• Archives of Plastic Surgery
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• 제51권2호
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• pp.202-207
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• 2024

Background Ingrown toenail is a common condition that results in chronic pain, recurrent infections, and difficulty in performing daily activities. Our aim is to compare two surgical methods for the treatment of ingrown toenails: wedge resection with curetting versus wedge resection curetting followed by electrocauterization of the nail bed. Methods A prospective, comparative study that included 130 patients with ingrown toenails. All patients had stage II or III disease. We divided the participants into two groups according to the type of surgery and all patients were followed up for 6 months. The outcomes measured were the incidence of postoperative bleeding and infection, recovery time, patient satisfaction, and recurrence rate 6 months after surgery. Results Of the 130 patients included, 59 (45.4%) underwent excision and curetting of the nail matrix (group 1) and 71 (54.6%) underwent excision, curetting, and electrocauterization of the nail matrix (group 2). The postoperative infection rates were 20.3 and 4.2% in the first and second groups, respectively (p = 0.004). Patient satisfaction was 76.3% among the first group, while 91.5% of patients in the second group were satisfied with the results of surgery. Six months postoperatively, recurrence rates were 25.4 and 4.2% in the first and second groups, respectively (p = 0.001). Conclusion Wedge excision and curettage, followed by electrocauterization of the ingrown toenail is a safe treatment modality with a high success rate, that is evident by a lower recurrence rate, and greater patient satisfaction, with no effect on postoperative pain score or recovery time.

• 한국전문물리치료학회지
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• 제8권1호
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• pp.35-50
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• 2001

The purposes of this study were to investigate the therapeutic effects of an early exercise program after mastectomy and to provide the early exercise program protocol for patients who had undergone mastectomy. The subjects were seventy women who were diagnosed with breast cancer. They were randomly as signed either to a experimental group (n=35) that received early postoperative exercise program or to a control group (n=35) that received only education by nurses. Data were obtained for each patient from goniometric measurements of shoulder flexion, abduction, external rotation, 10 elements of functional performance, and subjective pain evaluation using visual analogue scale (VAS). All variables were measured preoperatively, three days postoperatively, and one month postoperatively. Data were compared by groups using independent t-test and Mann-Whitney U test for parametric or non-parametric data, respectively. There were no significant differences between the groups for all variables preoperatively and at three days postoperatively. But there were significant differences at one month postoperatively. The experimental group showed a statistically significant increases in shoulder flexion, abduction, and external rotation and in the pain VAS at one month postoperatively (p<.05). Also, at one month postoperatively, the experimental group had less difficulty with three elements of functional performance-doing up a 'back' zippered article of clothing, reaching the ipsilateral scapula, and contralateral scapula with the fingers on the operated side-than the control group (p<.05). The results of this study suggest that, after mastectomy, the early exercise program conducted by a well-trained physical therapist can make a significant contribution to the return of more normal shoulder function and activities of daily living and to an increased quality of life.

• The Journal of Korean Physical Therapy
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• 제21권3호
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• pp.1-8
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• 2009

Purpose: The purpose of this study was to examine the functional category, the item structure and the model-data fit of the neck disability index (NDI) of neck pain subjects by performing a Rasch rating scale analysis. Methods: The data was obtained from the assessments of 71 college students (males: 27, females: 44) with neck pain. The data of the NDI was applied to the Rasch's rating scale model to estimate the difficulty of items, the goodness-of-fit of each item, the separation reliability and index, and the rating scale. Results: The 'sleep' item showed misfit and nine items were founds to be fits for self-reporting of disability due to neck pain. The most difficult item of the remaining 9 items was 'work' and the easiest item was 'headache'. The transformation formula score=(logit score+7.10)/(7.10+0.11)$\times$100. The 6 response levels of the NDI were validated according to the structure of the rating scale. The item and subject reliability of the separation reliability was 0.97 and 0.85, respectively. Conclusion: We proved that the NDI for self-reporting of disability of daily activities due to mild neck pain was valid and reliable. This study suggests that individuals with mild neck pain may be assessed by using the modified NDI that does not include the 'sleep' item in the 10 items of NDI.

• 한국의류산업학회지
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• 제22권1호
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• pp.76-86
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• 2020

The study surveyed patients undergoing a mastectomy to understand their experience and requirements on artificial breasts and sales status. We retrieved 149 of the 150 surveyed questionnaires; subsequently, 144 questionnaires, excluding missing values, were used in the analysis. According to the results of the study, about 67% of respondents said that artificial breasts were not used after undergoing a mastectomy, and more than half of the breast cancer patients were not aware of the importance of artificial breasts. Breast cancer patients wearing artificial breast felt uncomfortable and hot during daily activities as well as experienced difficulty in size selection and purchase price burdens. The three most responded brands were selected based on the results of the survey that also investigated the sales status of the commercial artificial breast. Company A was selling artificial breast to reflect the consumer's functional requirements, and Company C was selling artificial breast with various kinds of reduced weight. However, it is thought that consumers will have less choice since artificial breasts have more limited forms than various types. Therefore, it is believed that the patient needs artificial breasts that satisfy the shape of various types of mastectomy. This study can be used as basic data for artificial breast development studies.

