• Title/Summary/Keyword: 생리적 검사

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Safety and Efficacy of the Mandibular Advancement Device 'Bioguard' for the Treatment of Obstructive Sleep Apnea : A Prospective, Multi-Center, Single Group, and Non-Inferiority Trial (폐쇄성 수면무호흡증의 치료에 사용되는 하악전방이동장치-'바이오가드'의 안전성과 유효성 검증을 위한 전향적, 다기관, 단일군 및 비열등성 연구)

  • Kim, Hyoung Wook;Hwang, Chungpoong;Eun, Hun Jeong
    • Sleep Medicine and Psychophysiology
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    • v.23 no.2
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    • pp.84-92
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    • 2016
  • Objectives: The purpose of this study was to estimate the safety and efficacy of a mandibular advancement device (MAD), 'Bioguard,' for the treatment of obstructive sleep apnea (OSA). Methods: In this 5-week prospective, multi-center, single group, and non-inferiority trial, patients who chose 'Bioguard' as their treatment option were evaluated using both questionnaires (Pittsburgh Sleep Quality Index (PSQI), Epworth sleepiness scale (ESS)) and polysomonography (PSG) (apnea hypopnea index (AHI), oxygen saturation). All patient data, including clinical records, PSG studies (both pre- and post-treatment), and adverse events (AEs), were reviewed and analyzed. Results: Results were obtained for 59 of 62 patients (95.16%). No significant difference in success rate was found between the MAD treatment and surgical treatment (95% CI). AHI, PSQI, ESS and oxygen saturation demonstrated significant improvement (p < 0.001) after MAD treatment, and 39 of 62 patients (62.9%) reported 85 AEs. 79 of the 85 AEs (91.8%) were mild cases, and there were no severe AEs related to the MAD treatment. Conclusion: The MAD 'Bioguard' should be considered as an alternative treatment option for OSA patients.

Discussions on Pesticides Production and Supply in Korea (농약의 생산과 소비의 실태에 관한 고찰)

  • Bai Dai Han
    • Korean journal of applied entomology
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    • v.17 no.2 s.35
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    • pp.115-123
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    • 1978
  • Present status on the pesticides production, supply, manufacture and pests control in Korea are summarized. The data in the past several years (1971-76) are analyzed to find out the problems and solutions for the further development of plant protection and pesticide industry in Korea. Since the acreages of crop plantation and the quantities of pesticides uses are already near to the stage of plateau, pesticide formulation with imported technical grade should be modified by local synthesis with imported quality. The government pesticides management act and regulations must be modernized urgently in connection with the synthesis. formulation, tests, registration, quality control. price and supply system as well as the safety use of pesticides. Recommendation concerning acceptable daily intakes(ADI) and residue limits must be established for the strengthning pesticide safety use and plant protection activities as soon as possible. The use of fungicide-insectide mixture in dust formulation must be authorized and practiced immediately for the labor saving and one-hit cooperative mass control of rice disease and insect pests, especially. At present, serious considerations on pesticide safety use and integrated pest control are strongly urged to help the farmers, to save the industries and to keep the nature as it is required.

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UNERUPTED PRIMARY MOLAR (미맹출 유구치에 관한 증례)

  • Han, Yeon-Sun;Choi, Byung-Jai;Kim, Seong-Oh;Lee, Chong-Gap
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.3
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    • pp.444-449
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    • 2002
  • The term 'impaction' is used to designate a tooth which remains unerupted in the jaw beyond the time at which it should normally be erupted. The main causal factors are local (lack of space, ectopic positions of teeth, supernumerary teeth, cyst, the occurrence of infectious process in the eruption path, traumatic facial injury etc.). Systemic and genetic disorders, however, may have primary failure of eruption and retarded eruption as additional symptoms (cleidocranial dysplasia, osteopetrosis etc.). Most cases of impacted teeth reported in the literature are of permanent teeth. The absence of primary teeth occur rarely whereas impaction of second primary molars is more numerous than all other impactions. Impaction due to primary failure of eruption must be distinguished from the secondary infraocclusion. The etiology of impaction of primary teeth is probably related to early ankylosis of primary teeth, but it is not clear. Failure of eruption of primary teeth may cause a number of complications, such as interference with development and eruption of succedaneous teeth, formation of cyst, and damage to adjacent teeth. This study is to report cases of primary failure of eruption in the primary dentition.

