• 대한예방한의학회지
• /
• 제24권2호
• /
• pp.71-82
• /
• 2020

Objectives : The purpose of this study is to evaluate clinical utilization by measuring compliance with the use of mobile health applications (AtopyPHR developed in a previous study) for patients with atopic dermatitis. Methods : Based on the AtopyPHR and the input period and frequency survey results for each symptom item, a scenario for measuring compliance was derived. The study period was 4 weeks. Participants installed AtopyPHR app and Telegram app on their smartphones, conducted user training on the app, and recorded symptoms using the app for 4 weeks. At the 2nd and 4th week visits, the AtopyPHR data recorded by the user can be viewed on the web page and used for medical decision. Compliance was analyzed by the date the symptoms were recorded. Results : There were 28 participants, all (100%) were compliant, and the compliance was 96.8. The patients were 1 to 18 years old, and the average age was 8.2±5.7 years, 10 males and 18 females. The actual date of participation in recording symptoms was 28.6±0.56 on average. Compared to Week 1, compliance decreased at Week 2, and Week 4 had the highest compliance. Daily check, daily emotion, stool/urine/sleep, and meal management showed high compliance, SCORAD and quality of life were higher than required to record. Conclusions : AtopyPHR was effective in compliance. The results of this study could be used to collect personal health data in daily life through the AtopyPHR, improving participant compliance. It is considered to be meaningful because it measured the compliance with the symptom record actually recorded using the mobile app rather than a questionnaire. This study may be useful not only for personal health care but also for medical decisions, as opinions are given by experts who treat atopic dermatitis.

• 한국산학기술학회논문지
• /
• 제18권5호
• /
• pp.237-244
• /
• 2017

본 연구는 이용자들에게 많은 편의를 제공해주는 반면 정신적, 신체적 장애는 물론 학습능력 저하, 사회 부적응, 충동적 행동 등을 유발하는 스마트 폰 사용에 의한 병리현상과 그 예방에 대해 연구하고자 하였다. 스마트 폰 중독 요인을 살펴보고 요인간의 분석을 통해 신체적, 언어적 공격성과의 상관관계를 분석하고자 하였다. 고등학생을 대상으로 자료를 수집하였으며 자료의 분석을 위해 SPSSWIN 22.0 통계프로그램의 사용으로 연구 대상자들에 대하여 빈도분석, 주성분분석, Ttest, 상관관계분석, 희귀분석을 사용하였다. 연구 분석 결과 스마트 폰 사용 시간에 따라 '가상지향', '일상장애', '내성', '금단' 증상으로 판별 요인이 요약되었으며, '적대감', '언어적 공격성', '신체적 공격성'과의 상관관계 분석을 실시한 결과 신체적공격성 r=.668, 언어적공격성 r=.704, 적대감 r=.481로 유의한 정적인 상관관계를 보였다(P<.001). 본 연구는 스마트폰 과다 사용에 대한 공격성과의 상관관계를 분석하고자 함 이였으며 청소년들의 정서함양에 음악이 긍정적 효과가 있음을 근거로 제공하는데 의의를 두었다. 향후 스마트 폰 과다 사용에 따르는 병리현상에 대한 연구가 지속적으로 이루어져야 할 것이며 예방 할 수 있는 다양한 프로그램과 청소년들의 안정적인 정서에 도움이 되는 연구의 기초적 이론을 제공하기 위함 이다.

