• 대한치과마취과학회지
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• 제10권1호
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• pp.20-26
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• 2010

This type of neuropathic pain(atypical odontalgia) is seen most often in middle-aged women or men after dentoalveolar operation. Atypical odontalgia probably is caused by deafferentation leading to intraneural changes in the medullary dorsal horn. Treatment of this problem is difficult, but some success has been reported in uncontrolled, open-labeled studies using high doses of tricyclic antidepressants. This is the management report of a patient case, that had a neuropathic atypical odontalgia recognized with the right maxillary lateral incisor. The patient was consulted to the Department of Pain Clinics, ENT & Neurology and diagnosed the adenoid cystic carcinoma on left cerebellum and right paranasal sinus with extension to the cavernous sinus. In spite of the osteoplastic craniotomy, neurosurgical mass removal and radiation therapy were done with chemotherapy, atypical odontalgia was continued. In addition to the consultation to Psychology, stress management and antidepressant medication were done and improved slowly.

• 복식
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• 제51권8호
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• pp.111-121
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• 2001

본 연구는 중년여성의 상반신을 대상으로 기존원형에 대한 평가를 실시한 후 이를 기본으로 제도법을 수정·보완하여 중년여성 체형에 맞는 상반신 토루소 연구원형을 제작하기 위한 목적으로 연구되었다. 연구 대상은 35세에서 59세의 중년여성으로 하였으며, 45세를 전후로 체형이 변한다는 선행 연구를 토대로 중년 전기(35세∼45세), 중년 후기(46세∼59세)로 나눠 연구하였다. 연구원형 제작을 위해서 97년 국민체위조사보고 자료에 나온 35세∼59세에 해당하는 신체치수를 사용하여 대학에서 교재로 사용되고 있는 4가지 원형을 설계하고 이를 CADsystem을 이용하여 각 Pattern간의 차이를 정확하게 비교하고, 4가지 원형의 실험복을 제작하여 착의 실험을 통해 객관적 평가 11항목, 주관적 평가 23항목에 대해 설문 조사를 하여 문제점을 파악하였다. 이를 기초로 연구원형을 제작하였고 제작 후 연구원형의 신체 적합성을 알아보기 위해 기존원형과 마찬가지로 착의 실험을 하여 평가하였다. 실험 결과 기존원형들이 착용시 진동부분과 뒤중심부분의 당김으로 인해 착용자가 불편함을 느끼는 것으로 나타났고 외관상으로는 가슴둘레와 엉덩이둘레 부분에 여유분량이 중년여성 체형에 비해 상대적으로 적었으며 가슴선, 허리선, 엉덩이선의 위치 역시 중년여성의 체형과는 맞지 않은 것으로 나타났다. 대체로 중년 전기에 비해 중년 후기에서 수정 보완이 더 요구되었는데 특히 나이가 들수록 등이 뒤로 젖혀지는 현상으로 인해 측면에서 봤을 때 허리가 들어가는 현상이 두드러져 뒤 허리부분의 수정이 요구되었다. 이에 연구원형에서는 기존원형에서 나타났던 가슴선, 허리선, 엉덩이선의 위치 조절을 위해 앞목기준선을 위로 2cm 올려 주었고 가슴둘레와 엉덩이둘레 부분에 여유분을 각각 2cm더 주어 제작하였으며 중년 후기에서 두드러지게 나타났던 뒤허리부분의 문제점을 허리중심선 설정시 1∼2cm안쪽으로 설정하여 체형변화를 반영하였다. 이에 따른 연구원형에 대한 주관적·객관적 착의 평가 결과는 착용시 기존원형에서 나타났던 진동부분과 뒤중심부분의 당김이 없어지고 외관상 가슴선, 허리선, 엉덩이선이 기존원형보다 개선된 것으로 나타났으며, 전체적인 외관에서도 전·후기 모두 기존원형 보다 좋은 것으로 평가되었다.

