• 음성과학
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• 제8권4호
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• pp.119-129
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• 2001

Language is one aspect of cognition, along with attention and concentration, learning and memory, visuospatial abilities, and executive function. The purpose of this study was to determine the effect of language intervention by cognitive approach on language expressive performance in a patient with conduction aphasia. This study used several tasks such as Attention and concentration task, visual memory tasks, memory tasks, categorization, divergent thinking, self-monitoring and evaluate thinking. The effects of treatment were evaluated by periodic probing of both trained and untrained familiar words in three tasks; picture naming, answering to questions and telling stories. The results showed improvements both in trained and untrained words. Therefore, we concluded that expressive language performance of this aphasic patient is amenable to this intervention, and that cognitive therapy approach can be useful.

• Journal of Korean Dental Science
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• 제4권2호
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• pp.85-91
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• 2011

Some treatment methods have been proposed for patients with chronic closed lock of temporomandibular joint. We report a conservative treatment for patients who had chronic closed lock of temporomandibular joint and who did not want surgical treatment. Two patients who had been treated in the Template clinic, Soonchunhyang University Bucheon Hospital, are the subjects of this report. The subjects had chronic closed lock symptom for over 3 months after an onset of locking; conventional therapies had no effect. The subjects were treated by making them wear a Template appliance while sleeping and exercise for 10 hours a day. After periodic follow-up, significant improvement was observed for Template treatment in terms of the maximal mouth opening range. When conventional therapy is expected to be ineffective, The Template appliance can be used as conservative treatment for temporomandibular disorders patients with chronic closed lock of temporomandibular joint.

• 한국임상수의학회지
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• 제25권5호
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• pp.415-419
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• 2008

The purpose of this study was to determine clinical features of canine episcleritis and outcomes of therapy in Korea. The medical records of dogs with episcleritis presented at the Veterinary Medical Teaching Hospital of Seoul National University from January 2006 to December 2007 were reviewed. Episcleritis was diagnosed in 17 eyes of 12 dogs. The most frequently affected breed was Shih Tzu (n = 6). The median affected age was 5 years with a range from 3 years to 12 years. Simple episcleritis was identified in 8 dogs, nodular granulomatous episcleritis (NGE) in 3 dogs, and secondary episcleritis caused by panophthalmitis in a dog. The combination immunosuppressive therapy of topical corticosteroids, topical cyclosporine A, and intralesional injection of triamcinolone (4 mg) and gentamicin (4 mg) was performed. Most of the patients with episcleritis were resolved within 30 days following the therapy. Surgical excision was performed in 1 NGE case which was not responded to the medical therapy. Recurrence was observed in 4 dogs between 5 and 8 months after the first visit. It is considered that strong immunosuppressive therapy and periodic ocular examination are needed to control episcleritis.

• 대한감각통합치료학회지
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• 제21권3호
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• pp.79-102
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• 2023

