• Maxillofacial Plastic and Reconstructive Surgery
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• 제40권
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• pp.33.1-33.11
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• 2018

Background: Bimaxillary orthognathic surgery with maxillomandibular setback is often accompanied by changes in airway space. We analyzed the changes in airway space before and after surgery and assessed their association with obstructive sleep apnea. Methods: This study is based on the cohort of 13 adult patients (9 males, 4 females, average age 23.85 years) who underwent bimaxillary orthognathic surgery with maxillomandibular setback. We performed computed tomography and portable polysomnography before and after the surgery to assess changes in airway space and Apnea-Hypopnea Index (AHI) values (total, supine, non-supine). Results: The oropharyngeal airway volume decreased by 29% after the surgery, which was statistically significant (p < .05). The upper airway volume and hypopharyngeal airway volume were decreased, but not significantly (4 and 19%, respectively). The changes in airway surface area were statistically significant at all levels examined (p < .05). Changes in the maximum anteroposterior width of the airway were also significant at all levels (p < .05). However, the changes in maximum lateral width were only statistically significant at C2 level (p < .05). AHI values were increased after the surgery but not significantly at any position. Conclusions: Although bimaxillary surgery with maxillomandibular setback significantly reduces the airway space, it does not affect AHI values or induce obstructive sleep apnea.

• Clinical and Experimental Reproductive Medicine
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• 제31권3호
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• pp.177-182
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• 2004

Purpose: To determine the efficacy of $Carnitil^{(R)}$ (acetylcarnitine, Hanmi, Korea) therapy in idiopathic oligoasthenospermic men. Materials and Methods: Forty-four subfertile men with abnormal semen parameters were treated between March, 2003 and March, 2004 with 3 g of $Carnitil^{(R)}$ daily for 3 months. Changes in semen parameters were evaluated 3 months after this therapy. Results: The mean age was 34.2 years and the mean follow-up duration was 3.7 months. In asthenospemic patients (n=28), semen analysis before and after $Carnitil^{(R)}$ treatment showed an increase in volume ($2.64{\pm}1.65\;ml$ vs. $3.10{\pm}1.60\;ml$), motility ($35.1{\pm}17.7%$ vs. $45.9{\pm}20.4%$) and viability ($51.4{\pm}20.3%$ vs. $59.3{\pm}13.6%$) respectively. In oligoasthenospermic patients (n=16), semen analysis before and after $Carnitil^{(R)}$ treatment showed an increase in sperm count ($10.7{\pm}54.4\;million/ml$ vs. $38.4{\pm}32.5\;million/ml$) respectively. Conclusions: These results suggested that in idiopathic oligoasthenospermic men the empirical medical therapy with acetylcarnitine may be considered as primary treatment.

• Journal of Preventive Medicine and Public Health
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• 제20권1호
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• pp.129-136
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• 1987

