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A Survey on Epilepsy Patients from Public Health Aspects (간질환자(癎疾患者)에 대(對)한 보건학적(保健學的) 조사연구(調査硏究))

  • Kim, Myung-Ho;Kyung, Yung-Hoo;Park, Jong-Koo;Suh, Shin-Yung
    • Journal of agricultural medicine and community health
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    • v.4 no.1
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    • pp.41-61
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    • 1979
  • Two interview surveys (1976 for 800 patients, 1978 for 200 patients) and an inventory survey through medical records(1978) for epileptic patients who have registered with the Korean Epilepsy Association (Rose Club) since 1971 were carried out by trained health workers in advance of survey. The data obtained from the analysis showed as follows: 1) 35.2% of patients were born in Seoul and 70. 6% of patients born elsewhere have lived in Seoul. 2) 50-60% of patients were 15-30 years cid. 3) 33.4%, 24,6 and 24.6 of all pupils and students went to elementary, junior and senior high schools respectively. 4) 21.2% of all pupils and students had dropped out of school and 51.4% of them were away from school because of epilepsy. 5) 3.1% of all patients had no job at all and students comprised 20.9% of patients followed by clerical work, commercial business and farming with about 6% in each group.6) Reasons given for unemployment such as dismissal (4.3%), quit (27.7%), hesitation to employ (42.5%)and discontinuance of job (25.5%) were basically due to epilepsy. 7) About half(46.2%) of all patients have become Christian since the Rose Club was a voluntary agency which has been sponsored by Christians. 8) 82. 6% of patients were diagnosed as having grand mal as the most. 9) 29.4% of patients explained aura with psychomotor disturbances and 13.8% with sensory disorders. 10) 46.3% of patients were attacked with seizures when they were tired and others(11.6% and 4.9%) after excessive eating and hunger. 11) Patients suffered more seizures in spring and summer rather than in autumn and winter and most patients had attacks 1-5 times a month. 12) For etiologic reasons of epilepsy, 35.5% of patients considered it was caused by psychological stress and 11.5% by trauma. Only 1.1% of patients considered it as having hereditary components. 13) 51% of patients were slow in caring for their own illnesses. They started to reat epilepsy after spending 5 years of time from the initial seizure. Only 5.4% of patients had received the modern anti-epileptic therapy right after the nitial seizure. 14) 62.1% of patients had no therapy or irregular or incomplete treatment before registration at the Rose Club Clinic. 15) Before registration at the Rose Club, 42.4% of patients received medical care. On the other hand, 25.6% went to herb doctors and 12.5% used to go to the drugstore in order to get anti-epileptic drugs. 16) 41. 6% of patients who took anti-epileptic drugs had more or less side-effects. Indigestion was the most common. 17) For continuation of treatment, 30.3% have received treatment for more than 5 years and the evident showed that epilepsy took a longer time to be cured. 18) Regarding the medical care received 44.2% of patients were very satisfied with effective care and 26.5% felt as good. 19) For attitudes toward epilepsy. 27.0% of patients and 68.2% of patients family were pessimistic. 20) 65.9% of patients had optimistic attitudes toward effectiveness of medical care of epilepsy. 21) 64.8% of wives and husbands had better understanding and cooperative for their spouses who had epilepsy. 22) 33.3% of patients were under-treated at the place of work. 23) 70.2% of patients wished to marry when they reach childbearing age and 63% wished to have children. Through the above results it is recommended for nation-wide epilepsy control that the sound and correct health education not only from health aspect but also from welfare aspect should be planned and implemented as soon as possible.

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Relationship Between Internet Addiction and Circadian Rhythm in Adults (성인 인터넷 중독과 일주기 리듬의 연관성)

