• Korean Journal of Acupuncture
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• 제41권2호
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• pp.43-50
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• 2024

Objectives : Samanhyeol is a combination of acupoints located in the cubital and popliteal fossa. It is commonly used in clinical practice to treat acute illnesses such as summerheat stroke, vomiting, diarrhea, and hemorrhagic diseases. There are two types of Samanhyeol in literature: BL40 and LU5, and BL40 and PC3. We investigated which acupoint is representative of Samanhyeol, and more closely fits the definition of Samanhyeol between LU5 and PC3. Methods : We searched for literature related to Samanhyeol, compared the anatomical locations of LU5, PC3, and BL40, examined their indications associated with the effectiveness of Samanhyeol, and checked cases in the literature where LU5 or PC3 was used concurrently with BL40. Results : BL40, one of the Samanhyeol, has been used to treat summerheat stroke, vomiting, diarrhea, and epistaxis in acupuncture texts, and there are many references in the literature to BL40 being used for bloodletting. And BL40 is located in the midpoint of the traverse crease of the popliteal fossa. From this perspective, LU5 may be a more suitable than PC3 because it is located in the midpoint of the cubital crease. However, Samanhyeol is a combination of acupoints used to treat heat stroke, vomiting and diarrhea, and hemorrhagic diseases. Upon analyzing the literature, it was found that LU5 and PC3 have similar efficacy. However, PC3 was used more frequently in cases of severe fever, unconsciousness or syncope. Conclusions : Literature suggests that BL40 is the representative acupoint for Samanhyeol. And PC3 is more appropriate than LU5 for Samanhyeol because its effects are more stronger on heat stroke although both LU5 and PC3 can treat symptoms related to Samanhyeol.

• Hip & pelvis
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• 제36권1호
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• pp.26-36
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• 2024

Total hip arthroplasty (THA) is a frequently performed procedure; the objective is restoration of native hip biomechanics and achieving functional range of motion (ROM) through precise positioning of the prosthetic components. Advanced three-dimensional (3D) imaging and computed tomography (CT)-based navigation are valuable tools in both the preoperative planning and intraoperative execution. The aim of this study is to provide a thorough overview on the applications of CT scans in both the preoperative and intraoperative settings of primary THA. Preoperative planning using CT-based 3D imaging enables greater accuracy in prediction of implant sizes, leading to enhancement of surgical workflow with optimization of implant inventory. Surgeons can perform a more thorough assessment of posterior and anterior acetabular wall coverage, acetabular osteophytes, anatomical landmarks, and thus achieve more functional implant positioning. Intraoperative CT-based navigation can facilitate precise execution of the preoperative plan, to attain optimal positioning of the prosthetic components to avoid impingement. Medial reaming can be minimized preserving native bone stock, which can enable restoration of femoral, acetabular, and combined offsets. In addition, it is associated with greater accuracy in leg length adjustment, a critical factor in patients' postoperative satisfaction. Despite the higher costs and radiation exposure, which currently limits its widespread adoption, it offers many benefits, and the increasing interest in robotic surgery has facilitated its integration into routine practice. Conducting additional research on ultra-low-dose CT scans and examining the potential for translation of 3D imaging into improved clinical outcomes will be necessary to warrant its expanded application.

• 디지털융복합연구
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• 제15권4호
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• pp.233-242
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• 2017

