• 제목/요약/키워드: 아산만

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Prosthetic rehabilitation using an obturator in a fully edentulous patient who had partial maxillectomy (상악골 부분 절제술을 받은 무치악 환자에서의 구강폐쇄장치 수복)

  • Chung, Yoo-Jin;Kim, Jong-Jin;Baik, Jin;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.4
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    • pp.331-337
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    • 2018
  • Prosthetic rehabilitation of an edentulous patient who has a maxillary defect is difficult to achieve for many clinicians. The maxillary defect causes leakage of air during pronunciation and compromises denture stability, support and retention by reducing denture-bearing area and breaking peripheral seal. In these patients, the sizes and shapes of defects are very important factors which attribute to prognosis of maxillary obturators. This case report shows the prosthetic rehabilitation of the patient who had maxillectomy on the right maxillary sinus because of squamous cell carcinoma. The patient had a stepwise treatment protocol which started with pre-operative dental examination and followed by surgical, interim and definitive obturation phase. In this case, an acceptable level of retention could be obtained due to well-defined static defects and the preserved premaxillae and the patient was satisfied with the result of the treatment in the aspect of function and esthetics.

Postoperative Pain Management Status led by Nurse of Acute Pain Service (급성통증관리 간호사 주도의 수술 후 통증관리 현황)

  • Kang, Mi Ra;Ryu, Jeong Ok;Kim, Myung Hee;Yun, Hea Shin;Kwon, Jeong Soon
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.3
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    • pp.296-304
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    • 2020
  • Purpose: This study was conducted to demonstrate objective stability of postoperative pain management status managed by nurse-based, anesthesiologist-supervised Acute Pain Service (APS). Methods: A retrospective descriptive review was conducted with 5,748 patients who had used intravenous Patient Controlled Analgesia (PCA) from January to December 2017. Data were analyzed using descriptive statics, Frequency analysis, ANOVA, Cross tabulation with χ2test, and Correlation coefficient. Results: As the APS nurse's education date increased, the period of using PCA was statistically significantly longer, and the period of stopping PCA while using it became shorter (p<.001). Statistically significant, the most painful operations were extremities, spine, upper abdomen, and thorax, while the least painful surgery was lower abdomen (p<.001). Lower abdominal surgery used the highest amount of PCA (p<.001), and extremities and spinal surgery, the lowest amount of PCA and frequently stop using it (p<.001). The most common side effects were nausea and vomiting after surgery, with an incidence of 16.0% within 24 hours and 9.8% within 48 hours. The overall error caused by PCA was 1.5%, with 84.3% being caused by human errors. Conclusion: With the pain management effect of APS nurses, patients used PCA more effectively. There were also fewer side effects and error rates compared to prior studies. Therefore, it is suggested that this system is safe and effective for pain management.

Mandibular full-arch rehabilitation with increased vertical dimension of a patient with severe tooth wear (심한 치아 마모 환자의 수직 교합고경 증가를 동반한 하악 편악 수복 증례)

  • Kim, Hyun-Jin;Kim, Jong-Jin;Baik, Jin;Cha, Hyun-Suk;Lee, Joo-Hee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.38 no.3
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    • pp.162-170
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    • 2022
  • In the case of patients with pathological tooth wear, it is necessary to evaluate the loss of the vertical dimension. Setting the appropriate vertical dimension is important to rehabilitate the patient's stable intermaxillary relationship. A 77-year-old female patient's chief complaint was the pain of the mandibular incisors and the lack of molars. At the first visit, pathologic tooth wear of the mandibular incisors were observed. After diagnosis and evaluation, loss of vertical dimension was not observed, but insufficient intermaxillary space for prosthetic restoration was confirmed. Mandibular rehabilitation was performed with vertical dimension increase and this showed satisfactory results both functionally and aesthetically.

Full mouth rehabilitation accompanied by phonetic analysis of a patient with reduction of vertical dimension of occlusion, and inaccurate pronunciation due to numerous tooth loss: a case report (다수의 치아 상실로 인해 교합수직고경의 감소와 부정확한 발음을 가진 환자의 발음평가를 동반한 전악 수복 증례)

  • Ji-Young Park;Jong-Jin Kim;Jin Baik;Hyun-Suk Cha;Joo-Hee Lee
    • Journal of Dental Rehabilitation and Applied Science
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    • v.39 no.3
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    • pp.119-132
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    • 2023
  • The loss of posterior occlusal support due to tooth loss is likely to lead to compensatory protrusion and labial tilt of the anterior teeth, which may be accompanied by a deep bite and a decrease in vertical dimension. The patient may suffer from a decrease in masticatory efficiency, inaccurate pronunciation, facial appearance changes, and temporomandibular joint disorder, so stable occlusal formation with support of posterior occlusion and restoration of vertical dimension is necessary. We report the case of a patient with reduction of vertical dimension, and inaccurate pronunciation due to multiple tooth loss who underwent full mouth rehabilitation with increased vertical dimension accompanied by phonetic analysis and achieved satisfactory functional and aesthetic results.

