• 대한한의학회지
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• 제30권5호
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• pp.127-136
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• 2009

Objective: This study aimed to analyze the current status of treatments and patients with diabetic peripheral neuropathy, and then map out of a strategy for development of generalized-treatments for diabetic peripheral neuropathy in Traditional Korean Medicine. Methods: We selected research materials from various databases such as PubMed, Google, KStudy, KoreanTK, OIM, KOMS and books. Also, to understand current tendencies of medical examination and treatment related with diabetic peripheral neuropathy, we requested Health Insurance Review and Assessment Service clinical data from 2003 to 2007. Results: It is reported that the incidence of diabetic peripheral neuropathy is increasing in an aging society. The medical fees of National Health Insurance related with diabetic peripheral neuropathy show a year-on-year increase. There are no particularly effective therapies for diabetic peripheral neuropathy in Western medicine, and in some papers, it was reported that treatment of diabetic peripheral neuropathy using Traditional Korean Medicine was effective. However, patients usually visit on Western medical center rather than seek Traditional Korean Medicine. To take charge of clinical fields related with diabetic peripheral neuropathy by Traditional Korean Medicine, we need more studies and experiments of diabetic peripheral neuropathy using Traditional Korean Medicine and should make a standardized protocol. Conclusion: Various studies related with diabetic peripheral neuropathy using Traditional Korean Medicine will have to be undertaken hereafter. We expect that Traditional Korean Medicine will play a vital role in treating of diabetic peripheral neuropathy.

• Journal of Nutrition and Health
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• 제30권8호
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• pp.995-1008
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• 1997

This study was performed to investigate the change in taste perception during aging and its effects on dietary intake in Korean elderly. The subjects were female aged 65 through 90 in the Anyang area, and college women were included as a comparison group . Dietary intake of the elderly(n=155) and young subjects (n=38) was measured by a 3 day diet record. The taste threshold and 'just right' concentrations(JRC) for sweet and salty tastes were assessed by sensory evaluation . Sucrose solution (0.0.,0.4,0.6,0.8,1.0, 1.2%) and salt solution(0, 0.02, 0.03,0.06,0.09,0.12,0.15%) were used to establish thresholds. for JRC assessment, four suprathreshold sucrose concentrations of 5, 8, 11 and 14% in orange-pineapple flavored juice and salt concentrations of 0.20, 0.34, 0.50and 0.75% in beef stock were prepared. Mean intakes of energy, protein , vitamin A, thiamin , riboflavin, niacin ,calcium and iron of the elderly were below the Korean Recommended Dietary allowances. The elderly showed higher taste thresholds than young subjects of both sweet and salty tastes consumed less calories. Needs to bespecified. The older subjects having high threshold or JRCs for sweet and salty tastes consumed fewer calories from protein and fat. Pearson correlation coefficients was between JRC for sweet and salty tastes 0.54(p<0.01). The correlation coefficients between tastes threshold and nutrient intakes were very low for both age groups. Unlike the college women, in the elderly the JRC of sweet taste of the orange-pineapple juice were negatively correlated with intakes of energy, protein, fats, thiamin , riboflavin , niacin ,vitamin C , iron and consumption of meat and egg food groups (p<0.01). In summation age-related alterations in sweet and salty taste perception were observed in the elderly and dietary intakes of the elderly see to be influenced by these taste perception changes.

• Archives of Plastic Surgery
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• 제35권4호
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• pp.471-479
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• 2008

Purpose: Sunken eyelid is a deformity of upper eyelid due to atrophy of periocular fat tissue, loss of skin elasticity. It causes the skin retraction of eyelid and unfavorable fold. Sunken eyelid occurs from the results of natural aging process, facial trauma, complication of previous periocular surgery, etc. We acquired a satisfied correction of sunken eyelid and unfavorable fold using autologous fat injection only. The aim of this study is a assessment of autologous fat injection for correction of sunken eyelid accompanied with unfavorable fold. Methods: From August 2002 to March 2006, we performed 37 cases of correction of sunken eyelid with unfavorable fold using autologous fat injection. They were all females with ages ranged from 23 to 63. Fat was harvested from lower abdomen and centrifuged with Coleman system. Multi-layered injection of purified fat was done from orbital fat layer to orbicularis oculi muscle. Results: Overall, improvement of sunken eye and unfavorable fold was observed in the majority of the patients. Discomfort of eye opening was improved in 24 patients. The average injection volume was 1.33 mL in right eyelid, 1.31 mL in left eyelid at first injection. Second injection was done in patients who absorption of injected fat was noted with. No specific complications were observed. Conclusion: Natural and attractive upper eyelid was acquired from fat injection only in sunken eyelid with unfavorable fold. To the authors' knowledge, it is desirable for sunken eyelid accompanied with unfavorable fold to be treated with autologous fat injection at first. Although some shortcomings are substantial, autologous fat injection is easy and effective method for correction of unfavorable fold in sunken eyelid without specific complication.

