• Journal of Chest Surgery
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• 제25권8호
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• pp.791-794
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• 1992

Authors experienced a case of malignant melanoma of the mediastinum, At the time of first visit to the hospital, the female patient, aged 48, and had chief complaints of right shoulder pain that was radiated to its forearm and right Horner`s syndrome. In chest X-ray and CT, extrapulmonary circumscribed mass in the right apicomedial aspect of mediastinum was found. She had no nevus and no melanoma on entire skin area. We excised the tumor and confirmed it as malignant melanoma by histopathology.

• 대한치과의사협회지
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• 제10권8호
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• pp.510-521
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• 1972

• 미술자료
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• 제97권
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• pp.69-86
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• 2020

국립중앙박물관 소장 <행행일기(幸行日記)>(구7152, 이하 <일기>로 약칭)는 1761년 4월 사도세자의 평양밀행을 기록한 문서이다. 당시 작성자는 평양의 하급 군관 함대일(咸戴一)(1738~1771)이며, 사도세자에게 능력을 인정받아 4월 7일부터 5월 1일까지 세자를 모셨다. <일기>는 해당 시기 구체적인 행적을 적고 있어, 역사에 기록되지 않았던 사도세자의 평양밀행 여정을 확인할 수 있다. <일기>는 다른 일기들과 구분되는 특징을 가지고 있다. 사용된 종이의 품질과 정연하게 쓰인 서체와 문장의 구성은 일반적인 일기와는 다르다. 이 <일기>는 개인이 쓴 일기와는 달리 완성된 문서에 가까운 형식을 갖추었다. <일기>는 그동안 모호하게 알려졌던 사도세자의 평양밀행을 기록한 만큼 내용 사실 여부를 우선 확인할 필요가 있다. 이를 위한 과정으로 먼저 함대일이라는 인물을 추적하였는데, 그의 가계(家系)는 <일기>에서 밝히고 있는 내용과 일치하였다. 또한 <일기>에서 사도세자가 글씨를 쓴 정황이 나오는데, 당시 쓴 예필진적(睿筆眞跡)이 오늘날에도 전해지고 있다. 따라서 <일기>에 실린 내용을 사실로 볼 수 있다. 그러나 밀행 당시 사도세자는 다양한 계층의 인물들을 만났지만, <일기>는 함대일과 사도세자 중심으로만 구성되어있다. 이 점은 당시에 원문에 해당하는 기록이 존재할 수 있으나, 오늘날 전해지는 <일기>는 이를 바탕으로 편집하였을 가능성을 보여준다. <일기>는 함대일의 아들 함정희(咸正禧)(1758~1817)에 의해 완성된 것으로 보인다. 먼저 부친 함대일이 영조(英祖)(재위 1724~1776) 재위 기간에는 사도세자와 관련된 기록을 남겼을 가능성이 낮다. 둘째로 정조 대 함정희가 사도세자의 예필과 일기를 바친 정황이 확인된다. 물론 당시 정조에게 바친 일기가 현재의 <일기>인지 여부는 불분명하다. 그러나 정조(正祖)(재위 1776~1800)의 주도로 사도세자 현창 사업이 진행된 시대적 상황을 고려하면 당시에 제작되었을 가능성은 충분하다. 그리고 예필과 일기를 바친 시기는 각각 현륭원 조성과 사도세자의 환갑과도 겹치는 점이 확인된다. 따라서 <일기>는 함정희가 본인의 입신(立身)을 위해 제작하였음을 짐작해볼 수 있다.

• Journal of Oral Medicine and Pain
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• 제32권3호
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• pp.305-318
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• 2007

