• 한국융합학회논문지
• /
• 제12권4호
• /
• pp.293-302
• /
• 2021

본 연구는 산재근로자의 임상요인과 개인 미술치료의 효과를 알아보기 위한 연구이다. 2017년 1월부터 2019년 7월까지 산재근로자를 10명을 연구대상으로 11회기의 미술치료를 개별적으로 시행하였고 다차원심리검사 S형을 사용하여 개인 미술치료 사전. 사후 임상요인의 변화를 살펴보았다. 분석결과 5개의 임상요인의 평균이 2.80에서 4.20까지 분포하여 산재근로자의 심리적 고통이 상당함을 알 수 있었다. 이변량 상관관계분석 결과 모든 요인들 간의 통계적인 범위내에서 유의한 상관관계가 존재하는 것을 확인할 수 있었다. 미술치료 시행 전후의 다차원심리검사 결과의 차이를 파악하기 위하여 wilconxon의 부호순위검정을 사용하여 분석한 결과 5개의 하위요인 중 우울, 분노와 불안의 Z값이 -2.405(p=.016), -2.148(p=.032), -2.102(p=.036)로 나타나 개인 미술치료 수행 후 연구참여자의 우울, 분노와 불안이 다소 완화되었음을 확인할 수 있었다.

• 디지털융복합연구
• /
• 제19권8호
• /
• pp.285-292
• /
• 2021

본 연구는 비대면 시대 고령자의 키오스크 사용 경험 증대에 관한 연구이다. 선행연구와 문헌 조사를 통해서 키오스크와 고령자에 관하여 고찰하였고. 참여 관찰법과 심층 인터뷰를 통해 개선방안을 제시하였다. 연구 방법으로는 인천 거주 60대 이상 고령자를 대상으로 2021년 4월 4일부터 16일까지 13일간 키오스크 사용 경험이 없는 8명을 대상으로 참여 관찰을 진행하였고, 사용 경험이 있는 3명을 추가하여 총 11명을 심층 인터뷰하였다. 실험 결과 고령자의 사용과정 페인 포인트(pain point)로 인터페이스와 심리적인 요인들이 도출되었고, 이를 종합하여 다섯 가지 개선안을 제시하였다. 본 연구는 고령자 키오스크 사용자 경험과 키오스크 인터페이스 디자인에 관한 연구의 자료로써 활용되기를 기대한다.

• 대한화상학회지
• /
• 제24권2호
• /
• pp.38-42
• /
• 2021

Soft tissue calcifications after burn injuries are commonly found in the periarticular region. They can easily be found because they cause severe pain and distress to the patient. However, a long period is required to identify extra-articular soft tissue calcification after burn injuries because they have no specific symptoms. Herein, we present the case of a patient with dystrophic extra-articular soft tissue calcification after a burn injury. A 70-year-old woman developed a non-healing ulcer in the right lower leg area two months before presentation to the hospital. She had third-degree flame burns on the anteromedial tibial area of the right leg approximately 40 years prior, and there had been no particular problem. Examination revealed chronic ulcers, and a review of radiograph findings revealed irregular calcification. The wound was treated with wide excision with a skin graft, and it healed without complications. During follow-up one month later, no recurrence of the calcification or ulceration of the lesion was found.

• 한국엔터테인먼트산업학회논문지
• /
• 제14권2호
• /
• pp.225-235
• /
• 2020

본 연구는 골다공증 환자의 라이프 케어 증진을 위한 미충족 의료실태와 위험요인 분석하기 위하여 패널 자료를 활용한 횡단적 2차 분석 조사연구이다. 연구대상자는 한국의료패널 2015년 자료(β-version 1.0)를 활용하여 골다공증 진단을 받은 941명을 대상으로 하였다. SPSS/win 22.0 Program을 이용하여 χ² test, logistic regression을 이용하여 자료를 분석하였다. 연구결과 골다공증 환자의 미충족 의료 발생률은 22.6%이었으며, 인구학적 특성 요인의 Model I에서는 나이, 교육수준으로 나타났으며, 신체적 요인을 추가한 Model II에서는 섭식문제, 기억력 장애, 활동제한, 장애 판정으로 나타났다. 심리·사회적 요인을 추가한 Model III에서는 섭식문제, 기억력 장애, 총 가구 소득, 통증/불편감으로 확인되었다. 본 연구 결과를 바탕으로 골다공증 환자의 라이프 케어를 증진시키기 위해 지속적으로 의료정책 기획 시 고려되어져야 하겠으며, 미충족 의료를 감소시키기 위한 의료서비스 접근성 개선과 현실적인 예방 및 중재가 필요하겠다.

