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Lung Cancer Screening (폐암 조기 진단)

  • Kim, Ju Ock
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.3
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    • pp.207-213
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    • 2006
  • 기존의 폐암 발생의 고위험군(나이. 흡연력, $FEV_1$, 가족력, 직업적 발암물질의 노출력, 기존의 폐암 및 두경부 종양)에 대한 저선량 나선식 CT와 기관지 내시경 검사로 선별 검사 시 폐암의 유병률은 높아야 2%내외이고 대부분 그보다 낮은 것으로 알려져 있다. 특이도는 49-90%, 양성예측률은 10%이하로 선별검사 시 불필요한 검사를 초래하고 그에 따른 이환률과 사망률을 증가시키며 비용적인 문제를 야기하는 것으로 알려져 있다. 이에 기존의 고위험군에 대해 대상 환자를 더욱 더 좁힐 필요가 있으며, 이는 실제 임상적으로 이용 가능한 생물학적 표지자의 개발의 필요성이 있다고 하겠다. 그러나 현재까지 알려진 폐암조기검진에 대한 각종 진단 수기 중애서 상기의 3가지 방법(저선량 MDCT, 자가형광기관지경 및 객담내 MAGE)을 한꺼번에 시행하는 program은 비용적인 문제는 있지만 시도해 볼 만한 방법이라고 생각된다.

Management Guideline of Trail in National Park Using Analysis of Excercise Load - At Soraksan Nat'l Park and Kyeryongsan Nat'l Park - (운동강도 평가를 이용한 국립공원 등산로의 관리대책 - 설악산국립공원과 계룡산국립공원을 대상으로 -)

  • 이준우;박범진
    • Korean Journal of Environment and Ecology
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    • v.11 no.4
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    • pp.469-479
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    • 1998
  • This study was aimed to predicting the exercise load in mountain climbing related physical condition of trail, and to propose a capability of user management. It appeared that exercise load in mountain climbing was mainly influenced by the slope of trail and weight of load. It thought that the trails of steep area could be controled the use of person who have a low athletic power as a propose the exercise load index by age.

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Sensitivity to differences in the extent of neck retraction and rotation movements made with and without vision (시각 차단 유무에 따른 경부 후인과 회전의 운동 감각 비교)

  • Lee, Haejung;Nicholson, Leslie L.;Adams, Roger D.
    • PNF and Movement
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    • v.2 no.1
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    • pp.59-69
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    • 2004
  • 목적 : 본 연구는 경부의 후인과 회전 운동 범위에 있어 운동 감각 역치의 차이를 비교하기 위해 수행되었다. 방법 : 본 연구의 대상자는 19명(10명 남자, 9명 여자 나이 19~30세 평균 23.2, 표준편차 3.3)이 참가하였다. 이 연구에서 운동 감각 역치는 편안히 앉은 자세에서 시각 차단시와 시각 허용시에, constant stimuli의 방법을 사용하여 반복 측정되었으며, 움직임을 수행 하는 과정에서 정지 상태를 유도하여 그 정지동작에서 두 동작의 차이를 평가하였다. 결과 : 본 연구의 결과 후인 운동 감각이 오른쪽 또는 왼쪽 회전 운동 감각 보다 더 민감하게 나타났다. 결론 : 중간 범위의 두 움직임간의 차이를 비교할 때 시각차단 유무는 각 운동 감각에 영향을 미치지 않았다.

