• 혜화의학회지
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• 제16권1호
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• pp.1-7
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• 2007

Tinnitus is noise from ear or head without any external sound stimulation and can cause hearing difficulties, psychologenic disturbances or many difficulties in everyday life. the etiology has yet been discussed and the management is also very difficult. Sensorineural hearing loss is defined as a sudden hearing impairment which was develope over a period of hours to days. I report one tinnitus case which accompanied with sudden sensorineural hearing loss. In the early and acute stage which judged as Dam-Wha, herbal treatment with Tong-myeong-ri-gi-tang was efficacious on the tinnitus. In the convalescent stage and judged as Sin-heo, herbal treatment with Ja-sin-tong-i-tang was efficacious on the tinnitus that accompanied with sudden sensorineural hearing loss.

• 국제물리치료학회지
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• 제9권4호
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• pp.1669-1675
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• 2018

The present study aimed to investigate rapid weight loss (RWL) and consequent physical and psychological challenges among judo athletes at the national athlete training center in 2017. The following results were obtained. Judo athletes used weight loss methods such as "gradually reduce meal portion," "skip meals," "limit water intake," "wear sweat suit for training," and "use sauna," and had physical and mental distress from such unhealthy weight management practices. Information about weight loss was obtained from "colleagues or senior athletes," "Internet," and "head coach or coach," and not experts such as nutritionists or physicians. Thus, athletes are recommended to employ healthy weight control methods based on advice from experts, such as nutritionists and physicians.

• 대한두경부종양학회지
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• 제20권2호
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• pp.147-155
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• 2004

Objectives: Head and neck squamous cell carcinoma (HNSCC) is the most common head and neck malignant tumor. The molecular genetic changes involving both oncogenes and tumor suppressor genes are known to be involved in head and neck squamous cell carcinogenesis, but the roles of the known tumor suppressor genes in carcinogenesis are not fully elucidated. The objectives of this study are to demonstrate the genetic alterations including the loss of heterozygosity (LOH) , amplification, and microsatellite instability of known tumor suppressor genes in HNSCC and to evaluate the relationship between genetic alterations of tumor suppressor genes and clinicopathologic features. Materials and Methods: Genetic alterations of 10 micro satellite markers of the 6 known tumor suppressor genes (APC, EXT1, DPC4, p16, FHIT, and PTEN) were analysed by DNA-PCR in paraffin-embedded histologically confirmed HNSCC specimens. Results: The genetic alterations of tumor suppressor genes were found frequently. Among the genetic alterations, LOH was most frequently found one. LOH was found frequently in APC (45.4%), EXT1 (36.4%), DPC4 (54.5%), and p16 (50%), but not found in FHIT. Also, the author found that abnormalities of APC gene was related to cervical lymph node metastasis and recurrence and that abnormalities of EXT1 gene were coexisted with those of APC gene or DPC4 gene. But these coexistences had no correlation with clinical features. Conclusion: These results suggested that APC, EXT1, p16, and DPC4 genes might play important roles and multiple tumor suppressor genes may participate dependently or independently in the carcinogenesis of HNSCC. These results also suggested that APC gene might relate to prognosis.

• 대한토목학회논문집
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• 제3권3호
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• pp.1-7
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• 1983

지금까지 발표되어 있는 여과공정(濾過工程)의 수학적(數學的) 해석(解析)의 결과(結果)는 범용성(汎用性)이 없고 실용적(實用的)으로 이용(利用)될 수 없는 문제점(問題點)이 있었다. 그러나 여과공정(濾過工程)을 수학적(數學的)으로 표현(表現)하는 것은 장치설계상(裝置設計上) 대단히 중요하기 때문에 본논문(本論文)은 급속여과지(急速濾過池)의 여과공정(濾過工程)을 해명(解明)하기 위하여 여층내(濾層內)의 tracer study의 결과(結果)를 정리한 것이다. 따라서 여과공정(濾過工程)을 해명(解明)하기 위해서 최대(最大)의 문제점(問題點)으로 되어 있던 억류물비퇴적량(抑留物比堆積量)을 직접(直接) 파악(把握)하는 것에 의해 Kozeny-Carman 식(式)을 보정(補正)하여 실제에 활용(活用)될 수 있는 미소여층(微小濾層)의 여과지저항식(濾過紙抵抗式)을 유도(誘導)하였다. 또 조지율(阻止率)과 비퇴적량(比堆積量)과의 상관(相關) model을 제안(提案)하고 이것을 이용(利用)해서 여과방정식(濾過方程式)을 풀고 그 값을 유도(誘導)한 여과저항식(濾過抵抗式)에 대입(對入)하여 전여층(全濾層)의 여과저항(濾過抵抗)을 구(求)하고 그 결과(結果)를 도표화(圖表化)함으로서 여과저항식(濾過抵抗式)을 이론(理論)과 실용(實用) 양면(兩面)에 넓게 활용(活用)될 수 있도록 하였다.

