• Journal of Chest Surgery
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• 제17권1호
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• pp.118-124
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• 1984

Congenital Cystic Adenomatiod Malformation (C.C.A.M.) is rare, but one of the most common congenital pulmonary anomalies that cause acute respiratory distress in the newborn infants. It is characterized and differentiated from the diffuse pulmonary cystic disease pathologically, i.e. adenomatoid appearance due to marked proliferation of the terminal respiratory components. An 2/12 year old male patient was suffered from respiratory distress and cyanosis on crying since birth, but no specific therapy was given. With progression of symptoms, he came to Korea University Hospital for further evaluation and then transfered to Dept. of Chest Surgery for operative correction under the impression of Congenital Obstructive Emphysema suggested by a pediatrician. On gestational and family history, there was nothing to be concerned such as congenital anomaly. Physical examinations showed; moderate nourishment and development (Wt. 5.5kg), cyanosis on crying, both intercostal and lower sternal retraction on inspiration, Lt. chest building with tympany, Rt. shifting of cardiac dullness, decreased breathing sound with expiratory wheezing on entire Lt. lung field, decreased breathing sound on Rt. upper lung filed, and tachycardia. The remainders were nonspecific. Laboratory findings were normal except WBC $14000/mm^3$ (lymphocyte 70%), Hgb 9.8m%, Hct 28%, negative Mantaux test, and sinus tachycardia and counter-clockwise rotation on EKG. Preoperative simple Chest PA revealed marked hyperlucent entire Lt. lung, herniation of Lt. upper lobe to Rt., collapsed Rt. upper lobe, tracheal deviation and mediastinal shifting to Rt., and no pleural reaction. At operation, after Lt. posterolateral thoracotomy, 4th rib was resected. Operative findings were severe emphysematous changes limited to both lingular segmentectomy was done. The resected specimen showed slight solidity, measuring $8{\times}4.5{\times}2cm$ in size, and small multiple cystic spaces filled with air. Microscopically, entire tissue structures were glandular in appearance, cyst were lined by ciliated columnar epithelium, and occasional cartilages were noted around the cystic spaces. Bronchial elements were dilated but normal pattern on histologically. The patient had a good postoperative courses clinically and radiologically, and discharged on POD 10th without event. The authors report a case of Cogenital Cystic Adenomatoid Malformation (C.C.A.M.)

• 한국습지학회지
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• 제21권spc호
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• pp.16-27
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• 2019

자연적 기후변화와 댐 건설로 인한 인위적 수문환경의 변화로 인하여 하천의 유황(flow regime) 변화가 발생하며, 이러한 유황의 변화는 하천의 생태계뿐만 아니라 하천의 물리적 구조와 어류서식처 등에도 심각한 변화를 야기한다. 본 연구에서는 감천유역의 부항댐 건설로 인하여 나타난 수문특성변화와 동시에 하천의 생태건강성 및 수질, 하천단면 변화를 분석하였다. 감천의 유황 변화를 정량적으로 파악하기 위해 수문변화지표(Indicators of Hydrologic Alteration, IHA)에 의한 분석 결과, HA(Hydrologic Alteration)가 대부분 ±1 이상으로 댐 건설 후 하천생태계에 다양한 변화가 발생한 것으로 판단된다. 또한, 생태건강성등급 및 수질은 각 요소마다 상이한 반응이 나타났으며, 하천의 하상 및 단면의 경우에는, 댐 건설 후에 하상 단면의 저하가 뚜렷하게 나타났다. 본 연구의 성과는 하천의 유황 변화에 의한 하천생태계의 변화를 평가하기 위한 효율적인 방법으로 활용될 수 있을 것으로 기대된다.

• Journal of Acupuncture Research
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• 제27권6호
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• pp.115-122
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• 2010

