• 동의생리병리학회지
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• 제27권5호
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• pp.683-687
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• 2013

Evacuation disorder(ED) is frequently observed in the elderly people. In this study, we investigated the tongue color properties in the elderly. 327 subjects were participated in this study and classified into normal group (n=95) and ED group (n=23) by two Korean Oriental Medicine doctors. The tongue images were acquired by using computerized tongue diagnosis system, and its color were linearly corrected base on CIE $L^*a^*b^*$ values of 12 color samples. The tongue region was segmented from acquired image and divided into two regions along the vertical direction. In order to estimate color properties of the tongue, a color histogram was calculated for the root region based on the CIE $L^*$ and $a^*$ values, and differences of color histogram values between normal and ED groups were computed based on the Mann-Whitney U test. As results, pixels corresponding to typical colors of the pale tongue and thin tongue coating were significantly more distributed in ED than those in normal group(p<0.05). The tongue color of the root region in ED was revealed to be different from those in healthy subjects.

• Journal of Nutrition and Health
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• 제29권6호
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• pp.634-641
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• 1996

In order to study the prevalence of constipation among female college students in Korean and the effect of yogurt, 3,243 students in Seoul area were surveyed by questionnaires for the status of stool evacuation and 197 students with possible constipation were sampled and fed apple yogurt II from Pasteur dairy Company for 3-weeks period. Students of constipation amounted to a high ratio of 53.4%, which consisted of 13.4% in heavy constipation (1-2 times evacuation per week) and 40.0% in mild constipation(3-4times evacuation per week) during the past one-year period. To 90 of heavy constipation and 107 of mild constipation students were fed 290ml of yogurt every morning for 3-weeks period and examined for the status of stool evacuation by subsequent after 1 weeks, 57.9% after 2 weeks and 60.4% after 3 weeks(p<0.05). The effect of improvement in stool frequency was greater in heavy group than in mild group through the 3-weeks period. The number of students who experienced the disappearance of inconvenience in evacuation after drinking the yogurt was 52.3% after 1 weeks, 72.1% after 2 weeks and 76.1% after 3 weeks. Discomfort such as stomach disorder and mild diarrhea during the drinking period was observed in 24% students and it appeared that a longer drinking period was needed stool frequency was 38.7% after 1 week and 37.6% after 1 month since discontinuing yogurt drinking. The number of students reverted to the previous habit of evacuation after discontinuing was 51.6% after 1 week and 63.5% after 1 month, which were not significantly different between heavy and mild groups(p>0.05).

• 대한불안의학회지
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• 제13권1호
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• pp.1-9
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• 2017

We reviewed the scientific literature on psychological effects of Chemical, Biological, Radiological, Nuclear, Explosive (CBRNE) disaster, which is one of the biggest threat to modern society. CBRNE disaster has the potential to cause specific physical symptoms and psychological distress in victims ; moreover, various toxic symptoms and carcinogenesis/mutation would be an important issue. Bioterrorism can cause localized outbreaks of infectious disease or pandemic disaster. Somatization as well as posttraumatic stress symptoms and depression are the characteristic psychological symptoms in CBRNE disaster's victims. CBRNE disasters could lead to large-scale public fear and social chaos due to the difficulties involved in verifying the extent of exposure and unfamiliar area to the common people. In the evacuation process, problems associated with adjustment and conflict between victims and residents should be considered.

• 한국재난정보학회 논문집
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• 제18권1호
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• pp.129-145
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• 2022

