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A Study on the Heavy Metals Concentrations in the Air of the Dental Laboratories, in the Blood and Urine of Dental Laboratory Technicians (치과기공실 공기중 및 치과기공사의 혈액, 요중 중금속 함량에 관한 연구)

  • Cha, Sung-Soo
    • Journal of Technologic Dentistry
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    • v.10 no.1
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    • pp.11-24
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    • 1988
  • The purpose of this study was to determine the concentration of cadmium, nickel and chromium in the air of the work-place, blood of and urine of workers and compare the level of those heavy metals by the duration of work, work-place, process of work, smoking and other factors. In this study, 48 male dental laboratory technicans and 72 office workers as the control group were subjected. The concentration of cadmium, nickel and chromium in their blood sand urine, and that of heavy metals in the air of their work-rooms were examined and analyzed from June I 1987 to September 30, 1987. The results were as follows : 1. The concentration of cadmium in the air was the highest in the porcelain part, $0.0087{\pm}0.0016mg/m^3$, that of nickel was the highest in the crown bridge part, $0.4253{\pm}0.0052mg/m^3$, and that of chrnmium was highest in the partial denture part, $0.1063{\pm}0.0024mg/m^3$. 2. cadmium, nickel and chromium concentrations in the blood and urine of dental laboratory techincians were higher that in the office workers'. Especially the concentration of cadmium in the blood($1.92{\pm}1.23{\mu}g$/100ml) of th dental laboratory techician was about two times as high as that in the office workers'($0.90{\pm}0.73{\mu}g$/100ml), and the concentration of nickel in the urine($48.53{\pm}38.83{\mu}g$/e) of the dental laboratory thchnician was about two times as high as that in the office worker's($20.24{\pm}15.35{\mu}g$/e). 3. there was no difference in the concentration of cadmium, nickel and chromium in the blood and urine with a longer duration of work. 4. The concentration of cadmium and chromium in the blood and urine differed significantly depending upon the place of work. The concentration of cadmium was the highest in the blood of dental laboratory technicians working kin the poreclain part marking at $2.53{\pm}1.08{\mu}g$/100ml. The chromium level was the heighest in the blood of partial denture park workers with a concentration of $3.60{\pm}1.02{\mu}g$/100ml. Concerning the level of cadmium in urine, it was the highest in the porcelain part workers with a concentration of $3.41{\pm}3.15{\mu}g$/e. 5. The concentration of cadmium in the urine of metal trimming and polishing group($2.64{\pm}2.41{\mu}g$/e) was higher than that of non-metal trimming and polishing group($1.39{\pm}1.18{\mu}g$/e). 6. The concentration of chromium in the blood of smoking group($2.46{\pm}1.54{\mu}g$/100ml)was higher than that lf non-smoking group($1.54{\pm}1.25{\mu}g$/100ml). 7. The height positive correlation coefficient was shown between the concentration of nickel and chromium in the blood among the all correlations between 3metals(Cd, Ni, Cr) in the blood and those in urine. The correlation coefficient was relatively high(r=0.605,,p<0.01). In general, the higher the concentration of heavy metals in the air of work places the higher the concention lf them in the blood and urine of workers, mere attention should be paid to the working environment of dental laboratory workers, Furthermore, continuous biological monitoring and further research are required for an efficient health management for dental laboratory workers.

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한국산 선발 계통, 일본산 양식 계통 그리고 이들 두 계통간 잡종 참돔 집단의 수온과 광주기 변화에 따른 산소 소비율

