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      • KCI등재

        수유 요인에 따른 유치열의 치면별 우식패턴

        임경욱,이광희,라지영,안소연,김윤희 大韓小兒齒科學會 2010 大韓小兒齒科學會誌 Vol.37 No.2

        연구목적은 모유 또는 분유 섭취 시 나타나는 유치열의 치면별 우식패턴에 차이가 없으며 수유기간에 따른 차이도 없다는 가설을 검증하는 것이었다. 익산시, 청주시, 울산광역시의 36-71 개 월 어린이 815명을 대상으로 구강검사로 치면별 우식경험도를 조사하고, 보호자들을 대상으로 설문지 조사법으로 모유와 분유 중에서 생후 1년간 주로 수유한 것과 수유 기간을 조사하였다. 모유군과 분유군 간 우식경험유치면수(dmf)의 차이는 유의하지 않았다. 모유군에서 분유군보다 우식경험도가 더 높았던 유치군은 상악 유전치이었고, 유치면군은 상악 유전치 협설면과 인접면이었으며, 유치는 상악 유절치와 상하악 제2유구치이었고, 유치면은 상악 유중절치의 협면과 원섬면, 상악 유측절치의 협설면, 인접면, 상악 제2유구치의 설면, 인접면, 교합면, 하악 제2유구치의 협면, 원심면이었다. 모유군에서 수유기간이 증가함에 따라 우식경험유치면수가 증가한 유치군은 상악 유전치와 상악 유구치이었고, 유치면군은 상악 유전치의 인접면, 상악 유구치의 협설면, 인접면, 교합면, 하악 유구치의 인접면이었으며, 유치는 상악 유전치, 상악 유구치, 하악 제 2유구치이었고, 유치면에서는 상악 유전치의 인접면, 상악 제 1유구치의 협설면, 인접면, 교합면, 상악 제 2유구치의 협면, 하악 제 2유구치의 근심면이었다. 분유군에서는 수유기간 3년 이상에서 우식경험유치면수가 증가하였으나 차이가 유의하지 않았다. 수유와 관련되어 발생하는 상악 유절치의 중증 유아기 우식증은 분유를 수유하는 경우보다 모유를 수유하는 경우에 더 많이 발생하였다. 모유 수유를 2년 이상 하는 경우에는 상악 유절치의 우식 예방을 위한 조치가 필요하다. The purpose of this study was to investigate the tooth surface caries patterns in the primary dentition according to breast or bottle feeding. The subjects of study were 815 children, 36 to 71 months old, in Iksan, Cheongju and Ulsan cities. The caregivers of the children were asked which they fed between the breast milk and the infant formula during the 1st year after birth and the duration of feeding. There was no significant difference in dmfs between the breast milk group and the infant formula group(significance level 0.05, same below). Tooth groups, tooth surface groups, teeth, and tooth surfaces which had significantly higher dmfs in the breast milk group than in the infant formula group were upper anterior teethttooth groups), upper incisors' buccal and proximal surfacesttooth surface groups), upper incisors and upper second molars (teeth), upper central incisors' buccal and distal surfaces, upper lateral incisors' buccolingual and proximal surfaces, upper 2nd molars' lingual. proximal. and occlusal surfaces, and lower 2nd molars' buccal and distal surfaces. In the breast milk group, tooth groups, tooth surface groups, teeth, and tooth surfaces which dmfs significantly increased as the duration of the feeding increased were upper anterior teeth and upper molars (tooth groups), upper anterior teeth's proximal surfaces, upper molars' buccolingual, proximal, and occlusal surfaces, lower molars' proximal surfacesttooth surface groups), upper anterior teeth, upper molars, lower 2nd molars (teeth), upper anterior teeth's proximal surfaces, upper 1st molars' buccolingual, proximal. and occlusal surfaces, upper 2nd molars' buccal surfaces, and lower 2nd molars' mesial surfaces (tooth surfaces). In the infant formula group, dmfs increased after 3 years of feeding, but the difference was not significant. Caries prevention is necessary in case of breastfeeding more than two years.

