• Journal of Oral Medicine and Pain
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• 제38권1호
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• pp.87-95
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• 2013

측두하악관절 골관절염은 측두하악장애의 한 형태로 관절조직의 생리적 내성을 초과하는 기능적 부하가 지속적으로 관절에 가해졌을 때 관절연골 및 연골하 골조직의 점진적 파괴와 이차적 염증을 특징으로 하는 질환이다. 관절면에 가해지는 물리적 하중은 관절내에서 기질파괴 단백효소나 염증성 cytokine, 유리기의 활성을 증가시키고, 그에 따라 골조직의 퇴행과 재형성 사이의 균형을 깨뜨려 골조직의 흡수를 야기한다. 최근에는 물리적 하중 이 외에 비만세포에서 유래하는 adipokine이 골흡수를 증가시킨다는 보고들이 있으나 측두하악관절에 적용하기에는 아직 추가적인 연구가 필요하므로 현재로서 골관절염의 치료는 관절의 기능적 부하를 줄이고 환자의 생리적 내성을 증가시키는 방향으로 이루어져야 한다. 임상증상은 충분한 기간 정확한 술식대로 시행한 물리치료, 약물치료, 교합안정 장치치료 등의 보존적 처치와 관절강내 주사요법이나 관절세척술 및 관절경 수술과 같은 추가적인 외과적 처치에 의해 성공적으로 조절될 수 있으나, 임상증상의 개선이 골파괴의 중지와 재형성을 담보하는 것은 아니므로 임상증상의 개선 이 후에도 지속적인 골변화의 추적관찰이 필요하다. 또한, 골변화 활성 자체를 직접적으로 조절할 수 있는 활용 가능한 치료법이 없는 한, 지속적인 동기유발과 행동조절을 통해 관절에 가해지는 기능적 부하를 환자 스스로 조절할 수 있도록 끊임없이 교육하는 것이 골변화를 겪는 측두하악관절로 하여금 보다 이른 시기에 보다 유리한 정형적 안정에 도달하게 함으로써 골관절염을 보다 성공적으로 조절할 수 있는 길이라고 할 수 있다.

• 한국컴퓨터정보학회논문지
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• 제17권3호
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• pp.51-57
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• 2012

간 혈관 구조는 간에 대한 질병을 판단하거나 간 수술 계획을 세우는 데 중요한 요소이다. 특히 생체간이식에서 간 혈관 구조는 기증자와 수혜자의 안전을 보장하기 위하여 수술 전 환자의 간 상태를 파악하고 좌우엽의 체적을 계산하는 중요한 근거로 활용된다. 본 연구는 조영제를 투여한 복부 MDCT 영상에서 추출된 간 영상으로부터 간 혈관을 자동추출하기 위하여 노이즈에 강한 Canny edge detection을 활용할 수 있는 방안을 제안한다. 환자마다 달라질 수 있는 간 영상의 밝기와는 독립적으로 간 내부의 혈관을 추출하기 위하여 간 영상의 히스토그램과 평균 픽셀값을 이용하여 Canny 알고리즘에 사용되는 최적의 파라미터들을 정의한다. 간 영상의 밝기에 따라 파라미터를 수동으로 조절하는 경우보다 시간을 절약할 수 있다. 찾아진 혈관의 경계선에서픽셀의 밝기를 이용하여 후보 혈관을 추출한다. 최종적으로 수평과 수직방향으로 연결된 혈관이나 고립된 혈관을 검색하는 시스템을 이용하여 추출에 실패한 혈관을 추가하고 노이즈를 제거한다. 그 결과로써 환자마다 나타나는 다양한 혈관 모양을 정확하게 3차원으로 재구성한다.