  • 오승용;노충환;홍경표;조재윤;김종만
    • Proceedings of the Korean Aquaculture Society Conference
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    • 2003.10a
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    • pp.114-115
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    • 2003
  • 양식 생물에게 있어 용존산소는 호흡에 필수적이며, 양식 시설 내에서 적절한 용존 산소량을 유지하는 것은 생산량을 좌우하는 가장 중요한 요인이며, 어종, 수온, 광주기, 나이와 크기, 어류의 행동과 먹이 공급 및 환경 조건에 따라 달라진다. 이 중 같은 종 내에서 선발육종된 개체와 일반 양식 종 그리고 이들 계통간 잡종에 대한 대사 효율 즉, 용존산소 소비율의 차이에 관한 연구는 거의 없다. 따라서 본 실험에서는 한국해양연구원에서 선발육종 해 온 참돔과 일본 양식산 참돔 및 이들의 교배 자손들을 대상으로 수온과 광주기 변화에 따른 용존산소 소비율을 조사하였다. 실험어는 일본 양식산인 TPN 교배구 자손과 한국해양연구원 선발육종산인 KORDI F4 교배구 자손, JPN♀×KORDI F4♂ 그리고 KORDI F4♀×JPN♂ 교배구 자손을 대상으로 실시하였다. 체중이 각각 52.0±0.6 g(JPN 교배구; 그룹 1), 52.3±0.7 g(JPN♀×KORDI F4♂; 그룹 2), 51.7±0.4 g(KORDI F4♀ × KORDI F4♂; 그룹 3) 그리고 52.1±0.7 g(KORDI F4♀ × JPN♂; 그룹 4)인 참돔 치어를 각각 5마리씩 3반복 수용하여 실험에 이용하였다. 실험기간 동안 사육수의 pH는 8.1±0.1, 염분도는 34.0±0.5‰로 유지하였으며, 실험 장치는 김(1999)이 고안한 순환 시스템을 이용하였다. 수온은 각각 15℃, 20℃ 및 25℃로 변화시켰으며 각 수온 조건에서 광주기를 24L:0D, 12L:12D 그리고 0L:24D로 변화시켜 매 조건마다 용존 산소 소비량을 측정하였다. JPN 교배구인 그룹 1의 경우, 수온 15℃일 때 산소 소비량은 170.35∼266.29 mg O₂/kg fish/hr의 범위를 보였으며 수온 20℃와 25℃일 때 각각 236.76∼307.37 mg O₂/kg fish/hr와 346.96∼459.30 mg O₂/kg fish/hr 범위를 보여 수온 상승에 따라 산소 소비량 역시 증가하는 것으로 나타났다. 그룹 2의 경우, 수온 15℃일 때 산소 소비량은 162.01∼279.51 mg O₂/kg fish/hr의 범위를 보였으며 수온 20℃와 25℃일 때 각각 303.48∼342.72 mg O₂/kg fish/hr와 447.18∼528.45 mg O₂/kg fish/hr 범위를 보여 그룹 1과 마찬가지로 수온 상승에 따라 산소 소비량 역시 증가하는 것으로 나타났다. 그룹 3의 경우, 수온 15℃일 때 산소 소비량은 170.11∼220.98 mg O₂/kg fish/hr의 범위를 보였으며 수온 20℃와 25℃일 때 각각 262.62∼282.27 mg O₂/kg fish/hr와 302.24∼415.73 mg O₂/kg fish/hr 범위를 보여 그룹 1, 2와 유사한 경향을 보였다. 그룹 4의 경우, 수온 15℃일 때 산소 소비량은 156.03∼214.49 mg O₂/kg fish/hr의 범위를 보였으며 수온 20℃와 25℃일 때 각각 238.40∼274.28 mg O₂/kg fish/hr와 379.93∼430.97 mg O₂/kg fish/hr 범위를 보여 수온 상승에 따라 산소 소비량 역시 증가하는 것으로 나타나, 그룹 1, 2와 유사한 경향을 보였다. 모든 실험구에서 수온 상승과 함께 산소 소비량이 증가하는 것으로 나타났으며 가장 높은 산소 소비량은 그룹 2에서 관찰되었다. 실험 결과 JPN 계통의 암컷을 사용하여 생산된 그룹 1과 2의 산소 소비량이 KORDI F4 계통의 암컷을 사용한 그룹 3, 4보다 대체적으로 높은 것으로 나타났다. 연속적인 명기 조건인 24L:0D에서 수온 15℃의 경우 그룹 1, 2, 3 그리고 4의 시간당 산소 소비량은 각각 266.29 mg O₂/kg fish/hr,279.51 mg O₂/kg fish/hr, 220.98 mg O₂/kg fish/hr 그리고 214.49 mg O₂/kg fish/hr으로 나타났고, 명기와 암기가 동일한 조건인 12L:12D에서는 각각 192.20 mg O₂/kg fish/hr, 258.03 mg O₂/kg fish/hr, 192.76 mg O₂/kg fish/hr 그리고 170.40 mg O₂/kg fish/hr로 나타났다. 또한 연속적인 암기 조건인 OL:24D 조건에서는 각각 170.35 mg O₂/kg fish/hr, 162.01 mg O₂/kg fish/hr, 170.11 mg O₂/kg fish/hr 그리고 156.03 mg O₂,/kg fish/hr로 나타났다. 그리고 수온 20℃와 25℃에서도 그룹간의 변화는 이와 비슷한 경향을 보였다. 연속 명기 조건인 24L:0D에서의 산소 소비량이 명기와 암기가 동일한 조건인 12L:12D와 연속 암기 조건인 0L:24D에서의 산소 소비량 보다 대체적으로 높은 것으로 나타났으며, 그룹 2의 연속 명기 조건에서 528.45 mg O₂/kg fish/hr으로 가장 높게 나타났다. 그룹 4에서는 대사량이 점점 더 높아지는 수온 상승과 함께 연속 명기 조건과 더불어 12L:12D 조건에서의 산소 소비량이 크게 증가하는 것으로 나타났다.

