• Journal of Preventive Medicine and Public Health
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• 제36권4호
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• pp.390-398
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• 2003

Objectives : To evaluate the degree of adolescent internet addiction, and investigate its relationship to the general characteristics, internet environments, and contents, especially the stress measured by the psychosocial wellbeing index-short form(PWI-SF). Methods : The data was obtained from self-administered questionnaires from 886 11th grade urban area students. The questionnaires consisted of general characteristics, internet user's environments, frequencies by internet contents, internet addiction test and PWI-SF. Results : The possible rate of internet use at home was 95.1%, and the area of most internet use was the home. The frequencies of internet game and porno site use were higher in males, with web searching and community uses higher in females. The total mean of internet addiction score was 56.8, and was higher for male than for female students. From multiple regression, as analyzed by the internet addiction score as a dependent variable, on-line friends, internet use times, years of internet use, frequencies of internet game, & porno site use, and PWI-SF scores were significant in male. Internet use times, the frequencies of internet game, chatting, community use, and PWI-SF score were significant in female. Four PWI-SF subscales(social role & self reliability, depression, general health & vitality, and sleep disturbance & anxiety) and internet addiction were significantly correlated in both male and female students, with depression having the most correlation. Conclusion : The results of this study suggest that intervention should be provided to prevent internal addiction, especially for coping with stress in Korean teenage students.

• 대한소아치과학회지
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• 제36권2호
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• pp.298-304
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• 2009

X-linked hypophosphatemic rickets(이하 XLH로 기술)는 구루병의 일종으로 임상적으로는 비타민 D의 대량 투여로도 개선되지 않고 성염색체 우성 유전되는 유전성 질환이다. 저인산혈증성 구루병, 비타민 D저항성 구루병이라고도 불린다. 본 증례는 서울대학교병원 소아과에서 XLH로 진단받은 6세 6개월의 여아로, 상악 좌측 중절치의 매복을 주소로 소아치과에 의뢰된 환자이다. 환아는 XLH환자에서 전형적으로 보이는 보행 장애, 다리의 휨현상 작은 키, 손목, 무릎, 발목 관절의 종창 등이 관찰되었다. 또 치과적 특징으로 임상적으로 건전한 치아에서 자발적인 치근단 농양과 농루가 발생하였고 치아의 맹출 지연, 우상치 (taurodontism), 근단공의 폐쇄 지연, 확대된 치수강 등을 나타내었기에 이전 문헌 고찰을 통하여 XLH 환아의 특징을 살펴보고 본 환자의 의과적, 치과적 특성 및 매복된 치아의 치료에 대하여 보고하는 바이다.

• KSBB Journal
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• 제11권2호
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• pp.238-245
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• 1996

