• 대한간호학회지
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• 제4권1호
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• pp.107-120
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• 1974

Necessity and purpose of this study: In a large number of countries it has been founded that children′s domestic accidents are at great risk year by year In the United States, they publish detailed accident statistics at regular intervals. In Korea. there have been just a few studies on Accidents-At-Home of preschool children. But it can not be said that there have been any systematic statistics about this area. and any study accounting for the relations of home accidents and preschool: children in detail, Therefore, the purpose of this thesis was focused on the inquire of these relations so as to make a little contribution to Korean preschool children′s health and security measures. So, the detail-purposes are to study following questions and to testify following hypothesis. Prob. 1. What the types of accidents of Preschool children, where the place accidents occurred\ulcorner Prob. 2. What the cause of accidents and, the main factors of the cause\ulcorner Prob. 3. How about the number of their children. the disparity of age among their children and mother′s age in each case of accidents\ulcorner hypothesis 1. There will be differences in the density of protection of parents according to the number of their children. hypothesis 2, There will be differences in accident-types and first-aid methods according to parents socio-economic background. Method; This study employed the interviewing survey method, in which 130 preschool children ware random.sampled, who visit hospital to have medical care. These children (from 1 to 6 years olds) were selected at the emergency room of five hospitals in Seoul (Hosp: Severance, Woosok, Medical Center, Hanyang Medical College Hospital and Seoul Medical Col1age Hospital during study-period (from Aug. to Oct, 1973). Four head nurses in above Hospitals were employed as accident members for this study. Concerning research analysis, the method of hypothesis verifying is used. Conclusion: As two American experts on this subject. Dr, Raymond Neuter and Mr. Ross Mc Garland have drawn attention to "minor epidemics of accidents" that could be avoided by fairly simple measures. preschool children′s accidents could be avoided by parents fair attentions. In other words, one of the most common causes of preschool children′s accidents derived from their parent′s inattention. Therefore, one important task on this subject is to instruct the parents fairly about the children′s accidents. Many accidents could be avoided by the exorcist of a little self-discipline. Also, as much the prevention of accidents is important, as the first-aid Is Important and necessary at the case of the accidents. So, the methods of proper first-aid treatment must be emphasized, and must be taught in school, especially in girls school. And there could be other means available for prevention of accidents. Firstly, the public authorities can take legal measures. More stringent safety standards can be made enforceable by law. Building materials and equipment for domestic us: ought to meat minimum safety criteria at all times. Next the public itself has to understand the seriousness of the problem, and here the dissemination of information is of great importance. All mass media should be brought into play to promote greater public awareness of the question. At last, it will be needed to obtain more detailed epidemiological data through additional surveys and statistics after this study.

• 대한족부족관절학회지
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• 제17권2호
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• pp.130-135
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• 2013

Purpose: Preshaped Locking compression plate(LCP) has holes with fixed angle between screw and plate and have advantage firm fixation because it has stability of angular and axial deformity. We evaluated usefulness of LCP after open reduction and internal fixation in distal fibular fracture. Materials and Methods: Between December 2011 and May 2012, 23 patients with fracture of distal fibula were followed up at least 12 months underwent open reduction and internal fixation with LCP. There were 15 males and 8 females with a mean age 39.8(20~69) years. According to Danis-Weber classification, there were 20 cases of type B and 3 cases of type C. There were 13 cases of isolated lateral malleolus fractures, 1 case of bimalleolar fracture, 6 cases of trimalleolar fractures and 3 cases of distal tibia fractures with proximal fibula fracture. Intraoperatively, we assessed whether preshaped LCP fit lateral margin of distal fibula or not and evaluated quality of reduction and postoperative complications. The cases were analyzed by radiological bone union time and clinical results according to the criteria of Meyer Results: Of all cases, complete bone union was achieved and average radiological bone union time was 7.3(6~12) weeks. The clinical results were excellent in 18 cases(78%), good in 5 cases(22%). There were 5 cases of plate with 3 holes, 13 cases of plate with 4 holes, 2 cases of plate with 5 holes, 1 case of plate with 6 holes and 2 cases of plate with 7 holes. The average number of screws at proximal fragement was 2.5 and at distal fragment was 3.5. In 14 cases (60.8 %), we needed re-bending of plate because the distance between plate and lateral cortical margin of distal fibula was more than 5 mm at anteroposterior X-ray after reduction. All cases have anatomical reduction and there were no complications of wound infections. There were no complaint about hardware irritation. Conclusion: At fractures of distal fibula,preshaped LCP had a excellent stability although far cortex was not fixed with screw and bending of plate. And there are less complications of hardware irritation and wound problems. But, Some complement would be needed because there were no complete fitting between precontour of LCP and lateral cortical margin of distal fibula.

