• The Journal of Korean Physical Therapy
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• 제15권4호
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• pp.1-12
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• 2003

고전압맥동전류자극이 흰쥐 피부의 창상치유와 섬유모세포 및 교원질 밀도에 미치는 영향을 규명할 목적으로 본 실험을 시행하였다. Sprague-Dawley계 수컷 흰쥐 20마리를 10마리씩 무작위로 고전압맥동전류자극군과 대조군에 배치하고 등에 10 mm의 전층 절개상을 만들었다. 고전압맥동전류자극군은 창상 위에 전극을 부착한 후 맥동빈도 100 pps, 맥동기간 $65{\mu}s$, 강도 50 V로 1일 30분씩 1주 동안 자극하였으며 대조군은 전극만 부착하고 전류를 통전시키지 않았다. 1주 후 창상 길이를 계측한 후 창상부위의 피부를 적출하여 포르말린에 고정한 후 파라핀 포매 절편을 제작하여 Massons trichrome 및 hematoxylin and eosin (H&E) 염색을 하였다. 이 표본을 고배율 현미경하에서 관찰한 다음 현미경에 부착된 CCD 카메라를 통해 개인용 컴퓨터로 보내 영상분석 프로그램을 이용하여 섬유모세포와 교원질 밀도를 계측한 후 비율을 산출하였다. 이를 군간 t-검정한 결과 고전압맥동전류자극군의 창상치유율, 섬유모세포 및 교원질 밀도가 대조군보다 통계학적으로 유의하게 높게 나타났다 (p<0.001). 이러한 결과는 고전압맥동전류자극이 흰쥐의 피부 창상 치유를 촉진시켰음을 보여 주었고 이는 전기자극에 의해 섬유모세포가 활성화되어 교원질 합성이 증가함에 따른 것으로 사료된다.

• 대한한방내과학회지
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• 제25권4호
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• pp.167-176
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• 2004

Objectives : This study was designed to report the clinical effects of scalp acupuncture on patients who suffered from broca aphasia caused by cerebral hemorrhage, Methods : Scalp acupuncture therapy was applied on the above patients for several weeks, For the evaluation of improvement, language field was monitored by aphasia test(RISS) and speech field was monitored by phonetic analysis in the computerized speech lab. Results : According to the above evaluation items, the treatment was beneficial. The score of most items rose in the language field. And scalp acupuncture affected VOT, TD and articular error patterns positively in the speech field. Conclusions : The above results suggest that scalp acupuncture has good effects on the patients with broca aphasia caused by cerebral hemorrhage.

• 구강회복응용과학지
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• 제26권2호
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• pp.157-168
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• 2010

현재 스포츠 치의학은 두가지 방면으로 연구가 진행되고 있는데, 하나는 부드러운 재질로 만든 마우스 가드로 스포츠 외상의 예에 관한 연구이고, 또 하나는 딱딱한 재질로 만든 교합안정장치로, 구강 기능과 전신의 운동능력과 의 상관성에 관한 연구이다. 현재 많은 프로선수들이 운동능력향상을 위해 교합안정장치를 사용해 오고 있다. 그러나 국내에서는 스포츠 치의학에 대한 관심이 적어 위와 같은 연구가 이루어져 있지 않을 뿐만 아니라 그러한 연구를 위한 기초 자료조차도 준비되어 있지 않은 실정이다. 또한 소수의 연구에서 실험 대상자의 정확한 분석과 교합 안정장치 장착 전과 후의 변화를 보여주지 못하고 있다. 이에 저자는 골프선수들의 교합분석과 턱관절분석을 시행하고, 피검자의 상태에 따른 정확한 교합안정장치를 제작하여 장치 장착 전과 후의 저작근의 근활성량의 변화와 드라이버 비거리의 변화를 측정하여 분석하였다. 그 결과 교합안정장치를 장착함으로써 저작근의 근안정이 유도되고, 드라이버 비거리가 증가되었다. 특히 측두하악장애를 지닌 골프선수일수록 교합균형장치를 사용함으로 드라이버 비거리의 향상에 도움이 될 것이라고 기대된다.

