• 한국치위생학회지
• /
• 제9권3호
• /
• pp.248-261
• /
• 2009

Objective : This study was performed in order to figure out Oral Health Actual Condition in Elementary School Teachers in Deagu area. This study was conducted from March through May 2008. Method : A total of three hundred and ten Elementary School Teachers were surveyed. The collected data were analyzed by Oral Health Actual Condition and cognition, Diet habit or living and one's own intellect health state, Oral disease sign symptoms of percent and 2-test and One-way ANOVA test by using SPSS12.0 Program. Results : 1. The most of result Frequencies of tooth brushing per one day were 3 over 91.0% and Oral Examination, Oral Health Education need. 2. The result of oral disease sign and symptom were hypersensitivity due to cold food(39.0%), halitosis(21.6%), gingival bleeding tendency(21.3), clicking sound on TMJ(18.7%), hypersensitivity due to tooth burshing(17.1%), easy crown fracture and to be fine(10.0%), pain on TMJ or limitation of mouth opening(7.1%). 3. The most of result age a group oral hygiene assistance article age 20 for interdental tooth brushing(46.4%), age 50 over not used interdental tooth brushing 38.5%. 4. The result of sign and symptom and snack following was statistically significant(P<0.05), health of own cognition and Oral health of own cognition was statistically significant(P<0.001). Conclusion : The study of understanded the Subjective Elementary School Teachers Oral Health Actual Condition and Promotion of Oral Health follow up Oral examination and Oral Health Education have to system groping.

• 대한족부족관절학회지
• /
• 제15권2호
• /
• pp.72-78
• /
• 2011

Purpose: The purpose of this study is to compare the clinical outcome of excision versus osteosynthesis of type II accessory navicular performed by a single surgeon. Materials and Methods: Cases of 14 feet treated with excision and 13 feet by osteosynthesis for type II accessory navicular of 25 patients from 2002 to 2009 were included in this study. Radiological measurements and American Orthopaedic Foot and Ankle Society (AOFAS) midfoot scale was evaluated. Results: AOFAS midfoot scale of both excision and osteosynthesis groups at last follow-up showed improvement from pre-operation. However, there was no statistical difference in AOFAS midfoot scale and subjective satisfaction between the two groups at last follow-up. In detail of AOFAS midfoot scale, pain and footwear requirements showed statistically favorable results for the excision group, while activity limitation and support showed statistically favorable results for the osteosynthesis group. Subjective recovery time returning to daily activities and starting rehabilitation exercise were 14.6 weeks in the excision group and 13.7 weeks in the osteosynthesis group (p=0.025, Mann-Whitney). Suture anchor loosening was observed in one case in the excision group and non-union in two cases in the osteosynthesis group. Conclusion: Both excision and osteosynthesis are favorable surgical methods, but each method has advantages and possible complications such as suture anchor loosening or non-union. Surgeon's preference, patient's chief complaint, specific needs of patient after the operation and consideration of the size of accessory navicular can be a criteria to consider when selecting a surgical method.

• 대한족부족관절학회지
• /
• 제20권2호
• /
• pp.73-77
• /
• 2016

Purpose: The purpose of this study was to evaluate the clinical outcome of a modified Kidner procedure using a suture bridge technique in symptomatic type II accessory navicular. Materials and Methods: Between January 2013 and December 2014, a total of 35 cases with symptomatic type II accessory navicular were treated with a modified Kidner procedure using the suture bridge technique. The patients were evaluated preoperatively, 3 months after surgery, and at the latest follow-up (at least six months postoperatively) clinically via the American Orthopaedic Foot and Ankle Society (AOFAS) midfoot score, visual analogue scale (VAS), and the self-subjective satisfaction score. Results: The mean AOFAS midfoot score demonstrated significant improvement from a mean of 45.3 preoperatively to a mean of 89.2 at 3 months after surgery. At the latest follow-up, the mean AOFAS midfoot score was 92.6 (p<0.001). The mean VAS also improved significantly, decreasing from 6.7 out of 10 preoperatively to 1.8 at 3 months after surgery. At the latest follow-up, the VAS was 1.2 (p<0.001). The mean time of a single-limb heel raise was 4.6 months postoperatively and the self-subjective satisfaction score was 1.4 out of 4 at the latest follow-up. Conclusion: The short-term surgical results of the modified Kidner procedure with a suture bridge technique for symptomatic type II accessory navicular were good to excellent in terms of pain, functional and clinical assessments. In conclusion, the modified Kidner procedure with the suture bridge technique is a reasonable treatment option for symptomatic type II accessory navicular.

