• 대한치과보철학회지
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• 제52권2호
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• pp.121-127
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• 2014

광범위한 보철 수복 치료는 수복 부위별로 다양한 고려 요소를 필요로 한다. 특히, 상악 전치부의 교합 계획은 다른 부위보다 더 많은 지식과 기술을 요한다. 전방 유도(anterior guidance)를 결정하는 상악 전치부 설면 외형을 제대로 형성하지 못하면, 기능적인 불편감과 함께 전체 치열의 불안정성을 야기한다. 임시 수복물 장착한 상태에서 적절한 조정을 통해 조화로운 전방 유도를 얻었다면 임시 수복물의 설면 형태를 최종 보철물로 정확하게 구현하는 방법에 주의를 기울여야 한다. 본 증례에서는 CAD/CAM (computer-aided design / computer-aided manufacturing) 시스템의 복제 기법을 활용하여 지대치의 디지털 이미지와 임시수복물의 디지털 이미지를 중첩시켜 보다 간편하게 보철물 형태를 복제하였다. 기존의 방법에 비해 술자는 진료실 시간을 줄일 수 있고, 환자는 기능과 심미 모두 만족할 만한 결과를 얻어 이를 보고하고자 한다.

• 대한치과의사협회지
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• 제47권5호
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• pp.291-296
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• 2009

Purpose : The aim of this studγ was to evaluate the patient's and dentist's perspective and knowledge on rapid human immunodeficiency virus screening test in dental setting. Material and Methods: In March 2009, 100 patients and 100 dentists at College of Dentistry, Yonsei University were provided an attitude assessment survey. Results : Results were analyzed for acceptance of testing and potential barriers. 94% of patients agreed to take a rapid HIV screening test and 77% of dentists were willing to provide the test to their patients. Also the current knowledge state of patients and dentists on HIV infection was not accurate as expected. Conclusion : Overall, dental clinic patients widely accepted the offer of rapid oral HIV screening. Rapid HIV screening test in the dental setting ran be an important option to increase the number of individuals who know their HIV status.

• 대한치과보철학회지
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• 제44권4호
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• pp.374-382
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• 2006

Purpose: This study was designed to investigate the present conditions of illumination techniques in dental clinics in order to contribute improvement of operating environment. This study also aimed exploring qualitative and quantitative luminous intensity required for color temperature in dental clinic illumination, which was a critical part of esthetic dentistry. Materials and methods: A total of forty-eight local dental clinics were selected for sampling a) luminous intensity, and b) color temperature. The author measured the luminous intensity and the color temperature with lux meter and color meter respectively between 12pm and 2pm. The dental unit chair placed in the general operation positions were kept the distance 60 cm then all dental units were measured three times and averaged. The author measured the luminous intensity and color temperature with both common dental operating light and then without operating light in different office environments. The study was conducted under three conditions: 1 artificial illumination in clear day light 2. artificial illumination in cloudy day light, and 3. artificial illumination alone. Results : The results obtained were as follows. 1. The average luminous intensity in dental clinic lighting was 425 lux which was not sufficient to produce the optimal shade of the patient's teeth. Furthermore, the average luminous intensity even in full operating lighting was 9532 lux which fell short of the required level of 10,000 lux. 2. The average color temperature of all dental clinics surveyed was 5169 K which met the optimal range. However, only 33.3% fell in the correct region between 5,000-5,500 K as 25% were over 5,500 K and 41.6% were below 5,000 K. As a result, 66.7% were under insufficient color temperature conditions. 3. The dental unit chair placed next to a window, hence exposure to natural lighting, had significantly higher luminous intensity and color temperature compared to the dental unit chair which didn't have a window or natural lighting. 4. The data analysis revealed that only 6.3% of the dental clinic were met the standard of the average luminous intensity and color temperature.

