• Archives of Plastic Surgery
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• v.36 no.5
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• pp.660-662
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• 2009

Purpose: There are several modalities to reattach the amputated auricle. Microvascular replantation can achieve the best outcome, but technically difficult. Conventional composite graft is technically easy, but uniformly unsuccessful. Our successful experience of reattachment using postauricular subcutaneous pocket is presented. Methods: The amputated tissue was placed in its anatomical position with buried sutures. The amputated part is dermabraded to remove the epidermis and outer layer of dermis(Fig. 1, Center, left). Postauricular skin flap was then raised and the reattached dermabraded ear was buried beneath the flap(Fig. 1, Center, right). Two weeks after the original surgery, the buried ear was removed from its pocket (Fig. 1, Below, left). Results: The ear was reepithelialized spontaneously in 7 days. At 3 months, the reattached ear has satisfactory appearance without contour deformity(Fig. 1, Below, right). Conclusion: This technique provides increase in contact surface between the amputated segment and the surrounding tissues which supply blood, serum, oxygen and nutrients, maximizing the probability of "take". Minimally injured dermis can be healed from spontaneous reepithelialization and provides minimal contour deformity. We have used this non-microsurgical technique with very satisfying outcome.

• Journal of Oriental Neuropsychiatry
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• v.16 no.1
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• pp.143-157
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• 2005

Objective : It is a presentation of theoretical, clinical. historical foundation about using biofeedback in oriental medicine. Methods : We generalize definition, explanation, history and clinical application of biofeedback and study community with and clinical practice in oriental medical theory, referring to The neurofeedback book-An introduction to Basic Concepts in Applied Psychophysiology published by Michacl Thompson & Lynda Thompson Results : We acquire possibilities of application in oriental medicine as follows. 1. It is a view of treatment for the whole man not separating body and mind. 2. It make much of yin-ping-yang-bi(陰平陽秘) and spontaneous cure in the human body. 3. It make much of a curer's mental condition through dao(道). 4. It make much of a breathing corresponding to nature. 5. We make use of it in diagnosis and evaluation of disease. 6. It is psychologic treatment of self-leading. Conclusions : Biofeedback is expected that usefully applied to oriental psychotherapy of Kyungja-pyungji therapy(驚者平之療法). Oh-Ji-Sang-Seung therapy(五志相勝療法), Qigong therapy(氣功療法), Autogenic relaxation Training(自律弛緩療法) basing on oriental medical theory not separating body and mind.

• Journal of the Korean Society of Physical Medicine
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• v.7 no.3
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• pp.267-274
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• 2012

Purpose : The purpose of this study was to investigate characteristics of the forced pulmonary function test effect by changes in lung function related to postures and by Transverse Abdominis(TrA). Contraction in standing position during forced inspiration and expiration with young female adults. Methods : 10 young female adults were recruited this study. pulmonary Function test was measured with a Master-screen Body (VIASYS Inc., CA, 미국). To check the changes in lung function with different postures, we tested pulmonary function in the standing and supine position each. In the standing position, while the transversus abdominis was activating, we compared the forced inspiration with the forced expiration. Statistical analysis was used Independent t-test to know difference between forced inspiration and expiration of activated TrA. Results : According to the study, the change of pulmonary function were statistically significant difference in the standing compared to the supine position. The contraction of the transversus abdominis causes decrease in the change of forced inspiration and increase in the change of forced expiration. Conclusion : These results indicate that spontaneous contraction of the TrA in standing position helps pulmonary function. And the selective contraction of the transversus abdominis at the end of forced inspiration makes increases in the forced expiration.

