• 한국통신학회논문지
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• 제34권10B호
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• pp.1062-1069
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• 2009

비만으로 인해 대사증후군을 많이 앓고 있는 상황에서 후유증으로 신장 질환이 커다란 사회문제가 되고 있는 실정이다. 따라서 자각증상이 없는 신장의 이상 유무를 조기에 판단하여 적절한 조치를 취하는 것이 무엇보다 중요하다. 이를 위해 본 논문에서는 음성 분석을 통해 신장 질환을 무자각, 무구속, 무통종의 방법으로 진단할 수 있는 방법을 제안하였다. 구성하고자 하는 전체 시스템은 크게 음성 분석과 얼굴색을 살피는 방법을 결합시키는 시스템이 개발되고 있으며 이 중 본 논문은 입술소리를 기반으로 신장 질환을 진단하는 방법에 설계하였다. 이를 위해 본 논문에서는 첫째, 신장 질환을 앓고 있는 환자와 정상인을 대상으로 피실험자 집단을 각각 구성하고 입술소리의 수치학적 분석을 실험으로 출력하고 그 결과값에 대한 비교 분석을 수행하였으며 둘째, 한의학적 청진 이론과 언어학, 음성학과의 상관성을 분석하고 이를 기반으로 음성에 대한 신장의 특징 요소를 추출하여 제1포먼트 주파수와의 연관성을 도출하였다. 실험 결과 신장 질환자 집단이 정상인 집단보다 제1포먼트 주파수 대역폭이 넓게 형성되는 결과를 추출하였으며 최종적으로 입술소리만으로 신장 질환을 진단할 때의 오진 확률에 대해 계산하였다.

• 한방재활의학과학회지
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• 제18권3호
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• pp.99-118
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• 2008

Objectives : This study aimed to understand the satisfaction degree of patients due to traffic accident(TA) in order to provide basic data which would give help not only to improve the quality of services, but also to strengthen the competitiveness of oriental medical hospitals on sequela of TA patients. Methods : The data were collected from inpatients and outpatients who answered a self-report questionnaire. Independent t-test, analysis of variance(ANOVA), $X^2$-test, correlation analysis were used for data analysis. Results : According to the research on medical satisfaction degree, the overall satisfaction degree was 4.141. On each field, satisfaction degree related to the doctor service recorded the highest degree among others(4.474). Satisfaction degree related to the appropriateness of service was the second(4.091). On the other hand, satisfaction degree of using procedure was the lowest degree(3.857). On the difference of degrees of satisfaction by general characteristics, patients who were unemployed houseworker group showed lower doctor service satisfaction degree than that of other groups. However, on the difference of degrees of satisfaction related to other general characteristics, there were no significant differences(p<0.05). Conclusions : The service distribution of oriental medical hospital was almost equal without concentrating on specified social classes.

• 대한두개안면성형외과학회지
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• 제21권3호
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• pp.161-165
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• 2020

Background: Microstomia is defined as a condition with a small sized-mouth that results in functional impairment such as difficulty with food intake, pronunciation, and poor oral hygiene and cosmetic problems. Several treatment methods for microstomia have been proposed. None of them are universally applicable. This study aims at analyzing the cases treated at our institution critically reviewing the pertinent literature. Methods: The medical records of all microstomia patients treated in our hospital from November 2015 to April 2018 were reviewed retrospectively. Of these, all patients who received surgical treatment for microstomia were included in the study and analyzed for etiology, chief complaint, surgical method, and outcomes. The functional outcomes of mouth opening and intercommissure distance before and after the surgery were evaluated. The cosmetic results were assessed according to the patients' satisfaction. Results: Five patients with microstomia were corrected. Two cases were due to scar contracture after chemical burn, two cases derived from repeated excision of skin cancer, and one patient suffered sequela of Stevens-Johnson syndrome. The following surgical methods were applied: one full-thickness skin graft on the buccal mucosa, three buccal mucosal advancement flaps after triangular excision of the mouth corner, and one local buccal mucosal flap. Mouth opening was increased by 6.0 mm, and the intercommissure distance improved by 7.2 mm on average. Follow-up was 9.6 months (range, 5-14 months). Cosmetic assessment was as follows: two patients found the results excellent, three judged it as good. Conclusion: Microstomia has several causes. In order to achieve optimal functional recovery and aesthetic improvement it is important to precisely evaluate the etiologic factors and the severity of the impairment and to carefully choose the appropriate surgical method.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제28권5호
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• pp.470-476
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• 2006