  • Kang, Do Won;Soh, Minah;Lee, Tae Kyeong
    • Sleep Medicine and Psychophysiology
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    • v.22 no.2
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    • pp.57-63
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    • 2015
  • Background and Objectives: Internet addiction is an increasing problem in Korea. The previous studies in this area have targeted adolescents and young adults. This study was conducted to examine the risk of internet addiction in Korean adults and the effect of internet addiction on circadian rhythm. Materials and Methods: For this study, 508 subjects were chosen through population proportional sampling to represent the adult population in Korea, 325 of whom were included based on the Alcohol Use Disorder Identification Test-Korea (Audit-K), Zung's Self-Rating Depression Scale (SDS), drug use in the past year, and suicide attempts. In these subjects, sociodemographic factors including age, gender, and residential area were analyzed, and Young's Internet Addiction Scale (IAS), Morningness-Eveningness Questionnaire (MEQ), and an online survey examining sleep onset time on weekdays and weekends, wake-up time, and caffeinated drink intake were executed. Results: Of the 325 subjects, 136 (41.8%) belonged to a high-risk internet addiction group ($IAS{\geq}40$), and 189 (58.2%) belonged to a normal group (IAS < 40). There was a high proportion of male subjects (p = 0.03) in the high-risk group compared to the normal group. There was a high proportion of younger subjects (p = 0.055) in the high-risk group compared to the normal group, but this difference was not statistically significant. Compared to the normal group, there was a high proportion of the evening type ($MEQ{\leq}41$) in the high-risk group (p = 0.024), who also showed a high proportion of caffeinated drink intake (p < 0.001). Also, the high-risk group was found to go to bed and wake up late, but there was no statistically significant difference with the normal group. Conclusion: This study showed that many adults have a high-risk of internet addiction, and there was a significant correlation between internet addiction and sleep in adult, as has been found in adolescents and early adults. In the future, a longitudinal study will be needed to verify the causal relationship between internet addiction and morningness-eveningness.

Effect of Aquatic Ramp Exercise on Gait And Activity Of Daily Living In Child With Spinal Muscular Atrophy Type II: Single Subject Research (수중 경사로 보행 훈련이 제2형 척수성근위축증 아동의 보행 및 일상생활동작에 미치는 효과: 개별실험연구)

  • Sung, Yun-Hee
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.2
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    • pp.107-112
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    • 2016
  • The purpose of this study was to determine the effect of aquatic ramp walking exercise on the activity of the quadriceps, gait and activity of daily living in child with Spinal Muscular Atrophy (SMA) type II. A 5 years-old girl with SMA type II participated in this study. This study used single-subject reverse(A-B-A) design study. There are 12 sessions(4weeks 3 times a week) each during the baseline phase(A), the intervention phase(B), the follow up phase(A). During the baseline phase and the follow up phase performed general aquatic therapy, the intervention phase additional performed walking activity on ramp in pool (60m). Surface electromyogram, Timed Up and Go (TUG) test, ACTIVLIM were used as outcome. During the intervention phase, there were decrease on the activity of the quadriceps. In modified TUG test, gait time reduced during the intervention phase. The ACTIVLIM logit score increased during intervention phase by comparison with the baseline phase. These findings suggest that an aquatic ramp walking exercise activities have the therapeutic possibility on the quadriceps activity and gait ability for child with SMA type II.

Regulation of Apoptosis and Cell Cycle in Irradiated Mouse Brain (마우스의 대뇌조직에서 방사선에 의한 아포토시스와 세포주기의 조절)

  • Oh, Won-Yong;Song, Mi-Hee;Chung, Eun-Ji;Seong, Jin-Sil;Suh, Chang-Ok
    • Radiation Oncology Journal
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    • v.19 no.2
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    • pp.146-152
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    • 2001
  • Purpose : To investigate the regulation of apoptosis and cell cycle in mouse brain irradiation. Materials and Methods : 8-week old male mice, C57B1/6J were given whole body $\gamma-radiation$ with a single dose of 25 Gy using Cobalt 60 irradiator. At different times 1, 2, 4, 8 and 24hr after irradiation, mice were killed and brain tissues were collected. Apoptotic cells were scored by TUNEL assay. Expression of p53, Bcl-2, and Bax and cell cycle regulating molecules; cyclins Bl, Dl, E and cdk2, cdk4, $p34^{cdc2}$ were analysed by Western blotting. Cell cycle was analysed by Flow cytometry. Results : The peak of radiation induced apoptosis is shown at 8 hour after radiation. With a single 25 Gy irradiation, the peak of apoptotic index in C57B1/6J is $24.0{\pm}0.25$ (p<0.05) at 8 hour after radiation. Radiation upregulated the expression of p53/tubulin, Bax/tubulin, and Bcl-2/tubulin with 1.3, 1.1 and 1.45 fold increase, respectively were shown at the peak level at 8 hour after radiation. The levels of cell cycle regulating molecules after radiation are not changed significantly except cyclin D1 with 1.3 fold increase. Fractions of Go-Gl, G2-M and S phase in the cell cycle does not specific changes by time. Conclusion : In mouse brain tissue, radiation induced apoptosis is particularly shown in a specific area, subependyma. These results and lack of radiation induced changes in cell cycle ofter better understanding of radiation response of noraml brain tissue.

