• 대한핵의학회:학술대회논문집
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• 대한핵의학회 2002년도 춘계학술대회 및 총회
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• pp.17-24
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• 2002

Recurrence of colorectal cancer after apparently curative resection remains common, with reported relapse rates of up to 40%. Because complete resection of solitary metastases or local recurrence may improve long-term survival, surgical management of such cases has become increasingly aggressive but has led to only modest survival benefit. The limitations of current approaches based on structural imaging are well documented, with over half of the patients who are thought suitable for curative surgery being found to have unresectable disease at operation. Therefore, better preoperative assessment is crucial. The increasing use of FDG-PET as an oncologic staging investigation has significantly improved the assessment of patients with suspected colorectal cancer recurrence. Several studios show that substantial and largely appropriate changes in patient management occur, often soaring patients the significant morbidity and mortality associated with aggressive but futile therapies while also saving scarce community resources. Nevertheless, the clinical relevance of these findings has still been questioned. The utility of PET in routine clinical practice will likely depend on its ability to provide incremental information compared with CT in selected patients rather than to serve as a replacement for CT. In conclusion, in patients with suspected recurrent or metastatic colorectal carcinoma, FDG-PET should be performed (1) when there is rising carcinoembryonic antigen levels in the absence of a known source, (2) to increase the specificity of structural imaging when there is an equivocal lesion, and (3) as a screening method for the entire body in the preoperative staging before curative resection of recurrent disease.

• 대한간호학회지
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• 제16권3호
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• pp.67-77
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• 1986

The research was carried out in order to assess, at an early stage, the potential barrier in mother-child relationship in the childs' development by using the screening tool. Consequently, after modifying the Neonatal Perception Inventory developed by Broussard and testing its reliability. It has been applied to 152 mothers at the hospital of three universities in Seoul from August 1 to September 30, 1986. The data was analyzed by S.P.S.S. pro-gram and the results were as follows: 1) Mothers perceived the newborn as an individual, and evaluated their baby higher than other babies. 2) Mothers indicated difficulties in their role performance in the fellowing order-bathing, safety, detecting pain or suffering, and feeding. 3) Mothers' perception of a newborn was positive for 75% of the mothers. 4) The factor analysis of the modified tool using principal components analysis and Varimax rotation resulted in the two factors: Factor 1, Baby as an individual: Factor Ⅱ, Performances are required to meet the new-born's needs. 5) The difference in mothers' individual characteristics such as the number of childbirth, the desire to get pregnant or not, the type of deli-very, and the sex of the newborn did not influence on a mothers' perception of her newborn. As seen above, most of the mothers perceived their newborns as able individuals and expressed difficulties involved in taking care of the newborn. Also most of the mothers perceived their babies positively. My point here is, we ought to observe those mothers who perceive their babies negatively, and then compare them with those mothers who perceive their babies extremely positive or extremely negative. In the future, for more comprehensive assessment tool for maternal perception of the newborn, a repetitive verification and modification of this tool is demanded. At the same time, father's perception of the newborn should be included.

• The Journal of Korean Physical Therapy
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• 제20권2호
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• pp.1-10
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• 2008

Purpose: This study examines the effects of elastic band of resistance exercise for balance control of the elderly. Methods: Thirty of eighty participants in experiment subjects who demonstrated balance-impairment through the use of primary screening tests including the one leg standing test (OLST), functional reach test (FRT) and timed up and go (TUG) were selected as subjects. Fifteen subjects that underwent muscle-strengthening exercise using an elastic band were selected as the exercise group and fifteen subjects were selected as a control group. Subjects undertook a home-based exercise program three times per week for 9 weeks. Muscle strength, functional assessment and a balance test were quantitatively measured before and after the exercise regimen. Results: After muscle strengthening exercises, changes in maximal voluntary isometric contraction (MVIC) showed a significant increase in all of the lower extremity muscles of the exercise group subjects. There were statistically significant differences between the exercise and control groups for changes in the OLST, FRT and TUG, which are functional assessments of balance ability, and changes of the unit path length and circumference area, measurement items of quantitative analysis. In addition, from examining correlations between MVIC, balance ability, it was found that an increase of muscle strength in the hip joint group of muscles among the lower extremity muscles had greater improvement in correlation with balance ability in this elderly population. Conclusion: Resistance exercise using elastic bands had significant effects on muscle strengthening in elderly subjects, with a resultant increase of lower extremity muscle strength with significant improvement of balance ability.

