• Maxillofacial Plastic and Reconstructive Surgery
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• 제32권3호
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• pp.260-264
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• 2010

Treatment of the mandibular fracture consists of reduction and fixation. The apparatus that is used to keep the jaws together during healing will often reduce the fracture as well. When the jaws are brought together and intermaxillary elastic rubber traction is placed, the occlusion of the teeth will help to orient the fractured parts into good position. Intermaxillary fixation, that is, fixation obtained by elastic bands between the upper & lower jaws to which suitable anchoring devices have been attached, will successfully treat most fractures of the mandible. Arch bars are perhaps the ideal method for intermaxillary fixation. Several types of ready-made arch bars are used. But, daily occupational life and oral hygiene is difficult to maintain during the period of longterm immobilized intermaxillary fixation (commonly 6-8 weeks), owing to malnutrition and emotional disorders in a position of the patient with mandibular fractures. Most mandibular fractures heal well enough to allow removal of fixation in about 6 weeks. Though there are many complications of mandibular fracture, such as infection, hemorrhage, trismus, paresthesia and nonunion, it is favorable to attain the short-term removable intermaxillary fixation care by use of an additive incision & drainage establishment on the oral lacerated wounds of adjacent mandibular compound fractures. The purpose of an additive incision & drainge establishment is the prevention of wound infection & nonunion by removing the hematoma & seroma in the fracture sites.

• Journal of Trauma and Injury
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• 제26권3호
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• pp.170-174
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• 2013

Purpose: A flail chest is one of most challenging problems for trauma surgeons. It is usually accompanied by significant underlying pulmonary parenchymal injuries and mayled to a life-threatening thoracic injury. In this study, we evaluated the treatment result for a flail chest to determine the effect of trauma localization on morbidity and mortality. Methods: Between 2004 and 2011, 46 patients(29 males/17 females) were treated for a flail chest. The patients were divided into two group based on the location of the trauma in the chest wall; Group I contained patients with an anterior flail chest due to a bilateral costochondral separation (n=27) and Group II contained patients with a single-side posterolateral flail chest due to a segmental rib fracture (n=19). The location of the trauma in the chest wall, other injuries, mechanical ventilation support, prognosis and ISS (injury severity score) were retrospectively examined in the two groups. Results: Mechanical ventilation support was given in 38 patients(82.6%), and 7 of these 38 patients required a subsequent tracheostomy. The mean ISS for all 46 patients was $19.08{\pm}10.57$. Between the two groups, there was a significant difference in mean ventilator time (p<0.048), but no significant difference in either trauma-related morbidity (p=0.369) or mortality (p=0.189). Conclusion: An anterior flail chest frequently affects the two underlying lung parenchyma and can cause a bilateral lung contusion, a hemopneumothorax and lung hemorrhage. Thus, it needs longer ventilator care than a lateral flail chest does and is more frequently associated with pulmonary complications with poor outcome than a lateral flail chest is. In a severe trauma patient with a flail chest, especially an anterior flail chest, we must pay more attention to the pulmonary care strategy and the bronchial toilet.

• 대한치과의료관리학회지
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• 제7권1호
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• pp.39-43
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• 2019

Smartphone usage has become so common that it has reached 2 billion people in the last year. As a result of this, hospitals have started making use of smartphones at various medical sites and research services for patients. This study aimed to establish support for developing a long distance program for patients with implants who have difficulty visiting clinics or with busy modern lives, by using smartphones for oral hygiene management instruction. The data were collected for 12 weeks, from July 24 to October 21, 2015, for patients who agreed to participate in the study. Although the subjects found the process of transferring photos via smartphone to be cumbersome (75%), the satisfaction level of the oral hygiene management program was excellent for all participating patients, and they all wanted to continue with further management using this process. The results from the phone satisfaction survey showed that oral hygiene self-management after oral hygiene control training by smartphones was mostly equal to previous habits (87.5%) or had partially increased but had not decreased. The need for data on more varied age groups and the issues of protecting the security of personal information on smartphones require further study. However, our study confirmed the efficacy of using electronic media (smartphones) for oral hygiene management in patients with a dental implant due to their improvement of oral hygiene performance as evidenced by less bleeding from probing on post-program visit.

