• Clinics in Shoulder and Elbow
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• 제20권2호
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• pp.68-76
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• 2017

Background: In general, the outcomes of arthroscopic repair for superior labrum anterior to posterior lesions (SLAP) are favorable, however, persistent pain and limitation of motion are not rare complications. One of the possible cause is a "knot-ache". This study evaluated the results of reoperation of symptomatic recurrent SLAP lesions and asked whether the knot is associated with postoperative complications. Methods: Between 2005 and 2015, a total of 11 patients who had undergone arthroscopic SLAP repair were reoperated for recurrent symptomatic SLAP lesion. By retrospective chart review, operative findings, the visual analogue scale for pain (pVAS), the range of motion (ROM), and functional scores were analyzed. Results: The mean age of the study participants was 38.3 years, and the mean follow-up period was 42.5 months. In the primary operation, there were nine cases of repairs with conventional knot-tying anchors and three cases with knotless anchors. Impingement of the knots during abduction and external rotation of the shoulder was observed in the all cases with knot-tying anchors. The mean pVAS, ROM, and functional scores significantly improved with reoperation. At the final follow-up, the mean satisfaction VAS was 8.3. Conclusions: The knots of suture anchor maybe a possible etiology of the pain, which we termed a "knot-ache". Considering that reoperation is performed due to pain after primary repair, the use of knotless suture anchor may have benefits of eliminating one of possible cause, "knot-ache". Therefore, authors suggest the use of knotless anchors during reoperation for recurrent or recalcitrant pain after primary SLAP repair.

• 한국간호교육학회지
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• 제18권1호
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• pp.111-119
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• 2012

Purpose: The purpose of this study was to identify the effects on knowledge and performance confidence of nursing students in the emergency care of patients with dyspnea after simulation education using a human simulator. Method: The research design was a nonequivalent control group pretest-posttest design. For the experimental group the human simulator was used to provide simulation. Also included were base learning with audio-visual material, explanations about simulation, using SimMan for human simulation, and debriefing. Pre and post-tests were conducted to compare differences in knowledge and performance confidence. Result: The (t=3.83, p<.000) than the control group. For the experimental group, the differences in pretest-posttest scores for knowledge (t=2.30, p=.025) and performance confidence (t=4.28, p<.000) were significantly higher than the experimental group had significantly higher scores for knowledge (t=3.03, p=.004) and performance confidence (t=3.83, p<.001knowledge (t=2.30, p=.025) and performance confidence (t=4.28, p<.000) were significantly higher than the control group. Conclusion: The results of this study indicate that for student nurses, knowledge and performance confidence in emergency care of patients with dyspnea improve with human simulator simulation education. Further study is suggested to develop other scenarios for emergency care and identify the effects of critical thinking and satisfaction when using human simulator simulation education.

• 복식
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• 제57권10호
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• pp.156-168
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• 2007

Brands started to manufacture consumer-oriented products and look for active methods to appeal their brands to consumers, in the 1990s. As a result, actively adopting graphic design to clothing designs has recently become an important strategy among others. Graphic design has important significance in contemporary fashion design in the aspect that it has expanded the range of expressive methods by bringing over expressive methods of visual design, and has led to an increase in sales due to consumer satisfaction, but it has been vaguely handled together with textiles design, and research on the topic has been insufficient. Therefore this study aimed to clearly define the idea of graphic design based on documentary research, and analyze applying case and formative features of graphic design expressed in clothing, through case studies from 2004 to 2006, and derive the trends of graphic design expressed in contemporary fashion design. The results of this study are as follows. The common characteristics of images that reflect recent graphic design trends in fashion design are hand writing and irregular composition, and images that actively pursued these pointes were retro and craft images, and modern and sporty images reflected these graphic design trends in a comparatively passive manner. It is important to maintain style differentiation rather than indiscreetly adopting graphic design trends to clothing, and to appropriately apply trend characteristics of fashion design and other design areas. Expressive methods of design are expected to expand through appropriate application and development of graphic design, and can potentially provide a new solution to brand differentiation.

