• 농업과학연구
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• 제11권2호
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• pp.218-222
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• 1984

본(本) 연구(硏究)는 1984년(年) 7월(月) 6일(日)부터 8월(月) 3일(日)까지 28일간(日間), 분만모돈(分娩母豚) 40두(頭)와 분만자돈(分娩仔豚) 420두(頭)를 가지고, 분만(分娩), 포유(哺乳), 수안행동(睡眼行動)을 조사하고자 실시(實施)하였던 바, 그 결과(結果)를 요약(要約)하면 다음과 같다. 1. 분만모돈(分娩母豚)은 분만시(分娩時) 좌(左) 우(右)로 누워서 분만(分娩)했으며, 분만(分娩)도중 50%는 분만자세(分娩姿勢)를 바꾸었다. 출생(出生) 자돈(仔豚)의 65.5%는 앞쪽으로 출산(出산)하였다. 포유자세(哺乳姿勢)는 좌측(左側)으로 눕는것이 51.3%였다. 2. 자돈분만시간(仔豚分娩時間)은 239.3분(分)이었고, 자돈(仔豚)과 자돈(仔豚)의 분만간격(分娩間隔)은 19.3분(分)이었다. 3. 분만후(分娩後) 첫 번째 젖을 빨려는 시도는 분만후(分娩後) 24.3분(分)이었으며, 젖꼭지 결정시기는 분만후(分娩後) 31.9시간(時間)이었다. 4. 분만일(分娩日) 자돈(仔豚)의 포유시간(哺乳時間)과 포유회수(哺乳回數)는 각각(各各) 35.8초(秒)와 24.6회(回)/1일(日)이었으며, 포유기간(哺乳期間)이 경과할수록 포유시간(哺乳時間)과 포유회수(哺乳回數)가 단축되었다. (P<.01, P<.05) 포유간격(哺乳間隔)은 분만일(分娩日)에 58.5분(分)이었으며, 포유기간(哺乳期間)이 경과할수록 포유간격(哺乳間隔)이 길어졌다. 5. 포유모돈(哺乳母豚)은 하루중 깨어있는 시간이 31.7%, 쉬는 시간이 51.6%이었다.

• Korean Circulation Journal
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• 제53권7호
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• pp.425-451
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• 2023

Most patients with heart failure (HF) have multiple comorbidities, which impact their quality of life, aggravate HF, and increase mortality. Cardiovascular comorbidities include systemic and pulmonary hypertension, ischemic and valvular heart diseases, and atrial fibrillation. Non-cardiovascular comorbidities include diabetes mellitus (DM), chronic kidney and pulmonary diseases, iron deficiency and anemia, and sleep apnea. In patients with HF with hypertension and left ventricular hypertrophy, renin-angiotensin system inhibitors combined with calcium channel blockers and/or diuretics is an effective treatment regimen. Measurement of pulmonary vascular resistance via right heart catheterization is recommended for patients with HF considered suitable for implantation of mechanical circulatory support devices or as heart transplantation candidates. Coronary angiography remains the gold standard for the diagnosis and reperfusion in patients with HF and angina pectoris refractory to antianginal medications. In patients with HF and atrial fibrillation, longterm anticoagulants are recommended according to the CHA₂DS₂-VASc scores. Valvular heart diseases should be treated medically and/or surgically. In patients with HF and DM, metformin is relatively safer; thiazolidinediones cause fluid retention and should be avoided in patients with HF and dyspnea. In renal insufficiency, both volume status and cardiac performance are important for therapy guidance. In patients with HF and pulmonary disease, beta-blockers are underused, which may be related to increased mortality. In patients with HF and anemia, iron supplementation can help improve symptoms. In obstructive sleep apnea, continuous positive airway pressure therapy helps avoid severe nocturnal hypoxia. Appropriate management of comorbidities is important for improving clinical outcomes in patients with HF.

• 한국게임학회 논문지
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• 제13권1호
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• pp.49-60
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• 2013

여성가족부는 2011년 10월부터 온라인게임에 대한 셧다운제를 실시하였다. 셧다운제는 게임 과몰입을 방지하고 청소년의 수면권을 보호하는 것을 정책 목표로 내세웠지만, 셧다운제가 과연 청소년들의 게임 과몰입을 해결할 수 있는지, 정책의 실효성 있는 집행이 가능한지에 대해 많은 반론이 존재하였다. 본 연구는 게이머와 비게이머간에 셧다운제 정책 효과에 대한 인식 차이가 존재하는지, 그리고 셧다운제의 실시가 게이머와 비게이머의 정부 신뢰에 대한 인식에 어떠한 영향을 미치었는지를 살펴보도록 하였다. 설문 조사 결과, 게이머는 셧다운제에 대해 부정적으로 보고 정부신뢰가 감소되었으며, 비게이머들은 셧다운제를 긍정적으로 보고 정부신뢰가 증가되는 효과가 존재하였다. 즉 셧다운제는 비게이머들이 정책효과를 믿으면서 실시한 정책으로, 막상 정책대상자들인 게이머들은 정책 효과를 인정하지 않는 성격을 지니는 정책으로서의 특성을 지닌다.

