• 정신신체의학
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• 제25권1호
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• pp.56-62
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• 2017

Objectives : The objective of this study was to investigate the relationship between psychological distress and pain in cancer patients. Methods : 249 patients with cancer who visited National Health Insurance Service Ilsan Hospital between April 2013 and March 2014 were evaluated with National Cancer Center Psychological Symptom Inventory(NCC-PSI) which consisted of Modified Distress Thermometer(MDT) and Modified Impact Thermometer(MIT). Each scale was divided into 3 subscales targeting separate symptoms: insomnia, anxiety, and depression. Psychological distress was defined as positive for those who scored above the cutoff values in at least one of all six subscales. The Numeric Rating Scale for Pain(NRS-Pain) was used to assess the subjective severity of pain. Logistic regression was performed to investigate the association between psychological distress and pain. Results : Univariate logistic regression analysis showed that pain, gender, compliance, and two subscale scores of Hospital Anxiety and Depression Scale(HADS) were significantly associated with psychological distress. Multivariate logistic regression analysis showed that pain and HADS anxiety subscale score maintained a statistically significant association with psychological distress adjusted for variables including age, gender, years of education, Eastern Cooperative Oncology Group performance status, cancer stage, Charlson Comorbidity Index, compliance, and HADS depression subscale score. One point increase in pain was 1.31 times more likely to cause psychological distress. In secondary analysis, pain was significantly associated with all subscales of NCC-PSI, except MIT-anxiety subscale. Conclusions : This study suggests that NCC-PSI, a screening tool for psychological distress, reflects pain. We recommend that physicians who treat cancer patients consider the examination of psychological distress which provides comprehensive evaluation of various factors regarding quality of life.

• 한국환경보건학회지
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• 제21권1호
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• pp.68-73
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• 1995

화합물질의 개발사용 및 환경오염 물질의 증가로 인하여 남성수태능력에 영향을 미치는 물질이 증가하고 있는 형편이다. 따라서 신속하고 경제적으로 남성 수태능력 영향물질을 평가하기 위하여 랫드의 고환세포를 이용한 남성 수태능력시험법을 개발하고자 본 시험을 실시하였다. 랫드의 고환 세포로부터 주요한 기능을 가진 Sertoli cell과 Leyding cell을 효소처리, 필터 그리고 percoll gradient과정을 거쳐 각각 분리하였다. 분리된 두 종류의 세포는 32$\circ$C에서 초기 배양한 후 37$\circ$C에서 계속 배양하였다. 본 배양조건에서 두 종류 세포는 양호한 발육을 보였으며 약 2주간의 배양이 가능하였다. Sertoli cell은 3주령의 랫드에서 분리가 잘되었고 Leydig cell은 85.7%의 생존율을 보였다. 이상의 결과와 같이 랫드의 고환세포중 Sertoli cell과 Leyding cell을 분리 배양하였으며, 앞으로 독성물질의 영향을 평가하기 위한 생화학적 및 구조적인 index 설정을 위한 연구가 필요하다고 사료된다.

• 대한기계학회논문집A
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• 제41권2호
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• pp.149-156
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• 2017

핵연료는 고도의 신뢰성과 안전성이 요구되는 구조물로서 손상유발 이물질이 유입되지 않도록 이물질여과 기구를 포함하고 있다. 핵연료의 이물질여과 성능은 건전성에 가장 중요한 영향 인자로 합리적이고 객관적으로 평가되어야 하는 지표이다. 본 연구에서는 표준 여과효율 성능지수를 수립하고자 가중평균을 이용하여 종합 이물질여과 효율 계산 방법을 제시하였다. 제안된 방법의 적합성을 확인하기 위해 대표 이물질 시편을 선정하고 이물질여과 실험을 통해 가중평균 여과 효율을 산술평균 여과 효율과 비교하였다. 가중평균법은 성능의 변별력을 강화하고자 이물질의 통과 가능 정도를 가중인자로 사용하였다. 부가적으로 이물질 시편의 크기와 여과 기구의 주요 치수에 따른 상용 핵연료의 여과 거동 분석을 수행하였다.

• 한국물환경학회지
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• 제34권3호
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• pp.251-269
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• 2018

In 1997, the environmental score (Q) corresponding the tolerance value of Korean benthic macroinvertebrate species and the related biotic score, the ecological score of benthic macroinvertebrates (ESB) were proposed; ESB was similar to Beck's biotic index or Chandler's biotic score. This study was carried out to revise the Q values of individual species and the assessment scheme of ESB based on the taxonomic performance and ecological information accumulated since then. The original ESB was renamed as TESB (total ESB), and AESB (average ESB) was newly proposed. AESB is calculated by dividing the TESB (for a given station) by the number of species present in the sample. In this study, TESB showed a positively skewed distribution, while AESB showed a negatively skewed distribution. The correlation between TESB and the concentration of $BOD_5$ was a little stronger than that of the original ESB. TESB showed a very strong correlation (correlation coefficient r = 0.98) with Margalef's species richness, of which correlation coefficient was higher than that of AESB (r = 0.85). AESB showed a strong correlation (r = -0.79) with the concentration of $BOD_5$, while TESB showed a weaker correlation (r = -0.67). Applying TESB and AESB together in an assessment of the environment may be comprehensive because the physical and chemical states of the environment can be evaluated together. AESB is less dependent on the sample size, while TESB tends to increase as the sample size increases. In the evaluation of the environment using TESB, it is necessary to standardize the methods on monitoring.

