• 대한임상독성학회지
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• 제7권2호
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• pp.127-136
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• 2009

Purpose: It is known that aspiration pneumonitis is associated with high mortality and morbidity following overdose. However, until now, few domestic studies on this subject have been conducted. The main aim of this study is to investigate the risk factors associated with aspiration pneumonitis in intubated patients following overdose. Methods: Among 654 adult overdosed patients who visited our institution from Jan. 2006 to June 2008, we enrolled 70 intubated patients within 24 hours after their overdose, and we reviewed the medical records to collect the data. This data was processed by univariate analysis, followed by multiple logistic regression analysis. P values <0.05 were deemed statistically significant. Results: In our study, a high incidence of pneumonitis was seen in the patients with an older age, a lower GCS and a high poisoning severity score or a high comorbidity score (p<0.05). Compared with the non-pneumonitis group, the pneumonitis group had a higher incidence of intubation (6% vs 61.8%, respectively, p<0.05). The main cause of intubation was a decreased mentality (68.6%). Older age, a high comorbidity score, irrigation without airway protection, relative hypoxemia and hyperkalemia were the risk factors of aspiration pneumonitis in the intubated overdosed patients (p<0.05). Among these factors, age, a high potassium level and airway protection might be significant predictors of aspiration penumonitis (p<0.05). Conclusion: Older age, a high potassium level and irrigation without proper airway protection may be the significant factors that can predict aspiration pneumonitis in patients who are intubated within 24 hours after overdose, although the further investigations on this are needed.

• 경영정보학연구
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• 제6권2호
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• pp.79-94
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• 2004

본 연구에서는 기업에서의 인터넷 활용과 적용이 어떻게 이루어지고 있는지를 국가와 산업별로 비교 연구하였다. 미국의 54개 기업과 한국의 135개 기업을 대상으로 한 설문 조사를 통하여 국가간 인터넷 활용 정도를 비교하였으며 산업을 제조와 비제조 군으로 구분하여 산업별로 인터넷 활용에 차이가 있는지를 분석하였다 통계적으로 유의한 차이가 밝혀지지는 못하였지만, 연구 결과에 의하면 미국 기업은 인사관리, 자동화, 판매, 흥보 등의 업무분야에서 한국 기업보다 인터넷 활용도가 높은것으로 조사되었으며 전반적으로 비제조 기업들이 제조 기업들 보다 인터넷 활용도가 높은 것으로 나타났다. 한국 기업의 경우 산업군별 인터넷 활용은 통계적으로도 유의한 차이를 보이는 것으로 나타났으며 특히 운영 및 영업 마케팅 업무분야에 있어서 인터넷 활용도가 차이를 보이고 있는 것으로 분석되었다.

• Clinical and Experimental Pediatrics
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• 제55권10호
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• pp.388-392
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• 2012

Purpose: Single-nucleotide polymorphism (SNP) markers within LIN28B have been reported to be related to the timing of pubertal growth. However, no study has investigated the frequency of genetic markers in girls with precocious puberty (PP) or early puberty (EP). This study aimed to determine the frequency of putative genetic markers in girls with PP or EP. Methods: Genomic DNAs were obtained from 77 and 109 girls that fulfilled the criteria for PP and EP, respectively. The controls in this study were 144 healthy volunteers between 20 and 30 years of age. The haplotypes were reconstructed using 11 SNPs of LIN28B, and haplotype association analysis was performed. The haplotype frequencies were compared. Differences in the clinical and laboratory parameters were analyzed according to the haplotype dosage. Results: Eleven SNPs in LIN28B were all located in a block that was in linkage disequilibrium. The haplotype could be reconstructed using 2 representative SNPs, rs4946651 and rs369065. The AC haplotype was less frequently observed in the PP group than in the controls (0.069 vs. 0.144, P=0.010). The trend that girls with non-AC haplotypes tended to have earlier puberty onset (P=0.037) was illustrated even in the EP+PP patient group by Kaplan-Meier analysis. Conclusion: The results of the present study showed that non-AC haplotypes of LIN28B had a significant association with PP in girls.

• 대한환경공학회지
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• 제34권5호
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• pp.304-311
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• 2012

