• Journal of Preventive Medicine and Public Health
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• 제42권2호
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• pp.82-88
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• 2009

Objectives : Our objective was to examine and evaluate the psychological health of the residents of Taean during the cleanup of the Hebei Spirit(HS) oil spill and to review some factors associated with the results. Methods : A community survey of 71 men and women was conducted 8 weeks after the HS oil spill. Questionnaires used were the PWI(Psychological Well-being Index) scale for psychosocial distress, the CES-D(Center for Epidemiologic Studies-Depression) scale for depressive symptoms, and a questionnaire created to assess suicidal impulses. Results : The overall prevalence of high-risk psychosocial distress among the study group was 64.2%. The percentages of respondents with scores on the CES-D Scale above 16 and above 21 were 77.6% and 62.7%, respectively. The percentage of respondents categorized as having suicidal impulses was 18.3%. When compared with unexposed groups in the general population taken from various sources, the residents of Taean were 6.5 times as likely to have high stress and 9.4-9.7 times as likely to be depressed. No significant difference in the rate of suicidal impulse was found between the residents of Taean and the general population. Factors associated with high stress, depression, and suicidal impulses were age, a change in income, educational level, number of days working on the cleanup, and positive responses to questions about "affected daily activity" and "hospital visit due to work on cleanup". Conclusions : The results suggest that the HS oil spill had a significant impact on the psychological health of residents of Taean, but the comparability of the unexposed groups is a limitation of the study.

• Journal of Korean Neurosurgical Society
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• 제47권5호
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• pp.345-351
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• 2010

Objective : In this study, the Mindfulness Based Stress Reduction (MBSR) program was applied to patients presenting with depression and anxiety after surgery from spontaneous subarachnoid hemorrhage (SAH) and the effects were assessed. Methods : The subjects were patients admitted for cerebral aneurysm rupture and treated by means of surgery from March to December, 2007. More than 6 months had passed after surgery, without any special lesions showing up on computed tomography (CT), and the Glasgow outcome scale (GOS) was 5 points. Among patients with anxiety and depression symptoms, 11 patients completed the program. The MBSR program was conducted once a week, 2.5 hours each, for 8 weeks. The evaluation criteria were : 1) the Beck Depression Inventory (BDI): it measures the type and level of depression, 2) the State-Trait Anxiety Inventory : the anxiety state of normal adults without mental disorder, and 3) Heart Rate Variability (HRV) : the influence of the autonomous nervous system on the sinoarterial node varies continuously in response to the change of the internal/external environment. Results : The BDI value was decreased from 18.5 ${\pm}$ 10.9 to 9.5 ${\pm}$ 7.1 (p = 0.013) : it was statistically significant, and the depression level of patients was lowered. The state anxiety was decreased from 51.3 ${\pm}$ 13.9 to 42.3 ${\pm}$ 15.2; the trait anxiety was reduced from 50.9 ${\pm}$ 12.3 to 41.3 ${\pm}$ 12.8, and a borderline significant difference was shown (p = 0.091, p = 0.056). In other words, after the treatment, although it was not statistically significant, a decreased tendency in anxiety was shown. In the HRV measurement, standard deviation normal to normal (SDNN), square root of the square root of the mean sum of squared differences between adjacent normal to normal intervals (RMSSD), and total power (TP) showed significant increase, Physical Stress Index (PSI) showed a significant reduction, and thus an improvement in the homeostatic control mechanism of the autonomic nervous system was ween. Conclusion : The MBSR program was applied to the patients showing anxiety and depression reaction after SAH treatment, and a reduction in depression symptoms and physiological reactions were observed. The application of the MBSR program may be considered as a new tool in improving the quality of life for patients after surgery.

• Asian-Australasian Journal of Animal Sciences
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• 제12권4호
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• pp.565-572
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• 1999

