치은염 환자에서 저출력 이산화탄소 레이저의 염증완화 효과에 관한 연구

송현종,김병옥,장현선,Song, Hyun-Jong,Kim, Byung-Ock,Jang, Hyun-Seon 대한치주과학회 2008 Journal of Periodontal & Implant Science Vol.38 No.4

Purpose: In this study, we compared low-power $CO_2$ laser treatment to ultrasonic scaling, which is generally approved as a power-driven mechanical instrumentation, and evaluated both of these treatments regarding their clinical effectiveness and change in the volume of in GCF. Material and methods: 20 patients who had gingivitis were selected. all of patients has no systemic problems. Randomly selected, one quadrant received ultrasonic scaling only, another quadrant received ultrasonic scaling and $CO_2$ laser irradiation, the other quadrant received $CO_2$ laser irradiation only. Clinical parameters measured at baseline, 1 weeks, 2weeks, 4weeks and 8weeks. Result: Pocket probing depth and clinical attachment level were not changed during study period. Gingival index of all group were improved after treatment. At 1 weeks after treatment, Gingival index of ultrasonic scaling group was only significantly different compared to control group. At 2 weeks after treatment, gingival index of all experimental group were significantly different compared to control group. At 4 and 8 weeks after treatment, gingival index of all group were increased, but experimental group were lower than control group. Sulcus bleeding index was similar to the results of gingival index. At 1 weeks after treatment, all experimental group were significantly different compared to control group and it maintained during study. At 2 weeks after treatment, sulcus bleeding index of all group were lowest during study. Gingival crevicular fluid were measured with $Periotron^{(R)}$ 8000($Oraflow^{(R)}$, Inc. USA). At baseline, all group were showed moderately severe condition. At 1 week after treatment, laser treatment only group was reduced quantity of gingival crevicular fluid mostly, and all group were reduced quantity of gingival crevicular fluid. At 2 weeks after treatment, all group were health state. At 4 and 8 weeks after treatment, all group were showed recurrent of inflammation, and control group was the most significantly increased. Conclusion: This study showed that the effects of $CO_2$ laser treatment were similar to conventional ultrasonic scaling and this result remained longer than plaque control only. These results suggest possibility of $CO_2$ laser treatment for altered periodontal therapy.

상피하결합조직 이식술을 이용한 치근면 피개

송현종,장현선,김병옥,Song, Hyun-Jong,Jang, Hyun-Seon,Kim, Byung-Ock 대한치주과학회 2007 Journal of Periodontal & Implant Science Vol.37 No.3

Marginal tissue recession makes problems like esthetics, root caries, hypersensitivity and plaque accumulation. Request for root coverage is higer than ever, especially esthetic problems involved. So techniques for root coverage hav been developed. There are some kinds of surgical techniques using soft tissue for root coverage. For example, free gingival graft, kinds of pedicle flap, subepithelial connective tissue graft(SCTG), and so on. Subepithelial connective tissue graft has many advantage for root coverage, that is less pain on donor site, good blood supply for graft, and more esthetic result. For this reaseon, this case report was performed to evaluate the effect of root coverage using subepithelial connective tissue graft. Three patients has Miller's class I marginal tissue recession and one patients has Miller's class III marginal tissue recession. The following period is 36.5 month on average. The results are as follows: 1. Root coverage of 100% was obtained in 5 of 6 defects, and 80% was obtained in 1 of 6 defects, The mean root coverage was 96,6% in six cases on 4 patients. 2. The mean root coverage was 3.83mm and mean recession depth decreased from 4mm to 0.16mm. 3. The mean width of clinical attached gingiva increased from 1.5mm to 4mm. The mean width of gained attached gingiva after surgery was 2.5mm. 4. The mean follow up period was 36.5 months. The longest follow up period was 50 months and the shortest follow up period was 22 months. 5. The result that obtained by surgery was stable during follow up period. Within the above results, root coverage with SCTG is an effective procedure to cover marginal tissue recession defect with long term stability.

학교상담에 대한 태도의 결정 요인 분석

송현종(Hyun Jong Song) 한국상담학회 2000 상담학연구 Vol.1 No.1

The purpose of this study was to explore the predictors of attitudes toward school counseling. The number of subjects were 547 high school students(male: 285, female: 262/ 1st grade: 161, 2nd grade: 221, 3rd grade: 165). The statistical methods such as ANOVA, correlational analyses, and stepwise regression analyses were used to assess the relationships among the nine variables induded in this study. The main results were as follows: First, student`s trust in his(her) school teacher, the usefulness of student`s previous counseling experiences with his(her) teachers, and student`s right understanding of counseling were proved as the most significant predictors of attitudes toward school counseling. Second, the variables such as extroversion of personality, the severity of problem concerns, and the attributional dimension of controllability could be the predictors only in the specific groups classified according to sex or grade. Finally, there were no significant differences in the attitudes toward school counseling between male and female. And so among 1st grade, 2nd grade, and 3rd grade.

