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      • 골다공증의 위험인자 : 아산시 지역 주민을 대상으로

        김용배,장원기,황보영,김화성,안규동,이병국,이용진,이남수,이상건,이상범,이상우,이선정,이성수 순천향대학교 2006 Journal of Soonchunhyang Medical Science Vol.12 No.1

        Objective : As the average lifespan of human increases, osteoporosis and osteoporosis-related fractures have become major health care problems. Despite recent advances in medical treatment, few studies have assessed the recognition of osteoporosis in general adults. This study examined the recognition of osteoporosis and analyzed the relating factors. Method : A population-based sample of 1086 adults in Asan-city, Korea was investigated with questionnaires and height, weight, Information regarding the general characteristics(gender, age, economic state), lifestylef exercise, smoking, alcohol),medical history(progestin, GH, steroid, calcitonin, PTH), demographic parameter, obesity, stress, and family history was collected through an interview using a structural questionnaire. The level of obesity was measured by the body mass index(BMI). BMD(Bone mineral density) at the lumbar spine and femoral neck was measured by dual energy X-ray absorptiometry. Osteoporosis was considered to be T-score below -2.5. Results : The prevalence of osteoporosis increased progressively with age, decreased with BMI and predominant in women by the result of x^(2) -test, T-test. Age, weight, BMI were significantly correlated with osteoporosis by the result of Pearson correlation ana1ysis(P<0.05). And age, gender, BMI, family history of osteoporosis were proved to be significant risk factors of osteoporosis by the result of multiple logistic regression(P<0.05). Conclusion : These results suggest that age, gender, BMI might be the most important risk factors of osteoporosis. And the history taking about family history of osteoporosis is helpful for diagnosing osteoporosis.

      • SCOPUSSCIEKCI등재

        Adult Patients with Congenital Muscular Torticollis Treated with Bipolar Release : Report of 31 Cases

        Lee, Gun Sang,Lee, Myung Ki,Kim, Woo Jae,Kim, Ho Sang,Kim, Jeong Ho,Kim, Yun-Suk The Korean Neurosurgical Society 2017 Journal of Korean neurosurgical society Vol.60 No.1

        Objective : We assessed the surgical results of bipolar release in 31 adult patients with uncorrected congenital muscular torticollis (CMT) and more than 12 months of follow-up. Methods : Thirty-one patients underwent a bipolar release of the sternocleidomastoid muscle (SCM) and were retrospectively analyzed. The mean follow-up period was 14.9 months (range, 12-30). The mean age at time of surgery was 30.3 years (range, 20-54). Patients were evaluated with a modified Lee's scoring system, cervicomandibular angle (CMA) measurement, and a global satisfaction rating scale using patient self-reporting. Results : The modified Lee's scoring system indicated excellent results in 4 (12.9%) patients, good in 18 (58.1%), and fair in 9 (29.0%) at the last follow-up after surgery. The improvements in neck movement and head tilt were statistically significant (p<0.05). The preoperative mean CMA was $15.4^{\circ}$ (range, 5.4-29.0), which was reduced to a mean of CMA of $6.3^{\circ}$ (range, 0-25) after surgery (p<0.05). The global satisfaction rating scale was 93.7% (range, 90-100). A transient sensory deficit on the ipsilateral lower ear lobe was noted in three cases. No significant permanent complications occurred. Conclusion : Bipolar release of the SCM is a safe and reliable technique for the treatment of CMT in adults.

