• Journal of Oral Medicine and Pain
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• 제45권2호
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• pp.23-28
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• 2020

Purpose: Temporomadibular disorders (TMDs) can result in chronic pain, which is often associated with psychological and sleep disturbance. Increased levels of psychological and sleep impairments are often related with poor treatment outcomes. The purpose of the present study was to evaluate clinical features, psychological profiles and the prevalence of clinical insomnia in TMD patients with chronic pain and to suggest an effective treatment approach. Methods: A total of 200 TMD patients who had visited the Pusan National University Hospital dental clinic for treatment of their pain were recruited from June 2018 through December 2019. TMD patients were classified into an acute (n=100) and chronic (n=100) group and compared the clinical symptoms. The primary diagnosis of TMD were categorized as TMD with joint pain group (TMD_J), TMD with muscle pain group (TMD_M) and TMD with joint-muscle mixed pain group (TMD_JM). Self- report measures of sleep quality and psychological profiles were evaluated via the Insomnia Severity Index (ISI) and the Korean Stress Response Inventory (SRI). Independent t-tests, Mann-Whitney U-tests, and chisquared test were used for the statistical analysis. Results: Chronic TMD patients showed higher pain intensity, as well as higher prevalence of related symptoms (headache, musculoskeletal pain) and myogenous pain. They also had significantly higher scores in all SRI parameters and a higher percentage of clinical insomnia than acute TMD patients. Conclusions: Based on the above results, psychological profiles and sleep quality assessments are necessary to provide essential data that will allow for improved treatment of chronic TMD patients.

• 한국응용곤충학회지
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• 제54권4호
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• pp.327-333
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• 2015

산불 후에 일어나는 개미군집의 변화양상을 파악하기 위해 산불이 난 산림에서 자연적으로 식생복원이 이루어진 곳, 인위적으로 조림한 곳, 산불이 나지 않은 곳의 3개 조사지에서 2005년부터 8년간 함정트랩으로 개미를 조사하였다. 모두 24종이 채집되었고 스미스개미(Nylanderia flavipes)가 가장 풍부하였다. 산림을 선호하는 개미종(예, 일본장다리개미, 민냄새개미, 노랑잘록개미)들은 산불이 나지 않은 조사지와 자연적으로 식생이 복원되는 조사지에서 많이 발생한 반면, 개활지를 선호하는 종(예, 곰개미, 일본왕개미, 주름개미)들은 인위적으로 조림된 곳에서 많이 나타났다. 다변량분석 결과는 인위적으로 조림된 곳이 자연적으로 식생이 복원된 곳 보다 개미군집이 산불 후에 더 많이 달라지는 것을 보여준다. 자연 복원된 조사지에서는 개미군집이 산불이 난 5-6년후에 산불 이전으로 회복되는 데 비해, 인공복원된 조사지에서는 회복에 약 25년이 소요될 것으로 추정되었다.

• 한국습지학회지
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• 제11권2호
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• pp.17-28
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• 2009

광주광역시 도심 영산강 수계의 관속식물은 91과 265속 386종 49변종 및 2품종으로 총 437분류군이 확인되었다. 수생식물 중 정수식물은 16분류군, 부엽식물은 10분류군, 침수식물은 10분류군, 부유식물은 3분류군 그리고 습생식물은 14분류군으로 총 53분류군이었다. 희귀 및 멸종위기종은 자라풀, 가시연꽃, 낙지다리, 왕벚나무, 좀어리연꽃 등 5분류군이었다. 특정식물종 I급종은 10분류군, II급종 2분류군, III급종 2분류군, IV급종 3분류군 그리고 V급종 5분류군이 확인되었다. 귀화식물은 15과 44속 59종 3변종으로 총 62분류군이 확인되었고 귀화율은 14.19%였다. 환경부 생태계 교란종은 돼지풀, 물참새피 및 도깨비가지 등이었다.

• Archives of Plastic Surgery
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• 제47권1호
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• pp.3-8
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• 2020

Genital lymphedema (GL) is an uncommon and disabling disease that manifests as enlargement of the genital region resulting from the disturbance of lymphatic drainage. Although conservative treatment such as decompression is typically the first-line approach, surgical intervention has been shown to be effective in certain cases. This study aimed to systematically review studies evaluating available surgical alternatives for the treatment of male GL. A systematic search strategy using keyword and subject headings was applied to PubMed, Scopus, EMBASE, and Cochrane Library in May 2019. Studies investigating various surgical techniques to treat penile and scrotal lymphedema were included. The potential risk of bias of included trials was evaluated using the methodological index for non-randomized studies (MINORS). In total, 13 studies met the inclusion criteria, nine of which were determined to be high-quality. The average MINORS score was 12.45 for studies involving excision and 14 for studies involving lymphovenous anastomosis (LVA). The most common reason for a low score was a failure to describe the inclusion criteria. Recurrence of lymphedema during follow-up was reported in four studies involving excision and in no studies involving LVA. In general, the quality of the included literature was considered to be fair. Although surgical intervention might not always prevent the recurrence of lymphedema, all of the studies reported improved quality of life after the procedure. This study could be used as the basis for evidence-based guidelines to be applied in clinical practice for managing male GL.