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한국산 선발 계통, 일본산 양식 계통 그리고 이들 두 계통간 잡종 참돔 집단의 암모니아성 질소 배설 및 분 배출

  • 오승용;노충환;홍경표;김종만
    • Proceedings of the Korean Aquaculture Society Conference
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    • 2003.10a
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    • pp.100-100
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    • 2003
  • 양식 산업에 있어 사육 생물의 빠른 성장은 가장 요구되는 특성이다. 특히, 선발육종을 통한 성장 개선은 사료의 효율적 이용과 연관되어 있으며, 균형 잡힌 단백질 대사 등을 통해 이루어진다. 대부분의 경골어류는 단백질 대사의 마지막 부산물로 암모니아를 생성하여 배설하며, 이를 통한 사료 내 단백질의 효율적 이용성을 비교하는 척도로 제시되어 왔다(Ming, 1985). 따라서 본 실험에서는 한국해양연구원에서 선발육종 해 온 참돔과 일본 양식산 참돔 및 이들의 교배 자손들을 대상으로 일간 먹이 공급, 절식 그리고 1회 만복 공급에 따른 암모니아성 질소 배설률을 조사하였으며, 일간 먹이 공급에 따른 각 교배 자손들의 분 배출 특성을 알아보았다. 실험어는 일본 양식산인 JPN 교배구 자손과 한국해양연구원 선발육종산인 KORDI F4 교배구 자손, 그리고 JPN$\times$KORDI F4♂ 교배구 자손을 대상으로 실시하였다. 체중이 각각 17.1$\pm$0.1 g (JPN 교배구; 그룹 1), 17.7$\pm$0.1 g (JPN♀$\times$KORDI F4♂; 그룹 2), 21.5$\pm$0.1 g (KORDI F4; 그룹 3)인 참돔 치어를 각각 15마리씩 3반복 수용하여 실험에 이용하였다. 실험어는 지름이 33 cm이고 높이가 34 cm인 둥근 투명 플라스틱 수조에 수용하고 분 수집기인 TUF column (passing effluent water through a special test tube) system을 이용 어체중의 3%에 해당하는 사료 량을 일간 세 번에 나누어 동일량을, 09시부터 17시까지 4시간 간격으로 공급한 14일째에 일간 먹이 공급에 따른 24시간 동안의 참돔 종간 잡종 치어의 총암모니아성 질소(total ammonia nitrogen, TAN) 배설률 및 분 배출률을 조사하였다. 이 조사가 끝난 후 3일간 절식시킨 다음 내인성 암모니아성 질소 배설을 조사하였으며, 이어서 1회 만복 사료 공급한 다음 이에 따른 암모니아성 질소 배설 경향을 알아보았다. 일간 먹이 공급에 따른 각 실험구의 암모니아 배설은 세 가지 계통 참돔치어 모두 먹이 섭취 후 암모니아 배설로 인한 TAN 농도가 지속적으로 증가하는 경향을 보였으며, 시간당 TAN 배설률을 적분한 결과, 그룹 1과 2 그리고 3의 일간 TAN 배설률은 각각 637.3$\pm$36.5 mg/kg fish/day, 684.3$\pm$18.5 mg/kg fish/day 그리고 772.8$\pm$17.3 mg/kg fish/day로 나타나 그룹 3의 일간 TAN 배설률이 가장 높은 결과를 보였다. 3일간 절식 후 그룹 1, 2, 그리고 2의 TAN 배설률은 각각 8.08~14.15 mg/kg fish/hr, 6.50~12.20 mg/kg fish/hr, 그리고 6.67~8.60 mg/kg fish/hr의 범위를 보여 거의 일정한 농도로 나타났다. 시간당 TAN 배설률을 적분한 결과, 그룹 1, 2 그리고 3의 일간 TAN 배설률은 각각 286.9$\pm$28.3 mg/kg fish/day, 215.7$\pm$5.5 mg/kg fish/day 그리고 179.3$\pm$7,7 mg/kg fish/day로 나타나 먹이 공급과는 달리 내인성 TAN 배설의 경우 그룹 1의 배설률이 가장 높은 결과를 보였다. 1회 만복 먹이 공급에 따른 TAN 배설 경향은 그룹 1과 2의 TAN 배설률은 먹이 공급 6시간 후 가장 높은 값인 44.19$\pm$2.90 mg/kg fish/hr와 41.70$\pm$1.40 mg/kg fish/hr을 보였고, 그룹 3에서는 4시간 후에 가장 높은 값인 31.23$\pm$1.39 mg/kg fish/day로 나타났다. 일간 먹이 공급에 따른 각 실험구의 총 분 배출량은 그룹 1의 경우 총 분 배출량은 2.17$\pm$0.1 g/kg fish와 91.15$\pm$4.53 g/kg feed로 나타났고, 그룹 2에서는 2.26$\pm$0.14 g/kg fish와 95.02$\pm$3.18 g/kg feed, 그룹 3에서는 2.81$\pm$0.73 g/kg fish와 132.85$\pm$34.0 g/kg feed로 나타나 유의적인 차이는 보이지 않았으나(P>0.05), 그룹 3의 배출 비율이 높은 것으로 나타났다. 시간 경과에 따른 분 배출 비율은 그룹 1의 경우 먹이 공급 24시간 후 총 분의 60.6%를 보여 반면, 그룹 2와 3에서는 각각 67.8%와 77.8%를 보여 그룹 1이 다른 그룹에 비해 분 배출 비율이 낮은 것으로 나타났다.

