• Title/Summary/Keyword: 젊은 성인

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The prevalence of gallbladder polyps among residents in the urban area is significantly higher than that in the rural area on Jeju Island (제주도 도시지역 거주민의 담낭용종 유병률이 농촌지역 거주민보다 상당히 높았다.)

  • Kwon, Oh-Sung;Pyo, Ji-Ha;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.159-162
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    • 2022
  • 담낭용종의 잘 알려진 위험요소는 대사증후군, 연령, 이상지질혈증 등이다. 제주도는 한반도에서 가장 큰 섬으로 한국의 본토에서 약 80km 떨어져 있으며 행정구역상 제주시와 서귀포시로 나뉘어 있지만 기업들과 편의시설들, 학교들 때문에 자연스럽게 시내와 시외로 더 나누어진다. 많은 이주민들과 젊은 성인들은 상업 활동이 활발한 시내 지역에 사는 경향이 있다. 고령 성인들은 어업이나 농업에 종사하기 때문에 시외 지역에 사는 경향이 있다. 고령의 성인들은 전통적인 식이를 유지하고 있고, 그들 중 다수는 힘든 노동으로 인해서 고위험 알코올 음주자의 비율이 높다. 이러한 요인들로 인해 두 지역간의 담낭용종 유병률에도 차이가 있을 것이다. 따라서 이 연구의 목적은 제주도 두 지역간에 담낭용종의 유병률을 알아보고 그 유병률과 관련된 다양한 요인들을 비교해 보고자 하는 것이다. 이 연구는 2009년 1월부터 2019년 12월까지 제주대학교병원 단일 건강검진센터에서 건강검진을 시행한 21,734명을 대상으로 하였다. 시내 지역과 시외 지역 거주민들의 담낭용종 유병률은 각각 10.1%와 8,7% (P = 0.006)로 의미있게 차이가 있었다. 평균 총콜레스테롤 수치가 시내 지역 거주민들에서 시외 지역 거주민들보다 높았고, 음주와 관련된 평균 알카라인 인산분해효소와 감마-글루타밀전이효소 수치들과 평균연령은 시외 지역 거주민들이 시내 지역 거주민들보다 더 높았다. 나이, 알코올 섭취와 평균 콜레스테롤 수치가 이러한 두 지역 간에 담낭용종 유병률의 차이를 만들었을 것이다.

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Management of Tuberculosis Outbreak in a Small Military Unit Following the Korean National Guideline (국내 결핵관리지침에 따른 군내 결핵 집단발병 관리 사례 보고)

  • Ji, Sang Hoon;Kim, Hee Jin;Choi, Chang Min
    • Tuberculosis and Respiratory Diseases
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    • v.62 no.1
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    • pp.5-10
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    • 2007
  • Background: Korean national guidelines for examining contacts with active pulmonary tuberculosis (TB) are a tuberculin skin test (TST) and chest radiographs. The treatment of a latent TB infection as performed only in those younger than six years of age who test positive for TST. Although there is a high incidence of active TB in young Korean soldiers, the current national guidelines for controlling contacts with active TB in soldiers are insufficient. This study highlights the problems with the Korean guidelines for controlling a TB outbreak in a small military unit. Material and Methods: In December of 2005, there was a tuberculosis outbreak in a military unit with a total of 464 soldiers in Kyung Gi province. The chest radiographs were taken of all the soldiers, and TST were carried out on 408 candidates. Results: In the first screening of the chest radiographs, two active TB patients were detected. By August of 2006, four additional cases were detected, making a total of six cases after the outbreak. All the patients showed active pulmonary TB or TB pleuritis. When the results of TST in the close contacts and non-close contacts were compared, there was a significant difference in the absolute size of the induration($9.70{\pm}7.50mm$ vs. $6.26{\pm}7.02mm$, p<0.001) as well as the ratio of patients showing an induration > 10mm (50.0% vs. 32.0%, p<0.001) and 15mm (33.2% vs. 20.9%, p= 0.005). Conclusion: Although the national guidelines for managing a TB outbreak in a military unit were followed, there were continuous instances of new active TB cases. This highlights the need for new guidelines to prevent the spread of TB.

