• 대한치과의사협회지
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• 제57권4호
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• pp.233-240
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• 2019

Chronic orofacial pain is an umbrella term as a kind of painful regional syndromes to describe unremitting and prolonged pains in orofacial area. It is frequently characterized with the intractable pain without the proportionally corresponding tissue pathology over 3 months. Accordingly, it is difficult or almost impossible to establish the causally oriented treatment strategies in those cases, while multidisciplinary approaches were usually considered for preventing prolonged pain conditions from limiting daily life. Among a variety of approaches, pharmacological approach was clinically based on proper applications of several groups of drugs useful to relieve or alleviate pain. These drugs usually encompass several analgesics, muscle relaxants, anti-depressants, anticonvulsants and so on. Therefore, it is essential for dental clinician to be aware of the many peculiarities of these medications applied for management of chronic orofacial pain disorders. This review focused on the clinical considerations for the careful drug selection and application including dosages and adverse drug reactions.

• International Journal of Advanced Culture Technology
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• 제9권1호
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• pp.93-98
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• 2021

To develop policies regarding fertility and pregnancy that will be effective in preventing further declines in fertility rates in the context present-day Korea, current policies in Japan were analyzed and compared with those now being implemented in Korea. This study was structured to involve (a) comparison of maternal health projects in Korea and Japan, and (b) comparison of infertility support policies based in regional cities in Korea and Japan. Korea's Health Plan 2030 emphasizes strengthening healthcare for high-risk pregnant women, expanding investments to benefit vulnerable groups, and establishing a support system for infertile couples. In Japan, government programs involving treatment targeting infertility specifically were implemented nationwide in 2006. Wide dissemination of accurate knowledge related to pregnancy is emphasized. Also, counseling centers specializing in infertility were established by 67 local governments. We have confirmed that Korean policies include decentralization, while Japan is implementing the central government's infertility policy uniformly in all regions. Japan also adjusted its policy out of concern that problems related to infertility and childbirth will worsen due to the social disaster of COVID-19. The results indicate that providing additional support for psychological counseling may be preferable to increasing the number of in-vitro fertilization procedures. The physical burden on women may be minimized by benchmarking policies in Japan. Step-by-step application of these procedures should be systematically supported to achieve the best results.

• Radiation Oncology Journal
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• 제18권3호
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• pp.167-176
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• 2000

최근의 방사선치료는 치료의 질을 향상시켜서 치료 후의 삶의 질을 높이는 것을 목표로 하고 있다. 국내에서도 방사선치료 환자와 치료 시설의 빠른 증가로 방사선종양학 분야는 많은 발전이 되고 있으며, 치료기술 또한 3-dimensional conformal radiotherapy의 보편화, liuac based stereotactlc radiosurgery의 활발한 적용과 luteuslty modulated radiation tferapy (IMRT)의 도입 준비 등 고난도의 치료 기술도입이 시도되고 있다. 저자는 최근 20년간 한국에서의 방사선 종양학의 발전을 조망하고 최근 발전되는 4차원적 방사선치료, IMRT의 현황, blologlcai conformailty치료의 개념, 항암제와 방사선치료의 병용에 대하여 살펴보고 최근 정보기술 혁명에 따른 인터넷과 방사선종양학 분야의 정보관리 시스템의 중요성 및 원격진료의 세계적 현황 등에 대해서 알아보고, 21 세기 한국에서의 방사선치료의 질을 올리기 위한 방법들을 제시하였다. 이들은 1) OA (qualify assurance) 향상, 2) 공동 프로토콜에 의한 3상 임상 연구의 필요성, 3) 특정 암에 대한 통일된 치료 프로토콜 또는 가 이드라인, 4) 전국적인 방사선종양학 관련 자료의 광역 data base구축과 중요 암에 대한 patterns of care study 등 시행의 필요성이다

• 한국토양비료학회지
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• 제26권2호
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• pp.85-92
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• 1993

