• 한국임상수의학회지
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• 제38권1호
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• pp.45-48
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• 2021

A 6-year-old, 26 kg spayed female Great Dane presented with back pain and hindlimb paresis. On neurological examination, severe pain was detected on the lumbosacral joint displaying nerve-root signature. The animal presented with lower motor neuron paresis with normal deep pain perception. Radiographic examination revealed narrowing of the lumbosacral joint disc space with endplate destructive lysis. Magnetic resonance imaging of the lumbosacral joint revealed a cauda equina compression, especially on the left. On T2 and T1-weighted images, a mass sized 1 × 1 cm was identified laterally to the left of the lumbosacral joint with hyperintense signal. The lumbosacral joint was stabilized by applying the dorsal distraction fixation-fusion technique and dorsal laminectomy. The soft tissue mass was removed, and a bacterial culture was performed. Coagulase-negative Staphylococcus spp. were detected and discospondylitis was treated with clindamycin for 6 weeks. The patient showed clinical improvement without pain and hindlimb paresis until 6 months follow-up postoperatively.

• 대한치과교정학회지
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• 제54권1호
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• pp.16-25
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• 2024

Objective: To compare the effectiveness of laser-engineered copper-nickel titanium (SmartArch) and superelastic nickel-titanium (SENT) archwires in aligning teeth and inducing root resorption and pain experienced by patients. Methods: Two-arm parallel groups with a 1:1 allocation ratio were used. The participants were patients aged 11.5 years and older with 5-9 mm of mandibular anterior crowding who were indicated for non-extraction treatment. The primary outcome was alignment effectiveness, assessed using Little's irregularity index (LII) over 16 weeks with a single wire (0.016-inch) in the SmartArch group and 2 wires (0.014- and 0.018-inch) in the SENT group (8 weeks each). Secondary outcomes included root resorption evaluated by pre- and post-intervention periapical radiographs and pain levels recorded by the participants during the first week. Results: A total of 40 participants were randomly allocated into 2 groups; 33 completed the study and were analyzed (16 in the SmartArch group and 17 in the SENT group, aged 16.97 ± 4.05 years). The total LII decrease for the SmartArch and SENT groups was 5.63 mm and 5.29 mm, respectively, which was neither statistically nor clinically significant. Root resorption was not significantly different between the groups. The difference in pain levels was not statistically significant for the first 5 days following wire placement; however, there was a significant difference favoring the SENT group in the final 2 days. Conclusions: SmartArch and SENT archwires were similarly effective during the alignment phase of orthodontic treatment. Root resorption should be observed throughout the treatment with either wire. SmartArch wires demonstrated higher pain perception than SENT wires.

• Journal of Acupuncture Research
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• 제24권3호
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• pp.215-229
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• 2007

Objectives : Placebo phenomena have been considered as a confounding factor of clinical trial. Expectancy and belief of acupuncture have not been evaluated quantitatively. The present study was performed to analyze the emotional and cognitive factor .of acupuncture and investigate whether the expectancy of acupuncture treatment is associated with the cognition of acupuncture. Methods : The expectancy and the perception of bodily sensation (PBS) of 22 participants were assessed using self-reported questionnaire. The subjects used the self assessment manikin (SAM) to rate each of the standard affective image of the international affective picture system (lAPS) and other acupuncture-related image. Based on the degree of expectancy, the high expectant (HE) and the low expectant (LE) group were classified. The thermal and pressure pain threshold was objectively evaluated using radiant-heat device and algometer. The degree of expected pain of acupuncture and the actual pain of painful stimulation was subjectively evaluated using facial pain scales (FPS). Results : Using SAlVI analysis, we identified the negative correlation between hedonic valence and arousal dimension on acupuncture-related visual cue. The degree of the PBS and general pain threshold did not show any significant difference between the HE and the LE group. The HE group rated the acupuncture images as more pleasant, more arousing, than the LE group. In addition, we also found that the higher expectancy marked the lower FPS of the expected pain of acupuncture, but not of the actual pain of painful stimulation. Conclusions : Our preliminary study identified the psychological dimensions of acupuncture-related visual cue. These findings indicate that the expectancy of acupuncture could affect the cognition of acupuncture.

