• 한국산학기술학회논문지
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• 제10권9호
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• pp.2478-2484
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• 2009

본 연구는 서울시에 소재한 S남자고등학교 1학년 220명을 대상으로 구강검진결과 아래와 같다. 구강증상 경험 결과 치아 파절 경험이 없는 학생이 85.5%, 치아 지각과민 경험이 없는 학생이 76.8%로 조사되었다. 치아 통증 경험이 없는 학생이 90.9%의 결과를 나타내었다. 치주질환 경험이 없는 학생이 86.4%, 구강내 통증 경험이 없는 학생이 98.2%, 구취 자가 증상 경험이 없는 학생이 88.2%의 결과를 나타내었다. 구강보건행태결과 지난 1년간 치과병원을 방문한 경험이 없는 학생이 73.6%로 조사되었다. 하루 동안 아침식사 후에 이를 닦는 학생이 57.3%로 가장 많았으며, 과자 등 단음식이나 콜라 등 청량음료를 즐겨 먹지 않는 학생이 19.1%, 현재 불소가 들어있는 치약을 사용하고 있는 학생이 19.5%로 조사되었다. 구강검진결과 우식치아가 없는 학생이 55.9%, 우식치아가 있는 학생 44.1%로 조사되었다. 치주질환으로 치석형성을 앓고 있는 학생이 79.2%로 대부분을 차지였다.

• 대한한방내과학회지
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• 제42권5호
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• pp.833-845
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• 2021

Parkinson's syndrome is a degenerative brain disease that presents characteristic motor symptoms of tremor, rigidity, and gait disturbance. In addition to these motor symptoms, Parkinson's syndrome also presents non-motor symptoms (NMSs) such as sleep disturbance and cognitive decline. NMSs reduce patient's quality of life and psychosocial functioning and cause economic burden on the patient, so appropriate evaluation and treatment are required. Lewy body dementia is one of the several diseases belonging to Parkinson's syndrome. Its symptoms such as cognitive function, memory impairment, and hallucinations occur with Parkinsonism. Although drug therapy is being used with drug treatment to treat non-motor symptoms, it has limitations such as side effects, which stimulated interest in other complementary treatment methods such as oriental medicine treatment, dance, and yoga. The patient in this case complained of tremor in the right upper extremity, muscle hypertension and pain, and persistent vision, memory, and cognitive decline. The patient was diagnosed with probable Lewy body dementia. The patient was hospitalized for 4 months and received acupuncture and herbal medicines. After treatment, the patient's NMS scale scores decreased from 90 to 63, and the Unified Parkinson's Disease Rating Scale scores (summed I, II, and III) decreased from 17 points to 8 points. The Beck Depression Inventory score decreased from 22 points to 13 points. In addition, the patient's subjective evaluation revealed improvement. In this case, a patient diagnosed with probable Lewy body dementia who did not respond to the standard treatment and did not want to take medications showed improvement in not only motor symptoms but also NMSs after integrative Korean medicine treatment.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제42권
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• pp.14.1-14.11
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• 2020

Background: The purpose of this study is to introduce our modified disc plication technique using MITEK mini anchors and to evaluate the clinical outcome for patients with internal derangement (ID) of the temporomandibular joint (TMJ). Patients and methods: We evaluated 65 joints in 46 patients, comprised 32 women and 14 men, who first visited the Asan Medical Center from December 2012 to December 2016. The age of the patients ranged from 14 to 79 years, with a mean age of 36.6 years. The patients presented with joint problems including pain, joint noise, and mouth opening limitation (MOL). Patients who met our inclusion criteria underwent unilateral or bilateral disc repositioning surgery with our minimally invasive disc plication technique using MITEK mini anchors and No. 2-0 Ethibond^® braided polyester sutures. The variables taken into account in this study were the range of maximum mouth opening (MMO), painful symptoms (evaluated with the visual analog scale, VAS), and the type of noise (click, popping, crepitus) in the TMJ. Results: Preoperative examination revealed painful symptoms in 50.7% (n = 35) of the operated joints (n = 69) and the presence of clicks in 56.5% (n = 39). Postoperative examination revealed that 4.3% (n = 3) of the operated joints had painful symptoms with lower intensity than that in the preoperative condition. Additionally, 17.4% (n = 12) had residual noise in the TMJ, among which two were clicking and the other 10 had mild crepitus. The intensity of the postoperative residual noise was significantly decreased in all cases compared to that in the preoperative condition. Among patients with MOL below 38 mm (n = 18), the mean MMO was 31.4 mm preoperatively and 44.2 mm at 6 months postoperatively, with a mean increase of 13.8 mm. A barely visible scar at the operation site was noted during the postoperative observation period, with no significant complications such as facial palsy or permanent occlusal disharmony. Conclusion: Subjective symptoms in all patients improved following the surgery. TMJ disc plication using MITEK mini anchors with our minimally invasive approach may be a feasible and effective surgical option for treating TMJ ID patients who are not responsive to conservative treatment.