의대생들의 B형바이러스성 간염의 감염율을 조사하고 그 예방대책을 강구하기 위하여 경북의대 1, 2, 3학년 가운데 B형 간염 백신 예방접종을 받은 학생을 제외한 자원자 385명을 대상으로 HBsAg, anti-HBs, anti-HBc를 RIA방법으로 측정하여 B형간염 감염율을 조사하고 설문지로 수혈력, 침술력, 수술력을 조사하고 HBsAg양성인 사람은 16개월 후에 재검사하여 변화양상을 조사하였다. HBsAg양성율은 6.8%이었으며 연령에 대한 보정을 했을 때 남자가 7.2%로 여자의 4.9%보다 높았으며, anti-HBs양성율은 35.8% (남자 36.1%, 여자 37 9%), anti-HBc양성율은 45.5% (남자 46.5%, 여자 44.5%)이었다. 따라서 B형간염 감염율은 49.1%로서 역시 남자(50.3%)가 여자보다(46.5%) 높았다. 학년별 HBsAg양성율 및 HBV감염율의 차이는 연령구성의 차이에 기인된 것 이었으며 연령별 HBsAg양성율은 20세가 1.7%, 21세 6.6%, 22세 6.1%, 23세 12.2%, 24세 이상에서 6.4%로 23세에서 가장 높게 나타났다. HBV감염율은 20세에서 45.8%, 21세 41.5%, 22세 49.5%, 23세 55.4%, 24세이상에서 59.6%로 나타나 연령이 증가할수록 감염율은 증가하였다. 이와같은 연령별 차이는 통계적으로 유의한 것은 아니었으나 타 연구결과와 종합해 볼 때 연령별 차이가 있을 것으로 생각되므로 같은 연령의 다른 학교 및 다른 계층을 대상으로 조사해 보고 연령에 따른 차이가 생기는 이유를 규명한다면 이 연령층에서 B형간염의 주요전파 경로를 밝힐 수 있을 것으로 생각된다. HBsAg양성인 26명가운데 1명만이 B형간염을 않고 있는 환자로 밝혀졌고 이들은 16개월 후에 재경사한 결과 검사에 응한 24명 중 22명이 계속 HBsAg양성이고 2명은 음성으로 되고 anti-HBs가 양성으로 나타났다. 본 연구 결과로 보아 20세 이전에 약 반이 B형간염에 감염되었고 재학중에도 감염이 일어나고 있으므로 입학 즉시 감염여부를 확인하고 미감염자에 대해 예방접종을 실시하고 임상에 종사하기 시작할 때 추가접종하는 것이 이상적일 것으로 생각된다.

• 대한가정학회지
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• 제48권1호
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• pp.1-14
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• 2010

The purpose of this study was to develop a Korean culture-specific parenting education program for parents with school aged children, and to investigate how this program affected their overall parenting behavior. We ran an 8-week session program for parents with first, second and third elementary school graders and conducted questionnaires before and after the program in order to examine the program's effects. In the questionnaire, we asked participants about parenting behavior, parenting stress, parenting efficacy and parenting knowledge. The results showed that the program participants tended to have higher scores on parenting behavior, parenting efficacy and parenting knowledge after the eight sessions. They also demonstrated lower scores on parenting stress. Study results imply that our parenting program is practical in an elementary school setting and can also apply to higher graders.

• Journal of mucopolysaccharidosis and rare diseases
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• 제2권2호
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• pp.41-42
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• 2016

Today's mobile phones and tablet PCs offer a considerably wider range of functionalities than before. Mobile applications (apps) are increasingly used for managing various daily health tasks. Currently, more than 165,000 health-related apps are offered on all the stores of different platforms. Pf Jin and the Association for Research on MPS and Rare Diseases (AMARD) have helped Prader-Willi syndrome (PWS) families through medical information and family support since 2015. AMARD developed the first mobile application for Korean patients with PWS, which was released to a limited number of patients under the age of 3 and only provided to Android users. The first version of the PWS application focused on growth hormone therapy and the assessment of growth and development by parents in infant and early-childhood PWS patients. The 2016 version of the PWS application has been improved in many different ways. We have expanded the subjects of the application to late childhood and adolescent groups, changed the user interface accordingly, and made the application available for iOS users. We will show the specialized growth curves of older children with PWS. Therefore, patients with PWS over the age of 3 and their parents can assess the patients' growth. Additionally, we have upgraded the growth hormone therapy menu by improving the input system for the growth hormone therapy injection schedule and the daily growth profile (height and weight). We expect that the new version of the PWS application will help many PWS families cope with growth hormone therapy and evaluate the effects of growth hormones in better ways. Additionally, we are making a constant effort to provide more useful information about patients with PWS in many aspects.

