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  • 1
    Online Resource
    Online Resource
    The learning curve in diagnosing acute appendicitis with emergency sonography among novice emergency medicine residents
    Wiley ; 2018
    In:  Journal of Clinical Ultrasound Vol. 46, No. 5 ( 2018-06), p. 305-310
    Details
    In: Journal of Clinical Ultrasound, Wiley, Vol. 46, No. 5 ( 2018-06), p. 305-310
    Abstract: Ultrasonography (US) has good accuracy for diagnosing appendicitis when it is performed by emergency physicians. This study aimed to determine the amount of experience that is required to achieve competency in this field. Methods Three novice emergency medicine residents completed a 1‐day training course regarding the US diagnosis of appendicitis. Then, they performed appendix US in the emergency department on patients complaining of right lower quadrant pain. All included patients also underwent computed tomography or US performed by a board‐certified radiologist, to confirm the emergency US diagnosis. The agreement between the diagnoses of novices and experts was evaluated. Results A total of 266 patients were included, and the overall Cohen's kappa coefficient was 0.77 (95% confidence interval [CI]: 0.69‐0.84). The kappa value of first 20 cases was 0.49 (95% CI: 0.27‐0.71). It increased rapidly during evaluation of the first 20 cases. After the first 20 cases, the kappa coefficient was 0.84 (95% CI: 0.77‐0.92). The sensitivity and specificity values for the first 20 cases were 64.3% (95% CI: 77.6%‐90.7%) and 84.4% (95% CI: 85.4%‐95.4%), respectively. After the first 20 cases, the sensitivity and specificity values increased to 90.9% (95% CI: 83.4%‐95.8%) and 93.5% (95% CI: 87.0%‐97.3%), respectively. Conclusions A minimum of 20 cases are needed to achieve competency in emergency US diagnosis of acute appendicitis.
    Type of Medium: Online Resource
    ISSN: 0091-2751 , 1097-0096
    URL: Issue
    URL: Article
    DOI: 10.1002/jcu.v46.5
    DOI: 10.1002/jcu.22577
    Language: English
    Publisher: Wiley
    Publication Date: 2018
    detail.hit.zdb_id: 1492376-2
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  • 2
    Online Resource
    Online Resource
    Ballistic-Mode Plasma-Based Ion Implantation for Surface-Resistivity Modification of Polyimide Film
    Institute of Electrical and Electronics Engineers (IEEE) ; 2012
    In:  IEEE Transactions on Plasma Science Vol. 40, No. 6 ( 2012-06), p. 1749-1752
    Details
    In: IEEE Transactions on Plasma Science, Institute of Electrical and Electronics Engineers (IEEE), Vol. 40, No. 6 ( 2012-06), p. 1749-1752
    Type of Medium: Online Resource
    ISSN: 0093-3813 , 1939-9375
    URL: Article
    DOI: 10.1109/TPS.2012.2190526
    Language: Unknown
    Publisher: Institute of Electrical and Electronics Engineers (IEEE)
    Publication Date: 2012
    detail.hit.zdb_id: 2025402-7
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  • 3
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    1499Health behaviours as risk factors of COVID-19 incidence in South Korea
    Oxford University Press (OUP) ; 2021
    In:  International Journal of Epidemiology Vol. 50, No. Supplement_1 ( 2021-09-01)
    Details
    In: International Journal of Epidemiology, Oxford University Press (OUP), Vol. 50, No. Supplement_1 ( 2021-09-01)
    Abstract: Personal health behaviours, which rely on community characteristics, could affect individual vulnerability on disease infection. Due to insufficient study to examine health behaviours as risk factors of COVID-19 infection, we conducted municipal level spatial analysis to investigate association between health behaviours and COVID-19 incidence. Methods We extracted cumulative COVID-19 incidence data from January 20th 2020 to February 25th 2021, health behaviours, health condition, socio-economic factors, and covariates in municipal level from publicly available dataset. We chose variables, which were standardized, considering multicollinearity (VIF & lt;10). Further, we employed bayesian hierarchical negative binomial model with intrinsic conditional autoregressive (iCAR) and Besag, York and Mollié (BYM) model, and used deviance information criterion (DIC) for final model selection. Results The mean cumulative COVID-19 incidence per 10,000 population among 229 municipality was 13.73 (Standard deviation=11.43). iCAR model (DIC=2,825.3) outperformed BYM model (DIC=14,009.4). The results of iCAR model highlighted that incidence was associated with dental hygiene practice (incidence risk ratios [IRR]=0.92, 95% Credible Interval [CI] =0.85–1.00), whether tried to be thin (IRR=1.10, 95% CI = 1.00–1.20), proportion of medical personnel (IRR=1.09, 95% CI = 1.01–1.17), and volume of public transportation (IRR=1.19, 95% CI = 1.05–1.35), even after adjusting for various confounding factors. Conclusions Municipality with lower cumulative incidence was likely to have more people who practiced to keep dental hygiene and less people who tried to be thin. Key messages Municipal level spatial analysis resulted that health behaviours were associated with COVID-19 incidence in South Korea.