간호대학생의 카데바 모델을 이용한 인체 해부 관찰 경험을 확인하여 카데바 실습 프로그램 개발 및 해부학 교육과정 등의 기초자료를 제공하기 위함이다. 19명을 대상으로 2팀의 포커스그룹 인터뷰(Morgan, 1997)로 수집된 자료를, Colaizzi 분석방법을 선택하여 간호대학생의 카데바 모델을 이용한 인체 해부 관찰 경험의 의미와 그 본질을 파악하고자 하였다. 간호대 학생의 카데바 모델을 이용한 인체 해부 관찰 경험에 대한 분석 결과는 6개 범주와 13개의 주제묶음(theme clusters)으로 도출되었다. 본질적 구조로는 '카데바 실습에 대한 양가감정', '실제에 맞닥뜨림', '값진 것을 배움', '인간을 대하는 마음이 깊어짐', '간호인이 되어 감을 느낌', '온전히 내어줌에 대한 숙고.'등 6개의 범주로 도출되었다. 간호대학생은 카데바 실습을 통해 해부학에 대한 이해뿐만 아니라 인간의 이해, 생명 및 존중, 죽음, 직업윤리 등을 경험하고 또 고민하면서 간호인이 되어가는 것을 확인하였다. 본 연구의 결과는 향후 해부학교육에 대한 기초자료 뿐 만 아니라 해부학교육의 효과를 극대화하기 위한 교육방법에 도움이 되고, 인간의 이해 및 생명윤리, 간호윤리 등을 확립 할 수 있는 교육프로그램을 위해 기초자료로 활용될 것이다.

• 보건행정학회지
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• 제2권1호
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• pp.17-41
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• 1992

During the month of October, 1990, 676 practicing physicians in Taegu City were surveyed by mail questionnaires about their general characteristics and the reasons why they chose Taegu as a practice location and 331 out of them responded completely. Collected data were analyzed to provide basic reference data for future health manpower policy which intends to solve the problem of geographical maldistribution of physicians, The major findings are as follows: For the question asking why Taegu area is favored, following lists are as the order of their magnitude of the reasons replied by more than 20% of the respondents: 1) Taegu is a foundation of life until now(81.3%) 2) Better educational environments are available for their offsprings(73.7%) 3) They can have intimate relationship with acquaintances or friends sharing same or similar interests(61.0%) 4) Due to characteristics of their specialty, metropolitan seems to fit better(52.0%), 5) They graduated from the medical school in Taegu(49.8%) 6) Never thought of selecting practice location in other area than Taegu without any specific reasons(45.9%) 7) Intelligent communications are available with other physicians(39.9%) 8) More opportunities to participate in social life, such as medical, or alumni association etc., can be given(33.2%) 9) No specific knowledge or relationships with other area are available(32.6%) 10) They finished internship or residency training in Taegu area(31.4%) 11) Facilitation of transferring patients including emergent patients can be obtained (30.8%) 12) Continuing medical educational programs are available(29.9%) 13) Sufficient medical demands are provided because of the large population(28.1%) 14) More chances to be grown up as a medical professionals can be achieved(25.7%) 15) More leizure time can be utilized for cultural activities(23.9%) 16) They had experiences to work in hospitals or facilities in Taegu area(23.3%) 17) Medical facilities of fellow physicians or alumni can be used(20.5%) In addition, 37% of female physicians answered that their spouse strongly influenced them to choose Taegu, and 33.3% of physicians with age of thirty replied that parents did so. Physicians of specialty in radiology, clinical pathology, anatomical pathology, and anesthesiology considered that patients from other hospitals and medical facilities would be referred often to them and that less competition seemed to be expected in their specialty (30.8%). In contrast, general practitioners anticipated that larger population would increase the medical demand(62.5%). 28.6% of medical practitioners who graduated medical schools in other are than Taegu and 22.0% of medical practitioners who were trained in hospitals of other area than Taegu were influenced to choose Taegu by their spouses. In consideration of above findings, we may conclude that long term and rational manpower policies should be implemented to solve the problem of geographical maldistribution of physicians as well as short term physician-inducing policies, and they have to be incorporated with equitable community development.

