• 정신신체의학
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• 제15권1호
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• pp.44-50
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• 2007

연구목적 : 기존 연구에서 만성적인 경과를 갖는 신체 질환과 인격간의 상호 관련성이 지속적으로 제시되어 왔다. 본 연구에서는 기질성격검사를 이용하여 섬유근육통 환자의 인격 성향을 평가하고 섬유근육통 증상의 강도에 영향을 미치는 인격 성향을 알아보고자 한다. 방법: 40명의 여성 섬유근육통 환자와 40명의 건강한 정상 여성 대조군이 본 연구에 참여하였다. 모든 대상군에게 인격을 평가하는 기질성격검사와 우울 상태를 평가하는 해밀턴 우울 평가 척도가 시행되었으며, 섬유근육통 환자의 증상 평가를 위해 섬유근육통 영향 척도를 시행하였다. 결과: 섬유근육통 환자군은 연령과 우울 상태를 공변으로 보정하였을 때, 정상 대조군에 비해 유의하게 높은 위험회피 점수(F=2.187, p=0.047)와 낮은 자율성 점수(F=4.551, p=0.036)를 나타내었다. 섬유근육통 환자군에서 연령과 우울을 보정하였을 때, 섬유근육통 영향 척도 점수와 위험 회피 점수가 양의 상관관계를 나타내었으며(R=0.399, p=0.013), 다중선형 회귀 분석에서 위험 회피 점수가 섬유근육통 영향 척도 점수에 영향을 미치는 인자로 밝혀졌다(95% CI=0.004-1.942, p=0.049). 결론: 본 연구를 통해 여성 섬유근육통 환자는 건강한 정상 여성에 비해 특징적인 인격 성향이 있음을 확인하였다 또한, 위험 회피 성향이 섬유근육통 환자에서 증상의 강도에 영향을 미치는 인자로 나타났다.

• Archives of Plastic Surgery
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• 제47권2호
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• pp.126-134
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• 2020

Background Pectus excavatum is less common in females than in males, and it often aggravates a coexistent breast asymmetry. We conducted a study comparing female patients' versus medical professionals' evaluation of pectus excavatum repair to assess differences in aesthetic outcome ratings. Moreover, we evaluated the influence of surgical correction on patients' self-perception. Methods Of 30 female patients who were initially screened, 18 patients (mean age, 20 years) who underwent bar removal after surgical correction of pectus excavatum deformity participated in the survey (60%). They completed a questionnaire rating their appearance before and after surgery and responded to a psychological questionnaire about the changes that they had experienced. The mean interval between pectus bar removal and evaluation was 28 months. Standardized preoperative and postoperative patient photographs were evaluated using the same questionnaire by a panel of medical professionals and students (n=24) and the results were compared. Results Patients rated their preoperative deformity as more severe than the other evaluators, revealing the significant impact of the deformity on patients' self-perception. Postoperatively, patient and professional evaluations were much better than before and were very similar. The psychological evaluation showed a clear improvement in well-being. The ratings of the medical professionals were not influenced by their degree of medical education. Conclusions Surgical correction of pectus excavatum in female patients positively influences body perception and psychological well-being. It should therefore not be considered as a merely aesthetic correction, but as an important procedure to restore a patient's self-perception.

• 한국운동역학회지
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• 제19권2호
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• pp.273-286
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• 2009

본 연구는 고등학교 여자선수들을 대상으로 3차원 영상분석을 이용하여 스윙시 나타나는 각 신체분절 및 클럽의 직임을 운동학적 및 운동역학적 변인들을 산출하여 성공과 실패시에 대한 중요변인들을 비교 분석함으로써 정량적 자료의 추출과 더불어 정성적 평가를 하는데 목적이 있다. 운동학적 변인으로써 위치변화, 속도, 각도에 대한 3차원 분석과 지면반력에 대한 분석을 하였다. 그 결과 스윙시 클럽헤드는 어드레스와 톱스윙시 전후 이동(X축)이 매우 적게 나타남으로써 안정적 스윙이 유지 되는 것으로 나타났다. 또한 좌우방향(Y)의 신체중심이동속도는 성공적인 스윙 동작 시 실패동작시보다 임팩트시 매우 빠른 속도를 나타냄으로써 운동량 증가에 많은 기여를 하였으며 코킹각은 톱스윙에서부터 임팩트까지의 성공시가 코킹각을 더 크게 풀어 줌으로써 임팩트시 선속도 증가에 영향을 주어 비거리 증가에 유리하게 작용할 것으로 판단된다. 지면반력(GRF)은 전후방(X축)과 좌우방향(Y축)에서 안정적인 지지율로 나타남으로써 성공적 스윙으로 연결된 것으로 나타났다.

