• Journal of Audiology & Otology
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• 제25권4호
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• pp.217-223
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• 2021

Background and Objectives: In cochlear implant (CI) surgery, the results and causes of revision and reimplantation may guide surgeons in establishing surgical protocols for revision surgery with safe audiological outcomes. The aim of this study was to review our experience in terms of etiology, surgical strategy, and hearing outcomes in pediatric patients who underwent CI removal and reimplantation. Subjects and Methods: All patients received implants of the same brand. Pre and postoperative Categories of Auditory Performance score and aided free-field pure tone audiometry thresholds were noted. In vivo integrity tests were performed for each patient and the results of ex vivo tests of each implant were obtained from manufacturer. Results: A total of 149 CIs were placed in 121 patients aged <18 years. The revision rate in children was 6.7% (10/121 children). Six patients had a history of head injury leading to a hard failure. The causes of reimplantation in others were soft failure (n=1), electrode migration (n=1), infection (n=1), and other (n=1). All patients showed better or similar postreimplantation audiological performance compared with pre-reimplantation results. Conclusions: It is very important to provide a safe school and home environment and educate the family for reducing reimplantation due to trauma. Especially for active children, psychiatric consultation should be continued postoperatively.

• 대한청각학회지
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• 제25권4호
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• pp.217-223
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• 2021

Background and Objectives: In cochlear implant (CI) surgery, the results and causes of revision and reimplantation may guide surgeons in establishing surgical protocols for revision surgery with safe audiological outcomes. The aim of this study was to review our experience in terms of etiology, surgical strategy, and hearing outcomes in pediatric patients who underwent CI removal and reimplantation. Subjects and Methods: All patients received implants of the same brand. Pre and postoperative Categories of Auditory Performance score and aided free-field pure tone audiometry thresholds were noted. In vivo integrity tests were performed for each patient and the results of ex vivo tests of each implant were obtained from manufacturer. Results: A total of 149 CIs were placed in 121 patients aged <18 years. The revision rate in children was 6.7% (10/121 children). Six patients had a history of head injury leading to a hard failure. The causes of reimplantation in others were soft failure (n=1), electrode migration (n=1), infection (n=1), and other (n=1). All patients showed better or similar postreimplantation audiological performance compared with pre-reimplantation results. Conclusions: It is very important to provide a safe school and home environment and educate the family for reducing reimplantation due to trauma. Especially for active children, psychiatric consultation should be continued postoperatively.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권4호
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• pp.179-192
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• 2023

Obstructive sleep apnea (OSA) is a common sleep-breathing disorder associated with significant comorbidities and perioperative complications. This narrative review is aimed at comprehensively overviewing preoperative risk evaluation and perioperative management strategies for patients with OSA. OSA is characterized by recurrent episodes of upper airway obstruction during sleep leading to hypoxemia and arousal. Anatomical features, such as upper airway narrowing and obesity, contribute to the development of OSA. OSA can be diagnosed based on polysomnography findings, and positive airway pressure therapy is the mainstay of treatment. However, alternative therapies, such as oral appliances or upper airway surgery, can be considered for patients with intolerance. Patients with OSA face perioperative challenges due to difficult airway management, comorbidities, and effects of sedatives and analgesics. Anatomical changes, reduced upper airway muscle tone, and obesity increase the risks of airway obstruction, and difficulties in intubation and mask ventilation. OSA-related comorbidities, such as cardiovascular and respiratory disorders, further increase perioperative risks. Sedatives and opioids can exacerbate respiratory depression and compromise airway patency. Therefore, careful consideration of alternative pain management options is necessary. Although the association between OSA and postoperative mortality remains controversial, concerns exist regarding adverse outcomes in patients with OSA. Understanding the pathophysiology of OSA, implementing appropriate preoperative evaluations, and tailoring perioperative management strategies are vital to ensure patient safety and optimize surgical outcomes.

• Journal of the Korean Wood Science and Technology
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• 제32권5호
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• pp.75-85
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• 2004

현대 주거 공간의 색채 유형이 다양화 되고 실내 공기질 관리법이 시행되면서 환경친화형 컬러가구재의 개발이 매우 필요한 시점이다. 따라서 치자, 홍화, 오배자, 자초, 소목 및 밤송이 등으로부터 천연염료를 추출하여 적정한 염색조건을 도출하였다. 천연염료 추출시 용매의 pH가 높아지면서 동일계 색상일지라도 더 짙은 염료가 얻어졌다. 염색에 앞서 천연염료와 목재 조직과의 결합을 촉진하기 위하여 알루미늄, 구리, 철 및 크롬 계통의 매염제를 처리하였는데, 매염제의 종류에 따라 황색, 갈색, 녹색 등의 색상이 얻어졌다. 매염 처리된 목재 시험편에 본 천연계 염료로 염색한 경우 염색시의 pH와 온도가 높아질수록 짙은 색상이 얻어졌을 뿐만 아니라 염액이 목재 조직 내부로 더욱 깊이 침투하였다. 컴퓨터 모델링을 통하여 보여진 천연염색된 컬러가구는 다양한 색상이 요구되는 현대 주거 공간과 조화를 꾀할 수 있어 천연염료가 현대 목가구 제작에 적합한 재료로 사용될 것으로 사료되었다.