석탄중의 무기황화합물인 pyrite를 생물학적으로 제거하기 위하여 호산성, 독립영양성인 철산화 세균 7 Thiobacillus ferrooxidans를 샤용하였다. 호주산 역 청탄을 대상으로, 석탄 업자의 크기, 농도, 계면활성 제의 영향 등의 공정변수들이 탈황속도에 미치는 영 향을 조사하였고, airlift 생물반응기에셔 탈황특성을 조사하였다. 플라스크 배양의 경우, 탈황률은 슬러리 농도 증가에 따라 감소하였고. 20 % 이하의 슬러리 농도에서 78 % 이상의 탈황이 가능하였지만 슬러리 농도가 30% 이상이 되연 탈황률은 40% 미만으로 저하하였다. 또한, 석딴 업자의 크기가 증가함에 따 라 탈황률은 급격하게 감소하였는데. 0.42mrn이하의 업자크기에서 초기 탈황속도 169rng-SjR day가 얻 어졌다. 슬러리 농도가 50 %로 고농도인 경우, 플라 스크 실험에셔는 15 %의 낮은 탈황률이 얻어진 반 면, 물질전탈 효율이 높은 airlift 생물반응기에서는 탈황률이 50 %로 상대적으로 높은 값을 얻을 수 있 었다. 동일조건하에서 플라스크 실험에서는 계면활 성제의 첨가로 탈황률이 약 10% 정도 향상되었으나, a airlift 생물반응기에서는 탈황률이 약간 감소하였다. 이러한 결과로부터 계면활성제의 역할은 석탄 입자 의 침전을 방지하여 훈합을 용이하게 하고 산소와 탄소원인 이산화탄소의 물질전달속도를 향상시키는 것임을 알 수 있었다. 무연탄이 70% (w/v)의 고농 도에서도 80 % 이상의 탈황률과 비교해서 역청단의 탈황률은 매우 낮았다. 이는 역 청탄 중에는 미생물 의 활성을 저해하는 물질이 포함되어 있으며, 석탄 의 생물학적 탈황은 석탄의 종류에 많은 영향을 받 음을 시사하였다. 318K, 압력 5500psig에서 24.(1 의 이산화탄소를 사용했을때 효율은 유기용매 추출의 약 36%를 얻었고, methan이을 보조용애로 사용하 여 온도 308K, 압력 3000psig에 서 $24\ell$를 사용했을 때 약 81 %를 보였다. 하고 있음을 시사해 주고 있다.only either 'front and back' or 'left and right' and also sa-pok(사폭) of man's trousers seop(섶) of jeo-go-ri(short jacket 저고리) kyut-ma-gi(곁마기) of Sam-hwai-jang jeo-go-ri (삼회장 저고리), mu(무) of jig-ryung trouser wide and ga-rae-ba-dae(가래바대) of dan-cok-kok The formation line of Korean clothes is based on theprinciple of unlimited m bius strips by twisting of turning direction from universal principle and original basic form is not changd even by turning in-side out. Unity of the whole and part in Korean clothes could be found in nonorientable thought which represents the unity and dependence kil(길) of jeo-go-ri and po Selva-gewise(식서방향) of sleeves and seam of out-side of kil(길) and

• The Korean Journal of Pain
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• 제29권3호
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• pp.172-178
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• 2016

Background: This study was designed to assess serum vitamin D status (25-OHD) in the fibromyalgia (FM) patients and to compare it with a healthy control group. It also aimed to investigate the correlation of serum vitamin D level with FM symptom severity and invalidation experiences. Methods: A total of 74 consecutive patients with FM and 68 healthy control participants were enrolled. The eligible FM patients completed the Illness Invalidation Inventory (3*I), the Revised Fibromyalgia Impact Questionnaire (FIQR) and a short-form health survey (SF-12). Venous blood samples were drawn from all participants to evaluate serum 25-OHD levels. Mann-Whitney tests and multiple logistic regression analyses were performed and Spearman's correlations were calculated. Results: 88.4% of FM patients had low levels of serum 25-OHD. FM patients had significantly higher level of serum 25-OHD than the control group ($17.24{\pm}13.50$ and $9.91{\pm}6.47$ respectively, P = 0.0001). There were no significant correlations between serum 25-OHD levels and the clinical measures of disease impact, invalidation dimensions, and health status. Multiple logistic regression analyses revealed that an increased discounting of the disease by the patient's spouse was associated with a 4-fold increased risk for vitamin D deficiency (OR = 4.36; 95% CI, 0.95-19.87, P = 0.05). Conclusions: This study showed that although high rates of vitamin D insufficiency or deficiency were seen among FM patients and healthy non-FM participants, but it seems there was no intrinsic association between FM and vitamin D deficiency. Addressing of invalidation experience especially by the patient's spouse is important in management of FM.

