• 대한두경부종양학회지
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• 제21권1호
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• pp.48-52
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• 2005

Objectives: Castleman's disease(CD) is a lymphoproliferative disorder of unknown etiology. To elucidate the clinicopathologic characteristics of CD, we retrospectively reviewed our experience. Methods: Fifteen patients with CD of the neck and mediastinum were identified. Patients were divided into two groups: group I had an unicentric CD and group II had multicentric CD. The histology of CD was divided into 3 subtypes: hyaline-vascular(HV), plasma cell(PC), and mixed. Results: The study included 12 cases of group I, 3 cases of group II in the clinical aspect and 10 cases with HV, 3 cases with PC, 2 cases with mixed type in the histologic aspect. Of group I patients who underwent complete surgical excision, all are currently free of disease. The clinical course of group II patients was variable. Of two patients with multicentric plasma cell CD who were treated, one remain free from disease and the other had a local recurrence in the neck. One patient with multicentric mixed CD died of disease after 30 months of presentation. Conclusion: Surgical resection is recommend for patients with the unicentric CD, regardless of histologic subtype. Patients with multicentric disease do not benefit from surgical resection and should be candidates for multimodality therapy.

• PNF and Movement
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• 제12권4호
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• pp.243-248
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• 2014

Purpose: The transverse abdominis and themultifidus muscle are located in the core. They surround one's trunk and help in body stabilization. Specifically, they control spine articulation to maintain posture and balance. Therefore, weakened deep muscle in the trunk may cause spinal malalignment. This study aims to compare the correlation between the thickness of the transverse abdominis and the multifidus muscle and the spine alignment among college students in their 20s. Methods: This study measured the thickness of the transverse abdominis and the multifidus muscle of 42 healthy college students in their 20s using ultrasonic waves. The thickness of the muscle was measured for the length of the cross-section except for fascia. The thickness of the left and right muscles was measured, and the mean value was calculated. As the thickness of the transverse abdominis can increase because of pressure during exhalation, it was measured at the last moment of exhalation. Spinal alignment was measured by the kyphosis angle, lordosis angle, pelvic tilt, trunk inclination, lateral deviation, trunk imbalance, and surface rotation using Formetric III, which is a three-dimensional imaging equipment. They were measured for three times, and the mean values were calculated. The general characteristics of the subjects were analyzed using descriptive statistics. The correlations between each factor were analyzed using Pearson's correlation analysis. Results: The transverse abdominis showed asignificant correlation with trunk inclination (p<.05). The multifidus muscle showed a significant positive correlation with pelvic tilt and a negative correlation with surface rotation (p<.05). Conclusion: The thickness of transverse abdominis and the multifidus muscle appears to influence spinal alignment. Specifically, the multifidus muscle, which plays an important role on the sagittal plane, influences surface rotation, thus making it an important muscle for scoliosis patients. Therefore, a strengthening training program for the transverse abdominis and the multifidus muscle is necessary according to specific purposes among adults with spinal malalignment.

• 한국융합학회논문지
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• 제13권4호
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• pp.71-78
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• 2022

파킨슨병은 임상적으로 인지 및 신경정신과 증상을 포함한 다양한 운동 및 비운동 증상으로 특징지어진다. 이러한 다양한 증상을 통합하여 임상적 하위유형(clinical subtype)으로 분류하는 것은 초기 치료 개입에 유용할 수 있다. 본 연구에서는 치매로 진단받지 않은 파킨슨병 환자의 운동, 인지, 신경정신증상과의 상관관계 패턴을 확인하고자 한다. 파킨슨병으로 진단받은 104명의 환자에게 운동 및 인지기능 검사와 신경정신증상에 대하여 종합적인 평가를 시행하였다. 인구통계학적 요인과 운동, 인지, 신경정신증상을 포함한 변수 사이의 상관관계를 확인하고 임상적 하위유형을 추출하기 위하여 요인분석을 실시하였다. 분석결과 1개의 운동관련 요인과 3개의 인지관련 요인 및 4개의 신경정신과적 요인이 추출되었다. 본 연구결과 상관관계의 특성이 파킨슨병의 질병과정에서 특징적인 동반증상 패턴을 가질 수 있음을 확인하였으며, 이를 통해 향후 하위유형을 확인하고 치료적 전략을 수립하는데 유용할 수 있을 것으로 사료된다.

