• 한국치위생학회지
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• 제15권4호
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• pp.679-685
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• 2015

Objectives: The purpose of the study is to investigate the change of the salivary flow rate, xerostomia, and oral health-related quality of life in the elderly people after the application of oral massage. Methods: The subjects were 101 elderly people at two senior welfare centers in Mokpo from November, 2012 to January, 2013 by the application of oral massage. The final subjects were 56 elderly people who participated in the massage more than 15 times of 20. They were measured for saliva flow rate, xerostomia, and OHIP. On the first and the last day, a self-reported questionnaire was completed by the elderly people. The questionnaire consisted of general characteristics of the subjects, oral health related knowledge, symptoms and behavior of xerostomia, and OHIP. OHIP included functional limitation, physical pain, psychological discomfort, physical disability, psychological disability, social disability, and handicap, and was measured by Likert 5 point scale. Results: The salivary flow rate of the elderly people increased after the implementation of the program. There was a significant improvement in xerostomia, functional limitation, physical pain, psychological discomfort, and social efficacy (p<0.001). Conclusions : The oral massage program enhanced the oral function of the elderly people, and had an influence on the improvement of oral health-related quality of life.

• 대한후두음성언어의학회지
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• 제24권2호
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• pp.112-117
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• 2013

Background and Objectives : This study aimed to determine the clinical effect of $Artecoll^{(R)}$ injection laryngoplasty for patients with vocal atrophy and mild sulcus vocalis. Materials and Method : Forty-one patients with vocal atrophy and/or mild sulcus vocalis received transcutaneous $Artecoll^{(R)}$ injection into the vocal folds under local anesthesia. Subjective evaluations including voice handicap index (VHI) and perceptual grading with Grade, Roughness, Breathiness, Asthenia, Strain (GRBAS) scales and objective evaluations including jitter, shimmer, noise-to-harmonic ratio (NHR), speaking fundamental frequency (SFF) and maximum phonation time (MPT) were evaluated before and 3 months after the injection. Results : VHI and Grade, Breathiness and Strain scales in GRBAS showed significant improvement 3 months after injection. SFF and MPT also significantly improved after the injection ; MPT increased and SFF in male patients decreased. Conclusion : Injection laryngoplasty with $Artecoll^{(R)}$ is an effective method for correcting the glottal insufficiency and improving voice quality in patients with vocal atrophy and/or mild sulcus.

• 대한장애인치과학회지
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• 제1권1호
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• pp.18-24
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• 2005

The purposes of this study were 1) to investigate the oral health problem of the disabled according to the handicapped types, 2) to collect the empirical data for developing and establishing the oral health policies for the handicapped, and 3) to find out the major obstacles against the dental services and oral health promotion. The handicapped subjects were collected by designed cluster sampling and interviewed with structured questionnaire in order to measure the oral health knowledge and behaviors. The subjects were attending the special schools and private or public welfare institutions for crippled disorder, encephalopathy disorder, mental retardation, visual disturbance, hearing defect, and developmental disorder. Oral examination was conducted by 13 trained dentists. 1,476 of handicapped people were finally surveyed. The results were as follows; The experiences of visiting dental office during the last one year in 18~64 year-old disabled people were 48.86% in crippled disorder, 52.50% in mental retardation, 58.24% in visual disturbance, 39.29% in hearing defect, respectively. To improve this challenging situation, we should find out the obstacles against the dental service and oral hygiene maintenance by the types of handicap, and develop the oral health policies which could support and advocate the Korean disabled.

• 가정과삶의질연구
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• 제28권1호
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• pp.159-174
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• 2010

The purpose of this study was to examine the health care expenditure of elderly single and elderly couple households whose head is more than 60 years old. The data analyzed for the study were Korean Retirement and Income Study(KRelS) conducted in 2007 by National Pension Corporation. The major finding of this study were as follows: First, the amount of health care expenditure of elderly single households was lower than that of elderly couple households. However, ratio of health care expenditure to total consumption expenditure of elderly single households was larger than that of elderly couple households. Second, the ratio of health care expenditure in consumption expenditure in this study was larger than the ratios in past analyse showed in the previous studies. Third, common factor affecting on health care expenditure of elderly single and elderly couple households was the existence of the family member with chronic disease or handicap. The health care expenditure of elderly singer households was influenced by income, gender and the ownership of national health insurance. The influence of income for elderly singer households seemed to be greater than for elderly couple households. The variables which affected health care expenditure of elderly couple households were age and housing tenure status. The amount and ratio health care expenditure were increased as the age increases. These results show that the health care expenditures for each groups varied according to socio-demographic variables and health-related behavior variables. It is suggested that there should be a discriminative health care policy for each elderly single and elderly couple households. In addition, the health care policy for the elderly households of which member has a chronic disease is certainly necessary. Especially a health care plan for the elderly single households with lower income is in need. For the elderly couple households, the priority group of health care policy would be the high age group.

