• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.14 no.1
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• pp.81-94
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• 2003

Objectives：Developmental reading disorder is a condition which manifests significant developmenttal delay in reading ability or persistent errors. About 3-7% of school-age children have this condition. The purpose of the present study was to validate the diagnostic values of Word/Nonword Reading Test and Letter-Symbol Discrimination Task for the purpose of overcoming the caveats of Basic Learning Skills Test. Methods：Sixty-three reading-disordered patients(mean age 10.48 years old) and sex, age-matched 77 normal children(mean age 10.33 years old) were selected by clinical evaluation and DSM-IV criteria. Reading I and II of Basic Learning Skills Test, Word/Nonword Reading Test, and Letter-Symbol Discrimination Task were carried out to them. Word/Nonword Reading Test：One hundred usual highfrequency words and one hundred meaningless nonwords were presented to the subjects within 1.2 and 2.4 seconds, respectively. Through these results, automatized phonological processing ability and conscious letter-sound matching ability were estimated. Letter-Symbol Discrimination Task：mirror image letters which reading-disordered patients are apt to confuse were used. Reliability, concurrent validity, construct validity, and discriminant validity tests were conducted. Results：Word/Nonword Reading Test：the reliability(alpha) was 0.96, and concurrent validity with Basic Learning Skills test was 0.94. The patients with developmental reading disorders differed significantly from normal children in Word/Nonword Reading Test performances. Through discriminant analysis, 83.0% of original cases were correctly classified by this test. Letter-Symbol Discrimination Task：the reliability(alpha) was 0.86, and concurrent validity with Basic Learning Skills test was 0.86. There were significant differences in scores between the patients and normal children. Factor analysis revealed that this test were composed of saccadic mirror image processing, global accuracy, mirror image processing deficit, static image processing, global vigilance deficit, and inattention-impulsivity factors. By discriminant analysis, 87.3% of the patients and normal children were correctly classified. Conclusion：The patients with developmental reading disorders had deficits in automatized visuallexical route, morpheme-phoneme conversion mechanism, and visual information processing. These deficits were reliably and validly evaluated by Word/Nonword Reading Test and Letter-Symbol Discrimination Task.

• Tuberculosis and Respiratory Diseases
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• v.56 no.1
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• pp.18-28
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• 2004

Background : Many diseases like lung cancer and tuberculosis can involve cervical lymph node. Fine needle aspiration cytology(FNAC) was known as a useful screening test for the evaluation of enlarged lymph node. But the usefulness and limitations of FNAC according to disease category or physical characteristics of lymph node were not yet fully established. Methods : Retrospective analysis of three hundred forty two adult patients who performed FNAC due to enlarged cervical lymph nodes at the Seoul Municipal Boramae Hospital during the period from January 1999 to December 2002 and final diagnosis could be made by surgical biopsy, microbiology or clinical observation. Results : Among the 342 cases, 176(51.5 %) were finally diagnosed as benign nature ncluding reactive hyperplasia, Kikuchi's disease and acute suppuration. Eighty eight(25.7 %) were diagnosed as tuberculous lymphadenitis, 66(19.3 %) as metastasis, and 12(3.5 %) as lymphoma. Tuberculosis, metastasis, and lymphoma all showed significantly larger diameter, longer duration of lymph node enlargement. There were higher frequency of supraclavicular involvement in the cases of tuberculosis and metastasis. The overall diagnostic sensitivity of FNAC was 88.0 %, and 88.6 % in benign nature lesion, 77.3 % in tuberculosis, 90.1% in metastasis and 58.3 % in lymphoma. The diagnosis of tuberculosis was made by FNAC in 68 cases (77.3 %) among 88 cases. Lung cancer(43.9 percent) was most frequent cause of cervical lymph node metastasis. Diagnostic sensitivity of FNAC was significantly lower in the supraclavicular than other cervical lymph node(80 % vs. 91.3 %) and not correlated with disease nature, node size or number. Conclusion : Though FNAC was a reliable screening test for enlarged cervical lymph node enlargement, the diagnostic sensitivity was low in the case of lymphoma or when the enlarged lymph node was located at the supraclavicular area.

