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      • KCI등재

        우리나라 노인 방문 구강건강관리 서비스의 현황과 향후과제

        이수향,배수명,신보미,이효진,신선정 한국치위생학회 2020 한국치위생학회지 Vol.20 No.4

        Objectives: This study confirms the current status of visiting oral health-care services for the elderly to draw policy implications for revitalization of the visiting oral health care services in the future. Methods: First, a survey was conducted on health centers about the current status of the elderly visiting oral health-care service and how to revitalize it. Next, the number of oral hygiene services provided to the elderly was checked in the long-term care insurance system. Results: Oral health education (100%) was the most common practice in visiting oral health-care service for the elderly, and the most difficult thing in providing services was the lack of dental hygienists (38.9%). The status of oral health-care services in the long-term care insurance system for elderly revealed that the total number of service claims has been confirmed to be zero since the introduction of the system. Conclusions: Despite the existence of a system that provides elderly visiting oral health-care services, to revitalize it, the law must be amended to secure a dental hygienist as the main agent of the activity and to further take responsibility for autonomous authority and performance.

      • KCI등재

        안와파열골절의 수술결과 평가에서 두 단면의 CT영상 필요성

        이수향,범진식,김양우 대한성형외과학회 2005 Archives of Plastic Surgery Vol.32 No.2

        In many reports on the reconstruction of an orbital blowout fracture, CT(computed tomography) imaging has been used for postoperative evaluation. However, in most cases, only one plane of the CT scan was presented, which may not be sufficient for accurate evaluation. This study reviewed the CT scans presented in the related 49 articles (56 cases), and investigated our patients (150 cases) to investigate where were the most frequent unfavorable reconstructions, and to determine which planes should be presented for accurate evaluation.One plane of the CT scan was presented in 70% of the cases. On the other hand, 30% of the cases presented two planes of the CT scans. In our cases, the most prevalent sites for an unfavorable reconstruction were the posterior portion of the inferior wall, and the posterior and the inferior portion of the medial wall. In order to accurately evaluate an orbital wall reconstruction, at least two planes of a CT scan are needed. For an inferior wall evaluation, both the middle and the posterior planes of the coronal section or both the coronal and the sagittal sections are necessary. In addition, for the medial wall evaluation, both the axial and the coronal sections or both the middle and the posterior planes of the coronal section are required.

      • KCI등재

        개인의 정서가 이명재훈련치료에 미치는 영향

        이수향,이정학 한국청각언어재활학회 2013 Audiology and Speech Research Vol.9 No.1

        According to previous researches, psychological factors are highly correlated with tinnitus occurrence and perception. However, the effects of psychological factors on tinnitus treatment are not well-known. This study examines how personal affects influence tinnitus retraining therapy (TRT), a popular method of tinnitus treatment. For this purpose, TRT had been performed for 65 subjects (M 33, F 32) aged between 15 and 75 years with tinnitus but normal hearing sensitivity. All subjects had worn a bone vibrator with a white noise masker at least 3 hours a day for 10 weeks at the individual mixing point level. Korean questionnaire of Tinnitus handicap inventory (K-THI) was used for measuring the effects of TRT for all subjects, and then for two sub-groups, positive affect (PA) group (n=17) and negative affect (NA) group (n=11), which were selected based on the scores of the positive affect and negative affect schedule (PANAS). The results were as follows. First, the differences in THI scores between pre and post TRT were statistically significant for total scores and all three subscale scores. Second, although both groups demonstrated considerable reduction in THI scores after TRT, the PA group showed significantly lower THI scores than the NA group. Third, the improvement rates considering the individual THI scores before TRT were higher for the PA group than the NA group, especially at emotional and catastrophic subscales. The above results suggest that personal affects influence tinnitus treatment. Thus, professional counseling or psychotherapy is recommended for persons with tinnitus who have strong negative affect.

