• Journal of Korean Neurosurgical Society
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• 제29권5호
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• pp.635-639
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• 2000

Objective : Surgery for the microvascular decompression is mostly concerned with injury to the cranial nerves or brain stem by cerebellar retraction. Intraopeartive brain stem auditory evoked potentials(BAEPs) has been continuously monitored on surgery to evaluate the extent of injury, recovery of the nerves and prognosis. Methods : Of the 161 cases of CP angle surgery from Feb. 1996 to Apr. 1998, 103 cases were monitored during operation. Thirty five patients who had undergone similar surgery were selected and evaluated ; 23 patients were monitored and 12 were not during surgery. If monitor showed more than 0.5 mSec delay of latency, surgeon was given a warning not to retract brain any more. If more than 1mSec delay, surgeon was informed to stop surgery and wait for the returning of evoked potentials. The level of amplitudes and delay of latencies during the initial stage of operation, opening the dura, insertion of teflon patches, and closing the dura and recovery were then compared. Resuls : Twenty patients were male and 15 were female. Their average age was 50.26 years. Mean amplitude during the initial stage of operation was $0.60{\pm}0.25mV$, at opening the dura $0.56{\pm}0.26$, after teflon patches insertion $0.49{\pm}0.20$, and after closure of dura $0.47{\pm}0.28mV$. Mean latency during the early stage of operation was $6.08{\pm}0.67mSec$, at opening of dura $6.38{\pm}0.55$, insertion of teflon $6.97{\pm}0.59$, and closing the dura $6.17{\pm}0.54$. There was statistical significance in the difference of amplitudes between each procedures, and in the difference of latencies. For the complete recovery of amplitude and latency, it usually took average 5.65 minutes(0-20 min). In monitored group, only one patient required more than 20 minutes to recover and suffered from hearing disturbance after surgery. Others were recovered within 10 minutes without complications. However, 4 out of 12 patients who were not monitored showed hearing disturbance, and 1 patient had temporary facial palsy and dizziness(p＝0.000). Conclusion : The results indicate that continuous intraoperative monitoring of BAEPs during CP angle surgery is seen mandatory procedure to prevent operative complications.

• Journal of Yeungnam Medical Science
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• 제11권2호
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• pp.277-283
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• 1994

저자들은 1993년 2월부터 1993년 4월까지 대구 제일안과의원에서 백내장낭외적출술 및 인공수정체삽입술을 받은 환자 중 백내장이외의 다른 안질환이나 전신질환이 없고 술전 양안 안압이 24mmHg이하인 환자중 편안만을 수술받은 환자 15명을 대상으로 안압의 변화를 비접촉성 안압계 및 Goldmann 압평안압계를 사용하여 3개월 이상 추적 관찰하였다. 위수정체안의 안압이 술전 안압보다 평균 $3.4{\pm}2.9mmHg$(p<0.001)의 안압하강을 나타내었으며 반대측 수정체안과의 안압차이는 평균 $2.4{\pm}3.8mmHg$(p<0.05)으로 위수정체안에서 낮은 안압을 나타내었다. 또한 Kowa 비접촉성 안압계(TM-2000, Japan)와 Goldmann 압평안압계의 안압측정치의 상관계수는 0.8876(p=0.001)으로 높은 상관관계를 나타내었다. 결론적으로 저자들은 녹내장이 합병되어 있지 않은 백내장환자에서 백내장낭외적출술 및 인공수정체삽입술을 시행하여 술후 안압 변화를 관찰하여 유의한 안압감소 효과를 얻었으므로 고안압증이나 녹내장이 병발한 백내장 환자에서 백내장적출술 및 인공수정체삽입술 단독으로도 유용한 수술법이 될 수 있을 것으로 사료된다.

• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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• pp.4929-4932
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• 2014

Objective: To compare the mammogarphic appearance between breast cancer patients aged <40 and ${\geq}40$ years. Methods: Needle localization and biopsy of suspicious mammographic lesions identified 1,959 breast carcinomas in a single institution from Jun 2012 to Apr 2013. According to the age, we divided patients into two groups: <40 and ${\geq}40$ years old, and analyzed mammographic appearance separately. Results: Young patients had 44.2% foci with calcification, but old patients only had 39.4% (P<0.001). In younger group, the ratios of cases according to mass density were 41.8% or higher, 58.2% equivalent and lower. In older group, the ratios were 55.5 % and 44.5%, respectively. There were statistical differences between high density and others (P<0.05). The ratios of cases according to mass margin were 13.9% circumscribed and microlobulated, 86.1% indistinct and spiculated in the younger group, as compared to 6.5% and 93.5%, respectively, in the older group (P<0.05). Conclusions: Mammographic findings differ between young and old patients with breast cancer, for example regarding mass density, mass margin and microcalcification ratios.

