• 제목/요약/키워드: Cleansing

검색결과 280건 처리시간 0.03초

대체 신기법을 적용한 구치부 교의치 pontic ridge lap 제작방법 (Applying the New Technology for Making Pontic Ridge Lap in Posterior Bridge Restoration)

  • 김욱태
    • 구강회복응용과학지
    • /
    • 제29권3호
    • /
    • pp.308-316
    • /
    • 2013
  • 구강점막의 건강을 지속적으로 유지, 보지 및 치간유두를 보존시켜 치간공극의 발생을 최소화하고, 심미적이며, 발음에도 이상이 없는 최종보철물을 제작과정에서 교의치 pontic base 하방에 염증의 발생을 방지하고, self-cleasing이 될 수 있는 구치부 교의치 pontic ridge lap 제작방법을 연구하였다. 교의치 pontic base 하방에 염증의 발생을 방지하고, self-cleasing이 될 수 있는 제작기술을 부산, 경남지역의 치과 10군데를 대상으로 적용하였다. 구치부 3unit 교의치 pontic base를 제작할 때 대체 신기법을 적용한 ridge lap 형성방법을 제시하고, 임상검증을 수행하기 위해 기존의 통상적인 방법으로 제작된 것과 대체 신기법을 적용한 것을 비교분석 하였다. 염증, 기타 치주질환은 기존의 통상적인 방법으로 제작한 pontic base에서 9.6%, 대체 신기법을 적용한 방법으로 제작된 것은 0.3%이 나타났다. 음식물 잔류에서는 통상적인 방법은 100%, 대체 신기법을 적용한 방법 9.1%으로 유이한 차이를 보여지만, 가글 후의 검사 결과는 대체 신기법을 적용한 방법이 0.8%로 낮은 결과를 얻었다. 그리고 self-cleasing면에서 통상적인 방법으로 제작한 pontic base에서 9.0%, 대체 신기법을 적용한 방법 0.8%으로 나타났다.

식욕부진(食慾不振)에 대(對)한 한의학적(韓醫學的) 고찰(考察) - 병인병리(病因病理)를 중심(中心)으로 - (An Oriental Medical Study on the Anorexia An Emphasis on the Etiology and Pathology of the Anorexia)

  • 최수덕;원진희
    • 대한한의학회지
    • /
    • 제19권2호
    • /
    • pp.194-210
    • /
    • 1998
  • The main purpose of this work is the study on the etiology and pathology of the anorexia in oriental and western medicine. An appetite is stimulated by the need of supply of nutrition for life and the physical desire of hunger which appeared as the alternative of taste. In this paper, I investigated the anatomical and the physiological function system, the Piwei functional system and meridian distribution, and the differentiation of the disease according to the Zangfu(internal organs) in association with the anorexia. And conclusion could be summarized as follows : 1. The tongue, one of the Piwei functional system(脾胃機能系), is connected with Pi(脾), Xin(心), Gan(肝) and Shen(腎) meridian. Especially Pi and Xin meridian have the close relations with taste. 2. The appetite has the close relations with Piwei. The appetite and digestion is influenced by the function of smoothing and regulating and bloodflow of Ki(肝主疏泄), warming the Shen to activate the function of Pi(腎主溫養), cleansing the inspired air and keeping the Ki flowing downward(肺主肅降). 3. The cause of anorexia is the insufficiency of Ki of Piwei(脾胃氣虛), the attack of Wei by hyperactive Gan Ki(脾氣犯胃), the insufficiency of Wei Yin(胃陰不足), the declination of the fire from the vital gate(命門火衰) and the retention or stagnancy of undigested food (飮食停滯). Especially, the main cause of anorexia is the insufficiency of Ki of the Piwei(脾胃氣虛). 4. Recently the attack of Wei by hyperactive Gan Ki(脾氣犯胃) is raised by the main cause of anorexia. 5. The mental function of anorexia, which is induced by the unbalance of Pi, is directly associated with Xin(心) and Xin meridia(心經). 6. The goal of the treatment of the anorexia is dependent on the recovery of the weakness of the Pi. And for this goal, the disorders of the other organs is also treated. 7. In the point of the anatomy and physiology, the main cause of anorexia is the loss of function of the autonomic nerve system and the vagus nerve.