• 한국의류산업학회지
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• 제15권2호
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• pp.268-276
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• 2013

This study identifies how people use bicycle wear, complaints about bicycle wear, and functions required for bicycle riding. This survey was conducted with bicycle club members (men and women) in their twenties to sixties who ride bicycles on a regular basis. A total of 373 subjects responded to questionnaires and 326 responses were used for further data analysis. The data was analyzed by descriptive analysis, multiple response analysis, crosstabulation analysis, factor analysis, reliability analysis, and one-way ANOVA. The results are as follow: First, the people surveyed were primarily men, young adults and middle-aged people. They ride bicycles mainly to participate in club activities, to exercise, and to spend their spare time with a well-being trend that focuses on leisure and health. Second, they often utilize bicycle wear when they ride bicycles. They are aware of bicycle wear brands. In addition, a majority have purchased bicycle wear that shows a very high awareness of bicycle wear. Third, as for complaints about bicycle wear worn when riding bicycles, a majority of people answered that the waist part of the top pulls up and they feel sore with the bottom part of the pants when riding bicycles for a long time. They also answered that it is inconvenient to put belongings in both tops and pants. Fourth, there is a high demand for safety-related functions for bicycle riding in regards to the functions required for bicycle wear. In addition, a majority of the members showed a customer awareness of functional bicycle wear and intended to purchase bicycle wear equipped with smart functions.

• 대한간호학회지
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• 제50권2호
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• pp.191-199
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• 2020

Purpose: The purpose of this study was to compare sociodemographic characteristics of a normal cognitive group and mild cognitive impairment group, and establish prediction models of Mild Cognitive Impairment (MCI). Methods: This study was a secondary data analysis research using data from "the 4th Korea Longitudinal Study of Ageing" of the Korea Employment Information Service. A total of 6,405 individuals, including 1,329 individuals with MCI and 5,076 individuals with normal cognitive abilities, were part of the study. Based on the panel survey items, the research used 28 variables. The methods of analysis included a χ²-test, logistic regression analysis, decision tree analysis, predicted error rate, and an ROC curve calculated using SPSS 23.0 and SAS 13.2. Results: In the MCI group, the mean age was 71.4 and 65.8% of the participants was women. There were statistically significant differences in gender, age, and education in both groups. Predictors of MCI determined by using a logistic regression analysis were gender, age, education, instrumental activity of daily living (IADL), perceived health status, participation group, cultural activities, and life satisfaction. Decision tree analysis of predictors of MCI identified education, age, life satisfaction, and IADL as predictors. Conclusion: The accuracy of logistic regression model for MCI is slightly higher than that of decision tree model. The implementation of the prediction model for MCI established in this study may be utilized to identify middle-aged and elderly people with risks of MCI. Therefore, this study may contribute to the prevention and reduction of dementia.

• Journal of Oral Medicine and Pain
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• 제42권4호
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• pp.116-124
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• 2017

Purpose: Burning mouth syndrome (BMS) is a disabling pain that mostly occurs in elderly women, but rarely in men. It is characterized by an unremitting oral burning sensation and pain without detectable oral mucosal changes. We investigated the clinical and hematologic features of middle-aged men with BMS, and compared the results to those of men with oral mucositis. Methods: Five men with BMS ($48.60{\pm}6.19years$) and five age-matched controls with oral mucositis ($49.80{\pm}15.26years$) underwent clinical and psychological evaluations and blood tests. Psychological status was evaluated using the Symptom Checklist-90-Revised. Cortisol, estradiol, progesterone, testosterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH), adrenocorticotropic hormone (ACTH), and antidiuretic hormone (ADH) levels and erythrocyte sedimentation rate (ESR) were determined from the blood samples. Results: ADH level was significantly lower in men with BMS than in the controls. ADH levels correlated with testosterone (p<0.01), and ACTH levels strongly correlated with ESR (p<0.05). Progesterone level positively correlated with FSH and LH levels. Pain intensity on a visual analogue scale correlated with estradiol level only in men with BMS. Among psychological factors, the obsessive-compulsive disorder, interpersonal-sensitivity, and anxiety scores were higher in men with BMS than in the controls (p<0.05). However, no correlations were observed between the psychological and hematologic factors in both groups. The BMS symptoms presented only on the tongue, with the lateral border being the most prevalent area. Conclusions: Men with BMS may experience dysregulated endocrinologic or psychoneuroendocrinologic interactions, which might affect oral BMS symptoms, aggravating the severity of the burning sensation.