• Archives of Plastic Surgery
• /
• 제48권6호
• /
• pp.691-698
• /
• 2021

Background The reverse sural artery (RSA) flap is widely used for lower extremity reconstruction. However, patients sometimes suffer from donor site complications such as scar contracture and paresthesia, resulting in dissatisfaction with the aesthetic outcomes. This study investigated the characteristics of donor site morbidity associated with RSA flaps and described our experiences of dealing with complications by performing resurfacing surgery using thoracodorsal artery perforator (TDAP) flaps. Methods From April 2008 to August 2018, a total of 11 patients underwent contracture release and resurfacing surgery using TDAP flaps due to donor morbidity associated with RSA flaps. All affected donor sites were covered with a skin graft, the most common of which was a meshed split-thickness skin graft (six cases). Results Eight of the 11 patients (72.7%) suffered from pain and discomfort due to scar contracture, and seven (63.6%) complained of a depression scar. The donor sites were located 6.3±4.1 cm below the knee joint, and their average size was 140.1 cm². After resurfacing using TDAP flaps, significant improvements were found in the Lower Extremity Functional Scale (LEFS) scores and the active and passive ranges of motion (AROM and PROM) of the knee joint. The LEFS scores increased from 45.1 to 56.7 postoperatively (P=0.003), AROM increased from 108.2° to 118.6° (P=0.003), and PROM from 121.4° to 126.4° (P=0.021). Conclusions Planning of RSA flaps should take into account donor site morbidity. If complications occur at the donor site, resurfacing surgery using TDAP flaps achieves aesthetic and functional improvements.

• 전자통신동향분석
• /
• 제37권3호
• /
• pp.74-84
• /
• 2022

The Korean mobile service market has persistently grown with the number of subscribers and volume of mobile traffic. It shows the slow diffusion of 5G subscribers, and rapid growth of both the MVNO(Mobile Virtual Network Operator) market and unlocked mobile phones. Therefore, this study derives the direction of telcos' strategies and policy implications by empirically analyzing the usage and attitude of LTE and 5G subscribers. Our major findings are as follows: First, our current mobile service subscription market constitutes most long-term customers for their incumbent carriers only by device change from lock-in with bundle services. Mobile tariffs, data speed, and benefits of bundle services are important factors affecting choices and customers' satisfaction with a provider and intentions of churning to another. Second, demand and satisfaction for using 5G are less because speeds and service tariffs act as pain points for 5G services. Third, the users' high preferences for MVNOs and unlocked mobile phones are linked to their subscription to MVNOs' low-cost plans with unlocked mobile phones on online channels. These streams lead to a big change in the market competition that MNO(Mobile Network Operator)s' market shares are expected to decrease and MVNOs' shares will be increased by two times, in the near future. Therefore, MNOs need to change their distribution strategies from offline to online channels and try to resolve the stereotype, "mobile tariffs are expensive," by enhancing their service values. Finally, as consumers prefer one-stop service in the same channel regardless of the distribution channel, policies should focus on the consumers' needs for convenience rather than on the channel separation for perfectly unlocked mobile phones.

• Clinics in Shoulder and Elbow
• /
• 제25권1호
• /
• pp.28-35
• /
• 2022

Background: Given the complications involved in corticosteroid (CS) injections, subacromial platelet-rich plasma (PRP) injections may provide a valid alternative to CS in the treatment of rotator cuff (RC) tendinopathy. Methods: We retrospectively reviewed a total of 98 patients affected by RC tendinopathy who were treated with either subacromial injection of PRP or CS. The PRP group received three injections of autologous PRP at 2 weeks interval, and the CS group received one injection of CS. The Western Ontario Rotator Cuff Index (WORC) was the primary outcome measure, while the secondary outcome measures were the visual analog scale (VAS), range of motion (ROM), and need for cuff repair surgery, which were analyzed at intervals of 6, 12, and 18 months. Results: A total of 75 patients were included in the analysis (PRP, n=35; CS, n=40). The mean follow-up for PRP was 21.1±8.7 months and for CS was 33.6±16.3 months (p<0.001). Both groups showed improvement in WORC, VAS, and ROM. No significant differences were detected between the two groups in any of the primary (WORC) or secondary outcomes over 6, 12, and 18 months (all p>0.05). No adverse events were detected. Conclusions: Both treatments improved patient symptoms, but neither resulted in a significantly better outcome in this series of patients. PRP can be a safe and feasible alternative to CS, even at long-term follow-up, to reduce local and systemic effects involved with CS injections.