• 한국의류산업학회지
• /
• 제12권3호
• /
• pp.364-371
• /
• 2010

The purpose of this study is to weigh the students' backpacks of middle school in daily use and to analyse their physiological responses and subjective senses when carrying backpack in order to promote healthy and comfort school life of girl middle school students. Two female students were subjects who answered the questionnaires on two types of backpack and their metabolism, perspiration and the changes of skin temperature were measured in constant environment chamber, $25{\pm}1$ and $49{\pm}10$% RH. They walked on the treadmill carrying the backpack with the increment of backpack weight, 2 kg, 4 kg to 6 kg. When the backpack increases to 6 kg, the discomfort parameters and responses increases rapidly. Comparing with general type, improved type of backpack showed good results in physiological responses, but not in subjective senses, such as the ease of movement, pain, or total preference, specially in 2 kg and 4 kg. The girl students prefer the general type of backpack which is of fashion and small, when it weighs light such as 2 kg or 4 kg, while they prefer the improved bag which is functional when it is heavy as 6 kg. The longer wearing time of the medium weight, for example, 4 kg without feeling or recognition of any discomfort due to fashion style, might cause the students' posture and health weaker or more vulnerable to the problems.

• 대한예방한의학회지
• /
• 제14권3호
• /
• pp.37-49
• /
• 2010

Objective : Qigong has been reported as an effective for post-mastectomy women. It consists of a series of postures combined with slow, smooth, graceful movements, and is considered a low intensity exercise. In this study, a specialist of Qigong developed a Qigong program for post-mastectomy women in a community. The object of this research is to evaluate the effect of Qigong on a subjective symptom scale, on the grade of discomfort and pain in everyday life, BMI, fat(%), muscular strength, shoulder joint movement, in post-mastectomy women. Methods : The study used a non-equivalent control group non-synchronized design. The experimental group received a Qigong 3 times a week for 12 weeks from September 7th to December 28th in 2009. The subjects were 40 patients are divided into 25 persons in experimental groups and 15 persons in contrastive group. The data were analyzed with descriptive statistics, chi-square test, t-test, Mann-Whitney U test. A P-value less than .05 was considered significant by 2-tailed test. All statistical analyses were performed with SPSS win(ver 12.0). Results : The results were as follows : The score in the subjective symptom(p=.040), and score of anxiety (p=.024), fat(%)(p=.007) were significantly decreased after Qigong program. The values for shoulder flexibility (left : p=.010, right : p=.008), and Muscular strength(grip power)(left : p=.021, right : p=.029) significantly increased after Qigong program. And Flexion(left ; p=.029), Extension(left : p=.001, right : p=.038), Adduction(left ; p=.001, right ; p<0.001) were also significantly increased after Qigong Conclusions : The Qigong is an effective health promotion program for post-mastectomy women.

• 디지털융복합연구
• /
• 제17권1호
• /
• pp.365-373
• /
• 2019

본 연구는 성별에 따른 독거노인 삶의 질의 영향요인을 파악하고자 시행되었다. 2013-2015년 국민건강영양조사대상자 22,948명 중 독거노인 959명 대상으로 하였다. IBM SPSS 23.0프로그램을 이용하여 복합표본을 형성한 후 복합표본 통계로 자료를 분석하였다. 두 그룹 간 나이, 교육수준, 칼로리 섭취, 관절염유무, 무릎통증, 허리통증, 알코올섭취 빈도와 양, 흡연유무, 주관적 건강과 삶의 질에서 유의한 차이가 나타났다. 남성 독거노인 삶의 질의 유의한 영향요인은 경제상태, 관절염유무, 활동제한, 주관적 건강이었고 이들의 설명력은 50.5%이었다(p<.001). 여성 독거노인 삶의 질의 유의한 영향요인은 허리통증, 주관적 건강, 자살생각이었고 이들의 설명력은 41.4%이었다(p<.001). 그러므로 독거노인의 삶의 질을 향상시키기 위해서는 성별에 따른 적절한 중재를 제공할 필요가 있다.

