• 대한한의진단학회지
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• 제13권1호
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• pp.19-35
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• 2009

Objectives : In the study on the waveform analysis of radial artery pulse diagnosis, we need to establish fundamentals of contemporary pulse diagnosis research. To achieve certain experimental basis on traditional pulse diagnosis, we have to research the differences of pulse waveform according to pressure (in 5 level) and position (Chon, Gwan, Cheok in radial artery). As a first step, in present thesis, we tried to find the differences of pulse waveform according to pressure. Methods and Results : In this research, we analyzed seven parameters of the waveform at five levels of pressure. The parameters are E(so called 'energy', a representative of pulse strength), h1(height of percussion wave) and h2(height of subincisura). The results were as follows. 1. When we analyzed the change of the waveform according to pressure in the left Gwan, E, hl, h2 and A differed between 1st and 2nd grade, between 1st and 3rd grade, between 1st and 4th grade, between 1st and 5th grade, between 2nd and 3rd grade, between 2nd and 5th grade, between 3rd and 5th grade and between 4th and 5th grade in 95% confidence interval. 2. And t2, t4 differed between 1st and 2nd grade, between 1st and 5th grade, between 2nd and 4th grade, between 2nd and 4th grade, between 2nd and 5th grade, between 3rd and 4th grade, between 3rd and 5th grade and between 4th and 5th grade in 95% confidence interval. 3. W differed between 1st and 3rd grade, between 1st and 4th grade, between 2nd and 3rd grade, between 2nd and 4th grade, between 2nd and 5th grade, between 3rd and 4th grade, between 3rd and 5th grade, and between 4th and 5th grade in 95% confidence interval. 4. And h2/h1 differed between 1st and 4th grade, between 1st and 5th grade, between 2nd and 4th grade, between 2nd and 5th grade, between 3rd and 4th grade & between 3rd and 5th grade in 95% confidence interval. 5. There were differences between 1st and 2nd grade & between 2nd and 5th grade in the case of t4/t2 in 95% confidence interval. And there were differences between 1st and 5th grade, between 3rd and 4th grade, between 3rd and 5th grade & between 4th and 5th grade in the case of W/A in 95% confidence interval. And were differences between 1st and 2nd grade, between 2nd and 3rd grade, between 2nd and 4th grade, between 3rd and 4th grade, between 3rd and 5th grade & between 4th and 5th grade in the case of A/E in 95% confidence interval. Conclusions : As mentioned above, we conclude that the waveform analysis according to five grade pressure in the left Gwan shows the difference of waveform in each grade pressure.

• Clinical and Experimental Pediatrics
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• 제50권4호
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• pp.381-385
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• 2007

목 적 : 우리나라에는 전통적으로 내려오는 한약에 대한 선호도가 매우 강하여 남용의 우려가 있다. 이로 인한 의료비 지출 증가 우려와 의료질서의 왜곡현상 마저 생기고 있으나 이에 대한 자료가 부족하여 저자는 초등학교 학생들의 한약 이용 실태에 대한 연구를 실시하였다. 방 법 : 광주 소재 3개의 초등학교 1,508명의 학생들을 대상으로 설문조사를 시행하였다. 설문지가 회수된 905명의 학생들을 대상으로 분석하였다. 결 과 : 남아는 421명, 여아는 484명이었고 출생 후 자녀에게 한약을 먹여본 경우는 590명(65.2%)이었으며, 학년별로는 1학년 74.1%, 2학년 63.0%, 3학년 64.8%, 4학년 63.3%, 5학년 65.5%, 6학년 61.9%였다. 한약의 평균 복용 횟수는 3.2회였으며 6학년은 3.3회, 5학년은 3.9회, 4학년은 3.7회, 3학년은 2.7회, 2학년은 2.7회, 1학년은 2.6회였다. 한약 1회 복용시 평균 비용은 5-10만원이었다. 처음 한약 복용 평균 연령은 55개월이었으며, 6학년은 67개월, 5학년은 58개월, 4학년은 54개월, 3학년은 55개월, 2학년은 51개월, 1학년은 47개월이었다. 한약 복용 이유의 가장 흔한 것은 '병이 없지만 몸이 허약해 보여서'였다. 한약 복용 후 효과를 보았다고 생각한 경우는 63.7%였고, 부작용이 발생한 경우는 4.5%였다. 결 론 : 초등학교 학생들의 한약 복용 비율이 높았으며, 저학년으로 갈수록 한약 복용 비율이 증가하고, 초회 복용 연령도 훨씬 낮아지고 있다. 따라서 임상 의사들이 한약복용에 대해 더 많은 관심을 가지고 연구되어야 할 것으로 생각된다.

