• 한국치위생학회지
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• 제13권2호
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• pp.193-200
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• 2013

Objectives : The purpose of this study was to examine influential factors related to hand washing practice in dental hygienists by health belief model, one of the major predictors of health behavior including perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers and cues to action. Methods : The subjects were dental hygienists in dental hospitals, dental clinics, general hospitals and university hospitals in Seoul. A survey was conducted from May 1 to September 30, 2011. Results : Analysis of health belief of dental hygienists in hand washing, they revealed the highest marks of 4.39 to perceived benefits, followed by perceived susceptibility(4.29), perceived seriousness(3.94), cues to action(3.30) and perceived barriers(1.81). The mean was 4.13 in hand washing practice. The senior and well educated dental hygienists in general hospitals had a tendency to wash hands frequently. It is statistically significant(p<0.05). In regard to the correlation among the subfactors of health beliefs, susceptibility had a statistically significant positive correlation to seriousness, benefits and cues to action, and seriousness was positively correlated to benefits and cues to action. Conclusions : It is necessary to develop and implement hand washing education program for dental hygienists focusing on perceived benefits and barriers which are two of the health beliefs affecting the hand washing practice.

• Archives of Plastic Surgery
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• 제43권3호
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• pp.272-277
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• 2016

Background One-per-mil tumescent solution, which contains 0.2% lidocaine with 1:1,000,000 epinephrine, has been reported to be clinically effective for hand surgery under local anesthesia. However, it was lacking in its basic pharmacokinetics profile in regard to the onset of action (OOA) and duration of action (DOA). Methods A randomized, double-blind study was conducted on 12 volunteers who met the inclusion criteria from October to November 2014. All volunteers had their right and left ring finger pulps injected with either one-per-mil solution or 2% lidocaine. Semmes-Weinstein and two-point discrimination tests were used to test sensation. Visual analogue scale was recorded at the time when the finger lost its sensation and when it regained normal sensation to measure the OOA and DOA. The data were then analyzed with a paired t-test and a Wilcoxon signed-rank test. Results The OOA and DOA of 2% plain lidocaine were 1 minute and 99.67 minutes, respectively. Meanwhile, 0.2% lidocaine in a one-per-mil tumescent solution showed an OOA of 5 minutes and a DOA of 186.83 minutes. The OOA of 0.2% lidocaine in a one-per-mil tumescent solution is statistically shorter than 2% plain lidocaine (P=0.04); while its DOA is statistically longer than 2% plain lidocaine (P<0.001). Conclusions The 0.2% lidocaine in a one-per-mil tumescent solution is statistically and clinically superior to 2% plain lidocaine in achieving longer duration of local anesthesia.

• 한국방사선학회논문지
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• 제17권6호
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• pp.957-964
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• 2023

본 연구는 시중에 판매되고 있는 다양한 성분과 제형의 손 소독제들을 전파 매질로 활용하여 초음파 검사를 진행한 후 획득한 영상을 평가·비교하여 기존의 초음파 젤의 대체 가능성을 확인하고자 하였다. 연구 방법으로는 점도가 낮은 liquid type을 제외한 gel type, cream type, foam type의 제형의 제품들을 선정해 에탄올 62% gel type 1개와 cream type 1개, 벤잘코늄 염화물 0.066% cream type 1개와 foam type 1개를 각각 초음파 매질로 사용하여, 축방향 & 측방향 분해능, 투과심도, probe와 phantom 사이의 공기층 형성유무에 관한 영상 평가를 진행하였다. 그 결과, 축방향 & 측방향 분해능 평가와 투과심도 평가에서 4개 실험군 모두 평가 기준에 적합한 결과가 나왔다. 그러나 foam type의 경우 분해능과 투과심도의 평가 기준에는 적합하지만 영상 평가 시 관찰 중심부를 제외한 양 측면부에서 어두운 음영으로 나타났다. 해당 실험을 통해 foam type을 제외한 나머지 3종의 손 소독제는 초음파 젤을 대체할 수 있을 것으로 사료된다.

• 대한간호학회지
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• 제25권2호
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• pp.316-329
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• 1995