• The Journal of Korean Physical Therapy
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• 제11권3호
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• pp.81-87
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• 1999

전기자극이 흰쥐 피부의 비만세포 수 및 탈과림에 미치는 영향을 규명할 목적으로 본 실험을 시행하였다. Sprague-Dawley계 수컷 흰쥐 12마리를 6마리씩 무작위로 전기자극군과 대조군에 배치하고 전기자극군 흰쥐의 등에 양극전극을 부착한 후 맥동빈도 100pps, 맥동기간 $140{\mu}s$, 전류량 $500{\mu}A$로 60분간 전기작극하였으며 대조근은 전극만 부착하고 전류를 통전시키지 않았다. 전자자극 후 등의 피부를 적출하여 포르말린에 고정한 후 파리핀 포매 절편을 제작하여 toluidine blue 및 alcian blue 염색을 하였다. 이 표본을 고배율 현미경하에서 관찰하여 현미경에 부착된 CCD 카메라를 통해 개인용 컴퓨터로 보낸 다음 영상분석 프로그램을 이용하여 비만세포 수, 탈과립 비만세포 수, 비만세포의 아종 수, 부위별 비반세포를 계측한 후 비만세포의 밀도, 탈과립 비만세포 비율, 비만세포 종류의 비율, 분포 비율을 산출하여 분석하였다. 실험 결과 전기자극군의 비만세포 밀도 및 탈과립 비만세포 비율이 대조군보다 통계학적으로 유의하게 높게 나타났으며, 결합조직 비만세포의 비율이 유의하게 낮았다. 또한 비만세포는 표피에는 존재하지 않고 진피에 분포하며 진피 심부에 유의하게 많이 분포하고 있었다. 이러한 결과는 흰쥐 피부의 양극 전기자극이 비만세포의 수를 증가시키고 비만세포의 탈과립을 유발시키고 있음을 시사하고 있다. 향후 비만세포와 관련이 있는 피부질환 및 손상을 대상으로 한 연구가 기대된다.

• The Journal of Korean Physical Therapy
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• 제12권1호
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• pp.1-7
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• 2000

전기자극이 흰쥐 창상 표피세포의 핵소체형성부위에 미치는 영향을 규명할 목적으로 Sprague-Dawley계 수컷 흰쥐 24마리의 등애 15mm의 절개창을 만들고 봉합한 후 각각 4일 7일 대조군 및 전기자극에 각각 6마리씩 무작위로 배치하고 전기자극군 흰쥐의 에 전극을 부착한 후 맥동빈도 0.5pps, 전류량 $500{\mu}A$로 60분간 전기자극하였으며 대조군은 전극만 부착하고 전류를 통전시키지 않았다. 전자자극 후 등의 피부를 적출하여 포르말린에 고정한 후 파라핀 포매 절편을 제작하여 silver colliod염색을 하였다. 이 표본을 400배율 현미경하에서 관찰하여 핵당 AgNOR으 수를 계측한 후 핵당 AgNOR의 분포와 핵당 평균 AgNOR수를 산출하여 통계분석한 결과 창상유발 4일과 7일째의 전기자극군의 평균 AgNOR수가 대조군보다 통계학적으로 유의하게 높게 나타났다. 이러한 결과는 전기자극이 흰쥐 피부 창상연 표피세포에서 AgNOR 발현을 증가시켰음을 확인할 수 있었으며 이는 미세맥동전류자극이 창상연의 표피세포를 증식시키고 있음을 시사하고 있다.

• 대한치과보철학회지
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• 제39권3호
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• pp.243-249
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• 2001