• 한국병원경영학회지
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• 제22권3호
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• pp.61-73
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• 2017

Purposes : The purpose of this study is to identify factors that have effects on safety activities of hospital personnels by investigating causality between patient safety culture, job stress, safety system and safety activities of faculty and staff member who are working for oriental medicine hospital of university. Methodology : The subjects were 246 employees working in 4 oriental medicine hospitals of university in Daejeon and Chungcheongnam-do. The data were collected from January 16 to January 25, 2017 using a structured questionnaire. For data analysis, descriptive statistics, Pearson correlation coefficient, t-test, ANOVA and Duncan test with SPSS 22.0 were used. Findings : The activity score for patient safety of faculty and staff member, who were experienced at job training program after joining a company and regular training course for qualification or license, was meaningfully higher than that of group who had no job training experience. The result indicated that the higher there is level of safety culture and safety system and the lower there is work stress, the more the activity has positive effect on patient safety. The level score of awareness for safety culture of faculty and staff member in C hospital, which is facing financial crisis in business circumstances recently, showed average value of 3.29. It was significantly lower than that of the other three hospital. Also, The activity score for patient safety was markedly lower than that of the other three hospital. This result become interested in the process of linking non-financial performance and financial performance. The level score of safety activity in A hospital which obtained healthcare accreditation was remarkably higher than that of the other three hospital which didn't certify healthcare accreditation. Pratical Implications : Subjects about Q.I or patient's experience management must be included in curriculum of Oriental medicine. It is necessary to get the effect of job training program for faculty and staff member through the process of preparation for obtaining healthcare accreditation. When the hospital director is appointed, it must be considered that he/she has the ability to attach importance to analysis and management of the factors creating safety accident, and has business mindset for healthcare delivery of customer- centricity. This research showed that financial performance of hospital, which of business environment is favorable; located in metropolitan city and having large scale of hospital and quality of residence rating but low-level of safety culture and safety activity, was lower than that of general hospital situated in small and medium-sized cities. More research needs to be done for answering this result.

• Journal of Yeungnam Medical Science
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• 제7권2호
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• pp.79-87
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• 1990

Using Zung's self-rating depression scale, the authors studied depression in 310 elderlies residing in the 9 home for the aged (HFA) in Kyungbuk area, and 234 elderlies living in Taegu city and 107 elderlies attending a Life-long education program in Taegu, which serve as a control group, Community resident elderlies(CRE). The research had been administered during the period from June to August, 1986. The results were as follows : 1. The mean scores of male. female. and the total of the elderlies in HFA were $38.95{\pm}11.55$, $44.18{\pm}14.15$:: and $42.8{\pm}13.7$ respectively while CRE marked $40.8{\pm}11.3$ for male, $45.2{\pm}12.0$ for female, and $43.4{\pm}11.9$ for the total. Therefore there were significant differences between male and female in both groups(p<0.01, p<0.001), though no significant difference between the two groups. However, the depression score of elderlies in HFA might be much higher than that of CRE if 81 elderlies(14.2%) in HFA who had been left out of the statistical evaluation due to their having severe depression, organic brain syndrom, or pseudoementia, etc had been included. 2. The score distribution by items for the elderlies in HFA were from highest scores hopelessness, worthlessness, emptiness, decreased appetite, confusion, while for CRE, hopelessness, decreased appetite, psychomotor retardation, indecisiveness, and worthlessness. Elderlies in HFA showed significantly high scores in depressed mood, weight loss, suicidal rumination(ideation) and psychomotor excitement, while CRE showed significantly high scores in decreased appetite, psychomotor retardation, indecisiveness, and dissatisfaction. 3. Elderlies who scored over 50 numbered 10 males(16%), 57 females(34%), and total of 67(29%) in HFA and 28 males(21%), 77 females(37%), and total of 105(31%) in CRE : female showed higher seores in both groups. 4. Psychosocial factors such as getting older(respectively p<0.01, p<0.01), being Buddhist(respectively p<0.01, p<0.01), and monthly pocket money less than \30,000(respectively p<0.001, p<0.001) were found to have a noticable impact on the depression level of the elderlies in both groups. Factors such as illiteracy (p<0.001, monthly pocket money less than \10,000(p<0.05), and having no family(p<0.01) recorded significantly higher scores among CRE than the elderlies in HFA.