Two experiments were conducted to determine the effects of conditioning (conventional vs expander) corn- and sorghum-based diets on production traits for lactating sows and finishing pigs. In Exp. 1, one hundred sixty-eight sows (parity 1-4, PIC line C15) were fed the corn or sorghum grain diets as a meal, standard (steam) conditioned pellets, or expanded pellets to give a $2{\times}3$ factorial arrangement of treatments. Pellet durability index (PDD was similar for the sorghum- vs corn-based diets, but increased when diets were expanded pellets for both corn- and sorghum-based diets. The corn-based meal diet supported 3.3% greater litter weight gain than the sorghum-based meal diet (44.0 kg vs 42.8 kg). However, the advantage for the corn-based diet disappeared with expander processing (ie., sows fed the sorghum-based diet responded more to diets processed with the alternative processing technology). Sow weight change during lactation was similar (p>0.15) among treatments, although average daily feed intake tended to be greater (p<0.09) for the sows fed sorghum. For Exp. 2, a total of 71 barrows (average initial weight of 58.0 kg) were used in a growth assay to determine the effects of feeding com- and sorghum-based diets, as meal or pellets, after processing with a conventional steam conditioner or an expander (high-shear) conditioner. PDI was not different for the sorghum- vs corn-based diets, but increased from 84 to 95% with expander conditioning compared to conventional steam conditioning. Rate and efficiency of gain, and carcass leanness were similar for pigs fed sorghum and corn (p>0.15). Efficiency of gain was greater (p<0.04) for pigs fed the pelleted (356 g/kg) diets compared to those given the meal (348 g/kg) diets. However, efficiencies of gain were similar (p>0.11) for pigs fed the conventional- and expander-conditioned diets. Pelleting increased (p<0.01) the incidence and severity of stomach lesions regardless of grain type. In conclusion, corn-based meal diet resulted in a greater litter weight gain than the sorghum-based meal diet. However, that advantage disappeared when the diets were expanded and pelleted. Finishing pigs fed pelleted diets were more efficient than those fed meal diets.

• Journal of Trauma and Injury
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• 제32권1호
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• pp.1-7
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• 2019

Purpose: The present study aimed to evaluate the influence of how the trauma care system applied on the management of trauma patient within the region. Methods: We divided the patients in a pre-trauma system group and a post-trauma system group according to the time when we began to apply the trauma care system in the Halla Hospital after designation of a trauma center. We compared annual general characteristics, injury severity score, the average numbers of the major trauma patients, clinical outcomes of the emergency department, and mortality rates between the two groups. Results: No significant differences were found in the annual patients' average age ($54.1{\pm}20.0$ vs. $52.8{\pm}18.2$, p=0.201), transportation pathways (p=0.462), injury mechanism (p=0.486), injury severity score (22.93 vs. 23.96, p=0.877), emergency room (ER) stay in minutes (199.17 vs. 194.29, p=0.935), time to operation or procedure in minutes (154.07 vs. 142.1, p=0.767), time interval to intensive care unit (ICU) in minutes (219.54 vs. 237.13, p=0.662). The W score and Z score indicated better outcomes in post-trauma system group than in pre-trauma system group (W scores, 2.186 vs. 2.027; Z scores, 2.189 vs. 1.928). However, when analyzing survival rates for each department, in the neurosurgery department, in comparison with W score and Z score, both W score were positive and Z core was higher than +1.96. (pre-trauma group: 3.426, 2.335 vs. post-trauma group: 4.17, 1.967). In other than the neurosurgery department, W score was positive after selection, but Z score was less than +1.96, which is not a meaningful outcome of treatment (pre-trauma group: -0.358, -0.271 vs. post-trauma group: 1.071, 0.958). Conclusions: There were significant increases in patient numbers and improvement in survival rate after the introduction of the trauma system. However, there were no remarkable change in ER stay, time to ICU admission, time interval to emergent procedure or operation, and survival rates except neurosurgery. To achieve meaningful survival rates and the result of the rise of the trauma index, we will need to secure sufficient manpower, including specialists in various surgical area as well as rapid establishment of the trauma center.

• 한국응용곤충학회지
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• 제60권1호
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• pp.123-133
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• 2021

머리뿔가위벌을 사과에 더욱 효과적으로 사용하기 위하여 중생종 '홍로'와 만생종 '후지'에서 머리뿔가위벌의 영소활동과 화분매개효과를 조사하였다. 그 결과, '후지'에서의 영소활동이 '홍로'보다 2.5배 많았다. 영소율과 증식률에서 '후지'가 '홍로' 보다 각각 1.5배, 3.8배 높았다. 품종에 따른 화분매개효과를 조사한 결과, 중심화결실률에서 '후지'가 '홍로'보다 1.6배 높았다. 과실의 품질에서 사축과율은 '후지'가 '홍로'보다 2.5배 낮았고, 사과종자의 수는 1.9배 많았다. 이에 대한 원인을 밝히기 위해 개화기 기상환경과 머리뿔가위벌의 활동량에 대한 상관관계를 분석한 결과, 머리뿔가위벌의 활동에 영향을 미치는 주된 요소는 온도로 나타났다 (R2 = 0.578). '후지'(평균 17.4 ~ 최고 24.1℃)의 개화기 기온은 '홍로'(평균 12.5 ~ 최고 20.2℃)보다 4 ~ 5℃ 높았기 때문에 '후지'에서 영소활동과 화분매개효과가 '홍로'보다 큰 것으로 생각된다. 따라서 조생종 '홍로'에서는 머리뿔가위벌보다 기상환경에 영향을 적게받는 뒤영벌과 같은 화분매개곤충을 사용하는 것이 권장되며, 만생종 '후지'에서는 머리뿔가위벌의 사용이 가능할 것으로 판단된다. 본 연구는 사과 재배 농가에게 사과의 안정적인 생산을 위한 중요한 정보로 사용될 수 있다. 아울러 기후변화에 인하여 머리뿔가위벌의 화분매개활동이나 증식률이 변할 수 있다는 결론은 식생과 곤충상에 변화에 대한 근거로 활용할 수 있을 것이다.

