• Journal of Rhinology
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• 제25권2호
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• pp.69-74
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• 2018

Background and Objectives: Sleep disturbances and excessive daytime sleepiness (EDS) are the major symptoms of obstructive sleep apnea (OSA). This study aimed to investigate clinical implications of insomnia and EDS in patients with OSA using the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS). Materials and Method: We evaluated 131 subjects with suspected OSA who were undergoing polysomnography (PSG) and performing the PSQI and ESS surveys. OSA was diagnosed when the apnea-hypopnea index was five or more. EDS was defined when ESS score was 11 points or higher. Detailed history and questionnaire were used to categorize insomnia. We compared clinical variables and PSG results in subgroups with or without insomnia and EDS. Results: There were no significant differences of PSQI and ESS score between controls and OSA. OSA with insomnia had significantly increased total score (p<0.001) and decreased total sleep time (p=0.001) and sleep efficiency (p=0.001) on the PSQI compared to those without insomnia. OSA with EDS showed significantly increased PSQI score (p=0.022) and decreased total sleep time (p=0.018) on PSG compared to those without EDS. Neither PSQI nor ESS score had a correlation with respiratory variables such as AHI and oxygen saturation. Total sleep time had a significant effect on both insomnia and EDS in patients with OSA. Conclusion: Decreased total sleep time had important effects on subjective symptoms of OSA and comorbid insomnia. Therefore, restoration of decreased sleep time is important in the management of OSA.

• 한국산림과학회지
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• 제110권2호
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• pp.266-279
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• 2021

본 연구는 대학 산림교육 발전을 목적으로 S 대학교 산림과학과 4학년 "도시림관리학 및 실습" 전공과목에 e-PBL (e-Project-based learning) 학습법을 적용한 사례를 소개한다. 특히 2020년 코로나-19 확산으로 비대면 학사 운영 상황에서 학습자들은 온라인 매체를 주로 활용하여 학교숲을 대상으로 프로젝트를 수행하고 결과물을 발표하였다. 학습자 중심의 e-PBL 학습법은 학습자들이 프로젝트 주제를 직접 선정하고 수행함으로써 자기주도학습, 문제해결능력과 의사소통능력 및 책임감 등을 향상시킬 수 있다. 학습자들의 e-PBL 학습성과에 대해 5점 리커트 척도를 이용하여 조사한 결과, 학습자들은 e-PBL 학습법을 통해 동기부여 및 흥미를 유발할 수 있었으며(4.17점), 전공지식에 대한 이해도를 높일 수 있었다(4.17점). 또한, 학습자들은 의사소통능력(4.33점), 문제해결능력(4.25점), 의사결정능력(4.21점)을 향상시킬 수 있었다고 응답하는 등 전반적으로 e-PBL 학습법에 대해 만족하였다. 특히 학습자들은 팀원들과 밀접한 의사소통과 상호협력이 문제 및 전공지식에 대한 이해력 향상에 효과적이었다고 응답하였다. 향후 산림교육에 적합한 e-PBL 학습모델을 개발이 필요하며, 효율적 수업시간의 운영과 e-PBL 학습법 지침 및 제도적 지원이 마련됨으로써 보다 효율적이고 성공적인 산림교육의 발전을 기대한다.

• 자원환경지질
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• 제54권1호
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• pp.69-76
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• 2021