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Comparison of Antioxidant Activities of Enzymatic and Methanolic Extracts from Ecklonia cava Stem and Leave (감태(Ecklonia cava) 줄기 및 잎의 효소적 추출물과 메탄올 추출물에 의한 항산화 활성비교)

  • Lee, Seung-Hong;Kim, Kil-Nam;Cha, Seon-Heui;Ahn, Gin-Nae;Jeon, You-Jin
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.35 no.9
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    • pp.1139-1145
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    • 2006
  • In this study, antioxidant activities of enzymatic and methanolic extracts from E. cava stem and leave were evaluated by measuring the scavenging activities on 1,1 diphenyl 2 picrylhydrazyl (DPPH), hydroxyl radical, hydrogen peroxide and the inhibitory effects on DNA damage induced by oxidative stress of cells. Enzymatic extracts were prepared by enzymatic hydrolysis of both stem and leave using food grade five different carbohydrases (Viscozyme, Celluclast, AMG, Termamyl, Ultraflo) and five proteases (Protamex, Kojizyme, Neutrase, Flavourzyme, Alcalase). The enzymatic extracts were lower than methanolic extracts in polyphenol contents, but higher in extraction yield by approximately 30%. The enzymatic extracts were superior to methanolic extracts in DPPH and H2O2 scavenging activities and DNA damage protective effect. There were no significant antioxidant activity difference between stem and leave, but the extracts of leave were relatively better than those of stem. In this study it is suggested that E. cava stem as well as its leave would be a good raw materials for antioxidants compound extraction and enzymatic hydrolysis would be a good strategy to prepare antioxidant extracts from seaweeds.

The Usefulness of Diffusion-weighted MR Imaging for Differentiation between Degenerative Spines and Infectious Spondylitis (퇴행성 척추와 감염성 척추염의 감별에 있어서 확산강조영상의 유용성)

  • 박원규;변우목;최준혁
    • Investigative Magnetic Resonance Imaging
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    • v.6 no.2
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    • pp.152-157
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    • 2002
  • Purpose : The differential diagnosis between Modic type I degenerative spine and infectious spondylitis sometimes is difficult, because the affected bone marrows in both disease show similar signal intensity on conventional MR imaging. We evaluate the usefulness of diffusion-wighted MR imaging for differential diagnosis between Modic type I degenerative spine and infectious spondylitis. Materials and methods : The spin-echo and diffusion-weighted MR images of eight patients with Modic type I degenerative spines and 14 patients with infectious spondylitis diagnosed by clinical findings or CT-guided biopsies we re analyzed. The diffusion-weighted imaging sequence was based on reversed fast imaging with steady-state precession (PSIF). Signal intensity changes of the vertebral bone marrow on conventional spin-echo and diffusion-weighted MR imaging were compared between degenerative spine and infectious spondylitis. Results : On T1-weighte d images, the affeted bone marrow in both disease showed hypointense signals. On T 2-weighted images, all of type I degenerative spine and 11 of infectious spondylitis showed hyperintensity, and three of infectious spondylitis showed heterogeneo us mixed signal intensity. On diffusion-weighted MR images, all of type I degenerative spine were hypointense with peripheral high signal intensity to normal vertebral body, but infectious spondylitis was hyperintense (n = 11) and hypointense (n=3). Conclusion : Diffusion-weighted MR imaging is useful to differentiate Modic type I degenerative spine from infectious spondylitis. On diffusion-weighted images, the high singal intensity of bone marrow suggests infectious spondylitis, whereas the low signal intensity of bone marrow with peripheral focal high signal intensity suggests type I degenerative spine.

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Heart Rate Variability and Autonomic Activity in Patients Affected with Rett Syndrome (Rett 증후군 환자에서의 자율신경 활성도 및 심박수 변이도 측정)

  • Choi, Deok Young;Chang, Jin Ha;Chung, Hee Jung
    • Clinical and Experimental Pediatrics
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    • v.46 no.10
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    • pp.996-1002
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    • 2003
  • Purpose : In Rett syndrome patients, the incidence of sudden death is greater than that of the general population, and cardiac electrical instability including fatal cardiac arrhythmia is a main suspected cause. In this study, we are going to find out the possible cause of the higher risk of sudden death in Rett patients by the evaluation of heart rate variability, a marker of cardiac autonomic activity and corrected QT intervals. Methods : Diagnosis of Rett syndrome was made by molecular genetic study of Rett syndrome (MECP2 gene) or clinical diagnostic criteria of Rett syndrome. Heart rate variability and corrected QT intervals were measured by 24 h-Holter study in 12 Rett patients, and in 30 age-matched healthy children with chief complaints of chest pain or suspected heart murmurs. The were compared with the normal age-matched control. Results : Patients with total Rett syndrome, classic Rett syndrome, and Rett variants had significantly lower heart rate variability(especially rMSSD)(P<0.05) and longer corrected QT intervals than age-matched healthy children(P<0.05). Sympathovagal balance expressed by the ratio of high to low frequency(LF/HF ratio) also showed statistically significant differences between the three groups considered(P<0.05). Conclusion : A significant reduction of heart rate variability, a marker of autonomic disarray, suggests a possible explanation of cardiac dysfunction in sudden death associated with Rett syndrome.