연구목적: 본 연구는 다중밀집시설에 대형화재가 발생하는 경우 건물 외부에서 발생 가능한 여러 상황을 상정 및 이에 대한 대응절차 및 행동요령을 제시함으로써 효율적인 화재대응을 위한 외부 대피체계를 마련하고자 하였다. 연구방법: 화재 시 외부에서 발생 가능한 여러 상황 및 화재 매뉴얼 구성인자 등을 고려하여 필요한 사항들을 정리하였다. 이를 위해 화재 발생 위험경보 기준, 건물 재실자 역할 구분 등의 주요 인자의 제시 및 필요사항을 정리하였다. 또한, 화재 관련 외부대피소의 정의 및 외부 대피경로에 대해 제시하였으며, 다중밀집시설 중에서 중구의 노후아파트를 대상으로 외부대피소 및 외부대피경로 등에 대한 적용성을 검토하였다. 연구결과: 조사 및 분석 결과를 종합하여 4단계(관심, 주의, 경계, 심각) 화재위험경보 기준을 설정하고, 재실자, 시설 소유자, 거주자, 관리자, 소방책임자에 대한 행동요령을 정리하여 제시하였다. 또한, 외부대피소의 개념과 역할에 대하여 1차~3차 대피소로 구분하여 각 대피소의 정의 및 대피경로 설정에 관한 사항을 제시하고 이에 대하여 고찰하였다. 결론: 본 연구를 통해 화재 시에 무질서하고 통제가 어려운 건물 외부 공간에 대하여, 대피자 안전확보를 위한 체계화 방안을 제시한 것으로서 의미를 가지며, 화재시 건물 내부 및 외부의 통합적인 매뉴얼 작성에 활용성을 가질 것으로 판단하였다.

• 대한한의학회지
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• 제29권4호
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• pp.180-193
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• 2008

Objectives: We intended to identify factors related to the severity of hot flush of climacteric women from an East-West medical point of view. Methods: We surveyed 446 climacteric women who had received Korean oriental medical questionnaires about clinical symptom patterns and health medical examinations at Kyung-Hee University Medical Center over 1 year, from June 2007 to May 2008. Then, we compared hot flush with clinical symptom pattern and health medical examination result. Results: As the severity of hot flush increased, hypnagogic disorder in sleep pattern, abdominal gaseous distention in digestion pattern, tenesmus in evacuation pattern, yellow or reddish urine in voiding pattern, spontaneous sweating in sweating pattern, chest oppression in psychologic pattern, not-pulling-bedclothes in cold-heat pattern and mouth dryness in craniocervical symptom increased (p<0.05). In relation to digestion pattern, the severity of hot flush showed statistical significance according to prevalence of gastritis diagnosed by gastroscopy and upper GI series(p<0.01). In relation to voiding pattern, the severity of hot flush showed statistical significance according to prevalence of urine protein diagnosed by urinalysis (p<0.05). In relation to sweating, psychologic & cold-heat pattern, triiodothyronine (T3) increase and thyroid stimulating hormone (TSH) decrease were significantly correlated as the severity of hot flush increased (p<0.01). Conclusions: The result showed that hot flush of climacteric women had to be considered in respect of digestion disorder related to gastritis and sweating psychologic cold-heat disorder related to thyroid hormone.

• Clinical and Experimental Reproductive Medicine
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• 제48권1호
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• pp.91-94
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• 2021

A 28-year-old woman presented with a 1-year history of severe progressive dysmenorrhea following suction evacuation and tubal ligation. Sonography showed a bicornuate uterus with hematometra in the left horn. Hysteroscopy ruled out a diagnosis of a congenital Müllerian anomaly, as both ostia appeared normal. Under laparoscopy, a mass was seen on the left fundal region near the insertion of the round ligament, and needle aspiration of a chocolate-colored fluid confirmed the diagnosis of an adenomyotic cyst. The cyst was excised. The patient recovered well and has been symptom-free since surgery. Adenomyotic cyst is a rare entity in young women and must be differentiated from obstructive Müllerian anomaly. Laparoscopy is the preferred minimally invasive modality for managing this rare disorder.

• 대한방사선기술학회지:방사선기술과학
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• 제27권3호
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• pp.5-12
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• 2004

