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      • KCI등재

        향기요법이 통증을 주소증으로 입원한 환자의 수면장애에 미치는 영향

        박수곤 ( Soo Gon Park ),양미성 ( Mi Sung Yang ),김오영 ( Oh Young Kim ),조희근 ( Hee Guen Jo ),최진봉 ( Jin Bong Choi ),김선종 ( Sun Jong Kim ),설재욱 ( Jae Uk Sul ) 한방재활의학과학회 2010 한방재활의학과학회지 Vol.20 No.4

        Objectives :The purpose of this study is to investigate the effects of aroma therapy on sleep disorder patients with musculoskeletal pain. Methods :The 44 patients were divided into 2 groups: Experimental group(Exp. group) was treated with aroma therapy and control group was treated except aroma therapy. To evaluate the efficiency of aroma therapy, the Korean sleep scale A(Jin-Joo Oh, Mi-Soon Song, Sin-Mi Kim. 1998) and visual analogue scale(VAS) were applied before treatment and after 5 days treatment. Results :1. The Experimental group has improved statistical significance in sleep disorder score as compare to the control group. 2. The improvement of sleep disorder score of Exp.group has difference according to impression. 3. The improvement of sleep disorder has an effect on pain decrease. Conclusions :Aroma therapy has effects of improvement on sleep disorder with musculoskeletal pain.

      • SCOPUSKCI등재

        방사선사진과 안모사진을 이용한 하악 비대칭의 평가

        이설미 大韓口腔顎顔面 放射線學會 2001 Imaging Science in Dentistry Vol.31 No.4

        Purpose : To assess the relationship between soft tissue asymmetry and bone tissue asymmetry using the standardized photographs and the posteroanterior (PA) cephalometric radiographs in mandibular asymmetric patients. And to clarify that the lack of morphologic balance among different skeletal components can often be masked by compensatory soft tissue contributions. Methods : Experimental group consisted of 58 patient whose chief complaints were facial asymmetry, they were taken with standardized facial photographs and PA cephalometric radiographs. Control group consisted of 30 persons in the normal occlusion. The reproducibility of the facial photograph was confirmed by model test. The differences of fractional vertical height and horizontal width from standardized facial photographs and PA cephalometric radiographs were compared and analyzed. Results : The difference of fractional vertical bone height was 0.63 and fractional vertical soft height was 0.58 in control group, 3.10 and 2.01 in asymmetric group, respectively. The difference of fractional horizontal bone width was 0.52 and fractional horizontal soft width was 0.70 in control group, 2.51 and 1.70 in asymmetric group, respectively. Both soft and bone tissue showed significant difference between control and asymmetric group (p<0.05). The difference of bone tissue was greater than that of soft tissue (p<0.05) in the experimental group but, not in control group. Conclusion : Soft tissue components may compensate for underlying skeletal imbalances. (Korean J Oral Maxillofac Radiol 2001; 31 : 199-204)

      • SCOPUSKCI등재

        구외 방사선사진 촬영에 사용되는 기준선의 상호 관계

        이설미,최항문 大韓口腔顎顔面 放射線學會 2001 Imaging Science in Dentistry Vol.31 No.4

        Purpose : The aim of present study is to estimate the relationship among reference lines used for taking the extraoral radiography and panoramic radiography. Materials and Methods : Lateral cephalographs of 40 adults, aged 22 to 30 years were taken. Angles between reference lines (Frankfort line, canthomeatal line, infraorbitomeatal line, and occlusal plane) were measured. Results : Angles between Frankfort line and canthomeatal line, Frankfort line and infraorbitomeatal line, Frankfort line and occlusal plane, canthomeatal line and infraorbitomeatal line, canthomeatal line and occlusal plane, and infraorbitomeatal line and occlusal plane were 16.1°(±2.2), 5.8°(±2.4), 8.7°(±3.5), 10.3°(±1.3), 24.8°(±4.0), and 14.5°(±4.4), respectively. Conclusion : Angle between frankfort and canthomeatal line is very different with commonly known angle. Frankfort horizontal reference lines used for panoramic radiography need an exact definition and more accurate standard is needed for the taking of panoramic radiograph (Korean J Oral Maxillofac Radiol 2001; 31 : 205-7)

      • KCI등재

        단면 CT 영상을 이용한 무치악 하악 대구치부 잔존골의 형태 분석

        이설미,허경회,이원진,허민석,이삼선,강태인,최순철 대한구강악안면방사선학회 2007 Imaging Science in Dentistry Vol.37 No.3

        Purpose : The purpose of this study was to evaluate the morphologic features of posterior edentulous mandible for Korean patients using cross-sectional CT images. Materials and Methods : Computed tomographic cross-sectional views taken in 2004 and 2005 at Seoul National University Dental Hospital were analyzed by an oral and maxillofacial radiologist. Four indices were measured to meet the purpose of this study: 1) the horizontal distance between the alveolar crest and mandibular canal (Type), 2) the angle of the mandibular long axis (Angle), 3) the bucco-lingual location of mandibular canal, and 4) the depth of the submandibular fossa. The averages and standard deviations of the measurements were compared according to the location (the first and second molar area) and sex of the patients. Results : Statistically significant difference was found in Type, Angle, and submandibular fossa depth between the first and second molar area (P<0.05). However, there was no significant difference between men and women in any of the measured indices. Most of the mandibular canals were located in lingual side of posterior mandible. Conclusion : More care should be taken when an implant is installed on the mandibular second molar area.

