• 대한소아치과학회지
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• 제43권4호
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• pp.410-418
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• 2016

본 연구는 전주시 8 - 9세 어린이 950명을 대상으로 임상 검사를 통해 MIH 유병률과 MIH 증상을 보이는 치아의 저광화 정도 및 상태에 대해 알아보았으며, MIH 위험 요인에 관한 설문조사를 통해 병인을 조사하였다. MIH 유병률은 7.1%였으며, 이환된 치아의 저광화 정도는 통계적으로 유의한 차이를 보였다(p < 0.05). 제1대구치가 절치에 비해 이환 빈도가 높았으며, 특히 MIH code 2a와 3은 제1대구치에서만 관찰되었다(p < 0.05). 위험 요인에 대한 설문조사에서는 산모의 스트레스와 항생제 복용, 출생 시 저체중과 출생 후 3년 이내의 입원 경력, 빈번한 호흡기 감염, 고열 그리고 항생제의 장기간 복용이 MIH와 유의한 관련성을 보였다(p < 0.05). 위험 요인들 상호간의 관련성은 임신기간 동안 항생제를 복용한 경우에서만 높은 연관성을 보였다(p < 0.05).

• 한국잠사곤충학회지
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• 제47권1호
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• pp.18-30
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• 2005

국내 자생 동충하초균의 발생환경과 그 발생빈도를 조사하고 수집된 표본의 형태적 특성에 의해 동정하였다. 국내 산지 19개소에서 1999년부터 2002년까지 수집된 동충하초는 5속 17종이었으며(Cordyceps gracilioides, C. japonica, C. longissima, C. martialis, C. militaris, C. myrmeopila, C. nutans, C. pruinosa, C. sphecocephala, C. tricentri, Hirsutella nutans, Paecilomyces cicadae, P. farinosus, P. tenuipes, paecilomyces sp., Shimizuomyces paradoxa, Tilachidiopsis nigra), 그 외 중국도입 C. sinensis균 특성ㄷ 추가조사하였다. 국내수집 균주는 계곡 및 저습지, 이끼지역, 활엽수림 등에 주고 분포하였으며, 제한된 조사지역과 채집시기에 비하여 다양한 종이 발견되었으나, 종별 채집 수는 10여 점으로서 발생빈도는 대체로 낮았다. 제주도는 내륙과 격리된 남쪽에 위치하므로 비교적 온난하며 한라산은 기후의 수직분포가 커서 종의 분포가 다양하며 특이한 것으로 평가된다. 수집종은 온도가 높고 습기가 많은 8월 초순에 많이 채집되었으며, C. nutans, C. militaris, P. tenuipes의 발생빈도가 현저히 높았고 그 중에서 C. nutans는 667념 중 65%로서 우점종이었다. Cordyceps는 숙주개체 당 1~2개의 자좌를 형성하며, 자낭각 배열과 이차포자 발달에는 종내 변이가 없으나, 자좌의 수, 형태, 색상 드은 발생환경 및 숙주에 따른 변이가 인정되었다.

• 여성건강간호학회지
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• 제4권3호
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• pp.309-321
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• 1998

The purpose of this study was to analyze the contents related to health in the three major monthly women's magazine that was printed from March, 1997 to February, 1998. The unit of analysis was the section of health, living life, and reaing child. The total number of related story of health was 317. The analysis was done according to the target, health management, topics and the informer by using frequency and number. The findings are as follows : 1. The contents were categorized by target people. The number of items for women was 113(35.6%), child(17.4%), family(15.5), husband(4.7%) and others(26.8%). Others were the contents that are impossible to classify. 2. The number of items of contents by health management was the related to health maintenance and promotion 120(47.8%), health care when they were deviated from health 26(10.3%), and those of both attributes 105(41.8%). 3. The number of items of contents by topics was the related to the occurrence, prevention and treatment of various kinds of disease 41(12..9%), diet 37(11.7%), academic information 11.3%, women's disease 10.4%, the effect of foods 6.0%, child's growth & development and child care 5.75, various kinds of therapy for health care 5.7%, sexual life 5.4% and exercise 4.7%. 4. The number of items of contents by informer was medical doctor 215(49%), lay person's case report or report of a struggle against a disease 12.3%, relevant organization of a related story(eg. family therapy research institute, physical therapist's or teacher's) 11.2%, and the contents of existing books or lecture 8.9%. Among those contents, only the one case from nurse or Korean nurses association as informer was founded, which is related to "skinship child care." In conclusion, this finding showed that women's magazine took a role as a important resource providing informations of health to women. it provides a challenge to the health professionals to have concerns on women's needs, and the content, source, and accuracy of the health related information and take part in the process producing information through such as screening and examining so as to give accurate information to women. Then women's magazine can take a role as a major resource for maintaining and promoting women's health. Finally, nurses's, who are professional health care providers, important and active role as informers toward the lay persons, especially for the women who are non-professional care givers at the family unit should be stressed. More active and continual monitoring and analyzing the contents related health in the mass media including magazine and Internet network in detail, and participating in establishing the system of adequate and precise information for women and lay persons from the nursing profession are required absolutely.

