• 제목/요약/키워드: Standard pattern

검색결과 1,490건 처리시간 0.032초

후두 결핵의 후두 내시경 소견과 임상 양상 분석 (The Telescopic Findings and Clinical Manifestations of Laryngeal Tuberculosis)

  • 이상혁;이승석;이노희;반재호;이경철;진성민
    • 대한후두음성언어의학회지
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    • 제17권1호
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    • pp.38-42
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    • 2006
  • Background and Objectives: There has been a gradual decline in the incidence of laryngeal tuberculosis due to effective an-tituberculous chemotherapy and improvement in the standard of living. During the last decade, however, the disease has changed its clinical pattern. We aimed to study a clinical and telescopic evaluation of laryngeal tuberculosis. Materials and Method: A retrospective clinical analysis was done for 16 patients who diagnosed laryngeal tuberculosis from January 2000 through December 2004. All patients had a complete clinical and laboratory work-up including telescopy, chest X-rays, sputum cultures, Tbc PCR(polymerase chain reaction). Laryngeal biopsies were performed in some cases. All the patients received proper antituberculous chemotherapy. Results: The patients age ranged from 21 to 59 with a mean age 43. The male to female ratio was 10:6. The prominent presenting symptom was hoarseness. The various telescopic findings were categorized: 7 patients showed ulcerative, 4 patients granulomatous, 3 patients ulcerofungative, 2 patients had nonspecific inflammatory lesions. Involving sites were true vocal cord most commonly in 12 patients. Three of 16 patients had normal chest X-ray fmding. Among 16 patients, 4 patients showed positive response for AFB stain, 13 patients showed positive for Tbc PCR. Biopsy was done for 3 patients who were not confirmed in initial tuberculous test. All patients responded satisfactorily to antituberculous medication. Conclusion: The telescopic findings and clinical manifestations of laryngeal tuberculosis have changed and seemed to be different from those of classic reports. Thus, the clinicians who deal with the various symptoms and diseases should be aware of the existence of laryngeal tuberculosis and the changing patterns of the disease.

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질량모멘트 개념을 이용한 시공간적 가뭄해석기법의 적용성 분석 (The Applicability of Analysis Scheme for Spatio-Temporal Droughts Using Mass Moment Concept)

  • 유지영;소병진;김태웅;권현한
    • 한국수자원학회논문집
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    • 제45권10호
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    • pp.1069-1079
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    • 2012
  • 본 연구에서는 새로운 시공간적 가뭄해석 방법을 제안하기 위해, 강우관측지점별 가뭄사상을 추출하여 가뭄사상의 시작 시점이 동일한 강우관측지점을 선정하여 CASE를 구분하였다. 그 결과 SPI3에서는 36개, SPI6에서는 38개, SPI9에서는 40개, SPI12에서는 39개의 CASE가 분석대상으로 선정되었으며, 이를 이용한 연구방법의 적용성을 검토하기 위해, 과거 우리나라의 대표적 가뭄사상으로 알려진 장기가뭄과 단기가뭄에 대한 시공간적 가뭄발생특성을 재현하여 비교분석한 결과, 실제 과거가뭄사상에 잘 부합하는 것으로 확인되었다. 또한, 가뭄의 이동경로 및 전이특성을 분석하기 위한 방안으로 질량모멘트 개념을 이용하여 가뭄의 중심 및 영향권을 결정하는 새로운 가뭄해석 기법을 제안하였다. 그 결과 시간의 흐름에 따라 가뭄이 발생한 지역의 순서를 확인할 수 있었으며, 시공간적 가뭄패턴분석을 수행하기 위해서는 크게 두 가지로 구분되는 가뭄의 중심 및 영향권의 변화양상을 선행적으로 고려해야 함을 확인할 수 있었다.

