• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제8권1호
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• pp.21-30
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• 2005

목 적: 식품 단백질 유발성 직결장염(dietary protein induced proctocolitis, DPIPC)의 임상적 특성과 장기 추적 관찰에 따른 자연 경과 과정을 알아보고, 모유 수유아에서의 어머니 식이 조절에 관한 새로운 방안을 모색하여 보고자 본 연구를 시행하였다. 방 법: 2003년 3월에서 2004년 7월까지 계명의대소아과 외래와 병동을 방문하여 DPIPC로 진단되고 6개월 이상 추적 관찰된 30명을 대상으로 후향적으로 조사되었다. 모유 수유아는 진단 직후 우유를 포함한 유제품, 계란, 견과류 및 콩류, 어패류, 밀가루 및 메밀의 5가지 음식을 어머니의 식단에서 7일간 제거 한 후 혈변의 소실을 관찰하였으며, 분유 수유아, 모유 부족의 경우는 단백가수분해물을 이용하였다. 결 과: 1) DPIPC의 발병 당시 모유 수유아는 28례(93.3%)이었으며, 2례(6.7%)는 분유 수유아였다. 2) 발병 연령은 생후 $11.5{\pm}5.1$ (5~24)주, 진단 연령은 $17.8{\pm}9.5$ (8~56)주이었다. 발병에서 진단까지 $6.3{\pm}6.7$ (0~36)주가 소요되었다. 3) 진단 당시의 말초 혈액 검사상 호산구수가 $250/mm^3$ 이상 증가된 경우가 27례(90.0%)로 $478{\pm}320$ (40~1,790)/$mm^3$으로 관찰되었고, 혈중 IgE가 증가된 경우는 없었다. 알레르기 MAST 검사를 시행한 26례 중 13례(50.0%)에서 양성 반응을 보였다. 4) S상 결장경을 시행한 15례 중 14례(93.3%)가 결절성 비후(nodular hyperplasia)와 미란에 의한 점막 출혈이 함께 관찰되었으며, 1례(6.7%)에서 국소적 발적만 관찰되었다. 5) 어머니 식단에서 5가지 음식을 배제한 27례 중 20례(74.1%)가 혈변이 소실되었으며, 7례(25.9%)에서 지속되었다. 혈변이 사라진 20례에서 5가지 음식을 선호도에 따라 하나씩 식단에 추가하였을 때 18례(90.0%)에서 혈변을 보였으며, 혈변을 보인 식품은 40건으로 중복 관찰되어, 우유 37.5%, 밀가루 27.5%, 어패류 20.0%, 견과류와 계란이 각각 7.5%로 관찰되었다. 6) 어머니 식단이 혈변없이 완전히 자유로워진 때는 관찰된 27례에서 환자 생후 $29.4{\pm}8.7$ (9~44)주이었다. 7) 환자의 식단이 혈변없이 완전히 자유로워진 시기는 관찰된 25례에서 생후 $37.5{\pm}9.7$ (12~56)주였다. 결 론: DPIPC는 일반적으로 알려진 바와 달리 모유 수유아에 집중되고, 호산구의 증가가 높게 관찰되었다. 어머니의 식단 중 5가지 식품을 제거하여 높은 혈변 소실률을 보였으므로 식이 조절의 방안으로 활용될 수 있을 것으로 판단된다. DPIPC는 생후 12개월까지 96.0%에서 완전한 소실이 관찰되었다.

• 한국사회복지학
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• 제66권2호
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• pp.75-99
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• 2014

본 연구는 청소년의 아동학대 경험이 학교폭력 가해행동에 미치는 과정을 사회발달모델(Social Development Model)에 근거하여 부모애착, 학교유대감, 비행친구접촉의 매개변인으로 구성된 경로모형을 제시하고 이를 구조방정식모형으로 검증하였다. 이를 위해 2012년 10월 15일~11월 25일까지 서울 및 경기지역 50개 중학교에 재학 중인 남 여 청소년을 대상으로 설문조사를 실시하였고, 회수된 설문지 1,836부 중 응답이 부실한 59부와 부모가 없거나 한부모라고 응답한 214부를 제외한 총 1,563부의 자료가 최종분석에 사용되었다. 분석결과, 청소년의 학대경험은 학교폭력 가해행동에 직접적인 영향을 미칠 뿐만 아니라, 부모애착, 학교유대감, 비행친구접촉의 매개변수를 통해 간접적인 영향을 미치는 것으로 나타났다. 이러한 결과를 통해 청소년의 학교폭력을 효과적으로 예방하기 위한 실천 및 정책방안이 논의되었다.

