• 한국산학기술학회논문지
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• 제13권7호
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• pp.3123-3131
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• 2012

본 연구자는 만8세 미만의 초등학교 여아들의 조기성조숙 현황을 조사하고 조기성조숙에 영향을 미치는 인자에 대해서 연구하고자 하였다. 고령군에 소재한 초등학교 G, D 2개의 초등학교 1,2,3학년 여학생을 전수 253명을 대상으로 학부모의 동의를 얻어 성 발달정도 및 비만의 정도, 생활습관(운동습관, 식습관, 수면습관 등), 가정환경 등을 조사하여 조기성조숙 발현의 영향인자를 통계학적으로 분석하였다. 총 253명의 학생을 대상으로 조사하였으며 각 연령에서 성조숙 현상을 보인 여아는 6세 90명중 에서 7명(7.8%), 7세 68명 중에서 9명(13.2%), 8세 95명 중 50명(52.6%)으로 나타났고 전체 253명중 66명(26.1%)이였다. 조기성조숙에 영향을 미치는 인자로 통계적으로 유의성이 나타난 것은 비만도, 인스턴트섭취빈도, TV시청시간, 스트레스, 가족형태(결손가정)이었다. 비만도가 높을수록, 인스턴트 섭취 빈도가 높을수록, 스트레스가 많을수록, 결손가정에서 성 발달이 빨랐다. 본 연구의 결과 만8세 미만의 초등학교 저학년 여아 중 26.1%가 조기성조숙으로 나타났으며, 조기성조숙의 발현에 영향을 미치는 인자는 비만도, 인스턴트섭취 빈도, 스트레스, 가족형태(결손가정)등으로 조사 되었다.

• 한국도로학회논문집
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• 제6권4호
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• pp.101-108
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• 2004

노후콘크리트 포장 수명을 연장하기 위한 방안으로 아스팔트 덧씌우기가 일반적이나 반사균열을 억제하기 어렵다는 단점이 있다. 반사균열을 억제하기 위하여 줄눈부 보수, 응력 완화층 설치가 적용되는 경우가 있으나 반사균열의 진전 속도를 늦추는 제한적인 성공을 보여 왔다. 콘크리트포장 슬래브를 원위치에서 파쇄하여 기층재료로 활용하고 그 위에 덧씌우기 포장을 건설하는 러블라이제이션 공법은 기존 덧씌우기 보강 공법을 갖고 있는 반사균열 문제를 완벽하게 해결할 수 있는 장점을 가지고 있다. 러벌라이제이션 공법을 적용할 경우 파쇄된 노후 콘크리트 포장층 상부층은 40mm-70mm로 파쇄되나 하부층은 100mm이상 되는 경우가 일반적이다. 국내 고속도로와 같이 상대적으로 두꺼운 콘크리트 포장 슬래브를 사용하는 경우 전체 포장 두께를 파쇄하기에 어려움이 있다. 따라서 파쇄된 노후 콘크리트 포장층이 반사균열을 유발시키지 않는 도로기층으로써의 역활을 확보하기 위한 적정 파쇄 깊이를 파악하기 위하여 본 연구에서는 미국 DOT에서 제안한 일반적인 파쇄규격(40mm-70mm)을 기준으로 파쇄 깊이를 0cm, 10cm, 20cm,로 변화시켜가며 반사균열 실내 모사 실험을 수행하여 반사균열 저항 특성을 분석하고 적정파쇄 깊이를 검토하였다.