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• 제26권2호
• /
• pp.88-98
• /
• 2023

Purpose: Children with inflammatory bowel disease (IBD) frequently undergo clinical assessments, involving triadic communication between clinician, parent, and child. During such encounters parents are traditionally the main communicator of information on their child's IBD, including subjective symptom reports. The level of agreement between children and their parents for IBD symptoms is poorly understood, and this study aimed to examine this factor. Methods: This was a cross-sectional study among children with IBD, and one parent. A validated paediatric IBD symptom report tool (IBDnow) enabled children and their parent to rate seven pain, well-being, and stool metrics, with dyads completing the tool concurrently. Results were assessed using: Individual agreement: proportion of identical symptom reports by each dyad (ideal score >0.7); Category agreement: percentage of identical reports for IBDnow metrics for the cohort; Inter-rater reliability: Gwet's AC1 coefficient with higher scores indicating better reliability (maximum=1). Results: Seventy-four parent/child dyads participated; child's mean age 12.2 years (standard deviation [SD] 2.9, range 6-16), mean time since diagnosis 2.8 years (SD 3), 54% female, 73% had Crohn's Disease. Mean individual agreement level was 0.6, with 27% of dyads agreeing on ≥6/7 IBDnow metrics. Category agreement was reported by 61% of dyads, 20% of parents overestimated, and 19% underestimated, their child's symptoms. Inter-rater reliability ranged from fair to good. Conclusion: These results should improve clinician awareness of how IBD symptom reports from parents may introduce bias. Children should be considered the most important source of symptom reports, and tools such as IBDnow utilised to enhance communication.

• Journal of Oral Medicine and Pain
• /
• 제33권3호
• /
• pp.279-294
• /
• 2008

치과에 내원하는 주된 이유 중의 하나는 통증이며 이런 통증 치료시에 장시간의 개구는 저작근에 근육문제를 야기할 수 있다. 장시간의 근피로를 유발할 수 있는 치과진료실내에서의 치료로 인하여 두통, 저작근의 통증, 개구 장애, 저작 곤란 등을 유발할 수 있으며, 통증을 치료하기위하여 내원한 환자로서는 예상하지 못한 다른 국면의 통증에 맞부딪치게 된다. 물론 이악물기등의 악습관 그리고 과도한 껌저작등으로 인해서도 임상적으로 근쇠약감이 호소하며 이에 대해서는 실험적 근피로유도후에 근전도등을 이용하여 연구가 이루어져왔다. 근쇠약감 및 근피로로 인하여 교합양상의 변화를 주관적으로 호소하며 이 상태에서의 근육의 근전도 평가가 이루어져 왔던 것에 비하여 교합의 변화에 대해서는 평가가 미진하였다. 과도한 이악물기나 개구 및 껌 저작으로 인한 근피로가 교합양상에 미치는 변화를 평가하고 감각신경 변화로 인하여 근통증에 영향을 미치는 조사하고자 측두하악장애 증상이 없고 정상 범주의 교합을 가졌으며 교정치료나 3개 이상의 보철 치료를 받지 않은 지원자 총 24명(평균나이 25.7세)을 대상으로 하였다. 근 피로를 실험적으로 유발하기 위하여 이악물기, 장시간 개구 상태 유지, 주저작측으로 껌 저작을 시행하여 근피로를 느끼도록 하였다. 본 연구에서는 전기적 자극을 이용하는 뉴로미터를 이용하여 근통증시에 주저작측 삼차신경의 감각신경을 측정하였고, 근통증을 느끼는 시점에 근쇠약감이나 저작근 기능 장애로 인한 교합상태의 변화를 평가하기 위하여 T-scan II system을 이용하여 교합접촉, 교합력 등을 조사하여 다음의 결과를 얻었다. 1. 근피로는 장시간 개구 후에 가장먼저 느꼈으며 근통증을 느끼는 시간은 이악물기 후에 가장 빨리 나타났다. 근피로, 통증을 느끼는 시점에서의 근피로, 통증의 정도는 이악물기 후에 가장 높았다 2. 최초접촉시의 접촉시간 접촉력은 차이가 없었으며 교두간 접촉위에서 껌저작후 접촉시간, 장시간 개구 후와 껌저작후에 접촉력이 감소하였다. 최대접촉위에서는 장시간 개구후와 껌저작후에 접촉력이 감소하였다. 최종접촉위에서는 모든 실험적 근피로후에 접촉시간이 감소하였고 접촉력은 껌저작후에 감소하였다. 3. 실험적 근피로가 유발된 근육에서의 감각 변화는 보이지 않았다. 4. 접촉수는 실험적 근피로 유발후에 최초접촉위 최대 접촉위 그리고 최종접촉위에서 감소되는 양상을 보였다. 5. 접촉수의 주저작측에 따른 비교에서 좌측으로 껌을 저작한 군은 접촉수에 좌우측 차이를 보이지 않았으며, 우측으로 껌을 저작한 군에서는 좌측이 많았다. 결론적으로 구강내외에 발생하는 일련의 사건은 임상적으로 근쇠약감을 호소하는 경우 교합양상에 변화를 초래 할 수 있음을 확인 할 수 있었으며, 장시간의 개구나 이악물기, 과도한 저작등의 악구강계에 영향을 미칠 수 사건은 특히 치과치료 시에 교합 변화에 주의를 요함을 확인할 수 있었다.