• Archives of Plastic Surgery
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• 제39권3호
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• pp.198-202
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• 2012

Background : Maxillary hypoplasia refers to a deficiency in the growth of the maxilla commonly seen in patients with a repaired cleft palate. Those who develop maxillary hypoplasia can be offered a repositioning of the maxilla to a functional and esthetic position. Velopharyngeal dysfunction is one of the important problems affecting speech after maxillary advancement surgery. The aim of this study was to investigate the impact of maxillary advancement on repaired cleft palate patients without preoperative deterioration in speech compared with non-cleft palate patients. Methods : Eighteen patients underwent Le Fort I osteotomy between 2005 and 2011. One patient was excluded due to preoperative deterioration in speech. Eight repaired cleft palate patients belonged to group A, and 9 non-cleft palate patients belonged to group B. Speech assessments were performed preoperatively and postoperatively by using a speech screening protocol that consisted of a list of single words designed by Ok-Ran Jung. Wilcoxon signed rank test was used to determine if there were significant differences between the preoperative and postoperative outcomes in each group A and B. And Mann-Whitney U test was used to determine if there were significant differences in the change of score between groups A and B. Results : No patients had any noticeable change in speech production on perceptual assessment after maxillary advancement in our study. Furthermore, there were no significant differences between groups A and B. Conclusions : Repaired cleft palate patients without preoperative velopharyngeal dysfunction would not have greater risk of deterioration of velopharyngeal function after maxillary advancement compared to non-cleft palate patients.

• 한국연초학회지
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• 제29권2호
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• pp.110-117
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• 2007

In vitro toxicity tests such as cytotoxicity, mutagenicity and genotoxicity assay are useful for evaluating the relative toxicity of smoke or smoke condensates obtained from different cigarette configurations. A major disadvantage of these tests is relatively time-consuming, complicated and expensive. Recently, a cell-free glutathione consumption assay (GCA) as a rapid and simple screening method for the toxicity assessment of smoke has been reported by Cahours et al. (CORESTA, 2006). This study was carried out to assess the GCA application capable of predicting the toxicity of gas/vapor phase (GVP) of cigarette smoke and to identify individual compounds responsible for the glutathione (GSH) consumption in smoke. Each GVPs from 2R4F, standard cigarette, carbon filter cigarette (ExC) and new carbon filter cigarette (ExN), test cigarettes were collected by automatic smoking machine and evaluated the relative toxicity by GCA and neutral red uptake (NRU) assay. Toxic compounds existed in smoke were also chosen, relative toxicities of these compounds were screened by using two methods and compared individually. The overall order of toxicity by GCA was 2R4F > ExC > ExN, which was consistent with the result of Neutral Red Uptake assay. The levels of carbonyl compounds of ExN were lower than those of 2R4F and ExC, indicating that GSH consumption was associated with carbonyl compound yields. A major toxicant under current study is acrolein, which contributed to more than half of the GSH consumption. Collectively, the toxicity of GVP determined by GCA method may be mainly attributed to acrolein.

• 대한지역사회영양학회지
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• 제9권6호
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• pp.725-733
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• 2004

It was well received that well grounded behavioral theories were important in the development of effective nutrition education programs, but there are only a few programs available for Korean women. The objective of this study was to develop nutrition education programs for childbearing-aged women in Korea. Based on the findings of the needs assessment for the program and theoretical backgrounds, we developed behaviorally oriented tailored nutrition education program including motivation (MT), modifying (MD) and maintenance (MA) stages. The key concepts of the stages were motivation promotion for MT, increasing behavioral capabilities for MD, and strengthening self-management and building favorable environmental condition for MA. The education program was intended to be need in individual nutrition counseling, but it could be well used for group education by developing materials using the relevant contents. The primary users of the program were nutrition educators, however it could be also used by clients as needed. The introductory chapter provided dietary assessment tools and nutrition education tips. MT chapter included subjects such as nutritional status screening, costs of inappropriate nutrition and weight management, benefits of eating right, and activities for motivation promotion. MD stage chapter dealt with topics of healthy weight, knowledges and skills for better eating habits and physical activity status, and activities related to setting tailored behavioral objectives. MA stage focused on facilitating self management skills and building helping relationships. Each stage underlined activities using various educational tools in order to promote active participation of the client (s). For better use of this program, it was recommended to conduct program validation study.

• 한국건축시공학회지
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• 제10권1호
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• pp.221-228
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• 2010

건설사의 성과는 개별프로젝트의 성과에 따라 다르게 나타날 수 있으며 프로젝트의 수주는 이러한 의미에서 중요한 의미를 가지게 된다. 그러나 현재까지 프로젝트 수주와 관련한 성과평가에 대한 연구는 거의 전무한 실정이다. 본 사건분석 연구에서는 프로젝트 수주 날자를 중심으로 구간을 설정하여 건설프로젝트 수주에 대한 시장의 반응을 분석하였다. 총 252개의 프로젝트를 엄정한 선별기준에 의거 수집하여 분석을 실시하였으며 분석에는 누적수익률 산정방법을 채택하였다. 분석결과에 의하면 전체 샘플에 대한 누적 수익률은 양(+)으로 나타났으며 통계적으로도 유의한 수준인 것으로 분석되었다. 한편, 프로젝트 수주규모와 수익률 수준의 상관관계 분석에서는 어떠한 상관성도 발견되지 않은 것으로 나타났다. 이 외에 프로젝트를 특성에 따라 다양한 그룹으로 구분하여 누적수익률에 대한 비교분석 결과를 제시하였다. 본 논문에서는 위와 같은 결과 외에 다양한 분석결과가 의미하는 시사점에 대하여 논의하였다.