산업용제로 널리 이용되고 있는 PCE (Perchloroethylene)나 TCE (Trichloroethylene)와 같은 염화에틸렌화합물은 안정된 세정력을 가지고 있어 널리 이용되고 있지만 무분별한 사용과 부주의한 취급으로 인해 최근 토양 및 지하수 오염지역이 늘어나고 있다. 본 연구에서는 퇴적토, 슬러지, 토양, 지하수 등 다양한 지역에서 총 10개의 시료를 식종원으로 이용하여 생물학적 PCE 탈염소화 가능성을 평가하고, 가장 우수한 탈염소화 능력을 보인 낙동강 퇴적토 시료를 대상으로 PCE를 에틸렌까지 안정적으로 탈염소화 가능한 혼합미생물을 농화배양하였다. 농화배양된 탈염소화 미생물을 생물전기화학시스템(Bioelectrochemical System, BES)의 환원부에 식종하여 전극을 전자공급원으로 이용한 탈염소화 가능성을 평가한 결과, PCE가 TCE, cis-dichloroethylene, vinyl chloride를 거쳐 최종산물인 에틸렌으로 탈염소화됨을 확인할 수 있었다. Polymerase chain reaction-denaturing gradient gel electrophoresis (PCR-DGGE)를 이용한 미생물군집 분석결과, 농화배양액에서 구축된 탈염소 미생물 군집과 BES 환원전극부내 미생물 군집 구조는 다르게 나타났으며, 전기화학적 활성을 지닌 다양한 미생물이 존재함을 확인할 수 있었다. BES 환원전극부에서 부유성장하는 미생물과 전극에 생물막을 형성하는 미생물 군집구조에도 큰 차이가 있었으며, 이는 탈염소화 메커니즘의 차이에 기인하는 것으로 판단된다. 추가적인 연구를 통해서 자세한 생물전기화학적 탈염소화 메커니즘을 밝혀낸다면 생물전기화학적 탈염소화 기술은 염화에틸렌 오염 토양/지하수의 획기적인 생물정화기술로 자리잡게 될 것이다.

• 대한환경공학회지
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• 제31권2호
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• pp.90-95
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• 2009

슬러지 전처리 방법으로 상용화되어 있는 cavitation을 이용한 방법은 서로 다른 원리, 초음파발생기(sonotrode)와 수리동 역학을 이용하고 있지만 이들 방법의 효율을 비교한 연구는 없었다. 본 연구에서는 이 두 전처리 방법에서 슬러지 가용화 효율, 전처리 후 입경변화, 전처리 전후의 메탄 생성량 변화를 평가하였다. 두 방법에 있어서 단위 에너지 투입량 당 가용화 효율은 유사하였으며, 최대 가용화 효율은 0.18 kWh/L에서 302 mg ${\Delta}SCOD/g$ TS이었다. 전처리 초기에는 슬러지의 floc 해체가 주로 일어났고, 전처리가 진행됨에 따라 1 ${\mu}m$ 이하의 입자가 증가하여 셀이 파괴되는 것을 확인할 수 있었다. BMP 시험 결과 슬러지의 메탄가스 발생량은 전처리 방법별 차이는 없이 최대 24.3%까지 증가하였으나, 투입 에너지에 비례하여 증가하지는 않았다. 비록 두 방법의 에너지 효율을 유사하지만 운영 및 유지비와 향후 에너지효율 개선 잠재력 면에서 볼 때 수리동력학적 원리를 이용하는 방법이 현장 적용에 유리하다고 판단된다.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제26권1호
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• pp.22-29
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• 2015

Objectives : Repetitive and stereotyped behaviors are core symptoms in children with autism spectrum disorders (ASD). The purpose of our study was to investigate the frequency of motor stereotypes in ASD children and their clinical features. Methods : Among 171 ASD children (age range, 3-15), the ASD group with motor stereotypes was defined according to two items in the Korean version of Autism Diagnostic Interview-Revised (K-ADI-R). We compared the clinical features, behavior problems and severity of other domains in the K-ADI-R and executive functions between the ASD group with motor stereotypes and the ASD group without motor stereotypes. Results : Ninety (52.6%) of 171 ASD children had motor stereotypes. The ASD group with motor stereotypes had a lower intelligence quotient score (62.23 vs. 84.94, p<.001) compared to the ASD group without motor stereotypes. The ASD group with motor stereotypes had more impairments in the social interaction domain [adjusted odds ratio (AOR) 1.11, p=.001] and communication domain (AOR 1.15, p=.008). Thought problems and lethargy were more frequent in the ASD group with motor stereotypes than the ASD group without motor stereotypes (AOR 2.059, p=.034 ; adjusted OR 1.045, p=.046). However, no significant differences in executive function were observed between the ASD group with motor stereotypes and the ASD group without motor stereotypes. Conclusion : The ASD group with motor stereotypes showed more impairment in social interaction and communication domains, which are core symptoms of autism. Motor stereotypes may indicate greater severity of ASD.

• 한국지구과학회지
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• 제30권6호
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• pp.734-743
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• 2009

