• The Korean Journal of Pain
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• 제33권4호
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• pp.305-317
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• 2020

Not all sciatica-like manifestations are of lumbar spine origin. Some of them are caused at points along the extra-spinal course of the sciatic nerve, making diagnosis difficult for the treating physician and delaying adequate treatment. While evaluating a patient with sciatica, straightforward diagnostic conclusions are impossible without first excluding sciatica mimics. Examples of benign extra-spinal sciatica are: piriformis syndrome, walletosis, quadratus lumborum myofascial pain syndrome, cluneal nerve disorder, and osteitis condensans ilii. In some cases, extra-spinal sciatica may have a catastrophic course when the sciatic nerve is involved in cyclical sciatica, or the piriformis muscle in piriformis pyomyositis. In addition to cases of sciatica with clear spinal or extra-spinal origin, some cases can be a product of both origins; the same could be true for pseudo-sciatica or sciatica mimics, we simply don't know how prevalent extra-spinal sciatica is among total sciatica cases. As treatment regimens differ for spinal, extra-spinal sciatica, and sciatica-mimics, their precise diagnosis will help physicians to make a targeted treatment plan. As published works regarding extra-spinal sciatica and sciatica mimics include only a few case reports and case series, and systematic reviews addressing them are hardly feasible at this stage, a scoping review in the field can be an eye-opener for the scientific community to do larger-scale prospective research.

• 지구물리와물리탐사
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• 제16권4호
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• pp.275-283
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• 2013

방조제는 간척사업을 위한 중요한 시설물로서 방조제 내측의 담수 확보를 위한 중요한 기능을 담당한다. 정밀안전진단 과정에서는 전기비저항 탐사, 자연전위 탐사 등 지구물리학적 방법들이 일부 반영되고 있지만, 그 중요성에 비하여 적용방법과 획득된 자료의 해석기술에 관한 연구는 미흡한 실정이다. 본 연구에서는 현재 진행되고 있는 육안조사 위주의 방조제 안전점검, 정밀안전진단 등 유지 관리 체계의 문제점을 파악한 후, 정밀안전진단의 조사방법에 대한 개선방안으로 지구물리학적 방법들에 대해 고찰하였다. 한편 주변 환경적 변화에 의한 제한적 요소들(조위변화에 따른 제체의 압력변화, 성토재의 다짐 특성, 제체 표면의 피복상태)을 고려하여 방조제 환경에 따른 맞춤형 지구물리학적 방법들을 제시하였다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권11호
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• pp.4647-4652
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• 2015

Background: Colorectal cancer (CRC) is becoming one of the most complicated challenges of human health, particularly in developing countries like Iran. In this paper, we try to characterize CRC cases diagnosed < age 50 at-risk for Lynch syndrome within central Iran. Materials and Methods: We designed a descriptive retrospective study to screen all registered CRC patients within 2000-2013 in Poursina Hakim Research Center (PHRC), a referral gastroenterology clinic in central Iran, based on being early-onset (age at diagnosis ${\leq}50years$) and Amsterdam II criteria. We calculated frequencies and percentages by SPSS 19 software to describe clinical and family history characteristics of patients with early-onset CRC. Results: Overall 1,659 CRC patients were included in our study of which 413 (24.9%) were ${\leq}50years$ at diagnosis. Of 219/413 successful calls 67 persons (30.6%) were reported deceased. Family history was positive for 72/219 probands (32.9%) and 53 families (24.2%) were identified as familial colorectal cancer (FCC), with a history of at-least three affected members with any type of cancer in the family, of which 85% fulfilled the Amsterdam II Criteria as hereditary non-polyposis colorectal cancer (HNPCC) families (45/219 or 20.5%). Finally, 14 families were excluded due to proband tumor tissues being unavailable or unwillingness for incorporation. The most common HNPCC-associated extracolonic-cancer among both males and females of the families was stomach, at respectively 31.8 and 32.7 percent. The most common tumor locations among the 31 probands were rectum (32.3%), sigmoid (29.0%), and ascending colon (12.9%). Conclusions: Given the high prevalence of FCC (~1/4 of early-onset Iranian CRC patients), it is necessary to establish a comprehensive cancer genetic counseling and systematic screening program for early detection and to improve cancer prognosis among high risk families.

