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일부 지적장애 학생을 위한 구강건강관리 프로그램에 관한 사례연구 (A Case Study of Oral Healthcare Program for Some Students with Intellectual Disabilities)

  • 손정희;최원익;임도선;최은미
    • 한국콘텐츠학회논문지
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    • 제19권2호
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    • pp.204-209
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    • 2019
  • 이 연구는 충청북도에 위치한 C 특수학교 고등부에 재학 중인 지적장애 학생을 대상으로 구강건강관리 프로그램을 개발하여 적용한 운영효과를 확인하기 위해 적용하였다. 구강건강관리 프로그램은 1주 간격으로 총3번 진행하였으며, 사전에 수집한 정보를 기반으로 교육자료를 개발하였다. 매 회차마다 구강보건교육과 자가 및 전문가치면세균막 관리를 시행하였으며, 프로그램의 효과를 알아보기 위하여 구강환경관리능력지수, 치아우식발생 위험도, 위상차현미경을 관찰 및 검사하였다. 구강건강관리 프로그램 전 후 PHP index는 $3.21{\pm}0.69$에서 $2.42{\pm}0.80$로 감소하였고, 치아우식발생 위험도는 13.78이 감소하였지만, 통계적으로 유의한 차이를 보이지 않았다(p>0.05). 위상차현미경을 관찰한 결과 1회차에 비하여 3회차에서는 구균의 수가 감소하였고, 간균이 거의 보이지 않았다. 또한 구강미생물의 운동성도 현저히 감소함을 확인할 수 있었다. 반복 교육과 동기유발을 포함한 구강건강증진 프로그램은 지적장애 학생들의 구강환경관리 능력을 개선시키고 치아우식 발생 가능성을 낮출 수 있다.

Effects of a Single Session of Brain Yoga on Brain-Derived Neurotrophic Factor and Cognitive Short-Term Memory in Men Aged 20-29 Years

  • Yang, Hyun-Seong;Kim, Hyun-Jun;Lee, Hwa-Gyeong
    • 대한통합의학회지
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    • 제9권4호
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    • pp.91-103
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    • 2021
  • Purpose : This study aimed to evaluate the effects of a cognitive enhancement brain yoga program on short-term memory and serum brain-derived neurotrophic factor (BDNF) levels according to the cognitive state in men aged 20-29 years. Methods : Thirty healthy volunteers aged 20-29 years were divided into four groups: brain yoga group, yoga group, combined exercise group, and control group. Seven people were assigned randomly per group. A single-session intervention was conducted over 50 min and consisted of three parts: warm-up, main exercise (brain yoga, yoga, combined exercise, or non-exercise), and cool-down. Serum BDNF levels were measured using enzyme-linked immunosorbent assay, and short-term memory was evaluated using the forward number span test before and after the intervention. Results : BDNF levels significantly increased within the brain yoga group after the intervention (from 28874.37±5185.57 to 34074.80±7321.12, p=.003), whereas there were no significant differences pre-and post-intervention in the other groups. The inter-group comparison showed a significant interaction between the brain yoga group and the combined exercise group (p=.036) but no significant interaction between any of the other groups. Forward number span scores were significantly increased in the brain yoga group (from 9.43±9.83 to 23±7.92, p=.012) and theyoga group after the intervention (from 13.43±9.41 to 24.14±8.45, p=.011), whereas there were no significant changes after the intervention in any other groups. Conclusion : Our findings showed that a single-session, 50-minute brain yoga exercise improved short-term memory and increased serum BDNF levels in healthy men aged 20-29 years and that yoga improved only short-term memory in healthy men of this age group.

자발적 혀 저항 운동이 뇌졸중 환자의 삼킴기능에 미치는 효과: 사례연구 (Effects of a Tongue Self-Resistance Exercise on the Swallowing Function of Patients With Stroke: Case Report)

