• 디지털융복합연구
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• 제16권4호
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• pp.157-166
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• 2018

이 연구의 목적은 조현병 환자에 대한 사회 인식을 파악하기 위해 대중 인식이 투영되는 매체라 할 수 있는 영화에서 묘사된 조현병 환자에 대한 인식을 파악하는 것이다. 지난 40년간 상영된 영화 중 조현병 환자가 등장하는 48편의 영상자료와 시나리오를 귀납적 내용분석 방법으로 대인지각, 감정지각, 가족 및 친지의 인식, 그리고 치료대책에 대한 인식을 분석하였다. 그 결과 1995년 이전 영화에서는 조현병 환자를 매우 폭력적이고 위험하며, 가족에게 부담스러운 존재로 인식하고 있었다. 이에 비해 정신보건법이 제정된 1996년 이후 영화에서는 조현병으로 인한 구체적 경험이나 내면적 묘사가 증가하고 치료와 관련된 가족이나 환자의 태도도 보다 적극적으로 묘사되었다. 결론적으로 영화를 통해 본 조현병 환자에 대한 인식은 부정적이고 가족이나 주변 사람에게 부담과 고통을 주는, 피하고 싶은 존재임을 알 수 있었다. 따라서 정신장애에 대한 사회 인식을 개선하기 위해서는 대중 인식에 영향력이 높은 영화를 적극 활용할 필요가 있고, 인식 변화에 영상매체가 미치는 영향에 관한 연구도 시도해볼 수 있겠다.

• 구강회복응용과학지
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• 제34권3호
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• pp.208-217
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• 2018

상악 전치부는 심미적으로 민감한 부위이며, 치아 외형과 치은의 조화도 치료의 성공과 밀접한 관련이 있다. 이를 위해서는 정확한 진단과 치료계획이 필수적이며, 필요 시 치아 주위 연조직에 대한 처치 등이 동반될 수 있다. 연조직 처치로서 외과적 치관연장술 중 하나인 치은절제술을 고려할 수 있으며 이를 통해 심미적인 보철 수복을 할 수 있다. 상악 전치부는 심미뿐 아니라 기능 또한 고려하여야 한다. 지대치 주모형과 순측만을 수정한 진단 납형 모형을 스캔 및 중첩하여 디자인 및 가공하면, 최소한의 교합조정을 통해 기존의 편안했던 교합을 재현해 줄 수 있다. 본 증례에서는 치은절제술 및 모형 중첩을 통해 심미 수복을 진행하였고, 그 결과 심미와 기능모두에서 환자의 만족도를 높였기에 이를 보고하는 바이다.

• 간호행정학회지
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• 제18권2호
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• pp.213-221
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• 2012

Purpose: Communication in hospitals is one of the major factors in patient safety. So, the purpose of this study was to identify the relationship between intra-organizational communication satisfaction and the safety attitude of nurses in hospitals. Method: A descriptive survey design with convenience sampling was used. Data collection was done using a self-report questionnaire answered by 278 nurses from one university hospital located in Kyeoung-gi Province, Korea. Result: Intra-organizational communication satisfaction positively correlated with safety attitude (r=.747, p<.01). Among the 6 sub dimensions of safety attitude, perceptions of management (r=.675, p<.01), job satisfaction (r=.640, p<.01) and teamwork climate (r=.600. p<.01) were strongly related to intra-organizational communication satisfaction. Multiple regression analysis was done to identify explanation power of intra-organizational communication satisfaction against safety attitude. The model was significant (F=48.540, p<.01). Intra-organizational communication satisfaction accounted for 60.9% of variance in safety attitude (Adj $R^2$=.609). Conclusions: The results of this study indicate that higher levels of intra-organizational communication satisfaction promote positive safety attitude in hospital nurses and that communication media quality is an important factor in patient safety attitude. Therefore, developing interventions to revitalize intra-organizational communication level based on communication media quality will help in the construction of positive safety attitude in nurses.

