• 대한영상의학회지
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• 제85권3호
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• pp.596-606
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• 2024

Purpose To examine the technical considerations of endovascular treatment for aortoiliac occlusive disease (AIOD) based on a 10-year experience in Songklanagarind Hospital. Materials and Methods This retrospective cohort study included 210 patients who underwent endovascular treatment for symptomatic AIOD between January 2010 and December 2020. The patients' clinical and lesion characteristics, including technical considerations of the procedure, were collected, analyzed, and stratified using the Transatlantic Inter-Society Consensus (TASC). Results Most patients (80%) in this study had chronic limb-threatening ischemia lesions, with an occlusion rate of 37%. The technical success rate of TASC C & D was lower than that of TASC A & B, 84.4% vs. 99.2% p ≤ 0.001. A technical success rate of 93.3% (14/15) was found for the femoral and brachial approach, compared with a success rate of 89.0% (57/64) for the unibifemoral approach in TASC C & D, without a statistically significant difference (p = 0.076). However, the puncture site complications in this route were up to 17.6%, which is the highest rate compared with other techniques. These complications could be treated either conservatively or minimally invasively. Conclusion In cases of failed femoral access, simultaneous femoral and brachial approaches improved the technical success rate of endovascular recanalization of TASC C & D aortoiliac occlusions.

• 대한물리치료과학회지
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• 제3권4호
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• pp.159-169
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• 1996

Every citizen has a right to get the least health care service for their living and should be guaranteed the right of health which is specified in the constitution of Korea. Therefore, health care service should realize the equity and accessibility of service by the equitable distribution which is needed for health care. The objects of this study were the patients who was treated by the physical therapy in health care center(two of them located in cities and others are in agricultural areas). These are the results of our study. First, the age, job, sex and experience of former treatment of objects showed no meaningful statistic difference in the part of convenience of health care center, where as the system of health scurity showed highly meaningful difference. Second, The age, job and system of health care of objects showed no meaningful difference in the part of attitude and appreciation to therapist, where as the experience of former treatment in other center showed highly meaningful difference. Third, The age, job and sex of objects showed no meaningful difference in the part of the appreciation to results of service, where as the system of health scurity and the experience of former treatment in other center showed meaningful difference. To offer the effective physical therapy, the government of province or nation should invest the large amount of financial fund continuously and make the plan of efficient operating system for the physical therapy service room of public health center which is the most nearly located to native citizen. The problem of distance, low reliability to public service, public relation and reliabity should be improved to raise the utility of physical therapy room. And also, the physical therapy room should be opened in health subcenter to offer the condition of the native citizen's healthy life.

• Korean Journal of Acupuncture
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• 제29권4호
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• pp.581-597
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• 2012

Objectives : To explore the experiences of patients with chronic low back pain(CLBP) in a randomized controlled trial(RCT) of acupuncture. Methods : Five qualitative focus group interviews were conducted at three Korean Medicine Hospitals. Two to 4 participants from the same group(real or sham acupuncture) in the RCT of acupuncture for CLBP discussed their experiences and perceptions of the clinical trial and the acupuncture treatment. Transcribed data were read independently by researchers and analyzed to categorize information and identify themes. Results : A total of 14 participants were included. Most of them discovered positive aspects of being a study subject and a patient. They recognized the differences between experimental and real-world clinical settings such as formal procedures of treatment, and different acupuncture device. Participants also expressed the weaker sensation of acupuncture compared to the previous experience. Especially, they were well aware of the 'subjects' role themselves, thus they observed their changes of symptom closely. As subjects were generally satisfied with their treatment and they had a good feeling to acupuncture after the trial, they expressed their willingness to participate in the future clinical trial of acupuncture. Conclusions : Our finding suggests that the Korean patients' experience of participating in an RCT was generally positive. Their tendency to perform the 'subject' role might affect the trial's process or overall results.

