• 공업화학
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• 제25권5호
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• pp.515-519
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• 2014

대두유와 돈지를 이용한 에스테르교환반응실험에서 메탄올과 에탄올의 혼합비율을 조절하여 제조된 바이오디젤의 연료특성을 평가하였다. 메탄올보다는 에탄올에 대한 유지의 용해도가 높았으며 에탄올의 몰비가 증가함에 따라 균질한 바이오디젤 제조가 가능함을 확인하였다. 반응온도 $60^{\circ}C$에서 메탄올과 에탄올의 혼합몰비가 6 : 6일 때 돈지의 경우 가장 우수한 바이오디젤 전환특성을 나타내었다. 또한 대두유의 경우 3 : 3일 때 가장 우수한 바이오디젤 전환특성을 나타내었다. 대두유와 돈지를 원료로 하여 제조된 바이오디젤의 동점도는 $40^{\circ}C$에서 각각 4.17~4.35 cSt, 4.69~4.93 cSt로 측정되었으며, 에탄올의 첨가비가 증가함에 따라 산화안정성과 고위발열량은 증가하였다. 산화안정성은 바이오디젤의 품질기준인 6 h 이상을 만족하였고, 고위발열량은 약 40 MJ/kg으로 나타났다.

• Journal of Korean Neurosurgical Society
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• 제41권3호
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• pp.157-160
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• 2007

Objective : The purpose of this study was to evaluate the efficacy and safety of the surgical treatment for lumbar spinal stenosis in elderly patients. Methods : The authors reviewed the medical records of 49 patients older than 65 years of age with lumbar spinal stenosis who underwent surgical treatment from January 2002 to December 2004 in our institute. Results : Average age of patients was 70 years old [32 women, 17 men]. Twenty-four patients had chronic medical disorders. All patients were operated under the general anesthesia of these, 29 patients underwent decompressive laminectomy and decompressive laminectomy with instrumentation and fusion in 20 patients. The mean operation time was 193.5 minutes, mean estimated blood loss was 378cc and mean postoperative hospital stay length was 15.3 days. The mean follow-up duration was 11.9 months. The evaluation of outcome was assessed by Macnab classification. At first month after operation, the outcome showed excellent in 7 [14.3%]. good in 35 [71.4%], fair in 5 [10.2%], and poor in 2 [4.1%]. And at 6 months after operation, 17 patients were lost in follow-up, the outcome showed excellent in 4 [12.5%], good in 25 [78.1%], fair in 3 [9.4%], and no poor cases. There was no significant difference between outcome of laminectomy alone and that of laminectomy with fusion. Six patients [12.2%] experienced postoperative complications which included wound infection [3], nerve root injury [1], disc herniation [1], and reoperation due to insufficient decompression [1]. There were no deaths related to operation. Conclusion : We conclude that the surgical treatment for lumbar spinal stenosis in elderly patients can provide good results with acceptable morbidity when carefully selected. In addition, decision on lumbar spinal fusion should not be against solely on advanced age.

• Journal of Korean Neurosurgical Society
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• 제59권6호
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• pp.610-614
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• 2016

Objective : The purpose of this study was to present the outcome of the microsurgical foraminotomy via Wiltse paraspinal approach for foraminal or extraforaminal (FEF) stenosis at L5-S1 level. We investigated risk factors associated with poor outcome of microsurgical foraminotomy at L5-S1 level. Methods : We analyzed 21 patients who underwent the microsurgical foraminotomy for FEF stenosis at L5-S1 level. To investigate risk factors associated with poor outcome, patients were classified into two groups (success and failure in foraminotomy). Clinical outcomes were assessed by the visual analogue scale (VAS) scores of back and leg pain and Oswestry disability index (ODI). Radiographic parameters including existence of spondylolisthesis, existence and degree of coronal wedging, disc height, foramen height, segmental lordotic angle (SLA) on neutral and dynamic view, segmental range of motion, and global lumbar lordotic angle were investigated. Results : Postoperative VAS score and ODI improved after foraminotomy. However, there were 7 patients (33%) who had persistent or recurrent leg pain. SLA on neutral and extension radiographic films were significantly associated with the failure in foraminotomy (p<0.05). Receiver-operating characteristics curve analysis revealed the optimal cut-off values of SLA on neutral and extension radiographic films for predicting failure in foraminotomy were $17.3^{\circ}$ and $24^{\circ}s$, respectively. Conclusion : Microsurgical foraminotomy for FEF stenosis at L5-S1 level can provide good clinical outcomes in selected patients. Poor outcomes were associated with large SLA on preoperative neutral (>$17.3^{\circ}$) and extension radiographic films (>$24^{\circ}$).

