• 기호학연구
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• 제54호
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• pp.119-145
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• 2018

본 논의는 서사로서 <바리공주>를 이해하기 위해 대상에 대한 층위를 나누고 이에 대한 접근 방법을 재검토하고자 한다. 서사의 층위 구분과 각 층위별 분석, 그리고 그것들에 대한 통합적 접근이 이루어진다면, 이는 <바리공주>를 이해하고 연구하는 새로운 방향과 방안을 제시하는 데 기여할 수 있을 것이다. <바리공주>의 이야기 차원, 즉 표층 구조는 주인공 인물의 탄생에서부터 시작된 삶의 과제를 공간 이동과 연대기적 순차 구조로 형상화하고 있다. 이 이야기는 태어나면서 정체성을 부정당한 한 여성이 어떤 과정을 통해 존재론적 변신을 이루고 정체성을 찾아가는지를 보여준다. 특히 정체성 찾기의 여정이 주로 가족 구성원과의 관계를 통해 발생하는 사건들을 통해 형성되어 있다. 이야기 차원에서 찾을 수 있는 이 같은 구조는 가족 구성원의 갈등과 화해, 삶과 죽음이라는 대립적 패러다임으로 심층 구조를 형성하고 있다. 이 이야기를 통해 드러나는 사유 구조는 삶의 문제가 가족 구성하기의 문제이며, 동시에 죽음의 문제 역시 마찬가지라는 점이다. 삶과 죽음이라는 대립되는 것들이 공존하는 이 세계를 어떻게 통합시켜 바라 볼 것인가에 대한 답으로 이 신화의 전승집단은 인간과 신을 관계 맺게 하고 있다. 이 이야기는 망자를 천도하는 굿에서 주요하게 소통된다. 무당이 발신자이고 제의 참여자가 수신자이지만, 실제 이 이야기는 특정한 상황에서 반복되는 전혀 새로운 정보가 없는 메시지이다. 굿에서 단골과 참여자들은 <바리공주> 서사를 단순히 메시지로 수용하는 것이 아니라 자가 커뮤니케이션을 통해 자신을 삶과 행위를 재구성하는 코드로 수용한다. <바리공주>의 인물과 사건을 자신의 삶과 상동적 관계로 받아들임으로써 주어진 일상의 삶을 삶과 죽음, 단절과 소통, 갈등과 화해의 통합적 시각으로 그리고 현재적 관점으로 수용하게 된다. 이는 세상과 현실을 바꿀 수 없지만 그것에 대한 '나'의 삶의 태도를 바꾸는 것으로, 결국 이것이 신화에서 바리공주가 신으로 변신하는 것처럼, 개인이 제의 커뮤니케이션을 통해 이룰 수 있는 변화 변신인 것이다. 이처럼 <바리공주>는 이야기의 층위, 이야기 생성의 층위, 이야기 소통의 층위에서 각각의 의미나 기능이 상호 관련을 맺고 있음을 알 수 있다. 또한 세 층위에서 신화서사가 드러내는 구조는 신화 전승집단의 의식 세계와 문화체계를 드러내는 데에도 효과적이다.

• Journal of Oral Medicine and Pain
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• 제42권3호
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• pp.53-61
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• 2017

Myogenous temporomandibular disorder is a collective term for pathologic conditions of the masticatory muscles, mainly characterized by pain and dysfunction associated with various pathophysiological processes. Among the subtypes of myogenous temporomandibular disorder, myofascial pain is one of the most common muscle disorders, characterized by the presence of trigger points (TrPs). Various modalities, such as ultrasound, manipulative therapy, spray-and-stretch technique, transcutaneous electrical nerve stimulation, injection/dry needling, and low-level laser therapy are used to inactivate TrPs. Needling/injection on the TrPs is one of the most common treatments for myofascial pain. Despite the evidence, there is continued controversy over defining the biological and clinical characteristics of TrPs and the efficacy of injection/dry needling. This review discusses the current concept of injection/needling to relieve TrPs.

• Journal of Chest Surgery
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• 제51권5호
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• pp.293-307
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• 2018

Physiotherapy has recently become an essential part of enhanced recovery protocols after thoracic surgery. The evidence-based practice of physiotherapy is essential for the effective management of postoperative patients. Unfortunately, only a small body of literature has discussed the rationale of the physiotherapy interventions that are routinely implemented following thoracic surgery. Nonetheless, we can integrate the available knowledge into our practice until new evidence emerges. Therefore, in this review, the principles of physiotherapy after thoracic surgery are presented, along with a detailed description of physiotherapy interventions, with the goals of enhancing the knowledge and practical skills of physiotherapists in postoperative care units and helping them to re-evaluate and justify their traditional practices.