• 대한지역사회영양학회지
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• 제23권4호
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• pp.277-288
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• 2018

Objectives: This study was performed to verify the validity and judgment criteria setting of a health status assessment tool based on dietary patterns for middle-aged women. Methods: A total of 474 middle-aged women who visited the Comprehensive Medical Examination Center at Hanmaeum Hospital in Changwon were enrolled (IRB 2013-0005). The validity was verified using clinical indicators for the diagnosis of metabolic syndrome (MS), and it was used to set the criteria for the tool. A logistic regression analysis was performed for validation. The area under-receiver operation (AUC), sensitivity, specificity, and Youden Index were calculated through ROC curve analysis. Statistical analysis was performed by SPSS 21, and p value <0.05 was considered to be statistically significant. Results: The mean score of the group with no MS (73.3 points) was significantly higher compared to the group with MS (65.7 points) (p<0.001). An analysis of the association between the tool scores and risk of MS showed a 0.15-fold reduction in the risk of MS every time the tool's score increased by one point. As the result of the ROC curve analysis, the assessment reference point was set to 71 points, indicating 77.0% sensitivity and 61.0% specificity. Risk of MS was significantly higher in the group with a score of less than 71.0 than a group with more than 71 points (OR=5.28, p<0.001). Conclusions: This study was the first attempt to develop a health status assessment tool based on the dietary patterns for middle-aged women, and this tool has proven its usefulness as an MS assessment tool through the application of middle-aged women in the field of health screening.

• 한국화재소방학회논문지
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• 제14권4호
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• pp.7-16
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• 2000

본 연구에서는 대상물질을 선점한 후 그에 따른 세 가지 기준 즉 독성, 화재폭발, 환경기준과 각각의 피해예측기법을 설정하고 이 기준들을 알고리즘을 통한 통합한 종합위해등급으로서 선정된 대상물질에 적용하였다. 특히, 환경기준은 포괄적인 개념으로서 USCG 및 MSDS의 환경기준 분류와 NFPA의 건강위해성(Nh) 중 환경관련 부분을 조합하여 환경지수 모델화를 하였다. 또한 각 기준에 따른 피해예측 기법을 선택하여 지역별 인의에 위치한 화학물질 관련업체에 사용 또는 저장 중인 유해화학물질에 대해 적용하여 사용물질에 대한 종합위해등급 설정(단일물질에 대한 가연성, 독성, 반응성, 환경성에 대한 Hazard level 및 표시 모델화) 및 그에 따른 사고시 피해예측 강도산정 (CPQRA, IAEA, VZ eq), Risk contour를 구할 수 있었다. 이 결과 모든 화학공정 및 저장 등에서 발생할 수 있는 독성 누출, 화재폭발의 잠재적 위험성산정을 통한 안전성 평가의 Tool로 활용이 가능하다.

• The Korean Journal of Pain
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• 제34권1호
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• pp.82-93
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• 2021

Background: This study used bibliometric analysis of articles published about the topic of regional anesthesia from 1980-2019 with the aim of determining which countries, organizations, and authors were effective, engaged in international cooperation, and had the most cited articles and journals. Methods: All articles published from 1980-2019 included in the Web of Science database and found using the keywords regional anesthesia/anaesthesia, spinal anesthesia/anaesthesia, epidural anesthesia/anaesthesia, neuraxial anesthesia/anaesthesia, combined spinal-epidural, and peripheral nerve block in the title section had bibliometric analysis performed. Correlations between the number of publications from a country with gross domestic product (GDP), gross domestic product (at purchasing power parity) per capita (GDP PPP), and human development index (HDI) values were investigated with the Spearman correlation coefficient. The number of articles that will be published in the future was estimated with linear regression analysis. Results: Literature screening found 11,156 publications. Of these publications, 6,452 were articles. The top 4 countries producing articles were United States of America (n = 1,583), Germany (585), United Kingdom (510), and Turkey (386). There was a significant positive correlation found between the GDP, GDP PPP, and HDI markers for global countries with publication productivity (r = 0.644, P < 0.001; r = 0.623, P < 0.001, r = 0.542, P < 0.001). The most productive organizations were Harvard University and the University of Toronto. Conclusions: This comprehensive study presenting a holistic summary and evaluation of 6,452 articles about this topic may direct anesthesiologists, doctors, academics, and students interested in this topic.