• 한국융합학회논문지
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• 제12권1호
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• pp.133-141
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• 2021

본 연구는 객관적인 데이터 기반 방법을 통해 인간 중심 디자인 과정을 효과적으로 보완하는 디자인 프로세스를 제시한다. 즉, 주관적 방법에 의한 인간 중심 디자인 프로세스에서 결여되는 객관성이 데이터 기반 접근에 의해 보완되어 숨겨진 사용자의 니즈를 효과적으로 발견하는 프로세스로 발전될 수 있다. 이에 본 연구에서는 설문조사 데이터 마이닝 분석 과정과 공동 디자인 프로세스가 접목된 인간 중심 디자인 프로세스를 제시하며, 스마트 난방복 사례연구를 통해 이를 검증한다. 설문조사 데이터 마이닝 분석 과정에서는 클러스터링과 의사결정 나무의 두 가지 분석 방법이 사용된다. 클러스터링은 타겟 그룹을 선정하는 기준이 되는 페르소나의 초안을 제시하며, 의사결정 나무는 제품 구매에 중요한 사용자 인식 속성 파악과 사용자 가치 체계를 일차적으로 제안한다. 이후 데이터 분석을 통해 얻어진 광범위한 관점에 대하여 타겟 그룹을 대표하는 사용자가 직접 참여하는 공동 디자인 프로세스가 수행되며 맞춤형 워크북을 이용하여 신제품에 대한 사용자의 여정맵, 니즈, 아이디어, 가치 체계 등을 체계적으로 도출한다. 본 논문에서 수행한 스마트 난방복 사례 연구는 제안된 방법론의 적용성을 보여주고 있다.

• 한국산업정보학회논문지
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• 제25권6호
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• pp.47-54
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• 2020

지압은 신체의 특정 부위에 압력을 가하는 치료행위로 주로 한의학 분야에서 통증 경감에 활용되어 왔다. 하지만 시술자의 역량, 경험, 체력에 따라 치료 효과가 달라지는 경우가 많아 표준화된 지압이 필요하며 관련하여 기구가 출시되고 있으나 주로 롤링 마사지 방식이어서 에너지 집중도가 떨어지며 부상의 위험성이 있었다. 따라서 본 연구에서는 변동형 대차를 기반으로 수직 지압을 제공하는 장치를 구현하였다. 장치의 지압력 유효성 확인을 위해 하중 실험 및 체압 분포, 만족도를 실험한 결과 지압봉은 150kg까지 버티며, 체압비는 0 % < x ≤ 5% 구간에서 비교품의 체압 비율에 비해 낮게 측정되었으며, 또한 주관적 만족도는 평균 2.11점의 높은 점수를 받았다. 따라서 수직 지압이 적용된 장치가 기존 제품과 비교하면 체압 분산에 효과가 있었으며 만족도가 높다고 볼 수 있었다. 향후 연구에서는 수직 지압 사용 그룹과 전문 치료사의 지압 그룹을 구성하여 개발 기기가 사람에 비해 균일한 지압을 제공하는지 비교 평가할 필요가 있다.