  • 남경완
    • 재활치료과학
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    • 제7권4호
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    • pp.43-55
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    • 2018
  • 목적: 본 연구는 뇌졸중 환자를 대상으로 자발적 혀 저항 운동을 적용하여 삼킴기능에 미치는 효과를 알아보았다. 연구방법: 본 연구는 2012년 9월 3주간, 2014년 2월 3주간 각각 2명의 환자를 대상으로 하는 사례연구였다. VFSS검사 이후 환자의 동의를 받고 매일 1회기씩 주 5회로, 3주 동안 진행하였다. 자발적 혀 저항운동은 혀 내밀기, 혀 옆으로 밀기, 혀로 입천장 밀기로 구성하였다. 중재는 한 회기 당 각각 운동별로 10회를 1세트로 총 3세트를 진행하였다. 결과: 자발적 혀 저항 운동 프로그램은 삼킴 장애 정도에서 VFS점수가 하강한 것으로 보아 삼킴 기능이 향상되었다. 둘째 자발적 혀 저항 운동 프로그램은 FOIS점수가 향상된 것을 바탕으로 구강섭취능력이 향상되었다. 결론: 삼킴 장애가 있는 뇌졸중 환자에게 환자 스스로 저항을 적용하는 자발적 혀 저항운동을 제공하였을 때 이들의 삼킴 기능 향상에 긍정적인 영향을 미칠 수 있다.

한우에 있어서 초음파기기를 이용한 생체내 난자 채취에 관한 연구 II.난포란의 반복 채취가 난자 회수 및 발정주기에 미치는 영향 (Studies on the Ultrasound-guided Transvaginal Retrieval of Oocytes in Korean Native, Hanwoo Heifers II. Effects of Repeated Ovum Pick-up on Oocyte Recovery and Estrous Cycle)

  • 박성재;양보석;임기순;성환후;장원경;박충생
    • 한국가축번식학회지
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    • 제24권1호
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    • pp.83-88
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    • 2000
  • 본 연구는 한우에 있어서 초음파기기를 이용하여 반복적으로 생체내 난자를 회수시 난자회수에 미치는 영향과 시술후의 난소 유착과 같은 부작용을 조사하기 위하여 실시한 결과는 다음과 같다. 1. 난포란의 채란빈도에 따른 채란수에서는 주 2회 시술시 난포수는 8.7$\pm$4.2개로 주 1회 시술의 10.2$\pm$6.1개보다 다소 적었으나 유의적인 차이는 인정되지 않았으며, 채란수도 각각 4.1$\pm$3.4개 및 4.3$\pm$2.9개로 유의적인 차이가 인정이 되지 않았다(P<0.05). 2. 반복적으로 9회 난포란을 채란한 경우 40개의 난소중 8개 (20%)가 유착이 발생하였으며 1~3 채란시 3개 (37.5%), 4~6 채란시 4개 (50%) 7~9회 채란시 1개(12.5%)가 유착이 발생하였다. 3. 반복적인 난포란 채란후 난소의 유착 여부에 따른 공란우의 발정주기를 조사한 결과 난소 유착을 보인 공란우의 8두중 7두(87.5%) 25일 이상의 장발정주기를 보였으며, 유착이 일어나지 않은 12두 중 정상 발정주기는 6두(50.0%), 단 발정주기는 1두(8.3%), 장발정주기는 5두(41.7%)였다.

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폭식증 환자의 연극치료 사례 (Case study of dramatherapy for a bulmina nervosa patient)

  • 이효원
    • 한국연극학
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    • 제52호
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    • pp.359-397
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    • 2014
  • This paper describes dramatherapy with a bulmina nervosa patient. She was in her early 20s and has been under the various psychotherapies for cure of deep depression since 2005. We had 24 sessions and 3 persons - the patient, the therapist, and the assist-therapist- participated in dramatherapy. I found there's a big collision between her important roles in the course of initial interview and diagnosis. Those roles are 'a good daughter of mom' and 'an independent adult'. Therefore I defined her bulmina nervosa as 'an symbolic behavior repeats compulsively the failure of separation from her mother.' And I set the general goals, the separation from her mother, the awareness and expression of negative emotions, and the diminuation of overeating and vomiting. To attain these object, we had many different dramatic experiences in dramatherapy. We made a self-portrait, the mask of bulmina nervosa, family sculpture, figure work, the past I and the present I, psychodramatic scene and several stories. In order to objective assessment, I used behavioral observation and 6PSM(6 Pieces Story Making) analysis. First of all the most noticeable change was a rapid decrease in over-eating and vomiting. Before the dramatherapy she had overeaten 30 times per week. At the closure it has fallen off to 1 time per week. Another behavioral changes were shift of outward appearance, not going church, working for living, and having a date with only one. She made 3 stories on 1th session, 13th session, and 23th session. And I comparatively analysed those stories with both qualitative and quantitative method. For qualitative analysis, I classified 5 structures according to the substantial similrarity. On protagonist structure, there's no difference. Three protagonists are dead things. The type of task structure is changed from an escape, a traveling, to metamorphosis. The type of obstruction structure is changed from the protagonist to an outside object. The type of closure structure is changed from an exaggerated happy ending, sad ending to probable happy ending. To quantitify the aspects of transformation, I developed an assesment tool using likert scale. It is composed of 4 sub-categories-reality testing, imagination, ego-strength, optimism problem-solving. In reality testing category, a shift of score was 9-11-15, imagination 2-5-5, ego strength 3-2-2, optimism 6-3-7, and total score 20-21-29. This change of score reflects the growth of problem solving capacity. Viewed in this light, dramatherapy with this girl was successful on the whole. The thing had significant effect on it was psycho-dynamic approach focused on separation from her mother and defence mechanism to avoid negative emotion. And assessment method used in this case will be full of suggestions to researches to come.