측두하악관절에 나타나는 가장 흔한 질환인 원판변위를 보이는 환자들에서 보존적 치료결과를 평가하기 위해 1994년부터 2006년까지 13년간 부산대학교병원 구강내과에 내원하여 측두하악관절장애로 진단받은 후 보존적 치료를 시행한 환자 중 88명의 정복성 관절원판변위환자와 60명의 비정복성 관절원판변위환자를 실험군으로, 74명의 근육장애환자를 대조군으로 하여 초진시와 치료종결시의 주관적 증상 및 임상소견을 비교, 분석하여 다음과 같은 결과를 얻었다. 1. 정복성 관절원판변위 환자군, 비정복성 관절원판변위 환자군, 근육장애 환자군은 행동치료, 물리치료, 약물치료, 교합안정장치치료 등의 보존적 치료에 의해 통증, 관절음, 개구제한, 편이개구량이 현저히 개선되었다. 2. 초진시 통증은 근육장애군에서, 관절음은 정복성 관절원판변위 환자군에서, 개구제한은 비정복성 관절원판변위 환자군에서 매우 심했고, 편이 개구량은 정복성 관절원판변위 환자군에서 가장 컸으며 치료종결시 통증은 비정복성 관절원판변위군에서, 관절음은 정복성 관절원판변위 환자군에서, 개구제한은 비정복성 관절원판변위 환자군에서 가장 심했고, 편이 개구량은 정복성 관절원판변위 환자군에서 가장 컸다. 3. 초진시 관절음을 호소했던 환자가 보존적 치료로 관절음이 완전히 사라진 경우는 약 60%였다. 4. 정복성 및 비정복성 관절원판변위 환자에게는 행동치료, 물리치료, 약물치료, 교합안정장치치료를 시행했을 때 비교적 양호한 결과를 보였고, 근육장애 환자에게는 치료방법에 따른 결과는 별 차이가 없었다. 5. 보존적 치료에 따른 결과는 성, 연령, 급, 만성별로 차이가 없었다. 6. 근육장애는 6개월 미만, 10회 정도의 치료에 양호한 예후를 보였으나, 원판변위는 6개월 이상 2년 이하의 기간, 10-20회 정도의 치료에 예후가 좋았다.

• 대한불안의학회지
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• 제15권2호
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• pp.61-67
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• 2019

Objective : This study aimed to investigate the general process from the symptom onset to the psychiatric treatment in Korean panic patients and the effect of improved public awareness on it. Methods : This study has a retrospective design. The subjects were the new patients with panic disorder who visited the psychiatric outpatient clinic in twelve university-affiliated hospitals all across Korea. The medical chart was reviewed retrospectively and the data were collected including chief complaints of symptoms, recent stressors, the time to visit the psychiatric outpatient clinic, and visit of other departments and diagnostic approaches for their symptoms. Results : A total of 814 participants were included in the study. The most common department other than psychiatry the panic patients visited were cardiology (28.3%), general internal medicine (16.0%) and neurology (11.4%). The most frequently used diagnostic tests were a echocardiography (17.9%), 24-hour Holter monitoring (11.2%), and brain MRI (8.2%). Only 37.3% of participants visited psychiatric clinic directly. About 80% of participants visited psychiatric department within 1 year after their first panic symptoms and it took $13.8{\pm}13.7weeks$ on average. Comparing before and after 2012, the number of participants increased who visit directly the psychiatric clinic without visiting other departments (p=0.002) and without visiting emergency room (p<0.001). Conclusions : Our results suggest that a substantial number of patients visit departments other than psychiatry when they experience first panic symptoms. However, most patients begin psychiatric treatment within 1 year after their first symptoms and the number of patient are increasing who visit psychiatric department directly without visiting other departments.

• 대한정형도수물리치료학회지
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• 제26권1호
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• pp.65-72
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• 2020

Background: The purpose of this research is to investigate the effects of joint mobilization and transcutaneous electrical nerve stimulation (TENS) on pain threshold and hormonal changes in patients with chronic LBP. Methods: 14 patients with chronic LBP were divided into the experimental group and the control group with 7 patients each, and both groups of patients were evaluated on pain duration, blood tests, and pressure pain threshold (PPT) on their first visit. On their second visit, joint mobilization was applied to the experimental group for 10 min and TENS to the control group for 20 min. Results: Pain threshold and duration of analgesia increased from after treatment in the experimental group. Serotonin and Cortisol decreased after treatment in the experimental group. Conclusion: Joint mobilization in patients with chronic LBP caused an increase in pain duration and pain thresholds and a decrease in serotonin, whereas there was little difference in cortisol.