• Asian Spine Journal
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• 제12권6호
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• pp.1100-1105
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• 2018

Study Design: Prospective observational study. Purpose: To determine the incidence of postoperative urinary retention (POUR) in patients undergoing elective posterior lumbar spine surgery and identify the risk factors associated with the development of POUR. Overview of Literature: POUR following surgery can lead to detrusor dysfunction, urinary tract infections, prolonged hospital stay, and a higher treatment cost; however, the risk factors for POUR in spine surgery remain unclear. Methods: A prospective, consecutive analysis was conducted on patients undergoing elective posterior lumbar surgery in the form of lumbar discectomy, lumbar decompression, and single-level lumbar fusions during a 6-month period. Patients with spine trauma, preoperative neurological deficit, previous urinary disturbance/symptoms, multiple-level fusion, and preoperative catheterization were excluded from the study. Potential patient- and surgery-dependent risk factors for the development of POUR were assessed. Univariate analysis and a multiple logistical regression analysis were performed. Results: A total of 687 patients underwent posterior lumbar spine surgery during the study period; among these, 370 patients were included in the final analysis. Sixty-one patients developed POUR, with an incidence of 16.48%. Significant risk factors for POUR were older age, higher body mass index (BMI), surgery duration, intraoperative fluid administration, lumbar fusion versus discectomy/decompression, and higher postoperative pain scores (p<0.05 for all). Sex, diabetes, and the type of inhalational agent used during anesthesia were not significantly associated with POUR. Multiple logistical regression analysis, including age, BMI, surgery duration, intraoperative fluid administration, fusion surgery, and postoperative pain scores demonstrated a predictive value of 92% for the study population and 97% for the POUR group. Conclusions: POUR was associated with older age, higher BMI, longer surgery duration, a larger volume of intraoperative fluid administration, and higher postoperative pain scores. The contribution of postoperative pain scores in the multiple regression analysis was a significant predictor of POUR.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제30권1호
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• pp.42-44
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• 2019

Hashimoto's encephalopathy (HE) is a rare and underdiagnosed neuropsychiatric illness. We present the case of a 17-year-old girl who was admitted to a tertiary-care psychiatric center with acute onset psychosis and fever. Her psychotic symptoms were characterized by persecutory and referential delusions, as well as tactile and visual hallucinations. Her acute behavioral disturbance warranted admission and treatment in a psychiatric setting (risperidone tablets, 3 mg/day). She had experienced an episode of fever with a unilateral visual acuity defect approximately 3 years before admission, which was resolved with treatment. Focused clinical examination revealed an enlarged thyroid, and baseline blood investigations, including thyroid function test results were normal. Abnormal laboratory investigations revealed elevated anti-thyroid peroxidase (anti-TPO) and anti-thyroglobulin (anti-TG) levels (anti-TPO of 480 IU/mL; anti-TG of 287 IU/mL). Results of other investigations for infection, including cerebrospinal fluid examination, electroencephalography, and brain magnetic resonance imaging were normal. She was diagnosed with HE and was treated with intravenous corticosteroids (methylprednisolone up to 1 g/day; tapered and discontinued after a month). The patient achieved complete remission of psychotic symptoms and normalization of the anti-thyroid antibody titers. Currently, at the seventh month of follow-up, the patient is doing well. This case highlights the fact that in the absence of well-defined clinical diagnostic criteria, a high index of suspicion is required for early diagnosis of HE. Psychiatrists need to explore for organic etiologies when dealing with acute psychiatric symptoms in a younger age group.

• ALGAE
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• 제34권2호
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• pp.141-151
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• 2019

The 1982-83, 1986-87, 1991-92, and 1997-98 El $Ni{\tilde{n}}o$-Southern Oscillations (ENSOs) were compared with regards to their strength and timing in the tropical Pacific Ocean, changes in ocean temperature and wave intensity, and their impacts to giant kelp populations in the Northeast Pacific. The Multivariate ENSO Index, oceanographic data, and kelp abundance data all show that the 1982-83 and 1997-98 ENSOs were stronger and resulted in greater losses of giant kelp than the 1986-87 and 1991-92 ENSOs, but that the 1982-83 and 1997-98 ENSOs differed with regard to the arrival of destructive waves relative to when the ocean waters warmed and cooled. The 1982-83 ENSO was more destructive to the giant kelp populations in central California, USA than the 1997-98 ENSO, but the 1997-98 ENSO was more destructive to the giant kelp in southern California. These events appeared similarly destructive to the populations in Baja California, Mexico. Recovery of the kelp populations also varied among the two strong ENSOs due to the ocean conditions following each ENSO. In southern and Baja California, recovery was slow following the 1982-83 ENSO, while recovery was more rapid following the 1997-98 ENSO. Unfortunately, the monitoring programs used to evaluate the kelp populations stopped shortly after the 1997-98 ENSO, resulting in a lack of data for comparisons with the more recent weak ENSOs that occurred between 2002 and 2010, or with the strong ENSO that occurred in 2014-2016. This supports the need for continued long-term monitoring programs to better understand how climate anomalies impact coastal ecosystems.