• 한국건설순환자원학회논문집
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• 제1권3호
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• pp.189-196
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• 2013

건설폐기물의 효율적인 재활용과 친환경적인 처리를 위해서는 발생단계에서부터 재활용을 도모할 수 있는 건축물 분별해체공법이 적용되어야 한다. 본 연구에서는 국내 건축물 분별해체 제도 도입을 위하여 국내 현황을 분석하였고 국내 실정을 감안한 적용 대상 건축물 범위를 제안하고자 하였다. 이를 위하여 국외 분별해체 관련 제도를 분석하였고, 국내 건축물의 용도별, 면적별 현황 조사를 하였으며 건축물 용도별 분별해체 작업성을 비교하였다. 또한 분별해체 도입에 따른 경제적인 효과를 파악하였고 관련업체를 대상으로 도입의 필요성과 대상 건축물 선정 기준에 대한 설문조사를 실시하였다. 연구결과로부터, 국내 모든 건축물을 대상으로 분별해체를 적용하는 것은 현재의 해체기술력과 경제적인 여건 등을 고려할 때, 현실적으로 어려울 것으로 판단되고 비용을 기준으로 할 경우에는 난이도 및 현장조건 등 다양한 변수에 따라 비용이 다르게 책정될 수도 있기 때문에 연면적과 용도별로 구분하여 단계별로 도입하는 것을 제안하고자 한다.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제39권5호
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• pp.207-216
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• 2013

Objectives: The purpose of this study is to analyze clinical impact factors on the survival rate, and to acquire basic clinical data for the diagnosis of oral cancer, for a determination of the treatment plan with long-term survival in oral cancer patients. Materials and Methods: Through a retrospective review of the medical records, the factors for long-term survival rate were analyzed. Thirty-seven patients, among patient database with oral cancer treated in the Department of Oral and Maxillofacial Surgery at Pusan National University Hospital within a period from March 1998 to March 2008, were selected within the study criteria and were followed-up for more than 5 years. The analyzed factors were gender, age, drinking, smoking, primary tumor site, type of cancer, TNM stage, recurrence of affected region, and metastasis of cervical lymph node. The 5-year survival rate on the impact factors was calculated statistically using the Kaplan-Meier method. Results: By classification of clinical TNM at the 1st visit, there were 11 (29.7%) cases for stage I, 11 (29.7%) cases for stage II, 3 (8.1%) cases for stage III, and 12 (32.5%) cases for stage IV. The 5-year survival rate of total oral cancer patients after the operation were 75.7%, pathological TNM stage related 5-year survival rate were as follows: stage I 90.0%, stage II 81.8%, stage III 100% and stage IV 45.5%; in which the survival rate difference by each stage was significantly observed. The recurrence of cervical lymph node was the significant impact factor for the survival rate, because only 30.0% the survival rate in recurrent cases existed. During the follow-up, there were 15 (40.5%) patients with confirmed recurrence, and the 5-year survival rate of these patients was decreased as 46.7%. Conclusion: The classification of clinical and pathological TNM stage, local recurrence after surgery, and metastasis of cervical lymph node after surgery were analyzed as the 3 most significant factors.

• 대한소아치과학회지
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• 제47권1호
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• pp.36-43
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• 2020

유치열기 어린이의 교합적 특성에 대해 국외에서는 관련 연구가 많이 보고되었으나 최근 한국 어린이를 대상으로 한 연구보고는 희소하며 서로 다른 인종 간에 교합양상에 차이가 있다. 따라서 이 연구 논문의 목적은 경기도 화성시에 거주하는 한국 어린이의 유구치 교합관계에 대해 알아보고자 함이다. 한 명의 소아치과 전문의가 치과의원에 내원한 만 2 - 5세 유치열기 어린이들의 구강 내 임상 사진을 촬영하였다. 한 명의 평가자가 유구치 교합관계를 평가 및 분류하였으며 성별, 연령 등의 환자 정보를 기록하였다. 총 389명에서 좌우측의 교합관계가 동일하게 근심계단형인 경우가 61.7%로 가장 높게 나타났다. 양측 모두 수직형인 경우는 15.4%, 원심계단형인 경우는 4.9%로 나타났다. 좌우측의 교합관계가 동일하지 않은 경우 근심계단형과 수직형의 조합이 14.7%로 높은 빈도로 나타났다. 모집단 일부에서는 유견치 관계를 분류할 수 있었고 좌우측 동일하게 1급 유견치 관계인 경우가 48.2%로 가장 높게 나타났다. 유구치 교합관계는 영구치열기로의 변화를 예측할 수 있도록 하여 적절한 치료 전략을 수립하거나 교합유도를 시행할 수 있도록 한다. 따라서 소아치과의사의 유치열기 교합에 대한 정확한 이해와 최근 경향에 대한 파악이 중요하다.

