• 한국산학기술학회논문지
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• 제14권6호
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• pp.2889-2897
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• 2013

본 연구는 치과기공사의 개인역량과 조직몰입 정도를 분석하고 그 상관관계를 알아보기 위해 서울시, 경기도, 충남지역의 치과기공사 200명을 선정하고 자기 기입식 설문지를 이용하여 2012년 4월 28일부터 5월 25일까지 조사를 실시하였다. 연구도구는 신뢰성과 타당성이 입증된 설문지를 사용하였으며, 대상자의 일반적 특성, 개인역량, 조직몰입도 등 총 46문항으로 작성하였다. 수집된 자료의 분석은 SPSS ver 18.0 프로그램을 이용하였으며, 분석기법으로는 빈도와 백분율, T-test, F-test 등의 통계기법을 사용하여 분석하였다. 수집된 자료의 분석결과 연구대상자의 개인역량은 연령, 결혼상태, 근무지, 경력, 담당직위, 최종학력 항목에서 유의한 차이가 있었다(p<0.05). 개인역량 평균은 3.68로 높게 나타났다. 연구대상자의 조직몰입 정도를 분석한 결과 성별, 연령, 결혼상태, 근무지, 경력, 담당직위, 최종학력 항목에서 유의한 차이가 있었으며(p<0.05), 조직몰입도의 평균은 3.46으로 높게 나타났다. 개인역량과 조직몰입도의 상관관계는 높은 정(+)상관관계를 보였고, 대부분의 변수가 상관관계가 있는 것으로 나타났다. 이상의 결과를 종합할 때, 치과기공사의 개인역량은 직무성과인 조직몰입과 관련이 있는 것을 알 수 있었다.

• 대한공간정보학회지
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• 제17권2호
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• pp.19-26
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• 2009

국토지반정보 DB구축을 위한 국토해양부의 사업은 2007년도의 경우 건설현장에서 자동으로 지반조사성과가 전산화되도록 하는 '지반조사성과전산화및활용에관한지침' 제정 및 시범적용사업이 추진되었으며, 2008년도부터 안정화된 법제도를 기반으로 국토해양부 전 소속기관, 산하기관, 지자체를 대상으로한 본격적인 사업을 추진하였다. 따라서, 본사업으로 추진된 2008년도 사업에서는 국토지반정보 DB구축과 함께 DB활용을 위하여 지반정보시스템을 활용한 이용자 및 지반정보 유통자료를 다운로드하여 직접 활용한 사용자를 대상으로 지반정보 활용도 분석 및 활용향상을 위한 방안을 수립하였다. 본 논문에서는 국토지반정보 DB활용사례조사를 통한 활용도 분석내용과 향후 활용방안에 대한 연구결과를 제시하였다. 활용도 분석결과, 분야별 분석에서는 공사계획 및 예비조사분야에서의 활용도가 39%로 가장 높았으며, 활용성효과별 분석에서는 업무 효율성 증대가 25%로 가장 높게 나왔다. 그리고, 활용분야별 분석에서는 건축 및 토목분야가 95%로 지반정보 활용도가 가장 높았다.

• 대한임상검사과학회지
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• 제36권2호
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• pp.163-172
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• 2004

Mast cells (MCs) have been implicated in the pathogenesis of tissue fibrosis. However, the role of MC in the development of liver fibrosis has not been fully elucidated. Stem cell factor (SCF) is known to recruit MCs to the liver following injury as it induces mast cell proliferation, survival and differentiation from resident tissue precursors. This study examines the interaction between activated hepatic stellate cells (HSCs) and MCs in rat fibrotic liver, and SCF production by HSCs during culture in vitro. Rats were studied 4, 7, 14 and 21 days after bile duct ligation (BDL). Fibrogenesis was assessed by a measurement of collagen stained with sirius red F3B. Activated HSCs and MCs were identified by ${\alpha}$-smooth muscle actin (${\alpha}-SMA$) immunohistochemical and alcian blue staining and measured by a computerized image analysis system. SCF production was determined in rat HSC cultures using Western blotting. Mild fibrotic changes were noted in BDL rat livers as early as 4 days after induction of cholestasis. Significant expansion and organization of fibrous tissue has occurred in day 14 BDL rats which progressed to bridging fibrosis by day 21. In BDL rats, both a large number of activated HSCs and MCs were detected in portal tracts and fibrous septa. Both area of activated HSCs infiltration and density of MCs were significantly higher in all BDL group compared with Shams. In BDL rats, both areas of activated HSCs infiltration and density of MCs were no significant difference between day 4 and 7 and were significantly higher in day 14. However, the areas of activated HSCs infiltration were significantly lesser in day 21 and the densities of MCs were significantly higher in day 21 compared with day14 BDL. In BDL rats, both areas of activated HSCs infiltration and density of MCs were highly correlated with areas of fibrosis. Western blotting showed that SCF protein was consistently produced in activated HSCs by culture on plastic and freshly isolated HSCs expressed relatively little 30kD SCF compared to late primary culture activated HSCs (day 14) and passaged HSCs. These results suggest that HSCs activated in vitro produce SCF, and may play an important role in recruiting mast cells to the liver during injury and fibrosis.