• Archives of Plastic Surgery
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• 제45권2호
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• pp.102-110
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• 2018

Debridement is a crucial component of wound management. Recent technologies such as hydrosurgery (Versajet), ultrasound therapy (the MIST therapy device), or plasma-mediated bipolar radio-frequency ablation therapy (Coblation) seem to represent interesting alternatives for wound debridement. The purpose of this systematic review was to describe, evaluate, and compare these three recently developed methods for the management of chronic wounds. In January 2016, an electronic database search was conducted of MEDLINE, PubMed Central, and Embase for articles concerning these three innovative methods for the management of chronic wounds. A total of 389 references were identified by our search strategy, and 15 articles were included. We extracted data regarding the number and age of patients, indications, operating time, number of procedures, costs, wound healing time, decrease in exudation, perioperative blood loss, bacterial load, and the occurrence of complications. The 15 articles included studies that involved 563 patients who underwent hydrosurgery (7 studies), ultrasound therapy (6 studies), or Coblation (2 studies). Six randomized controlled trials were included that compared the use of a scalpel or curette to hydrosurgery (2 studies) or ultrasound therapy (6 studies). Hydrosurgery, in addition to being a very precise and selective tool, allows significantly faster debridement. Ultrasound therapy provides a significant reduction of exudation, and improves the wound healing time. No comparative study dedicated to Coblation was identified. Despite the obvious clinical interest of the topic, our review of the current literature revealed a lack of prospective randomized studies comparing these devices with each other or with standard techniques, particularly for Coblation and hydrosurgery.

• 한국해안·해양공학회논문집
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• 제32권2호
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• pp.106-121
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• 2020

항 외곽시설 신뢰성 설계가 합리적으로 구현하기 위해서는 우리나라 해양환경 특성이 반영된 확률모형이 필요하며 이러한 시각에서 본 연구에서는 천 해역 확률모형 개발을 위한 기초연구의 일부로 불규칙 파랑 천수 과정을 수치 모의하였다. 수치 모의는 자연해안에서 흔히 관측되는 사주가 원빈에 형성된 해안을 대상으로 수행하였으며 파랑모형은 spatially filtered Navier-Stokes Eq., LES[Large Eddy Simulation], one equation dynamic Smagorinsky turbulence closure 등으로 구성하였다. 불규칙 파랑은 우리나라 동해안에서 관측되는 너울 특성을 반영하기 위해 다양한 첨두 증강계수를 지니는 JONSWAP 스펙트럼과 random phase method를 사용하여 모의하였다. 파고분포의 모수는 먼저 수치 모의에서 관측된 자유수면 시계열 자료를 threshold crossing method로 파별 해석[wave by wave analysis]하여 개별 파랑을 특정하고, 이어 이렇게 특정된 파마루와 파곡 빈도 해석결과로부터 산출하였다. 모의결과 현재 천 해역 파고분포를 대표하는 수정 Glukhovskiy 파고분포는 큰 파고와 작은 파고 발생확률은 과다하게, 중간 크기 파고 발생확률은 과소하게 평가하는 것으로 모의 되었으며, 이에 반해 본 논문에서 제시된 파고분포의 경우 일치도가 상당하였다. 또한, 전술한 수정 Glukhovskiy 파고분포와의 간극은 쇄파역에서 제일 현저하게 관측되어 수정 Glukhovskiy 파고분포를 쇄파역 언저리에 거치되는 외곽시설 신뢰성 설계에 적용하는 일은 지양되어야 할 것으로 판단된다.

