• Clinical and Experimental Pediatrics
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• 제60권12호
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• pp.379-384
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• 2017

Feeding is an interaction between a child and caregiver, and feeding difficulty is an umbrella term encompassing all feeding problems, regardless of etiology, severity, or consequences, while feeding disorder refers to an inability or refusal to eat sufficient quantities or variety of food to maintain adequate nutritional status, leading to substantial consequences, including malnutrition, impaired growth, and possible neurocognitive dysfunction. There are 6 representative feeding disorder subtypes in young children: infantile anorexia, sensory food aversion, reciprocity, posttraumatic type, state regulation, and feeding disorders associated with concurrent medical conditions. Most feeding difficulties are nonorganic and without any underlying medical condition, but organic causes should also be excluded from the beginning, through thorough history taking and physical examination, based on red-flag symptoms and signs. Age-appropriate feeding principles may support effective treatment of feeding difficulties in practice, and systematic approaches for feeding difficulties in young children, based on each subtype, may be beneficial.

• 대한한의학원전학회지
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• 제33권1호
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• pp.135-147
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• 2020

Objectives : This study focuses on the condition Yinynagjiao, which was first mentioned in 『Huangdineijing』, on the cause, mechanism and reason for it being described as fatal. Later doctors's understanding and treatment of this condition were examined subsequently. Methods : Verses related to Yinyangjiao from texts such as 『Huangdineijing』, 『Jinkuiyuhanjing』, 『Maijing』 were cross-examined focusing on their context and difference in expression with reference to annotations and later texts that mention Yinyangjiao. Based on the findings, its mechanism and treatment methods as found in Wenbing texts were compared with descriptions from previous texts. Results & Conclusions : According to 『Huangdineijing』, heat disease belongs to the Shanghan category, treated through promoting perspiration. In the confrontational position between JingQi and XieQi, perspiration could be understood as the result of JingQi's victory that lead to the discharge of XieQi in the form of sweat. Yinyangjiao is the opposite situation where Jing is discharged while heat toxin sinks into the body, thus being fatal, and treatment aimed for perspiration not adequately addressing the main problem which was ultimately expected to resolve through means of solid Yin Jing that would stabilize the pulse in due time. On the other hand, Wenbing scholars saw the pathogen as heat, shifting previous perspectives entirely. As a result, instead of applying pungent/warm medicinals to promote sweating, they suggested the use of cool, sweet/moist medicinals to cool the heat and nourish Yin as means of treating the condition.

• 구강회복응용과학지
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• 제31권3호
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• pp.242-252
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• 2015

무치악 환자에서는 치아가 상실되면서 주위 치조골의 개조와 흡수가 일어나고, 이에 따라 총의치의 유지력 감소, 저작 효율의 저하와 통증으로 인해 의치 사용에 어려움을 겪게 된다. 이를 개선하기 위해 하악에 2 - 4개의 임플란트를 식립하고 어태치먼트에서 유지 또는 지지를 얻는 피개의치가 바람직한 치료 방법으로 고려되고 있다. 본 증례들은 하악 완전 무치악 환자들을 악간 관계, 골흡수 정도, 안모지지 등을 평가하여 하악에 2개의 임플란트 식립을 고려하고, 다양한 종류의 어태치먼트를 이용한 임플란트 피개의치 수복을 계획하여 치료하였다. 주기적인 경과 관찰 결과 심미적, 기능적으로 만족할만한 결과를 얻었기에 이를 보고하는 바이다.

• 대한한의학회지
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• 제35권1호
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• pp.157-170
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• 2014

Objectives: The purpose of this study was to develop a standard instrument of diagnosis and assessment for spleen qi deficiency pattern. Methods: Reports published in Korea and China related to spleen qi deficiency pattern were selected. Assessments of selected references were performed to select major symptoms of spleen qi deficiency pattern. Korean translation and review by a Korean linguist were performed to create a draft of [Standard instrument of diagnosis and assessment for spleen qi deficiency (for subject)]. The final [Standard instrument of diagnosis and assessment for spleen qi deficiency (for subject)] was completed after assessment on inclusion or exclusion, on importance of items and on validity of translation by an expert committee, consisting of professors from the National College of Korean Medicine. Results & Conclusions: 1. 14 major symptoms were selected by frequency from 45 references which were related to standard identification of spleen qi deficiency pattern, translated into Korean and reviewed by a Korean linguist. 2. 11 symptoms were selected after assessment on inclusion yes or no by the expert group. Items were listed in order of importance: tiredness of extremities (肢体倦怠), sallow complexion (面色萎黃), reduced appetite (食欲减退), abdominal distension after eating (腹胀食後尤甚), inability to eat (納少), pale tongue and white fur (舌淡苔白), lethargy (神疲), emaciation (消瘦), loose stool (大便溏薄), shortness of breath and reluctance to speak (少氣懶言), and weak pulse (脈緩弱). 3. Final [Standard instrument of diagnosis and assessment for spleen qi deficiency (for subject)] was completed after assessment of translation validity, reflection of individual opinions by the expert committee, and application of weighted value computed from assessment on importance of items.

• 동아시아식생활학회지
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• 제18권4호
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• pp.455-465
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• 2008

강화 지역의 전통음식, 시절식과 12달 동안의 절기식 및 출산시, 삼칠일, 백일, 돌, 화갑, 혼례 등의 통과 의례 음식에 대한 조사를 실시하여 전통문화의 계승 발전에 필요한 기초자료를 제시하고자 강화에서 20대 전후부터 거주하여 30년 이상 계속 거주한 50대를 대상으로 설문 조사하였다. 그 결과, 절기식은 정월대보름(87.5%), 추석(84.4%), 정월초하루 설날(79.8%), 동지(77.4%)로 주로 농사와 관련된 명절이 우세한 것으로 보였다. 통과 의례 음식 중 돌상은 86.4%가 차렸으며, 백설기, 수수팥떡, 송편, 인절미, 과일, 잡채 등의 음식이 전통적으로 사용되었다. 또한, 아이 낳은 산모에게 쌀밥과 미역국을 대접하는 경우가 367명(96.1%)이었다. 생일상을 집에서 차리는 경우는 256명(67.0%), 차리지 않는 경우는 126명(33.0%)이었다. 차리지 않는 이유는 '시간이 없어서'는 38.2%, '귀찮아서'는 19.4%로 57.6%를 차지하였다. 폐백상차림은 육포(닭), 대추, 밤이 기본적인 음식이었으며, 회갑상을 차리는 경우는 120명(31.4%)이었다. 제사를 장남집에서 모신다고 한 경우는 53.4%이었으며, 제사가 필요한 이유는 관습대로 지키는 것보다 조상에게 감사하는 마음이 더 많았다(p<0.05). 제사 음식은 주로 천주교는 친정어머니(66.7%)에게서 배우고, 불교는 37.9%, 유교는 54.5%가 시어머니에게서 배워 종교간에 유의적인 차이를 보였다(p<0.05). 임신 중 금기 식품은 개고기, 게장, 꽃게, 닭고기, 오리고기, 토끼고기, 팥죽, 팥밥, 커피, 모난 것, 물렁뼈가 있는 것, 불결한 모양, 비늘 없는 생선이라고 하였다. 이와 같이 시대가 지남에 따라 전통적인 의례 행사가 많이 변형되고 쇠퇴하는 것을 볼 수 있는데, 앞으로 지역의 축제나 전시회, 품평회, 대중매체를 통해 꾸준한 홍보 활동 등으로 전통의 맥을 이어야 하겠다.