      • SCIESCOPUSKCI등재
      • SCIESCOPUSKCI등재
      • KCI등재

        한국형 손기능 작업표본검사의 신뢰도 및 타당도

        임승건,최재욱,장기연,김지연 한국장애인고용공단 고용개발원 2012 장애와 고용 Vol.22 No.2

        The purpose of this study is to secure the stability of the Korea hand function work sample test by conducting verification of reliability & validity. In order to verify reliability⋅validity of developed Korea hand function work sample test, the test based on 206 people with disabilities was conducted. The each existing Purdue Pegboard and developed Korea hand function work sample test were conducted randomly, and the test-retest method was conducted by same examiner repeatedly in order to measure reliability of Korea hand function work sample test. The criterion validity were verified, and sensitivity․specificity were shown by written ROC curves. The criterion validity was verified by comparison with Purdue Pegboard which is used as existing useful tool. First, all correlations of Korea hand function work sample test in the test-retest reliability are significant from 0.01 level and it shows very high correlations of more than 0.95 between the tests. Second, the Korea hand function work sample test shows high correlation between the existing Purdue Pegboard and test. Third, the predictive power of the AUC value was appeared high with 0.886, 0.868 in the results of the Korea hand function work sample test by using ROC curves. Fourth, Korea hand function work sample test was developed as useful tools with high convenience degree & failure prediction comparing to Purdue Pegboard. The Korea hand function work sample test is significant for the first developed work sample test tool in Korea which secured reliability and validity and it is expected to help for practical service provision of vocational evaluator for the disabled. 본 연구의 목적은 국내에서 개발된 한국형 손기능 작업표본검사의 신뢰도 및 타당도 검증을 실시하여 장애인의 손기능을 평가하고, 직업능력을 예측하는데 활용할 수 있도록 검사의 안정성을 확보하는 것이다. 한국형 손기능 작업표본검사의 신뢰도⋅타당도 검증을 위해 15세-55세의 비장애인 56명, 장애인 206명(지체장애인, 지적장애인, 정신장애인, 뇌병변장애인)을 대상으로 하였다. 본 연구에서 수집된 자료는 SPSS WINDOW 13.0을 사용하여 통계처리 하였다. 검사-재검사 신뢰도를 위해서 반복측정 상관분석을 하였고, 민감도․특이도는 medcalc 프로그램 version 11.4.1을 사용하였고 ROC curves를 작성하여 한국형 손기능 작업표본검사와 퍼듀펙보드의 장애 예측 정도를 나타내었다. 준거 타당도 검증을 위해 기존의 도구와 paird t-test 및 카이제곱(chi-square) 검정을 실시하여 분석하였다. 분석결과 첫째, 한국형 손기능 작업표본검사는 검사-재검사 신뢰도에서 모든 상관이 0.01 수준에서 유의미하고 검사 간 상관이 0.95이상의 매우 높은 상관을 보이는 것으로 나타났다. 둘째, 한국형 손기능 작업표본검사가 기존의 퍼듀펙보드와 검사 간 상관이 높은 것으로 나타났다. 셋째, 한국형 손기능 작업표본검사는 장애 예측 민감도와 특이도를 ROC curves를 사용해서 나타낸 결과 AUC 값이 0.886, 0.868로 예측력이 높은 것으로 나타났다. 본 연구를 통해 국내에서 개발된 한국형 손기능 작업표본검사는 신뢰도와 타당도가 확보된 작업표본검사 도구라는 점에서 의미가 있고 장애인 직업능력평가의 실질적인 서비스 제공에 도움이 될 것으로 기대된다.

      • KCI등재

        부산·울산·경남지역 직업병 감시체계

        김정일,김병권,김정원,채창호,이철호,강동묵,김지홍,김진하,김영욱,이영하,이지호,김정호,윤형렬,유철인,정백근,장태원,김운규,윤동영,강진욱,김종은,안진홍,이동준,장준호,이광영,송혜란,최영희,이용환,조병만,최홍렬,고상백,김은아,이유진,홍영습,정갑열,김정만,김준연 大韓産業醫學會 2004 대한직업환경의학회지 Vol.16 No.1

        Objective: Occupational medicine specialists in the Busan, Ulsan and Kyung-Nam areas established an area-based occupational disease surveillance system and used this system to collected case information for the purpose of preventing occupational diseases Methods: l l hospital participated in this system. The authors selected five main diseases, which were hand-arm vibration syndrome (HAVS), work-related musculoskeletal disorder (WRMSD), occupational asthma, occupational skin disease and occupational and occupational lung cancer and established their case definitions. All cases were reported on the web, and real time analysis was conducted. Results: Between April 2001 and April 2003, 192 cases of HAVS, 118 cases of WRMSD, 33 cases of occupational asthma, 17 cases of occupational skin disease and 17 cases of occupational lung cancer (for a total of 377 cases of these five main diseases) were reported. most of the HAVS cases came from shipbuilding, and 172 of them (92.7%) were associated with grinding. Of the four main types of WRMSD, carpal tunnel syndrome (CTS) was the most prevalent with 46 cases and shipbuilding was also the main industry involved (83.9%). The ergonomic risk factors involved mainly associated with the hand. In 19 (57.6%) and 4 (12.1%) cases of occupational asthma, the agents involved. The causative agents of occupational lung cancer included Cr, welding fume, PAH, Ni, etc. 10(58.8%) of the cases were diagnosed as squamous cell carcinoma and 5(29.4%) as adenoma. Conclusion: This result showed that an area-based occupational disease surveillance system might provide an effective method of evaluating the prevalence of such diseases, however the Busan, Ulsan and Kyung-Nam provinces are too large to be treated as individual areas. Therefore, the authors suggest that each province should establish its own surveillance system.

