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      • KCI등재후보

        갑상선 전절제술 후 발생한 일과성 부갑상선기능저하증 환자 군에서 조기 회복 군의 임상특징

        오은미,정유승,류정원,이영돈,Eun Mee Oh,Yoo Seung Chung,Jungwon Ryu,Young Don Lee 대한갑상선-내분비외과학회 2014 The Koreran journal of Endocrine Surgery Vol.14 No.3

        Purpose: Several reports have examined the predictors of temporary hypoparathyroidism after total thyroidectomy; however, few have assessed the clinical predictors of early recovery from the condition. Here, we compared the clinical factors of early and late recovery groups of patients with temporary hypoparathyroidism.Methods: The electronic medical records of 248 patients who underwent total thyroi-dectomy from January 2012 to July 2013 and had parathyroid hormone (PTH) levels <10 pg/mL on the first postoperative day were examined retrospectively. The early recovery group showed recovery from PTH at two weeks postoperatively and the late recovery group showed recovery from PTH at one month postoperatively.Results: The early recovery group included a lower proportion of males (8.6% vs. 23.7%, P<0.01) and a higher proportion of patients with more than three parathyroid glands saved (83.8% vs. 76.8%, P<0.04). There were no significant differences in the other variables examined.Conclusion: The early recovery group of patients with temporary hypoparathyroidism included a lower proportion of males and a higher proportion of patients with more than three parathyroid glands saved intraoperatively. These findings can be used as clinical indicators when discharge medication is prescribed.

      • KCI등재

        도착관리시스템 궤적 예측 모듈의 성능 개선을 위한 궤적 예측 정확도 분석 방법 연구

        오은미,김현경,은연주,전대근,Oh, Eun-Mi,Kim, Hyounkyoung,Eun, Yeonju,Jeon, Daekeun 한국항공운항학회 2015 한국항공운항학회지 Vol.23 No.3

        An analysis method of trajectory prediction has been suggested and the developed trajectory prediction module, which is an important functional component of the Arrival Manager (AMAN) of Jeju airport, has been tested by applying the suggested method. The objective of this method is to improve prediction performance of the trajectory prediction module. The trajectory prediction module predicts the trajectories based on the real-time track data and flight plans. Therefore, the suggested analysis method includes the simulation framework which is based on real-time playback, recording, and graphic display systems for testing. Besides, the definition of time error, which is a important index for the time based scheduling system, such as AMAN, is included in the suggested analysis method. An example of arrival time prediction accuracy improvement through the suggested analysis method has also been presented.

      • KCI등재
      • KCI등재

        뇌졸중 편마비 환자의 견관절 통증에 대한 추나요법의 효과: 체계적 문헌고찰 및 메타분석

        오은미 ( Eun-mi Oh ),이은정 ( Eun-jung Lee ) 한방재활의학과학회 2020 한방재활의학과학회지 Vol.30 No.3

        Objectives The purpose of this study is to assess the effectiveness of Chuna manual therapy for shoulder pain in hemiplegic patients after stroke. Methods For a systematic review and meta-analysis, we set a key question in accordance with participants, intervention, comparison, outcome, study design (PICO-SD). we searched for clinical studies that conducted chuna manual therapy for shoulder pain in hemiplegic patients after stroke 7 databases until September 2019. Only randomized controlled trials were chosen. Results Total 14 randomized controlled trials were chosen for systematic review and meta-analysis. 9 studies used efficacy rate as evaluation tool, and 8 used visual analogue scale. Pressure method (壓力型) was used in 11 studies, followed by osteopathy method (整骨型) and wave motion method (波動型) in 9 studies. Chuna manual therapy showed statistically significant pain reduction effect. Through meta analysis, Chuna manual therapy showed significant pain reducing effect except the study with Chuna manual therapy and electroacupuncture compared to electroacupuncture only. Conclusion As a result, Chuna manual therapy showed statistically significant effect in pain reduction. However, almost studies were evaluated in a state of having probable high risk of bias. This suggests that it requires attention to make an interpretation in this study. Furthermore, more clinical research need to be accomplished in the future. (J Korean Med Rehabil 2020;30(3):89-101)

      • KCI등재

        고관절 치환술 환자에 적용한 전침치료: 체계적 문헌고찰 및 메타분석

        오은미 ( Eun-mi Oh ),홍수민 ( Su Min Hong ),김호걸 ( Ho-geol Kim ),이은정 ( Eun-jung Lee ) 한방재활의학과학회 2020 한방재활의학과학회지 Vol.30 No.4