• Journal of Acupuncture Research
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• 제32권2호
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• pp.23-33
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• 2015

Objectives : This study was designed to assess the general distribution and clinical effectiveness of Korean medical treatment on lumbar disc herniation. Methods : This is an observational study. 72 patients admitted to Daejeon Jaseng Hospital of Korean Medicine with a diagnosis of herniated intervertebral disc(HIVD) by lumbar-CT of lumbar-MRI were observed from July, 2014 to April, 2015. They were analyzed according to sex, age, the period of disease, causal factors, symptoms on admission, admission day, disc herniation type and treatment efficacy. All patients received a combination of treatments during hospitalization, including acupuncture, Chuna, herbal medicines and physical therapy. A zero to ten numerating rating scale(NRS) assessing pain, Oswestry disability index(ODI) and EuroQol-5 dimension(EQ-5D) was used before and after treatments. Results : Average admission duration was $28.00{\pm}12.85$ days in lumbar disc patients. For lumbar patients, lower back pain NRS decreased from $5.89{\pm}2.00$ to $3.42{\pm}1.87$(p<0.001) and radiating pain from $5.96{\pm}2.12$ to $3.38{\pm}1.83$(p<0.001). ODI decreased from $46.69{\pm}19.25$ to $35.69{\pm}16.67$(p<0.001), and EQ-5D index increased from $0.63{\pm}0.26$ to $0.71{\pm}0.20$(p<0.05) after treatment in lumbar disc patients. Conclusions : Korean medical combination treatment might be effective in reducing pain and improving quality of life for patients with lumbar disc herniation. This study further confirmed the efficacy of Korean medical treatment on HIVD.

• Tuberculosis and Respiratory Diseases
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• 제55권4호
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• pp.402-407
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• 2003

저자 등은 성인에서 드물며, 또한 국내에서 원격전이를 일으킨 예가 보고된 바 없는 중배엽성 신종이 35세 여자 환자에서 발생하여 신적출술 7년 후 폐전이로 하나의 큰 종괴를 형성한 증례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 혜화의학회지
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• 제12권1호
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• pp.79-102
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• 2003

It has been believed that the human body can be effected by color, sound, smell, and taste - each of them is based on the original character. Out of these elements, the color can be a mediation that absorbs energy into human body and adapts it to the creatures whose life are definitely based on the solar energy. This thesis makes a study of the possibility of applying the color to the oriental medical science by researching the color psychology and therapy which are studied in the west medical science, the recognition and application of color developed from orientalism, and the opinion of color in the oriental medical science. Color therapy is one of the psychological treatment techniques that are able to recover and maintain the health with the rays of the sun rays and the color. The light and the color have its energy that may relax, harmonize, encourage, or excite a human being. This is because the wavelength and the vibration of each color will take effects to human body. The core energy of absorbing and distributing the color vibration is made in the 7 "chakras" in the body, which are the pith and marrow of bio-energy directly connected with the center of the nervous system. There are several methods in the color therapy - the treatment of solar ray, the color-bath, the water-therapy using color energy, the inducement of the solar energy into the body, the acupuncture, the therapy of crystal and jewel, and the self-suggestion dependent upon the color. The color therapy can help us to keep our balance by changing the emotion into the positive energy that will cure the disease with color. As a result, this method not only must be useful to cure physical disease, or develop into good health but also will be used in conforming itself to the mental disease. The color therapy mainly uses the eight colors, which are made by mixing Red, Yellow and Blue basic colors in the field. They are never used in the treatment, but they will go along with complementary colors. This rule is closely connected with the theory of yin and yang which lies at the root of oriental philosophy, and with the treatment principle of oriental medical science whose field is focused on the balancing the body mentally as well as physically. In the East, it is the Obangsaek - the color of blue, red, yellow, white, and black in the theory of yin and yang and the five elements that have been used in helping people having trouble with their health for a long time. In the view of the oriental medical science, these five colors attached the theory of five-elements have been very useful to the physiology, the pathology, or the diagnosis, and been applied to the medical treatment, combining themselves with a five-taste in medicinal herbs. Since the study of color and human physiology has been made in some different interest and fields these days, it goes to prove that the different function of color we couldn't have got before becomes very useful to the medical science. The color must be worth researching the diversity for applying itself to the oriental medical science.

