• Journal of Preventive Medicine and Public Health
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• 제30권2호
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• pp.356-368
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• 1997

In effort to determine whether aircraft noise can have health effects such as hearing loss, hypertension and psychological stress, a total of 111 male professors and administrative officers working a college near a military airport in Korea(exposed group) and a total of 168 males and 112 females matched by age groups(control groups) were analyzed. Personal noise exposure and indoor and outdoor sound level of jet aircraft noise were measured at the exposed are3. And pure tone, air conduction test and measurement of blood pressure were given to the exposed(males) and matched control groups (males and females). BEPSI(Brief Encounter Psychological Instrument) and psychological response to aircraft noise were examined for the exposed group. The noise dosimetry results revealed time-weighted averages(TWAs) that ranged from 61 to 68 dBA. However the levels encountered during taking off jet airplanes reached 126 dBA for two half minutes time period. Th, audiometric, test showed that mean values of HTL(hearing threshold level) in exposed group at every frequency(500, 1,000, 2,000, 4,000, and 8,000 Hz were much lower than them of male and female control groups. And in old age groups, interaction of age and noise was observed at 8,000 Hz in both ears(p<0.05). Conclusively, aircraft noise does not appear to induce hearing loss directly in high frequency, but may decreased hearing threshold level by interaction of aging process and noise exposure. However, difference of mean values of exposed and control groups on blood pressure was not significantly. In psychological test, annoyance was the most severe psychological response to noise in exposed group, but mean value of BEPSI was not correlated with job duration in exposed group.

• 대한소아치과학회지
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• 제23권3호
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• pp.746-763
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• 1996

An alternative design to conventional class II cavity preparation for proximal carious lesions is the tunnel preparation. It preserves the marginal ridge intact, thus making it possible to maintain the natural contact relationship with the adjacent tooth and minimize tooth reduction. This in vitro study was purposed to evaluate the effect of the materials' elastic constants and shear-bond strength on the marginal ridge fracture resistance of teeth restored by the tunnel technique, and to find the materials of choice for tunnel restorations. $Resinomer^{(R)}$, $Ketac-silver^{(R)}$, $Miracle-Mix^{(R)}$, and Tytin were used as restorative material. The elastic constants of each restorative material were evaluated by ultrasonic pulse measurement. Young's modulus and bulk modulus of the restorative materials were evaluated in three specimens for each material type. The shear-bond strength of the restorative materials to the dentin surface was measured after thermocycling 400 times between 6 and $60^{\circ}C$, using ten specimens for each material type. For measuring marginal ridge strength, 60 sound extracted molar teeth were distributed into six groups by size. Sound molar teeth were used as a Control group and unfilled prepared teeth were grouped as Unrestored. Another four groups were named Resinomer group, Ketac-Silver group, Miracle Mix group, and Tytin group by type of restorative material. Tunnel cavity preparation was done with ' 1/2, 2, and 4 round burs in sequence. Initial access to proximal surface was made through an occlusal access preparation started at least 2mm from the marginal ridge, and the proximal opening was formed about 2.5mm below the marginal ridge. After restoration and thermocycling, marginal ridge strength was measured using a universal testing machine. The results were as follows: 1. The Young's modulus of $Tytin^{(R)}$ was 63.95 GPa, followed by $Ketac-Silver^{(R)}$ 27.60 GPa, $Miracle-mix^{(R)}$ 18.48 GPa, and $Resinomer^{(R)}$ 10.74 GPa showing significant differences between the groups(P<0.05). The bulk modulus of the materials showed the same order as Young's modulus. The value of $Tytin^{(R)}$ showed 59.57 GPa indicating that it will deform less than other materials under the same stress. It was followed by $Ketac-Silver^{(R)}$ 23.57 GPa, Miracle $Mix^{(R)}$ 12.50 GPa, and $Resinomer^{(R)}$ 11.60 GPa. 2. The Resinomer group had a shear-bond strength of 7.41 MPa which was significantly higher than those of the Ketac-Silver group (1.80 MPa) and the Miracle Mix group (2.84 MPa) (P<0.01). All the specimens of Tytin group detatched from the dentin surface during thermocycling. 3. The mean marginal ridge strength of the Unrestored group(46.14 kgf) was significantly lower than that of the Control group (84.24 kgf) (P<0.01). The marginal ridge strength of teeth restored by the tunnel technique was, in order, Ketac-Silver group 74.06 kgf, Miracle Mix group 73.36 kgf, Resinomer group 63.47 kgf, and Tytin group 58.76 kgf. The Ketac-Silver, Miracle Mix, and Resinomer groups showed no significant difference with the Control group (P>0.05), but the Tytin group showed significantly lower strength compared to the Control group(P<0.05). The results showed that the marginal ridge strength of the teeth restored by the tunnel technique was not significantly lower than that of sound teeth. They also demonstrated that the bonding strength of the restorative material to the tooth surface should be high and the modulus of elasticity should not be lower than that of the tooth in order to restore the marginal ridge strength to its natural condition.

