• Tuberculosis and Respiratory Diseases
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• 제43권3호
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• pp.377-387
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• 1996

연구배경 : 폐기능의 경한 저하는 운동능력이나 작업능력을 제한 시키지 않지만 심한 폐기능 저하는 중요한 제한 요인이 된다. 1980년 세계보건기구(WHO)에서는 폐기능의 감소를 impairment, 운동기능의 감소를 disability로 구분하였으며, 1986년 ATS에서 FVC가 50% 이하로 감소, FEV1이 40% 이하로 감소, FEV1/FVC가 40% 이하로 감소, 혹은 DLCO가 40% 이하로 감소된 경우, 또는 운동부하 검사에서 VO2max가 15 ml/Kg/min 이하이면 거의 모든 작업기능을 수행할 수 없는 심한 장애상태로 평가하였다. 이에 심한 기류폐쇄환자를 대상으로 impairment/disability를 평가하는데 있어 안정시 폐기능 검사와 운동부하검사의 역할 및 상관관계를 살펴보고자 하였다. 방법 : 성한 만성기류폐쇄(CAO; chronic airflow obstruction) 환자 19예를 대상으로 안정시 spirometry와 body plethysmograph를 시행하였으며, cycle ergometer를 이용하여 증상제한적 최대 운동검사(symptom limited maximal exercise test)를 분당 5 - 10 watt 씩 증가시키면서 시행하였다. 환자를 안정시 폐기능검사 결과에 따라 FEV1이 40% 이하인 경우 severe impairment군, 이상인 경우 non-severe impairment 군으로 구분하여 비교하였다. 결과 : 1. Severe impairment 군은 non-severe impairment 군에 비하여 기도폐쇄 및 저산소증이 유의하게 심하였고, VO2max가 유의하게 감소되어 운동수행상태가 현저하게 감소되어 있었다. 2. Severe impairment 군은 운동부하검사에서 환기제한장애(ventilatory limitation)를 보였으며, 운동제한 증상은 10예중 9예가 호흡곤란이었다. 3. 만성기류폐쇄 환자중에서 결핵 파괴성 폐질환 환자의 장애가 가장 심하였다. 4. 안정시 폐기능검사 결과 중에서 FEV1이 심한 장애를 결정하는 가장 유용한 지표였으며, VO2max와의 상관관계도 가장 컷다(r = 0.81, p < 0.001). 5. 안정시 폐기능검사에 의한 심한 폐기능장애(impairment by WHO)는 sensitivity 80%, specificity 89%로 심한 운동장애(disability by WHO)를 예측할 수 있었다. 결론 : 심한 기류폐쇄환자에서는 안정시 폐기능검사 특히 FEV1으로 운동수행상태를 잘 예측할 수 있어, 운동부하검사를 시행하지 않고서도 안정시 폐기능검사인 폐기능 장애(impairment by WHO)에 따라 운동기능 장애(disability by WHO)를 충분히 판단할 수 있을 것으로 생각된다.

• 대한간호학회지
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• 제39권1호
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• pp.72-83
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• 2009

Purpose: This study was to investigate the prevalence of depressive symptoms and risk factors in elderly people (old vs oldest-old) with arthritis. Methods: The Korean Longitudinal Study of Aging (KLoSA) was used with a sample of 1,084 elderly people with arthritis aged 65 or above. Results: We found that the prevalence of depressive symptom was greater for oldest-old people (66.7%) compared to old people (56%). Significant differences between old people and oldest-old people were found for education, living with spouse, number of generation, regular exercise, body mass index (BMI), ADL limitation, self-rated health, and depression. Significant differences existed between depression and non-depression in terms of all variables except region and BMI among old people. But, among the oldest people, ADL limitation and self-rated health showed differences. The Logistic regression analysis revealed that religion, medical comorbidity, ADL limitation, self-rated health were significantly associated with depressive symptoms in old people. But, in oldest-old people, none of the variables were associated with depressive symptoms. Conclusion: The findings show that there are age differences in depression and related factors in elderly people with arthritis. Longitudinal studies, which covered depressive symptom severity and which are controlled for a large number of potential confounders, will need to complement the results of this study in the future.

• 무역상무연구
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• 제64권
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• pp.39-64
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• 2014

The object of International License Contract is technology. Technology is means to produce visible goods, which are human's intellectual creations such as Intellectual Property Right - patent, design, trademark- and Know-how. Unlike visible goods which decrease as being used, these technologies are possible to be produced expansively and develop additionally. Therefore, the way to make a contract of goods is a sales contract which transfers ownership while technology follows license contract which gives approval of use for a certain period. International license contract means that licensor has right to possess, allows licensee to use licensed technology for a fixed period and takes royalty. So there are various matters such as selection of the duration of a contract, confirmation of technology range, competition limitation, technique guidance and support, calculation of royalty, withholding tax between parties. This study examines licensor's grant of license and competition limitation. Intellectual property rights fundamentally give exclusive rights to the creator so the licensor use or dispose of his or her intellectual property rights at will. Technology transfer is possible through license contract because of this right. But licensor must exercise his or her intellectual property rights within a reasonable limit. It means, when licensor makes an unreasonable demand abusing his or her position, it is regarded as competition limitation clause and the deal itself may become null. Therefore, restraint on competition needs to be examined in detail as it influences on contract validity. Each country has their own competition laws for establishing a fair market order and inspection guide and guideline for judging whether there is any unfair act related to intellectual property rights. Judgment on intellectual property rights is subject the technology-introduced country's domestic laws and thus, contracting parties each need to precede opposite nation's domestic laws system.