Objectives : The purpose of this study was to propose the utilization plan of Ryodoraku in the U-health care systems. Methods : Computerized literature searches were performed for Ryodoraku related articles using the following databases: KISS, RISS, DBPIA, NDSL from 1990 to Oct 2010. Search terms were '양도락' or 'Ryodoraku' or 'U-health'. Due to Ryodoraku coming from Japan, additional literature review(articles published by 2008) on Japanese journal of Ryodoraku medicine was done for compensation. Results : 1. Introduction of U-health : As rapid progress of population aging and strong interest in health, the demand for the traditional Korean medical service is increasing. Until now healthcare service has provided post treatment by face-to-face manner. But according to related researches, proactive treatment is resulted to be more effective for preventing diseases. Particularly, the existing healthcare services have limitations in preventing and managing chronic geriatric degenrative diseases such as metabolic syndrome, CVA, coronary heart diseases, parkinson's diseases, degenerative joint disease, spondylosis, etc., because the cause of the above is complex and even related to life habit. As the advent of ubiquitous technology, patients with the chronic geriatric degenrative diseases can improve life habit such as poor eating habits and physical inactivity without the constraints of time and space through u-healthcare service. Therefor, lots of researches for u-healthcare service focus on providing the personalized healthcare service for preventing and managing that. To cope with this situations, The concept of u-healthcare service should be adopted in the traditional korean medicine and diagnostic devices suitable for it should be also devised and developed based on traditonal korean medine. 2. Review of existing Ryodoraku related articles for applying to U-health : articles investigating feasibility applying Ryodoraku to meridian diagnosis and raising problems of it, articles providing recent research trends of Ryodoraku, Ryodoraku related articles considering usefulness for U-health, and articles confirming the repeatability and reproducity of Ryodoraku were included. Based on the review of the above Ryodoraku related articles, several application of Ryodoraku in the U-health care system. Conclusions : To make preparations for the increasing need of traditional Korean medicine due to rising morbidity rate of chronic geriatric degenerative diseases, it is necessary to appropriately apply Ryodoraku to the U-health care system. The application of Ryodoraku is as follows. 1. To use Ryodoraku additionally to the established diagnostic device of metabolic syndrome, CVA, coronary heart diseases, parkinson's diseases, degenerative joint disease, spondylosis. 2. To apply Ryodoraku to the symptoms or diseases having a tendency to be diagnosed by correlation between the affected meridian and the lesion such as headache, nuchal pain, shoulder pain, low back pain, sciatica, HNP, etc. 3. To secure the repeatability and reproducity of Ryodoraku. 4. To devise and develop Ryodoraku appliance in order to overcome the known drawbacks and to improve error of measurement.

• 보존과학회지
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• 제22권
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• pp.121-134
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• 2008

석조문화재에서 나타나는 박리현상의 발생메커니즘과 염수용액에 의한 화학적 풍화와 관련된 그 원인을 연구하였다. 박리편에 대하여 화학적, 광물학적, 물리적 분석을 수행하여 함유하고 있는 대표적인 염이 석고임을 밝혔다. 염의 작용을 이해하기 위하여 석고와 더불어 용해도가 상이한 황산나트륨을 공극율이 다른 응회암과 화강암에 처리하였다. $Na_2SO_4$ 처리와 인공풍화를 거친 암석시료들의 모세관물흡수율은 약간 증가하였는데 이는 이 염에 의해 암석의 표면가까이에만 변화가 있었음을 의미한다. Na2SO4는 암석의 표면공극내에서 결정화가 일어나 수화압과 결정압을 발생하여 얇은 박리를 형성하는 것으로 보인다. $CaSO_4{\cdot}2H_2O$는 상대적으로 암석의 내부로 깊이까지 들어가서 집적되므로 집적되는 양이 $Na_2SO_4$ 보다 더 많고, 표면에 집적되는 양보다 내부에 집적되는 양이 많아 물흡수량이 증가하는 결과를 보이는 것이며, 이러한 성질로 인하여 암석에 두꺼운 박리가 야기될 것으로 판단된다. 암석종에 따른 변화에서는 응회암의 경우, 큰 공극율과 높은 모세관물흡수율로 인하여 암석 내부의 깊이까지 들어가서 염이 집적하게 되므로 화강암에 비해 염집적율이 더 크고, 이에 따른 물흡수율이 커서 화강암에 비해 두꺼운 박리현상이 나타날 것으로 보인다. 이에 비해 공극율과 모세관물흡수율이 낮은 화강암에서는 표면부위에서 집중적으로 염의 집적이 일어나서 얇은 박리가 발생하는 것으로 판단된다.

• 정보처리학회논문지C
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• 제15C권5호
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• pp.399-408
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• 2008

IP 기반 무선 광대역 서비스를 제공하는 모바일 와이맥스에서 물리적으로 제한적인 무선링크의 대역폭은 성능 저하의 큰 요인이 된다. 모바일 와이맥스 표준에서는 무선링크 대역폭의 효율적 활용을 위해 헤더 압축 기법인 PHS(Payload Header Suppression)를 정의하였으나, 제한적인 압축 가능 필드로 인해 PHS의 압축 효율성은 매우 낮다. 이에 본 논문에서는 높은 비트에러율과 긴 RTT(Round Trip Times) 및 제한적인 자원과 같은 특성을 지닌 무선 링크에 적절한 헤더 압축 기법으로 제안된 ROHC(Robust Header Compression)를 모바일 와이맥스에 적용하였을 때의 성능을 분석하고 PHS와 비교하였다. ROHC 성능에 대한 기존연구들은 무선링크에서의 비트에러에 대한 성능 분석에 초점을 맞추었으나, 맥 계층에서 에러 체크 기능을 제공하는 와이맥스와 같은 무선시스템의 경우 비트에러가 포함된 패킷이 상위 계층에 전달될 확률은 거의 없으므로 다른 측정 기준이 필요하다. 이에 본 논문에서는, 비트에러 대신 모바일 와이맥스 환경에서 발생할 수 있는 패킷 손실에 따른 ROHC의 성능 평가를 수행하였다. 다양한 ROHC 구현파라미터들이 ROHC 성능에 미치는 영향을 분석하고, ROHC와 기존의 방안인 PHS의 성능을 비교하였다.

