• 말소리와 음성과학
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• 제14권3호
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• pp.77-86
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• 2022

본 연구는 운율을 기반으로 감정을 인식하는 능력을 측정할 때 이용할 수 있는 한국형 감정 음성 데이터베이스(Korean Affective Voice Database, 이하 KAV DB)를 개발하고, 해당 DB가 의사소통장애 관련 임상과 연구에서 활용될 수 있는지를 점검하기 위하여 신뢰도, 민감도, 특이도를 산출하여 그 타당성을 살펴보았다. 본 연구에서는 배우 2명(남 1명, 여 1명)이 의미적으로 중립적인 문장 10개를 행복, 분노, 공포, 슬픔, 놀람, 중립의 6개 정서로 표현하도록 하여 음성을 녹음하였다. 녹음된 음성 중에서 목표 정서가 잘 표현된 문장을 선별하여 타당도 점검을 위한 음성파일 세트를 구성하였으며, 청자 31명(남 14명, 여 17명)이 시각적 아날로그 평정법을 이용하여 각 음성에서 6개의 정서가 얼마나 반영되었는지 평정하도록 하였다. 그 결과, KAV DB에 대한 청자의 내적 일관성 신뢰도는 .872, 전체 민감도 82.8%, 전체 특이도 83.8%였다. 이를 통하여, 타당도가 확보된 KAV DB는 감정 음성 인식 및 산출과 관련된 연구와 임상 콘텐츠 제작 등에 활용될 수 있을 것으로 기대된다.

• 동의신경정신과학회지
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• 제25권1호
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• pp.13-28
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• 2014

Objectives: The purpose of this study was to evaluate the effects of EFT on panic disorder patients. Methods: The three patients with panic disorders were treated with oriental medical treatments which involved acupunctures, herb-medications, moxibustion and emotional freedom techniques. The patients have been predicted with panic disorder twice through diagnosis and statistical manual (DSM-IV), Panic Disorder Severity Scale (PDSS), Visual Analogue Scale (VAS), Beck's Depression Inventory (BDI), Beck's Anxiety Inventory (BAI) upon their admission and discharge. Results: After the treatments, both the physical and psychological symptoms have decreased. Conclusions: This study suggested that the EFT is an effective way for treating patients who are suffering panic disorders.

• 생물정신의학
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• 제24권3호
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• pp.134-141
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• 2017

Objectives A retrospective case series study was conducted to investigate the clinical characteristics of psychotic disorders induced by appetite suppressants, phentermine and phendimetrazine. Methods A retrospective electronic medical record review identified 5 admitted patients who had psychotic symptoms after taking phentermine or phendimetrazine. Clinical information was reviewed and summarized in each case. Results Hallucinations were reported in all cases, including auditory, visual, olfactory and somatic hallucinations. After discontinuation of phentermine or phendimetrazine, the symptoms rapidly improved with low dose of antipsychotics. Patients tended to have less prominent negative symptoms and higher insight into illness, and often showed depressive mood. These clinical characteristics were similar to psychosis induced by amphetamines. Two patients developed stimulant use disorder while using phentermine. Conclusions These findings call for awareness of the risks associated with use of appetite suppressants. Prescription of phentermine or phendimetrazine should be accompanied by close monitoring of mental status, and suspicion for substance/medication-induced psychotic disorder.

• Journal of Korean Neurosurgical Society
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• 제50권6호
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• pp.507-511
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• 2011

