• Tuberculosis and Respiratory Diseases
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• 제44권1호
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• pp.114-123
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• 1997

연구배경 : 기관지내시경 검사는 중환자실의 폐렴이 동반된 환자에서 원인균 동정을 위한 매우 유용한 검사법이다. 내시경적 약식의 기관폐포세척한 검체의 결과를 맹검적인 기도세척의 결과와 비교분석함으로써 폐렴을 가진 중환자실 환자에서의 기관지경 검사의 임상적 의의를 평가해 보고자 하였다. 방법 : 1993년 9월부터 1996년 8윌까지 이화의대부속 목동병원 중환자실에 입원치료를 받았던 환자중 임상적 소견상 폐렴으로 진단적 또는 치료적 목적하에 기관지경 검사를 받았던 28명의 환자를 대상으로 내시경적 기관폐포세척을 포함한 임상적 결과에 대해 후향적으로 조사하였다. 결과 : l. 중환자실에 입원한 주 이유는 호흡부전 및 호흡부전 절박상태가 가장 많았다. 폐렴은 그 유형상 원내폐렴이 16예로 가장 많았고 지역획득폐렴 및 면역타협폐렴이 각 6예씩 있었다. 기관지경 목적상 진단적 목적이 20예 71%를 차지하였고 치료적 목적의 분비물제거가 8예 있었다. 내시경 검사에 따른 합병증의 발생은 미미하였다. 2 맹검적 검체와 내시경적 검체간 균주배양 일치율은 39.3 %에 불과하였고 내시경적 검사로 국균증 및 결핵이 각 2예씩 진단되었다. 3 내시경적 검체결과를 기준할때 다제약제내성 폐렴은 기타균주에 의한 폐렴과 비교시 기계호흡의 적용이 유의하게 빈번히 말생하였다. 4 원내폐렴군은 타군에 비해 기계호흡 적용이 유의하게 많았다. 결론 : 이상의 결과로 폐렴이 동반된 중환자실 환자에서 기관지경을 통한 선택적인 기관폐포세척물 검사 및 치료적 기관분비물의 제거는 진단 및 치료상의 매우 유용한 방편이 될 수 있으며 동정된 균주가 다제약제내성균이거나 원내폐렴형인 경우 기계호흡의 사용과 밀접한 관련이 있을 것으로 생각된다.

• 대한본초학회지
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• 제26권1호
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• pp.125-132
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• 2011

Objectives : This study was performed to evaluate the efficacy of extract from Citri Pericarpium (CP) on lipid-lowering effect in semi-healthy subjects with increased serum levels of total cholesterol and triglyceride. Methods : A experimental group (n=45) and placebo group (n=46) were randomly established based on the plasma lipid profiles (triglyceride, total cholesterol etc.) in the semi-healthy subjects, then all subjects randomly took experimental or placebo capsules, which contain 1,200 mg of CP or the same dose of soluble starch per day with regular meals for 8 weeks by double-blind method. Results : One-hundred forty (140) subjects were screened, then 91 subjects enrolled in the study. No serious adverse events were reported for trial period. The CP treatment showed statistically significant decrease in serum levels of triglyceride both at 4-weeks (p<0.01) and at 8-weeks (p=0.0001). Futhermore, there was significant difference in the triglyceride levels between CP-treated and placebo group. The CP-treated but not placebo group, experienced decrease in serum levels of total cholesterol at 8-weeks. Then there was no significant difference in the total cholesterol levels between the two groups. In addition, statistically significant difference of AST, ALT, ${\gamma}$-GT serum levels wasn't shown before and after trial in two groups. Conclusion : These results demonstrate that CP can significantly suppress the elevated triglyceride but not total cholesterol level. Therefore, CP may play a role in the improvement of blood lipid levels, as an effective functional food.

• Tuberculosis and Respiratory Diseases
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• 제43권3호
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• pp.403-409
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• 1996