• 대한간호학회지
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• 제44권2호
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• pp.189-197
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• 2014

Purpose: This study was conducted to develop an asthma management education program for preschool children using Roy's adaptation theory as a framework and examining the effects of this program on adaptation to asthma treatment. Methods: A non-equivalent control group pre-post-test design was used with 43 preschool children diagnosed with asthma and required to be hospitalized for inhalation therapy. An intervention group (n=23) participated in the educational program and a control group (n=20) received regular treatment. The education program was conducted and evaluated from June 30 to October 31 2012, a maximum 3 times every 24 hours during hospitalization. Two nurses conducted the program using the teaching method of Gagn$\acute{e}$ and Briggs; instruction design theory through questionnaires to measure perception of disease, behavior of adaptation to treatment with inhalation therapy. Results: Effects of asthma management education program; scores for face-pain rating decreased and time of adaptation to treatment increased significantly in the experimental group compared to the control group but no significant differences were found for perception of the disease's cause and treatment. Conclusion: Results indicate that the asthma management education program has positive effects on adaptation to asthma treatment of preschoolers.

• Asian Pacific Journal of Cancer Prevention
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• 제15권24호
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• pp.10927-10932
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• 2015

Background: Older age is associated with an increase in the incidence of cancer cases. Diagnosis and treatment of cancer in older adults can be stressful because of health decline related to age, comorbidities and inadequate treatment for pain and other symptoms of the disease. This survey is one of the unique studies in Jordan and in the Arab world that aimed at exploring the predictors of older adult individuals awareness towards cancer. Materials and Methods: A stratified random sampling technique was followed to reach a representative sample of 753 participants. The questionnaire of the study consisted of parts regarding demographic variables, awareness about screening tests, and signs and symptoms of cancer. In addition, specific questions related to factors linked to cancer were included. Cross-sectional design was adopted with face-to-face interviews at the interviewees' households. Results: The mean age of the participants was about 63 years; around 44% of them are above the age of 65 years. 'Being convinced that having no health problem makes the individual feel safe and not at risk of getting cancer' was the major reason for not doing a routine health check-up. Conclusions: The low levels of awareness about cancer, as well as the low use of the screening methods were crucial outcomes of this study. Thus, raising the awareness among health care providers and policy makers in the country about older adults' perception of cancer is a high priority.

• 한국보건간호학회지
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• 제14권2호
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• pp.203-215
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• 2000

The purpose of this study is to identify the effects of the supportive program for arthritis patients. who are attending a rheumatoid arthritis clinic. To achieve this purpose. this study adopted a quasi-experimental. pre- and post-test research design. comparing experimental group with control one. Supportive program was composed of in-depth. 3 times of direct interview and 2 times of advice using telephone for 8 weeks. The object of these interviews and phone was focused on the improvement of patients' preception for health. During this period. the level of pain, hemato-immunologic indices(ESR, CRP). self-efficacy, depression. and perception for health were measured in both grooups. Data were analysed by $x^2-test$, t-test. repeated measures ANOVA and Pearson's correlations. The results were as follows : 1. There were no significant differences in physiological data. 2. The feeling of self-efficacy was significantly increased in experimental group(P=.012), 3. There was no significant differences in depression. 4. The perception for health status was significantly increased in experimental group(P=.002). Thus, the supportive program. which is focused on the close interpersonal communication. proved to be effective. This result justifies the following suggestion that the role of the nursing professionals in out-patient clinic should be extended for more qualified care for the patients.

