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      • 무균성 뇌막염에 있어 뇌척수액 추적검사에 대한 재평가

        정은경,김경석,김갑승,문경래,박상기 朝鮮大學校 附設 醫學硏究所 1991 The Medical Journal of Chosun University Vol.16 No.1

        The author evaluated the clinical manifestation of forty cases of aseptic meningitis who were admitted in the pediatric department of the Chosun University Hospital from March 1990 to September 1990, and also observed the clinical course of two groups of aseptic meningitis divided by admitting time and reevaluated the needness of follow-up lumbar puncture for CSF examination. The author performed follow-up lumbar puncture for CSF examination to the first group, on the 7th hospital day by conventional way, otherwise only observed the clinical course without follow-up lumbar puncture for CSF examination to the 2nd group. There was no difference between both groups, and clinical improvement was seen in both groups. In conclusion, the author considers that if clinical and laboratory finding were compatible with aseptic meningitis, there may be no need for follow-up lumbar puncture for CSF exmenation.

      • KCI등재

        신체형장애와 정신신체장애 간의 임상증상 및 자아기능에 관한 비교 : SCL-90-R와 Bellak의 자아기능척도를 이용한 Using SCL-90-R and Bellak's Ego Function Scale

        은흥석,안정숙,김학렬 大韓神經精神醫學會 1989 신경정신의학 Vol.28 No.6

        The purpose of this study was to investigate the difference in clinical symptoms and ego function between somatoform disorder and psychosomatic disorder by using Symptom Check List-90-Revision(SCL-90-R) and Bellak's Ego function Scale(EFS). The sample consisted of 30 somatoform disorder patients, 30 psychosomatic disorder patients, and 30 normal controls. The results were as follows: 1) In SCL-90-R 7 sacle, mean T-scores on each subscale were within normal range in all groups, but scores of somatoform group were significantly higher than other groups. Somatoform and psychosomatic group had similar profiles and clinical symptoms however somatoform group showed severe symptom and tended to amplify symptoms. Anxiety and interpersonal sensitivity subscale did not show significant differences, but somatization, depression, obsessive-compulsive, hostility, phobic anxiety and paranoid ideation subscale showed significant differences between somatoform and psychosomatic groups(P<.05) 2) In EFS, mean scores of somatoform group were significantly lower than psychosomatic group in all EFS-subscales except object relations(P<.01). Mean scores of Psychosomatic group did not show significant differences from those of normal control group and profiles of psychosomatic group were similar to those of normal control group.

      • 체외수정시술을 위한 과배란유도시 Nafarelin 과 Triptorelin 사용에 따른 임상성적의 비교

        목정은,김낙연,김정훈,강병문,장윤석 울산대학교 의과대학 1996 울산의대학술지 Vol.5 No.1

        Gonadotropin-releasing hormone agonists(GnRH-a) vary in structure and route of administration. We performed this study to compare patient response to intranasal nafarelin acetate versus subcutaneous triptorelin as adjuncts to ovulation induction for in vitro fertilization(IVF). From October 1995 to May 1996, sixty-four patients with tubal factor infertility entering their 79 cycles of IVF were randomized to receive either intranasal nafarelin acetate(Group Ⅰ, 38 cycles) or subcutaneous triptorelin(Group Ⅱ, 41 cycles). Controlled ovarian hyperstimulation(COH) using luteal long protocol of GnRH-a was used in all patients. Patient characteristics in the two groups did not differ significantly, nor did sperm parameters or endocrine profiles. There was no significant difference in ovarian response as indicated by duration of GnRH-a administration before ovarian stimulation, number of ampules of gonadotropin used and duration of gonadotropin administration in ovarian stimulation, and serum E( ) level and number of follicles(≥14mm) on the day of hCG administration between the two groups. There were no significant differences in clinical results of oocyte and embryo obtained such as number of oocytes retrieved, oocytes fertilized, embryos cleaved, embryos frozen, and embryos transfered between the two groups. There were also no significant differences between group Ⅰ and group Ⅱ in clinical pregnancy rate(31.6% versus 34.1%) and abortion rate per clinical pregnancy(8.3% versus 14.3%). This study suggests that intranasal nafarelin acetate as well as subcutaneous triptorelin can be used successfully in ovulation induction using luteal long protocol of GnRH-a.