• 한국환경생태학회지
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• 제30권1호
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• pp.118-129
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• 2016

본 연구의 목적은 산림치유 프로그램 개발을 위한 기초자료를 제공하는데 있다. 본 연구는 탐색적 연구로 산림치유 잠재수요자의 산림치유 프로그램 선호도가 무엇인지 파악하게 함으로써, 산림치유 프로그램을 개발하고 운영하는데 중요한 기초자료가 될 것이라고 생각된다. 일반 성인 남 여 620명을 대상으로 산림치유 프로그램의 선호도에 관한 설문조사를 실시하였다. 자료분석은 SPSS 21.0 프로그램을 사용하여 빈도분석(Frequency analysis), T검정(T-test), 일원분산분석(One-way ANOVA)을 통해 성별, 연령, 직업에 따른 산림치유 프로그램 선호도의 차이를 살펴보았다. 산림치유 프로그램 선호도가 성별, 연령, 직업 등에 따라 다양하다는 것을 알 수 있었다. 첫째, 성별에 따라, 남성은 여성에 비해 숲속 운동회, 캠핑을 선호하고, 여성은 남성에 비해 전반적인 프로그램에서 선호도가 높은 것으로 나타났다. 둘째, 연령에 따라서 다른 연령과 비교해서 20대는 스트레스 평가와 진단, 음식 만들기, 숲속 사진치료 등, 30대는 자유롭게 숲속 걷기, 상담, 강의 듣기(스트레스, 대인관계 관련), 비전 세우기 등, 40대는 명상, 경관보기, 삼림욕, 풍욕, 일광욕, 맨발로 숲속 걷기 등, 50대는 호흡법 호흡체조, 요가, 등산, 묵언 산행, 자연음식 먹기 등의 프로그램을 각각 특히 선호하는 것으로 나타났다. 셋째, 직업에 따른 산림치유 프로그램 선호도를 살펴보면 다음과 같다. 다른 직업과 비교해서 학생은 스트레스 평가와 진단, 음식 만들기 등을, 교사는 자유롭게 숲속걷기, 등산, 숲속 독서, 경관보기, 삼림욕 풍욕 일광욕, 캠핑 등을, 주부는 요가, 물 흐르는 소리 듣기, 허브차 마시기, 자연음식 먹기 등을, 전문 연구직은 호흡법 호흡체조, 묵언산행, 명상, 숲속 잠자기 등을 각각 선호하는 것으로 나타났다. 본 연구의 분석 결과가 성인을 대상으로 하는 산림치유 프로그램 개발을 위한 기초자료로 활용되기를 기대한다.