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Flumethasone 투여후의 수의임상 관찰

  • McCormick J.E.
    • Journal of the korean veterinary medical association
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    • v.27 no.5
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    • pp.288-290
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    • 1991
  • 개의 여러가지 질병상태에서 근복적인 치료나 보조적인 치료제로서의 flumethasone 투여는 아주 좋은 치료효과를 나타냈다. 우리가 병원에서 상용하는 flumethasone의 평균 투여량은 0.125$\~$0.5mg으로서 경구 또는 주사로 투여했다. 경구적으로 투여하는 주된 사용량은 1일 0.03125mg$\~$0.125mg이며 환축의 크기, 치유과정 그리고 병증의 심한 정도에 따라 양을 가감했다. 투여경로를 달리하여도 약효에 차이가 생기지는 않았다. flumethasone의 소염효과, 당신생효과 및 항독소적 치료효과에서 기존의 corticoids 투여시 나타나는 효과에 비해 정성적인 차이는 없었으나 실험실 결과와 병원에서 사용한 임상결과 flumethasone은 hydrocortisone보다 300$\~$400배 그리고 prednisone이나 prednisolone 보다는 60$\~$80배나 강한 약효를 발휘하는 것으로 나타났다. 임상적용에서 나타난 감동적인 효과에서 이러한 flumethasone의 약효에 대한 자료들이 입증되었다. 또한 치료된 동물들이 보여준 반응은 flumethasone의 약효 지속시간이 기존의 corticoids보다 더 긴 것으로 나타났다. 앞에서 언급했듯이 flumethasone 투여시는 전해질 불균형에 의해 유발되는 다음다갈증이나 다뇨증, 식욕촉진 등의 부작용이 전혀 나타나지 않았다. 이러한 flumethasone의 안전성은 기존의 corticoids로 비만동물이나 나이든 환축을 치료할때 자주 나타났던 부작용업이 장기간 치료할 수 있으므로 아주 중요하다.

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24 Hour Esophageal PH Monitoring in Preterm Infants (미숙아에서의 24시간 식도 PH 검사)

  • Park, Jeung-Hyun;Park, Beom-Soo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.4 no.2
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    • pp.133-141
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    • 2001
  • Purpose: Gastroesophageal reflux (GER) has been found to be the causative factors of apnea, stridor, feeding intolerance, poor weight gain, and sudden infants death syndrome (SIDS) in infants. GER is a well-described in infants and children, but only scant mention of the premature infants with GER can be found in the literature. Methods: Esophageal pH was measured during 24 hour in 21 healthy preterm infants, using a silicone microelectrode with an external reference electrode connected to a portable recorder. The mean age of the patients was $29{\pm}8$ days, mean gestational age was $30^{+5}{\pm}2^{+0}$ weeks, mean birth weight was $1,468{\pm}329$ g, mean postconceptional age was $34^{+6}{\pm}1^{+4}$ weeks and mean weight was $1,750{\pm}329$ g. We evaluated the following reflux parameters; number of acid reflux, number of long acid reflux, longest acid reflux minutes, and reflux index. Results: Pathologic GER was detected in 12 (57%) subjects and most interesting parameters are reflux index and number of episodes with a pH<4 during 24 hour (high correlation with postprandial reflux index). Reflux was not correlated to gestational age, birth weight, age, postconceptional age, weight, sex and medication of the theophylline. Conclusion: Gastroesophageal reflux is common in preterm infants, but it is usually not apparent, even with severe reflux.

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INHIBITION, PLANNING, AND WORKING MEMORY IN CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER (주의력 결핍 과잉행동 장애 아동의 억제능력, 계획능력, 그리고 작업기억 능력)

  • Kim, Gui-Ae;Kim, Sang-Heop;Hong, Chang-Hee;Lee, Myoung-Ju
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.15 no.1
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    • pp.82-90
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    • 2004
  • Objectives:The study was performed to compare the executive function(EF;Inhibition, Planning and Working memory) between ADHD and normal group, and to controll the effect of age and intelligence. And the function of inhibition was assessed in two dimensions(cognitive inhibition and motor inhibition). Methods:K-WISC III and EF test(Go-No-Go, Stroop test, Tower of Hanoi, Digit) was administered to both 25 children with ADHD and 25 normal control participants, all aged between 7 and 12. The results were analyzed after statistically controlled for age and intelligence. Results:Children in the ADHD group had significantly lower IQ score than those in the control group and consistent relations were found between the child's age and the study's major variables. Once IQ and age were controlled, results indicated that children with ADHD had deficit only cognitive inhibition and motor inhibition. There was no significant difference in planning and working memory. Conclusion:These results suggested that specific deficits in inhibition control rather than general EF deficits are associated with ADHD. So inhibition is the core problem of children with ADHD. Thus, the therapeutic approach focused on cognitive inhibition and motor inhibition is required.