Objective : Cervicogenic headache (CGH) is known to be mainly related with upper cervical problems. In this study, the effect of radiofrequency neurotomy (RFN) for lower cervical (C4-7) medial branches on CGH was evaluated. Methods : Eleven patients with neck pain and headache, who were treated with lower cervical RFN due to supposed lower cervical zygapophysial joint pain without symptomatic intervertebral disc problem or stenosis, were enrolled in this study. CGH was diagnosed according to the diagnostic criteria of the cervicogenic headache international study group. Visual analogue scale (VAS) score and degree of VAS improvement (VASi) (%) were checked for evaluation of the effect of lower cervical RFN on CGH. Results : The VAS score at 6 months after RFN was $2.7{\pm}1.3$, which were significantly decreased comparing to the VAS score before RFN, $8.1{\pm}1.1$ ($p$<0.001). The VASi at 6 months after RFN was $63.8{\pm}17.1%$. There was no serious complication. Conclusion : Our data suggest that lower cervical disorders can play a role in the genesis of headache in addition to the upper cervical disorders or independently.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제46권5호
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• pp.335-340
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• 2020

Objectives: This study sought to evaluate the efficacy of injecting botulinum toxin into the masseter and temporal muscles in patients with temporomandibular myofascial pain and sleep bruxism. Materials and Methods: The study was conducted based on a clinical record review of 44 patients (36 females and eight males; mean age, 35.70±12.66 years). Patients who underwent the injection of botulinum toxin into the masseter and temporal muscles for the management of temporomandibular myofascial pain and sleep bruxism were included in the study. Patients were diagnosed based on the Diagnostic Criteria for Temporomandibular Disorders. Sleep bruxism was diagnosed according to the criteria defined by the American Academy of Sleep Medicine. The values of the visual analogue scale (VAS) and range of jaw motion, including unassisted maximum mouth opening (MMO), protrusion, and right and left laterotrusion, were observed preoperatively and postoperatively at one-, three-, and six-month follow-up visits. Results: MMO, movements of the right and the left laterotrusion, and protrusion increased significantly (P<0.05), while VAS ratings decreased significantly at the three follow-up points relative to baseline values (P<0.05). Conclusion: Botulinum toxin is an effective treatment for patients with temporomandibular myofascial pain and sleep bruxism.

• Journal of Oral Medicine and Pain
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• 제17권1호
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• pp.51-60
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• 1992

44 Temporomandibular Disorders(TMDs) patients with non-trauma and non-iatrogenic origin pressented at Wonkwang University Dental Hospital. They were grouped into experimental subjects and 85 persons without TMSDs were classified into control groups. The objectives of this study was to investigate the effects of recent life changes on the symptom severity and treatment course of TMDs. For that purpose, the author used several scales and indices, namely, Social Readjustment Rating Scale(SRRS) devised by Holmes and Rahe, SRRS-Korean revision by Hong and Jeong, Helkimos Anamnestic index, Clinical Dysfunction index, and Visual Analogue Scale treatment index(VAS Ti) transformed from VAS by the author. Data resulted from the investigation were collected by scale or index and processed with SPSS. The obtained results were as follows : 1. Life change units(LCU) and values of indices of experimental group were higher than those of control group. 2. Life change units recorded with SRRS-Korean revision were higher than those with original SRRS in all cases and significant positive correlations existed, between he two Therefore, clinical use of original SRRS in Korea is reliable and valid. 3. In experimental group, LCU were positively correlated with Helkimos Clinical Dysfunction index and VAS treatment index, but in control group LCU were not correlated with any items. From this, increase of life changes in patient with TMDs is likely to aggravate TMJ dysfunction and more likely to complicate treatment course.

• 대한한방부인과학회지
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• 제31권2호
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• pp.80-94
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• 2018

Objectives: The purpose of this study was to investigate the effect of the massage program stimulating the acupuncture points and meridians on the improvement of sleep quality. Methods: 16 subjects suffering from sleep disorders were recruited and the massage program was conducted 3 times a week for a month. VAS (Visual Analog Scale) and KPSQI (Korean Pittsburgh Sleep Quality Index) were collected through questionnaires, and salivary cortisol concentration test and HRV (Heart Rate Variability) were also used to evaluate the effect. The collected data were analyzed by independent statisticians. Results: VAS and KPSQI values decreased significantly after 4 weeks of massage chair application. There was no significant difference in salivary cortisol concentration and HRV test results. In the group with normal HRV test results and salivary cortisol concentration, the change of VAS and KPSQI values was not significant, while the group with abnormal range showed a statistically significant decrease. Conclusions: The massage chair program stimulating meridians according to Korean medicine theory was effective in improving sleep quality. Massage of acupoints and meridians through a massage chair is expected to be useful as an adjunctive therapy in addition to standard Korean medicine therapy.