• 정신신체의학
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• 제26권1호
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• pp.35-43
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• 2018

연구목적 복합 외상을 겪는 경우에는 PTSD의 증상을 넘어선 증상들이 다양하게 나타난다. 그러나 그러한 다양한 증상을 평가하는 도구가 부족한 실정이다. 외상 증상 체크리스트-40은 자기보고식 검사로 아동기 혹은 성인기의 외상 경험과 관련된 이러한 다양한 증상들을 측정하기 위한 도구로 원척도 연구에서 높은 신뢰도와 타당도가 검증된 검사 도구이다. 이번 연구의 목적은 정신건강의학과 외래 환자를 대상으로 한국판 외상 증상 체크리스트-40 (KTSC-40)의 타당도를 검증하기 위해 설계 되었다. 방 법 한양대학교 구리병원 정신건강의학과 외래를 진료 목적으로 방문한 367명의 환자를 대상으로 하였다. 환자들의 자기보고식 평가 자료를 사용하였으며 외상 증상 체크리스트-40 (TSC-40), 사건 충격척도 개정판(IES-revised), 일생 사건 체크리스트(LEC), Zung 자가평가 우울척도(Zung's Self-Rating Depression Scale), Zung 자가평가 불안척도(Zung's Self-Rating Anxiety Scale)를 이용하였다. 신뢰도는 내적 일치도(Cronbach's ${\alpha}$)로 산출하였고, 요인타당도는 Varimax 직각 회전을 이용한 탐색적 주성분 분석, 각 척도와의 수렴 및 공존 타당도를 위해서는 Spearman 상관분석을 하였다. 결 과 KTSC-40은 Varimax 직각회전을 이용한 주성분 요인 분석을 통해 7개의 요인을 추출하였고, 총 분산의 59.55%를 설명하였다. 이는 원척도 연구에서의 6개의 요인, 5개의 요인과 요인 수는 다르지만 그 내용은 비슷하였다. KTSC-40은 Cronbach's ${\alpha}$ 값이 0.94로 높은 내적 일치도를 가졌다. 또한 다른 PTSD scale과 우울, 불안 척도와의 비교에서 높은 수렴 및 공존 타당도를 보였다. 결 론 KTSC-40의 정신측정학 성질을 조사하여 우수한 타당도를 보이는 것을 확인하였다. 다만, 요인 분석에서의 원척도와의 약간의 차이를 보였는데 이는 문화적인 요소와 외상 관련 질환이 아닌 정신건강의학과 환자군 등 이질적인 외래 구성 집단에 따른 것으로 보인다. 결과적으로 KTSC-40은 높은 타당도로 향 후 다양한 임상영역에서 외상과 관련된 증상들을 평가 하는데 유용할 것으로 예상된다.

• 한방안이비인후피부과학회지
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• 제14권2호
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• pp.134-145
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• 2001