• Clinical and Experimental Pediatrics
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• 제48권6호
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• pp.606-613
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• 2005

목 적 : APSGN은 소아에서 흔히 볼 수 있는 급성 사구체 신염의 하나로, 대부분의 환자에서 급성기 이후 완전한 회복을 보이지만, 소수의 환자에서는 급성기 합병증으로 사망하거나, 이후에 만성 신부전으로 진행하기도 하는 것으로 알려져 있다. 최근 과거에 비하여 발생빈도가 줄어들었으나, 여전히 소아에서 흔히 볼 수 있는 신질환으로 최근 10년간의 임상 양상을 살펴보고, 과거의 보고들과의 차이를 알아보고자 하였다. 방 법 : 1994년 1월부터 2003년 12월까지 서울아산병원 소아과에서 APSGN으로 진단받고 입원 또는 외래 치료를 시행한 105명의 환아를 대상으로 후향적으로 의무기록을 검토하여 연구하였다. 결 과 : APSGN으로 진단받은 환아들의 남녀비는 2 : 1이었고, 평균연령은 $8.5{\pm}2.6$세였다. 연평균 발생 비율은 $10.5{\pm}4.9$였고, 연중 발생을 살펴보면 대부분(60.0%)의 환아가 10월에서 1월 사이에 발생하였다. 내원 당시 부종이 82명(78.1%), 육안적 혈뇨 70명(66.7%), 고혈압 50명(47.6%), 핍뇨 22명(20.9%)에서 나타났고, 현미경적 혈뇨 105명(100%), ASO 양성 99명(94%), C3 감소 96명(91.45), 단백뇨 67명(63.8%)에서 나타났고, BUN이 증가한 경우가 38명(26.2%)였다. C3가 감소하였던 96명 중 70명(75.3%)에서 8주째 정상으로 회복되었다. 22명의 환아에서 신장조직 검사를 시행하였다. 급성기 증상은 대부분의 환아에서 1-2주 사이에 소실되었다. 결 론 : APSGN의 임상양상은 과거의 연구들과 비교하여 큰 차이가 없었고, 급성기 회복률 및 단기예후는 우수하였다.

• 한국산학기술학회논문지
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• 제13권3호
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• pp.1170-1177
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• 2012

본 연구는 유아 어머니의 양육스트레스, 분노, 분노표현 유형 정도를 파악하고 분노표현 유형에 영향을 미치는 변인을 알아보기 위한 서술적 조사연구이다. K시의 유치원과 어린이 집에 재원하고 있는 3-6세 아동의 어머니 205명을 대상으로 설문지를 배부하여 자료 수집을 실시하였다. 자료 분석은 SPSS 19.0 통계 program을 이용하여 실수, 백분율, 평균, 표준편차, t-test, ANOVA, 상관관계, 다중회귀분석을 실시하였다. 본 연구결과 양육스트레스의 평균 점수는 2.32점이었고, 상태분노 1.36점, 특성분노 1.85점으로 나타났다. 분노표현 유형의 하위척도인 분노표출의 평균 점수는 1.84점이었고, 분노억제 1.75점, 분노조절 2.31점으로 나타났다. 양육스트레스는 상태분노, 특성분노, 분노표출, 분노억제와 정적상관관계를 보였고 분노조절은 부적상관관계를 보였다. 상태분노는 특성분노, 분노표출, 분노억제와 정적상관관계, 분노조절은 부적상관관계를 보였다. 특성분노는 분노표출, 분노억제와 정적상관관계, 분노조절과 부적상관관계를 보였다. 분노표출은 분노억제와 정적상관관계이고 분노조절과 부적상관관계를 보였다. 분노표현 유형에 영향을 미치는 요인을 확인하기 위해 회귀분석을 실시한 결과 양육스트레스, 상태분노, 특성분노가 분노표현 유형에 유의하게 영향을 미치는 것으로 나타났다. 따라서 자녀양육에 필요한 정보와 기술 제공뿐 만 아니라 어머니의 분노를 조절하고 양육스트레스를 감소시킬 수 있는 부모교육프로그램의 개발이 필요하다.

