• Clinical and Experimental Pediatrics
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• 제53권2호
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• pp.258-261
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• 2010

후인두림프관종은 무증상으로 시작되어 크기의 증가에 따라 주위 구조물들을 압박하여 호흡곤란이나 연하곤란 등의 2차적 증상들을 유발할 수도 있는 드문 양성 종양이다. 현재까지 치료는 수술에 의한 완전 적출이 원칙이나 기도 주변에 인접한 림프종의 경우에는 완전 적출이 어려워 예후가 나쁘다. 신생아에서 후인두림프관종이 보고 된 경우는 드물며, 수술 후에 비인두역류증이 발생된 경우는 극히 드물다. 이에 저자들은 생후 14일에 호흡곤란 및 연하곤란 증상을 보인 신생아에서 후인두림프관종을 진단하여 완전 적출술로 치료하였으며 수술 후에 비인두역류증이 일정 기간 지속되어 보존적 치료를 시행한 후 회복된 1례를 경험하였기에 이를 보고하고자 한다.

• 한국산업보건학회지
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• 제17권2호
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• pp.111-119
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• 2007

Firemen are directly exposed to various harmful chemicals, physical factors and mental stress during rescue and fire-fighting. In fire extinguishing, unstable posture, poisonous gas, dust, high temperature and heavy equipments are possible hazardous factors. The alertness for emergency, shift work, job strain and stress are also possibly hazardous. Therefore, this study aimed to investigate the prevalence of musculo-skeletal symptoms and job stress and to determine risk factors in firemen. This study was carried out in a group of 226 firemen in Busan City, Korea. Standardized Nordic Questionnaire was used to investigate the prevalence of musculo-skeletal symptoms and Psycho-social Well-being Index (abbreviated PWI) was used to investigate the prevalence of job stress. General and occupational characteristics were included education, marital status, alcohol and smoking history, working duration, and work shift system. Body mass index (BMI) scores were calculated by physical examination including height and weight. Concerning musculo-skeletal complaints, the commonest site was neck, and shoulder, lower back, upper back were the next. Complaint site above one area of body was about 80%. From multiple logistic regression analysis, working duration was significant variable in musculo-skeletal symptoms. Odds ratio were 15.4 in working duration. About 16.8% was high risk stress group. From multiple logistic regression analysis, shift work and alcohol drinking were significant variables in PWI scores. Odds ratios were 2.25 in shift work. Accordingly, interventions are needed for health promotion of long term and shift worker.

• Journal of Chest Surgery
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• 제30권1호
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• pp.55-60
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• 1997

본 인제대학교 의과대학 서을 백병원 흉부외과학교실에서는 1987년 9월 부터 1995년 12월까지 원발성 종격동 종양의 진단하에 수술을 시행한 40례를 대상으로 하여 임상적 고찰을 하였다. 관찰 대상은 남자 18례와 여자 22례로 연령은 Vll에서 68세까지 였으며 평균 )4.1세였다. 종양의 진단시 증상은 흉통(12.5%), 기침(12.5%), 호흡곤란(7.5%) 경부종괴(7.5%), 흉부불쾌감(5.0%) 등이었다. 진단은 모든 예에서 단순 흉부엑스선 사진과 흉부 전산화단층촬영을 실시하였고 5례 에서는 자기공명영상을 시행하였다. 경피적 침생검은 22례에서 시행하여 16례에서 조직학적 진단을 얻었다(민감도 72.7%). 종양의 위치별 분포는 전상부 종격동 24례(60.0%), 후부 종격동 14례(35.0%), 중부 종격동 2례(5.0%)였다. 종양의 종류는 흉선종 11례(27.5%), 신경성종양 10례(25.0%), 배아세포종 7례(17.5%), 낭종 8례(20.0%), 거대 림프 절비대(Castleman's disease) 2례(5.0%), 방추세포육종 1례(2.5%) 그리고 림프종 1례(2.5%), 였다. 악성 종양은 5례로 침습성 흉선종 3례, 방추세포육종 1례, 림프종 1례였다. 치료는 양성의 모든 예와 악성종양 3례에서 완전절제하였고, 2례는 수술이 불가능하였다. 수술후 사망은 없었고 합병증은 창상피열, 성대마비, 어깨강직이 각각 1례씩 있었다.

