A Systematic Review and Meta-Analysis of Arthroscopic Meniscus Repair in Young Patients: Comparison of All-Inside and Inside-Out Suture Techniques

Dong­Geun Kang,Young­Jin Park,Jae­Ha Yu,Jong­Byung Oh,Dong-Yeong Lee 대한슬관절학회 2019 대한슬관절학회지 Vol.31 No.1

Purpose: The purposes of the present study were to review published studies that investigated arthroscopic meniscus repair to treat meniscus injury in young patients and to compare all­inside and inside­out suture techniques.Methods: Various electronic databases were queried for published articles, and this search was updated in August 2017 for evaluating the outcomes of arthroscopic meniscus surgery in young patients. Data search, extraction, analysis, and quality assessment were performed according to the Cochrane Collaboration guidelines, and the clinical outcomes were evaluated using various outcome values in young patients according to suture techniques.Results: Three randomized controlled trials and three prospective comparative studies were included in this systematic review and meta­analysis. There were no significant differences in clinical outcomes such as meniscus healing rate (risk ratio [RR], 1.11; 95% confidence interval [CI], 0.90 to 1.37; I2=39%) and perioperative complications (RR, 0.62; 95% CI, 0.23 to 1.72; I2=43%) between all­inside and inside­out techniques for meniscus repair.Conclusions: The present study shows favorable results for clinical outcomes such as meniscus healing rate and perioperative complications in young patients. Furthermore, based on our results, both all­inside and inside­out meniscal suture techniques are equally effective in these patients.

한국어 판 구조화 임상면담도구 개발 : 신뢰도 연구

한오수,안준호,송선희,조맹제,김장규,배재남,조성진,정범수,서동우,함봉진,이동우,박종익,홍진표 대한신경정신의학회 2000 신경정신의학 Vol.39 No.2

연구목적: 정신장애의 정확한 진단과 평가는 임상에서뿐만 아니라 신뢰성 있는 연구를 위해서도 매우 중요하다. Structured Clinical Interview for DSM-IV(SCID)는 임상전문가들이 사용하는 진단도구로서, 비교적 짧은 시간에 정확한 진단을 내릴 수 있다. 본 연구는 한국어판SCID를 개발하고 그 신뢰도를 평가하기 위해 수행되었다. 방법: 국문학자가 포함된 번역위원회를 통하여 연구용판 SCID를 번역한 후, 정신과 의사 2인과 임상심리학자 1인에게 한국어판SCID 실시방법을 교육시킨 뒤 한국어판SCID를 이용한 면담의 평가자간 신뢰도 (interrater reliability)를 검증하였다. 면담 대상은 1999년 2월에서 3월까지 2개 병원 정신과에 치료중인 환자 90명(남:41명, 여:29명)이었다. 결과: 현재 장애(current disorder) 평가에서 주요 우울장애, 기분부전장애, 정신분열병, 알코올 남용 및 의존, 기타 물질 남용 또는 의존, 여러 불안장애들 및 섭식장애 등과 같은 대부분 장애의 kappa값은 .70이상으로 매우 높았다. 그 이외의 양극성 장애, 망상장애, 광장공포증, 감별 불능 신체화 장애 및 건강염려증의 kappa값도 .69에서 .40사이로 수용할 수 있는 정도였다. 평생 장애(lifetime disorder)에서는 양극성 장애(k=.69)와 감별 불능 신체화장애(k=.59)를 제외한 다른 모든 장애의 kappa값이 .70이상이었다. K-SCID 면담시 Ⅰ축 질환에 대하여 흔하게 다중 진단이 내려졌으며, 평균 진단 수는 1.5∼1.7개로 나타났다. 결론: 한국어판 SCID는 신뢰도가 높은 진단도구로 생각되며, 향후 정신질환의 정확한 진단과 임상연구에 유용하게 사용될 수 있다. Objectives: Accurate diagnosis and assessment for psychiatric disorders is crucial for research, as well as for clinical practice. Structured Clinical Interview for DSM-Ⅳ(SCID-RV) is a less time-consumimg and more accurate structured diagnostic interview form. It can be used by clinical professions and is known for a reliable diagnostic tool. Present study was conducted to develop Korean version of SCID-RV and to test the inter-rater reliability. Methods: The authors have translated original SCID-RV into Korean, and revised in parallel with sociocultural background of Korea. Ninety patients from two psychiatric hospitals, both outpatient and inpatient, were interviewed and rated independently by three raters. Results: The kappa coefficients for most of illnesses, such as major depressive disorder, dysthymia, schizophrenia, alcohol abuse and dependency, anxiety disorder and eating disorder were excellent(>0.70) in the evaluation of current disorders. And the kappa coefficients for bipolar disorder, delusional disorder, agoraphobia, undifferentiated somatoform disorder, and hypochondriasis were acceptable(>0.40) in the evaluation of current disorders. In the evalua-tion of lifetime disorders, the concordant rates of all the diagnoses except bipolar disorder and undifferentiated somatoform disorder were excellent. Lack of hierarchy in DSM-Ⅳ allows for multiple Axis I diagnoses. Mean numbers of Axis I diagnoses per subject assigned by the three raters were 1.5-1.7. Conclusions: Our findings confirm that SCID-RV yields highly reliable diagnoses. SCID-RV is recommended for accurate diagnosis in clinical practice and research on psychiatric disorders.

