• 한국치위생학회지
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• 제9권3호
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• pp.426-438
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• 2009

The purpose of this study was to examine the relationship of the general characteristics of dental patients to their total O'Leary index and individual plaque indexes in a bid to check the oral hygiene state of citizens and evaluate their plaque management ability. The subjects in this study were 288 patients at dental hospitals and clinics in Busan and South Gyeongsang Province. A survey was conducted from September to November 2008. The findings of the study were as follows: 1. Overall, the O'Leary index of the patients investigated stood at 72 percent. By age and gender, the O'Leary index was highest among those in their 30s(83%) and among the women(75%)(p<.05). As to the influence of toothbrushing frequency, the patients who did it twice or more a day had the highest O'Leary index(75%)(p<.001). By the use of oral hygiene supplies, the patients who used oral hygiene supplies had a higher O'Leary index(76%) than the others who didn't(p<.01). 2. As for plaque index for each tooth, 28 percent of their teeth were given zero point, and 52 percent were given one mark. 13 percent were given two marks, and 6.3 percent were given three marks. Thus, the teeth that were given one mark were largest in number(p<.001). 3. As for plaque index for labial posterior mandibular, 43 percent of their teeth were given one point, and 36 percent were given zero mark. 14 percent were given three mark, and 5 percent were given three marks(p<.01). 4. As for plaque index for buccal posterior maxilla, 57 percent of their teeth were given one point, and 20 percent were given zero mark. 16 percent were given two mark, and 6.3 percent were given three marks(p<.01). 5. As for plaque index for lingual posterior mandibular, 56 percent of their teeth were given one point, and 27.8 percent were given zero mark. 9 percent were given three mark and 6 percent were given three mark(p<.001).

• 대한한방내과학회지
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• 제27권2호
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• pp.345-355
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• 2006

Objectives : The purposes of this study are to evaluate the effect of treatment in obesity clinic in Dae-Gu Hanny University and to improve the oriental medical methods of treatment in obesity patients. Methods : 62 patients were classified into four groups by Body Mass Index(BMI) : normal, overweight, 1st obesity and 2nd obesity groups. Weight, BMI, body fat rate and abdominal fat rate were compared in each group by t-test. Results : In distribution of sex, male were 10(16.1%), female were 52(83.9%). Mean age was $31.0{\pm}2.59$ and the patients in twenties and thirties were the most. Mean weight was $71.80{\pm}4.08kg$ and 1st obesity group(23) was the most. Mean BMI was $27.11{\pm}1.20(kg/m^2)$. BMI Changes in obesity groups treated by obesity clinic were $0.95{\pm}0.68kg/m^2$ in normal group, $1.45{\pm}0.38kg/m^2$ in overweight group, $2.67{\pm}0.48kg/m^2$ in 1st obesity group and $4.01{\pm}1.10kg/m^2$ in 2nd obesity group. The changes in all groups were significant. The more the obesity degree was. the more weight loss was. Conclusions : The weight and BMI in patients were almost decreased significantly when they treated. It resulted that the effect of oriental medical treatment in obesity was positive. This study is the effect of treatment in obesity by several medical methods and it is thought that the study of the effects of treatment in obesity by each medical methods that were used in this study is necessary.

• 동의신경정신과학회지
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• 제15권1호
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• pp.175-185
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• 2004

Objective : For investigating correlation among diagnostic types, MMPI results and Sasang constitutions, in out-patients of Oriental Neuropsychiatry. Method: We got the following result by comparing the out-patients' MMPI and QSCCII from 2000/12/1 to 2001/12/30 at Sanbon Hospital of Oriental Medicine, Wonkwang University. Result and Conclusion: 1. A specific character of population for study's objects was that female (128, 68.4%) was twice bigger that the male(59, 31.6%). And their education levels were 52 of college graduate (27.8%), 40 of high school graduate (21.4%), and 14 of middle school graduate (14 %). A distribution of the occupation, there are 62 of labors (33.2%), 62 of white collars (33.2%), 30 of sales (16%), 16 of students (8.6%). Their marrige statuses were 144 of married (77%), 31 of single (16.6%), 4 of divorced (2.1%), and 1 of bereavement (0.5%). 2. In the physical constitutions there were 70 of Soeumin(37.4%), 56 of Soyangin(29.9%) 55 of Taeumin (29.4%), 6 of others (3.2%). A differentiation with their diagnosis, there were 55 of palpitations (29.4%), 45 of depression (24.1%), 18 of women's diseases (9.6%), 14 of insomnia (7.5%), 13 of headache (7%), 8 of pain (4.3%), 8 of hwabyung (4.3%), 7 of psychosis (3.7%), 4 of dizziness (2.1%), and 15 of others(8%). 3. A result of groupling MMPI, we could classify into 4 different groups. Group 1 is a profile of trasition in a neurosis. Group 2 is a proflie of a mental disease. Group 3 is a proflie of $'{\wedge}'$ type neurosis. And group 4 has normal profile. 4. Regarding each group with physical constitution and a distribution of diagnosis, Group 1 is found out 36.4 % of Soeumin, 34.10 % of palpitations. And group 2 showed 43.6% of Soyangin, 25.6% of depression. Group 3 showed 46.4% of Soyangin, 31.90% of palpitations. Group 4 showed the most in 34.3% of Soyangin, and 31.40% of palpitations 5. A result of the study using Chi-square test is that there is no correlation between the 4 different groups and the Sasang physical constitution.