Low-dose rate brachytherapy(LDR) has been effective modality for treatment of oral cancer. But the disadvantage of LDR is radioexposure of medical staff. To overcome this problem, high dose rate(HDR) brachytherapy has been developed. Our study evaluates the outcomes of patients with tongue cancer as treated by HDR brachytherapy. Between 2002 and 2005, eight patients with carcinoma of the tongue were treated with HDR brachytherapy. Five patients had AJCC stage I or II disease and the remaining three patients had AJCC stage III or IV. The male-to-female ratio was 2:6 and the mean age was 60.1 years (range: 21-80 years).The median follow-up time was 23.8 months (range: 7-55 months). There was no local failure until now. Three patients showed some complications. Two patients showed soft tissue necrosis. There was no bone sequela in all cases. Our experience in treating tongue cancer with HDR brachytherapy is encouraging, because it gave a satisfactory local control. Prospective studies are necessary to delineate the optimum indication for this treatment modality and long-term outcome.

• 사상체질의학회지
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• 제11권2호
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• pp.377-383
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• 1999

임상에서 가장 빈번하게 당면하는 빈혈의 하나로 여러종류의 만성적 원질환에 동반되는 빈혈이 있다. 이에 본 증례에서 소뇌 출혈이후의 합병증인 폐렴으로 인해 만성 염증성 빈혈이 발생한 환자에서 한방치료에 의해 전신상태 호전과 함께 빈혈이 교정된 증례가 있어 이에 보고하고자 한다. 75세의 여환으로 뇌출혈 후유증으로 인한 두통과 현훈, 보행장애, 연하장애, 전신무력감으로 본원 내원하였으며. 내원당시 혈액학 검사상 normocytic normochromic anemia 소견을 보이고 있었다. 이를 소음인 울광증으로 변증하고 승양익기의 치법에 준하여 팔물군자탕을 투여한 결과 전신증상의 호전과 빈혈의 치료를 확인하였다.

• Tuberculosis and Respiratory Diseases
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• 제45권2호
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• pp.416-420
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• 1998

저자들은 기관지결핵의 후유증으로 좌주기관지 협착이 있었던 환자가 이상성 기류유량곡선을 보인 후 금속스텐트 삽입후 교정되었다가 스텐트 삽입 2개월 후부터 육아종형성에 따른 좌주기관지의 재협착이 나타나 다시 기류유량곡선상 이상성 기류유량곡선을 보인 증례를 경험하였기에 보고하는 바이다.

• Tuberculosis and Respiratory Diseases
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• 제61권6호
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• pp.567-572
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• 2006

저자들은 기관지 내에 이물이 있음을 알고도 장기간 간과하여 이로 인해 대량객혈과, 폐쇄성 폐렴 등이 발생하였고 이물의 자발적인 제거로 임상 증상 및 방사선적인 호전을 보인 증례 1예를 경험하였기에 보고하는 바이다. 또한 증상이 없는 폐 이물질이 우연히 발견된 경우에도 향후 이물질로 인한 합병증 발생의 가능성을 생각해서 제거에 대한 필요성을 환자에게 적극적으로 알릴 필요가 있다는 점을 느낀 증례이다.

