• 한국환경복원기술학회지
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• 제1권1호
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• pp.3-17
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• 1998

본 연구에서는 우리 나라 강우 특성상 잘 발달된 도시 주변 일정 구간의 둔치를 녹지 공간으로 활용하기 위해 둔치의 수목 식재 가능성을 알아보았다. 대전에 위치한 갑천 유역의 수문 자료 및 기상 자료등을 기초로 하여 기존 제방의 홍수 유통 안정성 및 갑천과 유등천 합류 지점을 중심으로 반경 3km 내 세 단면를 표준 단면으로 정하여 둔치에서의 식재 여유고를 산출하였다. 홍수 유통 안정성을 검토한 결과 현 단면에서 기존 설계 홍수량은 세 단면 모두 과다 설계되어 있기 때문에 기존 제방의 홍수 유통 안정성은 충분한 것으로 판단된다. 세 단면 중 두 단면은 수목을 식재할 수 있는 여유고는 충분한 것으로 나타났으며, 나머지 한 단면은 식재할 수 있는 여유고는 거의 없지만 현재 인위적으로 높인 둔치의 단면을 절토하여 통수 단면적을 확보한 후에는 수목의 식재가 가능할 것으로 판단된다. 또한, 기존 하천 폭을 그대로 유지하면서 넓은 둔치를 활용하여 최소한으로나마 자연의 역학관계에 적합하게 갑천의 저수로를 사행화 시킬 수 있으며, 조밀한 수목을 식재할 경우에 줄어드는 통수 단면적은 둔치를 낮추어 습지화할 때 확보되는 통수 면적으로 보충할 수 있다. 둔치에 수목을 식재하여 자연에 가깝게 공원화하여도 홍수량은 안정적으로 소통된다는 것을 이론적으로 증명하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권16호
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• pp.7303-7307
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• 2015

Background: Leukemia is a common cancer among children and adolescents. Wilms' tumor gene (WT1) is highly expressed in patients with acute leukemia. It is found as a tumor associated antigen (TAA) in various types of hematopoietic malignancies and can be employed as a useful marker for targeted immunotherapy and monitoring of minimal residual disease (MRD). In this regard, WT1 is a transcription factor that promotes gene activation or repression depending on cellular and promoter context. The purpose of this study was assessment of WT1 gene expression in patients with acute leukemia, measurement of IL-12 and C3 levels in serum and evaluation of the relationship between them. Materials and Methods: We evaluated the expression of WT1 mRNA using real-time quantitative RT-PCR and serum levels of IL-12 and C3 using ELISA and nephelometry in peripheral blood of 12 newly diagnosed patients with acute leukemia and 12 controls. Results: The results of our study showed that the average wT1 gene expression in patients was 7.7 times higher than in healthy controls (P <0.05). In addition, IL-12 (P = 0.003) and C3 (P <0.0001) were significantly decreased in the test group compared to controls. Conclusions: WT1 expression levels are significantly higher in patients compared with control subjects whereas serum levels of interleukin-12 and C3 are significantly lower in patients. Wt1 expression levels in patients are inversely related with serum levels of IL-12 and C3.

• Archives of Plastic Surgery
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• 제41권6호
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• pp.638-646
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• 2014

Background The combination of polycaprolactone and hyaluronic acid creates an ideal environment for wound healing. Hyaluronic acid maintains a moist wound environment and accelerates the in-growth of granulation tissue. Polycaprolactone has excellent mechanical strength, limits inflammation and is biocompatible. This study evaluates the safety and efficacy of bio-conjugated polycaprolactone membranes (BPM) as a wound dressing. Methods 16 New Zealand white rabbits were sedated and local anaesthesia was administered. Two $3.0{\times}3.0cm$ full-thickness wounds were created on the dorsum of each rabbit, between the lowest rib and the pelvic bone. The wounds were dressed with either BPM (n=12) or Mepitel (n=12) (control), a polyamide-silicon wound dressing. These were evaluated macroscopically on the 7th, 14th, 21st, and 28th postoperative days for granulation, re-epithelialization, infection, and wound size, and histologically for epidermal and dermal regeneration. Results Both groups showed a comparable extent of granulation and re-epithelialization. No signs of infection were observed. There was no significant difference (P>0.05) in wound size between the two groups. BPM (n=6): $8.33cm^2$, $4.90cm^2$, $3.12cm^2$, $1.84cm^2$; Mepitel (n=6): $10.29cm^2$, $5.53cm^2$, $3.63cm^2$, $2.02cm^2$; at the 7th, 14th, 21st, and 28th postoperative days. The extents of epidermal and dermal regeneration were comparable between the two groups. Conclusions BPM is comparable to Mepitel as a safe and efficacious wound dressing.