      • KCI등재

        후기 조산아와 산모의 임상적 특징: 단일기관 자료

        이수향,오하진,송은송,최영륜 한국모자보건학회 2018 한국모자보건학회지 Vol.22 No.1

        Department of Pediatrics, Chonnam University Medical School, Gwangju, Korea2 Purpose: Recently, the number of late preterm infants are increasing, and they are prone to have many clinical problems. The purpose of this study is to emphasize the importance of perinatal care for the late preterm infants and their mothers. Methods: Total admitted numbers of late preterm infants were 547 (from 464 mothers) and of term infants were 1,514 (from 1,470 mothers) in NICU, at Chonnam National University Hospital January 2014~December 2015. Maternal and neonatal mortality rate were calculated in the total admitted numbers. Exclusion criteria were death or transfer during admission, congenital anomaly, and etc. The enrolled numbers of late preterm infants were 493 (from 418 mothers) and of term infants were 1,167 (from 1,123 mothers). Retrospective chart review was conducted. In mothers, demographics, underlying illness, and obstetric complication, and in newborns, demographics, hospital days and morbidity were compared between late preterm group and term group. Results: Maternal mortality rate was not different. However, neonatal mortality rate was higher in late preterm infants. In mothers of late preterm group, there was no difference in demographic characteristics, but the rates of autoimmune disease and obstetric complication were higher. In infants of late preterm group, body size was smaller, artificial conception and C-section rate were higher, and one and five-minute Apgar scores were lower, and hospital duration was longer. And the incidence of respiratory distress, transient tachypena of newborn, intraventricular hemorrhage and metabolic abnormalities were higher, but the incidence of meconium aspiration syndrome was lower compare to the term infant group. Conclusion: Maternal mortality was not different. However, neonatal mortality was higher in late preterm infants. In late preterm group, the mothers had higher rate of autoimmune disease and obstetric complication, and the infants had higher morbidity compare to the term group. When the obstetrician decides on delivery time in high risk pregnancy, maternal medical condition and neonatal outcome should be considered.

      • KCI등재

        추량의 조동사 う의 표기 성립배경에 관한 고찰 : 부정(打消)의 조동사 ん(ぬ) 와의 비교를 중심으로

        이수향 고려대학교 일본학연구센터 2010 일본연구 Vol.14 No.-

        「推量·予想」「?誘·期待·命令」「意志·決意·希望」「?定·婉曲」の意味用法を??した古典語推量の助動詞「む」の表記は周知の通り「ん」を?て「う·よう」に?化し、現代に至っている。「ん」の表記?遷に?する??の硏究では、「ん」が「う」の?音に似ているので自然に「う」に移行したという音韻論からの解?が中心である。しかしながら、「ん」表記の?遷を音韻?化のみで?明しようとするのは「う」?生について充分に把握し切っていない側面があり、表記形態の?遷を詳しく把握するためには他の角度からのアプロ?チが必要である。このような問題意識から本稿では、同じ「ん」の形態で使われていて、現代語にも?っている打消の助動詞「ず」の終止形·連?形の表記「ん」と比較、分析して助動詞「う」の表記が成立する背景について考察を行った。分析?象は「語と文語の?別がはっきりしている近世後期の」語資料で、?落本の「遊子方言(1770)」、「辰巳之園(1770)」及び人情本の「春色梅??美(1832~33)」である。その中から推量の助動詞「ん」「「う」と打消の助動詞「ぬ」」「ん」の用例を?出し、?話文と地の文に分けて使用頻度と使用?相を調査した。そしてそれぞれの文?の特?について?討した。その結果、打消の助動詞「ん」の方が推量の助動詞「ん」より言語の運用性が高く、影響力が?いことが明らかになった。その理由としては三つのことが?げられる。第一、推量の助動詞 「ん」」は文語の性格が?い文?で、ほとんどが地の文に用いられており、?話文の場合も一部の文章だけに表れるという特?がある。したがって口語?が?えるにつれ姿を消すようになる。反面、打消の助動詞「ん」は「ぬ」に比べて「語性が?いので文の中で使用の制約が少なく、そのことから使用範?がだんだん?くなった。第二、打消の助動詞「ん」は「ます」や「ございます」などに接?し「ません」、「ございません」の形態として使用が?大し、普遍化した。第三、打消の助動詞「ん」は多?な品詞に接?して使われたが、推量の助動詞「ん」は一部の品詞のみに接?して使われたので運用性が低かった。以上の理由とともに「ん」が「う」に?音しやすい側面があったので、推量の自動詞「ん」の表記は自然に「う」に移行したと推論できる。

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