• Clinical and Experimental Pediatrics
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• v.51 no.1
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• pp.26-32
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• 2008

Purpose : This study was to provide the methods of developing the growth charts and the blood pressure nomogram among Korean children and adolescents. Methods : The growth charts were developed based on the data from the national growth surveys for children and adolescents in 1998 and 2005. The percentile charts were developed through two stages. At the first stage, the selected empirical charts were smoothed through several fitting procedures including parametric and non-parametric methods. At the second stage, a modified LMS (lambda, mu, sigma) statistical procedure was applied to the smoothed percentile charts. The LMS procedure allowed to estimate any percentile and to calculate standard deviation units and z-scores. The charts for weight-for-age, height-for-age, BMI-for-age, weight-for-height and head circumference-for-age were developed by sex. Age and normalized height controlled sex-specific nomograms of systolic and diastolic blood pressure were developed by a fixed effect model of general regression using the data from 2005 national growth survey. Results : The significant systemic differences between the percentiles of growth charts and the empirical data were not found. The final output of the study is available from Korean Center for Disease Control and Prevention homepage, http://www.cdc.go.kr/webcdc/. Blood Pressure nomogram was tabulated by height percentiles and age using the regression coefficients analyzed with regression model. Conclusion : 2007 growth charts and blood pressure nomogram were the first products based on the statistical modeling using the national survey data. The further study on the methodology including data collection, data cleaning and statistical modeling for representative growth charts would be needed.

• Korean Journal of Psychosomatic Medicine
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• v.20 no.1
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• pp.22-31
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• 2012

Objectives : We investigated the prevalence and functional impairment of premenstrual dysphoric disorder (PMDD) and premenstrual syndrome(PMS) in young women. Methods : A total of 1063 female college students were recruited from two urban areas(Seoul and Suwon) of Korea. Questionnaires for sociodemographic data and risk factors of PMDD, attitude about menstruation, and the Premenstrual Symptoms Screening Tool(PSST) were applied. Results : The prevalence of severe moderate to severe PMS and PMDD were 16.9% and 11.7%, respectively. There were differences in the alcohol and coffee consumption, severity of menstrual cramp, and family history of PMS among the moderate to severe PMS, PMDD, and no/mild PMS groups. Although some participants did not fulfill diagnostic criteria for PMDD, they showed significant functional impairment. Participants with negative attitude about menstruation reported premenstrual symptoms more frequently than those with positive or ambivalent attitude about menstruation. Conclusion : These results suggest that PMS and PMDD were prevalent and associated with functional impairment in young females. Some participants reported significant functional impairments although they did not meet the full DSM-IV diagnostic criteria for PMDD. Negative attitude about menstruation was associated with more premenstrual symptoms experiences.

• 한국신재생에너지학회:학술대회논문집
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• 2010.11a
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• pp.197-197
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• 2010

