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      • KCI등재

        복강경하 근종적출술 후 발생한 하부요로증상에 대한 오림산을 포함하는 복합한의진료의 경과 : 증례보고

        정소미,조희근,Jeong, So-Mi,Jo, Hee-Geun 대한한방부인과학회 2020 大韓韓方婦人科學會誌 Vol.33 No.3

        Objectives: This case report aims to report the clinical effectiveness of the combination treatment of Korean medicine on a post-laparoscopic myomectomy patient's lower urinary symptoms (LUTS). Methods: The patient who diagnosed with uterine myoma had Laparoscopic myomectomy. After the operation, the patient complained of dysuria, nocturia, frequent urination, urgent urination and urinary retention. The patient received combination treatment of Korean medicine during 14 days of hospitalization. The treatment included Ohrim-san, acupuncture, moxibustion, and pharmacoacupuncture. The effects were evaluated through the Numeric Rating Scale (NRS), Overactive Bladder Symptom Score (OABSS), Frequency-Volume chart, and 5-Level version of EuroQol-Five Dimension (EQ-5D-5L). Results: After the treatment, the clinical symptoms such as dysuria, nocturia, frequent urination, urgent urination, urinary retention were improved. Also, the quality of life was enhanced. Conclusions: This case report shows that the combination treatment of Korean Medicine with Ohrim-san may be effective for treating lower urinary tract symptoms (LUTS) after laparoscopic myomectomy.

      • KCI등재

        의과대학의 수정된 TBL 운영 사례: ‘증상학’ 팀 티칭 TBL을 중심으로

        정소미,고아라,편욱범,이경은,김민혜,김충종,이희성 인문사회 21 2023 인문사회 21 Vol.14 No.3

        This study aimed to develop and implement a team-based learning (TBL) teaching method for an integrated course on ‘Symptomatology’ in medical education, and analyze the results through a case study. The TBL class was organized into three stages: organization, operation, and student feedback. The results showed that students experienced integrated learning that combines lectures and TBL topics, and also provided suggestions for future TBL operations, such as different levels of TBL learning objectives and test questions for each participating instructor. The significance of this study lies in confirming the potential for expanding TBL with team teaching within future integrated educational programs.

      • KCI등재

        비물질적 기호의 의미생성과 사건의 반복— 최상규의 『새벽기행』론

        정소미 현대문학이론학회 2022 現代文學理論硏究 Vol.- No.88

        This study examined the journey of thought to the truth that an empty subject comes across signs in Choi Sang-gyu's novel Dawn journey. Also, the study analyzed the process of the subject's to the true communication experiencing the repetitive events of ‘dismantling and combining’ motif. Dawn journey is a novel that shows the journey of empty subject facing immaterial signs and being created. A man(‘I’) get a shock when he met a ‘guy’ whose appearance looks just like himself then it make ‘I’ leave a journey questioning the essence of existence. During the journey ‘I’ is forced to think by meeting signs which is different from its materiality such as 'tooth', 'she', 'elderly person'. ‘I’ realizes that the subjectivity that is absolutely fixed in his fantasy and this existence is empty. However it is always newly revealed and overexpressed in the latent state. Even though it is not solid nor absolute subjectivity, beings can not be a complete nothing which is cut off from everything. So ‘I’ forms relationships with the others and fills the meaning of existence differently by each moment. Those are able to be seen through the repetitive events’ motif which is ‘dismantling and combining’: ① ‘I’ and the family’s dismantling, ② ‘I’ and She’s combining, ③ ‘I’ and She’s dismantling, ④ ‘I’ and Q’s combining. ‘I’ feels disconnected and skeptical about the repetitive daily life and ceremonial family relationships. The first dismantling occurs when the ‘I’ who wants to be alone from those painful life meet the sign of ‘guy’. The second ‘I and she’s combining’ makes true dismantling from the pas of ‘I’, achieving complete freedom. There is no fixed being at all, but only the present of moments exists. However freedom itself cannot have its authenticity being disconnected to the world. It makes ‘I’ feel futile and brings ‘I’ combines with Q again. In this point, the thing is the conversation with his mother that makes him realizes if one recognizes the difference of each beings, it would be the true communication during the journey. ‘I’ was suffered from the repeated daily life and the absence of true communication in the past. In the present, ‘I’ who is combined with Q is a person who is not burdened with painful relationships but free from a complete isolation nor pretentious freedom. Now, ‘I’ is reborn. This study explored the empty subjectivity and ‘dismantling and combining’ motif focusing on the immaterial signs on the novel. The empty subject ‘I’ found the way he could rely on that is not integrating perfectly but coexisting in itself. Therefore, even though ‘I’ still stays in empty, ‘I’ shows the possibility of recovery as ‘I’ opens to be superflous and to become new.

