• 사상체질의학회지
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• 제34권4호
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• pp.68-80
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• 2022

Objectives This study is to report a significant improvement in a Taeeumin patient with systemic contact dermatitis after eating urushiol chicken by herbal medicine treatment. Methods The patient had complaints of erythema, swelling, pruritus, scaly skin, and facial flushing. We treated the patient with an herbal medicine 'Galgeunhaegi-tang' for three months. We evaluated the treatment outcome of systemic contact dermatitis using the Three Item Severity(TIS) score every visit and facial flushing by Image color summarizer at the first and last visit. Results After the treatment, the severity of the patient's skin complaints lessened from moderate to mild. The Image color summarizer showed a minor decrease in the normalized red color level and a significant increase in the brightness level and facial color percentage. Conclusions The patient diagnosed with systemic contact dermatitis, treated with Galgeunhaegi-tang for three months, showed a significant improvement in skin complaints with brighter and even facial color.

• 대한치과보철학회지
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• 제36권4호
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• pp.598-614
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• 1998

This study was performed to investigate the influence of lateral guidance pattern and chewing pattern on masticatory muscle activity and occlusal contact pattern. Twenty-five patients with temporomandibular disorders and thirty students without temporomandibular disorders were selected for this study. Electromyographic examination and occlusal contact examination were performed simultaneously with Bio-Pak System (Bioresearch Inc.,U.S.A.) and T-Scan System(Tekscan Co., USA). The obtained results were as follows : 1. The EMG activity of masseter and anterior temporal muscle in patient group with canine guidance was higher than with non-canine guidance. but there was no significant difference (p>0.05). 2. The EMG activity of anterior temporal muscle in normal group with non-canine guidance was higher at preferred chewing side than at opposite side (p<0.05). 3. The EMG activity of masseter muscle was higher in normal group than in patient group (p<0.05). 4. The number of occlusal contact in patient group with canine guidance was higher than with non-canine guidance, but there was no significant difference (p>0.05). 5. The occlusal contact force at preferred chewing side was higher in patient group than in normal group(p<0.05).

• 한국콘텐츠학회논문지
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• 제13권1호
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• pp.294-299
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• 2013

본 연구는 MRI 검사 중 방송을 통한 의도적인 접촉이 환자의 불안 감소에 유용한가를 알아보기 위해서 실험군과 대조군을 통해 다음과 같은 결과를 얻었다. 1. 두 집단 간의 검사 전 불안점수의 동질성은 인정되지 않아 유용성 결과를 도출하지 못하였다. 2. 방송을 통한 의도적 접촉이 객관적 불편감(t=-2.214, p=.031)을 낮추는 결과를 보였다. 3. 방송을 통한 의도적 접촉이 긴장감(t=-3.722, p=.000), 공포감(t=-2.74, p=.009)을 낮추는 결과를 보였다. 4. 방송을 통한 의도적 접촉이 맥박수(t=-4.180, p=.000)가 감소하는 결과를 보였다. 결론적으로 방송을 통하여 의도적인 접촉을 시도하면서 MRI 검사를 진행하였을 경우 검사 후 검사 대상자의 혈압에는 유의한 영향을 미치지 못하였으나 환자의 주관적, 객관적 불편감의 감소, 또한 활력 징후의 하나인 맥박이 감소됨을 알 수 있었다. 따라서 방송을 통한 의도적 접촉이 환자의 심리적인 긴장감을 완화시키고 안정감을 느끼게 하여 환자 care와 검사에 효과적인 대체요법이 될 수 있을 것으로 사료된다.

• 한국안광학회지
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• 제9권2호
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• pp.301-312
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• 2004

본 연구는 콘택트렌즈 착용자와 건성안 환자 사이의 관계를 비교하기 위해 시행되었다. 콘택트렌즈 착용자와 건성안 환자의 눈물 양과 질 및 안구 표면 상태와 자각증상을 조사하기 위해 TBUT, SIT, TIT, Rose-bengal staining and McMonnies dry eye symptom questionnaire를 시행하였다. 조사 대상자는 108명으로 3부류로 나누었는데 건성안 의심자 35명, 콘택트렌즈 착용자 38명, 대조군 35명이었다. 콘택트렌즈 착용자는 3그룹으로 나누었는데 12개월 이하, 13-48개월 이만, 48개월 이상으로 구분하였다. 본 연구 결과 시행한 모든 조사에서 콘택트렌즈 착용자와 건성안 환자 사이에 큰 차이가 없는 것으로 밝혀졌으며 콘택트렌즈 착용으로 건성안이 유도됨을 알 수 있었다.