• 한국ITS학회 논문지
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• 제10권6호
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• pp.32-39
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• 2011

꼬리물기는 교차로에 정체가 발생하면 녹색 현시라도 진입해서는 안 되는데 이를 무시하고 무리하게 진입, 신호가 바뀐 뒤 다른 방향의 차량흐름에 방해를 주는 행위이다. 인력에 의한 단속 방법은 한계가 있어 지속적으로 단속을 하기위해서는 대체 방안이 필요하다고 하겠다. 교차로에서의 꼬리물기 위반를 시스템을 통해 단속가능한 지 여부를 파악하기 위해 실제 현장에서 실험을 통해 평가를 수행하였다. 본 연구에서는 현재 운영 중인 신호위반 단속장비와 달리 위반 차량을 단속하는 시점을 교차로 진출부 횡단보도 부근에서 하였으며, 위반 차량을 역추적 방식으로 궤적을 추적하는 방식을 적용하였다. 현장 실험 결과 시스템에 다음과 같은 결론을 얻었다. 교차로 꼬리물기 위반 차량에 대한 단속 능력, 즉 위반차량 검지율 및 오검지율을 평가한 결과, 평균 검지율은 83.5%, 오단속률은 0.2, 오인식률 1.5%로 나타났다. 따라서 꼬리물기 위반 차량을 무인단속장비에 의해 단속을 할 수 있을 것으로 판단된다.

• 한방안이비인후피부과학회지
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• 제15권2호
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• pp.210-219
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• 2002

Background and Objectives The diagnosis of allergic rhinitis includes detailed clinical history, physical examination and the use of either in vivo or vitro tests for relevant allergens. Skin test has been used the most commonly. Recently MAST CLA is used for determination of serum spcecific IgE, This study attempted to find out the distribution of Sasang Constitution and to compare the MAST CLA with skin tests in allergic rhinitis patients. Methods Skin tests, MAST CLA and Sasang Constitution study were performed for 35 allergic rhinitis patients who visited Kyunghee Oriental Medical Center from Sept. 2001 to Nov. 2001. Results 1. The ratio between male and female was 1:1.5. the peak age was the thirties(42.9$\%$) 2. 45.7$\%$ of patients had family history of allergic diseases and allergic rhinitis was the most common. 3. 51.4$\%$ of patients lived in A.P.T. and in preference of cool and warm, 54.3$\%$ of patients prefered both of cool and warm. 4. Among 24 cases who were consulted to dept. of Sasang, 45.8$\%$ was Taeumin. 5. 65.7$\%$ of patients reacted positive to skin test and the common offending allergen was D. pteronyssinus(82.6$\%$). 6. 25.7$\%$ of patients reacted positive to MAST CLA and the common offending allergen was D. farinae(88.9$\%$). 7. Among 22 cases who was performed skin test and MAST CLA the sensivity and specificity of MAST CLA was 27.4$\%$ and 94.9$\%$. There was significant correlations between MAST CLA and skin test(p=0.005, r=0.574, 1, spearman correlation coefficienct).

• Journal of Yeungnam Medical Science
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• 제38권3호
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• pp.202-207
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• 2021

Background: Trigeminal neuralgia (TN) is a severe, paroxysmal pain in the distribution of the fifth cranial nerve. Microvascular decompression (MVD) is the most widely used surgical treatment for TN. We undertook this study to analyze the effects of and complications of MVD and to refine the surgical procedure for treating TN. Methods: A total of 88 patients underwent for TN underwent surgery at our hospital. Among them, 77 patients underwent MVD alone, and 11 underwent partial sensory rhizotomy (PSR) with or without MVD. The medical records of these patients were retrospectively analyzed for patient characteristics, clinical results, offending vessels, and complications if any. Results: The mean follow-up duration was 43.2 months (range, 3-216 months). The most common site of pain was V2+V3 territory (n=27), followed by V2 (n=25) and V3 (n=23). The most common offending vessels were the superior cerebellar artery and anterior inferior cerebellar artery in that order. The overall rate of postoperative complications was 46.1%; however, most complications were transient. There were two cases of permanent partial hearing disturbance. In the MVD alone group, the cure rate was 67.5%, and the improvement rate was 26.0%. Among 11 patients who underwent PSR with or without MVD, the cure rate was 50.0%, and the improvement rate was 30.0%. Conclusion: The clinical results of MVD were satisfactory. Although the outcomes of PSR were not as favorable as those of pure MVD in this study, PSR can be considered in cases where there is no significant vascular compressive lesion or uncertainty of the causative vessel at the surgery.