• Journal of Acupuncture Research
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• 제34권1호
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• pp.59-66
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• 2017

Objectives : This study aims to report the effectiveness and safety of Korean medicine with thread embedding acupuncture in the treatment of trigeminal neuralgia (TN). Methods : A 73-year-old man who had suffered from severe facial pain for one year and who had had a healthy tooth extracted due to the pain is reported. He could not eat or sleep due to the severe pain. Acupuncture, thread embedding acupuncture, cupping, herbal steam, and herbal medicines were used for the treatment. Numeric Rating Scale (NRS) and adverse events were checked daily, and other outcomes (Baseline Evaluation, Visual Analogue Scale [VAS], Short Form Health Survey 36-Bodily Pain [SF-36 BP], and Patient Global Assessment [PGA]) were measured at hospital admission and discharge. During the follow-up examinations, his pain was evaluated roughly, without using any formal measurements, on the basis of a global assessment. Results : All measured parameters, including pain, quality of life, and patient satisfaction were noted to have improved at the time of discharge compared to admission: VAS from 10 to 1.5, NRS from 7-8 to 1-2, and SF-36 BP from 0 to 22.5, and the patient's global assessment was somewhat improved. He did not take any analgesics after discharge and noted only mild adverse events, like pain where the acupuncture and thread embedding acupuncture needles were inserted. His pain relief was maintained for 6 months. Conclusion : Korean medicine with thread embedding acupuncture might be a safe and effective treatment for TN. In the future, larger sample sizes and high quality randomized clinical trials are warranted to confirm its efficacy and safety.

• Journal of Korean Neurosurgical Society
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• 제56권4호
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• pp.338-343
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• 2014

Objective : The aim of this study is to evaluate the clinical results of endoscopic radiofrequency ablation of medial branch in patients with chronic low back pain originating from facet joints. Methods : Between October 2010 and December 2013, 52 consecutive patients had suffering from chronic low back pain had undergone endoscopic radiofrequency denervation of medial branch of dorsal ramus. The clinical outcomes of these 52 patients were reviewed retrospectively. Preoperative and postoperative Visual Analogue Scale (VAS) and Korean version of Oswestry Disability Index (K-ODI), and patients' satisfaction with the procedure were assessed. Results : The pain scores on the VAS for back pain had improved significantly from a preoperative mean of 7.1 to a postoperative mean of 2 at the last follow-up (p<0.001). The clinical outcomes based on the K-ODI had also improved significantly from a preoperative mean of 26.5% to postoperative mean of 7.7% at the last follow-up (p<0.001). 80% of patients were satisfied with the procedure. There were no complications associated with the procedure. Conclusion : Our preliminary results demonstrate that endoscopic radiofrequency denervation of medial branch could be an effective alternative treatment modality for chronic back pain originating from facet joints that provides long-term pain relief.

• 복식
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• 제51권1호
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• pp.163-174
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• 2001

The purpose of this study is to review the features of eroticism expressed in men's fashion, to explain psychological and social contexts which engender eroticism and to analyze in what way eroticism is portrayed in men s fashion in this context. Eroticism as the metonymy of forbidden sexual desire, has been embodied mostly in visual forms such as picture and photo. From a psychoanalytic view, the context in which eroticism is formed can be explained by primary narcissism and fetishism. Primary narcissism is the feeling of satisfaction with the self in which the subject who is admiring and the object of admiration are one and the same. Accordingly, in order to give rise to eroticism, both subject and object have to exist. Fetishism, the metonymy of castrated penis, is also one of the factors to produce eroticism. Metaphorically seen as a woman who has a penis, a man who dresses in the same manner as a woman dresses can be a source of eroticism to gays. From a sociological view, the context in which eroticism is fostered depends on the dynamic relations among social powers. In these relations, who is a subject or who is an object has been continuously changing. In the Post-modern culture appearing in the late 20th century, power begins to take various forms, and gays and women who had never been subjects begin to make man an object of eroticism. The other point is that social morality, ignoring desire itself, objectifies sexual desire and seeks to remove It by exchanging it for objectified symbols. The design elements provoking eroticism in men s fashion are exposure and decoration. In particular, models in exposure and decorative fashion have been objectified through the methods of fragmentation rather than showing the whole figure or removing a person s individuality or will,.

• 한국실내디자인학회논문집
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• 제22권1호
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• pp.47-54
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• 2013

For the office work environmental design, the importance of the design management is increased to improve operation efficiency as well as the aesthetic environmental implementation of the function today. Lighting is a required element ineffective operation environment. It has become more important for the aesthetic, economic, and practical reasons, to consider the luminous environment and the lighting of visual tasks separately. When the brightness is insufficient, productivity deteriorates, and the layout of the lighting located by mistake causes the fatigue of eyes. Productivity rises to office in a large number of studies so as satisfaction is low in general in the dark office, and to be bright. Therefore the purpose of this research is to suggest the right direction of lighting design of office building area. 11newly renovated office buildings are selected for this luminous environment research. We could conclusions as following through this research. First, it was planned brighter than the recommended lighting level in the most space. It shows that the accurate lighting design criteria is needed in order to achieve proper lighting environment. Second, the application of the LED lighting fixtures is continuously increased in the recent office lighting environment. It is explained that it is applied for reasons of the electrical energy reduction and the maintenance efficiency with the long life time. Third, the consideration of the lighting plan for the difference of working types is not enough. with various communication configuration through an independent plan, and the effective lighting plan that appropriateness preparation design and energy saving area vailable must be applied. Fourth, the lighting environment of the lobby needs a specialized lighting plan as are presentative space of the building.

