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윤영희,손재웅,고성규,최인하,Yun, Young-Hee,Son, Jae-Woong,Ko, Seong-Gyu,Choi, In-Hwa 대한한방안이비인후피부과학회 2016 한방안이비인후피부과학회지 Vol.29 No.1
Objective : Thread embedding acupuncture has become popular as a minimally invasive treatment for facial wrinkles and laxity. However, there is little published clinical practice guidelines about disinfection, sterilization and aseptic technique for thread embedding acupuncture. This study is to introducing a specific guidelines about disinfection, sterilization and aseptic technique for thread embedding acupuncture.Method : We reviewed internal regulations and guidelines about hospital infection, and Traditional Korean medicine doctors, nurses, and director of central supply room discussed in depth and established a regulation of disinfection, sterilization and aseptic technique for thread embedding acupuncture.Result : The regulation of disinfection, sterilization and aseptic technique for thread embedding acupuncture consisted of ① management of supplies, ② guidelines of disinfection, sterilization, and reuse, ③ aseptic technique for thread embedding acupuncture.Conclusion : Microbial management is an essential element of medical care and quality. Traditional Korean medicine doctors will care for disinfection, sterilization, and this should not neglect to comply with the procedures and guidelines in the medical field as well as to understand the aseptic techniques.
트립토판과 리보플라빈을 이용한 광역동 치료의 여드름 치료 효과
윤영희,김태열,최인화,Yun, Young-Hee,Kim, Tae-Yeol,Choi, In-Hwa 대한한방안이비인후피부과학회 2012 한방안이비인후피부과학회지 Vol.25 No.4
Objective : Photodynamic therapy (PDT) using topical aminolevulinic acid (ALA) has increasingly been used for the treatment of acne vulgaris and several studies have shown its clinical efficacy. However, ALA-PDT needs a relatively long incubation period and is frequently associated with adverse effects. Triptophan and Riboflavin has been introduced as a new photosensitizer for the treatment of acne recently. Method : 11 patients with acne vulgaris were received PDT with tryptophan and riboflavin four to six times over two to three months. The photos of each patient were taken before and after treatment. Result and conclusion : PDT with tryptophan and riboflavin may be an effective and safe treatment for the Acne vulgaris patients.
볼륨매선침을 병행한 매선침법의 안면주름 개선 효과 3례: 증례 연구
윤영희,임정태,안진향,이진혁,최예용,신정민,Yun, Young-Hee,Leem, Jung-Tae,Ahn, Jin-Hyang,Lee, Jin-Hyuk,Choi, Ye-Yong,Shin, Jeong-Min 대한한방안이비인후피부과학회 2018 한방안이비인후피부과학회지 Vol.31 No.3
Objectives : Recently, Thread Embedding Acupucnture (TEA) targeting under dermis became known to be effective for facial wrinkles and folds; its practice has begun in clinics. The introduction of a new form of TEA is continuing, and 'Volume TEA' is introduced recently. Therefore, we would like to report on the improvement of facial wrinkles by using the recently introduced 'volume TEA'. Methods : We reviewed the medical records of three patients who received 'Volume TEA' treatment at a Korean medical clinic, the photographs taken before and after the procedure were corrected using a Photoshop program and the length of the each wrinkles and folds were measured. Results : The length of wrinkles measured in all three cases decreased. Especially, the decrease of the length of the nasolabial folds was obvious. In case 1, the length of the nasolabial folds of 177mm and 97mm were reduced to 94mm and 63mm, respectively. In the case 2, the length of the nasolabial folds of 155mm and 155mm were reduced to 0mm and 70mm, respectively, after the procedure. In case 3, the length of the nasolabial folds of 170mm and 50mm decreased to 38mm and 37mm after the procedure, respectively. Conclusions : At present, it seems that the ongoing accumulation of relevant studies on the efficacy and safety of wrinkle and folds of TEA seems necessary. This study also has some significance in the level of case report.
윤영희,조승필,최인화,Yun, Young-Hee,Cho, Seung-Pil,Choi, In-Hwa 대한한방안이비인후피부과학회 2011 한방안이비인후피부과학회지 Vol.24 No.3
Objective : Needle embedding therapy is a newly induced therapy which uses specialized tools. The purpose of this study is to report the nasolabial folds correction effect of needle embedding therapy on 5 cases. Method : Five women with no disease were received needle embedding therapy four to six times over one to two months. The photos of each patient were taken before and after the treatment. Also, Glogau photoaging classification were assessed before and after the treatment. Result and conclusion : Needle embedding therapy may be an effective and safe treatment for the correction of nasolabial folds.
아토피피부염의 한의학 진료 지침 개발을 위한 사전 연구
윤영희,최인화,Yun, Young-Hee,Choi, In-Hwa 대한한방안이비인후피부과학회 2012 한방안이비인후피부과학회지 Vol.25 No.2
Background : The atopic dermatitis patient and their families are looking for safer herb-medicine treatments that possess therapeutic effects, but without the recurrence of symptoms and long-term harmful consequences that can result from other treatment. However, for many reasons, including methodological difficulties and lack of high quality study like randomized clinical study and systematic review, there are no consistent clinical guide line for atopic dermatitis in Traditional Korean Medicine. Objectives : Evidence-based clinical practice guidelines support clinical decision-making by making recommendations to guide clinical practice. The purpose of this study was to develop Traditional Korean Medicine clinical practice guideline for atopic dermatitis Result : The future guide should be based on scientific evidence and include the followings: (1) diagnosis of atopic dermatitis (2) the pattern identification of atopic dermatitis (3) classification of Sasang Constitution (4) efficacy assessment (5) treatment guideline (6) education for patients and care givers Conclusion : The development of Traditional Korean Medicine clinical practice guideline for atopic dermatitis is needed.