      • KCI등재후보

        조혈모세포이식 환자에서 침습성 진균 감염에 대한 Micafungin의 예방 효과 및 안전성

        김시현,이동건,최수미,권재철,박선희,최정현,유진홍,이성은,조병식,김유진,이석,김희제,민창기,조석구,김동욱,이종욱,민우성,박종원 대한감염학회 2010 감염과 화학요법 Vol.42 No.3

        Background: Micafungin, a potent inhibitor of 1,3-β-D-glucan synthase, is a novel antifungal agent of the echinocandin class. In vitro study showed that micafungin was effective against Aspergillus species as well as Candida species, but clinical data on the prophylactic efficacy against invasive fungal infections (IFIs) other than candidiasis are still lacking. Materials and Methods: We identified 60 consecutive adult hematopoietic stem cell transplantation (HSCT) recipients who received at least 3 doses of micafungin during neutropenic period. Micafungin was started as an alternative in patients who were intolerant or had adverse events (AEs) to primary prophylactic antifungal agents. We retrospectively reviewed the medical records and analyzed the efficacy and safety of micafungin for prophylaxis against IFIs. Results: The patients either had autologous (n=9) or allogeneic (n=51: 1 syngeneic, 24 sibling, 26 unrelated donor) HSCT. Itraconazole oral solution (n=58) was the most frequently used first line antifungal agent for prophylaxis and was administered for median 11 days. The most frequent cause of switch to micafungin was vomiting (n=42). The duration of neutropenia and micafungin administration was median 13 and 12 days, respectively. A successful outcome was achieved in 45 (75%) patients. Empirical antifungal therapy was initiated in 13 (22%) patients. There were 2 cases (3.3%) of breakthrough fungal infections which comprised a probable invasive pulmonary aspergillosis and a possible invasive fungal sinusitis. There was no case of invasive candidiasis. A total of 53 (88%) patients experienced at least one AE regardless of causality during micafungin administration. The most frequent AEs were hypokalemia, vomiting, diarrhea, and elevated serum aspartate aminotransferase or alanine aminotransferase. Among the aforementioned AEs, only 1 case of diarrhea could be classified as a probable relation with micafungin when causality was assessed. There was no AEs that caused discontinuation of micafungin. Conclusions: Micafungin seems to be a safe and effective agent for prophylaxis of IFIs including aspergillosis as well as candidiasis in HSCT recipients. However, further large, prospective, and randomized comparative studies are warranted for aspergillosis.

      • KCI등재

        제대군인 취업지원 프로그램 구안

        정철영,서우석,김성호,이예성,최동선,이종범,이성식,이건남,양안나,김성남 한국직업능력개발원 2007 직업능력개발연구 Vol.10 No.1

        이 연구의 목적은 중·장기복무를 마치고 제대하여 재취업하고자 하는 제대군인들의 원활한 전직을 돕기 위한 제대군인 취업지원 프로그램의 개발방향과 개발안을 제시하는 데 있다. 이를 위해 국내·외에서 이루어지고 있는 제대군인 취업지원 프로그램의 실태를 분석하였고, 제대군인 취업지원 프로그램에 대한제대예정군인 및 제대군인과 기업체의 요구를 분석하여 시사점을 도출하였다. 그리고 이를 기초로 제대군인 취업지원 프로그램의 기본방향과 전체 흐름도, 세부 프로그램 개발안을 제시하였다. 이를 위해서 활용된 연구의 방법은 문헌연구, 조사연구, 전문가협의회 등이다. 이 연구를 통해서 제시된 제대군인 취업지원 프로그램의 개발방향과 개발안을 토대로, 일관되고 지속적인 수요자 중심의 제대군인 취업지원 프로그램의 개발이 가능할 것이다. The purpose of this study is to suggest plans and directions for developing. job-seeking support program for military veterans. The study is conducted through literature review, survey and interview. The results of this study are as follows: ⒧ basic development directions and flowchart of job-seeking support program for military veterans are suggested; and ⑵ development plans for sub-programs are suggested.

      • 대용량 음성 인식을 위한 Parser 연구

        이주헌,박윤건,권영헌,이건상,양성일 한양대학교 이학기술연구소 2004 이학기술연구지 Vol.7 No.