• Clinical and Experimental Pediatrics
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• 제54권6호
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• pp.260-266
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• 2011

Purpose: Infantile hepatic hemangioendothelioma (IHHE) is the most common type of hepatic vascular tumor in infancy. We conducted this study to review our clinical experience of patients with IHHE and to suggest management strategies. Methods: We retrospectively analyzed the medical records of 23 IHHE patients (10 males, 13 females) treated at the Asan Medical Center between 1996 and 2009. Results: Median age at diagnosis was 38 days (range, 1 to 381 days). Seven patients (30%) were diagnosed with IHHE based on sonographically detected fetal liver masses, 5 (22%) were diagnosed incidentally in the absence of symptoms, 5 (22%) had congestive heart failure, 3 (13%) had skin hemangiomas, 2 (9%) had abnormal liver function tests, and 1 (4%) had hepatomegaly. All diagnoses were based on imaging results, and were confirmed in three patients by histopathology analysis. Six patients were observed without receiving any treatment, whereas 12 received corticosteroids and/or interferonalpha. One patient with congestive heart failure and a resectable unilobar tumor underwent surgical resection. Three patients with congestive heart failure and unresectable tumors were managed by hepatic artery embolization with/without medical treatment. At a median follow-up of 29 months (range, 1 to 156 months), 21 (91%) patients showed complete tumor disappearance or >50% decrease in tumor size. One patient died due to tumor-related causes. Conclusion: IHHE generally has a benign clinical course with low morbidity and mortality rates. Clinical course and treatment outcome did not differ significantly between medically treated and non-treated groups. Surgically unresectable patients with significant symptoms may be treated medically or with hepatic artery embolization.

• 한국방사선학회논문지
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• 제3권1호
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• pp.23-28
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• 2009

방사선동위원소 I-131을 이용한 질병의 치료는 핵의학 분야의 아주 중요한 부분을 차지하고 있다. 환자피폭에서 주의사항으로는 첫째 진료목적상 필요로 하는 선량을 초과하지 말아야 한다. 둘째 불필요한 피폭을 억제하여야 한다. 셋째 방사선을 사용하지 않고 동일한 진료목적을 달성할 수 있는지 면밀히 검토해봐야 한다. 이러한 목적을 달성하기 위해서는 환자에 대한 피폭선량의 평가가 필요하다. 본 연구에서는 치료병실 환자의 안전관리를 도모하고자 에어샘플러를 이용하여 공기를 채집하고, 채집한 시료의 방사선을 HPGe 감마카운터로 측정하였다. 치료병실에서 채집한 시료의 I-131 측정결과의 최고값은 $404.11Bq/m^3$, 평균값은 $228.27Bq/m^3$, 최저값은 $126.17Bq/m^3$ 이었다.

• Journal of Trauma and Injury
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• 제27권4호
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• pp.229-232
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• 2014

A 55 year-old man hit a vehicle while riding a bicycle. He was diagnosed as left hemopneumothorax, multiple rib fracture, cerebral hemorrhage, and skull fracture. Initially he suffered from hypoxia requiring 100% oxygen with a mechanical ventilator. Finally he became hypotensive. Venovenous extracorporeal membrane oxygenation (ECMO) was initiated to support patient's gas exchange. Because hypotension and left ventricular dysfuction persisted, we converted the mode of support to veno-arterio-venous ECMO. Over four days of intensive care, we could wean off ECMO. The patient went to rehabilitation facility after 45 days of hospitalization. Although trauma and bleeding are considered as relative contraindication of ECMO, careful decision making and management may enable us to use ECMO for trauma-related refractory heart and/or lung failure.