• Journal of Acupuncture Research
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• 제34권1호
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• pp.49-58
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• 2017

Objectives : To introduce a rare case of a patient with Progressive Bulbar Palsy (PBP) and suggest the possibility of treatment using electroacupuncture and Korean Medicine. Methods : A 61-year-old man with PBP, complaining of dysarthria, was treated with electroacupuncture and Korean Medicine, from June 16 to July 10, 2015. Improvements in symptoms were measured using the speech mechanism screening test (SMST), measurement of tongue and orbicularis oris motility, and speech handicap index (SHI). Results : The scores of SMST, motility of tongue and orbicularis oris showed a tendency for gradual improvement with 25 days of Korean Medicine Treatment after admission, but conversation was still impossible. In SHI scores, one point increased in the speech domain and one point decreased in the psycho-social domain, and three points increased in the other domain. Conclusion : Electroacupuncture and Korean Medicine Treatment improved dysarthria caused by PBP, but not completely. Korean Medicine Treatment seems effective in the management of accompanying symptoms such as black hairy tongue, dry mouth, and general condition. The symptoms of PBP are similar to those of amyotrophic lateral sclerosis and there is controversy regarding the classification of PBP. The most important aspect of treating a patient with PBP is an early diagnosis and devising appropriate rehabilitation strategies.

• 대한후두음성언어의학회지
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• 제20권1호
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• pp.52-56
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• 2009

Background and Objectives : Vocal nodule is common inflammatory vocal cord lesion which could be improved by voice rest or voice therapy. But some patients, who do not have any improvement after voice therapy, should take laryngomicorsurgery or additional long-term voice therapy. So we try to find prognostic factors which affect the results of voice therapy. Materials and Methods: There are 36 patients (response group) whose symptoms improved after initial voice therapy and 16 patients (no response group) whose symptoms did not improve at all. We compared clinical features (durations of symptoms, voice abuse, laryngopharyngeal reflux), GRBAS scale, acoustic analysis, aerodynamic analysis and voice handicap index between the two groups from January, 2006 to June, 2008. Results: Response group underwent voice therapy 4.5 times (ave.) and no response group underwent 6.7 times (ave.). No response group has longer duration of symptoms, higher GRBAS scale score, higher NIH ratio, and higher MFR than those of response group. Conclusion : This study found that the prognosis of voice therapy in patients who have longer duration of symptoms, high NIH ratio, and bad perceptional test result is not likely to be good. In those cases, we should recommend earlier surgery, voice therapy after surgery, and inform about the necessity of long-term voice rehabilitation or voice therapy in order to get favorable compliance.

• 패션비즈니스
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• 제16권4호
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• pp.88-99
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• 2012

Recently the hair style of Michelle Obama, the world's most recognized First Lady of the United States has been loved by the public with her optimistic confidence and as a fashion leader. For Michelle Obama's hair styles by length, a medium-short cut style was expressed in various ways to show her strong will by exposing the forehead, an elegant image by asymmetry hair, or a progressive image by a short volume hair cut. A medium cut style expressed an elegant and intelligent image in shoulder-length and a trendy image using a side parting. A updo hair style produced young, womanly, and casual images using twisting, binding, typing up, and rolling technique according to situations. For hair styles associated with her roles, when participating as a diplomatic delegate, she expressed the President's helpful partner by a soft and womanly image using bobbed hair and half updo technique. For the participation in state occasions, her hair styles were examined in three situations. First of all, she mainly had a neat style, exposing her forehead in official schedules as a political partner to create an intelligent and high-class image. Second, she expressed a strong will with a medium-short style during an election campaign. Finally, she showed an elegant and refined hair style in consideration of T.P.O. during social activity. Michelle Obama overcame her hair's handicap, grasped her images associated with hair length, and expressed hair strategically according to her roles as the first African-American First Lady of the United States.