• 지역사회간호학회지
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• 제10권2호
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• pp.494-507
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• 1999

This study has developed the sex education contents including new natural family plan, concept and principle by receiving the opinions and advices from professionals and professors on sex education, by amending and supplementing existing teaching materials on sex, and examining the books related with sex education contents that reflect the request of teachers and students, and the lack of sex education teaching materials which have been the reason that needs of school sex education has been highly recognized but not vitalized. The developed sex education contents are 8 areas such as knowing my body right, caring my body, observing the ability of being pregnant, marriage, sexual intercourse, process of pregnancy, miscarriage, and sexual violence, 30 lower areas, and 105 detailed contents in their composition, and here are the results of analyses of the degree of request of nurse teachers and the students on them. The teachers showed highest request in the area of sexual violence(M =4.67), the next was my body care(M=4.44), knowing my body right(M =4.38), process of pregnancy(M=4.13), marriage(M=4.11) and sexual intercoursen (M=3.98), ways of judging the ability of being pregnant(M=3.88), and miscarriage(M=3.72) showed comparative higher request than normal. Not like the teachers, the students showed that they requested Marriage area as the highest need(M=3.04) and next was sexual violence(M=3.02), caring my body(M=3.00) to have been higher than normal. Process of pregnancy(M=2.99), Sexual intercourse(M=2.81), miscarriage(M = 2.77), observation of the ability of being pregnant(M=2.74), and knowing my body right(M=2.70) have been the requests lower than normal. This study showed that sexual violence, marriage, caring my body, were the items most requested by both the leacgers and students and in elementary school the development of sex education teaching materials on natural family plan suitable to the level of development of the children has been requested as it has had no inclusion of the concept of natural family plan, and the students in elementary school are concerned on indirect sexual contents related with physical health like regular exercise rather than direct sexual education contents including sexual intercourse. All these show that they are still so naive on sex. The sense of the teachers on sex has been connected with the level of achievement of sex education of the children as it has been the important cause of deciding the contents of sex education. Therefore the materials developed onesidedly by leaders without reflecting the needs or the preference of the students might be worries of bringing shameful. low quality and negative opinions on sex, and on the other hand the children might lose the concerns and interest on sex education, So the materials should be developed to have the contents of sex education coinciding with the request of the children.

• 한국지구과학회지
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• 제31권6호
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• pp.563-572
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• 2010

흙댐에서의 누수 구역을 판별하기 위해 다채널 연속 온도 모니터링을 수행하고 이를 검증하기 위해 전기비저항 물리탐사를 함께 수행하였다. 일반적으로 댐이나 사면과 같은 인공구조물의 내부는 시간과 위치에 따라 상이한 온도 분포를 갖는 것으로 여겨진다. 이와 같은 분포는 구조물의 안전성을 판단하는 데 매우 중요한 기본 자료로 이용될 수 있으며, 특히 댐 구조물의 경우 과도 침투수나 누수에 의한 위험 대역을 파악할 수 있는 기술로 이용될 수 있다. 그러나 기존의 온도 측정 방식은 대형 구조물의 온도를 연속적으로 동시에 측정할 수 없는 단점을 가지고 있다. 본 연구에서는 이를 극복한 새로운 온도 모니터링 장비를 이용하여 댐의 상부 및 하부에 걸쳐, 여러 지점에서 동시에 온도 분포를 측정하였으며, 실내 시험을 통해 누수 대역이 온도 분포의 이상을 충분히 반영하고 있음을 관측하였다. 또한 대상 댐의 전 구역에 걸쳐 전기비저항 조사를 수행한 결과와 온도 모니터링 자료를 비교 분석하여 누수구역의 판별력을 높일 수 있는 방법을 제시하고자 하였다.