행동수정과 유산소성 운동프로그램이 중학생의 혈중지질에 미치는 영향 (The Influence of Behavioral Modification and Aerobic Exercise Program on Blood Fat of Middle School Students')

  • 박종성;류록규;이한용
    • 보건교육건강증진학회지
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    • 제15권2호
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    • pp.119-142
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    • 1998
  • The purpose of this article is to provide a method of losing weight and early managing risky factors of geriatric diseases by having male and female obese middle school students' participate in behavioral modification and aerobic exercise, foster their own desirable behavioral habit and confidence in solving obesity and continue their living pattern all their life. In order to do this, 64, subjects over 20% obese degree obtained using the standard weight, belonging within 50% range of weight percentage per height(male:32, female:32) were grouped to 4 categories of aerobic exercise therapy, behavioral modification therapy, both therapies combinedly applied and control ones by 8 male and female students allocated to each group respectively, and they were practiced to each program for 12 weeks, and the findings between group were obtained as follows. 1. The male and female middle school students' cholesterol amount of blood fat reduced most in the combinedly performed group of aerobic exercise and behavioral modification therapy. It indicated a statistically significant difference between groups (F(3,56) =9.50, p=.000) and the measurements according to the application period of program as well (F(3,168)=554.94, p=.000). The cholesterol amount per measurement period reduced most between 8 and 12 weeks. 2. The male and female middle school students' high density fat amount increased most in the combinedly performed group of aerobic exercise therapy and behavioral therapy, its descending order of next highest rate was aerobic exercise therapy, behavioral modification therapy and control group. It indicated a statistically significant difference between the distinction of male and female sexes (F(1.56)=13.82. p=.000) and the measurements according to the application period of program (F(3,168) =55.58, p=.000). The high density fatty Quality per measurement period increased most between 8 and 12 weeks. 3. The male and female middle school students' low density fat amount reduced most in the combinedly performed group of aerobic exercise therapy and behavioral modification therapy. It indicated a statistically significant difference between groups (F(3,56)=17.35, p=.000) and the measurements according to the application period of program (F(3,168)=891.14, p=.000. The low density fat amount reduced most between 8 and 12 weeks. 4. The male and female middle school students' neutral fat amount reduced most in the combinedly performed group of aerobic exercise therapy and behavioral modification therapy. It indicated a statistically significant difference between the distinction of sexes (F(1,56)=9.54, p=.003) and groups (F(3,56) =25.57, p=.000) and the measurements according to the application period of program (F(3,168) =566.03, p=.000). The male students indicated the most reduction between 4 and 8 weeks. while the female students between 8 and 12 weeks.

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고농도 수은 노출자의 혈 중 및 뇨 중 수은 농도 변화에 관한 연구 (Patterns of Mercury Concentrations in Blood and Urine After High Mercury Exposure)

  • 윤충식;임상혁;하권철
    • 한국환경보건학회지
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    • 제27권3호
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    • pp.71-80
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    • 2001
  • Blood and urine mercury level of three workers were monitored during 60~80 days after high exposure to mercury at the silver refining plant. Mercury was used to form silver-mercury amalgam from plating sludge. Workers were exposed to mercury about 70 days at the several processes, such as hand held weaving, vibration table, and heating from the furnace. mercury was analysed by atomic absorption spectroscopy-vapor generation technique. Recovery from the biological sample was 95.51% and pooled standard deviation was 0.033. At the time of study, there was no work at the workplace. So, airborne mercury concentration was measured with area sampling 5 days after the work, ranged from 0.1459 to 1.2351 mg/㎥(Arithmatic mean 0.4711 mg/㎥, Geometric mean 0.3566 mg/㎥) at the inside of the plant, that is far above the ACGIH's TLV(0.025 mg/㎥) and ranged from 0.0073 to 0.0330 mg/㎥ at the outdoor. Blood mercury levels at the beginning of the monitoring were 4~14 times greater than the American Conference of Governmental Industrial Hygienists Biological Exposure Index(ACGIH BEI, 15 ug/L). Blood mercury levels were decreased logarithmically, that is, rapidly at the high level and slowly at the low level but sustained above the level of the ACGIH BEI 60~80 days after the work. Urine mercury levels at the beginning of the monitoring were 8~16 times greater than the ACGIH BEI(35 ug/g creatinine). Urine mercury levels were decreased logarithmically, but correlation between urine level and off-days were lower than those of blood. Decreasing pattern of blood mercury levels were little affected than that of urine levels when the chelating agent, D-penicillamine, was administered. There was correlation between blood mercury level and urine mercury level(0.81~0.83) but it didn\`t mean that the highest blood mercury level corresponded the highest urine mercury level. In our study, Case 1 always shows the highest level in urine but case 3 always shows the highest level in blood. Creatinine correction represented better correlations between urine mercury levels and blood levels, and between urine levels and off-days rather than by urine volume. Spot urine sampling had a wide variation than that of whole day urine sampling. So, We recommend spot urine sampling for screening and whole day urine sampling for exact diagnosis.