• 한국작물학회:학술대회논문집
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• 한국작물학회 2017년도 9th Asian Crop Science Association conference
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• pp.231-231
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• 2017

Drought limits rice production under upland condition. This study quantified the effect of rhizobacteria inoculation on rice root system developmental response to drought and its role in maintaining high soil water use, and dry matter production under drought using NSIC Rc192 (rainfed lowland rice variety). The source of inoculant was Streptomyces mutabilis, a recently isolated rhizobacteria containing plant growth promoting compounds such as ACC deaminase, indole-3-acetic acid and phosphatase (Cruz et al., 2014, 2015). In the first experiment, pre-germination inoculation of seeds with S. mutabilis significantly increased the shoot and root (radicle) length as well as root hair lengths, relative to the non-inoculated control. In the second experiment, rice plants inoculated with S. mutabilis and grown in rootbox with soil generally had greater total root length under drought regardless of the timing of inoculations, relative to the non-inoculated control. Consequently, improved root system development contributed to the increase in soil water uptake under drought and thus, dry matter production. Among inoculation treatments, one-time inoculation of S. mutabilis either at pre-germination or pre-drought stress at 14 days after sowing (DAS), had significantly greater shoot dry matter production than three-time inoculation at pre-germination, at thinning (3 DAS) and at pre-drought (14 DAS). This study demonstrated the effectiveness of rhizobacteria (S. mutabilis) containing growth promoting compounds for enhancing drought dehydration avoidance root traits and improving the growth of rice plants under drought condition.

• Asian Pacific Journal of Cancer Prevention
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• 제16권1호
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• pp.145-152
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• 2015

Barriers to health seeking constitute a challenging issue in the treatment of breast cancer. The current meta-synthesis aimed to explore common barriers to health seeking among Malaysian breast cancer patients. From the systematic search, nine studies were found meeting the inclusion criteria. Data extraction revealed that health behavior towards breast cancer among Malaysia women was influenced by knowledge, psychological, sociocultural and medical system factors. In terms of knowledge, most of the Malaysian patients were observed to have cursory information and the reliance on the information provided by media was limiting. Among psychological factors, stress and sense of denial were some of the common factors leading to delay in treatment seeking. Family member's advice, cultural beliefs towards traditional care were some of the common sociocultural factors hindering immediate access to advanced medical diagnosis and care. Lastly, the delay in referral was one of the most common health system-related problems highlighted in most of the studies. In conclusion, there is an immediate need to improve the knowledge and understanding of Malaysian women towards breast cancer. Mass media should liaise with the cancer specialists to disseminate accurate and up-to-date information for the readers and audience, helping in modification of cultural beliefs that hinder timing health seeking. However, such intervention will not improve or rectify the health system related barriers to treatment seeking. Therefore, there is an immediate need for resource adjustment and training programs among health professional to improve their competency and professionalism required to develop an efficient health system.

• 대한간호학회지
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• 제49권6호
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• pp.701-712
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• 2019

Purpose: Despite the high drinking rates and the complexity of drinking behaviors in adolescents, insufficient attention has been paid to their drinking patterns. Therefore, we aimed to identify patterns of adolescent drinking behaviors and factors predicting the distinct subgroups of adolescent drinking behaviors. Methods: We analyzed nationally representative secondary data obtained in 2017. Our final sample included 24,417 Korean adolescents who had consumed at least one glass of alcohol in their lifetime. To investigate patterns of drinking behaviors, we conducted a latent class analysis using nine alcohol-related characteristics, including alcohol consumption levels, solitary drinking, timing of drinking initiation, and negative consequences of drinking. Furthermore, we investigated differences in demographics, mental health status, and characteristics of substance use across the latent classes identified in our study. To do so, we used the PROC LCA with COVARIATES statement in the SAS software. Results: We identified three latent classes of drinking behaviors: current non-drinkers (CND), binge drinkers (BD), and problem drinkers (PD). Compared to the CND class, both BD and PD classes were strongly associated with higher academic year, lower academic performance, higher levels of stress, suicidal ideation, lifetime conventional or electronic cigarette use, and lifetime use of other drugs. Conclusion: Health professionals should develop and implement intervention strategies targeting individual subgroups of drinking behaviors to obtain better outcomes. In particular, health professionals should consider different characteristics across subgroups of adolescent drinking behaviors when developing the interventions, such as poor mental health status and other substance use among binge and problem drinkers.