• Journal of Korean Neurosurgical Society
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• 제42권3호
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• pp.184-190
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• 2007

Objective : The authors retrospectively analyzed clinical and radiographic features of patients who developed symptomatic adjacent segment degeneration (ASD) that required re-operation. Methods : From 1995 to 2004, among 412 patients who underwent posterior lumbar fusion surgery, the authors experienced twenty-six patients who presented symptomatic ASD. Records of these patients were reviewed to collect clinical data at the first and second operations. Results : The patients were 9 males and 17 females whose mean age was $63.5{\pm}8.7$ years. Among 319 one segment and 102 multi-segment fusions, 16 and 10 patients presented ASD, respectively. Seventeen ASDs were noticed at the cephalad to fusion (65%), eight at the caudad (31%), and one at the cephalad and caudad, simultaneously (4%). All patients underwent decompression surgery. Nine patients underwent additional fusion surgeries to adjacent degenerated segments. In 17 patients who underwent only decompression surgery without fusion, the success rate was 82.4%. In fusion cases. the success rate was observed as 55.5%. There were no statistically significant factors to be related to development of ASD. However, in cases of multi-level fusion surgery, there was a tendency toward increasing ASD. Conclusion : Multi-segment fusion surgery could be associated with a development of ASD. In surgical treatment of symptomatic ASD, selective decompression without fusion may need to be considered as a primary procedure, which could reduce the potential risk of later occurrence of the other adjacent segment disease.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제29권2호
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• pp.73-79
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• 2018

Objectives: The overuse of the Internet among adolescents has increased dramatically in recent years, leading to pathological or problematic Internet use. Cognitive behavioral therapy (CBT) is known to be effective for the treatment of problematic Internet use, particularly for adolescents. The aim of the present study was to evaluate the therapeutic efficacy of group CBT for problematic Internet use in adolescents. Methods: A total of 17 patients aged 12-17 years who met Young's diagnostic questionnaire criteria of problematic Internet use participated in a school-based eight-session group CBT program. The level of problematic Internet use among participating students was measured using Young's Internet Addiction Scale (IAS). Depression and anxiety levels were evaluated using the Children's Depression Inventory (CDI) and the State-Trait Anxiety Inventory (STAI), respectively. Each construct was assessed at baseline, immediately after the intervention, and at a one-month follow-up visit. Statistical significance was based on a p-value of <0.05. Results: Immediately after the program, the IAS, CDI, and State Anxiety Inventory (SAI) scores were significantly lower than before the program. At the one-month follow-up assessment, the IAS scores remained low, and the CDI and SAI scores were even lower than immediately after the program. Conclusion: Group CBT was effective for adolescents with problematic Internet use, and was also demonstrated to improve depression and anxiety.

• Asian Pacific Journal of Cancer Prevention
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• 제17권4호
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• pp.1779-1784
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• 2016

Background: Western physicians tend to favour complete disclosure of a cancer diagnosis to the patient, while non-Western physicians tend to limit disclosure and include families in the process; the latter approach is prevalent in clinical oncology practice in India. Few studies, however, have examined patient preferences with respect to disclosure or the role of family members in the process. Materials and Methods: Structured interviews were conducted with patients (N=127) in the medical oncology clinic of a tertiary referral hospital in Bangalore, India. Results: Patients ranged in age from 18-88 (M=52) and were mostly male (59%). Most patients (72%) wanted disclosure of the diagnosis cancer, a preference significantly associated with higher education and English proficiency. A majority wanted their families to be involved in the process. Patients who had wanted and not wanted disclosure differed with respect to their preferences regarding the particulars of disclosure (timing, approach, individuals involved, role of family members). Almost all patients wanted more information concerning their condition, about immediate medical issues such as treatments or side effects, rather than long-term or non-medical issues. Conclusions: While most cancer patients wanted disclosure of their disease, a smaller group wished that their cancer diagnosis had not been disclosed to them. Regardless of this difference in desire for disclosure, both groups sought similar specific information regarding their cancer and largely favoured involvement of close family in decision making. Additional studies evaluating the influence of factors such as disease stage or family relationships could help guide physicians when breaking bad news.

• Journal of Acupuncture Research
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• 제35권1호
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• pp.11-20
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• 2018

Background: This research was performed to investigate the effects of Pulsatilla Koreana NAKAI pharmacopuncture (PPA) therapy on intestinal disease in rats with dextran sulfate sodium (DSS)-induced colitis. Methods: The subjects were divided into five groups : A control group, saline group, pharmacopuncture group PPA1 ($0.2mg/1kg/40{\mu}{\ell}$), pharmacopuncture group PPA2 ($0.5mg/1kg/40{\mu}{\ell}$), and pharmacopuncture group PPA 3($1mg/1kg/40{\mu}{\ell}$). The experimental model of colitis was induced by infection of dextran sulfate sodium (DSS) for eighteen days. After colitis was induced, PPA therapy was practiced on the Chunchu (ST25) once every two days for a total six times. Thereafter Disease Activity Index (DAI), colon length, damage to the colonic mucosa, body weight, IL-6, IL-10, $IL-1{\beta}$, $IFN-{\gamma}$, $TNF-{\alpha}$, $TGF-{\beta}1$, IL-23 and IL-17 were measured. Results: The results were as follows. 1. DAI was significantly decreased in the PPA groups. 2. Colon length was significantly increased in the PPA groups. 3. Damage of colonic mucosa was observed less in the PPA groups. 4. Body weight was significantly increased in the saline group and the PPA groups. 5. The PPA2 group showed a significant decrease in the intensity of IL-6, $IL-1{\beta}$, $IFN-{\gamma}$ and $TNF-{\alpha}$ levels and the mean of IL-23. 6. The PPA3 group showed a significant increase in the intensity of IL-10 and $TGF-{\beta}1$ levels. 7. No significant differences were shown in the mean of IL-17. Conclusion: These results suggest that PPA therapy on Chunchu (ST25) can be used as an effective treatment for inflammatory bowel disease.

