삼차신경통 진단 및 치료의 중요 고려사항

전영미,태일호,최종훈,안형준,심우현,권정승,Jeon, Young-Mi,Tae, Il-Ho,Choi, Jong-Hoon,Ahn, Hyung-Joon,Shim, Woo-Hyun,Kwon, Jeong-Seung 대한안면통증구강내과학회 2007 Journal of Oral Medicine and Pain Vol.32 No.4

Trigeminal neuralgia is defined as "a sudden, usually unilateral, brief stabbing recurrent pain in the distribution of one or more branches of the fifth cranial nerve" by the International Association for the Study of Pain(IASP). Trigeminal neuralgia is classified as an idiopathic trigeminal neuralgia with no apparent cause and a symptomatic trigeminal neuralgia which is caused by a structural lesion such as brain tumor. Over 80% of the tumors are meningioma, acoustic neuroma, and epidermoid tumors. Symptomatic trigeminal neuralgia can not be excluded even if old-aged patient does not have abnormal neurologic sign and symptom, and good response to pharmacotherapy. Therefore, initial examinations such as MRI or CT are essential to exclude symptomatic trigeminal neuralgia. When compared with CT, MRI, especially gadolinium enhanced MRI, has an increased sensitivity in the detection of intracranial lesions. The most effective medical treatment of trigeminal neuralgia is carbamazepine. The most common side effects of carbamazepine include drowsiness, dizziness, unsteadiness, nausea, anorexia. Hepatotoxicity, bone marrow depression are the most feared side effect of carbamazepine therapy but occurs rarely. It require periodic complete blood cell counts as well as hepatic and renal function tests. It has been recommended that complete blood cell counts is done every 2 weeks for the first 2months and then quaterly thereafter. Oxcarbazepine can be used if neutropenia occurs.

측두하악관절 골관절염 진단에 있어 전산화 단층촬영의 유용성

전영미,최종훈,김성택,권정승,안형준,Jeon, Young-Mi,Choi, Jong-Hoon,Kim, Seong-Taek,Kwon, Jeong-Seung,Ahn, Hyung-Joon 대한안면통증구강내과학회 2008 Journal of Oral Medicine and Pain Vol.33 No.2

Osteoarthritis is caused by joint degeneration, a process that includes progressive loss of articular cartilage accompanied by attempted repair of articular cartilage, remodeling and sclerosis of subchondral bone, and osteophyte formation. The most common causative factor that either causes or contributes to osteoarthritis is overloading of the articular structures of the joint. The diagnosis of temporomandibular joint(TMJ) osteoarthritis is based on the patient's history and clinical findings such as limited mandibular opening, crepitation and tenderness to palpation on TMJ. The diagnosis is usually confirmed by TMJ radiographs, which will reveal evidence of structural changes in the subarticular bone of the condyle or fossa. Plain radiography techniques such as panoramic, transcranial, transpharyngeal views can be used in most dental offices for evaluation of the TMJs. However, plain radiographs are often limited due to overlapping and distortion of anatomical structures. The aim of this study was to compare the clinical examination and panoramic view with computed tomography for diagnosis of temporomandibular degenerative joint disease, and to compare the findings of condylar bony changes through panoramic radiography with that of computed tomography, hence, to confirm the limitations of clinical and panoramic radiography, and the validity of the computed tomography for diagnosis of temporomandibular degenerative joint disease. The pathophysiology of the TMJ osteoarthritis remains poorly understood, and current treatments are based more on speculation than science, and symptomatic treatments often fail to provide satisfactory pain relief. For diagnosis of TMJ osteoarthritis, clinical examination and radiographic examination for confirmation of the bony changes are essential, and computed tomography are clearly superior to plain radiographs for their limitations.

자간전증 임부의 정맥혈장내 항산화능 및 항산화 비타민의 변화

전영미 ( Young Mi Jeon ),양재석 ( Jae Seok Yang ),박영진 ( Young Jin Park ),김윤하 ( Yoon Ha Kim ),김철홍 ( Cheol Hong Kim ),조문경 ( Mun Keong Jo ),김기민 ( Ki Min Kim ),김종운 ( Jong Woon Kim ),송태복 ( Tae Bog Song ),안봉환 ( B 대한산부인과학회 2005 Obstetrics & Gynecology Science Vol.48 No.5