Introduction: Noises in the ear, whether real or imagined, are called tinnitus. Subjective causes of tinnitus(which is heard only by the patient) are extremely common and the majority of them are treated conservatively. For certain individuals their tinnitus is a major handicap; for others a trivial concern. The most common from of subjective tinnitus is a rushing, hissing or buzzing noise; it is frequently associated with sensorineural heanng loss. The patient may be unaware of the hearing loss, especially if it is a high frequency deficit of moderate severity. The character of the tinnitus may give a clue to the etiology. But the patient often has difficulty in explaining his/her tinnitus in absolute terms, as they have no other tinnitus with which to compare it but their own Tinnitus, like pain, is a subjective state and trying to objectively assess the severity is problematic. Audiological techniques to match subjective loudness to machine-produced noise may offer some help, in that sound intensity matches can bear little correspondence to subjective complaint. In spite of many studies, most patients presently seen complaining of tinnitus are told by their doctors that there is no treatment and that they will have to learn to live with this symptom. Objectives: To perform a clinical analysis of tinnitus and estimate the efficacy of Oriental Medical treatment according to the Byeonjeung(辨證). Subject: We studied 34 patients with complaints of tinnitus who had visited Pundang Cha Oriental Medicine Hospital Department of Otorhinolaryngology from March 1998 to February 2000. All of them had been treated 2 or 3 times a week with acupuncture treatment and had taken herbs according to the Byeonjeung(辨證) method. It was therefore possible for me to know whether their symptoms improved or not. Parameters Observed and Method: We treated them with acupuncture & herb-medication. Sometimes we gave them moxibustion or negative therapy with bloodletting at the acupuncture points(耳門, 聽宮, 聽會). Parameters Observed 1) Distribution of age & sex 2) Chief complaints 3) The sites of tinnitus 4) The quality of tinnitu 5) The duration of disease 6) The problem induced tinnitus 7) Factors increasing disease severity 8) The classification of the Byeonjeung(辨證) 9) The efficacy of treatments Results: 1. Age and sex distribution: The most common occurrence was found in males in their twenties: 6 males($17.7\%$), and in females in their thirties and over sixty: 8 females($23.5\%$). Total patient numbers for men and women were 20 men($58.8\%$), 14 women ($41.2\%$). 2. The most frequent major complaints were hearing disturbances related to tinnitus; and dizziness with tinnitus; each comprising 10 cases($29.4\%$). There were also 7 patients($20.6\%$) with only tinnitus. 3. Tinnitus sites: 13($38.2\%$) said that they felt tinnitus in both ears, equally. In the right ear, 9($26.5\%$), in the left, 6($17.7\%$). 4. The most frequent descriptive symptoms of tinnitus were: humming, hissing, buzzing etc. 5. The duration of disease. 14cases($41.2\%$) had a duration of less than 1 year. 6. 15cases($44.1\%$) complained that it was hard to watch TV or make a phone call because of tinnitus. 10 cases($29.4\%$) complained about depression. 7. Factors increasing severity of tinnitus: ⅰ) fatigue: 18cases($52.9\%$) ⅱ) stress/ tension: 10 cases($29.4\%$) ⅲ) alcohol and tobacco: 5cases($l4.7\%$) 8. Classification through Byeonjeung : ⅰ) 19 cases($55.9\%$) were classified as showing Deficiency syndrome. ⅱ) 15 cases($44.l\%$) were classified as showing Excess syndrome. The deficiency of Qi was 7($20.6\%$), deficiency of Xue, 8($23.5\%$) and insufficiency of the Kidney Yin & Yang, 4($11.8\%$). The flare of Liver fire was 8($23.5\%$) and phlegm-fire, 7($20.6\%$), 9. The efficacy of treatments showed: an improvement in 17cases($50.0\%$); no real improvement or changes in 13 cases($38.2\%$); and some worsening in 4 cases($11.8\%$). In the group with deficiency in Qi, 4($57.1\%$) improved, 1($14.3\%$) showed no change and 2($28.6\%$) were aggravated. In the cases of deficiency in Xue, 6($75.0\%$) improved, 2($25.0\%$) showed no change. In the cases of insufficiency of Kidney Yin & Yang, 3($75.0\%$) showed no change and 1($25.0\%$) were aggravated. In the group of flare of Liver fire, 4($50.0\%$) improved, 3($37.5\%$) no change and 1($12.5\%$) were aggravated. In the cases of phlegm-fire, 3($42.9\%$) improved, 4($57.1\%$) showed no change. Conclusion: We would recommend that any further studies of tinnitus utilize trial treatments of longer than 2 months duration, as any positive effects observed in our study showed that improvement occurred fairly slowly. And we suggest that this study could be utilized as a reference for clinical Oriental Medical treatment of tinnitus. If we try to apply music or sound therapy treatment properly combined with ours, we expect it to provide psycological stability in addition to inducing masking effects, even though it may not directly decrease or completely remove tinnitus.

• 생태와환경
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• 제40권2호
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• pp.244-253
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• 2007

본 연구에서는 잉어의 생태 반응에 미치는 초음파(강도 31 dB re 1 ${\mu}Pa$, 주파수 $14{\sim}15$ kHz)의 영향을 구명하기 위하여 치사율, 체중변화, 건강성 평가 및 행동패턴을 관찰하였다. 실험기간 동안 초음파에 노출된 잉어 Cyprinus carpio의 치사율은 대조군을 포함하여 처리군 모두 5% 이하로 실험구 사이의 치사율은 뚜렷하게 구별되지 않았다(P>0.05). 각각의 실험구에서 측정한 실험어류의 평균 체중은 실험종료 시 대조군에 비해 처리군에서 약간 증가하는 경향을 보였으나 실험구간의 뚜렷한 차이는 보이지 않았다. 대조군과 고처리군의 일부 개체들은 가벼운 표피손상과 꼬리지느러미의 출혈 흔적이 관찰되었으나 눈, 지느러미, 기생충 감염, 흉선의 출혈 및 아가미에서는 이상증상이 전혀 관찰되지 않았다(P>0.05). 근거리에서 일시적으로 초음파를 발생시켰을 때 어류는 음원으로부터 회피하는 방향성 움직임을 보였으나 원거리에서 초음파에 노출된 잉어는 뚜렷한 행동변화를 보이지 않았다. 결론적으로 낮은 강도의 초음파에 노출된 어류는 초음파 발생에 따른 심각한 스트레스는 받지 않을 것으로 판단된다.

