• 한국음향학회지
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• 제24권6호
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• pp.353-357
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• 2005

이과적인 질환이나, 소음에 의한 청력소실이 없는 경우에도 노화에 의한 청력의 변화에 대해서는 잘 알려진 사실이다. 노인들의 청력에 대한보고는 있었지만, 한국인의 노화에 의한 청력변화에 관한 보고는 드물고, 남녀의 차이에 대한 연구는 제한적이며, 아직도 이견이 있다. 최근 조선대학교에서 개발한 청력검사결과 관리 프로그램 (ARCISM)을 이용하여 한국인의 노화성 난청에 대한 기준 청력범위를 구하고자 연구를 시도하였다. 일 년여 동안 대구파티마병원 건강검진센터에 방문한 환자 중 문진에 응한 1603명의 청력검사결과를 소음에 노출된 경우나 기타 이과적인 질환을 배제한 후, 노화에 따른 청력의 변화에 대해 20대에서 80대까지의 청력도를 구하였다. 나이에 의한 주파수 대역별 청력역치의 상승을 통계학적으로 유의하였으며. 고주파수로 갈수록 그 정도가 심하였다. 특히 4kHz와 8kHz에서 남자에 있어서 여자보다 통계적으로 유의하게 청력소실이 더 크게 나타났다. 개발한 프로그램의 운용으로 방대한 청각검사자료를 이용하여 쉽게 노화에 따른 청력 변화에 대해 기준청력범위를 구할 수 있었고, 향후 노화성 난청의 재활이나 한국형 보청기 개발에 기초자료로 활용될 것으로 생각된다.

• 대한임상독성학회지
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• 제8권1호
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• pp.7-15
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• 2010

Purpose: There are an insignificant number of studies done on the demographics of intoxication patients and on the characteristics of toxic exposure on a long term basis in Korea. The objective of our survey is to investigate the epidemiologic characteristics of intoxication in a metropolitan emergency department in order to more efficiently manage intoxication patients. Methods: We retrospectively reviewed the medical records of intoxication patients who visited the emergency department of a high end medical facility between January, 1998 and June, 2009. We investigated the trend of the substances people became intoxicated with during the study period and we analyzed the age, gender, year and distribution of patients and the outcome of the patients. Results: There were 1544 cases of intoxication during the study period, and the cases made up 0.37% of the total visitors to our emergency department, which is a high end medical facility located in the city. Most of the patients were female (70%) in their twenties and thirties. The most commonly ingested intoxication substances were sedatives, analgesics and pesticides. Unlike in the province, antidepressant abuse is on the rise while pesticide abuse is falling. The overall admission rate was 24.8% and the mortality rate was 1.6%. Pesticides intoxication was the most common cause of death (76%). Pesticides intoxication, a male gender and old age were the most significant fatality-related factors. Conclusion: We think that there is a need to investigate the actual conditions of drug intoxication in the city and prepare measures to prevent drug intoxication.

• Archives of Plastic Surgery
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• 제33권3호
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• pp.347-352
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• 2006

Ingrowing toenail has been treated conventionally by various surgical treatment modlities. However, none of these procedures are perfect to achieve esthetic results with low cost, recurrence, and complication rates. Although mild cases can be treated conservatively, in severe recurrent cases, surgical treatment is preferred. The purpose of this study is to evaluate the effectiveness and safety of using partial matricectomy and paronychial advancement flap for correction of recurrent ingrowing toenail. Eight patients suffering from recurrent ingrowing toenail were operated using partial matricectomy and paronychial advancement flap in our department from August 2004 to August 2005. The number of recurrent episodes ranged from 2 to 5. With digital nerve block, the excision area was marked on nailplate and inflammed lateral nail fold. The horizontally designed paronychial flap considering defect size was effective for wide exposure of the neighboring germinal matrix, which is later to be completely excised or cauterized because remnant germinal matrix made postoperative spicule formation. The nailplate on the affected side was removed about 3-5 mm width longitudinally, being cautious not to damage the proximal dorsal nail fold. The same width of the sterile matrix including germinal matrix was excised longitudinally with inflammed granulation tissue and partial lateral nail fold on the affected side. The subcutaneously elevated paronychial flap was advanced to cover the defect and was anatomically sutured with 5-0 nylon sutures. We evaluated our procedure's effectiveness by examining some factors such as cosmetic results, recurrence, spicule formation, postoperative pain and duration of return to normal activities. In eight patients, no complication was observed such as recurrence, severe pain and spicule formation except for 1 case of infection. Postoperative discomfort was minimal. Average duration of return to normal activities was 12 days. Cosmetically the results were acceptable in all patients. The partial matricectomy and paronychial advancement flap for correction of recurrent ingrowing toenail were found to be technically simple, efficient procedure with a relative low recurrence rate and better cosmetic results.