• 산업융합연구
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• 제16권2호
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• pp.33-39
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• 2018

본 논문은 선형 PID 제어기의 설계 방법에 대해서 설명하였고, 향후 설계 방법에 대해서 제안 하였다. 첫 번째 PID 설계 방법으로는 위상여유와 이득여유를 보장하는 방법이다. 이 방법은 주파수 영역에서 설계하는 것으로 안정도를 보장한다. 두 번째 방법은 내부 모델 제어 방법이다. 이 방법은 제어 모델에 대한 내부 모델을 동정 후 내부 모델의 파라미터를 이용하여 PID 제어기를 설계하는 것이다. 따라서 이 방법은 외란에 강한 특성을 갖고 있다. 마지막으로 제안하는 것은 Cascade-smith-Predictor 제어기 이다. 이방 법의 Cascade 제어기와 smith-Predictor의 구조를 결합한 것으로 강인제어와 최적제어 두 가지 장점을 갖는 제어기 구조이다. 이 방법은 최적 제어기 설계 방법으로 성능 평가지수를 얻을 수 있을 것이다. 이와 같은 PID 제어기 설계 방법은 비선형 방법의 기초가 되며, 지속적인 연구가 수행되고 있다.

• 병원약사회지
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• 제35권4호
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• pp.430-440
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• 2018

Background : Hyponatremia is the most common electrolyte disturbance in hospitalized patients and has been associated with increased morbidity and mortality. Tolvaptan, a vasopressin receptor antagonist, is increasingly used for the treatment of euvolemic and hypervolemic hyponatremia. The aim of this study was to evaluate the effectiveness and safety of tolvaptan for the management of hyponatremia. Methods : This study was a retrospective evaluation of 106 patients who received at least one dose of tolvaptan for hyponatremia at a single tertiary academic hospital between January 2014 and June 2015. The primary endpoint was the change in serum sodium concentration after tolvaptan administration within 24 hours, with secondary endpoints of overcorrection and adverse effects. Results : The mean initial dose of tolvaptan was $20.2{\pm}7.2mg$ and the median duration of treatment was 15 days (range, 1-261 days). The maximal changes in sodium levels at 24 and 48 hours were $8.2{\pm}4.7mmol/L$ and $10.5{\pm}15.3mmol/L$, respectively. Of 99 patients in whom sodium concentrations were followed up, sodium overcorrection was observed in 26 (26.3%) patients, which was associated with concomitant use of an enzyme inhibitor (odds ratio [OR] = 4.80, 95% Cl: 1.27-18.15). However, sex, body mass index (BMI), serum albumin, a daily dose of tolvaptan, and concomitant use of hypertonic saline did not show any significant difference in overcorrection. The most commonly reported adverse effects were mild and related to aquaresis, such as polyuria, thirst, and constipation. However, severe adverse effects such as hyperkalemia, hypotension, and one death related to osmotic demyelination were also reported. Conclusions : Tolvaptan is effective for treating hyponatremia. Nevertheless, the drug should be used cautiously due to serious adverse effects related to sodium overcorrection.

• Journal of Nutrition and Health
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• 제54권5호
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• pp.474-488
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• 2021

Purpose: Malnutrition in children with cerebral palsy (CP) is a significant factor affecting their adequate growth and development. This study aimed at conducting surveys and evaluating the dietary intake of children with CP according to their BMI classification and to thereby highlight the dietary factors affecting the nutritional status of these children. Methods: A total of 16 children were enrolled between the age of four and twelve. These subjects were further classified into three groups, namely underweight, normal and obese, with 6, 8, and 2 children in each group, respectively. The general characteristics, motor disturbances, body composition, feeding problems, eating habits, nutritional intake, dietary variety, and food frequency for children with CP were evaluated. Results: It was observed that motor disturbances tended to increase in underweight children with CP. A significant decrease (p < 0.05) in disturbances related to oral feeding was observed with an increase in obesity. The pattern of eating habits revealed that subjects in the underweight group consumed unbalanced meals, while those in the obese group tended to consume larger meals at a faster pace. The feeding disturbance data revealed that those in the underweight group could not prepare their meals while the obese group had the problem of overeating and consuming an unbalanced diet (p < 0.05). Conclusion: It is necessary for both children with CP, who have a high degree of disability, and their caregivers to take lessons on adequate nutrient intake to prevent malnutrition. Moreover, it is necessary for the caregivers and children with CP having a low degree of disability to take lessons on providing and consuming a balanced diet and to focus on the intake of sufficient calcium in order to prevent obesity.