Helicobacter pylori 제균 치료 후 발생한 Clostridium difficile 연관 대장염 1예

유지원,황진혁,김진욱,김나영,이동호,정현채,송인성 대한내과학회 2005 대한내과학회지 Vol.69 No.5S

구강안면 운동장애의 임상적 증상 발현

유지원,윤창륙,조영곤,안종모,Ryu, Ji-Won,Yoon, Chang-Lyuk,Cho, Young-Gon,Ahn, Jong-Mo 대한안면통증구강내과학회 2008 Journal of Oral Medicine and Pain Vol.33 No.4

This study was a preliminary study to establish diagnostic criterias and treatment for Orofacial Movement Disorders. The 33 Orofacial Movement Disorder patients who were visited in the department of Oral Medicine from September, 2007 to December, 2007 were selected for this study. We analyzed the age, sex, systemic diseases, the diagnosis and the cause of the patients' chief complaints, the self-consciousness and the types of orofacial movements. The obtained results were as follows : 1. Female were predominant in orofacial movement disorders(81.82% vs 18.18%) and mean age was 78.78(56 to 87) years. 2. They almost had systemic diseases(81.82%). Hypertenstion was the most common disease(22.41%) and diabetes mellitus(17.24%), depression(8.62%), gastritis(8.62%) in turns. 3. In clinical manifestation, temporomandibular disorder was the most frequently complained symptom(33.33%), and soft tissue disease(21.57%), burning mouth syndrome(17.65%), orofacial movement itself(15.69%), diffuse orofacial pain(6명, 11.76%) in turns. 4. Most orofacial movement disorders are idiopathic(72.73%), and related to prosthetic treatment(24.24%), related to antidepressant medication(3.03%) in turns. 5. The jaw-closing type was the most common type of orofacial movement disorders, and lateral type(33.33%), jaw-opening types(16.67%) in turns. 6. There were more patients who did not conscious of their orofacial movements than those who did.(54.55% vs 45.45%). In conclusion, dentists must be consider the orofacial movement disorders in patients who have orofacial pain. Also, dentists should obtain a proper history and perform a clinical examination to avoid misdiagnosis and inappropriate, irreversible treatment.

보툴리눔 톡신을 이용한 구강하악 근긴장이상증의 치료 증례

유지원,홍성주,배국진,윤창륙,안종모,Ryu, Ji-Won,Hong, Seong-Ju,Bae, Kook-Jin,Yoon, Chang-Lyuk,Ahn, Jong-Mo 대한안면통증구강내과학회 2009 Journal of Oral Medicine and Pain Vol.34 No.4

Oromandibular dystonia is a focal neurological movement disorder characterized by involuntary sustained and often painful muscle contraction, usually producing repetitive movements or abnormal positions of the mouth, jaw and.or tongue. Patients suffering from oromandibular dystonia often experience difficulties in chewing, swallowing and speaking, resulting from the impairment of mandibular movements. At present there is no etiologic treatment for oromandibular dystonia, because the pathophysiology of primary and focal dystonia is still incompletely understood. Many treatments such as medication, behavioral therapy, surgery are suggested to decrease the involuntary movements. But these success rates are relatively low and they have a lot of complications. many studies suggested that chemodenervation with botulinum toxin is the most effective treatment for oromandibular dystonia. We reported the 2 cases which were treated oromandibular dystonia with botulinum toxin and reviewed the orofacial movement disorders(especially oromandibular dystonia) and botulinum toxin treatment for oromanfibular dystonia.

스트레스와 관련된 구강안면통증의 연구에 있어서 타액내의 스트레스호르몬의 활용

유지원,윤창륙,안종모,Ryu, Ji-Won,Yoon, Chang-Lyuk,Ahn, Jong-Mo 대한안면통증구강내과학회 2007 Journal of Oral Medicine and Pain Vol.32 No.2

Many diseases occur by stress or effect of stress. The basis for using hormones in research of stress is the observation that most systems in the body show changes during stress and that hormonal markers in these changes are related with stress. Conceptually, the central role of sympathetic nervous system(SNS) and hypothalamus-pituitary-adrenal(HPA) axis activity in stress provides copious justification for measuring hormonal changes. Catecholamines like epinephrine and norepinephrine, cortisol, testosterone and growth hormone and so on show sensitive reaction to stress. The major advantage of salivary sample to stress research is that its sampling technique can be performed in non-stressful conditions and without physical restraint and ethical problems. Because hormone levels in saliva is a good reflection of hormone levels in plasma, application of stress hormones in saliva is very useful for research of orofacial pain related with stress.