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Characteristics and Genesis of Terrace Soils in Yeongnam Area -V : Soil Genesis and Classification (영남지역(嶺南地域)에 분포(分布)된 단구지토양(段丘地土壤)의 특성(特性)과 생성연구(生成硏究) -제(第)5보(報) : 토양생성(土壤生成)과 분류(分類))

  • Jung, Yeun-Tae
    • Korean Journal of Soil Science and Fertilizer
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    • v.19 no.4
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    • pp.275-282
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    • 1986
  • A series of studies on the properties of clayey terrace soils distributed at the inland (Yeongcheon) and coastal (Yeongjil) regions in Yeongnam district was carried out. On the base of the facts found and already reported about the macro morphological features as well as on pedological characters in micro scale, physicochemical properties, mineralogical characteristics etc., the present study dealt with soil genesis and tried to classify the soils for reasonable use and managements. 1. Although the both regions belonged to "Mesic" soil temperature regime and "red and yellow earths" areas of "Thornthwaite" pedo-climatic diagram, climatic indices as a soil forming factor indicate that the coastal Yeongil had milder than the inland Yeongcheon. 2. All the terrace soils had developed soil profiles with an "Argrllic B". Upyeong soils in Yeongil region had "Argillans" even in the "II B horizons" that possibly be "Paleo-argillic". 3. The bisequum profiles of Bancheon in Yeongcheon and Upyeong in Yeongil revealed that they were developed on Late Mesozoic shale and on semiconsolidated Tertiary deposits respectively, therefore the overlying clayey terrace deposits were assumed to be originated from the Early Quaternary deposits, Diluvium. 4. To supplement the Soil Taxonomy of USDA, the terrace soils with different degrees of gleyzation were classified as follows; Deogpyeong and Hwadong soils which have less than 50cm of paddified gley horizons (redness less than 0.5) in the upper part of the profiles by artificial surface irrigation, tentatively classified into "Anthrepiaquic Hapludalfs" and the Geugrag soils that have more than 50cm of paddified gley horizons within 1.2m of the profiles, into "Anthr-aquic Ochraqualfs" while the Upyeong soils that had greyish mottles in subsoils by natural ground water remain as an "Aquic Hapludalfs" the same as present. The Bancheon soils with free mottles are into "Typic Hapludalfs" as used at present.

