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        유아의 구강보건관리에 영향을 미치는 요인에 관한 연구

        김설악 韓國學校保健學會 1999 韓國學校保健學會誌 Vol.8 No.2

        This study was performed to find variables which affect oral health care of infants. The subjects were 439 infants and their mothers who live in suburban area. Oral examinations for the infants were conducted and the questionnairs were given to infants' mothers. Toothbrushing frequency, oral hygiene score, the percentage of filled teeth among decayed teeth, and dental treatment experience of infants were used as dependent variable, respectively. Demographic, socio-economic variables and the other variables which might affect oral health care of infants were used as independent variables. Correlation analysis and analysis of variance were used for the independent variables of toothbrushing frequency, oral hygiene score, and the percentage of filled teeth among decayed teeth of infant. Chi-Square and Student's t-test were used for the dependent variables of dental treatment experience of infant. The obtained results were as follows; 1. Toothbrushing frequency of mother and internal locus of oral control of mother were the factors which affect toothbrusing frequency of infants. 2. Oral health belief of mother was the factor which affect oral hygiene score of infants. 3. Age of infant was the factor which affect the percentage of filled teeth among decayed teeth. 4. Age of infant and educational level of infant's mother were the factors which affect the infants' consumption of dental treatment.

      • 초고속 HMC 주축계의 열특성 해석

        김석일,김기상,김기태,나승표 한국공작기계학회 2001 한국공작기계학회 춘계학술대회논문집 Vol.2001 No.-

        This paper presents the thermal characteristics analysis of a high-speed HMC spindle system with angular contact ball bearings, built-in motor, oil-jet lubrication method, oil jacket cooling method, and so on. The spindle system is composed of the main spindle and sub-spindle which are mechanically connected by a flexible coupling. The spindles are supported by two front and rear bearings, and the built-in motor is located between the front and rear bearings of the sub-spindle. The thermal analysis model of spindle system is constructed by the finite element method, and the thermal characteristics in the design stage are estimated based on temperature distribution and heat flow under the various testing conditions related to material of bearing ball, spindle speed and coolant temperature.

      • KCI등재

        부검으로 확진된 알쯔하이머병 1예 : An Autopsy Report

        한설희,이건국,양기화,장순환 대한치매학회 2002 Dementia and Neurocognitive Disorders Vol.1 No.1

        While the clinical diagnostic accuracy of probable Alzheimer′s disease (AD) is 87-96% with a diagnostic sensitivity/specificity of 0 81-0 87, the unequivocal diagnosis of AD rests on histopathological evidence at brain autopsy and/or biopsy We report here a 92-year-old woman whose clinical presentation suggested a far advanced Alzheimer′s disease Formal neuropsychological evaluations were not applicable due to severe cognitive impairments With a relatively good general physical condition she could walk with aid during her last days no focal neurological signs were noted on a detailed examination Brain MRI revealed a diffuse cortical atrophy with a marked reduction in the hippocampal volume The brain obtained weighted 780g The cerebral hemispheres examined after fixation disclosed moderately severe atrophy in prefrontal and temporal lobes on coronal section, the hippocampus was likewise severely atrophied the lateral ventricles were moderately dilated On microscope examination, there were numerous senile plaques and neurofibrillary tangles in the neocortices. hippocampus and amyglada, compatible with advanced Alzheimer′s disease In summary we report the first Korean autopsy-proven case with advanced Alzheimer′s disease.

      • KCI등재

        노인체조프로그램 참여가 뇌졸증으로 인한 거동장애노인의 신체조성과 생활동작능력에 미치는 영향

        김설향 한국특수체육학회 2003 한국특수체육학회지 Vol.11 No.1

        The study examined the effect of the body composition and life activity of seniors suffered from movement disturbances due to Cerebral Vascular Accident (C.V.A). The gymnastics was designed to improve the health of seniors. Twenty seniors were put into the exercise three times a week for twenty four weeks. In-Body 3.0 and Barthel's life movement index scal recorded the improvement in the seniors' health. The following changes in data was observed 1. The mean body weight from 64.1(±9.39)kg to 63.8(±8.62)kg 2. The mean body fat weight from 18.6(±3.24)kg to 17.8(±4.07)kg. the mean body fat percent from 29.3(±4.83)% to 27.9(±5.51)% 3. Lean body mass from 45.5(±9.39)kg to 46(±8.62)kg, Basal Metabolic Rate(BMR) from 1228.4(±157.69)Kcal to 1241.8(±140.51)Kcal 4. Through movement therapy the seniors acquired higher independent life activity index after program: (42.8±5.1); those who lacked had (20.8±5.3). 5. Higher movement index: (46.78±15.86) was observed in the seniors under movement therapy; those who lacked had (38.35±20.7).