      • KCI등재후보
      • KCI등재

        저위교합 유구치에서의 공간확장술을 이용한 외과적 접근

        방석윤,김은정,김현정,김영진,남순현 大韓小兒齒科學會 2005 대한소아치과학회지 Vol.32 No.3

        저위교합이란 능동적 맹출기 동안이나 이후 해당치아의 교합면 방향으로의 성장이 멈추어 다른 치아들보다 하방에 존재하는 것을 말한다 저위교합치의 결과로 침하치의 만기잔존, 부정교합, 증가된 치아우식 감수성과 치주질환의 가능성, 계승치의 이동 등이 나타날 수 있다. 따라서 조기진단 및 적절한 처치가 필요하다. 저위교합치의 치료는 저위교합 정도나 후속 영구치의 발육정도에 따라 보존에서 발치까지 다양하다. 영구 계승치가 없거나 부분적인 침하치가 치주적으로 건전한 경우, 공간문제를 발생하지 않는 경우 보존적인 접근이 추천되기도 한다. 그러나 계승치가 존재하고 맹출이 지연되는 경우, 국소적인 염증반응과 관련되는 경우 교정적인 치료가 필요한 경우에는 발거가 필요할 수도 있다. 특히 저위교합된 유구치의 상방으로 인접치가 경사되어 악궁장경에 문제를 초래할 위험이 있는 경우 외과적인 발치가 필요할 수도 있으며 경사가 심한 경우 발치를 위한 외과적 접근이 힘들 수 있다. 심하게 경사된 인접치로 인하여 저위교합치의 외과적 발거가 힘들 환아에서 가철성 교정장치를 이용하여 공간확보를 진행 하였으며 보다 용이하게 치아를 발거할 수 있었다. Infraclusion may be defined as teeth that stop their relative occlusal movement in the dental arches during or after the period of active eruption and then remain under the occlusal plane. Delayed exfoliation, malocclusion, increased susceptibility to dental caries and periodontal disease of both the neighboring teeth and retained molar, and dislocation of' the successor are the consequencces of infraclusion of primary molars. Therefore, early diagnosis and appropriate treatments are necessary. The therapeutic approach of' the infracluded teeth varied from preservation to extraction. The teeth with simple infraclusion without any signs of interference with occlusal and jaw development may be examined periodically with fellow-up check and radiographically. However, if the infracluded tooth interferes with normal eruption of successor or shows any sign of delayed resorption, or the tipping of adjacent teeth or supraeruption of op-posing teeth is expected, the teeth inflicted should be extracted and appropriate measures should be provided in order to maintain the normal development of occlusion and dentition. The adjacent teeth which have been collapsed over a infracluded deciduous teeth can disturb the arch length perimeter. In such cases, surgical approach might be necessary, although it would be difficult when teeth are severly leaned. However, an easier surgical access have been obtained by space regaining procedures, in young patients whose arch length has been shortened due to the infracluded teeth.

      • KCI등재

        비행청소년의 식생활태도와 식이자기효능감에 관한 연구

        이정숙,이현자,송병춘,김은경,이춘복,김석환 대한지역사회영양학회 2008 대한지역사회영양학회지 Vol.13 No.5

        The purpose of this study was to identify the factors associated with dietary attitudes and dietary self-efficacy of juvenile delinquents. Out of 110 questionnaires distributed to the juvenile detention home students in Daegu, and 150 questionnaires distributed to the juvenile detention home students in Anyang, 210 were analyzed (80.7% analysis rate). These data were analyzed by SPSS program. The results are summarized as follows. Almost all parents’ educational levels showed ‘graduation of middle school’, and only 43.8% of the juvenile detention students were living with parents. In case of incoming status, average income per month was 2,000,000 won, which was lower than normal one. Diet attitude score was higher in boy students than girl students (p < 0.05). There was a higher score of diet attitude in higher educational levels of father. The average score of dietary self-efficacy was 2.51 ± 0.86. This value was lower than the normal juvenile. There was a higher diet attitude score in the higher dietary self-efficacy score (p < 0.001). Therefore, proper nutrition education is required to improve their dietary self-efficacy. The results of this study could be useful data to plan and develop nutritional education programs of juvenile delinquents.