• 한국해양공학회지
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• 제33권5호
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• pp.435-446
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• 2019

Because offshore structures are affected by various environmental loads, the risk of damage is high. As a result of ever-changing ocean environmental loads, damage to offshore structures is expected to differ from year to year. However, in previous studies, it was assumed that a relatively short period of load acts repeatedly during the design life of a structure. In this study, the residual life of an offshore wind turbine support structure was evaluated in consideration of the timing uncertainty of the ocean environmental load. Sampling points for the wind velocity, wave height, and wave period were generated using a central composites design, and a transfer function was constructed from the numerical analysis results. A simulation was performed using the joint probability model of ocean environmental loads. The stress time history was calculated by entering the load samples generated by the simulation into the transfer function. The damage to the structure was calculated using the rain-flow counting method, Goodman equation, Miner's rule, and S-N curve. The results confirmed that the wind speed generated at a specific time could not represent the wind speed that could occur during the design life of the structure.

• Anatomy and Cell Biology
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• 제56권2호
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• pp.252-258
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• 2023

The human fetal sacroiliac joint (SIJ) is characterized by unequal development of the paired bones and delayed cavitation. Thus, during the long in utero period, the bony ilium becomes adjacent to the cartilaginous sacrum. This morphology may be analogous to that of the temporomandibular joint (TMJ). We examined horizontal histological sections of 24 fetuses at 10-30 weeks and compared the timing and sequences of joint cartilage development, cavitation, and ossification of the ilium. We also examined histological sections of the TMJ and humeroradial joint, because these also contain a disk or disk-like structure. In the ilium, endochondral ossification started in the anterior side of the SIJ, extended posteriorly and reached the joint at 12 weeks GA, and then extended over the joint at 15 weeks GA. Likewise, the joint cartilage appeared at the anterior end of the future SIJ at 12 weeks GA, and extended along the bony ilium posteriorly to cover the entire SIJ at 26 weeks GA. The cavitation started at 15 weeks GA. Therefore, joint cartilage development seemed to follow the ossification of the ilium by extending along the SIJ, and cavitation then occurred. This sequence "ossification, followed by joint cartilage formation, and then cavitation" did not occur in the TMJ or humeroradial joint. The TMJ had a periosteum-like membrane that covered the joint surface, but the humeroradial joint did not. After muscle contraction starts, it is likely that the mechanical stress from the bony ilium induces development of joint cartilage.

• Clinical Nutrition Research
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• 제11권4호
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• pp.264-276
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• 2022

Hemodialysis (HD) patients can experience appetite alterations that affect meals and nutritional status. Few qualitative studies have assessed the chronic impact of HD on the everyday diet. This study aimed to characterise comprehensively the experiences of HD patients adapting to appetite alteration. Semi-structured, face-to-face interviews were conducted in a unit of a tertiary hospital to understand patient experiences with appetite alteration. An interview guide was used to consider adaptive processes developed after reviewing the literature and based on the researchers' clinical experiences. A single researcher conducted all interviews to maintain consistency in data collection. The interview content was analysed using Nvivo 11 based on grounded theory and constant comparison analysis. As a results, the mean age and HD vintage of 14 participants were 60 and 5.8 years, respectively. We developed a self-care model based on HD patient experiences with appetite alteration based on axial and selective coding. Differences in urea sensitivity, taste alteration, and social support could be explained by timing of transitions, life events, and responses to stress. Self-care processes are adapted through the processes of "self-registration" and "self-reconstruction," starting with "disruption." At the stage of adjustment, 4 self-management types were derived based on pattern of self-care: self-initiator, follower, realist, and pessimist. The results of this study provide unique qualitative insight into the lived experiences of HD patients experiencing appetite alteration and their self-care processes. By recognising dietary challenges, health teams can better support HD patients in the transition from dietary education to self-care.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제28권4호
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• pp.295-309
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• 2006