정보전달능력을 중심으로 한 20대부터 50대까지의 연령대별 담화특성

전영미(Jeon Young Mi),김화수(Kim Wha Soo) 한국장애인재활협회 2015 재활복지 Vol.19 No.1

뇌졸중, 치매 등의 노인성질환으로 인한 성인 언어장애 환자의 의사소통능력 평가 지표로 활용되는 담화분석에 대한 연구가 활발히 진행되고 있다. 최근 그 발병 시기가 빨라지는 추세를 보임에 따라 본 연구는 20대부터 50대까지의 정상 성인에 대한 담화 규준과 담화과제 선택 기준에 대한 근거자료 마련을 목적으로 20대부터 50대까지의 정상 성인 80명을 대상으로 4가지 과제(대화, 절차설명, 그림설명, 이야기말하기)를 사용하여 수집한 담화를 CIU분석요소(분당어절수, 총 CIU수, 총 DCIU수, CIU비율, 분당 CIU수, 분당 DCIU수)를 기준으로 분석하여 연령대에 따른 담화특성(발화속도, 정보 전달량, 정보 전달 효율성)의 차이를 알아보았다. 또한 각 연령대 내에서의 담화과제유형별 담화 특성을 분석하여 과제별 유용성에 대해서도 알아보았다. 그 결과, 정보 전달량은 전 연령대에서 크게 차이가 없었으나, 발화속도와 시간 대비 효율성은 연령대가 증가함에 따라 저하되었으며, 특히 40대를 기준으로 유의하게 저하되었다. 더불어 40, 50대의 경우, 정보 전달 효율성에서 담화과제 간 유의한 차이가 관찰되었으므로 담화과제 선택 시 반드시 이 점을 고려하여야 한다. This study analyzed characteristics of the discourse by each age group and investigated usefulness of each task through the analysis of discourse according to the type of task. 80 normal Koreans between age of 20-59 was participated. The discourse was collected using four tasks(conversation tasks, process explaining tasks, picture description tasks and storytelling tasks) and analyzed according to CIU factors(words per minute, CIUs, DCIUs, CIU ratio, CIU per minute, DCIU per minute and comparing the differences in characteristics of the discourse between each age group. Also discourse characteristics within each age group for discourse task types were analyzed. According to the result, there were no significant differences in information conveyance quantity across all age groups, but words per minute and information conveyance efficiency showed tendency to decrease according to increasing age. In addition, there was significant differences between discourse task types in information conveyance efficiency of 40s and 50s, so it should be considered to selecting the tasks.

단결정형 세라믹 브라켓의 재접착 시 tribochemical silica coating이 전단접착강도에 미치는 영향

전영미(Young-Mi Jeon),손우성(Woo-Sung Son),강상욱(Sang-Wook Kang) 대한치과교정학회 2010 대한치과교정학회지 Vol.40 No.3

본 연구는 탈락된 세라믹 브라켓을 tribochemical silica coating하고 nano-filled flowable composite resin (Transbond Supreme LV, 3M Unitek, Monrovia, Calif, USA)을 이용하여 재접착하였을 때 교정치료에 충분한 접착강도를 얻을 수 있는지 평가하기 위해 시행하였다. 총 60개의 소구치를 준비하여 다음의 4개 군으로 나누었다: Tribochemical silica coating (TC) + Transbond Supreme LV (LV), TC + Transbond XT (XT), Sandblast treatment (SA) + LV, SA + XT. 재처리된 세라믹 브라켓은 각각의 접착제를 이용하여 치아에 부착하였다. 시편들을 상온의 생리식염수에 1주일간 보관한 뒤 열순환을 시켰다. 만능시험기로 전단접착강도를 측정한 뒤 파절양상을 평가하였다. TC군은 임상적으로 충분한 강도를 보였다(TCLV: 10.82 ± 1.82 MPa, TCXT: 11.50 ± 1.72 MPa). 하지만 SA군은 TC군에 비하여 유의하게 낮은 전단접착강도를 보였다(SALV: 1.23 ± 1.16 MPa, SAXT: 1.76 ± 1.39 MPa, p < 0.05). LV군과 XT군의 전단접착강도는 유의한 차이가 없었다. TCLV, TCXT군 모두 시편의 77%가 접착제에서의 파절을 보였고, 각 군당 1개씩의 시편에서 법랑질 파절이 관찰되었다. SA군은 모든 파절이 브라켓과 접착제 계면에서 발생하였다. LV군과 XT군의 탈락양상에는 유의한 차이가 없었다. 이상의 연구 결과에서 보면 nano-filled flowable composite resin과 tribochemical silica coating 처리를 이용하여 세라믹 브라켓을 재접착하면 충분한 전단접착강도를 얻을 수 있다. 단 법랑질 파절의 가능성이 있으므로 탈접착 시 적절한 기구와 기술을 이용해 주의깊게 브라켓을 제거해야 한다. Objective: The purpose of this study was to investigate the effect of tribochemical silica coating on the shear bond strength (SBS) of rebonded ceramic brackets using nano-filled flowable composite resin. Methods: A total of 60 premolars were prepared and divided into 4 equal groups as follows: Tribochemical silica coating (TC) + Transbond XT (XT), TC + Transbond supreme LV (LV), Sandblast treatment (SA) + XT, SA + LV. Treated ceramic brackets were rebonded on the premolars using each adhesive. All samples were tested in shear mode on a universal testing machine. Results: SBS of silica coated groups were high enough for clinical usage (TCLV: 10.82 ± 1.82 MPa, TCXT: 11.50 ± 1.72 MPa). But, SBS of the sandblast treated groups had significantly lower values than the tribochemical silica coated groups (SALV, 1.23 ± 1.16 MPa; SAXT, 1.76 ± 1.39 MPa; p < 0.05). There was no difference between the shear bond strength by type of adhesive. In the silica coated groups, 77% of the samples showed bonding failure in the adhesive. In the sandblast treated group, all bonding failures occurred at the bracket-adhesive interface. Conclusions: The result of this study suggest that newly introduced nano-filled flowable composite resin and tribochemical silica coating application on debonded ceramic bracket bases can produce appropriate bond strengths for orthodontic bonding.

