• 대한간호학회지
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• 제46권3호
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• pp.315-326
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• 2016

Purpose: The purpose of this cross-over experimental study was to examine effects of music intervention on maternal anxiety, fetal heart rate pattern and testing time during non-stress tests (NST) for antenatal fetal assessment. Methods: Sixty pregnant women within 28 to 40 gestational weeks were randomly assigned to either the experimental group (n=30) or control group (n=30). Music intervention was provided to pregnant women in the experimental group during NST. Degree of maternal anxiety and fetal heart rate pattern were our primary outcomes. State-trait anxiety inventory, blood pressure, pulse rate, and changes in peripheral skin temperature were assessed to determine the degree of maternal anxiety. Baseline fetal heart rate, frequency of acceleration in fetal heart rate, fetal movement test and testing time for reactive NST were assessed to measure the fetal heart rate pattern Results: The experimental group showed significantly lower scores in state anxiety than the control group. There were no significant differences in systolic blood pressure and pulse rate between the two groups. Baseline fetal heart rate was significantly lower in the experimental group than in the control group. Frequency of acceleration in fetal heart rate was significantly increased in the experimental group compared to the control group. There were no significant differences in fetal movement and testing time for reactive NST between the two groups. Conclusion: Present results suggest that music intervention could be an effective nursing intervention for alleviating anxiety during non-stress test.

• Tuberculosis and Respiratory Diseases
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• 제47권6호
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• pp.817-823
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• 1999

연구배경: 전북지역은 최근에 도시화와 공업화가 이루어 진 곳으로서 생활환경 변화에 따라 알레르기 환자에서 원인 알레르겐의 종류나 감작률에 있어서도 변화가 있으리라 여겨진다. 방 법: 1984년 2월부터 1985년 2월 사이와 1997년 2월부터 1998년 2월 사이에 전북대 병원 알레르기 내과를 방문한 알레르기 환자 201명과 339명을 대상으로 피부단자시험과 RAST를 실시하여 원인 알레르겐의 변화 추세를 비교 분석하여 보았다. 결 과: 한가지 이상의 항원에 양성을 보인 환자는 전체 대상 환자중 149명(74.2%)과 257명(75.8%)으로 유의한 차이는 없었다(p=0.664). 항원의 종류에 따른 감작률의 비교에서 1) 꽃가루군에 대해서는 차이가 없었다(35.8% vs 30.1 %, p=0.17). 2) 집먼지 진드기군에 대한 감작률의 감소가 있었다(66.1% vs 56.3%, p=0.02). 3) 곰팡이군, 동물털 및 비듬군에 대한 감작률은 감소하였다(p<0.001). 결 론: 위생상태의 개선에 따라 이와 관련있는 알레르겐의 감작률이 감소됨을 알 수 있었는데, 이에 대한 더욱 넓은 지역에서의 연구가 필요하리라 사료된다.

• Tuberculosis and Respiratory Diseases
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• 제71권1호
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• pp.24-29
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• 2011

Background: The rising prevalence of asthma worldwide may be associated with the rising prevalence of obesity in developed nations. Although several studies have suggested a relationship between asthma and obesity, controversy still remains. The aim of this study was to examine the relationship between obesity and asthmatic factors such as atopy, eosinophilia, serum total Ig E and bronchial hyperresponsiveness in chronic cough patients. Methods: This study was a retrospective, observational study in two centers done between January 2007 and June 2008. The subjects included individuals who had a chronic cough. We examined body mass index (BMI) to measure obesity and pulmonary function. We did a metacholine provocation test for airway hyperresponsiveness (AHR), a skin prick test for atopy, and tests for blood eosinophils and serum IgE. Results: A total of 1022 subjects were included. Airway hyperresponsiveness was not related with obesity (p=0.06), and atopy incidence was significant higher in non obese patients (p=0.00). There was no significant difference in serum IgE and blood eosinophil counts between obese and non obese patients. Forced expiratory volue in one second ($FEV_1$)/forced vital capacity (FVC) was significantly reduced in obese patients (p=0.03), but FEV1 and FVC were no significant difference between obese and non obese patients. Conclusion: There is no relationship between obesity and bronchial hyperresponsiveness. The nonobese group appears to have more atopy. The relationship between obesity and bronchial hyperresponsiveness and atopy need further investigation.

