• 생물정신의학
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• 제20권2호
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• pp.54-60
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• 2013

Objectives The purpose of this study is to find the influential clinical and physical characteristics which affect apnea-hypopnea index (AHI) in suspected obstructive sleep apnea (OSA) patients. Methods We evaluated the comprehensive factors including sleep related symptoms, clinical scales, medical history, substance use, and anthropometric data of the 119 participants who complained of the symptoms of OSA. All the participants underwent attended-full night laboratory polysomnography. The correlation and multiple regression analysis were conducted to find the influential and predictive factors of AHI. Results A multiple linear regression model 1 showed that higher AHI was associated with higher body mass index (BMI)(p < 0.001) and higher frequency of observed apnea (p = 0.002). In multiple linear regression model 2, AHI was associated with higher BMI (p < 0.001) and loudness of snoring (p = 0.018). Conclusions The present preliminary results suggest that BMI and observed apnea are most influential factors that affect AHI in suspected OSA patients. In the future study we will design the prediction formula for the OSA and AHI, which is useful in the clinical medical field.

• 대한한방내과학회지
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• 제34권4호
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• pp.428-437
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• 2013

Objectives : The aim of this study was to examine if there is a significant correlation between the changes of Fire- and Heat- related symptoms and motor function recovery in acute cerebral infarction patients. Methods : We studied inpatients within a month after the onset of cerebral infarction who were admitted at Kyunghee University Medical Center from May 2011 to January 2013. We executed correlation analysis between Fire-heat pattern score and motricity index score at visit 1 and visit 2, and checked if there was a significant correlation between the changes of Fire-heat pattern score and changes of motricity index score. Also, we compared the changes of both scores in patients taking Fire-heat and non Fire-heat pattern prescriptions. Results : There was a significant correlation between the Fire-heat pattern score and Motricity index score at visit 1 and visit 2, and changes of Fire-heat pattern score showed significant correlation with changes of motricity index score. Patients taking Fire-heat pattern prescriptions showed significant change in Fire-heat pattern score after herb-medication treatment while patients taking non-Fire-heat prescriptions showed insignificant change in Fire-heat pattern score. Conclusions : This study provides evidence that taking a Fire-heat pattern prescription could be considered as a first line herb-medication treatment in acute cerebral infarction patients.

• 한국가정과교육학회지
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• 제34권3호
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• pp.85-99
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• 2022

본 연구는 한국 폐경 후 여성을 대상으로 우울증과 식이성 염증지수 간의 관련성을 살펴보기 위하여 국민건강영양조사 2016~2020년의 자료를 이용하여 식이성 염증지수 수준에 따른 식행동, 항염증과 염증유발 항목의 영양소 및 식품 섭취량, 식이성 염증지수와 우울증과의 관계에 관하여 비교 분석하였다. 본 연구결과 염증성 식이군은 항염증 식이군에 비해 혼자서 거주하는 비율이 높고, 교육수준과 소득수준이 낮았다. 건강행태 요인으로 염증성 식이군은 흡연율이 높고 신체활동율과 삶의 질이 낮으며, 식행동 요인으로는 아침, 점심, 저녁 식사 결식률과 가족 동반 아침식사 비율, 영양표시 인지율이 낮았다. 식이성 염증지수 점수가 높을수록 우울증상 선별도구인 PHQ-9 점수와 우울증 교차비는 증가하였다. 식이성 염증지수의 항염증 항목 중 MUFA, PUFA, n-3계 지방산, n-6계 지방산 항목은 식이성 염증지수 점수가 증가할수록 우울증 유병위험도가 증가하였다. 따라서 본 연구는 폐경 후 여성의 우울증 관리를 위한 바람직한 식생활과 항염증성 식사 섭취 지침에 기초자료를 제시할 수 있을 것으로 기대한다.

• 한국산학기술학회논문지
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• 제18권10호
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• pp.505-512
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• 2017