• Clinical and Experimental Pediatrics
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• 제45권3호
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• pp.383-389
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• 2002

저자들은 미숙아에서 청색증과 무호흡증으로 입원 치료 하던 중 저칼슘혈증으로 인한 경련이 나타난 환아에게서 흉부 X선 사진과 MRI상 흉선을 관찰할 수 없으면서 T 세포수의 감소와 부갑상선 홀몬수치 감소를 나타내고 소악증, 어구, 부리모양의 코 등의 안면 기형과 합지증, 코 역류증, 폐쇄성 수면 무호흡증, 구개 범인두 부전증 등의 증상을 보이며 염색체 22q11 극소결실이 FISH검사에서 확진된 부분형 DiGeorge 증후군 1예를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 문화기술의 융합
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• 제7권4호
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• pp.351-361
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• 2021

본 연구의 목적은 건강한 생활습관에 영향을 미치는 요인을 규명하여 개인 및 지역의 건강불평등을 해소하기 위한 기초자료를 제공하고, 건강형평성 접근과 국민의 건강권을 보호하는데 있다. 2019 지역사회건강조사자료를 사용하였고, SAS 9.4와 IBM SPSS를 이용하여 기술통계분석과 다변량 로지스틱 회귀분석을 수행하였다. 건강한 생활실천율은 전체의 33.8%로 지역별로 11~20%의 차이가 있었다. 개인요인으로는 성별, 연령, 직업, 수면시간, 주관적 건강상태, 주관적 스트레스 정도에서 건강한 생활습관이 유의한 차이를 보였다. 개인 간 관계 요인에서는 건강한 생활실천을 위한 사회활동에 차이가 있었고, 지역사회 요인에서는 지역의 물리적 환경에 대한 긍정적인 태도, 연간 의료불만족, 의료기관 이용에 유의한 차이가 있었다. 향후 지역별 건강한 삶의 실천을 확대하기 위해서 구체적인 전략과 함께 개인, 사회, 국가 차원에서 접근할 수 있는 종합적인 정책과 협력방안을 추진해야 할 것이다.

• 동의생리병리학회지
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• 제21권6호
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• pp.1670-1675
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• 2007

The pulse diagnosis studies reported to date has mainly been performed to clinically reveal the pulse wave characteristics according to the specific diseases, whereas no attempts have been made to study the effects on the pulse wave characteristics of the daily activities such as taking meals, exercise, and sleep, etc. This work reports the effect of feeding stimulus on the healthy subjects on the pulse wave pattern which has quantitatively been analyzed using the objective model for the pulse diagnosis in oriental medicine. The pulse waves right before/after the meal and 30 minutes after the meal were measured using the pulse analyzing equipment (3D-Mac, Daeyo Medi, Korea) and at the same time oriental medicine doctors' diagnoses were given. The pulse parameters obtained from the equipment and clinical records on the subjects were statistically processed and the variables showing statistically significant differences were analyzed. The results indicate that the pulse pressure, the pulse rate, and the respiratory rate increase while the blood pressure decreases after the meal. For the floating/sinking and the deficient/excess coefficients characterizing the pulse states described in the oriental medicine, the floating/sinking coefficients were observed to decrease whereas the deficiency/excess coefficients increase after the meal. The results indicates that besides the standard bio-indicators like blood pressure and respiratory rate, etc., the pulse wave characterization in terms of the pulse classifications in the oriental medicine using the floating/sinking, deficient/excess pulse states provide an important piece of biomedical information.

• 한국학교보건학회지
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• 제30권1호
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• pp.21-28
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• 2017

Purpose: This study was conducted to examine the effect of foot-bath on lower extremities edema and fatigue among college students in Korea. Methods: This study used an quasi-experimental design with 56 participants (30 for experiments and 26 for controls). The experimental group performed 20-minute foot bath before sleep three times for one week. All subjects were directed to use their smart-phones to fill out a questionnaire about fatigue. Leg circumference was measured 10 minutes after foot bath. The test was performed from April 30th to May 22th in 2016. Data was analyzed using t-test and $x^2$ test. Results: We found no difference in general characteristics between the experimental group and the control group. Left leg edema of the experimental group decreased by $16.63{\pm}14.57mm$ (p<.001). The experimental group's right leg-edema decreased by $13.10{\pm}13.97mm$ (p<.001). There was no statistically significant difference in their fatigue level when comparing before and after the foot baths. Conclusion: We found that doing foot baths for two weeks could have positive effects in reducing leg-edema among college students. Foot bath may be applied as an effective nursing intervention to decrease leg edema among young people. The results are based on a limited number of study samples and a short-term intervention. Further research can be performed with extended population and a prolonged study period.