젖소의 초음파 유도 채란율에 대한 FSH 전처리 효과의 비교 (Effect of FSH Pretreatment on Follicle Development and Oocyte Recovery by Ultrasound-guided Aspiration in Holstein Heifers)

  • 박충생;조성근;이정규;강태영;박성재;공일근;최민철
    • 한국가축번식학회지
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    • 제21권2호
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    • pp.147-156
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    • 1997
  • Ultrasound-guided follicular aspiration was performed in Holstein heifers once weekly with or without pretreatment of single or multiple decreasing doses using a total of 400 mg FSH. Oocytes were aspirated with a 6.5 MHz convex-array ultrasound trasducer designed for intravaginal use. All the visible follicles larger than 4 mm in diameter were punctured with a 17 gauge, 55 cm needle at each aspiration session and the follicular fluids containing oocytes were obtained by vacuum suction. The results obtained were as follows: As a preliminary experiment, the recovery rates of folicular oocytes by ultrasound-guided aspiration from the isolated ovaries of Korean native cows were compared between suction methods using manual syringe or vacuum pump. The recovery rate of oocytes using vacuum pump (80.7%) was significantly (P<0.05) higher than that using manual syringe (47.1%). The follicles were counted by their size in diameter with ultrasound image, and recovery rates and grades of follicular oocytes collected by ultrasound-guided aspiration were investigated in Holstein heifers pretreated with or without FSH. A group of heifiers were injected with multiple decreasing doses (twice a day for 3 days) of a total of 400 mg FSH. The other 2 groups were injected with a single dose of 400 mg FSH mixed with 25% PVP. Ultrasound observation of follicle population and/or ultrasound-guided transvaginal oocyte aspiration were performed 12 hrs following the last FSH injection in the multiple dose group, and 48 or 60 hrs after FSH injection in the single dose groups. Most of the visible follicles had small size of less than 3 mm in diameter in unstimulated heifers (71.0%), but medium size in all the heifers treated with FSH. (70.5 to 92.8%). The number of OPU follicles per session (4.6$\pm$1.9) were much less, compared to the vilsible follicle counts (9.7$\pm$2.2), in the nustimulated heifers due to the small dominant follicles. Among 4 goups of heifers the most visible as well as OPU follicles were observed in the heifers at 60 hrs following treatment of a single dose of 400 mg FSH (21.2$\pm$2.3 and 21.0$\pm$2.0), and the differences in both the follicle counts between the groups was found significant (P<0.05) The rates of oocyte recovery from the follicles by ultrasound-guilded aspiration were varied 46.3 to 75.0% in the heifers unstimulated and treated with a single dose of 400 mg FSH, but the group difference was not significant. The number of recovered oocytes per session a, pp.ared to be highest at aspiration at 60 hrs following single FSH (10.6$\pm$2.2) than at aspiration at 48 hrs after single FSH (7.8$\pm$2.7) or in the unstimulated heifers (3.4$\pm$3.0). The proportion of grade I and II oocytes to all oocytes collected was varied 31.8 to 64.0% between the groups. However, there was found no significant difference in both the number of oocytes recovered per session and the percentage and the percentage of grade I and II oocytes. From the above results it was concluded that the more oocytes of superior quality might be recovered economically by ultrasound-guided aspiration at 60 hrs following the pretreatment of a single dose of 400 mg FSH and by suction using a vacuum pump system of about negative pressure of 75 to 85 mmHg.