• Journal of Periodontal and Implant Science
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• 제46권4호
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• pp.266-276
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• 2016

Purpose: The aim of the present study was to retrospectively investigate the influence of potential risk indicators on the development of peri-implant disease. Methods: Overall, 103 patients referred for implant treatment from 2000 to 2012 were randomly enrolled. The study sample consisted of 421 conventional-length (>6 mm) non-turned titanium implants that were evaluated clinically and radiographically according to preestablished clinical and patient-related parameters by a single investigator. A non-parametric Mann-Whitney U test or Kruskal-Wallis rank test and a logistic regression model were used for the statistical analysis of the recorded data at the implant level. Results: The diagnosis of peri-implant mucositis and peri-implantitis was made for 173 (41.1%) and 19 (4.5%) implants, respectively. Age (${\geq}65$ years), patient adherence (professional hygiene recalls <2/year) and the presence of plaque were associated with higher peri-implant probing-depth values and bleeding-on-probing scores. The logistic regression analysis indicated that age (P=0.001), patient adherence (P=0.03), the absence of keratinized tissue (P=0.03), implants placed in pristine bone (P=0.04), and the presence of peri-implant soft-tissue recession (P=0.000) were strongly associated with the event of peri-implantitis. Conclusions: Within the limitations of this study, patients aged ${\geq}65$ years and non-adherent subjects were more prone to develop peri-implant disease. Therefore, early diagnosis and a systematic maintenance-care program are essential for maintaining peri-implant tissue health, especially in older patients.

• Tuberculosis and Respiratory Diseases
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• 제81권4호
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• pp.261-273
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• 2018

Chronic obstructive pulmonary disease (COPD) results in high morbidity and mortality among patients nationally and globally. The Korean clinical practice guideline for COPD was revised in 2018. The guideline was drafted by the members of the Korean Academy of Tuberculosis and Respiratory Diseases as well as the participating members of the Health Insurance Review and Assessment Service, Korean Physicians' Association, and Korea Respiration Trouble Association. The revised guideline encompasses a wide range of topics, including the epidemiology, diagnosis, assessment, monitoring, management, exacerbation, and comorbidities of COPD in Korea. We performed systematic reviews assisted by an expert in meta-analysis to draft a guideline on COPD management. We expect this guideline to facilitate the treatment of patients with respiratory conditions by physicians as well other health care professionals and government personnel in South Korea.

• 동의신경정신과학회지
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• 제13권2호
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• pp.213-223
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• 2002

우울증(憂鬱症) 환자(患者) 1인을 대상(對象)으로 사상체질(四象體質)을 바탕으로 치료(治療)한 결과 환자의 사고가 서서히 긍정적으로 전환되고 생활이 규칙적으로 돌아와 정상적인 일상생활이 가능하게 되는 등의 유의한 효과를 얻었는데 우울증(憂鬱症) 뿐만아니라 제반 신경정신과(神經精神科) 질환(疾患)에 대해 체질의학적(體質醫學的)인 관점(觀點)에서 체계적인 임상연구(臨床硏究)를 기울인다면 좀 더 유효한 치료법을 기대 할 수 있으리라 사료된다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제17권3호
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• pp.147-154
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• 2014

Purpose: Gender differences in paediatric patients with inflammatory bowel disease (IBD) are frequently reported as a secondary outcome and the results are divergent. To assess gender differences by analysing data collected within the Swiss IBD cohort study database since 2008, related to children with IBD, using the Montreal classification for a systematic approach. Methods: Data on gender, age, anthropometrics, disease location at diagnosis, disease behaviour, and therapy of 196 patients, 105 with Crohn's disease (CD) and 91 with ulcerative or indeterminate colitis (UC/IC) were retrieved and analysed. Results: The crude gender ratio (male : female) of patients with CD diagnosed at <10 years of age was 2.57, the adjusted ratio was 2.42, and in patients with UC/IC it was 0.68 and 0.64 respectively. The non-adjusted gender ratio of patients diagnosed at ${\geq}10$ years was 1.58 for CD and 0.88 for UC/IC. Boys with UC/IC diagnosed <10 years of age had a longer diagnostic delay, and in girls diagnosed with UC/IC >10 years a more important use of azathioprine was observed. No other gender difference was found after analysis of age, disease location and behaviour at diagnosis, duration of disease, familial occurrence of IBD, prevalence of extra-intestinal manifestations, complications, and requirement for surgery. Conclusion: CD in children <10 years affects predominantly boys with a sex ratio of 2.57; the impact of sex-hormones on the development of CD in pre-pubertal male patients should be investigated.