• 문화기술의 융합
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• 제7권4호
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• pp.415-420
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• 2021

의료 케어 분야가 다각도로 발전되어가고 있는 상황에서 의료 홍보 영상분석은 중요한 의미를 지닌다. 경쟁력 향상의 문제로 중요성을 있으며 AI 시스템의 가속화 시대는 의료 케어가 가장 선두에 있는 분야이기도 하다. 이에 따른 홍보와 광고 및 설명에 대한 영상의 중요성은 매우 중요하며 기업의 이미지를 전환 시킬 수 있는 중요한 방향이기도 하다. 본 연구에서는 AI 의료 브랜드들의 전문 영상에 대한 비교분석을 중심으로 해외 메이져 회사 2개, 스트라이커와 힐롬 (Stryker, Hill-rom)의 회사와 국내 선두기업 1개(나인벨)의 영상을 중심으로 영상에서의 디자인 특징과 차이점 등을 비교하였고, 그에 따른 세부 파트 분석과 섹션 분석을 하였다. 영상 편집의 기술적 부분 분석으로, 트렌제이션 방식 및 인포 그래픽들을 고찰하였다. 심층 비교는 AI 의료 영상의 영상 색상 톤과 영상 배색 관계에 대한 차이점과 같은점들을 비교 분석하였다. 영상 이미지 결정 부분에 있어서 구체적인 분석은 각 영상들의 영상 인트로 부분과 제품 설명 영상 부분들의 구체적 장면을 가지고, 홍보 디자인에서 나타나고 있는 차별화된 요소들을 비교 연구하였다.

• 패션비즈니스
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• 제3권2호
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• pp.37-47
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• 1999

In the 17th century, Europe had changed from medieval feudalistic ages into an absolute monarchy taking Catholicism and absolute monarchism together. On the other hand, Holland achieved prosperity in economy, culture, and arts through gradual enlightment of the people by winning independence from Spain, and religious reformation. The culture dress and its ornaments at the time was led by the governing class such as royal families and its aristocracy in Europe, while Holland, united republic country at the time, brought civil costume nationwide wholly by civil class and its effect to other neighboring countries in Europe. In addition, the origin of modern dress and its ornaments dates back to that time. Moreover, civil-looking dutch paintings found its sources in routine daily life and became realistic. With this respect, in this research, we put our purpose of the research in making a better and more understanding of the modern costume and its ornaments and exploring the spirit of human beings by analyzing dutch civil costumes shown in these artistic works. It is very important that this research is rather renovational comparing with prior ones focused on those of ruling classes. As a result of the research, the distinguished parts of the civil costumes appeares as following beauties. First, functional beauty was respected such as natural waist line, peplum, gather of the skirt and sleeve, apron, head towel were some of the examples to those in their costumes and its ornaments. Second, with respect to humanity under rough natural surroundings and long struggle with outside tribes, humanity of costume was brought by optimistic and even free mind to them. The three quater sleeve showed wrist and deep-cut decollete in their dress and ornaments. Third, with respect to simplicity, religious effect on the leading civil class demanding self-abstinence, frugality, and thrift in their way of life resulted in black-tone simple costumes with white collar in their costumes and its ornaments.

• Molecules and Cells
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• 제40권7호
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• pp.450-456
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• 2017

Mammalian physiology and behavior are regulated by an internal time-keeping system, referred to as circadian rhythm. The circadian timing system has a hierarchical organization composed of the master clock in the suprachiasmatic nucleus (SCN) and local clocks in extra-SCN brain regions and peripheral organs. The circadian clock molecular mechanism involves a network of transcription-translation feedback loops. In addition to the clinical association between circadian rhythm disruption and mood disorders, recent studies have suggested a molecular link between mood regulation and circadian rhythm. Specifically, genetic deletion of the circadian nuclear receptor Rev-$erb{\alpha}$ induces mania-like behavior caused by increased midbrain dopaminergic (DAergic) tone at dusk. The association between circadian rhythm and emotion-related behaviors can be applied to pathological conditions, including neurodegenerative diseases. In Parkinson's disease (PD), DAergic neurons in the substantia nigra pars compacta progressively degenerate leading to motor dysfunction. Patients with PD also exhibit non-motor symptoms, including sleep disorder and neuropsychiatric disorders. Thus, it is important to understand the mechanisms that link the molecular circadian clock and brain machinery in the regulation of emotional behaviors and related midbrain DAergic neuronal circuits in healthy and pathological states. This review summarizes the current literature regarding the association between circadian rhythm and mood regulation from a chronobiological perspective, and may provide insight into therapeutic approaches to target psychiatric symptoms in neurodegenerative diseases involving circadian rhythm dysfunction.

