• 한국임상수의학회지
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• 제38권5호
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• pp.244-248
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• 2021

A 10-year-old Thoroughbred mare was referred to the Jeju National University Equine Hospital with roaring, dyspnea, and weight loss. On endoscopic examination, the horse was diagnosed with right arytenoid chondritis. Surgical treatment was selected due to the failure of a previous medical treatment. Permanent tracheostomy was performed in a standing position. The horse was restrained and tied in a proper position in the stock. The cranial parts of the 2nd to 5th tracheal cartilages were resected, as were the associated skin, mucosa, muscle, and cartilages. After the stoma was formed, external mucosa and skin were sutured using a simple interrupted method. The horse was hospitalized for 22 days receiving postoperative care including antibiotics, non-steroidal anti-inflammatory drugs, dressing as required, and was pregnant six months after the surgery. A permanent tracheostomy is thought to be effective in horses with diseases causing upper respiratory tract obstruction.

• Clinical and Experimental Pediatrics
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• 제62권3호
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• pp.79-84
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• 2019

Newborn infants, including premature infants, are high-risk patients susceptible to various microorganisms. Catheter-related bloodstream infections are the most common type of nosocomial infections in this population. Regular education and training of medical staffs are most important as a preventive strategy for central line-associated bloodstream infections (CLABSIs). Bundle approaches and the use of checklists during the insertion and maintenance of central catheters are effective measures to reduce the incidence of CLABSIs. Chlorhexidine, commonly used as a skin disinfectant before catheter insertion and dressing replacement, is not approved for infants <2 months of age, but is usually used in many neonatal intensive care units due to the lack of alternatives. Chlorhexidine-impregnated dressing and bathing, recommended for adults, cannot be applied to newborns. Appropriate replacement intervals for dressing and care sets are similar to those recommended for adults. Umbilical catheters should not be used longer than 5 days for the umbilical arterial catheter and 14 days for the umbilical venous catheter. It is most important to regularly educate, train and give feedback to the medical staffs about the various preventive measures required at each stage from before insertion to removal of the catheter. Continuous efforts are needed to develop effective and safe infection control strategies for neonates and young infants.

• 한방안이비인후피부과학회지
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• 제15권2호
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• pp.289-301
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• 2002

Background: It is axiomatic that average life span is prolonged in proportion to the advance of socio-economic improvements and medical science. Consequently, the number of elderly patients with skin diseases is increasing. Objective: This study was performed to examine the patterns of skin diseases in elderly patients that had visited Dongguk Oriental Medical hospital, Dept. of Dermatology. We also compared these patients to the young generational groups. Methods: We studied 67 elderly patients with complaints of skin diseases who had visited our hospital from March 2000 to February 2002. We analysed their skin diseases and compared them with the younger group's. Results: The results were as follows; 1. The common disease groups were eczema(32.8$\%$); pruritus(23.9$\%$); viral infections (13.4$\%$); psoriasis(9.0$\%$); fungal infections and urticaria(6.0$\%$). 2. The disorders prevalent in men were eczema(30.0$\%$); herpes zoster & pruritus(23.3$\%$); fungal infection(13.3$\%$); psoriasis (3.3$\%$); melasma(6.7$\%$). 3. The common diseases of women's group were observed in the following order; eczema(35.l$\%$); pruritus(24.3$\%$); psoriasis(13.5$\%$); urticaria(10.8$\%$); other dermatoses(8.1$\%$); herpes zoster(5.4$\%$). 4. The most frequent skin disease for those in their 50's was eczema(32.3$\%$); 60's, pruritus(36.8$\%$); 70's, eczema(50.0); and over eighties., eczema and pruritus(40.0$\%$). Conclusion: This study suggests that dermatologic problems in the elderly are very common, especially eczema, pruritus. It is a very different pattern from the younger group's. And we have to better consider more effective management and treatment for them; especially further dermatologic studies including substantial medical care. Usually Oriental medicine is good at treating chronic diseases and less harmful. So we expect it to be generally better for elderly patients than western medicine.

• 한국융합학회논문지
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• 제12권8호
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• pp.309-315
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• 2021

소나무 수피에서 추출한 Pycnogenol은 항균활성과 항산화 효과가 뛰어난 성분으로 항염, 혈압조절기능, 면역조절, 암세포 성장억제 등 다양한 의학적 효능과 함께 천연 소염제로 응용되고 있지만 화장품 관련 연구는 미비한 상황이므로 본 연구는 Pycnogenol 성분이 피부에 미치는 효과를 임상학적 접근한 연구이다. Pycnogenol 성분 첨가, 무첨가한 화장품을 각 각 10명의 임상자가 6주간 사용하게 한 후 피부 상태 변화를 살펴보았으며 모공의 감소, 눈가주름의 감소, 처진모공의 개수와 각도의 감소, 색소침착이 감소하는 효과가 있었다. 그러므로 Pycnogenol 성분을 함유한 화장품은 노화피부에서 나타나는 피부 문제를 개선하는 효과가 있다.