• Journal of Chest Surgery
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• 제36권1호
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• pp.30-34
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• 2003

급성 대동맥 박리증과 대동맥 침투성 궤양은 근내혈종과 함께 급성 대동맥 증후군을 구성하는 치명적 질환이나 그 병태생리와 자연경과가 다르고 치료전략이 다를 수 있어 정확한 감별진단을 요한다. 그러나 서로 임상양상이 비슷하고 초음파나 CT, MRI등의 진단방법으로도 명확히 구분이 안되는 경우가 많다. 환자는 약 10년간의 고혈압 병력이 있는 71세 여자로 내원 3일전에 갑자기 시작된 전흉부 통증 및 오심, 구토를 주소로 입원하였다. 전산화 단층촬영상에서 내막박리편은 보이지 않았으며, 상행대동맥 및 무명동맥간, 대동맥궁, 하행 흉부대동맥에 걸친 근내혈종(intramural hematoma)과 양측성 혈흉 및 혈성 심낭삼출 소견이 보였고, 무명 동맥간의 하방 약 1 cm 거리에 상행대동맥의 앞쪽으로 국소적인 궤양소견이 보여 상행대동맥에 생긴 침투성 궤양 및 이로인한 대동맥 파열로 진단하고 응급수술을 시행하였다. 그러나, 수술장 소견에서는 무명동맥 기시부 하방 1cm 정도에 약 0.5cm크기로 내막이 찢어져 있었고 외막을 열고 오래된 혈종을 제거하니 거의 폐쇄되어있던 가성내강이 관찰되었으며 이는 내막 파열 부위와 교통하였다. 이처럼 대동맥 박리증이 침투성 궤양과 흡사한 임상양상 및 진단 소견을 보일 수 있음을 경험하였기에 증례로 보고하는 바이다.

• 대한유전성대사질환학회지
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• 제12권1호
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• pp.49-53
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• 2012

X 연관 부신백질이영양증(adrenoleukodystrophy, ALD)은 과산화소체베타산화과정(peroxisomal ${\beta}$-oxidation)의 장애로 매우긴사슬지방산(very long chain fatty acids, VLCFA)이 신경계의 백질과 부신피질 및 고환에 축척된다. 이 질환은 과산화소체막단백질(peroxisomal membrane protein)을 형성하는 Xq28에 위치하는 ATP-binding cassette, subfamily D, member 1 (ABCD1) 유전자 돌연변이에 의해 주로 발생한다. X 연관 ALD는 다양한 임상양상을 보이는데 전형적인 소아대뇌형 부신백질이영양증은 10세 이전의 남아에서 대뇌백질에 빠르게 진행하는 탈수초현상을 보인다. 8세 된 남자 환아로 정상발달과정을 보이던 중 초등학교 입학 후에 집중장애와 산만한 모습으로 인해 주의력결핍과다활동장애로 진단받고 치료를 받았었다. 환아는 내원 8개월 전부터 말이 어눌해 지고 걸을 때 오른 발을 끌며 자주 넘어지는 모습을 보여 내원하였고 오른쪽 상, 하지의 근력이 떨어지는 양상이 관찰되었다. 검사상 부신기능저하증 소견을 보였으며 혈청 지방산 분석검사에서는 C26:0, C42:0/C22:0, C26:0/C22:0가 증가하였다. 뇌 자기공명영상에서는 T2와 FLAIR 강조영상에서 양측의 두정후두부의 백질과 소뇌의 백질에서 대칭적으로 고신호강도를 보였다. 환아는 부신백질이영양증로 진단하였고 ABCD1 유전자 분석 검사에서 새로운 c.983delT (p.Met329CysfsX7) 돌연변이가 확인되었다. X 연관 ALD는 유전자형과 표현형에 연관성이 없으며 다양한 임상양상을 보이기 때문에 환자들마다 임상증상을 잘 관찰해야 하며 향후 유전자 기능을 좀 더 파악하고 임상증상에 영향을 주는 다른 요소에 대한 연구가 필요할 것이라 사료된다.