pH, 이온종류 및 농도, 퇴적물의 성분에 따른 하천 내 불소의 거동특성

이동민(Dong Min LEE),주광진(Kwang Jin Joo),최이송(ISong Choi),장광현(Kwang Hyeon Chang),오종민(Jong Min Oh) 응용생태공학회 2018 Ecology and resilient infrastructure Vol.5 No.1

하천에 유입된 오염물질은 다양한 환경 조건에 의하여 수체 및 퇴적물의 상호작용에 따라 수체의 수질에 영향을 미친다. 특히 최근 수체의 수리학적 체류시간이 상대적으로 긴 정체수역 내에서는 퇴적물의 축적량이 증가하고 있어 퇴적물과 수체 내에서의 물질적 거동특성 파악은 중요한 수질적 관점 요소이다. 본 연구에서는 하천 내 pH, 이온종류 및 농도, 퇴적물의 점토함량에 따라 불소의 거동이 어떻게 변화하는지 검토하기 위하여 경기도에 위치한 중소하천을 대상으로 조건별 실험을 실시하였다. pH에 따른 흡착 및 용출특성 실험결과, pH가 높을수록 불소의 흡착량이 감소하였고, 용출되는 불소량은 증가하는 경향을 나타냈다. 이온농도 및 종류에 따른 흡착 및 용출특성 실험결과, Cl<SUP>-</SUP>, SO₄<SUP>2-</SUP> 이온은 불소의 흡착능에 큰 영향을 주지 않는 것으로 나타났으나, 불소와의 활발한 이온경쟁효과를 지닌 OH<SUP>-</SUP>와의 반응에서는 흡착량이 줄고, 용출량이 늘었음을 알 수 있었다. 퇴적물의 성분에 따른 흡착 및 용출특성 실험 결과 상대적으로 입경이 작은 Silt와 Clay 성분이 많이 포함된 시료에서 불소의 흡착량이 많고 용출되는 불소량이 줄어드는 것을 알 수 있었다. 이는 수체의 환경조건이 퇴적물 내 불소의 흡착 및 용출에 크게 영향을 미치기 때문에, 퇴적물 내 불소를 적절하게 관리하기 위해서는 수체의 환경조건에 대한 이해가 선행되어야 한다는 것을 의미한다. Water quality is affected by the pollutants flowing into rivers since the interaction between water bodies and sediments in various environmental conditions. Especially, accumulation of sediments increases in the stagnant water areas due to a relative long hydrological retention time in the water bodies. Therefore, it is an important factor of water quality to understand characterization of the material behavior in water bodies and sediments. In this study, the objective of the conditional experiments was small and medium sized streams located in Gyeonggi-do. To estimate how the changes of fluoride behavior, depending on the pH, ion type, concentration, and clay contents. The pH results showed a trend that adsorption amount of fluorine decreased and the dissolution of fluorine increased following by pH increasing. The concentration and type of ions results showed that Cl<SUP>-</SUP> and SO₄<SUP>2-</SUP> ions had no significant effect on the adsorption ability of fluorine, the amount of dissolution was increased because OH<SUP>-</SUP> ion had active competition with fluorine in the reaction. The ingredient of sediment results showed that the amounts of fluoride adsorption and dissolution were reduced in samples, which contain relatively large amounts of Silt and Clay components. This means that the environmental conditions of water bodies greatly affect the adsorption and dissolution of fluoride in the sediments, so that proper management of fluoride in the sediments must precede an understanding of the environmental conditions of the water bodies.

Equaatiorial-Skew [Co(TRDTRA)(OH₂)] 착물과 CN, NO₂그리고 NCS 이온간의 치환반응

都命基,趙榮在,李東鎭,吳昌彦,金東曄 嶺南大學校 基礎科學硏究所 1992 基礎科學硏究 Vol.12 No.-

Equatorial-Skew형[Co(TRDTRA)(OH₂)]착물과 ??,?? 그리고 ?? 이온 간의 치환반응결과 생성된 차물의 치환반응성 및 구조를 전자흡수 스펙트럼과 Yamatera 이론에 따라 조사하였다. 속도론적 자료로부터 착물과 ??,?? 그리고 ?? 이온의 반응차수는 각각 1차이며 총괄 반응차수는 2차임을 알 수 있었다. ?? 및 ?? 이온에서 생성된 착물의 구조는 이성질화 반응이 동반된 Polar-Chair 형이며, ?? 이온의 경우에는 이성질화 반응이 동반되지 않은 Equatorial-Skew 형임을 알 수 있었다. The substitution reaction and structrue of products obtained from the reaction of Equatorial-Skew-[Co(TRDTRA)(OH??)](TRDTRA=trimethylenediaminetriacetate) with ??,??, and NCS ions have been investigated by means of electronic absorption spectroscopy and theoretical calculation based on the Yamatera`s theory. According to kinetic data, the substitution reaction order for the complexes such as ??,?? and ?? was the first order, respectively, and overall reaction order was second order. It has been determined that the structure of products having ?? and ?? ions was Polar-Chair type complexes which were accompanying with isomerization and having ?? ion was Equatorial-Skew type complex which was not accompanying with isomerization.