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편측안면경련에서 미세혈관감압술의 성적 (Results of Microvascular Decompression in Hemifacial Spasm)

  • 곽형준;김재휴;이정길;김태선;정신;김수한;강삼석;이제혁
    • Journal of Korean Neurosurgical Society
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    • 제30권4호
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    • pp.501-508
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    • 2001
  • Objectives : Hemifacial spasm is painless uncommon disorder characterized by involuntary paroxysmal movement on one side of face. It is known that hemifacial spasm is mainly due to pulsatile compression by vessels at the root exit zone(REZ) of the facial nerve. Microvascular decompression at REZ of the facial nerve has become the standard treatment modality for hemifacial spasm. The authors have analized patients with hemifacial spasm treated with microvascular decompression to evaluate operation result and clinical course after operation. Patients and Methods : From 1992 to 1999, 41 patients with hemifacial spasm underwent this operation. Retrospective analysis of operation results and clinical recovery patterns was done. The length of observation had been more than 6 months in all cases. Results : The ratio of male to female was 1:1.4, and age at operation ranged from 24 to 66 years. Their mean age was 47.6 years and the mean preoperative duration of symptoms was 7.2 years. Most common offending vessels were AICA in 18 cases(48%) and second most common were PICA in 13 cases(31.7%). The rest of them were 3 case in vertebral artery, and 7 cases(13%) in multiple offending vessels. Patterns of improvement after surgery could be divided into 4 clinical types. There was complete recovery in 3 days after operation in 24 cases(58.6%, Immediate complete recovery). There was complete recovery in 3 days after operation, and symptom was recurred partially, which was gradually subsided in 2 weeks after operation in 4 cases(9.8%, Delayed complete recovery type I). There was partial recovery after operation and symptom was compretely disappeared gradually in 6 months after operation in 7 cases(17.1%, Delayed complete recovery type II). Finally, there was partial recovery after operation, and symptom was somewhat remained after 6 months later(14.5%, Delayed partial recovery). Conclusion : In conclusion, microvascular decompression for hemifacial spasm is a safe and reliable treatment modality with good results of improvement and there are 4 recovery patterns in clinical course after operation in our series. Therefore, follow-up observation after microvascular decompression is necessary to evaluate the operative results and complication, especially in the delayed resolved cases.

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청소년기 장신구 착장에 관한 연구 - 라이프스타일과 의복행동을 중심으로 - (A Study on the Ornaments Wear of Adolescents - Focusing on the Life Style and Clothing Behavior -)

  • 최은영;전경란
    • 한국생활과학회지
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    • 제9권1호
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    • pp.137-152
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    • 2000
  • The purpose of this study was to investigate the disposition of adolescents in their ornament wearing pattern associate with their life style and clothing behavior. The subject of this study consists of 345 middle and high school girls living in Chung-Nam Province and Taejon Metropolitan City. SPSS/PC+ program was utilized to calculated frequency(N), mean value(M) and standard deviation(SD) for statistical analysis. Differences among the populations were examined through f test, ANOVA. The results of this study reveals that the ornaments wearing patterns are significantly different according to their life style and clothing behavior as follows: 1. Correlation between the wear of ornaments and the life style: School girls who pursue the modernistic life style prefer the fashionable ornaments (e.g. sunglasses) and they are always in contact with the latest information. On the contrary, school girls who pursue the practical life style emphasize on the practical use when they purchase the ornaments, e.g. umbrella. School girls having romantic or passive nature have a preference for the brand name and brand image of the ornaments and they in general would like to buy ornaments such as the bracelets. 2. Correlation between the wear of ornaments and the clothing behavior: School girls having sympathetic nature and being deeply interested in clothing put a stress on the latest fashion of the ornaments. They usually want to buy fashionable ornaments such as the cellular phone, beeper and sunglasses. Subjects who estimate themselves by their garments are sensitive to the price of the ornaments while aesthetes emphasize the brand image of the ornaments. Chaste school girls put their emphasis on the quality of the ornaments and they most want to have functional hair bands. Following suggestions can be made based on the discussions above: It is necessary for us to have correct understanding about the correlation between the ornaments and clothing of school girls in order to lead them to have appropriate clothing behavior. Furthermore, it is required to construct a bridge linking a course of study to rational habits guidance which will provide us more appropriate tools for clothing behavior guidance.

