• Proceedings of the Korean Society of Medical Physics Conference
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• 2003.09a
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• pp.54-54
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• 2003

목적 : 방사선치료는 복잡하고 다양한 장비를 이용하여 고에너지 고선량의 방사선을 다루기 때문에 세심한 정도관리를 바탕으로 기술적 관점에서의 적절한 방사선치료장비 사용과 실제 환자치료시의 절차들에 대한 완벽한 지침서가 마련되어야 할 필요가 있다. 본 연구의 목적은 의료용 선형가속기에 연관된 방사선사고와 잠재적 사고유형들을 분석하여 환자와 종사자의 안전을 보장하고 사고를 예방키 위한 안전관리 기준을 개발하고자 하였다. 대상 및 방법 : 본 연구에서는 국내 13 개 방사선치료기관에 대한 안전관리 실태를 자체 개발한 100 여 문항의 설문으로 조사, 분석하였다. 또한, 국제적으로 사용하고 있는 안전관리기준들과 보고된 방사선 사고사례 들을 조사하였고, 방사선치료 전 과정을 통해 잠재적 사고유형을 추정함으로서 방사선치료의 안전관리를 위 해 필요한 요구사항들을 도출하고 이를 바탕으로 의료용 선형가속기에 관련된 안전관리 기준을 마련하였다. 결과 : 본 연구에서는 방사선치료 시 환자와 종사자의 안전을 보장하고 사고방지를 위하여 단계별 안전관리 기준을 개발하였으며, 방사선 치료과정에서 일어날 수 있는 다양한 실수나 사고들을 일목요연하게 관리 할 수 있는 흐름도를 구축하였다. 결론 : 본 연구 결과는 방사선치료에 사용되는 선형가속기에 대한 방사선의 안전과 품질보증을 개선하게 될 것으로 생각된다. 또한, 잠재적 방사선 사고의 예방뿐 아니라 국내의 방사선치료 안전관리 기준 마련에 기초자료로 활용될 수 있을 것이다.

• Therapeutic Science for Rehabilitation
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• v.9 no.2
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• pp.55-71
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• 2020

Objective : The purpose of this study was to investigate the necessity of occupational therapist's involvement in patient discharge planning, the areas that should be considered for discharge screening and planning, and to provide the basic data required for the development of a discharge assessment tool. Methods : We conducted an online questionnaire survey of 60 occupational therapists who were working at medical institutions and had agreed to participate in the study. The questionnaire was composed of 36 questions regarding the general characteristics of the current discharge planning process and the necessity of discharge assessment and planning. Descriptive statistics, an independent t-test, and a one-way ANOVA were conducted using SPSS 20.0. As for the post-hoc test, Scheffe's test was used. Results : The awareness of occupational therapist's role in discharge planning and the necessity of a discharge assessment tool were high, but the occupational therapist's awareness of discharge-related knowledge was low. The difficulties in discharge planning showed high response rate in the absence of adequate fee-for-service in the patient interview and assessment and the lack of team approach and appropriate assessment tools for discharge planning. The high-needs areas for evaluation during discharge were fall risk and BADL, and the low-needs areas were well-being and functional level prior to onset. Conclusion : This study is expected to provide preliminary information necessary for the development of a discharge assessment tool for effective discharge planning.

• The Journal of the Korea Contents Association
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• v.11 no.11
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• pp.264-273
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• 2011

This study subject is to provide appropriately basic information about annually increased implant treatment by their lost teeth base on increasing old people and also analyze factors influencing implant treatment decisions for patient. For about 3 month from July on the 2010, This survey was carried out at 13 dental clinic as target of 217 patients on categorized into implant treatment-group and non-treatment-group in Seoul and Gyeonggi-do. Implant treatment-group showed highest portion at 50(30.3%), non- Implant treatment-group showed highest portion at 20's(35.7%), And The patients of implant treatment-group are good oral condition, and they showed a positive attitude. Result of analysis by multiple logistic analysis(regression), Factors of influencing implant treatment decision are age, gender, period of education, monthly income, condition of periodontal tissue, regular checkup, counseling attitude, trust in hospital. Therefore, proactive management about the necessity of regular dental check-up is needed the education and promotion. And medical team should have efforts to Improving technique of medical consultations and Improving the trust of the hospital's for implant treatment decision. Also, The patient's subjective determine rather than it is important to preparing to facilitate decision of specific clinical basis. And The government's financial support and policy alternatives are certainly required in order to be implant treatment without cost burden.

