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The Analysis of Relationship Between Anal Disease Incidence and Life Style Pattern (항문질환 발생과 생활습관 양상과의 관련성 분석)

  • Lee, Seong-Ran
    • Proceedings of the KAIS Fall Conference
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    • 2011.12a
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    • pp.334-337
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    • 2011
  • 본 연구는 항문질환 발생과 생활습관 양상과의 관련요인을 파악하기 위해 환자-대조군 연구를 시도하였다. 자료수집은 2011년 1월 10일부터 2011년 2월 28일까지 서울에 소재한 종합병원 외과에 내원한 항문질환을 있는 환자군 86명과 항문질환 병력이 없는 대조군 338명을 선정하여 설문 및 면접조사를 하였다. 연구결과는 첫째, 심신저하상태는 환자군에서 약간저하가 67.4%로 대조군의 50.6% 보다 유의하게 높은 것으로 나타났다($X^2$=10.75, p<.05). 둘째, 항문출혈이 있는 경우가 없는 경우에 비해 항문질환 발생 비차비는 2.85(OR=2.85, 95% CI=1.41-5.48)이었다. 이러한 결과를 토대로 배변시 심리적으로 편안함을 느낄 수 있도록 하고 개인의 규칙적인 배변습관을 갖도록 하는 것이 항문질환 발생 및 재발을 감소시킬 것으로 본다.

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Cognitive Impairment in the Patients with Mildly Active Systemic Lupus Erythematosus (경증 전신성 홍반성 루프스 환자의 인지기능장애)

  • Kim, Jin-Hee;Lee, Chul;Lee, Chang-Uk;Paik, In-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.5 no.1
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    • pp.89-96
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    • 1997
  • This study was designed to determine whether cognitive impairment was evident in patients with SLE. Also, it aimed to examine the association of cognitive impairment with other clinical variables. The subjects consisted of 20 patients with mildly active SLE and 20 healthy controls. Methods : A total of 20 SLE patients and 20 normal controls completed a computerized neuropsychological test battery using Vienna Test System. These included Cognitrone test, Continuous attention test, Corsi block tapping test, Standard progressive matrices. Also, neuro-behavioral cognitive status examination was done. The symptom severity of depression was measured with Beck Depression Inventory, Hamilton Depression Rating Scale, and current medications were documented. Disease activity was rated using the SLE diasease activity index (SLEDAI). Results : SLE patients had poorer performance than normal controls on the tests of Cognitrone, attention, nonverbal IQ and memory, independent of age, education, disease activity, steroid use and depression status. Conclusion : Cognitive dysfunction was not uncommon in ambulatory SLE patients as measured by standardized neuropsychological tests. It seemed to occur independently of various clinical variables. These findings would suggest that cognitive dysfunction in SLE may be explained by reflecting subclinical central nervous system(CNS) involvement, rather than coexisting psychological distress due to chronic illness or side effect of medication.

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Skeletal Factors Related to Open Lock of the Temporomandibular Joint (측두하악관절의 개구성 과두걸림 환자의 골격적 특성에 관한 연구)

  • Nam, Ji-Na;Lee, Jeong-Yun
    • Journal of Oral Medicine and Pain
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    • v.38 no.3
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    • pp.267-274
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    • 2013
  • This study was performed to investigate the skeletal factors related to open lock of the temporomandibular joint(TMJ). We compared the skeletal measurements on the cephalogram and transcranial radiograph among 3 groups, open lock group consisting of consecutively filed 50 patients with at least one open lock episode within recent 1 year, temporomandibular disorder(TMD) group of 50 TMD patients without open lock diagnosed by Research Diagnostic Criteria for TMD (RDC/TMD) Axis I, and normal group of 50 patients without TMD or open lock. The patients of TMD and normal group were randomly selected in an age-and-gender-matched way with ones of open lock group. Open lock group showed smaller saddle angle than normal group on cephalograms and steeper inclination of the articular eminence than TMD and normal groups on transcranial radiographs. These results imply that the patients with the joint located more anterior and the articular eminence with steeper inclination might be riskier to TMJ open lock.