• Journal of Chest Surgery
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• 제31권8호
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• pp.763-769
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• 1998

배경: 판막상부 대동맥협착증은 상행대동맥의 관상동맥 기시부 상부의 협착을 초래하는 드문 형태의 선천성 기형이다. 대상 및 방법: 본 서울대학교 어린이병원 흉부외과에서는 1986년 7월부터 1997년 3월까지 12예의 판막상부 대동맥협착증 환자들에게 수술적치료를 하였다. 평균나이는 10.2세였고 4세에서 17세까지 분포하였다.11명이 남자환자였고 Williams증후군의 임상양상을 보인 경우는 12예중 9예였다. 두가지형태의 판막상부 대동맥협착증을 경험하였고 10예가 모래시계형(hour glass type)이였고 2예가 미만형(diffuse type) 이었다. 결과: 모든 환자들은 수술 전에 심도자검사를 하였다. 술전 좌심실과 대동맥의 평균압력차이는 92 mmHg였고 40에서 180 mmHg까지 분포하였다. 폐동맥협착은 5예에서 관찰되었으며 그중 2예에서 폐동맥혈관성형 술을 시행하였다. 세 가지 종류의 수술적기법을 시행하였는바 타원형의 포편을 이용한 단순포편대동맥성형술이 6예였고 역Y모양의 포편을 이용한 확장형 대동맥성형술이 4예였고 변형 Brom 기법이 2예였다. 수술사망례는 없었고 수술후 심에코검사를 평균 12개월에 시행하였다. 1도와 2도의 대동맥판폐쇄부전이 3예에서 있었다. 술후 시행한 심도자검사상 좌심실과 대동맥 사이에 평균 26 mmHg (0∼75 mmHg)의 압력차이가 있었고 평균압력차이의 감소는 78 mmHg(30∼114 mmHg)였다. 모든 환자는 평균 40개월(1∼67개월)간의 추적관찰기간동안 특별한 문제없는 임상 경과를 보였다. 결론: 본 연구는 소아의 판막상부 대동맥협착증의 수술적 교정이 술후 낮은 사망률을 보장하면서 양호한 혈역학적 개선을 가져옴을 보여주었다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권6호
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• pp.2879-2882
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• 2014

Background: Breast cancer (BC) is the most common form of cancer in Iranian women, and it remains a major health problem. An increasing number of young women are being diagnosed with BC, and therefore, there is an increasing likelihood that more women will survive breast cancer for many years. Many opine that self-disclosure of BC diagnosis is important because talking about cancer helps people to make sense of their experiences; in fact, self-disclosure appears to play an important role in many health outcomes. However, this has not yet been studied in BC patients in Iran. Therefore, this study aimed to explore the status of self-disclosure of BC diagnosis by Iranian women to friends and colleagues. Materials and Methods: All BC records for 2001-2011 of employed women were studied at five hospitals in Mashhad. Data about the self-disclosure of BC diagnosis were gathered through telephone interviews, and the participants filled out a questionnaire about their status of self-disclosure of BC diagnosis to various groups of people. Results: The mean age of employed women at the time of diagnosis was $44.3{\pm}6.7$ years. Over 60% self-disclosed to work colleagues and over 90% to bosses/managers. Seventy per cent reported that they had support from their family and husband's family, while 95% reported that they had support from parents, siblings, children and friends. Conclusions: Most employed women self-disclosed freely to family, friends, colleagues and bosses/managers. Apparently, self-disclosure of breast cancer diagnosis may have negative effects at work. About half of patients reported that they had support from family, managers and colleagues; however, for nearly 28% of employed women, disclosure had less positive effects. In particular, it altered their perception of others, produced difficulties with work and family and diminished closeness with the people who were told. However, the stigma of BC is far less than it once was.

