• Journal of Korean Neurosurgical Society
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• 제59권5호
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• pp.512-517
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• 2016

Objective : The pathophysiology of idiopathic Chiari malformation (CM) type 1 is disturbance of free cerebrospinal fluid (CSF) flow and restoration of normal CSF flow is the mainstay of treatment. Additional migration of the medulla oblongata in pediatric patients is referred to as CM type 1.5, but its significance in adult patients is unknown. This study is to compare surgical outcomes of adult idiopathic CM type 1.5 with that of type 1. Methods : Thirty-eight consecutive adult patients (M : F=11 : 27; median, 33.5; range, 18-63) with syringomyelia due to idiopathic CM type 1 were reviewed. Migration of the medulla oblongata was noted in 13 patients. The modified McCormick scale (MMS) was used to evaluate functional status before and one year after surgery. All patients underwent foramen magnum decompression and duroplasty. Factors related to radiological success (${\geq}50%$ decrease in the diameter of the syrinx) were investigated. The follow-up period was $72.7{\pm}55.6$ months. Results : Preoperative functional status were MMS I in 11 patients and MMS II in 14 of CM type 1 and MMS I in 8 and II in 5 of CM type 1.5. Of patients with MMS II, 5/14 patients in group A and 3/5 patients in group B showed improvement and there was no case of deterioration. Radiological success was achieved in 32 (84%) patients and restoration of the cisterna magna (p=0.01; OR, 46.5) was the only significant factor. Conclusion : Migration of the medulla oblongata did not make a difference in the surgical outcome when the cisterna magna was restored.

• 한국정보통신학회:학술대회논문집
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• 한국해양정보통신학회 2008년도 추계종합학술대회 B
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• pp.261-264
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• 2008

IPv6 has been proposed and deployed to cater the shortage of IPv4 addresses. It is expected to foresee mobile phones, pocket PCs, home devices and any other kind of network capable devices to be connected to the Internet with the introduction and deployment of IPv6. This scenario will bring in more challenges to the existing network infrastructure especially in the network security area. Firewalls are the simplest and the most basic form of protection to ensure network security. Nowadays, firewalls' usage has been extended from not only to protect the whole network but also appear as software firewalls to protect each network devices. IPv6 and IPv4 are not interoperable as there are separate networking stacks for each protocol. Therefore, the existing states of the art in firewalling need to be reengineered. In our context here, we pay attention only to the IPv6 firewalls configuration anomalies without considering other factors. Pre-evaluation of security risk is important in any organization especially a large scale network deployment where an add on rules to the firewall may affect the up and running network. We proposed a new probabilistic based model to evaluate the security risks based on examining the existing firewall rules. Hence, the network administrators can pre-evaluate the possible risk incurred in their current network security implementation in the IPv6 network. The outcome from our proposed pre-evaluation model will be the possibilities in percentage that the IPv6 firewall is configured wrongly or insecurely where known attacks such as DoS attack, Probation attack, Renumbering attack and etc can be launched easily. Besides that, we suggest and recommend few important rules set that should be included in configuring IPv6 firewall rules.

• 환경생물
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• 제25권4호
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• pp.378-384
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• 2007

멸종위기에 처한 우리나라 고유 담수어인 꼬치동자개 Pseudobagrus brevicorpus의 증식 복원을 위한 연구의 일환으로 생태와 초기생활사에 대해 조사하여 다음과 같은 결과를 얻었다. 꼬치동자개는 특정 조건에 밀집되어 개체군을 형성하며 서식밀도는 1.25개체 $m^{-2}$이었고, 생산력은 200$\sim$250개 마리$^{-1}$ 낮아 멸종위기 상황을 시사하였다. 산란은 자연산란 유도 결과 수초에 산란하는 것으로 추정되며 부화한 치어는 군집생활을 한다. 수정난은 약 50시간만에 부화하였으며, 부화 3일 후 난황이 거의 흡수되었고, 부화 8일 후에는 올챙이형으로 군집하며, 30일경에 어미와 같은 형태를 보이는 치어기로 성장하였다. 이러한 산란 생태와 관련하여 멸종위기에 처한 꼬치동자개의 증식 복원과 보존을 위한 방안들을 고찰하였다.