청소년의 자아탄력성, 심리적 수용, 의도적 반추, 외상 후 성장간의 구조적 관계

전영미(Young Mi, Jeon),고현미(Hyun Mi, Ko) 한국교류분석상담학회 2019 교류분석상담연구 Vol.9 No.2

본 연구의 목적은 청소년의 자아탄력성, 심리적 수용, 의도적 반추, 외상 후 성장간의 구조적 관계를 알아보기 위한 것이다. 이를 위해 경기 지역에 거주하는 중학생과 고등학교 학생들을 대상으로 외상 경험과 관련된 설문을 실시하였다. 연구결과는 다음과 같다. 첫째, 자아탄력성은 심리적 수용, 의도적 반추, 외상 후 성장과 통계적으로 유의한 정적인 상관관계가 있는 것으로 나타났다. 심리적 수용은 의도적 반추와 통계적으로 유의한 부적인 상관관계가 있는 것으로 나타났고, 외상 후 성장과는 통계적으로 유의한 정적인 상관관계가 있는 것으로 나타났다. 의도적 반추는 외상 후 성장과 통계적으로 유의한 정적인 상관관계가 있는 것으로 나타났다. 둘째, 자아탄력성은 의도적 반추를 매개변인으로 외상 후 성장에 영향을 미치는 것으로 나타났다. 본 연구는 의의는 첫째, 국내에서는 중학생들이 포함된 외상 후 성장에 관한 연구가 거의 이루어지지 않았는데 학령기의 중학생과 고등학생의 외상 후 성장 요인에 대한 경험적 자료를 제공하였다는 것이다. 둘째, 자아탄력성과 심리적 수용에 대한 연구는 매우 미흡한 실정인데, 청소년의 외상의 성장요인에 대한 자아탄력성이 의도적 반추와 심리적 수용과의 구조적인 관계를 알아봄으로써 상담 및 심리 치료에 시사점을 제공한 것에 연구의 의의가 있다. The purpose of this study was to analyze the structural relationships among resilience, psychological acceptance, deliberate rumination, and posttraumatic growth in adolescence. For this purpose, a survey regarding trauma was conducted in middle and high school students residing in Gyeonggi Province. This study obtained the following results: First, resilience was statistically significantly positively correlated with psychological acceptance, deliberate rumination, and posttraumatic growth. Psychological acceptance was statistically significantly negatively correlated with deliberate rumination and was statistically significantly positively correlated with posttraumatic growth. Deliberate rumination was statistically significantly positively correlated with posttraumatic growth. Second, resilience affected posttraumatic growth through the medium of deliberate rumination. This study is significant in that: first, it has provided empirical data as to the factors for posttraumatic growth of school-aged adolescents, such as middle and high school students, while little research on posttraumatic growth has covered middle school students in South Korea; second, it has analyzed the structural relationships between resilience and deliberate rumination and psychological acceptance in terms of the factors for posttraumatic growth in adolescence and made suggestions for counseling and psychological treatment while little research has been conducted on resilience and psychological acceptance.