• 서비스연구
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• 제5권2호
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• pp.111-118
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• 2015

모바일 기기의 발달은 삶의 여유를 가지도록 만들었지만 그 반대편에서는 이를 금융범죄의 대상으로 간주하고 공격하는 세력들이 나타나게 되었다. 스마트폰을 대상으로 하는 범죄 중에서 금융관련 범죄는 스미싱, 피싱, 파밍, 보이스 피싱 등이 있으며, 특히 모바일의 특성상 문자메시지를 이용한 스미싱이 많이 증가되고 있는 현상이다. 스미싱은 스마트폰 사용자가 급증해 짐으로 인하여 발생하는 신종범죄로서, 그들의 범죄방식도 기존의 사기행위에서 벗어나 악성 앱을 제작하는 등 그 수법이 고도화되어가고 있으며, 특히 관련법의 허점을 이용하기 때문에 외국서버를 이용하는 등의 방법을 통하여 발생시키고 있다. 스미싱 공격으로부터 안전하게 개인과 기업 및 국가의 자산이 보호되기 위해서는 사후적인 대응보다는 사전적인 예진이 더욱 중요하다. 이를 위해서는 스미싱 공격을 사전에 감지하고 차단할 수 있는 프로그램을 개발하고 배포하는 것이 필요하다. 이에 본 논문에서는 현재 배포되고 있는 차단앱의 종류와 차단과정을 조사하고 감지설정을 적용한 차단앱의 평가방법을 제시한다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제39권
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• pp.26.1-26.10
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• 2017

Background: The impairment of the appearance is a major problem for patients with carcinomas of the oral cavity. These patients want to recover their preoperative facial appearance. Some do not realize that this is not always possible and hence develop a desire for further cosmetic and reconstructive surgery (CRS) which often causes psychological problems. Method: The desire of patients for CRS (N = 410; 26%) has been acquired in this $D{\ddot{O}}SAK$ rehab study including multiple reasons such as medical, functional, aesthetic and psychosocial aspects. They relate to the parameters of diagnosis, treatment and postoperative rehabilitation. Patients without the wish for CRS (N = 1155; 74%) served as control group. For the surgeons, knowledge of the patient's views is relevant in the wish for CRS. Nevertheless, it has hardly been investigated for patients postoperatively to complete resection of oral cancer. In this retrospective cross-sectional study, questionnaires with 147 variables were completed during control appointments. Thirty-eight departments of Oral and Maxillofacial Surgery took part, and 1652 German patients at least 6 months after complete cancer resection answered the questions. Additionally, a physician's questionnaire (N = 1489) was available. Statistical analysis was performed with SPSS vers. 22. Results: The patient's assessment of their appearance and scarring are the most important criteria resulting in wishes for CRS. Furthermore, functional limitations such as eating/swallowing, pain of the facial muscles, numb regions in the operating field, dealing with the social environment, return to work, tumour size and location, removal and reconstruction are closely related. Conclusion: The wish for CRS depends on diverse functional psychosocial and psychological parameters. Hence, it has to be issued during conversation to improve rehabilitation. A decision on the medical treatment can be of greater satisfaction if the surgeon knows the patients' needs and is able to compare them with the medical capabilities. The informed consent between doctor and patient in regard to these findings is necessary.

