• 농촌의학ㆍ지역보건
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• 제26권1호
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• pp.19-35
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• 2001

보건소의 의약분업 시행에 따른 업무변화와 업무 개선방안에 대해 조사 분석하여 보건소의 기능 및 역할 재정립에 필요한 기초자료를 얻고자 2001년 4월과 5월에 경상북도내 25개 보건소와 대구광역시 6개 보건소의 소장 또는 과장에게 의약분업 실시 전후의 보건소 업무 및 진료실적변화 정도를 조사하였고, 이와 함께 보건소 공무원 221명에게 의약분업에 따른 보건소 업무개선방안에 대해 설문 조사하였다. 31개 대상 보건소 가운데 77.4%인 24개 보건소가 주민진료편의 조치를 취하였다고 하였다. 주민 진료편의 조치를 한 보건소의 조치내용으로 약국배치도마련(73.9%), 인테리어 개선(39.1%), 전자처방전달시스템 도입(34.8%) 순이었다. 의약분업 실시 후 의사는 대상 보건소의 3.2%에서 감소하였다. 의약분업에 따라 월평균 진료건수는 대상 보건소의 58.1%에서 감소하였다고 하였고, 조제건수는 96.4%, 총진료비는 80.6%, 본인부담금은 80.6%, 약품구입비는 96.7%의 보건소에서 감소하였다고 하였다. 의약분업 실시 이후 진료부문에 비해 보건사업 부문의 비중은 54.2%의 보건소에서 증가하였다고 하였다. 의약분업 전후이 분기별 진료실적을 분석한 결과 진료실인원은 의약분업이전과 비교하여 의약분업 이후에 감소하였고, 진료연인원은 군보건소와 보건의료원은 감소하였으며, 시화 구보건소는 감소했다가 점차 증가하고 있다. 조제건수 총진료비 본인부담금 약품구입비는 크게 감소하였다. 보건소 공무원들은 의약분업 실시 이후 진료부문의 기능에 대해서는 57.6%가 축소시켜야 한다고 하였고, 보건소에서 우선적으로 개선해야 할 부분으로는 보건사업내용 개발(62.4%), 인력재배치(51.6%), 사업우선순위 결정(48.4%), 조직개편(36.2%), 진료서비스의 질 향상(32.1%), 예산재배치(23.1%) 순으로 응답하였다. 보건소의 이미지를 개선하기 위해서는 지역주민건강정보관리 강화(60.7%)가 가장 시급하다고 하였으며 홍보를 통한 보건소의 이용 확대(15.8%), 보건소 공무원의 친절(15.3%), 건강상담요원 배치(8.2%) 순이었다. 의약분업 실시 이후 바람직한 보건소 역할 설정을 위하여 보건소 전체 업무 영역에 대해 의약분업 이전과 이후에 상대비중을 매기도록 한 결과 25개 세부영역 중 일반진료 및 응급진료 영역만 모두 상대비중이 높아졌다. 의약분업 이후 보건소가 중점을 두어야 할 우선 순위 5위까지의 업무영역은 순서대로 예방접종, 건강증진, 모자보건, 급만성전염병, 지역보건의료계획 이었다. 향후 보건소가 바람직한 공공보건의료조직으로 기능 및 역할을 재정립하기 위해서는 의약분업이라는 중대한 보건의료환경변화를 계기로 진료부문의 기능은 축소하되 노후시설 장비의 개선, 진료방식의 다양화, 건강정보관리 강화 등 진료서비스의 내용과 질에 있어서는 강화하는 방향으로 나아가야 할 것이다. 또한 인력재배치 및 조직개편과 함께 다양한 보건사업의 개발과 지역특성에 맞는 사업우선순위에 의해 예방접조, 건강증진, 모자보건, 급 만성전염병, 지역보건의료계획 수립, 구강보건, 만성퇴행성질환 등 지역주민의 건강증진 질병예방 기능을 강화하되 지역특성(대도시, 중소도시, 농어촌)에 맞게 예방위주의 건강 증진업무와 환자 진료업무의 비중을 차별화 시키는 방향으로 개선해 나가야 할 것이다.