• 감성과학
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• 제22권2호
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• pp.69-82
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• 2019

동물은 마음을 갖고 있는가? 우리는 동물의 마음을 실제로 잘 알 수 없기 때문에 동물과의 관계를 통해 동물의 마음을 추정할 가능성이 높다. 본 연구에서는 동물을 사랑하는 태도와 고기를 먹는 행동에 대한 모순적 관계를 동물에 대한 마음지각의 맥락에서 두 개의 연구를 통해 검증하였다. 연구 1에서는 다양한 동물에 대한 마음지각을 경험의 차원과 주도성의 차원에서 분석하였다. 연구 2에서는 소를 고기로 기술한 실험조건과 고기가 아닌 동물로 기술한 통제조건에서 소와 성적 객체화된 여성에 대한 마음지각을 각각 측정하였다. 그 결과 연구 1에서는 동물에 대한 마음지각의 정도가 높을수록 고기를 먹는 행동을 도덕적으로 옳지 않은 것으로 판단하는 평정점수가 높았다. 연구 2에서는 소를 고기로 기술한 실험조건에서 통제조건보다 소와 성적 객체화된 여성에 대한 마음지각이 통제조건보다 낮게 나타났다. 따라서 동물이 '고기'로 제시되는 상황에서는 동물에 대한 마음지각의 조정을 통해 동물을 해치는 행동에 대한 심리적 불편감을 감소시킬 가능성을 생각해볼 수 있다. 이 결과는 인지부조화이론에 따라 고기를 먹는 행동과 동물에 대한 태도의 차이에서 발생하는 심리적 불편감을 줄이고자 동물에 대한 마음지각을 조정하는 것으로 해석할 수 있다. 또한 동물에 대한 객체화는 인간에 대한 객체화 및 마음지각에 영향을 끼침을 추정해볼 수 있다. 이 결과는 마음지각, 인지부조화이론 및 객체화이론이 일상에서의 도덕성과 연관된 태도와 행동의 모순적 관계를 설명하는데 유용함을 보여준다.

• Journal of Oral Medicine and Pain
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• 제35권4호
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• pp.293-298
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• 2010

이 연구의 목적은 하악골 주위의 감각이상을 초래하는 치과 시술 후 하치조신경 및 그 분지부의 술후 통증, 또는 감각감퇴 나 감각이상을 호소하는 환자들의 전류인지역치를 측정하여 정상인과 비교할 때 어떠한 변화와 차이가 있는지 살펴보고 이를 임상에 활용하기 위함이다. 조선대학교 치과병원에서 하악 부위의 치과수술을 받은 후 지각이상을 주소로 구강내과로 전원된 환자(발치 14명, 임플란트 식립 7명, 악골 골절수술 3명, 안면부위 외상환자 3명, 낭종적출술 및 인공골 이식 환자 각 1명) 29명과 안면부의 통증이나 지각이상, 전신질환 등이 없는 건강한 정상인 25명을 대상으로 뉴로미터를 이용하여 2000 Hz, 250 Hz, and 5 Hz 주파수로 삼차신경 하악분지의 전류인지역치를 측정하였다. 전류인지역치는 남 녀 성별에 따른 비교에서 대조군의 $A{\beta}$ 신경섬유 (2000 Hz)에서 남자가 여자보다 유의하게 높게 나타난 것을 제외하고는 $A{\delta}$ 신경섬유(250 Hz), 신경섬유(5 Hz)의 전류인지 역치는 환자군과 대조군 모두 전류인지역치가 모든 주파수에서 유의한 차이가 관찰되지 않았고, 환자군과 대조군을 비교할때 모든 주파수 영역에서 환자군이 대조군보다 유의성있게 높게 나타났고, 환자군의 이환측의 전류인지역치도 비이환측 보다 역시 높게 나타났다. 이 결과로 볼 때 치과 수술 후 감각이상을 호소하는 환자의 수가 계속 증가하고 있는 추세여서 수술후 감각이상을 초래할 가능성이 있는 환자들에 대하여 수술 전 전류인지역치를 미리 측정함으로써 수술 전후 측정치와 비교하여 실제로 감각의 변화가 있는지 환자에게 설명할 수 있으며, 또한 의료분쟁을 사전에 방지하고 해결하는 차원에서도 전류인지역치검사는 매우 유용할 것으로 사료된다.

