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Assessment of the Effectiveness of Biofeedback Therapy in Children with Pelvic Floor Dyssynergia (소아 골반저 근실조에서 바이오피드백 치료의 유용성)

  • Park, Kie-Young;Chang, Soo-Hee;Kim, Kyung-Mo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.10 no.1
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    • pp.51-59
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    • 2007
  • Purpose: Recently well-developed anorectal function tests have revealed that there is an obvious pelvic floor dyssynergia (PFD) pattern in pediatric patients with constipation, as well as in adult's. The use of biofeedback therapy (BT) has been widely implemented in adult PFD patients; however, this approach has only rarely been considered for pediatric PFD patients. Therefore, we assessed the effectiveness of BT in children with PFD. Methods: We studied 70 children with PFD, who were referred to the department of pediatrics at the Asan Medical Center for the management of soiling or chronic constipation from September 2002 to February 2005. Diagnosis of PFD and assessment of the efficacy of BT for PFD treatment were carried out along with several ano-rectal function tests (cine-defecography, ano-rectal manometry, balloon expulsion test and intra-anal EMG); in addition, a questionnaire was administered. The BT based intra-anal EMG was performed. A follow-up telephone interview was performed more than 6 months later. Results: Most of the symptoms and results of the ano-rectal function tests were statistically improved after BT. In comparisons between the BT and control groups (BT refusal group due to poor compliance), the symptoms were statistically improved at follow-up. Therefore, for the shortterm improvement of symptoms, BT was better than conservative therapy alone. The negative feelings associated with ano-rectal function testing and BT were directly associated with failure or success of therapy. Conclusion: Pediatric patients with constipation or soiling that presented with an obvious PFD pattern showed that BT was a useful therapeutic tool for rapid improvement of symptoms.

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Epidemiology of Psychosocial Distress in Korean Employees (우리나라 직장인 스트레스의 역학적 특성)

  • Chang, Sei-Jin;Kang, Myung-Gun;Cha, Bong-Suk;Park, Jong-Ku;Hyun, Sook-Jung;Park, Jun-Ho;Kim, Seong-Ah;Kang, Dong-Mug;Chang, Seong-Sil;Lee, Kyung-Jae;Ha, Eun-Hee;Ha, Mi-Na;Koh, Sang-Baek
    • Journal of Preventive Medicine and Public Health
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    • v.38 no.1
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    • pp.25-37
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    • 2005
  • Objective : To estimate the magnitude of psychosocial distress and examine eligible factors associated with the development of psychosocial distress in Korean employees, using a nationwide sample. Methods : A total of 6,977 workers were recruited from 245 companies. A structured questionnaire was used to assess sociodemographics, health-related behaviors, job characteristics, social support at work, personality traits (locus of control, type A behavior pattern), self-esteem, and psychosocial distress. Results : The results showed that 23 % of workers were categorized as high stress, 73% as moderate, and 5% as normal. Hierarchical multiple regression analysis showed that psychosocial distress was more common in younger workers, both male and female. Regular exercise was negatively associated with increase of psychosocial distress. In job characteristics, as expected, low decision latitude, high job insecurity, and low social support at work were related to high psychosocial distress. Personality traits such as locus of control and type A behavior pattern, and self-esteem were more powerful predictors of psychosocial distress than general characteristics, health-related behavior, and job characteristics. There were some gender differences. While men who are less educated and single (unmarried, divorced, and separated) experienced higher levels of psychosocial distress than those who are educated and married, women who feel high job demand experienced higher levels of psychosocial distress than those who feel low job demand. Conclusions : The proportion of the high stress group was higher than expected, and psychosocial factors like social support and personality characteristics (e. g. locus of control, type A behavior pattern and self-esteem) were more significant factors for psychosocial distress than other variables. This finding suggests that some psychosocial factors, especially inadequate social support, low self-esteem and lack of internal locus of control for the development of psychosocial distress, will also operate as an intervention strategy in the worksite stress reduction program. It is strongly required that worksite stress reduction programs should be established in at both occupational and level as well as in individual levels.