• 재활간호학회지
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• 제14권2호
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• pp.111-117
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• 2011

Purpose: The purpose of this study was to identify the influencing factors on osteoarthritis in Korean. Method: Data from the Fourth Korean National Health and Nutrition Examination Survey(KNHANESIV-3, 2009) were obtained, and 1,116 subjects who responded certainly yes or no to the question for osteoarthritis were selected. Data were analyzed ${\chi}^2$-test, t-test, and binary logistic regression using the SPSS V18.0. Results: Significant differences in gender, age, menopause, weight, BMI, frequency of walk, days of flexibility exercise, days of strength training, and limitation of activity were found between subjects with osteoarthritis and non-osteoarthritis. Age and BMI were found to be risk factors for osteoarthritis in Korean. Conclusion: This study suggested that nursing intervention should include weight control program for the obesity patient in order to reduce the prevalence of osteoarthritis.

• 대한영양사협회학술지
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• 제22권4호
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• pp.310-319
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• 2016

Limitation of a questionnaire survey which is widely used is time and money, limited numbers of participants, biased confidence interval and unreliable results. To overcome these, we performed tendency and network analysis of diet using big Data in Koreans. The keyword on diet were collected from the portal site Naver from January 1, 2015 until December 31, 2015 and collected data were analyzed by simple frequency analysis, N-gram analysis, keyword network analysis and seasonality analysis. The results showed that diet menu appeared most frequently by N-gram analysis, even though exercise had the highest frequency by simple frequency analysis. In addition, keyword network analysis were categorized into four groups: diet group, exercise group, commercial diet program company group and commercial diet food group. The analysis of seasonality showed that subjects' interests in diet had increased steadily since February, 2015, although subjects were most interested indiet in July, these results suggest that the best strategies for weight loss are based on diet menu and starting diet before July. As people are especially sensitive to diet trends, researches are needed about annual analysis of big data.

• Journal of Oral Medicine and Pain
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• 제23권3호
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• pp.281-288
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• 1998

The authors treated a 30-years old female patient who visited the Department of Oral Medicine, PNUH due to the chief complaint of limitation of mouth opening. The magnetic resonance imaging following clinical examination was used for establishing an accurate and reliable diagnosis and the patient was diagnosed as having anterior disc displacement without reduction in the right joint and anterior disc displacement with reduction in the left joint. For managing acute anterior disc displacement without reduction, mandible manipulation was applied first focusing on pain control and then stabilization appliance was used for maintenance of joint stabilization. With time, the sign and symptom was remarkably reduced and an active exercise program was recommended to maintain of normal muscle length, increase joint range of motion and develop normal coordination arthrokinematics. As a result of treatment, the patient did not complain discomfort of normal daily activities and it was difficult to consider that the displace disc was not reduced completely, but the improvement in range of motion and joint mobility were remarkably found. Therefore, an exercise program should be considered to maintain joint mobility and be effective as a self-care.

• 정보보호학회논문지
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• 제31권5호
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• pp.1045-1054
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• 2021

APT 공격이 빈번해지고, 정교해짐에 따라 보안시스템의 고도화뿐만 아니라 이를 운영하는 각 기관의 정보보호 담당자의 역량이 점점 중요해지고 있다. 다수의 블루팀(BT)이 참가하고 기관망 모사 및 방어 대상 시스템이 많은 대규모 훈련 운영 시에는 다양한 공격 패턴, 네트워크 페이로드, 시스템 이벤트를 생성할 수 있도록 공격을 모사할 수 있어야 한다. 그러나 하나의 레드팀(RT) 프레임워크를 사용할 경우 블루팀에 의해 쉽게 탐지될 수 있다는 한계가 있으며 수십 개 이상 다수의 RT 프레임워크를 운영할 때는 각 프레임워크 별로 훈련 설정 및 운영을 위한 전문가의 많은 시간과 노력이 필요하다. 본 논문에서는 다수의 공개용 RT 프레임워크와 직접 제작한 RT 프레임워크 등을 통합하여 대규모 훈련을 자동으로 운영할 수 있는 통합 프레임워크(iRF)를 제안한다.