서울 지역을 대상으로 모집된 성인 아토피피부염 환자의 삶의 질과 경제적 비용 부담에 관한 조사
윤영희,최인화,Yun, Young-Hee,Choi, In-Hwa 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.1
Objective : Atopic dermatitis (AD) may profoundly affect patient's quality of life (QOL), and also cause economic impact. The aim of our study was to evaluate the quality of life and the economic impact of adult atopic dermatitis patient in Seoul. We also evaluate the relationship of QOL and economic impact with severity of AD. Methods : 30 adult atopic dermatitis patient were included and evaluated by using the SCORAD Index and EASI. Patients were asked to fill in the questionnaires about their quality of life and financial costs during the past year by AD. Data about sleep disturbance and pruritus were also obtained. Pearson's correlation were used for statistical analysis. Results : 1. Among 30 patients, women were 19(63.3%), men were 11(36.7%). The mean age of the patients were 27.3 years old, patients between the ages of 17 and 30 years were 23, over 30 were seven. 2. The mean score of Objective SCORAD was $32.89{\pm}7.30$, Subjective SCORAD was $8.13{\pm}3.53$ and EASI was $9.15{\pm}6.90$이었다. 3. The mean score of Skindex-29 was $28.26{\pm}7.58$, DLQI was $10.17{\pm}5.55$. 4. By analyzing the questionnaire, a monthly average cost of 583,200 won for each patient was determined. Direct cost was 236,800 won and indirect cost was 346,300 won. 5. By analyzing the correlation between the severity of AD and QOL, Objective SCORAD and EASI were positively correlated with QOL(Skindex-29, DLQI) but not significant, meanwhile subjective SCORAD were significantly and positively correlated with QOL(Skindex-29, DLQI). 6. By analyzing the correlation between the severity of AD and economic impact, Objective SCORAD were significantly and positively correlated with direct cost and indirect cost. Also, EASI were significantly and positively correlated with direct cost and oriental medical hospital visits. Conclusions : The above results show that the QOL of the patients with atopic dermatitis is significantly related to their disease severity. Atopic dermatitis patients pay 583,200 won a month, and the economic impact of the patients is significantly related to their disease severity.
비내시경을 활용한 알레르기 비염 환자의 전비경 소견 평가 척도 개발
윤영희,박정수,김규석,김남권,김경준,김희택,홍승욱,최인화,고성규,Yun, Young-Hee,Park, Jeong-Su,Kim, Kyu-Seok,Kim, Nam-Kwen,Kim, Kyung-Jun,Kim, Hee-Taek,Hong, Seung-Ug,Choi, In-Hwa,Ko, Seong-Gyu 대한예방한의학회 2013 대한예방한의학회지 Vol.17 No.1
Objectives : The prevalence of Allergic Rhinitis (AR) has increased during the last decade. However, a lot of decisions on the assessment and treatment of AR are made depending on the personal experiences and choices of physicians. To suggest preferable approaches and to minimize the variations according to physicians, guidelines for assessing anterior nasal cavity using nasal endoscopy on AR is needed. Methods : The Korean Oriental Medical Ophthalmology, Otolaryngology and Dermatology Society and the Korean Oriental Preventive Medical Society has set out to develop the guidelines for the assessing anterior nasal cavity using nasal endoscopy on AR. Results & Conclusions : This is the first Korean guideline for the assessment of AR and should be revised and supplemented in the future as new evidence becomes available.
한약제제 무작위 대조군 연구에서 대조군 설계의 문제점과 대안
윤영희,최인화,Yun, Young-Hee,Choi, In-Hwa 대한한방안이비인후피부과학회 2008 한방안이비인후피부과학회지 Vol.21 No.2
Objectives : To discuss the types of control groups in randomized controlled trials (RCTs) of herbal medicine, and to provide suggestions for improving the design of control group in future clinical trials. Methods : We reviewed the 8 articles about clinical trial design of Chinese herbal preparation which were published from 2005 through 2008. We selected those articles from CNKI(中國知識基礎施設工程(http://www.cnki.net)). Results : It is necessary to have control group in randomized controlled trials(RCTs) of Korean herbal preparation. But there are problems in the selection of appropriate control group drug. This paper lists several problems about the choice of control drug and puts forward some proposals and countermeasures. There are problems such as ethics and manufacturing matching placebo and positive control herbal drug. Conclusion : To improve the quality of control group design, we introduce standard drug plus placebo drug method and add-on research for placebo control group design, double dummy technique, using negative control drug or composite control drug for active control group design.
안면주름과 안면이완 개선을 위한 매선요법 시술 방법 고찰과 제안
윤영희,김태열,임태정,황용호,최인화,Yun, Young-Hee,Kim, Tae-Yeol,Lim, Tae-Jung,Hwang, Yong-Ho,Choi, In-Hwa 대한한방안이비인후피부과학회 2015 한방안이비인후피부과학회지 Vol.28 No.1
Objective : Thread embedding acupuncture has become popular as a minimally invasive treatment for facial wrinkles and laxity. However, there is little published clinical practice guidelines. This study is to developing a specific procedure of thread embedding acupuncture for facial wrinkles and laxity. Method : We reviewed and summarized 6 studies on thread embedding acupuncture for facial wrinkles and laxity. And, four practitioners who have more than four year of clinical experience and one hundred of cases were participated in developing a thread embedding acupuncture procedure for facial wrinkles and laxity. Result and conclusion : We developed a thread embedding acupuncture procedure for facial wrinkles and laxity which consists of correction of lower jaw, facial laxity, nasolabial fold and eye wrinkles.