• 대한두경부종양학회지
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• 제7권2호
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• pp.129-136
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• 1991

This is a clinical, retrospective review of 66 cases of the Adenoid cystic carcinoma who were treated at the Department of Surgery, Presbyterian Medical Center, Chonju during the past 20 years from January, 1971 to December, 1990. The results were obtained as follows; 1) The most common malignant tumor in the minor salivary gland was adenoid cystic carcinoma and it's incidence was 57.6% (38 cases). 2) The most common site of adenoid cystic carcinoma in the major salivary gland was parotid gland with the incidence of 22.7% (15 cases). 3) The peak age of patients with adenoid cystic carcinoma was 5th decade(30.3%) and others' peak age except adenoid cystic carcinoma was 6th decade(35.9%). 4) The duration of symptoms of adenoid cystic carcinoma patient was less than one year in the minor salivary gland, comprising 21 cases(55.3 %) and more than one year in 18 cases(64.9 %) of the major salivary gland carcinoma. 5) According to histologic grades of 66 cases of adenoid cystic carcinoma, Grade I was 15 cases and Grade II 19 cases, Grade III 5 cases. Other 27 cases were undetermined. 6) The incidence of cervical lymphnode metastasis of 39 cases of adenoid cystic carcinoma classified into histologic grades was 0% in Grade I, 10.5% in Grade II and 20% in Grade III. 7) The incidence of nerve invasion confirmed histologically was 20% in Grade I, 63.2% in Grade II and 100% in Grade III. It was significant(p<0.01). 8) The local recurrence rate was 26.7% in Grade I, 47.4% in Grade II and 60% in Grade III. The lung was the commonest site for distant metastasis comprising 14 cases among 19 cases in which distant spread occurred. 9) 5 year determinate disease-free survival rate according to the histologic grade was 57.1% in Grade I, 27.3% in Grade II and 25.0% in Grade III. 10) The determinate 5-year survial rate of adenoid cystic carcinoma was 71.4% in the only curative surgery group, 70.6% in the combined treatment group of surgery and postoperative irradiation, 66.7% in the combined treatment group of surgery with postoperative irradiation and chemotherapy, and 33.3 % in the non-curative treatment group. 11) The average size of tumor was 3.6cm in Grade I, 4.8cm in Grade II and 4.5cm in Grade III.

• 한국연초학회지
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• 제6권2호
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• pp.97-116
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• 1984

Volatile aroma components were extracted from Korean burley tobacco (grades: heavy-1, heavy-5, thin-1, and thin-5) by using a vacuum steam distillation apparatus. Individual flavor components were identified by combination of Carbowax20M (used silica capillary gas chromatography and mass spectrometry. Out of the identified components, neophytadiene (43.6ppm), megastigna-4,6,8-trien-3-one (4isomers) (3.32-23.5 1ppm), ethanol (1.8ppm), and ethylacetate (4.7ppm) were contained less in burley heavy grade-5 tobacco than in heavy grade 1 ; neophytadiene (43.7pp), megastigma-4,6,8-triers-3-one (4 isomers) (1.09-3.03ppm), ethylacetate (7.9ppm), and ethanol (8.4ppm), were less in burley thin grade 5 tobacco than in thin grade 1 : nicotin (75.79ppm), and solanone (8.5ppm) were less in burley heavy grade 1 tobacco than in burley heavy grade 5: solanone (5.76ppm), geranylacetone (9.02ppm), phenylacetaldehyde (1.12ppm), $\beta$-phenylethylalcohol (1.93ppm), and dihydroactinidiolide (1.39ppm) were less in burley thin grade 1 than in burley thin grade 5. On the other hand, iso-valeraldehyde, n-valeraldehyde, dimethylpyrazine, and propionic acid were not identified in Korean burley tobacco, but in American burley tobacco.

