선천성 근성 사경의 임상적 특징

전지은,류혜경,심재원,심정연,정혜림,박문수,김덕수,Jun, Ji Eun,Ryu, Hye Kyeong,Shim, Jae Won,Shim, Jung Yeon,Jung, Hye Lim,Park, Moon Soo,Kim, Deok-Soo 대한소아청소년과학회 2007 Clinical and Experimental Pediatrics (CEP) Vol.50 No.3

목 적 : 선천성 근성 사경은 목빗근의 섬유화 변화로 인해 머리가 병변쪽으로 기울고 턱이 반대쪽으로 돌아가는 변형을 말하는 것으로 대개 생후 4주내에 발견되고 생후 수개월내에 소실되는 예후가 좋은 질환이다. 이와 관련된 국내 보고가 부족하나 비교적 흔한 근골격계 기형이기에 저자들은 연구를 시행하였다. 방 법 : 2003년 3월부터 2006년 5월까지 본원 소아과와 재활의학과에 사경을 주소로 내원한 환아 중 안과적 검사, 신경학적 진찰 및 정형외과적 진찰 소견에서 이상이 없는 선천성 근성 사경 환아 47명을 대상으로 하였다(남자 31명, 여자 16명). 임상적 특성으로 발견 당시의 연령, 진찰 소견, 초음파 검사, 치료 방법, 치료 기간, 치료 결과 등을 조사하였다. 결 과 : 진단 당시의 연령은 최소 18일에서 최고 9세 7개월로, 이들 연령의 중앙값은 90일이었고, 좌우측 발생 빈도는 우측이 26명, 좌측이 21명이었다. 진찰 소견상 경부 종괴가 만져지는 군은 24명으로 이 중 21명에서 초음파가 시행되었고 19명에서 초음파상 목빗근의 종괴가 관찰되었다. 진찰 소견상 정상적이었던 환아는 22명으로 이 중 11명에서 초음파가 시행되었으며, 3명에서 초음파상 목빗근의 종괴가 관찰되었다. 진단 당시 가장 나이가 많았던 환아는 수술로서 회복되었고, 그 외의 환아들은 모두 집이나 병원에서 수동적인 신연 운동을 받았다. 총 47명의 환아 중 7명이 추적관찰에서 누락되었고, 추적 관찰된 40명 중 36명은 완전한 회복을 보였다. 환아들의 진단 당시 연령과 회복 기간은 음의 상관관계를 가졌고, 초음파 소견에 따라 분류하였을 때 자세군에서는 85.7%, 종괴군에서는 90.0%, 근성군에서는 66.6 %의 완전한 회복을 보였다. 회복 기간은 자세군은 1개월, 종괴군은 2.4개월, 근성군은 7.5개월로 자세군에서 회복 기간이 가장 짧았다(P=0.0011). 결 론 : 초음파에서 목빗근의 이상 소견을 보였던 환아에서 더 느리게 호전되는 양상을 보이고 초음파 소견에 따라 서로 다른 치료 효과를 보였기에, 치료 효과와 기간을 예측하는데 초음파 소견이 도움이 될 것으로 생각된다. Purpose : Congenital muscular torticollis (CMT) is a common and benign congenital disorder of the musculoskeletal system in neonates and infants. The pathophysiology is that the sternocleidomastoid muscle (SCM) is shortened on the involved side by fibrosis, leading to ipsilateral tilt and contralateral rotation of the face and chin. In this study, we investigated the clinical features of CMT, the role of ultrasonography (USG) in prediction of prognoses and the clinical significance of early detection and treatment. Methods : Forty seven patients (M:F=31:16) were diagnosed as a CMT between March 2003 and May 2006. We reviewed age at diagnosis, physical findings, USG findings, treatment and therapeutic outcome from their medical records. Results : The median age at diagnosis was 90 days (18 days-9 years, 7 months) and the right side of neck was affected in more patients (right : left=26:21). Of 24 patients with a palpable neck mass, 21 had USG; 19 cases showed sternocleidomastoid tumor (SMT). In cases with no neck mass, USG was performed in 11 patients; seven had postural torticollis (POST), three had SMT and one had muscular torticollis (MT). Among 40 patients with follow-up, 36 had total resolution. There was negative correlation between the age at diagnosis and the recovery time, whereas the final outcome was not correlated with USG findings. However, the patients without positive findings in USG had earlier resolution (1 month vs 2.6 months, P=0.0008). The patients with SMT had earlier diagnosis and excellent outcomes. The patients with MT were delayed to diagnosis and had the longest time to resolve. Lastly, the patients with POST had delayed diagnoses, but they had excellent outcomes. Conclusion : Since the patients with delayed diagnoses, in despite of benign courses, may take a long time to resolve and rarely need surgical treatment, it is important to diagnose and treat early. This study showed that USG findings of the SCM may be used as predictive factors.