• 대한통합의학회지
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• 제11권1호
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• pp.167-175
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• 2023

Purpose : The purpose of this study was to identify the degree of occupational therapist's sleep quality and examine the correlation between sleep quality and job stress. We also investigated the effects of the occupational therapist's sleep quality on job stress. Therefore, we aimed to investigate the importance of sleep quality and find a way to reduce job stress in occupational therapists. Methods : We conducted a study from November 7 to from December 23, 2022. To assess sleep quality and job stress, sleep quality of scale and Korean occupational stress scale-SF (KOSS-SF) were used. The general characteristics, sleep quality, job stress were examined using a frequency analysis and presented with descriptive statistics. The pearson correlation coefficient was used to determine, whether there was a correlation between sleep quality and job stress. To find what factors have and effect on job stress, we conducted a multiple regression analysis. A significance level of α=.05 was used to verify statistical significance. Results : First, average sleep quality score was 2.10±.19. Second, a significant correlation was found between sleep quality and job stress (p<.01). And As a result of the relationship between sleep quality sub-factors and job stress, day time dysfunction (r=.23, p<.01), restoration (r=.18, p<.05), difficulty of falling asleep (r=.38, p<.01). difficulty of awakening (r=.36, p<.01), satisfaction (r=.33, p<.01) and difficulty of maintaining sleep (r=.24, p<.05) showed a statistically significant relationship with job stress. Third, the sub-factors of sleep quality influencing job stress were difficulty of falling asleep (β =.26, p<.01), difficulty of awakening (β=.23, p<.01) and satisfaction (β=.21, p<.01). Conclusion : The results of this study, demonstrated the importance of sleep quality in affecting job stress. Therefore, follow-up studies are, necessary to develop interventions to improve, occupational therapist's sleep quality in the future.

• 인간행동과 음악연구
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• 제20권2호
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• pp.33-60
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• 2023

본 연구는 국외 파킨슨병 환자의 신체 재활을 위해 음악을 사용한 중재 연구의 연구 특성을 분석 및 고찰한 연구로 최근 20년간 진행된 연구 중 24편의 중재연구를 음악사용 수준에 따라 분류하여 요약 제시하였다. 분석된 연구 내용을 통해 파킨슨병 환자의 운동 산출 시 움직임의 시작 및 종료와 관련된 타이밍 문제를 개선할 수 있는 음악 요소가 무엇인지에 대해 고찰하였다. 분석 결과, 신체 기능의 변화를 유도하기 위해 제공한 음악사용 수준의 차이에 따라 음악 기반 중재연구(music-based intervention) 6편과 리듬기반 중재연구(rhythm-based intervention) 18편으로 나타났다. 이처럼 음악 수준에 따른 연구 특성을 고찰 후 음악사용의 공통 요소인 '리듬'이 대상자의 문제 개선에 적합한 중재 요소였음을 결론 도출하였다. 또한 연구자의 특성이 음악 요소의 활용 범위 및 음악사용의 정도와 관련이 있으며, 이것이 중재 효과의 다양성과 관련이 있다고 제시하였다. 따라서 본 연구는 실제 임상 환경에서 파킨슨병 환자를 포함하여 다양한 신체기능 문제 개선을 위한 신체 재활 중재에 적용이 가능한 음악사용의 근거를 학술적으로 제시하는 것으로 사료된다.

• Journal of Photoscience
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• 제9권2호
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• pp.178-181
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• 2002

Pyropheophorbide and pheophorbide-photosensitizers as chlorin analogues are promising new compounds for PDT because the chlorin analogues are activated with much longer red light at > 670nm and produce less long-term normal tissue phototoxicity than Photofrin. The various chlorin derivatives can be obtained by moditying peripheral substituted group among which meso-H, vinyl group and exocyclic ring are the most active positions. These characteristics prompted us to introduce various groups for constructing modified pyropheophorbide and pheophorbide a compounds. A stereospecific introduction of various double bonds at 3-position was performed to methylpheophorbide a to give a long hydrophobic moiety and cyclic derivatives. Chlorin-C$_{60}$ dyad and chlorin- $C_{60}$-porphyrin triad also were easily prepared by the reaction of terminal aldehyde of methyl pyropheophorbide a. For the reaction on meso $\delta$-position bromination and Vismeier formylation can occur. N,N-dimethylaminoacrolein also reacted on $\delta$-position and was cyclized to isobacteriochlorin, but other modification has not been succeeded. Exocyclic keto function was also modified to give purpurin derivatives, bicyclic and spiro compounds. In this presentation we report a series of modified pyropheophorbide and pheophorbide a derivatives.s.