• 청정기술
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• 제22권2호
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• pp.75-81
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• 2016

문명의 발달과 더불어 경제적으로 생활이 윤택하여지고 산업기술이 고도화 되어감에 따라 평균수명이 급격히 연장되었고, 건강식품과 의약품에 대한 의존도와 수요도 급격하게 증가하는 추세이다. 최근에는 건강식품과 의약품의 부작용이 사회적인 이슈로 등장하고 부작용이 없는 의약품의 개발, 환경과 식품산업의 건전성 향상을 위해 신속 간편하며 정확하게 건강과 환경을 계측할 수 있는 기술의 개발 또한 시급한 과제로 부각되고 있다. 의약품의 생산 공정뿐만 아니라 소비자 스스로 자기 건강을 자가 진단하고자 하며, 자기가 먹는 음식의 안전성 여부와 자기가 사는 환경의 안전성 여부를 스스로 확인하고자 하는 욕구 또한 증대되고 있다. 본고에서는 키랄 의약품, 기존의 키랄 의약품 분리기술, 분자자기인식 기법, 그리고 분자자기인식 기법에 의한 키랄 의약품 분리기술 개발동향에 대한 간단한 소개와 분자자기인식 기법에 의한 키랄 의약품 분리ㆍ분석 기술 개발 현황과 그 시장성에 대해 고찰하고자 한다.

• 지역사회간호학회지
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• 제6권2호
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• pp.234-249
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• 1995

Essential hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Thus the comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care 'performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi -experimental research with pre and post test design was used. And the whole program was carried out from October, 1993 to February, 1994. Self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The data was analyzed by experimental stages: the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t -test and F-test, and multiple correlation to determine the variables affecting the effect of program. The results were as follows : 1) Subjects in J company were significantly lower diastolic blood pressure than K company after the program (t=2.39, p=.024). Level of cholesterol was significant difference according to position(t=2.23, p=.034), family history (t=-2.66, p=.013), diagnosis duration, and career(t=2.88, p=.055). Perceived self-efficacy was more significantly increased among the group with family history(t=-3.00, p=.013). 2) Before the program, there were significant positive correlation among the variables: internal-LOC and self-efficacy(r=.3952, p=.015), external-LOC and barriers (r=.6515, p=.000), chance-LOC and Barriers(r=.4133, p=.012). However there were significant negative correlation between internal-LOC and barriers (r=-.3236, p=.041, external-LOC and self -efficacy(r=-.3517, p=.028), self-efficacy and barriers(r=-.6654, p=.000). 3) There were significant relationships between changes in self - care performance and self-efficacy at 5th week (r=.5313, p=.001) and changes in self-efficacy at 9th week(r=.4586, p=.005). 4) After the program, internal health locus of control and perceived benefits showed significant correlation(r=.5673, p=.001, but perceived barriers was negative correlation with perceived self-efficacy (t=-4242, p=.01). From the above results, it can be concluded that the self-regulation program is an effective nursing strategy through the change of variables to promote self-care performance of hypertensives and to increase the self-efficacy. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings.

• Archives of Plastic Surgery
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• 제34권1호
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• pp.77-80
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• 2007

Purpose: Purpura fulminans is a rare but rapidly progressive, serious, often life-threatening disorder in childhood, which is complicated with septic shock or disseminated intravascular coagulopathy during acute infection. It occurs first as acute-onset petechial rash, and spreads rapidly into full thickness skin and soft tissue necrosis. In the past, it had high mortality rate, up to 80%, but recently, survival rate has increased due to early diagnosis, and rapid advancement of critical care and antibiotics. From our experiences of PF management, we would like to review the pathophysiology and suggest the surgical treatment guideline about meningococcal induced purpura fulminans. Methods: Two cases of purpura fulminans over the last 3 years were reviewed retrospectively about reconstructive management. After they were treated resuscitative management initially by the critical intensive care, reconstructive surgery was performed by plastic surgeon as soon as the patients were vitally and mentally stable. Results: There were 6 procedures in case 1, and 3 procedures in case 2. The mean delayed period from admission with sepsis to the first surgical debridement was 24 days and 42 days, respectively. Total hospitalization period was 103 days and 69 days, respectively. All of them were treated with debridement and split thickness skin graft, but delayed debridement was superior to early one in the point of preserving much more tissues. Conclusion: From our experience, we suggest that conservative therapy to the wounds appears to be the best tool in the initial vitally unstable period in order to preserve as much tissues and functions as possible if no active inflammation and compartment syndrome are detective.