        Objectives The objective of this study is to assess the effectiveness of electroacupuncture for patients with hip arthroplasty. Methods According to participants, intervention, comparison, outcome, study design, we searched for clinical studies that conducted electroacupuncture for patients with hip arthroplasty. Results Finally 11 randomized controlled trials were chosen for systemic review and meta-analysis. The frequently used evaluation tools were Incidence of postoperative cognitive dysfunction (POCD), heart rate, blood pressure. Almost studies showed electroacupuncture has effects for patients with hip arthroplasty. Through meta analysis, Electoacupuncture showed statistically significant effect of reducing the anesthetic dosage and incidence of postoperative psychonosema and adverse reactions in intra-operation period, reducing the incidence of POCD in peri-operation period, incidence of deep venous thrombosis in post-operation period. Conclusion 11 studies reported that electroacupuncture has significant effects on hip arthroplasty. But, many studies were assessed in a probable high risk of bias. And all studies published in one overseas country. So, it requires attention to comprehend this study. To make up for this limitaion, more well designed clinical research are needed. (J Korean Med Rehabil 2020;30(4):105-117)

      • KCI등재

        부갑상샘종 및 부갑상샘 암에 대비되는 비정형 부갑상샘종의 임상병리학적 특성

        오은미 ( Eun Mee Oh ),이규언 ( Kyu Eun Lee ),김수진 ( Su Jin Kim ),윤여규 ( Yeo Kyu Youn ),박귀원 ( Kwi Won Park ),오승근 ( Seung Keun Oh ),정경천 ( Kyeong Cheon Jung ),김영태 ( Young Tae Kim ),김광현 ( Kwang Hyun Kim ) 대한임상종양학회 2010 Korean Journal of Clinical Oncology Vol.6 No.2

        목적: 일차성 부갑상샘항진증을 일으키는 질환인 부갑상샘종, 비정형 부갑상샘종, 부갑상샘 암 에 대하여 임상병리학적 특징을 후향적으로 분석해보고 특히 비정형 부갑상샘종의 특징에 대하여 알아보고자 하였다. 대상 및 방법: 1993년 1월부터 2008년 12월까지 서울대학교병원에서 일차성 부갑상샘항진증으로 부갑상샘 절제술을 시행한 88명의 부갑상샘종 환자와 10명의 비정형 부갑상샘종 환자, 2명의 부갑상샘 암 환자의 의무기록을 후향적으로 분석하였다. 결과: 비정형 부갑상샘종 군은 남녀 비율이 동일한데에 비하여 부갑상샘종은 여성에서, 부갑상샘 암은 남성에서 호발하였다. 비전형 부갑상생종 군과 부갑상샘종 군의 평균연령은 비슷하였으나 부갑상샘 암 환자는 두 군에 비하여 낮았다 (PA: 50.18±15.07yrs, AA: 49.1±13.76yrs, PC: 44.0±18.39yrs, p= 0.832.) 술전 시행한 혈청 칼슘 (PA: 11.90±1.46mg/dl, AA: 11.96±1.48mg/dl, PC: 14.25±2.76mg/dl, p= 0.091), 이온화 칼슘 (PA: 1.57±0.21mg/dl, AA: 1.54±0.34mg/dl, PC: 2.27mg/dl, p= 0.008)에서는 비전형 부갑상샘종 군과 부갑상샘종 군이 비슷하고 부갑상샘암 환자 군은 더 높았다. 술전 부갑상샘호르몬은 부갑상샘 암 환자에서 가장 높았고 비전형 부갑생종, 부갑상샘종 환자 순으로 높게 측정되었다. (335.30±465.40pg/ml, AA: 992.88±612.30pg/ml, PC: 1221.00±227.69pg/ml, p< 0.001) 부갑상샘 암 군은 술전 임상증상이 모두 나타났으며 비전형 부갑상샘종 군과 부갑상샘종 환자 군은 증상이 없이 발견된 경우가 많았다. 병변의 크기와 무게는 부갑상샘 암 군에서 가장 높았으며 비전형 부갑상샘종, 부갑상샘종군이 뒤를 이었다. 결론: 비정형 부갑상샘종은 임상병리학적 특성 상 부갑상샘종과 부갑상샘 암의 중간단계에 위치한다고 할 수 있으며 이에 수술 후 면밀한 추적관찰이 필요하다고 할 수 있다. Purpose: The causes of primary hyperparathyroidism include parathyroid adenoma(PA), atypical parathyroid adenoma(AA) and parathyroid carcinoma(PC). This retrospective study aimed to find the clinicopathologic characteristics among these three diseases and unique characteristics of AA. Patients and Methods: One hundred patients who underwent parathyroidectomy due to primary hyperparathyroidism from January 1993 to December 2008 in Seoul National University Hospital were enrolled. The electronic medical records of 88 patients of PA, 10 patients of AA and 2 patients of PC were analyzed retrospectively. Results: Male to female ratio was same in AA group but female predominance was found in PA group and male predominance in PC group. The mean age of AA group was similar to PA group but PC group was younger than other groups (PA: 50.18±15.07yrs, AA: 49.1±13.76yrs, PC: 44.0±18.39yrs, p= 0.832). The patients with PC showed higher preoperative serum calcium (PA: 11.90±1.46mg/dl, AA: 11.96±1.48mg/dl, PC: 14.25±2.76mg/dl, p= 0.091), ionized calcium (PA: 1.57±0.21mg/dl, AA: 1.54±0.34mg/dl, PC: 2.27mg/dl, p= 0.008) than other two groups and PA and AA showed similar results. PC group showed high parathyroid hormone levels than those of AA and PA (PA: 335.30±465.40pg/ml, AA: 992.88±612.30pg/ml, PC: 1221.00±227.69pg/ml, p< 0.001). Clinical symptoms were found more in PC group and majority of other two groups were found asymptomatic. PC group measured heavier and larger than AA and PA. Conclusion: AA might be an intermediate stage between PA and PC. Close follow up might be needed after operation for AA.