• 근관절건강학회지
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• 제14권2호
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• pp.127-136
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• 2007

Purpose: There has been a need to integrating the self-help program for arthritis with the TaiChi for arthritis patient. The purpose of this study was to develop and to examine the effect of the Self-help and Tai Chi for arthritis (SHTCA) program for arthritis. Method: This study was designed non equivalent control group pre-post test, quasi-experimental design. A total 40 participants were recruited in W-city, 29 participants(14-experimental group and 15-control group) completed post test. The experimental group participated in the SHTCA once a week for 8 weeks. SHTCA program was consisted of understanding of the arthritis, contracting of the promise, exercise for muscle strength and joint flexibility and 8 movements of Tai Chi exercise. Coloring plus program to cellular phone was used to encourage the exercise and participation by the KT-SHUT twice a week. Measures used to examine the effect of the SHTCA were EQ-5D standardized five dimensions(mobility, self-care, usual activities, pain & discomfort, and anxiety & depression), and health perception, joint flexibility, grasping power, and balance. Collected data was analyzed by SPSS WIN 14.0. Results: The experimental group had significantly increased the EQ-mobility(p=.033), health perception(p=.000), right shoulder flexibility(p=.007), and left shoulder flexibility(p=.002) compared to the control group. In addition, pain was decreased(p=.052) and right grip was increased(p=.052) after 8 weeks program in the experimental group. Conclusion: This SHTCA using coloring plus program was found partially effective and satisfactory. We recommended further research on the effect of this SHTCA effects.

• 철학연구
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• 제143권
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• pp.119-140
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• 2017

동서냉전체제의 해체 이후, 한반도의 통일에 관한 논의에서는 두 가지 지점에서 인식의 전환이 이루어졌다. 첫째, 통일의 진짜 핵심 문제는 체제통합이 아니라 사람의 통합이라는 인식의 전환이다. 둘째, 한반도의 분단과 관련되어 있는 4대 열강에 다수의 코리언 디아스포라가 존재하고 있으며 이들의 이산이 한반도의 비극적 역사와 관련되어 있다는 인식의 전환이다. 하지만 아직까지도 이 두 가지를 종합적으로 다루면서 통일론의 새로운 전환을 모색하고 있는 논의는 거의 없다. 코리언의 역사적 트라우마는 한반도의 근대 역사가 낳은 아픔으로, 코리언의 집단적 리비도를 억압함으로써 발생했다. 식민과 이산, 분단은 한반도의 근대 역사가 낳은 아픔으로, 코리언의 역사적 트라우마는 식민과 이산, 분단의 트라우마로 구성되어 있다. 또한, 식민과 이산, 분단의 트라우마는 모두다 '민족${\neq}$국가'의 어긋남이라는 억압의 구조를 공유하고 있다. 따라서 '민족${\neq}$국가'의 어긋남을 극복하는 것을 목표로 삼고 있는 통일은 코리언의 역사적 트라우마를 치유하는 과정과 분리될 수 없다. 무엇보다도 먼저, 이 글은 한반도에서 통일을 만들어가기 위해서는 식민과 이산, 분단의 트라우마들을 치유하는 과정을 필요로 한다고 주장하고 있다. 둘째, 이 글은 통일이 남북 두 국가의 문제가 아니라 동북아 차원에서의 역사적 트라우마를 치유함으로써 평화를 만들어내는 것이기도 하다고 주장하고 있다. 셋째, 이 글은 코리언의 역사적 트라우마를 치유하는 것은 아픔에 대한 '공감'으로부터 시작되어야 하며 '차이의 소통'을 통해서 통일한반도를 만들어가는 '민족공통성'의 생산으로까지 나아가야 한다고 주장하고 있다.