• 한국전문물리치료학회지
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• 제15권1호
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• pp.77-85
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• 2008

The self-report measure is a useful tool for evaluating self-recognized disability and difficulty in daily living activities. Although many studies and clinics used the Neck Pain and Disability Scale (NPDS) for measuring neck pain and functional impairment, there has not been much adaptation of this for use with Korean patients. The purpose of this study was to establish the reliability and validity of NPDS among Korean neck pain patients. Fifty-five subjects (32 males, 23 females) with neck pain enrolled in this study. They completed standardized self-administered questionnaires. The NPDS measures pain intensity; its interference with vocational, emotional, recreational, social, and functional aspects of living; and the presence and extent of associated factors. Reliability was determined by the intraclass correlation coefficient (ICC) and Cronbach's alpha for internal consistency. Validity was examined by correlating the NPDS scores to the Visual Analog Scale (VAS) score. The test-retest reliability of the translated versions of the NPDS was good ICC (2,1)=.86 (95%CI .76~.92). Cronbach's alpha value for NPDS was found to be .93, and this was statistically significant (p<.05). The criterion-related validity coefficient was .79 (p<.Oll. We conclude that the Korean version of NPDS has been shown to be a reliable and valid instrument for the assessment of neck pain. Successful linguistic and cultural translation will admit appropriate cross-cultural comparison for clinical analysis. Therefore, this study can be expected to be used as an adequate evaluation scale for neck pain related studies and treatments.

• 한국치위생학회지
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• 제10권6호
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• pp.983-990
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• 2010

Objectives : This study was to investigate the level of oral health, xerostomia, and oral health related activities of daily living(ADL) and the clinical factors influencing oral health related quality of life(OHIP-14) in elderly for visiting healthcare. Methods : Data were obtained from a cross-sectional survey of 106 elderly people(mean age=$77.5{\pm}4.98$). Participants in the study were recruited when they attended the public health center in Cheonan-si. Data were collected by means of a personal interview from July 19 through to August 20, 2010. Oral health related ADL, OHIP-14 and dry mouth was measured by the total 24-items. The data was analysed with t-test, one-way ANOVA, and multiple regression using the SPSS program. Results : Participants had a mean of 13.6 remaining natural teeth, which was significantly with age and perceived oral health. Xerostomia score achieved a mean of 6.39 out of a maximum 12 points. Powerful predictors of OHIP-14 were natural teeth, masticatory difficulty, oral pain, PHP index, perceived oral health, age and living together for the elderly Conclusions : Based on the findings, OHIP-14 has a significantly impact on oral health related ADL. These results suggest that elder people oral health promotion should be developed assessment index which was measured predictors related oral health in the elderly for visiting healthcare.

• 재활치료과학
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• 제5권2호
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• pp.71-80
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• 2016

목적: 본 연구는 뇌졸중으로 인한 편마비 환자를 대상으로 거울치료의 임상적용 가능성 및 효과를 제시하는 데에 목적이 있다. 연구방법: 2005년 1월부터 2016년 1월까지 국외 학술지에 게재된 논문을 PubMed를 통하여 검색하였다. 포함기준과 배재기준을 고려하여 최종적으로 9개의 논문을 대상으로 분석하였다. 결과: 거울치료의 효과를 알아보기 위한 중재방법으로는 손목과 손의 단순한 움직임과 과제기반 거울치료가 사용되었다. 중재효과를 알아보기 위해 상지기능, 일상생활동작, 신체적 상태, 삶의 질 평가도구가 사용되었다. 상지의 기능은 근위부보다 원위부에서 더욱 효과가 있고, 일상생활동작에서도 유의한 효과가 있는 것으로 나타났으나, 삶의 질에서는 실험군과 대조군 사이에 유의한 차이가 없는 것으로 나타났다. 결론: 연구를 통해 임상 치료사들은 대상자의 특성에 따라 거울치료를 적절하게 사용할 근거를 찾을 수 있을 것이라 생각된다. 하지만 다양한 거울치료의 프로토콜로 인해 효율적인 적용방법을 확인하는 데 어려움이 있었다. 앞으로는 거울치료의 효과를 극대화 할 수 있는 체계화된 치료 프로토콜이 개발되어야 할 것이다.

