• Journal of Acupuncture Research
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• 제28권5호
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• pp.57-64
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• 2011

Objectives : The purpose of this study is to compare the efficacy after acupuncture on local acupoints group and distal acupoints group for chronic neck pain. Design : A randomized, crossover clinical trial. Methods : From 15st, September 2010 to October 30th, 2010. 20 patients with chronic neck pain were randomly assigned to either group A or group B. Group A received acupuncture at local acupoints then after 1 week washout period acupuncture at distal acupoints. Group B received the treatment in reverse order. To evaluating efficiency and satisfaction, visual analog scale(VAS), neck disability index(NDI), cranio-cervical flextion test(C-CFT) and five-point likert scale were measured before and after each treatment. Results : Patients in local acupoints group experienced greater improvement than distal acupoints group in VAS. Both local acupoints group and distal acupoints group showed significant improvement in NDI but not in C-CFT and the NDI score change comparison between the two groups had no significance. Local acupoints group showed more effective than distal acupoints group on five-point likert scale. Conclusions : Local acupoints is more effective than distal acupoints in controlling pain in chronic neck pain.

• Journal of Trauma and Injury
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• 제27권4호
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• pp.178-185
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• 2014

Purpose: The aim of this study was to assess the clinical efficacy of combined treatment with local anesthesia and ketamine procedural sedation for pediatric facial laceration repair in the Emergency Department (ED). Methods: Patients aged 1 to 5 years receiving ketamine for facial laceration repair were prospectively enrolled in a double-blind, randomized, and controlled study at an ED. All patients were to receive intravenous ketamine (2 mg/kg). The local anesthesia group (LA group) received a local anesthetic along with ketamine, whereas the no local anesthesia group (NLA group) received only ketamine. The total time of sedation, the patients' movements and groans, adverse events, and the satisfaction ratings of physicians, nurses, and parents were recorded. Results: A total of 186 patients were randomized (NLA group: 90, LA group: 96). The total time of sedation (30.5 minutes for the NLA group, 32.6 minutes for the LA group; p=0.660), patients' groans (26 (28.9%) versus 23 (24.0%); 0.446) and movements (27 (30%) versus 35 (36.5%); p=0.350) was not affected by the addition of local anesthesia. Other adverse events were similar between the two groups. Also, the satisfaction ratings of physicians (median 4 for the NLA group versus 4 for the LA group (p=0.796)), nurses (2 versus 2.5 (p=0.400)), and parents (4 versus 4 (p=0.199)) were equivalent between the two groups. Conclusion: In this study, we found that local anesthesia was not required along with ketamine sedation for pediatric facial laceration repair.

• 한국사회복지학
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• 제59권1호
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• pp.329-351
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• 2007

이 연구는 Beck(1991)이 제안한 오차교정모형(error correction models)을 이용하여 우리나라 기초지방정부의 사회복지비 지출비중의 변화를 분석하였다. 분석결과는 크게 네 가지로 요약된다. 첫째, 지역인구의 증가는 사회복지비 지출비중을 단기적으로 증가시킨다. 둘째, 노인인구비중이 높고 경제개발비 및 기존 사회복지비 지출비중이 낮을 경우, 장기적으로 기초지방정부의 사회복지비 지출비중이 커진다. 셋째, 우리나라에서 기초지방정부 사회복지비 지출비중의 변화에 대한 지방자치(지방선거)의 영향력은 분명하지 않다. 넷째, 어떤 기초지방정부의 사회복지비 지출비중의 수준과 성장률이 클 경우, 그것과 인접한 다른 기초지방정부의 사회복지비 지출비중이 장 단기적으로 크게 상승한다. 전체적으로, 본 연구의 분석결과는 우리나라 기초지방정부들의 사회복지비 지출비중의 변화가 각 지역의 내부정책 환경의 변화보다는 중앙 광역 기초지방정부간의 정치적 제도적 상호작용의 결과임을 시사한다.

• 대한두개안면성형외과학회지
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• 제25권1호
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• pp.17-21
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• 2024

Background: The pain caused by local anesthetic injection can lead to patient anxiety prior to surgery, potentially necessitating sedation or general anesthesia during the excision procedure. In this study, we aim to compare the pain relief efficacy and safety of using a digital automatic anesthetic injector for local anesthesia. Methods: Thirty-three patients undergoing excision of a benign soft tissue tumor under local anesthesia were prospectively enrolled from September 2021 to February 2022. A single-blind, randomized controlled study was conducted. Patients were divided into two groups by randomization: the experimental group with digital automatic anesthetic injector method (I-JECT group) and the control group with conventional injection method. Before surgery, the Amsterdam preoperative anxiety information scale was used to measure the patients' anxiety. After local anesthetic was administered, the Numeric Pain Rating Scale was used to measure the pain. The amount of anesthetic used was divided by the surface area of the lesion was recorded. Results: Seventeen were assigned to the conventional group and 16 to the I-JECT group. The mean Numeric Pain Rating Scale was 1.75 in the I-JECT group and 3.82 in conventional group. The injection pain was lower in the I-JECT group (p< 0.01). The mean Amsterdam preoperative anxiety information scale was 11.00 in the I-JECT group and 9.65 in conventional group. Patient's anxiety did not correlate to injection pain regardless of the method of injection (p= 0.47). The amount of local anesthetic used per 1 cm² of tumor surface area was 0.74 mL/cm² in the I-JECT group and 2.31 mL/cm² in the conventional group. The normalization amount of local anesthetic was less in the I-JECT group (p< 0.01). There was no difference in the incidence of complications. Conclusion: The use of a digital automatic anesthetic injector has shown to reduce pain and the amount of local anesthetics without complication.