Analysis of Association with Risk Factors of Cardiovascular Disease and Heart Rate Variability (심박동수 변이에 따른 심혈관질환 위험 인자와의 관련성에 미치는 영향 분석)

  • Lim, Bo-Hee;Seok, Jong-Min;Jeon, Woo-Jin;Ko, Eun-Ju;Lee, Jin
    • Journal of the Korean Society of Radiology
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    • v.12 no.3
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    • pp.321-328
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    • 2018
  • The purpose of this study was to investigate factors affecting the heart rate, to analyze the relevance and to use it as a management index of factors of increase in heart rate. A total of 204 adults from November, 2016 to March, 2017 who responded to a personal questionnaire among the adults who underwent coronary computed tomography scans for health screening, were the target of the investigation. In the study, there was a statistically significant difference (p <.05) between the heart rate and the gender, CACS, Stenosis and the forces affecting cardiovascular disease. CACS, Stenosis had a statistically significant difference (p <.05) compared with the other groups in the group with a heart rate of 80 bpm or more, the ability to influence cardiovascular disease was different from that of other groups There was a meaning difference in the heart rate below 60 bpm group compared (p <.05). In conclusion, it is important and desirable to maintain heart rate below 60 bpm in order to prevent having cardiovascular disease history, and below 80 bpm to prevent CACS and stenosis.

Development of Periventricular Leukomalacia and Severe Intraventricular Hemorrhage in Very Low Birth Weight Newborns and Relationship with Ventilator Care (Study of Ventilator Care as a Risk Factor of PVL and PV-IVH) (극소저출생체중아의 뇌실주위백질연화증과 중증뇌실출혈의 발생과 인공호흡기 치료와의 상관관계)

  • Lee, Hak Sung;Lee, Sae Kyu;Kim, Yeong Jin;Lee, Sang Geel
    • Clinical and Experimental Pediatrics
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    • v.48 no.12
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    • pp.1330-1336
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    • 2005
  • Purpose : It has been suggested that changes in cerebral blood flow by ventilator care could be a risk factor in periventricular leukomalacia(PVL) and severe periventricular-intraventricular hemorrhage(PV-IVH). The study aims to assess the relationship between perinatal clinical events, including ventilator care, and the development of PVL and severe PV-IVH; especially, whether ventilator care could be causers of PVL and severe PV-IVH as an individual risk factor. Methods : Among 255 very low birth weight infants who survived in the Fatima neonatal intensive care unit from January 1999 to December 2003, 15 infants with PVL and eight infants with severe PV-IVH were classified as a study group, while 231 infants were enrolled as a control group. The analysis was performed retrospectively with medical records. Results : Twenty four infants were diagnosed with PVL or severe PV-IVH. Asphyxia, recurrent apnea, sepsis, acidosis and ventilator care were significantly increased in the PVL goup. Asphyxia, recurrent apnea, RDS, acidosis and ventilator care were significantly increased in the severe PV-IVH group. Conclusion : Infants with PVL or severe PV-IVH may have multiple perinatal risk factors including asphyxia, recurrent apnea, sepsis, acidosis, RDS and ventilator care. Because most patients with ventilator care have multiple perinatal risk factors, ventilator care does not cause PVL and severe PV-IVH independently. Therefore, incidences of PVL and severe PV-IVH can be decreased by not only gentle ventilation, but also more professional antenatal care.