디지털 스토리텔링의 종교교육적 활용

전영미(Young-Mi Jeon) 한국기독교교육정보학회 2011 기독교교육정보 Vol.28 No.-

Storytelling has been discussed and investigated in religious education field by numerous scholars. They have found that storytelling is effective in facilitating students' identity formation process, strengthening a community's cohesiveness, and transforming students' lifestyle through vicarious participation in a story world. Storytelling in religious education is not only a teaching method but also a way of knowing which integrates the processes of forming, interpreting, extending, and practicing a story as well as listening to it. Digital storytelling shares the meanings and educational effects of general storytelling. At the same time, digital storytelling combines the unique characteristics of digital media. These characteristics are mainly interactivity, nonlinearity, networking, and complexity. There have been various ways to integrate storytelling and digital media. They can be categorized into three groups: digital entertainment storytelling, digital information storytelling, and digital edutainment storytelling. This article explores some ways that integrate religious educational storytelling with unique characteristics of digital media. It also examines possible uses of digital storytelling in the context of religious education for each of the three categories of digital storytelling. Finally it proposes some tasks of religious educators for further study and development in using digital storytelling in religious education.

학생 스트릿 댄서들의 정체성 형성과정 분석

전영미(Young-Mi Jeon),유성진(Seong-Jin Yoo),최영래(Young-Lae Choi) 한국여성체육학회 2018 한국여성체육학회지 Vol.32 No.3

기능적 구인두 기도 형태와 골격 형태와의 상관관계

전영미(Young-Mi Jeon) 대한치과의사협회 1999 대한치과의사협회지 Vol.37 No.10

구순구개열을 동반한 부정교합의 비외과적 교정치료

이승호,전영미,김정기,Lee Seung-Ho,Jeon Young-Mi,Kim Jong-Ghee 대한구순구개열학회 1999 대한구순구개열학회지 Vol.2 No.1

구순구개열은 악안면의 선천기형중 발생빈도가 가장 높은 것으로 알려져 있으며,출생시부터 성장이 완료되는 시기까지 일관된 치료계획에 의한 종합적인 진료체계가 필수적이다. 구순구개열이 존재할 경우 구개부의 조기 봉합후의 반흔조직 형성으로 인한 치열궁의 협착 또는 중안모의 함몰 경향과 함께 상악 측절치의 선천적 결손 또는 기형치, 전치의 회전과 경사 등이 수반되므로 교정치료에 의한 기능적, 심미적인 치열의 회복이 필요하게 된다. 구순구개열 환자의 교정치료에 있어서 상악치열의 정상적인 배열과 구치부 반대교합의 치료를 위해 상악골 확대가 종종 필요하며, 이를 위하여 Hyrax appliance, Quad-helix 및 Fan-type expansion screw, Jointed fan type expander 등 다양한 장치가 활용될 수 있다. 심하지 않은 구순구개열 환자의 교정치료에서 상악골 확대를 위한 장치의 선택은 환자의 치열궁 형태, 연령, 구치부와 전치부의 치열궁 폭경 등 다양한 요인이 고려되어야 하며, 치료 후 악궁형태의 보정에 특별한 주의를 기울여야 할 것이다. Cleft lip and palate is the most frequent congenital facial deformity of the orofacial area. Successful management of patients with cleft lip / palate requires a multidiciplinary approach from birth to adult stage. Coordinated treatment by the cleft palate team is an essential requirement to obtain optimum treatment results. One of the negative effect of the early surgical interventions of lip and palate is a significant incidence of maxillary growth restriction that produces secondary deformities of the jaws and malocclusion that includes congenital missing of lateral incisor, malformed teeth, rotation or ectopic position of upper anterior teeth, and it has been thought due to the resistance of palatal scar tissue. In Orthodontic treatment for cleft lip / palate patients, expansion of upper dental arch or palatal suture is often needed to correct posterior and/or anterior cross bite and align upper teeth. Various appliances such as hyrax, quad-helix, fan-type expansion screw and jointed-fan type expander can be used for palatal expansion. In the orthodontic treatment of the cleft lip / palate patient, we must consider patient age and severity of palatal constriction for proper appliance selection, and must pay special attention to maintain the treatment results.