일부 성인의 치과 공포감 관련 요인

김수경 ( Soo Kyung Kim ),김미희 ( Mi Hee Kim ),최현지 ( Hyun Ji Choi ),황정근 ( Jung Geun Hwang ) 한국치위생학회(구 한국치위생교육학회) 2014 한국치위생학회지 Vol.14 No.6

Objectives: The purpose of the study was to investigate the related factors to dental fear in some adults. Methods: A self-reported questionnaire was filled out by 320 adults in Seoul and Gyeonggi-do from April to June, 2013. Except 14 incomplete answers, data were analyzed by SPSS 18.0 program. The questionnaire consisted of general characteristics of the subjects(7 questions), dental fear related factor(18 questions), distrust for dentist(15 questions), and distrust for dental hygienist(11 questions). The instrument for dental treatment fear was Dental fear Survey(DFS) adapted from Kleinknecht and partly modified by Choi. Out of 20 questions, 18 questions were reconstructed and score by Likert 5 scale. Higher score means higher dental fear. Cronbach alpha was 0.959 in the study. The distrust for dentist and dental hygienist was adapted from Choi and reconstructed and score by Likert 5 scale. Higher score means higher distrust for dentist and dental hygienist. Cronbach alpha was 0.937 in distrust for dentist and 0.874 in distrust for dental hygienist in the study. Results: Those who experienced dental pain tended to have dental fear. The reasons for dental fear were as follows; bad breath(2.96 out of 5 points, hereafter represented as of 2.96/5), dental caries(2.88/5), missing teeth(2.87/5) and tooth pain(2.77/5). The distrust for the dentist was the main dental fear in the adults. Conclusions: The dental fear was closely related to gender, experience of dental pain, oral symptoms and distrust for the dentist. As the psychological pain in the patients was mainly influenced by the trustful atmosphere, it is necessary to make the patient easy before treatment.

선행 제왕절개 후의 질식 분만시 성공군과 실패군의 비교연구

최현수(Hyun Soo Choi),이상욱(Sang Wook Yi),오영승(Young Seung Oh),진규섭(Kyu seop Jin),이보연(Bo yon Lee),이선경(Seun Kyung Lee),허주엽(Chu Yeop Huh),김승보(Seung Bo Kim) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.10