• Journal of Acupuncture Research
• /
• 제35권3호
• /
• pp.129-137
• /
• 2018

Background: The purpose of this study was to determine the effect of Postural Yinyang correction of the temporomandibular joint (functional cerebrospinal therapy) on temporomandibular disorder. Methods: Medical records of 21 outpatients were reviewed who were diagnosed with temporomandibular joint disorder, unspecified (K0769) and treated at the Department of Acupuncture & Moxibustion, Dong-Eui University Korean Medicine Hospital from May $1^{st}$, 2017 to April $30^{th}$, 2018. Patients received more than 10 treatments of upper cervical manipulation and performed self-exercise therapy more than 3 times a day and wore an accurate balancing appliance in the oral cavity for more than 8 hours per day. To estimate the efficacy, visual analogue scale (VAS), numerical rating scale (NRS), maximum mouth opening (MMO), symptom intensity scale (SIS), max SIS (MSIS), symptom frequency scale (SFS), mandibular function impairment questionnaire (MFIQ) and 5-point Likert scale were used. Results: NRS and MSIS were significantly improved during each period. VAS, MMO, SIS, and SFS were significantly improved during each period, except the period from the $8^{th}$ to $10^{th}$ visit. MFIQ score was significantly improved during the period from the $1^{st}$ to $10^{th}$ visit. In the 5-point Likert scale, the results showed a high patient satisfaction with the treatment. Conclusion: These results showed that functional cerebrospinal therapy using an accurate balancing appliance, may be useful for reducing the symptoms of temporomandibular disorder.

• 말소리와 음성과학
• /
• 제15권3호
• /
• pp.53-58
• /
• 2023

갑상선 절제술 후 정상적인 성대 움직임을 보이는 경우의 29.7%가 주관적인 음성문제를 호소하며, 이는 의사소통과 관련된 삶의 질 저하로 이어질 수 있다. 본 연구의 목적은 신경학적 손상이 없는 갑상선 절제술 후 음성의 음도문제를 개선하기 위해 경부운동과 semi-occluded vocal tract exercise를 적용하여 고안한 음성치료법의 효과를 알아보는 것이다. 이를 위해 갑상선 절제술 후 음도문제를 보이는 여성 10명을 대상으로 무작위 배정에 의힌 음성치료를 갑상선 술 2주 후 1회 실시하였다. 술 전과 술 후, 음성치료 직후의 음성 비교하기 위해 음향학적 분석[fundamental frequency, jitter, shimmer, noise-to-harmonics ratio, min Voice Range Profile(VRP), max VRP, VRP]을 실시하였다. 연구결과, 술 전에 비해 술 후 유의한 감소를 보였던 max VRP, VRP가 음성치료 직후 유의한 증가를 보였다. 이와 같은 결과는 본 연구의 음성치료법이 갑상선 술 후 음성문제의 주요한 증상인 고음역대 주파수 저하를 개선하는데 효과적인 방법임을 시사한다. 추후에는 본 치료효과가 장기간 지속되는지에 대한 연구가 필요할 것이다.

• 생물환경조절학회지
• /
• 제30권4호
• /
• pp.263-270
• /
• 2021

본 실험은 고온기 파프리카 재배에서 CaCl₂ 엽면 살포에 의한 배꼽썩음과 발생과 경감 효과를 알아보고자 과실 크기에 따른 살포 시기, 횟수 및 시간에 미치는 영향을 구명하였다. CaCl₂(Ca 0.4%) 엽면 살포는 6월 3일 부터 7월 1일 까지 방아다리 위 4-9 마디의 착과 과실과 잎에 식물체 1주당 350mL/회를 처리하였다. CaCl₂를 7일 간격으로 4주간 엽면 살포 후 수확한 파프리카의 Ca 함량은 배꼽썩음과 과실의 과폭 11-20mm 처리에서 가장 낮았고, pedicel > stem-end > middle, blossom-end 순으로 낮아졌다. 정상과 과실의 Ca 함량은 과폭 31-40mm 처리에서 뚜렷하게 증가하였고 배꼽썩음과와 비교할 때 78% 높았다. 과폭 21mm 이상의 과실 middle과 blossom-end 부위 Ca 함량은 정상과에서는 19.8%-28.8%였으며, 배꼽썩음과에서는 15.7%-18.5%였다. 과폭 31-40mm 처리에서 배꼽썩음과 발생율은 60% 이상으로 급격히 증가하였다. 과폭 크기별 엽면 살포 처리에 따른 파프리카 과중은 차이가 없었으며, 상품과율은 21-30mm 크기에서 가장 높았고, 당도는 과폭 11-30mm 처리에서 높았다. 과폭 21-30mm 파프리카에 7일 동안CaCl₂를 3회 엽면 살포하였을 때 세포벽 결합(cell wall-bound, CWB) Ca 함량은 가장 높았고, 배꼽썩음과 발생율은 6.3%로 가장 낮았다. CaCl₂ 엽면 살포 처리 10일 후 파프리카의 CWB Ca 함량은 대조구에 비해 모든 처리에서 2.9배-3.5배 증가하였다. 하루 중 1회 시간을 달리하여 CaCl₂ 엽면 살포하였을 때, 7일째 엽소현상이 오전 9시 30분 처리에서 부터 오후 17시 처리 까지 관찰되었고, proline 함량은 처리 시간이 늦어질수록 증가되었다. 따라서 파프리카 여름재배시 배꼽썩음과 발생 경감을 위한 CaCl₂ 엽면 살포 방법은 과폭 21-30mm인 시기에 3일 간격으로 2회-3회, 오전 8시 이전에 살포 하는 것이 적합하리라 본다.