• 사상체질의학회지
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• 제32권2호
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• pp.33-47
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• 2020

Objectives The aim of this study is to analyze the therapeutic direction and characteristics of gastrointestinal diseases by three societies of Korean medicine by comparing the frequent disease patterns and prescriptions of them. Methods The experts of the three societies of Sasang constitutional medicine, Hyungsang medicine and Sanghan-GeumGwe medicine discussed and confirmed a list of clinical data to make use for diagnosis. Then, clinical data on 200 patients suffering from gastrointestinal symptoms were collected. The each experts diagnosed appropriate disease patterns and decided prescriptions according to the method of their affiliated society. Results and Conclusions The three different societies' experts showed the similarity in the sense of categorizing disease patterns focusing on the specific physiology and pathology of the patients, while the each societies have different diagnosis systems. Treating chronic gastrointestinal patients, they treated the mental or psychological symptoms of the patients as well as their physical problems. Based on this study, it is necessary to develop a systematic and precise research model to objectively and statistically analyze the correlation of disease patterns and prescriptions by different societies.

• 한국비블리아학회지
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• 제32권1호
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• pp.335-360
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• 2021

본 연구는 공공도서관 사서의 공통역량 수준을 진단하는 자가진단 도구를 개발하여 실제 공공도서관 사서들을 대상으로 적용해보고 실증적 연구방법을 통해 역량가치 평가요인을 분석함으로써, 공공도서관 현장에서 사서의 역량강화 제고를 위한 개선방안을 모색하고자 하였다. 이를 위해 기존의 도서관 사서의 역량가치 평가 지표를 공공도서관 관점에서 수정, 보완하여 직급이나 직무에 관계없이 누구나 기본적으로 갖추어야 할 기본적 자질인 공통역량을 중심으로 한 자가진단 도구가 제시되었다. 공공도서관 사서 역량에 대한 자기 진단 분석 결과, 공공도서관 사서들은 전문직 사서가 갖추어야할 공통역량의 습득 정도를 보통보다는 다소 높은 수준으로 인식하고 있다고 스스로 평가하고 있는 것으로 나타났다. 사서의 전체 역량 중 '사서의 행동 및 태도' 영역의 평균이 가장 높았으며, '사서의 기량', '사서의 지식' 영역 순으로 나타났다. 다양한 직무 수행에 필요한 공공도서관 사서의 역량강화를 위해서 사서 재교육 체계 구축 및 강화가 필요하며 전문직으로서의 사서 직무에 대한 대외 홍보, 사서 전문역량 계발을 위한 체계적 제도와 전문성 계발을 위한 인사제도가 마련되어야 할 것을 제언하였다.

• 대한통합의학회지
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• 제10권2호
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• pp.187-202
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• 2022

Purpose : This study is a descriptive research study to establish basic data for stable operation of dementia relief center as a part of national responsibility system for dementia and to establish the role of the professional workforce. Methods : This study is a survey study involving 126 nurses working at 19 dementia relief centers. The collected data were analyzed using the SPSS/WIN 23.0. Results : The importance tasks that nurses think of were Dementia Diagnosis, Counseling, Register and Classification and Dementia Preventive Projects. In addition, tasks that showed high performance were in the order of Dementia Diagnosis, Counseling, Register and Classification, Management of Dementia subjects. As a result, the final items of work areas and contents included 45 subcategories of work content for eight work areas. Conclusion : Through this study, it was possible to investigate the overall work area and content of nurses at the Dementia relief Center. It is necessary to develop a work description suitable for nurses who are medical personnel specializing in dementia safety centers. It is necessary to develop a work description suitable for nurses who are medical personnel specializing in dementia safety centers. In connection with the purpose of establishing the centers for disease control and prevention, it is necessary to operate a systematic and continuous program to manage dementia patients and those with mild cognitive impairment in the community.