• Journal of Korean Neurosurgical Society
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• v.60 no.5
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• pp.591-596
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• 2017

Objective : Frameless stereotactic aspiration of a hematoma can be the one of the treatment options for spontaneous intracerebral hemorrhage in the basal ganglia. Postoperative hematoma enlargement, however, can be a serious complication of intracranial surgery that frequently results in severe neurological deficit and even death. Therefore, it is important to identify the risk factors of postoperative hematoma growth. Methods : During a 13-year period, 101 patients underwent minimally invasive frameless stereotactic aspiration for basal ganglia hematoma. Patients were classified into two groups according to whether or not they had postoperative hematoma enlargement in a computed tomography scan. Baseline demographic data and several risk factors, such as hypertension, preoperative hematoma growth, antiplatelet medication, presence of concomitant intraventricular hemorrhage (IVH), were analysed via a univariate statistical study. Results : Nine of 101 patients (8.9%) showed hematoma enlargement after frameless stereotactic aspiration. Among the various risk factors, concomitant IVH and antiplatelet medication were found to be significantly associated with postoperative enlargement of hematomas. Conclusion : In conclusion, our study revealed that aspirin use and concomitant IVH are factors associated with hematoma enlargement subsequent to frameless stereotactic aspiration for basal ganglia hematoma.

• Journal of Sasang Constitutional Medicine
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• v.20 no.3
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• pp.184-189
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• 2008

1. Objectives Pneumothorax is defined as the presence of air or gas in the pleural cavity causing chest pain and shortness of breath. Primary spontaneous pneumothoraces (PSPs) occur in people without underlying lung disease or trauma to the thorax. We have tried researching effect of herbal medicine Doksampalmulkeunja-rang(獨蔘八物君子湯) in PSPs. 2. Methods This patient with PSPs which size was more than 30% of Rt. lung, who had been experienced the recurrences of PSPs in Lt. lung for three times, was treated by Doksampalmulkeunja-tang(獨蔘八物君子湯) diagnosed by Soeumin. 3. Results Doksampalmulkeunja-tang(獨蔘八物君子湯) was effective against the chest discomfort and shortness of breath. The chest test was improved. 4. Conclusions The treatment with herb-medicine may have effect on PSPs symptom of Soeumin by raising the stagnant yang qi. Further Sasang medical study on PSPs is needed for recurrence prevention.

• The Journal of Korean Obstetrics and Gynecology
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• v.30 no.3
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• pp.136-145
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• 2017

Objectives: The aim of this study was to report a case of 43 year-old patient, diagnosed with missed abortion who previously failed to do spontaneous gestational sac expulsion in spite of 2 week-expectant-method, eventually succeeded with Traditional Korean Herb Medicine (TKHM) treatment only. Methods: In transabdominal sonography, gestational sac was not present at week 8. Due to the possibility of effect of medication on future pregnancy and post-surgery complications, D&C (Dilation & Curettage) as well as any other treatment was not done. Instead, she presented to our clinic. A combination of 2 main TKHMs was prescribed with 120-150 cc/dose (2 times per day for a week) : Gunggi-tang for helping expulsion of the dead fetus and placenta, and Wooseul-tang for treating retained placenta. Results: On day 6 of TKHM treatment, initiation of placenta expulsion was done. From day 8, hemorrhage started, lasting for 6 days. On day 10, placenta was expelled. On day 13, gestational sac and placenta were completely expelled. No infection, delayed bleeding, or pain was observed. After bleeding stopped, menorrhea started from week 7. Conclusions: This report implies a potential of TKHM as an optional and safe medication for the natural expulsion of conceptus in missed abortion.

• International journal of advanced smart convergence
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• v.10 no.4
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• pp.124-133
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• 2021

The purpose of this study is to analyze the types of latent profiles of high school students' fire safety awareness and to identify the characteristics of related variables. For this purpose, a survey was conducted from March 22 to May 25, 2021 for 1054 high school students (male; 569, female; 485) in 3 cities, in Jeollabuk-do. The latent profile was analyzed using a scale consisting of 4 sub-factors: 'fire prevention', 'fire preparedness', 'indirect fire response', and 'direct fire response'. It was checked whether there were differences according to the inter-individual differences of the latent group. As a result of the analysis, fire safety awareness of high school students was classified into three latent profiles. The three groups were named 'High Perception Type', 'Moderate Perception Type', and 'Low Perception Type' according to their types. In fire safety awareness, there is a significant difference in the individual differences according to the gender and academic achievement of the latent profile. These results are meaningful as the first study to analyze the latent profile of high school students' fire safety awareness, and it is also meaningful to provide a useful basis for the contents and methods of customized fire safety education by identifying the tendencies of spontaneous groups and their fire safety awareness.