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Affection Factors of Health-Related Quality of Life in Married Women by Job (직업에 따른 기혼여성의 건강관련 삶의 질 영향요인)

  • Kwon, Myoungjin;Jeong, Sunkyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.1
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    • pp.650-659
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    • 2021
  • This study was conducted to identify the factors affecting the health-related quality of life(HRQOL) in married women according to their occupations. The study subjects were 2,555 married women in the 7th National Health and Nutrition Examination Survey, and the SPSS 25.0 program was used for data analysis. The results are as follows. In the case of office workers, the age, household income, obesity etc., were significant factors, and the explanatory power was 8.9% (p<.001). In the case of service workers, the age, education level, weight control, subjective health, and stress were significant factors, and the explanatory power was 16.1% (p<.001). In the case of simple labor, the age, education level, number of household members, hypertension, obesity, weight change, weight control, sitting time, subjective health, subjective body image, and stress were significant factors, and the explanatory power was 24.7(p<.001). In the case of unemployed, the age, household income, number of household members, number of days taking a walk per week, sleeping time, sitting time, subjective health, subjective body image, and stress were significant factors, and the explanatory power was 29.9% (p<.001). In the future, when developing a program to improve the HRQOL, the individual management programs considering the factors affecting the HRQOL according to occupation should be applied.

Association of Diagnostic Criteria and Autoantibodies with Juvenile Dermatomyositis in Newly Diagnosed Children (소아기 피부근염의 진단 기준과 자가항체의 진단적 의의)

  • Shin, Kyung Sue;Kim, Joong Gon
    • Clinical and Experimental Pediatrics
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    • v.46 no.9
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    • pp.898-902
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    • 2003
  • Purpose : To determine the clinical association of diagnostic criteria and the prevalence of autoantibodies in newly diagnosed children with juvenile dermatomyositis(JDM). Methods : Thirty-two children with JDM were identified at Seoul National University Children's Hospital from March 1985 to March 1999 by retrospective review. The diagnosis of JDM was based on the criteria proposed by Bohan and Peter. We investigated for the presence of several autoantibodies: antinuclear(ANA), double-stranded DNA, anti-Sm, anti-ribonucleoprotein(RNP), anti-SSA/ SSB, anti-Jo1, anti-Scl-70 antibodies and rheumatoid factor(RF). Results : Sex ratio and age at diagnosis were similar to data published in other studies. All the newly diagnosed children with JDM had a typical rash(100%) and proximal muscle weakness(100%); 17(53%) had muscle pain or tenderness; 10(31%) calcinosis; eight(25%) dysphagia; eight(25%) arthritis, and seven(22%) fever. Muscle enzymes were elevated in 90% of the patients. Of the 27 patients who had an electromyogram, 20(70%) had diagnostic results. Sixteen(70%) of biopsied patients had appropriated results for JDM. Patients were negative for all autoantibodies except ANA and RF. ANA and RF were detected in 47% and 7% of the patients respectively. Conclusion : Although the sensitivity of the criteria proposed by Bohan and Peter is superior, each of these criteria has possible confounding factors. Additional criteria may be needed for early diagnosis of JDM. Based on our findings of autoantibodies in JDM, we do not recommend routine testing for autoantibodies in children with typical JDM.