• 대한지역사회영양학회지
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• 제3권2호
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• pp.281-291
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• 1998

Job analysis was done by the method of interview and survey to find out the human attributes needed for dietitans' job performance. The knowledge, skills, abilities and other characteristics including personality were major items in the questionnaire. The questionnaire was distributed to 340 schools and hospital dietitians. Among these, 201 were compeletely filled out, returned and statistically analyzed according to the frequency scale and importance scale respectively. The results were as follows : 1) The age, education, job experience and monthly pay of hospital dietitians were higher than those of school dietitians. This was partly due to the reflection of short chronicle of school foodservice. 2) The most important human attributes for rwo groups were commonly shown as sincere and faithful personality, good human relationship and responsibility for business outcome. 3) Computer skill and menuplanning ability were human attributes of the most frequently used by school dietitians, whereas knowledge of diet therapy, clinical nutrition, and pathology of disease were frequently used by hospital dietitians. 4) The correlation coefficients between two groups were as follows : Spearman's rho value of personality, skills and abilities, and knowledge were 0.806, -0.432,-0.203 respectively, according to the importance scale. 5) An overall view from t test between two groups, various human attributes, especially knowledge were more frequently used by hospital dietitians.

• 대한간호
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• 제36권4호
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• pp.88-99
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• 1997

Applying effective coping strategies and reducing powerlessness for the chronic pain adjustment of musculoskeletal patients were researched for basic data in the development of nursing intervention. The subjects were 99 musculoskeletal patients with chronic pain. Data was gathered with direct interview using a questionnaire. With the SAS tool. data were analyzed for percentage. Pearson correlation. t-test. and ANOVA according to characteristics of variables. Internal consistency(alpha) coefficients were .91 for coping scales and .71 for powerlessness scales. The results are as follows: 1. Pain duration was mainly 6 - 12 months(52. 5%). 2. Primary pain site was mainly lower limbs(58.6%) and pain severity was a moderate level. 3. The preference of coping strategies was decreased in the order named in resting. seeking social support. exercise or stretch. guarding. and asking for assistance. 4. The longer pain duration. the more the coping strategies of asking assistance used. This was stastically significant(F=3. 35. p<.05). 5. The group with the experience of hospital admission was more powerless than the group without that(F=3. as. p<.01). 6. Pain severity and powerlessness were significantly positively correlated(r=.444. p<.001). Coping strategy applying and powerlessness were significantly negatively correlated(r=-. 288. p<.01). In consequence. the nurse should playa role as the supporter of patient's maximal usage of his resources in pain relief. adjustment, and control. The nurses should also develop for the nursing intervention of physical therapy and educational programs.

• 사상체질의학회지
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• 제21권3호
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• pp.178-185
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• 2009

1. Objectives: The purpose of this case study is to evaluate the effects of Sasang constitutional therapy and treatment of an adult atopic dermatitis patient, who was diagnosed Soyangin, Interior febrile disease induced from the stomach affected by heat(少陽人 胃受熱裏熱病). 2. Methods: The adult Atopic Dermatitis patient was diagnosed Soyangin, Interior febrile disease induced from the stomach affected by heat(少陽人 胃受熱裏熱病) which was based on his Nature & Emotion(性情), physical characteristics, symptoms. He was medicated with Prescriptions of Soyangin. 3. Results and Conclusions: The clinical evaluation was made by SCORAD index, Total eosinophil count and Total IgE. After treatment, his SCORAD results significantly decreased from 88.4 to 21.9, Total eosinophil count decreased from 1320 to 120 and Total IgE also decreased from 1406.6 to 897.3. And the patient's subjective symptom and gerneral condition considerably improved after treatment. This case study describe the effectiveness on adult Atopic Aermatitis symptom by using Prescriptions of Soyangin.

• 말소리와 음성과학
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• 제9권4호
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• pp.99-106
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• 2017

Clinical data about vocal nodules have seldom been reported, even though vocal nodules are commonly diagnosed in outpatient speech and voice clinic. This study aims to investigate clinical characteristics of the patients who are diagnosed with vocal nodules. This study analyzed the data for 10 years from the 319 patients diagnosed with vocal nodules (45 males and 274 females with the mean age of 39.4 ranging from 2 to 83) in terms of gender, age, occupation, voice change initiation pattern, change with time, throat clearing, smoking history, type of voice abuse, acoustic analysis, maximum phonation time, GRBAS, and VHI. Thirteen patients (4.08%) had unilateral vocal nodule and 306 patients (95.9%) had bilateral vocal nodule, the majority of which had a pattern of asymmetry (73.9%). The glottal closure pattern was hourglass in 72.1% of patients, posterior chink in 17.9% of patients, and irregular in 7.9% of patients. The most common occupational category was professional voice users (43.4%). The voice abuse pattern included excessive talking in 96 patients (76.8%), loud voice in 78 (62.4%) patients, and excessive singing in 17 patients (21.6%). The patients showed worse scores in G, B, and S than in R and A for the GRBAS evaluation. The most recommended treatment for vocal nodules was voice therapy. The current clinical data will be helpful for treatment planning for the patients of vocal nodule.