• Clinical and Experimental Pediatrics
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• 제53권7호
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• pp.759-765
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• 2010

Purpose: This study evaluated the clinical manifestations of and risk factors for pituitary insufficiency in children and adolescents with Rathke's cleft cysts. Methods: Forty-four patients with Rathke's cleft cysts younger than 19 years who visited Seoul National University Children's Hospital between January 1995 and September 2009 were enrolled. Rathke's cleft cysts were confirmed histologically through an operation in 15 patients and by brain magnetic resonance imaging (MRI) in 29 patients. The clinical, hormonal, and imaging features were reviewed retrospectively. Results: The clinical presentation of symptomatic patients was as follows: headache (65%), endocrinopathy (61%), and visual disturbance (19%). Endocrinopathy included central precocious puberty (18%), diabetes insipidus (14%), general weakness (11%), and decreased growth velocity (7%). After surgery, hyperprolactinemia resolved in all patients, but growth hormone insufficiency, hypothyroidism, and diabetes insipidus did not improve. Pituitary insufficiency except gonadotropin abnormality correlated significantly with severe headache, visual disturbance, general weakness, and cystic size. Suprasellar extension of cysts and high signals in the T2-weighted image on brain MRI were related to hypothyroidism, hypocortisolism, and diabetes insipidus. Multivariable linear regression analysis showed that only general weakness was a risk factor for pituitary insufficiency ($R^2$=0.549). Conclusion: General weakness is a risk factor for pituitary insufficiency in patients with Rathke's cleft cysts. When a patient with a Rathke's cleft cyst complains of general weakness, the clinician should evaluate pituitary function and consider surgical treatment.

• 대한간호학회지
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• 제35권7호
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• pp.1353-1361
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• 2005

Purpose: This study was done to provide fundamental data for developing a depression prediction model by discovering main factors that affect depression in patients who do maintenance hemodialysis. Method: The subjects were 191 patients doing maintenance hemodialysis selected from outpatient dialysis clinics at 9 major general hospitals, The Instrument tools utilized in this study were adapted from depression, fatigue, sleep disturbance, stress, adaptation, symptoms, daily activities, and role limitation and thoroughly modified to verify reliability and validity. The collected data was analyzed with a SPSS-PC 11.0 Window Statistics Program for real numbers, percentage, average, standard deviation, and multiple regression. Results: The correlation factor for depression was (M=2.54) fatigue(M=3.12), sleep disturbance (M=2.82), stress(M=3.04), adaptation(M=2.53), daily activities(M=2.24), symptoms(M=2.37), and role limitation(M=2.24). The strongest factor that affected depression was explained by symptoms of the patients who performed hemodialysis. The analysis of the factors that affected depression revealed a $58.4\%$ prediction in symptoms, stress, role limitation, and adaptation. Conclusion: It has been confirmed that the regression equation model(Depression=7.351 + .266$^{\ast}$symptoms + .260$^{\ast}$stress -.l89$^{\ast}$adaptation + .057$^{\ast}$fatigue) of this research may serve as a prediction factor for depression in Hemodialysis Patients.

• 전기학회논문지P
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• 제57권3호
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• pp.225-230
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• 2008

Reactor starting method has the advantage of simplicity and closed transition in spite of lower starting torque per kVA. This method allows a smooth start with almost no observable disturbance on transition and is suitable for applications such as centrifugal pumps or fans. Reactive power doesn't contribute to work but needs to sustain the electromagnetic field required for the induction motor to operate. Starting power factor of induction motor is specially lower than running power factor. Power factor application is needed to compensate for the lower power factor of induction motor. This power factor compensation systems is occasionally being hit by the effects of the starting reactor connection position at the starting, stopping of high-voltage induction motor. This paper describes voltage and current stress affected by the installation position of power factor compensation application at the reactor starting method.