• Journal of Oral Medicine and Pain
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• 제15권1호
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• pp.105-115
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• 1991

The purpose of the study was to evaluate the occlusal stability at the moment of dynamic occlusal tooth contact and to investigate the correlation between the occlusal stability and the masticatory muscle activities. It also evaluated the effect of short-term use of occlusal splints on the occlusal stability and the masticatory muscle activities in patients with temporomandibular disorders during maximum voluntary clenching by synchondronized with temporomandibular disorders during maximum voluntary clenching by synchronized use of the T-Scan system(Tekscan, Inc, USA) and K6-Diagnostic system(Myo-tronics Research, Inc, USA) The author measured its distance from retruded contact position(RCP) to intercuspal position(IP), average of contact intervals(ACI), total left-right statistics(TLR), average muscle activities of masseter and anterior temporal muscles during maximum voluntary clenching in 20 patients with temporomandibular disorders and 22 dental students as a control group. The data were compared between two groups and investigated for any correlations between the parameters. The results were as follows : 1. Both of the mean average of contact intervals and the mean absolute value of total left-right statistics during maximum voluntary clenching were increased in the patient group when compared with the control group. 2. Muscular disharmony of anterior temporal muscles of patient group is significantly greater than that of control group. However, muscular disharmony of masseter muscles of patient group is not significantly greater than that of control group. 3. There were significant correlations between muscular disharmony of anterior temporal muscles and average of contact intervals as well as total left-right statistics, and also between muscular disharmony of masseter muscles and total left-right statistics. 4. There were not any significant correlations between distance from RCP to IP and any other parameters. 5. There were a significant decrease in total left-right statistics and muscular disharmony of anterior temporal muscles during maximum voluntary clenching after a 1week use of occlusal splint in the patient group.

• 대한상한금궤의학회지
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• 제13권1호
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• pp.121-132
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• 2021

Objective: This study aimed to report the improvement in a patient with allergic contact dermatitis treated with Sihogyeji-tang based on the Shanghanlun disease pattern identification diagnostic system (DPIDS). Methods: According to the Shanghanlun DPIDS, the patient with allergic contact dermatitis was diagnosed with greater yang disease chest bind (Shanghanlun provision 146), and was administered Sihogyeji-tang for 90 days. The results were evaluated using the Dermatological Life Quality Index (DLQI) and a visual analog scale (VAS). Results: After taking Sihogyeji-tang for 90 days, the DLQI decreased from 28 points to 8 points and the VAS decreased from 10 points to 3 points. Conclusions: This case shows the potential of treatment through herbal medicine for allergic contact dermatitis using the Shanghanlun DPIDS.

• 대한간호학회지
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• 제20권3호
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• pp.381-398
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• 1990

Nursing involves deep human interpersonal relationships between nurses and patients. But in modem Korea, the nurse - patient relationship tends to be ritualistic and mechanestic. Patients usually express the hope that nurses be more tender and kind. Patients expect nurses to express their warmth especially through nonverbal behaviour. This study was conducted to identify patients' preferences for nurse's nonverbal expressions of warmth. Through the confirmation of these preferences, nurses may learn how to enhance their interpersonal relationships with patients. Subjects for the study were 73 patients who had been admitted to a university teaching hospital for at least three days and agreed to be interviewed by the investigator. The interactions were studied nonverbal expressions of warmth during nursing rounds and administration of oral medication. The interview schedule was expecially designed by the investigator to measure the nurse's posture, the distance between the nurse and the patient, the nurse's eye contact, facial expression, hand motion and head nodding. Data analysis included frequencies, percentages and X²-test. The results of this study may be summerized as follows : 1. Patient's preferences for nurse's nonverbal expressions of warmth during nursing rounds. Preferred nurse's posture was sitting(50.7%) or standing(49.3%) opposite the patient. Preferred distance between the nurse and the patient was close to the bed(93.2%), less than 1m. Preferred eye contact was directed to the patient's eyes or their affected part (41.1%). Preferred facial expression was a smile(97.3%). Preferred hand motions were light gestures(41.1%). Patients preferred head nodding which approved their own opinions(69.9%). 2. Patient's preferences for nurse's nonverval expressions of warmth during administration of oral medication. Preferred nurse's posture was standing and waiting to confirm that the medication had been taken(58.9%). Preferred distance from the patient was at arm's length, 0.5-1m(64.4%). Patients preferred direct eye contact(58.9%) and a smile(94.5%). Patients preferred that the nurse put the medicine directly the patient's hand(64.4%). Whether the nurse nodded her head or not was not considered important. 3. The relation of general characteristics and patient's preferences for nurse's nonverbal expressions of warmth during nursing rounds and administration of oral medication. During nursing rounds, the age of subjects(p＝0.010) and the standard of education(p＝0.026) related to the distance between the nurse and the patient. The sick hospital ward related to the eye contact(p＝0.017) and facial expression(p＝0.010). During administration of oral medication, the age of subjects(p＝0.044) and days of hospital treatment (p＝0.043) and the sick hospital ward(p＝0.0004) related to the facial expression. From this study, nurses can learn what kind nonverbal expressions of warmth are preferred by patients during rounds and administration and thus will enhance nurse- patient interpersonal relationships.

