• 대한교통학회지
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• 제35권2호
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• pp.160-168
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• 2017

지난 10년 간 졸음운전은 전체 고속도로 사고건수의 약 23%로 교통사고 사망원인 중 가장 높은 비중을 차지하고 있다. 과속, 주시태만 등 운전자 과실이 주요원인인 일반적인 사고유형과 달리, 졸음운전은 졸음이라는 불가항력적 원인에 의해 발생한다는 점에서 타 사고유형과 차별화된 접근이 요구된다. 그 동안의 졸음운전 감소대책은 일반적인 교통사고 대책과 마찬가지로 사고다발지점과 같은 특정지점(spot)에 집중하였으나, 도로특성(해당구간의 화물차 비율 등) 또는 시간특성(누적주행시간에 따른 위험 운전행동 증가 등)을 고려한 감소대책이 필요함에 따라, 본 연구에서는 시 공간적으로 확대한 구간(link) 개념을 도입하였다. 고속도로 졸음운전 위험구간 분석을 위해 화물차 디지털 운행기록계(digital tacho graph: DTG) 자료를 활용하였으며, 이를 바탕으로 졸음운전 위험구간을 산정하였다. 위험 행동지표와 사고 발생건수 간의 상관 분석을 위해 음이항 회귀모형(negative binomial regression)을 통한 졸음사고 예측모형을 추정하였으며 모형의 결과 값을 바탕으로 경험적 베이즈(empirical Bayes: EB) 추정치와 구간별 잠재적 안전개선 지수(potential for safety improvement: PSI)를 산출하여 졸음운전 위험 구간을 선정하였다. 졸음사고 모형 추정 결과, 연평균 일교통량, 화물차 비율, DTG 수집 자료건수, 평균 과속비율(20km/h 초과), 평균 급감속비율 및 평균 급차로변경비율이 늘어날 경우 졸음운전 사고건수 역시 증가하는 것으로 분석되었다.

• Journal of Oral Medicine and Pain
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• 제21권1호
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• pp.173-182
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• 1996

This study was performed to provide the information on the clinical characteristics of the most common paroxysmal pain disorder in maxillofacial region, trigeminal neuralgia, and the effects and side effects of carbamazepine. The patients who visited Orofacial Pain Clinic, Dept. of Oral Diagnosis, Seoul National University Dental Hospital for treating paroxysmal pain were studied by history taking, clinical examination, and radiography. Sixty-two patients(male 20, female42) without any clinical and radiological abnormalities were Included. The change of pain, blood tests, and side effects were investigated periodically after administration of carbamazepine. The obtained results were as follows : 1. Almost all patient with trigeminal neuralgia were over the age of forties and it was more common in women. 2. Trigeminal neuralgia was more right sided and the involved nerve was in the order of maxillary n., mandibular n., and ophthalmic n. 3. The mean duration of suffering was 20.7 months. Eighty percent of patients had apparent trigger area. 4. The duration of pain attack was in the older of several seconds, 1 min. to 5 min., more than 10 min., and 5 min. to 10 min. The frequency of pain attack was in the order of more than 10 per day, 6-10 per day, and 1-5 per day. 5. The clinic the patients had visited for reducing neuralgic pain was in the order of dental clinic, neurology, oriental medicine, otolaryngology, and pharmacy. 6. Unnecessary dental treatments for reducing neuralgic pain were performed in 41.9% of the patients. Almosit all treatments were irreversible ones such as endodontic treatment and tooth extraction. 7. The initial mean VAS was 8.6, but it was decreased to 3.8 after 1 month, to 2.7 after 2 months. Almost all patients showed decreased pain with 200-600mg/day of carbamazepine to 6 months. 8. WBC counts, especially neutrophil counts, was decreased in 1 week after administration of carbamazepine but reached initial level after 1 month. SGOT, SGPT, and creatinine did not show any significant change. 9. Blood pressure was not changed significantly after administration of carbamazepine. 10. Almost patients did not show any apparent side effects, but drowsiness, dizziness, skin itching, constipation, and gastric irritation were occurred in some patients.