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Development of the Digestive Tract in Tiger Puffer (Takifugu rubripes) (자주복(Takifugu rubripes)의 소화관 발달)

  • Kim Bong Won;Na Oh Soo;Park Chang Beom;Go Hwan Bong;Kang Bub Se;Choi Young Chan;Lee Young Don
    • Development and Reproduction
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    • v.7 no.1
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    • pp.29-34
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    • 2003
  • Anatomical and histological observations were used to examine the morphological differentiation and development of the digestive tract during ontogenesis in tiger puffer, Taklyugu rubripes. Before hatching, the digestive tract was located between yolk sac and notochord of embryo. Newly hatched larvae had a straight tubular digestive tract. The larval mouth opened at 2 days after hatching (DAH). At 4 DAH, sphincters separated the digestive tract into the esophagus, anterior intestine, mid-intestine and rectum, and the anus was opened. At 5 DAH, the larval intestine bent between the anterior and intermediate parts and mucous cells developed in the esophageal epithelium. At this time yolk sac was absorbed completely. At 6 DAM, the digestive tract was differentiated into the U type with expansion of the anterior intestine toward the head of the larvae. At 10 DAH, the expanding anterior intestine became wider and a elliptical. At 15 DAH, the anterior intestine was divided into two portions by invagination of dorsal epithelium and the mid-intestine was convoluted dorsally. At 21 DAM, the frontal portion of the anterior intestine formed a differentiated expansion sac. At 24 DAH, the second convolution was observed in the anterior part of the posterior intestine. At 30 DAH the expansion sac was extended longitudinally and the digestive tract took on the form seen in adult fish.

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The Effects of Backward Walking with Rhythmic Auditory Stimulation on Gait and Balance in Patients with Stroke (리듬청각자극을 이용한 후방 보행 훈련이 뇌졸중 환자의 보행과 균형에 미치는 영향)

  • Hyun, Dong-Su;Choi, Jong-Duk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.12
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    • pp.6237-6245
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    • 2013
  • This study examined the effects of backward walking with rhythmic auditory stimulation on the gait and balance of stroke patients. Twenty-one people were divided randomly into three groups; group I(n=7, forward walking), group II(n=7, backward walking), group III(n=7, backward walking by rhythmic auditory stimulation). Each group was trained for 30 minutes 5 times per week for 3 weeks, and was evaluated using a 10m walking test, time up and go test, functional reach test, stride length and step length asymmetry ratio. As a result, the pre- to post-test measures revealed a significant effect in each group on the gait speed, gait symmetry and balance(p<.05). The walking speed, gait symmetry and balance were higher in group II (p<.05) than in group I and it was the highest in group III(p<.05). The stride length was higher in group II and group III(p<.05) than in group I. In conclusion, for stroke patients, backward walking training with rhythmic auditory stimulation is effective on the gait speed, gait symmetry and balance.

Removal of Fe, Si from Silicon Carbide Sludge Generated in the Silicon Wafer Cutting Process (실리콘 웨이퍼 절단공정(切斷工程)에서 발생(發生)하는 실리콘 카바이드 슬러지로부터 철(鐵), 실리콘 제거(除去))

  • Park, Hoey Kyung;Go, Bong Hwan;Park, Kyun Young;Kang, Tae Won;Jang, Hee Dong
    • Resources Recycling
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    • v.22 no.2
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    • pp.22-28
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    • 2013
  • In the present study, the possibility of recovering and recycling the silicon carbide(SiC) from a silicon sludge by removing Fe and Si impurities was investigated. Si and SiC were separated from the silicon sludge using centrifugation. The separated SiC concentrate consisted of Fe, Si and SiC, in which Fe and Si were removed to recover the pure SiC. Leaching with acid/alkali solution was compared with the vapor-phase chlorination. The Fe concentration removed in the SiC was 49 ppm, and it was separated by leaching with 1 M HCl solution at $80^{\circ}C$ for 1 h. The Si concentration removed in the SiC was 860 ppm, and it was separated by leaching with 1M NaOH solution at $50^{\circ}C$ for 1 h. The SiC concentrate was chlorinated in a tubular reactor, 2.4 cm in diameter and 32 cm in length. The boat filled with SiC concentrate was located at the midpoint of the alumina tube, then, the chlorine and nitrogen gas mixture was introduced. The Fe and Si concentration removed in the SiC were 48 ppm and 405 ppm, respectively, at $500^{\circ}C$ reactor temperature, 4 h reaction time, 300 cc/min gas flow rate, and 10% $Cl_2$ gas mole fraction.

