• 대한예방한의학회지
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• 제21권2호
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• pp.23-34
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• 2017

Objectives : The aim of this study was to survey the present utilization of pattern identification(PI) by chronic disease and using PI system in the clinical field among Korean medicine doctors. Methods : This survey was conducted from Oct. 1 to Oct. 31, 2014 by face-to-face interview using structured questionnaire. The subjects were 400 Korean medicine doctors who worked in hospitals or clinics. The questionnaire consisted of whether use clinical experience by chronic disease and the utilization of PI, the utilization of PI systems, the PI utilization rate, and the correlation between utilization PI and so on. General elements consisted of sex, age, clinical experience, place of work, district and so on. Results and Conclusions : This study revealed that clinical experience by chronic disease used 24.0-90.8%. The most chronic diseases were chronic fatigue and chronic pain, and least disease was cancer. Experience of the utilization of PI among Korean medicine doctors who have clinical experience was 87.8-97.1%. Also, the most utilized disease was chronic gastritis & gastric ulcer, and least disease was dyslipidemia. In this case, the most common cases were using the one PI between the utilization of PI systems, and the utilization ratio of Visceral PI was the highest. Phi coefficient between the PI systems in chronic diseases divided into positive correlation and negative correlation. The correlation of dementia between Triple energizer PI and Six excesses PI was the highest at positive correlation, and the frequency of occurrence between Defense, Qi, Nutrient and Blood PI was the highest at positive correlation. The correlation of osteoarthropathy between Meridian and Collateral PI and Sasang Constitutional Medicine was the highest at negative correlation. Also the frequency of occurrence between Qi, Blood, Fluid and Humor PI and Sasang Constitutional Medicine was the highest at negative correlation. We hope that additional studies on systematic PI research of chronic disease which needed to be in korean oriental medicine and meet the needs of clinical consumer continue based on this study.

• 한국치위생학회지
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• 제12권1호
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• pp.135-143
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• 2012

Objectives : The purpose of this study on the oral health behavior of foreign workers and dental care in the community is to identify actual oral health conditions of immigrated labors, to promote their oral health and to gather basic data providing them with proper oral health services Methods : Based on previous studies, The researchers wrote their own surveys in English, in Vietnamnese, in Tagalogue, in Thai. Making questions on the paper to 114 foreign workers in Pocheon, Gyeonggi-do were surveyed. Using the program SPSS 17.0 for Windows, the collected data were analyzed. The frequency analysis, the chi-square analysis and the correlation analysis was performed to recognize their relevance between the oral health status and the actual oral care and the subjective perception of oral health. Results : General characteristics of the foreign workers is the overwhelming majority of male demographic 78.9%. By age, 20-29 years of age accounted for 50%, and duration of stay in the city is less than 3-5 years to 68.4%, It was most common. The percentage going to the dentist when teeth hurt is although 56 percent. But the ratio to endure the pain without going to the dentist, was 44%. The main reason to not go to the dentist was the time 55.2% and cost 11.9%. A mere 9.6% of respondents knew about the free dental care and used. 67.5% of them was not aware of the free dental care agency, 59.6% were keen to use the free care. However, 40.4% did not want a free dental care because they did not have the time(26.3%), the distance is far away(3.5%), and difficulties in communication(3.5%) and the other(66.7%). Conclusions : The major percentage of the other reason(66.7%) why they did not want to go to free dental service, must be specifically identified. For the activation of free dental services, the active support of central and local governments is needed. By focusing on health-related departments of the University in the community, it is necessary to operate the program of the oral health care for foreign workers.

• 대한통합의학회지
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• 제1권4호
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• pp.37-47
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• 2013

PURPOSE : Club dance is one of the most popular cultures worldwide and is getting popular in Korea over time. However, club still has negative awareness in the country due to the media spreading only harmful aspects of club culture. At any rate, nowadays many young aged people can easily have chances to experience clubs so we tried to find out the bad effects caused by clubs. METHOD : We conducted a survey and the number of participants who agreed to participate in this survey was 500, including both men and women. There are a total of 50 questions in the questionnaire form used by this study and the questions were divided into three categories: general(18), psychologic-related(7), social-cultural(9), and physical-related(16) questions. Data collected for this study was analyzed via frequency analysis using SPSS. RESULT : In our survey, most students who had already experienced the club culture tend to go to club once or twice a month, and they answered that they would feel bored if they were nor able to do so. In terms of social life, most respondents said that they had lower efficiency in working and studying the next day after going to clubs because of fatigue. In physical aspect, club users use then pelvis and lower back a lot while dancing. The respondents answered that they experienced muscle soreness, a loss in weight, and changes in their body as a consequence of intense dancing. They complaint pain mostly in lower limbs, so we could find out the fact that legs were primarily used for the club dance. CONCLUSION : To sum up, the club culture in undergraduate students affects on their daily living and body, and also has good effects as well as bad ones. Therefore, we need to look at the club culture positively and to improve bad effects of club culture.

