• 한방재활의학과학회지
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• 제21권4호
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• pp.227-239
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• 2011

Objectives: This study was performed to report the case of oriental medical treatment for the left lower limb monoplegia after herniated intervertebral disc(HIVD) operation at lumbar(L)-spine. Methods: A 38-year-old man who underwent lumbar HIVD operation at a hospital admitted with motor weakness of left lower limb, a little decreased left leg radiation pain and low back pain. We treated him by acupuncture, herbal medicine, bee venom injection moxibustion, cupping treatment physical therapy and measured with visual analogue scale(VAS), Oswestry disability index(ODI), Roland-Morris disability questionnaire(RMDO) and manual muscle test(MMT) from 8th February to 4th May 2011. Results: After treatment most symptoms decreased, VAS score changed from 10 to 3, ODI changed 71% to 37% RMDQ changed 13 to 8 and MMT changed from 3 to 5. Conclusions: Our study suggested that oriental medical treatments are significantly applicable to the monoplegia and pain after lumbar HIVD operation. And further studies ire required to identify underlying mechanism of the treatment.

• 한국컴퓨터그래픽스학회논문지
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• 제3권2호
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• pp.27-34
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• 1997

3 차원 영상 모델링은 자동 시각적 검사와, 비파괴 검사분야에서 절실히 요구되고 있는 연구 분야이다. 또한 그것은 생의학연구, 의료, 수술계획과 정교성이 요구되는 중대한 수술 (안면 절개) 등에 매우 유용하다. 영상처리 및 분석 기술은 3 차원 의료 영상 정보의 질올 높여 주는데, 의료정보를 정확하고 빠르게 분석하는 일은 용이하지 않다. 본 논문에서는 향상된 3 차원 의료영상의 가시화를 위하여 사면체 분할법에 의한 모델링 방법을 제안한다. 이 방법에서는 트라이 베리에이트 구간별 선형 보간법이 구축된 사면체영역에 걸쳐 적용된다. 그리고, 등면, 색채 윤곽, 슬라이싱 등 가시화 방법들도 논의된다. 이것은 마칭큐브스 알고리즘으로 인해 제기되는 불확실한 경우가 발생하지 않고, 자료 감축의 효과도 가져올 수 있으므로 보다 정확하고 빠른 의료정보 분석에 기여할 수 있을 것으로 사료된다. 그리고, 자료 감축으로 인한 정확도의 감소가 발생할 경우에는 최소제곱을 바탕으로 한 사면체 세분할을 사용하여 보완할 수 있을 것으로 기대한다.

• 한국산림과학회지
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• 제98권1호
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• pp.88-93
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• 2009

자연을 비롯한 산림 경관은 인간의 심리적 안정에 큰 역할을 한다고 알려져 왔다. 본 연구는 산림 경관의 심리적 안정 효과를 실증적으로 밝혀내고자 수행되었다. 자료의 수집을 위하여 도시, 산림, 산림과 물에 해당되는 각 9개의 경관이 선정되었다. 이들 3 종류의 총 27개 경관사진이 30명의 피험자에게 심리적 생리적 영향이 미치는지를 조사하였다. 심리적 안정을 나타내는 뇌파(${\alpha}$파)와 PRS(Perceived Restorativeness Scale), PANAS(Positive and Negative Affect Schedule)점수가 각각 생리적, 그리고 심리적 연구변수로 측정되었다. 자료의 분석결과 산림과 물, 산림, 그리고 도시 경관 순으로 생리적 심리적 안정에 영향을 주는 것으로 나타났다.