연구배경 : 흉수질환은 특히 복잡흉수나 농흉의 경우 치료상의 난제로 등장한다. 이들 경우의 치료의 근간은 빠른 완전한 배액과 무기폐의 재확장에 있다. 과거에는 통상 상기질환에서 흉수천자와 외과적 흉강삽관을 통해 진단 및 치료에 임하였으나 맹검적 흉강삽관시 때로는 잘못된 부위에 위치하거나 기술적으로 삽입하기 어려운 조건등으로 실패하는 경우를 경험하였다. 최근에는 영하에 도관을 정확히 삽관하고 배액하여 높은 치료성적을 보고하고 있다. 방법 : 1994년 1월부터 1996년 2월까지 흉수질환으로 관삽입을 요했던 환자 28명을 대상으로 후향적인 조사를 하였다. 맹검적 흉강삽관을 요했던 환자와 영상유도하 도관삽관을 시행받았던 환자로 구분하여 배액성공율을 비교하였다. 결과 : 전통적 방법의 흉강삽관 환자는 14명으로 원인별로 농흉 6명, 결핵성흉막염 6명, 부폐렴흉막염 2명인데 반해, 영상유도하도관삽입 역시 14명이었으나 원인별로는 농흉 2명, 결핵성흉막염 6명, 부폐렴흉막염 5명, 원인미상이 1명 있었다. 인상적 및 방사선학적으로 성공적인 배액을 보인 경우가 전자의 방법에서는 79%인데 반해 후자는 93%로서 영상유도하 도관배액에서 높은 치료성적을 보여주었으며 합병증은 한예에서 미미하게 발생하였다. 결론 : 영상유도하의 도관배액술은 복잡흉수나 국소화된 농흉환자에서 안전하며 성공율을 가진 치료법으로 적용할 수 있을 판단되니 향후 좀 더 많은 환자를 대상으로 한 비교연구가 뒷따라야 하겠다.

• 한국태양에너지학회 논문집
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• 제35권2호
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• pp.73-83
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• 2015

When it comes to these buildings for business use, cooling load during summertime was reported to have great importance which, as a result, impressively increased interest in Solar Heat Gain Coefficient (SHGC). Such SHGC is considered to be lowered with the help of colors and functions of glass itself, internal shading devices, insulation films and others but basically, these external shading devices for initial blocking that would not allow solar heat to come in from outside the buildings are determined to be most effective. Of many different external shading devices, this thesis conducted an analysis on Exterior Venetian Blind. As for vertical shading devices, previous researches already calculated SHGC conveniently using concepts of sky-opening ratios. However in terms of the Venetian Blind, such correlation is not possibly applied. In light of that, in order to extract a valid correlation, this study first introduced a concept called shape factor, which would use the breadth and a space of a shade, before carrying out the analysis. As a consequence, the concept helped this study to find a very similar correlation. Results of the analysis are summarized as follows. (1) Regarding SHGC depending on the surface reflectance of a shade, an average of 2% error is observed and yet, the figure can always be ignored when it comes to a simple calculation. (2) As for SHGC of each bearing, this study noticed deviations of 4% or less and in the end, it is confirmed that extraction can be achieved with no more than one correlation formula. (3) When only the shape factor and nothing else is used for finding a correlation formula, the formula with a deviation of approximately 5% or less is what one would expect. (4) Since the study observed slight differences in bearings depending on ranges of the shape factors, it needed to extract a weighted value of each bearing, and learned that the smaller the shape factor, the wider the range of a weighted value. The study now suggests that a follow-up research to extract a simple calculation formula by dealing with all these various inclined angles of shade, solar radiation conditions of each region (the ratio of diffuse radiation to direct radiation and others) as well as seasonal features should be carried out.

• 토지주택연구
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• 제12권1호
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• pp.129-137
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• 2021

외부 차양장치는 대표적인 여름철 일사조절 장치이다. 특히 냉방부하가 높은 업무용 건물에 적합한 기술로 인식되어왔다. 그러나 본 연구에서는 차양장치의 냉방부하 저감뿐만 아니라 난방부하 저감 효과를 검증하기 위한 실험을 수행하였다. 이를 위해 겨울철 야간 천공복사냉각에 따른 영향을 중심으로 일반 창호, 롤 블라인드, 외부 차양장치를 대상으로 실험을 수행하였으며, 그 결과는 다음과 같다. 외부 차양장치가 적용된 경우 유리 내·외표면 온도차는 평균 11.8℃로 차양장치가 없는 경우의 14.6℃ 보다 평균 2.8℃ 낮은 온도차를 나타냈으며, 이는 천공복사에 의한 열교환으로 차양 표면온도가 외기온도보다 낮은 시간때에 발생한다. 한편, 롤 블라인드는 내부 중공층의 평균온도보다 0.8℃ 낮은 온도를 나타냈으며 이 또한 투과체를 통과한 천공복사가 롤 블라인드 표면과 열교환이 이뤄졌기 때문이다. 유리 외부 표면온도만을 고려하면 약 3℃ 이상의 온도 상승이 예상된다. 그리고 차양장치가 없는 경우 일반적인 온도구배를 나타내고 있었다. 한편 남동향과 남서향에 외부 차양장치가 설치되었을 때 남서향의 외측 유리 표면온도가 더 낮게 나타나는 특징이 있다. 이 결과는 천공복사에 의한 냉방 저감 효과를 정량화할 수는 없지만 적어도 타당성은 확인할 수 있었다. 향후 연구에서는 천공복사 냉각과 에너지 소비 사이의 상관관계를 조사하고 외부 차양장치의 난방에너지 절감 효과에 대한 독립 챔버 실험을 진행할 계획이다.