• 대한치과보철학회지
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• 제47권3호
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• pp.295-300
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• 2009

연구목적: 현대의학의 발달로 고령 인구가 증가함에 따라 부분 무치악이나 완전 무치악 환자의 비율이 증가되고 있다. 고령 환자는 전신적 질환이 동반되는 경우가 흔하므로 보철 치료 시에도 전신적인 건강 상태 및 경제적 여건에 대한 고려가 필요하다. 고령의 환자나 전신적 질환자에 있어 임플란트 등의 치료보다 가철성 국소의치가 선호되고 실제로 많이 적용되고 있으나 기존의 금속-아크릴 국소의치는 많은 한계점을 가지고 있다. 전치부에 금속 클래스프가 위치하여 비심미적이고 미중합 레진에 의한 알레르기 반응이 있으며 지대치에 가해지는 응력이 크며, 파절 시 수리가 용이하지 않다. 또한 대부분의 경우 지대치에 주조 금관의 제작이 필요하며 이로 인해 추가적인 고가의 보철비용을 부담하여야 하고 제작과정이 복잡할 뿐 아니라 장기간의 치료와 여러 번의 내원이 필요하다. 반면, 최근 이용빈도가 증가하고 있는 Valplast$^{(R)}$ 탄성 국소의치는 Nylon 재질로 생체친화성이 높고 심미적이고 가벼우며 수리가 용이한 장점이 있다. 또 간단한 진료 과정과 짧은 제작기간 후 의치를 장착할 수 있다. 본 증례에서는 장기간의 치료기간과 다수의 내원이 어려운 전신 질환자 및 예후가 불량한 환자에서 Valplast$^{(R)}$ 탄성국소의치를 적용한 예를 보고하고자 한다. 결과 및 결론: 증례에서 환자들은 만성 질환, 암 등의 전신적, 소모성 질환을 앓고 있거나 개구 제한 또는 예후가 불량한 잔존 지대치 등 통상적인 보철치료가 힘든 경우였다. 이러한 환자들에게 기존의 금속-아크릴 국소의치는 신체적으로나 경제적인 이유로 적용이 어려워 대신 추가적인 보철물의 제작이 필요없고, 제작과정이 간단한 Valplast$^{(R)}$ 탄성 국소의치를 적용하였다. 환자들은 평균 1-2회의 주기적 체크를 했고 현재까지 동통이나 파절 등의 불편감이 없이 잘 사용하고 있다. 여러 증례에서 기존의 가철성 의치의 단점을 보완하는 탄성의치를 이용하여 만족한 결과를 얻었기에 보고하는 바이다.

• 대한소아치과학회지
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• 제32권4호
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• pp.657-661
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• 2005

유치의 치수절단술에 사용되는 약제로는 formocresol, ferric sulfate, 수산화칼슘 등이 있다. 그 중에서 formocresol은 치수조직의 고정능력과 높은 임상적 성공을 보임으로써 아직까지 널리 사용되고 있으나 자체독성이 매우 강하여 영구 계승치 치배의 변위나 결손, 법랑질 형성부전, 전신 흡수로 인한 돌연변이 가능성과 암유발 가능성 역시 보고되고 있다. 최근에는 formocresol의 근관내 적용시 불완전한 임시충전에 의한 미세누출로 주위 치은과 치조골의 괴사를 야기한 보고가 있으며 과잉의 formocresol을 적용하였을 경우에도 치조골의 괴사의 원인이 될 수 있다고 하였다. 본 증례는 개인치과에서 formocresol을 이용한 치수치료를 받은 후 지속되는 동통으로 인해 상악 좌측 제 2유구치를 발거하였으나, 증상이 개선되지 않아 본원에 의뢰되었다. 환아는 8세 남아로 심한 구취 및 계승 영구치 치관 주위로 환형의 치조골 괴사를 보여 부골절제술을 시행하고 1년 7개월간 관찰을 하였을 때 정상적인 치근 성장은 이루어졌으나 결손된 치조골 및 부착치은의 완전한 조직재생 소견은 관찰되지 않았다. Formocresol에 의한 치주조직에 대한 부작용은 비가역적이므로 formocresol의 사용에 있어 적응증 여부를 잘 판단해야 하며, 철저한 임시 가봉에 주의를 기울여야 할 것이다.

