• The Korean Journal of Pain
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• v.19 no.2
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• pp.202-206
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• 2006

Background: Stellate ganglion block (SGB) might be associated with changes in the blood pressure (BP) and heart rate (HR). The heart rate variability (HRV) shows the balance state between sympathetic and parasympathetic activities of the heart. The changes in these parameters of the HRV were studied to evaluate the possible mechanism of SGB in changing the BP. Methods: SGB was performed on 26 patients, using a paratracheal technique at the C6 level, and 8 ml of 1% mepivacaine injected. The success was confirmed by check the Horner's syndrome. The BP, HR and HRV were measured before and 5, 15, 30, 45 and 60 minutes after the SGB. Results: The increases in the BP from the baseline throughout the study period were statistically, but not clinically significant. The HR and LF/HF (low frequency/high frequency) ratio were increased at 5 and 45 min, respectively, after the administration of the SGB. In a comparison of left and right SGB, no significant differences were found in the BP, HR and HRV. A correlation analysis showed that an increased BP was significantly related with the changes in the LF/HF ratio and LF at 15 and 30 minutes, respectively, after the SGB. Dividing the patients into two groups; an increased BP greater and less than 20% of that at the baseline INC and NOT groups, respectively, hoarseness occurred more often in the INC group (P = 0.02). Conclusions: It was concluded that SGB itself does not clinically increase the BP and HR in normal hemodynamic patients. However, the loss of balance between the sympathetic and parasympathetic nerve system, attenuation of the baroreceptor reflex and hoarseness are minor causes of the increase in the BP following SGB; therefore, further studies will be required.

• Archives of Plastic Surgery
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• v.42 no.3
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• pp.327-333
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• 2015

Background An anatomical analysis of the transverse carpal ligament (TCL) and the surrounding structures might help in identifying effective measures to minimize complications. Here, we present a surgical technique based on an anatomical study that was successfully applied in clinical settings. Methods Using 13 hands from 8 formalin-fixed cadavers, we measured the TCL length and thickness, correlation between the distal wrist crease and the proximal end of the TCL, and distance between the distal end of the TCL and the palmar arch; the TCL cross sections and the thickest parts were also examined. Clinically, fasciotomy was performed on the relevant parts of 15 hands from 13 patients by making a minimally invasive incision on the distal wrist crease. Postoperatively, a two-point discrimination check was conducted in which the sensations of the first, second, and third fingertips and the palmar cutaneous branch injuries were monitored (average duration, 7 months). Results In the 13 cadaveric hands, the distal wrist crease and the proximal end of the TCL were placed in the same location. The average length of the TCL and the distance from the distal TCL to the superficial palmar arch were $35.30{\pm}2.59mm$ and $9.50{\pm}2.13mm$, respectively. The thickest part of the TCL was a region 25 mm distal to the distal wrist crease (average thickness, $4.00{\pm}0.57mm$). The 13 surgeries performed in the clinical settings yielded satisfactory results. Conclusions This peri-TCL anatomical study confirmed the safety of fasciotomy with a minimally invasive incision of the distal wrist crease. The clinical application of the technique indicated that the minimally invasive incision of the distal wrist crease was efficacious in the treatment of the carpal tunnel syndrome.

• Journal of the Korean Society of School Health
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• v.29 no.1
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• pp.11-21
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• 2016

Purpose: The purposes of this study were to check the obesity of middle and high school students in the nation and identify factors influencing their obesity. Methods: The present study is a secondary analysis research that obtained permission to use the primitive data of 10th (2014) Online Survey on Adolescents' Health Behaviors by the Korea Centers for Disease Control and Prevention and analyzed the primitive data according to the purposes. Results: The findings show that the BMI of middle and high school students in the nation was $20.7kg/m^2$ with the obesity and non-obesity group recording $27.0kg/m^2$ and $19.9kg/m^2$, respectively. Factors influencing the obesity of adolescents include gender, grade, educational background of parent, school grades for the last 12 months, satisfaction with sleep, fast food consumption, ramen consumption, intense and muscle exercise three times a week or more, subjective sense of health, stress, suicidal ideation, and hours of Internet usage per week. Conclusion: For the management of adolescent obesity, there is a need for obesity management programs taking the characteristics of male students into consideration. The possibilities of obesity grow according to the grades, which means that both the teachers and parents should offer more guidance on weight control in upper grades. The adjustment of adolescent obesity requires psychological health management including stress and suicidal ideation as well as diet control and exercise. It is also needed to apply a stepwise obesity management program according to the hours of internet usage and dependence on the internet

• Proceedings of the Korean Radioactive Waste Society Conference
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• 2003.11a
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• pp.90-95
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• 2003

