활동제한 성인의 미충족 치과의료에 영향을 미치는 요인

이원익 한국치위생학회 2020 한국치위생학회지 Vol.20 No.5

Objectives: This study aimed to investigate the factors associated with unmet dental needs among adults with activity limitations. Methods: Data were obtained from the seventh Korean National Health and Nutrition Examination Survey (KNHANES). The final sample consisted of 945 adults aged 20 years or older with limited activity. Logistic regression analysis was used to examine the influence of predisposing, enabling, and need factors on unmet dental needs. Results: The proportion of adults with unmet dental needs during the last year was 52.2% in the middle-aged group and 45.5% in the older adult group. Higher household income was associated with fewer unmet dental needs in both groups. In the older adult group, married people were less likely to have unmet dental needs. In the middle-aged group, adults who perceived their oral health as poor were more likely to have unmet dental needs. Conclusions: All three factors (predisposing, enabling, and need) were found to be associated with unmet dental needs among adults with activity limitations. Special efforts should be made to improve access to dental care services for middle-aged adults with activity limitations.

적출한 토끼회장의 자발적 수축에 미치는 Cholecystokinin과 Dopamine의 영향

이원익 가톨릭대학 (가톨릭신학대학) 대학원 1986 가톨릭大學醫學部 論文集 Vol.39 No.3

사간탕(瀉肝湯)의 효능(效能)에 관(關)한 실험적(實驗的) 연구(硏究)

이원익,이원철,배향섭,구본홍,Lee, Won-Ik,Lee, Won-Chul,Bai, Hyung-Sup,Koo, Bon-Hong 대한한방내과학회 1989 大韓韓方內科學會誌 Vol.10 No.1

The present investigation was undertaken to confirm of clinical effects of Sagnating. So, experimental studies were done, especially, to ascertain whether Sagantang had pharmacological effect of analgesia, antipyresis, diuresis and decreasing blood pressure and so on. The results of the studies were obtained as follows: 1. The analgesic effects of Sagantang were obtained in mice. 2. Sagantang prolonged the duration of hypnosis which is induced thiopental-Na in mice, but it was not effective in rotor rod method. 3. Antipyretic effect of Sagantang was known on the typhoid vaccine induced fever in rats. 4. Sagantang inhibited automatic movement on the isolated ileum of mice, and antiacetylcholine effect and antibarium chloride effect of Sangantang were known on that. 5. Sangantang decreased blood pressure due to vasodilatation in anesthetized mice. 6. The effect of diuresis were noted in mice. According to the above results, clinical effects of Sagantang on oriental medical references were similar to the actual experimental results.

전벽부 심근경색과 유사한 임상양상을 보인 단일 관상동맥 1례

이원익,양용모 대한응급의학회 2010 大韓應急醫學會誌 Vol.21 No.3

A single coronary artery is a rare coronary anomaly. A 66-year-old man arrived at our emergency department with progressive dyspnea of 4 days duration. ST segment elevation,a Q wave in precordial leads, and elevated myocardial enzymes suggested recent myocardial necrosis. Coronary angiography revealed a single coronary artery that originated from the left coronary sinus and showed normal morphology of the left coronary system without a significant stenotic lesion;a distal left circumflex artery traveled to the right ventricle and right atrium as a functional right coronary artery. We report a case of a single coronary artery from a left coronary sinus with a brief review of the literature.

흡수성 핀을 이용한 요골두 및 경부골절의 합병증

이원익,장준동,최수중,이병국,서영진,이창주 대한골절학회 2002 대한골절학회지 Vol.15 No.3

목 적 : 흡수성 핀을 이용하여 치료한 요골두 및 경부 골절 14례 중에서 6례에서 흡수성 핀으로 인한 합병증을 경험하여 이를 문헌 고찰과 함께 보고하고자 한다. 대상 및 방법 : 1991년 3월부터 2000년 3월까지 Poly-glycolic acid(PGA)로 만들어진 흡수성 핀을 이용하여 관혈적 정복 및 내고정술을 시행하였던 14례를 대상으로 하였다. 변형된 Mason 분류상 모든 례가 정복이 가능하였던 II형이었다. 수술후 견고한 고정이 된 경우 1~2주간 석고 고정을 시행한 후 조기에 능동적인 관절운동을 시행하였다. 결 과 : 추시 기간 평균 1년 5개월 후 관절운동 범위는 굴곡구축 평균 20도에서 최대굴곡 평균 130도로 기능상 문제없는 운동범위를 보였다. 흡수성 핀으로 인한 합병증은 6례에서 나타났으며, 3례에서는 골흡수가 있어 2례에서 요골두 제거술을 시행하였고, 다른 3례에서는 활액막염이 있어, 1례에서 지속적인 관절액 배출이 있었으며, 2례에서는 관절염으로 진행되었다. 결 론 : PGA로 만들어진 흡수성 핀을 사용할 경우 상당히 많은 합병증이 발생하였다. 따라서 흡수성 핀의 재료에 대한 재고와 합병증이 적은 흡수성 핀의 개발이 필요할 것으로 사료되며, 현재의 흡수성 핀을 사용한다면 이러한 합병증을 염두에 두어야 할 것으로 사료된다. Purpose : We report complications occurred from 6 patients among 14 patients who received the operation for their radial head and neck fractures by using the absorbable rod made by poly-glycolic acid(PGA). Materials and Methods : We analyze the postoperative results of 14 patients who recieved fixation by absorbable rod for the radial head and neck fractures from March 1991 to March 2000. All of the fractures were are reducible and modified Mason's type Ⅱ. Results : After average 15 months follow up, flexion contracture was average 20 degrees and full flexion was average 130 degrees. Complications were occurred in 6 cases. Osteolysis was occurred in 3 cases and in 2 cases among theses 3 cases, radial head excision was performed. Synovitis was occured in other 3 cases and in one case joint fluid was drainaged from operation wound for 2 weeks and in other 2 cases, synovitis was progressed to arthritis. Conclusion : The absorbable rod made of PGA in radial head and neck fracture have relatively high rate of adverse tissue responses. So surgeon should consider adverse tissue response of PGA. Development of more biocompatible absorbable and slow degrading material should be needed.