  • PDF

Continuous wave of obturation technique에서 플러거의 다양한 적용 깊이에 따른 근단부 폐쇄효율 비교 (COMPARISON OF APICAL SEALING EFFICACIES USING DIFFERENT PLUGGING DEPTH IN CONTINUOUS WAVE OF OBTURATION TECHNIQUE)

  • 이상진;박정길;허복;김현철
    • Restorative Dentistry and Endodontics
    • /
    • 제32권6호
    • /
    • pp.491-497
    • /
    • 2007
  • 이 연구의 목적은 continuous wave of obturation technique으로 근관 충전을 할 때, 다양한 heat source plugger의 깊이에 따른 근단부 근관 폐쇄능력을 비교하는 것이었다. 직선 형태 발거 소구치를 #35/.06 크기까지 니켈티타늄 파일을 사용하여 성형 및 세정하였다. 성형과 세정이 완료된 치아를 heat source plugger의 적용 깊이에 따라 15개씩 5군으로 분류하였다. 3 mm, 4 mm, 5 mm, 6 mm, 7 mm, 양성 대조군을 제외한 모든 근관은 E&Q plus(Meta Biomed Co., Chungju, Korea)를 사용하여 #35/.06 gutta-percha cone으로 충전하였다. 모든 치아의 근첨공 주변 1 mm를 제외하고 nail varnish를 도포하였고 음성 대조군은 근첨공을 포함하여 전체 면을 도포하였다. 모든 시편을 1% 메틸렌블루 용액에 72시간 동안 보관한 다음 치근첨으로부터 1, 2, 3 mm 높이에서 수평으로 절단하였다. 각 단면을 $12.5{\times}2.5$배 현미경하에서 관찰하고 디지털 카메라로 촬영하였다. 염색제 누출 평가를 위해 aye-degree scoring system을 사용하였다. 각 절단면에서의 점수를 모두 합하여 한 시편의 점수로 사용하고 통계학적 분석을 하였다. 이 실험 조건하에서, 3-7 mm까지의 heat source plugger의 적용 깊이는 근단부 폐쇄에서 유의한 차이를 나타내지 않았다. 5-7 mm의 Buchanan's protocol을 포함한 3-7 mm를 모두 임상 적용에서 받아들여질 만하다고 보인다.

Embossed new dental pick이 치주염에 미치는 영향 (Effect of embossed new dental pick on periodontitis)

  • 석헌주;김종관
    • Journal of Periodontal and Implant Science
    • /
    • 제34권3호
    • /
    • pp.563-572
    • /
    • 2004
  • Since bacterial plaque is known as the major cause of every oral disease, it is necessary to control plaque to maintain periodontal health. Although tooth brushing has been the typical method of plaque control, additional use of plaque control devices are necessary for cleansing interdental areas. Dental floss has been used for a long time as the additional plaque control device and proved to be effective. The newly developed embossed new dental pick is composed of elastic plastic material in form with its tip longer than other toothpick. In addition, as thickness of the tip gradually increases, it can be adapted easily with minimal trauma to interdental gingiva. The embossed tip can remove dental plaque easily, and the opposite end can approach lingual and palatal areas through triple angulation. Therefore, the authors studied the effect of embossed new dental pick and dental floss on periodontally involved 15 patient. The following results were obtained. 1. For embossed new dental pick, probing depth at baseline, 1 week, 4 weeks were $3.6{\pm}0.6mm$, $3.4{\pm}0.5mm$, $3.2{\pm}0.5mm$, respectively, and $4.2{\pm}0.9mm$, $4.1{\pm}0.9mm$, $4.0{\pm}0.9mm$, respectivly for clinical attachment level. 2. In case of embossed new dental pick, bleeding on probing at baseline, 1 week, 4 weeks were $43.0{\pm}4.4%$, $28.5{\pm}5.1%$, $22.2{\pm}5.6%$, respectively, and, at 1 week and 4 weeks, they were significantly different from that of dental floss. 3. Gingival index of toαhpick at baseline, 1 week, 4 weeks were $1.7{\pm}0.5$, $1.0{\pm}0.3$, $0.9{\pm}0.2$, respectively, and, $1.7{\pm}0.5$, $1.1{\pm}0.4$, $1.0{\pm}0.4$, respectively for plaque index, and $3.0{\pm}0.5$, $1.7{\pm}0.5$, $1.4{\pm}0.4$, respectively for proximal plaque index. proximal plaque index at 4 weeks was significantly different from that of dental floss. 4. The result of questionnaire showed that the two types of device were both satisfactory, however, embossed new dental pick had higher preference as well as satisfaction. As a result, embossed new dental pick is thought to be clinically effective for its simplicity and good accessibility.