• Tuberculosis and Respiratory Diseases
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• 제74권4호
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• pp.163-168
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• 2013

Background: In uncontrolled hemoptysis patient, bronchial arteriography and bronchial artery embolization (BAE) is a important procedure in diagnosis and treatment. The aim of this study is to assess the incidence of contrast-induced nephropathy and the risk factors of contrast-induced nephropathy (CIN) after bronchial arteriography and BAE. Methods: We retrospectively reviewed the medical records of the patients who underwent bronchial arteriography and BAE in two university hospitals from January 2003 to December 2011. CIN was defined as rise of serum creatinine more than 25% of baseline value or 0.5 mg/dL at between 48 hours and 96 hours after bronchial arteriography and BAE. We excluded patients who already had severe renal insufficiency (serum creatinine${\geq}4.0$) or had been receiving dialysis. Results: Of the total 100 screened patients, 88 patients met the enrollment criteria. CIN developed in 7 patients (8.0%). The mean duration between the exposure and development of CIN was $2.35{\pm}0.81$ days. By using multivariate analysis, serum albumin level was found to be significantly associated with the development of CIN (p=0.0219). Conclusion: These findings suggest that the incidence of CIN was higher than expected and patients with hypoalbuminemia should be monitored more carefully to prevent the development of CIN after bronchial arteriography and BAE.

• Clinical and Experimental Pediatrics
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• 제46권11호
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• pp.1107-1111
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• 2003

목 적 : 진행된 신경모세포종 환아의 약물치료 후 수술한 예에서 조직변화를 관찰하여 예후와의 상관관계를 알아보고자 이 연구를 시행하였다. 방 법 : 1991년 1월부터 2000년 6월까지 계명대학교 동산병원 소아과에서 진단된 신경모세포종 환아 중 항암치료 후 종양절제를 시행한 6례를 대상으로 하였다. 진단 당시 침생검소견과 항암치료 후 조직소견에서 신경모세포의 분화정도와 핵 모양 및 간질조직의 기질화 양상과 석회와 유무 등을 비교하여 변형된 Shimada 분류에 따라 분류하였다 결 과 : 항암치료 전과 후에 조직소견의 변화를 관찰하였으며 변형된 Shimada 분류에 따라 2가지 예후군으로 분류하였으며, 좋은 예후군 3례 중 2명은 생존해 있으며, 1명은 추적되지 않고 사망한 것으로 추정하였으며, 나쁜 예후군의 3례는 각각 패혈증과 retinoic acid 복용 중 발생한 출혈성 췌장염으로 사망하였다. 결 론 : 항암치료 전과 후에 조직소견의 변화를 관찰하였으며 Shimada 분류에 따라 비교하고, 치료 후 종양세포의 성숙을 관찰하였으며, 좋은 예후군에서 생존수가 많은 것을 확인할 수 있었다.

• 생물환경조절학회지
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• 제23권2호
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• pp.131-138
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• 2014

'한아름' 배는 기본적인 품종 특성이 중소과 범주에 포함되는 품종으로 재배기술의 큰 변화 없이도 고품질의 중소과 생산이 가능할 것으로 예상되는 품종이다. 따라서, 본 연구에서는 '한아름' 품종을 대상으로 중소과로의 활용 가능성을 알아보고, GA 처리와 비교하여 고품질의 중소과 생산이 가능한 최저 과중 기준 설정하고자 하였다. 과실 품질인자간 상관분석 결과, 무처리구와 GA 처리구에서 공통적으로 과중과 당도, 과중과 경도가 높은 상관관계가 있어 각 처리구의 당도와 경도의 관찰을 통한 과중의 예상이 가능하였다. 또한, 당도와 경도는 소비자 선호도를 예측하는데 유용한 지표로 확인되었으며, 당도가 $11.6^{\circ}Bx$ 이상, 경도가 25.6N 이하의 과실이 상품성이 높은 것으로 조사되었다. 관능평가를 통해 도출된 품질 기준을 각각 과중과의 회귀분석 결과에 적용한 결과, 무처리구는 과중 436g 이상의 과실이 당도와 경도의 품질 기준을 충족하였으며, 품질 균일도 또한 높아 436g 이상의 과실을 수확하면 고품질의 중소과 생산이 가능할 것으로 판단되었다. GA 처리구에서 당도와 경도의 품질 기준을 모두 충족시키는 최소 과중은 620g으로, 중소과 범위에서는 품질이 낮고 불균일하여 고품질의 중소과 생산을 목적으로 재배할 경우, GA 처리는 지양해야 할 것으로 판단되었다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권3호
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• pp.1187-1191
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• 2016