• 한국콘텐츠학회논문지
• /
• 제11권10호
• /
• pp.370-379
• /
• 2011

산업장 근로자의 구강보건교육 프로그램개발과 향후 근로자의 구강건강을 증진 유지할 수 있는 구강 보건사업 및 제도 개선에 필요한 기초자료를 제공하고자 2009년 6월 1일부터 12월 31일까지 경북 구미시에 소재하는 49개 산업장에 근무하는 근로자 7,185명을 대상으로 치과의사 4인이 산업장을 직접 방문하여 인공조명하에서 치경과 핀셋, 탐침, 설압자를 이용하여 구강검사를 실시한 후 결손치 유무를 조사하였다. 또한 결손치에 영향을 미치는 문항은 구강검진문진표를 이용하여 조사하였고, 회수된 구강검사결과통보서 7,185개 중 응답내용이 부실한 209개를 제외한 6,976개의 자료를 SPSS 12.0으로 분석하였다. 연령층이 높은 경우, 치석제거를 받지 않은 경우, 치아우식증과 치주질환이 있는 경우, 과거에 흡연을 했거나 현재 흡연을 하고 있는 경우, 양치횟수가 적은 경우, 치아가 욱신한 경우, 잇몸에 통증 및 출혈과 혀 및 뺨이 욱신한 경우에 결손치율은 높았다. 근로자들의 구강건강을 증진 유지시켜 주기 위해서는 결손치의 원인인 치면세균막과 치석을 제거할 수 있는 스켈링의 유효성을 인지시켜, 스켈링의 경험률을 높여주고, 금연을 위한 보건교육프로그램을 개발해야 할 것이다. 또한 검진을 통한 충분한 상담과 교육을 통해 근로자들의 구강건강에 대한 의식을 고취시켜, 근로자의 구강건강을 유지하는데 실질적 도움이 되는 방향으로 개선 보완되어져야 할 것이다.

• 한국치위생학회지
• /
• 제12권2호
• /
• pp.275-284
• /
• 2012

Objectives : The purpose of this study was to examine the oral health behavior of shipbuilding company workers in some regions in a bid to provide information on the oral health plans for industrial fields. Methods : The subjects in this study were 310 workers in 10 shipbuilding companies and suppliers in Jeolla Namdo Province, on whom a self-administered survey was conducted. Results : 1. Concerning general information about the subjects who participated in the research, gender was possessed 94.8% by men and 5.2% by women. Age was the largest in 31~40 years old with 44.2%. Marital status was the largest in the married with 64.5%. It was the largest in under high school graduate with 71.9% for academic background, in 2,000,000 won~3,000,000 won with 49.0% for monthly family income, and in cooking with 33.9% for work field. 2. Research subjects' toothbrushing time was indicated to be the largest in after having breakfast. It was indicated to be twice a day with 41.3% for toothbrushing frequency. 90.3% of the respondents are not using auxiliary oral hygiene devices. 3. Recognition on periodontal health status was found larger in workers whose response was that their own periodontal health status is 'healthy' than workers who responded that their status is 'not healthy.' Workers, who don't have subjective symptom on periodontal status, were indicated to be larger. 4. Ratio of subjects with tooth scaling experience accounted for 59.7%. The ratio of tooth scaling experience was indicated to be different depending on academic background and monthly family income. Conclusions : Academic credential, monthly family income and the line of work were identified as the main factors to affect oral health care of the shipbuilding workers. Oral health education and dynamic implementation of corporate oral health promotion which are designed to meet the needs of workers are required.