본 연구는 부산지역 병의원에 내원하는 성인을 대상으로 주관적 인식수준에 따른 삶의 질을 알아보고 영향요인을 분석하여 주관적 인식개선을 위한 방안마련과 함께 삶의 질 향상을 위한 기초자료로 삼고자 한다. 2015년 12월부터 약 9개월간 부산지역 병의원에 내원하는 성인들을 대상으로 설문조사를 실시하여 결과는 다음과 같다. 주관적 건강수준에서 여자가 3.16점으로 높았고, 연령은 높아질수록 낮았으며, 비 흡연자에서 3.17점으로 높았고, 주관적 구강건강수준은 연령이 높을수록 낮았고, 최종학력에서는 대졸이상이 3.04점으로 가장 높았으며, 흡연을 하지 않는 경우 2.87점으로 높았다. 증후증상 합은 여자가 1.41점으로, 연령이 낮을수록 증상의 인식이 없었다. 최종학력은 높을수록 월 소득은 많을수록, 비 흡연자에서 구강 내 증상 인식수준이 낮았다. 일반적 특성에 따른 삶의 질을 분석한 결과, OHIP-14는 최종학력이 높을수록, 전신질환 없는 경우 54.71점으로 높았으며, 단일문항 행복지수는 학력이 높을수록, 전신질환이 없는 경우 6.48점으로 높았다. 또한 5문항 행복지수는 학력이 높을수록, 전신질환이 없는 경우 3.82점으로 높았다. OHIP-14에 미치는 요인으로 증후증상 합이었으며, 행복지수, 주관적 구강건강상태순 등으로 영향을 미치는 것으로 나타났다. 행복지수에 가장 큰 영향력을 미치는 변인은 OHIP-14이었으며, 주관적 건강상태, 학력_고졸이하, 만성질환 유무 순 등으로 영향을 미치는 것으로 나타났다. 따라서 삶의 질 향상을 위해서는 주관적인 인식수준의 개선이 필요하며, 인식수준개선을 위한 다양한 보건교육프로그램과 함께 정확한 정보를 전달할 수 있는 장의 마련이 필요할 것으로 사료된다.

• 한국안광학회지
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• 제19권3호
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• pp.389-396
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• 2014

목적: 신축건물 재실자들의 안구건조증을 조사하고, 안구건조증이 작업생산성 및 일상적인 활동에 미치는 영향에 대해 알아보았다. 방법: 신축한지 3개월이 지난 건물에서 일 평균 8시간 이상을 근무하는 사무직 근로자 33명을 대상으로 하였다. 실내공기질은 알데하이드류와 온습도를 측정하여 평가하였다. 안구건조증은 Ocular Surface Disease Index(OSDI)를 이용하여 정상, 경도, 중등도 및 중증으로 분류하였고, 라식수술, 눈 화장, 일일 컴퓨터와 스마트폰 사용시간, 그리고 일일 평균 근무시간을 조사하였다. 작업생산성과 일상활동 관련 설문은 Work Limitation Productivity 설문을 사용하여 손실정도를 10점 척도로 체크하였다. 결과: 사무실의 폼알데하이드 농도는 $42.42{\pm}6.30{\mu}g/m^3$ 이었고, 온습도는 각각 $26.2{\pm}0.7^{\circ}C$와 $40{\pm}1%$ 였다. 안구건조증은 정상, 경도, 중등도 및 중증이 각각 15.2%, 18.2%, 18.2%, 48.5%였다. 안구건조증의 심한 정도와 작업생산성 및 일상적인 활동의 손실 정도는 각각 0.599와 0.655의 높은 상관성을 보였다(p<0.001). 안구건조증이 중증인 경우는 정상에 비해 유의하게 높은 작업생산성 손실과 일상활동 저해를 나타냈다(p<0.001). 안구건조증이 심한 경우는 정상에 비해 작업생산성 손실과 일상활동 저해가 3점 이상일 확률이 각각 3.26배(p=0.032)와 2.25배(p=0.045) 높았다. 결론: 신축건물 사무직 근로자들의 안구건조증은 작업생산성과 일상적인 활동에 영향을 미치는 것을 확인할 수 있었다.

• 대한예방한의학회지
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• 제20권3호
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• pp.45-53
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• 2016

Objectives : The number of people in Mibyeong state that complain of physical and mental discomfort but without a clear medical diagnosis has rapidly increased, but the conventional medical system is insufficient to care for these people. By establishing an evaluation instrument for Mibyeong state, it will be possible to provide a research base for Mibyeong management system and expand the clinical area of integrative medicine. Methods : Mibyeong Index was designed to measure inconvenience and resilience of subject's complains including four physical symptoms (fatigue, pain, low sleep quality, indigestion) and mental distress include anxiety, anger, depression. A 21-item quality of healthy measure was developed and tested. We used results of a nation-wide stratified sampled adult data in Korea. Results and Conclusions : Mibyeong index had adequate internal consistency, Cronbach's alpha was 0.88 in general population(N=1,110). The correlation between establised quality of life questionnaires (including SF-12 and EQ-D5 VAS) and the Mibyeong index were from 0.468 to 0.493. The national promotion of advanced health for an aging society and original Mibyeong care technology based on traditional Korean medicine can be developed by a self-care system that enhancing health before suffering illness. We expect that this instrument could be contribute to health management of people in Mibyeong state.