Comparison of Outcomes after Curative Resection of Primary Lung Cancer between 50 Year or Younger and 70 Year or Older Patients (50세 이하와 70세 이상 원발성 폐암 환자에서의 근치적 수술 후 성적 비교)

  • Lee, Jae-Ik;Kim, Keun-Woo;Park, Kook-Yang;Park, Chul-Hyun;Jeon, Yang-Bin;Choi, Chang-Hyu
    • Journal of Chest Surgery
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    • v.42 no.2
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    • pp.206-213
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    • 2009
  • Background: Previous series have suggested that younger patients with primary lung cancer exhibit a more aggressive disease course with a worse prognosis, as compared to older patients, although this issue is still debatable. Material and Method: We reviewed the medical records of 79 patients (32 patients 50 years and younger (Group I) and 47 patients 70 years and older (Group II)) who underwent curative resection for primary lung cancer between July 2000 and June 2008. Result: The median age of the patients was 46.5 years in Group I and this was 73 years in Group II. The older patients were more likely to have major comorbidities (44% versus 77%, respectively; p=0.003). Histological examinations identified that the minor histological types (excluding non-small cell lung cancer (NSCLC)) were predominantly found in the Group I patients (16% versus 2%, respectively; p=0.037). For the TNM staging of the NSCLC, with excluding the minor histologic types, a higher proportion of patients had stage III disease in Group I (33% versus 13%, respectively; p=0.038). There was no significant difference in major morbidity (16% versus 30%, respectively; p=0.148) and operative mortality (0% versus 4.3%; p=0.512) between the groups. The mean follow-up interval was 33 months (range: $1{\sim}98$ months) for patients in both groups. For the patients with NSCLC, the five-year overall survival rate was 52.3% for Group I and 53.7% for Group II (p=0.955). The rate of freedom from recurrence at five years was significantly lower for the Group I patients than for the Group II patients (39.4% versus 70.4%, respectively; p=0.027), and only being a member of Group I impacted recurrence, based on the Cox proportional hazard analysis (p=0.034). Of the patients who had recurrence, four patients in Group I underwent aggressive surgical treatment. All of these patients exhibited long-term survival (range: $46{\sim}87$ months). Conclusion: In our study, the early outcome and long-term survival were similar for the younger and older patients after curative resection of primary lung cancer. However, we think that younger patients require meticulous follow-up as they had a tendency to proceed to surgery with advanced stage disease, a higher recurrence rate than did the older patients and the survival rates were improved, even for the recurred cases, with early aggressive treatment.

A Study on Image-Based Mobile Robot Driving on Ship Deck (선박 갑판에서 이미지 기반 이동로봇 주행에 관한 연구)

  • Seon-Deok Kim;Kyung-Min Park;Seung-Yeol Wang
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.28 no.7
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    • pp.1216-1221
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    • 2022
  • Ships tend to be larger to increase the efficiency of cargo transportation. Larger ships lead to increased travel time for ship workers, increased work intensity, and reduced work efficiency. Problems such as increased work intensity are reducing the influx of young people into labor, along with the phenomenon of avoidance of high intensity labor by the younger generation. In addition, the rapid aging of the population and decrease in the young labor force aggravate the labor shortage problem in the maritime industry. To overcome this, the maritime industry has recently introduced technologies such as an intelligent production design platform and a smart production operation management system, and a smart autonomous logistics system in one of these technologies. The smart autonomous logistics system is a technology that delivers various goods using intelligent mobile robots, and enables the robot to drive itself by using sensors such as lidar and camera. Therefore, in this paper, it was checked whether the mobile robot could autonomously drive to the stop sign by detecting the passage way of the ship deck. The autonomous driving was performed by detecting the passage way of the ship deck through the camera mounted on the mobile robot based on the data learned through Nvidia's End-to-end learning. The mobile robot was stopped by checking the stop sign using SSD MobileNetV2. The experiment was repeated five times in which the mobile robot autonomously drives to the stop sign without deviation from the ship deck passage way at a distance of about 70m. As a result of the experiment, it was confirmed that the mobile robot was driven without deviation from passage way. If the smart autonomous logistics system to which this result is applied is used in the marine industry, it is thought that the stability, reduction of labor force, and work efficiency will be improved when workers work.

The Influence of Yong Adult ADHD Tendency on Smartphone Addiction: The Mediating Effects of Difficulties in Emotional Regulation and Perceived Social Support (젊은 성인(20-30대)의 ADHD 경향이 스마트폰 중독에 미치는 영향:정서조절곤란과 지각된 사회적 지지의 매개 효과)