• Asian review of World Histories
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• 제4권2호
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• pp.207-229
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• 2016

Apart from its Greco-Roman and Christian connotations, considering its continuous influence in the Byzantine world, the oikoumene should be seen as a geo-political as well as socio-religious concept of networking and unity in popular thought and local narratives. This paper argues that "ecumenical" thought survived after Late Antiquity and through the Byzantine era in the Orthodox transportation infrastructure of people and information. It also provides a review of the circulation of heresiological "labels" in the middle to late Byzantine eras. In the Mediterranean, routes, transportation vehicles, and any media supported intelligent networking in the oikoumene. People in the oikoumene could access foreign teachings or stories from outsiders or "barbarians" of different faiths. Constantinopolitan intellectuals coined and issued labels for heretics, such as the Bogomils, Paulicians, and Massalians, and constructed a narrative of the heretical contamination from the center of the oikoumene. Heresiologists collected the information used in creating these heresy titles from far-flung places in all directions from Constantinople, and then exported the labels, which were spread using the transportation network of the Byzantine oikoumene.

• 대한약침학회지
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• 제25권1호
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• pp.1-6
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• 2022

Psoriasis is a chronic disease that has no definitive cure. In this review study, the main sources of Persian Medicine (PM) such as the Canon of Medicine (by Avicenna) and Al-Havi (by Rhazes) were assessed to identify non-pharmacological treatments for psoriasis. Several treatments that are recommended for this disease include nutritional advice, lifestyle modifications, and manipulation therapy such as wet cupping (Hijamah), leech therapy, and phlebotomy (Fasd). These recommendations may help to prevent recurrence and be useful in improving psoriasis. The efficacy of PM recommendations to improve psoriasis should be evaluated in future studies.

• Journal of Yeungnam Medical Science
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• 제39권3호
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• pp.206-215
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• 2022

Musculoskeletal pain is the most common pain reported by patients. Platelet-rich plasma (PRP) is widely used to treat musculoskeletal pain. However, the efficacy of PRP to treat this pain remains controversial. This review highlights the application of PRP in the treatment of musculoskeletal pain. PRP treatment appears to reduce pain and improve function in patients with musculoskeletal pain. However, there are limitations to the currently published studies. These limitations include the PRP preparation methods, type of activators, types of pathology to be treated, methods and times of administration, and association of PRP with other treatments.

• Journal of Yeungnam Medical Science
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• 제39권4호
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• pp.269-277
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• 2022

The amyloid hypothesis has been considered a major explanation of the pathogenesis of Alzheimer disease. However, failure of phase III clinical trials with anti-amyloid-beta monoclonal antibodies reveals the need for other therapeutic approaches to treat Alzheimer disease. Compared to its relatively short history, optogenetics has developed considerably. The expression of microbial opsins in cells using genetic engineering allows specific control of cell signals or molecules. The application of optogenetics to Alzheimer disease research or clinical approaches is increasing. When applied with gamma entrainment, optogenetic neuromodulation can improve Alzheimer disease symptoms. Although safety problems exist with optogenetics such as the use of viral vectors, this technique has great potential for use in Alzheimer disease. In this paper, we review the historical applications of optogenetic neuromodulation with gamma entrainment to investigate the mechanisms involved in Alzheimer disease and potential therapeutic strategies.

• Journal of Yeungnam Medical Science
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• 제40권3호
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• pp.225-232
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• 2023

Cognitive dysfunction is relatively less considered a complication of hypertension. However, there is sufficient evidence to show that high blood pressure in middle age increases the risk of cognitive decline and dementia in old age. The greatest impact on cognitive function in those with hypertension is on executive or frontal lobe function, similar to the area most damaged in vascular dementia. Possible cognitive disorders associated with hypertension are vascular dementia, Alzheimer disease, and Lewy body dementia, listed in decreasing strength of association. The pathophysiology of cognitive dysfunction in individuals with hypertension includes brain atrophy, microinfarcts, microbleeds, neuronal loss, white matter lesions, network disruption, neurovascular unit damage, reduced cerebral blood flow, blood-brain barrier damage, enlarged perivascular damage, and proteinopathy. Antihypertensive drugs may reduce the risk of cognitive decline and dementia. Given the high prevalence of dementia and its impact on quality of life, treatment of hypertension to reduce cognitive decline may be a clinically relevant intervention.

• Journal of Dental Anesthesia and Pain Medicine
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• 제23권3호
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• pp.123-133
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• 2023

Sedation methods for dental treatment are increasingly explored. Recently, ketofol, which is a combination of ketamine and propofol, has been increasingly used because the advantages and disadvantages of propofol and ketamine complement each other and increase their effectiveness. In this review, we discuss the pharmacology of ketamine and propofol, use of ketofol in various clinical situations, and differences in efficacy between ketofol and other sedatives.

• Journal of Yeungnam Medical Science
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• 제39권1호
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• pp.12-17
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• 2022

Anatomical endoscopic enucleation of the prostate (AEEP) differs from other endoscopic modalities for bladder outlet obstruction (BOO) because it extracts the whole benign prostatic hyperplasia component. AEEP has been launched for almost 40 years as a first-line treatment method for BOO regardless of prostate size according to several guidelines. However, it remains underperformed worldwide. In this review article, we elaborate on the advantages and disadvantages of AEEP compared to other surgical modalities for BOO to investigate its efficacy and safety as a gold standard surgical management option for males with BOO.