음식물쓰레기의 삼성분은 수분, 휘발분, 회분이며 이들이 차지하는 비율은 계절, 지역별로 다소 상이하지만 수분 약 80%, 회분3%, 휘발분 17%이다. 음식물쓰레기 전처리과정으로 이물질제거, 탈수공정이 있으며 탈수공정에서 다량의 탈리액이 발생한다. 본 연구에서는 탈리액을 데칸타를 이용하여 1차로 원심분리하여 고.액 분리한 액을 실험대상으로 하였다. 실험대상 탈리액의 물성은 BOD 78,800[mg/l], COD 41,000[mg/l], 부유물질 25,900[mg/l], 총질소 928[mg/l]이었다. 탈리액에는 기름성분(육류, 식용유등), 입자상물질등이 포함되어 있으며 이들은 난분해성 유기물질로, 이를 제거하는데 기존의 처리방법으로 많은 어려움이 있어 주요한 수질오염 발생원이 되고 있다. 예를들면 하수처리장 폭기조 수면에 유막을 형성하여 산소공급을 방해함으로 미생물번식을 방해하는 요인이 된다. 본 연구는 음식물쓰레기 탈리액의 수분, 고형분, 유분으로의 삼상분리에 관한 것이다. 유분은 에멀젼형태로 안정되게 수층에 분산되어 존재한다. 미세기포를 이용한 부상법의 경우 미세기포 표면과 유분의 화학적친화력이 낮아 기포표면에 유분이 잘 부착되지 않으며, 원심분리 방법만으로는 유분 분리효율이 낮고, 추출에 의한 분리시 추출액이 다량 소요되고 처리시간이 길며 추출액 비용이 많이 소요된다. 탈리액을 유분, 슬러지, 수분으로 분리하면 환경오염을 일으키는 주요성분을 신재생에너지 원료로 활용할 수 있다. 유분의 주성분이 동식물성 유지이므로 전처리시 산촉매를 이용 수분과 유리지방산을 제거하고 염기성촉매를 이용하여 전이에스테르화 반응을 거치면 바이오디젤인 FAME과 글리세롤으로 변환하므로 글리세롤을 분리하면 바이오디젤을 얻을 수 있다. 슬러지는 입자상 물질로 착화가 잘 되고 건조하면 발열량이 높으며 중금속등에 오염되지 않아 청정연료로 활용이 가능하다. 실험실에서의 탈리액 삼상분리방법은 다음과 같다. 탈리액 30ml당 추출액으로 노말헥산을 1ml를 가한 다음 플라스크에서 $80^{\circ}C$로 가열 후 방냉한다. 가열중 노말헥산의 손실을 방지하기 위하여 증발가스를 콘덴서에서 응축하여 플라스크로 재순환한다. 탈리액을 플라스크에서 꺼내어 원심분리기 rack에 300-400g씩 병에 각각 넣고 4,000rpm으로 30분간 운전한다. 탈리액은 상부로부터 유분층, 미세입자층, 수층, 슬러지층으로 분리된다. 각 층의 계면에서 2종의 성분이 약간 섞일 수 있다. 유분을 분리한 후 유분층 잔존물과 미세입자층, 수층 상층부의 혼합물을 취하여 50g씩 병에 넣고 3,500rpm으로 10분간 운전한 후 유분을 분리한다. 마지막으로 미세입자층만을 3,500rpm으로 10분간 원심분리한 후 유분을 따로 분리한다. 얻어진 유분은 rotary evaporator에서 $120^{\circ}C$로 가열하여 유분과 노말헥산을 분리하며 분리효율을 제고하기 위하여 감압하에서 운전한다. 분리된 유분의 고위발열량이 9,450[Kcal/kg]이었으며 원소분석 결과 탄소 74.7%, 수소 12.55%, 질소 0.08%, 유황분 0.0003%이었다. 분리된 유분의 양은 계절별로 시료별로 다르며 가을철에는 1.6-1.9%, 여름철은 1.0-1.3%이었다. 분리된 슬러지로부터 Hg, As, Cr, Cd, Pb 중금속 성분이 검출되지 않았으며 수분 2.8%, 휘발분 76.85%, 회분 7.52%, 고정탄소 12.83%이었고 원소분석결과 탄소 45.25%, 수소 7.46%, 질소 5.05%, 산소 34.39%, 유황분 0.33%이었으며 저위발열량은 4,480[Kcal/kg]이었다. 분리된 슬러지 양은 11-19% 이었다.

• Clinical and Experimental Pediatrics
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• v.48 no.11
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• pp.1239-1243
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• 2005

Purpose : Iron accumulation interferes with hepatic insulin extraction and affects insulin synthesis and secretion. The purpose of this study is to investigate the correlation between serum ferritin and type 2 diabetes mellitus. Methods : We compared the serum ferritin level among 18 patients in an impaired glucose tolerance (IGT) group, 36 in a type 1 diabetes group, eight in a type 2 diabetes group and 29 in a healthy control group. The correlation between serum ferritin levels and sex, body mass indices(BMI), blood pressure(BP), serum fasting sugar level and serum fasting insulin level were also analyzed. Results : The mean log ferritin were $1.33{\pm}0.32$(healthy control group), $1.63{\pm}0.19$(IGT group) and $1.90{\pm}0.30$(type 2 diabetes group). In the IGT group, log ferritin was higher than in the healthy control group(P=0.001). The log ferritin of the type 2 diabetes group was higher than that of the healthy control group(P=0.001). Comparing log ferritin to other factors, log ferritin had a significant positive correlation with body mass indices(P<0.001), systolic blood pressure(P=0.001), and fasting glucose(P=0.001), fasting insulin(P=0.002). Conclusion : Compared to the normal healthy group, serum ferritin concentrations were significantly higher in the IGT group and the type 2 diabetes group. The elevation of serum ferritin concentration may be a risk factor of type 2 diabetes mellitus.