온라인 무용비평의 의미와 가능성 연구

전지은 ( Jeon Ji-eun ) 한국무용예술학회 2014 무용예술학연구 Vol.50 No.5

It’s enough that online media have implications as new media of dance criticism and variable aspects in a form of various dance criticism. Therefore, it can be said that attempts to interpret the meaning of online dance criticism, grasp the possibility that online media have as dance critical media have the value of the research. This study tries to review the meaning of online media as a new area by understanding the correct concept of dance criticism and investigating the characteristics of online media. In addition, the purpose of this study is to look at the possibility as new media of critical areas through the status of professional magazines’ webzine operation, and to promote the activation of dance criticism through a status survey and a comparative study between the specialized webzine and the amateur webzine.

안무가가 인식하는 무용비평의 기능탐색

전지은 ( Jeon Ji Eun ),박인자 ( Park In Ja ) 한국무용예술학회 2021 무용예술학연구 Vol.81 No.1

This study aimed to diagnose the functions of dance criticism by considering dance choreographers’ perception of criticism that is placed in the center of dance arts as an object of criticism. For this study, the open-ended survey was conducted, and the results were drawn through the inductive analysis. In the results of this study, most of the choreographers approached criticism through various media, and they had the conceptual and stereotyped perception of the functions of criticism. However, the choreographers who experienced criticism of their own works in field, reviewed works based on experts’ various opinions, and also perceived it as a means of introspection. At the same time, they raised problems like absence of objectivity and professionalism, distortion of meanings, lack of validity, and narrow mindedness. Therefore, to set up the value that could be accepted in field, it would be certainly necessary to understand and analyze the object of criticism.

한국인의 치과진료이용과 관련된 요인

전지은 ( Ji Eun Jeon ),정원균 ( Won Gyun Chung ),김남희 ( Nam Hee Kim ) 대한예방치과·구강보건학회 2011 大韓口腔保健學會誌 Vol.35 No.4

Objectives. This study aims to determine the factors affecting the dental service utilization among Koreans. Methods. This is a cross-sectional study. It analyses in depth the fourth phase data got from the National Health and Nutrition Examination Survey in 2007 to 2009. The sampling method is stratified cluster sampling. This study includes health questionnaire survey and oral examination for 23,480 participants aged over one year. Among the participants 50.2% were males and 49.8% were females. Statistical verification conducted through PASW statistics was 18.0. The difference in the distribution of independent variables related with the dental service utilization was verified with Chi-square test. Relevant factors were determined using logistic regression analysis. Results. According to logistic regression analysis, females rather than males (OR: 1.54, CI: 1.40∼1.70), recipients of Medical Aid Program (OR: 1.33, CI: 1.01∼1.75) and the participants with low income (OR: 1.17, CI: 1.01∼1.36) utilized the dental service less (p<0.05). Persons perceiving that their health status as poor (OR: 1.26, CI: 1.13∼1.39), those perceiving their oral health status as poor (OR: 1.56, CI: 1.42∼1.70), those worrying about their oral health status (OR: 1.35, CI: 1.24∼1.48), those feeling discomfort during mastication (OR: 2.02, CI: 1.81∼2.25), those having undergone an unlicensed dental procedure (OR: 1.37, CI: 1.21∼1.56), those feeling currently the necessity for dental treatments (OR: 4.51, CI: 4.07∼5.00) and those not taking oral examination within one year (OR: 1.20, CI: 1.08∼1.35) visited dental clinics or hospitals less (p<0.05). However, the type of health insurance, economic activity status and CPITN index showed no statistical significance. Conclusions. Socioeconomic factors and oral health status were found to be determinants for dental service utilization in South Korea in the late 2000. In particular, the participants were observed not to satisfy their demand for dental service perceived by themselves.