• 한국구조물진단유지관리공학회 논문집
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• 제22권5호
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• pp.39-46
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• 2018

최근 한반도는 동계올림픽 단일팀 참가, 남북정상회담 이후 남북 경제협력 방안이 본격적으로 논의될 것으로 보이고, 도로, 철도 등 남북 주요 인프라에 대한 관심이 커지고 있다. 그리고 대부분의 북한 시설물은 고령화, 노후화 및 유지관리 불량 등 시설물의 안전성과 기능성에 대한 문제점이 제기되고 있다. 이에 본 연구에서는 북한 인프라 개선 및 개발에 대한 새로운 전략을 마련하기 위하여 성능관점의 북한 유지관리 수준을 분석하고 남북 상호 인프라 유지관리 수준을 비교하였다. 본 연구결과, 북한의 도로, 철도 등 국가기반시설과 전력 및 통신, 상하수도 등 생활기반시설의 유지관리가 매우 취약한 것으로 조사되었고, 이에 대한 보수 보강 등 개선이 시급한 것으로 나타났다. 이에 본 연구는 안전과 성능에 대한 평가를 통해 남북 유지관리 수준의 격차를 줄이고, 향후 통합 한반도 안전 및 유지관리 체계를 구축하는데 기초자료로 활용하고자 한다.

• 한국구조물진단유지관리공학회 논문집
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• 제22권4호
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• pp.121-125
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• 2018

본 연구에서는 음향 방출 기법을 사용하여 강연선(7-wire strand)의 손상을 감지하기 위한 기초 실험을 수행하였다. 강연선은 주로 교량에 추가적인 인장력을 제공하기 위해 널리 사용되는 건설 자재이다. 프리스트레스 교량 또는 사장교가 대표적인 경우이다. 그러나 교량 노화가 급격히 진행되면서 강연선 부식 문제가 대두되고 있다. 이러한 이유로 케이블 점검을 위한 다양한 비파괴 방법이 연구되고 있고 현장 적용이 시도되고 있다. 비파괴 방법 ??중 하나인 음향 방출 기법은 케이블 손상 및 파단을 감지하는 효과적인 기술로 알려져 있다. 본 연구에서는 음향 방출 기법의 교량에 대한 적용 가능성을 평가하기 위해 강연선의 손상에 따른 음향 방출 신호 특성을 인장 실험을 분석 하고, 현장 적용을 위한 최적 센서 주파수 타입을 선정하였다. 결과적으로, 음향 방출 기법을 활용하여 향후 교량 케이블의 부식 파단 및 파단 징후를 감지 할 수 있다고 여겨진다.

• 치위생과학회지
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• 제20권1호
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• pp.1-8
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• 2020

Given that the demand for dental care for elderly individuals is expected to increase according to demographic changes, long-term roadmaps for the current health insurance system should be actively planned. The study aimed to investigate the health insurance system in Korea, compared to that of Japan, and suggest directions for the work of dental hygienists to provide basic data on efficient improvements in the health insurance system. Based on the collected data, the website was used to collect additional related data from Korea and Japan. The most common cause of death in Korea was malignant neoplasms, and most patients were hospitalized for diseases and disorders of the musculoskeletal system and connective tissue. Dental care covered by Korean medical insurance for individuals aged 65 years or older was treatment oriented, such as dentures and implants, while in Japan, treatment-intensive items, such as visiting a dental hygienist for guidance and provision of home-care professional oral hygiene treatment, were covered. The percentages of remaining teeth in Korea and the percentage of remaining 20 teeth were 68.9% in those aged 65 to 74 years and 51.2% in those aged 75 to 84 years in Japan. A strategy for promoting oral health among elderly individuals should be established, and a multilateral intervention approach is required to prevent oral problems from leading to deterioration of whole-body health. The role of dental hygienists in providing comprehensive assessment to elderly individuals is important. In order to provide systemic oral care, it is necessary to introduce oral care systems according to the national policy.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2007년도 정기학술발표대회 논문집
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• pp.368-372
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• 2007

최근 건설 회사들은 기능 인력의 부족현상과 고령화 현상, 그리고 선 시공 후 분양 제도의 도입 가능성 등에 대비하기 위하여 대형 시스템 거푸집의 사용을 선호하고 있다. 이러한 관심과 노력의 결과로 국내 초고층 건축의 경우는 층당 3-4일의 골조공기를 달성하고 있으나, 우리나라 건설사업의 90%이상을 차지하고 있는 공동주택, 그 중 대부분을 차지하고 있는 중층 RC조 아파트의 경우는 6-8일 정도의 층당골조공기를 형성하고 있다. 이는 북미 일반 RC조 주거건축 층당공기 대비 50%수준에 머물러 있는 실정이다. 이에 본 연구에서는 선행 연구를 통하여 도출된 공기단축의 가능성을 가진 요소기술들을 적용한 Mock-up Test를 통하여 현장적용가능성 및 개선방안을 검토하였다. 또한 기존 6day-Cycle의 단위생산성 및 T/C 가용율에 대하여 분석하고, 기존공정대비 공기단축형 공정모델의 단위생산성 및 T/C 가용율을 비교하였다.