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사회경제적 지위에 따른 대구시 근린공원 질적 가치 형평성 (Qualitative Equity of Neighborhood Parks in Daegu According to Socioeconomic Status)

  • 정미정;정태열
    • 한국조경학회지
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    • 제48권2호
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    • pp.45-55
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    • 2020
  • 환경정의의 관점에서 도시공원은 시민들에게 신체활동 기회를 제공하는 중요한 어메니티 역할을 한다. 공정한 도시공원의 분배기준은 커뮤니티의 수요, 배경을 고려해 최대의 혜택을 나누는 것이다. 이에 본 연구는 사회경제적 지위에 따른 대구시 도시공원의 질적 공급 불균형을 분석하는 것을 목적으로 한다. 이를 위해 공원의 질적 수준 평가는 대구시 내 82개 근린생활권 및 도보권 근린공원을 대상으로 NGST(Neighborhood Green Space Tool)를 통해 진행하였다. 사회경제적 지위 변수(기초생활 수급자 비율, 한부모 가족 비율, 평균 주택매매가, 노후주택비율, 인구 당 공원 면적)는 그 형평성을 분석하였다. 조사를 통한 대구시 내 도시공원의 질적 형평성 특징은 다음과 같다. 첫째, 대구시 내 공원계획은 지자체 정책보다 주거단지와 병행해서 진행된다. 중심에서 외연부로 뻗어나가는 외곽주택지구 개발은 대구시 내 주민들의 사회 경제적 지위를 양분화 하였다. 구도심에 있는 행정동은 상대적으로 오래되고 제대로 관리 받지 못한 공원들이 많았다. 둘째, 대구시 내 근린공원은 전반적으로 레크레이션 시설 부족 문제를 겪고 있었으며, 이는 공원을 둘러싼 주거의 가치에 영향을 받았다. 레크레이션 시설 점수가 낮을수록 공원의 지형구배가 높았고 신체활동의 제약을 받았다. 셋째, 대구시 공원의 양적 공급은 공원의 질적 가치와 관련이 없었다. 일인당 공원면적은 충분했으나, 시민들이 생활권 내에서 실질적으로 사용하는 도시공원은 매우 적었기 때문에 질적 형평성을 나누는 기준이 될 수 없었다.

Trichoderma harzianum 유래 ${\beta}$-mannanase에 의한 Locust Bean Gum 가수분해 올리고당의 동정 및 Bifidobacterium spp.에 대한 생육활성 (Identification and Growth Activity to Bifidobacterium spp. of Locust Bean Gum Hydrolysates by Trichoderma harzianum ${\beta}$-mannanase)

  • 김유진;박귀근
    • Applied Biological Chemistry
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    • 제48권4호
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    • pp.364-369
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    • 2005
  • Trichoderma harzianum이 생산하는 ${\beta}-mannanase$의 최적 사면배지조성은 2.0% malt extract, 2.0% glucose, 0.1% peptone, 2.0% agar로, 효소생산 배지조성은 3.0% cellulose, 3.0% C.S.L, 1% $KH_2PO_4$, 0.2% $(NH_4){_2}SO_4$로 결정되어 $28^{\circ}C$, 130 rpm, 진탕배양법으로 조효소액을 생산하였다. ${\beta}-mannanase$의 최적 pH와 최적온도는 pH 4.5, $60^{\circ}C$에서 최대 상대활성을 나타내었다. Locust bean gum에 대한 효소적 가수분해 pattern을 TLC에 의해 검토한 결과 반응초기부터 반응말기까지 주요 생성물은 단당류, 중합도 4와 7의 올리고당으로 확인되었다. 중합도별 올리고당을 조제하기 위하여 activated carbon column chromatography에 250 ml/hr유속으로 tube당 20 ml씩 ethanol $0{\sim}50%$의 gradient법으로 분리 회수하였고, 분리된 각각의 올리고당 중 중합도4는 TLC $R_f$ value상으로 ${\beta}-1,4-mannotetraose$로, 중합도 7은 Methylation method에 의해 M-M-M-M-M 구조로 //G-G 동정되었다. (G-와 M-은 각각 ${\alpha}-1,6-D-galactosidic,\;{\beta}-1,4-mannosidic$ 결합을 나타냄). Bifidobacterium longum에 대한 생육활성을 기존의 MRS media와 탄소원으로 중합도 4와 7의 올리고당으로 대체하였을때 3.4배, 4.3배의 생육활성이 증가하였고, Bifidobacterium bifidum에 대해서는 1.2배, 1.1배의 낮은 활성을 나타내었다.