• 대한한의학회지
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• 제33권4호
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• pp.69-80
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• 2012

Objectives: The purpose of this study is to develop a clinical practice observation course in a medical school that can give Korean medical students opportunities to experience the treatment environment in western medicine, and to analyze the results of the course. Methods: A total of 47 (collection rate: 85.5%) senior students of the College of Korean medicine in Gyunggi-do replied to the survey. Twenty-seven of them were male and 20 were female. They participated in the clinical practice observation course in the medical school two days a week for two weeks (total: four days) in the academic year 2011-2012. Before the course, an orientation was held; and upon the students' completion of the course, they presented their experiences and replied to the survey. Results: According to the survey, the purpose of the course was well explained (91.5%), and the course was necessary for Korean medical students (97.9%). The four-day course duration was inappropriate, though (83%). The female students were more satisfied with their participation in the fourth year and with the timing of the course than the male students were. The students who finished the course at the surgical departments recognized the necessity of the course more than the students who finished the course at the non-surgical departments. The advantages of the course included opportunities to observe operation scenes and experience clinical treatment processes and systems. The weakness of the course included poor organization due to the short preparation period. Conclusions: The course was confirmed as necessary for Korean medical students so that they would understand the treatment environment in western medicine. Through the course, the students broadened the understanding of the disease and developed a strong sense of identity as Korean medical students. The duration of the course needs to be extended, and its structure should be enhanced. Furthermore, various educational programs that offer Korean medical students opportunities to experience various clinical cases need to be introduced.

• Journal of Acupuncture Research
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• 제32권1호
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• pp.67-78
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• 2015

Objectives : This study is designed to explore the experience of patients who received facial Qigong exercise education, to identify whether facial Qigong exercise is effective for Bell's Palsy patients and to aid in developing a more efficient exercise program. Methods : Eight patients who visited the Facial Palsy Center in Kyung Hee University Korean Medicine Hospital between September 2014 and December 2014 for treatment of Bell's palsy were interviewed. All patients received facial Qigong exercise education at least two times. The interview was conducted for 20 to 30 minutes and included discussion related to the experience of facial palsy, facial Qigong exercise and suggestions for a more efficient facial Qigong program. Results : The patients replied that they experienced emotions such as anxiety, depression and confusion when they discovered the symptoms of facial palsy. They also suggested that they had regained mental stability and physically recovered through facial Qigong exercise and also suggested possible improvements for the system of facial Qigong exercise in terms of time/place/educator. Conclusions : The results from the interviews suggest that facial Qigong exercise might be an effective treatment for Bell's Palsy patients from a psychological and physical perspective. A more patient-centered environment should be established to ensure efficient treatment.

• 문화기술의 융합
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• 제9권1호
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• pp.407-412
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• 2023

외상을 경험하는 대상자가 극심한 스트레스를 경험할 때 적절히 대처하지 않으면 외상 후 스트레스 장애(Post Traumatic Stress Disorder, PTSD) 등을 포함해 다양한 정신과적 문제가 발생할 수 있다. 또한, 전쟁이 아니더라도 군 복무 중 목숨을 위협하는 사건을 경험한 군인들은 심각하고 만성화된 PTSD 증상을 경험할 수 있음을 고려하면 이에 대한 개입을 위해 장병들이 어떠한 외상사건에 노출되어 있는지, 이로 인한 PTSD 증상을 어느 정도 경험하는지에 대한 연구가 필요하지만, 아직 국내연구가 부족한 실정이다. 따라서 본 연구는 국내 연구의 동향을 파악하고 이를 통해 군 장병의 PTSD와 심리적 지원을 위한 기초자료로 활용될 수 있는 방안을 제공하며 더 나아가 군인뿐만 아니라 전투를 경험한 '민간인'의 PTSD에 대해서도 연구하고 일반외상과 전쟁 외상의 PTSD 차이에 따라 증상 치료 및 완화 프로그램을 민간인들에게 제공한다면 대군 신뢰 상승뿐만 아니라 군이 전쟁 외상 PTSD 연구와 예방, 치료 및 완화 분야에서 주도적 역할을 할 수 있을 것이라 기대된다.