I. 서 론 : 변비(便秘)는 우리가 임상에서 흔히 접하는 위장관의 증상으로서, 사람들은 배변의 횟수가 너무 적거나, 대변을 힘들게 보는 경우, 대변이 너무 딱딱하거나 양이 적은 경우 혹은 배변이 너무 고통스럽거나 불완전한 배변감이 있는 경우 등과 같이 다양한 형태로서 변비라고 생각하여 병원을 찾게 된다. 그러나 변비는 식이와 사회 및 의료 환경 등의 요인에 의해 많은 영향을 받기 때문에 변비 환자의 진단 및 치료적 접근에 앞서 이러한 다양한 인자 등을 감안하여 객관적인 표준화된 정의를 설정하는데 있어 방사선학적 진단이 유용하고 이에 관한 진단적 접근방법에 대해 알아보고자 한다. II. 본 론 : 대장의 운동기능을 평가하는 검사법 가운데 가장 기본이 되는 검사가 대장통과시간(Colon transit time, CTT) 검사이다. 대장통과시간은 만성 변비증 환자의 병태생리에 따른 유형 분류와 치료 계획의 설정에 커다란 도움을 주고 있다. 방사선 비투과성 표지자(Radiopaque marker)를 이용하는 방법, 다수 표지자 사용법(Multiple marker technique), 신티그라피 측정법(Scintigraphic measurement)이 있다. 배변조영술은 항문 직장의 해부학적 정보뿐만 아니라 배변 시 항문, 직장의 변화와 골반저의 운동상태를 파악할 수 있는 기능적 방사선학 검사이다. 배변 시 항문 직장의 역동적 관찰은 배변이상 환자의 진단 및 치료방침 결정 그리고 추적검사에 도움을 준다. 마지막으로 병력에서 빠뜨려서는 안되는 것이 행동 장애나 정서 장애와 같은 정신심리학적 요인이 동반되어 있는지를 세심하게 판단하는 것이다. 이런 경우에는 이러한 정신과적 문제와 관련된 약물 복용의 유무와 종류에 대해서도 파악을 하여야 한다. III. 결 론 : 변비의 흔한 원인에는 섬유질 섭취가 충분하지 못한 경우, 수분 섭취가 충분하지 못한 경우가 많으며, 변비환자에서의 이러한 검사의 목적은 변비의 기질적 병인을 확인하기 위함으로서, 통상 이러한 방사학적 검사를 통해 결장과 항문직장의 기능에 대한 정보를 얻을 수 있는 것은 아니다. 변비 환자의 병태생리에 따른 유형을 구분하여 향후 검사 및 치료방침을 설정하는 데 중요한 정보를 제공하고 환자의 예후를 예측하는데도 도움이 될 것으로 생각된다.

• Pediatric Infection and Vaccine
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• 제18권1호
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• pp.97-102
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• 2011

Acinetobactor baumanii 는 기회 감염균으로 carbapenem의 사용이 증가하면서 MDRAB와 같은 내성균으로 출현하고 있다. 저자들은 경희의료원에서 carbapenem을 투약받지 않았더라도 집중치료실에 장기간 입원하여 기관삽관과 인공호흡기 치료를 받거나 침습적인 수술을 받아 도관을 유지하는 환아에서 MDRAB가 동정되었다는 것을 확인하였다. carbapenem을 사용하지 않았더라도 장기간 집중치료실에 입원할 것으로 예상되는 환자들에게 원내전파를 통한 감염을 최소화하기 위하여 원내감염관리에 최선을 다해야 할 것이기에 이상의 증례를 통하여 보고한다.

• Journal of Cerebrovascular and Endovascular Neurosurgery
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• 제25권1호
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• pp.87-92
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• 2023

Moyamoya disease (MMD) is a rare progressive steno-occlusive cerebrovascular disorder. Currently, revascularization surgery is used as optimal treatment to overcome MMD. However, revascularization for MMD has reported several complications. Also, iatrogenic complications such as pseudoaneurysms formation or dural arteriovenous fistulas (dAVFs) formation-has been identified in rare cases after the surgical intervention for revascularizations. We describe two cases. In first case, the patency of the anastomosis site was good and saccular type pseudoaneurysm formation was found at parietal branch of posterior middle meningeal artery (MMA) in transfemoral cerebral angiography (TFCA) performed on the twelfth day after surgery. We decided to treat pseudoaneurysm by endovascular embolization the next day, but the patient was shown unconsciousness and anisocoria during sleep at that day. Computed tomography showed massive subdural hemorrhage at the ipsilateral side, thus we performed decompressive craniectomy and hematoma evacuation. In second case, the patency of the anastomosis site was good and dAVF formation at right MMA was found in TFCA performed on the sixth day after surgery. We performed endovascular obliteration of the arteriovenous fistula under local anesthesia. Pseudoaneurysm formation or dAVF formation after revascularization surgery is an exceptional case. If patients have such complications, practioner should carefully screen the patients by implementing digital subtraction angiogram to identify anatomic features; as well as consider immediate treatment in any way, including embolization or other surgery