The present study was aimed to evaluate the incidence, etiological factors, and management of cleft lip and palate. Two hundred and twenty patients with cleft lip and/or cleft palate who were treated at Department of Oral and Maxillofacial Surgery, Chonnam National University Hospital, during the period between January 1994 and December 2003 were reviewed. The ratios of cleft lip : cleft lip with cleft palate : and cleft palate were 0.4:1.1:1. Males were more common than females in cleft lip (1.3:1) and cleft lip and palate (2.5:1), while females were more common than males in cleft palate (1:1.3). In the cleft side, left clefts were more prevalent than right clefts (cleft lip 1.3:1, cleft lip and palate 1.6:1). Unilateral clefts were more common than bilateral clefts in cleft lip (79:21). Cleft lip and cleft palate were more common in those with blood type A (34.5%) than those with other types. There was no significant relationship between birth season and frequency of clefts. The clefts were common in the first-born (48.8%), and in mothers aged between 25 and 29 (51.7%). Medication (24.7%) and stress (16.7%) during the first trimester were noted. Positive familial history was noted in 13 cases (5.9%). Thirty-two cases (15%) were associated with other congenital anomalies, in which tonguetie (40.6%) and congenital heart disease (21.9%) were most common. Among 100 patients with cleft palate, 77 patients had middle ear disease (77%), which occurred predominently in the incomplete cleft palate. Seventy-six among the 77 patients received myringotomy and ventilation tube insertion, and the remaining one received antibiotic medication only. Cleft lips were treated primarily at 3 to 6 months, and cleft palates were at 1 to 2 years. Treatment regimens included modified Millard method mainly in the cleft lip, and Wardill V-Y, Dorrance method, and Furlow method in the cleft palate. The percentage of palatal lengthening as type of cleft palate was greater in the incomplete cleft palate group (11.2%) than in the complete cleft palate group (9.6%). The percentage of palatal lengthening as operating method was no difference between the Furlow method (10.9%) and the push back method (10.7%). As postoperative complications, hypertrophic scar was most frequent in the cleft lip, and oronasal fistula in the cleft palate. In summary, it was shown that medication and stress during the first trimester of pregnancy were frequently associated with cleft lip and cleft palate, adequate timing and selection of method of operation are important factors to obtain morphologically and functionally good results. Furthermore prevention and treatment of middle ear disease are important in cleft palate patients because of its high co-occurrence.

• 한국구조물진단유지관리공학회 논문집
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• 제18권3호
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• pp.10-19
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• 2014

파형강판은 제형, 정현형 등의 형상으로 얇은 강판을 주름지게 가공한 것으로 두꺼운 평판을 대신하여 사용하여도 높은 면외방향의 강성을 확보할 수 있다. 또한, 아코디언효과로 축방향 강성이 거의 없어 플레이트거더의 웨브에 적용할 경우 웨브가 전단력만을 부담하는 방법으로 쉽게 설계할 수 있다. 그러나 파형강판의 전단좌굴은 평판과는 달리 국부좌굴과 전체좌굴 외에도 이들의 연성에 의해서도 좌굴이 발생하는 매우 복잡한 특성이 있으며, 이러한 연성좌굴에 대한 원인과 특성의 규명은 정현형의 경우 제형보다 연구결과가 부족한 실정이다. 따라서 본 연구에서는 정현형 파형강판의 전단좌굴 특성과 연성좌굴이 발생하는 경향에 대해서 연구하였다. 전단좌굴강도를 계산하기 위해서는 유한요소프로그램을 이용하였고 해석결과를 정해와 비교하였다. 또한, 주름의 두께와 형상 파라메타에 따른 좌굴응력 변화의 특성과 좌굴모드형상의 변화를 분석하였으며, 이들의 결과를 이론식의 결과와 비교하여 좌굴양상의 변화시점에 대해서 분석하였다.