• Archives of Plastic Surgery
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• 제35권6호
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• pp.698-702
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• 2008

Purpose: Basal cell carcinoma is one of the most common cancers in the western population and the annual incidence rate is still on an increasing course. In Asian countries such as Korea, the incidence of basal cell carcinoma is reported to be remarkably low but is estimated to be in a steep increase nowadays. This study was to analyze the recent clinical trends of basal cell carcinoma in Korea by reviewing a single institution's experience. Methods: Throughout an 11-year period, the surgical excision of 143 cases of basal cell carcinoma was performed in our department. General data of these cases such as the primary site of cancer, age and sex of the patient, operative methods, recurrence rate were reviewed retrospectively. Results: Among the 143 patients included in this study, 82 patients were men and 61 patients were women. The ages ranged from 27 to 89 years with a mean age of 64.0 years. The head and neck region was the most frequently involved primary site for the cancer as 95.1% of the total cases occurred in this area. Especially the nose and perinasal area were the most frequent region, which was followed by the periorbital area, cheek, and perioral area. During this study period, 9 cases showed recurrence of the cancer as the overall recurrence rate was 6.3%. Conclusion: Gradual increase in the incidence of basal cell carcinoma was demonstrated in this study. Basal cell carcinoma showed high incidence in the old-age population as 68.5% of the total patients were more than 60 years of age. High recurrence rate was noted in the nasal region especially after local flap reconstruction. A more cautious approach is to be required when handing such high risk lesions. Multiple factors such as extended life span, increased outdoor leisure activity and exposure to sunlight, higher accessibility to medical services and increased understanding of the public about skin cancer are assumed to be the main reasons for this increase of basal cell carcinoma.

• 한국산업보건학회지
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• 제8권1호
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• pp.76-87
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• 1998

The concentration of welding fume was measured by 221 welders themselves in chassis frame workplace of the manufactory from February, 1, 1996 to May, 31, 1997. Welding parameters were the welding current and the distance between helmet and arc. Those two optimum conditions were proposed by excess probability analysis using logistic regression, so the best position in the workplace was proposed considering two factors to control the welding fume. The results are as followings; 1) The excess proability of welding fume TLV was over 99% in above 260 Amperes of welding current and also in below 30cm of distanced between helmet and arc. 2) The equation from logistic regression analysis using SPSS/PC+5.02 had the welding current as a independent variable and the excess of welding fume TLV as a dependent variable (p<0.05). Logit(welding fume TLV) = 0.1296 ${\times}$ wlding currnet - 28.8750 3) The equation from logistic regression analysis using SPSS/PC+5.02 had the distance between helmet and arc as a independent variable and the excess of welding fume threshold limit value a, a dependent variable (p<0.05). Logit (welding fume TLV) = -0.6809 ${\times}$ distance between helmet and arc +25.1665 4) Considering both cases or 2) and 3). the result equation is following. (p<0.05). Logit (welding fume TLV) = 0.1346 ${\times}$ welding current -0.3859 ${\times}$ distance between helmet and arc -15.7382 5) The excess probability of welding fume threshold limit value was 100% in above 240 Ampere of welding current. Thus, below 220 Ampere can be suggested to reduce the 40% number of welders who have a excess welding fume threshold limit value. 6) The excess probability of welding fume TLV was 100% in below 34cm of distance between helmet and arc. Thus, over 38cm can be suggested to reduce the 33% number of welders who have a excess welding fume TLV. 7) Considering both 5) and 6) cases, first of all, the best welding current can be 200 Ampere to have a below 15% of welding fume excess probability for the welders who works in distance of 34-37cm. Secondly, to have a below 30% excess probability of welding fume TLV, the working distance must be over 38cm in 220 Ampere and 32cm in 200 Ampere. 8) To reduce the average exposure concentration of welding fume ($8.21{\pm}5.83mg/m^3$), the movable local exhaust system equipped with flexible hoods can be used.