• 한국보건간호학회지
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• 제12권2호
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• pp.27-47
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• 1998

The Purpose of this study is to offer basic data when the new printed media for sex education are developed, by grasping the problem through analyzing the data of the printed media for sex education that are produced by the government and composed of relatively inclusive contents. The subjects of analyzed data were 10 printed media books connected with sex education. This study focused on analysis for the printed media. therefore the method of analysis used effectively for the study of the mass media was used. The SAS program was used for analyzing the frequency of data and processing with percentage. The result of this study is as follows. 1. The subject of sex education that the printed media intend for was classfied the data for students and for teachers and the general. 2. According to the result of analyzing the writers of the printed media for sex education, classified by occupation, research workers accounted for $30.2\%$ as 23 persons, and the rest were distributed as 19 professors $(25\%)$, 13 teachers $(17.2\%)$, 10 workers in related institutions of various kinds $(13.1\%)$, 6 doctors $(10.6\%)$ and 3 writers $(3.9\%)$. Examing the organization of writers of the printed media for sex education for students, it was composed of sequence as research workers $30.5\%$. workers in related institutions of various kinds $19.6\%$, teachers $19.5\%$, professors $13\%$, doctors $10.8\%$ and writers $6.5\%$. And that of writers of the printed media for sex education for teachers and the general was shown as professors $43.2\%$ (13 persons), research workers $30.1\%$ (9 persons), teachers $13.2\%$ (4 persons) and doctors $10.2\%$ (3 persons). 3. Seeing the result of analyzing for the printed media, classified by themes, it was shown as 314.1 pages $(28.5\%)$ in a field of development of men, 195.9 pages $(17.6\%)$ in a field of sex-health, 141.7 pages $(12.9\%)$ in a field of relationship. 74.1 pages $(6.7\%)$ in a field of a sex act. 51.7 pages $(4.6\%)$ in a field of a personnal technology and 313.4 pages $(28.4\%)$ in the others. As are suit of the analysis classified by themes about the printed media for sex education for students, it was distributed as the content about sexual abuse $12.3\%$ (60.2 pages), the anatomical physiology of reproduction $12.1\%$ (59.3 pages). a friendship $8.5\%$ (41.6 pages). the reproduction $7.2\%$ (35.5 pages). a sexual disease $6.8\%$ (33.2 pages) and the puberty $4.3\%$ (20.9 pages). Examing the result of the analysis about contents classified by themes of the printed media for sex education for teachers and the general. it was indicated as 67.1 pages $(10.9\%)$ on the 'puberty', 37.9 pages $(6.2\%)$ on the anatomical physiology of reproduction, 36.6 pages ($6.0\%$ on a sexual disease, 23.2 pages $(3.8\%)$ on dating, 21.7 pages $(3.5\%)$ on a human sexual reaction. 21.0 pages $(3.4\%)$ on a sexual role. 20.1 pages $(3.3\%)$ of the reproduction. The suggestion according to the upper result is as follows. 1. It is needed to expand the range of analysis into the data. besides the printed media. into the data for sex education using such media as a video. a slide, a CD-ROM, on internet, etc. 2. It is necessary to develop the ideal program for sex education of teenagers and analyze the effect. on the basis of analyzing data about data sex education. 3. It is needed that practice workers for nursing or teachers for nursing as well as workers in educational field or medical experts participate in producing data for sex education.

• 치위생과학회지
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• 제11권3호
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• pp.155-161
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• 2011