• Journal of Korean Neurosurgical Society
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• 제51권5호
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• pp.262-267
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• 2012

Objective : We aimed to investigate the correlation between the success of recanalization and a modified version of the Qureshi grading system in acute ischemic stroke patients. Methods : We retrospectively analyzed the intra-arterial thrombolysis (IAT) records of 37 patients who were evaluated by Thrombolysis in Myocardial Infarction (TIMI) and a modified version of the Qureshi grading systems as follows : 1) post-IAT Qureshi grade, 2) modified ${\Delta}$ Qureshi grade : pre-IAT group grade - post-IAT group grade (grade 1 : Qureshi grades 0-2 and grade 2 : Qureshi grade 3-5) and 3) ${\Delta}$ Qureshi grade (post-IAT Qureshi grade - pre-IAT Qureshi grade). Successful recanalization was defined as follows : 1) post-IAT TIMI grades 2 and 3, 2) post-IAT Qureshi grade 0-2, 3) modified ${\Delta}$ Qureshi grade=1, and 4) ${\Delta}$ Qureshi grade of ${\geq}2$ and/or post-IAT Qureshi grade=0. We investigated the correlation between the post-IAT TIMI grade and the modified Qureshi grade and also compared the various grading systems with modified Rankin Scale scores for evaluating the clinical outcome at 3 months. Results : The post-IAT Qureshi grade and ${\Delta}$ Qureshi grade and/or post-IAT Qureshi grade were significantly correlated with the TIMI grade (${\gamma}$=0.976 and, 0.942, respectively). Further, post-IAT Qureshi grade and ${\Delta}$ Qureshi grade and/or post-IAT Qureshi grade showed a significantly stronger association with clinical outcome than did the post-IAT TIMI grade (p=0.001 and, 0.000 vs. 0.083, respectively). Conclusion : Our preliminary results suggest that the modified Qureshi grading system is a useful tool for assessing the success of recanalization after IAT.

• Journal of Nutrition and Health
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• 제20권5호
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• pp.309-317
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• 1987

우리나라 아동의 비만실태를 파악하기 위한 연구의 일환으로 전국의 국민학교 5학년 10.751명의 체격분포를 조사하였다. 건강기록부를 이용하요 1학년때 부터 학년까의 키, 몸무게를 분석하고 설문지를 이용하여 체격과 관련된 일반 현황 및 식품섭취 빈도를 조사하였다 1)조사대상아의 어머니 중 29%가 직업을 갖고 있었으며 출, 퇴근시간이 어린이의 영양관리를 제대로 할 수 없는 경우가 많았다. 조사대상아의 5.8%가 거의 매일 결식하였으며 건강을 위해 약제를 복용하는 경우가 26%였다. 2)키는 4학년까지는 남학생이 우세 하다가 5학년때는 남학생이 137.1cm, 여학생이 137.6cm 였다. 몸무게는 남녀 각각 31.5kg, 31.2kg였으며 키, 몸무게의 10, 25, 50, 70 ,90percentile 분포에 해당하는 값이 제시되었다. 고학년이 될수록 남학생의 키의 성장속도는 둔화된 반면 여학생은 오히려 증가였다. 몸무게는 학년이 높아지면서 남녀 모두 증가폭이 커졌으며 여학생의 증가폭이 더 컸다. 키와 몸무게를 이용하여 5년간 BMI, RI, RW 갑이 계산되었다. 3) 49% 아동이 우유를 매일 섭취 하였으며 과자, 계란, 아이스크림, 초코렛의 섭취빈도가 높은 반면 치즈, 햄, 두유의 섭취빈도는 매우 낮았다.

• 한국문헌정보학회지
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• 제17권
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• pp.105-159
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• 1989