벼 4 품종(品種)(금강(錦江)벼, 밀양(密陽) 23호(號), 추청벼, 칠성(七星)벼)을 무질소구(無窒素區), 질소적량구(窒素適量區), 다질소무가리구(多窒素無加里區) 등(等) 3 수준(水準)의 시비처리(施肥處理)로 수원(水原)(중서부(中西部) 평야지대(平野地帶)), 이천(利川)(중부(中部) 내륙지대(內陸地帶)) 및 계화도(界火島)(부안군(扶安郡), 차령남부(車領南部) 평야지대(平野地帶))에서 재배(栽培)하여 수확(收穫)한 벼를 조제(調劑)하여 얻은 정조(正租), 현미(玄米), 백미(白米)의 형태적(形態的) 특성(特性) 변화(變化)를 조사(調査)하였다. 질소시비증가(窒素施肥增加)는 정조(正租)의 입장(粒長) 증가(增加)와 백미(白米)의 폭(幅)/두께 비(比)를 감소(減少)시켰고 질소(窒素)의 과소(過少), 과다시용(過多施用)은 천립중(千粒重)을 감소(減少)시켰다. 계화도(界火島)에서 생산된 벼의 입폭(粒幅)과 입(粒)두께는 다른 지역(地域)에서 생산된 벼보다 적어서 장(長)/폭(幅) 비(比)나 장(長)/두께 비(比)가 컸다. 무질소(無窒素)와 다질소무가리(多窒素無加里) 처리(處理)는 천립중(千粒重)을 감소(減少)시켰다. 정조(正租)의 왕겨비율(比率)은 질소시비량(窒素施肥量) 증가(增加)에 따라서 감소(減少)한 반면(反面) 현미(玄米)의 쌀겨비율(比率)은 일정(一定)하였다. 이 결과(結果)는 쌀의 정상적(正常的)인 발육(發育)을 위해서 일정비율(一定比率)의 쌀겨층(層)이 필요(必要)함을 암시(暗示)하고 있다.

• The Korean Journal of Pain
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• 제6권2호
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• pp.275-279
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• 1993

Reflex sympathetic dystrophy is a syndrome characterized by persistent, burning pain, hyperpathia, allodynia & hyperaesthesia in an extremity, with concurrent evidence of autonomic nervous system dysfunction. It generally develops after nerve injury, trauma, surgery, et al. The most successful therapies are directed towards blocking the sympathetic intervention to the affected extremity by regional sympathetic ganglion block or Bier block with sympathetic blocker; other traditional treatments include transcutaneous electrical stimulation, immobilization with cast & splint, physical therapy, psychotherapy, administration of sympathetic blocker, calcitonin, corticosteroid and analgesic agents. The purpose of this report is to evaluate and describe the effects of magnetic resonance following unsatisfactory results with traditional treatments of RSD. A 17 year old female patient, 1 year earlier, had received excision and drainage of pus at the right femoral triangle due to an injury caused by a stone. Afterwards, she experienced burning pain, knee joint stiffness, and muscle dystrophy of the right thigh, especially when standing and walking. Despite a year of number of traditional treatments such as: lumbar sympathetic block, continuous epidural analgesia, transcutaneous electrical stimulation, & administration of predisolone, her pain did not improve. Surprisingly, the patients was able to walk free from pain and difficulty after just one application of magnetic resonance. The patient has been successfully treated with further treatment of two to three times a week for approximately ten weeks. More recently, magnetic resonance has been demonstrated to produce effective results for the relief of pain in a variety of diseases. From our experiences we recognize magnetic resonance as a therapeutic modality which can provide excellent results for the treatment of RSD. It has been suggested that polysynaptic reflex which are disturbed in RSD may be modulated normally on the spinal cord level through the application of magnetic resonance.