• 대한지역사회영양학회지
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• 제18권6호
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• pp.611-625
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• 2013

The purpose of this study was to investigate dietary behaviors and health-related lifestyles of adult visitors at a public health center in Gyeonggi urban area. A survey using questionnaire was conducted with 949 visitors at Seongnam public health centers from June to August, 2012. The data from 905 respondents were analyzed by gender, consisting of 322 males and 583 females, and age group, consisting of 243 low-age group (LA), 312 middle-age group (MA), 350 high-age group (HA), aged 20 to 30 years, 31 to 50 years, and 51 to 69 years, respectively. Average Body Mass Index was 23.0, which increased with age, and education level was high in LA. 59.0 percent of the subjects had various diseases, and the incidence of hypertension was the highest, followed by allergy, hyperlipidemia, diabetes mellitus, joint rheumatism. Incidence rates of chronic disease increased with age, which were lower than those from 2011 Korea National Health and Nutrition Examination Survey (KNHANES). Weekly drinking frequency rate and smoking rate decreased with age, and exercise performing rate was high at male and HA, which showed the same tendency as KNHANES. Female and HA showed more healthy dietary behaviors such as restricting salt, sugar, oily foods, foods containing food additives, calorie, caring for balanced diet, and referring to nutrition label. Subjects chose stress as the first factor, followed by diet, exercise, etc., among 13 suggested factors which strongly influence on human's life-span. In general, public health center visitors, especially female and HA, showed better dietary behaviors and health-related lifestyles compared with KNHANES.

• 구강회복응용과학지
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• 제31권2호
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• pp.134-142
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• 2015

편평태선은 면역 매개 점막피부 질환으로 병인은 여전히 알려져 있지 않고, 중년의 백인 여성에서 흔히 발생하고 구강점막에서 증상이나 징후가 생기기도 한다. 편평태선의 피부 병소는 가려움을 유발하나 자기 제한적이고, 구강편평태선의 구강 병소는 만성적이고 좀처럼 스스로 치유되지 못하고, 드물긴 하나 잠재적으로 전암 병소로 발전할 수 있다. 구강편평태선은 비록 비치태 연관 질환이나 통증, 출혈로 인해 적절한 치태 조절이 어렵게 되어 치태 연관 질환을 야기할 수 있고, 작열감, 자발적인 출혈 등 구강편평태선과 관련된 점막 증상이 축적된 치태에 의해 더욱 악화될 수 있다. 따라서 구강편평태선 환자에서 구강편평태선 자체의 약물적 치료뿐만 아니라 적절한 구강 위생 관리, 치석 제거 등의 치주 치료가 동반되어야 한다. 본 증례에서는 구강편평태선 환자에서 국소적인 코르티코스테로이드 치료뿐만 아니라 구강 위생 교육을 포함한 치주 치료를 통해 증상 및 징후를 개선시키고 재발 방지를 도울 수 있었다.