        본 논문에서는 대용량 연속음성 인식에서 시스템의 성능 향상을 위해 음성인식 후처리 과정 중 구문분석을 위한 파서(Parser)를 구현하였다. 과싱(Parsing)을 위한 문법으로는 자유 어순의 언어인 한국어 특성에 적합한 '중심어 주도 구구조 문법(HPSG)을 사용하였으며, 한국어의 문장에 대한 구조적 측면에서 서술어의 형식과 성질에 따른 결합 문행을 제시하였다. 현태소 분석을 위한 인식엔진으로는 한양대학교 제어계측공학과 ROSP 연구실, 물리학과 음향학 연구실(FSL)에서 개발한 '한양 한국어 형태소 분석기(H2MA)'의 엔진을 사용하였다. 실험을 위해 문형에 따른 문장과 합성 동사문을 포함한 총 110여 문장이 사용되었다. 실험 결과 이중 주어문과 합성 동사문 을 포함한 단문의 경우 91.82%의 인식률을 얻었다. In this paper, we construct Parser for sentence analysis in order to improve performance of Large-vocabulary continuous speech recognition system. We use HPSG which is suitable for Korean of its partially-free word order characteristics, as a grammar for Parsing. We propose a combination of sentence pattern and characteristic of predicate in structural for Korean sentence. As recognition engine for Morpheme analysis, we use H2MA developed by ROSP laboratory and FSL laboratory in Hanyang University. As a result, we obtain the recognition rate 91.82% about short sentences including double subjects and synthesize verb sentences.

      • KCI등재

        중합방법이 다른 의치상 레진의 적합도 평가

        이상건,송윤관,송광엽 대한치과기재학회 1999 대한치과재료학회지 Vol.26 No.3

        In addition to continuing the search for more accurate and dimensionally stable materials for denture bases, recently several processing methods for denture base resins which may reduce dimensional change during fabrication has been developed. The purpose of this study was to compare the dimensional accuracy of denture bases cured by four denture base processing methods, using the conventional heat-compression molding method, the continuous-pressure injection method, the microwave curing processing method, and the Sulfone system. A metal die simulating a maxillary edentulous arch and a polyvinylsiloxane impression(Reprosil, L. D. Caulk Co. U.S.A.) were used to construct 40 simulated master casts and denture bases with artificial teeth. Forty simulated denture bases 3 to 4㎜ thick were processed by four denture base processing methods following the manufacturer's instructions. The processed denture bases and casts sectioned through the posterior palatal region to allow measurement of its change by means of an travelling microscope. Observations were made on center of posterior palatal sectioned region. One-way ANOVA and paired samples t-tests were employed to compare the differences in distortion after deflasking and after finishing and polishing. The obtained results were as follows; 1. After deflasking, dimensional changes were diminished in order of conventional heat-compression molding, Sulfone system, continuous-pressure injection method, microwave processing method(p<0.05). 2. After finishing and polishing, dimensional changes were diminished in order of conventional heat-compression molding method, Sulfone system, microwave processing method, continuous-pressure injection method. The significant difference was found between conventional hear-compression method, continuous-pressure injection method(p<0.05). 3. The significant difference was found between after deflasking and after polishing in all methods, except continuous-pressure injection method(p<0.05).

      • 건축공학전공 졸업예정자들의 기술자격증 취득 및 취업증진에 관한 연구

        이경락,조중근,정성진,전진용 永同大學校 1997 硏究論叢 Vol.3 No.1

        본 연구는 건축공학 전공학생들의 졸업 후 진로 결정을 증진시키는 종합적인 방안을 모색하기 위한 것으로서, 우선적으로 건축전공 졸업자예정자들의 국가기술자격검정에의 합격률을 제고시키고, 그 결과에 따른 졸업 후 진로의 대책을 마련하는 것을 목적하며 세부사항은 다음과 같다. 1. 국가기술자격 취득률 제고를 위한 교육방법 2. 수학기간 중 건축관련 실무지식 함양 3. 관련업계와의 연계 구축 4. 산업체의 수요에 대한 교육에의 피드백 The purpose of this study is to search for the comprehensive and concrete methods of increasing the graduates' employment based on both fundamental and advanced knowledge concerned urban engineering major. For thi, existing condition, problems and improvement of students employment are searched in 3 view points such as strengthening of technical education to follow the social demands, enhancement of acquisition of the national qualifying examination and making the best of the field training system.

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