• Clinics in Shoulder and Elbow
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• 제2권2호
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• pp.110-114
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• 1999

We reviewed the results of arthroscopic surgery in patients with rotator cuff disease. Arthroscopic subacromial decompression(ASD) was performed on 22 patients with rotator cuff disease who had not responded to nonoperative measures. In the patients who had a complete tear of the rotator cuff(four of ten Neer's stage III patients), mini-open repair also was performed. Results were determined by questioning patients about their satisfaction with the outcome of surgery and by functional assessment of the shoulder with the parameters of pain, function, and range of motion according to the UCLA shoulder rating scale. The average follow-up was 21 months. The results were sixteen(72%) excellent, three(14%) good, two(9%) fair, and one(5%) poor. The following variables were analyzed to assess their influence on final outcome; duration of preoperative symptoms, Neer's stage(extent of damage to the cuff), type of acromion. Satisfactory results were achieved in thirteen of fourteen patients(93%) who had duration of preoperative symptoms below one year, and in four of six(67%) above 2 years. And satisfactory results were achieved in eleven of twelve patients(92%) who had Neer's stage II and in eight of ten(80%) stage III and achieved in six of seven patients(86%) who had Bigliani's acromion type I, in nine of eleven(82%) type II, and in four of four(100%) type III. There are multiple factors that may influence the recovery after ASD or the eventual outcome. However, although there is still a controversy about the pathogenesis of rotator cuff disease, We found that arthroscopic subacromial decompression and mini-open repair in patients with rotator cuff disease were well enough documented to be considered a standard treatment.

• 한국지반공학회:학술대회논문집
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• 한국지반공학회 2009년도 춘계 학술발표회
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• pp.759-767
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• 2009

대규모 연약지반개량 설계는 압밀영향인자의 불확실성으로 대부분 신뢰성해석을 도입하여 설계를 수행하는 추세이다. 신뢰성해석은 이론습득의 어려움으로 인하여 실무 기술자들에게 범용되지 못하고 있다. Duncan(2000)이 제안한 간편하고 유용하게 사용할 수 있는 신뢰성해석 간편법과 전통적인 신뢰성해석법의 해석결과를 비교하여 간편법의 적용성을 평가하였다. 민감도분석에서는 동일한 경향을 보였으나, 파괴확률은 약 20~50%의 오차를 보이고 확률변수의 확률분포에 따른 적용성이 떨어지는 것으로 평가되었다. 신뢰성해석 간편법은 개략설계시 결정론적해석과 상호 보완적으로 적용한다면 최적설계가 이루어질 수 있을 것으로 사료된다.

• Clinical and Experimental Pediatrics
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• 제63권6호
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• pp.219-225
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• 2020

Background: There is increasing concern that moderate preterm (32-33 weeks' gestation) and late preterm (34-36 weeks' gestation) birth may be associated with minor neurodevelopmental problems affecting poor school performance. Purpose: We explored the cognitive function, cognitive visual function, executive function, and behavioral problems at school age in moderate to late preterm infants. Methods: Children aged 7-10 years who were born at 32⁺⁰ to 36⁺⁶ weeks of gestation and admitted to the neonatal intensive care unit from August 2006 to July 2011 at the National Health Insurance Service Ilsan Hospital were included. We excluded children with severe neurologic impairments, congenital malformations, or chromosomal abnormalities. Neuropsychological assessments consisted of 5 neuropsychological tests and 3 questionnaires. Results: A total of 37 children (mean age, 9.1±1.2 years) participated. The mean gestational age at birth was 34.6±7.5 weeks, while the mean birth weight was 2,229.2±472.8 g. The mean full-scale intelligence quotient was 92.89±11.90; 24.3% scored between 70 and 85 (borderline intelligence functioning). An abnormal score was noted for at least one of the variables on the attention deficit hyperactivity disorder diagnostic system for 65% of the children. Scores below borderline function for executive quotient and memory quotient were 32.4% and 24.3%, respectively. Borderline or clinically relevant internalizing problems were noted in 13.5% on the Child Behavior Check List. There were no significant associations between perinatal factors or socioeconomic status and cognitive, visual perception, executive function, or behavior outcomes. Conclusion: Moderate to late preterm infants are at risk of developing borderline intelligence functioning and attention problems at early school age. Cognitive and executive functions that are important for academic performance must be carefully monitored and continuously followed up in moderate to late preterm infants.

• 한국전자통신학회논문지
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• 제15권2호
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• pp.225-230
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• 2020

산업혁명의 발전으로 소품종 대량생산에서 다품종 소량 생산의 형태로 제조의 패러다임이 변화하고 있음을 확인할 수 있는데, 이는 생산자의 무분별한 제고의 부담을 줄일 수 있는 형태로 현대 사회가 발전할수록 바뀌어야 하는 생산성 부분의 문제점을 보완하려는 산업형태의 변화를 보여주고 있다. 3D Printing 환경에서 살펴보면 프린팅의 마지막 단계까지 도달하는 과정에서 많은 문제가 발생한다. 이 문제는 저가의 보급형 3D Pirnter 만이 아니라 완제품으로 출시되는 고가의 3D Printer 또한 같은 증상들이 나타나고 있으며 프린팅을 하는 과정에서 불안요소를 발생시킬 수 있다. 그래서 이와 같은 문제점을 보완하고자 본 연구에서는 3D Printer의 안전성 및 제품 출력물에 대한 품질 관리 시스템에 대한 제안을 연구에 기초하여 3D Printer 개인 사용자를 타겟으로 하는 IoT 비콘 기반 3D Printer 원격 안전·품질 관리 시스템 설계를 제안한다.

