforts of various user groups on residential housing. The procedure can also be used to develop universal design guidelines for the living residence.

• Journal of Korean Neurosurgical Society
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• 제56권2호
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• pp.121-129
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• 2014

Objectives : Patients with cervical ossification of posterior longitudinal ligament (OPLL) are susceptible to cord injury, which often develops into myelopathic symptoms. However, little is known regarding the prognostic factors that are involved in minor trauma. We evaluated the relationship between minor trauma and neurological outcome of OPLL and investigated the prognostic factors with a focus on compressive factors and intramedullary signal intensity (SI). Methods : A total of 74 patients with cervical myelopathy caused by OPLL at more than three-levels were treated with posterior decompression surgeries. We surveyed the space available for spinal cord (SAC), the severity of SI change on T2-weighted image, and diabetes mellitus (DM). The neurological outcome using Japanese Orthopedic Association (JOA) scale was assessed at admission and at 12-month follow-up. Results : Among the variables tested, preoperative JOA score, severity of intramedullary SI, SAC, and DM were significantly related to neurological outcome. The mean preoperative JOA were $11.3{\pm}1.9$ for the 41 patients who did not have histories of trauma and $8.0{\pm}3.1$ for the 33 patients who had suffered minor traumas (p<0.05). However, there were no significant differences in the recovery ratios between those two groups. Conclusions : Initial neurological status and high intramedullary SI in the preoperative phase were related to poorer postoperative outcomes. Moreover, the patients with no histories of DM and larger SACs exhibited better improvement than did the patients with DM and smaller SACs. Although the initial JOA scores were worse for the minor trauma patients than did those who had no trauma prior to surgery, minor trauma exerted no direct effects on the surgical outcomes.

• 대한한의학회지
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• 제29권4호
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• pp.114-122
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• 2008

Objectives: To determine the factors affecting the assessment of Oriental medical institutions under the Oriental Medical Institution Assessment System and thereupon, provide for some basic data and alternative measures for assessment of Oriental medical institutions. Methods: The researcher sampled 320 people employed by 26 Oriental medical institutions designated as model Oriental medical institutions subject to assessment in 2008 and 2009 and thereupon, used a structured and open-ended survey table for them to collect the data. The size of the final sample was n=302. Results: The Oriental medical institution staff were highly aware of the Oriental medical institution assessment (OMIA), After adjusting the other factors by multiple regression, the factors affecting such recognition were different significantly depending on age (those in their 30's), types of job (nurses and treatment assistants) and locations of hospital (GyeongSang-do). The staff expected the OMIA could helpful for improving facilities and system of hospitals, thus promoting satisfaction of patients. To do so, they felt it necessary to develop an assessment scale reflecting the special conditions besetting the Oriental medical institutions as well as the indices for improvement of Oriental medical service quality. Conclusion: It is hoped that this study will be followed up by future studies which will comparatively analyze Oriental medical institution staff's perception of the assessment system before and after its operation and thereby, suggest some ideal policy alternatives for assessment of the Oriental medical institutions. Furthermore, future studies are requested to research into Oriental medical institution staff's needs and consumers' needs as well in consideration of the characteristics of the Oriental medical institutions and thereupon, suggest some alternatives for continued education, development of the assessment tools, methods and policies.

• Journal of Korean Neurosurgical Society
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• 제52권1호
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• pp.42-47
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• 2012

Objective : The aim of this prospective study was to demonstrate the influence of some factors on the prognosis of microvascular decompression in 37 patients with trigeminal neuralgia. Methods : The results of microvascular decompression (MVD) in 37 patients with trigeminal neuralgia were evaluated at 6 months after surgery and were compared with clinical and operative findings. Results : The sex of the patient, the patient's age at surgery, the side of the pain, and the duration of symptoms before surgery did not play any significant roles in prognosis. Also, the visual analogue scale (VAS) of the patient, the duration of each pain attack, and the frequency of pain over 24 hours did not play any significant roles in prognosis. In addition, intraoperative detection of the type of conflicting vessel, the degree of severity of conflict, and the location of the conflict around the circumference of the root did not play any roles in prognosis. The only factors affecting the prognosis in MVD surgery were intraoperative detection of the site of the conflict along the root and neuroradiological compression signs on preoperative magnetic resonance imaging (MRI)/magnetic resonance angiography (MRA). Conclusion : These findings demonstrated that if neurovascular compression is seen on preoperative MRI/MRA and/or compression is found intraoperative at the root entry zone, then the patient will most likely benefit from MVD surgery.

• Clinics in Shoulder and Elbow
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• 제8권1호
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• pp.19-22
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• 2005

Purpose: The causes of twelve cases of the mid-shaft clavicle nonunion and the results of internal fixation with plate and bone graft were investigated. Materials and method: From August 1997 to March 2003, twelve cases of the mid-shaft clavicle nonunion were operated with internal fixation with plate and bone graft. The duration of follow-up was average 13 months. Results: The causes of the mid-shaft clavicle nonunion included severe associated injury, severe initial displacement of the fracture fragments and insecure fixation. All cases were operated with internal fixation with plate and bone graft. According to the factor for evaluations of results, using a rating scale of excellent (no apparent factors), good (one factor), fair (two factors), poor (more than three factors), the results showed 10 excellent, 1 good and 1 poor. Screw loosening was developed in only one case . Conclusion: The internal fixation with plate and bone graft of the mid-shaft clavicle nonunion after failed conservative treatment achieved excellent results and seemed to be the procedure of choice for mid-shaft clavicle nonunion.