• 한국산업융합학회 논문집
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• 제23권5호
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• pp.773-787
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• 2020

In the injection molding process, the controlling stability of products quality is a very important factor in terms of productivity. Even when the optimum process conditions for the desired product quality are applied, uncontrollable external factors such as ambient temperature and humidity cause inevitable changes in the state of the melt resin, mold temperature. etc. Therefore, it is very difficult to maintain prodcut quality. In this study, a system that learns the correlation between process variables and product weight through artificial neural networks and predicts process conditions for the target weight was established. Then, when a disturbance occurs in the injection molding process and fluctuations in the weight of the product occur, the stability control of the product quality was performed by ANN predicting a new process condition for the change of weight. In order to artificially generate disturbance in the injection molding process, controllable factors were selected and changed among factors not learned in the ANN model. Initially, injection molding was performed with a polypropylene having a melt flow index of 10 g/10min, and then the resin was replaced with a polypropylene having a melt floiw index of 33 g/10min to apply disturbance. As a result, when the disturbance occurred, the deviation of the weight was -0.57 g, resulting in an error of -1.37%. Using the control method proposed in the study, through a total of 11 control processes, 41.57 g with an error of 0.00% in the range of 0.5% deviation of the target weight was measured, and the weight was stably maintained with 0.15±0.07% error afterwards.

• 성인간호학회지
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• 제25권2호
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• pp.183-193
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• 2013

Purpose: The purpose of this study was to identify the prevalence and risk factors of sleep disturbance among community dwelling adults in Korea. Methods: Data were collected from nine hundred fifty nine adults dwelling in a metropolitan city in Korea. Subjects were older than 45 years, did not take medication for sleep problems on a regular basis, and did not work at night. The Pittsburgh Sleep Quality Index was used to collect data about sleep disturbance. Sociodemographic, life style, and health related factors were included as risk factors. Chi square test and logistic stepwise regression were used to identify the risk factors. Results: The prevalence of sleep disturbance was 13.1%. The significant risk factors were being female, age, number of toilet use at night, perceived health, and pain. Risk factors were somewhat different by gender. Emotional and job status were the risk factors only for men and menopausal status were for women. Conclusion: Prevalence of sleep disturbance in community dwelling adults in Korea was not greater than those dwelling in other countries. Females, older adults, the number of toilet use at night, perceived health, and pain were the most important risk factors for sleep disturbances. Gender was a factor in reported sleep disturbances. It might be useful to investigate the factors that contribute to the number of toilet use at night as this might have some underlying factors that could be corrected.

• 대한한방소아과학회지
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• 제15권1호
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• pp.105-115
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• 2001

The relation of endocrine in the western medicine and zangfu-organ functions in Korean medicine, related to growth disturbance, was studied and derived the following results. 1. The hormone most related to growth disturbance is, directly secreted from the anterior pituitary or is stimulated and secreted in the target grands, growth hormone, thyroid, adrenocortical hormone, gonadial hormone and is insulin secreted from $\beta$ cell of langerhans' slands of pancreas. 2. the pituitary has the most close relation with the kidney in the five zang-organ. Because the kidney is innate origin(先天之本) and promotes qi and blood(生化氣血), stores the essence of life(藏精), dominates the bones(主骨) and promotes the marrow(生骨髓). Especially it is connected with brain(通於腦). 3. In the children growth, the endocrine action in the pituitary has the most close relation with the kidney, As in the reports of the brain and spinal cord, bone, store essence of life, sexual maturation and decline(kidney-qi, sexual functions of both sexes(天癸)) etc, and cause of cretinism, dwarf in the main subject. 4. Somatomedin is the most important factor of the growth factors, IGF in another word. The unification of IGF and secretion is controlled firstly according to growth hormone, however is very closely related to the nutrition status in the non-hormonic causes. Also, it is affected very much by the insulin. 5. Insulin is one of the important hormone related to the growth and is secreted from the pancreas. Pancreas belongs to the functional system of spleen in oriental medicine, thus the growth disturbance, occurred due to error in insulin secretion and nutrition(in another words, the lack of postnatal essential substance from food-stuff(水穀精氣)), is closely related to the spleen. 6. From the results driven above, the hormone action of endocrine and problem in secretion, related to the growth disturbance, must be focused on the differentiation of symptoms and signs of the kidney and the spleen in oriental medicine.

• 디지털융복합연구
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• 제20권2호
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• pp.553-561
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• 2022

본 연구는 노인복지센터 이용 노인의 불안, 수면장애, 자살사고의 관련성을 파악하고 자살사고에 미치는 영향요인을 규명하기 위함이다. 노인 206명을 대상으로 2020년 1월 6일부터 2월 7일까지 자료를 수집하였으며 SPSS/Win 25.0을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation coefficients, multiple regression analysis로 분석하였다. 불안, 수면장애, 자살사고는 정적 상관관계로 나타났다. 자살사고에 미치는 영향요인은 불안(β=.215, p=.001), 수면장애(β=.383, p<.001)였으며, 이들의 설명력은 27.3%이었다(F=26.653, p<.001). 따라서 자살사고를 예방하기 위해서는 질적인 수면 유지와 불안 수준을 낮추기 위한 중재 프로그램 개발이 필요할 것이다.