Analysis of Wartime Personal Mobilization Using Big-data (빅데이터를 활용한 전시 병력동원 응소율 분석)

  • Kim, Se-Yong;Koo, Hoon Young
    • Journal of the Korea Society for Simulation
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    • v.28 no.4
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    • pp.57-65
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    • 2019
  • Recently, the Korean military has been drastically reducing its active-duty troops due to rapid demographic changes and the reconciliatory mode between the two Koreas. Under these circumstances, the wartime reserve forces play an important role. In times of war, a successful personal mobilization is critical especially in early combat stage. Previous research has been carried out using insufficient data collected only within the military and there have been limitations on empirical analysis due to changes in the designation methods for personal mobilization. This study analyzes how much of the reserve forces can be filled at the prescribed time by analyzing the transportation route of the reserve forces in wartime by utilizing military-related data and credit card usage data of the reserve forces residing in Yong-in city. The analysis showed that all reserve forces could not be called up within the prescribed time. In particular, Gangwon Province has shown results of less than 70 percent call-ups, and could cause serious weakening of combat capabilities in the early stages of the war. The main reasons could be the difference between the actual residence and the residence address and the excessive time caused by the traffic congestion.

The Effect of Low Level Laser Therapy on Pressure Pain Threshold in Patients with Temporomandibular Disorders : A Double-blind Study (저출력레이저 조사가 측두하악장애환자의 압력통각역치에 미치는 영향)

  • Cho, Kyung-Ah;Park, June-Sang;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.24 no.3
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    • pp.281-300
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    • 1999
  • 측두하악장애환자와 정상대조군의 두경부 근육에 있어서 실제 또는 위약 치료에 따른 저출력 레이저의 효과와 측두하악장애환자에서 저출력 레이저의 효과적인 치료기간을 평가하기 위하여, 측두하악장애를 가진 부산대학교 치과대학생 19명과 측두하악장애의 병력이나 증상이 없는 부산대학교 치과대학생 20명을 대상으로 치료전, 치료 2주 및 치료 4주에 구외촉진이 가능한 32 근골격 촉진점의 압력통각역치와 각각의 동통정도와 두개하악지수를 측정하여 다음과 갈은 결론을 얻었다, 1. 치료전 환자군의 압력통각역치는 정상대조군 압력통각역치보다 낮았다(p<0.05), 2. 환자군의 압력통각역치는 유의하게 증가하였으며 (p<0.05) 레이저 조사 환자군의 증가된 압력통각역치는 레이저 모의조사-환자군의 증가된 압력통각역치보다 더 크게 나타났다. 3. 대조군에서는 레이저 조사나 모의 조사에 의해 압력통각역치와 변화가 없었다. 4. 레이저 조사-환자군의 압력통각역치가 안면근육에서는 치료2주부터 유의하게 증가하였고 경부근육에서는 치료4주부터 유의하게 증가하였다(p<0.05) 5. 레이저 조사-환자군에서 동통의 정도와 두개하악지수는 유의하게 감소하였다(p<0.05).

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TI-201 Redistribution SPECT and N-13 Ammonia PET Images in Patients with Old Myocardial Infarction and Left Ventricular Dysfunction: Segmental Comparison and Discordance Analysis (좌심실기능이상을 동반한 심근경색 병력이 있는 환자에서 TI-201 재분포 SPECT와 휴식기 N-13 Ammonia PET: 분절 비교 및 불일치 분석)

  • Choi, Joon-Young;Lee, Kyung-Han;Kim, Young-Hwan;Lee, Eun-Jeong;Chung, Hyun-Woo;Lee, Su-Jin;Lee, Sang-Hoon;Kim, Byung-Tae
    • The Korean Journal of Nuclear Medicine
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    • v.38 no.3
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    • pp.218-224
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    • 2004
  • We compared rest perfusion PET with redistribution perfusion SPECT to investigate the concordant rate between PET and SPECT images and analyze the discordant pattern. Materials and Methods: Rest N-13 ammonia and F-18 FDG PET were performed on 18 patients with old myocardial infarction and left ventricular dysfunction whose dipyridamole - 4hr redistribution TI-201 SPECT showed one or more severe fixed defects. Regional perfusion and metabolism were evaluated visually and quantitatively with 5-segment myocardial model. Results: There were high concordant rate in uptake pattern (80/90 segments, 88.9%) and high correlation coefficient on quantitative analysis (R=0.81, p<0.001) between redistribution TI-201 SPECT and N-13 ammonia PET images. Nine of 18 patients had SPECT-PET concordant pattern (Group I). Ten segments (9 in inferior wall, 1 in apex) from the remaining 9 patients showed SPECT-PET discordant pattern with abnormal TI-201 defect and near normal N-13 ammonia uptake (Group II). The diastolic and systolic left ventricular dimensions were significantly increased in Group II compared to those of Group I. When attenuation uncorrected N-13 ammonia PET images were reconstructed in Group II, it resulted in PET images with severe inferior wall defects nearly identical to those seen in redistribution TI-201 SPECT images. Conclusion: Redistribution TI-201 SPECT images showed high concordant rate and correlation with rest N-13 ammonia PET images. Most of discordant segments had fixed thallium defects in inferior wall with nearly normal N-13 ammonia uptake, which may result from severe left ventricular dilatation and attenuation by the left hemidiaphragm and cardiac blood pool.