      • KCI등재

        악성 난소 생식세포 종양 환자의 항암 치료 후 발생한 부작용 증상에 대한 한방치료 증례 보고 1례

        정소미,황덕상,이진무,이창훈,장준복 대한한방부인과학회 2019 大韓韓方婦人科學會誌 Vol.32 No.4

        Objectives: The purpose of this study is to report the effect of Korean medical treatment in case of germ cell tumor patient treated by chemotherapy. Methods: The patient was treated with Korean medical treatment (herbal medicine, acupuncture) for 11 months. By taking computed tomography and laboratory testing, we could compare before and after. Results: The patient treated with combination of Korean medical treatment and Chemotherapy recovered after taking Korean medicine for 11 months. Panax ginseng, C.A. Meyer, Astragalus membranaceus, Rhus Verniciflua Stokes were main ingredient of the korean medical treatment. Conclusions: This report shows the Korean medical treatment is effective on Germ cell tumor patient. Korean medical treatment alleviates the side-effect of Chemotherapy such as nausea, vomiting, hot flush and anorexia. Also Blood test results prove long-term use of Korean medicine is safe for lung and kidney function.

      • KCI등재

        IPA를 활용한 의과대학생의 연구 역량 강화를 위한 요구 분석: E-의과대학 연구과정 사례를 중심으로

        정소미,고아라,편욱범 학습자중심교과교육학회 2023 학습자중심교과교육연구 Vol.23 No.19

        Objectives The purpose of this study is to investigate the level of research competencies and requirements resulting from the completion of a research competency enhancement education program for individual medical students. Based on this investigation, the study aims to provide foundational data for educational support in strengthening research competencies within medical schools. Methods A survey was conducted targeting a total of 101 participants, including 54 first-year medical students (Group 1) who were enrolled in the E-Medical School, Department of Medicine, and had completed a two-year research education program in the Department of Medical Education, and 47 third-year medical students (Group 2) who had participated in a two-year research education program. Data was collected using a research competencies scale, and paired-sample t-tests and Importance-Performance Analysis were conducted. Results First, the results of the needs analysis for the entire student group revealed the need for short-term focused improvement in “interpretation of results” and “presentation skills,” long-term progressive improvement in “acquisition of specialized knowledge,” “experimental execution,” and “communication skills,” and improved awareness in “research ethics,” “laboratory safety,” “communication abilities,” “experimental design,” and “data organization/analysis,” as well as the need for sustained maintenance in “topic comprehension” and “error judgment.” Second, the needs analysis based on participation in the educational programs revealed the following results. In Group 1 (first-year medical students), there was a need for short-term focused improvement in “laboratory safety,” “error judgment,” “interpretation of results,” and “presentation skills,” long-term progressive improvement in “research ethics,” “acquisition of specialized knowledge,” “experimental execution,” and “communication skills,” and a demand for “communication skills.” In Group 2 (third-year medical students), there was a need for short-term focused improvement in “interpretation of results” and “presentation skills,” long-term progressive improvement in “acquisition of specialized knowledge,” “experimental design,” “experimental execution,” and “communication skills.” Conclusions This study provided empirical data related to enhancing the research competencies of medical students, serving as foundational information for the revision of education programs that promote learner-centered research competencies.

      • KCI등재

        난소낭종 파열 후 발생한 급성 골반통에 대해 청포축어탕 가감방을 포함하는 한의치료 경과 : 증례보고

        정소미,윤예슬,이진무,이창훈,장준복,양승정,조성희 대한한방부인과학회 2022 大韓韓方婦人科學會誌 Vol.35 No.2

        Objectives: This case report aims to report the clinical effectiveness of the combination treatment of Korean medicine on acute pelvic pain followed by ruptured ovarian cyst. Methods: The patients who diagnosed with ruptured ovarian cyst complained of acute pelvic pain, lower abdominal pain, abdomen distention, constipation, lower back pain and dysuria. They received combination treatment of Korean medicine during hospitalization. The treatment included Chungpochukeo-tang, acupuncture, moxibustion, and pharmacoacupuncture. The effects were evaluated through Numeric Rating Scale (NRS). Results: After the treatment, the clincial symptoms such as acute pelvic pain, lower abdominal pain, abdomen distention, constipation, lower back pain and dysuria were improved. Conclusions: This case report shows that the combination treatment of Korean medicine with Chungpochukeo-tang may be effective for treating acute pelvic pain by ruptured ovarian cyst.