• Toxicological Research
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• 제22권1호
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• pp.23-30
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• 2006

Among poly aromatic hydrocarbons, dioxin and PCBs are the most controversial environmental pollutants in our modern life. These pollutants are known as human carcinogens, and liver is the most sensitive target in animal cancer models. Specific aims of the study were focused on the mechanism of carcinogenesis in hepatocytes and the structure-activity relation among these diverse environmental chemicals. Because key mechanisms of dioxin-induced carcinogenesis in human epithelial cell model are the alteration of signal transduction pathway and PKC isoforms, the alteration of the signal transduction pathways and other factors associated with carcinogenesis were studied. Rat hepatocytes cultured under the sandwich protocols were exposed with the various concentration of dioxins and PCBs, and signal transduction pathway, protein kinase C isoforms, oxidant stress, and apoptotic nuclei were evaluated. Since it is important to understand the structure-activity relation among these chemicals to properly assess the carcinogenic potentials, the study analyzed the parameters associated with carcinogenic processes, based on their structural characteristics. In addition, signal transduction pathways and PKC isoforms involved in inhibition of UV-induced apoptosis were also analyzed to elaborate the tumor promotion mechanism of these chemicals. Induction of apoptosis by UV irradiation was optimal at $60\;J/m^2$ in primary hepatocyte in culture. Compared to non coplanar PCBs such as PCB 114 and PCB 153, coplanar PCBs such as PCB 77 and PCB126 showed a stronger inhibition of apoptosis induced by UV irradiation. Production of reactive oxygen species (ROS) was more stimulated by non-coplanar PCBs than coplanar PCBs with the most potent induction of ROS by chlorinated non-coplanar PCB. As compared to the level of induction by PCB126, non-coplanar PCB153 showed a higher increase of intracellular concentrations. Besides the alteration of intracellular calcium concentration, translocation of PKC from cytosolic fraction to membrane fraction was clearly observed upon the exposure of non-coplanar PCB. Taken together, the present study demonstrated that there is a potent structure-activity relationship among PCB congeners and the mechanism of PAH-induced carcinogenesis is structure-specific. The study suggested that more diverse pathways of PAH-induced carcinogenesis should be taken into account beyond the boundary of Ah receptor dogma to assess the health impact of PAH with more accuracy.

• 대한치과보철학회지
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• 제51권1호
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• pp.47-51
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• 2013

골유착성 임플란트의 등장으로 결손치의 수복이 가능하게 되어 전통적인 고정성 또는 가철성 국소의치가 임플란트로 대체되어가고 있는 추세이다. 특히 젊은 환자의 경우 보철물의 수명과 함께 심미적인 결과를 고려해야 한다. 임플란트는 장기간의 성공적인 치료 결과와 함께 기능적인 회복을 이룰 수 있으나, 치은 퇴축으로 인한 변연부 노출, 치간 유두 상실로 인한 비심미적인 연조직, 금속 지대주, 상부 도재관의 투명도 감소 등은 임플란트 수복 시 정상적인 저작 기능 회복은 이룰 수 있으나 심미적으로는 불리한 결과를 보일 수 있다. 최근 CAD/CAM technology를 이용한 지르코니아는 충분한 강도와 파절 저항성을 가져 정상적인 저작 기능이 가능하고, 뛰어난 굴곡강도로 고정성 보철물, 가철성 의치 보철물에 다양하게 응용되며, 생체 적합성이 뛰어나고, 색조 재현성에서도 금속에 비해 심미적인 결과를 보이며 전치부와 구치부의 보철 치료에 이용되고 있다. 그리고 pressed ceramic technique을 이용한 전부 도재 보철 수복은 기존의 전통적인 도재 축성 과정보다 우수한 파절 저항성을 보인다. Pressed ceramic technique 은 상부의 도재 축성 과정이 왁스업을 통해 용융, 주조 되어 최종 보철물의 형태를 왁스업 단계에서 조절할 수 있는 장점이 있다. 임플란트를 포함한 본 증례의 보철 수복은 임시 보철물의 치경부 형태를 조절하여 심미적인 연조직을 재현하고자 하였고, 임시 보철물의 형태를 왁스업으로 복제하여 원하는 형태의 최종 보철물을 제작하였다. 본 증례에서는 임플란트 치료에 있어서 지르코니아와 pressed ceramic technique을 적용하여 기능적이고 심미적으로 양호한 결과를 얻었다.