• 한국안전학회지
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• 제37권2호
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• pp.28-34
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• 2022

This study analyzes the impact that accidents and near misses have on clients' and contractors' awareness of safety culture. Due to the unique characteristic of employment structure in Korea, the occurrence of accidents differs by company size, which has relevant implications for the establishment of safety culture. Attention has been drawn to the importance of the management of accidents and near misses, with safety awareness acting as a core factor. A positive effect on the prevention of accidents could be achieved by noting the difference in safety awareness between clients and contractors and suggesting an associated suitable safety management system. In support of this study, a survey was distributed to workers in the automobile manufacturing industry (May-August 2020), and data from a total of 574 workers was collected and analyzed, including 399 clients' worksers and 175 contractors' workers. The questionnaire addressed participants' experiences of accidents and near misses as well as 50 items from the Nordic Occupational Safety Climate Questionnaire. Analysis of the responses was conducted using the methods of frequency analysis, Fisher's exact test, t-test, correlation analysis, and regression analysis. The results demonstrated that clients had more experiences with accidents and near misses compared to contractors. Additional differences between clients and contractors were noted in terms of the safety culture factors of learning, communication, and trust. A correlation was observed between the experience of accidents and safety justice management: for clients and contractors who experienced accidents, safety justice management was 9.4 times higher. Furthermore, clients' and contractors' awareness of employees' commitment to safety was determined to be 28.5 times higher in those who had experienced near misses This study concludes that, in order to improve accident prevention through the management of accidents and near misses, clients must focus on overseeing safety justice management and aspects of safety culture factors, while contractors must focus efforts on managing employees' commitment to safety. In further applications, this study could provide baseline data for health and safety activities in terms of the safety culture of clients and contractors. Further study on the establishment of safety culture as related to employment structure is proposed for future research.

• 임상간호연구
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• 제28권2호
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• pp.137-145
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• 2022

Purpose: This retrospective chart review study was conducted to examine the frequency of delirium and to identify the risk factors of delirium in elderly surgical patients. Methods: The subjects of this study were 394 patients aged 65 years or older who underwent surgery. The diagnosis of delirium was based on the nursing assessment records with scores from the day of surgery to the 4th day after surgery. The collected data were analyzed by binary logistic regression analysis. Results: The incidence of delirium was 4.3%, and delirium occurred most frequently on the first day of surgery and lasted for 2.16 days on average. Of delirium patients, 76.5% underwent gastrointestinal surgery, and the most common delirium pattern was disorientation. In terms of the characteristics of the subjects, the occurrence of delirium was statistically different by age (𝝌²=10.79, p=.005), systemic-specific disease (𝝌²=9.63, p=.047), use of delirium-inducing drug(benzodiazepine) before surgery (𝝌²=15.90, p<.001), walking ability before surgery (𝝌²=7.65, p=.006), history of delirium (𝝌²=35.92, p<.001), and emergency surgery (𝝌²=16.40, p<.001). As risk factors of delirium, gastrointestinal surgery was found to increase the risk of delirium by 12.57 times (95% CI=2.45~64.46, p=.002), and the use of benzodiazepines before surgery was shown to increase delirium by 10.07 times (95% CI=2.21~45.87, p=.003). Conclusion: It is necessary for nurses to actively evaluate delirium using screening tools for early detection and prevention of delirium in elderly surgical patients with delirium risk factors.

• Journal of Yeungnam Medical Science
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• 제5권2호
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• pp.221-230
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• 1988

최근 저자들은 1987년부터 1988년까지 2년간 영남의대 부속병원 외과에서 수술 및 병리 조직학적으로 확진된 다발성 원발성 악성 종양 6예를 경험하였기에 이를 연령, 발생 빈도, 호발 장기, 유발 인자, 가족력 등을 분석함으로서 외과의에게 다발성 원발성 악성 종양에 대한 관심을 고조시키고자 문헌고찰과 함께 보고하는 바이다. 1. 평균연령은 54.1세였으며 최저 38세부터 최고 67세였다. 2. 남자 3예, 여자 3예로 남녀비는 1:1이었으며 발생 빈도는 0.31%였다. 3. 호발 부위는 위암, 유방암, 대장암 순이었으며 이 중 1예는 초기 위암 및 초기 대장암이었으며 위암과 다발성 골수종을 동반한 예도 1예 있었다. 4. 면역 검사는 DNCB, CMI, T4/T8 ratio를 측정하였으나 현저하게 면역 저하된 경우는 없었다. 5. 가족력은 1예로서 17%였으며 위암이었다.