    Type of Medium: Online Resource
    ISSN: 0300-5771 , 1464-3685
    URL: Article
    DOI: 10.1093/ije/dyab168.347
    RVK:
    XF 4100
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 1494592-7
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  • 4
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    Epidemiology of Spinal Cord Injury: Changes to Its Cause Amid Aging Population, a Single Center Study
    Korean Academy of Rehabilitation Medicine ; 2021
    In:  Annals of Rehabilitation Medicine Vol. 45, No. 1 ( 2021-02-28), p. 7-15
    Details
    In: Annals of Rehabilitation Medicine, Korean Academy of Rehabilitation Medicine, Vol. 45, No. 1 ( 2021-02-28), p. 7-15
    Abstract: Objective To investigate the epidemiologic and demographic characteristics of patients with spinal cord injury (SCI) who were admitted to a department of rehabilitation of a university hospital.Methods This was a descriptive cross-sectional study. Medical records including sex, age at injury, type of disability, traumatic or non-traumatic etiology and presence of ossification of posterior longitudinal ligament (OPLL) of patients with SCI who were admitted to the department of rehabilitation between 2012 and 2018 were reviewed.Results Of the 221 cases of SCI, 161 were traumatic and 60 were non-traumatic. The mean age at injury was 52.8 years. People aged 40–49 years showed highest proportion among overall SCI patients (19.0%). The proportion of male patients was higher in traumatic SCI at 4.96:1 than in non-traumatic SCI at 1.30:1. The most common cause of traumatic SCI was falling off (37.3%), followed by motor vehicle crash (35.4%) and tripping over (19.3%). Meanwhile, the most common cause of non-traumatic SCI was neoplasm (35.0%). Tripping over was the leading cause of traumatic SCI in patients aged ≥60 years (42.6%). A high proportion of traumatic SCI patients were found to have underlying OPLL (26.1%), particularly those who were injured by tripping over (64.5%).Conclusion The mean age of SCI patients was higher than that of previous studies. Falls was the single most common cause of traumatic SCI, and tripping over was the most common cause of injury in the elderly patients. OPLL was prevalent in patients who were injured from tripping over.