• 사상체질의학회지
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• 제32권1호
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• pp.39-49
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• 2020

The purpose of this study was to find out how sleep characteristics by Sasang constitution (SC) appear in Vietnamese immigrant women in Korea, and how sleep aberration by SC affected the quality of life. The number of 217 Vietnamese immigrant women joined this study. We surveyed SC with Korea Sasang Constitutional Diagnostic Questionnaire (KS-15) and sleep characteristics with Pittsburgh Sleep Quality Index(PSQI) questionnaire. We evaluated quality of life(QoL) with Euro Quality of Life-5Dimension(EQ 5D) questionnaire. A Chi-square test and a one-way ANOVA test were conducted according to SC, and T test also used to compare PSQI groups. Significant p was .05. The number(rate) of Taeeumin(TE), Soeumin(SE), and Soyangin(SY) were 40(18.4%), 55(25.3%), and 122(56.2%) respectively. The distribution of obstructive factors of sleep were significantly different according to SC(Too Cold in Sleeping, x =13.378, p=.037, Too Hot in Sleeping x²=12.834, p=.046). The distribution of daytime drowsiness(x²=15.379, p=.018) and falling concentration power (x²=17.533, p=.008) was significantly different according to SC. The sleep status of the subjects showed a significant negative correlation with the EQ 5D Visual Analogue Scale(VAS) (r =-.399, p<.001), and the EQ 5D Index (r=-.211, p=.002). In the EQ VAS, TE showed a difference between the good and bad sleeping groups (t=3.955, p<.001). SE showed a difference between the two groups in the EQ 5D Index (t=2.332, p=.037). SY did not show a difference between the two groups. This study reveals that sleeping is closely related with QoL and distribution of obstructive factors of sleep may be different according to SC. Further study to confirm the constitutional difference in race at Vietnam is needed.

• Journal of Hospice and Palliative Care
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• 제11권2호
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• pp.99-105
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• 2008

목적: 본 연구에서는 호스피스 병동에 입원한 말기 암 환자들을 대상으로 임상적으로 보다 정확한 잔여 수명을 예측하고자 임종의 시기에 객관적으로 임상적 증상 및 징후들의 변화를 관찰하였다. 방법: 강남성모병원 호스피스센터를 방분한 말기 암 환자를 대상으로 입원 시부터 임종까지 말기에 흔히 나타나는 증상과 신체적 징후의 변화를 관찰하였다. 증상의 정도는 $0{\sim}3$점수화하였으며 신체적 징후는 있다 또는 없다로 구분하였다. 이밖에 활력증후와 통증 정도, 진통제 사용을 관찰하였다. 결과: 호흡곤란, 혼수의 증상은 입원 시와 비교해서 임종 $1{\sim}2$일 전에 악화되었다. 대상자의 활동 수행 능력은 임종 시간이 가까워질수록 점진적으로 감소하였고, 섭취량과 소변 배설량도 줄어들었다. 특히 임종 $1{\sim}2$2일 전부터 현저하게 혈압이 감소하였다. 임종 시점을 기준으로 시기에 따라 증상의 변화가 유의하게 나타난 임상 지표는 활동수행 능력, 수축기 혈압, 구강건조증, 식욕저하, 쇠약감, 변비, 황달, 부종, 욕창, 호흡곤란, 진정, 혼수, 청색증, 호흡이상, 가래 끓는 소리, 눈을 뒤로 젖힘 등이었다. 결론: 말기 암 환자에서 수축기 혈압의 감소, 호흡곤란, 진정, 혼수, 청색증, 호흡이상, 가래 끓는 소리, 눈을 뒤로 젖힘 등의 증상이 나타나면 임종이 임박했음을 예상하여 가족들과 환자가 준비할 수 있도록 해야 하며, 의료진도 임종에 관한 돌봄을 시행하도록 해야 한다.

• 대한치과기공학회지
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• 제39권4호
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• pp.263-273
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• 2017

Purpose: This study aimed to explore the relations between class distracting factors and class satisfaction of the dental technology students and then provide a primary data to help further related studies and develop educational programs with which instructors can efficiently manage their classroom. Methods: For this study we have conducted a survey started from the beginning of May 2017 to the end of June. The subjects of the survey were Dental Technology students of D-city, K-city, W-city, selected by random sampling method. The questionnaire was self-administrated and 437 valid results were chosen for our analysis among 450 distributed questionnaires. Results: The results of the research was as follows. Firstly, The overall average point of class distracting factors was 2.5 point. The environmental factors were the highest point as 2.59 and as for the subcategories tiredness and drowsiness was the highest point as 2.76. Secondly, The overall average point of class satisfaction turned out 3,88 point and compliance with class and attitude factors gained the highest point as 4.06. Of the subcategories strict roll checking was the highest point as 4.17. Thirdly, As for class distracting factors from general characteristics a statistical significance was shown as follows; 'instructor factor'(p<.01), 'learner factor'(p<.05), 'total class distracting factor'(p<.05) in the area of gender, 'environmental factor'(p<.001), 'total class distracting factor'(p<.01), 'learner factor'(p<.05), 'instructor factor'(p<.05) in the area of gender 'learner factor'(p<.001), 'instructor factor'(p<.001), 'environmental factor'(p<.001), 'total class distracting factor'(p<.01) in the area of class grade, 'environmental factor'(p<.05) in GPA. Fourthly, A statistical significance, a negative correlation (p<.01) were shown between class distracting factors and class satisfaction. Class distracting factor that especially affects the class satisfaction was instructor factor(p<.001) and the explanatory power of the model turned out 14.7%, which was statistically meaningful (p<.001). Conclusion : Results of this study reveal that instructor factor is the key to class satisfaction of the students. So it is crucial that the instructor faithfully prepare for the class to reinforce the students' learning. Additionally further studies should be followed with more subjects and newer perspectives to develop innovative teaching methodology.