• Journal of Cardiovascular Imaging
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• 제30권2호
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• pp.112-122
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• 2022

BACKGROUND: Few studies have utilized right atrial (RA) strain to evaluate right ventricular (RV) diastolic dysfunction in preterm infants with bronchopulmonary dysplasia (BPD). We aimed to evaluate the associations of RA strain with BPD severity and respiratory outcomes in preterm infants with BPD. METHODS: We retrospectively studied 153 infants with BPD born before 32 weeks of gestational age at CHA Bundang Medical Center. Peak longitudinal right atrial strain (PLRAS) was obtained using velocity vector imaging and compared among infants across BPD severity. Conventional echocardiographic parameters and clinical characteristics were also evaluated. RESULTS: In infants with severe BPD, mean gestational age (27.4 ± 2.1 weeks) and mean birth weight (971.3 ± 305.8 g) were significantly smaller than in those with mild BPD (30.0 ± 0.9 weeks, 1,237.3 ± 132.2 g) and moderate BPD (29.6 ± 1.3 weeks, 1,203.2 ± 214.4 g). PLRAS was significantly lower in infants with severe BPD (26.3 ± 10.1%) than in those in the moderate BPD group (32.4 ± 10.9%) or mild BPD group (31.9 ± 8.3%). Tricuspid E/e' and maximum RA volume index were similar across BPD severity. A decrease in PLRAS was significantly correlated with increased duration of mechanical ventilation duration; however, tricuspid E/e' and maximum RA volume index were not. CONCLUSIONS: Evaluating PLRAS with other parameters in infants with BPD might detect RV diastolic dysfunction. Longer follow-up and larger study populations may elucidate the association between PLRAS and respiratory outcomes in infants with BPD.

• The Journal of Korean Physical Therapy
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• 제14권3호
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• pp.174-202
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• 2002

Twenty five patients, 14 males and 11 females with an average age of 75years with chronic Low Back Pain were tested before, during, and after 10minutes transcutaneous electrical nerve stimulation. It is important to consider the effect of TENS on the autonomic function because the pain pathway and the ANS pathway are somehow correlated to each other. There is still controversy among researchers who have reported the effect of TENS on autonomic function. So the purpose of this study is to measure the effect of TENS on the ANS and to see the relation of the pain control mechanism and the change in the ANS. The results were as follows : 1) Systolic blood pressure between before and during the experiment was apt to be a little increased, but statistically there was no significant change(P>.05). 2) Systolic blood pressure between during and after 10 minutes the experiment was apt to be a little decreased, but statistically there was no significant change(P>.05). 3) Systolic blood pressure between before and after 10 minutes experiment was apt to be a little decreased, but statistically there was no significant change(P>.05). 4) Diastolic blood pressure between before and during experiment was apt to be a little increased, but statistically there was no significant change(P>.05). 5) Diastolic blood pressure between during and after 10 minutes experiment was significantly decreased(P<.05). 6) Diastolic blood pressure between before and after 10 minutes the experiment was apt to be a little decreased, but statistically there was no significant change(P>.05). 7) Heart rate between before and during the experiment was apt to be a little decreased, but statistically there was no significant change(P>.05). 8) Heart rate between during and after 10 minutes the experiment was significantly decreased(P<.05). 9) Heart rate between before and after 10 minutes the experiment was significantly decreased(P<.05). 10) Skin temperature between before and during the experiment was significantly increased(P<.05). 11) Skin temperature between during and after 10 minutes the experiment was apt to be a little increased, but statistically there was no significant change(P>.05). 12) Skin temperature between before and after 10 minutes the experiment was significantly increased(P>.05). 13) Respiratory rate between before and during the experiment was apt to be a little increased, but statistically there was no significant change(Pgt;.05). 14) Respiratory rate between during and after 10 minutes the experiment was apt to be a little decreased, but statistically there was no significant change(Pgt;.05). 15) Respiratory rate between before and after 10 minutes the experiment was apt to be a little decreased, but statistically there was no significant change(P>.05).