      • SCOPUSKCI등재

        Case Report : Acute Purulent Staphylococcal Pericarditis with Cardiac Tamponade in a Hemodialysis Patient

        ( Ji Youn Kim ),( Seon Wook Park ),( Seung Hwa Lee ),( Yong Wook Kim ),( Min Kyu Kim ),( Tae Jin Park ),( Jang Won Seo ) 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.1

        Purulent pericarditis is a rare disease in both end-stage renal disease (ESRD) patients and the general population. We report herein a case of acute purulent staphylococcal pericarditis with cardiac tamponade managed by intravenous antibiotics and pericardiocentesis with drainage. A 54-year-old man with ESRD, who had been on hemodialysis (HD) for the previous six months, was admitted to the hospital because of fever. He had a history of a recent episode of staphylococcal bacteremia associated with venography for arteriovenous fistula (AVF) malfunction. On the sixth day after admission, severe intradialytic hypotension arose during HD. Echocardiography showed a large pericardial effusion with hemodynamic significance. Emergency pericardiocentesis with drainage was performed. Acute purulent staphylococcal pericarditis with cardiac tamponade was diagnosed and intravenous vancomycin was administered for four weeks. On the 23rd day, the patient was discharged from the hospital after the drainage catheter`s removal. Ten days after discharge, however, he was re-admitted because of dyspnea on exertion. Eventually, the patient expired because of heart failure caused by progressive constrictive pericarditis. We suggest that acute purulent pericarditis should be considered in dialysis patients who develop fever and severe hypotension during HD, especially after known staphylococcal infections.

      • SCIESCOPUSKCI등재

        Multi - channel Spectrum Analyzer for High Capacity Optical Transport Networks

        Youn, Ji-Wook,Kim, Hyung-Joo,Lee, Jong-Hyun Optical Society of Korea 2003 Current Optics and Photonics Vol.7 No.4

        A simple multi-channel spectrum analyzer using an InGaAs array sensor and a diffraction grating is proposed and developed for high-capacity optical transport networks. With the developed multichannel spectrum analyzer, we could measure signal power, wavelength, and optical signal-to-noise ratio of each channel for multi-channel optical signals with 100 GHz and 50 GHz channel spacing, simultaneously. We could measure each channel power and wavelength with a deviation of less than 0.2 dB and 0.063 nm, respectively. We have obtained optical signal-to-noise ratio with a deviation of less than 1.0 dB compared with conventional optical spectrum analyzer in the wide input power range between -42 dBm and -27 dBm per channel.

      • SCOPUSKCI등재

        피부 건강 박람회 방문자를 대상으로 한 피부 건강에 대한 인식과 행태에 관한 조사 연구

        신지연 ( Ji Yeoun Shin ),강훈 ( Hoon Kang ),김문범 ( Moon Bum Kim ),김유찬 ( You Chan Kim ),박미연 ( Mi Youn Park ),박천욱 ( Chun Wook Park ),손상욱 ( Sang Wook Son ),유박린 ( Bark Lynn Lew ),이동윤 ( Dong Youn Lee ),이동훈 ( Don 대한피부과학회 2018 대한피부과학회지 Vol.56 No.8

        Background: Healthy skin is an important determinant of the quality of life and physical and mental well-being. The demand for dermatological information is increasing not only in patients with skin diseases, but also in the general population with normal/healthy skin. However, public perception and behavior with regard to skin health among Koreans are not known. Objective: To examine public perception and behaviors with regard to skin health in Koreans visiting the Skin Health Expo 2017. Methods: A total of 597 participants completed a questionnaire that assessed demographics, status, and behavior for skin health and Expo satisfaction. Results: Respondents with higher stress levels and a history of skin diseases showed lower satisfaction with self-skin health. Most participants considered adequate sleep and water intake to be important factors associated with healthy skin. One-on-one consultation with dermatologists was the most satisfactory among participants at the Expo. Conclusion: Educational tools using mass media and informative activities such as the Expo planned by dermatologists and the government are necessary to spread awareness and provide proper information to improve skin health in thegeneral population and to emphasize the key role of dermatologists in skin disorders with a social burden. (Korean J Dermatol 2018;56(8):475∼484)

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