Chemical management of annulus gas system is carried out for the purpose of ensuring the safety and reliability of the system via securing the integrity of the system, detecting the D$_2$O in-leakage of coolant and/or moderator, and reducing the radiation dose. Since the quality of CO_2$ gas, which is used as a filling gas for annulus gas system at CANDU plants, has a propound effect on the integrity of the system material and the radiation dose, CO_2$ gas of high quality is needed. If the quality of CO_2$ gas does not meet the specification, it may give rise to undesirable effect not only on the annulus gas system, but also on the environment due to the production of radioactive nuclei. Therefore, it is very important to check the impurities of CO_2$ gas. Based on this background, the inventories of C-14 and Ar-41 in CO_2$ gas that is supplied as annulus gas were estimated using the data on concentrations of the impurities of $CO_2$ such as C, N_2$ and Ar. The results of this study is expect to give useful information on optimization of CO_2$ impurities maintenance and management of gaseous radioactive wastes produced at CANDU plants.

• Clinical and Experimental Pediatrics
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• v.63 no.6
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• pp.219-225
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• 2020

Background: There is increasing concern that moderate preterm (32-33 weeks' gestation) and late preterm (34-36 weeks' gestation) birth may be associated with minor neurodevelopmental problems affecting poor school performance. Purpose: We explored the cognitive function, cognitive visual function, executive function, and behavioral problems at school age in moderate to late preterm infants. Methods: Children aged 7-10 years who were born at 32⁺⁰ to 36⁺⁶ weeks of gestation and admitted to the neonatal intensive care unit from August 2006 to July 2011 at the National Health Insurance Service Ilsan Hospital were included. We excluded children with severe neurologic impairments, congenital malformations, or chromosomal abnormalities. Neuropsychological assessments consisted of 5 neuropsychological tests and 3 questionnaires. Results: A total of 37 children (mean age, 9.1±1.2 years) participated. The mean gestational age at birth was 34.6±7.5 weeks, while the mean birth weight was 2,229.2±472.8 g. The mean full-scale intelligence quotient was 92.89±11.90; 24.3% scored between 70 and 85 (borderline intelligence functioning). An abnormal score was noted for at least one of the variables on the attention deficit hyperactivity disorder diagnostic system for 65% of the children. Scores below borderline function for executive quotient and memory quotient were 32.4% and 24.3%, respectively. Borderline or clinically relevant internalizing problems were noted in 13.5% on the Child Behavior Check List. There were no significant associations between perinatal factors or socioeconomic status and cognitive, visual perception, executive function, or behavior outcomes. Conclusion: Moderate to late preterm infants are at risk of developing borderline intelligence functioning and attention problems at early school age. Cognitive and executive functions that are important for academic performance must be carefully monitored and continuously followed up in moderate to late preterm infants.

• Journal of the Ergonomics Society of Korea
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• v.35 no.3
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• pp.125-133
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• 2016

Objective: The aim of this study is to figure out the level of Functional Movement Screen (FMS) of 122 automobile manufacturing workers and to set the FMS score for predicting risk of musculoskeletal disorders. Background: Although today's industrial sites have been becoming automated rapidly, the risks of work-related musculoskeletal disorders (WMSDs) have been on the rise. In the case of WMSDs, it is important to control WMSDs at the early stage. Early detection of WMSDs is very important for the successful treatment. However, the medical examination puts a great financial burden on most workers. To reduce their burden, there is one test to check the musculoskeletal functional condition and to predict the risk of injury, which is called FMS. Method: This research tested the FMS score of 122 workers at a motor company, and also conducted a questionnaire survey of individual characteristics and job characteristics. Results: For the 122 subjects, the average score of FMS is $14.63{\pm}2.27$. There is a negative correlation between FMS and their ages and BMI (p <0.05). FMS is higher when exercising regularly (p <0.05). The FMS scores of musculoskeletal disorder patients are lower than those of normal workers (p <0.05). While it is more likely to become a musculoskeletal disorder patient when FMS score is less than 14, it is more likely to become a normal worker when FMS score is more than or equal to 14. Conclusion: According to the result of FMS test, there is a score difference between individuals with musculoskeletal disorders and normal ones. FMS scores can also predict and identify workers with risk of the musculoskeletal disorders. Application: According to this study, FMS can be expected to have a positive effect on the prevention of WMSDs in worksites.