• 한국전문물리치료학회지
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• 제5권3호
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• pp.72-87
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• 1998

This study examined the rates of spinal abnormal curvature and the correlation of the Body Mass Index (BMI), Low Back Pain (LBP) and spinal curvature by measuring scoliosis, kyphosis, and lordosis in university students. The study population included 67 male, 92 female university students, making a total of 159, in Wonju City. Spinal curvature was measured by an electrogoniometer in a computerized skeletal analysis system. Lateral curvature of spine of more than 10 degrees was considered as nonspostural scoliosis. The correlation of BMI, LBP and the spinal curvature was analysed by Pearson's correlation coefficient and t-test. The following results were obtained: 1. The overall incidence and rate of scoliosis in cases with a greater than 10 degree curve in males was an incidence of 8 and a rate of 11%. In females the incidence was 36 and the rate 39.2%. 2. The overall incidence and rate of kyphosis of less than 20 degrees in males was a rate of 9 and an incidence of 11.9%. In females, the rate was 5 and the incidence 5.4%. In kyphosis cases of more than 40 degrees, the male rate was 5 and the incidence 7.7%. For female the rate was 13 and the incidence 14.2%. 3. The overall incidence and rate of lordosis with curves of less than 20 degrees was a rate of 6 for males and an incidence of 9.0%. For females, the rate was 5 and the incidence 5.4%. In cases of more than 50 degrees lordosis, the female rate was 2 and the incidence 2.2%. There were no males in this category. 4. There was a negative correlation between kyphosis and BMI. The greater the kyphotic curve, the less the BMI in males (p<0.05). There was no significant BMI difference by gender in either scoliosis or lordosis. There was, however, a significantly decreased sacral angle in the female group with LBP. The results of this study cannot be generalized to the general population because the subjects were all from one university. The measurements were quite reliable because the angles determined by the Metrocom System were highly correlated with radiologic findings. This study shows the need for a regular screening system for spinal curvatures in university health examination procedures.

• 혜화의학회지
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• 제10권1호
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• pp.395-415
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• 2001

A general concept of Geun includes the soft organizations such as a muscle, a myofascia, a tendon and a ligament, cartilages and nerves that surround it. The main function of it is a movement of the body such as a flextion and a extension, a connection of the joints, and a construction of the body shape. Lately, we consider Geun important little by little, develop a variety of the therapeutic measures which make use of it, and apply it to the treatment in the oriental medicine, And the therapeutic measures which utilize Geun will be developed from now on. Therefore, this study reviewed and analyzed the direction of the research referred to Geun in the oriental medicine and the tendency to the experiment to grow the study referred to Geun in oriental medicine continuously and developed the new direction. This study collected 44's theses reported in the oriental medical journal and analyzed in accordance with the journal, time, form and topics. The following results were obtained in this study; 1. In the theses referred to Geun, the journal of Korean acupuncture & moxibustion society and of Korean oriental medicine have the most of them(11's theses) and at the next the journal of oriental rehabilitation medicine has 9's theses. 2. By analyzing the form of the theses, these were classified into the theoretical, experimental and clinical studies. The theoretical these occupied 39%, the experimental theses 54%, and the clinical theses 7%. 3. By analyzing the theses referred to Geun, these were classified into the muscular abnormality - such as a powerlessness, a injury, a atrophy, a disorder, and a pain - the theory of muscles along the regular meridians, the muscular organization, the therapeutic measures, the manipulation and so on. 4. The theses of the muscular abnormality occupied 30% of them referred to Geun and the theory of muscles along the regular meridians 20%, the muscular organization 12%, the therapeutic measures 12%, and the manipulation 8%. According to the above results, the study of the new field referred to Geun and the clinical report are indispensable since the field is limited and the tendency is theoretical and experimental.

• Journal of Chest Surgery
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• 제29권6호
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• pp.614-620
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• 1996

일반적인 전폐절제술과는 달리 전폐절제술시에 심막, 횡경막,흉벽 또는 척추의 일부를 함께 절제하 는 것을 "Complex Pneumonectomy" 라고 한다. 영동세브란스병원에서는 1990년 )월부터 1994년 2월까 지 폐암환자에서 92례의 전폐절제술을 시행하였으며 이중 18명(19.56%)에서 "Complex Pneumonic- tomy"를 시행하였다. 이중 7명에서 흉벽, 10명에서 심막, 1명 에서 횡격막을 함께 절제하였다. 우측 전궤절제술이 8례, 좌측이 10례였으며 남자 17명, 여자 1명이었고 나이 분포는 40-70세로 평균 58세였다. 환자가 내원 당시 호소한 증상은 기 침이 13례로 가장 많았고 호흡곤란 11례, 흥통 10례, 체중 감소 9례, 전신적 피로 9례, 가래배출 4례 등이 었다. 수술후 조직진단은 편평상퍼세포암이 1)명, 선암이 )명, 선편평상피세포암과 소세포암이 각각 1명씩 있었다. 수술후 병기는 TINOMO 2명, TINIMO 4명, T)N2MO 6명, T4W2MO 5명이었으며 TINIMO도 1명 있었다. 수술사망은 1명(5.5 %)에서 있었으며 호흡 부전증으로 사망하였다. 1명의 수술사망과 1명의 추적 분실을 제외한 16명중 14명이 사망하였으며 평균 생존율은 9.07$\pm$4.82 개월이다. 현재 생 존자는 TIWO O 1명이 흉벽 절제후 35개 월째 생 존해 있으며 T3W2MO 1명 이 횡격 막절 제후 36개월째 생존해 있다. 따라서 선택된 73병기 폐암환자에서 "complex"전폐절제술을 함으로서 장 기 생존을 얻을수 있다고 사료된다.제술을 함으로서 장 기 생존을 얻을수 있다고 사료된다.