Dysesthesia after Tooth Extraction and Implant Surgery Reported by Dentists

유지원,권정승,Ryu, Ji-Won,Kwon, Jeong-Seung Korean Academy of Orofacial Pain and Oral Medicine 2007 Journal of Oral Medicine and Pain Vol.32 No.3

The purpose of this study was to analyze the nerve damage after tooth extraction and implant surgery, and to establish a predictive model for assessment and management of dysesthesia. In this questionnaire study, the subjects chosen for this study were 276 dentists who answered the questionnaire about dysesthesia after tooth extraction and implant surgery. The analysis of the results consist of the sex and age distribution, affected site, associated symptoms, rate and duration of the recovery. The results are summarized as follows. : 1. There were no significant difference between the sex and the dysesthesia. 2. The most common affected site was the mandibular region. In the group of the implant surgery, 100% affected the mandibular site. The tooth extraction group was 93.2% affected. 3. Pain was one of the most associated symptom with dysesthesia-46.5% of the tooth extraction and 44.8% of the implant surgery. 4. The recovery ratio was 72.3% in the tooth extraction, 71.8% in the implant surgery. Most of them, they recovered in $1{\sim}6$ months. In conclusion, most of dysesthesia may be recovered within 1 year. However, the possibility of persistent dysesthesia should not be neglected. Therefore, practitioners must discuss the possibility of nerve injury with their patients, and include this possibility in the consent forms. Various methods of monitoring recovery of sensation should be considered for objective assessment of prognosis. In addition, immediate referral to orofacial pain specialists can offer the patients an opportunity for more effective and noninvasive treatments.

한국인 소아의 타액에서 Helicobacter pylori의 검출

유지원,이장근,이영수,윤창륙,안종모,Ryu, Ji-Won,Lee, Jang-Keun,Lee, Yong-Su,Yoon, Chang-Lyuk,Ahn, Jong-Mo 대한안면통증구강내과학회 2008 Journal of Oral Medicine and Pain Vol.33 No.1

Helicobacter pylori(H. pylori) has been associated with the cause of peptic ulcer and gastric cancer. H. pylori infection occur mostly during childhood and increase by aging. In route of transmission, Oral cavity does important role. So we employed this study to elucidate route of transmission by detection of H. pylori in infant saliva. We investigated 20 infants aged below 10 years and 20 teens aged below 20 years as study group and 71 adults aged 20 and over years as control group. H. pylori DNA was isolated from 5(25%) infants aged below 10 years, 6(30%) teens and 17(23.9%) adults by nested polymerase chain reaction(n-PCR). There was no statistically significant difference(P>0.05). The obtained results suggest that H. pylori infection is relatively common in saliva of Korean infant and oral cavity may be reservoir of H. pylori.

수학 교과에서의 교과 역량을 반영한 수업비평문 개발 연구

유지원,황혜정 영남수학회 2020 East Asian mathematical journal Vol.36 No.4

This study is to establish the items on class critiques based on the mathematical competencies according to the mathematics curriculum revised in 2015. Namely, this study deals with the items on how pre-service or in-service teachers understand and comment on mathematics instruction on their own instruction or peers’ instruction. To accomplish this, first of all the draft items on instructional reviews was developed by researchers of this study on the basis of the previous study(Hwang, 2018). In order to revise and develop the draft items, the experimental study was executed. The experimental study was done by the subject of 11 groups who are undergraduate students in the educational college of C University. The subject was supposed to watch an in-service middle school mathematics teacher’s excellent instruction(study) video and to comment the instruction video on the draft items on class critiques. While analyzing the comments of the subject, the revised items on the class critiques were to be develop. Based on this study, from now on, the final and ideal items on the class critiques would be establish to reflect and comment teachers’ instruction.

WUFI를 이용한 공동주택 붙박이가구의 층별⋅형태별 결로 생성 비교 평가

유지원,장성진,위승환,이종기,김수민 한국가구학회 2018 한국가구학회지 Vol.29 No.1

Recently, as the continuously increasing of the one-person households, builders were focusing on a built-in furniture development for efficiency. Through the dead space of the space can be reduced. Also, Condensation that occurs in a built-in furnitures installation space may result in different results depending on the room’s direction, floor, finish, adjacent room effect, occupant’s lifestyle. In this background, it can be considered in terms of functional aspect and morphological aspect by using WUFI2D simulation system. As a result, the tendency of occurrence of condensation was examined by comparing the water content and the growth potential of fungus graph which came from WUFI2D. Results of this study are as followings: Built-in furniture, both top & bottom open, is more stable to condensation than the built-in furniture with the top or bottom open. Also, Among from the top floor built-in furniture to the bottom of it, the bottom one is more stable to condensation.