• 한국산학기술학회논문지
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• 제17권8호
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• pp.311-317
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• 2016

사물 인터넷의 활성화로 스마트 디바이스를 기반으로 하는 많은 서비스들이 개발되고 있으며, 이에 디바이스 간의 보안이 강조되고 있다. 현재 사물 인터넷 서비스에 비콘이 상업적 분야에 활용되고 있으며, 일반 가정의 사물 인터넷 서비스에도 적용되고 있다. 그러나 비콘은 블루투스 기반의 서비스로서 보안에 취약하다. 따라서 비콘의 보안을 강화하기 위한 연구가 진행되고 있다. 본 논문에서는 비콘 기반의 서비스 보안을 강화 할 수 있는 이중 보안 기법을 제안한다. 비콘과 인증 서비스를 기반으로 하는 이중 보안 아키텍쳐와 보안 처리 프로세스를 제안한다. 또한, 제안 기법의 적합성을 증명하기 위해 비콘기반의 모바일 어플리케이션을 개발하여 검증한다. 검증을 위한 실험 방법는 1차 인증 실패의 인증 실패 사례와 1차 인증 성공와 2차 인증 성공의 인증 성공 사례를 실험한다. 검증 실험의 구성 요소는 2개의 비콘(비콘 ID와 일치, 비콘 ID와 불일치), 1개의 모바일 디바이스 그리고 인증 애플리케이션으로 구성된다. 이중 보안 아키텍쳐와 1차/2차 인증 프로세스의 적합성을 검증하기 위해 실험한다.

• 대한임상독성학회지
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• 제17권2호
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• pp.94-101
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• 2019

Purpose: This study examined the clinical characteristics of severe elderly poisoning patients to determine the factors that can prevent them. Methods: Data were collected from patients over 65 years of age presenting to the emergency center with poisoning from 2013 to 2018. Their medical records were analyzed retrospectively, and patients with a poisoning severity score of three or more were defined as the severe poisoning group. The risk factors were evaluated by univariate and multivariate analysis. Results: This study analyzed 292 patients, of whom 37 (12.7%) belonged to the severe poisoning group. The severe poisoning group showed a significantly higher association with pesticide poisoning and intentional suicide attempts. Loneliness and somatization were the cause of the suicidal ideas. No significant differences in age, sex, drinking, ingestion time, poisonous materials other than pesticides, and neuropsychological consultation were observed between the two groups. Conclusion: The severe elderly poisoning patients were the result of intentional poisoning for suicide. Loneliness and somatization were the most influential causes of suicidal poisoning. Therefore, psychiatric screening and frequent medical treatment for elderly people are required to prevent severe poisoning in elderly patients.

• 한국환경과학회지
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• 제17권6호
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• pp.623-631
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• 2008

Many recent studies have concentrated upon the radiative effects of atmospheric aerosols. Though their scattering and absorption of radiation, aerosols can also induce some other important environment effects. In this study, new radiation code and aerosol data within Atmosphere General Circulation Model (AGCM) is used to assess the aerosol radiative forcing and to analyze relative climate effects. The new Kangnung National University AGCM Stratospheric-15 (KNU AGCM ST15) was integrated by using two sets of radiative effect of aerosols: CTRL as not a radiative effect of aerosols and AERO as a radiative effect of aerosols. Two cases show the difference of net shortwave radiation budget at top-of-atmosphere (TOA) is found to be about $-3.4Wm^{-2}$, at the surface (SFC) is about $-5.6Wm^{-2}$. Consequently the mean atmospheric absorption due to aerosol layer in global is about $2.2Wm^{-2}$. This result confirms the existence of a negative forcing due to the direct effect of aerosols at the surface and TOA in global annual mean. In addition, it is found that cooling over at the surface air temperature due to radiative effect of aerosols is about $0.17^{\circ}C$. It is estimated that radiative forcing of the net upward longwave radiation taken as the indirect effect of aerosol is much smaller than that of the direct effect as there is about $0.2Wm^{-2}$ of positive forcing both at TOA and at SFC. From this study, It made an accurate estimation of considering effect of aerosols that is negative effect. This may slow the rate of projected global warming during the $21^{st}$ century.