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The assessment of dentoalveolar compensation in facial asymmetry individuals: integration of cone beam CT and laser scanned dental cast images (Cone beam CT 영상과 석고모형 레이저 스캔 영상의 결합을 이용한 안면비대칭자의 치성보상 평가)

  • Song, Hyo-Kyung;Son, Woo-Sung;Park, Soo-Byung;Kim, Seong-Sik;Kim, Yong-Il
    • The korean journal of orthodontics
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    • v.40 no.6
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    • pp.373-382
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    • 2010
  • Objective: The purpose of this study was to assess the dentoalveolar compensation in facial asymmetry individuals using an integration of a CBCT image and a laser scanned dental cast image. Methods: The subjects consisted of 30 adults with asymmetric mandibles and 20 adults with symmetric mandibles. The CBCT and laser scanned dental cast images were integrated with a registration technique. Canine and first molar position and angulation were assessed from reference coordinates. The differences between deviated and non-deviated sides were analyzed with the paired t-test. The differences shown according to menton deviation were also statistically analyzed using Pearson correlation analysis. Results: The experimental group showed deviated and non-deviated side differences (dev.-ndev.) in the position and angle of the canine and first molars. Menton deviation showed positive correlation with the deviation side (dev.-ndev.) for the maxillary and mandibular 1st molar angles, negative correlation with the deviation side for the vertical position of the maxillary 1st molars, transverse position of the mandibular canine, transverse position and vertical position of the mesio-lingual cusp of the mandibular 1st molars. Conclusions: The upper and lower canine and first molars of facial asymmetry individuals were compensated, so the transverse position, vertical position, and angle showed differences between the deviated/non-deviated sides.

A Study for the Improvement Subjects of the Korean Dental Hygienists' Licensing Examination (치과위생사 국가시험 개선을 위한 조사연구)

  • Kim, Sook-Hyang;Jang, Jong-Hwa;Oh, Sang-Hwan
    • Journal of dental hygiene science
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    • v.9 no.3
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    • pp.353-360
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    • 2009
  • The purpose of this study was to investigate the recognition for improvement of the Korean Dental Hygienists' Licensing Examination(KDHLE). The subjects were 1,048 dental hygienists were surveyed. either in person or through mail. Data was collected using a self administrated questionnaire from July 1 to July 20, 2008. The data were analysed with frequency and $x^2$-test using the SPSS 15.0 windows. For the inquiry where adequacy of subjects of the KDHLE regarding to evaluation of standard duty achievement ability in the real field was asked, 404(39.5%) answered 'Yes', and 680(66.9%) was answered 'Yes' for necessity of changing current subjects of the KDHLE. For the inquiry about the number of questions in the KDHLE, 353(34.6%) answered that current number of questions is 'Inappropriate' and advisable way of improving KDHLE subjects, 463 (45.4%) answered 'enhancing problem solving ability through unifying subjects', the highest of all. About practical examination methods, 647(67.3%) was answered 'Should be modified'. For methods of dental hygienist practical examination, 'clinical demonstration on patients' received the highest number of votes 628(63.6%). According to the above results, most of active dental hygienists at presence expect the alteration of current KDHLE and new items which are reliable for globalization by testing problem solving ability through unified subjects must be introduced.