• Journal of Ginseng Research
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• 제46권4호
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• pp.543-549
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• 2022

Background: In physical activity or labor, the human body is in a state of high intensity stress, and all parts or physiological functions of the body respond positively to maintain or balance the need for movement. The human body has many physiological changes in the process of movement, and fatigue is the external manifestation of various complex changes inside the human body. Fatigue is also a physiological mechanism of self-protection after the body reaches a certain level of activity, which can prevent the occurrence of life-threatening excessive functional failure. The generation of fatigue is a very complex process, and its mechanism has not been concluded yet. Therefore, it is an important work to search and screen the effective components of natural plants that have anti-fatigue effect and to explore their mechanism. Methods: This was a 8-week, randomized, double-blind, placebo-controlled clinical trial. A total of 110 subjects who passed physical examination were included according to the scheme design, and randomly divided into a test group which was given KRG and a placebo control group. The calculation is carried out according to the standard of sub-high-intensity exercise test. Results: There was no adverse effect on safety index of subjects after taking red ginseng capsule. After KRG treatment, subjective strength grade is significant lower than placebo treatment. Blood lactic acid content is significantly get lower after trial in KRG group, and significant lower than placebo group. Creatine phosphokinase(CK) content is significantly get lower after trial in KRG group, and significant lower than placebo group. Conclusion: According to the criterion in the test scheme, the result shows that KRG is helpful on relieving physical fatigue.

• 대한후두음성언어의학회지
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• 제33권2호
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• pp.103-109
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• 2022

Background and Objectives The Voice Perceived Present Control scale (VPPC) has been developed to provide better insight into patients' perceived control over their thoughts or behaviors related to voice disorders. The objective of the present study was to validate the Korean VPPC (K-VPPC) by evaluating its internal consistency and reliability. Materials and Method All items of the English VPPC were translated into Korean. Content validity was analyzed through three Delphi survey rounds by an expert panel (n=44) with active clinical and research experience in treating dysphonic patients. Twenty-three patients with a heterogeneous diagnosis of dysphonia and twenty-three gender-matched vocally normal controls (total n=46) were asked to complete the K-VPPC and the Korean Voice Handicap Index-10 (KVHI-10). Psychometric properties including internal consistency and reliability were evaluated to examine the appropriateness of cross-cultural use of K-VPPC. Results Cronbach's alpha coefficient of K-VPPC was 0.89 for dysphonic patients, indicating good internal consistency in clinical samples. Furthermore, patients with dysphonia scored significantly lower on the total score of K-VPPC and higher on voice handicap than the vocally normal controls. Spearman's correlation coefficients indicated an inverse and moderate association between the K-VPPC and all domains of KVHI-10 (Spearman's r=-0.44- -0.68). Conclusion The findings of the current study indicated that the K-VPPC is a valid and reliable tool for the assessment of perceived control in Korean patients with dysphonia. Therefore, the K-VPPC could be a useful and complementary tool for the comprehensive evaluation of dysphonia, thereby improving care in Korean patients with voice disorders.

• 마케팅과학연구
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• 제17권2호
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• pp.55-73
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• 2007

문화관광축제는 전국의 지역축제 가운데 광역시 도에서 추천한 축제 가운데 관광상품성이 크고, 경쟁력 있는 우수한 축제를 선정하여 지원하는 사업이다. 문화관광축제 종합평가계획(문화관광부, 2006)에 의하면 방문객의 만족도 평가, 전문위원 평가, 그리고 축제 개선실적 등을 감안하여 최우수축제, 우수축제, 유망축제, 예비축제로 선정되고 있다. 특히 예비축제를 제외한 문화관광축제는 공공부문의 사업비 지원을 받기 때문에 1,000여 개가 넘는 지역축제의 방문객 만족도 평가는 상호비교가 가능한 평가척도를 이용하여 종합평가분석이 이루어진고 있다. 이러한 견지에서 본 연구에서는 문화관광축제 공통평가속성이 방문객 만족과 사후행동의도에 미치는 영향관계를 파악하여, 향후 축제기획 시 방문객 만족도 제고와 지속가능한 문화관광축제로 선정되기 위한 시사점을 제시하였다. 본 연구에서는 이론연구를 통하여 문화관광축제 평가속성, 만족, 그리고 행위의도에 관한 변수를 도출하였으며, 2006 광주김치대축제 방문객을 대상으로 실증분석을 수행하였다. 문화관광축제 평가속성에 대한 요인분석을 통하여 홍보안내, 행사내용, 기념품 음식, 편의시설 요인을 도출하였으며, 축제방문객 만족과 행동의도와의 관계를 분석하였다. 연구모형을 통해 수립한 연구가설은 차이분석, 회귀분석, 공분산 구조분석 등을 통해 검증하였으며, 연구결과 모든 가설은 채택되었다. 향후 본 연구결과를 바탕으로 본 축제와 성격이 유사한 축제방문객 분석을 통한 비교연구를 기대한다.