• 융합정보논문지
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• 제10권11호
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• pp.87-97
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• 2020

본 연구는 간호대학생에게 표준화 환자를 활용한 접촉주의 환자 간호 시뮬레이션 교육의 효과를 확인하기 위하여 수행되었다. 본 연구대상자는 일개 대학 간호대학생 67명을 대상으로 2019년 10월부터 12월까지 진행되었다. 혼합 연구방법으로 시뮬레이션 전과 후에 다제내성균 감염관리 지식과 수행자신감을 조사하여, paired t-test로 분석하였고, 성찰일지는 내용분석을 수행하였다. 중재 후 대상자의 다제내성균관련 감염관리 지식과 수행자신감은 통계적으로 유의한 증가를 보였다. 성찰일지 내용분석에서는 39개의 의미있는 진술과 13개의 범주를 도출하였다. 본 연구의 결과 표준화 환자를 활용한 접촉주의 환자간호 시뮬레이션 교육은 다제내성균 감염관리 지식과 수행자신감을 증진시키며, 간호 전문직으로서 실제적인 접촉주의 간호수행능력, 환자중심간호, 협력을 학습할 수 있는 교육전략임을 확인하였다.

• 정신신체의학
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• 제13권1호
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• pp.60-66
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• 2005

연구목적 : 병원에 근무하는 직원의 정신과에 대한 인식과 태도를 조사하여, 향후, 직원과 지역사회 주민을 대상으로 한 정신과와 정신과 질환에 대한 교육의 기초자료로 활용하기 위함이다. 방법: 일 병원에 근무중인 직원을 대상으로 하여 정신과에 대한 인식과 태도에 관한 설문지를 이용하여 조사하였다. 결과: 정신과에 대한 인식과 태도는 대체로 긍정적이었으며, 두 개의 요인에서는 유의하지 않은 요인이 있었으나, 직접 접촉군이 더 긍정적이었다. 정신과 영역의 장점 요인에서 여성이 더 긍정적이었으며, 효용 요인에서도 여성이 더 긍정적이었고, 정신과 의사의 기능과 역할 정의 요인과 일어날 수 있는 남용과 사회적 비난 요인과 경력과 개인적 보상 요인에서는 직접 접촉군이 더 긍정적이었다. 결론: 정신과에 대한 인식과 태도에 있어 직접 접촉군이 더 긍정적이었다. 그리고 정신과 병원에 근무하는 직원과 지역사회 주민에 대한 교육이 필요하리라 사료된다.

• 한국안광학회지
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• 제6권2호
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• pp.161-164
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• 2001

건안은 콘택트렌즈를 착용하는 대부분의 환자에게서 쉽게 나타날 수 있으며 방치해 두면 누액의 안정성이 줄어들고 누액의 찌꺼기, 점액이 점점 증가하면서 각막 얼룩이 형성되어 눈에 충혈, 건조감 등을 동반할 수 있다. 본 연구에서는 51명의 성인 남녀를 대상으로 건성안을 판단하기 위해 Schirmer test, TBUT, 순목 횟수 등을 조사하였다. 건성안 검사 방법 중 순목 횟수는 1분에 평균 19회였고 Schirmer test의 평균은 5분에 25mm이였으며, TBUT는 평균 7.1초로 나타났다. 이런 결과로 TBUT 검사치가 낮으면 순목 횟수가 증가하는 것으로 나타났다.