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A STUDY ABOUT ALVEOLAR CREST BONE HEIGHT BEFORE AND AFTER ORTHODONTIC TREATMENT BY USING BITEWING FILM (교익사진을 이용한 교정치료 전후의 치조골 높이 변화에 관한 연구)

  • Hwang, Chung-Ju
    • The korean journal of orthodontics
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    • v.27 no.3 s.62
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    • pp.421-430
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    • 1997
  • Alveolar bone grows with development of tooth germs and roots; bone deposition occurs with tooth eruption. Bone components undergoes processes of resorption and deposition, and when the balance between them is disrupted, decrease in alveolar bone height or excessive bone deposition result. It has been hon that repositioning of teeth through orthodontic treatment can cause alveolar bone resorption which result in decreased alveolar bone height, and there have been many studies to evaluate such effects. X-ray films that could be replicated and standardized were chosen in clinical studies, and among them, bitewing films were used for objective evaluation of changes in alveolar bone level. Twenty subjects, 10 to 13-year- old (average 12.2) children with Cl I molar key, healthy oral condition, no congenital missing, no periodontal disease, and pre-and post-orthodontic bitewing films, were randomly selected for comparison of alveolar bone heights. Amounts of tooth and changes in alveolar bone heights were analyzed. The following results were obtained: 1. Amount of tooth movement in canine, premolar, and molar regions, changes in tooth axis, and changes in alveolar bone heights were measured, and the mean and median values were obtained. 2. When pre-and post-orthodontic alveolar bone levels were compared, larger changes were noticed in maxilla than mandible. 3. When mesio-distally compared, larger changes were observed in the distal sides of 3D3 and 4M3, mesial sides of 4M3 and 4D3, distal sides of 4D3 and 5M3, mesial sides of 5M3 and 5D3, md distal sides of 5D3 and 6M3. 4. When the amounts of tooth movements(TX, TY)and changes in tooth axis(A) were compared,34TX, 34TY, 34A of both sides in maxilla were greater, iud changes in alveolar bone level were greater than any other region.

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Development of a Feature Catalogue for Marine Geographic Information (해양 지리정보 피쳐 카탈로그 작성에 관한 연구)

  • Hong, Sang-Ki;Yun, Suk-Bum
    • Journal of Korea Spatial Information System Society
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    • v.6 no.1 s.11
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    • pp.101-117
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    • 2004
  • Standards are essential to facilitate the efficient use of GIS data. International Standards such as ISO TC211's 19100 series and various technical specifications from OpenGIS Consortium are some of the examples of efforts to maintain the interoperability among GIS applications. Marine GIS is no exception to this rule and in this context. developing standards for marine GIS is also in urgent needs. Using the same meaning and definition for the features commonly found in marine GIS applications is one of the ways to increase the interoperability among systems. One of the key requirements for maintaining the standard meanings for features is to build a common feature catalogue. This paper examines the concept of feature catalogue and describe the ways in which the feature catalogue can be organized. To identify the common features found in various marine GIS applications, a comprehensive search has been made to collect and analyze the features used in various applications. To maintain the interoperability with the National GIS (NGIS) system, the features used in various NGIS applications have been analyzed as well. The result of these analyses are used to create a comprehensive list of common features for marine GIS. This paper then explains the common feature catalogue for marine GIS and the provides the appropriate classification and coding systems for the common features. In addition, a registration tool for registering the common features into the standard registry has been developed in this study. This Web-based tool can be used to input features into the feature catalogue by various applications and also to maintain a standard-compliant feature catalogue by standard agencies.

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Anthropometry, Blood Pressure, Serum Lipid Levels and Nutrient Intakes in People with Impaired Fasting Glucose and with Diabetes (공복혈당장애군 및 당뇨군의 비만도, 혈압, 혈청 지질 농도 및 영양소 섭취 상태)