• The Korean Journal of Emergency Medical Services
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• v.25 no.1
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• pp.205-221
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• 2021

Purpose: This paper is to determine whether automatic defibrillators (AEDs) deployed across communities make a contribution to prevent death in patients with acute cardiac arrest out-of-hospital. Methods: A total of 30,179 cases of cardiac arrest investigation data from the Korea Centers for Disease Control and Prevention was matched to those on emergency medical statistics drawn from annual report for the 2018 Central Emergency Medical Center, and statistics from the National Statistical Office in 2018. Results: Multiple logistic regression analyses revealed that availability of emergency medical resources across associated with different survival rates at emergency room after taking variability of the patient's personal characteristics and episodic situational characteristics held constant. The survival rate was 1.71 times higher for patients living in communities with more than 105 AEDs avaiable per 100,000 inhabitants than for those living in communities with less than 55 AEDs. Conclusion: The survival-related factors of patients with acute cardiac arrest that occurred out-of-hospital were found to be associated with patients' and episodic situational characteristics. The hospital stage were found to be associated with patients characteristics and episodic situational characteristics, The variability of AED available in a community has an impact on survival rate after emergency room treatment.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.15 no.6
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• pp.1981-1995
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• 2021

When a person tries to conceal emotions, real emotions will manifest themselves in the form of micro-expressions. Research on facial micro-expression recognition is still extremely challenging in the field of pattern recognition. This is because it is difficult to implement the best feature extraction method to cope with micro-expressions with small changes and short duration. Most methods are based on hand-crafted features to extract subtle facial movements. In this study, we introduce a method that incorporates optical flow and deep learning. First, we take out the onset frame and the apex frame from each video sequence. Then, the motion features between these two frames are extracted using the optical flow method. Finally, the features are inputted into an improved MobileNetV2 model, where SVM is applied to classify expressions. In order to evaluate the effectiveness of the method, we conduct experiments on the public spontaneous micro-expression database CASME II. Under the condition of applying the leave-one-subject-out cross-validation method, the recognition accuracy rate reaches 53.01%, and the F-score reaches 0.5231. The results show that the proposed method can significantly improve the micro-expression recognition performance.

• Journal of International Academy of Physical Therapy Research
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• v.12 no.2
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• pp.2338-2344
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• 2021

Background: The therapeutic exercise method using kinesiology taping (KT) has been reported to be effective in activating the suprahyoid muscle in healthy adults. However, its applicability and effectiveness are not known to the physically vulnerable elderly. Objectives: To investigate the effects of kinesiology taping on the activity of suprahyoid muscles in community-dwelling elderly people. Design: Repeated measure design. Methods: We enrolled 23 healthy elderly adults (age range 60-75 years) with no history of neurologic disease. Participants performed five consecutive spontaneous swallowing actions at 5-second intervals under three conditions (KT with 80% stretch, placebo-KT, and non-KT. Activation of the suprahyoid muscles during swallowing in the three conditions was measured using surface electromyography (sEMG). In addition, a 0-10 numerical rating self-report scale was used to evaluate the required effort and the resistance felt during swallowing. Results: KT with 80% stretch were significantly higher in sEMG mean value, peak value, required effort, and resistance felt during swallowing compared to other two conditions (P<.05, all). KT with 80% stretch required the most effort during swallowing and, consequently, has a positive effect on increasing suprahyoid muscle activation. Conclusion: Our results could be taken into consideration in therapeutic exercise method for suprahyoid muscle in dysphagia rehabilitation.