• 한방안이비인후피부과학회지
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• 제35권2호
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• pp.95-104
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• 2022

Objectives : This study is to report a case of otitis media with effusion accompanied by atopic dermatitis improved by Korean medicine monotherapy. Methods : A 31-year-old woman patient visited our clinic for aural fullness, hearing loss, and tinnitus of the left ear on August 14th, 2021. She also had abdominal pain, diarrhea, and general weakness because of side effects of antibiotics. Besides, she had nasal congestion, rhinorrhea, and dry skin. Through otoscopy, her tympanum was fully filled with yellow effusion. She only took Korean medicine therapy including acupuncture and herbal medicine weekly. The treatment continued for about 4 months(total 14 visits) until December 4th, 2021. Otoscopy, numerical rating scale(NRS), scoring atopic dermatitis(SCORAD) index were used to assess the symptoms. Results : On August 30, 2021, her intestinal symptoms improved. The left tympanum was recovered to normal condition as the treatment continued. The effusion disappeared on October 16th, 2021. On November 6th, 2021, peritympanic blood congestion also almost alleviated. Subjective symptoms including aural fullness, hearing loss, and tinnitus disappeared on October 16, 2021. Nasal symptoms and dry skin also improved. The SCORAD index dropped from 15 to 4. Conclusions : These results suggests that otitis media with effusion can be sufficiently managed by Korean medicine therapy. Further, active application of Korean medicine therapy to common otolaryngological diseases is necessary.

• Korean Journal of Acupuncture
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• 제40권1호
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• pp.1-12
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• 2023

Objectives : This study aims to provide information regarding the status and quality of mobile applications (MAs) using self-acupressure by performing a systematic review. Methods : We conducted comprehensive searching on five international databases and two app markets from inception to July 31, 2022 to identify MAs using self-acupressure. We analyzed the characteristics of each MA regarding the name of the MA, registered app markets, target symptoms, developers, the year and country of development, cost, target age, media function, and expertise. We assessed the quality of each MA using Mobile Application Rating Scale (MARS). Results : We identified a total of 30 MAs using self-acupressure (25 MAs from the app market and 6 MAs from clinical studies, with 1 MA in common). 17 out of 24 MAs from the app market provided self-acupressure regimens for various symptoms and the others provided regimens for specific symptoms such as memory, anxiety, depression, asthma, allergy, low back pain, and headache. 14 developers were reported. 23 MAs were developed after 2013. The largest number of MAs were developed in the United States. The target age group of 12 MAs was above the age of 3, and that of 11 MAs was above the age of 12. 14 MAs provided multimedia functions such as videos. 13 MAs provided information of expertise. From clinical studies, only 3 out of 6 MAs were accessible through the app market. 4 MAs were developed by the researchers of the study. In terms of MARS, the score of MAs from the app market was higher than that of MAs from clinical studies in both objective and subjective evaluation areas. Conclusions : This study summarizes the characteristics of MAs using self-acupressure. More MAs using self-acupressure should be developed and further clinical research for MA on each symptom and disease is warranted for the diversification of MA fields using self-acupressure.

• 대한화상학회지
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• 제22권2호
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• pp.30-33
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• 2019

Purpose: Wound healing and scar management of donor site after skin graft should not be overlooked. Patients continue to complain of dryness, itching sensation. Such discomfort can cause irritation to the patients and lead to delayed healing or secondary infection. Thus, the author predicted Eucalyptus Oil, which acts on Transient Receptor Potential Melastatin 8 would be effective in regulating scar by reducing itching sensation in donor site when combining conventional silicone materials. Methods: The study was performed on 30 patients who underwent split thickness skin graft with lateral thigh as donor site between January 2017 and August 2018. First, primary evaluation of fully epithelized donor site scar three weeks after surgery was conducted. Control group (n=15) applied silicone gel (Kelo-cote, USA) solely two times a day. study group (n=15) applied Eucalyptus oil, combined with silicone gel. After 3 months of follow up, donor scar was evaluated using Vancouver scar scale and VAS scores of subjective patient reports regarding pain and itching sensation. Results: It was confirmed that both groups showed stable scar improvement comparing scar quality for 3 months. After 3 months, scar quality in study group showed superiority in pigmentation, pliability and pruritus compared to control group. Conclusion: Application of Eucalyptus Oil combined with conventional silicone gel is favorable to scar management and may give additional benefit of alleviating pruritis symptoms.