• 대한영상의학회지
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• 제81권6호
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• pp.1377-1388
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• 2020

목적 본 연구의 목적은 비중격 만곡증과 수포성 비갑개가 상악동 부피에 영향을 미치는지 그리고 만성 부비동염의 유병률과 관련성 여부를 분석해보는 것이다. 대상과 방법 이 연구는 2017년 1월부터 2년 동안 부비동 증상을 호소하며 본원 이비인후과를 내원한 환자 중 부비동 컴퓨터단층촬영술을 시행한 209명의 환자들을 후향적으로 분석하였다. 부비동의 부피 측정을 포함한 컴퓨터단층촬영술에 대한 판독은 1명의 영상의학과 의사가 2번 반복하여 시행하였고, 통계적 분석은 SAS 9.4를 사용되었다. 결과 상악동 부피는 우측, 좌측 모두 남자가 여자보다 의미 있게 컸다(p < 0.0001). 또한 수포성 비갑개는 비중격 만곡증의 오목한 부분에서 유의하게 많이 존재하였다(p < 0.0001). 그러나 비중격 만곡증이나 상악동 부비동염과의 관련성은 방향성을 나누어 분석했을 시 서로 유의하지 않았다(p = 0.8756). 또한 수포성 비갑개는 상악동 부비동염(p = 0.3401)이나 상악동 부피와(양측: p = 0.6289, 우측: p = 0.9522, 좌측: p = 0.9201) 연관성이 없었다. 결론 수포성 비갑개는 만곡된 비중격의 반대편에 주로 존재하였다. 그러나 해당 관련성 이외에는, 비중격 만곡증과 수포성 비갑개는 상악동의 부피나 부비동염과는 큰 연관이 없다.

• 기독교교육논총
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• 제64권
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• pp.237-287
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• 2020

본 연구의 목적은 기독청년들을 대상으로 성교육 집단상담 프로그램을 개발하여 그 효과를 검증하는데 있다. 경남 C시에 소재하는 C교회와 S교회에 출석하는 20~35세 미혼 기독청년 30명을 대상으로 실험집단 15명에게 주 1회, 회당 120분, 총 12회기의 프로그램을 실시하였으며, 통제집단 15명은 어떠한 처치도 하지 않았다. 프로그램은 크랩의 성경적 상담모델과 맥민의 인지치료를 기초하여 인지치료기술 12가지를 활용하여 구성하였으며, 효과 검증을 위하여 전경숙과 이효영 그리고 이선자의 성지식 척도와 호선민의 성태도 척도 그리고 선미경이 개발한 성적의사결정 척도를 사용하였다. 자료분석은 척도의 신뢰도 검사(Cronbach's α 검사), χ2-test, Mann-Whitney U test 그리고 Friedman 검정 및 Wilcoxon signed-rank test를 실시하였다. 연구 결과는 기독청년들의 성지식이 증가하였고 보수적인 성태도가 나타났으며, 성적의사결정 능력이 향상되어 프로그램이 효과가 있는 것으로 나타났다. 이는 본 연구가 기독청년들에게 성적존재로서의 진정한 의미를 성경에서 인지하도록 하여 창조의 목적과 질서를 따라 살 때 자신과 이웃 그리고 하나님과의 관계 회복을 누리며 건강한 생활을 하도록 도움을 주는 교회 내 프로그램임을 시사한다.

• Journal of Cerebrovascular and Endovascular Neurosurgery
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• 제26권2호
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• pp.174-180
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• 2024

When aneurysmal subarachnoid hemorrhage due to multiple aneurysms is suspected, identifying the rupture site is essential to determine the exact surgical site, but it may not be easy. Even if embolization is adequately performed, complications may remain. Typical complications include rebleeding and hydrocephalus in the early phase and delayed cerebral ischemia in the delayed phase. Herein, we describe a case of rupture of an intracranial aneurysm after performing embolization for a different ruptured intracranial aneurysm in a patient with multiple intracranial aneurysms. Patients with multiple intracranial aneurysms need to be considered for closer observation than those with a single ruptured intracranial aneurysm, even if the patient's prognosis is good.

