• Advances in pediatric surgery
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• 제13권1호
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• pp.37-44
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• 2007

A vitelline duct (VD) anomaly is a relatively common congenital abnormality of the umbilical area. The anomalies include patent vitelline duct (PVD), cyst, fistula or sinus. The incidence is approximately 2% of the populations, but development of symptoms is rare. Recently, we experienced two cases; PVD accompanied by a small omphalocele and intestinal volvulus due to mesenteric band between Meckel's diverticulum and the mesentery. Thereafter,we evaluated the data of vitelline duct anomalies for 27 years. From 1980 to 2006, 18 cases of VD anomalies were reviewed based on the hospital records retrospectively. There were 15 boys and 3 girls and age ranged from 2 days to 15 years. Among the 18 cases, 15 cases were symptomatic and consisted of Meckel's diverticulum (10 cases), PVD (4 cases) and umbilical polyp (1 case). Three asymptomatic cases of Meckel's diverticulum were found incidentally were and were observed without resection. Ten cases of Meckel's diverticulum were presented with intestinal bleedings (4 cases), intestinal obstructions (5 cases) and perforation (1 case). Wedge resections and segmental resections of ileum were performed in 8 patients and 2 patients, respectively. Postoperative complications were adhesive ileus (1 case) and wound seroma (1 case). Small omphaloceles were accompanied in two of 4 PVD patients. There was 1 small omphalocele case which was accompanied by a prolapse of ileum. In summary, VD anomalies were more common in male and more than half of them were found in patients less than 1 year of age. PVD was diagnosed most frequently in neonates. Meckel's diverticulum presented with intestinal obstruction more frequently than bleeding.

• Tuberculosis and Respiratory Diseases
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• 제70권3호
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• pp.257-260
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• 2011

A 65-year-old woman was admitted due to poor oral intake and a dry cough over the previous 3 months. The physical examination was remarkable for bibasilar crackles, and plain chest radiography showed reticulation in both lower lung fields. A pulmonary function test demonstrated a restrictive pattern with a reduced diffusing capacity of the lung for carbon monoxide. High resolution computed tomography showed reticulation and honey-combing in both peripheral lung zones, which was consistent with usual interstitial pneumonia pattern. Her skin showed livedo reticularis. The erythrocyte sedimentation rate and C-reactive protein level were elevated, and hematuria was noted on urinary analysis. A serologic test for auto-antibodies showed seropositivity for Myeloperoxidase-Anti-neutrophil cytoplasmic antibody (MPO-ANCA). A kidney biopsy was performed and showed focal segmental glomerulosclerosis. She was diagnosed as having pulmonary fibrosis with microscopic polyangiitis (MPA) and treated with high dose steroids. Here we report a case of pulmonary fibrosis coexistent with microscopic polyangiitis.

• 한국운동역학회지
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• 제23권4호
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• pp.369-376
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• 2013

The purposes of this study were to assess dynamic stability toward pelvis-spine column distortion during running and to compare the typical three-dimensional angular kinematics of the trunk motion; cervical, thoracic, lumbar segment spine and the pelvis from the multi-segmental spine model between exercise group and non-exercise group. Subjects were recruited as exercise healthy women on regular basis (group A, n=10) and non-exercise idiopathic scoliosis women (group B, n=10). Data was collected by using a vicon motion capture system (MX-T40, UK). The pelvis, spine segments column and lower limbs analysiaed through the 3D kinematic angular ROM pattern. There were significant differences in the time-space variables, the rotation motion of knee joint in lower limbs and the pelvis variables; obliquity in side bending, inter/outer rotation in twisting during running leg movement. There were significant differences in the spinal column that is lower-lumbar, upper-lumbar, upper-thoracic, mid-upper thoracic, mid-lower thoracic, lower thoracic and cervical spine at inclination, lateral bending and twist rotation between group A and group B (<.05, <.01 and <.001). As a results, group B had more restrictive motion than group A in the spinal column and leg movement behaved like a 'shock absorber". And the number of asymmetry index (AI) showed that group B was much lager unbalance than group A. In conclusion, non-exercise group was known to much more influence the dynamic stability of equilibrium for bilateral balance. These finding suggested that dynamic stability aimed at increasing balance of the trunk ROM must involve methods and strategies intended to reduce left/right asymmetry and the exercise injury.