흑마늘박 추출물의 항균 활성과 미생물 제어를 위한 시금치 세척에의 이용 (Antimicrobial Activity of Black Garlic Pomace Extract and Its Application to Cleansing of Fresh Spinach Leaves for Microbial Control)

  • 강지훈;손현정;민세철;오덕환;송경빈
    • 한국식품영양과학회지
    • /
    • 제46권4호
    • /
    • pp.450-458
    • /
    • 2017
  • 본 연구에서는 흑마늘 진액 가공 후 발생하는 흑마늘박의 활용 가능성을 검토하고자 흑마늘박 추출물의 항균성과 시금치에 대한 세척 적용 효과를 분석하였다. 흑마늘박 추출물은 주요 병원성 미생물인 L. monocytogenes, S. aureus, E. coli O157:H7, S. Typhimurium에 대해 모두 항균성을 나타냈으며, 특히 그람 양성균인 L. monocytogenes와 S. aureus에 더 효과적으로 작용하였다. 시금치에 0.5% 흑마늘박 추출물을 처리한 후 $4{\pm}1^{\circ}C$에서 9일 동안 저장하면서 미생물 수 변화를 측정하였다. 흑마늘박 추출물 처리는 대조구와 비교하여 저장 9일 동안 시금치의 총 호기성 세균 수를 1.23~1.35 log CFU/g, 효모 및 곰팡이 수는 0.82~1.12 log CFU/g 감소시켰다. 또한, 흑마늘박 추출물 처리는 저장 9일 동안 시금치의 Hunter 색도 값 및 총색차 값을 저장 초기와 유의적인 차이 없이 지속시켰기에 색도 품질 유지 측면에서 단순 물 세척 처리구보다 더 효과적이라고 판단된다. 따라서 본 연구 결과를 통해 흑마늘박 추출물은 병원성 미생물에 대해 높은 항균성을 가지면서 동시에 시금치와 같은 신선 농산물의 미생물 제어를 위한 효과적인 세척 처리 물질로써 활용될 수 있다고 판단된다.

구강악안면외과 소수술시 정맥 의식하 진정법에서의 Bispectral Index and Hemodynamics monitoring을 이용한 진정 깊이에 관한 연구 (THE USE OF BISPECTRAL ANALYSIS AND HEMODYNAMIC MONITORING IN PATIENTS UNDERGOING INTRAVENOUS SEDATION FOR MINOR ORAL SURGERY)

  • 신정섭;민현기;이주현;이동현;김명래;강나라
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제30권6호
    • /
    • pp.567-571
    • /
    • 2008
  • Purpose: The purpose was to assess the usefulness of midazolam in patients undergoing minor oral surgery under conscious sedation. Materials and methods: Bispectral index was examined in 20 patients receiving oral minor surgery with conscious sedation supplemented with local anesthesia. All patients included were ASA I and had no contraindications to the study medications. The patients were escorted to the day surgery operation room where, before the commencement of the sedation and surgical procedures, routine monitoring was applied, including the noninvasive monitoring of arterial blood pressure, arterial oxygen saturation, and 3-lead electrocardiogram (Electrocardiogram). Bispectral index electrodes were applied on the frontotemporal region after cleansing the skin with alcohol. Bispectral index was calculated with the Electrocardiogram monitor (A-2000; Aspect Co.). Midazolam was then titrated (initially 3mg wait 2min and 2mg). Vital sign and Bispectral index checked every 5 minute until the end of the procedure. The results were then compared. Results: The Bispectral index index values throughout the sedation study period alter many level. The index was dropped at 5 minutes after administration, but raised at injection and odontomy procedure. During the operation, mean Bispectral index index was higher than conscious sedation index range($60{\sim}80$). The amnesic effect was shown 17 cases out of 20 cases(85%). Conclusion: Conscious sedation technique using midazolma is a safe and effective method of controlling behavior in oral and maxillofacial surgery.

"비급구법(備急灸法)"에 대한 연구(硏究) (A Study on "Beijijiufa")