• 한국시조학회지:시조학논총
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• 제26집
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• pp.187-222
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• 2007

19세기의 고악보와 가집의 서문에 나타난 음악론을 연구하기 위하여 총 39종의 문헌자료 가운데 서문이 수록된 고악보 자료는 $\ulcorner$금보정선(琴譜精選)$\lrcorner$ $\ulcorner$칠현금보(七絃琴譜)$\lrcorner$ $\ulcorner$현금오음통론(玄琴五音統論)$\lrcorner$ $\ulcorner$현가궤범(絃歌軌範)$\lrcorner$ $\ulcorner$죽취금보(竹醉琴譜)$\lrcorner$ 등 5종이며 가집 중에서는 $\ulcorner$교방가요(敎坊歌謠)$\lrcorner$ $\ulcorner$승편곡(昇平曲)$\lrcorner$ $\ulcorner$가곡원류(歌曲源流)$\lrcorner$ $\ulcorner$금옥총부(金玉叢部)$\lrcorner$ 등 4종의 자료를 활용하여 19세기의 고악보와 가집에 나타난 음악론을 고찰하였다. 본 연구를 통하여 도출되는 결론은 세 가지로 요약하여 정리 할 수 있다. 첫째, 고악보의 서문에서는 음악가의 마음상태는 본래의 성품과 바른마음을 가져야 하며, 조화로운 소리는 사람을 감화시킬 수 있다. 음악가의 안정된 심리상태와 바른마음의 발현이 곧 바른음악의 표현임을 강조하였다. 둘째, 가집의 서문에서는 바른 뜻 즉, 노래말이 외설적이거나 잡스럽지 않은 노래말을 중시하였다. 바른 노래말은 급박하거나 경박스럽지 않은 완만한 빠르기의 속도로 소리를 표현해야 한다고 주장하였다. 셋째, 고악보와 가집의 서문에서 공통적으로 제시하는 것은 '고악회복'이다. 느리지만 조화롭고 바른음악을 지향하는 것이 19세기 문인지식인들과 음악가들이 지향하는 궁극의 목표임을 확인하였다.

• Archives of Reconstructive Microsurgery
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• 제15권1호
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• pp.17-25
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• 2006

Twelve cases in eleven patients with segmental bone defects were treated with contralateral fibula free flap and ipsilateral island fibula flap in an antegrade, retrograde or bidirectional flow fashion. Five cases were managed with free flaps and seven were with ipsilateral fibula island transfer. Among seven cases, antegrade fashion was three, retrograde was three, and bidirectional was one. All patients were related with open tibial fractures and its sequelae except one who had open foot bone fracture. According to Gustilo's classification, ten patients were type IIIb and one was type IIIc. Basically, antegrade-flow flaps based on the peroneal vessels as in the conventional free flap were used for the proximal or middle one-third tibial defects. On the contrary, retrograde-flow flaps based on the communicating branch between the peroneal and posterior tibial vessels were used for the middle or distal one-third of the tibia. Bidirection-flow flap based on intact peroneal vessels were used for the middle portion of the tibia. The patients who have undergone ipsilateral fibula island flap had one of the following problems: a previously failed free flap, below-knee amputation of the opposite leg because of open tibial fracture, refusal to use the contralateral sound leg, or poor general condition to stand a lengthy operation. Six of the patients who have got ipsilateral fibula island flap also had an associated fibula fracture on the same leg, which was ultimately used as one of the osteotomy sites. The follow-up period was from 1 to 10 years. Two cases of free flap were failed: one patient had below-knee amputation and the other patient had ipsilateral fibula transfer. Other cases were successful and excellent hypertophy of the transferred fibula was achieved. Time to bone union ranged from 4 to 11 months. Time to full weight bearing was from 5 to 13 months after surgery. All of the transferred fibulas showed hypertrophy after weight bearing. In one case, stress fracture was developed during ambulation, which was healed conservatively. Nonunion occurred in two cases, which were treated with a long leg cast and cancellous bone graft, respectively. Length discrepancy of the legs was noted. The limb was shorter by an average 0.5 cm in three cases, longer by 1.1 cm in one case. In the case of island fibula transfer, limited arc of rotation was not a problem. Other disabling complications were not seen. We believe that these diverse modalities using a vascularized fibula will make us more comfortable to handle major bone defects.