• The Korean Journal of Pain
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• 제22권1호
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• pp.74-77
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• 2009

Implantable intrathecal pump is one of the therapeutic options for intractable pain. A 24-year-old male with complex regional pain syndrome was suffering from right lower extremity pain. He had all modalities of treatment including spinal cord stimulator. However, his pain had been worse in the past 6 months. His visual analogue pain scale (VAS) was 8-10 and he could not sit or walk. Only opioid was thought to be effective. Then, intrathecal pump was considered. We estimated the minimal effective dose of spinal morphine before implantation. 0.3 mg of morphine was injected intrathecally as a starting dose. Dosage had been increased up to 0.8 mg in 10 days. His VAS score decreased from 8 to 5. He could sleep without pain and walk with crutch. Therefore, intrathecal pump was inserted. He could tolerate to pain. This case suggests that intrathecal morphine delivery can provide effective treatment for intractable non-malignant pain.

• Clinical and Experimental Pediatrics
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• 제59권sup1호
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• pp.133-138
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• 2016

Anti-N-methyl D-aspartate receptor (anti-NMDAR) encephalitis, recently recognized as a form of paraneoplastic encephalitis, is characterized by a prodromal phase of unspecific illness with fever that resembles a viral disease. The prodromal phase is followed by seizures, disturbed consciousness, psychiatric features, prominent abnormal movements, and autonomic imbalance. Here, we report a case of anti-NMDAR encephalitis with initial symptoms of epilepsia partialis continua in the absence of tumor. Briefly, a 3-year-old girl was admitted to the hospital due to right-sided, complex partial seizures without preceding febrile illness. The seizures evolved into epilepsia partialis continua and were accompanied by epileptiform discharges from the left frontal area. Three weeks after admission, the patient's seizures were reduced with antiepileptic drugs; however, she developed sleep disturbances, cognitive decline, noticeable oro-lingual-facial dyskinesia, and choreoathetoid movements. Anti-NMDAR encephalitis was confirmed by positive detection of NMDAR antibodies in the patient's serum and cerebrospinal fluid, and her condition slowly improved with immunoglobulin, methylprednisolone, and rituximab. At present, the patient is no longer taking multiple antiepileptic or antihypertensive drugs. Moreover, the patient showed gradual improvement of motor and cognitive function. This case serves as an example that a diagnosis of anti-NMDAR encephalitis should be considered when children with uncontrolled seizures develop dyskinesias without evidence of malignant tumor. In these cases, aggressive immunotherapies are needed to improve the outcome of anti-NMDAR encephalitis.

• Journal of Cerebrovascular and Endovascular Neurosurgery
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• 제25권1호
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• pp.87-92
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• 2023

Moyamoya disease (MMD) is a rare progressive steno-occlusive cerebrovascular disorder. Currently, revascularization surgery is used as optimal treatment to overcome MMD. However, revascularization for MMD has reported several complications. Also, iatrogenic complications such as pseudoaneurysms formation or dural arteriovenous fistulas (dAVFs) formation-has been identified in rare cases after the surgical intervention for revascularizations. We describe two cases. In first case, the patency of the anastomosis site was good and saccular type pseudoaneurysm formation was found at parietal branch of posterior middle meningeal artery (MMA) in transfemoral cerebral angiography (TFCA) performed on the twelfth day after surgery. We decided to treat pseudoaneurysm by endovascular embolization the next day, but the patient was shown unconsciousness and anisocoria during sleep at that day. Computed tomography showed massive subdural hemorrhage at the ipsilateral side, thus we performed decompressive craniectomy and hematoma evacuation. In second case, the patency of the anastomosis site was good and dAVF formation at right MMA was found in TFCA performed on the sixth day after surgery. We performed endovascular obliteration of the arteriovenous fistula under local anesthesia. Pseudoaneurysm formation or dAVF formation after revascularization surgery is an exceptional case. If patients have such complications, practioner should carefully screen the patients by implementing digital subtraction angiogram to identify anatomic features; as well as consider immediate treatment in any way, including embolization or other surgery