• 국제물리치료학회지
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• 제11권2호
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• pp.2096-2101
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• 2020

Background: The effect of mobilization on lumbar back pain has been fully described in several clinical aspects, but evidence for muscle strength would be still less clear. Objective: To assess the effect of lumbar mobilization on lower limb strength in healthy individuals. Methods and Analysis: Healthy people aged 18-65 will be included regardless of race or sex. Original peer-reviewed primary reporting randomized controlled trials (RCTs) will be included. Electronic databases, such as MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, Pedro, CINAHL, ClinicalTrials.gov will be searched from inception until July 30. Only studies published in English will be included in this review. Two reviewers will complete the screening for eligibility independently, and the other two reviewers will also complete the risks of data extraction and bias assessment independently. Lower Limb strength will be assessed as primary outcome, and particular intervention or participant characteristics will be assessed as the secondary outcomes. Meta-analysis will be conducted using Review Manager 5.3.3, and evidence level will be assessed using the method for Grading of Recommendations Assessment, Development and Evaluation. Outcomes will be presented as the weighted mean difference or standardized mean difference with 95% CI. If I² ≤ 50%, P>.1, the fixed effect model will be used, otherwise, random-effects model will be used. Ethics and dissemination: This review might not be necessary ethical approval because it does not require individual patient's data; these findings will be published in conference presentations or peer-reviewed journal articles. PROSPERO registration number: CRD42020150144.

• 환경영향평가
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• 제21권1호
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• pp.41-51
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• 2012

To select 10 representatives for the ecotourism networks around the areas bordering national rivers in Korea, the spatial ranges for ecotourism have been established, the ecotourism potential analyzed, and the ecotourism resources information collected by the Regional Environmental Offices and the Korea National Park Service has undergone reviews, amendments, supplements, and verification processes through familiarization tour previews, and the following main results have been derived. First, the spatial ranges of the eco-tourism networks have been set as the watershed areas that include areas around the four major rivers and the rivers. Second, the areas with high potential value for ecotourism were selected through the analysis of ecotourism potential. Since EGIS was used for the analysis, it was inevitable that insufficient amount of localized information was reflected, and the use of the results as reference for the potential would be feasible. Third, it was possible, by reviewing, amending and complementing the results of ecological resource information collected by the Regional Environmental Offices and the Korea National Park Service, to select 50 representative ecological resources around the national rivers. The selected resources were considered for the adjacency, attractiveness of ecological resources, and uniqueness of the national rivers, and they were derived by screening expert advice, official opinion, and geographical analysis information. Fourth, 10 representative ecotourism networks based on watershed areas were selected, and suitable themes were given based on the resource characteristics. Fifth, the appropriateness for ecotourism has been confirmed, with the familiarization tour previews and survey results, preservation of the future ecotourism resources, and the establishment of the foundation as the basis. In the future, the remaining 9 ecotourism networks would also need to undergo a verification process such as familiarization tours. It is deemed that, through future ecotourism contests, if the programs that select locally-pioneered tourism programs resulting from the capacities of local entities and residents, then it would be more effective in discovering resources that are more localized and of higher regional value.

• 한국안광학회지
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• 제13권4호
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• pp.109-114
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• 2008

목적: 본 연구는 색각검사법의 반복측정에 따른 결과의 재현성을 평가하기 위해 진행하였다. 방법: 연구 대상자는 선천성 색각이상을 가지고 있지 않은 일개 대학교 안경광학과 학생 30명이었다. 색각이상검사 종류는 한식색각검사와 Hans 15 hue 검사 그리고 Lanthony D 15 hue 검사를 선택하였고, 3명의 검사자를 비교하기 위한 검사에서는 이시하라검사도 추가하였다. 결과: 가성동색표에서는 모두 정상으로 분류되어졌으나, 색분별법에서는 1명이 약한청황색각이상을 보였다. 가성동색표는 3번의 측정 및 검사자간 결과값이 일치하였으며, 색분별법 반복 측정에서 경미한 오류들의 차이가 나타났다. 그러나 실제 색각이상자의 분류에 있어서는 반복측정에 따른 결과값이 차이는 나타나지 않았다. 결론: 각 검사자는 비교적 간단한 색각검사라도 좀더 숙련된 기술로 피험자를 대하는 것이 필요하다. 피험 자 역시 세 번의 측정으로 인한 경험에 의존하여 색각검사를 하기보다는 매 검사는 신중을 기해야 함이 요구되어 진다. 선별검사에서는 두 가지 검사의 병행이 요구되어진다.