The purpose of this study is (a) to identify physical and content elements of children's books that seem to interest second and fifth graders to read, and (b) to observe how the influence of those elements on children's reading interest shifts as children develop. For the purpose of this study, children's books are classified into two groups: 'books of low preference' and 'books of high preference' as determined by second graders, and fifth graders' library circulation record in the library chosen as the sample for the present study. The physical and content elements of the books belonging to these two groups are analyzed and compared. Main findings and conclusions made in this study are summarised as follows: (1) The physical elements of children's books which have significant relationship with second graders' reading preference are illustration quantity, size of types, space between lines, and size of the book. (2) The content elements of children's books which have significant relationship with second graders' reading preference are the readability level of sentences, and the sex of heroes. (3) The physical elements of children's books which have significant relationship with fifth graders' reading preference are illustration quantity, illustration styles, and size of the book. (4) The content elements of children's books which have significant relationship with fifth graders' reading preference are the readability level, the sex of heroes, subject matters, themes and the environmental settings as the background of stories. (5) Reading preference of the pupils at the second and fifth grades are influenced by the quantity of illustration. Second grade pupils prefer reading books which contain a larger quantity of illustrations, whereas 5th grade pupils prefer books which contain less quantity of illustrations. (6) The relationship between second graders' reading preference and the illustration style are rejected at the $10\%$ significance level. A strong relationship, however, appears to exist between 5th graders' reading preference and the illustration style. The 5th grade pupils prefer more realistic illustrations, while cartoons and semi-abstract drawings do not appeal to them. (7) The type size, and space between lines which have had great influence on the book preference of 2nd grade pupils influence little on the 5th grade pupils book preference. (8) Second grade pupils prefer the book of a small Size, whereas 5th grade pupils whose reading taste has developed at a primary stage prefer the book of a large size beyond a certain standard. (9) Second grade pupils prefer reading books which can be easily read, whreeas 5th grade pupils prefer reading books containing difficult sentences. (10) Second grade pupils and the 5th grade pupils both prefer books in accordance with the sex of there heroes. (11) Relationship between second graders' reading preference and the subject matters are rejected at the 10% significance level. A strong relationship, however, appears to exist between 5th graders' reading preference and the subject matter. Fifth grade pupils prefer reading books of which the themes are mystery, exploration and adventure. (12) The theme of books is not proved to relate with the book preference of the 2nd grade pupils, but it is closely related with the book preference of 5th grade pupils. Fifth grade pupils prefer reading books which contain exploratory stories. (13) Second grade pupils are not influenced by the environmental setting of the story, but 5th grade pupils prefer reading stories with the environmental setting in the air. (14) The quantity of illustrations is the element influencing most on .the book preference of the 2nd grade pupils, followed by the space between the lines, which influences least on the book preference of the 5th grade pupils. (15) The physical element influencing most on the book preference of the 2nd grade pupils is the quantity of the illustrations. The physical element which has the most strong influence on the book preference of the 5th graders is illustration styles. (16) The content elements which has much influence on the book preference of the 5th grade pupils are certain kinds of characteristics of heroes. In case of the 2nd grade pupils book preference, striking evidence of such characteristics of heroes is not traced.

• 한국식품조리과학회지
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• 제11권4호
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• pp.356-361
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• 1995

시판되고 있는 녹차를 가격과 적채시기에 따라 상품, 중품 및 하품으로 구분하여 수분, 회분, 총 질소, 탄닌, 카페인, 색도 및 엽록소의 함량을 분석하고 관능평가를 실시하여 품질에 따른 상관관계를 조사한 결과는 다음과 같다. 1. 수분의 함량은 2.17-3.67%, 회분은 4.50-5.17%, 총 질소는 4.38-4.68%로 품질에 따른 차이가 없었다. 2. 탄닌은 상품이 11.09%,중품이 14.22%, 하품이 14.44%로서 상품이 중품과 하품보다 유의적으로 낮았다. 3. 질소와 탄닌의 조성비율(N/T)은 상품이 39.5%, 중품이 32.6%, 하품이 32.70%으로 상품일수록 유의적으로 높게 나타났다. 4. 카페인은 상품이 평균 1.78%, 중품이 1.32%, 하품이 0.92%로 적채시기가 늦어질수록 유의적으로 감소하였다. 5. 엽록소 a와 b의 량은 상품이 중품과 하품보다 유의적으로 높게 나타나 총엽록소 함량은 상품이 297.37 mg%, 중품이 182.89 mg%, 하품이 204.79 mg%으로 상품이 가장 높았다. 6. 색도에서 Yellow치는 상품과 중품이 하품보다 유의적으로 높았으나, red와 blue치에서는 품질간의 차이가 없었다. 7. 관능 평가는 상품이 중품과 하품보다 외판, 맛이 좋았으며 향기와 색깔은 상품과 중품이 비슷하게 나타나 전체적인 관능평가도는 상품, 중품, 하품순으로 유의적으로 높게 나타났다. 8. 가격과 적채시기에 따른 품질은 카페인, 외관, 맛과는 양의 상관관계(P ＜ 0.01)를, tannin과는 음의 상관관계(P < 0.05)를 보였다. 또한 질소와 탄닌의 조성비율(N/T)은 탄닌과는 높은 음의 상관관계(P < 0.01)를 나타내었으나 카페인과는 양의 상관관계(P < 0.05)를 나타내었다. 이상에서 적채시기가 빠른 상품일수록 질소와 탄닌의 조성비율(N/T)이 높고, 카페인 및 총 엽록소의 함량이 높았으며, 관능평가에서도 좋게 나타났다.연화도는 증가하였으나, 기호도의 경우는 알갱이 15％,분말 10％를 장조림에 첨가하였을 때 가장 높은 것으로 나타났다.반후의 색차도 PT20이 가장 낮았다.ference. The pH and titratible acidity of the two juices with different ratios were in the range of 4.92~4.98 and 36.g∼37.4 ml, respectively.2K 이었으며, 다층 YbB $a_2$C $u_3$A $g_{x}$(x=5, 16 and 53)의 $T_{on}$ 은 88~90K이었다._{on}$ 은 88~90K이었다.er-designity. These trends identify the overall prevailing conditions of Korean landscape architectural design over the past thirty years.ang(목마장 horse ranches) and Neungyuk(능역 royal tombs) . Activities prohibited for conservation purposes included cutting timbers, burning, building houses or tombs, dumping wastes, farming and breaking up fresh land, grazing, hunting and trespassing. Positive actions for conservation were rituals to Heaven ennoblement of natural elements such as mountians or rivers, planting trees, Boto (보토 supplementing soil on low ridges) , Josan (조산 mounding)