The purpose of this study was to exame the effectiveness of the hand massage as an independent nursing intervention for the cancer patients undergoing radiation therapy. The data were collected with quasiexperimental research design from 40 subjects-20 for experimental group and 20 for control group-of the radiation oncology department of one university hospital in Seoul from January 10th to March 29th, 1994. Subjects agreed to participate in this study and ranged in age from 18 to 82 years with mean age of 52.63. They had insight of their disease and had undergone radiotherapy at least twice. The hand massage developed by Mariah Snyder (1993) based on the Swedish Massage was administered to the experimental group prior to having radiation therapy at the waiting place of radiotherapy room. Hand massage was given to each hand of patient for five minutes once a day. Measurement of the patient's blood pressure, pulse rate, state anxiety and mood were done before and after the administration of hand massage for 5 days. The data were analyzed with paired t-test, t-test an4 the results were summarized as follows ; 1. After administration of the hand massage, the diastolic blood pressure of experimental group was decreased significantly, while the systolic blood pressure and the pulse rate were decreased, but not significantaly. 2. In the experimental group, the level of anxiety was significantaly lower than control group. The mean scores of the difference of the anxiety level after having hand massage was 8.60 in the experimental group and 0.75 in the control group. 3. The difference of the mood scores before and after the massage in the experimental group was decreased significantly. The mean mood score was decreased 4.80 in the experimental group as compared with 2.02 in the control group. 4. The patients after having the hand massage expressed subjectively their feeling of relaxation, well - being and being enjoyable, the significant decreased of physical symptoms and anxiety. The findings summarized that the use of the hand massage for the cancer patient undergoing radiation therapy Produced significant changes in the level of anxiety and relaxation. Therefore it is recommended to use the hand massage as an intervention for the patients.

• Archives of Plastic Surgery
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• 제42권5호
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• pp.614-618
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• 2015

Background Hand strength deficit following digital replantation is usually attributed to the mechanical deficiency of the replanted digit. Zone 1 replantation, however, should not be associated with any mechanical deficit, as the joint and tendon are intact. We evaluate shortterm motor functions in patients who have undergone single-digit zone 1 replantation. Methods A single-institution retrospective review was performed for all patients who underwent zone 1 replantation. Hand and pinch strengths were evaluated using standard dynamometers. Each set of measurements was pooled according to follow-up periods (within 1 month, 1 to 2 months, 2 to 3 months, and after 3 months). The uninjured hand was used as reference for measurements. Results The review identified 53 patients who had undergone zone 1 replantation and presented for follow-up visits. Compared to the uninjured hand, dynamometer measurements revealed significantly less strength for the hand with replanted digit at one month. The relative mean grip, pulp, and key pinch strength were 31%, 46%, and 48% of the uninjured hand. These three strength measurements gradually increased, with relative strength measurements of 59%, 70%, and 78% for 4-month follow up. Conclusions Despite the lack of joint or tendon injury, strength of the injured hand was significantly lower than that of the uninjured hand during the 4 months following replantation. Improved rehabilitation strategies are needed to diminish the short-term negative impact that an isolated zone 1 replantation has on the overall hand strength.

• 전자공학회논문지CI
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• 제47권3호
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• pp.1-10
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• 2010

손동작을 통한 입력방법은 컴퓨터와 디지털 기기의 발전에 따라 요구되는 새로운 HCI(Human-Computer Interaction) 방법으로써 그 가능성을 가지고 있으며 이에 대한 다양한 시도가 있었다. 본 논문에서는 컴퓨터 비전을 기반으로 단일 카메라를 사용하는 손 영역 검출 및 추적방법을 제시하고 이에 의한 컴퓨터 인터페이스를 제안한다. 기존에 많이 쓰이는 피부색 매치 방법에 추가하여 형태 정보를 더함으로써 손 영역 검출능력을 향상 시켰다. 이러한 형태 정보를 추출하는 방법으로써 주요 방향 에지 기술자라는 방법을 제안하였고 이는 강력하여 학습 시간 없이 한 가지 손 모델만을 사용하여 손 영역 검출을 할 수 있다. 또한 손 영역 검출과 추적하는 방법을 나누어 추적할 때는 회전에 대한 자유도를 높이도록 설계 하였다. 위 방법을 이용하여 3차원 공간에 그려지는 필기체 숫자 인식에 적용해 보았으며 분류 방법으로 DNAC 알고리즘을 사용하였다. 결과적으로 손 영역 검출은 82%의 검출률을 보였고 필기체 숫자 인식은 90%의 인식률을 보였다.

• Child Health Nursing Research
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• 제21권4호
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• pp.285-292
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• 2015

Purpose: Purpose of this study was to identify factors affecting the performance of hand hygiene by parents of hospitalized infants. Methods: The study was conducted with 209 parents of hospitalized infants from one hospital in Changwon. Data were collected from June through August, 2014 and analyzed using SPSS Win 18.0 program. Results: There were positive correlations between performance of hand hygiene and perceptions of sanitary formula bottle (r=.586, p<.001), attitude to hand hygiene (r=.438, p<.001), and knowledge of hand hygiene (r=.405, p<.001) and between parent efficacy and perceptions of sanitary formula bottle (r=.572, p<.001). Awareness of perceptions of sanitary formula bottle (${\beta}$=.308, p<.001), parent efficacy (${\beta}$=.281, p<.001) and hand hygiene attitude (${\beta}$=.207, p<.001) were significant predictors of hand hygiene performance and explained 46.1% of the variance. Conclusion: To increase infection control medical institutions should provide education on hand hygiene and training for parents of hospitalized infants. In order to enhance the performance of hand hygiene, it is necessary to develop and apply nursing programs for hospitalized infants that include hand hygiene attitude, maintenance of the sanitary formula bottle and parent efficacy.