• 한국건설순환자원학회논문집
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• 제1권3호
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• pp.246-254
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• 2013

본 연구에서는 폐폴리올레핀 폼을 완충재로 이용한 어린이 놀이터 바닥의 안전성을 알아보기 위하여 한계하강높이, 보행적합성 및 장기피로예측, 미끄럼저항성에 대하여 시험하고 평가하였다. 시험체는 두께 30mm, 50mm, 70mm의 폐폴리올레핀 폼에 각각 탄성 포장재를 12mm, 15mm 두께로 포설한 6종류로 하였다. 한계하강높이 시험은 KS G 5758:2009에 의거하여 실시하였다. 보행적합성 및 장기피로예측 시험에는 바닥 경도 시험장치(O-Y HMA)를 이용하였으며, 미끄럼저항성 시험에는 휴대형 미끄럼 시험기(ONO PPSM)을 이용하였다. 시험결과, 폐폴리올레핀 폼과 탄성 포장재로 구성된 바닥은 충격저감성 관점에서 상당히 안전한 것으로 나타났다. 바닥의 경도는 남성에게는 보행감이나 피로 측면에서 우수한 성능을 발휘하지만, 여성에게는 구두(미들 힐)를 신고 보행하기에 적합하지 않고 오래 사용할 경우 쉽게 피로감을 느낄 수 있는 것으로 나타났다. 미끄럼저항성은 표면에 물기 등의 이물질이 있더라도 일상적인 동작에 대해서는 비교적 안전한 것으로 나타났다.

• Journal of Preventive Medicine and Public Health
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• 제34권2호
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• pp.131-140
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• 2001

Objectives : During March-May, 2000, a measles outbreak occurred at Youngduk, Korea. This county is divided into two areas with different historical and socioeconomic background. The outbreak occurred in one of these areas. We conducted a comparative epidemiologic study on the two areas in order to evaluate the factors related to the epidemic. Materials and Methods : We selected two groups, grades 3 and 5 in a primary schools in each area. We investigated outbreak-related factors using parent-questionnaires, the vaccination history from the student's health record and the records concerning the recent measles-outbreak from the local health center. Serologic test on measles-IgG and -IgM antibody was done. Results : The infection rate was 31.5% for the epidemic area and 3.7% for non-the epidemic area according to clinical or serological criteria (p<0.001). No difference was seen in the measles vaccination rate, residence at the time of vaccination or past measles infection history between the two areas. In the epidemic area, the attack rate for the 4-6 year-old MMR booster group(20.5%) was higher than the non-booster group(32.4%), but was not found significantly. Vaccine efficacy was 29.6% in the epidemic area and 87.0% in the non-epidemic area (p<0.001). The IgG level and positive rate were significantly different between the two areas (median 10727 IU/ml, 98.9% in epidemic area; median 346 IU/ml, 85.9% in the non-epidemic area, p<0.001). However, the IgG level and positive rate between the measles-cases and non-cases were not significantly different. Conclusions : This outbreak took place in mostly vaccinated children. These results suggest that a reduction of herd immunity for immunity failure after vaccination may be one of the feasible factors related to the outbreak pattern in the two areas. The results of the IgG level and positive rate suggest that re-establishment of a normal value for IgG level and of a qualitative method for IgG are needed.

• 대한핵의학회지
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• 제32권4호
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• pp.314-324
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• 1998

목적: 이 연구의 목적은 어린이 모야모야병 환자에서 휴식기/아세타졸아미드 부하 Tc-99m-HMPAO SPECT가 Encephalo-duro-arterio-synangiosis (EDAS) 수술 후의 호전여부를 평가할 수 있는지를 알아보고자 함이었다. 대상 및 방법: 어린이 모야모야병 18명에서 21개의 대뇌반구에 EDAS 수술을 하였다. 수술 전과 수술 후 3개월에 휴식기/아세타졸아미드 부하 Tc-99in-HMPAO SPECT를 시행하여 휴식기관류와 관류예비능을 평가하여 비교하였다. 결과: 대뇌반구 모두에서 휴식기관류 또는 관류예비능 감소가 관찰되었다. 84개 뇌엽과 294개 영역 중52%의 뇌엽과 50%의 영역에 관류이상이 나타났다. 수술 후 휴식기 관류 또는 관류예비능이 감소한 영역의 60%가 호전되었고 반구는 71%가 호전되었다. 수술 전 휴식기 관류 감소가 심하지 않았을 때 수술후 호전가능성이 높았다. 수술 전 휴식 부하기 관류의 차이가 있는 경우 즉 관류예비능이 감소하였을 때 수술 후 관류 호전 가능성이 높았다. 결론: 어린이 모야모야병에서 수술 전 휴식기/아세타졸아미드 Tc-99m-HMPAO SPECT로 수술 후 호전여부를 예측할 수 있다.