  • 신재혁;김장생;김재중;이시형
    • 대한한의정보학회지
    • /
    • 제17권2호
    • /
    • pp.82-129
    • /
    • 2011
  • "Beijijiufa" is a medical book republished by Sun Ju Qing in 1245. He compiled this book having added "Qizhumajiufa" and "Zhugejingyanbeijiyaofang" to the contents of "Beijijiufa" authored by Wen Ren Qi Nian. In "Beijijiufa" the author described treatment methods making use of moxibustion methods in connection with 22 cases of acute diseases. The author had collected the moxibustion methods used to treat acute diseases, which had been practiced by the medical practitioners of many generations, and quoted total 13 medical men's practices. In the book, the greatest parts of details were quoted especially from the writings of Sun Si Miao and Ge Hong, and this shows that the medical philosophies of both Sun Si Miao and Ge Hong were reflected onto "Beijijiufa". He had differed on his moxibustion practice: the size of moxa wool, the number of moxibustion treatment, and method of moxibustion for male and female were differed from one another according to the disease. As to the area of moxibustion, he chose the body parts around under four limbs and joints, and mostly used extraordinary acupoints rather than twelve main meridians. In his descriptions of finding meridian points, he did not describe it by its specific name of the reaction point, but explained the location of moxibustion points in detail through pictures. "Qizhumajiufa" is related to moxibustion method and prescriptions to treat surgical diseases, like skin boils or furuncle on the back, etc. He easily explained the method to find the meridian points for moxibustion treatment by using particular way through diagrams and pictures. Eight prescriptions he used were the collections among the historical practices of medical practitioners of many generations for skin boils which showed excellent therapeutic actions. In "Zhugejingyanbeijiyaofang", there are prescribed for 36 disease, also is the records of treatment methods for medical emergency which would be encountered easily in everyday life. As to therapeutic remedies, varied treatment methods, including the treatment by means of pasting and attaching medicinal substance to the spot, the treatment by means of mixing medicinal substance with alcoholic beverage, cleansing method, smoke inhalation remedy etc. were introduced. In "Beijijiufa" moxibustion was regarded as a top priority for treatment of acute disease, and the author strived to present remedies to the readers as easily as possible through 19 pictures. Regarding prescriptions, the author introduced diverse treatment methods with respect to various disease symptoms, and described the method to treat disease symptoms making use of medicinal ingredients which can easily be found in daily life. Likewise, "Beijijiufa" compiled by Sun Ju Qing was intended for clinical practice, and was indeed a medical book having been utilized for treatment of acute diseases in those days.

  • PDF

HACCP 시스템 적용 학교급식 위생관리 수행수준에 영향을 미치는 요인 - 서울, 경기, 강원, 충청지역을 중심으로 - (Factors Related to Sanitary Management Performance Based on HACCP System in School Foodservice - Seoul, Gyeonggi, Kangwon and Choongchung Areas in Korea -)

  • 김경미;이심열
    • 대한지역사회영양학회지
    • /
    • 제14권6호
    • /
    • pp.817-830
    • /
    • 2009
  • The purpose of this study was to analysis the sanitary management performance based on HACCP system for school foodservice. This study was carried out from September 2008 until December 2008 and is targeted towards schools' dietitians that work at schools with school foodservice. The regional distribution of this research is as follows; 377 schools in Seoul, 648 schools in Gyeonggido, 160 schools in Kangwondo, 438 schools in Choongchungdo equaling 1,623 schools in total. When school foodservices were put through sanitation management achievement level analysis applied by the HACCP system, results displayed that management of temperature (3.96 points), time (4.08 points), and cross-contamination (4.07 points) were all below the average achievement level. HACCP system's achievement level based on the TQM showed that areas for strategy development, leadership, information and analysis had low achievement levels. Achievement levels for CCP are quality check, delivery/distribution process, sterilization/cleansing of food's contact surface. As a result of multiple regression analysis of the factors that influenced sanitation management achievement level of school foodservice HACCP system; sanitary job standard showed 35.6% and CCP achievement levels showed 26.8% explanatory rate. In particular, Kangwondo's number of foodservice provided to per cook was small. Also, the better the processing management was assessed, the higher the sanitary job standard achievement level became resulting to a explanatory rate of 39.5%. Elementary schools showed a higher explanatory rate of 37.0% than middle and high schools. CCP achievement levels in middle and high schools with self-operated foodservice had a 28.0% variable explanatory rate, which was the highest. The better the drainage system, leadership and assessments turned out to be, the higher the CCP achievement levels became. In summary, to revitalize HACCP system that is based on the TQM, it is considered that proper database of HACCP system for school foodservice's sanitation management be constructed and more emphasis should be put on strategy development to improve customers' satisfactory level. In addition, improvements in achievement levels of time, temperature, and cross-contamination for sanitary job standard and CCP achievement level are essential.

乾癬에 對한 東.西醫 文獻的 硏究 (The Oriental and Occidental bibliographic Study of Psoriasis)