      • 동국의대에서 실시한 2002년 전염병관리실무과정에 대한 평가

        방미란,임현술,정해관,한영란,정철 대한보건협회 2003 대한보건연구 Vol.29 No.1

        Communicable diseases have recently reemerged, with new communicable diseases continually breakmg out on a global scale; threaten the health and economics of populations. The Korean National Institute of Health carries out Field Management Training Prcgrams (FMTP) to address this problem The objectives of this study were the evaluation of the understanding and satisfaction for this program, and recommendation for improvement strategies. We conducted a questionnaire survey of 80 persons who completed the FMTP, at Dongguk University, between March 1 and November 30, 2002. The data collected was analyzed by Student s t-statistics. The understanding of the curriculum was Well in 42 (52.5%) and Moderate in 24 persons (30.0%). The satisfaction with the curriculum was Moderate in 38 (47.5%) and Good in 30 persons (37.5%). The satisfaction for the period of education was Bad for 31 persons (38.7%), which accounted for the majority of cases. The mean scores, by Likert s scale, for the understanding and satisfaction of the curriculum were 3.70 (±0.71) and 3.32 (i0.721, respectively. The mean score for the epidemiological survey was the highest for satisfaction with the course, at 3.78 (±0.62). The mean value of satisfaction for curriculum in education of period was significantly higher in health department group than in nursing department group (P<0.05). From this survey it appears the respondents were satisfied with this program. The FMTP will be systematically revised for curriculums, and effort will be required to develop controls for communicable disease, both by the government and the university.

      • SCOPUSKCI등재

        Orthopos^� 파노라마방사선촬영기의 각종 프로그램에 다른 흡수선량

        최순철,이설미 大韓口腔顎顔面 放射線學會 2001 Imaging Science in Dentistry Vol.31 No.4

        Purpose : The objective of this study was to estimate the radiation absorbed doses in certain critical organs in the head and neck region with 16 imaging programs available on the Orthopos^R panoramic machine. Materials and Methods : A Rando phantom and LiF TLD chips were used for dosimetry. The absorbed doses were measured at the thyroid gland, the submandibular gland, the parotid gland, the mouth floor, the maxillary sinus, the brain, the mandibular body, the mandibular ramus, the 2nd cervical spine and the skin over TMJ area. Results : The overall absorbed doses with imaging programs available on the Orthopos^R panoramic machine were much less than that of standard program (program 1) except program 8, 11, and 16. Generally, the absorbed doses to the bone marrow of the mandibular ramus and the parotid gland were high, but the absorbed doses to the bone marrow in the mandibular body, brain, maxillary sinus, and, especially, the thyroid gland were very low. Conclusion : The modified imaging programs available on the Orthopos^R panoramic machine can be effectively used in aspect of radiation protection. (Korean J Oral Maxillofac Radiol 2001; 31 : 215-9)

      • KCI등재

        6세 아동을 위한 파노라마방사선사진 상층의 연구

        김상연,최항문,한진우,이설미 대한구강악안면방사선학회 2004 Imaging Science in Dentistry Vol.34 No.2

        Purpose : To make a focal trough (image layer) for an average maxillary dental arch of 6-year-old korean in panoramic radiography. Materials and Methods : Phantom for the maxillary dental arch was designed using intercanine width, intermolar width, tooth size, and interdental spacing to record the data of 6-year-old child. The characteristics of pre-corrected panoramic machine (for adult) was evaluated using the phantom, resolution test pattern for margin of the image layer, and metal ball for the center of the image layer. Panoramic image layer of the child was developed by means of decreasing the speed of film-cassette and positioning the phantom backwards, and then the characteristics of post-corrected panoramic machine (for child) were reevaluated. Results : At post-corrected panoramic image layer, beam projection angles at all interdental areas increased for about 2.6-3.8.., the position of the image layer was shifted toward the rotation center for about 2.5 mm at the deciduous central incisior area. The width of image layer decreased at all areas. Conclusion : Increased beam projection angle will reduce the disadvantage of tooth overlap, and the same form between the center of the image layer and dental arch will improve image resolution.