• Korean Journal of Clinical Pharmacy
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• v.29 no.4
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• pp.278-285
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• 2019

Background: Rheumatoid arthritis is highly prevalent in overweight patients with type 2 diabetes mellitus and can be reduced by physical activity via altered proinflammatory parameters. However, the association between the frequency of physical activity and the prevalence of rheumatoid arthritis in prediabetic patients remains unclear and was evaluated in this study. Methods: Utilizing the Korean National Health Insurance Sharing Service database, 58,391 adults, who met the research criteria and underwent a general medical check-up between 2009 and 2013, were selected for this study. To analyze the data, a logistic regression with a proc survey logistic procedure was used. Results: The study revealed that the cumulative rheumatoid arthritis prevalence was lower in prediabetic patients compared to that in the control group (OR, 0.64; 95% CI, 0.483-0.840; p=0.001). More frequent physical activity (≥3 days/week) was significantly associated with a reduced rheumatoid arthritis prevalence in both groups (OR, 0.28; 95% CI, 0.039-0.521; p=0.044 vs. OR, 0.15; 95% CI, 0.063-0.237; p=0.007). Additionally, a 3.8-fold higher risk of rheumatoid arthritis development was observed in prediabetic adults with less frequent baseline physical activity (≤2 days/week). Overall, in prediabetes, the prevalence of rheumatoid arthritis was associated with the frequency of physical activity and not with the fasting plasma glucose levels. Conclusion: More frequent physical activity is associated with a low risk of developing rheumatoid arthritis in prediabetic patients. Thus, further studies are needed to confirm the clinical outcomes of frequent physical activity in rheumatoid arthritis prevention and control.

• Journal of Radiation Protection and Research
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• v.41 no.4
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• pp.378-383
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• 2016

Background: Radiation dose rates in PRIDE facility is evaluated quantitatively for assessing radiation safety of workers because of large amounts of depleted uranium being handled in PRIDE facility. Even if direct radiation from depleted uranium is very low and will not expose a worker to significant amounts of external radiation. Materials and Methods: ORIGEN-ARP code was used for calculating the neutron and gamma source term being generated from depleted uranium (DU), and the MCNP5 code was used for calculating the neutron and gamma fluxes and dose rates. Results and Discussion: The neutron and gamma fluxes and dose rates due to DU on spherical surface of 30 cm radius were calculated with the variation of DU mass and density. In this calculation, an imaginary case in which DU density is zero was added to check the self-shielding effect of DU. In this case, the DU sphere was modeled as a point. In case of DU mixed with molten salt of 50-250 g, the neutron and gamma fluxes were calculated respectively. It was found that the molten salt contents in DU had little effect on the neutron and the gamma fluxes. The neutron and the gamma fluxes, under the respective conditions of 1 and 5 kg mass of DU, and 5 and $19.1g{\cdot}cm^{-3}$ density of DU, were calculated with the molten salt (LiCl+KCl) of 50 g fixed, and compared with the source term. As the results, similar tendency was found in neutron and gamma fluxes with the variation of DU mass and density when compared with source spectra, except their magnitudes. Conclusion: In the case of the DU mass over 5 kg, the dose rate was shown to be higher than the environmental dose rate. From these results, it is concluded that if a worker would do an experiment with DU having over 5 kg of mass, the worker should be careful in order not to be exposed to the radiation.

• Journal of Ocean Engineering and Technology
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• v.29 no.6
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• pp.454-462
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• 2015

An extended study was conducted on the fracture criterion by Choung et al. (2011; 2012) and Choung and Nam (2013), and the results are presented in two parts. The theoretical background of the fracture and the results of new experimental studies were reported in Part I, and three-dimensional fracture surface formulations and verifications are reported in Part II. How the corrected true stress can be processed from the extrapolated true stress is first introduced. Numerical simulations using the corrected true stress were conducted for pure shear, shear-tension, and pure compression tests. The numerical results perfectly coincided with test results, except for the pure shear simulations, where volume locking appeared to prevent a load reduction. The average stress triaxialities, average normalized lode parameters, and equivalent plastic strain at fracture initiation were extracted from numerical simulations to formulate a new three-dimensional fracture strain surface. A series of extra tests with asymmetric notch specimens was performed to check the validity of the newly developed fracture strain surface. Then, a new user-subroutine was developed to calculate and transfer the two fracture parameters to commercial finite element code. Simulation results based on the user-subroutine were in good agreement with the test results.

• Journal of the Korean Institute of Rural Architecture
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• v.12 no.4
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• pp.21-28
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• 2010

As the issues such as safety, hygiene, convenience of school facility from the perspective of living environment for students and teachers arise as an important task in recent, there is increasing concern for resting convenience facility in school. In recent, the government is planning to change middle high school into the departmental classroom system. The departmental classroom system refers to the school operation system in which the classroom is structured as a subject-specialized classroom and the students move to the classroom according to their class schedules. This departmental classroom system is advantageous in that each subject can be equipped with professional facilities or preparations; the usage rate of the classroom can be enhanced; the common study space or living space can be used substantially; the school can plan and operate its own specialized space. On the contrary, it has the weaknesses that there is need to prepare the home base for the guidance of the class or student guidance; there is need for the facilities including personal lockers. Thus, the departmental classroom system requires the space expansion for home base or the resting convenience space for students and thus has to provide various spaces. Under this background, it is also important to check and plan the resting space for the schools. Therefore, this study is aimed to examine and analyze the arrangement location and space Layout of the resting convenience space among school facilities to propose the architectural data for future resting/convenience spaces for the schools.