    Type of Medium: Online Resource
    ISSN: 2234-0645 , 2234-0653
    URL: Article
    DOI: 10.5535/arm.20148
    Language: English
    Publisher: Korean Academy of Rehabilitation Medicine
    Publication Date: 2021
    detail.hit.zdb_id: 2659431-6
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  • 5
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    Online Resource
    Clinical Trial of Human Fetal Brain-Derived Neural Stem/Progenitor Cell Transplantation in Patients with Traumatic Cervical Spinal Cord Injury
    Hindawi Limited ; 2015
    In:  Neural Plasticity Vol. 2015 ( 2015), p. 1-22
    Details
    In: Neural Plasticity, Hindawi Limited, Vol. 2015 ( 2015), p. 1-22
    Abstract: In a phase I/IIa open-label and nonrandomized controlled clinical trial, we sought to assess the safety and neurological effects of human neural stem/progenitor cells (hNSPCs) transplanted into the injured cord after traumatic cervical spinal cord injury (SCI). Of 19 treated subjects, 17 were sensorimotor complete and 2 were motor complete and sensory incomplete. hNSPCs derived from the fetal telencephalon were grown as neurospheres and transplanted into the cord. In the control group, who did not receive cell implantation but were otherwise closely matched with the transplantation group, 15 patients with traumatic cervical SCI were included. At 1 year after cell transplantation, there was no evidence of cord damage, syrinx or tumor formation, neurological deterioration, and exacerbating neuropathic pain or spasticity. The American Spinal Injury Association Impairment Scale (AIS) grade improved in 5 of 19 transplanted patients, 2 (A → C), 1 (A → B), and 2 (B → D), whereas only one patient in the control group showed improvement (A → B). Improvements included increased motor scores, recovery of motor levels, and responses to electrophysiological studies in the transplantation group. Therefore, the transplantation of hNSPCs into cervical SCI is safe and well-tolerated and is of modest neurological benefit up to 1 year after transplants. This trial is registered with Clinical Research Information Service (CRIS), Registration Number: KCT0000879 .
    Type of Medium: Online Resource
    ISSN: 2090-5904 , 1687-5443
    URL: Article
    DOI: 10.1155/2015/630932
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2015
    detail.hit.zdb_id: 2236872-3
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  • 6
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    Effect of Mechanical Ventilation on Neurodevelopmental Outcome in Preterm Infants without Major Neurodevelopmental Impairments
    XMLink ; 2022
    In:  Perinatology Vol. 33, No. 1 ( 2022), p. 15-
    Details
    In: Perinatology, XMLink, Vol. 33, No. 1 ( 2022), p. 15-
    Type of Medium: Online Resource
    ISSN: 2508-4887 , 2508-4895
    URL: Article
    DOI: 10.14734/PN.2022.33.1.15
    Language: English
    Publisher: XMLink
    Publication Date: 2022
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  • 7
    Online Resource
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    Evaluation of Pain and Ultrasonography on Shoulder in Poliomyelitis Wheelchair Basketball Players
    The Korean Society of Sports Medicine ; 2014
    In:  The Korean Journal of Sports Medicine Vol. 32, No. 1 ( 2014), p. 20-
    Details
    In: The Korean Journal of Sports Medicine, The Korean Society of Sports Medicine, Vol. 32, No. 1 ( 2014), p. 20-
    Type of Medium: Online Resource
    ISSN: 1226-3729 , 2288-6028
    URL: Article
    DOI: 10.5763/kjsm.2014.32.1.20
    Language: Korean
    Publisher: The Korean Society of Sports Medicine
    Publication Date: 2014
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  • 8
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    Sick Sinus Syndrome Combined with Wallenberg Syndrome: a Case Report
    XMLink ; 2021
    In:  Brain & Neurorehabilitation Vol. 14, No. 3 ( 2021)
    Details
    In: Brain & Neurorehabilitation, XMLink, Vol. 14, No. 3 ( 2021)
    Type of Medium: Online Resource
    ISSN: 1976-8753 , 2383-9910
    URL: Article
    DOI: 10.12786/bn.2021.14.e27
    Language: English
    Publisher: XMLink
    Publication Date: 2021
    detail.hit.zdb_id: 3100893-8
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  • 9
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    Effects of end-effector robot-assisted gait training on gait ability, muscle strength, and balance in patients with spinal cord injury
    IOS Press ; 2023
    In:  NeuroRehabilitation ( 2023-08-18), p. 1-12
    Details
    In: NeuroRehabilitation, IOS Press, ( 2023-08-18), p. 1-12
    Abstract: BACKGROUND: There is no randomized controlled study about the effects of end-effector robot-assisted gait training (RAGT) in patients with spinal cord injury (SCI). OBJECTIVE: To examine the effects of end-effector RAGT on gait and balance abilities in SCI. METHODS: Thirty-one patients were randomly assigned to the RAGT (Morning Walk ®, Curexo, Seoul, South Korea) or conventional therapy (CT) group. Patients were assessed using the 10-meter walk test (10MWT), 6-minute walk test (6mWT), lower extremity motor score (LEMS) and proprioception, Berg Balance Scale (BBS), Walking Index for Spinal Cord Injury-II (WISCI-II), and mobility category of Spinal Cord Independence Measure-III. RESULTS: All clinical outcome measures significantly improved in both groups. The BBS and WISCI-II were significantly improved in the RAGT group compared to the CT group. In the RAGT group, pre-LEMS and pre-WISCI-II of the 10MWT improved group and pre-BBS of the 6mWT improved group were higher than those of the 10MWT non-improved and 6mWT non-improved group, respectively. CONCLUSION: End-effector RAGT and CT in patients with incomplete SCI could lead to improvements in gait ability, lower extremity muscle strength, balance, proprioception, and mobility. Additionally, end-effector RAGT could improve balance and gait abilities substantially better than CT.