• Journal of Preventive Medicine and Public Health
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• 제9권1호
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• pp.109-116
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• 1976

Reorganization of myun health care service is one of the main issues in health care delivery in rural Korea. The fundamenta, concept of the role and function of the myun health subcenter is that it is the basic unit of rural health care service and is to provide comprehensive health care service through the integration of curative and preventive services. The aim of this study is to analyze the patterns of curative activities in the myun health subcenter in terms of the most prevalent types of diseases, necessary diagnostic methods and required equipment, types of treatment, necessary drugs and materials, and finally the cost of curative services. The population on which this study was done was the 1596 patients who visited the two myun health subcenters (Sunwon Myun and Naega Myun) in Kang Wha County, the area of the Yonsei University Community Health Teaching Project, during period from May 1, 1975 to June 10, 1976. For the patient's record in the clinic, problem oriented medical records were used. Decisions regarding the disease classification, the diagnostic methods used and selection of the most appropriate and adequate medical treatment were made by a group of three experienced physicians after reviewing the medical records which had been written by public physicians who were treating patients in the study area. The records were reviewed by resident staff members of the Department of Preventive Medicine, of Yonsei University College of Medicine. A brief summary of results of the study is as follow: 1. 29.9% of the patients who visited the clinics were ages between 0-4. No sex difference was observed among patients less than 20 years of age. However, among patients over 20 years old, females predominated. Thus it is evident that the majority of patients were either children or mothers and grandmothers. 2. The distance from the individual villages to the myun health subcenter was one of important factors in determining the ratio of clinic visits. However, other factors such as the activities of the health workers also affected the rates substantially. 3. The most common 25 diseases comprised 90.2% of all the diseases recorded. Acute respiratory infection (25.5%), Skin (12.7%) , diarrheal diseases (6.8%), neuralgia and back pain (4.9%) and. all other injuries (3.9%) were the five most common diseases. 4. Of all the diseases diagnosed and treated, 9.2% required simple laboratory tests for diagnosis, 6.5% required X-ray examination, and altogether 13.6% required either laboratory test or X-ray examination. 5. Treatment and management of 42.0% of the cases could be accomplished with simple, inexpensive drugs, 12.8% required the use of more expensive drugs (mostly antibiotics) and injections were required in 19.7% of the cases. Minor surgery and referral were necessary in 5% of the cases. 6. The cost for diagnosis and treatment was estimated with a standard which was set by general concensus. The average cost of diagnosis was 144 per case and the cost of treatment was 726 per case, The Total average cost per visit was 870.

• 한국지반신소재학회논문집
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• 제13권4호
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• pp.77-85
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• 2014