• 한국운동역학회지
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• 제29권1호
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• pp.33-41
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• 2019

Objective: This study aimed to investigate the effect of diminished plantar sensation in Y-balance test between chronic ankle instability (CAI) patients versus Healthy individuals. Method: A total of 90 subjects and CAI group (N=45) (age: $24.49{\pm}2.52yrs$, height: $173.53{\pm}8.20cm$, weight: $69.62{\pm}12.92kg$) and healthy group (N=45) (age: $24.85{\pm}2.70yrs$, height: $170.27{\pm}7.70cm$, weight: $66.04{\pm}11.60kg$) participated in this study. Participants were tested on the anterior (ANT), posterolateral (PL), and posteromedial (PM) reach directions of the Y-Balance Test before and after a 10-minute of plantar cutaneous sensation application using ice ($2^{\circ}C$). Normalized reach distances were measured 3 times each direction. Results: We observed a decrease in reach-distance scores for the reach directions after diminished plantar cutaneous sensation in all reach directions (p<.01). Also, we observed a decrease in reach-distance scores for the PL, and PM reach directions between groups (p<.05). Conclusion: Our results indicated that dynamic postural control was adversely affected immediately after diminished plantar cutaneous sensation between CAI group and healthy group. Future research may suggest that determine the studies involving more realistic dynamic movement, such as walking or running, landing.

• 대한치과교정학회지
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• 제3권1호
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• pp.14-20
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• 1972

It is well known fact that physical growth and development of children are influenced by many factors. The importance of socio-economic, geographic and cultural background cannot be over-emphasized in the evaluation of general pattern of physical growth and development of children. In this study the author measured and studied the body height and body weight of children living in the region of mine and industry located in Young-Wol Kun, Kang-Won Do, for the purpose of exploring out the influence of socio-geographic factors to act on physical growth and development of children. Total number of samples were 4,147 comprising 2,170 in male and 1,977 in female with ages ranging from 7 to 15. 1) The growth curves showed that young males grow slowly by 14 years of age, here-after rapidly and the young females grow slowly by 12 years of age, rapidly by 13 years of age and slowly thereafter. 2) The annual increment curves of body height and body weight showed that the most increment of female occurs by 13 years of age and that of mate, by 15 years of age. 3) The growth curves of the male and female crossed twice. It shows the difference of the pattern of growth between the both sexes. 4) The standards for the children in this region were presented. 5) The time of changes of stndard deviation curves of body height and body wegiht coincided nearly with that of annual increment. 6) Body weight and body height .of the children is larger than that of Korean children before World War II, but smaller than that of standards of recent Korean.

• The Journal of Advanced Prosthodontics
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• 제11권2호
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• pp.88-94
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• 2019

PURPOSE. This study was conducted to investigate patterns of adjacent tooth displacement in the posterior implant with interproximal contact loss (ICL) by 3-D digital superimposition method. MATERIALS AND METHODS. Posterior partially edentulous patients, restored with implant fixed partial prostheses before 2011 and suffered from food impaction of ICL between 2009 and 2011, were included. Two dental casts, at the time of delivery and at the time of food impaction in a same patient, was converted into 3-D digital models through scanning and superimposition was performed to assess chronologic changes of the dentition. Directions of tooth displacement were evaluated and the amount of ICL was calculated. Correlations between the amount of ICL and elapsed time, or between the amount of ICL and age after function, were assessed at a significance level of P<.05. RESULTS. A total number of 13 patients (8 males, 5 females) with a mean age of $65.76{\pm}9.94years$ and 17 areas (4 maxillae, 13 mandibles) were included in this retrospective study. Teeth adjacent to the implant restoration showed complex displacements but characteristic tendency according to the location of the arch. The mean amount of ICL was $0.33{\pm}0.14mm$. Elapsed time from function to ICL was $61.47{\pm}31.27months$. There were no significant differences between the amount of ICL and elapsed time, or age (P>.05). CONCLUSION. Natural teeth showed various directional movements to result in occlusal change in the arch. The 3-D superimposition of chronologic digital models was a helpful method to analyze the changes of dentition and individual tooth displacement adjacent to implant restoration.