• Journal of Trauma and Injury
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• 제36권3호
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• pp.196-205
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• 2023

Purpose: Surgical stabilization of rib fractures (SSRF) is widely used in patients with flail chests, and several studies have reported the efficacy of SSRF even in multiple rib fractures. However, few reports have discussed the hardware failure (HF) of implanted plates. We aimed to evaluate the clinical characteristics of patients with HF after SSRF and further investigate the related factors. Methods: We retrospectively reviewed the electronic medical records of patients who underwent SSRF for multiple rib fractures at a level I trauma center in Korea between January 2014 and January 2021. We defined HF as the unintentional loosening of screws, dislocation, or breakage of the implanted plates. The baseline characteristics, surgical outcomes, and types of HF were assessed. Results: During the study period, 728 patients underwent SSRF, of whom 80 (10.9%) were diagnosed with HF. The mean age of HF patients was 56.5±13.6 years, and 66 (82.5%) were men. There were 59 cases (73.8%) of screw loosening, 21 (26.3%) of plate breakage, 17 (21.3%) of screw migration, and seven (8.8%) of plate dislocation. Nine patients (11.3%) experienced wound infection, and 35 patients (43.8%) experienced chronic pain. A total of 21 patients (26.3%) underwent reoperation for plate removal. The patients in the reoperation group were significantly younger, had fewer fractures and plates, underwent costal fixation, and had a longer follow-up. There were no significant differences in subjective chest symptoms or lung capacity. Conclusions: HF after SSRF occurred in 10.9% of the cases, and screw loosening was the most common. Further longitudinal studies are needed to identify risk factors for SSRF failure.

• 농촌의학ㆍ지역보건
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• 제41권1호
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• pp.13-26
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• 2016

본 연구는 종합 병원에 만성 질환으로 입원 한 노인 환자의 가족지지, 일상생활 수행능력 및 우울간의 관계를 파악하기 위해 수행하였다. 연구 대상자는 G광역시에 위치한 일개 종합병원에 만성질환으로 입원한 환자 100명을 대상으로 하였으며, 관련성을 알아보기 위하여 t-검정, 분산분석, 상관분석과 위계적 다중회귀분석을 이용하였다. 연구 결과, 연구 대상자의 가족지지 정도는 $49.95{\pm}8.68$점, 일상생활 수행능력 $8.65{\pm}2.65$점, 우울 $6.66{\pm}3.78$점이었다. 전체 연구 대상자의 64%가 경증 이상의 우울을 가지고 있었다. 위계적 다중회귀분석 결과, 사회인구학적 특성에 일상생활 수행능력을 포함하여 분석한 Model 1에서는 주관적 건강상태(${\beta}=2.894$, p<0.001)와 일상생활 수행능력(${\beta}=0.269$, p=0.04)이 노인 우울과 통계적으로 유의한 관련이 있었고, 사회인구학적 특성에 가족지지를 포함하여 분석한 Model 2의 경우, 노인 우울은 연령(${\beta}=1.483$, p=0.04), 주관적 건강상태(${\beta}=2.641$, p<0.001)와 가족지지(${\beta}=-0.144$, p<0.001)와 유의한 관련이 있었다. 사회인구학적 특성과 일상생활수행능력과 가족지지를 포함하여 분석한 Model 3의 결과, 노인우울은 주관적 건강상태(${\beta}=2.510$, p=0.001), 가족지지(${\beta}=-.135$, p<0.001)과 통계적으로 유의한 관련이 있었다. 이상의 연구결과를 통해 만성질환 입원노인들의 우울은 가족지지가 낮을수록, 주관적 건강상태가 나쁠수록 우울의 정도가 높음을 알 수 있었다. 노인 환자의 건강관리 방안을 마련할 때 가족지지 강화와 노인의 건강지각을 높일 수 있는 방안이 모색되어야 할 것으로 사료된다.