• 대한불안의학회지
• /
• 제7권2호
• /
• pp.107-112
• /
• 2011

Objective : This study aimed to ascertain the effect of interpersonal sensitivity/resilience on depression and anxiety in firefighters whose frequency of exposure to traumatic events is high. Method : A survey was performed and data related to 75 firefighters were analyzed. Questionnaires included the Beck Depression Inventory (BDI) and Impact of Event Scale-Revised (IES-R). To assess the susceptibility or protector roles with respect to psychopathology, the Interpersonal Sensitivity Measure (IPSM) and Conner-Davidson Resilience Scale (CD-RISC) were used. Results : The personality characteristic, interpersonal sensitivity (IPSM) showed a significant positive correlation with depression (BDI, r=0.557, p<0.001) and posttraumatic stress symptoms (IES-R, r=0.316 ; p<0.001). In contrast, resilience and symptom parameters (BDI, IES-R) were negatively correlated with each other, but not statistically significant. However, an adaptive factor for change, a third sub-factor of CD-RISC, had significant negative correlation with depression and anxiety symptoms (BDI, r=-0.275, p<0.005 ; IES-R, r=-0.254, p<0.005). Conclusion : The results of the present study showed that some personality traits may act as vulnerability or protective factors with respect to the psychopathologies of depression and anxiety.

• The Korean Journal of Pain
• /
• 제27권1호
• /
• pp.54-62
• /
• 2014

Background: The recently known analgesic action mechanisms of nefopam (NFP) are similar to those of anticonvulsants and antidepressants in neuropathic pain treatment. It is difficult to prescribe high doses of oral neuropathic drugs without titration due to adverse effects. Unfortunately, there are few available intravenous analgesics for the immediate management of acute flare-ups of the chronic neuropathic pain. The aim of this study was to determine the additional analgesic effects for neuropathic pain of NFP and its adverse effects during the titration of oral medications for neuropathic pain among inpatients with postherpetic neuralgia (PHN). Methods: Eighty inpatients with PHN were randomly divided into either the NFP or normal saline (NS) groups. Each patient received a 3-day intravenous continuous infusion of either NFP with a consecutive dose reduction of 60, 40, and 20 mg/d, or NS simultaneously while dose titrations of oral medications for neuropathic pain gradually increased every 3 days. The efficacy of additional NFP was evaluated by using the neuropathic pain symptom inventory (NPSI) score for 12 days. Adverse effects were also recorded. Results: The median NPSI score was significantly lower in the NFP group from days 1 to 6 of hospitalization. The representative alleviating symptoms of pain after using NFP were both spontaneous and evoked neuropathic pain. Reported common adverse effects were nausea, dizziness, and somnolence, in order of frequency. Conclusions: An intravenous continuous infusion of NFP reduces spontaneous and evoked neuropathic pain with tolerable adverse effects during the titration of oral medications in inpatients with PHN.

• 대한한의학원전학회지
• /
• 제27권1호
• /
• pp.99-109
• /
• 2014

Objectives : The concepts of many Korean medicine terms have changed for a long time and cumulatively been recorded in later medicine literatures. And, the same terms have very often been used for different meanings depending on context. Methods : This study was performed so that conceptual magnitude of Korean medicine terms could intuitively be recognized for the purpose of quantization. Results : This study was performed under the premise that terms used in old literatures of Korean medicine are related mostly to treatments that could immediately be reverted to types of medical herbs used. Through this, conceptual magnitude of terms was quantified by the method that frequency of medical herbs used for treatment was changed to numerical values. For this, data of "Compilation of Formulas and Medicinals Addendum" were used. First, after 'specificity' of each medicine herb corresponding to representative disease symptoms was calculated, medians in the set were selected, and 'values of conceptual magnitude' for representative disease symptoms were calculated. Conclusions : As a result, if disease symptoms are diverse, concept range is diachronically changed greatly, and specific disease symptoms of great conceptual difference are included, value of conceptual magnitude was great. Meanwhile, if disease factor and treatment are singular or limited to several types, and many medical herbs with high specificity are used, value of conceptual magnitude was less.