Prevalence and Associated Factors of Gallbladder Polyps Among Residents of Jeju City and Seogwipo City on Jeju Island, Korea, Far from the Korean Peninsula (한반도에서 멀리 떨어진 제주도의 제주시와 서귀포시 거주민들간의 담낭용종 유병률과 위험인자)

  • Kwon, Oh-Sung;Yang, Jin-Soo;Kim, Young-Kyu;Jung, Jin-Young
    • Proceedings of the Korean Society of Computer Information Conference
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    • 2022.01a
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    • pp.155-157
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    • 2022
  • 담낭용종은 담낭암의 원인일 수 있다. 담낭용종의 잘 알려진 위험요소는 대사증후군, 젊은 나이, 이상지질혈증 등이다. 제주도는 한반도에서 약 80km 떨어져 있으며 한라산을 중심으로 두 개의 행정구역(제주시와 서귀포시)으로 나뉘어 있다. 국제공항과 국제항구는 유일하게 제주시에만 위치해 있다. 또한 제주시에는 서귀포시보다 기업체와 학교의 수가 더 많다. 식이 및 알코올 소비는 두 지역 간에 다르며 이러한 요인이 담낭용종 유병률에 영향을 미칠 것이다. 따라서 이 연구의 목적은 두 지역 거주민들의 담낭용종 유병률을 조사하고 담낭용종과 관련된 다양한 요인들을 비교해보고자 하였다. 본 연구는 2009년 1월부터 2019년 12월까지 제주대학교병원 단일 건강검진센터를 방문한 21,734명을 대상으로 하였다. 담낭용종 유병률과 관련된 요인을 제주시 거주민과 서귀포시 거주민 두 집단으로 나누어 조사하였다. 담낭용종 유병률은 제주시가 10.1%, 서귀포시가 9.2% (P = 0.039)였다. 평균 연령과 고위험 음주자의 비율은 서귀포시에서 더 높았다. 평균 체질량지수와 공복혈당, 총콜레스테롤, 저밀도지질단백질-콜레스테롤, 아스파르테이트아미노전이효소, 감마-글루타밀전이효소, 알칼리인산분해효소 수치는 제주시에서 낮게 나타났다. 이 연구에서 담낭용종 유병률은 제주도의 두 지역 간에 유의한 차이가 있었다. 연령과 알코올 소비는 이러한 차이에 기여하는 주요 요인이 될 수 있다.

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The relationship of ready-to-eat cereal consumption with nutrition and health status in the Korean population based on the Korea National Health and Nutrition Examination Survey 2012 (한국인의 시리얼 섭취실태와 영양 및 건강상태와의 관련성 연구 - 2012년도 국민건강영양조사 자료를 이용하여 -)

  • Chung, Chin-Eun
    • Journal of Nutrition and Health
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    • v.48 no.3
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    • pp.258-268
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    • 2015
  • Purpose: The aim of this study was to explore the relationship of ready-to-eat cereal (RTEC) consumption with nutrition and health status. Examination of health status for this project included obesity, abdominal obesity, hypertension, hypertriglyceridemia, hypercholesterolemia, low-HDL-cholesterolemia, diabetes, anemia, and metabolic syndrome. Methods: Two groups, RTEC consumers and those who did not consume RTEC, were identified using 24-hour dietary recall data from the 2012 Korea National Health and Nutrition Examination Survey (KNHANES). Nutritional intakes and risk factors of the two groups were compared using covariates-adjusted statistical procedures. Statistical analyses were performed using SAS survey procedures, and strata, cluster, and weight were considered. Subjects of analysis of nutritional intake were between the ages of 1 and 75, and those considered in the risk factor analysis were between the ages of 19 and 75. Results: Results showed that 3.8% of the Korean population was RTEC consumers. Compared to the subjects who did not intake RTEC, RTEC consumers exhibited significantly higher intakes of calcium, thiamin, riboflavin, and vitamin C. It was also discovered that the percentage of people whose intakes were less than EAR decreased with RTEC consumption. RTEC consumption showed significant association with decreased systolic blood pressure, diastolic blood pressure, serum triglyceride, and serum total cholesterol. Consequently, prevalence of hypertension among RTEC consumers was significantly lower than that among non-consumers, and the odds ratio for hypertension was 0.19 after adjusting the models for covariates. Conclusion: Results of this study clearly suggest an association of RTEC consumption with improved nutritional status and cardiometabolic risk profile in Korean adults. Conduct of additional studies will be necessary in order to determine the nature of these relationships.