• Journal of Oral Medicine and Pain
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• 제32권4호
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• pp.449-453
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• 2007

삼차신경통은 삼차신경의 하나 이상 분지에서 나타나는 안면 편측 통증 질환으로 짧은 찌르는 듯한 통증이다. 삼차 신경통의 가장 흔한 원인은 인접 삼차신경이나 삼차신경근 부위를 압박하는 혈관에 의하거나 특발성으로 나타나는 특발성 삼차신경통과 구조적 병소에 의해 나타나는 증후성 삼차신경통으로 분류된다. 증후성 삼차신경통은 수막종, 청신경종, 표피양암종 등이 주된 원인이며, 감각 결함, 운동 결함, 운동실조, 안구진탕 등과 같은 신경계 증상이 동반된다. 삼차 신경통의 치료는 크게 약물 치료와 외과적 치료가 있다. 이 중 가장 효과적으로 사용되는 약물은 Carbamazepine이며, 졸음, 현기증, 불안, 오심, 식욕부진 등의 다양한 부작용을 나타낼 수 있다. 특히 간독성, 골수 기능 억제 등의 위험한 부작용이 나타날 수 있으므로 주기적으로 혈액검사, 간 및 신장 기능 검사가 필요하다. 이에 삼차신경통의 임상 증례를 통해 증후성 삼차신경통과 특발성 삼차신경통의 예를 들어 진단과 치료를 시행함에 있어 여러 고려 사항들 중 특히 우리가 소홀히 하거나 간과하기 쉬운 중요 고려사항을 되짚어 보고자 한다.

• 수면정신생리
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• 제19권2호
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• pp.89-96
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• 2012

목 적: 일 고등학교 학생들을 대상으로, 일주기 리듬을 아침-중간-저녁형으로 구분하여, 각 유형 간에 야간 수면 패턴의 차이를 살펴보고, 주간 졸림 및 피로 정도를 비교해 보았다. 방 법: 일 남자 고등학교 2학년 전체 학생 501명을 대상으로 자가설문조사를 하였다. 아침-저녁형 평가를 위한 한국어판 조합척도(Korean translation of composite scale : KtCS), 주중 기상 시 어려움(difficulty awakening), 주중 기상 시 졸린 정도(morning drowsiness), 주간 졸림 척도(Epworth sleepiness scale, ESS), 피로 정도 척도(Fatigue severity scale, FSS)를 이용하였다. 결 과: 저녁형(5시간 36분, SD=63.3분)이 중간형(6시간 11분, SD=61.8분, p<0.001)이나 아침형(6시간 23분, SD=61.8분, p=0.029)에 비해서 주중 평균 수면시간이 유의하게 짧았다. 저녁형은 주중에 매일 낮잠을 자는 비율(16.8%, p<0.001), 카페인 섭취 비율(58.8%, p<0.001), 코골이 비율(18.5%, p=0.037)이 유의하게 높았다. 저녁형은 주간 졸림 정도(8.7, SD=3.2, p<0.001)와 피로도(4.4, SD=1.2, p<0.001)에서 중간형이나 아침형보다 더 높은 점수를 보였다. 결 론: 저녁형 학생들은 주중에 수면패턴이 불규칙하고, 가장 심한 수면 부족을 겪고 있으며, 낮잠 빈도가 높았다. 저녁형은 주간 졸림 정도가 더 심하고, 심한 주관적인 피로감을 보고하였다. 수면 유형 평가 및 동반 수면 질환 여부 검사 등 학생들의 수면 양상에 대한 적절한 관심과 교육, 적극적인 개입이 필요할 것으로 생각된다.