  • Han, Yeo–Wool;Chung, Eun-Jung;Suh, Kyung-Hyun
    • The Journal of the Korea Contents Association
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    • v.21 no.5
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    • pp.398-408
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    • 2021
  • The purpose of this study is to verify the mediating effects of difficult in emotional regulation and perceived social support on the relationship between adult ADHD tendency and smartphone addiction. For this study, Data were collected from 348 adults in 20s to 30s who live in Seoul, Gyeong-Gi Provinces. The SPSS 21.0 program was used to analyze the statistical data. The data was analyzed by structural equation modeling test mediating effects with AMOS and Mplus.. The results of the analysis were as follows: First adult ADHD tendency was positively correlated with difficulties in emotional regulation and smart phone addiction, while perceived social support was negatively correlated with those variables. Second difficulties in emotional regulation was partially mediated adult ADHD tendency and perceive social support. Third difficulties in emotional regulation and perceived social support had a dual mediating effect on adult ADHD tendency and smartphone addiction. These results reiterate the difficulties in emotional regulation is a determinant for the influence of adult ADHD on smartphone addiction, and suggest that smartphone addiction as an avoidant alternative activity could be reduced by overcoming the difficulties in emotional regulation and promoting the perceived social supports. Finally, some limitations of this study and suggestions for further researches were discussed.

Expected Values for the Analysis of Accommodation and Vergence Dysfunction of Young Adluts (젊은 성인의 조절 및 이향운동 기능장애 분석을 위한 표준 값)

  • Baarg, Saang-Bai
    • Journal of Korean Ophthalmic Optics Society
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    • v.13 no.4
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    • pp.127-134
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    • 2008
  • Purpose: The purpose of this study was to determine the expected values of accommodation and vergence system for analysis of binocular vision. Methods: Seventy three healty subjects without past history of eye disease were selected for this study, Patients showing clinical binocular anomalies including manifest squint and intermittent heterotropia were excluded and data was collected on 54 patients(mean age, 25.3${\pm}$2.7 year). Near point of convergence, distance and near phoiras were measured based on objective deviation angle. And then AC/ A ratio, relative accommodation were measured and all of the data were compared with the Morgan's expected values. Results: The values of distance and near heterophoria were 1.24${\pm}$2.72${\Delta}$ and 2.70${\pm}$4.91${\Delta}$ respectively and the gradient AC/A ratio was 3.92${\pm}$2.17${\Delta}$/D which were all about the same compared with the Morgan's expected values. The values of distance negative fusional convergence was same, however, distance positive fusional convergence was 7${\Delta}$ greater than the Morgan's one. There were no significant differences in the range values of both near vergences while the range of distance vergence was relatively larger than the Morgan's one. Positive relative accommodation was +0.37D greater and negative relative accommodation was -0.63D greater than the Morgan's values. Conclusions: The findings in this study appear that the Morgan's expected values have a possibilities of including considerable proximal convergence value. In comparison with Morgan's values, Korean's normal expected values have much different values of especially BO limit, so if the Morgan's values are directly applied to binocular vision analysis for Korean people, it may lead to an inaccurate binocular vision diagnosis. This results can be used to diagnose the accommodation and vergence system of Korean normal young adults.

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The Correlation between the Number of Fungiform Papillae and Electrogustometric Thresholds in Adults (젊은 성인에서 심상유두개수와 전기미각역치의 상관성)

  • Han, Dong-Hoon;Park, Ji-Il;Lim, Hoi-Soon;Kim, Jae-Hyung
    • Journal of Oral Medicine and Pain
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    • v.36 no.1
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    • pp.1-10
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    • 2011
  • The aims of this study were to establish the effect of gender and age on number of fungiform papillae and electrogustometric thresholds of the tongue, and to determine the relation between number of fungiform papillae and electrogustometric threshold. Sixty-two healthy subjects of 20 to 39 years old were enrolled in this study. Examination areas were defined as center, anterior, left lateral, right lateral, and posterior on the dorsal surface of the tongue, which was stained with methylene blue dye and photographed with a scale bar on it. The number of fungiform papillae within $1\; cm^2$ square area of each examination site was counted twice. The counted values were averaged to produce means. Taste thresholds were measured three times on each examination area using an electrogustometer. Means of the threshold values were calculated. 1. The number of fungiform papillae was the largest at the anterior examination area, followed by right lateral, left lateral, posterior and central. Women had more fungiform papillae than men at anterior, right lateral, and center areas. Subjects in twenties showed more fungiform papillae than those in thirties at anterior, right lateral, and left lateral areas. 2. Anterior area of the tongue measured the lowest electrogustometric threshold, followed by left lateral, right lateral, posterior and center. The threshold was higher in men at anterior and right lateral areas. The subjects in thirties had higher threshold only at right lateral area than those in twenties. 3. Electrogustometric threshold was inversely correlated with the number of fungiform papillae at anterior and posterior areas. The results showed that the number of fungiform papillae and taste threshold varied according to tongue locus, and they were influenced by age and gender. The results also suggested that the number of fungiform papillae was related to electrogustometric threshold inversely.

Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy (젊은 유방암 환자의 불확실성이 삶의 질에 미치는 영향: 부부친밀도의 매개효과를 중심으로)

  • Oh, Yeong Kyong;Hwang, Seon Young
    • Journal of Korean Academy of Nursing
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    • v.48 no.1
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    • pp.50-58
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    • 2018
  • Purpose: The purpose of this study was to examine the mediating effect of marital intimacy on the impact of uncertainty on the quality of life (QoL) of young breast cancer patients. Methods: This study used a pathway analysis with 154 young breast cancer cases in their early diagnosis stage at a medical center in Korea. Data were collected from November 2016 to February 2017 and analyzed using correlation analysis and pathway analysis. Results: Uncertainty, marital intimacy, and 4 sub-scales of QoL showed a significant correlation. Marital intimacy was directly affected by uncertainty (${\beta}=-.39$, p=.013) and 4 sub-scales of QoL were also affected by uncertainty. Among the 4 sub-scales of QoL, physical well-being (PWB) (${\beta}=.17$, p=.026), social well-being (SWB) (${\beta}=.49$, p=.010), and functional well-being (FWB) (${\beta}=.38$, p=.009) were affected by marital intimacy but emotional well-being (EWB) was not affected by it. The mediating effect of marital intimacy on the impact of uncertainty on QoL was confirmed. Marital intimacy showed a significant indirect effect on PWB (${\beta}=-.07$, p=.024), SWB (${\beta}=-.19$, p=.008), and FWB (${\beta}=-.15$, p=.005), and it means that marital intimacy has a partial mediating effect on the impact of uncertainty on PWB, SWB, and FWB. Conclusion: Effects of uncertainty on QoL was mediated by marital intimacy of young breast cancer patients in their early diagnosis stage. It suggests that marital intimacy needs to be considered in providing nursing intervention for young breast cancer patients.

The Results of Distal Chevron Osteotomy for Hallux Valgus in Young Adult (젊은 성인 무지 외반증 환자에서 원위부 갈매기형 절골술의 결과)

  • Ahn, Young-Joon;Hahn, Sung-Ho;Yang, Bo-Kyu;Yi, Seung-Rim;Yoo, Jae-Ho;Chung, Byung-June;Kil, Kyung-Min
    • Journal of Korean Foot and Ankle Society
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    • v.9 no.2
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    • pp.158-161
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    • 2005
  • Purpose: To analyze the risk factors and the treatment results of the distal chevron osteotomy for the hallux valgus in young adult. Materials and Methods: Eleven cases of hallux valgus in 9 patients who underwent the distal chevron osteotomy between February 2000 and January 2004 were included for the study. For the clinical evaluation, we used hallux-metatarsophalangeal interphalangeal scale of American Orthopaedic Foot and Ankle Society (AOFAS). For radiological evaluation, we measured hallux valgus angle (HVA) and intermetatarsal angle (IMA). Results: Five patients had family history of hallux valgus. Symptoms were aggravated by military drill and sports activity. The average AOFAS scale was 62.5 preoperatively, and 88.4 at final follow-up. The HVA and IMA were $34.9^{\circ}$, and $15.8^{\circ}$ preoperatively, $16.3^{\circ}$ and $8.2^{\circ}$ at postoperative 6 weeks, and $19.9^{\circ}$ and $9.8^{\circ}$ at final follow-up. Conclusion: The symptoms of hallux valgus in young adults were aggravated by military drill and sports activity. Distal chevron osteotomy was useful for the treatment of the moderate to severe hallux valgus in young patients.

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Pattern Analysis of Occlusal Contacts During Lateral Excursion Using T-scan III System (T-scan III 시스템을 이용한 하악 측방운동 시 교합접촉 양상의 분석)

  • Lee, Sang-Min
    • Journal of Dental Rehabilitation and Applied Science
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    • v.29 no.1
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    • pp.59-68
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    • 2013
  • The objective of this study was to analyze occlusal contact pattern of 33 young adult males with normal occlusion during lateral excursion using T-scan III system which can measure the dynamic occlusion. Occlusal contact patterns were examined and categorized in non-working side disclusion point(more functionally acceptable position) not canine-to-canine position. Disclusion time, occlusal force, and occlusal force distribution ratio of upper canine at disclusion point during lateral excursion movement was also measured and compared among the groups divided according to contact patterns. The results showed that group function was clearly more dominant than canine guidance and other occlusal contact patterns different with existing patterns were found. There were significantly difference between groups in variables of T-scan measurement. T-scan III system is effective tools to analyze and evaluate occlusal contact patterns, disclusion time, occlusal force, and occlusal force distribution ratio of upper canine at disclusion point.