• 한국식품조리과학회지
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• 제22권1호
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• pp.96-104
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• 2006

This study evaluated the menus of native foods menu in the Jeonju city area in order to present possible improvements. The study examined twenty native food restaurants that target the visitors to the Jeonju city area from July 20 to August 12, 2005. These restaurants specialize in Jeonjubibimbap, Kongnamulgukbap, Hanjeongsik, and Dolsotbibimbap, which are all native foods of Jeonju. Restaurant patrons were randomly selected on leaving the study aim was explained, and questionnaires were distributed. of 200 papers, only 109 were suitable for statistical analysis. First, four factors of menu evaluation were drawn out: inner shape factor of food, outer shape factor of food, sanitation factor, and service factor. Second, the analysis showed statistically significant difference at the 5% significance level in age, job, and monthly income. Third, regression analysis between the factors on menu evaluation and the variables on their intention to visit the restaurant again, indicated that the inner shape factor of food influenced the intention to visit again. It is expected that these study results will assist the employees, restaurant managers, and chefs in making the best practical use of the basic ingredients to promote food quality and increase sales, which will lead to the further development of Jeonju city.

• Journal of Information Technology Applications and Management
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• 제15권3호
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• pp.169-194
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• 2008

Recently, the concept of web site stickiness receives attention as a measure of strategy to influence user's visit and behavior on web sites. Web site stickiness means site visit frequency and stay duration. This study investigates the moderating effect of espoused national cultural values on Internet community stickiness with the assumption that dimensional values of national culture can be internalized as individual’s espoused values. Espoused values (i.e., espoused national cultural values) are defined as the degree to which an individual embraces the values of his or her national culture. Our findings can be summarized as follows. First, femininity and power distance moderate the influence of user participation on Internet community stickiness. Second, uncertainty avoidance and power distance moderates the effect of social influence on Internet community stickiness. However, femininity and collectivism do not moderate the effect of social influence on Internet community stickiness. Third, uncertainty avoidance, femininity, and collectivism moderate the influence of network effect on Internet community stickiness. Fourth, masculinity does not moderate the influence of usefulness on Internet community stickiness.

• 농촌지도와개발
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• 제24권2호
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• pp.117-125
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• 2017

The service quality and image are a central factor in understanding tourists destination choice. Existing literature suggests that sport event and destination image could interact to influence tourism behaviours. The purpose of this study w as to identify the factors influencing local image and re-visit intention in the 68th Chungcheongnam-do Provincial Sport Event held in Yesan city. The results of the study are as follows; First, as a result of factor analysis on the satisfaction with the sports event composed of 17 items, three factors were categorized, which were 'event management', 'event facility' and 'supporting facilities'. Second, satisfaction with local event had a positive effect on local image. Especially, satisfaction with event management had greater effect on local image than event facilities and supporting facilities. Third, as satisfaction with local event had positive effect on re-visitation intention, satisfaction with sports event had positive effect on the success of the sport event itself and re-visitation intention for the region. Fourth, as local image had a positive effect on re-visitation intention, strategic approaches to linking factors of tourism are required to attract visitors in addition to sports events.

• 성인간호학회지
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• 제17권5호
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• pp.813-821
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• 2005

Purpose: The purpose of this study was to examine descriptors of dyspnea and clinical characteristics in patients with COPD at ED visit. Method: The study design was a descriptive survey, and 46 patients with COPD complaining of dyspnea were participated during their visits to the ED of C university hospital in G city, from October 1, 2004 to April 8, 2005. Result: The qualitative characteristics of dyspnea at the time of decision to the ED visit were short of breath (71.7%), tight (32.6%), hard to breathe (15.2%), smothering or suffocating (10.9%), gasping (8.7%), couldn't breathe (6.5%), constricted (2.2%), and hunger for air (2.2%). In the item of dyspnea checklists, My chest felt tight was the most common description among subjects. As the result of factor analysis of dyspnea checklists, the first factor was characterized rapid and shallow, the second was suffocating/smothering, the third was hunger for air, and the fourth was constricted. Conclusion: This study suggests that a checklist of dyspnea descriptors based on this findings would be utilized as a tool of initial and ongoing assessment for dyspneic patients with COPD in the ED after identifying the validity and reliability of the checklist.