• 한국주거학회:학술대회논문집
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• 한국주거학회 2005년도 추계학술대회 논문집
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• pp.73-77
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• 2005

To design senior housing that support residents' health is one of the comtemporary issues in Korea. As elderly people became more healthful and reach, people became interested in the health and health promotion. This trend encouraged this research study. The objectives of this study are: to analyze the middle aged people's opinions and behaviors related to health issues, and to suggest design considerations for senior housing. The survey used questionnaire from 476 residents living in Seoul and Gyeong-Gi area. The analysis used descriptive statistics, one-way anova and t-test. Primary findings are as follows: (1) Most of the respondents considered that their health state is 'good' and mental health is more important than physical health. (2) Many people exercise regularly for the promotion of health at a gym. (3) Results show that social relationship effect on health, and dietary life and walking medical examination account highly. (4) As the respondents are higher income and education level, the health-related behavior is more actively. Moreover the respondents who are women feel a great interest about health issues. These results suggest directions for planning of the senior housing. (1) Planning the space for the health-promoting behavior in the house or support a private gym-not a local facilities-. (2) Service for the information related health issues - medical examination, news of the health issues (3) Support the maintenance a good - social relationship (4) Consideration the space with health-related behavior like walking and dietary-life. The senior housing can reflect the health-related opinions and support health-related behavior of the elderly people.

• 지역사회간호학회지
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• 제12권3호
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• pp.705-715
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• 2001

This study examined 19 papers published from 1977 to 2000 based on the objective frame evaluation. This purpose of this study was to examine the trend of Hwabyung research and to serve as a guide for the future 'Hwabyung' study. The results of studies were as follow. In the design of research, clinical studies are definitely dominant. As for the fields of research, the concept of Hwabyung was studied more frequently than the others. As for the authorship. psychiatrists prevailed but nursing professionals are on the increase. Research subject in clinical and survey study, patient was definitely dominant and the place of study was almost always a hospital (75%), data collection was higher on interview (58.3%). Hwabyung was considered unique culture bounded syndrome related to Korean culture. Frequent etiologic factor of Hwabyung were a husband's extra-marital affair, conflicts between houses wives and mothers-in-laws, and financial loss and suffering. From the incidence of Hwabyung, a greater number of patients with Hwabyung were middle aged women in the low economic and educational classes, and these were connected with the culture and the family system. The symptoms of Hwabyung included psychological and physical symptom, neurological disorder and disease behavior. Defense mechanisms and coping strategies for Hwabyung were somatization, suppression, orality, withdrawal, isolation, regression, help-seeking, complaining, and wreaking anger. Treatment of Hwabyung were medication, effort by herself, communication with families, consultation with psychologist, acupuncture, negative therapy, moxa, and Qi-kong. Psychiatric therapy, behavior therapy, nursing intervention on multi-interdisciplinary approach and psychiatric nursing approach were recommended for the nursing care of a Hwabyung patient.

• 문화기술의 융합
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• 제4권4호
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• pp.241-247
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• 2018

본 연구는 지역아동센터 청소년을 대상으로 서비스 이용경험-센터 교사와의 만족도 및 서비스 이용평가-이 공동체의식에 미치는 영향을 알아보고 센터 서비스 이용경험과 공동체 의식간의 관계에서 학교적응의 매개효과를 파악하고자 하였다. 지역아동센터 아동패널조사 2기 패널 대상자 중 2017년 전국 중학교 1학년 청소년 438명을 표본으로 하였다. 자료는 SPSS 18 프로그램을 이용하여 상관관계분석, 단계별 회귀분석 및 Sobel test를 실시하였다. 연구결과 지역아동센터 청소년들은 센터 교사와의 만족도 및 서비스 이용평가를 긍정적으로 인식할수록 공동체 의식이 높았으며, 아울러 교사 만족도 및 서비스 이용평가는 학교적응을 통해 공동체 의식에 긍정적 영향을 미침으로써 부분매개효과를 나타냈다. 이를 토대로 저소득 청소년의 공동체의식 증진을 위해 청소년과 센터 교사 간 긴밀한 관계 유지, 서비스의 질적 수준 향상, 지역아동센터와 학교체계 간 연계 프로그램 개발 및 적용의 필요성을 제안하였다.