• 말소리와 음성과학
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• 제6권3호
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• pp.3-12
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• 2014

Larynx plays an important role in phonation and protection of the respiratory tract during swallowing. The reduced anatomical and physiological function in elevation of larynx and glottis closure can cause problems in voice and swallowing. The present study investigated the Korean version of handicap index of dysphagia in elderly Koreans. Therefore, 60 normal elderly Koreans ranged from 65 to 95 and 20 normal Korean young adults aged from 20 to 25 were participated in this study to compare total (T), physical (P), functional (F), and emotional (E) index scores between two groups as well as among sub groups (60s, 70s, 80s) in elderly. For swallowing, total and sub dysphagia handicap index (DHI) scores, voice quality during /a/phonation following swallowing (saliva and water), intensity of coughing, and L-DDK were measured. The results showed that functional (P), physical (P), emotional (E) scores as well as total (T) score were significantly different between young adults and old adults in DHI(p<.05). Additionally, there was a negative correlation between total DHI score and intensity of coughing (r=-.51) as well as L-DDK (r=-.70). These findings suggest that a slow rate in vocal fold adduction and reduced intensity of coughing in the elderly affect swallowing function. Thus, recently translated Korean version of DHI may be useful as supplement in evaluating the swallowing problems in elderly people.

• Asian-Australasian Journal of Animal Sciences
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• 제9권5호
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• pp.577-582
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• 1996

In order to investigate the relationship between daily herbage allowance (DHA) and daily herbage intake (DHI) on the points of leaf and stem masses, grazing experiments were carried out on the pasture of tall fescue (Festuca arundinacea Schreb.). The experiments consisted of four 3-days' grazing periods which were from August 14 to 17, August 17 to 20, October 12 to 15 and October 15 to 18 in 1990. The value of DHA was 32.1 to 84.3, and the value of DHI was 9.9 to 27.0. The index of leafiness (leaf to stem ratio, LSR) was 0.74 to 3.06. The relationship between DHI and DHA was quadratic. Both relationship of daily leaf intake (DLI) to daily leaf allowance (DLA) and that of daily stem intake (DSI) to daily stem allowance (DSA) were likely to be asymptotic forms, although DHI did not show any significant relationships to DLA nor to DSA. The relationship between DLI and LSR was quadratic, and a negative relationship was found between DSI and LSR. From the relationship of DLI to LSR and that of DSI to LSR, the relationship of daily intake of leaf and stem (DLSI) to LSR was derived as quadratic and the LSR value at which the maximum DLSI was attained was estimated. The DHA, DHI, DLA, DLI, DSA, DSI and DLAI were expressed as the same unit of g/kg live body weight/day.

• 대한소아치과학회지
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• 제49권3호
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• pp.285-299
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• 2022

이 연구의 목적은 치과건강보험에 대한 소아치과 의사의 인식과 견해를 조사하는 것이다. 대한소아치과학회 회원들을 대상으로 온라인 설문조사를 실시하였다. 총 문항 수는 41문항이며, 문항은 6개의 항목 '설문 응답자의 일반적인 특성', '국민건강 보험과 치과건강보험', '소아치과 영역의 치과건강보험', '소아치과와 관련된 치과건강보험 제도 개선점', '치과건강보험청구', '치과건강보험과 관련한 대한소아치과학회 역할'으로 이루어졌다. 총 302명이 응답하였고, 응답률은 28.9%였다. 기록이 미비한 2명을 제외하고, 총 300명을 분석대상으로 하였다. 소아치과 의사들은 치면열구전색술, 광중합형 복합레진 충전에 정량광형광기 치아우식검사에 비해 높은 만족도를 보였다(p < 0.017). 소아치과 의사들은 보험수가 인상이 가장 필요한 항목은 영구치 복합레진 충전(65.7%), 보험급여가 가장 필요한 항목은 불소도포(74.7%)라 생각하였다. 치과건강보험 청구는 대체로 치과위생사 또는 간호조무사가 담당하였다. 소아치과 의사들은 학회에서 치과건강보험에 대한 정보를 제공하는 것에 대해 긍정적으로 생각하였다. 이 연구는 향후, 소아치과 영역 치과건강보험제도의 정책적 발전을 위한 기초자료로 활용될 수 있을 것이라 사료된다.

• 대한상한금궤의학회지
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• 제12권1호
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• pp.199-209
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• 2020

Objective: The purpose of this paper is to report the improvement in a patient with benign paroxysmal positional vertigo (BPPV) treated with herbal medication based on the Shanghanlun disease pattern identification diagnostic system. Methods: According to the 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions,'the patient was diagnosed with Guorem-byung number 350 provision, and took Baekho-tang herbal medication for 15 days. The result of administration was evaluated using the Dizziness Handicap Inventory (DHI) and the Visual Analog Scale (VAS). Results: After administration of Baekho-tang for 15 days, based on the 350 provision of Baekho-tang diagnosed according to the Shanghanlun provisions, the DHI score decreased from 74 to 16 and the VAS score decreased from 10 to 1. Conclusions: The patient recovered from symptoms of BPPV. This case report suggests that the words '滑,''厥,''裏'on the 350 provision of Shanghanlun mean physical and psychological causes of BPPV in this case.