본 연구는 치근단 필름 촬영에 있어서 촬영법에 따른 실책율을 살펴봄으로써 향후 효율적인 촬영기술 습득과 학생의 지도를 위한 기초 자료를 얻고자 시행되었다. 2009년 3월부터 2010년 12월까지 D 보건대학 및 S 보건대학 치위생과 학생들을 대상으로 촬영한 필름 14,402매를 분석하고, 등각촬영법과 평행촬영법의 촬영 실습수업을 이수한 학생 263명을 대상으로 현상과정에서 가장 어려웠던 점에 관한 설문조사를 실시하여 다음과 같은 결과를 얻었다. 1. 등각촬영법으로 촬영한 경우 상 하악 모두 대구치부에서 실책율이 가장 높았다. 2. 평행촬영법으로 촬영한 경우 상악에서는 소구치부, 하악에서는 대구치부에서 실책율이 가장 높았다. 3. 촬영기술상의 실책은 등각촬영법과 평행촬영법 모두 필름위치의 부정확이 가장 높게 나타났으며, 등각촬영법이 평행촬영법에 비해 실책율이 높게 나타났다. 4. 현상기술상의 실책은 등각촬영법과 평행촬영법 모두 어두운 상과 밝은 상이 가장 높게 나타났으며, 등각 촬영법이 평행촬영법에 비해 실책율이 높게 나타났다. 5. 학생들은 현상과정에서 현상의 정도를 파악하는 것을 가장 어려워하는 것으로 나타났다. 이상의 결과로 살펴볼 때, 치근단 촬영 시 실책율을 줄이기 위해서는 구강 내 형태학적, 해부학적 구조의 이해가 필요하며, 충분한 시간을 가지고 여러 번 반복 촬영하여 숙련도를 높이는 것이 중요하다고 생각된다.

• Restorative Dentistry and Endodontics
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• 제36권6호
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• pp.465-476
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• 2011

최근의 근관치료학 분야에서 외과적 재치료는 수술현미경, 초음파기구, 미세수술기구 등의 도입으로 많은 변화가 있어 왔다. 본 논문에서는 기존의 전통적인 치근단 수술법과 비교하여 미세 치근단 수술의 주요 술식을 알아보고 이미 출간된 논문에 근거하여 미세 치근단 수술의 성공과 실패 그리고 성공과 실패에 영향을 미치는 요소들을 고찰하고자 하였다. 수술현미경은 수술부위를 밝게 확대해서 봄으로써 치근단 부위의 미세한 형태를 조명할 수 있게 되었으며 이는 술식의 성공을 위해서 필수적인 요소가 되었다. 초음파 기구 또한 치근단 역충전을 위한 정확한 와동형성을 가능하게 해 주었다. 따라서 미세 치근단 수술은 기존방식의 문제점이었던 많은 골삭제, 경사진 치근절제, 부정확한 역충전 와동 형성, 치근단 미세구조 관찰의 어려움 등을 극복함으로써 술식이 더욱 정확해지고, 성공가능성이 더 높아졌다고 볼 수 있다. 미세 치근단 수술에 영향을 미치는 요소에는 다양한 요인들이 존재할 수 있으나 전통방식의 치근단 수술보다 술식이 표준화 됨으로써 술식에 의한 영향을 줄일 수 있다. 환자와 치아에 관계되는 요소 중에서는 치주질환의 이환 여부와 치아위치(tooth position)가 예후에 영향을 미치는 것으로 알려져 있으나 이에 대한 연구는 아직까지 그 수가 부족한 상태로 앞으로 검증수준 (evidence level)이 높은 Randomized clinical trial 혹은 전향적 코호트 연구가 많이 이루어져야 할 것이다.

• Archives of Plastic Surgery
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• 제37권3호
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• pp.233-238
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• 2010

Purpose: As the use of soft tissue fillers becomes more popular, complications such as foreign body granuloma (FBG) are increasing. We report 120 cases of facial FBG and review the available literatures. Methods: 120 patients of facial FBG in our clinic from Mar. 2003 to Feb. 2008 were complied and analyzed. A retrospective chart review was done and patient satisfaction was evaluated with a questionnaire using 5 score scale. Patients with severe inflammation sign or bizarre deformity underwent surgical excision and those with minimal symptoms or a history of hyaluronic acid injection received injection therapy using hyaluronidase. Results: 100 females and 20 males were observed. The average age was 43.7 years (from 16 to 74). 84 patients received surgical therapy and 36, injection therapy. Deformity of facial contour, foreign body sensation and inflammation sign were the three main chief complaints. 84 patients did not know what the injection materials were. The known materials are as follows: collagen, hyaluronic acid, silicone oil, paraffin. 92 cases were performed by unlicensed practitioners, 29 by physicians. Anatomical site most frequently affected by the foreign body granuloma was the cheek (25.8%), followed by forehead (19.2%), lips (15.8%), nose (9.2%), mentum (8.3%), eyelid and eyebrow (4.3%) and temple (0.8%). In 21 patients (17.5%), FBGs were found on multiple sites. Patients with inflammation sign got the highest satisfaction ($3.19{\pm}0.73$) (p=0.001) among 3 chief complaints. And patient satisfaction was statistically higher in surgical therapy group ($3.43{\pm}0.72$) than in injection therapy group ($2.97{\pm}0.88$) (p=0.003). Conclusion: We suggest that it may be beneficial to tailor the type of treatment for FBG relying on wound state and patient's chief complaints. In surgical therapy, resolute approach is necessary to correct facial deformity definitely and to minimize inflammation. Injection therapy could be another option for those with minimal symptoms or a history of hyaluronic acid injection. To prevent foreign body granuloma, not only plastic surgeons but also other physicians should inject soft tissue fillers with great caution and we should warn the public of disastrous consequences associated with illegal medical practice.