• 대한치과마취과학회지
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• 제9권2호
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• pp.98-103
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• 2009

Background: Despite increasing popularity of dental implants, there is limited information on the pain experience associated with the surgical implant placement under general anesthesia. The aim of this study was to assess the characteristics of patient-reported pain and efficacy of patient controlled analgesia after implant surgery under general anesthesia. Methods: Total 39 patients who underwent implant surgery under general aensthesia were enrolled. In PCA group (n=30), patients received patient controlled analgesia (fentanyl 700 mg and ketorolac 150 mg) set to basal rate 1 ml/h, bolus 1 ml, and lockout interval 10 min. In control group (n=9), patients received ketorolac 30 mg intravenously when they feel painful. We evaluated pain intensity using VAS score at the end and after 12 hr of the operation and recorded the number of bolus injection as a surrogate of rescue therapy. We compared the VAS data, the frequency of complication between two groups. Results: The self reported pain was highest at 1 hous after surgery in both groups. However, the intensity was not severe (PCA group = 5.7, control group = 5.6), and decreased gradually thereafter. Total demand bolus number was less than 6 in nearly 65% patients. And there was no significant difference in the frequency of complications such as nausea, vomiting and dizziness between both groups. Conclusions: The Pain following the surgical placement of dental implants was generally mild and gradually decreased with time. There was no difference in complications between control group and PCA group.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제15권1호
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• pp.23-32
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• 2009

Among welfare facilities for the elderly, necessity for the elderly welfare with diverse advantages is rising in the Small-scale Elderly Care Facilities. The government is expecting great demand in the future. However, current the Facilities lack construction plans that consider characteristics of the elderly. Accordingly, 14 case facilities located in JeollaNamdo and Gwangju were selected to comprehensively analyze the circulation of seniors at care facilities by computing spatial depth and visible area variables. As a result of this study, average spatial depth of bathroom, resting room, physical therapy room and dining hall that seniors frequently get in contact with was found to be deep, but visible area appropriate for the function of space was not available. It showed that the circulation for the elderly was deep spatially and long physically, and the spatial rank along circulation which is perceived visually by the admitted the elderly was clear, thus, providing them abundant visual experience supported by high openness as they move from private space to public space. The obtained visibility, however, was observed not to be matched with the function of each space. Since the Small-scale Elderly Care Facilities require various spaces within small surface area, actual functions of each space must be taken into consideration with hierarchical space organization to obtain an environment that stimulates senses such as vision and hearing. In addition, since the circulation of seniors using facilities must consider aging characteristics and delicate care on spatial depth and physical distances, in-depth studies on planning of the circulation in care facilities are deemed necessary.

• 대한한방내과학회지
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• 제37권4호
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• pp.631-644
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• 2016

Objectives: The purpose of this study was to evaluate the reliability and validity of an instrument for pattern identification and evaluation in chemotherapy-induced peripheral neuropathy (CIPN).Methods: The study consisted of 66 patients with CIPN (visual analog scale ≥30 mm, Eastern Cooperative Oncology Group ≤2). The test-retest reliability of the instrument for pattern identification and evaluation in CIPN was tested twice with the same patients in one week.Results: Pearson’s coefficient test-retest reliability of the instrument was 0.601-0.777. The internal reliability of each part was 0.619-0.811. To confirm the validity of the instrument for pattern identification and evaluation for CIPN, the correlation between the score for each identification pattern and that of other CIPN instruments was analyzed. The results revealed a positive correlation between the Functional Assessment of Cancer Therapy-General and CIPN-20.Conclusion: The reliability of the instrument for pattern identification and evaluation in CIPN was moderate, and the validity analysis revealed a positive correlation.

• 대한한방내과학회지
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• 제37권4호
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• pp.661-668
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• 2016

Objectives: To describe the effect of traditional Korean medicine and treatment on Miller Fisher syndrome (MFS).Methods: A 54-year-old woman diagnosed with MFS presented with eyeball dysfunction, diplopia, vertigo, right facial palsy, and back dysesthesia. The patient had been treated with immunoglobulin for 21 d, but her symptoms failed to improve. Thus, herbal medicine, acupuncture, electropuncture, pharmacopuncture, and moxibustion were added. Length of eyeball movement, distance that the patient recognize double images in the eyes and Visual Analogue Scale (VAS) are measures for the syndrome.Results: The symptoms of the patient considerably improved, with the return of eyeball movement to normal and disappearance of diplopia.Conclusions: The results suggest that Korean medicine may be an effective therapy for MFS.