이 연구에서는 포항분지 영일층군 덮개암 시료의 광물학적 특성을 파악하고, 이산화탄소 주입으로 인해 발생할 수 있는 물-암석-가스의 상호작용을 지화학 모델링을 이용하여 규명하였다. 이를 위하여 XRD, MICP, BET 분석을 실시하여 덮개암의 광물암석학적 및 공극 특성을 파악하였고, 광물학적 연구 결과와 공극수의 물리화학적 변수 자료들을 이용하여 이산화탄소 주입 후 단기간 변화와 장기간 영향을 파악하기 위하여 두 단계의 지화학 모델링(The Geochemist's Workbench 14.0.1)을 수행하였다. 연구 결과, 포항분지 영일층군의 덮개암은 석영, 알바이트, K-장석으로 주로 구성되어 있고, 소량의 백운모, 황철석, 방해석, 카올리나이트, 몬모릴로나이트로 이루어져 있다. 지화학 모델링 결과, 이산화탄소의 주입 후 덮개암은 방해석의 용해로 인해 공극률이 증가하고 알바이트와 K-장석의 용해 결과 도소나이트와 은미정질 실리카(칼세도니)가 침전되었다. 주입이 완료된 두 번째 단계에서는 방해석과 알바이트의 용해 결과 도소나이트와 은미정질 실리카(칼세도니)의 침전이 일어나며, 이 반응으로 인해 pH는 증가하였다. 또한 덮개암에서 이산화탄소를 포획할 수 있는 광물은 도소나이트 임을 알 수 있었다. 이러한 연구 결과는 장기간의 이산화탄소 지중 저장에 있어 광물 포획의 효율성을 정량적으로 평가하는 자료로 활용될 수 있을 것으로 판단된다.

• 대한한방내과학회지
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• 제41권6호
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• pp.947-958
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• 2020

Objectives: To investigate efficacy of Korean medicine for patients with Parkinson's Disease (PD) with pain. Methods: We performed a retrospective review of the medical records for patients diagnosed with PD between 2012 and 2019 at Gangdong Kyung Hee University Korean Medicine Hospital in South Korea. Results: Twenty-two patients with King's Parkinson's Disease Pain Scale(KPPS) scores at least twice were analyzed for evaluating the efficacy of Korean medicine for pain treatment in PD. The mean total scores before and after Korean medicine treatment were 15.23±1 .01 and 9.2±8.7, respectively, and the mean difference between the before/after total scores was 6.0±5.8 (P<0.001). Specifically, the score of radicular pain was significantly decreased (P=0.048). Conclusions: These findings suggest that Korean medicine could be beneficial for reducing pain associated with PD. Clinical efficacy should be confirmed by further studies, such as large-sample cohort studies and randomized controlled trials to clarify the pathological pain relief mechanism and the analgesic effect of Korean medicine.

• 대한한방내과학회지
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• 제41권6호
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• pp.1200-1209
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• 2020

Aphasia is a language disorder that results from brain damage and typically occurs after a stroke. The purpose of this case report was to describe the effects of Korean medical treatment on anomic aphasia after a putaminal hemorrhage. We used Korean medical treatment, including head acupuncture and herbal medicine (Hyungbangsabaek-san) therapy, on a patient who was admitted to the hospital for 19 days. The clinical symptoms were assessed with the Korean version of the Western Aphasia Battery (K-WAB), and quality of life was evaluated with Korean version of Stroke and Aphasia Quality of Life Scale-39 (K-SAQOL-39). After 19 days of treatment, the K-WAB scores were increased from 17 to 19 in the spontaneous speech score, from 7.55 to 9.85 in the comprehension score, from 9 to 9.4 in the speaking score, and from 5.8 to 9.7 in the naming score. The AQ score was increased from 78.7 to 95.9, and the K-SAQOL-3 score was increased from 2.64 to 3.26. In conclusion, the study findings suggested that Korean medical treatment could be an effective option for treating symptoms and improving quality of life in patients with aphasia after stroke.

• Journal of Korean Neurosurgical Society
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• 제64권4호
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• pp.592-607
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• 2021