• Clinics in Shoulder and Elbow
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• 제17권1호
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• pp.25-30
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• 2014

Background: Normal elbow joint kinematics has been widely studied in cadaver, whilst in vivo study, especially of the forearm, is rare. Our study analyses, in vivo, the kinematics of normal forearm and of malunited forearm using a three-dimensional computerized simulation system. Methods: We examined 8 patients with malunited Monteggia fracture and 4 controls with normal elbow joint. The ulna and radius were reconstructed from CT data placing the forearm in three different positions; full pronation, neutral, and full supination using computer bone models. We analyzed the axis of rotation 3-dimentionally based on the axes during forearm rotation from full pronation to full supination. Results: Axis of rotation of normal forearm was pitch line, with a mean range of 2 mm, from full pronation to full supination, connecting the radial head center proximally and ulnar fovea distally. In normal forearm, the mean range was 1.32 mm at the proximal radioulnar joint and 1.51 mm at the distal radioulnar joint. However in Monteggia fracture patients, this range changed to 7.65 mm at proximal and 4.99 mm at distal radoulnar joint. Conclusions: During forearm rotation, the axis of rotation was constant in normal elbow joint but unstable in malunited Monteggia fracture patients as seen with radial head instability. Therefore, consideration should be given not only to correcting deformity but also to restoring AOR by 3D kinematics analysis before surgical treatment of such fractures.

• 대한임상검사과학회지
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• 제41권3호
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• pp.111-122
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• 2009

Cadmium (Cd) is known to exert gonadotoxic and spermiotoxic effects. The present study was performed to investigate the morphological effects and metallothionein (MT) expression by zinc pretreatment in the course of time of cadmium-induced testicular injury in rat. Fifty male Spraque-Dawley rats weighing 160~180 g were divided into two groups : saline-pretreated cadmium group and zinc-pretreated cadmium group. Rats of two groups received subcutaneous injection of saline and 100 mg/kg $ZnSO_4$ at 0, 2, 5 and 8 hrs intervals respectively. Cadmium chloride (4.5 mg/kg $CdCl_2$) was administrated intraperitoneally at 2 hrs after zinc injection and rats were killed 0, 12, 24, 48 and 72 hrs later. Testicular tissue damages, interstitial (Leydig) cells status and MT expression were determined using hematoxylin-eosin stained sections and a computerized image analysis system on sections immunostained with a mouse anti-metallothionein respectively. Zinc pretreatment was significantly reduced testicular damages in five pathological categories after cadmium administation. The number of surviving interstitial cells was significantly higher in the zinc-pretreated group than in the saline-preatreated group at 48 and 72 hrs after cadmium administration. Non-damaged testis showed the positivity of MT staining in spermatogenic cells, Sertoli cells and endothelium of blood vessel, but not in the Leydig cells. The positivity of MT staining in saline-pretreated group was significantly reduced at 24 hrs after cadmium administration, whereas zinc-pretreated group showed strong MT positive staining similar to the 0 hr by 42 hrs after cadmium administration. In damaged testis, MT positive staining was also observed in the Leydig cells of both groups. These results suggest that a major preventive effect of zinc against cadmium-induced testicular toxicity may be due to its ability to reduce the cytotoxicity of cadmium in spermatogenic cells and Leydig cells by inhibiting the susceptibility of the testis to cadmium but not MT production by cadmium.