제왕 절개의 비율은 최근 까지 지난 20년동안 증가되어 왔으며 이러한 증가는 반복 제왕 절개의 증가와 관련된 것이다. 최근 제왕 절개후 질식 분만에 관한 연구에서는 반복 제왕절개시 올 수 있는 수술 후 합병증, 산모 및 태아의 이환율의 증가 등과 비교해 이 시도가 비교적 안전한 방법으로 등을 보고 하고있는 반면 또한 제왕 절개후 질식 분만시 올 수 있는 자궁 파열과 이로 인한 태아와 산모의 위험성에 관한 보고도 있다. 이에 본원에서는 제왕 절개후 질식 분만을 원해 내원한 산모를 대상으로 성공군과 실패군 사이에 여러 요인을 비교 분석하여 성공에 관여한 인자를 예측하고자 하였다. 연구 대상은 1997년 3월부터 1999년 3월까지 선행 제왕 절개 후 질식 분만을 위해 내원한 환자중 질식 분만 시도시 위험성이 적다고 판단되는 120명의 산모를 대상으로 했으며 성공군과 실패군 사이에 산모의 나이, 제태 연령, 질식 분만한 과거력의 유무, 선행 제왕 절개의 적응증, 초음파로 예측한 태아 몸무게, 신생아 몸무게, 입원시 자궁 경부 상태, Bishop score, CPD index(Cephalopelvic disproportion Index)를 비교 분석 하였다. 120명의 산모중 87명(72.5%)이 성공 하였으며 33명(27.5%)이 실패 하였고 자궁 파열이나 열개와 같은 합병증은 발견되지 않았다. 두 대조군 사이에 산모의 나이(P=0.012), Bishop score(P=0.002), CPD index(P=0.015)에서 의미있는 차이를 보였으며 기타 요인에서는 의미있는 차이를 보이지 않았다. 결론적으로 선행 제절 이후 질식 분만 시도 시에 금기가 아닌 경우 입원시 X선 골반 계측을 통한 CPD index와 Bishop score을 통해 성공 가능성에 대한 예측에 도움을 줄 수 있으며 앞으로 이 요인들과 함께 다른 요인들과의 연관성에 대한 연구를 통해 선행 제왕 절개후 질식 분만 시도시에 올 수 있는 위험성을 줄일 수 있을 것으로 생각된다. 이상과 같은 연구 결과로 또한 추후 성공의 예후 인자로 사용되어 질 수 있고, 앞으로 이 시도의 성공과 관련된 다른 인자와의 연관성을 통한 면밀한 검토가 필요할 것으로 사료된다. Objectives: Vaginal birth or trial of labor after previous cesarean section has become one of the most remarkable changes in obstetric practice. The safety and efficacy of a trial of labor and vaginal birth after previous cesarean are well documented. The purpose of this report is to predict the likelihood of vaginal birth in patients undergoing a trial of labor after previous cesarean delivery using factors known at the time of hospital admission. Method: In this retrospective study, 120 women who attempted vaginal birth at Kyung-Hee University Hospital from March 1997 to March 1999. An attempt to identify possible prognostic factors for success of such a trial was made and we evaluated the variables of significant predictive value and the patients' characteristics in the success group and failure group of women who attempted VBAC. Result: 87 cases(72.5%) in 120 cases succeeded in VBAC and 33 cases(27.5%) failed. In this comparative groups in VBAC, there was significant difference in CPD index(cephalopelvic disproportion index) and Bishop score, but no significant difference in gestational age, the estimated fetal weight by sonography and newborn birth weight. Conclusion: In this study, Bishop score and CPD index and age may be useful and valid predictor of success in VBAC and this information could be particularly valuable. The CPD index may prove most important in determining if a vaginal birth should occur after a cesarean section because it can clearly identify some patients who need a repeat cesarean section.

자궁 적출술 방법 결정을 위한 복식과 질식 전 자궁 적출술의 비교 연구

최현수(Hyun Soo Choi),이선경(Seun Kyung Lee),김승보(Seung Bo Kim) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.6