Objective : Few studies exist on primary spinal cord tumors (PSCTs) in pediatric patients. The purpose of this study was to perform descriptive analysis and detailed survival analysis for PSCTs. Methods : Between 1985 and 2017, 126 pediatric patients (male : female, 56 : 70) with PSCTs underwent surgery in a single institution. We retrospectively analyzed data regarding demographics, tumor characteristics, outcomes, and survival statistics. Subgroup analysis was performed for the intramedullary (IM) tumors and extradural (ED) tumors separately. Results : The mean age of the participants was 6.4±5.04 years, and the mean follow-up time was 69.5±46.30 months. The most common compartment was the ED compartment (n=57, 45.2%), followed by the IM (n=43, 34.1%) and intradural extramedullary (IDEM; n=16, 12.7%) compartments. Approximately half of PSCTs were malignant (n=69, 54.8%). The most common pathologies were schwannomas (n=14) and neuroblastomas (n=14). Twenty-two patients (17.5%) died from the disease, with a mean disease duration of 15.8±15.85 months. Thirty-six patients (28.6%) suffered from progression, with a mean period of 22.6±30.81 months. The 10-year overall survival (OS) rates and progression-free survival (PFS) rates were 81% and 66%, respectively. Regarding IM tumors, the 10-year OS rates and PFS rates were 79% and 57%, respectively. In ED tumors, the 10-year OS rates and PFS rates were 80% and 81%, respectively. Pathology and the extent of resection showed beneficial effects on OS for total PSCTs, IM tumors, and ED tumors. PFS was affected by both the extent of removal and pathology in total PSCTs and ED tumors; however, pathology was a main determinant of PFS rather than the extent of removal in IM tumors. The degree of improvement in the modified McCormick scale showed a trend towards improvement in patients with IM tumors who achieved gross total removal (p=0.447). Conclusion : Approximately half of PSCTs were malignant, and ED tumors were most common. The most common pathologies were schwannomas and neuroblastomas. Both the pathology and extent of resection had a decisive effect on OS. For IM tumors, pathology was a main determinant of PFS rather than the extent of removal. Radical excision of IM tumors could be a viable option for better survival without an increased risk of worse functional outcomes.

• 한국물환경학회지
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• 제27권4호
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• pp.425-432
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• 2011

To control non-point source pollution at a watershed scale, rainfall-runoff characteristics from forest watersheds should be investigated since the forest is the dominant land use in Korea. Long-term monitoring would be an ideal method. However, computer models have been utilized due to limitations in cost and labor in performing long-term monitoring at the watersheds. In this study, the Geo-spatial interface to the Water Erosion Prediction Project (GeoWEPP) model was evaluated for its runoff prediction from a coniferous forest dominant watersheds. The $R^2$ and the NSE for calibrated result comparisons were 0.77 and 0.63, validated result comparisons were 0.92, 0.89, respectively. These comparisons indicated that the GeoWEPP model can be used in evaluating rainfall-runoff characteristics. To estimate runoff changes from a coniferous forest watershed with various cover degree scenarios, ten cover degree scenarios (10%, 20%, 30%, 40%, 50%, 60%, 70%, 80%, 90%, 100%) were run using the calibrated GeoWEPP model. It was found that runoff increases with decrease in cover degree. Runoff volume was the highest ($206,218.66m^3$) at 10% cover degree, whereas the lowest ($134,074.58m^3$) at 100% cover degree due to changes in evapotranspiration under various cover degrees at the forest. As shown in this study, GeoWEPP model could be efficiently used to investigate runoff characteristics from the coniferous forest watershed and effects of various cover degree scenarios on runoff generation.

• 산업노동연구
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• 제19권1호
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• pp.177-211
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• 2013

중국에서 고용의 이원체제라 할 수 있는 '쌍궤제'는 개혁개방 시기 들어서도 사라지지 않고, 도시호구와 농민공이라는 분할선을 통해 최근까지도 유지되고 있다. 2천년대 들어 이원체제를 해소하려는 노력이 <노동계약법>의 반포로 실현되는 듯 했으나, <노동계약법>의 절충적 성격에 덧붙여 2008년 세계금융위기가 발발하면서 중국 고용의 이원체제는 파견노동의 증가라는 새로운 방식으로 다시 강화되고 있다. 중국에서 파견노동은 예외적이 아니라 정규적이 될 만큼 대규모로 빠르게 증가하고 있다. 중국에서 파견노동은 국유기업의 구조조정 과정에서 직접 해고를 방지하는 방식으로 실업문제를 해소하려던 시도를 배경으로 하고 있다는 점에서 중국적 특색을 보이고 있다. <노동계약법>과 세계경제위기의 결합 효과는 파견노동을 규제하기보다 더욱 늘리도록 작용하였고, 특히 파견노동은 '역방향 파견'이라는 방식의 편법을 허용하여 비용과 법률적 부담을 줄이려는 기업들에 의해 넓게 활용되고 있다. 파견노동은 새로운 이원체제를 형성시키고 있고, 새로운 이원체제는 기업의 부담을 파견업체로 이전하는 구도에 의해 강화되고 있다. 중국에서 고용의 이원체제는 여전히 보호가 필요한 층을 보호로부터 더 배제시킨다는 문제를 낳고 있다.