• 대한통합의학회지
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• 제7권3호
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• pp.159-169
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• 2019

Purpose: The purpose of this study was to provide an effective method of exercise therapy for patients with cervicogenic headache. Methods: The subjects were divided into the following three groups according to the intervention received: cervix-stabilizing exercise (n=12, group 1), transcranial direct current stimulation (n=12, group 2), and cervix-stabilizing exercise combined with transcranial direct current stimulation (n=12, group 3). The intragroup and intergroup differences in muscle characteristics and neck disability index were compared and analyzed. Results: The comparison and analysis of the changes in muscle tone and post hoc analysis revealed statistically significant intragroup decreases in the upper trapezius and suboccipitals in groups I and III, and statistically significant intergroup differences in the upper trapezius, with greater changes in group III than in group II, and in the suboccipitals, with greater changes in groupIII than in groups Iand II. The comparison and analysis of the change in muscle stiffness and post hoc analysis revealed a statistically significanti ntra group decrease in the upper trapezius in group Iand suboccipitals in group III, and a statistically significant intergroup difference in both muscles, with greater change in group III than in group II. The comparison and analysis of change in neck disability index and post hoc analysis revealed a statistically significant intragroup decrease in all the three groups and a statistically significant intergroup difference, with greater change in group III than in groups I and II. Conclusion: The neck-stabilizing exercise and transcranial direct current stimulation were shown to be effective in decreasing the tone of the cervical muscles by stabilizing the cervical bone and improving muscle durability, and in improving the movement and limitation of joint range of motion by decreasing muscle tone and stiffness.

• 한국학교ㆍ지역보건교육학회지
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• 제22권1호
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• pp.73-92
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• 2021

Objectives: The purposes of this study was to describe workers' perceived values and the affecting factors (pros and cons) of the experience education for occupational safety and health and to suggest the strategies and future directions to improve the experience educational quality. Methods: A total of 8 male workers taking the safety and health education of the 7 safety experience education centers involved in this study (5 centers managed by Korea Occupational Safety and Health Agency (KOSHA), 2 centers of large commercial companies). This study used Photovoice, a qualitative method, as the study method. We conducted the photovoice-based in-depth interview with the SHOWeD questions and strategy and used the taxonomical analysis. Results: The study participants' perceived values of experience education were strengthening self-efficacy of the safety and health practices, providing practically useful information, and enjoying refreshing experiences different from daily jobs. Positive affecting factors of the experience education (pros) were providing the educational environments and opportunities of direct experiences, teaching practical safety and health contents for the participants, and the trainer's instruction competencies. Negative affecting factors of the experience education (cons) were learner's negative or standing postures during trainer's lecturing, insufficient exercise conditions and facilities for education, and difficult and theory-oriented lecture far from the practical jobs in reality. Conclusions: Major values of exercise education were direct experiences, useful contents and interesting opportunities from the education participants' perspectives. To improve the exercise education quality, overall educational environments such as convenience facilities as well as exercise facilities should be modified altogether. This study partially and conveniently used the photovoice method as the study limitation.

• 대한소아치과학회지
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• 제32권2호
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• pp.256-261
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• 2005

피부 경화증(scleroderma)은 만성 결체조직 질환으로 정확한 원인은 밝혀지지 않았으나 자가 면역 질환으로 알려져 있다. 대개 $30{\sim}50$세의 여성에서 호발하며 소아에서는 매우 드물다. 장기의 이환여부에 따라 국소성과 전신성 피부 경화증으로 분류할 수 있다. 국소적 형태는 예후가 양호하고 피부에만, 또는 피하 근육까지 이환되며, 내부 장기에는 이환되지 않는다. 전신적인 형태는 피부와 구강점막 및 위장계, 호흡계, 심혈관계 등을 포함하늘 전신 다발적 발생 (multisystemic involvement)이 특징적이다. 안면피부 이환시 작고 예리한 코, 무표정한 응시 (expressionless stare), 좁아진 입모양(narrow oral aperture) 등이 특징적이다. 대개 레이노 현상(Raynaud's phenomenon)이 존재하며 질환이 진행되면서 개구장애와 혀, 치은의 경화가 나타나게 된다. 피부 석회증(calcinosis cutis), 레이노현상(Raynaud's phenomenon). 식도 기능부전(esophageal dysfunction), 공지증(sclerodactyly), 모세혈관 확장증(telangioectasia)이 복합된 질환을 크레스트 증후군(CREST syndrome)이라 부른다. 피부 경화증의 치료는 국소적 및 전신적 스테로이드 치료, collagen cross-link inhibitor (D-penicillamine), 면역억제제 등을 사용한다. 개구제한의 치료는 설압자를 이용한 mouth stretching exercise를 통해 개선될 수 있다. 본 증례에서는 국소성 피부 경화증으로 진단되고 개구제한이 있는 6세 남아에게 아산화질소와 enflurane을 이용한 깊은 진정요법을 이용하여 상하악 제 1, 2 유구치의 우식치료 치험례를 보고한다.