헬리컬 파일(helical pile)은 회전 관입기로 시공이 가능하므로 비교적 소형의 장비로 말뚝 시공이 가능한 장점이 있어, 최근 다양한 현장에서 그 사용이 증가하고 있다. 그러나 헬리컬 파일의 지지력을 평가하기 위한 현장 정재하시험은 시험하중만큼의 사하중, 반력 말뚝, 반력 앵커 등이 필요하다는 단점이 있다. 본 연구에서는 헬리컬 파일에 상대적으로 재하장치가 간단하고 시험이 간편한 양방향 재하시험을 적용하였으며, 양방향 재하시험 결과와 정재하시험 결과를 비교하였다. 양방향 재하시험은 헬리컬 파일의 중공형 중심축(shaft)에 중심축의 직경과 일치하고 중심축 내부 공간으로 유압재하용 호스가 나올 수 있도록 특수하게 제작된 유압식 셀(cell)을 나선형 원판(helix plate)사이에 삽입한 후, 유압 셀(cell)에 가압하여 지지력을 측정하는 방식으로 수행되었다. 양방향 재하시험은 유압식 셀을 최하단 나선형 원판 상부에 삽입한 경우와 최상단 나선형 원판 상부에 삽입한 두 가지 케이스로 시험을 진행하였으며, 각각의 방법이 선단지지력과 주면마찰력을 측정할 수 있도록 말뚝 두부의 변형을 제한하였다. 시험은 89mm, 114mm의 중심축에 450mm, 350mm, 200mm의 나선형 원판을 부착하여 제작한 헬리컬 파일로 수행되었으며, 시험 결과 정재하시험으로 산정한 지지력과 양방향 재하시험으로 산정한 지지력이 유사함을 확인하였다.

• 대한수의학회지
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• 제51권2호
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• pp.117-122
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• 2011

Bovine tuberculosis (bTB), caused primarily by Mycobacterium bovis, continues to exert an economic loss, even in countries with active control measures, and is one of zoonotic diseases enable to be transmitted to human. The control and eradication of bTB are mainly based on a test and slaughter policy and/or abattoir surveillance. Various factors including limitation of diagnostic tests have been considered as major constraints to eradication. Single intradermal test (SIT) is the official diagnostic test. New diagnostic methods are needed to be developed, because of limitations of the test. In the present study SIT was compared with single intradermal comparative cervical test (SICCT) and interferon (IFN)-${\gamma}$ assay. There was very low correlation between SIT and SICCT. However, high correlation was shown between SIT and IFN-${\gamma}$ assay while no correlation was observed between SICCT and IFN-${\gamma}$ assay. Therefore, our results suggest the possibility of replacement of SIT with IFN-${\gamma}$ assay for the diagnosis of bovine tuberculosis.

• 원예과학기술지
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• 제33권5호
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• pp.784-788
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• 2015

신품종 '피크닉'은 국립원예특작과학원에서 1994년 '후지'에 '산사'를 인공교배하여 얻은 실생 중 유망한 계통을 2003년 예비선발하여 2004년부터 2008년까지 5년간 '원교 가-34호'로 군위 등 5개 지역에서 지역적응시험을 거쳐 2008년에 최종 선발한 품종이다. 과실의 적숙기는 9월 하순이고 과형은 원추형, 과피는 붉은색, 바탕색은 녹황색, 과육은 황백색이다. 과중은 평균 233g이며, 가용성고형물 함량은 $13.8^{\circ}Brix$, 산 함량은 0.43%로 당산미가 조화로워 식미가 우수하다. 탄저병에 약하고 갈색무늬병이 발생하기 쉽다. '피크닉'은 우리나라 주요 품종인 '후지', '홍로', '쓰가루' 품종과 교배친화성이 있다. 수세가 약하고, 수자는 반개장성이다.

• 한국지반환경공학회 논문집
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• 제16권7호
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• pp.5-13
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• 2015

압입강관말뚝공법은 기초보강, 상부 및 지하 증축, 부등침하 복원 등에 사용되는 공법으로 유압잭을 이용하여 좁은 공간에서 시공이 가능한 기초 보강공법이다. 이 공법의 특징은 협소한 공간, 낮은 층고, 근접 시공이 가능하고, 무소음 및 무진동 공법이며 슬라임을 배출하지 않아서 시공현장을 청결하게 유지할 수 있다. 또한 모든 말뚝을 유압잭의 압입하중으로 시공하므로 시공 중 지지력 확인이 가능하다. 본 연구에서는 압입강관말뚝에 대하여 하중전이시험을 수반한 말뚝 정재하시험을 수행하여 압입강관말뚝의 하중지지 거동 특성을 파악하였다. 그리고 말뚝 시공 후 경과시간에 따른 압입강관말뚝의 지지거동의 변화를 확인하기 위하여 총 4회의 정재하시험을 실시하였다. 재하시험 결과, 압입강과말뚝의 허용지지력은 최소 637kN 이상으로 나타났고, 재하하중의 81~86%를 마찰하중이 지지하는 것으로 나타났다. 그리고 대체적으로 2개월이 경과하면 단위주면마찰력은 최대값에 도달하는 것으로 평가되었다.