• Journal of Oral Medicine and Pain
• /
• 제24권1호
• /
• pp.9-24
• /
• 1999

Pumping into the upper joint cavity of the TMJ was done on patients who had reducible disc displacement with pain. This article discusses the change in TMJ sounds before and after the Pumping treatment. 20subjects(mean age of $32.1{\pm}10.2yr$)were selected among those who visited the department of Oral Medicine of Yonsei University for the treatment of craniomandibular dysfunctions. Through a thorough history taking, clinical exam and X-ray taking these subjects were diagnosed as reducible disc displacement patients, and they were subdivided into two groups as acute and chronic according to the time the TMJ sound was made. Sonopak was used to measure the TMJ sound before, right after and one-week after the Pumping treatment. VAS was used to measure the degree of subjective TMJ complaints(sounds and pain) before and one-week after the Pumping treatment. Vibration related items included total integral, high integral, low integral, ratio of high integral to low integral, peak amplitude, peak frequency and median frquency. 1. It was not statistically significant between the acute and chronic groups before the treatment. However, total integral, high integral, low integral, peak amplitude, peak frequency, median frequency showed to be greater in the chronic group. 2. In all the subjects, just after the Pumping treatment was done, total integral, high and low integral, peak amplitude and peak frequency significantly decreased (p<0.05). Even after one week, low integral, peak frequency and median frequency significantly decreased (p<0,05), and the TMJ sound diminished accordingly. 3. Comparing the two groups(before and right after the Pumping treatment), there was the following difference ; in the acute group, high integral, high amplitude, high frequency and median frequency significantly decreased(p<0.05). In the chronic group, total integral, high integral, low integral, ratio, peak amplitude and peak frequency significantly decreased(p<0,05). It was not statistically significant between the acute and chronic group. 4. Comparing the two groups(right after and one week after the Pumping treatment), there was the following difference : in the acute group, high integral, high amplitude, high frequency and median frequency significantly decreased(p<0.05), In the chronic group, low integral significantly decreased(p<0.05). However, although it was not statistically significant, after one week, there was an increase in total integral, ratio, peak amplitude and peak frequency compared to right after the treatment group. 5. In the VAS of before and one week after the Pumping treatment of the TMJ pain and sound, the TMJ pain significantly decreased(p<0.05) in both the acute and chronic group. However, it was not statistically significant between the two groups. There was a statistically significant decrease(p<0.05) in the TMJ sound in the acute group after one week of Pumping treatment, but no change was notable in the chronic group and it was not statistically significant between the two groups. From the above results, we can conclude that Pumping into the upper joint cavity of patients having reducible disc displacement is effective in reducing clicking and pain. Therefore, it can be applied in diverse clinical fields.

• 한국사회복지학
• /
• 제61권3호
• /
• pp.205-228
• /
• 2009

근친성학대는 외부에 드러나지 않고 가족의 비밀로 유지되는 경향이 있다. 그리고 어머니는 근친성학대 드러냄을 결정하는 중요한 사람으로 인식되어 왔으며 때로는 묵인한 사람으로 간주되어 비난을 받았다. 따라서 본 연구의 목적은 자녀의 근친성학대 피해에 대한 어머니의 드러냄 경험의 본질과 의미를 탐구하고 이해하고자 하는 것이다. 이를 위하여 딸이 근친성학대 피해를 경험한 7명의 어머니들에게 심층면접을 진행하였으며 해석학적 현상학적 연구방법으로 분석하였다. 연구 결과, 어머니들의 드러냄 경험의 본질적 주제는 "고통을 관통함으로써 고통을 극복함"으로 나타났다. 하위주제로는 '가슴속의 응어리를 풀어냄', '차가운 외면 속에서 또다시 상처받음', '곪은 상처를 터트리고 치료함'이 도출되었다. 어머니에게 드러냄 경험은 상처를 건드림으로써 치유의 기반을 마련하고 드러냄의 방법과 의미를 찾아나가는 과정으로 경험되었다. 특히 근친성학대의 드러냄 경험은 어머니의 인식과 의지, 타인의 반응과 사회문화적 맥락과의 상호작용을 통해 계속 재구성되는 과정으로 나타났다. 본 연구 결과를 바탕으로 어머니들의 드러냄에 보다 전문적이고 민감하게 대응할 수 있는 사회복지실천방법을 제언하였다.