자궁 적출술은 부인과 영역에서 가장 많이 시행되는 수술의 하나로 본 연구는 복식과 질식 전 자궁 적출술을 시행받은 환자의 수술의 적응증, 특징, 환자의 예후를 비교하여 자궁 적출술의 방법의 결정에 도움을 주고자 하였다. 1994년 1월부터 1999년 1월까지 본원에서 양성 자궁질환으로 복식과 질식 전 자궁 적출술을 받은 환자 각각 200명을 대상으로 하였으며 환자의 연령, 분만력, 수술전 적응증, 적출된 자궁의 무게, 총 수술 시간, 출혈량, 합병증, 동반된 수술, 입원 기간을 비교 분석 하였다. 1. 수술전 적응증은 두 비교군 모두에서 자궁 근종이 가장 많았으며 자궁 경부 상피내암, 자궁 선증, 기타(부정 출혈, 부속기 종양)등이 있었다. 2. 환자의 연령, 분만력에는 유의한 차이가 없었으며 적출된 자궁의 무게는 복식이 질식 보다 유의한 증가를 보였고 질식에서 자궁의 무게가 280gm 이상인 경우도 18%(36/200)로 나타났다. 3. 총 수술 시간, 입원 기간, 출혈량에서 질식이 총 수술 시간과(P=0.002) 입원 기간이 짧고(P=0.000), 출혈량(P=0.000)도 의미있게 적은 것으로 나타났다. 4. 수술 후 합병증은 질식 환자의 4%, 복식 환자의 7%였고 통계적 유의성은 없었다. 5. 과거 개복 수술력은 질식에서 18%(36/200), 복식에서 28.5%(57/200)의 환자가 수술력이 있었는데, 질식 전 자궁 적출술 환자중 과거 제왕 절개를 받은 환자에서 자궁이 전 복벽에 유착되어 개복 수술로 전환한 예가 있었고 97.2%(35/36)에서 성공적으로 질식 자궁 적출술이 이루어졌다. 6. 질식 전 자궁 적출술을 시행받은 환자에서 부속기 절제술을 함께 시행한 환자와 자궁 적출술만을 시행받은 환자의 총 수술시간, 출혈량, 합병증에 유의한 차이가 없었다. 환자의 자궁의 크기나 과거 수술력, 부속기 절제의 요구가 더 이상 질식 방법의 금기가 아니며 질식 전 자궁 적출술은 수술 시간과 입원 기간, 출혈량을 줄일 수 있는 안전한 수술로 앞으로 이러한 질식 전 자궁 적출술에 많은 관심과 수련으로 부인과 수술에서 더 많이 사용 되어 져야 하겠다. Objectives : The most often perfomed major operation in gynecology is hysterectomy.Our purpose was to compare the indications, charateristics and outcomes of patients undergoing total abdominal hysterectomy and total vaginal hysterectomy and to help to establish guidelines to determine the route of hysterectomy.Method : The hospital charts of 400 women who underwent elective inpatient hysterectomy at Kyung-Hee University hospital from January 1994 to January 1999, were abstracted retrospectively. Data were collected regarding patients, age, parity, preoperative indications, the route of hysterectomy, uterine weight, operative and postoperative complications and the length of stay. The operative indications were benign uterine disease except from uterine prolapse. Bisection or combined morcellation were used in most cases to obtain reduction in uterine size.Result : Patients in whom the vaginal route was successful included 18% of those with uterine weights exceeding 280gm. There was statistically significant difference for uterine weight, operative time, bleeding amount, the length of stay in two camparative group. 4% of vaginal hysterectomy and 7% of total abdominal hysterectomy has documented operative complications.Conclusion : Vaginal hysterectomy is safe operation with few intraoperative and postoperative complications without notable blood loss. Vaginal hysterectomy allow one to shorten the operating time and allows early postoperative discharge of some patients from hospital. Skilled performance of vaginal hysterectomy is worth greater attention and should be used more often in gynecological study.

경지정리사업 환지업무 전산화 기본골격구조

최수명,한경수 全南大學校 農業科學技術硏究所 1998 農業科學技術硏究 Vol.33 No.-

This study aimed at designing the basic framework for the full computerization of replotting process in farm land consolidation project through the integrated evaluation works between its inner and outer environments. The basic framework developed in this study is consisted of 3 main systems ; 1) main replotting process system supporting for data collection/analysis, alternative planning/design formulation and determination, 2) data/information system for communication between interested groups, 3) process control system for orderly control/management of overall process.

대학생집단의 뇌기능 특성화 경향에 대한 연구

최기수,윤규태,안의태,양남길,고정식,박경호 순천향의학연구소 1995 Journal of Soonchunhyang Medical Science Vol.1 No.2