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인삼이 흰쥐의 성 행위에 미치는 영향 (Influence of Panax Ginseng upon mating Behavior of Male Rats)

  • 김철;최현;김정진;김종규;김명석;안병태;박형진
    • The Korean Journal of Physiology
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    • 제8권1호
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    • pp.15-22
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    • 1974
  • The influence, upon male rat's mating behavior, of Korean Panax Ginseng administered for 3 and 5 days was investigated by direct behavioral observation and also by counting the number of copulation plugs the animals deposited. Four쇼-four male albino rats were used. Part of the animals received ginseng for 3 days (ginseng-3 day group, N= 12) or for 5 days(ginseng-5 day group, H=10), while the remaining animals received saline for 3 days (saline-3 day group, N=12) or for 5 days (saline-S day group, N=10). Each animal belonging to the 2 ginseng groups received subcutaneously 0.5 ml/100 g body weight of ginseng alcohol extract solution (4 mg of the ethyl alcohol extract in 1 ml of physiological saline), and each rat belonging to the 2 saline groups received the same amount of saline per day. During the dark period of the light-dark cycle on the next day following the last drug administration, a female rat in the artificial estrus was introduced to each male and the mating behavior was observed for 45 minutes. The observation session was divided into two parts and, in the early part which terminated with the first ejaculation and succeeding intromission, following behavioral measures were taken: mounting latency, intromission latency, inter-intromission period, ejaculatory latency(time from the first intromission until the first ejaculation), occurrence of mounting with intromission, occurrence of mounting without intromission, and postejaculatory interval. Behavioral measures taken in the later part of the session after the first ejaculation were: occurrence of mounting with intromission, occurrence of mounting without intromission, and occurrence of ejaculation. Immediately after the behavioral observation session the experiment turned to measure, for 10 days, the number of copulation plug which each pair of rats deposited. Following results were obtained: 1. After several mountings mounting with intromission, males of the 2 ginseng groups finished the first ejaculation significantly earlier than the corresponding 2 saline groups did. 2. The postejaculatory latency was significantly reduced in the ginseng-5 day group compare with the value of the saline-5 day group and also compared with the value of the ginseng-3 day group. 3. The 2 ginseng groups ejaculated significantly more often in 45 minutes' observation session than the corresponding 2 saline groups did. 4. The number of copulation plug deposited in 10 days by the animals of the 2 ginseng groups. significantly exceeded the number deposited by the corresponding 2 saline group animals. The animals of the ginseng-5 day group deposited copulation plugs significantly more than the animals of the ginseng-3 day group did. It is inferred from the above results that the ginseng facilitates mating behavior of male rats, and that the degree of facilitation may be influenced by the duration of drug administration.

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대학생 내담자를 대상으로 한 상담 작업동맹과 회기 평가 및 내담자 경험 비교 연구 - 전화, 화상 및 디지털가면 화상상담과 대면상담 비교 - (A comparison of working alliance, session evaluation and participants' experience of university student clients by counseling media -Comparison of face-to-face, phone, video, and video with digital mask counseling-)

  • 조은숙;오윤석;장은희
    • 문화기술의 융합
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    • 제8권6호
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    • pp.49-58
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    • 2022
  • 본 연구에서는 전화, 화상, 디지털가면을 활용한 화상상담 등 3가지 온라인상담 방식과 대면상담이 회기별 깊이 및 순조로움, 작업동맹, 그리고 사후만족도에서 어떤 차이가 있는지를 비교하였고 사후 면접을 통해 내담 경험에 대한 질적 자료를 수집하여 비교 분석하였다. 실험에 참여한 40명의 대학생들은 4집단으로 나뉘어져 각 3회기씩의 상담을 받았고 매회기 직후, 혹은 상담 종료 후 설문 혹은 면접조사가 진행되었다. 분석 결과, 회기의 '깊이'에 대한 평가는 4집단에서 유사하게 나타났으나, 전화와 가면화상상담에서는 대면상담에 비해 1, 2회기에 '순조로움'을 더 높게 평가하는 것으로 나타나, 온라인상담에서 익명성이 보장될 때 내담자의 사회적 불안을 감소시키는 것을 알 수 있었다. 매회기 작업동맹 수준과 상담만족도는 4가지 상담방식 간에 유의미한 차이가 없는 것으로 나타났다. 사후면접자료를 통해 각 집단 참여자들의 미묘한 경험 차이들이 파악되었다. 본 연구는 향후 다양한 온라인상담 방식을 개발하고 실행해 나가는데 기본 정보를 제공할 것으로 기대한다.