• 한국지반환경공학회 논문집
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• 제18권9호
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• pp.19-31
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• 2017

미국 사례의 경우 항타말뚝과 현장타설말뚝은 동재하시험과 정재하시험 지지력 상관관계 분석에서 좋은 상관관계를 나타내었다. 하지만, 국내에서는 해외에서 많이 사용하지 않는 매입말뚝으로 주로 시공을 하고 있으며, 매입말뚝의 동재하시험 신뢰성에 대해 의문이 많아 동재하시험의 신뢰도를 확인하고자 하였다. 본 연구에서는 LH 현장(천안, 인천, 의정부)에서 PHC 매입말뚝에 대하여 재하시험을 실시하였으며, 동재하시험(EOID 7회, Restrike 7회)과 정재하시험(7회) 지지력을 비교 분석하였다. 그 결과 재항타동재하지지력 및 정재하지지력 평균 값 비교 시 정재하지지력 평균 값이 약 27% 높게 나타났다(신뢰도 : 0.73, 변동계수 : 0.3). 재항타지지력(Davisson 판정 값) 및 정재하지지력(Davisson 판정 값) 평균 값 비교 시 정재하지지력(Davisson 판정 값) 평균 값이 약 27% 높게 나타났다(신뢰도 : 0.73, 변동계수 : 0.2). 동재하시험과 정재하시험의 차이를 줄이고자 본 연구에서는 수정동재하지지력(EOID의 극한선단지지력+Restrike의 극한주면마찰력)을 제시하였으며, 수정동재하지지력과 정재하지지력을 비교했을 때는 그 차이가 9%로 줄어들었다(신뢰도 : 0.91, 변동계수 : 0.2). 또한 변동계수가 0.2로 줄어들어 일관성이 증가한 것으로 나타났다.

• Journal of Korean Medical Science
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• 제33권47호
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• pp.292.1-292.10
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• 2018

Background: We investigated the incidence of active tuberculosis among patients with inflammatory bowel disease (IBD) treated with tumor necrosis factor (TNF) inhibitors, with or without latent tuberculosis infection (LTBI). Methods: The study was performed at a Korean tertiary referral center between January 2011 and June 2017. In total, 740 patients with IBD who underwent LTBI screening tests and were followed-up for ${\geq}1$ year after TNF inhibitor treatment initiation were enrolled. LTBI was detected on the basis of tuberculin skin test results, interferon-gamma release assay results, chest X-ray findings, and previous tuberculosis treatment history. The patients were classified into LTBI (n = 84) or non-LTBI (n = 656) group. The risk of developing tuberculosis in each group was assessed on the basis of standardized incidence ratio (SIR) and 95% confidence interval (CI) for active tuberculosis. Results: Mean patient age was 33.1 years, and patients with Crohn's disease were predominant (80.7%). Within 1 year after the initiation of TNF inhibitor treatment, 1 patient in the LTBI group (1/84; 1.2%) and 7 patients in the non-LTBI group (7/656; 1.1%) developed active tuberculosis. The overall 1-year incidence of tuberculosis among the patients was significantly higher than that among the general population (SIR, 14.0; 95% CI, 7.0-28.0), and SIR was not affected by LTBI status (LTBI group: 14.5, 95% CI, 2.0-102.6; non-LTBI group: 14.0, 95% CI, 6.7-29.4). Conclusion: Patients with IBD undergoing TNF inhibitor treatment showed a higher 1-year incidence of tuberculosis than the general population irrespective of LTBI status.