• 대한소아치과학회지
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• 제38권4호
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• pp.362-367
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• 2011

본 연구의 목적은 경기지역 일부 중학생의 치과치료 관련 공포 및 불안 수준을 측정하고, 그와 관련된 요인 및 이에 영향을 미치는 요인에 대해 분석하여 불안과 공포감을 완화시킬 수 있는 방법을 모색하여 보다 편안하고 효율적인 구강건강관리가 이루어 질 수 있도록 하는데 있다. 본 연구는 경기도 일부 중학생 622명을 대상으로 설문조사를 실시하여 남학생 337명, 여학생 277명으로서 과거 치과치료 경험이 있는 총 614명의 자료를 이용하였다. 분석 방법은 각 문항별 답변의 분포를 알아보기 위해 빈도분석을 실시하였고, 남녀별 응답의 차이를 검정하기 위해 교차분석을 실시하였으며 공포점수의 비교를 위하여 Mann-whitney U 검정을 실시하였다. 연구 결과 경기도 일부 중학생들은 치과 전문가가 일반적으로 생각하지 못한 부분에서도 치과공포를 느끼는 것으로 나타났고, 진료실에서 직접 치료를 하는 경우와 관련된 항목에서 공포를 느끼는 경우가 많은 것으로 나타났다. 마지막으로 여학생이 남학생보다 높은 수준의 치과공포도를 보였다(p<0.05).

• 대한한의학회지
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• 제20권4호
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• pp.50-61
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• 2000

This study on the visits of the oriental medical night clinic of patients, was made to be used as reference data by examining and analyzing statistically the many actual conditions of patients who had been visited in Semyung University Attached Oriental Medical Hospital during the period from April, 1998 to March, 1999. The purpose of this survey was to understand the characteristics of patients, to evaluate the roles of Night Clinic of oriental medical hospital, and contribute to the systemic and efficient management of night clinic service. The results obtained were as follows: I. Distribution of sex: male 53% (421 cases), female 47% (379 cases) 2. The age distribution of patients showed the highest in under ten, followed by the thirties and fifties, forties and twenties in order. 3. The monthly distribution of patients showed the highest in October 1998, followed by May 1998 and February 1999 in order. 4. The daily distribution of patients showed the highest in Sunday, followed by Saturday, Monday, Friday and Tuesday in order. 5. The regional distribution revealed the highest in Jecheon with 76% of all patients, followed by Danyang in order. 6. The distribution of arrival time showed the highest in 7:00 pm～0:00 am (27%), followed by 5:30 pm～7:00 pm (23%) in order. 7. The admission rate in patients was 17%. Among them direct visiting rate was 85%. Circulatory systemic disease was the highest. 8. The highest incidences by disease were of motor system with 48% (394cases), followed by diseases in circulatory system with 19% (l48cases). The majority of the patients 67% was connected with two diseases. 9. The chief complaint of pediatric diseases was febrile seizure with 64% (32cases), digestive disease was abdominal pain with 44% (90cases), circulatory diseases was motor disturbance with 43% (83cases), motor system disease was leg pain with 37% (l19cases), respiratory disease was fever with 46% ( 41 cases). 10. In the treatment method, a major portion of treatment methods was acupuncture treatment with 32% (373cases), followed by acupuncture & herbal medicine treatment with 23% (275cases). The most commonly used herbal medicines were Hangsapyunguisan(l6%) and Ojeoksan(l4%).

• 농촌의학ㆍ지역보건
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• 제17권1호
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• pp.25-33
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• 1992

Most of oriental medical care resources such as doctors and facilities are distributed in urban areas and approximately ten percent of them is in rural areas. However the aged population of over 60 years old in rural areas is higher than that in urban and these aged population prefer more oriental medical care than the other age group. Therefore, the government planned to carry out the oriental medical care demonstration project in a designated rural areas in 1990. The study was carried out to find out the utilization pattern of medical care and consumers attitude toward oriental medical care treatment provided by health centers. The interview survey was applied to collect the data and 187 patients, who visited to health centers to receive care in 1991, were selected by random sampling. The study results obtained were as follows : 1) Among the 187 respondents, male was 31.6% and female, 68.4%. 2) 73.8% of the respondents were the age of over 45 years old. 3) For the motivation of visiting the health center to receive oriental medical care, 37.4% of the respondents visited purposely according to announcement of oriental medical care and 26.2% of them made a decision by themself 20.3% of them was recommended by the neighbors. 4) The most frequent symptoms surveyed were the disease of the musculoskeletal system and connective tissue. 5) By the subjective judgement of the respondents from the result of the oriental medical treatment, recovered or improved cases represent 69.5%. It is considered that the oriental medical care was acceptable, and also the respondents were satisfied with the oriental medical care in terms of kindness of oriental medical doctors, treatment time and expenses of care.