      • KCI등재

        교합 고경이 감소된 보철물을 가진 환자의 전악 수복 증례

        정소미,김형섭,권긍록 대한치과보철학회 2012 대한치과보철학회지 Vol.50 No.4

        수직교합고경이 감소된 환자의 보철 수복은 치과의사에게 큰 도전이다. 여러 가지 방법들을 이용해 적절한 수직교합고경을 결정하는 것이 중요하다. 85세 남자환자가 상악 우측 구치부 수복을 주소로 내원하였다. 임상 검사 결과 수직교합고경이 감소된 것으로 판단되었고, 안면 계측법, 발음 이용법, 하악 안정위 이용법, 통계적 치아 형태 이용법 등의 수직교합고경 평가 방법을 이용하여 소구치 부위에서 4 mm 증가하기로 결정하였다. 진단 왁스업을 시행하여 가역적인 overlay 형식의 임시 보철물을 상, 하악에 장착한 뒤 임상적으로 심미, 발음, 수직교합고경 기준에 따라 평가하였다. 8주 후 마모가 심한 치아에 근관 치료를 진행 한 뒤 fiber post & core를 접착하였고, 치아를 삭제하여 비가역적인 고정성, 가철성 임시보철물로 바꾸어 주었다. 8주 기간 동안 지켜본 뒤 최종 보철물을 장착하여 6개월 경과 관찰 중이며 양호한 임상결과를 보였다. It is a great challenge for dentists to do prosthetic restorations of a patient with reduced occlusal vertical dimension (OVD). Proper determination of the OVD is significant. An 85-year-old male patient came in with missing right maxillary posterior teeth. After diagnostic wax-up, reversible provisional prostheses were used to evaluate the new OVD in the maxilla and mandible. After that, the patient was evaluated clinically based on the criteria of esthetic, phonetic, and OVD. After 8 weeks, teeth with excessive wear were treated with root canal therapy and fiber post and core and irreversible provisional prostheses were done. After 8 weeks of observation period, final restorations with fixed partial dentures and removable partial dentures were made. Throughout the follow-up period of 6 months, no symptoms related with increased OVD and mechanical complications were observed.

      • KCI등재

        제왕절개술 후 발생한 위장관 기능장애에 대한 최신 RCT 연구 동향 분석 -경혈 자극을 중심으로-

        정소미,이진무,이창훈,황덕상,장준복 대한한방부인과학회 2020 大韓韓方婦人科學會誌 Vol.33 No.1

        Objectives: The purpose of this study was to show effectiveness of Acupuncture treatment on gastrointestinal dysfunctions after Cesarean section by analyzing randomized controlled clinical trials. Methods: We searched randomized controlled clinical trials related with acupuncture treatment on gastrointestinal dysfunctions after Cesarean section through national and overseas database and analyzed them in detail. Results: 6 articles were included according to our selection criteria and 1,084 women were involved. 3 studies used TEAS (Transcutaneous Electrical Acupoint Stimulation), 2 studies used Elastic band and 1 study used Acupressure by hand. Their results were statistically more effective than control groups. The most frequently used acupoints were Neiguan (PC6), Zusanli (ST36) followed by Sanyinjiao (SP6), Hegu (IL4). Conclusions: There was significant difference in the effectiveness of the intervention including Acupuncture treatment. Based on analysis, it could be an effective way for the treatment of gastrointestinal dysfunctions after Cesarean section in clinical practice.

      • KCI등재

        폐경 이행기 여성의 비정상 자궁출혈에 대한 귀비탕 가미방을 포함한 한의치료 2례

        정소미,황덕상,이진무,이창훈,장준복 대한한방부인과학회 2023 大韓韓方婦人科學會誌 Vol.36 No.2

        Objectives: This case report aims to report the clinical effectiveness of the combination treatment of Korean medicine on abnormal uterine bleeding. Methods: The patients who diagnosed with abnormal uterine bleeding complained of menometrorrhagia, dizziness, lower abdomen pain and general weakness. They received combination treatment of Korean medicine during hospitalization. The treatments included Guibi-tang-gamibang, acupuncture, moxibustion and pharmaco-acupuncture. Results: After the treatment, abnormal uterine bleeding stopped and the clinical symptoms such as dizziness, lower abdomen pain and general weakness were improved. Conclusions: This case report shows that the combination treatment of Korean medicine with Guibi-tang-gamibang may be effective for treating abnormal uterine bleeding.

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