• Journal of Oral Medicine and Pain
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• 제33권4호
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• pp.353-374
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• 2008

비록 신경병성 동통이 환자에게 주는 심리적 부담에 대하여 잘 알고 있지만 동통의 역학조사에 대해서는 아직 잘 알려져 있지 않다. 신경병성 동통의 정확한 발병률도 잘 알려져 있지 않은 데, 이는 여러가지 새로운 의료기기가 개발되었지만 정확한 진단을 하지 못하고 있으며, 적절한 치료를 제대로 하지 못하기 때문이다. 본 연구의 목적은 한국내 모든 종류의 병원에서 치료한 몇 가지 특정 신경병성 동통에 대하여 역학조사를 시행하는 것이다. 2003년 1월부터 2005년 12월까지 건강보험심사평가원(심평원)의 전산에 입력된 환자들을 대상으로 조사한 신경병성 동통 환자와 치료 받은 과 및 치료기간 등에 대하여 조사하였다. 신경병성 동통 환자의 수와 유병률을 살펴보면 삼차신경통 77,053명(27.6%), 비정형적 안면통 12,382명(4.4%), 설인후 신경통 1,319명(0.5%), 포진후 신경통 84,598명(30.3명), 당뇨병성 신경통 85,989명(30.8%), 비정형적 치통 16,001명(5.7%), 설통 2,133명(0.8%) 이며, 시간이 경과함에 따라 포진후 신경통과 당뇨병성 신경통은 증가하는 경향을 보이나, 그 외 신경통은 대부분 증가가 둔화되는 양상을 보였다. 대부분의 환자들은 57.6-72.8% 에 이르도록 1차 의료기관인 개인의원에서 치료받았으나 비정형적 치통의 경우에만 10.3% 정도로 1차 의료기관에서 진료받는 비율이 낮았다. 치과의원에 내원하는 환자의 비율은 삼차신경통 3.2%, 비정형적 치통 35.4%, 설통 15.4%이며 그 외 나머지 신경병성 동통은 대부분 의원에서 치료받았다.

• The Journal of Korean Physical Therapy
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• 제11권3호
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• pp.81-87
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• 1999

전기자극이 흰쥐 피부의 비만세포 수 및 탈과림에 미치는 영향을 규명할 목적으로 본 실험을 시행하였다. Sprague-Dawley계 수컷 흰쥐 12마리를 6마리씩 무작위로 전기자극군과 대조군에 배치하고 전기자극군 흰쥐의 등에 양극전극을 부착한 후 맥동빈도 100pps, 맥동기간 $140{\mu}s$, 전류량 $500{\mu}A$로 60분간 전기작극하였으며 대조근은 전극만 부착하고 전류를 통전시키지 않았다. 전자자극 후 등의 피부를 적출하여 포르말린에 고정한 후 파리핀 포매 절편을 제작하여 toluidine blue 및 alcian blue 염색을 하였다. 이 표본을 고배율 현미경하에서 관찰하여 현미경에 부착된 CCD 카메라를 통해 개인용 컴퓨터로 보낸 다음 영상분석 프로그램을 이용하여 비만세포 수, 탈과립 비만세포 수, 비만세포의 아종 수, 부위별 비반세포를 계측한 후 비만세포의 밀도, 탈과립 비만세포 비율, 비만세포 종류의 비율, 분포 비율을 산출하여 분석하였다. 실험 결과 전기자극군의 비만세포 밀도 및 탈과립 비만세포 비율이 대조군보다 통계학적으로 유의하게 높게 나타났으며, 결합조직 비만세포의 비율이 유의하게 낮았다. 또한 비만세포는 표피에는 존재하지 않고 진피에 분포하며 진피 심부에 유의하게 많이 분포하고 있었다. 이러한 결과는 흰쥐 피부의 양극 전기자극이 비만세포의 수를 증가시키고 비만세포의 탈과립을 유발시키고 있음을 시사하고 있다. 향후 비만세포와 관련이 있는 피부질환 및 손상을 대상으로 한 연구가 기대된다.