• Journal of Korean Neurosurgical Society
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• 제63권5호
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• pp.623-630
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• 2020

Objective : A primary degenerative sagittal imbalance has been considered because of unique lifestyles such as the prolonged crouched posture during agricultural work and performing activities of daily living on the floor. Previous papers have reported that sagittal imbalance disease is often seen distinctly in the farming districts of "oriental" countries such as Korea and Japan. However, this finding was only evaluated with the use of X-ray, and other factors such as magnetic resonance imaging (MRI), muscle volume, compression fracture, and laboratory results were not considered. Thus, using these, we evaluate the agricultural work-associated factors for Korean elderly spinal sagittal imbalance. Methods : We recruited 103 Korean participants who had a sagittal vertical axis (SVA) of >5 cm in this Korean Elderly Sagittal Imbalance Cohort Study. The following were evaluated : radiological parameters, MRI, compression fracture, vitamin D, parathyroid hormone, C-terminal telopeptide, osteocalcin, bone mineral density and muscle fatty change, muscle volume, and health-related quality of life from patients' survey. Moreover, in this survey, the farmers' annual working hours were investigated. Subsequently, we analyzed the associated factors for spinal sagittal imbalance depending on occupation. Results : A total of 46 participants were farmers, and the others were housewives, sellers, and office workers. The farmer group had more SVA (141 vs. 99 mm, p=0.001) and pelvic tilt (31° vs. 24°, p=0.004) and lesser lumbar lordosis (20° vs. 30°, p=0.009) and thoracic kyphosis (24° vs. 33°, p=0.03) than non-farmer group. A significantly positive correlation was noted between the working hour and SVA in the farmer group (p=0.014). The visual analogue scale score for back pain (8.26 vs. 6.96, p=0.008) and Oswestry Disability Index (23.5 vs. 19.1, p=0.003) in the farmer group were higher than that in the non-farmer group, but the Short Form-36 score was not significantly different between the two groups. The Mini-Mental State Exam score was significantly lower in the farmer group than in the non-farmer group (24.85 vs. 26.98, p=0.002). Conclusion : The farmer group had more sagittal imbalance and back pain in proportion to the working hours even though the muscle and bone factors and general laboratory condition were not significantly different between the two groups. These results supported that the long hours spent in the crouched posture while performing agricultural work were a risk factor for severe sagittal imbalance.

• 한국보건간호학회지
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• 제16권2호
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• pp.239-253
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• 2002

Health care for women regularly focuses on the reproductive system to the exclusion of other health needs. The lack of research focusing on women's common health issues is a major problem to the enhanced optimal level of women's health. Health care providers have to recognize biological and social differences between men and women. This study was conducted to identify the baseline data and their correlation of health perception, health behavior, and health status of adult women for developing nursing intervention. The study was a descriptive correlational design. A convenient sampling method was used for collecting data from 103 adult women, over 18 years of age, during the period from Sep 1 to Nov 30, 2001. The study's subjects were interviewed using a structured questionnaire. The instruments for this study were the health perception scale modified by Lee(1985) based on the tool developed by Ware(1977) and Jenkins (1966), and the health behavior scale by Ko, Kumja(1987). Health status was measured by the short form Cornell Medical Index(CMI) modified by Nam, Hochang(1965). The data were analyzed SPSS PC+, by frequency, mean, t-test, ANOVA, and Pearson correlation coefficients. Also, the Duncan test was utilized for a post hoc test of ANOVA. The results of this study are as follows: 1. The mean score for health perception was 3.02(S.D=0.39) on a 5 point scale. 2. The mean score for health behavior was 3.08(S.D=0.43) on a 5 point scale. 3. The mean score for health status was 18.54 on 58 items. The mean score for physical symptoms of a subscale of health status was 11.30 on 36 items and the mean score for psychological symptoms was 7.37 on 22 items. 4. The relationship of sociodemographic variables to health perception. health behavior, and health status of women.: 1) There were significant differences in the scores of health perception by disease experience(t=-3.37, p=0.00). 2) There were significant differences in the scores of health behavior by age(F=10.52, p=0.00), height(F=4.73, p=0.01), marital status(t=-5.56, p=0.00), educational background(t=2.90, p=0.00), and drinking or non-drinking(t=2.17, p=0.03). 3) There were significant differences in the scores of health status by educational background(t=2.28, p=0.02) and disease experience(t=2.61, p=0.01). 5. Health perception showed significant positive correlation with health behavior(r=0.39, p=0.00). Health perception showed significant negative correlation with health status(r=-0.44, p=0.00), that is, the more women perceived health, the less she complained about unhealthy symptoms. Health behavior had no significant correlation with health status but showed a positive correlation with psychological symptoms of a subscale of health status(r=-0.19, p=0.05). Many of the leading causes of disease are preventable through changes in health perception and behavior. The need to increase individual awareness of relationships among health perception, health behavior, and health status and to enhance knowledge regarding the long-term effects of positive health behaviors, is an important nursing strategy for women's health promotion.