• 대한물리치료과학회지
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• 제9권3호
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• pp.129-140
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• 2002

This study intended to find out how the handicapped use medical aid, their satisfaction at using it and so on. First a preliminary survey(Apr. 20$\sim$24, 2002) was made for the handicapped who had been cured for rehabilitation by wearing medical aid at hospitals and welfare center in Jeonbuk region. Then total 120 subjects were asked to fill out a standardized questionnaire from May 15$\sim$22, 2002. Out of total 95 questionnaires collected, 84 questionnaires were analyzed except for 11 cases unsuitable for the intention of this study. The results can be outlined as follows: 1. In general characteristic, it was found that the causes of disability included disease(35 respondents; 41.7%), traffic accident(23 respondents, 27.4%) and so on. In addition, 1st handicap comprised the majority(32 respondents; 58.2%) in handicap grade and ankle foot orthosis(or b-k orthosis) was most often used as medical aid(28 respondents: 33.3%) 2. In particular, it was also shown that the 1st handicap mainly resulted from traffic accident(15 respondents, 27.3%) and post-disease disability (11 respondents, 20.0%). They wore medical aid for 1 year or less on the average, because they were hospitalized for cure, which showed statistically significant level(P<0.05). 3. It was found that total 69 respondents(82.1%) were more or less satisfied with their medical aids depending on the causes of disability, and total 46 respondents(83.6%) were satisfied with their aids according to their handicap grade, but there were no statistical significance. 4. Total 56(66.7%) respondents answered that they would purchase medical aid on their own expenses, when they became handicapped. And the price of medical aid ranged from $\300,000{\sim}400,000$(25 respondents: 29.8%) to \ 500,000 or more(24 respondents: 28.6%). It means that they purchased more or less expensive medical aid on their own expenses, which showed statistical significance(P<0.05). 5. If there was any failure of medical aid, 9 respondents(37.5%) answered that they would be serviced from medical companies, and 7 respondents(29.2%) would be serviced from medical aid manufacturers. Most respondents were serviced for their medical aids from related companies. For the question about the causes of dissatisfaction upon repair service, 11 respondents(45.8%) answered that existing service company provided unskilled repair services and other respondents answered that there was no spare part or higher service expenses than they thought. These answers had the statistical significance(P<0.05). However, 20 respondents(79.2%) answered that they were satisfied with the repair service, which means that most respondents are satisfied with the service. In view of the results as described above, it can be concluded that their handicap or disability results from disease or sequelae after traffic accident and most of the affected wear their own medical aid. In the future, it is required that the medical insurance should cover those medical aids, and the service for failed medical aids should be commissioned by technical serviceman to realize customized manufacture and repair service according to different causes so that the handicapped can enjoy more or less comfort and convenience in their daily lives without any extreme difficulty.

• 한국농공학회논문집
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• 제58권5호
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• pp.71-79
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• 2016

The effects of spot heating for growing the strawberry cultivated in a plastic greenhouse during the winter that were estimated in Nonsan strawberry experiment station located in Chungnam. The temperature of water for heating was controlled by a electric hot water boiler and kept at the range of $22{\sim}24^{\circ}C$. Heating pipes were set up in root zone for root zone heating and very close to crown for crown heating. Spot heating effects were estimated by applying spot heating system in three test factors of heating root zone, crown only and crown plus root zone. The material for crown heating pipe was white low density polyethylene and the nominal diameter of that pipe was 16 mm. The material for root zone heating pipe was flexible stainless steel and the nominal diameter of that pipe was 15A. The flow rate of heating water circulation was 480 L/h and water circulation lasted for all day long. Temperatures, harvest yield by test beds were surveyed from Nov. 10, 2013 to Apr. 29, 2014. The temperature of crown spot for crown heating bed was at the range of $13.0{\sim}17.0^{\circ}C$ during the night and that of crown spot in control bed was at the range of $8.0{\sim}14.0^{\circ}C$. Also, the temperature of root zone for root zone heating bed was at the range of $18{\sim}21.0^{\circ}C$ and that of root zone in control bed was at the range of $13.0{\sim}15.0^{\circ}C$. The cumulative yield growth rate in earlier harvest period (from Dec. 20 to Mar. 15) of crown heating bed was 43% compared with that of control bed and the cumulative yield of crown plus root zone heating bed was 39 % and that of root zone heating bed was 39 %.