• Nutrition Research and Practice
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• 제12권3호
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• pp.222-232
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• 2018

BACKGROUND/OBJECTIVES: Since gain or loss of skeletal muscle mass is a gradual event and occurs due to a combination of lifestyle factors, assessment of dietary factors related to skeletal muscle is complicated. The aim of this study was to investigate the changes in total energy intake according to the level of skeletal muscle mass. SUBJECTS/METHODS: A total of 8,165 subjects ${\geq}30years$ of age from the Korean National Health and Nutrition Examination Surveys (KNHANES) 2008-2011 were included in the analysis, and multivariate-adjusted regression analyses were performed to analyze the association of the quartiles of sarcopenia index (SI) with energy intake of the study population after adjusting for age and metabolic parameters. RESULTS: The increase in SI quartile was in proportion to the gradual decrease in systemic lipids and the anthropometric measurement of fat accumulation (P < 0.001). Subjects in higher SI quartiles tended to consume more total energy and energy-producing nutrients than those in lower quartiles (P < 0.001). After age, body weight, alcohol consumption, and metabolic parameters were adjusted in the analysis, total energy intake gradually increased according to the increase in SI quartile, and the association between total energy intake and SI was more pronounced in men. However, the risk (odd ratio) of having a low SI was not affected by any single macronutrient intake. CONCLUSION: In this study, total energy intake was positively associated with SI and relative skeletal mass in both men and women. However, no significant association or a weak association was observed between any single macronutrient intake and skeletal muscle mass. The data indicated that acquiring more energy intake within the normal range of energy consumption may help to maintain skeletal muscle mass.

• 한국정보통신학회논문지
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• 제20권11호
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• pp.2054-2060
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• 2016

최근 인구 고령화가 급속히 진행되면서 치매인구가 빠른 속도로 증가하고 있다. 치매는 완벽한 치료법이 없기 때문에 경도인지 장애 평가를 통해 조기 발견하여 예방 훈련하는 것이 중요하다. 기존의 경도인지 장애 평가는 수기형태로 이루어지며, 피검자와 검사자의 1:1 대면 평가가 원칙이다. 이는 검사자의 피로도 증가와 이로 인한 평가오류의 가능성을 증가시킨다. 또한 도출된 데이터도 수기 형태이기에 다양한 방식으로 분석 및 활용하기에는 한계가 있다. 따라서 기존 방식의 제한점을 극복 수 있는 시스템화가 가능한 어플리케이션을 활용하여 평가하고, 그 결과를 저장 및 분석할 수 있는 시스템 개발이 필요하다. 본 논문은 경도인지 장애를 평가할 수 있는 피검자와 검사자용 어플리케이션과 평가 데이터를 저장 및 분석할 수 있는 시스템을 개발하고자 한다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제21권5호
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• pp.461-469
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• 2021

Background: The global population is aging rapidly, and accordingly, the number of patients with dementia is increasing every year. Although the need for dental treatment increases for various reasons in patients with dementia, they cannot cooperate during dental treatment. Therefore, behavioral management, including sedation (SED) or general anesthesia (GA), is required for patients with dementia. Thus, this study aimed to investigate the trends and effects of SED or GA in patients with dementia undergoing dental treatment in South Korea based on the Korean National Health Insurance claims data. Methods: This study utilized customized health information data provided by the Health Insurance Review and Assessment Service. Among patients with records of using sedative drugs during dental treatment from January 2007 to September 2019, patients with the International Classification of Diseases-10 code for dementia (F00, F01, F02, F03, and G30) were selected. We then analyzed the full insurance claims data for dental care. Age, sex, sedative use, and dental treatment of patients were analyzed yearly. In addition, the number of cases of GA or SED per year was analyzed, and changes in behavioral management methods with increasing age were investigated. Results: Between January 2007 and September 2019, a total of 4,383 (male, 1,454; female, 2,929) patients with dementia received dental treatment under SED or GA. The total number of SED and GA cases were 1,515 (male, 528 ; female, 987 ) and 3,396 (male, 1,119 ; female, 2,277) cases, respectively. The total number of cases of dental treatment for 4,383 patients with dementia was 153,051 cases, of which 2.22% were under GA and 0.98% were under SED. Midazolam was the most commonly used drug for SED. Conclusion: Although gingivitis and pulpitis were the most common reasons for patients with dementia to visit the dentist, GA or SED for patients with dementia was frequently used in oral and maxillofacial or periodontal surgery.