병원 업무에 대한 병원 근무자들과 보건관리학과 재학생들의 의식 비교

오동관,진병철,송상근,조현 仁濟大學校 2006 仁濟論叢 Vol.21 No.1

ART2 신경회로망을 이용한 공구마모 모니터링

오동백,노민석,장우일,최국진,홍대선 한국공작기계학회 2008 한국공작기계학회 춘계학술대회논문집 Vol.2008 No.-

Titanium alloys have been mainly used for aircraft components as well as implant materials. Although a number of cutting tools and cutting methods have been developed for improving the cutting processes, they have difficulties such as tool wear and failure. This study considers a novel approach to on-line monitoring of tool wear and failure in titanium alloy cutting processes. The on-line monitoring system mainly consists of two parts: The one is on-line data acquisition with sensors and a DSP board through LabView and a web server, and the other is learning and prediction of tool wear and failure using an ART2 neural network algorithm. The system is installed at an on-site machine tool to monitor high speed steel(HSS) tools for cutting titanium alloy. A number of experiment are carried out to demonstrate the effectiveness of the proposed system.

청년에서 발생한 외상성 및 자발성 두개내 동맥 박리에 의한 허혈성 뇌경색

이동국,서상일,김태일,곽규호,도진국,김미숙,오희종 대한신경과학회 1998 대한신경과학회지 Vol.16 No.2

소형 Gun Drill Machine 개발에 관한 연구

오진수,박광훈,남궁재관,우창기,강동명 한국공작기계학회 2006 한국공작기계학회 추계학술대회논문집 Vol.2006 No.-

This compact Gun Drilling Machine was developed to improve productivity and economical efficiency for small and midium enterprise tool makers. To produce specialize tools that gun drilling works should be required prior to making deep holes. Gun drill machines are so expensive and big burden for small tool makers so that works used to execute through outside orders but it was required lot of cost too. Most of gun drill machines are providing for high volume and large capacity enterprises. In order to support for small and medium enterprise purpose that compact gun drill machine was designed and developed. It could be improved products quality, productivity and saving manufacturing cost using this machine.

택시운전기사의 불안정도와 교통사고 발생 양상

오한진,이동배,박암 충남대학교 의과대학 지역사회의학연구소 1992 충남의대잡지 Vol.19 No.2

To find out the relationship between anxiety scales and traffic accidents of the taxi drivers, the author investigated 588 taxi drivers randomly selected from 70 taxi companies in Taejon city from Oct. 1 to Oct. 31 in 1991. The major findings of this study were as follows: 1. The mean indices of self-rating anxiety scale(SAS) were found to be 0.63 for all surveyed drivers, 0.66 for accident drivers and 0.61 for non-accident drivers(p<0.001). 2. Younger drivers and unmarried drivers, showed relatively higher accident rates than other groups and the difference was statistically significant (p<0.01). 3. Drivers, who drived small taxi worked, more than 21 days per months, worked for more than 10 hours per day and complained for his job, showed relatively higher SAS index than other groups and the their differences were statistically significant(p<0.01). Drivers who drived small taxi, had worked for fewer years and worked for more than 10 hours per day experienced relatively higher accident rates than other groups and the difference was statistically significantly(p<0.001). 4. Drivers who had poor health habits showed relatively higher SAS index and higher accident rates than other groups(p<0.05). 5. The accident rate of the above 0.75 SAS index group, 35.2%, was the highest. That of the 0.50 to 0.74 SAS index group was 26.8%. But that of the below 0.40 SAS index group, 6.6%, was the lowest. The difference among the groups was statistically significant(p<0.001).

Eagle씨 증후군의 치험례

오승환,이상철,윤옥병,지유진,김여갑,류동목 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.3

Eagle's syndrome is the term given to symtomatic elogation of the styloid process or mineralization of the stylohyoid or stylomandibular ligament. Since ossification of stylohyoid ligament at cadeva was fist described by De Manchetics in 1652 and Weinlecher described clinical symptom which produced by elongated styloid process and osteotomy of styloid process in 1872, Clinical symptom which include sensation of a foreign body on the pharynx, dysphagai, dysphonia, referred pain, and mouth opening disturbance was termed by Eagle as Eagle's syndrome. then, case reports of Eagle's syndrome are presented. in these cases, the patient's chief complaints included periauricular radiating pain, mouth opening disturbance, foreign body sensation, dysphagia, tenderness on the neck. Through vairous X-ray examination and palpation of tonsillar fossa, elongted styloid process were confirmed. Under the general anesthesia there were successfully removed out via transoral approach technique, described by Eagle. after resented styloid process, they were freed from the symptoms without further complication. Therefor we reported these cases treated by surgical resection of styloid process with good results.