Incidentally Diagnosed Duodenal Web in Infancy (영아기에 우연히 진단된 십이지장 격막)

  • Suh Young Kim;Byoung Hee Han;Ki Young Park;Jung-Man Namgoong;Da Hee Woo
    • Journal of the Korean Society of Radiology
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    • v.83 no.3
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    • pp.724-729
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    • 2022
  • A duodenal web is an incomplete diaphragm of the duodenal lumen that causes a partial or (intermittent) complete obstruction. The size of a duodenal web's aperture determines the degree of obstruction, age at presentation, and radiologic findings. We report a case of duodenal web incidentally diagnosed in a 14-month-old boy who presented to the hospital after ingesting a foreign body. We provide a comprehensive report of multiple studies through abdominal radiograph, upper gastrointestinal study, endoscopy, and surgical findings. We emphasize that the duodenum should be considered as the location of the obstruction when infants exhibit delayed discharge or dynamic positioning of a foreign body in a radiologic examination.

Imaging Findings of Spinal Metastases with Differential Diagnosis: Focusing on Solitary Spinal Lesion in Older Patients (전이성 척추 종양의 영상 소견: 고령 환자의 단일병소를 중심으로 한 감별 질환)

  • Sun-Young Park;Min A Yoon;Min Hee Lee;Sang Hoon Lee;Hye Won Chung
    • Journal of the Korean Society of Radiology
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    • v.85 no.1
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    • pp.77-94
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    • 2024
  • If a solitary spinal lesion is found in an older patient, bone metastasis can be primarily considered as the diagnosis. Bone metastasis can occur anywhere, but it mostly occurs in the vertebral body and may sometimes show typical imaging findings, presenting as a single lesion. Therefore, differentiating it from other lesions that mimic bone metastases can be challenging, potentially leading to delayed diagnosis and initiation of primary cancer treatment. This review provides an overview of imaging findings and clinical guidelines for bone metastases and discusses its differences from other diseases that can occur as solitary spinal lesions in older patients.

The Study of Development Skin Improvement Cosmetic by Spring Water of Asan City (아산지역 온천수를 활용한 피부개선 화장품의 개발)

  • Shim, Seung-Bo;Chun, Yong-Jin
    • Proceedings of the KAIS Fall Conference
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    • 2010.11a
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    • pp.500-502
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    • 2010
  • 온천수는 땅 표면에 자연 용출되거나 인공적으로 시추하여 끌어올린 지하수로서 수온이 그 지역의 연평균 기온 또는 그 지역의 얕은 지층의 지하수 수온보다 높아야 한다. 우리나라는 섭씨 25도 이상을 온천으로 규정하고 있다. 온천수는 일반적으로 혈액순환, 진통완화, 진정작용, 피부미용에 효과가 있는 것으로 널리 알려져 있으며 이것의 효능은 일반적으로 수온과 물속에 포함되어 있는 다양한 미네랄 성분의 작용으로 알려져 있다. 아산지역은 온양, 도고, 아산 온천으로 유명한 온천지대이다. 본 연구에서는 온천수를 화장품 제형에 적용시키고 피부자극테스트를 통하여 피부자극이 없음과 온양온천수를 이용한 제품에서 8.56%의 경피수분함유량의 증가가 나타나 피부개선 효과를 나타내었다.

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A Case of Supraglottic Inverted Papilloma (후두 성문상부에 발생한 반전성 유두종 1예)

  • Kim, Doyeon;Kim, Yong Han;Choi, Seung-Ho
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.31 no.2
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    • pp.78-82
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    • 2020
  • Inverted papilloma is a rare benign tumor which usually arises from sinonasal mucosa. We experienced a case of 62-year-old male who presented with foreign body sensation in throat. A round mass was found at right false vocal cord in laryngoscopic examination. It was excised in laryngeal microsurgery. The pathologic diagnosis was inverted papilloma of false vocal cord. Recurrence or complication did not occur during the follow up period of three months.

A Mineralogical and Gemological Studies for the Enhancement of Tanzania Ruby by Heat Treatment (탄자니아산 루비의 열처리에 의한 보석·광물학적 품질개선 연구)

  • Kim, Seon-Ok;Wang, Sookyun;Oh, Sul-Mi;Park, Hee Yul;Park, Maeng-Eon
    • Economic and Environmental Geology
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    • v.47 no.6
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    • pp.563-569
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    • 2014
  • Ruby is one of the most favor colored gem, for beautiful red tone, be high in scarcity value. However, rubies with high quality are produced in restricted regions, such as in Thailand, Sri Lanka, Myanmar, and Tanzania etc., and they have been gradually exhausted by mining for a long period. Therefore, improving qualities of low level rubies with various treatments is arising an alternative way to obtain better rubies. Gemological and mineralogical properties of the natural ruby from Tanzanian were studied with heat treatments. Those characteristics were compared between only heat and adding flux materials under heating. Tanzanian raw rubies were applied a heat treatment ($1,600^{\circ}C$ for 6 hours). However, chromameter and UV-Vis analyses found that a simple heat treatment is inappropriated for the Tanzanian ruby. Although $Cr^{3+}$ containing for red color in the ruby increased with heat treatment, the ruby displays dark medium red because of Fe in the ruby as a form of $Fe_2O_3$. The low transparency after heat treatment is attributed to the recrystallization of $SiO_2$ which has a low melting point. Chromameter confirmed adding Pb-containing flux under heating greatly improves the clarity and color of Tanzanian rubies with micro-fractures and cavities on the surface. EMPA results show that Pb as an additive fills the cavities and cracks on raw Tanzanian rubies during the heat treatment. As a rewult of it, the quality of the Tanzanian ruby raw dramatically improved. These results indicate that the heat treatment with an additive (Pb in this study) is an effective way to obtain better quality of the Tanzanian ruby. Consequently, this study suggests a suitable method to improve the properties of the Tanzanina ruby. The result of this study would provide useful information to upgrade the qualities of similar gem stones such as corundum and sapphire.