체육학과 학생 163명과 국가대표선수 211명을 포함한 체육 전공자들과 의과대학생 282명, 문과대학생 101명, 신학전공학생 96명 그리고 간호학과 전공학생 100명, 계 953명을 대상으로 남녀 대학생들의 대뇌반구의 특성화, 편재화 경향을 시나가와 ( 品川)질문지 법을 이용하여 분석한 결과 다음과 같은 결과를 얻었다. 1. 체육과 남학생은 우뇌형 45.6%, 좌우뇌형 47.4%, 좌뇌형 7%로 나타났으며, 여학생의 경우 우뇌형 41.6%, 좌우뇌형 44.3%, 좌뇌형 14.2%로 나타났다. 2. 대표선수의 경우 우뇌형과 좌우뇌형에서 일반 체육학과 학생과 유사한 분포를 보였으나, 좌뇌형이 남자 12.9% 여자 12.6%로 남녀 고른 분포를 나타냈다. 3. 의과대학생의 경우 남학생은 우뇌형 63.5% 좌우뇌형 24.9% , 좌뇌형 11.6%인 반면, 여학생은 우뇌형 50%, 좌우뇌형 22.9%, 좌뇌형 27.1%로 나타났다.. 4. 문학은 전공하는 남녀학생과 신학을 전공하는 학생은 우뇌형, 좌우뇌형, 좌뇌형의 순으로 유사하게 나타났다. 5. 간호학전공 학생의 분포는 우뇌형42.0% 좌우뇌형 38.0% 좌뇌형 20%였다. Many Studies have demonstrated that the two hemispheres are functionally specialized in the majority of individuals, so that the left hemisphere regulates verbal-analytic cognitive abilities while the right hemisphere predominates in spatial-synthesis abilities. This research program have proceeded about the tendency of hemisphere specialization in sportsmen and variable subject classes in university. Sinagawa's questionnaire method was used as the instrument for this study . The results obtained were as follows: 1. In the physical education class(163subjects) 45.6%(male) and 41.6%(female) of the subjects were regarded as the left hemisphere dominant type, 47.4%(male) and 44.3%(female) of them were bilateral and 7%(male) and 14.2%(female) of them were regarded as left hemisphere dominant type. 2. In the representatives (mational players) group, very similar frequencies were shown except in the left hemisphere dominant type, whose percentile distributions appear as 12.9% in males and 12.6% in females. 3. Extremely higher frequency was shown in right hemisphere dominant type in the male students of medical science class : 63.5% of them were right, 24.9% were bilateral and 11.6% were left hemisphere dominant type. 4. The frequencies of the literature class also were shown very similar patterns with those of other female classes.

로봇 제어를 위한 기준경로의 수정 알고리즘의 개발

崔京三,李鐘洙 弘益大學校 科學技術硏究所 1996 科學技術硏究論文集 Vol.7 No.2

The computed-torque mehtod (CTM) shows good trajectory trcking performance in controlling robot manipulator if there is no disturbance or modelling errors. But with the increase of a payload or the disturbance of a manipulator, the tracking errors become large. So there have been many researches to reduce the tracking error. In this paper, we propose a new control algorithm based on the CTM that decreases a tracking error by generating new raference trajectory to the controller. In this algorithm we used the concept of sliding mode theorty and fuzzy system to reduce chattering in control input. For the numerical simulation, we used a 2-link robot manipulator. To simulate the disturbance due to a modelling uncertainty, we added errors to each elements of the inertia matrix and the nonlinear terms and assumed a payload to the end-effector. In this simulation, prposed method showed better trajectory tracking performance compared with the CTM.

노인의 영적 간호요구

최미혜,김경희,김귀옥,김기숙,김수강,김정신,김춘숙,노흥진,박지연,성혜연,오명선,이선희,이원옥,이윤영,이현수,장명재,차혜경,채정선,홍상희 중앙대학교 의과대학 간호학과 간호과학연구소 2001 중앙간호논문집 Vol.5 No.1

This study was designed to exam the aged's needs for spiritual nursing care. The purpose was to serve as a basis for the development of spiritual nursing practice. The major findings are as follows : 1. The degree of needs for spiritual nursing care as area was that needs of love and relationship mean 22.0, needs of meaning and object mean 28.2, needs of forgiving mean 13.5. Total needs for spiritual nursing care mean 63.7, which was on the upper middle level. The needs of meaning and object was rated highest. 2. Among the general characteristics of the subjects, needs of love and relatiohship wasn't significanlty different. 3. Among the general characteristics of the subjects, needs of meaning and object was significantly different according to two factors : age(F=7.260, p=0.001), religion(F=5.275, p=0.001). Higher needs of meaning and object was possessed by the older than the younger, by the one who have religion than the other. 4. Among the general characteristics of the subjects, four factors made a significantly difference to needs of forgiving : sex(t=-2.851, p=0.006), age(F=8.201, p=0.001), religion(F=6.928, p=0.000), disease(t=2.327, p=0.024). Higher needs of forgiving was possessed by man than woman, by the older than the younger, by the one who have religion than the other, by the one who have disease than the other.