표면파탐사를 이용한 저수지 제체 그라우팅 보강효과 검증 연구 (A Validation Study on the Reinforcement Effect of Reservoir Grouting by Surface Wave Survey)

  • 배형섭;원경식;이영동
    • 지질공학
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    • 제28권2호
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    • pp.297-312
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    • 2018
  • 노후 제체의 안전진단 및 그라우팅 보강효과 판정을 위해 지자체와 관공서는 전기비저항탐사를 주로 활용하고 있으나, 전기비저항탐사는 다양한 탐사조건에 의해 비저항 값이 변하는 정성적 평가이다. 또한 제체의 안정성과 직결되는 강성변화(stiffness change)를 파악하기 어려워, 그라우팅 시공 후 지속적인 안정성 모니터링에는 그 적용성이 떨어진다. 이에 본 연구는 지반의 강성(${\mu}$)과 밀접한 관계가 있는 전단파속도(Vs, shear velocity)를 통해 시멘트 그라우팅 시공에 따른 제체의 정량적인 보강효과에 대한 검증방안을 연구하였고, 검증방안에 대한 적용성을 검토하였다. 본 연구는 2개소의 제체를 대상으로 수행되었으며, 시멘트 그라우팅 시공 전 후의 투수시험, 표준관입시험, 다운홀시험(Down-hole Test) 및 MASW(Multi-channel Analysis of Surface wave) 탐사결과를 대비 분석하여 보강효과를 평가하였다. 그라우팅 시공 전 후 전단파속도 변화는 위상속도차이(phase velocity difference) 및 역산해석(inversion analysis)을 통해 각각 분석하였으며, 현장시험 결과와의 비교를 통해 분석결과의 신뢰성을 평가하였다. D 제방의 경우 약 5~10%, H 제방은 약 10~20% 이상의 속도증가가 나타났으며, 현장시험결과와 유사한 양상의 결과를 나타냈다.

A Study on the Establishment & Functional Characteristics of Health Facilities for the Aged in Japan

  • Kim, Tae Il;Yoshida, Tomo Hiko
    • Architectural research
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    • 제8권1호
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    • pp.1-7
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    • 2006
  • Various housing measures are needed for the rapidly aging society of Korea. In particular, the welfare policy for the elderly has changed towards the community care. Taking this fact into consideration, it is necessary to have the establishment of a system that offers the elderly appropriate welfare services at their appropriate residence (ageing in place) for the effectiveness of the community care. In this aspect, there are a number of implications to Korea to study merits and demerits of the Health Facilities for the Aged (HFA) in Japan. The society of Japan has been rapidly aging since 1970, and Korea is to face the same situation. As for the data of this study, a total of 2,393 facilities (as of November 1999) mentioned in the annual report of the Japanese Ministry of Health, Labor and Welfare were classified based on types of their establishment: (1) free-standing structures (603 facilities); (2) annexes to hospitals (981 facilities); (3) annexes to welfare facilities (511 facilities); and (4) annexes to clinics (298 facilities). Next, 239 facilities were selected through taking a sample of 10 percent from each type of the HFA mentioned above. This was done through the random sampling method with the computer program of MS EXCEL. The Implications of the results of analyses are as follows. First, most of the health facilities were planned with the scale that was larger than the scale of standard special nursing homes in terms of the total floor area. Precise equations that were to obtain precise results of the scale of the HFA and the appropriate number of residents were obtained through the method of the regression analysis. Korea and Japan have similarities in terms of culture, society and family relations; however, the two countries also have differences in terms of the application of laws on the establishment of houses, hospitals, and welfare facilities. As for planning the scale of the HFA, the realities of Korea should be considered. Second, as for the functional aspect of the HFA with a condition of returning home, the place before and after the HFA showed the pattern of 'from a residential place to a residential place' and 'from a hospital to a hospital.' This reveals a close correlation with the types of the HFAs and operational ways of the facilities. Its cause is considered to be the aspect of the operation and management of the HFA rather than the aspect of its function of providing services in association with medical and health facilities. Therefore, when intermediate welfare facilities are considered in Korea, it is strongly advised to consider the problem of annexes to other facilities and efficiency of sharing of the facilities in terms of its operation and management.