봄의 소곡들(번역시)

이원익 한국외국어대학교 무역학과 1969 무역논집 Vol.3 No.-

소득수준과 거주지역에 따른 노인의 구강건강 격차에 관한 연구

이원익 인문사회 21 2020 인문사회 21 Vol.11 No.2

This study aimed to investigate oral health disparities in older adults according to household income and residential area. Data was obtained from the seventh Korean National Health and Nutrition Examination Survey (KNHANES). The final sample consisted of 3,405 older adults aged 65 years or older. Oral health disparities were assessed in terms of the average number of teeth, having 20 teeth or more, and edentulism. Main findings are as follows. First, oral health disparities by income level were confirmed. Older adults belong to 5th quintile income group had 5 more teeth on average compared to 1st quintile income group and had higher odds to have 20 or more teeth that are needed for normal chewing ability. Second, oral health disparities by residential area were also confirmed. Older adults living in the metropolitan areas had higher number of teeth on average and had lower odds to have less than 20 teeth or become edentulism compared to older adults in mid-size city or rural area. Follow-up studies focusing community factors associated with oral health and community-based programs to improve dental care access for vulnerable groups were suggested. 본 연구의 목적은 소득수준과 거주지역에 따른 노인의 구강건강 격차를 분석하는 것이다. 제7기 국민건강영양조사(Korean National Health and Nutrition Examination Survey) 자료에 포함된 65세 이상 노인 3,405명의 자료를 이용하여 자연치아 보유 개수, 20개 이상 치아보유 여부, 무치악과 관련된 현황을 분석하고 가구소득과 지역거주에 따른 차이를 검증하였다. 연구결과는 다음과 같다. 첫째, 소득수준에 따른 구강건강 격차를 확인하였다. 고소득층인 5분위 노인은 1분위 노인에 비하여 평균 치아 수가 5개 많았으며, 정상적인 저작기능을 위하여 필요한 20개 이상의 치아를 보유할 가능성이 현저히 높은 것으로 나타났다. 둘째, 거주지역에 따른 구강건강 격차를 확인하였다. 대도시 거주 노인은 중소도시 혹은 농어촌 지역 노인과 비교할 때 평균 치아 수가 많았으며 치아상실을 경험할 가능성은 낮은 것으로 나타났다. 이상의 결과를 바탕으로 구강건강과 관련한 지역사회 요인의 영향을 분석하는 후속연구를 제시하였고, 취약계층의 치과서비스 접근성을 향상시킬 지역사회 프로그램을 제안하였다.