• 방사선산업학회지
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• 제9권2호
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• pp.69-75
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• 2015

Purpose: The gonad shielding is used to minimize the impact of the exposure to gonads when Abdomen, Pevis and Hip X-ray inspections are conducted on radiation impressionable pediatric patients. By the way, the gonad is palpable difficult and impossible to check visually because it's a sensitive area, so tests are conducted with the approximate location of shielding, thereby appearing problems of not shielding gonads accurately. Accordingly, this study produced shields by age and gender of pediatric patients and studied the method of positioning shields with ASIS as a reference point without palpable sensitive areas, and tried to evaluate its usability. Materials and methods: The study surveyed 30 pediatric patients by gender and age, who came and got inspected in Department of Radiology, our hospital from February 2012 to January 2014 and obtained the value of tolerance by measuring the average size of the pelvis using the distance measurement function of Infinitt Piview with the images stored in the PACS and producing shields by age and gender of pediatric patients and specifying the areas at random for the comparative analysis of pre- and post-using. It calculated the technology statistics($mean{\pm}SD$) with the value of tolerance measured the length using SPSS 12.0 statistical program. Results: As for boys, differences in the tolerance range of pre- and post-using shields were 2.69 mm in case of 1 year old, 2.58 mm in 2 years, 2.37 mm in 3 years, 2.815 mm in 4~5 years, 2.043 mm in 7~10 years, and as for girls, 1.92 mm in 1~2 years, 1.75 mm in 3~4 years, 2.52 mm in 5~6 years and 1.93 mm in 7~10. After analyzing the pre- and post-using shields for all of boys and girls, there were statistically significant differences(P<0.050). Conclusions: It is considered that we can minimize the exposure to gonads and get a better video for diagnosis in testing high biological impressionable pediatric, if we use shields correctly with ASIS as a reference point considering its shape and size by age and gender in Abdomen, Pevis and Hip X-ray inspections.

• Journal of Acupuncture Research
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• 제36권1호
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• pp.12-20
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• 2019

Background: This study was conducted to verify the effectiveness and effectiveness-related factors of Korean medicine (KM) treatment for patients who have been involved in traffic accidents (TA). Methods: The medical records of 150 TA patients hospitalized in Dongguk University Bundang Oriental Medicine Hospital from September 2017 to May 2018 were reviewed. Medical records included information on patient demographic characteristics, TA situations, use of KM treatment, clinical characteristics, 4 scales [numeric rating scale (NRS), visual analogue scale (VAS), EuroQol-visual analogue scale (EQ-VAS) and neck disability index (NDI)]. Statistical analyses were performed to determine the effectiveness and effectiveness-related factors of treatment. Results: The 150 patients (almost 1:1 gender ratio) were typically in their 40's (26.67%), had rear impact to their vehicle (37.33%), were in the driver's seat (70.00%), and without head trauma and loss of consciousness (83.33%). The main symptoms were neck pain (60.66%) and lower back pain (54.00%). All 150 patients showed significant improvement after KM treatment. 4 scales significantly improved when the treatment started within 3 days from the accident and patients were hospitalized longer and took more diverse treatments. The patients experiencing a higher initial pain level (NRS 8-10, $VAS{\geq}70$) showed significant improvement of NRS and VAS scores with faster and longer inpatient treatments than the other patients. The patients with higher initial pain levels ($VAS{\geq}70$) also showed significant improvement in EQ-VAS scores. Conclusion: KM treatment was effective for TA patients in this study. Treatment initiation time, hospitalization period, treatment diversity and initial pain level are related to the degree of improvement of a patient's symptoms.

• 한국융합학회논문지
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• 제10권10호
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• pp.153-160
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• 2019

본 연구는 급변하는 소셜네트워크 기반의 서비스 및 제품에 대한 평가척도와 리뷰 컨텐츠 속성이 소비자의 구매 패턴에 어떻한 영향을 주고 있는지를 분석하고자 하였다. 이러한 분석은 개인과 기업간에 밀접하고 빠르게 통합되고 있고, 네트워크와 스마트 기술이 소비활동에 다양하게 관여하고 있는 현 시점에서 리뷰와 평점의 유용성과 선험적 추정을 통해 소비 및 구매에 작용되는 변화하는 소비자의 거래 환경을 확인 할 수 있다. 본 연구를 위해 계층분석기법(AHP)과 델파이(Delphi)기법을 적용하여 상위 평가기준 변수를 유용성, 기술성, 가치성으로 분류하고, 각각의 하위변수는 3개의 요인으로 그룹화 해서 평가 가중치를 통해 중요도를 분석하였다. 분석결과 유용성의 내구요인과 기술성의 혁신요인 그리고 가치성의 비용요인 및 품질요인 등으로 중요도를 분석할 수 있었다. 따라서 본 연구는 주요 요인을 검증하면서 제공되는 리뷰 평점과 포스팅 정보의 신뢰성을 동시에 분석하여 다양한 방법으로 경제활동에 참여하는 소비자와 기업에 보완적이고 추가적인 유용한 정보를 제공할 수 있을 것으로 기대된다.