The Effect of working Noise Exposure and Military Background on the Hearing Threshold (특수병과의 과거 군 소음 노출이 소음 노출 작업자의 청력에 미치는 영향)

  • Chung, Ho-Keun;Kim, Kyoo-Sang
    • Journal of Preventive Medicine and Public Health
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    • v.36 no.2
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    • pp.137-146
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    • 2003
  • Objectives : Impaired hearing is a prevalent occupational hazard, not only in industry, but also in the armed forces. In military life, noise has unusual characteristics, and constitutes a serious hazard to hearing. The aim of this study was to analyze the hearing threshold data in order to compare the hearing loss among shipyard workers, representing different workers, and a military service background. Methods : A cross-sectional audiological survey, combined with a questionnaire study, was conducted on a stratified random sample of 440 shipyard workers, with long-term exposure to noise. The employees were divided into four groups, according to their working and military service backgrounds, in relation to their exposure to noise. Results : As expected, the working and military noise exposure group (Group I) had significantly poorer hearing than the other groups. The high frequencies (2-8 kHz) showed the greatest difference in terms of poorer fearing in both ears. The prevalence of noise-induced hearing loss (NIHL) was highest in Group I. A logistic regression analysis was applied to determine the dependence of the NIHL in relation to age, smoking, drinking, working duration, ear protection, past history of ear diseases, and working and military sonics backgrounds, on the noise exposure The important factors found to be related to the NIHL, in relation to noise exposure were: age, work duration, and working and military service backgrounds. The adjusted odds ratio estimates for NIML in the right ear were 4.5 times greater (95% CI 1.7-11.6) for the military noise exposed group, and 7.9 times greater (95% CI 2.0-31.3) for the working noise exposed group than in the controls. The hearing thresholds at the pure-tone average and 4 kHz were significantly increased with age and work duration with both the working and military service backgrounds. Conclusions : From these results, specific preventive programs were planned, which should be assessed by epidemiological surveillance of the military noise exposed population.

Disease Incidence, Yield and Quality Comparisons among Rice Varieties with Different Resistance to Bacterial Leaf Blight (벼 흰잎마름병 저항성 차이에 따른 병 발생정도와 수량 및 미질의 비교)

  • Noh, Tae-Hwan;Kim, Ki-Young;Lee, Du-Ku;Shim, Hyeong-Kwon;Kang, Mi-Hyung;Park, Jong-Chul
    • Research in Plant Disease
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    • v.14 no.3
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    • pp.171-175
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    • 2008
  • The influence of rice bacterial leaf blight (BLB) disease incidence on yield and quality of Nampyung, Gang-baek and Iksan493 was investigated in three areas, Gimje, Yeongam and Jangheung, frequently found BLB infested rice. The infection rate of Nampyung, susceptible to BLB disease, was higher ($23{\sim}93%$) than Gang-baek ($2{\sim}15%$) and Iksan493 ($2{\sim}6%$), have resistant gene Xa7 and xa5, respectively. BLB disease incidence was severely found in Gimj and then yield of Nampyung was reduced 65% (352 kg/10a) compared to Iksan493 (540 kg/10a) due to the decrease in the ripen grain filling, brown/rough ratio and 1,000 grain weight. There was no difference of rice yield among Nampyung, Gangbaek and Iksan493 in Yeongam and Jangheung. The occurrence time of disease in Yeongam and Jangheung was later than Gimje and BLB disease was less infected in these areas. BLB infected rice grain showed inferior grain appearance and taste index to sound grain. independent of rice with resistant gene. In Yeongam and Jangheung, Gangbaek and Iksan493 cultivated showed lower ratio of white color to belly than Nampyung. Iksan493 showed better grain appearance and lower ratio of white core to belly than Gangbaek. In protein content of rice grain, the range of Gangbaek and Iksan493 was $6.9{\sim}9.8%$, but Nampyung showed unstable ranged from undetermined to 9.0%.