본 연구는 부산지역의 먼지 농도와 황사발원지의 기후학적 요소를 주기분석 함으로써 부산지역의 먼지농도 주기에 영향을 주는 기후학적 조건, 특히 황사 발생과의 관련성에 대하여 고찰하였다. 부산지역에서 관측된 먼지 농도 시계열 자료를 이용한 단일스펙트럼분석을 수행한 결과 배출량이나 강수 효과 등에 의해 나타난 일반적인 주기(1년, 7일) 이외에, 상대적으로 3-4년 주기가 우세하게 나타났으며, 먼지 농도와 부산지역의 기상자료 및 황사발원지에서의 풍속과의 교차스펙트럼 분석을 통한 주기 분석을 수행해 본 결과, 3-4년 주기일 때 먼지농도와 풍속, 기압은 양의 상관관계, 기온, 상대습도와는 각각 음의 상관관계가 나타났다. 이는 황사 발생 조건과 잘 부합되는 것으로 나타나, 3-4년의 먼지 농도 주기는 황사의 장거리 수송과 관련이 있는 것으로 판단된다. 또한 황사 발생은 발원지의 지표 상태에 따라 발생빈도가 달라지므로, 여러 기후학적 요소들 중 황사발원지에서의 강수량과의 주기 분석을 수행해 본 결과, 발원지에서의 강수량 그 자체보다는 발원지에서의 가뭄지수(EDI)의 시계열이 우리나라 먼지 농도의 3-4년 주기와 더 연관이 있는 것으로 나타났고 이는 기후학적으로 황사 발원지에서의 지표건조 특성의 변동성과 연관이 있는 것으로 나타났다.

• Tuberculosis and Respiratory Diseases
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• 제67권3호
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• pp.212-220
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• 2009

Background: Ventilator-associated pneumonia caused by multi-drug resistant Acinetobacter baumannii has been increasing and growing as a threat in intensive care units. Limited therapeutic options have forced clinicians to choose colistin with or without combination of other antibiotics. We tried to compare the effectiveness between colistin monotherapy and combination therapy based on in vitro synergistic tests. Methods: From January 2006 to December 2007 in medical ICU of a tertiary care hospital in Korea, We reviewed the medical records of patients treated with intravenous colistin due to ventilator-associated pneumonia caused by multi-drug resistant Acinetobacter baumannii. Results: A total of 41 patients were analyzed. 22 patients had been treated with colistin monotherapy and 19 patients with colistin and combination antibiotics that were found to have in vitro synergistic effects. Baseline characteristics were similar in both groups but the mean duration of colistin administration was significantly longer in the combination group (19.1${\pm}$11.2 days vs. 12.3${\pm}$6.8 days, p=0.042). There were no significant differences in outcome variables between the two groups. Conclusion: Combination treatment based on the in vitro antimicrobial synergy test did not show better outcomes compared with colistin monotherapy in VAP caused by multi-drug resistant A. baumannii.

• Tuberculosis and Respiratory Diseases
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• 제80권4호
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• pp.377-384
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• 2017

Background: Proper education regarding inhaler usage and optimal management of chronic obstructive pulmonary disease (COPD) is essential for effectively treating patients with COPD. This study was conducted to evaluate the effects of a comprehensive education program including inhaler training and COPD management. Methods: We enlisted 127 patients with COPD on an outpatient basis at 43 private clinics in Korea. The patients were educated on inhaler usage and disease management for three visits across 2 weeks. Physicians and patients were administered a COPD assessment test (CAT) and questionnaires about the correct usage of inhalers and management of COPD before commencement of this program and after their third visit. Results: The outcomes of 127 COPD patients were analyzed. CAT scores ($19.6{\pm}12.5$ vs. $15.1{\pm}12.3$) improved significantly after this program (p<0.05). Patients with improved CAT scores of 4 points or more had a better understanding of COPD management and the correct technique for using inhalers than those who did not have improved CAT scores (p<0.05). Conclusion: A comprehensive education program including inhaler training and COPD management at a primary care setting improved CAT scores and led to patients' better understanding of COPD management.

• Tuberculosis and Respiratory Diseases
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• 제83권3호
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• pp.218-227
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• 2020

Background: The national Public-Private Mix (PPM) tuberculosis (TB) control project provides for the comprehensive management of TB patients at private hospitals in South Korea. Surveillance and monitoring of TB under the PPM project are essential toward achieving TB elimination goals. Methods: TB is a nationally notifiable disease in South Korea and is monitored using the surveillance system. The Korea Centers for Disease Control and Prevention quarterly generates monitoring indicators for TB management, used to evaluate activities of the PPM hospitals by the central steering committee of the national PPM TB control project. Based on the notification date, TB patients at PPM hospitals were enrolled in each quarter, forming a cohort, and followed up for at least 12 months to identify treatment outcomes. This report analyzed the dataset of cohorts the first quarter of 2016 through the fourth quarter of 2017. Results: The coverage of sputum, smear, and culture tests among the pulmonary TB cases were 92.8% and 91.5%, respectively. The percentage of positive sputum smear and culture test results were 30.7% and 61.5%, respectively. The coverage of drug susceptibility tests among the culture-confirmed cases was 92.8%. The treatment success rate among the smear-positive drug-susceptible cases was 83.2%. The coverage of latent TB infection treatment among the childhood TB contacts was significantly higher than that among the adult contacts (85.6% vs. 56.0%, p=0.001). Conclusion: This is the first official report to analyze monitoring indicators, describing the current status of the national PPM TB control project. To sustain its effect, strengthening the monitoring and evaluation systems is essential.