    Type of Medium: Online Resource
    ISSN: 1053-8135 , 1878-6448
    URL: Article
    DOI: 10.3233/NRE-230085
    Language: Unknown
    Publisher: IOS Press
    Publication Date: 2023
    detail.hit.zdb_id: 2031489-9
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  • 10
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    Online Resource
    COWAT Performance of Persons with Alzheimer Dementia, Vascular Dementia, and Parkinson Disease Dementia According to Stage of Cognitive Impairment
    Wiley ; 2019
    In:  PM&R Vol. 11, No. 7 ( 2019-07), p. 737-744
    Details
    In: PM&R, Wiley, Vol. 11, No. 7 ( 2019-07), p. 737-744
    Abstract: The Controlled Oral Word Association Test (COWAT) evaluates frontal lobe and executive function. Therefore, it can be helpful in differentiating cognitive deficits. However, there are no studies comparing the COWAT performance according to the type and stage of cognitive impairment. Objective To compare performance among persons with Alzheimer dementia (AD), vascular dementia (VaD), and Parkinson disease dementia (PDD) on the COWAT according to stage of cognitive impairment. Design Retrospective chart review. Settings University hospital rehabilitation psychology center. Patients We reviewed the medical records of 246 persons diagnosed with mild cognitive impairment (MCI) or dementia using the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM‐5) and the Korean‐Instrumental Activities of Daily Living (K‐IADL). Patients were divided into a control group, Alzheimer groups (amnestic mild cognitive impairment [aMCI] + AD), Vascular groups (vascular mild cognitive impairment [VaMCI]  + VaD), and Parkinson groups (Parkinson disease‐mild cognitive impairment [PD‐MCI] + PDD). Methods Total scores (ie, total number of words produced in 60 seconds on the semantic and phonemic fluency tests of the COWAT) were analyzed. Secondary analysis included calculating percentage scores of words produced during each of the four, 15‐second segments from the total number of words produced in each trial. Results All MCI groups scored significantly lower than the control group on both semantic and phonemic fluency tests. Among the dementia groups, the VaD (mean ± SD, 5.6 ± 5.1) and PDD (5.5 ± 5.5) groups' scores were significantly lower and worse than that of the AD (11.0 ± 8.8) group on the phonemic test ( P   〈  .001). The difference in percentage scores was most marked between the PD‐MCI (17.0 ± 2.2) and PDD (1.2 ± 3.1) groups, followed by the VaMCI (13.3 ± 1.9) and VaD (5.6 ± 1.8) groups on the latter phonemic test ( P  = .007). Conclusions The COWAT is a sensitive test of frontal‐lobe and executive function impairment in persons with MCI. Decreased verbal output in the last 15 seconds of phonemic fluency test is significantly decreased and impaired in persons with VaMCI and PD‐MCI compared to persons with aMCI as they progress to dementia. Level of Evidence III.
    Type of Medium: Online Resource
    ISSN: 1934-1482 , 1934-1563
    URL: Issue
    URL: Article
    DOI: 10.1002/pmrj.2019.11.issue-7
    DOI: 10.1002/pmrj.12125
    Language: English
    Publisher: Wiley
    Publication Date: 2019
    detail.hit.zdb_id: 2480906-8
    SSG: 31
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