• 한국치위생학회지
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• 제9권1호
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• pp.27-43
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• 2009

Purpose : The purpose of this study was to examine the oral health state of disabled people with mental retardation in an attempt to pave the way for oral health care planning geared toward the disabled. Subjects and Method : The subjects in this study were 46 mentally retarded people who attended rehabilitation centers for the disabled in the city of Wonju, Gangwon Province. After a survey was conducted, the collected data were analyzed with SPSS 13.0 program, and frequency analysis, percentage, ANOVA and t-test were utilized. Results : The findings of the study were as follows: 1. The simplified oral hygiene index of the mentally retarded people was 1.32, which was on the average. 2. The decayed teeth index and decayed teeth rate of the mentally retarded people were respectively 13.48 and 48.13 percent, which were above the average. 3. The decayed surface index and decayed surface rate of the mentally retarded people were respectively 27.17 and 17.39 percent. 4. The simplified debris index of the mentally retarded people significantly varied with gender(p<.01), and missing teeth index(p<.05) and missing surface index differed significantly with age. Filled surface index was significantly different according to the region. Conclusion : The findings of the study illustrated that their indexes related dental caries experience were high. In order to promote the oral health of the disabled with mental retardation, prolonged research should be implemented, and a dental checkup should be carried out on a regular basis by specialists. Preventive care and early treatment should be provided, and the development of customized oral health education programs tailored to different sorts of disabilities and oral health control methods is required.

• 대한치과교정학회지
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• 제47권2호
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• pp.87-99
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• 2017

Objective: The aims of this study were to measure and compare the facial dimensions of the Miss Korea pageant contestants and a selected group of women from the general population by using three-dimensional (3D) image analysis, as well as to compare various facial ratios to the golden ratio within each group. Methods: Three-dimensional images of 52 Miss Korea pageant contestants (MK group) and 41 young female adults selected from the general population (GP group) were acquired. Fifty-four variables and ratios were measured and calculated. Intergroup comparisons were performed using multivariate analysis of variance. Results: Compared to the GP group, the MK group showed greater total facial height and eye width, lesser lower-facial height, and lesser facial, lower-facial, and nasal widths. Moreover, compared to the GP group, the MK group had more protruded noses with greater nasolabial angle, greater vertical curvature of the foreheads, lesser horizontal curvature of the cheek, and lesser lower-lip-and-chin volume. Conclusions: The MK group had longer faces but smaller lower lips and chins than did the GP group. The golden ratio was not matching the current facial esthetic standards. These data might be beneficial for treatment planning of patients undergoing orthognathic and plastic surgeries.

• 대한치과보철학회지
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• 제37권5호
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• pp.687-697
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• 1999

A finite element analysis has been utilized to analyze stress and strain fields and design a new configuration in orthopedics and implant dentistry. Load transfer and stress analysis at implant bone interface are important factors from treatment planning to long term success. Bone configuration and quality are different according te anatomy of expecting implantation site. The purpose of this study was to compare the stress distribution in maxilla and mandible accord-ing to implant length and bone engagement types. A three dimensional axi-symmetric implant model(Nobel Biocare, Gothenburg, Sweden) with surrounding cortical and cancellous bone were designed to analyze the effects of bone engagement and implant length on stress distribution. ANSYS 5.5 finite element program was utilized as an interpreting toot. Three cases of unicortical anchorage model with 7, 10, 13 mm length and four cases of bicortical anchorage model with 5, 7, 10 and 13 mm length were compared both maxillary and mandibular single implant situation. Within the limits of study, following conclusions were drawn. 1. There is a difference in stress distribution according to cortical and cancellous bone thickness and shape. 2. Maximum stress was shown at the top of cortical bone area regardless of bone engagement types. 3. Bicortical engagement showed less stress accumulation when compared to unicortical case overall. 4. Longer the implant future length, less the stress on cortical bone area, however there is no difference in mandibular bicortical engagement case.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제36권4호
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• pp.262-269
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• 2010

Introduction: Accurate diagnosis and treatment planning are very important for orthognathic surgery. A small error in diagnosis can cause postoperative functional and esthetic problems. Pre-existing 2-dimensional (D) chephalogram analysis has a high likelihood of error due to its intrinsic and extrinsic problems. A cephalogram can also be inaccurate due to the limited anatomic points, superimposition of the image, and the considerable time and effort required. Recently, an improvement in technology and popularization of computed tomography (CT) provides patients with 3-D computer based cephalometric analysis, which complements traditional analysis in many ways. However, the results are affected by the experience and the subject of the investigator. Materials and Methods: The effects of the sources human error in 2-D cephalogram analysis and 3-D computerized tomography cephalometric analysis were compared using Simplant CMF program. From 2008 Jan to 2009 June, patients who had undergone CT, cephalo AP, lat were investigated. Results: 1. In the 3 D and 2 D images, 10 out of 93 variables (10.4%) and 11 out 44 variables (25%), respectively, showed a significant difference. 2. Landmarks that showed a significant difference in the 2 D image were the points frequently superimposed anatomically. 3. Go Po Orb landmarks, which showed a significant difference in the 3 D images, were found to be the artificial points for analysis in the 2 D image, and in the current definition, these points cannot be used for reproducibility in the 3 D image. Conclusion: Generally, 3-D CT images provide more precise identification of the traditional cephalometric landmark. Greater variability of certain landmarks in the mediolateral direction is probably related to the inadequate definition of the landmarks in the third dimension.