• The Journal of Korean Physical Therapy
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• 제12권1호
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• pp.1-7
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• 2000

전기자극이 흰쥐 창상 표피세포의 핵소체형성부위에 미치는 영향을 규명할 목적으로 Sprague-Dawley계 수컷 흰쥐 24마리의 등애 15mm의 절개창을 만들고 봉합한 후 각각 4일 7일 대조군 및 전기자극에 각각 6마리씩 무작위로 배치하고 전기자극군 흰쥐의 에 전극을 부착한 후 맥동빈도 0.5pps, 전류량 $500{\mu}A$로 60분간 전기자극하였으며 대조군은 전극만 부착하고 전류를 통전시키지 않았다. 전자자극 후 등의 피부를 적출하여 포르말린에 고정한 후 파라핀 포매 절편을 제작하여 silver colliod염색을 하였다. 이 표본을 400배율 현미경하에서 관찰하여 핵당 AgNOR으 수를 계측한 후 핵당 AgNOR의 분포와 핵당 평균 AgNOR수를 산출하여 통계분석한 결과 창상유발 4일과 7일째의 전기자극군의 평균 AgNOR수가 대조군보다 통계학적으로 유의하게 높게 나타났다. 이러한 결과는 전기자극이 흰쥐 피부 창상연 표피세포에서 AgNOR 발현을 증가시켰음을 확인할 수 있었으며 이는 미세맥동전류자극이 창상연의 표피세포를 증식시키고 있음을 시사하고 있다.

• Imaging Science in Dentistry
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• 제35권2호
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• pp.91-96
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• 2005

Purpose : To investigate the change of bone healing process after endodontic treatment of the tooth with an apical lesion by fractal analysis. Materials and Methods Radiographic images of 35 teeth from 33 patients taken on first diagnosis, 6 months, and 1 year after endodontic treatment were selected. Radiographic images were taken by JUPITER Computerized Dental X-ray $System^{(R)}$. Fractal dimensions were calculated three times at each area by Scion Image $PC^{(R)}$ program. Rectangular region of interest $(30\times30)$ were selected at apical lesion and normal apex of each image. Results : The fractal dimension at apical lesion of first diagnosis $(L_0)$ is $0.940{\pm}0.361$ and that of normal area $(N_0)$ is $1.186{\pm}0.727(p<0.05)$. Fractal dimension at apical lesion of 6 months after endodontic treatment $(L_1)$ is $1.076{\pm}0.069$ and that of normal area $ (N_1)$ is $1.192{\pm}0.055(p<0.05)$. Fractal dimension at apical lesion of 1 year after endodontic treatment $(L_2)$ is $1.163{\pm}0.074$ and that of normal area $(N_2)$ is $1.225{\pm}0.079(p<0.05)$. After endodontic treatment, the fractal dimensions at each apical lesions depending on time showed statistically significant difference. And there are statistically significant different between normal area and apical lesion on first diagnosis, 6 months after, 1 year after. But the differences were grow smaller as time flows. Conclusion : The evaluation of the prognosis after the endodontic treatment of the apical lesion was estimated by bone regeneration in apical region. Fractal analysis was attempted to overcome the limit of subjective reading, and as a result the change of the bone during the healing process was able to be detected objectively and quantitatively.

• 대한영양사협회학술지
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• 제20권3호
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• pp.183-198
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• 2014

The purpose of this study was to investigate the status of clinical nutrition services provided at tertiary hospitals and general hospitals in Korea. In total, 157 questionnaires were distributed to the departments of nutrition at hospitals on September 2013. The results of this study are as follows. The median number of beds was 607 and average length of stay was 8 days. 63.1% of dietitians had over 5 years of career experience. Nutritional screening rate was 97% in tertiary hospitals but only 67.2% in general hospitals (P<0.001). The rate of equipment with computerized nutritional screening system was 100% in tertiary hospitals but 71.9% in general hospitals (P<0.001). Hospitals with the best regarding nutritional care were hospitals accredited by JCI (Joint Commission International). On the other hand, hospitals not accredited by the JCI but KOIHA (Korea Institute for Healthcare Accreditation) showed the lowest performance rate of nutritional care. Nutrition support teams (NSTs) were established in all tertiary hospitals but in only 73% of general hospitals (P<0.001). The rate of actively operating NSTs was 89% in tertiary hospitals but only 62% in general hospitals (P<0.001). There is a need to provide proper standardized clinical nutrition services as a primary treatment and we observed large variations in the quality of nutritional service between hospitals. Therefore, local solutions are needed to implement nutritional programs and policies for improved service and care.