• 기본간호학회지
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• 제13권2호
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• pp.190-199
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• 2006

Purpose: To provide basic data and to identify the risk of pressure ulcers among neurological patients in ICU. Method: The participants in the study were on 78 neurological patients in the ICU of 3 hospitals. Data were collected every other day from 24 hours after admission, for up to 40 days or until discharge. The total period of data collection was 3 months. The risk assessment scales used for pressure ulcer were the Cubbin & Jackson(1991) scale and the National Pressure Ulcer Advisory Panel(1989) skin assessment tool. Results: There was a significant relationship between having a pressure ulcers and weight, skin condition, mental status, respiration, hygiene and hemodynamic status compared to not having a pressure ulcer. The incidence rate of the pressure ulcer was 28.2%(n=22). Of these patients the mean number of hospitalization days until pressure ulcer development was 5.2 days. The most common pressure ulcer site was the coccyx(39.3%). Based on a cut-off point of 24, 9 patients with risk scores <24 on admission also showed risk score for development of pressure ulcers, 10 patients with pressure ulcer scores ${\geq}24$ were older, hospitalized for a longer time, had low serum albumin, low hemoglobin, diabetes mellitus and surgery. Conclusion: In order to make the Cubbin & Jackson risk assessment scales more useful, there is a need to determine the reliability of the upper cut-off point 24. The result also showed a need to assess other risk factors and for early identification of at-risk patients in order to provide preventive care from admission to discharge.

• PNF and Movement
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• 제17권1호
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• pp.129-136
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• 2019

Purpose: This study is a comparison of spatiotemporal parameters between straight and curved walking in individuals with chronic hemiparetic stroke, investigating whether those patients can adapt their walking according to task demands and environmental changes. Methods: Twenty-eight patients who diagnosed with their first stroke at least six months prior to this study were recruited. They were measured for spatiotemporal parameters in three different walking conditions: straight walking, walking with an inner curve to the more-affected leg, and walking with an inner curve to the less-affected leg. This study also measured secondary clinical factors, such as the timed up-and-go test, the trunk impairment scale, and the dynamic gait index. The statistical methods for the three different walking conditions, using the averaged value of each condition, was repeated measures ANOVA. Results: The difference in cadence was statistically significant when comparing straight walking, walking with an inner curve to the more-affected leg, and walking with an inner curve to the less-affected leg. Swing duration (%) was also a statistically significant difference between straight walking and walking with an inner curve to the more-affected leg. However, differences in other spatiotemporal parameters were not statistically significant among the three conditions. Conclusion: The results of this study suggest that stroke survivors could adapt their walking according to straight and curved walking conditions, although cadence and swing duration were different between straight and curved walking groups.

• 산업융합연구
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• 제19권3호
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• pp.97-105
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• 2021

본 연구는 장애가족의 가족응집성과 부양부담이 삶 만족에 미치는 영향을 확인하여 궁극적으로 장애가족의 만족한 삶을 지원하고자 하였다. 연구는 장애가족을 돌보는 장애가정으로 설문조사를 통해 장애가족의 삶 만족에 영향을 주는 요인을 조사하였다. 연구결과 장애가족의 삶 만족은 5점척도에서 2.278로 낮게 나타났으며, 부양부담은 3.432로 비교적 높은 부양부담감을 느끼고 있는 것으로 나타났다. 하지만 가족응집성은 3.664로 비교적 양호한 것으로 나타나 삶 만족을 높이기 위해 부양부담을 낮출 수 있는 지원이 필요함을 보여주었다. 이러한 연구결과를 바탕으로 연구자는 장애가족의 삶 만족을 높이기 위해 다음과 같이 제언한다. 첫째, 돌봄자의 장애인 돌봄부담 경감을 위한 지원의 필요. 둘째, 돌봄을 받는 장애인을 위한 지원의 확대. 셋째, 장애인 가족지원 강화의 필요이다. 다만 본 연구는 경기도를 중심으로 이루어진 조사로서 연구의 한계가 있어 후속연구의 필요가 있다.