• 한국콘텐츠학회논문지
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• 제14권6호
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• pp.513-528
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• 2014

디지털 정보통신의 발달은 여러 미디어 관련 분야들이 융복합의 형태로 발전하면서 사회의 각 분야에 급속한 변화를 이끌어 온라인 교육의 혁명을 가져오게 되었다. 이것이 교육환경에 영향을 미쳐 기존의 교수자 중심 교육에서 학습자 중심교육으로 바뀌게 했다. 온라인 교육은 시간과 공간의 제약에서 벗어나 기본적 인프라가 구축되어 있는 곳이면 언제 어디서든 수업이 가능하다는 장점을 가지고 있다. 또한 이것은 반복학습 혹은 반복교수가 가능하기 때문에 학습자는 자신의 학습 유형(learning style)과 학습 성향 (learning orientation)에 맞는 수업을 받을 수 있게 되어 궁극적으로는 맞춤형 학습(customized learning)이 가능하게 한다. 그러나 이러한 온라인 교육의 장점 속에서도 여전히 면대면 교육의 필요성이 대두되는 바, 이 두 가지 방식을 적절히 혼합하여 상호 보완한 하이브리드 교육이 등장하게 되었다. 이러한 상황에서 앞으로도 온라인 교육은 계속해서 더욱 발전할 것이므로 기독교 대학은 향후 온라인 교육방식의 미래를 예측하면서 이에 대한 충분한 이해와 연구를 통해서 다양하게 활용해야 할 것이다.

• 대한장애인치과학회지
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• 제14권2호
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• pp.71-77
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• 2018

This study was designed to evaluate basic data about dental treatment under general anesthesia in pediatric dentistry of Wonju Severance Christian Hospital. Sex, Age, location, preoperative physical status, intubation methods, inhalation agents, duration of anesthesia and treatment, performed treatment and postoperative follow-up period and frequency were collected based on electronic medical records of 239 patients who visited pediatric dentistry at Wonju Severance Christian Hospital from March 2011 to February 2017. There were the most patients between the ages of 5 - 9, and there was no significant difference between male and female. The largest number of patients visited the hospital from Wonju, where the hospital was located. Most of preoperative status was ASA Class I. Orotracheal intubation was used in 169 of patients (70.7%). As an anesthesia maintenance agent, drug containing sevoflurane was used in 153 of patients (64.0%). In performed treatment, dental restoration, sealant and stainless steel crowns were performed 3.8, 1.8 and 1.1 times per person. 129 patients (54.0%) attended follow-up appointments under 6 months and those of the number of appointments were 1 - 4 times in average. General anesthesia as a behavior guidance in pediatric dentistry is increasing. Clinical guidelines for pediatric patients under general anesthesia are required through follow-up studies.

• 복식
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• 제56권8호
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• pp.123-137
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• 2006

Christian Dior has been standing to a good position in fashion and make-up for a long time, and it has been growing up continuously. The purpose of this study was to find out data that a point of view on sensibility. So first, this study analyzed image components of Christian Dior fashion, then this study examined aesthetic characters of Christian Dior fashion. For researching the image of Dior based on an historical consideration of Dior, subjects were fixed in this study. 1) Analyzing image components of Dior fashion 2) Examining image characters of Dior fashion 3) Researching consumers understand how to image of Dior fashion. The study was theoretical and established method; using more than a graduate student-major in clothing and make up, survey$(2004.5\sim6.)$ and SPSS 10 program statistics method. As the results, in Dior fashion, this study analyzed the factors of shape, color, material and texture, and that indicated character of chic, classic, gorgeous and romantic image on the foundation of elegant beauty. As consumers understood that as a same image. By analyzing the image as an emotional side, it could be fundamental data of emotional marketing for Asian.

• 기독교교육논총
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• 제61권
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• pp.37-60
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• 2020

이 연구의 핵심은 가톨릭계 학교에서 생동하는 신앙을 가르치는 종교교육으로 그것은 단순히 종교와 신앙의 전통을 전수하는 그러한 형태의 수업과는 차이가 있다. 지금까지 종교교육의 형태는 가정과 교구에서는 배타적인 형태의 신앙으로 그 교육적 과업이 제한되어 왔다. 반면에 가톨릭 학교의 종교교육은 수학교과 혹은 과학교과와 같이 단지 학문 원리로 종교교육이 수행되어 왔다. 이 논문은 최근 현대 사회 속에서 가톨릭계 학교에서 이루어지는 종교교육의 축소에 주목하면서, 기독교의 신앙과 기독교의 지적 전통이 본래적으로 지니고 있은 본질, 목적, 앎의 양식을 촉진하는 종교교육의 근간을 제안함에 연구의 목적이 있다.