      • 로드셀을 이용한 직물의 신축성 측정에 관한 연구

        최정수,김은석,주기세,왕지남 한국경영과학회 2002 한국경영과학회 학술대회논문집 Vol.- No.1(1)

        So far, the common elasticity data of textile fabrics has not been present because the method depends on the knowledge of measurement operators. In this paper, the new measurement equipment using road cell is presented to measure the coefficient of textile fabrics in real time. The measurement method is based on the volt: among textile fabrics. The textiles with strong elasticity are high voltage produced from others are low. The presented method can be applied to visualize the textile, sew the cloth, contrc textile fabrics. Also, these measurement datum are used to B2B electronic trading system.

      • 폐굴껍질과 천연제올라이트를 이용한 피혁폐수 중의 질소 제거에 관한 연구

        김은호,정유진,박성현,고현웅,성낙창,정왕석 東亞大學校 建設技術硏究所 1999 硏究論文集 Vol.23 No.1

        In Korea, waste-oyster shells discharged from oyster culture industry cause a serious ocean environmental pollution. There is a need for developing low cost, easily and abundantly available adsorbent. So, waste-oyster shells could be recycled as a nitrogen adsorbent because of those large specific surface area. And natural zeolites are known as a good adsorbent of NH^(4+) ion. Thus, the objective of this research is to observe removal trends of nitrogen from tannery wastewater with waste-oyster shells and natural zeolite using continuous fixed bed reactors. 피혁폐수는 다양한 유기물을 함유하고 있을 뿐만 아니라, 가공공정상 질소화합물이 많이 사용되기 때문에 고농도의 유기질소 및 암모니아성 질소가 함유되어 있어 적절한 처리 없이 주변수계로 방류될 경우 자연정화작용을 방해하여 수계의 부영양화가 진행되어 남조 및 적조의 원인이 되고있다. 일반적으로 수역의 제한요인은 대개의 수역에서 질소 제한, 인 제한,질소·인 동시제한 중 어느 하나이며 계절이나 시대 추이에 따라 변화하므로 부영양화 대책으로 질소·인 모두 제거해야 한다. 최근에 천연제올라이트가 암모니아성 질소제거에 효과적인 것으로 보고되면서 이에 대한 연구가 많이 수행되었다. 암모니아를 포함하는 폐수를 침전 처리한 다음 2차 처리 공정에서 주로 활성탄 및 이온 교환수지 충전탑이 이용되고 있다. 이 중에서 활성탄 홉착은 간편성, 확실성 등으로 아주 효과적인 방법으로 각광받고 있지만 고가라는 단점을 가지고 있다. 이에 비해 상대적으로 저가인 천연 제올라이트에 의한 암모니아 제거공청은 다른 공정에 비하여 제거속도가 크고 수온의 변화에 영향이 적으며, 고농도 뿐만 아니라 저농도의 암모니아에 대해서도 안정적인 처리효율을 보이는 것으로 알려져 있다.또한 공정자체가 간단하며 기존의 정수 및 폐수 처리시설에 적용하기가 용이하며, 처리후 발생하는 물리, 화학, 생물학적 부작용이 거의 없는 것으로 알려져 있다. 한편, 국내 해안 양식업 중에 비중이 높은 굴양식업에서 부산물로 다량 발생하고 있는 폐굴껍질은 28만톤에 달하고 있고 그 중에 약 10%만이 종패 부착용(2만5천톤), 비료(2천톤)로 가공처리 되고 있을뿐 해양수산 폐기물인 굴 껍질의 처리방법과 자원으로 재활용 하기 위한 연구가 필요한 실정이다.

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