• Journal of Korean Neurosurgical Society
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• 제45권1호
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• pp.24-31
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• 2009

Objective : To investigate the effectiveness of radiographic parameters on segmental instability in the lumbar spine using Kinetic magnetic resonance imaging (MRI). Methods : Segmental motion, defined as excessive (more than 3 mm) translational motion from flexion to extension, was investigated in 309 subjects (927 segments) using Kinetic MRI. Radiographic parameters which can help indicate segmental instability include disc degeneration (DD), facet joint osteoarthritis (FJO), and ligament flavum hypertrophy (LFH). These three radiographic parameters were simultaneously evaluated, and the combinations corresponding to significant segmental instability at each level were determined. Results : The overall incidence of segmental instability was 10.5% at L3-L4, 16.5% at L4-L5, and 7.3% at L5-S1. DD and LFH at L3-L4 and FJO and LFH at L4-L5 were individually associated with segmental instability (p<0.05). At L4-L5, the following combinations had a higher incidence of segmental instability (p<0.05) when compared to other segments : (1) Grade IV DD with grade 3 FJO, (2) Grade 2 or 3 FJO with the presence of LFH, and (3) Grade IV DD with the presence of LFH. At L5-S1, the group with Grade III disc and Grade 3 FJO had a higher incidence of segmental instability than the group with Grade I or II DD and Grade 1 FJO. Conclusion : This study showed that the presences of either Grade IV DD or grade 3 FJO with LFH at L4-L5 were good indicators for segmental instability. Therefore, using these parameters simultaneously in patients with segmental instability would be useful for determining candidacy for surgical treatment.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제27권1호
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• pp.62-70
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• 2024

Purpose: Choledochal cysts are congenital anomalies that occur as localized cystic or fusiform dilatations of the biliary tree. Reflux and stasis of pancreatic enzymes in the biliary duct may relate to the development of intestinal metaplasia which might be an important factor related to the carcinogenesis of choledochal cyst, thus the expression of beta-catenin in the metaplastic epithelium might be associated with malignant transformation of choledochal cyst epithelium. Methods: This study was conducted at a tertiary care pediatric center between October 2014 and March 2017. Forty patients were evaluated for epithelial lining, mural ulceration, fibrosis, inflammation, and metaplasia. Results: Out of 40, 12 cases (30.0%) were the infantile age group and 28 cases (70.0%) were in the classic pediatric group. Ulceration was classified as grade 0 (14 cases, 35.0%), grade 1 (17 cases, 42.5%), or grade 2 (nine cases, 22.5%). Inflammation was classified as grade 0 (2 cases, 5.0%), grade 1 (26 cases, 65.0%), or grade 2 (12 cases, 30.0%). Fibrosis was classified as grade 0 (five cases, 12.5%), grade 1 (11 cases, 27.5%), grade 2 (17 cases, 42.5%), or grade 3 (seven cases, 17.5%). Metaplasia was noted in five (12.5%) out of 40 cases. All choledochal cysts with metaplasia showed beta-catenin nuclear positivity on immunohistochemistry and were followed up. Conclusion: This study emphasizes the importance of detailed histopathological examination and documentation of metaplastic changes. Metaplasia was associated with beta-catenin nuclear positivity. These findings suggest a potential role for beta-catenin as a marker of metaplastic changes in choledochal cysts.