• Childhood Kidney Diseases
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• 제12권2호
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• pp.227-232
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• 2008

16세 여아가 학교 소변 검사에서 단백뇨와 현미경적 혈뇨가 나타났으며 신생검에서 감염 후 사구체 신염으로 추정되었다. 그러나 단백뇨는 안지오텐신 효소 억제제 치료에도 반응하지 않았다. 6개월 후 경부 림프절염이 나타났고 목 주위 림프절생검에서 아급성 괴사성 림프절염 소견을 보였다. 이후 2개월 후, 환아는 얼굴의 발진과 혈소판 감소증을 보였다. 재 신생검에서 루프스 신염 class IV 소견을 보였다. 환아는 충격 methylprednisolone(500 mg/일) 3일간 정주 후 경구 deflazacort로 유지하였으며, 이와 함께 cyclophosphamide(1 g/$m^2$)를 월 1회 정주 충격 요법을 6회 실시하였다. 이에 본 저자들은 학교 집단 요 검사 이상으로 추적검사 중 전신 홍반 루푸스로 진단이 되었던 증례를 보고하는 바이다.

• 한국치위생학회지
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• 제15권1호
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• pp.63-71
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• 2015

Objectives: The purpose of the study is to investigate the relationship between bone mineral density and remaining teeth in Korean adults. Methods: Using National Health and Nutrition Examination Survey(KNHANES) 5th Year 1(2010), 1,985 adults over 50 years old having bone mineral density test were selected. Male adults were 883, and female adults were 1,102. The raw data consisted of general characteristics of the subjects, bone density data, and oral examination data. The questionnaire consisted of general health survey, laboratory examination study, and nutrition study. Data were analyzed using SPSS 18.0 program for multiple regression analysis, ANOVA, t-test. The variables included general characteristics of the subjects, health behavior, diet habit, and oral health behavior. General characteristics consisted of gender, age, residence area, education level, marital status, monthly income, and vocation. Health behavior consisted of smoking, alcohol drinking, body mass index(BMI), physical activity, and mental health. Diet habit consisted of frequency of meal, milk, coffee, and calcium ingestion. Oral health behavior consisted of frequency of tooth brushing, use of oral health care devices, and oral examination. Systemic diseases were measured by the questionnaire for hypertension, diabetes mellitus, and hyperlipidemia. Bone density was measured in T-score of femoral bone, neck of femur, and lumbar vertebrae. Bone density was classified into normal($T-score{\geq}-1.0$), osteopenia(-2.5 < T-score < -1.0), and osteoporosis ($T-score{\leq}-2.5$). The remaining teeth were measured by the differences between normal teeth and missing teeth. Results: Smoking and age are the most influencing factors on the number of remaining teeth and bone density(p<0.01)(p<0.05). Those who had higher bone density, younger age, and nonsmoker significantly had more remaining teeth. Those who were men, diabetic, lowly educated women, and low birth weighted persons tended to have less number of teeth(p<0.01). Conclusions: The study suggested that there were significant differences between men and women according to the oral health management behavior and systemic disease control. Proper management of the oral health and good quality of bone mineral density can reserve the remaining teeth through the whole life.

• 방사성폐기물학회지
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• 제12권1호
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• pp.7-17
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• 2014

