• Journal of Preventive Medicine and Public Health
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• 제52권6호
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• pp.355-365
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• 2019

Objectives: In rural areas of Korea, where public transportation infrastructure is lacking and alternative systems are poor, the elderly experience inconveniences in using healthcare, although their need is high. This study aimed to analyze the association between the convenience of transportation and unmet healthcare needs among the rural elderly. Methods: The data used were collected in the 2016 Community Health Survey among rural elderly individuals aged 65 or older. Dependent variable was the unmet healthcare needs, explanatory variable was the convenience of transportation. The elderly were divided into 3 groups: with no driver in the household, with a driver, and the elderly individual was the driver (the self-driving group). Covariates were classified into predisposing, enabling, and need factors. They included gender, age, education, income, economic activity, household type, motor ability, subjective health level, number of chronic diseases, anxiety/depression, and pain/discomfort. The data were analyzed using logistic regression and stratification. Results: A significant association was found between the convenience of transportation and unmet healthcare needs. When examined unadjusted odds ratio of the group with a driver in the household, using the group with no driver as a reference, was 0.61 (95% confidence interval [CI], 0.54 to 0.68), while that of the self-driving group was 0.34 (95% CI, 0.30 to 0.38). The odds ratios adjusted for all factors were 0.69 (95% CI, 0.59 to 0.80) and 0.79 (95% CI, 0.67 to 0.91). Conclusions: We confirmed a significant association between inconvenient transportation and unmet healthcare needs among the rural elderly even after adjustment for existing known factors. This implies that policies aimed at improving healthcare accessibility must consider the means of transportation available.

• 대한안전경영과학회지
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• 제17권3호
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• pp.115-123
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• 2015

The study conducted statistical analysis of survey on the 239 workers participating in national Tower Crane installation/dismantlement in order to identify work environment and health hazard exposure of Tower Crane workers. Consequently for work related safety status of Tower Crane workers, the number of installation/dismantlement work was the highest at 15-20 times per month, and safety equipments were not arranged at work and they felt highly anxious when boarding on the Tower Crane. Furthermore, it is found that they feel anxious working in the influence of the weather, noise, vibration, wind, the sun ray, and structure characteristic. They have very low satisfaction in the insecureness of workplace and the work environment, and recognizes that their work affect highly on the health. 81.6% of workers have experienced accident at work, the cause of accidents were mainly due to poor work environment, and the health abnormality they have experienced were mostly fatigue and concentration reduction. For job stress, job demand and conflict in relationship were the highest sections. Total 66.5% of workers complained of musculoskeletal disorder related subjective symptom, and back pain patients were the highest of all groups.

• 사상체질의학회지
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• 제33권3호
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• pp.161-170
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• 2021

Introduction Hand eczema is dermatitis that occurs on the hand and fingers. In this case, the patient had chronic hand eczema that had relapsed for 3 years, worsened for 6 months, and did not improve even with standard dermatological treatment. We report significant improvement of the patient with chronic hand eczema, diagnosed with Soeunmin Greater Yin Symptomatology based on Sasang Constitutional Medicine. Methods We prescribed herbal medicine, Sibimigwanjung-tang(十二味寬中湯), and the western medications were continued throughout the treatment period. To evaluate the treatment progression, we observed objective and subjective symptoms and took pictures of the patient's hands. Results At the first time of the outpatient visit, the patient complained of pain, oozing, scaling and severe itching even though she had taken dermatological medication for over 6 months. After 8 weeks of Korean medicine treatment, most symptoms showed improvement, and after about 47 weeks of treatment, the symptoms maintained 90% improvement even after stopping western medications and herbal medications. Conclusion The patient in this case showed a significant improvement of chronic hand eczema and the improvements have been maintained even stopping western medications and herbal medications during follow-up for 15 weeks. In addition, the patient showed improvement and maintenance of general conditions as well as skin-related symptoms. In this case, we can concern the effect of the Sasang Constitutional Medicine focused on treating the patient's general pathology as well as the patient's chief complaint at chronic hand eczema not responding to standard dermatological treatment.