• 한국산업보건학회지
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• 제24권3호
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• pp.310-320
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• 2014

Backgrounds: Endotoxin, which found in the outer membrane of the gram-negative bacteria cell wall, makes up almost all of the lipopolysaccharide(LPS). When people are exposed to endotoxin,it can result in diverse health effects such as an airway irritation and inflammation, fever, malaise, bronchitis, allergic asthma, toxic pneumonitis, hypersensitivity lung disease. Cases among the elderly, children or pregnant can occur more frequently than a healthy adult if they are repeatedly exposed to the existing endotoxin. Therefore, we investigated and assessed the environmental characteristics associated with the airborne endotoxin concentration level in six hospital lobbies. Method: Endotoxin from indoor air in six hospital lobbies was measured by an area sampling method and analyzed according to American Society for Testing and Materials International(ASTM international) E2144-01. Total suspended particulate(TSP), carbon dioxide($CO_2$), temperature and humidity were also measured by using direct reading measurements or airborne sampling equipment at the same time. Environmental characteristics were appropriately divided into two or three groups for a statistics analysis. One-way analysis variable(one-way ANOVA) was used to examine a difference of the endotoxin concentration, depending on the environmental characteristics. In addition, only variables with p-value(p<0.25) were eventually designed to the best model by using multiple regression analysis. Results: The correlation analysis result indicated that TSP(p=0.003) and $CO_2$(p<0.0001) levels were significantly associated with endotoxin concentration levels. In contrast, temperature(p<0.068) and humidity(p<0.365) were not associated with endotoxin concentration. Levels of endotoxin concentration were statistically different among the environmental characteristics of Service time(p=0.01), Establishment of hospital(p<0.001), Scale of hospital(p=0.01), Day average people using hospital(p=0.03), Cleaning time of lobby(p=0.05), Season(p<0.001), and Cleaning of ventilation system(p<0.001) according to ANOVA. Finally, the best model(Adjusted R-square=72%) that we designed through a multiple regression test included environmental characteristics related to Service time, Area of lobby, Season, Cleaning of ventilation system, and Temperature. Conclusions: According to this study, our result showed a normal level of endotoxin concentration in the hospital lobbies and found environmental management methods to reduce the level of endotoxin concentration to a minimum. Consequently, this study recognized to be requirement for the management of ventilation systems and an indoor temperature in order to reduce the level of endotoxin concentration in the hospital lobbies.

• 공학교육연구
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• 제13권3호
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• pp.34-52
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• 2010

본 논문에서는 공과대학에서 성인지적 교수전략을 활용한 수업실태를 분석하였고, 성인지적 교수전략을 활용한 수업이 공과대학 학생의 수업 만족도와 자기주도성에 미치는 효과를 검증하였다. 성인지적 교수전략을 활용한 수업실태를 분석한 결과, 거의 모든 항목에서 실험집단의 평균이 통제집단의 평균보다 높은 편이었다. 성인지적 교수전략을 활용한 수업의 효과를 검증한 결과, 성 인지적 교수전략을 활용한 수업은 전체 실험집단 공대학생의 수업 만족도에 통계적으로 긍정적인 영향을 미치지않는 것으로 나타났지만, 실험집단 가운데 B1 실험집단의 수업 만족도에 통계적으로 긍정적인 영향을 미치는 것으로 나타났다. 한편, 성인지적 교수전략을 활용한 수업은 실험집단 공대학생의 자기주도성 하위요인인 학습전략적 측면과 실험집단 공대남학생의 자기주도성 총점에 긍정적인 영향을 미치는 것으로 나타났다. 특히, 실험집단인 B1집단 공대학생과 공대남학생의 자기주도성에 긍정적인 영향을 미쳤다.