• Journal of Trauma and Injury
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• 제27권4호
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• pp.170-177
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• 2014

Purpose: The first regional trauma center selected in Korea was the Gachon University Gil hospital regional trauma center; expectation on its role has been high because of its location in the Seoul metropolitan region. To determine if those expectations are being met, we analyzed the patients visiting the center and their treatment experiences for the past 3 years in order to propose a standard for the operation of a trauma center. Methods: The visiting route, visiting methods, performance of emergency surgery, the ward and the length of stay, the injury mechanism, the injury severity score (ISS), the department that managed the surgery, and the cause of death were analyzed for 367 patients visiting the center from its establishment in June 2011 through December 2013. Results: The mean age of the patients was 47 years (285 male and 82 female patients). A total of 187 patients directly visited the center whereas 180 were transferred to the center. Traffic accidents comprised the majority of injury mechanisms, and 178 patients underwent emergency surgery. The mean length of stay per patient was 11 days for those in the ICU and 27 days for those in a general ward. These patients occupied 4 beds in the ICU and 10 beds in the general ward per day. A total of 1.21 surgeries were performed per patient, and the mean number of surgeries performed per day was 0.49. The mean ISS was 15.91, and 183 patients (50%) had an ISS of ${\geq}16$. Thirty-one patients died; they had a mean ISS of 28.42. The most frequent cause of death was multi-organ failure. The mean number of treatment consultations during a patient's stay was 6.32. Forty-five patients (13%) were discharged from the center, and 291 (79%) were transferred to another hospital. Conclusion: A systematic approach to establishing a treatment model for trauma patients, including injury mechanism, multidisciplinary treatment, and trauma surgeon intervention, is required for treating trauma patients.

• 대한한방내과학회지
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• 제26권1호
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• pp.213-220
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• 2005

Objective : Thyroid diseases are one of the most common endocrine disorders. However, the first chosen-treatments including anti-thyroidal and hormone-supplement therapy in western medicines, sometimes have failed to improve abnormal thyroid hormone secretions and clinical symptoms. Therefore, there has been a growing expectation for Oriental Medicine to take the role of alternative therapy. However, there has been little analysis of clinical characteristics. In this study, clinical characteristics of thyroidal disease patients who visited Kyung-Hee oriental hospital from January to July 2004 were analyzed. Methods : A total 86 patients diagnosed as hyperthyroidism, hypothyroidism or thyroid nodule were selected. Clinical history, including sex, age, symptoms, disease duration and methods of previous therapy and thyroidal test, such as thyroid function test (TFT), thyroid scan and other thyroid examinations. Results : In distribution of onset age and sex, the patients who have visited oriental hospital with thyroidal diseases showed similar characteristics with typical patients. In clinical symptom, the most frequent clinical sign was fatigue in both hyperthyroidism and hypothyroidism, which differs from the classical characteristics of those diseases. Most patients complained the unresolved symptoms, some of which are attributable to abnormal thyroid hormone secretions, in spite of western therapy with anti-thyroidal and hormone supplement agents. Conclusions : In oriental therapy, it will be necessary to consider the unique clinical features of thyroidal diseases different from classical patterns, and this study suggests that oriental therapy is a good alternative method for patients whose first treatment with western agents failed. Furthermore, more public information to these patients about oriental medicine would be helpful to increase cure rates, and give various choices to patients with thyroid diseases.