• Annals of Clinical Neurophysiology
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• 제21권1호
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• pp.16-29
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• 2019

Background: Sex influences is important to understand behavioral manifestations in a large number of neuropsychiatric disorders. We found electrophysiological differences specifically related to the influence of sex on psychopathic traits. Methods: The resting electroencephalography (EEG) activity and low-resolution brain electromagnetic tomography (LORETA) for the EEG spectral bands were evaluated in 38 teenagers with conduct disorder (CD). The 25 male and 13 female subjects had psychopathic traits as diagnosed using the Antisocial Process Screening Device. All of the included adolescents were assessed using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria. The visually inspected EEG characteristics and the use of frequency-domain quantitative analysis techniques are described. Results: Quantitative EEG (QEEG) analysis showed that the slow-wave activities in the right frontal and left central regions were higher and the alpha-band powers in the left central and bitemporal regions were lower in the male than the female psychopathic traits group. The current source density showed increases in paralimbic areas at 2.73 Hz and decreases in the frontoparietal area at 9.37 Hz in male psychopathics relative to female psychopathics. Conclusions: These findings indicate that QEEG analysis and techniques of source localization can reveal sex differences in brain electrical activity between teenagers with CD and psychopathic traits that are not obvious in visual inspections.

• Journal of Medicine and Life Science
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• 제19권1호
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• pp.1-7
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• 2022

Learning disabilities (LD), also known as learning disorders, refers to cases in which an individual experiences lower academic ability as compared to the normal range of intelligence, visual or hearing impairment, or an inability to peform learning. Children and adolescents with learning disabilities often have emotional or behavioral problems or co-existing conditions, including depression, anxiety disorders, difficulties with peer relationships, family conflicts, and low self-esteem. In most cases, attention deficit and hyperactivity disorder coexists. As learning disabilities have the characteristics of a difficult heterogeneous disease group that cannot be attributed to a single root cause, they are diagnosed based on an interdisciplinary approach through medicine and education, such as mental health medicine, education, psychology, special education, and neurology. In addition, for the accurate diagnosis and treatment of learning disabilities, the diagnosis, prescription, treatment, and educational intervention should be conducted in cooperation with doctors, teachers, and psychologists. The treatment of learning disabilities requires a multimodal approach, including medical and educational intervention. It is suggested that educational interventions such as the Individualized Education Plan (IEP) and the Response to Invention (RTI) should be implemented.

• 한국안광학회지
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• 제14권1호
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• pp.81-86
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• 2009

목적: 본 연구는 새롭게 개발한 MYSTERY CIRCLE, Anaglyphs 및 Block string을 이용하여 양안시 기능적, 감각적, 증상 변화에 대해 비교 관찰하고, 훈련방식별 개선효과와 실용 가능성을 알아보고자 하였다. 방법: 대상자는 T안경원의 75명의 시기능 훈련 대상자(남자 40명, 여자 35명)이며 7주(49일)동안 시기능 훈련을 실시하였다. 결과: 모든 훈련방식(MYSTERY CIRCLE, Anaglyphs, Block string)에서 시기능 훈련자의 양안시 개선에 도움이 되었으나, 정상화 성공기준에 포함된 대상자수를 비교한 결과 MYSTERY CIRCLE훈련이 유의수준 0.05에서 다른 훈련방식과 유의한 차이를 보였다. 결론: 본 연구에서 MYSTERY CIRCLE 훈련이 양안시 이상자의 시기능 개선 및 정상화에 우수한 개선효과가 있는 것으로 나타났다.