  • 김은경;권숙정
    • Journal of Nutrition and Health
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    • v.35 no.3
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    • pp.303-313
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    • 2002
  • The purpose of this study was to compare the anthropometry, blood pressure, blood lipid levels, and nutrient intakes in three groups: a group with an impaired fasting blood glucose (IFG) condition (62 males and 30 females); a group with normal blood glucose (73 males and 50 females); and a group with diabetes mellitus (DM) (79 males and 49 females). In male subjects, body mass index (BMI) and obesity index values were significantly higher in the IFG group than in normal and DM groups, but waist/hip ratio (WHR), systolic blood pressure, and diastolic blood pressure were not significantly different from those of the DM group. In female subjects, there was no difference in body weight, BMI, obesity index and WHR values between the IFG and the DM groups. The prevalence of obesity in the IFG group (males 43.6%, females 76.7%) was the highest among the three groups. The percentage of high SBP (40.0%) and high DBP (52.0%) in male subjects of the IFG group was significantly greater than in the DM group or the normal group. In the male subjects, the serum triglyceride concentration was significantly higher in the DM group than in the normal and IFG groups. There was no difference in various nutrient intakes(energy, carbohydrate, protein, fat, calcium, iron, vitamin A and cholesterol) among the three groups. In male subjects, the percentage of energy intake from alcohol was higher in the IFG group (7.0%) than that of the normal (4.5%) and the DM (5.6%) groups. The fasting blood glucose level had a positive correlation with WHR, TG, the athrogenic index and LDL-cholesterol/HDL-cholesterol. This study suggested that the IFG group had a higher obesity index, BMI, blood pressure and serum lipid levels (TG, cholesterol) than the normal or the DM group; furthermore, the IFG group had higher levels of alcohol intake and habits of taking unbalanced diets. Therefore, guidelines for IFG group should emphasize weight control, diet therapy, physical activities and regular balanced diets, in order to prevent diabetes in this group.

The Usefulness of Ultrasound-Guided Fine Needle Aspiration Cytology of Impalpable Neck Nodes in Patients with Lung Cancer (폐암 환자에서 촉진되지 않는 경부 림프절에 대한 초음파 유도 하 세침흡인 세포검사의 유용성)

  • Kim, Hee Kyoo;Ha, Seung In;Kim, Yu Ri;Park, Chan Bog;Oak, Chul Ho;Jang, Tae Won;Jung, Maan Hong;Oh, Kyung Seung;Chun, Bong Kwon;Lee, Min Ki;Park, Soon Kew
    • Tuberculosis and Respiratory Diseases
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    • v.56 no.5
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    • pp.505-513
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    • 2004
  • Background : In lung cancer patients, the presence of metastatic neck nodes is a crucial indicator of inoperabilty. So thorough physical examination of neck is always mandatory, but sometimes those are hardly palpable even by the skillful hand. Ultrasonography is a useful diagnostic method in detection of small impalpable lymph nodes and in guidance of fine needle aspiration biopsy. In this study we evaluated the clinical usefulness of ultrasonography(USG) and ultrasound-guided fine needle aspiration cytology(US-FNA) in lung cancer patients without palpable neck nodes. Methods and Materials : From Sep 2002 to Sep 2003, 36 non-small cell lung cancer patients (20 adenocarcinoma, 16 squamous cell cancer) and 10 small cell lung cancer patients without palpable neck nodes on physical examiation were enrolled. patients who had contralateral mediastinal nodal enlargement(>1cm) on chest CT were excluded. After the routine check of USG on the neck, US-FNA was done in cases with enlarged neck nodes (${\geq}5mm$ in the short axis). The presence of enlarged lymph node on USG, and of malignant cells on cytology were evaluated by the histological type and the patients' clinical stage of lung cancer. Results : Among 36 non-small lung cell cancer patients, 14 (38.8%) had enlarged neck nodes on USG, and 5 of 10 small cell lung carcinoma patients. The mean diameter of the neck nodes was 9.8 mm (range, 7-12 mm). US-FNA of 14 non-small cell lung cancer patients revealed tumor cells in eight patients (57.1%). In 5 small cell lung cancer pateints, tumor cells were found in all cases. By the result of US-FNA, the clinical stage of 8 out of 36 (22.2%) non-small cell lung cancer patients had changed, including two cases of shift from the operable IIIa to the inoperable IIIb. In small cell lung cancer patients their clinical stage was not changed after US-FNA, but their pathological diagnosis was easily done in two cases, in whom endobronchial lesions were not found on bronchoscopy. Conclusions : USG and US-FNA of neck node seem to be safe, sensitive and cost-effective diagnostic tools in the evaluation of lung cancer patients without palpable neck nodes.