Statement of the problem. The interest in all-ceramic restorations has increased as more techniques have become available. With the introduction of machinable dental ceramics and CAD/CAM systems or Copy-milling systems there is a need for evaluating the quality levels of these new fabrication techniques. Purpose. This study was to evaluate the fitting accuracy of machined all-ceramic crowns made out of an industrially prefabricated feldspathic porcelain. Material and Methods. Three master models with different cutting depth (0.8mm/1.0mm/1.2mm)were produced using a palladium-silver alloy. A total of 36 working dies, 12 of each form, was used for the modellation of prototype resin copings and 36 additional crowns, 12 of each cutting depth, were produced by using the $CEREC^{(R)}2$ system for all crowns. The maginal fit of all 72 crowns was then evaluated on their respective master die at 54 circularly staggered points of measurement per crown under a fixation pressure of 30 N by using a computerized video image system. Results. The medians of the copy-milled $CELAY^{(R)}$ crowns ranged from 29 to $36{\mu}m$. The highest value for the marginal gap was found in group B (cutting depth 1.0mm) at $107{\mu}m$. The median for the $CEREC^{(R)}2$ crowns was found between 43.5 and $70{\mu}m$. The maximum values for all three groups ranged from $181{\mu}m$ to $286{\mu}m$. With $286{\mu}m$ the highest value for marginal gap was found in group C. the Kruskal-Wallis test and multiple comparisons analysis procedure revealed a significant influence of the production technique on the marginal fit in all three groups (p<0,02). Conclusion. 1. The $CELAY^{(R)}$ system is capable to produce all-ceramic crowns with a significantly better marginal fit than the $CEREC^{(R)}2$ system. 2. As far as premolar crowns produced with the $CEREC^{(R)}2$ system are concerned, the cutting depth has a significant influence on fitting accuracy. 3. The production of crowns with an acceptable marginal fit is possible with both systems. However, adhesive luting is recommended for milled feldspathic porcelain crowns.

• 대한간호학회지
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• 제21권3호
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• pp.349-364
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• 1991

Recognition of the usefulness and the importance of the nursing diagnosis is increasing. There is a prevailing opinion that nursing diagnosis should be used to improve the quality of nursing care. Developing standardized nursing care palns based on nursing diagnoses is therefore considered one of the most essential projects for professional growth and improvement in the nursing world of Korea. Consequently, in the first stage of this research project, the ten nursing diagnses used most frequently with patients on medical and surgical wards were determined and related nursing care plans were developed, implemented and evaluated. The application of the standardized nursing care plans raised the nurses' confidence and proved to be effective in enhancing the quality of nursing care. This study was initiated as the next stage, to develop, test, and determine the validity of nursing care plans for the remaining nursing diagnoses. Nineteen medical and surgical wards were selected for the study ; the 176 staff nurses working on those wards and 1211 patients hospitalized there (603 patients during the nursing care plan use) took part in the project. The following summarizes the results of the study : 1. After listing all the nursing diagnoses up to the 20th in frequency from each ward except the ten used in the first study, 22 nursing diagnoses were selected. Two related to ‘self care deficit’, were combined into one. Standardized nursing care plans were established for these 21 nursing diagnoses. 2. The first page of each nursing care plan lists the related factors and defining characteristics as supporting data. The application rate distribution revealed that the majority were recorded less than 50% of the time. For each nursing diagnosis, only one to three related factors were recorded more than 50% of the time regardless of the number of suggested related factors, and similarly, only one to five defining characteristics were recorded more than 50% of the time regardless of the number of suggested defining characteristics. Therefore, these factors and defining characteristics were proposed as the common related factors and the typical signs and symptoms for each nursing diagnosis. 3. The application rate distribution for the expected outcomes, and the nursing orders that were the main data of each nursing care plan occurred more than 50% of the time, unlike the related factors and the characteristics that occurred less frequently. These findings supported the clinical validity. 4. In an effort to evaluate indirectly the effect of the use of the standardized nursing care plans, nurses' job satisfaction and perceptions of their ability in the use of the nursing process were measured and compared. Scores after the use of the plans were significantly higher than those before. The experience in actually using the standardized nursing care plans with patients increased the nurses' professional and emotional satisfaction and their confidence in using the nursing process. Also when the nurses who actually used the nursing care plans were asked to rate their effectiveness, the highest score was given to ‘the ease of establishing the nursing goal’, followed by ‘improved professional advice and care for patients’, ‘the efficiency and systemization of charting’, ‘the definite recognition of the nursing problem’, and ‘the selection of effective and appropriate nursing interventions’ in descending order. The results indicate the nurses were very positive about the effect of the real clinical application of standardized nursing care plans, and that the objective of this study to utilize the nursing diagnosis to strengthen the nursing process was attained.