• 한국환경교육학회지:환경교육
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• 제24권4호
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• pp.62-77
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• 2011

The purpose of this study is to overcome the realistic pressure and the limit of school environmental education and to develop an environmental education program that can provide students, who live in an urban area, have difficulty in contacting with nature, with an opportunity to experience the nature in the school outdoor environment, which is their daily living space and is a ground of environmental education. First, I developed an analytical tool which can be used to determine the degree how the environmental education is related to the school outdoor environment with 8 categories(spaces). And I analyzed the 2007-79 curriculum of lower grade(1 and 2 grades) of the elementary school provided by the Ministry of Education and Human Resources Development by using the analytical tool and found out that this curriculum was suitable for the environmental education utilizing the school outdoor environment. According to this curriculum analysis, the studying subjects which could be suitable for the environmental education utilizing the school outdoor environment were extracted, and based on these subjects, an environmental education program was developed. The environmental education 'in' environment program were composed with 5 modules and 18 activity subjects suitable for students advancement phase, and these activities can be implemented with experiencing, understanding and expressing by using 5 senses. I also proposed a plan that can be used to apply this program continuously to the lower grades(1 and 2 grades) original experience activity class.

• 한국노년학
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• 제31권2호
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• pp.407-418
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• 2011

본 연구는 노인의 신체적, 정신적, 사회적 요소가 삶의 만족에 어떠한 영향을 주고 있는지 검증하고자 하였으며, 한국노동연구원에서 실시한 고령화 패널 조사(2006)자료를 사용하여 65세 이상 노년기에 해당하는 4,032의 대상자(남자 1,696명, 여자 2,336명)를 선별하여 분석에 이용하였다. 신체적 요소에는 주관적으로 지각하는 건강상태와 일상생활활동능력을 측정하였고, 정신적 요소에는 주관적으로 생각하는 정신적 어려움과 우울증(ces-d)여부를 측정하였으며, 사회적 요소는 사회적 참여 정도를 측정하였다. 분석은 차이검증과 회귀분석, 경로분석을 바탕으로 직접적인 효과와 영향력의 비교분석을 통해 모형검증에 주안점을 두었다. 연구결과, 주관적 신체건강상태와 일상생활활동능력이 좋을수록 삶의 만족은 높은 것으로 나타났다. 그리고 주관적인 정신적 어려움이 적을수록 삶의 만족은 높은 것으로 나타났고, 우울증이 없는 집단이 있는 집단보다 삶의 만족이 높은 것으로 나타났다. 사회적 요소에서는 종교모임, 친목모임, 여가모임, 자원봉사모임이 많을수록 삶의 만족은 높아지는 것으로 나타났지만, 동창회모임, 정당/시민단체, 기타모임에서는 삶의 만족에 미치는 영향력이 없는 것으로 나타났다. 마지막으로 일상생활활동능력과 주관적인 심리적 어려움 및 사회적 참여가 매개역할을 하고 있었다.

• 산업진흥연구
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• 제6권2호
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• pp.37-46
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• 2021

본 연구는 아동·청소년기 근친 성폭력 피해자들이 사건 이후 겪게 되는 다양한 심리적 변화와 현실을 그들의 목소리로 전달하여 새로운 시각을 제공해야 할 필요성과 상담을 통해 삶에 적응하기 위해 노력하는 개인적인 삶의 경험을 현상학적인 접근을 통해서 이해하고 기록하였다. 현상학적 방법론을 통한 분석 결과는 다음과 같다. 첫째, 참여자들은 부모의 정서적인 방치와 가족구성원의 폭력적 행동과 위협, 침묵을 강요하는 과정을 통해 대인관계에 대한 불신감과 낮은 자존감이 형성 되었고 일상생활에서 지속적인 어려움을 겪게 되었다. 둘째, 성폭력 사건에 의한 고통과 후유증은 사건이 알려지는 것에 대한 두려움과 자신에 대한 부정적인 생각, 대인관계의 어려움으로 나타나 현실부적응과 사회활동 회피를 반복하면서 역할의 갈등을 경험하게 하였다. 셋째, 아동·청소년기 근친 성폭력의 후유증은 PTSD를 통해 극단적으로 드러났다. PTSD의 경험은 참여자가 정신과에서 처방받은 약물이나 알코올과 같은 물질에 의존하고 환청과 환각, 망상의 경험으로 외부활동을 더욱 기피하게 하는 요소가 되었다. 넷째, 적응 과정을 통한 변화는 사건에 대한 직면과 분리, 삶에 대한 새로운 시선이다. 적응 프로그램을 진행하면서 과거의 상처로 인해 표현하지 못한 말과 감정을 표현하고, 자신의 삶을 살아가기 위한 목표를 세우고 앞으로 나아가려고 했다. 현실에서의 극복 경험은 참여자에게 자기존중감과 삶에 대한 자신의 능력을 신뢰하는 자기효능감, 건강한 자기조절능력에 대한 믿음을 향상시켰다. 본 연구는 개인의 삶에서 근친 성폭력 트라우마가 새로운 일상의 위기를 통해 재경험되고 각 과정마다 새로운 적응 과정을 반복하는 모델을 제시하는데 의의를 둔다.