Elucidation of Mode of Action of Pantoea agglomerans 59-4 for Controlling Garlic Blue Mold (마늘 푸른곰팡이병 방제용 Pantoea agglomerans 59-4의 억제기작 해석)

  • Kim, Yong-Ki;Kwon, Mi-Kyung;Yeh, Wan-Hae;Hong, Sung-Jun;Jee, Hyung-Jin;Park, Jong-Ho;Han, Eun-Jung;Park, Kyung-Seok;Lee, Sang-Yeob;Lee, Seong-Don
    • Research in Plant Disease
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    • v.16 no.2
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    • pp.163-169
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    • 2010
  • To screen for potential biocontrol agents against postharvest disease of garlics caused by Penicillium hirsutum, a total of 1292 isolates were isolated from the rhizoshere or rhizoplane of Allium species. Among them, S59-4 isolate was selected as a potential biocontrol agent by in vivo wounded garlic bulb assay. The isolate was identified as Pantoea agglomerans (Pa59-4) through Biolog system. Pa59-4 did not inhibit the mycelial growth of P. hirsutum in dual-culture with P. hirsutum on tryptic soy agar. In order to elucidate mode of action of Pa59-4 on biological control, nutrient competition between Pa59-4 and P. hirsutum was investigated by the simple method using tissue culture plates with cylinder inserts containing defusing membrane reported by Janisiewicz et al. (2000). The results showed that Pa59-4 effectively suppressed spore germination and mycelial growth of blue mold in the low concentration (0.5%) of garlic juice, but it did not suppress those of blue mold in the high concentration (5%) of garlic juice. This result suggests that the mechanism in biocontrol of garlic blue mold by Pa 59-4 may be involved in nutrient competition with P. hirsutum on garlic bulbs.

Fatty Acid, Amino Acid and Nucleotide-related Compounds of Crossbred Korean Native Chickens (KNC) (교배 조합 토종닭의 지방산, 아미노산 및 핵산 관련 물질 함량)

  • Park, Mi-Na;Hong, Eui-Chul;Kang, Bo-Seok;Kim, Hak-Kyu;Heo, Kang-Nyeong;Han, Jae-Yong;Jo, Cheo-Run;Lee, Jun-Heon;Choo, Hyo-Jun;Suh, Ok-Suk;HwangBo, Jong
    • Korean Journal of Poultry Science
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    • v.38 no.2
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    • pp.137-144
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    • 2011
  • The current work was carried out to investigate the effect of crossbred Korean native chickens (KNC) on fatty acid, amino acid and nucleotide-related compounds contents of chicken meat. A total of 360 male chicks (1d of age) was used in this work and were divided 4 groups as A) (KNC egg-meat type C strains ${\times}$ KNC meat type S strains) ${\times}$ Ross broiler, B) (KNC egg-meat type C strains ${\times}$ KNC meat type H strains) ${\times}$ KNC meat type S strains, C) (KNC native R strains ${\times}$ KNC meat type S strains) ${\times}$ KNC meat type H strains and D(White Semibroiler Chickens) strains for 5 weeks at the flat house. Palmitic acid and vaccenic acid were highest in C strain meat, and myristic acid and linolenic acid were lowest in A strain meat (p<0.05). Saturated fatty acid was lowest in C strain meats (p<0.05). Valine, leucine, phenylalanine and lysine of essential acid were low in A strain meat. Cystine, aspartic acid, glycine, alanine and proline were also low in A strain meat. Hypoxanthin (Hx) was high compared other strains at 5 weeks and low at 10 weeks. IMP was high compared other strains at 5 and 10 weeks. AMP has not significant difference among strains at 5 weeks but B strain was high other strains at 10 weeks. These results showed that C stain was excellent on the fact of nutrients compared to other strains. Consequently, the result of this work gave the basic data that needed to develope the new strains.