• 한국콘텐츠학회논문지
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• 제12권11호
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• pp.267-277
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• 2012

본 연구는 낮병원 프로그램을 받은 뇌졸중 환자들의 일반적인 특성과 삶의 만족도 중 어떤 항목이 도구적 일상생활활동과 삶의 만족도에 가장 영향력을 미치는지 인과 관계 분석을 하였다. 국립재활병원에 입원한 환자 중 실험군 41명과 대조군 41명을 선정하여 도구적 일상생활활동수행능력을 평가하고 삶의 만족도 검사를 실시하였다. 연구 결과 실험군과 대조군의 도구적 일상생활활동수행능력 비교에서 실험군이 대조군 보다 높은 기능을 보였으며, 삶의 만족도 비교에서도 모든 항목에 대해 실험군이 대조군보다 높게 나타났다. K-ADL과 K-IADL 및 삶의 만족도에 일반적인 특성 항목 중 어떤 항목이 영향을 주는지 알아 본 결과 K-ADL과 K-IADL 모두 연령, 경제상태 순으로 나타났으며, 삶의 만족도에서는 경제상태, 학력, 혼인상태, 직업유무, 일상생활시 조력자 유무 순으로 나타났다. K-ADL과 K-IADL에 삶의 만족도 항목 중 어떤 항목이 영향을 주는지 알아 본 결과 K-ADL은 통증, 사회기능, 정신건강, 신체적 역할 순으로 나타났으며 K-IADL에서는 신체적 역할제한이 가장 설명력이 높은 것으로 나타났다. 이 연구를 통해 뇌졸중 장애인들이 병원에서 재활치료가 끝난 이후에 신체적 기능을 유지하고 이차 장애를 예방하며 사회통합과 삶의 만족도 향상을 도모하기 위해서 지속적인 재활치료가 강조되어야함을 알 수 있었다.

• 대한한의학회지
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• 제31권3호
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• pp.79-97
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• 2010

Background: Peripheral nerve injuries are commonly encountered clinical problems and often result in severe functional deficit. Bee venom acupuncture has traditionally been used to treat several inflammatory diseases and chronic pain conditions. Objectives: The aims of this study were to compare the effects of bee venom (general bee venom, BV) and sweet bee venom (allergen-removed bee venom, SBV) acupuncture on the recovery rate of locomotor function, the expression of brain-derived neurotrophic factor (BDNF) in the sciatic nerve, and the expression of c-Fos in the brain following sciatic crushed nerve injury in rats, and to evaluate differences due to administration areas. Method: Walking track analysis, Western blot for BDNF and tyrosine receptor kinase B (TrkB), and immunohistochemistry for c-Fos were performed. In this study, comparative analyses of the effects of BV and SBV acupuncture in relation to administration sites, contralateral side or ipsilateral side, were conducted. Results: In the present result, sciatic function index (SFI) in walking track analysis significantly decreased following sciatic crushed nerve injury. The expressions of BDNF and TrkB in the sciatic nerve increased after induction of sciatic crushed nerve injury. C-Fos expression in the ventrolateral periaqueductal gray (vlPAG) and paraventricular nucleus (PVN) also increased. BV and SBV acupuncture treatment improved the SFI in walking track analysis. Treatment with SBV at 1mg/kg showed more potent enhancing effect on SFI compared to BV. Treatment with 1mg/kg BV or 1mg/kg SBV acupuncture suppressed the BDNF and TrkB expression in the sciatic nerve. BV and SBV acupuncture treatment also suppressed c-Fos expression in the PVN and vlPAG regions. Treatment with SBV at 1mg/kg showed more potent suppressing effect on c-Fos expression compared to BV when injected into the contralateral side of the injured nerve. Generally we could not find significant difference in the effects between contralateral side and ipsilateral side of the injured nerve. Conclusion: We have shown that BV and SBV acupuncture treatment can be used as the effective therapeutic modality to ameliorate the symptoms of sciatic crushed nerve injury.