• 대한치과교정학회지
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• 제45권5호
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• pp.253-260
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• 2015

Objective: The aim of this study was to evaluate the facial dimensions of young adult women with a preferred facial appearance and compare the results with those from the general population. Methods: Twenty-five linear, nine angular, and three area measurements were made and four ratios were calculated using a sample of standardized frontal and lateral photographs of 46 young adult women with a preferred facial appearance (Miss Korea group) and 44 young adult women from the general population (control group). Differences between the two groups were analyzed using multivariate analysis of variance (MANOVA). Results: Compared with the control group, the Miss Korea group exhibited a significantly greater facial height, total facial height (TFH; trichion-menton), facial width (tragus right-tragus left), facial depth (tragus-true vertical line), and trichion-nasion/TFH ratio and smaller subnasale-menton/TFH and facial width/TFH ratios. Furthermore, the control group had smaller intercanthal and interpupillary widths. Conclusions: The Miss Korea group exhibited longer, wider, and deeper faces compared with those from the general population. Furthermore, the Miss Korea group had larger eyes, longer but less protruded noses, longer and more retruded lower lips and chins, larger lip vermilion areas, and smaller labiomental angles. These results suggest that the latest trends in facial esthetics should be considered during diagnosis and treatment planning for young women with dentofacial abnormalities.

• 한국융합학회논문지
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• 제10권11호
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• pp.173-179
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• 2019

DICOM 영상은 인체의 진단과 치료에 중요한 역할을 하고 있으며 설계모델링은 목적에 따라 형상을 3차원으로 계획하는 기술이다. 본 연구는 이러한 두 가지 기술을 융합하여 외이도의 형태적 변화에 대한 횡단면, 부피, 표면적의 관계를 관찰하고자 하였다. 실험은 인체의 단면 획득 의료영상기술을 적용하여 19귀의 외이도를 추출한 3차원 형상을 스테레오리소그래피, 3-매틱(matic) 프로그램으로 센터라인 생성 및 분할 기술을 적용하였다. 그 결과 외이도의 횡단면 구조는 타원형(38.5%), 반원형(28.2%), 혼재형(17.9%), 네모형(10.2%), 주름형(5.1%)등 다양한 형태가 나타났다. 또한 외이도 길이가 길수록 위상별 횡단면 면적은 크게 나타났으며 부피와 표면적은 고막방향으로 갈수록 감소하였지만 그 감소율은 상대적으로 낮게 나타났다. 이는 외이도의 형태가 고막방향으로 갈수록 불규칙한 구조로 되어 있음을 나타냈다.

• 한국병원경영학회지
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• 제24권2호
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• pp.84-101
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• 2019

Purposes: Organizational socialization introductory education for new members is a representative organizational socialization program that enables new members to become true members of an organization and grow into the people they expect from the organization. I analyzed the case of Pop Art Cooperative Learning introductory education for the socialization of the entire organization, which was conducted by Eunpyeong St. Mary's Hospital of Catholic University, in 13 steps, one month before its opening on April 1, 2019. Methodology: In order to analyze the case, the case study was analyzed in order from education planning to preparation, implementation and evaluation. The important point in this process is that all the members to be input at the start of the treatment are not included in the position and occupation. In the composition of education contents, the core keywords for achieving the vision are derived through each group activity and strategies for achieving spirituality, vision, and vision of Hospital are made and the ideal image of Eunpyeong St. Mary's Hospital is completed using the pop art technique. All the works produced by each group will be shared by all attendees of the relevant education level and the whole picture of each education order will be completed again with the big picture called - The heart of Jesus Christ the healer♥ - Respectively. Findings: Education Results All the participants showed high satisfaction and they shared the vision and mission of Eunpyeong St. Mary 's Hospital as well as the formation of intimacy and belonging to each other. They recognized the future direction and goal. And contribute to tissue stabilization. Practical Implications: Through this case study, it will be possible to contribute to establishment and implementation of introductory education plan for new members' socialization to new hospitals.