The Knowledge, Attitude and Behavior on the Radiation Safety Management for Dental Hygiene Major Students (치위생(학)과 학생의 방사선안전관리에 대한 지식, 태도 및 행위)

  • Jeon, Yeo Ryeong;Cho, Pyong Kon;Han, Eun Ok;Jang, Hyon Chul;Ko, Jong Kyung;Kim, Yong Min
    • Journal of radiological science and technology
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    • v.38 no.4
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    • pp.411-420
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    • 2015
  • Objectives : This study tries to find the educational basis based on the radiation safety knowledge, attitudes and behaviors to check the level of radiation safety behavior in domestic students who study dental hygiene. Methods : The students of 3rd and 4th grades in 83 universities which have registered on the Korean University Education Council were involved, and they were given a questionnaire for this study. The questionnaire was provided via visit with 20 copies to each university (total 1660 copies), mail by post and e-mail. Among them, we analyzed only 723 copies that we can trust. The data were analyzed with frequency, percentage, mean, standard deviation and Pearson's correlation using the SPSS/WIN 15.0. Results : As a result, there are correlations in the students' knowledge, attitudes and behaviors regarding the radiation safety management. It means that the education which can improve the knowledge and attitudes should be applied to increase the action level of the radiation safety. In addition, the physical environment is the most closely correlated with the individual behavior, so it will be limited to improve the behavioral levels of the radiation safety if the physical environment is not prepared. Therefore, the physical environment should be supported to enhance the level of the radiation safety activity, and to increase the individual attitude level of radiation safety. Conclusions : The knowledge level of the radiation safety management is relatively lower than the attitudes level, and the behavior level is the lowest. Therefore, the education policy of the safety behavior must be enhanced. For domestic students, the educational intervention is necessary to improve their behavioral level of radiation safety management because they will be able to reduce the amount of radiation exposure of their patients in dental care after getting a job.

Estimation for Red Pepper(Capsicum annum L.) Biomass by Reflectance Indices with Ground-Based Remote Sensor (지상부 원격탐사 센서의 반사율지수에 의한 고추 생체량 추정)

  • Kim, Hyun-Gu;Kang, Seong-Soo;Hong, Soon-Dal
    • Korean Journal of Soil Science and Fertilizer
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    • v.42 no.2
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    • pp.79-87
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    • 2009
  • Pot experiments using sand culture were conducted in 2004 under greenhouse conditions to evaluate the effect of nitrogen deficiency on red pepper biomass. Nitrogen stress was imposed by implementing 6 levels (40% to 140%) of N in Hoagland's nutrient solution for red pepper. Canopy reflectance measurements were made with hand held spectral sensors including $GreenSeeker^{TM}$, $Crop\;Circle^{TM}$, and $Field\;Scout^{TM}$ Chlorophyll meter, and a spectroradiometer as well as Minolta SPAD-502 chlorophyll meter. Canopy reflectance and dry weight of red pepper were measured at five growth stages, the 30th, 40th, 50th, 80th and 120th day after planting(DAT). Dry weight of red pepper affected by nitrogen stress showed large differences between maximum and minimum values at the 120th DAT ranged from 48.2 to $196.6g\;plant^{-1}$, respectively. Several reflectance indices obtained from $GreenSeeker^{TM}$, $Crop\;Circle^{TM}$ and Spectroradiometer including chlorophyll readings were compared for evaluation of red pepper biomass. The reflectance indices such as rNDVI, aNDVI and gNDVI by the $Crop\;Circle^{TM}$ sensor showed the highest correlation coefficient with dry weight of red pepper at the 40th, 50th, and 80th DAT, respectively. Also these reflectance indices at the same growth station was closely correlated with dry weight, yield, and nitrogen uptake of red pepper at the 120th DAT, especially showing the best correlation coefficient at the 80th DAT. From these result, the aNDVI at the 80th DAT can significantly explain for dry weight of red pepper at the 120th DAT as well as for application level of nitrogen fertilizer. Consequently ground remote sensing as a non-destructive real-time assessment of plant nitrogen status was thought to be a useful tool for in season nitrogen management for red pepper providing both spatial and temporal information.