목적 : 자폐 스펙트럼 장애(Autistic Spectrum Disorders, 이하 ASD)는 비전형적 감각 적응, 의사소통 문제, 상동 행동 등이 특징인 발달 장애로 섭식장애가 흔하게 동반된다. ASD 아동의 섭식장애는 감각, 구강운동, 행동, 인지, 사회성 등 다양한 원인으로 발생하며 주요 증상으로는 까다로운 먹기, 선택적 먹기, 음식 거부, 새로운 음식 거부, 음식 다양성 제한, 음식 혐오 등 다양하다. 또한 건강 및 영양 섭취 문제, 섭식 발달, 섭식 관련 사회성, 가족과 보호자의 스트레스 등 다양한 문제가 동반되기도 한다. ASD 아동의 섭식장애는 출생 후부터 나타날 수 있으며 일반적으로 진단이 이루어지는 3세 이전에 발생하기 때문에 적절한 중재 제공 전 공백이 발생할 수 있다. 보통 섭식장애 증상은 연령이 증가할수록 감소되는 경향이 있으나 증상 자체는 남아 있는 경우가 많아서 조기 평가 및 중재, 지속적인 확인이 필요하다. 본 연구에서는 ASD 아동의 섭식장애 특성과 영향을 주는 요인, 중재법에 대한 일반적인 내용을 문헌 고찰을 통해 확인하였다. 결론 : ASD 아동의 섭식장애 중재로는 감각 기반 중재와 행동 기반 중재가 일반적이다. 감각 기반 중재는 음식 민감성, 행동 기반 중재는 음식 선택성에 효과적인 방법이다. 또한 ASD 아동의 섭식장애 증상이 다양한 만큼 감각 및 행동 기반 중재를 기본으로 놀이와 참여, 구강운동, 식이와 일상생활까지 포함된 종합적인 접근이 필요하다. 그러나 아직 ASD 아동의 섭식장애 중재를 위한 적절한 평가와 중재 프로토콜 및 가이드라인이 부족한 상황으로 보다 체계적인 이해를 바탕으로 한 복합적인 접근이 필요하다. 작업치료사 등 연하재활 전문가는 종합적인 이해를 바탕으로 ASD 아동의 섭식장애 해결을 위한 적절한 평가 및 중재를 제공해야 할 것이다.

• Journal of Periodontal and Implant Science
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• 제44권2호
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• pp.65-70
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• 2014

Purpose: The purpose of this retrospective study was to evaluate the effect of patient compliance with supportive periodontal therapy (SPT) on tooth loss in Korean adults. Methods: The periodontal records of 134 patients were reviewed for this study. They completed active periodontal treatment from 1999 to 2001 and were placed on a schedule of periodic follow-up visits for SPT. Patient compliance was classified into complete compliance (CC), erratic compliance (EC), and noncompliance (NC) groups. Re-examinations were carried out $11.0{{\pm}}0.8$ years after the active periodontal treatment. The prognosis for each tooth was determined as good, questionable, or hopeless according to the bone loss observed in pretreatment radiographs. Results: The rate of tooth loss of the CC group was significantly lower than that of the NC group. The tooth loss/patient and the tooth loss/patient/year were not significantly different between the three groups. The rates of tooth loss in the good, questionable, and hopeless prognosis groups were 6.7%, 9.5%, and 13.2%, respectively. For the teeth with a good prognosis, the rate of tooth loss of the CC group was significantly lower than that of the NC group (0.4% vs. 5.1%). For the teeth with a questionable prognosis, the CC group showed a significantly lower rate of tooth loss than did the EC group (4.1% vs. 30.7%) or the NC group (4.1% vs. 25.6%). For the teeth with a hopeless prognosis, the rates of tooth loss were not significantly different among the three groups. Conclusions: Within the limits of this study, the patients who showed a poor compliance with SPT were more likely to lose teeth than were the regularly compliant patients. However, the risk of tooth loss with a hopeless prognosis was high irrespective of the compliance.

• 대한치과의사협회지
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• 제47권9호
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• pp.585-595
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• 2009

Purpose : The aim of this study was to compare surgical complications between simple implant placement and implant placement combined with complicated surgical procedures. We also evaluated prosthetic complications according to the specific types of prosthesis. Material and Method : A retrospective analysis of dental chart of patients who was performed implant therapy during the period from June 2003 to December 2005 was carried out. This study was performed on 408 patients (208 male, 200 female). In addition, 1671 implants were performed. Based on their medical record and radiographs, the authors evaluated surgical and prosthetic complications, surgical procedures accompanied at the time of implant, risk factors of implant failure etc. Result : Surgical complications were developed on 358 implants(21.4% on total placed implants) and wound dehiscence was most prevalent complication. On maxillary posterior area, surgical complications developed more frequently on implants with major surgery and showed a significant difference. And complication rate of implants accompanied with GBR was higher than that of simple implants placement and also showed significant difference. The implant supported prosthesis showed no statistical difference in the occurrence of complications according to the types of prosthesis, and food retention was the most common post-prosthetic complication. Also we speculated that length and width of implant showed significant correlation to the failure of implant primary osseointegration. Conclusion : Based on the result, clinician should provide more careful maintenance for patients with implant placement accompanied by complicated surgical procedure. And periodic maintenance for the patient is requested for long-term survival of implant therapy.