• 동의신경정신과학회지
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• 제22권4호
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• pp.135-142
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• 2011

Objectives : The purpose of this case was to investigate the effectiveness of electroacupuncture for ophthamoplegic migraine. Methods : We provided electroacupuncture therapy and prescribed oriental medicine, Joganiknoe-tang daily. We measured patient's pain by VAS(Visual Analogue Scale) and eye movement with a ruler every five days. Results & Conclusions : Any patient who has a headache with paresis of the extraocular muscle should be considered for ophthalmoplegic migraine. To diagnose ophthalmoplegic migraine, family history, past medical history, associated symptoms and signs, neurologic examinations and neuroimaging tests are needed. The symptoms of patient improved gradually within 26days from the first day of admission, and we can see her complete recovery.

• 한국산학기술학회논문지
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• 제15권5호
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• pp.3046-3050
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• 2014

본 연구는 음성장애 청지각적 평가인 EAI(등간척도)와 VAS(시각적 아날로그 척도)의 차이점, 각 평가방법에 대한 평가자 자가-신뢰도(confidence rating)을 알아보았다. 30명의 언어병리전공 학생들이 음성장애로 진단받은 화자(N=25)의 발성과 읽기 샘플을 듣고 EAI는 7점 척도, VAS는 0-10cm의 직선에 음성장애 정도를 표시했고, 판단에 대한 자가 신뢰도 점수는 7점 척도로 실시했다. 음성장애 정도에 대한 판단의 준거가 제시되는 상황(조건 1)과 그렇지 않은 상황(조건 2)에서 모음 연장발성과 읽기 과제에 대해 각각 실시했다. 연구 결과, 발성이나 읽기과제에서 모두 동일하게 모두 VAS평가 점수가 높게 산출되었고, 통계적으로 유의하였다. 그 외 조건 1의 읽기과제와 조건 2의 발성과제에 대한 EAI와 VAS평가 점수 간에는 차이가 없었다. 이러한 결과는 음성장애 화자들의 발화 과제와 청지각적 평가유형이 청취자들의 지각적인 판단에 영향을 미칠 수 있으며, 이에 대한 보다 집중된 임상 연구가 계속되어야 할 것을 시사한다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제19권5호
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• pp.277-288
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• 2019

Background: This study evaluated the efficacy of virtual reality (VR) distraction and counter-stimulation (CS) on dental anxiety and pain perception to local anesthesia in children. Methods: A prospective, randomized, single-blinded interventional clinical trial with a parallel design was used. Seventy children 7-11 years old who required local anesthesia (LA) for pulp therapy or tooth extraction were recruited and allocated to two groups with equal distribution based on the intervention. Group CS (n = 35) received CS and Group VR (n = 35) received VR distraction with ANTVR glasses. Anxiety levels (using pulse rate) were evaluated before, during, and after administration of local anesthesia, while pain perception was assessed immediately after the injection. Wong-Baker faces pain-rating scale (WBFPS), visual analog scale (VAS), and Venham's clinical anxiety rating scale (VCARS) were used for pain evaluation. Student's t-test was used to test the mean difference between groups, and repeated measures ANOVA was used to test the mean difference of pulse rates. Results: Significant differences in mean pulse rates were observed in both groups, while children in the VR group had a higher reduction (P < 0.05), and the mean VCARS scores were significant in the VR group (P < 0.05). Mean WBFPS scores showed less pain perception to LA needle prick in the CS group while the same change was observed in the VR group with VAS scores. Conclusions: VR distraction is better than CS for reducing anxiety to injection in children undergoing extraction and pulpectomy.