• 대한후두음성언어의학회지
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• 제30권2호
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• pp.118-123
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• 2019

Background and Objectives Voice evaluation is classified into subjective tests such as auditory perception and self-measurement, and objective tests such as acoustic and aerodynamic analysis. When evaluating dysphonia, subjective and objective test results do not always match. The purpose of this study was to analyze the relationship between subjective and objective evaluation in patients with dysphonia and to identify meaningful parameters by disease. Materials and Method The total of 322 patients who visited voice clinic from May 2017 to May 2018 were included in this study. Laryngeal lesions were identified using stroboscopy. Pearson correlation test was performed to analyse correlation between subjective tests including GRBAS scale and voice handicap index, and objective tests including jitter, shimmer, noise to harmonic ratio (NHR), cepstral peak prominence (CPP), maximal phonation time (MPT), mean flow rate, and subglottic pressure. Results In vocal nodule and sulcus vocalis, among GRBAS system, grade and breathiness showed good correlation with CPP, and roughness showed good correlation with jitter or shimmer. In unilateral vocal cord paralysis (UVCP), grade and breathiness showed a very good correlation with CPP, and also good correlation with jitter, shimmer, NHR, and MPT. Also asthenia showed good correlation with CPP and MPT. Vocal polyp has a limited association with other diseases. Conclusion In patients with dysphonia, grade and breathiness showed good correlation with CPP, jitter, and shimmer, and reflect the state of voice change well especially in UVCP, CPP, and MPT.

• 사상체질의학회지
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• 제25권3호
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• pp.145-157
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• 2013

Objectives This study was aimed to reveal the characteristics of the body shape, face, voice and temperament in Taeyangin. Methods The subjects were recruited from November 2005 to August 2012. Sasang constitutional specialist in each clinics confirmed the Sasang Constitution. Taeyangin (TY) became a standard guidance to be compared with each other Sasang type. Anova test was used in analyzing continuous variables and factor analysis was conducted in temperament questionnaire in advance. Generalized propensity score with age and body mass index (BMI) was used in adjusted model. Significant level was .05 Results 1. The TY body shape were generally smaller than Taeeumin (TE) (p<0.001) and Soyangin (SY) (p<0.05) in crude. The TY body shape were still smaller than TE (p<0.05) and there was no significant difference between TY and SY except rib circumference in males and forehead circumference (p<0.05) in females in adjusted model. 2. The size of face and nose in TY was smaller than in TE and there was different between males and females' TY and others in the characteristics of eye, nose and forehead variables in crude (p<0.05). Most of differences between TY and TE were disappeared in adjusted model. 3. The vocal height and speed of TY was different other types and there was different between males and females' TY in some of frequency change rate in crude (p<0.05). Most of differences between TY and other types were similar before and after adjusted model. 4. The temperament of TY was different with SE before and after adjusted mode 1 (p<0.05). TY males showed difference in expression factor and TY females showed difference in behavior factor compared with TE respectively (p<0.05). Conclusions This study reveals characteristics of body shape, face, voice and character in the TY males females compared with each other type respectively.

• 한국안광학회지
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• 제21권3호
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• pp.281-288
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• 2016

목적: 중심장액성맥락망막병증을 치료 중인 눈과 완치된 눈의 광학적 질의 변화를 알아보았다. 방법: 총 68명 136안을 대상으로 중심장액성맥락망막병증을 치료 중인 눈 및 무증상 반대편 눈, 중심장액성맥락망막병증을 진단받은 후 완치된 눈 및 반대편 눈과 정상인 눈의 객관적 산란지수, 변조전달함수 값, 상의 집속률, 점상강도 분포함수 50%폭과 10% 폭 및 대비감도를 측정하여 분석하였다. 결과: 중심장액성맥락망막병증을 치료 중인 눈은 반대편 무증상 눈, 질환이 완치된 눈 및 정상 눈과 비교하여 모든 광학적 질 평가에서 통계적으로 유의하게 광학적 질의 저하가 나타났다. 중심장액성맥락망막병증을 치료 중인 반대편 무증상 눈과 완치된 눈의 경우는 통계적으로 유의하지는 않았지만 정상안보다 광학적 질의 저하 경향이 나타났다. 결론: 본 연구를 통하여 중심장액성맥락망막병증 치료 단계에 따라 광학적인 질에 차이가 있음을 밝혔으며, 중심장액성맥락망막병증의 완치 판정 및 예후 평가에서 광학적 질의 평가의 활용을 제안한다.