• 혜화의학회지
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• 제9권1호
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• pp.113-120
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• 2000

This study was carried out to investigate the relation between the Onbyung and the skin disease, and classify the medical treatment by some categories. The results were as follows ; 1. Onbyung reduces the Eun(陰) by the fever and the skin disease results from the deficiency of the Eun and blood. 2. We can grasp the depth of the disease and the damage of the Jung Gi(正氣) by the observation of the every condition on the skin disease. 3. Medical treatment 1. Hae Phyo Bub(解表法) Using the method of the perspiration, we take care of the preservation of the sap. 2. Cheong Gi Bub(淸氣法) of the using Gypsum and Tong Ha Bub(通下法) of the using Dae Whang(大黃). A. Cheong Gi Bub(淸氣法) When the Sa(邪) stay the Gi area(氣分), we use the radiational material or the Wha Sub(化濕) material with Gypsum. B. Tong Ha Bub(通下法) We reduce the evil fever by the Ha Bub(下法). 3. Cheong Yul Hae Dog Bub(淸熱解毒法) and Ja Eum Bub(滋陰法) 4. Wha Sub Bub(化濕法) This treatment reduce the fever by eliminating the urine or the sweat.

• Perspectives in Nursing Science
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• 제16권1호
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• pp.35-44
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• 2019

Purpose: The aim of this study is to analyze the characteristics of family interventions based on a philosophy of family-centered care conducted in neonatal intensive care units through an integrative literature review. Methods: We searched the PubMed, CINAHL, RISS, KISS, and DBpia databases; a total of 20 studies, published between January 2013 and May 2018, was selected according to our criteria. Results: Mothers accounted for a greater proportion of participants in family interventions than did fathers. Family interventions described in the studies were categorized into four educational and sixteen non-educational interventions. Among non-educational interventions, skin-to-skin-contact interventions, such as kangaroo care, accounted for the highest proportion. Only one paper employed a theoretical framework. Conclusion: More family interventions based on theoretical frameworks should be conducted as these frameworks serve as guidelines for nursing research. As the stress patterns experienced by parents in neonatal intensive care units showed gender differences, more programs tailored for fathers are needed. Moreover, further research should be conducted to evaluate feasibility as an outcome variable, and studies of family interventions based on a philosophy of family-centered care should be performed more actively in the neonatal intensive care units in Korea.

• Tuberculosis and Respiratory Diseases
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• 제56권3호
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• pp.268-279
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• 2004

연구배경 : 결핵균 감염을 확인하는 방법으로 투베르쿨린 검사가 사용되고 있으나, 폐결핵을 진단하거나 배제하는데 유용성이 있는 지에 대해서는 아직까지 잘 알려져 있지 않았다. 본 연구는 폐결핵이 의심되지만 객담 도말 음성인 환자에서 투베르쿨린 검사가 폐결핵을 진단하거나 배제하는 것에 도움이 되는지와, 객담 도말 양성 환자에서 폐결핵과 NTM 폐질환을 감별하고자 할 때 도움이 되는 지를 알아보고자 하였다. 방 법 : 2002년 10월부터 2003년 8월까지 삼성서울병원 호흡기내과에 입원한 성인 환자 중 폐결핵이 감별진단에 포함된 환자 258명을 대상으로 투베르쿨린검사를 시행하여 그 결과를 분석하였다. 결 과 : 남자가 156명, 여자가 102명이었고 평균 연령은57.5세였다. 최종진단은 폐암 89명(34.5%), 폐결핵59명(22.9%), 폐렴 33명(12.8%), NTM 폐질환 24명(9.3%) 등이었다. 투베르쿨린 검사는 폐결핵 환자의 81.4%(48/59)와 비결핵성 폐질환 환자의 42.2%(84/199)에서 양성을 보였다(p<0.001). 객담 도말음성 환자 208명 중 결핵 환자의 69.4%(25/36)와 비결해성 폐질환 환자의 44.8%(77/172)에서 양성을 보여(p=0.007), 투베르쿨린 검사 양성이 폐결핵을 예측하는 민감도와 특이도는 각각 69.4%(25/36)와 55.2%(95/172)였고, 양성 예측치와 음성 예측치는 각각 24.5%(25/102)와 89.6%(95/106)였다. 폐결핵환자 31명과 NTM 폐질환 환자 19명 등 객담 도말 양성 환자 50명에서는 폐결핵 환자의 83.9%(26/31)와 NTM 폐질환 환자의 21.1%(4/15)에서 양성을 보여(p<0.001), 민감도와 특이도는 각각 83.9%(26/31)와 78.9%(15/19), 양성 예측치와 음성 예측치는 각각 86.7%(26/30)와 75.0%(15/20)였다. 결 론 : 투베르쿨린 검사는 폐결핵이 의심되지만 객담 도말 음성인 환자에서 폐결핵을 배제하는 데 그리고 도말 양성 환자에서는 폐결핵과 NTM 폐질환을 감별하는 데 임상적 유용성이 있을 것으로 사료된다.