정신과 외래에서 처음으로 성인 ADHD로 진단받은 환자들의 역학적 양상 (2012년 이전과 이후의 양상)에 대한 비교연구

이원익,허윤석 중앙대학교 의과대학 의과연구소 2016 中央醫大誌 Vol.41 No.2

This study investigated the epidemiological characteristics of adult patients diagnosed with attention deficit hyperactivity disorder in mental health outpatient clinic from 2012. Through the collection and analysis the data of 189 outpatients initially diagnosed with adult ADHD by DSM-IV criteria, sociodemographic data, and diagnostic data (school record, ASRS:Adult ADHD Self-Report Scale, CPT: Continuous Performance Test, Emotional dysregulation scale, BAI:Beck Anxiety Inventory, BDI:Beck Depression Inventory, self esteem scale) since January 1, 2012, we confirmed the sociodemographic characteristics of patients diagnosed with adult ADHD, and identified the changes in the demographic characteristics by comparing the previous epidemiological study (Journal of Society of Korean Women Psychiatrists, Volume 11, No. 1, 2013). The results showed that the first diagnosed with ADHD in adulthood age was 29.8 year and the first diagnosed with ADHD in adulthood age of 183 participants except for 6 diagnosed ADHD prior to adulthood was 29.97 year, therefore the age of first diagnosed with ADHD in adulthood was slower than the 27.5 years of previous research and showed the delay compared to 28.1 years of age, except for people who were diagnosed prior to adulthood. However, there was no significant difference in first diagnosed age between the two studies. In the age groups, there was significantly increased the 30 age group, and the education level also significantly increased over University Student group. In this study, there was significantly high proportion of married status. The proportion of main complaining with ADHD-related problem was 33.3% (n=63), it showed significantly elevated compared to 13.3% in the previous study. In accordance with ADHD subtype, Inattentive type was 36.8%, Combined type and Hyperactive/Impulsive type was 61.4%, it showed that the proportion of Combined type significantly elevated compared with previous study. However, the history of ADHD diagnosis in the study group was significantly lower than in previous research group. Through this research, especially, the raising of public perception about adult ADHD was judged by the significant elevation of the proportion of main complaining with ADHD-related problem at first psychiatric clinic visit. Since the extension of national insurance to cover adult ADHD patients began from September 1, 2016, we will compare the future changes in the epidemiological characteristics through further research. In addition, because it is possible to apply the DSM-5 criteria much more relaxed than rigid DSM-IV criteria, the more changes in the epidemiological characteristics will be expected. Through this, it will be able to compare the epidemiological characteristics of adult ADHD patients in the present and future policy changes, and we expect to provide the future direction of health policy and practice.

Style Sheet 언어를 이용한 내용중심 마크업 언어와 SMIL의 통합에 관한 연구

이원익,염세훈,방혜자,Lee, Won-Ik,Yeom, Se-Hun,Bang, Hye-Ja 한국정보처리학회 2001 정보처리학회논문지B Vol.8 No.3

웹 상에서의 다양한 멀티미디어 지원에 있어 이들 미디어들은 서로 분리되어 있으며 정교한 프로그래밍 작업 없이는 다른 요소들과 상호작용하지 못했다. 1998년 6월 발표된 SMIL1.0은 다양한 멀티미디어들간의 상호작용을 가능하게 하였다. 지금까지의 웹기반 멀티미디어 동기화를 위해서는 DHTML이나 Plug-In 등의 부가적인 방법이 사용되어 왔으나 본 논문에서는 SMIL Timing과 Style Sheet 언어를 이용하여 내용중심 마크업 언어에서의 구현이 용이한 멀티미디어 동기화 표현의 방법을 제시하고 그 특징을 살펴본다. 그리고 이를 실험하기 위하여 마크업 언어의 하나인 HTML에 제안된 방법을 적용하였으며 자바언어의 쓰레드 기술과 JMF 기술을 이용하여 시간적으로 미디어간의 동기화가 지원되는 브라우저를 설계 및 구현한다.

프리히스토리 시대 에디슨의 키네토스코프 영화 연구

이원익 한국콘텐츠학회 2019 한국콘텐츠학회논문지 Vol.19 No.10

The film born by Lumiere brothers in 1895 was not the first. Edison, who invented the Kinetograph four years ago, has already made dozens of films. But it has been relatively undervalued. That's because the platform for projecting a movie was through a single person viewer called Kinetoscope. However, the physical characteristics of the film itself are the same as those of modern films, and have a unique aesthetic distinction compared to other early films. The subject is entertainment-oriented, and the image is characterized by contrast effect. In addition, even before the birth of the film, it shows the important creative elements and genres pursued by fictional films, and has industrial production systems and experts. If Lumiere's film is the beginning of a documentary film that portrays the fact, Edison's film deserves historical value as the beginning of popular film, which is the hallmark of modern cinema. 1895년 뤼미에르 형제에 의해 탄생한 영화는 최초의 것이 아니었다. 4년 전 영화 촬영기를 발명한 에디슨이 이미 수십 편이 넘는 영화를 만들고 있었기 때문이다. 이런 에디슨 영화는 상대적으로 저 평가되어왔다. 그것은 영화를 보여주는 플랫폼이 키네토스코프란 일인용 뷰어를 통한 방식이었기 때문이다. 그러나 영화 자체의 물리적인 특성은 현대영화와 동일하며 오히려 다른 초기영화들에 비해 독특한 미학적 차별성을 가지고 있다. 주제가 연예 오락 지향적이며 영상은 인위적 콘트라스트 특징을 가지고 있다. 또한 영화 탄생 이전의 작품 임에도 허구 영화가 추구하는 중요 창작요소들과 장르를 선보이고 있으며 산업수준의 제작 시스템과 전문가들을 갖추고 있었다. 뤼미에르의 영화가 사실을 그려낸 다큐멘터리 영화의 시작이라면 에디슨 영화는 현대영화의 특징인 흥행을 추구하는 대중영화의 시작으로 사적(史的) 가치를 부여할만하다.