• 한국콘텐츠학회논문지
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• 제13권2호
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• pp.308-313
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• 2013

본 연구는 자기공명영상장치의 특성변수인 숙임각(flip angle), 반복시간(repetition time, TR), 에코시간(echo time, TE)을 사용하여 전자파흡수율(specific absorption rate, SAR)을 알아보고자 하였다. 연구대상은 체중 10 kg부터 90 kg까지를 대상으로 하여 동일한 검사기법을 적용하였고, 매개변수의 변화에 따른 평균 SAR 및 peak SAR 값을 측정하였다. 체중에 따른 SAR는 TE에서 변화는 없지만 숙임각이 커지고 TR이 짧을수록 증가하였다. SAR 값은 두부 허용 기준치 범위에 포함이 되었고 분절별 체중에 따른 영상의 신호 대 잡음비(signal to noise ratio, SNR)는 체중이 증가함에 따라 SNR은 증가하지는 않았다. 본 결과를 바탕으로 적절한 특성변수를 사용하여 다양한 대조도와 SNR을 얻어 진단의 가치를 높일 수 있을 것이다.

• Journal of Chest Surgery
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• 제37권8호
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• pp.702-706
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• 2004

폐동정맥루는 선천적 혹은 후천적인 원인에 의해 발병할 수 있으며 단락이 존재하는 경우 호흡곤란, 청색증, 폐혈관 잡음 등의 증상이 나타날 수 있다. 진단 방법은 혈액검사, 흉부단순촬영, 흉부전산화 단층촬영, 폐동맥조영술 등이 있으며 그 중 가장 정확한 진단 방법으로는 폐동맥조영술이 있다. 폐동정맥루의 합병증으로는 파열로 인한 혈흉, 뇌농양, 뇌졸중 등이 있으며 이에 대한 치료법으로는 수술적 절제술과 치료적 색전술을 시행할 수 있다. 26세 여자 환자가 내원 30분 전 갑자기 발생된 호흡곤란을 주소로 내원하였다. 흉부전산화단층촬영과 폐동맥조영술상 우하엽 상분절에서 4${\times}$4${\times}$3 cm의 폐동정맥루가 진단되어 우하엽 절제술을 계획한 후 응급수술을 시행하였다. 저자들은 우하엽 상분절에 발병한 혈흉을 동반한 선천성 폐동정맥루를 치험하였기에 문헌고찰과 함께 증례보고하는 바이다.

• 한방비만학회지
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• 제4권1호
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• pp.95-123
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• 2004

Objects: This study was aimed to find out correlation between life style and cardiopulmonary function and body fat. Methods: We divided two groups by the score of behavior modification therapy questionnaire. Westudied tendency of change of cardiopulmonary function and body fat for medication of Mahuang capsule by ergogenic aids and placebo with circuit training. We got the results for Exercise stress test and Segmental Bioelectrical Impedence Analysis. Results: 1. High Score Group in Behavior Modification Therapy Questionnaire significantly(p<.05) showed elevation of Lean Body Mass, Body Fat, Waist Circumference and not significantly elevation of Body Weight, But Basal Metabolic Rate was declined. Low Score Group in Behavior Modification Therapy Questionnaire significantly(p<.05) showed elevation of Waist Circumference and not significantly elevation of Body Weight and Body Fat, Lean Body Mass but decline of Basal Metabolic Rate, Waist to Hip Ratio 2. High Score Group in Behavior Modification Therapy Questionnaire significantly(p<.05) showed elevation of $VO_{2max}$ and not significantly elevation of the rest. Low Score Group in Behavior Modification Therapy Questionnaire significantly(p<.05) showed elevation of rest Heart Rate, Diastolic Blood Pressure, and not significantly elevation of the rest except for METs Conclusion: High score group in Behavior Modification Therapy Questionnaire showed significantly elevation of body composition, but had no relationship with Cardiopulmonary function

• 콘크리트학회논문집
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• 제22권1호
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• pp.11-18
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• 2010

이 연구에서는 변위-기반성능설계 개념에 의해 기존 철근콘크리트 기둥에 대하여 스틸재킷 보강에 의한 내진 성능개선의 성능설계 방법을 제시하였다. 스틸재킷 보강된 철근콘크리트 기둥에 대한 설계 변위 추정을 위해 스틸재킷 보강된 철근콘크리트 부재의 비선형 층상화 세그먼트 해석 모델을 제시하고, 성능기반설계에 의한 성능개선설계를 위하여 목표성능변위 및 설계지진가속도 조건에 대해 직접 변위-기반 설계 방법 및 변위계수법에 의한 내진성능개선 설계 방법을 제시하였다. 적용 예에서 이 방법은 기존 철근콘크리트 기둥과 비교하여 성능개선설계 결과 보강 전에 비해 변위 연성비 및 변위성능에서 크게 개선된 성능설계 결과를 제공해 주었다.