EFFECTS OF MOUTH BREATHING ON FACIAL SKELETAL MORPHOLOGY (구호흡이 안모골격 형태에 미치는 영향)

  • Lee, Min-Jeong;Kim, Jae-Gon;Yang, Yeon-Mi;Baik, Byeong-Ju
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.4
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    • pp.339-347
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    • 2012
  • There still remains a controversial debate whether facial skeletal morphological differences exist between patients with nasal and mouth breathing habits. The aim of this study is to assess a relationship between over a period of time mouth breathing and facial skeletal morphology by analyzing lateral cephalometric radiographs of patients with nasal or mouth breathing habits. A total of 120 patients with skeletal class I, II, and III, who had undergone orthodontic diagnosis in department of pediatric dentistry - chonbuk national university, were chosen and their lateral cephalometric radiographs were analyzed. These patients were divided into six groups of 20, each with or without mouth breathing habits. The result of this study has not showed noticeable differences in cephalometric measurements between nasal and mouth breathing children of skeletal class I, II, and III (p > 0.05). However, when the groups were divided by age factor, mouth breathers of age 12 and older showed significant differences in cephalometrics such as decreased ramus height, maxillary retrusion, and clockwise pattern of mandible than children under age 12 (p < 0.05). In conclusion, a longer period of mouth-breathing habits in children displayed a greater chance of impaired facial growth.

Adaptive Response Induced by Low Dose Ionizing Radiation in Human Lymphocytes (인체 말초 혈액 림프구에서 저선량 방사선 조사에 의해 유도되는 적응 반응)

  • Kim, Jeong-Hee;Lee, Kyung-Jong;Cho, Chul-Koo;Yoo, Seong-Yul;Kim, Tae-Hwan;Kim, Sung-Ho
    • Journal of Radiation Protection and Research
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    • v.20 no.2
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    • pp.97-102
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    • 1995
  • Adaptive response induced by low dose ${\gamma}-ray$ irradiation in human peripheral lymphocytes was examimed. Human lymphocytes were exposured to low dose of ${\gamma}-ray$ (priming dose, 0.01Gy) followed by high dose (challenging dose, 1.5Gy) after various time intervals (4, 7, 20 hours). Frequencies of micronuclei were enumerated in both primed and unprimed groups. Maximum reduction in frequency of micronuclei was observed when challenging dose irradiation was followed by priming dose after 4hr incubation period. When challenging doses were irradiated 7 or 20hr after priming dose, frequencies of micronuclei were reduced slighty. However, these reduction were not statistically significant. In this study, human peripheral lymphocytes were irradiated at Go phase and they showed adaptive response induced by low dose radiation. Since micronucleus assay is relatively simpler and faster than other methods, it may be a good tool for evaluating radiation-induced adaptive responses.

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Catalytic Performance for the Production of CH4-rich Synthetic Natural Gas (SNG) on the Commercial Catalyst; Influence of Operating Conditions (고농도 메탄의 합성천연가스 생산을 위한 상업용 촉매의 반응특성; 운전조건에 대한 영향)

  • Kim, Jin-Ho;Ryu, Jae-Hong;Kang, Suk-Hwan;Yoo, Young-Don;Kim, Jun-Woo;Go, Dong-Jun;Jung, Moon;Lee, Jong-Min
    • Clean Technology
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    • v.24 no.2
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    • pp.99-104
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    • 2018
  • In this work, we performed the methanation reaction using synthesis gas ($H_2/CO_2$) for the process to produce synthetic natural gas (SNG) for $4^{th}$ methanation reactor in SNG process proposed by RIST-IAE. Experimental conditions were changed with temperature, pressure and space velocity. At this time, $CO_2$ conversion, $CH_4$ selectivity and $H_2$ concentration after reaction were investigated. As a result, $CH_4$ selectivity by the $CO_2$ methanation increased with lower space velocity and higher pressure. On the other hand, in the case of temperature, the maximum value was shown at $320^{\circ}C$. From these results, it was found that the optimum condition of the fourth reactor suitable for the SNG process was obtained.