• Korean Journal of Psychosomatic Medicine
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• v.25 no.2
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• pp.193-199
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• 2017

Objectives : Insomnia may be one of the risk factor for suicidal ideation, but little is known about the mechanism by which sleep disturbances confer risk for suicide. The aim of this study was to investigate examine whether insomnia severity would be associated with resilience and suicidal ideation, and whether resilience would mediate the relationship between insomnia and suicidal ideation. Methods : A total of 432 community-dwelling adults(227 male, 205 female,) completed the self-report questionnaire that covered basic socio-demographic data. To assess the psychological variables, the following instruments were applied: Insomnia Severity Index(ISI), Korean Version of the Connor-Davidson Resilience Scale(K-CD-RISC), Beck Hopelessness Scale(BHOP) and Scale for Suicidal Ideation(SSI-Beck). People with an ISI score of 8 or higher were defined as insomnia. Results : Greater insomnia symptom severity was significantly associated with higher level of suicidal ideation and lower level of resilience, adjusting for hopelessness, age, sex, presence of family members living together, and household income. Additional analysis revealed that disturbance of sleep initiation and disturbance of sleep maintenance were significantly associated with suicidal ideation. Mediation analyses revealed that resilience significantly accounted for the relationship between insomnia symptom severity and suicidal ideation. Conclusions : These findings suggest that the evaluation and control of insomnia and resilience may be needed to reduce the risk of suicide.

• Journal of the Korean Society of Food Science and Nutrition
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• v.33 no.1
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• pp.218-221
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• 2004

This study was performed to investigate the effect of rosiglitazone, a new antidiabetic agent, on in vivo synthesis of bone collagen. The mice were divided into low-fat diet group (LF), high-fat diet group (HF), and high-fat diet with rosiglitazone (6.3 $\mu\textrm{g}$/kcal diet) group (HF-Rosi), The synthesis of bone collagen was measured by stable isotope-mass spectrometric technique using $^2$$H_2O$ as a tracer. The $^2$$H_2O$ labeling protocol consisted of an initial intraperitoneal injection of 99.9% $^2$$H_2O$, to achieve approximately 2.5% body water enrichment followed by administration of 4％ $^2$$H_2O$ in drinking water for 3 weeks. Although body weight gain and daily diet intake were not significantly different between groups, HF-Rosi had slightly higher body weight gain and daily diet intake than LF and HF. In addition, HF-Rosi showed significantly higher body fat content than LF and HF. Bone collagen synthesis was reduced in HF than LF and further decreased by the treatment of rosiglitazone. These results suggest rosiglitazone affect body fat content and bone turnover in mice.

• Tuberculosis and Respiratory Diseases
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• v.54 no.3
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• pp.304-310
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• 2003

Background : Recent discoveries on the physiology of an erection have demonstrated that the organic causes of impotence are more common, and psychogenic impotence is correspondingly less common than was formally believed. The incidence of sexual dysfunctions in chronic obstructive pulmonary disease (COPD) patients is largely unknown or may be perfunctorily attributed to the associated illness or to aging. This study investigated whether or not the impotence was related to the COPD itself as well as whether or not it nay stem from organic causes in a notable proportion of such patients. Methods : The sexual function was evaluated in 10 COPD patients and 10 normal control subjects. A nocturnal Rigi Scan was performed to evaluate the erectile function of each group. The level of hormones such as the free testosterone, prolactin and thyroid stimulating hormone (TSH) was measured, and a pulmonary function test and arterial blood gas analysis was performed. Results : The time duration and frequency of a penile erection were significantly lower in COPD patients than the controls (p<0.05). In addition, the $PaO_2$ levels correlated with the time duration of the penile erection. Conclusion : These results suggest that COPD is one of the causes of organic erectile dysfunction.

• KOREAN JOURNAL OF CROP SCIENCE
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• v.42 no.5
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• pp.564-570
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• 1997

Field experiments were carried out to investigate the effects of different residue treatment of vetch sward on soil improvement, rice growth and grain yield from 1995 to 1996. With Chinese milkvetch, pH, Ca, and Mg of paddy soil were increased in subsoil(10~20cm soil depth), and organic matter, P$_2$ $O_{5}$, and K were increased in top soil (0~10cm soil depth). Redox potential of the paddy soil with milkvetch residue was severely reduced at earlier flooding period, and recovered gradually as rice growth continued. Weeds were more abundant in the paddy with unchanged vetch stand. The most dominant weed species in the paddy soil with vetch sward residue was Echinochloa crus-galli, followed by Leersia japonica, Polygonum hydropiper in the order of abundance. Seedling establishment ratio of rice directly sown over vetch-sward was lower than in conventional tillage paddy(no-vetch, tilled) condition. Rice growth pattern, however, was not significantly affected by vetch sward treatments. The number of tillers per square meter and plant height at heading date were not significantly different among the vetch-sward treatments. Grain yield was the highest in plough of vetch vegetation, followed by conventional (no-vetch, tilled), live-mulching of vetch, vetch-removed, and vetch-desiccated by weedcide. The whole grain rice yield was the lowest in vetch-desiccated by weedcide.