• 기독교교육논총
• /
• 제68권
• /
• pp.217-243
• /
• 2021

본 연구는 유엔 사무총장이 "코로나 19는 여성의 얼굴을 한 위기이다" 라고 언급한 것에서 볼 수 있듯이, 코로나 19 팬데믹으로 인하여 가장 큰 위기와 고통, 어려움에 처한 여성들의 상황을 통계자료들와 학술연구결과들을 통하여 경제적, 사회 문화적, 심리 정서적 측면에서 구체적으로 다루고, 이 문제들이 어떻게 "돌봄"에 관련되어 나타나는지 살펴보았다. 그리고 이러한 문제들과 위기에 대한 교회의 한 대응으로서 "돌봄윤리"와 "돌봄목회"를 통한 목회신학적 성찰을 도모하였다. 교회의 "돌봄목회"는 교회내의 개인적 돌봄 뿐 아니라 사회, 문화, 경제, 정치, 생태계적 이슈들에도 확장되며, 교회는 공공성을 가지고 재난과 관련된 이러한 이슈들에 응답하는 선교적 사명을 지닌다. 나아가 교육목회를 통해, 돌봄과 불평등에 대한 가치관과 사고방식의 변화와 디아코니아, 교회공동체의 사랑의 돌봄이 격려되어야 할 것이다.

• Clinics in Shoulder and Elbow
• /
• 제24권4호
• /
• pp.202-208
• /
• 2021

Background: We aimed to assess the effect of plate hook bending in treatment of acromioclavicular (AC) dislocation by analyzing clinical and radiological results according to the angle of the plate hook (APH). Methods: This was a retrospective, observational, case-control study including 76 patients with acute AC joint dislocation that were divided into two groups according to treatment with bent or unbent plate hook. The visual analog scale (VAS), the American Shoulder and Elbow Surgeons (ASES) shoulder score, and range of motion (ROM) were evaluated as clinical outcomes. Comparative coracoclavicular distance (CCD) was measured to evaluate radiological outcomes. Results: While the VAS and ASES of the bending group at 4 months after surgery were significantly higher (p=0.021 and p=0.019), the VAS and ASES of the bending group at other periods and ROM of the bending group showed no significant difference. The initial CCD decreased from 183.2%±25.4% to 114.3%±18.9% at the final follow-up in the bending group and decreased from 188.2%±34.4% to 119.1%±16.7% in the non-bending group, with no statistical difference (p=0.613). The changes between the initial and post-metal removal CCD were 60.2%±11.2% and 57.3%±10.4%, respectively, with no statistical difference (p=0.241). The non-bending group showed greater subacromial osteolysis (odds ratio, 3.87). Pearson's coefficients for the correlation between APH and VAS at 4 months after surgery and for that between APH and ASES at 4 months after surgery were 0.74 and -0.63 (p=0.027 and p=0.032), respectively. Conclusions: The APH was associated with improved postoperative pain and clinical outcomes before implant removal and with reduced complications; therefore, plate hook bending is more useful clinically during plate implantation.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제22권6호
• /
• pp.405-417
• /
• 2022

Oral lichen planus (OLP) is a chronic inflammatory immune-mediated condition that has been identified as a potentially malignant oral disorder. Various therapies have been proposed for its management as alternative to corticosteroids. However, no definitive treatment has been identified that can result in complete remission or minimal recurrence. Hyaluronic acid has recently been used as an alternative therapy for the management of OLP. This study aimed to systematically review the effectiveness of Hyaluronic acid in the management of symptomatic OLP. Online electronic databases and manual searches were performed for randomized controlled trials (RCTs) published in English between January 2010 and April 2022. RCTs were identified that compared the efficacy of hyaluronic acid and other interventional therapies at baseline and during follow-up. The Cochrane Risk of Bias tool was used to assess the quality of the included studies. Visual analog scale (VAS) scores, Thongprasom sign scores, lesion size, degree of erythema, clinical severity, and disease severity were assessed both quantitatively and qualitatively. Seven studies were analyzed. Five studies reported a high risk of bias while the remaining two studies reported an unclear risk of bias. The overall quantitative assessment of size, symptoms, degree of erythema, and sign score in OLP lesions treated with HA was not statistically significant compared to that in the control group (P > 0.05). In addition, subgroup analysis comparing HA with placebo or corticosteroids did not yield statistically significant (P > 0.05) results. Qualitatively, both HA and tacrolimus resulted in an effective reduction in signs and symptoms. Clinical/disease severity index/scores were inconsistent. A high degree of heterogeneity was observed among the included studies. None of the included studies reported the side effects of HA. These findings suggest that corticosteroids, tacrolimus, placebo, and HA could be equally effective in OLP management. The clinical/disease severity index or score reduction cannot be determined with certainty. Thus, OLP can be treated with HA as an alternative therapy. Owing to limited clinical trials on HA, high heterogeneity, and high risk of bias in the included studies, definitive conclusions cannot be derived.