Quality characteristics of cookies added with Spergularia marina Griseb powder (세발나물 분말을 첨가한 쿠키의 품질특성)

  • Son, Hee-Kyoung;Kong, Hyeon-Mi;Cha, Seon-Suk;Choi, You-Jung;Lee, Jae-Joon
    • Food Science and Preservation
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    • v.22 no.2
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    • pp.211-217
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    • 2015
  • In this study, the quality characteristics of cookies with the addition of Spergularia marina Griseb powder (SMGP) were investigated and analyzed by through chemical and sensory evaluation. Cookies were prepared with different levels of SMGP (0, 1, 3, and 9%). Their moisture and crude protein contents decreased after the addition of SMGP, as did their spread factor (p<0.05). Their Hunter's color L and a values significantly decreased with the increase in SMGP level, whereas their b value increased (p<0.05). In the texture analysis, the hardness of the cookies increased according to the increase in concentration of SMGP and showed a significantly high level in the cookies with the addition of 9% SMGP (p<0.05). In the sensory evaluation, the cookies with the addition of 3% and 9% of SMGP had the highest scores in flavor, taste, and texture (p<0.05). The cookies with 3% SMGP addition had the best score in total acceptability. This study suggests that SMGP is a good ingredient for improving the acceptability and functionality of cookies.

수학 내신성적에 비해 수능성적이 저조한 학생의 학습 특성에 관한 사례연구

  • Kim, Won-Gyeong;Sim, Ju-Seok
    • Communications of Mathematical Education
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    • v.19 no.1 s.21
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    • pp.69-100
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    • 2005
  • 이 연구는 내신성적이 우수함에도 불구하고 수능성적이 저조한 학생들이 문제 해결과정에서 나타내는 특성과 수학불안 요인을 분석하는데 있다. 연구의 대상은 인천시 5고등학교 자연계열 2학년 학생 중 내신성적이 상위 10%안에 드나 수능성적(모의수능성적)은 그렇지 못한 학생 5명이고, 이들의 수학적 성향, 수학 성취도, 개인별 특성 등에 대한 사전 면담자료, 문제풀이과정에 대한 사후 심층면담자료, 현장노트, 수학불안검사를 바탕으로 그들의 특성과 수학불안 요인을 분석한 결과는 다음과 같다. (1) 내신성적은 좋으나 수능성적이 저조한 학생들의 수학 문제 해결 과정에서 나타나는 특성은 수학전 영역에서의 개념부족, 공식암기 부족 등으로 인하여 문제풀이계획을 세우지 못하거나 설사 문제를 푼다고 해도 계산 실수, 착각, 부주의 등으로 인해 정확한 답을 구하지 못하는 것으로 나타났다. (2) 내신성적은 좋으나 수능성적이 저조한 학생들은 어느 정도의 수학 불안은 가지고 있었다. 불안의 요인은 개념부족, 응용력 부족 등 개인적 인지능력에 의한 저조한 수학 성취수준과 수학 공부시간 부족, 풀이시간 부족 등의 환경적 요인에 때문인 것으로 밝혀졌다. 특히 수학개념이 부족한 학생일수록 수학불안 현상이 심하게 나타났다. 따라서 이들 학생들의 수학 문제풀이 과정 중에 나타나는 계산 실수, 부주의, 착각은 그들의 수학 자신감에 많은 악영향을 미치게 되므로, 교사가 이를 그냥 방관할 것이 아니라 적극적으로 확인하고 지도해줄 필요가 있다. 또 교실 수업에서도 수능시험에서 다루고 있는 수학 내적, 외적 문제해결문제, 추론문제, 응용문제, 통합문제에 대한 문제풀이 경험을 하게하여 수학불안을 해소해줄 필요가 있다.)값을 보였으나, 10,000Hz의 높은 측정주파수에서는 더 큰 $E_a$값을 나타냄으로서 반응온도변화에 민감함을 보여주었다.원으로부터 부유물을 증가로 사료되었으며, 이에 대한 대책마련이 시급한 것으로 사료되었다. 수질이 휴양용수로서 사용하는 데에 적합하도록 충분한 차집시설과 환경 기초시설의 설치 운영이 필요할 것으로 판단된다.TEX>$K_s$값이 높고 $V_m/K_s$비율은 낮아 수게에서 질소가 저농도 일 때에는 다른 미세조류와 비교하면 경쟁력이 떨어지고 질소에 대한 기질 친화력은 약한 것으로 나타났다. 낙동강 하류지역에서 M. aeruginosa가 대발생하는 시기에 수중 영양염의 농도 변동은 M. aeruginosa의 영양생리 kinetics 특성과 잘 부합하는 것으로 나타났다.부분을 보완하기 위한 연구가 이루어져야 할 것으로 보인다. 연마방법 간에 상호 연관성이 없었다. FE-SEM관찰에서 레진전색제를 적용한 후의 표면은 모든 군에서 대체적으로 평활한 표면을 나타내었다. 4. 동일한 복합레진과 연마방법으로 처리된 군에서 레진전색제 적용 전과 후의 표면조도 값은 M1B군이 M1군보다, S1B군이 S1군보다 통계학적으로 높게 나타났으며, M4B군과 M5B군은 각각 M4군과 M5군 보다. 그리고 S5B군은 S5군 보다 통계학적으로 낮게 나타났다 (p<0.05). 본 연구를 종합하여 보면, 복합레진의 종류에 따라 표면조도의 순서는 다르게 나타났고, polyester strip 하에서 복합레진이 중합된 경우 가장 낮은 표면조도 값과 평활한 표면을 제공하였으며 전반적으로 anishing bur는 가장 높은 Ra값과 거친 표면을 제공하였다.