      • 원발성진행성 실어증

        한설희 충북대학교 의과대학 충북대학교 의학연구소 1996 忠北醫大學術誌 Vol.6 No.2

        원발성진행성실어증은 수년간에 걸쳐 대뇌고위 기능중 언어영역만 고립적으로 침범되어 서서히 진행하는데 임상적으로 치매와 구별되어야 하는 비교적 드문 증후군이다. 저자는 최근에 62세 여자환자가 약 4년간에 걸쳐 서서히 진행한 언어장애를 주소로 본원 치매크리닉을 방문하여 신경심리검사, 뇌파검사, 뇌핵자기공면영상, 단일광자방출단층촬영술 등에서 전형적인 원발성진행성실어증으로 확인된 우리 나라 최초의 예를 경험하였기에 간단한 문헌고찰과 함께 보고하는 바이다. A 62-year-old right-handed woman presented with a progressive deterioration in her ability to name common object used in everyday life. Her initial language disturbance, word-finding difficulty, got worsened gradually over the next 4 years, She was able to point to the correct object when the word is provided by the examiner despite being unable to name it spontaneously. Her memory, attention, visuospatial skills and comportment were all intact. She is doing well in her daily living activities including taking care of herself, shopping and paying bills. MRI showed left perisylvian atrophy and dilated left frontal horn. SPECT study revealed decreased perfusion in left temporal lobe. Her clinical presentation together with the characteristic structural and functional neuroimaging findings were typical of 'primary progressive aphasia'.

      • 결절성경화증 환자에서의 SPECT 뇌영상 : 예비적 연구 A preliminary report

        한설희,이상수,정승연 충북대학교 의과대학 충북대학교 의학연구소 1991 忠北醫大學術誌 Vol.1 No.1

        간질발작을 포함한 전형적인 삼징후가 동반된 결절성경화증 환자를 대상으로 뇌파검사, 뇌전산화단층촬영술 및 단일광자방출단층촬영술을 시행하였다. 뇌전산화단층촬영술에서는 상의하석회화병소와 조영제증강이 뚜렷하지 않은 피질에 연한 저음영 소견이 관찰되었으며 이어서 시행한 단일광자방출단층촬영술에서는 뇌전산화단층촬영술 소견보다 더 광범위한 부위에 관류결손이 관찰되었다. 단일광자방출단층촬영술은 결절성경화증 환자에서 간질발현 병소인 피질결절을 발견하는데 있어서 전산화단층촬영술 및 뇌파검사보다 더 유용한 방법이며 치료방침 결정이나 예후판정에 있어서도 큰 도움을 줄 것으로 기대된다. Two patients with a well-established diagnosis of tuberous sclerosis and epilepsies as their principal clinical symptom were examined by conventional surface electroencephalography(EEG), computed tomography, and single photon emission computed tomography(SPECT) using the 99mTc hexamethyl prophyleneamine oxime(99mTc-HMPAO). The interictal EEG showed various abnormalities of poor localizing value. Brain computed tomography surely demonstrated subependymal calcifications, although the cortical lesions were not so conspicuous. However, the SPECT images of each patient clearly demonstrated decreased cerebral perfusion in cortical areas. It may be assumed that such perfusion defect areas represent the epileptic cortical tubers or those of altered myelination, which are characteristics of the disease.

      • KCI등재

        김관 평론과 '민족음악'론

        신설령 민족음악학회 2004 음악과 민족 Vol.28 No.-

        Since there were few musical critics in 1930s, Kim Guan proposed the reexamination of "the national music." During this era, there were no support or exchanging of views from his fellow musical critics toward his proposal. Many believed that because of the closely monitored Japanese imperialism, they were intimidated to express their points of views and support for Kim's, "the national music." Besides of being suppressed, many found that Kim's opinion were very ahead of time or very futuristic and therefore, it didn't get the importance of its issues. After the independence from Japan, there were bursts of discussions about his proposal as like the darn water exploded. Many people including the musical critics were able to express their views towards the proposal. They could sing for joy during the independence. In 1980s, the systematic written exposition or argument about Korean music could point out and discussed the problems of the western music influences. However, during the occupation of the Japanese, there was one musical critic who gave his valuable opinion on "the national music" --- Kim Guan. Even though there was no freedom, there was advancement and it led the Korean music where it is today.

      • KCI등재

        치매의 행동심리증상의 개관 : An Overview

        한설희 대한치매학회 2004 Dementia and Neurocognitive Disorders Vol.3 No.1

        Behavioral and psychological symptoms of dementia (BPSD) are among the most distressing manifestations of dementia and results in considerable social and economic burden. They are highly prevalent in Alzheimer's disease (AD) and other progressive degenerative dementias. BPSD are one of main reasons for premature institutionalization and are major causes of significant loss of quality-of-life for the patient and his/her family and caregivers. Recent investigations indicate that BPSD are not an epiphenomenona of cognitive impairment, but could be attributed to specific biological brain dysfunction. This brief review provides an overview of recent advances in the field of BPSD research.

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