• 만화애니메이션 연구
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• 통권32호
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• pp.383-409
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• 2013

본 연구는 특정 학습자를 대상으로 한 영어 디지털 교과서는 사용자를 고려한 디자인이 필요하다는 데서 출발하였으며 사용자는 영어 공교육의 시작 학년으로 구체적 사물의 제시에 의한 인지와 이해가 쉬운 초등학교 3학년 어린이를 대상으로 하였다. 이를 위하여 선호도가 높은 3종 교과서를 중심으로 '크레스의 시각디자인 문법틀[Gunther Kress, 2006]'에 의해 디자인 분석을 시행하였고 그 결과에 의해 수정된 디자인으로 초등학교에서 두 차례의 사례 연구, FGI, 설문, 관찰 분석을 통해 사용자의 특성을 고려한 영어 디지털 교과서 디자인에 의한 교육 효과에 변화가 있는지 실험하였다. 분석 결과 사용자를 고려한 디자인 요소로 수정한 영어 디지털 교과서가 학생들에게 만족도가 높았으며, 어린이들이 흥미를 가지고 수업에 집중하는 것이 관찰 되었다. 한편 사례 연구 결과 사용자에 맞춘 디자인 요소로 영어 디지털 교과서를 기획하는 것이 교육의 선호도 및 효과에 영향을 주는 것이 확인되었다. 본 연구 결과는 향후 초등학교 3학년 어린이를 대상으로 한 영어 디지털 교과서 디자인 기획에 있어서 디지털 교과서만을 위한 체계적인 디자인 가이드와 사용자 연령의 선호도 및 특성을 고려한 디자인 제안이 될 수 있을 것이다.

• 대한족부족관절학회지
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• 제10권2호
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• pp.144-149
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• 2006

Purpose: To evaluate the clinical characteristics and the functional results of the osteochondral lesions of the talus (OLT) treated with arthroscopic osteochondroplasty. Materials and Methods: The study was based on 25 cases (25 feet) of osteochondral lesion of talus that were treated with arthroscopic osteochondroplasty from May 1997 to June 2005 with at least 1 year follow-up. Follow-up period was average 21.8 months. The average age was 37.2 years old. Male patients were 22 while female were 3. Postoperative evaluation was performed with American Orthopedic Foot and Ankle Society (AOFAS) Functional score, patient satisfaction and complications. Results: Ninety-two percent of patients had trauma history. Seventy-two percent of the lesions were located at the medial dome. As for the cartilage classification, 56% were fibrillation/fissure lesions while 44% were flap tears. Visual analogue scale (VAS) pain score improved from 6.8 points to 2.2 points, and AOFAS score improved from 71.3 points to 87.3 points. Eighty-eight percent of the patients were satisfied with the surgery and average period of returning to previous job was 6.5 weeks. Conclusion: We concluded that the arthroscopic osteochondroplasty is a viable surgical option for the osteochondral lesion of the talus.

• 대한족부족관절학회지
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• 제10권2호
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• pp.163-167
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• 2006

Purpose: To evaluate the results of extracorporeal shock wave therapy (ESWT) for patients with chronic proximal plantar fascitis. Materials and Methods: Between April 2005 and April 2006, 35 cases (24 patients) who were followed more than 6 months were evaluated. By $EvoTron^{(R)}$, 2 sessions of ESWT (Group 1: 1200 and Group 2: 1500 shock waves / session of $0.12\;mJ/mm^2$) were performed at 2 weeks interval. The mean age was 40.0 (range, 15-59) years. 13 patients were male and 11 patients were female. Visual analogue scale (VAS) on daily activity and a 100-point scoring system including 70 points for pain and 30 points for function were used. The clinical outcomes were rated as follows: excellent, no pain on daily activity; good, less than 50% of previous VAS; fair, 50-75% of previous VAS; or poor, more than 75% of previous VAS. Excellent and good were graded as satisfactory results. We compare clinical results between groups and evaluate the relationships between clinical results and duration of symptom, fascial thickening and previous steroid injection were evaluated. Results: Overall satisfactory rate were 71.4%. There was no significant difference of clinical results between groups. And there were no significant difference between clinical results and duration of symtom, preoperative fascial thickening and previous steroid injection. Conclusions: ESWT for recalcitrant chronic proximal plantar fascitis is useful treatment method with high patient satisfaction and pain relief, but more long-term study must be needed.