• Journal of Korean Neurosurgical Society
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• 제56권6호
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• pp.537-539
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• 2014

Penetrating cerebral injuries caused by foreign bodies occur rarely due to the substantial mechanical protection offered by the skull. Throughout most of history, the brain, residing in a "closed box" of bone, has not been vulnerable to external aggression. Recently, we encountered a serious penetrating craniocerebral injury caused by a nail gun. Total excision of the offending nail via emergency craniotomy was performed, but the patient's neurologic status was not improved in spite of aggressive rehabilitative treatment. Here, we report on this troublesome case in light of a review of the relevant literature.

• 오토저널
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• 제5권2호
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• pp.15-20
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• 1983

The nature and the sources of sound in cars is discussed in the light of many previous works, and the importance of the system resonances inside cars is suggested. An investigation of a 'boom' problem in a small size passenger car is described. It was established that the 'boom' frequencies coincided with engine firing frequency and also with several system resonances. To find out main transmission path of the noise to the car interior, various possible sources were eliminated from the investigation by means of simple modification to the vehicle. Data on the structural modes of the body, and the acoustic modes of the passenger compartment at various forcing cases were obtained to provide better understanding of the problem. It was found that the acoustic resonance responsible for the boom was controlled largely the bending motion of the floor. To investigate the effect of the structural modification to the acoustic response, center floor of the car was reinforced. a great reduction of the noise inside the car especially at the offending speed range, was achieved by this modification.

• Journal of Korean Neurosurgical Society
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• 제37권4호
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• pp.293-295
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• 2005

Posterior interosseous nerve(PIN) syndrome is an entrapment of the deep branch of the radial nerve just distal to the elbow joint. It is caused by acute trauma or masses compressing the nerve. We report an unusual case of PIN syndrome with wrist drop caused by compression of the nerve by anomalous vascular leash. The patient has recovered with the surgical decompression of the offending vessels and arcade of Frohse.

• Tuberculosis and Respiratory Diseases
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• 제78권3호
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• pp.161-167
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• 2015

Tuberculosis (TB) remains a major global health problem, and the incidence of TB cases has not significantly decreased over the past decade in Korea. The standard short course regimen is highly effective against TB, but requires multiple TB-specific drugs and a long treatment duration. Recent studies using late-generation fluoroquinolones and/or high-dose rifapentine-containing regimens to shorten the duration of TB treatment showed negative results. Extending the treatment duration may be considered in patients with cavitation on the initial chest radiograph and positivity in sputum culture at 2 months of treatment for preventing TB relapse. Current evidence does not support the use of fixed-dose combinations compared to separate drugs for the purpose of improving treatment outcomes. All patients receiving TB treatment should be monitored regularly for response to therapy, facilitation of treatment completion, and management of adverse drug reactions. Mild adverse effects can be managed with symptomatic therapy and changing the timing of the drug administration, but severe adverse effects require a discontinuation of the offending drugs.

• 가정과삶의질연구
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• 제35권2호
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• pp.1-16
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• 2017

The purpose of this study was to investigate adolescents' individual and microsystem variables including relationships with parents and friends affecting adolescents' experiences of mobile social networking site (SNS) cyberbullying based on the human ecological perspective. Data came from 344 middle school students who lived with both their parents in the Seoul and Gyunggi areas. A multiple regression analysis showed that adolescents' characteristics, relationships with parents, and friends were associated with their experiences of mobile SNS cyberbullying. These findings suggest that good relationships with parents could be protective factors for adolescents to reduce mobile SNS cyberbullying. However, adolescents' characteristics including aggression, depression, and delinquent peers were positively associated with adolescents' experiences of mobile SNS cyberbullying. This study highlights that various environments are closely related to adolescent development.