      • KCI등재후보

        Propofol 정맥 주사 시 Metoclopramide의 통증 완화 효과

        김수진,박은지,안승원,김웅,김미운,임현술 대한마취과학회 2002 Korean Journal of Anesthesiology Vol.43 No.5

        Background: Propofol is a good induction agent. but it has a disadvantage of pain on intravenous injection. Pretreatment of metoclopramide or lidocaine have been reported to reduce pain on injection. thus, we have evaluated the quantity and quality of anagesic effect of metoclopramide and lidocaine. We observed differences in quality of pain according to venous cannula sizes and intravenous injection sites as well as nausea and vomiting in the postoperative state. Methods: Eighty patients scheduled for an elective operation by general anesthesia were chosen according to ASA (Ⅰ or Ⅱ) and divided into four groups randomly. Each group was injected through venous cannulas with normal saline (control group), metoclopramide 5 mg (group 1), netoclopramide 10 mg (group 2), or 2% lidocaine 40 mg (group 3) respectively. Then, propofol was injected of a 2 mg/kg dose with 0.5 ml/sex to all groups and we asked questions about injection pain after 10 seconds. Results: Pain relief was shown in all groups compared with the control. but metoclopramide 10 mg and lidocaine 40 mg pretreatment groups showed significant pain reief. Pain was relieved significantly when the drug was injected in the antecubital area. Postoperative nausea and vomiting were not observed. Conclusions: Metoclopramide 10 mg or lidocaine 40 mg pretreatment to induction by propofol revealed a good analgesic effect for propofol injection pain. (Korean J Anesthesiol 2002; 43: 558~565)

      • SCOPUSKCI등재

        곡류가공품 중 제랄레논 오염도 조사

        장미란(Mi-Ran Jang),이창희(Chang-Hee Lee),최인선(In-Sun Choi),신춘식(Choon-Shik Shin),김진희(Jin-Hee Kim),장영미(Young-mi Jang),김동술(Dong Sul Kim),안동현(Dong-Hyun Ahn) 한국식품과학회 2011 한국식품과학회지 Vol.43 No.2

        시중 유통 중인 과자류, 빵, 떡류, 면류 및 선식 등 432건을 immunoaffinity column으로 정제하여 HPLC-FLD로 제랄레논에 대한 오염실태를 조사하였다. 제랄레논의 검량선은 결정계수(R<SUP>2</SUP>)가 0.999 이상으로 양호한 직선성을 보였고 검출한계 및 정량한계는 각각 2.0, 6.0 μg/kg, 회수율 80.2-98.4%이었으며 RSD가 0.82-6.40%로 양호한 재현성을 나타내었다. 제랄레논 모니터링 결과, 과자류 중 스낵과자류 66건 중 3건에서 6.02-11.82 μg/kg 검출되었고 비스킷 71건 중 2건에서는 14.78-17.83 μg/kg 검출되었다. 면류, 빵류 및 떡류에서는 제랄레논이 검출되지 않았으며 침출차 14건에서 최고 53.76 μg/kg 검출, 선식 24건 중 16건에서 가장 높은 검출율(66.7%)을 나타내었다. 전분 2건, 시리얼두유 1건에서 제랄레논이 각각 5.55-8.56, 10.26 μg/kg 검출되었다. 제랄레논 모니터링 결과는 기준이 설정되어 있는 유럽연합(곡류분말: 75 μg/kg, 빵, 비스킷, 스낵, 아침식사대용 시리얼류: 50 μg/kg, 영아 및 유아용 시리얼류: 20 μg/kg) 기준이하의 수준이었으며 국내외 연구보고와 비교한 결과 낮거나 비슷한 수준으로 검토되었다. 연구결과 곡류가공품에 대한 제랄레논 오염수준은 높지 않았으나 지구 온난화로 기후변화에 민감한 곰팡이독소와 같은 자연 독소의 발생 증가가 우려되므로 선제적으로 대응하는 안전관리가 요구된다. Zearalenone (ZEA) is an estrogenic mycotoxin mainly produced by Fusarium graminerum, a species which colonizes a wide variety of cereals, including wheat, barley and processed products. A survey of ZEA contamination was conducted on 141 dried confectioneries, 59 breads and rice cakes, 135 noodles and 101 other products, for a total of 432 commercial samples. Samples were analyzed by high performance liquid chromatography with fluorescence detection (HPLC-FLD) after immunoaffinity clean-up and was confirmed by liquid chromatography tandem mass spectrometry (LCMS/MS). The limits of detection and quantification were 2.0 and 6.0 μg/kg, respectively. The recovery ranged from 80.2% to 98.4% in the cereal based product. ZEA was detected in 38 samples (8.8% incidence), including 3 snack, 2 biscuit and 33 other cereal products. The ZEA contamination levels were in the range of 5.38-53.76 μg/kg. Finally, LC-MS/MS analysis of the contaminated samples was conducted to confirm the detected ZEA, and all 38 samples showing ZEA by HPLC-FLD were confirmed by LC-MS/MS.

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