• 산업융합연구
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• 제16권3호
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• pp.1-7
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• 2018

본 연구는 지역사회 노인의 일반적 특성 및 건강관련 특성을 조사하여, 낙상두려움 요인을 규명하고, 낙상두려움, 낙상태도 및 낙상효능감과의 관계를 파악하기 위한 서술적 조사연구이다. 연구대상자는 D시의 복지관을 이용하는 노인 140명이었다. SPSS 21.0 프로그램을 이용하여 분석하였다. 연구결과 성별, 동거인, 주관적 건강상태, 통증, 불안전한 걸음걸이에서 낙상두려움의 차이가 있었다. 낙상두려움과 낙상태도(r=-.396, p<.001), 낙상두려움과 낙상효능감(r=-.184, p=.030)은 유의한 음의 상관관계를 보였고, 낙상태도와 낙상효능감(r=.411, <,001)은 양의 상관관계를 보였다. 본 연구결과에 기초하여 낙상두려움, 낙상태도 및 낙상효능감을 향상시킬 수 있는 낙상예방프로그램 개발 및 적용이 필요하다.

• Integrative Medicine Research
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• 제3권2호
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• pp.60-66
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• 2014

Background: Medically unexplained symptoms (MUSs) are common in primary care. Atpresent, there are no proven, comprehensive treatments available in primary care forpatients with MUSs. However, MUS has parallels with "subhealth" or Mibyeong from tradi-tional East-Asian medicine, and thus, Mibyeong interventions could be effective in treatingMUS. Unfortunately, studies on Mibyeong and its intervention methods are relatively rare.Methods: We administered a web-based survey to 17,279 Korean medicine (KM) practitionersregistered with the Association of Korean Medicine. The response rate was 4.9% (n = 849).Based on the responses received, we assessed how much they agreed with concepts relatedto Mibyeong on a 7-point scale from "do not agree" to "strongly agree." Respondents werealso asked to indicate how frequently they encountered various subtypes and patterns ofMibyeong, and how frequently they use listed intervention methods.Results: Data from 818 respondents were analyzed after excluding those with no clinicalexperience. On average, respondents were male general practitioners aged between 30 yearsand 49 years, working or living in metropolitan areas such as Seoul, Incheon, and Gyeonggi-do. Responses did not differ by demographics. Respondents generally thought that Mibyeongreferred to subjective or borderline findings without certain disease, and that Mibyeong hasvarious subtypes and patterns. Subtypes included fatigue, pain, and digestion problems; pat-terns were either deficiencies (e.g., qi, blood, and yin deficiency) or stagnations (e.g., liver qidepression and qi stagnation). Decoction was the most frequently used type of interventionfor Mibyeong of all items listed, followed by acupuncture and moxibustion. Patient educa-tion was also recommended, suggesting healthy eating, promoting healthy environment,and exercise.Conclusion: We were able to provide preliminary results on KM practitioners' recognition ofand interventions for Mibyeong, but further research is needed to develop a detailed defi-nition of Mibyeong and its myriad subtypes and patterns, and evaluations of the efficacy ofMibyeong interventions.

• 한국치위생학회지
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• 제20권6호
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• pp.937-947
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• 2020

Objectives: This study was conducted to investigate the factors that prevent dental patients from visiting the dental clinic. Methods: From June 22, 2020 to July 17, 2020, among patients 10 years or older who had visited the dental clinic, 314 individuals who agreed to the study were asked to fill out a self-administered questionnaire. The data were analyzed using the SPSS Statistics 22.0 program, and the significance level was set at 0.05. Results: The dental avoidance factors according to the general characteristics were high in women and housewives, and among the dental-related characteristics, the most common reason for visiting the dental clinic was experiencing pain. The factors influencing anxiety were fear, environment, stimulus, age, and exercise, and the factors influencing the fear were anxiety, stimulus, subjective oral health status, education, and exercise. The factors influencing the stimulus were environmental factors, fear, anxiety, and age, and the factors that influenced environmental factors were stimulus and anxiety. Conclusions: There is a need to develop measures and policies to overcome fear of dental procedures, such as developing a dental experience program and allowing patients to experience dental fear and anxiety in advance.

• 한국의류산업학회지
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• 제23권6호
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• pp.781-789
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• 2021

To enhance the design and comfort of waist-protection corsets, this study analyzed the product characteristics of five types of posture-correction corsets that are available commercially. Additionally, subjective evaluation of the corsets was conducted on women aged 20 to 60 years, in terms of design, material preference, fit, comfort, degree of correction, freedom of movement, tightness, and convenience of front fastening. Following product analysis, the five corset types were divided into: two soft, one semi-hard, and two hard types in terms of the degree of elongation. As a result of pattern analysis, the soft type was designed to improve fit by reflecting the body curvature, whereas the semi-hard and hard types were relatively flat. Through the wearing sensation assessment, the hard type manufactured by company S was the best in terms of design, material, fit, comfort, correction degree, and freedom of movement. The soft type was average in design, material, and fit while relatively poor in the correction degree and tightness. The results indicated that soft materials, flexible bones with appropriate tension, patterns designed to snugly fit the body with large curvature at the top and bottom for better inflection, and adjustable support belts that can be double-fixed are crucial elements in improving the corset design to boost the comfort of wearing. These study results are helpful in the development of waist-protection corsets with excellent wearing comfort and design appreciated by customers.