• 한국의료질향상학회지
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• 제20권1호
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• pp.42-57
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• 2014

Objective: The objective of this research was to develop a guideline for more effective use of physical restraint on patients in the intensive care unit and training the nurses on it and applying it on clinical practice to assess its effectiveness. Method: This research analyzed the before and after effect of the development of a guideline for physical restraint by dividing the category into nurse and patient. In the case of nurse, a comparison of knowledge and nursing service regarding the use of physical restraint from before the training on physical restraint guideline(Jan. 2011) and after the training on physical restraint guideline(Dec. 2011) was made. In the case of patient, a comparison of physical restraint usage rate and average usage time, the number of unplanned extubation cases were compared from before the use of physical restraint (Jan.~Apr. 2011) and after the use of physical restraint (Sep.~Dec. 2011) were made. Result: After the training on the physical restraint guideline, the knowledge of the nurse and the nursing practice showed notable improvement by (p<0.000) and (p<0.048) respectively and in patient, physical restraint usage rate and average time of usage decreased by (p<0.001) and (p<0.001) respectively. And despite the decrease in the number of cases in which the physical restraint was used, the number of unplanned extubation cases remained the same. Conclusion: Physical restraint guideline training and guideline usage can be stated to have brought out positive effect in both the nurse and patient. In order to maintain such positive effects, continuous training is necessary and continuous revaluation is necessary, regarding knowledge and nursing practices.

• 한국수산과학회지
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• 제46권4호
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• pp.413-423
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• 2013

To elucidate the variation of species composition, biomass and length distribution of flatfishes by the period and region in the Uljin marine ranching area, bottom trawl survey was investigated at the six stations from Feb. 2008 to Dec. 2010. During the survey period, a total 4 families 17 species in the Pleuronectiformes, average 69,158 $ind./km^2$ and 5,625 $kg/km^2$ were identified, in 2008 appeared in 14 species, average 25,798 $ind./km^2$ and 2,333 $kg/km^2$ and in 2009 appeared in 13 species, average 102,360 $ind./km^2$ and 5,634 $kg/km^2$ and in 2010 appeared in 14 species, average 75,704 $ind./km^2$ and 8,632 $kg/km^2$. The individual dominant species, occupying over 10% of total individuals, was Pleuronectes herzensteini (20,811 ind., 30.0%), Hippoglossoides pinetorum (18,666 ind., 26.9%) and Glyptocephalus stelleri (13,499 ind., 19.4%) also the biomass dominant species, occuping over 10% of total biomass, was P. herzensteini (2,207 kg, 39.3%), Pleuronectes yokohamae (857 kg, 15.3%), H. pinetorum (761 kg, 13.5%), Kareius bicoloratus (677 kg, 12.1%). From the cluster and MDS analysis based on Bray-Curtis similarity matrix of fourth root transformed data of species number and individuals in the Uljin marine ranching area from Feb. 2008 to Dec. 2010 was divided into two different groups of the flatfishes community in 2008 and from Jan. to Apr. in 2009 and 2010 (Group A) and the pleuronectiform community in from May to Dec. in 2009 and 2010 (Group B). From the cluster and MDS analysis using the similarity of demersal organisms community among six stations, the Uljin marine ranching area was divided into two different groups of Group 1 (St. 1 and St. 3) and Group 2 (St. 2, St. 4, St. 5 and St. 6).

• 한국대기환경학회지
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• 제31권2호
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• pp.164-172
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• 2015

Seoul subway plays an important part for the public transportation service in Seoul metropolitan area. As the subway system is typically a closed environment, frequent air pollution problems occurred and passengers get malhealth impact. Especially particulate matters (PM) is well known as one of the major pollutants in subway environments. The purpose of this study was to compare the concentrations of $PM_{10}$ and $PM_{2.5}$ in the Seoul subway system and to provide fundamental data in order to management of subway system. $PM_{10}$ and $PM_{2.5}$ samples were collected in the M station platform and tunnel of Subway Line 4 in Seoul metropolitan and in an outdoor location close to it from Apr. 21, 2010~Oct. 27, 2013. The samples collected on teflon filters using $PM_{10}$ and $PM_{2.5}$ mini-volume portable samplers and PM sequential sampler. The PM contributions were $48.6{\mu}g/m^3$ (outdoor), $84.6{\mu}g/m^3$ (platform) and $204.8{\mu}g/m^3$ (tunnel) for $PM_{10}$, and $34.6{\mu}g/m^3$ (outdoor), $49.7{\mu}g/m^3$ (platform) and $83.1{\mu}g/m^3$ (tunnel) for $PM_{2.5}$. The $PM_{10}$ levels inside stations and outdoors are poorly correlated, indicating that $PM_{10}$ levels in the metro system are mainly influenced by internal sources. In this study, we compared PM concentrations before and after operation of ventilation and Electrostatic Precipitator (EP). Despite the increased PM concentration at outdoor, $PM_{10}$ concentration at platform and tunnel showed the 31.2% and 32.3% reduction efficiency after operation the reduction system. The overall results of this study suggest that the installation and operation of the ventilating system and EP should have served as one of the important components for maintaining the air quality in the subway system.