우리나라 국민의 인구사회경제특성에 따른 치과진료 미충족 이유: 제4기 국민건강영양조사 자료를 이용하여

전지은 ( Ji Eun Jeon ),정원균 ( Won Gyun Chung ),김남희 ( Nam Hee Kim ) 대한예방치과·구강보건학회 2012 大韓口腔保健學會誌 Vol.36 No.1

Objectives: This study aims to examine the possible reasons of unmet dental need, considering the relationship between the socioeconomic and oral health status in Korea. Methods: The study was designed as a cross-sectional study, using the data of the 4th Korea National Health and Nutritional Examination Survey. The samples were selected with a stratified clusters sampling method. The subjects were 8,808 out of 23,478 people, which participated in the health examination survey and the oral examination. Statistical analysis was conducted using SPSS18.0, according to complex sampling design. 26 variables reflecting demographic, social and economic characteristics, and an oral health status, were all examined for a complex sampling frequency analysis. Further, their distributional differences were confirmed by chi-square analysis. Results: About 40% of the subjects failed to receive dental treatment when it was required. ``Financial burden`` was the main reason, with the percentage of 39.1%, followed by ``busy with school or work`` (22.4%), ``lower on the priority scale`` (15.2%) and ``fear of dental treatment`` (12.1%). ``Other reasons`` were 5.9%. In addition to this, 2.9% of the subjects stated ``there was no one to help with their children``, 1.6% was ``dental clinics were too far to go`` and 0.8% was due to ``poor mobility and other health problems``. It was observed that younger than 6 years old, especially, seemed to have a high level of fear of dental treatment. The students due to school and the elderly were concerned with financial burden. Moreover, low-level educated and low-level income, also have their financial problems as the main reason. On the other hand, highly educated and those that were better-off, financially, were ``busy with school or work`` as the main reason. Conclusions: The primary reason for unmet dental need was the financial burden in Korea. Also, it was confirmed that there were various reasons, according to the demographic, social and economic characteristics, such as their age, education levels and incomes, rather than oral health status.

증례 : 순환기 ; 진행성 위암에서 동반된 폐동맥 종양 혈전성 미세혈관병증 1예

전지은 ( Ji Eun Jun ),김정훈 ( Jung Hoon Kim ),유덕현 ( Duck Hyun Ryu ),이지은 ( Ji Eun Lee ),정호중 ( Ho Jung Jeong ),양정훈 ( Jeong Hoon Yang ) 대한내과학회 2014 대한내과학회지 Vol.87 No.5