의료종사자의 주사침 자상 관련 특성과 지식 및 표준주의 이행도

유지원,양남영 한국가정간호학회 2017 가정간호학회지 Vol.24 No.3

Purpose: This study was conducted to examine the characteristics and knowledge of needlestick injuries, and compliance with standard precautions, in healthcare workers. Method: The participants were 185 healthcare workers working at university hospitals. Data were collected in May 2016 and analyzed using descriptive statistics, t-test, ANOVA, and Pearson correlation coefficients using SPSS 18.0 program. Results: It was found that 45.4% of the subjects had experienced needlestick injuries. The most common rate of getting injured was 1 or 2 times, and the most common reason for the occurrence of needlestick injuires was carelessness(66.6%). The mean scores for knowledge of needlestick injuries and compliance with standard precautions were above average. Significant correlations were found between knowledge of needlestick injuries and compliance with standard precautions in health workers, and Characteristics were related to the significant differences seen in both. Conclusion: These findings indicate that standard precautions and guidelines for the use of sharp instruments should be emphasized in order to prevent needlestick injuries in healthcare workers.

3~6세 연령대별 언어장애아동의 언어중재 스크립트 상황에 대한 양육자와 언어재활사의 우선순위 분석

유지원,윤미선,최성준,홍경훈 한국콘텐츠학회 2019 한국콘텐츠학회논문지 Vol.19 No.4

The current study aimed to examine how the caregivers and speech language pathologists (SLPs) would perceive the important communication contexts for 3~6 year-old children in the script-based intervention. Analytic Hierarchy Process analyses were conducted for the obtained survey data from SLPs and caregivers. Results showed that caregivers perceived ‘educational and social life’ and SLPs perceived ‘family life’ as the most important contexts from among three high-level contexts. Within each high-level context, ‘meal time’ in ‘family life’, ‘playing with friends’ in ‘educational and social life’, and ‘playground’ in ‘culture and leisure life’ were the most important communication contexts. Also, from among 35 global priority rank, caregivers perceived ‘playing with friends’ while SLPs perceived ‘meal time’ as the most important contexts, and ‘family life’ was high priority among first five ranked context both in caregivers and SLPs. In caregiver groups by children’s age, 3 year- and 6 year-caregiver groups perceived ‘family life’ and 4 year- and 5 year-caregiver groups perceived ‘educational and social life’ as the most important contexts. There were also slight differences between caregiver groups by age in the rank order of communication contexts across the high level contexts. These results suggest that SLPs may need to consider not only child’s age and developmental level but also caregiver’s demands in selecting the appropriate communication contexts when delivering the script-based speech language intervention. 본 연구는 3~6세의 언어장애아동을 대상으로 일상적 스크립트를 활용한 언어중재에서 양육자와 언어재활사가 인식하는 우선적 중재가 필요한 주요 의사소통 상황을 분석하는데 목적이 있었다. 예비조사와 본 설문조사를 거쳐 수집한 데이터를 계층분석 (AHP)을 사용하여 분석하였다. 그 결과, 3개의 상위 상황 중에서 양육자는 ‘교육사회생활’ 그리고 언어재활사는 ‘가정생활’을 가장 우선적인 상황으로 선택하였다. 상위별 하위상황의 경우, ‘가정생활’에서는 ‘식사’, ‘교육사회생활’에서는 ‘친구와 놀기’가, 그리고 ‘여가문화생활’에서는 ’놀이터‘가 중요한 의사소통 상황으로 인식되었다. 전체 35개의 하위 상황에서 양육자는 ‘친구와 놀기’ 그리고 언어재활사는 ‘식사’를 선택하였으며, 상위 5순위의 상황을 살펴보면 양육자와 언어재활사 모두 ‘가정생활’의 상황들이 높은 중요도 비율을 보였다. 아동연령별로 양육자 인식을 분석한 결과, 3세와 6세의 각 양육자 집단은 ‘가정생활’ 그리고 4세와 5세의 각 양육자 집단은 ‘교육사회생활’을 가장 중요한 상위 상황으로 보았다. 전체 하위상황에서도 아동의 연령별로 양육자의 주요 상황에 대한 우선순위 인식에서 약간의 차이를 보였다. 본 연구결과는 언어재활사가 스크립트를 활용한 언어중재를 실시할 때 아동의 연령과 발달수준뿐만 아니라 양육자의 요구를 고려한 의사소통 상황의 선정이 필요함을 시사한다.