• Journal of Korean Neurosurgical Society
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• 제59권4호
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• pp.363-367
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• 2016

Objective : To compare the fusion rate of a hydroxyapatite demineralized bone matrix (DBM) with post-laminectomy acquired autograft in lumbar interbody fusion surgery and to evaluate the correlation between fusion rate and clinical outcome. Methods : From January 2013 to April 2014, 98 patients underwent lumbar interbody fusion surgery with hydroxyapatite DBM (HA-DBM group) in our institute. Of those patients, 65 received complete CT scans for 12 months postoperatively in order to evaluate fusion status. For comparison with autograft, we selected another 65 patients who underwent lumbar interbody fusion surgery with post-laminectomy acquired autograft (Autograft group) during the same period. Both fusion material groups were matched in terms of age, sex, body mass index (BMI), and bone mineral density (BMD). To evaluate the clinical outcomes, we analyzed the results of visual analogue scale (VAS), Oswestry Disability Index (ODI), and Short Form Health Survey (SF-36). Results : We reviewed the CT scans of 149 fusion levels in 130 patients (HA-DBM group, 75 levels/65 patients; Autograft group, 74 levels/65 patients). Age, sex, BMI, and BMD were not significantly different between the groups (p=0.528, p=0.848, p=0.527, and p=0.610, respectively). The HA-DBM group showed 39 of 75 fused levels (52%), and the Autograft group showed 46 of 74 fused levels (62.2%). This difference was not statistically significant (p=0.21). In the HA-DBM group, older age and low BMD were significantly associated with non-fusion (61.24 vs. 66.68, p=0.027; -1.63 vs. -2.29, p=0.015, respectively). VAS and ODI showed significant improvement after surgery when fusion was successfully achieved in both groups (p=0.004, p=0.002, HA-DBM group; p=0.012, p=0.03, Autograft group). Conclusion : The fusion rates of the hydroxyapatite DBM and Autograft groups were not significantly different. In addition, clinical outcomes were similar between the groups. However, older age and low BMD are risk factors that might induce non-union after surgery with hydroxyapatite DBM.

• 한방재활의학과학회지
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• 제30권4호
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• pp.155-164
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• 2020

Objectives This study is aimed to evaluate the feasibility of further clinical research of warm needle acupuncture as an effective and safe treatment for chronic low back pain. Methods Thirty participants will be randomly assigned to the Warm needle acupuncture group (n=15) and Dry needle acupuncture group (n=15). All patients will receive acupuncture therapy twice a week for 6 weeks, but only the experimental group will receive thermal stimulation. The primary outcome will be measured using the visual analogue scale for bothersomeness of low back pain, and the secondary outcome will be measured using the VAS for pain intensity, Oswestry disability index, 36-Item Short Form Health Survey, Beck's depression inventory, and amount of analgesics used. Conclusions The results of this study will be used to determine the feasibility of a future large-scale randomized controlled trial that provides clinical evidence for the efficacy and safety of warm needle acupuncture in the treatment of patients with chronic low back pain.