• 대한치과교정학회지
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• 제36권1호
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• pp.14-29
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• 2006

치과교정영역에서 컴퓨터기술의 발달로 안면 경조직 및 연조직의 3차원적인 분석이 가능해졌으며 이에 따라 교정환자의 진단과 치료계획 및 치료 후에 연조직의 3차원적인 평가가 가능하게 되었다. 그러나 안면 연조직의 3차원적 분석을 위한 표준화된 기준이 없고 임상적용이 가능한 진단 프로그램은 아직 없는 실정이다. 이에 본 연구에서는 3차원 진단 시 유용한 안면 연조직 계측점들의 3차원 계측치(X, Y, Z)를 제시하고, 이를 이용하여 설정된 길이, 각도 및 비율의 정상치를 제시하고자 한다. 3차원 촬영 기구로 비접촉식 3차원 레이저 스캐너를 이용하였으며, 한국 성인 정상교합 자 남녀 각각 30명(남자평균 20.1세, 여자평균 21.7세)을 연구대상으로 하였다. Rapidform 2004 프로그램(Inus Technology Inc., Seoul, Korea)으로 3차원 영상을 만든 후 3차원 입체영상에 soft tissue nasion을 원점으로 하는 좌표계(X축-좌우, Y축-상하, Z축-전후)를 설정하고, 29개의 계측점을 지정한 후 거리계측 45개 항목, 각도 8개 항목, 거리비율 29개 항목을 분석하였다. 각각의 계측점의 3차원 좌표(X, Y, Z)를 구하였으며 이를 바탕으로 각각의 계측항목을 계산하여 표준화하였다. 특히, 각도항목에서 transverse upper lip prominence (Ch(Rt)-ULPm-Ch(Lt))는 남자 $107^{\circ}$, 여자 $106^{\circ}$였고, transverse mandibular prominence (Go'(Rt)-Pog'-Go'(Lt))는 남녀 모두 $76^{\circ}$였다. Naso frontal angle (G-N'-Pn)은 남자 $142^{\circ}$, 여자 $147^{\circ}$, transverse nasal prominence (Zy(Rt)-Pn-Zy(Lt))는 남자 $112^{\circ}$, 여자 $116^{\circ}$로 남녀 간에 통계학적으로 유의차가 있었다 (p<0.05). 하안면고경 하방 2/3 (Li-Me')와 하악체길이(Go'-Me'), 입술고경(ULPm-Li)과 폭경(Ch(Rt)-Ch(Lt))의 비율은 각각 2/5로 나타났다. 관상기준평면에서 안면의 윤곽을 나타내는 계측점인 FT, Zy, Pn, ULPm, Li, Me'까지의 거리의 비는 -1/-1/1/0.5/0.5/-0.6였다. 또한 얻어진 자료를 이용하여 한국 성인 정상교합자의 3차원 안면 모델을 제작하였으며 이는 교정진단 또는 치료결과 비교 시 template로 활용될 수 있으리라 사료된다.

• 한국환경농학회지
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• 제34권2호
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• pp.98-104
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• 2015

BACKGROUND: ${\gamma}$-Oryzanol, a mixture of ferulic acid esters of triterpene alcohols and sterols, are a nutritionally important group of rice secondary metabolites. The ${\gamma}$-Oryzanol content and composition were found to vary with enviromental factors such as growth temperature, varietal origin, and cultivation method. Therefore, the effect of green manure treatments will be also be an important factor in their content. METHODS AND RESULTS: The ${\gamma}$-Oryzanols extracted using dichloromethane/methanol were analyzed equipped liquid chromatography with a diode array detector. A total of ten components of ${\gamma}$-oryzanol including ${\Delta}7$-stigmastenyl ferulate were isolated of which, cycloartenyl ferulate, 24-methylenecycloartanyl ferulate, campesteryl ferulate and sitosteryl ferulate were identified as the major components in Korean rice variety, Unkwang. The ${\gamma}$-oryzanol content in rice, in the presence of nitrogen fertilization using green manure was similar to conventional nitrogen fertilization, but was higher than the control(no fertilizations). The ${\gamma}$-oryzanol ontent in rice, in the presence of hairy vetch as green manure crop was the highest compared to other crops (opium-poppy, crimson clover, cornflower). As a result of PLS-DA using SIMCA 11.0 ver. as multivariate analysis program on the basis of total data, in all samples, the specific pattern and cluster of ${\gamma}$-oryzanol scores according to green manure crops and conditions were confirmed with possible distinguishing nitrogen effects. CONCLUSION: The nitrogen contained in the green manure crops is considered to play a major role in the formation of ${\gamma}$-oryzanol. Hairy vetch which contains higher nitrogen increased the concentration of ${\gamma}$-oryzanol in rice.