무선 애드 혹 네트워크에서 잔여 에너지를 고려한 다중 트리 비디오 멀티캐스트 기법 (An Energy-Aware Multi-tree Video Multicast Scheme in Wireless Ad Hoc Networks)

  • 박재영;강경란;조영종
    • 한국통신학회논문지
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    • 제34권12B호
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    • pp.1336-1348
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    • 2009
  • 본 논문에서는 무선 애드 혹 네트워크에서 비디오 스트리밍 세션을 위한 무선 단말의 에너지를 고려한 다중 트리 멀티캐스트 기법인 MVM-MAODV를 제안한다. 기존의 단일 트리 멀티캐스트 기법인 MAODV를 기반으로 하여 무선 단말의 잔여 에너지와 사용자의 요구에 따라 차등화된 품질의 비디오를 전달하는 다중 멀티캐스트 트리를 구성한다. 데이터 송신자는 MDC (Multiple Description Coding)로 비디오 데이터를 인코딩하여 두 개 이상의 서브 스트림을 생성한다. 각 멤버 단말은 예상되는 스트림별 패킷 수에 근거하여 자신의 잔여 에너지로 수신 할 수 있는 서브 스트림의 개수를 결정한다. 중간 전달자 역할을 담당하는 무선 단말들도 자신의 잔여 에너지를 고려하여 전송을 지원할 수 있는 서브 스트림을 선택한다. 결과적으로 서브 스트림 별로 멀티캐스트 트리가 구성되게 되고, 데이터 송신자는 이 트리들을 사용해서 서브 스트림들을 분리하여 전송한다. 각 멤버 단말은 참여한 트리의 개수에 따라 다른 품질의 비디오를 수신하게 된다. 시뮬레이션을 통한 성능 분석에서, 단일 멀티캐스트 기법인 MAODV, 기존의 다중 멀티캐스트 트리 기법인 MT-MAODV에 비해 보다 우수한 비디오 품질을 제공할 수 있으며 네트워크 내의 무선 단말들의 에너지를 보존할 수 있음을 보였다.

A pilot study of augmented reality-based postural control training in stroke rehabilitation

  • Park, Yu Hyung;Lee, Chi Ho;Kim, Hang Jin
    • Physical Therapy Rehabilitation Science
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    • 제3권1호
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    • pp.13-19
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    • 2014
  • Objective: The purpose of this study was to determine the effects of Augmented Reality-based Postural Control (ARPC) training on balance and gait function in patients with stroke. Design: Single-blind randomized controlled trial. Methods: Twenty participants who experienced a stroke were enrolled in the study and randomly assigned to the ARPC (n=10) or control group (n=10). Subjects in both groups received conventional physical therapy for 60 min per session, 5 days per week, for 4 weeks. In addition, subjects in the ARPC group received ARPC training for 30 min per day, 3 days per week, for 4 weeks. The participants watched established normal postural control patterns on a head-mounted display and repeated the movements in ARPC training. Outcome measurements were assessed using the Berg Balance Scale (BBS) and 10-Meter Walk Test (10MWT) before and after 4 weeks of training. Results: Of the 20 randomized participants, only 18 completed the 4-week training program. The ARPC group showed significant improvement in the BBS and 10MWT after training (p<0.05). Meanwhile, the control group did not exhibit improvement in either variable. In addition, the ARPC group showed significantly greater improvement than the control group in the 10MWT (p<0.05), whereas no significant difference was observed between the groups for the BBS. Conclusions: The results of this study confirmed the benefits of ARPC training on dynamic balance and functional gait ability. Additionally, this study may provide evidence supporting the use of an ARPC training program for improving balance and gait ability in patients after a chronic stroke.