• 대한두개안면성형외과학회지
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• 제15권2호
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• pp.75-81
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• 2014

Background: The fibular free flap has been used as the standard methods of segmental mandibular reconstruction. The objective of mandibular reconstruction not only includes restored continuity of the mandible but also the recovery of optimal function. This paper emphasizes the advantage of the fibular free flap reconstruction over that of locking mandibular reconstruction plate fixation. Methods: The hospital charts of all patients (n=20) who had a mandibular reconstruction between 1994 and 2013 were retrospectively reviewed. Eight patients had plateonly fixation of the mandible, and the remaining 12 had vascularized fibular free flap reconstruction. Complications and outcomes were reviewed and compared between the 2 groups via statistical analysis. Results: Overall complication rates were significantly lower in the fibular flap group (8.3%) than in the plate fixation group (87.5%; p =0.001). Most (7/8) patients in the plate fixation group had experienced plate-related late complications, including plate fracture or exposure. In the fibular flap group, no complications were observed, except for a single case of donor-site wound dehiscence (1/12). Conclusion: The fibular free flap provides a more stable support and additional soft tissue support for the plate, thereby minimizing the risk of plate-related complications. Fibular free flap is the most reliable option for mandibular reconstruction, and we believe that the flap should be performed primarily whenever possible.

• 한국운동역학회지
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• 제18권3호
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• pp.51-59
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• 2008

본 연구는 국가대표 절단장애 휠체어 탁구선수를 대상으로 절단장애 휠체어 탁구의 일반적 스트로크 운동형태를 알아보기 위해 실행되었다. 연구대상은 절단장애 1명을 선발하여 10회에 걸쳐 스트로크 하는 영상을 수집하였다. 그 중 대상자와 코치가 지정하는 3개의 영상을 연구대상으로 정하였다. 스트로크 하는 팔의 팔꿈치의 굴곡신전, 어깨의 굴곡신전, 어깨의 회전, 그리고 허리의 회전을 분석하였다. 포핸드 스트로크는 일반적으로 치는 듯한 동작을 나타낼 것으로 예상했으나 오른팔의 외측회전으로 만들어진 백스윙과 내측회전으로 만들어지는 회전에 의지하여 스트로크하고 있었다. 백핸드 스트로크는 예상대로 기시부인 몸통이 스트로크에 관여하지 않고 말초부인 오른팔이 내측회전 백스윙을 이루고 외측회전으로 임팩트를 이루는 미는 듯한 동작을 나타내고 있었다. 포핸드 스트로크 일반적인 스윙동작을 나타내는 다중분절시스템의 원리에 의해 치는 듯한 동작을 보일 것으로 예상했지만 절단장애인인 대상자는 기시부와 말초부로 이어지는 연결구조가 명확하게 나타나지 않았다. 다만 어깨의 회전폭이 스트로크 성공여부를 결정지었다.

• Journal of Preventive Medicine and Public Health
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• 제26권2호
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• pp.282-292
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• 1993

Neurotoxicity in the workplace may occur with exposure to scores of chemicals. Although large acute outbreaks of the occupational neurological disease are rare, the incidence of occupational neurotoxicity in its subtler aspects is unknown. A working knowledge of both the major occupational neurotoxic solvents and the tools used by cliniical neurologists and neurotoxicologists to evaluate neurotoxicity in working populations is a necessity fur the occupational physician. To investigate the effects of carbon disulfide($CS_2$) on the peripheral nerve system using the nervous conduction study, 105 male workers working in the spinning room of a viscose rayon factory were examined and compared with a sex and age matched, unexposed 105 male controls using t-test analysis. 72.4% of $CS_2$-exposed workers complained of neurological symptoms, and the abnormal cases in nerve conduction study were 48.6%. The abnormal cases of nerve conduction study increased in number according as the age and duration of exposure increased. In this study, asymptomatic workers were confirmed to have subclinical neuropathy by nerve conduction study. Also as there were abnormal cases even in its duration of exposure below 4 years, nerve conduction study turned out to be ways of discovering of early peripheral neuropathy. In nerve conduction study, the amplitude, velocity, F-wave latency and H-reflex of the motor and sensory nerves in both upper and lower extremities were significant different between $CS_2$-exposed workers and the controls. From the pathological viewpoint, both segmental and axonal degenerations were assumed in this study.