A Study on the Lava Terraces with Different Elevation in Jeju (해발에 따른 제주도 용암류대지 지형의 세분화에 관한 연구)

  • Hyun, Byung-Keun;Jug, Yeon-Tae;Hyun, Geun-Soo;Moon, Kyung-Hwan;Song, Kwan-Cheol;Sonn, Yeon-Kyu;Zhang, Young-Seon;Park, Chan-Won;Hong, Suk-Young;Kim, Lee-Hyun;Choi, Eun-Young;Jang, Byeong-Chun
    • Korean Journal of Soil Science and Fertilizer
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    • v.42 no.2
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    • pp.88-97
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    • 2009
  • This study was conducted to obtain the basic information to increase the practical use of soil survey data through the subdividing of lava shapes with soil sequences due to different elevations in Jeju. The numbers of soil series of lava topography had occupied many of whole soil series in Jeju. When its topography subdivide, it give more detailed soil information. The obtained results are as follows; The lava topography to subdivide lava topography were studied with 38 soil series according to elevation in Jeju. Division of elevation are less than 50m, 50m to 200m, and 200m to 400m and more than 400m. Name the depending on elevation, less than 50m is called lower part of lava, 50m to 200m is called middle part of lava, and 200m to 400m and more than 400m are called upper part of lava. The characteristics of lava subdivide are as follows; soil family texture of lower part of lava is fine silty to clayey, drainage classes are various, average of available soil depth is 75.3cm, average of gravely contents are 11.6%, average of slopeness is 7.2%, limiting factor are various and soil order are various. soil family texture of middle part of lava is fine silty to coarse silty, drainage classes are well to very well, average of available soil depth is 65.9cm, average of gravely contents are 14.7%, average of slopeness is 11.3%, limiting factor are ashy and soil order are Andisols and Inceptisols. Soil family texture of upper part of lave is fine silty, drainage classes are well, average of available soil depth is 72.8cm, average of gravely contents are 16.0%, average of slopeness is 14.9%, limiting factor are ashy and skeletal, and order are Andisols.

Determination of Pedo-Transfer Function Using the Relation Between Soil Particle Distribution, Organic Matter and Water Movement in Soil Originated from Limestone (석회암 유래 토양에서의 물의 이동특성과 토양 입자 및 유기물과의 관계에 따른 Pedo-Transfer Function의 결정)

  • Hur, Seung-Oh;Jung, Kang-Ho;Sonn, Yeon-Kyu;Ha, Sang-Keun;Kim, Jeong-Gyu
    • Korean Journal of Soil Science and Fertilizer
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    • v.42 no.2
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    • pp.132-138
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    • 2009
  • Soils originated from limestone, located at the southern part of Kangwon province and Jecheon, Danyang of Chungbuk province are mainly composed of fine texture, have different properties from soils originated from granite and granite gneiss, especially for water movement. This study was conducted for making PTF(Pedo-Transfer Function) for Kfs(field saturaton hydraulic conductivity) estimation, and for investigating the relation between soil particle distribution and the infiltration and percolation rate in soils originated from limestone. Soils used for the experiment were 6 soils of Gwarim, Mosan, Jangseong, Maji, Anmi and Pyongan series. Infiltration and percolation rate for the soil were measured by a disc tension infiltrometer and a Guelph permeameter, respectively. The particle size distribution and organic matter content of the soils were analyzed. Kfs was not related with sand, silt, clay, and organic mattrer (OM) content because of forest soils which contained high gravel, pebble, and cobble content, and O layer with high OM content. After Mosan soil series and O layer of Gwarim series were excluded for the data analysis, Kfs was explained as a linear function with sand and clay content and a exponential function with OM content. As a result, the PTF equation was obtained as Kfs=-4.20558+0.479706*(S)+0.023187*exp(1.829*OM) ($R^2=0.6558^{*}$).