• Journal of Oral Medicine and Pain
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• 제21권2호
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• pp.383-392
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• 1996

An observation and evaluation of the reproducibility of the mandibular movements has been a integral part of a test for mandibular function and dysfunction. After Pantographic Reproducibility Index(PRI) was introduced in dentistry, many authors have used the index for investigation of mandibular movement function, especially in condylar compartment. Howerer, the difficult and time-consuming work of instrumentation for getting the PRI has been a major obstacle in using pantograph. This study was performed to try a new mandibular reproducibility index, so-called BioEGN reproducibility index(BERI), calculated from mandibular trajectory recorded with BioEGN. 26 dental students without any signs and symptoms of temporomandibular disorders and 22 patients with temporomandibular disorders took part in this study and classed to control group and patients group, respectively. Pantronic and BioEGN were used to record and calculate the indices, PRI and BERI. PRI had only one value, but BERI had two values of outgoing and incoming movement in each scale. With two scales of small and large, as a result, BERI had four values in this study. PRI corresponded to BERI in small scale on outgoing total movements. The data were calculated and analyzed with SAS/stat program and the conclusion of this study were as follows : 1. In every scales, in each movement, BERI on outgoing movement in control group was lower than that in patients group, respectively, but BERI on incoming movement was only different in one side movement, that was, left excursion. 2. The difference between BERI on outgoing movement and BERI on incoming movement was only shown in small scale on total movements, not in each movement, in control group. However, there was generally a positive correlationship between BERI on outgoing movement and BERI on incoming movement in each movement in both groups. 3. Simple statistics of PRI was similar to that of BERI on total movements in small scale, but there was a negative correlation between PRI and BERI on total movements in large sclae only in patients group.

• 대한한방부인과학회지
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• 제24권1호
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• pp.87-98
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• 2011

Objectives: To evaluate the clinical use of Kupperman's Index, Menopausespecific quality of life questionnaire(MENQOL), Menopause Rating Scale(MRS) by comparison with the Subjective measures of hot flush. Methods: The participants were 107 women (45-60 yr) who were not currently on hormone therapy, and had reached hot flash scores of 10 or higher. The evaluating indexes of this trial are hot flush score, hot flush VAS, Hot flush consistence time, sweating VAS, Kupperman`s Index, Menopause-specific quality of life questionnaire (MENQOL), Menopause Rating Scale(MRS). Results: 1. The hot flush score, hot flush VAS, sweating VAS were significantly correlated with each other, but the Hot flush consistence time with no special relationship was found on Subjective measures of hot flush 2. The Kupperman's Index, Menopause-specific quality of life questionnaire (MENQOL) and Menopause Rating Scale(MRS) were significantly correlated with each other. 3. There was significant correlation between Subjective measures of hot flush and Menopause-specific quality of life questionnaire(MENQOL), Thus Menopausespecific quality of life questionnaire(MENQOL) is considered the most suitable on hot flush related research. Conclusions: There was significant correlation between Subjective measures of hot flush and Menopausal scale, thus the use of various indicators are needed for the assessment of climacteric symptoms.

• 척추신경추나의학회지
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• 제10권2호
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• pp.73-85
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• 2015

Objectives : The purpose of this study is to evaluate clinical effect of Korean medical treatments for the patient who were diagnosed as the Cauda Equina Syndrome. Methods : The patient was treated by Korean medical treatments including acupuncture, pharmacopuncture, herbal medication. The Improvement of clinical symptoms was assessed by Visual Analog Scale(VAS), Oswestry Disability Index(ODI) and Muscle Manual Test(MMT). Results : After treatments, VAS and ODI were generally decreased, MMT was improved in case. Conclusions : The Oriental medical treatments might be effective methods to treat the patient who were diagnosed as the Cauda Equina Syndrome.

• 대한의생명과학회지
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• 제16권1호
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• pp.53-64
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• 2010

A randomized, double blind, placebo-controlled human intervention study involving 58 menopause women was performed to investigate the effect of pomegranate extracts on menopausal symptoms. The volunteers were randomly distributed into two groups, one taking pomegranate extracts (1.5 g/day) and the other being a placebo by taking oral administration for 8 weeks. The results from this study showed that duration of hot flush and sweating were significantly decreased by taking pomegranate extracts. In addition, menopausal rating scales and the Kuppermann index were significantly decreased in pomegranate extract taking group. This result suggests a possibility that pomegranate extracts can be helpful for menopause women.