치근 분리술 및 절제술의 다양한 임상증례

송현종 ( Hyun Jong Song ) , 김성신 ( Sung Sin Kim ) , 안신영 ( Shin Young An ) 조선대학교 구강생물학연구소 2006 Oral Biology Research (Oral Biol Res) Vol.30 No.3

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정신지체학생을 위한 해결 중심적 단기 상담의 적용 방안

송현종 ( Hyun Jong Song ),권주석 ( Ju Seak Kwon ) 한국정신지체아교육학회 2006 지적장애연구 Vol.8 No.1

해결 중심적 단기상담이 정신지체아동의 수업집중행동개선에 미치는 효과

송현종 ( Hyun Jong Song ),조성은 ( Seong Eun Cho ) 한국특수교육문제연구소 2008 특수교육저널 : 이론과 실천 Vol.9 No.4

본 연구의 목적은 해결 중심적 단기상담이 정신지체아동의 수업집중 행동에 미치는 효과를 검증하는 것이었다. 연구의 대상은 초등학교에서 통합교육을 받고 있는 정신지체아동 3명이었다. 본 연구는 단일대상연구의 반전설계(기초선 구간 3회기, 중재구간 9회기, 유지구간 3회기)에 기초하여, 해결 중심적 단기상담 프로그램에 의한 수업집중 행동과 수업 비 집중행동의 변화를 분석하였다. 그 결과 세 명의 아동 모두에서 중재의 효과가 나타났으며, 이러한 중재효과는 중재가 끝난 후의 유지구간에서도 유지되는 것으로 나타났다. 이러한 연구결과를 토대로 하여, 장애아동을 위한 상담과 추후연구를 위한 몇 가지의 제언을 하였다. The purpose of this study was to investigate the effect of solution-focused brief counseling(SFBC) on the in-class attentive behavior of children with disabilities. The subjects were three children with mild mental retardation. They attended an elementary school in which inclusive education programs were supported for them. This study was based on the reversal design of single subject research which included baseline, intervention, and follow-up. Nine-sessions SFBC program was provided for the subjects, and their attentive behaviors and inattentive behaviors were observed and recorded by two trained observers in special education class. The main results were as follows. First, the attentive behaviors of the subjects were gradually increasing during the intervention sessions. Second, the inattentive behaviors were gradually decreasing during the intervention sessions. Third, the maintenance effects of the intervention were shown in the follow-up sessions. Based on the results, several suggestions were made for the counseling for the children with disabilities and future studies.

낭종 적출술 및 치근단 절제술을 이용한 치근단낭의 치료: 임상증례

송현종 ( Hyun Jong Song ) , 강경동 ( Kyung Dong Kang ) , 김형성 ( Hyung Sung Kim ) 조선대학교 구강생물학연구소 2007 Oral Biology Research (Oral Biol Res) Vol.31 No.2

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낭종 적출술 및 치근단 절제술을 이용한 치근단낭의 치료: 임상증례

송현종 ( Hyun Jong Song ),강경동 ( Kyung Dong Kang ),김형성 ( Hyung Sung Kim ) 조선대학교 구강생물학연구소 2007 Oral Biology Research (Oral Biol Res) Vol.31 No.2

통합교육과 학교상담: 학교상담자의 태도와 역할

송현종 ( Hyun Jong Song ),조성은 ( Seong Eun Cho ) 한국특수교육문제연구소 2005 특수교육저널 : 이론과 실천 Vol.6 No.4