결합조직형성 법랑모세포종의 방사선학적 소견 : 증례보고 3례

최다혜,허경회,문제운,이원진,허민석,이삼선,최순철,박관수 대한구강악안면방사선학회 2006 Imaging Science in Dentistry Vol.37 No.1

Desmoplastic ameloblastoma is a rare histologic variant of ameloblastoma. It shows important differences in anatomic distribution, histologic appearance, and radiographic findings compared with the general type of ameloblastoma. It is histologically characterized by an abundance of densely collagenous stroma and radiographically a mixed radiolucent-radiopaque lesion. We present three cases of desmoplastic ameloblastoma. All the patients complained on buccal swelling with or without pain and the sites of occurrence were the anterior and the premolar region. Plain radiographs showed mixed radiopaque-radiolucent lesion with ill-defined or diffuse sclerotic margin and no external root resorption. Additionally, CT scans revealed buccal expansion and relatively well-defined margin of the lesions. The clinical and radiographic features of the presented cases were compared with those of the desmoplastic ameloblastoma in the previous literatures. (Korean J Oral Maxillofac Radiol 2006; 36 : 63-8)

멀티 에이전트 기반 샾 플로워 제어 시스템

최경현,조수정 朝鮮大學校 機械技術硏究所 2006 機械技術硏究 Vol.9 No.1

This paper addresses an intelligent agent-based shop floor control system for Flexible Manufacturing System(FMS). With an intelligent agent approach, the FMS will be achieve a adaptability to change of manufacturing environment. As the development methodology of shop floor control system, an object-oriented modeling technique is employed for building models associated with FMS operation. The active agent is contributed to control components of FMS in real-time, whereas the coordinator agent has great role. It communicates with other active agents to get information about status on system and generates the next optimal task through the making-decision logic and dispatch it to other active agent.

압착방법별 포도 착즙액의 품질특성

최희돈,김성수,김경탁,홍희도,김상희 한국식품영양학회 2002 韓國食品營養學會誌 Vol.15 No.3

캠벨과 거봉을 이용하여 여러 가지 압착방법에 따른 착즙액의 이화학적 및 관능적 특성을 조사하였다. 수율의 경우 캠벨, 거봉이 동일하게 냉압처리보다는 온압처리가, 온압처리에서도 낮은 온도보다는 높은 온도에서 수율이 높게 나타났으며, 또 온압 · 펙틴분해 병행처리가 각각 83.5% , 87.3%로 가장 높은 수율을 나타내었다. 또한 당도와 아미노테 질소도 열처리온도의 상승 및 압착방법의 병행에 의해 감소하는 것으로 나타났다. 적정산도는 캠밸과 거봉이 압착방법에 따라 각각 0.86 ~ 1.00%, 0.60 ~ 0.69%로 거봉에 비해 캠벨의 산도가 높았으며, 열처리온도가 산도 증감에 더 큰 영향을 미치는 것으로 나타났다. 그리고 압착방법에 따른 착즙액에 대한 관능검사 결과 열처리 온도의 상승 및 착즙액에 대한 관능검사 결과 열처리온도의 상승 및 압착방법의 병행에 의해 떫은 맛과 산맛의 강도가 강하여지고 이들 처리구의 기호도가 높은 것으로 나타났다. The physicochemical and sensory properties of Campbell Early and Gerbong juices prepared by various pressing methods were studied. The yields of these juices by mixed method were 83.5% and 87.5%, the highest value of various pressing methods. And soluble solids and amino nitrogens of them decreased as heating temperature increased and was lowest when mixed method was performed. Titratable acidities of Campbell Early juice was 0.86 ~ 1.00%, higher than that of Gerbong juice, 0.60 ~ 0.69%. Also the strength of astringent taste and sour taste of Campbell Early and Gerbong juice increased as heating temperature increased, and increased strength of these tastes gave good sensory evaluation to grape juices.