용융염 전해정련공정은 사용후핵연료로부터 전기화학적인 방법을 통해 음극에서 우라늄을 회수 하는 공정이다. 이 때 우라늄은 약 30wt%의 염을 포함하고 있어 순수한 우라늄을 얻기 위해서는 염을 제거하는 Cathode Process (CP)가 필수적이다. CP는 대량의 우라늄을 처리해야 하므로 파이로공정의 난관중의 하나로 인식되고 있으며, 우라늄의 순도가 최종적으로 결정되는 단계이므로 매우 중요한 공정이다. 현재, 이에 대한 연구는 주로 실험적 방법에 근거 하고 있어 염 제거 공정 중 온도, 압력, 염 가스의 거동을 관찰하기 어렵다. 따라서 본 연구에서는, 공정의 운전 조건에 대해 적합한 수학적 모델을 이용하여 전산모사 해석을 진행하였다. 본 연구는 증류부에서 염 가스의 증류 량, 확산계수에 의해 계산된 장치 내 염 가스의 이동 그리고 응축부에서의 응결속도를 중점적으로 연구하였다. 장치내의 각각의 염 가스 거동을 정의하기 위해 Hertz-Langmuir 관계식, Chapman-Enskog Theory, ANSYS-CFX의 상용 코드를 사용하였다. 그리고 HSC Chemistry에서 염의 물성 값을 이용하여 모델을 구성하였다. 본 연구의 전산모사 해석을 통해 얻은 연구 결과를 이용하여 염 가스의 거동과 장치의 최적 운전조건을 예측하였다. 따라서 본 해석 결과는 CP의 물리적 현상을 깊게 이해하는데 쓰일 뿐 아니라, 공학규모의 CP 장치를 상용규모로 확장하는데 이용 할 수 있다.

• 대한가정학회지
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• 제34권4호
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• pp.249-263
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• 1996

According to the design method for constructing the G gori(the traditional Korean jacket)collar, there are differences in form after its completion. In the construction design of the midsection of the gusset as in that of the basic G gori, not only was the positioning of the two sides of the collar not smooth, but also, when the collar strip was attached, there would be an imbalance on one side or the other so that it was difficult to achieve symetry. Therefore in this project, by applying the pattern design of the gusset midsection to that of the collar midsection, not only did attaching the collar and the collar strip create a visual effect by equalizing the lengths of the tow sides, but the construction was also easy. This method of construction introduces the three-dimensional aspect of the human form in its conic, spherical and cylindrical aspects, so that, through schematizing the scientific character of Korea's clothing, its appropriateness is verified. As a matter of fact, since th-ere in no standardization of pattern whether for educational use or for mass-produced clothing, so that even the patterns used in computer-assisted design are executed according to the designer's personal skill, the reality is that after completion of construction the quality has not been uniform. For this schematization, inverse calculation of measurements pertaining to the calculation formula and of teaching materials has been referenced. In particular, the partial requlation of the calculation formula pertaining to the basic pattern construction, the method of making the collar midsection, and the construction method of the extreme and mean ratio adjustment can be adjusted for all measurements, thereby providing the establishment of a design criterion and the possibility of the standardization of construction methods. The production method for the pattern design is as follows: 1) The conic angle for the G gori's girth, length and neck width is fixed at 70 degrees. 2) The radius of the cone is B/2. 3) The calculation formula is B/4 + 1.5cm 4) The armhole formula is B/4, the same as in the basic method. 5) The width formula is B/10. 6) The ratio of the collar junction(width of collar + width of collar strip)to the gusset length is 5:8. 7) The length of the side seam is a length intersecting the armhole line and the conic radius (B/2), that is an arc that exceeds the length of the G gori's midsection; the component ratio of this length to the collar junction is accordingly 13:5. 8) The curve frame length of the back midsection is an arc exceeding B/4(the armhole line). 9) The ratio of the sleeve opening calculation formula to the armhole length is 8:5, forming an arc with the midsection length.

• Tuberculosis and Respiratory Diseases
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• 제67권3호
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• pp.183-190
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• 2009

Background: Repeated arousals during sleep have been known to be associated with excessive daytime sleepiness and cardiovascular complications. We investigated the relationship between arousal indices and clinical parameters. Methods: We retrospectively reviewed medical records of 41 patients who performed polysomnography for a diagnosis of obstructive sleep apnea syndrome. We defined total arousal index (TAI) as the number of arousals per hour and respiratory arousal index (RAI) as the number of arousals associated with apnea or hypopnea per hour. Results: There were significant positive correlations between arousal indices and apnea-hypopnea index (AHI) (RAI vs. AHI, r=0.958, p<0.001; TAI vs. AHI, r=0.840, p<0.001). RAI and mean oxygen saturation showed a significant negative correlation with each other (r=-0.460, p=0.002). TAI revealed a significant positive correlation with mean systolic blood pressure (MSBP) and mean diastolic blood pressure (MDBP) (TAI vs. MSBP, r=0.389, p=0.014; TAI vs. MDBP, r=0.373, p=0.019). There was no significant correlation between arousal indices and parameters of sleepiness. RAI had a significant positive correlation with body mass index (BMI) and neck circumference (NC) (RAI vs. BMI, r=0.371, p=0.017; RAI vs. NC, r=0.444, p=0.004). When partial correlation analysis was performed to adjust for other variables, there was significant correlation between RAI and AHI (r=0.935, p<0.001). Conclusion: This study shows that respiratory arousal index could be a useful index reflecting of severity of obstructive sleep apnea syndrome. Arousal during sleep would be concerned in the development of cardiovascular complication of obstructive sleep apnea. And some anthropometric factors would contribute to the development of arousals during sleep. Further studies are needed to clarify any cause-effect relationship.

