• 한국사회복지학
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• 제63권1호
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• pp.317-342
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• 2011

본 연구의 목적은 국제결혼한 농촌남성들의 에이전시를 생애사적 맥락에서 재구성하는 데에 있다. 이를 위해 생애사적-내러티브 인터뷰 8개를 실시하였고, 인터뷰자료는 Sch$\ddot{u}$tze의 생애사적-내러티브 인터뷰 분석과 Rosenthal의 내러티브식-생애사 인터뷰 분석 방법을 응용하여 분석하였다. 그 결과, 다중적 소외자로 객체화되고 있는 외부자적 관점과는 달리, 에이전시를 작동시키며 살아가고 있는 주체로 재현되고 있었는데, 주 생활영역인 직업생활에서는 주변부에 자리한 직업적 위치에도 불구하고 자기주도적인 직업생활을 하도록 추동하는 에이전시가, 가정생활에서는 '아래로부터의 다문화주의'를 실현하는 초국가적 가정의 주체로 위치시키는 에이전시가, 그리고 학교생활에서는 탈획일화된 학교의 주체로 자리매김하도록 추동하는 에이전시가 작동되고 있었고 또 현재도 작동되고 있음을 포착하였다. 이러한 연구결과에 근거해 국제결혼한 농촌남성들에 대한 이해가 전제된 사회복지실천을 하는 데에 시사하는 함의를 제시하였다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.35.1-35.6
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• 2020

Background: Miescher's cheilitis granulomatosa (MCG) is a rare chronic inflammatory disease and is known as the monosymptomatic clinical form of Melkersson-Rosenthal syndrome (MRS). It is characterised by swelling of one or both lips and more frequently affects the upper lip. Histopathological findings show the presence of numerous inflammatory infiltrates and granuloma formations. Pharmacological treatments and surgery have provided results that are positive yet insufficiently stable in the long term. The clinical case described is of a 68-year-old female patient with a diagnosis of MCG of the upper lip. Case presentation: The patient was diagnosed and treated at the Oral Medicine and Oral Pathology outpatient clinic of Maxillofacial and Odontostomatology Unit, Fondazione Cà Granda IRCCS Ospedale Maggiore Policlinico. The patient was recommended localised treatments of photobiomodulation (PBM) using a diode laser with a 635 nm and 980 nm dual-wavelength (λ) approach, a 600-micron fibre, and a handpiece with a 1-cm-diameter lens at 300 mW. Three treatments a week were administered for four weeks for a total of 12 treatment sessions (T₁-T₁₂). After that, the patient had a long follow-up period of about 2 years. The therapeutic results were clear from the initial stages of treatment. There was an immediate, gradual, and consistent reduction in labial swelling. A reduction in the size of the lip by about 35% at T₁₀-T₁₂ was observed, returning the size and volume of the upper lip within the normal clinical range. The painful symptoms subsided after the seventh treatment (T₇). The histopathological check at 3 months and the follow-up in particular confirmed the disease was in remission with satisfactorily stable treatment results. Moreover, the patient did not use any other treatments on the area from the early laser treatments through to the end of the follow-up period. Conclusions: Our experience describes a clinical case of MCG treated with PBM and effectively resolved with a reduction of the lip swelling. The real success of the treatment emerged over time, showing that the tissue healing was stable. In absence of any collateral phenomena, this confirms the effective and documented therapeutic potential of PBM for chronic inflammatory infiltrates.