고령위암 환자에서 술 후 처치 및 영양지원

  • 김인호
    • 대한위암학회:학술대회논문집
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    • 2002.04a
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    • pp.53-60
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    • 2002
  • 1. 병원에 입원하는 환자들 중 상당수에서 어느정도의 영양실조가 있는 것으로 보고되므로 수술하기 위해 입원하는 환자에서 영양과 관계있는 측면에서 병력청취 및 이학적 검사상 약 6개월간 평소체중의 $10\%$ 이상 감소, 혈장단백(알부민, 트란스페린 등) 저하, 총임파 구수감소 등이 있으면 철저한 영양평가를 시행하여 중등도 이상의 위험군에서는 술 전 약 $7\~10$일간 영양지원을 하는 것이 약 $10\%$의 술 후 합병증을 줄이는 것으로 보고되나 이는 수술의 스트레스 정도, 술 후 영양 섭취 지연의 기간 및 정도 및 수술의 응급여부에의 해 결 정한다. 2. 영양지원이 결정되면 그 경로는 경장이 좋으며 그것이 안될 때 정맥영양을 시행한다. 3. 술 전 영양지원을 받지않은 중등도 이상의 영양실조 환자에서 술 후 조기 영양지원에 대한 연구에서는 TPN군에서 대조군보다 오히려 약 $10\%$의 합병증 발생률이 높다. 4. 영양실조가 없는 환자에서도 술 후 약 7일 이상의 금식이 예상되면 TPN을 시행하는 것이 좋다.

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A Study on Establishing Scientific Guard Systems based on TVWS (TVWS 기반 과학화경계시스템 구축방안 연구)

  • Shin, Kyuyong;Baik, Seungwon;Kim, YuSeok
    • Proceedings of the Korean Society of Disaster Information Conference
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    • 2023.11a
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    • pp.321-322
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    • 2023
  • 현재 우리 군은 다가오는 인구절벽에 대비하기 위해 인공지능(AI) 기반의 과학기술강군 육성을 목표 국방혁신 4.0을 추진중에 있다. 특히 북한의 도발위협이 높아지는 현시점에 우리 군은 첨단기술을 활용한 과학화경계시스템 도입을 통해 병력절감을 도모하고 있다. 하지만 우리 군의 통합 전투능력을 보장하기 위한 핵심 기반통신체계인 전술정보통신체계(TICN)의 경우 전송 대역폭이 좁아 영상정보 송수신이 원활하지 않을뿐더러 보안 및 난청지역 발생 등의 이유로 평시 과학화경계시스템의 기반 네트워크로 활용하기에는 제한적이다. 이러한 문제를 해결하기 위해 본 논문은 2017년부터 국내에서 무료로 활용할 수 있게 된 TVWS 기반의 무선네트워크 구축 기술을 활용해 TVWS 기반 과학화경계시스템 구축방안을 제안한다. 본 논문에서 제안하는 TVWS 기반 과학화경계시스템의 경우 기존의 유선네트워크 기반의 과학화경계시스템과 비교해 작전공백 최소화, 구축비용 절감, 설치 및 운용의 탄력성 측면에서 다양한 장점을 가진다.

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