• 한국임상약학회지
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• 제23권1호
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• pp.33-41
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• 2013

Background: Prevalence of depression comorbid with neurologic disorders such as Alzheimer' disease (AD), Parkinson's disease (PD) and vascular dementia (VD) is higher than that of primary depression. Antidepressant medications, suggested by many researches for depression comorbid with neurologic disorders such as AD, PD and VD, are mainly selective serotonin reuptake inhibitors (SSRI). Objective: The primary objective of this study is the evaluation of antidepressant drug therapy for AD, PD and VD. Method: This study was a retrospective study based on medical records, carried out for 3 years and 6 months (Jan. 2007~Jul. 2010). Patients, diagnosed as comorbid depression through Beck Depression Inventory (BDI), Cornell Depression Scale (CDS), Geriatric Depression Scale (GDS) among neurologic out-patients of Chungnam National University Hospital because of AD, PD and VD, were selected. The results were evaluated by efficacy and safety of antidepressant drug therapy. Results: In result, the prescribing rates of antidepressants were 30%, 55% and 40% for each AD, PD and VD. Depression cure rates of patients receiving antidepressants vs patients not receiving antidepressants were 40% vs 39%, 33% vs 23% and 38% vs 30% for AD, PD and VD. The frequencies of prescriptoin of SSRI were 21%, 11% and 27% for each AD, PD and VD. The frequencies of prescriptoin of benzodiazepine (BZD) was 61%, 82% and 61% for each AD, PD and VD. The ratio of single BZD prescription was more than that of combination prescription of antidepressants. Tricyclic antidepressants (TCA) were rarely prescribed. The rate of patients with BZD-related side effects was 54%. The most frequent side effects of BZD were dizziness (30%), drowsiness (21%) and headache (16%). Side effects of SSRI were rare. Conclusion: In conclusion, the frequencies of prescription of antidepressants were not common for AD, PD and VD. There was little difference in depression cure rate between patient receiving antidepressants and not receiving. Even though SSRI has to be the highest priority of usage, the frequencies of prescription of SSRI were lower than those of BZD. Additional researches and efforts are required to improve antidepressant drug therapy for neurologic disorders such as AD, PD and VD.

• 한국재난정보학회 논문집
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• 제15권4호
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• pp.548-559
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• 2019

연구목적: 인력에 의한 조사를 대처할 수 있는 V2I 데이터 기반의 고속도로 휴게소 이용행태 분석. 연구방법: 휴게소 구간 개별차량의 통행속도 자료 분포 특성을 활용하여 통행상태 그룹 분할 및 휴게소 이용경계(Boundary) 설정. 연구결과: 검증 결과 점심시간 휴게소 이용률이 급증, 통행속도 자료 분포 상태간 경계가 명확하거나 불명확한 모든 경우 휴게소 이용경계를 정교하게 산정. 결론: 인력에 의한 휴게소 이용실태 조사를 대처할 수 있어 비용절감의 효과가 크며 조사의 시공간적 범위에 제한이 없음. V2I 시스템이 구축된 휴게소/졸음쉼터/간이 휴게소 등 각 시간대별 동적 이용률 산정이 가능. 단시간/중시간/장시간 이용의 구분이 가능. 차종별 이용실태 도출 가능. 도로구간 불법 주정차 여부 파악 가능. 도로구간 내 돌발상황 검지 가능. 실시간 휴게소 이용률 및 혼잡도 정보 제공등 다양한 분석과 운영전략 수립 가능.

• 대한한방내과학회지
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• 제22권3호
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• pp.299-307
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• 2001

Objectives: Fatigue is a common symptom experienced by many people who visit Oriental medical clinics or hospital. However, there has been little study about the fatigue in the Oriental medical academic world. For this reason, we attempted to investigate the present status of fatigue of outpatients, and its relation with Health Practice Index(HPI). Methods: The subjects were 63 outpatients who visited the Tonification Clinic in Kyunghee Oriental Medical Center between January 1, 2001 and July 31, 2001. Their chief complaint was fatigue and they did not have any physical or mental problem. They were given a questionnaire which included questions reflecting general characteristics, fatigue degree and health habits. We measured degree of fatigue by Chalder scale et al. Health habits were investigated about 5 articles out of 'Breslow 7 Health habits'. Results: Among the subjects, 48 people(76.2%) were considered as 'fatigue patients' by the Chalder scale. Of this 48 fatigue patients, 27 people(56.3%) had manifested fatigue for more than 6 months. The average of scale II for all the patients was 14.05, which indicates moderate degree of fatigue. They complained fatigue, drowsiness and general weakness, dryness and discomfort of the eyes, headache, shoulder pain and neck stiffness, dizziness, heat in the upper part of the body, and poor concentration. There were no differences in degree of fatigue according to Health habits including exercise or not, smoking or not, the frequency of drinking, hours of sleeping, and body mass index. Conclusions: Many people complain fatigue symptom. Therefore doctors should have more interest in fatigue and care. This study can provide standards of prognosis of fatigue patients. Also prospective studies are needed to find relationship between health habits and fatigue degree.