• 대한두개안면성형외과학회지
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• 제13권2호
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• pp.85-94
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• 2012

The world's first face transplantation was performed in France, in 2005. Since then, 21 cases of face transplantation have been performed. Face transplantation is one of the most prominent part of composite tissue allotransplantation (CTA) along with hand transplantation. Since these fields are not deal with life-saving organs, there are many arguments about immunosuppression therapy. Recent paradigm of face transplantation shows that surgical ranges are expanded from partial face transplantation to full face transplantation. Most immunosuppression protocols are triple therapy, which consists of tacrolimus (FK-506), mycophenolate mofetil and prednisolone. Anatomical researches, immunosuppression, and immunotolerance take great parts in the researches of CTA. The medical fields directly related to face transplantation are microsurgery, immunology, and transplantation. Nowadays, each field is performed widely. Therefore people, even medical teams think face transplantation could be easily realized, sooner or later. But there are lots of things that should be prepared for not only practice and immunosuppression therapy but also for the cooperation with relevant fields. That's the reason why only 21 cases of face transplantation have been done, while more than 70 cases of hand transplantation have been done in the past years. Especially in Korea, brain death patients are not enough even for organ transplantation and furthermore there are some troubles in taking part in the society of transplantation. Face transplantation has lots of problems concerning variable medical fields, administration, society, ethics, and laws. Therefore, for the realization of face transplantation in Korea, not only medical skills but also political powers are needed.

• 말소리와 음성과학
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• 제13권4호
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• pp.89-100
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• 2021

본 연구는 변성 과정의 남성 음역대 특성을 살펴보기 위해 변성이전(21명), 변성(16명), 변성이후(20명) 단계에 있는 57명의 남성을 대상으로 활창과 축약된 발성범위 프로파일(voice range profile, VRP)을 사용하여 음역대를 비교하였다. 또한 측정방법별로 진성구와 가성구 VRP의 차이를 비교하였다. 연구 결과, 평균기본주파수(F0)는 변성이전>변성>변성이후 순이었고, 최고기본주파수(F0max), 기본주파수범위(F0range), 최대음성강도(Imax) 및 음성강도범위(Irange)는 변성 단계에서 가장 낮았으며, 가성구가 진성구에 비해 높았다. 또한 대부분의 변수에서 활창이 축약된 VRP에 비해 높았으나 차이는 유의하지 않았다. 본 연구를 통해 변성 단계에 있는 남성은 변성기의 일시적인 후두의 해부학적 및 생리학적 변화로 인해 성대 진동이 불안정하게 됨으로써 음역대 또한 다른 연령대와 다른 양상을 보임을 알 수 있었다. 이와 더불어 활창을 이용한 VRP와 축약된 VRP 모두 검사자가 숙련된 경우에 임상에서 모두 사용하기에 적합하며, VRP 측정 시 가성구 외에도 진성구 범위까지 측정해야 한다는 사실을 확인하였다.