• Journal of the Korean Society for Library and Information Science
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• v.45 no.1
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• pp.149-167
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• 2011

The research started with the idea that the proper supervision of bibliotherapy would improve its therapeutic effect. Revealing therapeutical effect is, to therapists more than just therapy process itself. Bibliotherapists, however not only feel the pressure by the term 'therapy' and have a low conviction over self-activating therapy. Therefore, the therapeutic value of bibliotherapy has not been well approved, and the need for improving the situation has grown among bibliotherapists. The bibliotherapy supervising action research was triggered by such need. This research takes the form of interpretive action research which emphasizes a 'methodical' approach to the research process. The purpose is to observe the problems of supervisees, make each session better, and help both the researcher and participants during the research process.

• Journal of Korean Library and Information Science Society
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• v.49 no.2
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• pp.201-220
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• 2018

The purpose of this study is to explore problems within bibliotherapy research of the 15 thesis papers aimed at improving self esteem, and then to explore development plan. In the current study on bibliotherapy, the problems with bibliotherapy are presented in five aspects. First, there is a lack of professionalism and role of counselor who plays the most important role in bibliotherapy. Second, the situation of the internalizer as an internalizer of bibliotherapy was not reflected in the bibliotherapy program. Third, the lack of diversity in the bibliotherapy program does not keep the reader's interest in bibliotherapy. Fourth, bibliotherapy reading material is limited to text material, which lacks the use of various media. Fifth, there is insufficient validity for the test paper that measures the effectiveness of the reader's bibliotherapy in terms of research methods. Several development plan are proposed based on the factors that affect bibliotherapy. First, it is necessary to develop and train teaching materials to secure expertise of bibliotherapy counselors. Second, it is necessary to develop data on the various media on suitable for bibliotherapy material. Third, it is necessary to review the test paper that can accurately measure the effectiveness of bibliotherapy.

• Tuberculosis and Respiratory Diseases
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• v.57 no.2
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• pp.101-117
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• 2004

현증 결핵환자가 감소하고, 면역억제환자가 증가하고 있는 국내 추세에서 잠복결핵(latent tuberculosis)의 진단 및 치료 지침이 필요한 실정이다. 그러나 결핵의 유병률, 발생률 그리고 비씨지 접종률 등이 외국과 다른 국내의 현실에서 현증이 없는 잠복결핵의 진단 및 치료에 대한 방침은 필연적으로 외국과 다를 수 밖에 없으며, 현 시점에 국내에서 이에 대한 자료가 불충분하여 국내의 환경에 적합한 근거 중심의 지침을 설정하기는 어려운 상황이다. 그러나 결핵의 기본 병태 생리를 근거로 하여 최소한 결핵균 감염 이후 결핵 발병의 위험성이 높은 대상 환자에서는 잠복결핵 진단을 위한 검사를 시행하여 치료 여부를 결정하여야 한다. 고위험군은 사람면역결핍바이러스(human immunodeficiency virus, HIV) 감염자, 장기이식환자, 면역억제제를 장기간 사용하는 환자, 6세 이하의 소아 중 최근 전염성 결핵환자 접촉자 등을 우선적으로 고려해야 한다. 미국은 발병 위험도의 고, 중, 저에 따라 투베르쿨린 검사(tuberculin skin test, Mantoux test)의 양성기준을 달리 하여 잠복결핵을 진단하고 있으나, 국내에는 아직 이에 대한 자료가 부족하므로 발병의 위험이 높은 상기 고위험군을 대상으로 하여 PPD RT-23 2TU (Tuberculin unit)를 이용한 피부반응검사에서 10mm이상의 경결(induration)이 생성되는 경우를 양성으로 정하고 추후 연구 결과에 따라 재조정이 필요하다. 그 동안은 투베르쿨린 검사 결과 5-10 mm 사이의 경결반응을 보이는 면역억제 환자에 대하여는 개별적으로 의사의 판단에 따라 잠복결핵의 진단 및 치료 여부를 결정한다. 그러나 면역억제제를 사용하는 등 결핵 발병의 고위험군에서는 피부반응검사상 음성이라도 과거 결핵 치료력이 없이 흉부사진상 명백하게 과거에 결핵을 앓은 흉터가 남아있는 경우(석회화된 1차 결핵 소견은 제외)에는 잠복결핵의 치료를 시행한다. 상기 잠복결핵의 진단 및 검사의 적응증은 최소한 시행하여야 할 경우를 나열한 것으로 이외의 환자에 대하여는 환경 및 대상에 따라 개별화되어야 한다. 치료제로는 isoniazid (INH) 9개월 매일 치료(최소 한 6개월 이상, HIV양성 환자인 경우는 9개월), rifa-mpicin (RFP) 4개월 치료 및 INH/RFP 3개월 매일 치료를 시행할 수 있다. 상기 치료가 어려운 경우에는 RFP/pyrazinamide (PZA) 2개월 매일 치료를 고려할 수 있으나 중증 간독성의 가능성에 대한 철저한 교육 및 추적검사가 필요하다. 향후 국내 환경의 변화 및 연구결과에 따라 추후 부족한 부분에 대한 지침의 재정립이 필요하다.