• 동서간호학연구지
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• 제9권1호
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• pp.35-45
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• 2004

This study as a cross survey study was conducted to provide basic data for more practical approach to nursing the aged, by analyzing the relationship of the loneliness, self-esteem and quality of life on the hearing disturbance aged. This study was based on the survey data from the 90 aged, who are over sity years old and resident in Seoul. In order to measure the general characteristics and subjective audition, Cantril's Ladder Scale Tool was used. For the loneliness, UCLA Loneliness Scale Tool (translated into Korean to suit the Korean environment by Kim's). In order to measure the self-esteem, Rosenberg's Self-esteem Measurement Tool (translated into Korean by Chun) was used. No's Quality of Life Measurement Tool was used to the measure the quality of life. The Data were collected by direct interviewing on the subjects for this study from August 10, 1999 to September 15, 1999. In accordance with each purpose of this study, appropriate analyzing methods such as Descriptive Statistics, T-test, and ANOVA were used in analyzing the collected data. Pearson correlation coefficient was used to test the relationship of the loneliness, self-esteem and quality of life on the hearing disturbance aged. The result of this study is as follows: 1) The average of the degrees of subjective audition was 7.22, The factors that cause the result were sex, religion, the perception of health, the married state. 2) The average of the degrees of loneliness was 55.18, The factor that cause the result was the perception of health. 3) The average of the degrees of self-esteem was 28.42, The factors that cause the result were the number of family, the number of children, the perception of health. 4) The average of the degrees of quality of life was 71.87 the factors that cause the result were age, education, the number of children, the perception of health. 5) Correlation of Loneliness, self-esteem and quality of life is the perception of loneliness showed significant negative correlation with self-esteem (r=-.466, p=.0001) and quality of life (r=-.450, p=.0001). As a result of analysis above: Because of the recognition change of the aged, it seems to them that the subjective audition scale on the hearing disturbance aged is measured by only 10-point ladder scale is inappropriate. Therefore, it is necessary that the physiologic-index can confirm more exactly should be applied to them. It is very important that the social-psychological factor that has influence on the aged should be the self-perception of health. Thus, proper development of nursing intervention should be required to process in the self-perception of health on the aged.

• 한국환경복원기술학회지
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• 제16권1호
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• pp.207-225
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• 2013

Current ecological stream restoration is focusing on recovery of physical characteristic and ecological functions of individual stream. For effective stream restoration, the relationship between stream environment and riparian flora should be investigated. The purpose of this study is to analyze the relationship between disturbance of hydromorphological structures and naturalized plants ratio in small to mid-sized streams. For the study sites, Gwanpyeong stream, Dongdal stream, and Yongchoo streams were chosen as 'reference stream' while, Gunnam stream, Anchang stream, and Hwa stream were chosen as 'damaged stream'. The hydromorphological structures of streams were evaluated with LAWA and flora of the streams were completely enumerated to calculate naturalized plants ratio. The result showed that there was a significant correlation between the outcome of LAWA and naturalized plants ratio(r=0.675, p<0.01). The result of factor analysis of LAWA identified three factors, 'River front and land use', 'River bed materials and structures', and 'Crossing structure and bar'. Among the factors of hydromorphological structures given by the result of factor analysis, 'river front and land use' and 'bed materials and structures' have statistically significant relationship with naturalized plants ratio($R^2$=0.470, p<0.01). Given this results, quantitative analysis on the relationship between disturbance of hydromorphological structures of streams and naturalized plants ratio could provide some essential information for stream restoration. Also, as this study figured out major factors of hydromorphological structures that affect naturalized plants ratio, it might help monitor ecological states and current problems of small and mid-sized streams.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2008년도 제39회 하계학술대회
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• pp.619-620
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• 2008

Reactor starting method has the advantage of simplicity and closed transition in spite of lower starting torque per kVA. This method allows a smooth start with almost no observable disturbance on transition and is suitable for applications such as centrifugal pumps or fans. Starting power factor is specially low. Power factor application is needed to compensate for the lower power factor of induction motor. This power factor compensation systems is being hit by the effects of the starting reactor connection position. This paper describes voltage and current stress affected by the installation position of power factor compensation application at the reactor starting method.