• 한국해안해양공학회지
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• 제19권3호
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• pp.194-204
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• 2007

흐름이 연직유공벽을 통과할 때 발생하는 수두손실을 수치해석과 수리실험을 통하여 고찰하였다. 수치 해석에 대해서는 유공벽 전 후의 검사체적에 연속방정식, 모멘텀 방정식, 그리고 에너지 방정식을 적용하였으며 주어진 하류 쪽 수심과 유속에 대하여 상류 쪽 수심 및 유공벽 수두손실을 계산할 수 있는 무차원 관계식을 유도 하였다. 수리실험은 단일유공판과 삼중유공판에 대하여 각각 수행하였다. 단일유공판에 대한 계산결과와 실험결과를 비교하여 유공부 오리피스에서 연직 선형 제트류의 수축계수가 개구율뿐만 아니라 하류 쪽 Froude 수에도 의존함을 밝혔으며, 실험결과에 근거하여 수두손실을 계산하기 위한 실험식을 제시하였다. 단일유공판의 실험식을 삼중유공판에 대하여 하류에서 상류 쪽으로 축차적으로 적용한 결과, 예측치와 실험결과가 대체적으로 잘 일치함을 확인하였다.

• 대한환경공학회지
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• 제39권12호
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• pp.706-713
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• 2017

본 연구는 국내 정수장에 무동력 와류 혼화장치를 설치하여 기존 기계식 급속혼화장치를 사용하는 정수장의 수처리 효율 및 적용 가능성을 비교 분석하였다. 이를 위해 무동력 와류 혼화장치의 유체 유동 특성 및 손실수두를 전산유체역학(CFD)으로 계산하였다. 혼화장치 내부의 수두손실률은 유입속도가 0.5 m/sec일 때 11.30%, 0.6 m/sec일 때 16.27%, 0.7 m/sec일 때 21.44%로 유입속도가 증가할수록 수두손실이 급격하게 증가하며 혼화지 설계 시 최적 유입 유속는 0.5 m/sec이다. 0.5 m/sec일 때 난류강도는 입구는 2.37%, 출구는 7.83%로 응집을 위한 혼화강도는 충분하다. 유입수의 유속이 0.38 m/sec인 정수장의 기계식 급속혼화장치 12대를 모두 무동력 와류 혼화장치로 대체하여, 3년 동안 운전한 정수장의 수질 검사결과는 기존의 급속혼화장치를 운전하는 정수장과 수질 차이가 없었으며 수질 기준에 적합하였다. 기존의 급속혼화장치를 무동력 혼화장치로 교체하면 1대당 동력소비량 64,143~65,306 kWh/y의 에너지를 절감할 수 있다.

• Journal of Oral Medicine and Pain
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• 제20권2호
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• pp.361-376
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• 1995

The purpose of this study was to investigate the relationship between the head and neck postre and the cervical curvature, especially in forward head postrue(FHP). Sixty patients with craniomandibular disorders and thirty dental students without any signs and symptoms of craniomandibular disordres participated in this study as patient groups and sa control group, respectively. The author evaluated the head and neck posture of all subjects by plumb line and CROM( Cervical Ragne of Motion), and had taken cephaograph in natural head position. On the cephalograph the angle of cervical inclination formed by true horizntal plane and 4th cervical vertebra(C4) and the radius of cervical curvature from C1 to C5 were measured. A specially designed ruler was used for measuring cervical curvature. Occlusal contac number and force with T-scan system, electromygraphic activity of cervical muscles with Bio-EMG, and distance of freeway space with Bio-ECN were recorded, respectively. The collected data were processed by SAS/STAT progrm. The obtained results were as follows : 1. In subjects with longer radius which was less cervical curvature, head positioned more anteriorly than subjects with smaller radius, and they showed slightly straight cervical vertebra. 2. Between the patients and the control group, there were no differences in cervical curvature, in forward head position by plumb line and in CROM. But the patient group had a greater cervical inclination than the control group had. 3. There were positive correlation between cervical curvature and forward head position by plumbline,between forward head position y plumb line and that by CROM in patient group. The cervical inclination, however, had negative correlation with cervical curvature, and with forward head postion by plumb line, respectively. 4. In case of showing more cervical curvature and more forward head position by plumb line the head position was defined as forward head posture. In patient group, subjects without forward head posture showed greater posterior teeth contact force than subjects with forward head posture, but in control group, there were no difference between the two subjects. 5. There were higher electromyographic activity in almost all muscles and smaller freeway space in induced forward head posture than those in natural head position in subjects without forward head posture. In conclusion, head position of patients with craniomandibular disorders were not more anterior than that of normal control person, but they had tendency to head extension. From the result of this study, forward head posture could be defined as posterior rotation of upper cervical segment with a straight lower cercial segment due to loss of normal lordosis.