• 정신신체의학
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• 제28권2호
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• pp.168-176
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• 2020

연구목적 외로움과 수면의 질 저하는 노인에게서 흔히 나타나는 증상이다. 하지만 우리나라에서 노인의 외로움과 수면의 관계에 대해서는 연구된 바는 거의 없다. 본 연구는 독거노인의 외로움과 수면의 질의 연관성을 보고자 하였다. 방 법 본 연구는 천안 지역에 거주하는 독거노인 1,090명을 대상자로 시행되었다., 훈련된 간호사의 면담과 외로움 척도, 피츠버그 수면의 질 지수(Pittsburgh Sleep Quality Index, PSQI), 인구사회학적 정보, 신체 건강상태(Cumulative illness rating scale, CIRS), 인지기능, 단축형 노인우울척도 등의 자가설문지를 통해 조사하였다. 통계분석은 인구학적 변인과 외로움 척도 간의 관계를 탐색하기 위해 기술적 통계분석을 시행하였으며 외로움과 수면의 질의 연관성을 확인하기 위해 단변량 및 다중회귀분석을 사용하였다. 결 과 외로움군의 평균 PSQI 점수(9.2±4.2)는 정상군(7.3±3.7)에 비해 통계적으로 유의하게 높았다(student-t test, p<0.001). 성별, 기분장애 및 상관분석에서 유의성을 보인 변수를 통제한 다중회귀분석에서 외로움은 전체 PSQI 총점(standardized β=0.065, p=0.025), 수면방해(standardized β=0.086, p=0.005), 수면제 사용(standardized β=0.065, p=0.034)과 유의한 연관성을 보였다. 결 론 외로움은 수면문제와 연관성을 보였으며 이는 독거노인의 수면의 질 저하에 외로움이 위험요인이 될 수 있음을 의미한다. 독거노인의 외로움을 줄이기 위한 개입은 수면의 질을 호전시키고 신체 및 정신 질환을 줄일 수 있을 것이다. 따라서 독거노인의 외로움을 예방하고 줄일 수 있는 지역사회 기반의 보건복지 정책이 필요함을 시사한다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제24권2호
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• pp.109-117
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• 2024

Background: Dental fear and anxiety are significant challenges in managing behavior in children. Oral administration of sucrose or sweet-tasting solutions has shown effectiveness in reducing procedural pain in infants and neonates. This study aimed to investigate whether pre-application of sucrose solution had an effect on minimizing pain perception during injection and to assess the potential impact of the child's age and sweet preference. Methods: A randomized control clinical trial was conducted on 60 children aged 3-9 years requiring buccal infiltration injections. Following parental consent, demographic data of the children were recorded. Sweet preferences was assessed using a modified forced-choice test. Children were equally and randomly allocated into study (sucrose) and control groups using a lottery method. Sucrose solution or distilled water, respectively, was applied to the lateral surface of the tongue for 2 min. Topical anesthetic was applied at the site of injection, followed by local anesthesia administration. The children rinsed their mouths thrice with water immediately after anesthetic injection. A video was recorded during injection which was then scored by three blinded examiners on the Sound Eye Motor (SEM) scale. The children also self-evaluated using Wong-Baker Faces Pain Rating Scale (WBFPS). Results: The mean SEM scores and WBFPS scores were analyzed using the Kruskall-Wallis test. The mean SEM score in the study group was 1.37 ± 0.61, compared to 3.17 ± 0.87 in the control group, showing a statistically significant difference (P < 0.001). Mean pain scores assessed by WBFPS in the study group were 0.60 ± 1.4, while in the control group, they were 6.27 ± 2.33, also showing a statistically significant difference (P < 0.001). Children with a sweet preference demonstrated a subjective reduction in pain perception. Conclusion: Application of sucrose before dental injections in children helps to minimize pain upon injection across all age groups.