• 환경분석과 독성보건
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• 제21권4호
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• pp.281-291
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• 2018

Recently, long-range atmospheric transport (LRAT) from China is regarded as a major reason for elevated levels of particulate matter (PM) in Korea. However, local emissions also play an important role in PM pollution, especially in large-scale industrial cities. In this study, PM samples were collected at suburban, residential, and industrial sites in Ulsan, Korea. Polycyclic aromatic hydrocarbons (PAHs) and heavy metals were analyzed, and a potential human health risk assessment was conducted. The concentrations of PAHs and heavy metals in total suspended particles (TSP) increased during high $PM_{10}$ episodes, and backward trajectory analysis verified the influence of LRAT from China during the high episodes. Furthermore, the concentrations of PAHs and heavy metals in $PM_{2.5}$ and $PM_{10}$ at the industrial site were higher than those at the residential site. The risk assessment of PAHs and heavy metals in $PM_{2.5}$ suggested no significant health effects. The highest levels of PAHs were measured in the particle size of $0.32{\sim}0.56{\mu}m$ at the residential site, and those of heavy metals were detected in the particle size of 1.8~5.6 and $>18{\mu}m$, reflecting different major emissions sources for both groups. On the basis of this preliminary study, we are planning long-term monitoring and modeling studies to quantitatively evaluate the influence of industrial activities on the PM pollution in Ulsan.

• 한국노년학
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• 제37권2호
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• pp.349-368
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• 2017

본 연구는 우리나라 은퇴 베이비부머의 소비패턴을 실증적으로 탐색하고, 소비패턴이 우울에 미치는 영향을 검증하는 데 목적을 두고 있다. 이를 위해 국민노후보장패널 5차 자료를 활용하여 은퇴 베이비부머 420명을 대상으로 잠재프로파일분석과 다중회귀분석을 실시하였다. 은퇴 베이비부머의 소비패턴을 분석한 결과, 기초생활중심형(26.9%), 균형소비생활형(29.3%), 사회생활중심형(18.3%), 여가생활중심형(18.5%), 교육비중심형(7.0%)의 5가지 유형이 실증적으로 구조화되었다. 그리고 우울과 관련된 인구사회적 요인, 건강상태, 가족관계, 사회관계, 경제상태를 통제한 상태에서 소비패턴과 우울의 관계를 분석한 결과, 소비패턴과 우울 사이의 유의미한 상관관계가 증명되었다. 구체적으로 교육비중심형 소비패턴보다 기초생활중심형 소비패턴의 우울수준이 유의하게 낮았다. 또한 교육수준이 높을수록, 배우자가 없는 경우, 주관적 건강상태가 나쁠수록, 신체기능에 제한이 있는 경우, 장애진단을 받은 경우, 자녀의 수가 적을수록, 여가활동에 만족하지 않을수록, 주관적 경제상태가 부정적일수록 우울수준이 높은 것으로 나타났다. 본 연구결과는 베이비부머를 표적집단으로 한 사회복지정책과 서비스 기획 실효성을 제고함과 동시에 은퇴 후 바람직한 소비패턴을 유지할 수 있는 은퇴 전 소비교육의 필요성 및 사례관리 현장에서의 노후 소비관리 프로그램의 필요성을 제언한다.