      • KCI등재

        궤적 기반의 항공 교통 관리를 위한 스케줄링 시스템 개발

        오은미 ( Eun-mi Oh ),은연주 ( Yeonju Eun ),김현경 ( Hyounkyoung Kim ),전대근 ( Daekeun Jeon ) 한국항행학회 2018 韓國航行學會論文誌 Vol.22 No.5

        차세대 통신링크를 활용한 항공로 교통 관리를 위해 궤적 기반의 관제 지원 스케줄링 시스템을 제안하였다. 차세대 ATS (air traffic services) 데이터링크인 Baseline 2를 사용하는 4DTRAD (4-dimensional trajectory data link) 서비스 내용을 기반으로 항공로상을 비행 중인 항공기를 대상으로 하는 궤적기반운용 수행 절차를 수립하고 기술하였다. 이러한 절차를 바탕으로, 다양하고 복잡한 데이터 활용으로 인한 관제사의 업무 부담을 완화하기 위해 지상 시스템이 수신한 항공기 데이터를 처리하여 궤적을 예측하고 관제 조언 정보를 제공하는 스케줄링 시스템의 프로토타입을 개발하였다. 또한, 궤적 기반 항행을 위한 시뮬레이션 환경을 구성하여 개발 시스템에 대한 스케줄링 기능을 확인하였다. A trajectory-based scheduling system is proposed for air traffic management using next generation aviation data communication link. Based on the service concept of 4-dimensional trajectory data link (4DTRAD) using air traffic serveices (ATS) datalink Baseline 2, a procedure for trajectory-based operation of an en-route flight is established and described in detail. To mitigate air traffic controllers’ workload which might be caused by various and complicated data utilization, a prototype of the scheduling system, which predicts the aircraft trajectory based on the flight intents received by air traffic service system and provides advisory information for air traffic control, was developed. The simulation environment for trajectory based operation was built to validate the scheduling functionality of the prototype.

      • KCI등재

        고관절 치환술에 침구치료를 적용한 국내외 연구에 대한 동향 분석

        오은미(Eun-Mi Oh),이은정(Eun-Jung Lee) 척추신경추나의학회 2019 척추신경추나의학회지 Vol.14 No.1

        Objectives : The purpose of this study was to investigate the effects of using acupuncture and moxibustion for the treatment of hip arthroplasty. Methods : We searched a total of six Korean and international databases (OASIS, KISS, RISS, Pubmed, Cochrane library, and CNKI) up to March 2019, and included randomized controlled trials which investigated the treatment effects of acupuncture and moxibustion in patients with hip arthroplasty. Results : In total, 29 studies were selected and included in the analysis. These studies conducted interventions, with the most frequently conducted methods being electroacupuncture (24.1%) and auricular acupuncture (20.7%). The most frequently used acupoints were the Ashi-, Lower four-, and Lower five points. VAS (48.9%) and Harris scores (22.2%) were commonly used to evaluate treatment effects. In total, 27 studies (93.1%) reported favorable treatment effects following acupuncture and moxibustion treatment, compared to the control group. Conclusions : These results may suggest that acupuncture and moxibustion have favorable effect on Hip arthroplasty.

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