• Therapeutic Science for Rehabilitation
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• v.8 no.2
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• pp.31-41
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• 2019

Objective: The purpose of this study is to investigate existing evaluation methods and the limitations thereof Korean children's occupational therapists to understand sensory processing performance in schools. This study provides basic data for the development of sensory processing evaluation tools for schools. Methods: The questionnaire was administered to 20 occupational therapists with more than 3 years of experience in occupational therapy interventions for school-aged children. The survey obtained information through online surveys and telephone interviews. The questionnaires were divided into general characteristics and evaluation methods and limitations of existing sensory processing in school, necessity of a sensory processing evaluation tool for school, and opinions. The questionnaire consisted of 12 closed questions and 4 open questions. Results: In total, 90% of the researchers said that school-aged children in schools are aware of 'some information' through their parents or children. Furthermore, 50% said they often complained about difficulties related to sensory processing in school, and 50% that they were more than 'usual'. Finally, 80% of the repondents indicated that the development of sensory processing evaluation tools for schools was "significantly needed". Conclusion: Occupational therapists in charge of domestic children reported for the need to develop evaluation tools to understand sensory processing abilities in schools. Evaluation tools will play an important role in the evaluation and intervention of occupational therapy for school-aged children.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.31 no.1
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• pp.11-18
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• 2022

Adult patients who need implant and prosthodontic treatment often need treatment to improve the existing occlusion through orthodontic treatment for long-term stable treatment results. However, due to non-aesthetic and uncomfortable orthodontic treatment with orthodontic brackets and wires, many adult patients give up treatment even though they know the need for it. Recently, as digital dentistry has affected all areas of dentistry, clear aligner orthodontic systems have begun to be widely used, and their use is increasing in adults and old-aged people due to the esthetic advantage and convenient oral care. SERAFIN clear aligner system developed in Korea has been developed with the aim of implementing a functional occlusion harmony and is used not only for partial orthodontic treatment but also comprehensive orthodontic treatment. This patient presentation is shown the treatment using SERAFIN clear aligner system for the treatment of patient with TMD, severe extrusion of maxillary second molars, and extracted teeth.

• The Journal of Korean Academy of Sensory Integration
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• v.22 no.1
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• pp.54-68
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• 2024

Purpose : This study aimed to explore the clinical experiences of occupational therapists who have transitioned from adult to child occupational therapy to provide a basis for developing programs to facilitate rapid clinical adjustment for transitioning occupational therapists. Method : Telephone interviews and Colaizzi's phenomenological research method were employed. The interviewees were six occupational therapists with at least three years of clinical experience who had transitioned from hospital-based adult occupational therapy to sensory integration-focused children's occupational therapy. The interviews were recorded, transcribed, and analyzed with the participants' consent. Results : The analysis of the interview transcripts yielded 3 categories, 7 themes, and 17 meanings. The three categories were the challenges facing transitioning occupational therapists in clinical practice, the strengths gained from their post-transition clinical experiences, and the facilitators needed before the transition to ensure quick clinical adjustment. Conclusion : Training and institutional arrangements must be in place to ensure that adult occupational therapists transitioning to sensory integration-focused child occupational therapy can quickly adapt clinically and professionally to their new environments.

• 대한치과마취과학회:학술대회논문집
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• 2005.09a
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• pp.36-37
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• 2005

1. 술자가 확실히 수련 받을 때 사용하고, 완전히 익숙해진 약제와 술식만을 사용하여야 한다. 2. 치료의 범위와 종류, 정신적인 필요, 의학적인 상태에 따라서, 필요한 환자에게만 제한적으로 사용하여야 한다. 3. 각 환자의 상태를 술전에 충분히 평가하여야 한다. 4. 치료가 시작해서 끝날 때까지 계속해서 Monitoring을 하여야 한다. 5. 적절한 어린이용 응급약물, 장비, 시설을 갖추고 유지 관리하여야 한다. 6. 사용된 약물의 투여시간, 용량, vital sign, 부작용에 관한 문서화된 기록을 남긴다. 7. 수련 받은 인력을 확보하여야 한다, 8. 위험성이 높은 환자응 병원 혹은 병원급의 시설, 장비가 구비된 곳에서 치료한다.