• 한방안이비인후피부과학회지
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• 제23권3호
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• pp.66-77
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• 2010

Objective : The purpose of this study is to expand our treatment field in oriental dermatology by understanding the patterns of outpatients who had visited the oriental hospitals located in Gangwon province. Methods : We studied 510 outpatients out of 2240 people from Sangji University Oriental Hospital(SUOH) and 333 outpatients out of 2030 people from Chuncheon Oriental Hospital(COH) from January 1, 2007 to December 31, 2009. We categorized the results by gender, age, disease types, residences, months and number of visiting times. Results : The results were as follows 1. Comparing the number of outpatients that had visited the hospital by gender in SUOH shows that female's visiting rate is 57% and male is 43%. In COH shows that female's visiting rate is 54% and male is 46%. 2. Most frequent visiting age group were 21-30 year-old group(30%) in SUOH and 11-20 year-old group(23%) in COH. 3. In regard to the monthly visiting period, January(13%) is the highest in SUOH and July(10%) is the highest in COH. 4. Regional distributions of the outpatients that had visited SUOH and COH show Wonju(73%) and Chuncheon(74%). 5. In terms of treatment methods, SUOH showed the external application(65%), herb medication(54%), and acupuncture(52%) while COH showed acupuncture(74%), the external application(69%), and herb medication(66%). 6. Visiting frequency of outpatients in SUOH showed that 1 time visiting cases were 51%. In COH case, 1 time visiting cases were 19%. 7. The most prevalent diseases were urticaria(15%), eczema(14%) acne(12%), and seborrheic dermatitis(11%) in SUOH and atopic dermatitis(27%), urticaria(20%), acne(16%), and psoriasis(10%) in COH. 8. Most outpatients had visited SUOH for 1 time(51%) and COH for over 11 times(32%) with the major 16 diseases. Conclusions : This study suggests that outpatients who had visited the department of oriental dermatology preferred to get a treatment for urticaria, eczema, atopic dermatitis and acne. Considering this aspect, it needs to improve current research to expand the oriental medical treatments further in dermatological field.

• 환경영향평가
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• 제24권5호
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• pp.397-406
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• 2015

2013년 시행된 유역하수도정비계획에서는 유역별 수질상황을 고려하여 하수처리시설별 방류수 수질 준수농도(기준)를 별도로 적용하는 것이 가능하다. 유역의 중권역 목표기준 또는 수질오염총량관리 목표수질을 달성하기 위하여 유역하수도 제도 도입에 따라 유역 내 지역별 시설규모별 하수처리시설에 대한 방류수 수질 준수농도(안)을 설정하는 것이 필요하다. 유역환경청에서 수립하고 있는 유역하수도정비계획 수립 시 공공하수처리시설 방류수 수질 준수농도(기준)을 설정하는데 있어 II지역인 미호천유역의 경우 BOD 5 mg/L에서 3 mg/L, II III지역이 혼재되어 있는 영산강 상류유역의 경우 BOD 5~10 mg/L에서 3 mg/L로, IV지역인 안성천유역의 경우 BOD 10 mg/L에서 5 mg/L로 일률적으로 강화하도록 계획하고 있다. 이렇게 일률적으로 정하고 있는 준수농도에 대해 하수 처리기술, 유역특성을 고려한 유역하수도 공공하수처리시설의 방류수 수질 준수농도를 설정하는 방법을 제시하는 것이 필요하다. 본 연구에서는 공공하수처리시설 방류수 수질 준수농도 강화(안)을 설정할 때 이 강화된 준수농도가 공공수역 수질에 미치는 영향을 평가하여 어떤 강화(안)이 유역관리에 좀 더 효과적인지 고찰하였다.

• 아시안잔디학회지
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• 제24권1호
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• pp.36-44
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• 2010

우리나라 골프장에 조성된 한지형 잔디 5종류 38품종에 대하여 액상아미노산비료가 봄철 green up 촉진에 미치는 효과를 잔디포장에서 잔디 색(Index)과 생육지수(NDVI)로 평가하였다. 잔디 색은 처리 간에 통계적인 유의성의 차이를 보였다. 5종의 잔디와 품종에서 액상아미노산비료(Ami, Amix) 와 키토올리고아미노산비료(Oligo)가 고형 복합비료(Con)보다는 greenup을 촉진시키는 효과가 있었다. 잔디생육지수도 처리 간에 통계적인 유의성의 차이를 보였다. 5종의 잔디와 품종에서 Ami, Amix 와 Oligo 가 Con보다는 greenup을 촉진시키는 효과가 있었다. 본 시험의 결과로 볼 때 봄철 잔디의 greenup 촉진을 위해서는 Con보다는 Ami, Amix 및 Oligo 처리가 효과가 있었다.