• 플랜트 저널
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• 제9권3호
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• pp.38-42
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• 2013

지속적인 유가 상승과 환경규약 및 안전성, NIMBY현상 등의 문제로 해상 가스전에 대한 관심이 높아지고 있다. LNG-FPSO는 해양 가스전에서 채취된 천연가스의 불순물을 제거하고, condensate와 LPG를 회수하며, 정제된 가스를 이송 가능한 형태로 액화시키는 최첨단 해양플랜트이다. 반면 작업 시 해상 환경에 많은 영향을 받으므로 선체 운동을 고려한 전처리 공정 효율을 파악하고 설계에 반영해야 한다. 본 연구는 LNG-FPSO의 선체 운동 영향 및 제한된 선상 공간의 최적화를 고려한 해상 전처리 기술을 개발하기 위한 기초 연구이다. 이에 아민 흡수공정과 멤브레인 공정을 혼합한 hybrid 공정을 검토하였으며, 일반 아민흡수공정에 비하여 낮은 용매 순환량, 낮은 열용량, 작은 컬럼 크기가 요구되어 해상용 전처리 공정에 적합함을 확인하였다. 이것은 또한 6자유도 운동 실험 및 CFD 해석을 병행하여 시뮬레이션을 가시화함으로써 다양한 해상상태에 따른 LNG-FPSO의 공정 효율을 검토할 수 있다.

• 지역사회간호학회지
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• 제12권1호
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• pp.187-201
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• 2001

This study was conducted to investigate the health status and health promoting behavior of older adults in rural area. The design of research was descriptive study. 883 older adults over sixty years living in the rural area of Pusan city were surveyed from July 9. 1999 to July 20. 1999 through direct interview using a questionnaire and physical examination. The collected data were analyzed for percentage. mean. Chi square-test. ANOVA using the SPSS computerized program. The main results were as follows: 1. 43.4% of subjects lived alone or with only partner. 2. 37.13% of subjects had perceived own health condition as bad. 3. Major 'chronic diseases that the subjects were suffered were diabetes(25.94%) and hypertension(9.11%). 4. The mean score of perceived depression was 17.71 of 44. 5. 87.98% of subjects replied that they had good relationship with their family and friends. 6. 8.57% of subjects were identified as over weight. while 10.85% were low weight. 7. 29.93% of subjects replied that they were smoking. By the group. the rate of smoking of man was significantly higher than women. and lower age group than higher age group, and higher education group than lower education group. 8. 70.38% of subjects didn't practice exercise. By the group, the rate of exercise of woman was significantly lower than man, and higher age group than lower age group, and lower education group than higher education group. 9. 12.33% of subjects replied for the frequency of drinking as more three -times a week. By the groups. man showed significantly more frequency than woman. the lower age group than higher age group, the lower education group than the higher education group. 11. The mean score of nutrition state was 3.73 which means moderate risk state. 12. The 57.53% of subjects replied, their sleeping time as below 7 hours. 13. The 15.75% of subjects had experience a periodical inspection. In conclusion, older adults in rural area were identified having various health risk factor, Looking at the results. It is necessary to develope health promotion program which enhances older adults to practice health promoting behavior and to manage their chronic disease.

• 한국치위생학회지
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• 제11권4호
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• pp.489-497
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• 2011

Objectives : Based on data collected from patients who suffered from dental caries during the period between 1990 and 2008, the number of patients and their trends were analyzed as a source of evidence to conduct the oral health plan. Methods : A population of sample design for patient survey data was derived from computerized data saved at medical institutions accredited by National Health Insurance Corporation. Large institutions such as dental hospitals were included for the complete enumeration test, while the rest of medical institutions, for example, dental clinic, relatively small institutions, were used for the sample survey. Most of patients with dental caries were outpatients and their disease was treated at the dental hospital or dental clinic in general, therefore, main analysis was carried out at those institutions. Results : The rate of patients who suffered the dental caries has decreased to 56.8% in 2008 from 78.5% in 1990. The rate of patients who visited the dental hospital for treatment has increased to 4.8% in 2008 from 0.5% in 1990, whereas the percentage of those who visited the dental clinic has fallen to 97.9% from 99.5% during the same period. The ratio by age, in the meantime, it showed that patients aged 40s has increased to 13.5% in 2008 from 7.2% in 1990, and the number also has risen in 50s from 5.6% in 1990 to 9.9% in 2008. However, the number of children aged 0 to 9 who visited hospital for treatment of dental caries has fallen to 17.0% in 2008 from 33.9% in 1990. Conclusions : By figuring out the trends of patients with the dental caries during the period between 1990 and 2008, fundamental data for the oral health policy have been collected. As a result, the necessity of a new medical treatment system for managing the dental caries in terms of patient ages as well as the oral health policy and campaign was taken into consideration.