• 한국치위생학회지
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• 제10권6호
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• pp.1001-1014
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• 2010

Objectives : The purpose of this study is about discovering the basic references to find the ways to vitalize handicapped dental clinics. Methods : The study was analyzed by the satisfactions of those patients who took the advantages of using the dental care at B-welfare center and also their transformed perceptions after the services are influenced. The analysis was the questionnaire consisting of 100 items and survey data. Results : 1. The satisfaction of the dental service for the disabled was respectively high which was the average of 4.49. 2. Their satisfactions of receiving kindness services by volunteers and employees were the highest in the entire research of successful handicapped dental services and it was 4.78 overall. 3. The satisfaction of using handicapped dental clinic has the higher range of female users than male's. In the mean time treatment details of the dental care and the satisfaction towards to the volunteers and faculty at the center show the statistical significance gap. 4. The oral care service after experiencing the dental clinic for handicapped relived their discomforts of using the regular dental clinic which shows their highest satisfaction as it is the point of 4.75. 5. the change perception after dental treatment for handicapped has the higher range of females than men's and solving the problems of mouth reference and discomfort of using regular clinics show the statistical significance gap. 6. In the change perception after having dental treatment for handicapped the thought of the possibility of periodical dental care shows the highest perception when the number of visiting is usually shorter and it shows the statistical significance. Conclusions : According to the satisfaction of those inpatients who use free dental care services that belong to dental clinics for handicapped in a part of Seoul welfare centers human services were appeared as the most important factor due to their advantages of taking services from volunteers and staff members. On the other hand to enhance the medical treatment information and environment which showed the weakest factors each inpatient should be specifically specialized for their needs and also further study on plans which enhance their perceptions toward to a better quality of oral-related life is required after using dental treatment service.

• 치위생과학회지
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• 제5권1호
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• pp.7-12
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• 2005

본 연구는 경기도 내 비도시지역 일개 보건소 치과실의 1999년도 상반기 건강보험청구자료 877건과 2003년도 같은 기간 청구자료 510건을 비교 분석하여 비도시지역 주민의 보건소 내원동향을 파악하고 이를 국민의 구강건강을 효율적으로 증진시키기 위한 지역적인 구강보건사업의 활성화 방안에 필요한 기초자료로 활용하고자 하였다. 그 결과는 다음과 같다. 1. 성별 분포에서는 남여비율과 연도별로 비슷한 분포를 보였다. 2. 건강보험 청구된 전체 상병 중에서 1999년도에는 치은염 및 치주질환(Gingivitis and periodontal disease)에 관계된 상병이 31.9%로 가장 많았고, 10-19세군이 25.4%로 가장 많이 내원한 연령군으로 나타나 통계적으로 유의한 차이를 보였다. 반면 2003년도에는 구강검사(Oral examination)에 대한 청구건수가 46.5%로 유의하게 많았고, 연령군 역시 0-9세군에서 52.9%로 통계적으로 유의한 차이를 보였다. 3. 연령별 상병 분포는 1999년에는 각 연령군에서 치아우식증(Dental caries)과 치은염 및 치주질환(Gingivitis and periodontal disease)이 가장 많았고, 2003년에는 구강검사(Oral examination), 치아우식증(Dental caries), 치은염 및 치주질환(Gingivitis and periodontal disease)이 유의하게 많았다.

• 한국임상수의학회지
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• 제25권1호
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• pp.31-36
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• 2008

1년령 수컷 비글견이 심한 호흡곤란, 청색증, 식욕감소로 내원하였다. 외상의 병력은 없었으며, 내원 5일전에 Pseudomonas aeruginosa와 E. coli로 인한 세균성 폐렴의 진단을 받았다. 제한적인 호흡 양상을 보여 즉각적으로 산소를 투여하고 방사선검사를 실시하였다. 배복 촬영상에서 우측 흉강에 공기가 차 있었고, 우측 폐엽의 허탈, 종격, 심장과 대혈관의 좌방 변위가 관찰되었다. 외측상에서는 심첨이 흉골로부터 떨어져 있는 것이 관찰되었다. 이상의 결과로 세균성 폐렴으로 인한 속발성 자발 기흉으로 진단하고, 우측 흉강에 흉강 튜브를 삽관하였다. 삽관 3일후에 방사선 배복 촬영상에서, 우측 흉강의 공기는 제거되었으나 좌측 흉강에 기흉이 발생하여 심장이 우방변위된 것이 확인되었다. 따라서, 흉강튜브를 좌측 흉강에도 삽관하였다. 기흉이 완전히 회복되기까지, 우측 흉강 튜브는 5일간, 좌측 흉강튜브는 45일간 유지하였다. 추가로 세균성 폐렴의 치료와 튜브로 인한 역행성 감염을 방지하기 위해 항생제와 비타민 E를 처치하였다. 결과적으로, 환자는 완전히 회복되었고, 2년동안의 관찰기간 동안 재발증상 없이 정상 생활을 유지하였다.