폐동맥 종양 혈전성 미세혈관병증은 폐동맥 고혈압을 유발하고 우심부전으로 진행하여 사망에 이를 수 있는 암과 관련된 호흡기계 합병증이다. 진단을 위한 영상학적 검사들이 있지만 민감도와 특이도가 낮고, 진단 전 급속히 악화되어 사망하므로 부검으로 확인하는 경우가 대부분이다. 저자들은 위암종을 진단받고 위전절제술 및 보조 항암 화학 방사선 치료 후 재발 없이 경과 관찰하다가 급속히 악화되는 운동성 호흡곤란을 주소로 내원한 환자에게서 폐 조직검사로 진단된 폐동맥 종양 혈전성 미세혈관병증을 경험하여 문헌고찰과 함께 보고하는 바이다. Pulmonary tumor thrombotic microangiopathy (PTTM) is a rare and fatal cancer-related pulmonary complication leading to severe pulmonary hypertension, right heart failure, and death. Few cases of PTTM have been diagnosed antemortem. A 62-year-old male showing complete remission of gastric cancer presented with exertional dyspnea. Transthoracic echocardiography showed marked dilation of the right atrium, right ventricle, and the small left ventricle with normal left ventricular function. Right heart catheterization also showed mild to moderate pulmonary hypertension. A chest computed tomography scan revealed no evidence of acute pulmonary thromboembolism, but it showed consolidations with subpleural nodules in both lower lobes, and a lung perfusion scan showed multifocal, non-segmental perfusion defects. Finally, a diagnostic lung biopsy with video assisted thoracoscopic surgery was performed, and the pathologic findings were compatible with PTTM. Here, we report a case of gastric cancer-related PTTM that was diagnosed antemortem. (Korean J Med 2014;87:593-597)

‘문재인케어’와 영국의 치과의료제도

전지은(Ji-Eun Jeon),류재인(Jae-In Ryu) 대한치과보험학회 2017 대한치과보험학회지 Vol.7 No.1

The public and the organizations related with medical and dental care payed high attention for the Moon Jae-in Care announced at August 9th 2017. The Moon Jae-in Government presented that they will cover all the necessary medical expense by National Health Insurance(NHI). The first step is to get rid of the non-covered items, such as listed in NHI as necessary but non-covered and limited number of permission even though they are essential. In dental care, the percentage of out-of-pocket payment for dentures and implants decreased from 50 to 30. The resin for children and adolescent will be covered by NHI since 2018. This study aims to deal with the critical issues, for example three ‘low’s of payment-fees-coverage, proper health care delivery system, and possibility to extend the coverage by selected or preliminary lists. Also the change of National Health Service(NHS) in U.K. during recent decades will be researched. In conclusion, it is necessary to extend the coverage with patient-centered delivery system. Primary preventive approach needs to apply based on the clinical leadership by the professionals.health insurance coverage.

노인의 구강건강상태에 따른 고령친화식품 섭취 차이

전지은(Ji-Eun Jeon),정은하(Eun-Ha Jung),김수민(Soo-Min Kim),한선영(Sun-Young Han) 한국콘텐츠학회 2021 한국콘텐츠학회논문지 Vol.21 No.12

인구 고령화에 따라 고령친화식품에 대한 수요가 커지고 있다. 이 연구는 노인의 구강건강상태에 따른 고령친화식품 섭취 실태를 분석하여 구강건강수준에 맞는 식품 개발에 기초자료를 제공하고자 수행하였다. 제7기 국민건강영양조사의 건강설문, 구강검진, 영양조사 자료를 이용하여 노인의 고령친화식품 단계별 구강건강상태와 영양 섭취 실태를 복합표본분석방법으로 분석하였다. 그 결과, 75세 이상의 고령자일수록(p=0.013), 저소득과 고소득 양극단에서(p=0.008) 고령친화식품의 3단계 섭취자가 유의하게 많아 상대적으로 혀로 섭취할 수준의 무른 음식을 주로 먹는 것으로 나타났고, 의치를 보유하거나(p=0.024, 0.008) 임플란트를 보유하지 않은 경우(p=0.003)에서 고령친화식품의 3단계 섭취자가 유의하게 많았으며, 저작불편 등 주관적 지표보다 보철물 보유 등과 같은 객관적 지표에서 유의한 차이가 나타났다. 또한 영양소에 따라 고령친화식품 3단계 섭취자가 전반적으로 영양소 기준보다 적게 섭취하고 있었다. 고령친화식품의 3단계를 주로 섭취하는 노인은 구강건강수준과 영양상태가 매우 취약한 것으로 보인다. 따라서 고령친화식품 개발 시 노인의 구강건강상태 및 적절한 영양소를 고려한 다양한 식품 개발과 체계적인 교육이 필요하다. This study was conducted to provide data for the development of foods suitable for the level of oral health by analyzing the consumption of elderly-friendly foods according to the oral health status of the elderly. Using data from the health questionnaire, oral examination, and nutrition survey of the 7th National Health and Nutrition Examination Survey, the oral health status and nutritional intake status of the elderly by each stage of elderly-friendly foods were analyzed, and a complex sample analysis method was applied. The elderly who mainly consume stage 3 elderly-friendly foods appear to have very poor oral health and nutritional status. Therefore, when developing elderly-friendly foods, it is necessary to develop various foods and provide systematic education considering the oral health status of the elderly and appropriate nutrients.