• Journal of Korean Neurosurgical Society
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• 제47권2호
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• pp.119-123
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• 2010

Objective : Aneurysmal rebleeding is a major cause of death and disability. The aim of this study is to investigate the incidence of rebleeding, and the factors related with patient's outcome. Methods : During a period of 12 years, from September 1995 to August 2007, 492 consecutive patients with aneurysmal subarachnoid hemorrhage (SAH) underwent surgery at our institution. We reviewed the patient's clinical records, radiologic findings, and possible factors inducing rebleeding. Also, we statistically analyzed various factors between favorable outcome group (FG) and unfavorable outcome group (UG) in the rebleeding patients. Results : Rebleeding occurred in 38 (7.7%) of 492 patients. Male gender, location of aneurysm (anterior communicating artery) were statistically significant between rebleeding group and non-rebleeding group (p=0.01 and p=0.04, respectively). Rebleeding occurred in 26 patients (74.3%) within 2 hours from initial attack. There were no statistically significant factors between FG and UG. However, time interval between initial SAH to rebleeding was shorter in the UG compared to FG (FG=28.71 hrs, UG=2.9 hrs). Conclusion : Rebleeding occurs more frequently in the earlier period after initial SAH. Thus, careful management in the earlier period after SAH and early obliteration of aneurysm will be necessary.

• Tuberculosis and Respiratory Diseases
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• 제70권1호
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• pp.69-73
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• 2011

The combination therapy of pegylated interferon and ribavirin is the mainstay of treatment for chronic hepatitis C patients. Anti-viral therapy is commonly associated with side effects such as headache, fever, myalgia, and arthralgia. However, anti-viral therapy can continue because these side effects are mostly mild and can be improved with supportive management. Anti-viral therapy should be stopped promptly if serious side effects, such as interstitial pneumonitis or hemolytic anemia occur, although those serious side effects are rare. There were a few case reports of interferon-related interstitial pneumonitis worldwide. In Korea, one atypical case report of interstitial pneumonitis has been reported, which followed the combination therapy of interferon-alpha and ribavirin in a patient with chronic hepatitis C. We present a case of interstitial pneumonitis and pancytopenia following the combination therapy of pegylated interferon and ribavirin in a patient with chronic hepatitis C.

• 대한치과의사협회지
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• 제49권2호
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• pp.95-103
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• 2011

Purpose : The purpose of this study was to identify and assess factors that may contribute to pain of patients undergoing implant surgery. Materials and Methods: A total of 24 patients who underwent implant surgery were included in the study. Each patient's anxiety was measured using Corah's dental anxiety score(DAS) and modified Spielberger's state-trait anxiety inventory(STAI) immediately after the operation. Also, level of pain was measured using visual analog scale(VAS) during the operation and 48 hours after the surgery. The effect of various factors, such as demographic variables, previous dental experiences and operation time were also analyzed. Results: Postoperative pain levels were relatively low than expected. However, DAS and STAI were high among patients, and it showed that patients had anxieties about implant surgery according to DAS and STAI values. The previous dental experience did not affect the pain level, but the duration of surgery and the presence of accompanied advanced surgery did. Conclusion: To reduce patient's pain, proper management of anxiety will be required and careful attention is needed when performing local infiltration.

• 한방비만학회지
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• 제19권1호
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• pp.42-55
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• 2019

Objectives: Acceptability of patients towards obesity treatment program is associated with better weight loss outcomes. The purpose of this study was to review previously published study results of the predictive factors associated with patients' acceptability in obesity treatment. Methods: Authors searched for the articles related to acceptability reported as continuation, attendance and adherence, published from 2011 to 2018 found on Pubmed, Scopus, Research Information Sharing Service, and Koreanstudies Information Service System. A total of 23 articles were finally selected. From the study results, unchangeable and changeable predictors were extracted, and these predictors were examined according to detail categories. Results: Regarding the continuation of the treatment, unchangeable factors such as younger age, lower educational level, male sexuality and lower accessibility to physical activity predicted lower continuation. Furthermore, changeable factors such as early and half weight loss, better accessibility to the treatment and financial incentives for retention predicted higher continuation rate. Greater degree of attendance was predicted by unchangeable factors such as economical affordability, and changeable predictors such as half weight loss and proximity to the clinic. Main factors of adherence to the recommendation were unchangeable predictors such as weight loss experience, and changeable predictors such as more physical activity and appropriate dietary habits. Negative psychological state predicted lower continuation, attendance and adherence rate. Conclusions: Our review results suggest that unchangeable and changeable predictors of acceptability of patients should be carefully examined during treatments of obesity.