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Quality Characteristics of Mulberry Fruit Seolgidduk Added with Citric Acid (구연산을 첨가한 오디 설기떡의 품질 특성)

  • 홍정희;안상희;김미지;박금순;최상원;이순재
    • Korean journal of food and cookery science
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    • v.19 no.6
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    • pp.777-782
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    • 2003
  • This study was carried out to investigate the characteristics of mulberry fruit seolgidduk. Four percent additions of mulberry were evaluated as the most suitable concentration for seolgidduk, in order to improve the color of gum metal gray and sour smell. Therefore, in order to improve the preference, citric acid was added. The acidity of mulberry fruit seolgidduk increased and its pH decreased significantly by increasing the amount of citric acid. The moisture content of mulberry fruit seolgidduk showed no significant difference between the groups with added citric acid and the control group. The L value decreased as the citric acid concentration increased. Color a and b (Ed-define 'a' and 'b') values increased significantly by increasing the mont of citric acid. The hardness, cohesiveness, springiness, gumminess and brittleness decreased as the citric acid was added. From the sensory evaluation, mulberry fruit seolgidduk with 0.01% citric acid added was the most preferred in taste, chewiness and overall acceptability. These results indicated that mulberry fruit stolgidduk with 0.01% citric acid added showed the best quality.

Biological Mechanism of Somatization : Mainly Focused on the Neuropsychological Model of Somatization (신체화의 생물학적 기전 : 신체화의 신경심리학적 모델을 중심으로)

  • Lee, Young-Ho
    • Korean Journal of Psychosomatic Medicine
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    • v.8 no.1
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    • pp.122-140
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    • 2000
  • Somatization disorder is a chronic condition characterized by multiple somatic complaints that are not due to any apparent organic illness. Somatization disorder is related historically to hysteria and hysteria has been defined by the existence of somatic complaints for which no organic reason can be found. Therefore most theories of somatization have focused on the psychodynamic and sociological perspectives. However, the concept that the somatic presentation of emotional distress or psychiatric illness might have a neurobiological basis has also aroused considerable interest. Relative to this perspective, the case of Anna O. which has been considered the prototype of hysteria, was reformulated from a neuropsychological perspective. Several neurophysiological and neuropsychological studies, studies concerning hemispheric differences in symptom presentation of the patients with hysteria have been shown the evidences for the biological basis of somatization. Moreover, recent neuroimaging studies in somatization disorder also show that brain dysfunction in somatization. The author reviewed several candidate theories which could help to explain the process of somatization in the perspective of biological basis and proposed the new neuropsychological model of somatization. The author also examined the possible application of this model to the treatment of somatization disorder and discussed it's limitation and the future directions in this field.

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