Background: The prevalence of prostate cancer (PCa) has been increasing in recent years. Treatment strategies are largely based on the results of bone scan screening. Therefore, our aim was to investigate predictors of positive bone metastasis in newly diagnosed PCa patients. Materials and Methods: After extensive review, 336 consecutive patients newly diagnosed with PCa between April 2010 and November 2013 at our institution were enlisted in the study. Patients were divided into two groups according to bone scan results. Univariate analyses (Chi-square test for discrete variables and independent t-test for continuous variables) were applied to determine the potentially significant risk factors associated with distant bone metastasis. Binary logistic regression analyses were used to further investigate the influence of these factors on bone metastasis. Results: The patient mean age was $71.9{\pm}8.6years$ (range: 48 to 94 years). The mean prostate specific antigen (PSA) level and biopsy Gleason score were $260.2{\pm}1107.8ng/mL$ and $7.4{\pm}1.5$, respectively. The body mass index (BMI) for the series was $24.5{\pm}3.4kg/m^2$. Sixty-four patients (19.0%) had a positive bone scan result. Patients with positive bone scan results had a significantly lower BMI ($23.3{\pm}3.5$ vs. $24.8{\pm}3.3$; p=0.003), a higher Gleason score ($8.5{\pm}1.1$ vs. $7.1{\pm}1.5$; p < 0.001), and a higher PSA level ($1071.3{\pm}2337.1$ vs. $69.4{\pm}235.5$; p < 0.001) than those without bone metastasis. Multivariate logistic regression analysis employing the above independent predictors demonstrated that a Gleason score of ${\geq}7$, clinical stage ${\geq}T3$, $BMI{\leq}22kg/m^2$, and an initial PSA level of ${\geq}20ng/mL$ were all independent predictors of bone metastasis. Conclusions: A bone scan might be necessary in newly diagnosed PCa patients with any of the following criteria: clinical stage T3 or higher, a Gleason score of 7 or higher, BMI equal to or less than 22, and a PSA level of 20 or higher.

• 원예과학기술지
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• 제30권2호
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• pp.144-151
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• 2012

미량원소인 붕소(B)의 시비농도를 인위적으로 조절한 관비용액으로 '금향', '매향' 및 '설향' 딸기를 재배하면서 시비수준이 생육에 미치는 영향, 생육을 우수하게 유지할 수 있는 식물체의 한계농도, 그리고 B 과잉시비로 유발되는 생리장해의 특징을 구명하기 위하여 본 연구를 수행하였다. 0.25mM B 시비구에서 세 종류 딸기 품종의 생체중 및 건물 중이 가장 무거웠고 관부직경도 가장 굵었지만 B 시비농도가 높아짐에 지상부 생장량이 급격하게 감소하였다. B가 과다하게 시비되면 신생엽에서는 황화현상, 중간에 위치한 잎들에서는 잎 가장자리의 갈변 및 괴사현상, 그리고 하위엽들이 괴사하면서 안쪽으로 말리는 증상이 나타났다. 하위엽에서 나타나는 증상은 '금향'의 경우 2mM 이상의 처리구, '매향'과 '설향'은 0.5mM 이상의 시비구에서 잎 선단부의 갈변 및 괴사, 그리고 잎 내부에 갈변 및 괴사현상이 나타났다. B 시비농도가 증가하여도 다량원소중 양이온인 K, Ca 및 Mg 함량에는 차이가 나타나지 않았으며, 음이온인 인산 함량이 감소하는 경향을 나타냈다. B 시비농도가 증가할 때 '금향'과 '설향' 딸기에서 Fe 함량이 감소하였으며, Zn 함량이 증가하는 경향을 보였다. 건물중에 기초한 지상부 생장량의 90%와 이 때의 B 함량을 정상생육을 위한 최대한계점으로 간주할 때 '금향', '매향' 및 '설향' 딸기에서 식물체내 B 함량이 각각 25.1, 44.2 및 $62.5mg{\cdot}kg^{-1}$ 이하를 유지하도록 B 시비농도를 조절하여야 과잉피해를 방지할 수 있다고 판단하였다.