• 대한핵의학회지
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• 제25권1호
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• pp.46-52
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• 1991

Radioaerosol inhalation imaging (RII) has been used in radionuclide pulmonary studies for the past 20 years. The method is well accepted for assessing regional ventilation because of its usefulness, easy fabrication and simple application system. To evaluate its clinical utility in the study of impaired regional ventilation in bronchial asthma, we obtained and analysed RIIs in 31 patients (16 women and 15 men; age ranging 21-76 years) with typical bronchial asthma at the Department of Radiology, Kangnam St. Mary's Hospital, Catholic University Medical college, from January, 1988 to August, 1989. Scintiscans were obtained with radioaerosol produced by a BARC(Bhabha Atomic Reserch Center, India) nebulizer with 15 mCi of $^{99m}Tc-phytate$. The scanning was peformed in anterior, posterior and lateral projections following 5-minute inhalation of radioaerosol on sitting position. The scans were analyzed and correlated with the results of pulmonary function study and the findings of chest radiography. Fifteen patients had concomitant lung perfusion image with $^{99m}Tc-MAA$. Follow-up scans were obtained in 5 patients after bronchodilator therapy. The patients were divided into (1) attack type (4 patients), (2) resistant type (5 patients), (3) remittent type (10 patients) and (4) bronchitic type (12 patients). Chest radiography showed hyperinflation, altered pulmonary vascularity, thickening of the bronchial wall and accentuation of basal interstitial markings in 26 of the 31 patients. Chest radiographs were norma! in the remaining 5 patients. Regardless of type, the findings of RII were basically the same, and characterized by the deposition of radioaerosol in the central parts or in the main respiratory air ways along with mottled nonsegmental ventilation defects in the periphery. Peripheral parenchymal defects were more extensive than that of expected findings from clinical symptoms, pulmonary function test and chest radiograph. Broomstick sign was present in 17 patients. The abnormality of RII was poorly correlated with perfusion scans. In all 5 patients treated with bronchodilators, follow-up study demonstrated a decrease in the degree of radioaerosol deposition in the central air way with improved ventilation defects. This study indicates that RII is a useful technique for the evaluation of regional ventilation abnormality and the effect of treatment with bronchodilators in patients with bronchial asthma.

• 한국간호교육학회지
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• 제2권
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• pp.32-55
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• 1996

It was enacted 'Emergency Medical Act' in January, 1994 beginning the emergency medical service system from 1982, and while it was established the emergency medical department in junior college providing the detailed agenda about emergency medical technician and the regulation relative to the application of a law on the emergency medical act in 1995, the fire school and the National Medical Center are enforced the curriculum. It is very important subject faced for the construction of emergency medical system to produce a number of emergency medical technicians to be sufficient to the role of emergency aid. In this study it is analysed the training curriculum for the emergency medical technician and presented the improvement plans. 1. Though it needs the qualification level of first and second class in the selection process, the more important thing needs the detailed qualification level by term of one's service and the skills of business accomplishment. 2. In the examination management, (1) written examination is composed of the questions to understand how much faithfully they carry out the practical business as the emergency medical technicians, (2) it is added practical examination as the item to appraise the situation disposal ability. 3. It is necessary to prescribe the activity in the medical institution and ambulance arrangement through the development of 'Business Treatment Guide'. 4. For the regional balanced disposition of emergency medical personnel it is selected balanceably the educational institution by eight medical service areas, and considering the characteristics of region it is necessary to manage, in the practical business training course, another special course such as the mountains medical aid and sea medical aid. 5. In the period of education the first class needs the practical business training period of a certain period after passing examination, and the second class needs the extension of the period. 6. As the problems to improve in the curriculum [1] in the first class course (1) intensification of practical educaiton (2) reinforcement of curriculum (3) the development of standardized curriculum etc., [2] in the second class course (1) varieties of curriculum (2) intensification of basic first aid treatment education.