지난 50년 동안 학교상담자의 역할과 책무는 많이 변화하였다. 1950년대 초반에만 해도 학교상담자가 하는 일은 주로 고등학생들에게 직업/진로지도를 하는 것이었다. 그러나 학교상담자의 역할은 좀더 넓은 범주의 학생들과 관심사로 점차 확대되었다. 그래서 오늘날 학교상담자는 일반 학교에서 통합교육을 받고 있는 장애학생들에게 여러 가지의 예방서비스와 지원서비스를 제공할 책임을 갖고 있다. 이러한 서비스를 효과적으로 제공하기 위해서 학교상담자는 장애학생의 인지적, 정서적,사회적 문제를 이해해야 하며, 그들의 심리사회적 욕구에 민감해야 하며, 효과적인 상담 방법도 알고 있어야 한다. 그러나 학교상담자가 유념해야 할 가장 중요한 점은 학교상담자로서의 바람직한 태도와 적극적인 역할이다. 왜냐하면 학교상담자의 태도와 역할에 대한 올바른이해가 없으면, 효과적인 조력을 제공할 가능성도 그만큼 줄어들기 때문이다. 이러한 관점에서 본 연구에서는 경도장애 학생의 특징, 통합교육의 개념과 추세, 장애학생상담의 문제점, 그리고 장애학생을 상담하는 유능한 학교상담자가 되는데 필요한 상담자의 태도와 역할에 대하여 논의하였다. 그 결과 통합교육 장면에서 학교상담자가 유념해야 할 상담자의 태도 여섯 가지와 적극적으로 수행해야 할 상담자의 역할 여섯 가지를 제시하였다. The roles and responsibilities of school counselors changed dramatically over the past 50 years. In the early 1950s, school counselors primarily provided vocational/career guidance for high school students. The role gradually expanded to a broader range of students and of concerns. So school counselors are now being held responsible for providing preventative and supportive services for students with disabilities who are included in regular public schools. If school counselors are to be competent in providing such services, they must understand the cognitive, affective, and social problems of these students, be sensitive to their psycho.social needs, and be knowledgeable of effective counseling interventions. With these abilities, what is more important things which school counselors must bear in mind are their attitudes and roles in school counseling. Because there is little hope for effective helping with little understanding of the school counselor``s attitudes and roles. This study reviewed the characteristics and needs of students with mild disabilities, the concepts and trend of inclusion, the problems of school counseling for students with disabilities, and the attitudes and roles required to be a competent school counselor who is working with students with disabilities, their parents and teachers, and school administrators. As results of this study, six attitudes which school counselors should bear in mind and six roles which school counselors should put into practice were suggested.

보건분야 우선순위 설정에 대한 외국 사례 비교 및 정책적 시사점

송현종 ( Hyun Jong Song ),강민선 ( Min Sun Kang ),조수진 ( Su Jin Cho ),정설희 ( Seol Hee Chung ),오주연 ( Ju Yeon Oh ) 한국보건경제정책학회(구 한국보건경제학회) 2008 보건경제와 정책연구 Vol.14 No.1

보건의료에 대한 수요 및 요구는 가용한 자원의 용량을 초과하기 때문에 이를 효율적으로 할당하여 사용하는 것은 전세계 모든 국가의 과제라고 할 수 있다. 따라서 우선순위를 설정하여 자원을 배분하여야 하는 선택이 필요하다. 1980년대 후반부터 유럽국가를 중심으로 보건의료 분야에서 우선순위 설정에 대한 논의가 시작되었으나 우리나라의 경우 이에 대한 연구 및 문제제기가 부족하였던 실정이다. 본 연구에서는 외국의 보건분야 우선순위 설정 사례를 분석하고 우리나라에 주는 시사점을 도출하였다. 본 연구의 분석 대상 국가에서는 증가하는 보건의료비가 국가 전체 재정에 영향을 주거나 의료보장 서비스의 제한에 대한 요구가 표출되어 우선순위에 대한 논의를 시작하였다. 이러한 우선순위는 임상적 기준과 사회적 기준을 동시에 고려하여 결정되는데 질병의 위중도, 비용-효과성, 개인의 책임 등이 기준으로 사용되었다. 또한 중앙정부 및 지방정부 차원에서 설정되었고 개별 병원과 같은 특정기관에서 우선순위를 설정하기도 하였다. 많은 국가에서 역학 및 경제학적 접근방법을 명시적 우선순위 설정방법으로 사용하고 있으며 최근 들어 의료기술평가가 활용되고 있다. 아울러 대중의 참여가 매우 중요하게 논의되었다. 우리나라에서 우선순위를 설정할 때, 명확하고 합의할 수 있는 원칙과 가치를 만드는 것이 매우 중요한데 이를 위해서 각계의 의견 수렴 과정을 포함하여야 한다. Efficient resource allocation is one of major challenge among the all nations because health care demand usually exceeds the available resources. Therefore, rationing and priority setting are necessary to allocate scarce resources effectively. However, discussions and studies about priority setting regarding health care are insufficient in Korea while rationing and priority setting in health care has been discussed among the European countries since the late 1980`s. This paper offers the comprehensive analysis of rationing and priority setting in major foreign countries and ultimately drives suggestions for Korea. The health care cost containment and the limitation on health care coverage are major motivation to start discussions about prioritization among the foreign countries. Those prioritizations are based on both clinical standards and social standards including disease severity, cost effectiveness, individual responsibility, etc. The levels of prioritization are federal governments, local governments, and individual organizations such as hospitals. Epidemiological and economical approaches are used as prioritization methods and recently medical technology evaluation is used for the prioritization in many countries. The participation of the general public is getting important in the priority setting at the same time. In conclusion, various stake holders and interest groups should be included for the priority setting in Korea to develop clear standards by common consent.