• 한국대기환경학회지
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• 제29권1호
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• pp.86-96
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• 2013

The realtime monitoring of radon ($^{222}Rn$) concentrations has been carried out from Gosan site, Jeju Island for three years of 2006~2008, in order to evaluate the background level and timely variational characteristics of atmospheric radon. The mean concentration of radon measured during the studying period was $2965mBq/m^3$ with its annual mean values in the range of $2768{\sim}3124mBq/m^3$. The relative ordering of the seasonal mean concentrations was seemed to vary such as winter ($3578mBq/m^3$) > fall ($3351mBq/m^3$) > spring ($2832mBq/m^3$) > summer ($2073mBq/m^3$). The monthly mean concentrations were in the order of Jan>Feb>Oct>Nov>Dec>Mar> Sep>Apr>May>Jun>Aug>Jul, so that the highest January value ($3713mBq/m^3$) exceeded almost twice as the July minimum ($1946mBq/m^3$). The hourly concentrations in a day showed the highest level ($3356mBq/m^3$) at around 7 a.m., increasing during nighttime, while reaching the lowest ($2574mBq/m^3$) at around 3 p.m. From the backward trajectory analysis for a continental fetch of radon, the high concentrations (10%) of radon matched with the air mass moving from the Asia continent to Jeju area. In contrast, the low concentrations (10%) of radon were generally correlated with the air mass of the North Pacific Ocean. In comparison by sectional inflow pathways of air mass, the radon concentrations were relatively high from the north China and the Korean peninsula.

• Journal of Chest Surgery
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• 제42권4호
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• pp.543-559
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• 2009

닥터 릴리아이(C. Walton Lillehei; 1918$\sim$1999)는 1954년 교차순환법(cross circulation)에 의한 기념비적인 심장수술 이후 '개심술(open heart surgery)의 아버지'로까지 불리고 있는 세계적인 흉부외과 의사이자 의학자였다. 그는 미네소타대학병원에서 1954$\sim$1955년에 걸쳐 교차순환에 의해 45예의 개심술을 성공적으로 시행함으로서 그 후 개심술의 발전에 획기적인 발판을 마련하였다. 그는 의학적 업적이외에도 후학의 교육에도 큰 관심을 기울여 미네소타대학병원에서만 134명의 국내외 의학자들을 양성하였다. 이 중에서는 심장이식 수술기법을 정립한 Dr Norman Shumway, 첫 심장이식을 성공시킨 Dr Christian Barnard, 기포형 산화기를 공동 개발한 Dr Richard Dewall등이 대표적인 그의 제자들이었다. 그런데 이 대열에 합류한 한명의 한국 의사가 있었는데 그가 바로 고 이영균 교수이다. 이영균 교수(1921$\sim$1994)는 서울의대 외과학교실에 재직 중 1957$\sim$1959년 2년간 당시 미네소타 프로젝트의 일환으로 미네소타 대학병원에서 연수 중 Dr Lillehei와 인연을 맺게 된다. 이영균 교수는 미네소타 대학병원에서의 연수 이후 귀국하여 당시 심장외과학의 태동기 과정에 있던 한국에서 초기 개척자 중의 한 사람으로 큰 역할을 하게 된다. 그 당시 열악한 조건의 한국 실정에서 심장수술을 확립하기까지에는 많은 어려움이 있었으나 그때마다 닥터 릴리아이의 심적 물적 지원이 큰 도움이 되었다. 이러한 닥터 릴리아이의 도움은 그 후 서울대학병원에서의 성공적인 개심술 프로그램 정립에 결정적 영향을 미치게 된다. 이후에도 두 사람은 비록 연령 상으로는 3살의 차이에 불과하였지만 태평양을 가로질러 사제 간의 끈끈한 정을 계속 주고받던 중 이영균 교수는 1994년 그리고 Dr Lillehei는 1999년에 각각 타계하였다.