• Ocean and Polar Research
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• 제43권3호
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• pp.127-140
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• 2021

At the estuaries of Bonggang and Miryong streams in the Korean southern coast, the spatiotemporal distribution and habitat environment of a nerite snail, Clithon retropictum (Gastropoda: Neritidae), which has been assigned as a legally protected species of Korea, were explored. Physicochemical environmental factors such as water temperature, salinity, tidal level distribution as well as biotic environments (chlorophyll-a concentration and epilithic microalgae composition) were monitored every month. The relationships between the environmental factors and spatiotemporal distribution of the nerite snail population were analyzed. Water temperature, salinity, and water level varied by season and lunar tidal rhythm. The spatiotemporal distribution of the nerite snail was mostly related to water salinity. Among epilithic algae which were the priority prey of snails, blue-green algae and green algae dominated in summer and autumn, while diatoms predominated during winter and spring. Chlorophyll-a concentration was highly and positively correlated with the population density of the nerite snail. The correlation coefficients were different depending on the taxon (Family) of epilithic algae. The mean population density was 302.2 inds m^-2 and 271.8 inds m^-2 in Bonggang Stream and Miryong Stream, respectively. The egg capsules of the nerite snail in the two habitats were observed from March (in Bonggang Stream) or April (in Miryong Stream) to August, and newly hatched juveniles recruited in the habitats from August were assessed with regard to frequency distributions of shell width. The occurrence of large-sized snails in upper stream reaches of both Bonggang and Miryong indicated the movement of spats from the mouth to the upper reaches during the whole life cycle.

• Neonatal Medicine
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• 제18권2호
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• pp.234-239
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• 2011

목적: 최근 indomethacin의 대체약으로 ibuprofen이 미숙아 동맥관 개존증의 예방과 치료에 사용되고 있다. 본 연구는 1,250g 미만의 미숙아를 대상으로 ibuprofen의 예방적 치료 효과 및 임상 경과를 분석하고자 하였다. 방법: 2009년 11월부터 2010년 7월까지 본원 신생아 중환자실에 입원한 1,250 g 미만의 동맥관 개존증 환아 39명을 대상으로 후향적으로 의무기록을 조사하였다. Ibuprofen의 예방적 투여군(출생 후 24시간 이내에 ibuprofen 투여) 13명에 대해 재태연령과 출생체중을 과거 대응(historical match)하여 대조군 26명으로 분류하였고, 두 군의 동맥관 개존증 빈도, 임상 경과 및 합병증을 분석하였다. 결과: Ibuprofen을 투여한 예방적 투여군과 대조군 간의 동맥관 폐쇄율(69.2% vs 77.7%, P=0.825)은 유의한 차이가 없었고, ibuprofen 치료에 실패하여 동맥관 결찰술을 시행 받은 경우도 두 군간에 유의한 차이가 없었다(23.1% vs 30.8%, P=0.719). 약물과 관련된 부작용으로 위장관 천공이 발생한 경우는 예방적 투여군에서 더 많은 경향을 보였으나 대상수의 부족 등으로 통계적 유의성은 없었다(30.8% vs 11.5%, P=0.194). 뇌실 내 출혈(grade${\geq}$3) 및 다른 미숙아 합병증의 발생률도 두 군간 차이는 없었다. 결론: 미숙아에서 ibuprofen의 예방적인 투여가 동맥관 폐쇄율, 동맥관 결찰술 그리고 고도의 뇌실 내 출혈의 빈도를 감소시키지 못하였다. 향후 예방적 ibuprofen 사용과 관련하여 효과 및 부작용에 대한 더 많은 연구가 되어야 할 것이다.