• 대한지역사회영양학회지
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• 제25권4호
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• pp.303-316
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• 2020

Objectives: The nutritional status of cancer patients undergoing chemotherapy is closely related to the compliance of nutrition education. However, as chemotherapy is conducted repeatedly, compliance with nutrition management is lowered, leading to malnutrition. Malnutrition is related directly to the quality of life after surgery in cancer patients. Therefore, this study examined the factors related to compliance with nutrition management during chemotherapy. Methods: In this study, five subjects with colorectal cancer undergoing adjuvant chemotherapy were interviewed in-depth using the Giorgi study method. The contents of the nutrition education visits and in-depth interviews were transcribed in the language of the subject after recording, and the appropriateness of the data was improved by reflecting the subject's actions and facial expressions. Results: After conducting the in-depth interviews for each subject, the experience of the subject's diet and adjuvant chemotherapy was drawn into two domains, six elements, and 26 sub-elements. In the cognitive domain, the patients experienced physical and psychological changes, and the need for nutrition management was recognized by analyzing the dietary causes of the diseases. In the domain of practice, a knowing-doing gap was formed, unlike the patient's will. Factors that inhibited compliance with nutritional management included digestive problems, sensory changes, loss of appetite, and social interaction stress. Conclusions: Dietary management is very important for patients receiving periodic anticancer therapy, and step-by-step training and personal monitoring based on the chemotherapy order is necessary to maintain the patient's will and social and environmental support.

• The Journal of Advanced Prosthodontics
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• 제8권4호
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• pp.321-328
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• 2016

PURPOSE. This study was designed to investigate the maintenance of teeth and implants in patients with viral liver disease. MATERIALS AND METHODS. 316 patients without any significant systemic disease were selected as a control group. Liver disease group was consisted of 230 patients. Necessary data were collected using clinical records and panoramic radiographs. Then, the patients were subdivided into 2 groups based on the type of active dental therapy received before maintenance period (Pre-Tx). Analysis for finding statistically significant difference was performed based on the need for re-treatment of active dental therapy (Re-Tx) and change in the number of teeth (N-teeth) and implants (N-implants). RESULTS. Comparing to control group, the patients with liver disease showed higher value on N-teeth, N-implants, and Re-Tx. Statistically significant differences were found on N-teeth (P=.000) and Re-Tx (P=.000) in patients with non-surgical Pre-Tx. Analysis based on severity of liver disease showed that N-teeth and Re-Tx were directly related to severity of liver disease regardless of received type of Pre-Tx. Significant differences were found on N-teeth (P=.003) and Re-Tx (P=.044) in patients with non-surgical Pre-Tx. CONCLUSION. In this study, it was concluded that liver disease might influence the loss of teeth and cause the relapse of dental disease during maintenance period in patients. A significant positive relationship between tooth and implant loss and severity of liver disease seems to exist.

• Radiation Oncology Journal
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• 제15권3호
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• pp.225-231
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• 1997