  • 김남권;황충연;임규상
    • 한방안이비인후피부과학회지
    • /
    • 제12권1호
    • /
    • pp.154-178
    • /
    • 1999
  • Psoriasis is the recurrent disease of skin and till now its mechanism, pathogenesis and treatment are not clearly discovered. So, like these papers, we must investigate more safety and effective treatment of psoriasis. And I obtained the following condusions from the Oriental and Occidental bibliographic investigation. 1. In Oriental medicine. Baikbi, Pungsun, Eunselbyong, Songpisun, Baikselpung were the other names of Psoriasis. 2. In Occidental medicine, genetic factors, aggravation and inducible factors, biochemical factors, immunologic factors, disorder of epidermal kinetics, vascular malformation of dermis were cosidered to the pathogenic factors of psoriasis. 3. In Oriental medicine, the pathogenic factors of psoriasis were divided two parts. One is exogenous pathogenic factors which including the blood-heat, blood dryness, blood stasis, deficiency of liver and kidney, inharmony of impulsive and appointed pulsation, deficiency of blood. The other is exogenous pathogenic factors which including the wind-evil, wind-wetness, wind-heat, wind-cold, wetness-heat, cold-wetness, heat-evil. 4. In Occidental medicine, external applicative medicine, internal medicine, ultraviolet therapy, ultraviolet - external applicative medicine compound therapy and etc. were used the therapy of psoriasis. 5. In Oriental medicine, clean away heat and cooling blood, aliment the blood and moisturize, activating blood and expelling blood stasis, harmonize and invigorate the liver and kidney, invigorate the kidney, aliment the blood and moisturize the skin, aliment the blood and expelling the wind, expelling the wind and wetness, clean away heat and expelling wind, expelling the wind and scatter the cold, clean away heat and expelling the wetness, heat up the meridian and scatter the cold, clean away heat and remove the toxin and etc. were used the method of internal therapy of psoriasis. 6. Until Qing dynasty, wind expelling effective prescriptions like Bangpungtongsungsan, Sopungsan. Supungsunkisan and etc. were used and recently Yanghyelgeupungtang, Hwalhyelgeupungtang, Samultanggagam and etc. were used the internal therapy of psoriasis. 7. In the external therapy of psoriasis, Yuhonggo, Pungyugo, Sekryupiyeongo were used the plaster therapy and Folium Rerillae, Camphora, Fructus, Xanthii, Herba Spirodelae compound prescription were used the cleansing therapy, Okgisan, Chiunsan, Galmyogo, Hobunsan, Muisan, Madugo, Jeyugohengin were used the rubbing skin therapy. Rangdok Radix Aconiti, Bijeonilchoalkwang were used the attaching therapy, the extract of Rhizoma Et Radix Veratri was used the spreading pouder therapy. 8. In the acupuncture therapy of psoriasis, the Jelgol, chok Samni(S36), Kansa(P5), Haegye(S41), Wijung(B40) and etc. were used the acupuncture point, and the angle of helix incision threapy that disinfect and cut the angle of helix and plaster the Semen Glycine and Squama Manitis were used.

  • PDF

전자제어 디젤엔진의 흡기 다기관 및 연료분사장치 정비에 따른 매연 배출특성에 관한 연구 (Study on the Characteristics of Exhaust Emissions in accordance with the Intake Manifold and Fuel Injector Maintenance of the Electronic Control Diesel Engine)

  • 강현준;김태중
    • 한국산학기술학회논문지
    • /
    • 제17권9호
    • /
    • pp.196-205
    • /
    • 2016
  • 자동차로부터 배출되는 배기가스는 오존 및 미세먼지 등의 농도를 증가시켜 인체의 건강을 위협할 뿐만 아니라 지구 온난화 물질인 이산화탄소를 다량 배출하고 있어 지구 온난화에도 지대한 영향을 미치고 있다. 그래서 정부는 자동차에서 배출되는 배기가스를 효율적으로 규제하기 위한 제도로 운행차 배출가스 정밀검사 제도를 시행하고 있다. 자동차 배출가스를 줄이려는 연구는 다방면으로 이루어지고 있으며, 자동차의 배출가스 중 HC, NOx, $CO_2$ 등의 발생을 줄이기 위한 연구가 이루어지고 있다. 그러나 노후된 자동차에 대한 배출가스 저감에 대한 연구는 부족한 실정이다. 노후된 디젤자동차들이 운행차 배출가스 정밀검사를 만족하기 위해서는 흡기 다기관(manifold)과 인젝터의 카본퇴적물(Carbon sediment)을 세척하여 출력향상 및 배출가스 저감에 대한 연구가 필요하다. 따라서 본 연구에서는 차령 5년 이상, 주행거리 80,000 km 이상의 디젤자동차에 흡기 다기관 클리닝과 인젝터 클리닝을 동시에 수행하여 매연 발생에 미치는 영향을 비교 분석하였다. 실험결과, 흡기다기관 클리닝과 인젝터 클리닝을 동시 수행한 결과는 각각 수행한 결과보다 매연을 75.2% 감소시켰다. 또한, 흡기다기관 클리닝과 인젝터 클리닝을 동시 수행한 결과는 검사 후 8.5초부터 배출허용 기준 30%이하를 만족하였다.