• Journal of Ecology and Environment
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• 제43권2호
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• pp.104-116
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• 2019

Background: The composition of wild bird populations in temperate zones greatly varies depending on phenological changes rather than other environmental factors. Particularly, wild birds appearing in wetlands fluctuate greatly due to the crossover of species arriving for breeding during the summer and for wintering. Therefore, to understand the changes to species composition related to phenology, we conducted this basic analysis of populations to further the cause of the protection of wetland-dependent wild birds. Methods: It is wrong to simply divide a wild bird population investigation into seasons. This study identifies species composition and indicator species that change along with seasons. Wetlands to be surveyed are protected by natural monuments and wetland inventory and are in a state close to nature. In order to identify as many species as possible in wetlands, a survey was conducted in both shallow and deep wetlands. The water depth varied in these areas, ranging from 0.2 to 2.0 m, allowing for both dabbling and diving ducks to inhabit the area. Surveys were conducted using line-transect and distance sampling methods and were conducted at intervals of 2 weeks. The survey was conducted under the following three categories: the eco-tone and emergent zone, the submergent zone, and the water surface. The survey was conducted along a wetland boundary by observing wild birds. A PC-ord program was used for clustering, and the SAS program was used to analyze the changes in species composition. The data strongly indicates that day length is the main factor for seasonal migration periods, despite the fact that climate change and increasing temperatures are often discussed. Results and conclusions: The indicator species for determining seasons include migrant birds such as Ardea cinerea, Alcedo atthis, Anas penelope, and Poiceps ruficollis, as well as resident birds such as Streptopelia orientalis and Emberiza elegans. Importantly, increases in local individual counts of these species may also serve as indicators. The survey results of seasonal fluctuations in temperate zones shows that spring (April to June), summer (July to September), autumn (October), and winter (November to March) are clearly distinguishable, even though spring and summer seasons tend to overlap, leading to the conclusion that additional research could more clearly identify fluctuation patterns in species composition and abundance in the study area.

• 한국전산구조공학회논문집
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• 제15권3호
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• pp.491-499
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• 2002

직교이방성 적층평판해석을 위해 퇴화 쉘요소에 기초를 둔 p-version 유한요소법이 제안되었다. 이 모델의 비선형 정식화과정에서 기하비선형의 경우 von Karman의 대변형-소변형률 가정을 설명하기 위해 Total Lagrangian 방법이 채택되었으며, 재료비선형의 경우 Huber-Mises의 항복기준과 변형률경화 항복함수에 근거를 둔 Prandtl-Reuss 유동법칙이 사용되었다. 재료모델은 이방성을 표현하는 매개변수에 의해 이방겅재료를 고려할 수 있도록 하였다. 적층평판이론으로는 전단변형 효과를 고려할 수 있는 등가단출이론(ESL Theory)에 기초를 두었기 때문에 두 적층간 계면에서의 전단변형률은 연속이라는 조건을 갖게된다 적분형 르장드르 다항식이 형상함수로 사용되었으며 형상함수의 차수는 1차에서 10차까지 변화시킬 수 있다. 또한, Causs-Lobatto 수치적될법을 사용하기 때문에 기존의 가우스 적분점에서 계산되던 응력값은 이 적분법의 적분점이 절점에 위치하므로 절점에서 바로 응력값이 산출되도록 하였다 극한하중 수렴성, 비선형 효과, 소성역의 형상 등의 비교관점을 통해 p-version 유한요소 모델의 적정성을 보이고자 하였다.

• 구강회복응용과학지
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• 제37권2호
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• pp.61-72
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• 2021

아름다운 미소는 좌우 대칭을 이루며 2 - 3 mm 치은을 보이는 상태를 일컫는다. 과다한 치은노출은 "거미 스마일"로 불리며 미적 장애로 인식되어 왔는데 원인으로는 지연맹출, 상악의 과도한 수직성장, 윗입술의 과도한 움직임 또는 짧은 윗입술로 등으로 보고되어왔다. 한편 클로스트리디움 보툴리눔 세균에서 생성된 외독소인 보툴리눔 독소는 투여된 부위의 신경말단에서 아세틸콜린의 유리를 막아서 근육 수축을 약화시켜 윗입술 과잉 운동으로 인한 치은과다노출증의 새로운 치료법으로 주목 받고있다. 현재까지 입술 주변 근육에 보툴리눔 독소를 주입하는 방법에 대한 많은 연구가 있었지만 아직 표준화 된 연구 방법과 치료 방법이 없어 치료 효과에 대한 논란이었다. 본 종설의 목적은 이러한 지난 과거의 연구들에서 적응증을 선택하기 위한 요소 및 보툴리눔 독소 치료의 효과를 분석하고자 한다. 특히 치은과다노출증에서 보툴리눔 독소 주사의 최적의 용량과 최적의 주사부위를 제시하고자 하였다.