목적 : 두경부암 환자에서 수술 및 수술 후 방사선치료가 갑상선 기능에 미치는 영향을 평가하기 위하여 전향적 연구를 시행하였다. 대상 및 방법 : 1986년 9월부터 1994년 12월까지 수술후 방사선치료를 받은 두경부암 환자 중 추적 관찰이 가능했던 71예를 대상으로 하였다. 환자의 연령분포는 32세부터 73세였고, 중간값은 58세였으며, 여자 12예, 남자 59예였다. 원발 병소부위는 후두가 34예로 가장 많았고, 구강 12예, 구인두 1예, 하인두 13예, 상악동 2예, 타액선 3예, 근원 불명 전이성 경부암 6예였다. 전후두절 제술 및 경부곽청수술을 시행한 환자는 45예였고, 경부곽청수술만 시행한 환자는 26예였다. 모든 환자에 대하여 방사선치료 전 및 방사선치료 후에 정기적으로 임상검사 및 갑상선 기능검사 (T3, T4, free T4, TSH, antithyroglovulin antibody, antimicrosomal antibody)를 시행하였다. 방사선량은 40.6Gy에서 60Gy였고 중간값은 50Gy였으며 추적관찰 기간은 3개월에서 80개월이었다. 결과 : 갑상선 기능 이상의 빈도는 $56.3\%(40/71)$였다. 31예 $(43.7\%)$는 갑상선 기능이 정상이었고 7예 $(9.9\%)$는 임상적 갑상선 기능저하증이었으며 33예 $(46.5\%)$는 준임상적 갑상선 기능저하증이었다. 갑상선 기능항진증, 갑상선 결절, 악성종양은 발견되지 않았다. 경부곽청수술군보다 전후두절제술 및 경부곽청수술군에서 갑상선 기능 이상이 일찍 발생하였다(p<0.05). 방사선치료 후 갑상선 기능 이상의 발생 빈도에 영향을 준 위험인자는 전후두절제술 및 경부곽청수술과 방사선치료의 병용요법 (P=0.0000)이었다. 전후두절제술 및 경부곽청수술군 45예 중 36예 $(80\%)$에서 갑상선 기능 이상이 발생하였으며 경부곽청수술군 26예 중 4예 $(15.4\%)$에서만이 갑상선 기능이상이 발생하였다. 결론 : 두경부암 환자에서 수술 및 방사선치료 후 갑상선 기능 이상은 비교적 흔한 합병증이며, 갑상선 기능 이상의 발생 빈도에 영향을 미치는 인자는 전후두절제술 및 경부곽청수술과 방사선치료의 병용요법이었다. 갑상선 기능 이상을 조기에 발견하여 치료하기 위하여 방사선치료 전 및 방사선치료 후에 정기적인 갑상선 기능검사가 필요할 것으로 사료된다.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2005년도 제30회 춘계학술대회
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• pp.59-63
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• 2005

호흡 움직임은 종양에 대한 방사선치료의 부정확한 방사선조사가 유도되도록 복부 및 흉부에서 움직임을 야기한다. 그러므로 치료시 이러한 움직임에 대한 정확한 계산은 정상조직에는 저 선량을 조사되도록 CTV의 마진을 줄일 수 있고 방사선치료에 발생되는 부작용을 줄일 수 있다. Intrafraction motion을 고려하는 기술로는 호흡 멈춤, 호흡동조, 4차원 또는 종양추적 기술이 있다. 호흡동조 방법은 환자의 호흡 신호가 호흡주기의 일정한 범위에 위치할 때 주기적으로 빔을 조사하고 그 범위를 벗어날 때는 빔을 조사하지 않는 방법이다. 이러한 기술은 내부장기 움직임과 상관관계가 있는 호흡 움직임 신호의 획득이 요구된다. 호흡동조 방사선치료를 위한 예비연구로 본 연구자들은 호흡 움직임 신호 측정을 수행하였다. 환자의 호흡 움직임 신호 측정을 위해서, 호흡측정시스템을 3 가지 센서, 4 채널 데이터 획득 시스템, 신호처리용 컴퓨터로 구성하였다. 2명의 환자를 대상으로 본 연구자들은 호흡측정시스템을 가지고 호흡주기 및 파형을 평가하였다. 그 결과 호흡주기는 시간의 함수에 따라 일반적으로 정확한 대칭 형태는 아니지만 주기적인 형태로 측정되었다. 호흡측정 시스템은 기대했던 만큼 환자의 호흡을 잘 추적하였으며 실험에 적용하기 위해 쉽게 컨트롤 할 수 있었다.