• Journal of Yeungnam Medical Science
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• 제7권2호
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• pp.151-158
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• 1990

We reviewed 30 cases of superior vena cava syndrome in adult patients who were seen at the Yeungnam University Hospital from January 1985 to June 1990. The results were as follows : 1. The male-to-female ratio was 6.5:1, and the most patients were in the age group between the sixth and seventh decades. 2. The most common symptoms were dyspnea (87%) and followed by cough (63%), facial swelling (63%) and chest pain (44%) and the physical signs were dilated neck vein (97%), facial edema (93%) and facial flushing (45%) in order of frequency. 3. The simple chest x-ray findings were superior mediastinal widening (90%), right hilar mass (77%) and pleural effusion (31%). 4. Diagnosis was made by history and physical examination (100%), chest C-T scan (100%), simple chest x-ray (97%), bronchoscopy with biopsy (40%) and so on. 5. 21 cases of patients were confirmed by histology : 14 cases (46%) of bronchogenic ca. 4 cases (14%) of lymphoma, 3 cases (10%) of metastic lung ca. Of bronchogenic ca. small cell ca was 7 cases (23%), squamous cell ca, 5 cases (17%), and unclassified ca was 2 cases (6%). 6. In response of treatment, the clinical improvement was achieved in 18 cases with radiotherapy alone. 1 case with chemotherapy only, and 6 cases with radio-chemotherapy.

• Journal of Preventive Medicine and Public Health
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• 제9권1호
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• pp.117-122
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• 1976

잠사회사(蠶絲會社) 근로자(勤勞者)의 직업성질환(職業性疾患)을 분석해 보기 위하여 1975년(年) 11월(月) 근로조건(勤勞條件)이 같은 대구시내(大邱市內) 모잠사회사(某蠶絲會社) 여자근로자(女子勤勞者) 177명(名)에 대하여 집단건강진단시(集團健康診斷時) 시진(視診)에 의하여 실시(實施)한 결과 다음과 같이 요약할 수 있었다. 전(全) 여자근로자(女子勤勞者)에 있여서 각종피부질환(各種皮膚疾患)의 유병률(有病率)이 53%로 반수(半數)이상에 달하여 피부질환(皮膚疾患)은 대체(大體)로 3가지로 대분(大分), 손톱마모(磨耗), 피부(皮膚)의 각화, 나류(裸瘤), 구열(龜裂) 등과 같은 피부변화(皮膚變化)(47.5%)가 가장 많으며 알레르기 반응(反應)(14.7%)과 기타 무좀 등의 순이었다. 피부변화(皮膚變化)는 그 진행정도(進行程度)의 차이(差異)가 있었으나 대개 복합적(複合的)으로 발생(發生)하여 근속년수와는 무관한 것 같으나 대체적으로 2년이상 근속자에게 빈발하는 경향을 보이며 손톱마모(磨耗)는 이에 따라 현저(顯著)한 차이(差異)를 보이고 있다. 알래르기 반응(反應)은 입사후(入社後) 수개월 이내에 발생(發生)하며 다시 접촉 여하에 따라 그 정도로 달라지게 되는 것 같다. 계속 근무자보다 과거에 경험한 바 있는 자에서 다소 그 빈도가 높은 경향을 보여 준다. 호발부위(好發部位)는 역시 접촉이 잦은 손가락부터 손바닥, 손, 팔, 다리, 얼굴, 목, 몸통등 광범하게 번져가며 심한 경우 습진 양으로 변해 가고 있다.