• 터널과지하공간
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• 제11권2호
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• pp.109-119
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• 2001

우리나라의 양수발전소는 지금까지 단일공동을 굴착하였다. 그러나 양양 양수발전소는 두 개의 대공동 즉, 발전소와 주 변전소로 구성된다. 이 경우 공동 구조물의 안정성, 특히 두 공동사이에 형성되는 암주를 영구적으로 안전하게 유지할 수 있도록 보장되어야 한다. 본 연구에서는 개별요소법을 이용하여 두 공동과 암주의 구조적 안정성을 평가하였으며, 구성모델로 Barton-Bandis의 절리모델을 이용하였다. 현지 암반의 초기응력, 자연절리면의 거칠기계수, 불연속면의 공간적 분포 특성과 같은 중요한 요인들은 현지 조사를 통하여 구하였다. 이외에 두가지 경우 즉, 무보강과 보강의 경우 지보시스템의 최적화를 분석하였으며, 또한 보강효과를 검토하였다. 연구결과 보강의 경우 수평변위와 절리의 전단변위가 감소되었으며 암주내 이완영역 역시 감소됨을 확인하였다. 두 공동사이에 있는 약 36 m 두께의 암주에 적절한 보강조치를 취하여 안정성을 확보할 수 있었다.

• 한국소음진동공학회논문집
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• 제14권6호
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• pp.528-535
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• 2004

Ultrasonic Vibrator is designed to achieve the maximum vibration amplitude at 30 kHz by in-cluding a horn (diameter, 40 mm), mechanical vibration amplifier at the top of the ultrasonic vibrator in the system and making the complete system resonate. In addition, it is experimentally visualized by particle imaging velocimetry (PIV) that the acoustic streaming velocity in the gap is at maximum when the gap between the ultrasonic vibrator and stationary plate agrees with the multiples of half-wavelength of the ultrasonic wave. This fact results from the resonance of the sound wave and the theoretical analysis of that is also accomplished and verified by experiment. It is observed that the magnitude of the acoustic streaming dependent upon the gap between the ultrasonic vibrator and stationary plate possibly changes due to the measurement of the average velocity fields of the acoustic streaming induced by the ultrasonic vibration at resonance and non-resonance. There exists extremely small average velocity at non-resonant gaps while the relatively large average velocity exists at resonant gaps compared with non-resonant gaps. It also reveals that there should be larger axial turbulent intensity at the hub region of the vibrator and at the edge of it in the resonant gap where the air streaming velocity is maximized and the flow phenomena is conspicuous than that at the other region. Because the variation of the acoustic streaming velocity at resonant gap is more distinctive than that at non-resonant gap, shear stress increases more in the resonant gap and is also maximized at the center region of the vibrator except the local position of center (r〓0). At the non-resonant gap there should be low values of vorticity distribution, but in contrast to the non-resonant gap, high and negative values of it exist at the center region of the vibrator with respect to the radial direction and in the vicinity of the middle region with respect to the axial direction. Acoustic streaming is noise-free due to the ultrasonic vibration and maintenance-free because of the absence of moving parts. Moreover, the proposed method by acoustic streaming can be utilized to the nano and micro-electro mechanical systems as a driving mechanism in addition to the augmentation of the streaming velocity.