• 한국의료질향상학회지
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• 제19권1호
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• pp.56-61
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• 2013

Objectives: This video has been produced to provide better awareness for our patients about radiotherapy treatment for anxiety and stress. This video will give inexperienced patients a better understanding of the processes and expectations of the radiotherapy. We have produced a radiotherapy guidance video regarding work flow and a method of radiotherapy to relieve anxiety and stress. It also improves patients satisfaction and understanding of radiotherapy to provide a high-quality health care for radiotherapy patients with indirect experience. Methods: We have evaluated the effectiveness of the video compared to our existing verbal method. See below for the evaluation criteria; 1) Patients satisfaction rate of guidance 2) a comparison of understanding of radiotherapy 3) a comparison of a time of education for patients 4) a researching of an incidence rate of radiotherapy. Results: When compared to the verbal explanation the patients had a increased level of understanding of the radiotherapy treatment. The time to educate patient was decreased and the level of incidents during the treatment was decreased due to the patient having a better understanding of the whole process. Conclusion : In conclusion, the audiovisual education increased the understanding of radiotherapy for patients compared to verbal education. The video also helped patients to cooperate in treatment room so we can provide premium radiotherapy treatment. By reducing the treatment time and education processa we improved the patients overall experience.

• 대한한방내과학회지
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• 제37권6호
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• pp.1022-1029
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• 2016

Objectives: This study surveyed doctors of Korean medicine on how they treat hypertension in their Korean clinical practices. Methods: An invitation to take an Internet-based questionnaire was sent to doctors who were registered in the Association of Korean Medicine in September 2016. Participants were first asked general profile questions, which included age, gender, work experience as a practitioner, and specialties. Second, they were asked whether they had experience with hypertension treatment and additional questions related to hypertension. Results: A total of 991 replies were received to the questionnaire. Most of the Korean medical doctors (95%) had blood pressure units and had monitored blood pressure. A majority of the Korean medicine doctors (55%) had provided hypertension treatment. Acupuncture and herbal medicine were commonly used for the treatment of hypertensive patients. In addition, bloodletting, moxibustion, pharmacopuncture, cupping, Chuna, Qigong exercise, meditation, and Tai Chi were used. Many doctors also recommended lifestyle modification. The respondents said that Korean medicine improves general health conditions (42.6%) and has low adverse effects (29.9%). One of the most common opinions about the revitalization measures of Korean medicine was expanding health insurance benefits (20.8%). Conclusions: Through this survey, we found out information about the present situation of hypertension treatment in Korean medicine. In the future, it is possible that hypertension treatment using Korean medicine will be demanded and used by practitioners if it is covered by public health insurance.

• 한국치위생학회지
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• 제12권4호
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• pp.741-749
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• 2012

Objectives : High school students to measure fear of dental treatment, dental health care workers according to the level of reliability of this study is to determine the extent of terror was carried out. Methods : Located in Gwangju, 165 high school students were surveyed. SPSS windows ver. 11.0 by demographic characteristics and oral health characteristics of the frequency and percentage, and dental health care workers about the reliability of the Chi-square test, the general characteristics and oral health characteristics by dental fear of the t-test and one way ANOVA and were factors associated with dental fear of the stepwise multiple regression analysis was performed. General characteristics, except Cronbach-${\alpha}$ coefficient was 0.911. Results : According the general fear of Dental Treatment Fear Factor item 4, you'll feel the highest fear when you feel the muscle tension and the needle pricks your skin. The reliability of dental health care workers if the dentist lower the higher the grade, subjective oral health status is considered more reliable health was higher, the stronger the reliability of pain was significantly lower (p<0.05). Other care coordination include the reliability of sources of interest in subjective oral health history, no past experience in treating pain and increase the number of reliability was low (p<0.05), past experience and increase the number of pain during treatment the stronger the fear of more pain showed an increase (p<0.05). Conclusion : According the related factors about the fear of dental treatment, stimulus-response and fear of dental office have increased, the fear of dental treatment increase.

• 경영과학
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• 제29권2호
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• pp.143-155
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• 2012

The purpose of this study is to formulate and solve the scheduling problem to heat-treatment process in forging process and apply it to industries. Heat-treatment is a common process in manufacturing heavy forged products in ship engines and wind power generators. Total complete time of the schedule depends on how to group parts and assign them into heat furnace. Efficient operation of heat-treatment process increases the productivity of whole production system while scheduling the parts into heat-treatment furnace is a combinatorial problem which is known as an NP-hard problem. So the scheduling, on manufacturing site, relies on engineers' experience. To improve heat-treatment process schedule, this study formulated it into an MIP mathematical model which minimizes total complete time. Three methods were applied to example problems and the results were compared to each other. In case of small problems, optimal solutions were easily found. In case of big problems, feasible solutions were found and that feasible solutions were very close to lower bound of the solutions. ILOG OPL Studio 5.5 was used in this study.