• 한국의류학회지
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• 제31권2호
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• pp.292-299
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• 2007

Development of portable device measuring the vital sign continuously with no limit of time and space is absolutely prerequisite for the U-health care that grafts the ubiquitous concept into medical system. Accordingly, it requires to develop a garment style apparatus for measuring vital-sign that is easy to wear on for a long time period. This study suggests a method to improve the insulation of electric cable and the skin adhesion of electrode by integrating the electric conductive material to garment, in order to develop a garment apparatus for measuring ECG for U-health care. Results of the research are as follows; In order to provide the adjacent conductive yarns with insulation, braid with narrow woven end was interlaced using polyester yarn. As a result, the direct contact between electric conductive yarns was restrained, which would be interposed into pin-tuck structured cable. Washable silicone gel applied around the electrode made of electric conductive fabric improved the adhesion, which prevents electrodes from dropping off from the skin surface during body movement. ECG signals on the human subject were tested using the garment apparatus developed by the above method. And the result was that the clear QRS wave formation in the typical form of ECG could be measured in both conditions of still and moving state as well. The result of this study is expected to contribute for the production of U-health care related medical apparatus by accelerating the practical uses of the garment measuring vital sign at a reasonable price.

• 대한통합의학회지
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• 제10권3호
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• pp.73-84
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• 2022

Background : Lymphedema is a progressive disorder characterized by the impairment of lymph flow from tissues to the blood circulation system. This occurs as a result of damage to the lymphatic system. Complex decongestive therapy (CDT) is a multimodal, conservative therapeutic approach that is used for the management of lymphedema. CDT consists of a combination of compression therapy, manual lymphatic drainage, exercise, and skin care. Purpose : This study aimed to provide a review of available physical therapy interventions as well as general care guidelines for patients with lymphedema. Methods : The recommendations and guidelines for physical therapy management, medical management, and general information were reviewed from the following sources: 1) The American Physical Therapy Association, 2) The Norton School of Lymphatic Therapy, and 3) The International Society of Lymphology. This review contains general information, including the medical management and the importance of physical therapy in lymphedema. Physical therapy management should be based on an assessment of the patients' presenting impairments, including based on inclusion or exclusion of physical therapy interventions. This review also outlines a step-by-step approach that starts with disease diagnosis and progression all the way through to rehabilitation as an outpatient. Conclusion : Depending on the patients' journey to recovery and the requirement for rehabilitation, physical therapy interventions should focus on the patients' needs including pain, appearance, physical function and general rehabilitation. We hope that this review will provide information on evidence-based physical therapy and general care to patients with lymphedema.

• 디지털융복합연구
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• 제16권1호
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• pp.453-461
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• 2018

건강하고 아름답게 살고자 하는 욕구가 높아지면서 의료미용분야도 양적 질적 성장을 거듭하고 있으며, 의료분야에 뷰티서비스를 통합적으로 적용하고 있다. 따라서 본 연구에서는 의료미용서비스를 제공하는 종사자를 대상으로 직무요구와 의료미용간의 직무자원 조절적 역할을 검증하고 직무요구, 직무전문성이 직무만족도에 미치는 영향을 검증하였다. 연구방법은 의료미용사를 대상으로 설문조사를 실시하였으며, 자료는 Spss 21.0을 이용하여 요인분석 및 신뢰도 분석, 상관분석 등을 실시하였다. 그 결과 첫째. 직무요구는 협력자원만이 직무자원조절 효과가 나타났다. 둘째, 직무자원이 의료 미용전문성에 미치는 영향을 검증한 결과 협력자원과 기기활용 자원이 정(+)의 영향이 나타났다. 셋째, 직무요구도와 전문성이 직무만족에 미치는 영향을 분석한 결과 직무요구인 업무긴장도는 부(-), 업무부하량은 정(+)의 영향을 미치는 것으로 나타났으며, 의료미용 전문성이 직무만족에 정(+)의 영향을 미치는 것으로 나타났다. 이를 통해 의료미용사의 인적관리를 위해서는 다양한 직무자원의 지원이 지속적으로 필요할 것으로 사료된다.