• 대한후두음성언어의학회지
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• 제28권1호
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• pp.43-47
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• 2017

Laryngopharyngeal reflux disease (LPRD) is common in laryngologic practice. In Korea, up to 1 out of every 5 patients who visit otorhinolaryngology clinic is supposed to have LPRD with symptoms and physical findings. Major symptoms of LPRD include hoarseness, cough, reflux symptom and mild dysphagia. Even though LPRD is common, its diagnosis may be difficult, because its symptoms are nonspecific and the laryngeal findings are not always associated with symptom severity. In Recent study, 66.4% of Patient who has LPRD also associated with esophageal motility disorders. Esophageal achalasia is a disease of unknown etiology characterized by an absence of peristalsis in the body of esophagus and nonrelaxing hypertension of the lower esophageal sphincter. Common cause is loss of ganglion cells in Auerbachs plexus. The classic triad of symptoms in achalasia includes dysphagia, regurgitation and weight loss. LPRD and esophageal achalasia have similar symptoms but have different treatment of choice. The Differentiation diagnosis of theses disease is important and should be established by history, radiologic examination and endoscopic examination. We recently assessed a 59-year-old female patient who complained of an epigastric pain, dysphagia and chronic cough. LPRD was initially diagnosed on Laryngoscopic examination and Reflux Symptom Index, but patient was not relieved of any symptoms after treatment of Proton Pump Inhibitor for 3 months. After high resolution manometry, esophageal achalasia was finally diagnosed. We report this case regarding the diagnosis and treatment with review of literatures because we have to think about esophageal motility disorders as a differential diagnosis in laryngology.

• Child Health Nursing Research
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• 제6권3호
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• pp.397-410
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• 2000

This is a nonequivalent control group pretest- posttest design in quasi experimental basis to assess how the thermal head and feet support influences on early stage weight gain in premature neonates. The clients were selected among the premature infants with the weight under 2000gms and with the gestational period under 37 weeks, admitted over 15 days in K university hospital, Seoul. The control group of 29 were selected from January 1998 to August 1998, who were without head and feet thermal support, and the experimental group of 30 were selected from September 1998 to May 1999, who were with the two thermal interventions. The results of the study follow, 1.The experimental group with thermal interventions showed more weight gain than the control group without thermal interven- tions, which was statistically significant between the two groups. 2.The physiological weight loss after birth showed less in the experimental group than in the control group. 3.The recovery of the birth weight after the physiologic weight loss showed no statistical difference between the experimental group and the control group. Consequently, the thermal head and feet supportive nursing intervention could be applied as a nursing intervention program to help the premature neonates' development. With the results above we should like to suggest the following: 1) A continuous application in the practice of our thermal supportive intervention for the premature neonates, a development of the content through evaluation, and a comparision of the results through a long time study. 2) A neccessity of deveopment of various study and cross comparision. 3) A neccessity of multi-angular study on the premature infants' characteristics influencing the thermal therapy and the study of the individual differences of the clients.

• Journal of Audiology & Otology
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• 제25권3호
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• pp.163-170
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• 2021

Cortical deafness is a clinical rarity whereby a patient is unresponsive to all types of sounds despite the preserved integrity of the peripheral hearing organs. In this study, we present a patient who suddenly lost his hearing following ischaemic infarcts in both temporal lobes with no other neurological deficits. The CT confirmed damage to the primary auditory cortex (Heschl's gyrus) of both hemispheres. Initially, the patient was unresponsive to all sounds, however, he regained some of the auditory abilities during 10 months follow up. Pure tone threshold improvement from complete deafness to the level of moderate hearing loss in the right ear and severe in the left was observed in pure tone audiometry. Otoacoustic emissions, auditory brainstem responses, and acoustic reflex findings showed normal results. The middle and late latency potential results confirmed objectively the improvement of the patient's hearing, however, after 10 months still, they were somewhat compromised on both sides. In speech audiometry, there was no comprehension of spoken words neither at 3 nor at 10 months. The absent mismatch negativity confirmed above mentioned comprehension deficit. The extensive auditory electrophysiological testing presented in this study contributes to the understanding of the neural and functional changes in cortical deafness. It presents the evolution of changes after ischaemic cerebrovascular event expressed as auditory evoked potentials starting from short through middle and long latency and ending with event-related potentials and supported by neuroimaging.