• 문화기술의 융합
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• 제8권1호
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• pp.85-92
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• 2022

본 연구는 군 성폭력이 끊이지 않고 반복되는 사각지대로 존재하는 요인과 문제점을 파악하고자 2010년 1월부터 2021년 6월15일까지 인터넷 뉴스에서 다룬 군 성폭력 사건기사를 중심으로 내용분석을 실시하였다. 연구결과 구조적으로 불평등한 권력관계, 권위적이고 폐쇄적인 군 조직문화, 성폭력의 소극적 대처에 불신받는 군 내부 대응시스템, 가해자에 대한 제 식구 감싸기식 수사와 관용적 처벌이 국방부의 개선 노력에도 불구하고 사각지대로 존재하는 요인들로 나타났다. 그 기저에는 징병제로 인한 보상심리와 가부장제의 부정적 영향이 국민정서에 녹아 있어 분단의 위기감과 더불어 군대에 지나치게 허용적인 태도가 변화를 더디게 하는 요인으로 작용한다는 사실을 말해주고 있다. 결과에 따른 개선 방안으로는 민간 중심의 사법기관 신설, 강력한 가해자 처벌, 제한적 연금지급과 더불어 상하관계가 명확한 군 문화에서 '계급 강등'과 같은 명예적 처벌도 수반될 필요가 있다. 이를 종합해 볼 때, 군 성폭력은 대부분 위계에 의해 나타나며 성폭력의 주된 원인 또한 불평등한 권력관계임을 강하게 시사하고 있다.

• 동의생리병리학회지
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• 제29권4호
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• pp.330-336
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• 2015

Polycan originating from Aureobasidium pullulans is mostly composed of β-1, 3/1, 6 glucans and possesses an anti-osteoporotic effect. We conducted a randomized, double-blind, placebo-controlled trial to examine the efficacy and safety of the polycan on bone biochemical markers in healthy perimenopausal women. Sixty subjects were randomly allocated to 2 groups-group 1 received 400 mg of polycan and group 2 received placebo-these were administered once daily for 28 days. Fasting blood and urine samples were collected at baseline and 4 weeks after treatment. The primary outcome was change in osteocalcin (OSC) and bone-specific alkaline phosphatase (BALP). Changes in calcium (Ca), phosphorus (P), C-telopeptide of collagen cross-links (CTx), N-telopeptide of collagen cross-links (NTx), and deoxypyridinoline (DPYR) were the secondary outcomes. A safety assessment was performed using adverse event (AE) and laboratory data. After 4 weeks of polycan treatment, OSC, DPYR, and BALP levels changed (P < 0.05) significantly from baseline in both groups. However, no significant differences were observed in any markers between the 2 groups, except for P (P < 0.05). Interestingly, group 2 showed a significant increase in CTx (65.2%, P < 0.05), while CTx in group 1 slightly increased (17.2%). Both groups showed no significant differences in AE. Although 4 weeks of polycan treatment did not have a statistically significant effect on bone metabolism biomarkers, increases in CTx were modestly inhibited by polycan. Further studies in a large population and longer treatment periods are needed to confirm the effect of polycan on bone turnover.

• Journal of Nutrition and Health
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• 제39권1호
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• pp.35-43
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• 2006

This study aimed to evaluate the effect of dietary fiber supplementation with snack type on functional constipation. We conducted a double blind case-control study with 3 groups; placebo, low dose group (LD: insoluble fiber 7 g/d + soluble fiber 1.2 g/d) and high dose group (HD: insoluble fiber 14 g/d + soluble fiber 2.4 g/d) , which were randomly assigned out of subjects with functional constipation, defined by modified Rome II criteria. We measured anthropometric parameters and evaluated the bowel movement frequency, stool type, straining, sense of complete evacuation, abdominal discomfort/pain, abdominal inflation, relief and colon transit time before, during the supplementation. Both LD and HD groups had significant improvement in straining, sense of complete evacuation and satisfactory relief compared with placebo group (p < 0.05). When subdivide by baseline colon transit time (less than 24 hrs/ 24 hrs or more and less than 72 hrs / 72 hrs or more), only HD group had significantly improvement; colon transit time recovered near by 24 hrs in subjects of 'less than 24 hrs' (from $7.57{\pm}1.40$ hrs to $25.2{\pm}3.91$ hrs, p < 0.01) and reduced in those of '24hr or more and less than 72 hr' (from $47.0{\pm}3.36$ hrs to $31.3{\pm}4.31$ hrs, p < 0.01) and '72 hr or more' (from $106.7{\pm}10.7$ hrs to $85.0{\pm}13.1$ hrs, P < 0.05) subjects. Particularly, positive effect of fiber supplementation on straining and sense of complete evacuation in test groups seemed to be greater in subjects of '24 hrs or less' and '24 hrs or more and less' than 72 hrs' than those of '72 hrs or more'. In conclusion, subjects with functional constipation, particularly those having colon transit time less than 72 hrs can significantly improve, at least in part, symptom related to constipation by fiber supplementation of snack type without serious side effects.