• 종축개량
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• 제17권1호
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• pp.58-61
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• 1995

• 한국수자원학회:학술대회논문집
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• 한국수자원학회 2020년도 학술발표회
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• pp.5-5
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• 2020

가뭄은 일반적으로 기상학적, 수문학적, 농업적 및 사회·경제적 가뭄으로 분류된다. 그 중 강수량 부족으로 인해 야기되는 기상학적 가뭄은 지역 사회에 직접적인 피해를 유발하는 도화선이 된다. 그러나 강우량 부족이 경제적, 사회적 피해로 전파되는 과정은 단순하지 않으며, 정량화가 어려운 실정이다. 가뭄 위험도는 수문기상학적 요인뿐만 아니라 자연재해에 대한 지역의 취약성의 맥락에서 파악되어야하므로, 가뭄 위험도 평가 방안은 위험도와 지역사회 사이의 관계를 규명하는 과정을 포함해야 한다. 이러한 문제를 해결하기 위해 가뭄 취약성(vulnerability)과 노출성(hazard)을 정량화하여 나타내는 지표를 적용한 가뭄 위험도 분석 방법이 주로 사용된다. 일반적으로 수용되는 취약성 개념은 개인 또는 그룹이 자연재해의 영향에 대처하고 이에 저항할 수 있는 능력을 의미하며, 노출성은 자연적 또는 인간이 유발할 수 있는 물리적 사건의 가능성을 나타낸다. 따라서 취약성은 지역의 문화적, 사회적 및 경제적 인자를 이용하여 정의된다. 반면 노출성은 주어진 시간 또는 영역 내에서의 특정 현상의 발생 확률에 따라 결정된다. 본 연구에서는 가뭄 취약성 지수 (Drought Vulnerability Index, DVI)와 가뭄 노출성 지수(Drought Hazard Index, DHI)를 이용하여 지역 가뭄 위험도를 평가하였다. 취약성 및 노출성 지수를 활용한 선행연구에서의 주요 쟁점은 연구자의 주관성을 배제하고 지역의 상황을 반영할 수 있도록 (1) 객관적이고 합리적인 변수의 선택과 (2) 각 인자들의 관계를 규정하는 가중치 정의 방법이다. 본 연구에서는 확률론적 접근방법을 적용한 위험도 평가 방안을 제시하고자 하였다. DVI를 산정 시 지역에서 지배적인 사회경제적 인자를 선택하기 위해 주성분분석(PCA) 기법을 활용하였으며, DHI는 이변량 가뭄 빈도 분석에 의해 산정된 특정 가뭄사상의 발생 확률로 정의되었다. 본 연구에서는 국내에서 가뭄 위험도가 가장 높은 것으로 평가되는 충청북도 및 충청남도를 대상지역으로 선정하고 지역 위험도를 평가하였다. 그 결과 가장 가뭄 위험도가 높은 지역은 충청북도에서는 청주시, 충청남도에서는 공주시로 분석되었다. 특히 청주시는 DVI가 매우 높지만 DHI는 상대적으로 작게 나타났으며, 반면 공주시는 DHI와 DVI가 지역 내에서 가장 높게 산정되었다.

• 동의신경정신과학회지
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• 제32권3호
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• pp.275-284
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• 2021

Objectives: To propose Korean medicine treatments based on effects of Yanshimtang-Gamibang on three patients diagnosed with psychogenic dizziness. Methods: Korean medicine treatments based on Yanshimtang-Gamibang were applied to three patients diagnosed with psychogenic dizziness after experiencing a traffic accident. Effects of Korean medicine treatments based on Yanshimtang-Gamibang were evaluated using DHI (Dizziness Handicap Inventory), BAI (Beck Anxiety Inventory), NRS (Numerical rating scale), NDI (Neck Disability Index), ODI (Oswestry Disability Index), and EQ-5D (EuroQol-Five Dimensions). Quality of sleep was assessed with total sleep time and number of times waking up during sleep. Results: After the treatment, there were significant decreases in DHI and BAI scores as well as values of NRS, NDI, ODI, EQ-5D. The sleep quality of three patients also showed improvement. Conclusions: Korean medicine treatments based on Yanshimtang-Gamibang might be effective in people with psychogenic dizziness.

• 동의생리병리학회지
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• 제24권1호
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• pp.171-176
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• 2010

Jaeumgeonbi-tang Gamibang is noted as effective method to treat a dizziness in Korean Medicine. The main purpose of this research is analysis of the effects of Jaeumgeonbi-tang Gamibang on dizziness patients. In following research, 70 cases of dizziness patients who treated in Daejeon oriental medicine hospital from Oct, 2004 to Feb, 2009 were researched. The research is focused on clinical efficacy of Jaeumgeonbi-tang Gamibang. This research measured DHI and VAS before Jaeumgeonbi-tang Gamibang were prescribed. And Jaeumgeonbi-tang Gamibang were treated to all 70 patients. Finally DHI and VAS were measured again. Before this research, We had characterized and searched such as age, prevalence period, prescribed dosage, sex, vertigo type, pathological history in 70 patients. And DHI and VAS score were compared each other. The compared characteristic data shows that every cases were effective, in the DHI and VAS comparison, between pre-treatment and post-treatment group, vertigo and dizziness group, man and woman group. but In the age case, some age group were not effective. Conclusion: Most cases, we gained effective results. These result suggest that Jaeumgeonbi-tang might be effective in treatment of dizziness patients although man or woman, vertigo or dizziness.

• 물과 미래
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• 제30권4호
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• pp.102-107
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• 1997

• 대한한방내과학회지
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• 제41권5호
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• pp.800-805
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• 2020

Objectives: The aim of this study was to report the effect of Korean medicine treatment on a cerebellar infarction patient suffering from vertigo, ataxia, and nausea. Methods: We treated the patient with herbal medicine (Cheonghunhwadam-tang), acupuncture, and physical therapy. Clinical symptoms were assessed with a numeral rating scale (NRS), the Dizziness Handicap Inventory (DHI), and Study Short Form-36 (SF-36). Results: After 24 days of treatment, the vertigo, ataxia, and nausea symptoms were all improved, and the NRS, DHI, and SF-36 scores showed improvement. Conclusion: This case shows that Korean medicine treatments were effective in alleviating the symptoms of cerebellar infarction.