《별건곤》의 영화담론 연구

전지은 ( Ji Eun Jeon ) 한국언어문화학회 2010 한국언어문화 Vol.0 No.42

This paper focused that how the media of narrative communicated with the public. It researched articles of Beolgeongon which was published from 1920 to 1903 and it was called reading matter in low grade culture. It is the premise that the public in Chosun was not simple means or object but active subject of forming the modern age. Mass media and narrative genre formed, changed, derived and ran out naturally because of not the aim and interest of a certain group but the power balance among varieties of view. Novels and new media naturally make sub-mixed genre such as `film novels` and `broadcasting novels` in competition. `Film novels` and `broadcasting novels` were dynamic reflection methods of narrative brought from the aim of new media, printing business`s relationship and the desire of public. Especially the articles on critics of movies in Beolgeongon showed that how new media movies brought a great sensation from the public and how they took up as a public preference media. Also Beolgeongon serialized new sub-genre movie talks combined with special function of silent film narraters in the silent film age and the public accessibility of printing media. While silent film narraters were intermediaries connecting common narrative methods and technology-intensive new media `Images`, Movie talks were double intermediary types re-connecting with text medias. Likewise, it was from the public that the power made appearing and dying of the media.

매체간 통합장으로서의 스크린과 그 안에서 작동하는 재매개의 주체성 연구

전지은 ( Ji Eun Jeon ) 한국언어문화학회 2015 한국언어문화 Vol.0 No.58

This paper set on object ‘Movie’ that is ‘Screen’ as medium. Because ‘Movie’ is integrating more than any other medium and any other culture industry. This paper looks at how floating concept as culture and humanities beyond concrete signifier literature integrates every periodic, technical, artistic, and narrative field and contacts the public in the medium as movie. Because movie contains literature, paintings, technology and the phases of the times, we should be look movie as literature. Finally movie becomes itself active integrating field diachronically re-mediating all flow of medium-history. In the course of looking these features of medium, suture theory by Lacan and concept of re-mediation by Bolter and Grushin are syntagmatically used again. This paper pore over that things which can be movie becomes representation medium and narrative medium are gazers, ‘audience.’ Movie actively uses ‘hyper-mediation’ and shows more anti-mediating possibilities than any other medium. These self-contradictory formalities are possibilities and limitations of movie. If movie could represent reality beyond screen as fantasy veil, it can operate through behavior of audience as narrative subject suturing. Audience suture cracks of movie text, fill absence and are born again. The Thieves directed by Choi Donghun ceaselessly located audience between anti-mediation and hyper-mediation at the same time, thus they actively sutured narrative. Audience could recast realistic figures through suturing several plan characters. Then movie played with audience a kind of ‘lying game’, through positive using scene making of formal features on media of image. Also movie stimulated desire of audience which try to grasp truth and made audience became subject of the game, that was narrative subject. The point is core narrative function itself contained features of audience. Because features of audience are not systematized and do not mean clear concept, what we regard them as outside factors of text revels another ‘absence.’ Desires of reality are not only in creators, only in audience, only in market, and only in political system. So, looking with open mind through re-mediating all of them can be a dialectical attitude. Open attitude of interpretation on texts and try itself to make possibilities of sound out will suture possibilities of literature and era.