• 한국원자력학회:학술대회논문집
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• 한국원자력학회 2004년도 추계학술발표회 발표논문집
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• pp.445-446
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• 2004

• 한국동물학회:학술대회논문집
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• 한국동물학회 2000년도 공동 춘계학술대회
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• pp.88.2-88
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• 2000

No Abstract, See Full Text

• 호남수학학술지
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• 제36권2호
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• pp.473-474
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• 2014

• 디지털콘텐츠학회 논문지
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• 제16권5호
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• pp.849-869
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• 2015

1990년대 이후 한국은 지방분권식 행정으로 변화되어, 각 지역 주민간, 관민간의 결속력을 다지는 원활한 커뮤니케이션을 위하여 '지방자치단체 캐릭터'를 개발한다. 지방자치단체 캐릭터는 지방자치단체에서 상징적인 고유의 캐릭터를 창작하여 특산품 및 관광 상품에 응용하며, 제작된 캐릭터를 지역 홍보에 활용한다. 이러한 지자체 캐릭터의 기능은 한국과 일본의 차이점이 없다. 하지만 일본 '유루캬라'라고 불리는 지방자치단체 캐릭터는 한국과는 다르게 일본 메이저 캐릭터산업에서 급부상하고 있고, 개발 지역 외에 일본 전역으로 인지도를 확장시키는 데에 성공한다. 이는 캐릭터 제작의 문제보다는 캐릭터 프로모션 방법의 현격한 차이에서 있다고 판단한다. 지역민에게 친근감 있게 적극적으로 다양한 방법으로 프로모션 하여, 지자체 캐릭터를 지역이미지를 홍보하는 수단으로 활용하고, 부수적인 효과를 창출하여 상품화 하는 과정에서 일본과 한국은 큰 차이를 보인다. 본 논문에서는 일본 지자체 캐릭터에 대한 구체적인 자료를 리서치하고, 일본 지자체 캐릭터의 프로모션을 방법을 분류 분석하여, 한국 지자체 캐릭터의 프로모션 전략을 제시하는데 연구목적을 둔다.

• Asian Pacific Journal of Cancer Prevention
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• 제14권6호
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• pp.3945-3948
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• 2013

Background: Lung cancer is the leading cause of cancer death, late diagnosis being the main obstacle to improving the outcomes with stage at diagnosis as an important prognostic factor. Relationships between ABO blood groups and risk of benign or malignant diseases have been observed and in this study, we aimed to investigate whether they might affect prognosis and response to chemoradiotherapy in patients with local advanced non-small cell lung cancer (NSCLC). Materials and Methods: Eighty-one patients with non-metastatic local advanced NSCLC were included in the study. ABO blood groups were A in 45 (55.6%), B in 7 (8.6%), AB in 8 (9.9%), and O in 21 (25.9%) patients. The patients were also divided two groups according to blood group A (45 patients) and non-A (B, AB and O; 36 patients). Response to chemoradiotherapy was complete remission in 10 (12.3%), disease regression in 42 (51.9%), stable disease in 12 (14.8%), and disease progression in 17 (21.0%) patients. Results: There was no significant difference among ABO blood group categories or between patients with A blood group and those with non-A blood group in terms of responses to chemoradiotherapy (p>0.05). There were also no significant differences regarding overall and disease-free survival rates. Conclusion: The ABO blood group system has no significant effect on prognosis and response to chemoradiotherapy in patients with non-metastatic NSCLC.

• Radiation Oncology Journal
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• 제37권4호
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• pp.293-301
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• 2019

Purpose: External beam radiotherapy (EBRT) is a useful option to treat head and neck skin cancer patients who are not indicated for surgery. In this study, we evaluated the treatment outcomes of EBRT in an Asian population. Materials and Methods: The records from 19 head and neck skin cancer patients (10 with squamous cell carcinoma and 9 with basal cell carcinoma) who were treated with definitive or adjuvant EBRT from 2009 to 2017 were retrospectively reviewed. The radiotherapy doses administered ranged from 50 to 66 Gy (median, 55 Gy) with 2.0-2.75 Gy per daily fraction (median, 2.5 Gy). The T stage at presentation was as follows: Tis (1 patient), T1 (11 patients), T2 (6 patients), and T3 (1 patient). None had regional lymph node disease or distant metastasis at presentation. The local failure-free survival (LFFS) rates, toxicity, and cosmetic results were analyzed. Results: The median age was 75.5 years (range, 52.6 to 92.5 years). The median follow-up duration from the completion of radiotherapy was 44.9 months (range, 5.8 to 82.6 months). One local failure occurred in a patient with a 2.1-cm posterior neck squamous cell carcinoma at 32.5 months after radiotherapy (1/19, 5.3%). The 3-year LFFS rate was 91.7%. No patients died from skin cancer during follow-up, and no grade 3 complications occurred. The cosmetic outcomes were excellent for 16 (84.2%) and good for 3 (15.8%) of the 19 patients. Conclusion: EBRT offers good local control and cosmetic outcomes in patients with head and neck skin cancer, with no grade 3 complications.