• Journal of Gastric Cancer
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• 제17권2호
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• pp.120-131
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• 2017

Purpose: Tumor bleeding is a major complication in inoperable gastric cancer. The study aim was to investigate the effects of proton pump inhibitor (PPI) treatment for the prevention of gastric tumor bleeding. Materials and Methods: This study was a prospective double-blind, randomized, placebo-controlled trial. Patients with inoperable gastric cancer were randomly assigned to receive oral lansoprazole (30 mg) or placebo daily. The primary endpoint was the occurrence of tumor bleeding, and the secondary endpoints were transfusion requirement and overall survival (OS). Results: This study initially planned to enroll 394 patients, but prematurely ended due to low recruitment rate. Overall, 127 patients were included in the analyses: 64 in the lansoprazole group and 63 in the placebo group. During the median follow-up of 6.4 months, tumor bleeding rates were 7.8% and 9.5%, in the lansoprazole and placebo groups, respectively, with the cumulative bleeding incidence not statistically different between the groups (P=0.515, Gray's test). However, during the initial 4 months, 4 placebo-treated patients developed tumor bleeding, whereas there were no bleeding events in the lansoprazole-treated patients (P=0.041, Gray's test). There was no difference in the proportion of patients who required transfusion between the groups. The OS between the lansoprazole (11.7 months) and the placebo (11.0 months) groups was not statistically different (P=0.610). Study drug-related serious adverse event or bleeding-related death did not occur. Conclusions: Treating patients with inoperable gastric cancer with lansoprazole did not significantly reduce the incidence of tumor bleeding. However, further studies are needed to evaluate whether lansoprazole can prevent tumor bleeding during earlier phases of chemotherapy (ClinicalTrial.gov, identifier No. NCT02150447).

• 대한한방내과학회지
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• 제35권1호
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• pp.12-23
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• 2014

Objectives : The purpose of this study was to report possibility of acupuncture or moxibustion for the treatment of Parkinson's disease (PD) by reviewing literature about its effectiveness. Methods : In this review, PubMed, SCOPUS, Science Direct and CINAHL of EBSCOhost were used to search medical journals, using keywords "Parkinson's disease and acupuncture" and "Parkinson's disease and moxibustion". The search range included randomized controlled trials (RCT) about Parkinson's disease combined with another disease and other treatments with acupuncture or moxibustion. Non-randomized controlled trial (nRCT), case study, animal experiment, human experiment, review, survey, essay, letter, and protocol for review were excluded. Results : From 311 studies, 111 were selected during the title and the screening. Finally, 16 RCTs (15 for acupuncture research and one for moxibustion) were included in this review, after scanning and matching the inclusion and exclusion criteria. The number of patients varied between 5 and 88. A total of 12 studies using electroacupuncture (EA) were classified into acupuncture studies. The body acupuncture studies numbered 4, scalp acupuncture 4, body and scarp acupuncture mixed studies 4, and bee venom, ear and abdomen acupuncture were each one study. In evaluation methods, total effective rate method was used in 9 studies, the Unified Parkinson's Disease Rating Scale (UPDRS) was used in 8, and the Webster score in 2. In addition, the Berg balance scale (BBS), 30 m walking time, steps to walk 30 m, PD motor function score, and Motor Performance Series by Schoppe (MLS) method were used for evaluation. In 15 of the 16 studies, the verum acupuncture group showed significant improvement compared with the control. In 9 studies using total effective rate method, the effective rate was reported as 80.0-97.3% in verum acupuncture groups and 52.6-86.4% in controls. Conclusions : Acupuncture may be a plausible alternative method to care for the long term symptoms and treat movement impairment of Parkinson's disease. However, to confirm this result, high quality studies including randomized, placebo-controlled double-blind trials are warranted.