• 대한후두음성언어의학회지
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• 제26권1호
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• pp.25-33
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• 2015

Background and Objectives:The objective of this study was to investigate the features of post-thyroidectomy subjective voice disorder by Voice Handicap Index (VHI) and Voice Symptom Scale (VOISS) through aerodynamic analysis and to investigate the appropriate voice therapy intervention. Materials and Methods:Twenty post-thyroidectomy patients who had no recurrent laryngeal nerve paralysis through laryngeal stroboscopy were enrolled for this study. Acoustic and aerodynamic evaluations were performed before operation, 2 weeks and 3 months after operation. Subjective voice evaluation was performed by VHI and VOISS. Aerodynamic evaluation was compared and analysed by maximum phonation time(MPT), phonation threshold pressure(PTP), mean air flow rate(MFR), etc. Subjective voice evaluation was surveyed through VHI and VOISS. To evaluate patients' symptoms related to functional voice disorder, scores on physical domain in VHI and VOISS were selected to be compared for each session. Results: The 10 out of 20 participants who complained of voice symptoms had no significant difference with pre-operation in acoustic evaluation, but all showed higher scores on 2 weeks and 3 months after operation compared to pre-operation, in VHI-physical domain and selected questionnaires in VOISS. They reduced MPT and increased PTP value simultaneously. Laryngeal massage and breathing training were simultaneously treated to them, 5 participants resulting in improvement in MPT and PTP compared to pre-treatment. Conclusion:Patients who complained voice change with no organic damage after thyroidectomy were all shown to have reduced MPT and increased PTP in some by aerodynamic evaluations. Reduced MPT may imply some problem in air flow beneath glottis. Increased PTP suggests much more effort in vocalization mechanism than pre-operation. Comparing aerodynamic evaluations in post-thyroidectomy may provide information on behavioral interventions. Additionally, study on laryngeal massage and breathing training simultaneously treated to patients with such voice disorder is needed to be conducted with larger number of participants.

• 대한치과보철학회지
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• 제49권2호
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• pp.106-113
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• 2011

연구 목적: 전통적인 초기의 접착성 고정성 보철물이 가능한 보존적이고 가역적인 치료를 추구했지만 유지력의 상실이 큰 문제가 되면서 임상적 성공률이 낮은 단점이 있었다. 이러한 한계를 극복하고자 하는 여러 연구들 중, 자연 치아의 언더컷과 구조물의 각기 다른 삽입로를 이용하여 유지력을 얻는 3-piece형태의 변형된 접착성 고정성 보철물이 제안되었다. 이 연구의 목적은 변형된 형태의 접착성 고정성 보철물을 이용하여 수복 치료를 받은 환자에 대한 후향적 연구를 통하여 임상가들의 상실치 수복을 위한 치료 계획 수립에 도움을 주고자 함이다. 연구 재료 및 방법: 한 개 혹은 그 이상의 치아가 상실되어 수복을 요하여 2007년부터 연세대학교 치과대학병원 보철과에 내원하여 자연치아의 언더컷과 구조물의 각기 다른 삽입로를 이용하는 변형된 형태의 접착성 고정성 보철물 수복 치료를 받은 23명의 환자중 주기적 검사가 가능한 21명을 대상으로, 후향적으로 임상 및 방사선 검사 결과를 평가하였다. 결과 및 결론: 자연치아의 언더컷과 구조물의 각기 다른 삽입로를 이용한 접착성 고정성 보철물을 이용한 21명증례, 71 unit의 최대 25개월 (평균 7개월)간의 후향적 연구에서 다음과 같은 결과를 얻었다. 1. 자연치아의 언더컷과 구조물의 각기 다른 삽입로를 이용한 접착성 고정성 보철물은 단기간의 follow-up 에서 보철물의 탈락, 파절등의 기계적인 실패가일어나지 않았다. 2. 보철물 주변의 치주조직은 비교적 안정되었다. 3. 방사선 사진상 유의성있는 골흡수를 보이지 않았다.