• 대한소아치과학회지
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• 제30권2호
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• pp.326-333
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• 2003

매복치의 적절한 맹출 유도를 위해서는 유치의 상태, 치조골과 치아와의 상관관계, 환자의 치령, 치료에 대한 환자의 협조도 및 경제적 상태의 고려 등 많은 요소에 좌우되는 복잡한 치료계획이 필요하다. 만약 맹출장애의 원인이 발견되었다면, 맹출 유도를 위해서는 원인의 제거와 다양한 술식이 사용될 수 있다. 특히 치아이식법은 매복된 치아의 위치가 외과적인 노출과 후 교정적인 견인이 어려운 곳에 존재하는 경우, 발치에 앞서 사용할 수 있는 유용한 방법이다. 본 증례는 매복 상악 견치의 자가이식을 시행한 3증례를 보고한 것으로, 자가이식 치료 후 관찰 결과 다음과 같은 결론을 얻었다. 공여 치아 제거시 가해지는 외상이 최소가 되게 하여야 한다. 치근단이 완성된 치아를 이식할 경우에는 치수괴사의 가능성이 높으므로 치수치료를 고려하여야 한다. 복잡한 매복증례에서 교정치료시 소요되는 경비 및 시간을 고려하여 치아이식을 시행할 수도 있다. 수용부의 치조와는 공여 치아의 치근보다 약간 커야 하며, 공여치아의 치근 크기와 치조골의 순설측 폭경에 따라 open 또는 closed procedure로 형성할 수 있다.

• 대한불안의학회지
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• 제4권2호
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• pp.142-147
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• 2008

Objective : Evidence from recent studies supports the role of genetic factors in the development of Posttraumatic Stress Disorder (PTSD). The primary aim of this study is to investigate the association between the dopamine D2 receptor (DRD2) TaqI A polymorphism and PTSD. The second aim is to examine the association between the DRD2 TaqI A polymorphism and clinical symptoms in patients with PTSD. Methods : We recruited 189 Vietnam veterans for participation in this study, among whom 99 were PTSD patients and 90 were control subjects. The presence of the DRD2 TaqI A polymorphism was determined by polymerase chain reaction (PCR). Several standardized research scales were used in the clinical assessment of PTSD, including the Combat Exposure Scale (CES), Clinician Administered PTSD Scale (CAPS), Beck Depression Inventory (BDI), and Clinical Global Impression (CGI). Results : There was no significant difference in the distribution of the DRD2 genotype, frequency and prevalence of the A1 allele, or the frequency of heterozygotes between the patients with PTSD and the controls. In the PTSD group, the patients with the A1 allele (A1A1, A1A2) scored higher on the CAPS-total (p=0.044), CAPS-avoidance symptoms (p=0.016) and BDI (p=0.024) than those without the A1 allele (A2A2). Conclusion : We could not find an association between the dopamine D2 receptor (DRD2) TaqI A polymorphism and PTSD. However, the A1 allele of DRD2 seemsto influence avoidance symptoms in patients with PTSD.

• 한국지리정보학회지
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• 제11권4호
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• pp.85-93
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• 2008

전통적으로 마을에 인접하여 인위적으로 조성되거나 관리 및 이용되어온 한국의 전통마을숲은 그 역사가 6-7세기까지 거슬러 올라간다. 마을숲 조성의 배경은 흔히 주변의 언덕, 물길과 바람통로 등 마을주변 자연환경과 관련되는 것으로 전해진다, 정착한 마을과 조성된 마을숲간의 위치관계를 지형적 유형으로 특징을 파악하고, 이를 바탕으로 "마을숲"이 "주체인 마을"의 생활환경에 어떤 기여를 하고 있는지에 대해 검토하였다. 약 500개 이상의 문헌조사와 현장 확인을 통해 전남 북지역과 경북지역 40개 마을숲에 대해 항공사진, GIS에 의한 3차원분석 등을 통해 마을숲과 마을 주변의 지형적 관계를 유형화 하고 조성 의미를 고찰하였다. 지형적 특징에 따른 유형별 마을숲은 다양한 생태계 및 생활환경개선 효과를 마을에 제공할 것으로 추정되나, 본 연구에서는 대상지의 위치적 특성이 마을 주민의 생활상에 미칠 수 있는 영향과 마을숲 조성의 효과에 기여할 수 있는 역할에 대해 살펴보았다.