• 동의신경정신과학회지
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• 제34권3호
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• pp.307-317
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• 2023

Objectives: To introduce the progress of treatment and improve clinical use after application of Emotion-to-Emotion Therapy (ETE Therapy) for treating Post-traumatic Stress Disorder (PTSD). Methods: A patient who was diagnosed with PTSD that occurred after violence in the family mainly complained about abdominal pain, depression, and fear. We treated the patient with ETE therapy as the main treatment. Subjective Units of Distress scale (SUDs), The Core Seven-Emotions Inventory Short Form (CSEI-s), and Mentalizing the Rooms of Mind (MRM) were evaluated before and after the treatment for assessing the clinical effect. Results: After treatment, overall clinical symptoms of the patient were alleviated. This result was supported by a decrease in SUDs. There were meaningful drops in 'Fear', 'Fright', 'Sorrow' in CSEI-s scores, consistent with the direction of 'Sa-seung-Gong (思勝恐)' used as major technique of ETE therapy. Resources and positive emotions in MRM were increased after treatment. Conclusions: ETE therapy may be effective for treating PTSD. It might play a significant role in cognitive reconstruction.

• Clinics in Shoulder and Elbow
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• 제25권4호
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• pp.288-295
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• 2022

Background: There is no standardized therapeutic strategy for locked posterior shoulder fracture-dislocation (PSFD), and no consensus exists on the analysis of preoperative factors. This retrospective study aimed to evaluate functional results and complications in a series of PSFD cases managed with open surgical treatment. Methods: Patients diagnosed with locked PSFD who underwent open surgical treatment with reduction and osteosynthesis between April 2016 and March 2020 were included. All participants were treated with open reduction and internal fixation. Functional assessment used the modified University of California, Los Angeles (UCLA) mod scale, American Shoulder and Elbow Surgeons (ASES) questionnaire, subjective shoulder value (SSV), and visual analog scale (VAS). Complications were evaluated clinically and radiologically by X-ray and computed tomography. Results: Twelve shoulders were included (11 patients; mean age, 40.6 years; range, 19- 62 years). The mean follow-up duration was 23.3 months (range, 12-63 months). The UCLA mod, ASES, SSV, and VAS scores were 29.1±3.7, 81.6±13.5, 78±14.8, and 1.2±1.4 points, respectively. The overall complication rate was 16.6%, with one case of post-traumatic stiffness, 1 case of chronic pain, and no cases of avascular necrosis. Conclusions: Open surgical treatment of locked PSFD can achieve good functional results. A correct understanding of these injuries and good preoperative planning helped us to achieve a low rate of complications.

• 한국콘텐츠학회논문지
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• 제22권5호
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• pp.435-445
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• 2022

본 연구의 목적은 알레르기 비염 환자의 정신건강에 영향을 미치는 요인을 파악하여 연구대상자의 정신건강 증진을 위한 정책 마련의 기초자료를 제시하고자 한다. 분석 자료는 질병관리청의 국민건강영양조사 자료를 사용하였고, 성인이면서 알레르기 비염 환자 881명을 최종 분석에 사용하였다. SPSS 26을 이용하여 빈도분석, 교차분석, 로지스틱 회귀분석을 실시하였다. 연구결과, 스트레스 인지율에 영향을 미치는 요인으로 연령이 낮을수록, 교육수준이 높을수록, 통증/불편을 느낄수록, 불안/우울을 느낄수록, 주관적 건강인지 수준이 낮을수록, 1주일간 걷기를 하지 않았을 때 영향을 미쳤다. 우울증에 영향을 미치는 요인으로는 의료급여일수록, 일상 활동에 지장이 있을 경우, 불안/우울이 있을 경우 영향을 미쳤다. 이는 알레르기 비염 환자의 정신건강 증진을 위해 스트레스와 우울증에 영향을 미치는 요인을 관리하고 해결하는 방안을 모색한다면 효율적으로 대상자의 정신건강 상태 증진을 기대할 수 있을 것이다.