• 한국지능시스템학회논문지
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• 제16권3호
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• pp.271-274
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• 2006

본 논문에서는 비전 기술에 기반을 둔 손 모양 인식 시스템의 성능 향상을 위해 학습을 통해 손 모양과 손 구조 간 유사도를 결정하는 방법을 제안한다. 비전 센서에 기반을 둔 손 모양 인식은 손의 높은 자유도로 인한 자체 가림 현상과 관찰 방향 변화에 따른 입력 영상의 다양함으로 인해 인식에 어려움이 따른다. 따라서 비전 기반 손 모양 인식의 경우, 카메라와 손 간의 상대적인 각도에 제한을 두거나 여러 대의 카메라를 배치하는 것이 일반적이다. 그러나 카메라와 손 간의 상대적 각도에 제한을 두는 경우에는 사용자의 움직임에 제약이 따르게 되며, 여러 대의 카메라를 사용할 경우에는 각 입력된 영상에 대한 인식 결과를 최종 인식 결과에 반영하는 방식에 대해서 추가적으로 고려해야 한다. 본 논문에서는 비전 기반 손 모양 인식의 이러한 문제점을 개선하기 위하여 인식의 과정에서 사용되는 손 모양 특징을 손 구조적인 각도 정보와 손 영상 특징으로 나누고, 학습을 통해 각 특징 간 연관성을 정의한다.

• Archives of Reconstructive Microsurgery
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• 제13권1호
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• pp.14-23
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• 2004

Introduction: The hand and wrist are particularly susceptible to electrical burn. Skin defect with damage or exposure of underlying vital structure requires coverage by skin flap especially in case of the need for late reconstruction. We are reporting 4 cases of electrical burned hand treated by posterior tibial arterial free flap. The commonly used skin flaps such as scapular flap or groin flap are too bulky so that they are not satisfactory in function and cosmetic appearance. So we tried to cover them with a more thin skin flap. Materials and Method: From January 2002 to June 2003, four cases of hand and wrist electrical burn were covered using posterior tibial arterial free flap. All the cases were due to high voltage electrical burn. Age ranged from 31 years to 38 years old and all the cases were male patients. Recipient sites were 2 wrist, one thenar area and one knuckle of 2.3rd MP joint. Additional procedures were flexor tenolysis (simultaneous), FPL tenolysis and digital nerve graft (later) and extensor tendon reconstruction (later). Result: All the flap have survived totally without any complication including circulatory concern about the donar foot. Posterior tibail arterial free flap was so thin that debulking procedure was not required. Conclusion: For skin coverage of the hand & wrist region, posterior tibial arterial free flap have many advantages such as reliable anatomy, easy dissection and easy anastmosis with radial or ulnar artery and possibility of sensory flap. The most helpful advantage for hand coverage is its thinness. So we think this flap is one of the very useful armamentarium for reconstructive hand surgery.

• 한국멀티미디어학회논문지
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• 제9권8호
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• pp.1067-1075
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• 2006

본 논문에서는 손동작 인식을 위한 개선된 손동작 움직임 표현방법을 제안한다. 제안된 방법은 다양하고 통일된 손동작 움직임을 인식하기 위해서 수화(한글수화) 시 사용되는 손동작에 적용시킨 표현방법이다. 수화 특히, 한글수화(KSL)는 수화소(Cheremes)라는 요소들, 즉, 손의 이동 방향, 손가락모양, 손의 위치 등의 조합에 의해 단어 또는 문장이 완성되어 의미 있는 수화가 완성된다. 본 논문에서는 한글 수화에서 이용되는 수화소(Cheremes)를 5개의 수화소 즉, 손의 이동방향(HMO),손가락모양(FS), 손의 방향(H0), 손의 위치(HP) 및 사용하는 손의 수(HN)로 분류, 표현한다. 손의 이동방향(HMO)은 수화에서 단어 또는 문장을 표현하는데 사용되는 방향을 고려하여 17개의 방향성분으로 표현한다. 손가락 모양(FS)은 수화동작에서 사용되는 손가락의 모양에 따라 17개의 성분으로 표현할 수 있으며, 또한, 손의 바닥을 이용하는지 손등을 이용하는지에 따라 손의 방향(HO)이 2가지 특징으로 표현된다. 손의 현재 위치(HP)는 수화동작에서 손이 놓이는 위치를 의미하며, 머리영역에서 가슴영역까지 전체 8개의 영역으로 나뉘어 표현한다. 마지막으로 사용하는 손의수는 수화동작에서 손 하나만을 사용하는지 양쪽 모두를 사용하는 지를 나타내는 것으로, 2가지 특징으로 표현한다. 제안된 손동작 표현방법을 한글수화의 단어 및 문장 모두에 적용한 결과 모든 KSL이 제안된 표현방법으로 완벽하게 표현됨을 보였다.