• Physical Therapy Rehabilitation Science
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• 제9권1호
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• pp.43-48
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• 2020

Objective: Breast cancer-related lymphedema (BCRL) is a major sequela after surgery or radiotherarpy for breast cancer. Manual lymphatic drainage (MLD) is designed to reduce lymph swelling by facilitating lymphatic drainage. This study attempted to determine the histologic changes in the skin and subcutaneous layer, and the immediate effect of MLD in decreasing lymphedema using ultrasound imaging, which is the method used most commonly to eliminate BCRL. Design: A single-group experimental study. Methods: Five subjects who were diagnosed with hemiparetic upper extremity lymphedema more than six months after breast cancer surgery participated in the study. MLD was performed for 60 minutes in the order of the thorax, breast, axilla, and upper arm of the affected side. In order to determine the effect of MLD, ultrasound imaging and limb volume were assessed. Two measurement tools were used for asessing lymphedema thickness among the pretest, posttest, and 30-minute follow-up period. Results: Significant diferences in ultrasound imaging and upper limb volume were found between the affected side and non-affected side (p<0.05). On the affected side, although ultrasound imaging showed a significant decrease after MLD (p<0.05), there were no significant difference in upper limb volume when compared to the baseline. Conclusions: In this study, a significant decrease in lymphedema by MLD was demonstrated by ultrasound imaging, which is considered to be more useful in assessing histological changes than limb volume measurements. Further research on the protocol for eliminating lymphedema will be needed.

• 대한예방한의학회지
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• 제15권1호
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• pp.131-143
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• 2011

Objective : The purpose of this study was survey about the recognition and demand on cooperative system between western and oriental medicine of stroke patients in National Rehabilitation Center. Methods : The participants were 205 stroke patients in the National Rehabilitation Center and investigated the recognition and demand on cooperative system between western and oriental medicine. Results : As to general characteristics of the group, 56.9% were male, 30.7% were in the 60~69 age, 24.3% of patients had an average income per month 1.0~2.0 million. In regard to disease status of patients, 53.8% were cerebral infarction, 35.8% were below 6 month in disease duration, 73.7% were none recurrence, 52.8% were hypertension as related disease, 74.5% were motor paralysis sequela. 83.2% were positive response in using oriental medicine department of National Rehabilitation Center. The most wanted therapy was acupuncture. Most of respondents expected that co-operative treatments were to be improving the cure effect for patients. And they wanted cooperative system combined evenly between western and oriental medicine, so the western doctors and the oriental doctors suggest the plan giving lots of medial benefits for patients. Conclusion : This survey showed the recognition and demand on cooperative system between western and oriental medicine of patients in National Rehabilitation Center. It is possible to realize patient's centered treatment under the stable and efficient cooperation of western and oriental medicine.

• Restorative Dentistry and Endodontics
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• 제35권6호
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• pp.492-496
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• 2010

치관부 변색은 외상당한 치아에서 종종 관찰되는 현상이다. 아탈구에서의 치관부 변색은, 외상의 정도가 근단공을 지나는 동맥혈관을 파열시키기에 충분히 강하지 않으나 얇은 외벽을 가진 모세혈관을 절단 또는 폐쇄 시키는 경우에서 일어날 수 있다고 설명된다. 감염이 일어나지 않는다면 치수 회복의 과정이 일어날 수 있으며 그에 따라 치관부 변색은 완전하게, 또는 불완전한 상태로 회복되기도 한다. 그러나 이러한 치관부의 색 변화로 치수 괴사를 진단하기에는 불충분하며, 불필요한 치료를 야기할 우려가 있다. 이번 증례는 전치부의 외상 후, 치관부 변색의 과정과 이의 회복을, 초음파 도플러 그라피를 통하여 확인한 것을 나타낸다. 통상적인 냉검사나 전기치수검사로 치수 생활력을 판단하기 어려운 외상 치아의 진단에 있어 초음파 도플러 그라피의 사용은 보다 정확한 정보를 제공할 수 있을 것으로 평가된다.