• 구강회복응용과학지
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• 제32권3호
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• pp.240-245
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• 2016

치은 연하 변연을 갖는 임플란트 수복물 장착시 잔여 합착제의 제거는 임플란트 생물학적 합병증을 예방하기 위해 매우 중요하다. 치은 연하 잔여 합착제를 최소화하기 위해 인상용 실리콘이나 자가중합형 레진을 이용하여 복제 지대주를 제작하는 여러 방법이 소개되었다. 본 증례에서는 열가소성 접착제(hot melt adhesive material)를 이용하여 복제 임플란트 지대주(abutment replica)제작하는 방법을 소개하고자 한다. 이 방법은 간단하고 부가적인 기공과정이 필요 없어 진료실에서 쉽게 이용할 수 있어 이에 보고하는 바이다.

• 대한예방한의학회지
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• 제26권2호
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• pp.87-112
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• 2022

Objectives : This study reviewed existing studies on clinical examination of Korean medicine to investigate the trends and gaps of existing research on clinical performance examination (CPX) or objective structured clinical examination (OSCE) in Korean medicine education. Methods : We conducted a scoping review according to the five steps suggested by Arksey and O'Malley. Six databases(RISS, OASIS, KMBASE, KISS, ScienceON, and DBpia) were searched and studies published from 2012 to July 15, 2022 were considered. The subjects of the study were limited to domestic studies about OSCE or CPX conducted in Korean medicine education. Results : Among the 25 selected papers, 17 studies implemented OSCE or CPX in practice. Those studies were conducted in 8 clinical departments and 9 of them used standardized patients. All 14 survey studies reported positive answers in satisfaction, efficacy, and self-assessment. OSCE, CPX scoring items were developed by modifying existing tools or developing through expert surveys or through literature review and significant cases. Conclusions : This study is expected to be used as basic data for following studies and promote clinical examination. From now on, the colleges of Korean medicine should proceed research on large-scale students about extended subjects through various research methods to obtain objective results that can be generalized and acquire validity and reliability. In order to promote such research, it is necessary to induce cooperation from institutions related to Korean Medicine and local universities to develop modules, implement, and conduct post-evaluation.

• 한국융합학회논문지
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• 제12권11호
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• pp.155-160
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• 2021

본 연구에서는 IPA를 이용한 물리치료사의 감염관리 의식과 수행능력을 분석하였다. 4개 영역은 손위생, 개인관리, 진료실 환경, 감염관리 교육으로 구분하고 인식과 실천에 대한 설문조사를 하였다. 일반적인 특성은 빈도분석하고 인지도와 수행도는 대응표본 t-test와 Pearson's correlation를 통해 분석하였다. 손위생은 둘다 높았고 감염관리 교육은 수행도는 높으나 인지도가 낮은 것으로 나타났다. 치료실 환경의 수행도는 높았으나 인지도가 낮았고 개인관리의 둘다 낮았다. 따라서 본 연구를 바탕으로 감염관리 교육은 인지도를 개선해야 하는 정책 치료실 환경은 수행도를 개선해야 하는 전략, 개인 관리는 수행도와 인지도를 동시에 개선해야 하는 전략이 필요하다.

• 문화기술의 융합
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• 제9권6호
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• pp.1089-1095
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• 2023

창문은 건축공간이 구성되기 위해 필수적이고 중요한 건축요소이며 공간에 성격을 부여하고 이용자들의 반응에 큰 영향을 미친다. 가상창문은 창문의 설치가 불가능한 지하공간과 같은 건축공간을 활성화하고 병원의 진료실 등에서 사용자에게 심리적인 안정감을 제공하기 위하여 설치된다. 본 연구에서는 가상창문의 현실감 향상을 위하여 필요한 요소를 논의하기 위하여 문헌을 연구하고 가상창문의 선례를 수집하고 분석하였다. 가상창문의 현실감에 영향을 미치는 요소는 1. 조망을 위해 재현한 이미지나 영상의 사용, 2. 시간성의 표현, 3. 관측자의 시점 변화에 대한 반응성, 4. 일조의 사실적인 재현, 5. 비시각적 감각 요소의 제공의 5가지로 세부적으로 분류된다. 가상창문은 단순히 전통적인 창문을 대체하기 위한 것만 아니라 디지털 매체를 활용하여 가상환경을 구현하기 위한 하나의 방안이며 가상환경의 구현과 건축요소와의 관계성으로 논의의 영역을 확장할 필요가 있을 것이다.