• Archives of Plastic Surgery
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• 제36권3호
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• pp.356-360
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• 2009

Purpose: Lipofibromatous Hamartoma(LFH) of nerve is a tumor - like lipomatous process principally involving the young persons. This is rare disease characterized by a soft slowly growing mass surrounding and infiltrating major nerves and their branches of the palm and digits. LFH of nerve usually affects the median nerve, with the most common sites of presentation being the distal forearm and hand in the wrist or palm. It may cause symptoms of compression neuropathy and is associated with macrodactyly. Recently, MRI plays a major role in confirming the diagnosis of LFH. Therefore, we present two cases of LFH in the hand with MRI features and surgical management. Methods: One is 6 - years - old female who presented with macrodactyly involving both the soft tissue and bony parts of the second, third and forth digits of her right hand. The other one is 16 - years - old man who presented involving the soft tissue of the second and third digits of his right hand, with pain and numbness, along with motor and sensory deficits in the median nerve distribution. To evaluation about LFH, we enforced preoperative MRI and physical examination. After confirming the diagnosis of LFH, we proposed decompression of all compromised peripheral nerve to help alleviate pain and paresthesia to reduce the likelihood of permanent motor and sensory sequelae. Results: A characteristic feature on MRI is the appearance of serpentiform nerve fascicle surrounded by fibro - fatty tissue within the expended nerve sheet. Distribution of fat between fascicles is asymmetric. Two cases were treated by limited debulking of the redundant tumor tissue and excision of epineurial fatty tissue. These cases were performed with relief of symptom. Conclusion: MRI not only confirms the diagnosis, it also provides a detailed assessment of nerve involvement preoperatively. Especially, on coronal images, the nerve has a spagetti - like appearance that is pathognomonic of LFH. Recommendations for early treatment include decompression of the carpal tunnel, debulking of the fibro - fatty sheath, microsurgical dissection of the neural elements and excision of involve nerve with or without grafting.

• 한국산업보건학회지
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• 제11권1호
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• pp.85-91
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• 2001

Background : It goes without saying that cumulative trauma disorders is spreading to various types of occupation in many advanced countries including America, and it forms considerable rate of total occupational disorders already. and as the result of it, the seriousness of worker health problem and economic loss owing to production loss, recuperation expense, etc. are on the increasing trend through whole society. In case of Korea, the related measures as well as accurate fact-finding survey data on cumulative trauma disorders aren't prepared in detail, so it implies forward problem would be serious. Purpose : The purpose of this study is to draw the risk factor of cumulative trauma disorders in production factory, to forecast the rate of occurrence of cumulative trauma disorders on the basis of subjective symptoms, and to present forward realistic and effective prevention measures by showing the risk of cumulative trauma disorders, objecting the production factory of a domestic riding automobile assembly shop, by estimating in the aspect of human-engineering through the analysis of risk factor being a cause of cumulative trauma disorders. Methods : For this study, I investigated work type and on-duty hours, breathing time, and subjective symptoms of cumulative trauma disorders through questionnaire, objecting the workers in press. car body, coating, and outfit factory. Results : As a result of research, 81.2% of workers were in the physical burden due to present working, and the highest prevalence by part of body is an waist. The higher a rule score, The higher the number of workers complaind for working intensity, and the higher age work duration, tool used time, the higher prevalence of subjective symptoms by part of body. The number of workers complaind subjective symptom for treatment is the highest in drugstore.

• 한국지하수토양환경학회지:지하수토양환경
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• 제8권4호
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• pp.53-63
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• 2003

연구의 목적은 옥동천 유역 토양의 중금속의 존재형태와 존재형태에 따른 중금속의 오염지수를 산정하는데 있다. 토양채취는 경작지 토양을 대상으로 하였고 토양은 물리적 특성과 이화학적 특성을 분석하였다. 그 결과 경작지 토양의 pH는 5.2에서 7.6을, 총질소 함량과 loss on ignition은 각각 0.6∼2.5%, 1.9∼12.9%를 나타냈다. 경작지 토양의 중금속 농도는 폐광된 탄광지역의 논토양에서 높게 나타났으며, 총 중금속의 농도는 Zn > Pb > Ni > Cu > Cd 순으로 나타났다. 이러한 결과는 토양환경기준치와 비오염 경작지 토양의 중금속 농도 보다 높게 나타나는 경향을 보였으며, 총 중금속 중 일부분이 이동 가능성이 있는 부분으로 나타났다. 토양오염 평가지수(SPAI)는 조사지 토양에서 Non polluted와 Moderately polluted를 나타냈으며, 이러한 결과는 비 이동성 형태보다는 이동성 형태의 값이 났게 나타났다. 경작지 토양에서 중금속 존재형태와 SPAI 값은 중금속에 의한 오염과 식물체에 미치는 잠재적인 유해한 결과를 얻을수 있다. 따라서 결과에서 보여진 폐탄광지역의 토양을 복원하기 위해서 신속한 대책이 필요하다.