• Archives of Plastic Surgery
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• 제39권1호
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• pp.71-75
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• 2012

Recurrent laryngeal nerve paralysis is the most common and serious complication after thyroid cancer surgery. The objective of this study was to report the advantages of the vein wrapping technique for nerve reconstruction in patients with thyroid cancer invading the recurrent laryngeal nerve and its effects on postoperative phonatory function. The subjects were three patients who underwent resection of the recurrent laryngeal nerve during surgical extirpation of papillary thyroid cancer. Free ansa cervicalis nerve graft or direct neurorrhaphy with a vein wrapping technique was used to facilitate nerve regeneration, protect the anastomosed nerve site mechanically, and prevent neuroma formation. One-year postoperative laryngoscopic examination revealed good vocal cord mobility. Maximum phonation time ($19.5{\pm}0.3$ sec) was longer than a previously-reported value in conventional reconstruction patients ($18.8{\pm}6.6$ sec). The present phonation efficiency index ($7.88{\pm}0.78$) was higher than that previously calculated in conventional reconstruction ($7.59{\pm}2.82$). The mean value of the Voice Handicap Index-10 was 6, which was within the normal range. This study demonstrates improvement in phonation indices measured 1 year after recurrent laryngeal nerve reconstruction. Our results confirm that the vein wrapping technique has theoretical advantages and could be favored over conventional reconstruction techniques for invenerate nerve injuries.

• 한국운동역학회지
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• 제19권1호
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• pp.59-66
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• 2009

본 연구의 목적은 국내 엘리트 골프선수들을 대상으로 3차원 스윙 평면 분석(swing plane analysis)을 통해 스윙 평면의 편평도를 확인하여 이들 스윙이 어떤 유형의 스윙인지를 확인하는 것이 목적이었다. 또한 편평도를 이용한 스윙평면 분석 이외에 또 다른 운동학적 변인을 이용한 스윙 평면 분류가 가능한지도 확인하였다. 그 결과 편평도와 핸디캡간의 상관성은 없는 것으로 판명되었고 단일 및 다중 평면 스윙 그룹간의 편평도 비교를 실시한 결과 유의한 차이를 확인할 수가 있었다. 두 스윙 그룹을 구분하는 대표적인 특징인 백스윙 및 팔로우드로우에서의 스윙 궤도차이를 확인하기 위해 실시한 두 스윙 그룹 간 event 별 편평도 비교에서 그 유의한 차이를 확인함으로서 본 연구에서 정의한 오차범위 10cm는 두 스윙 스타일을 구분하는데 유효한 것으로 확인이 되었다. 편평도를 이용한 스윙평면 분석 이외에 운동학적 변인인 두 스윙 그룹 간 샤프트 단위벡터 비교와 샤프트 원위점 변위 비교를 event 별로 실시한 결과 통계적으로 유의한 차이는 확인이 되지 않았다. 하지만 전체적인 변인들의 이동패턴을 살펴 볼 때 각각의 스윙 그룹의 특징을 잘 보여주고 있기 때문에 스윙 스타일을 판단하는 간접적인 지표가 될 가능성을 보여주었다.

• 한국초지조사료학회지
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• 제21권4호
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• pp.253-258
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• 2001

This pot experiment was conducted to find out the forage productivity and quality in a grasslclover sward as affected by the application of three different fertilizers; double superphosphate(DS), fused Mg-phosphate (FP), and complex fertilizer(CF) on newly reclaimed hilly soil. This part was concerned with the mutual balances of mineral nutrients in the soils and mixed grass/clover sward in relation to grass tetany hazard. The results obtained are summarized as follows : 1. Concentration of exchangeable Mg and relative proportion of Mg to CEC in the soils before experiment were considerably below the critical level for good forage growth and prevention of grass tetany. It seems that these properties would be able to handicap by liming and NPK applications. 2. Comparing with the critical level for likelihood of tetany(Mg <0.2%, K >2.5%, and W(Ca+Mg) >2.2 in forages), mean concentration of Mg ranged from 0.14 in DS plot and 0.18 in FP plot to 0.24% in CF plot. Meanwhile, hazards of grass tetany in relation to the %K and ratio of K/(Ca+Mg) were not recognized. 3. Comparing with the optimum level of Carp(% ratio)=2.0 in forages for animal health, these ranged from 6.1 to 7.1. (Key words : Grass tetany, Fertilizer. Soil. Mineral nutrients)