• 제목/요약/키워드: Patient contact

검색결과 403건 처리시간 0.025초

형방사백산(荊防瀉白散)을 활용한 소양인 양독발반(陽毒發斑) 치험 1례 (The Case Report of Soyangin Yangdokbalban (陽毒發斑))

  • 박근희;김오영;박혜선
    • 대한한의학회지
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    • 제32권4호
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    • pp.159-166
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    • 2011
  • Objectives: This study reports using Hyungbangsabaksan to cure Soyangin Yangdokbalban (陽毒發斑) appealing Systemic Allergic Contact Dermatitis. Methods: After diagnosing the patient showing Papuloerythematous with no blisters in the body as a Soyangin Yangdokbalban (陽毒發斑), we prescribed the patient with Hyungbangsabak-san. We compared the condition of the patient before and after medication with photo shots. Results: After treatment, Papuloerythematous which was seen with the naked eye disappeared and various skin symptoms such as itching and warmth in the flare area also improved. Conclusions: After treatment, the symptoms of the patient who after eating lacquer chicken showed improvement.

측두하악 장애환자에서 두부자세 변화가 초기 교합접촉에 미치는 영향 (The Effect of Head Posture Change on Initial Occlusal Contact in Temporomandibular Disorder Patient)

  • Weon-Ho Choi;Woo-Cheon Kee
    • Journal of Oral Medicine and Pain
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    • 제20권2호
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    • pp.489-496
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    • 1995
  • The purpose of this study was to evaluate an effect of change on head posture initial occlusal contacts with measuring the distances between initial occlusal contacts and maximum intercuspal position at different head posture in TMDs patient. For this study, 24 patients from age 13 to 36 were selected, they were examined health history taken, patients who have sign and symptoms of TMDs were examine before the study. For the normal group, 21 adults from age 23 to 25 were selected. They have normal or class I molar relationship, and have no other prosthetic restorations. Difference on distance between initial occlusal contact and maximum intercuspal position with mandibular kinesiograph$(MKG^R)$(K6 diagnostic system, Myo-tronic Inc, USA) in upright, supine, 45$^{\circ}$ extension, 30$^{\circ}$ flexion position of the head were measured. The Frankfort horizontal plane was used as a reference plane. The results were as follows : 1. There were significant differences between initial occlusal contacts of the normal and patient group on upright position and 30$^{\circ}$ flexion of the head(p<0.05, p<0.01) 2. The position of the initial occlusal contacts have a tendency to place anterior and inferior to maximal intercuspal position in upright position and 30( flexion of the head as well as posterior and inferior in supine position and 45$^{\circ}$ extension of the head in the normal and patient groups. 3. There were significant differences among the initial occlusal contacts between uptight and supine position; upright and 45$^{\circ}$ extension of the head(p<0.05); supine position and 30$^{\circ}$ flexion of the head, .and 30(flexion and 45$^{\circ}$ extension of the head in the patient group(p<0.01) The result have shown that after treatment on the supine position, it may be necessary to check occlusal contact on the upright position as well ass flexion of the head. It may need careful adjustment in occlusal condition on upright position of TMDs patient.

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직업성 접촉 피부염 치험 2례 (2 Cases of Occupational Contact Dermatitis)

  • 손재웅;윤영희;고성규;최인화
    • 한방안이비인후피부과학회지
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    • 제29권4호
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    • pp.169-181
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    • 2016
  • Objectives : The purpose of this case report is to know the effect of Korean medical treatments on occupational contact dermatitis. Methods : We reported 2 cases who visited Allergy and Derma-Cosmetic Clinic of Kyung Hee University Hospital at Gangdong. They were diagnosed with occupational contact dermatitis and treated by Korean medical treatment. Results : One patient recovered after 13 days of admission and total 9 months of outpatient period. Another patient recovered after 9 days of admission and total 7 months of outpatients period through Korean Medical Treatment. Conclusions : We may expect that Korean medical treatment had therapeutic effects on occupational contact dermatitis, but the additional study will be conducted for revealing the exact therapeutic effects.

『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 마황탕(麻黃湯) 투여 후 호전된 접촉성피부염 1례 (A Case Report of Contact Dermatitis treated by Mahwang-tang based on Shanghanlun Provisions)

  • 윤효중;하현이;노영범
    • 대한상한금궤의학회지
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    • 제8권1호
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    • pp.53-65
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    • 2016
  • Objective : The purpose of this paper is to report the improved contact dermatitis(CD) treated with the herbal medication based on Shanghanlun disease pattern identification diagnostic system. The level V steroid ointments were no use to the patient 3weeks before the treatment. Methods : In this case, the patient was diagnosed according to 'Disease Pattern Identification Diagnostic System based on Shanghanlun Provisions' and took Mahwang-tang for 36days since the final diagnosis was Taeyang-byung, number 46 provision. The photographs of patient's hands were taken to observe the process of the skin status and the discomfort from CD was measured with DLQI(Dermatologic Life Quality Index) and NRS(Numeric Rating Scale). Results : The DLQI score changed from 24 to 7 and NRS of itching changed form 8 to under 4. Conclusions : This case report shows that the herbal medication through the diagnostic system could be a remedy on CD, dealing with the skin status with no use of the level V steroid ointments. It is needed proving an alternative possibility of Korean Medicine, on other skin diseases, with later studies since there are many reports on the side-effects after some long-term steroid treatments.

Relation of Handwashing and Isolate of Bacteria from Mobile Phones of Healthcare Workers in a University Hospital

  • Choi, Min-Gyu;Kim, Sang-Ha;Park, Kyu-Ri;Kim, Young-Kwon;Kim, Jungho;Yu, Young-Bin
    • 대한의생명과학회지
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    • 제27권4호
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    • pp.310-316
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    • 2021
  • Mobile phones used by healthcare workers are not only an indicator of the contamination of healthcare associated bacteria, but can also be another source of infection. The number and time of handwashing, mobile phone operation time and disinfection were highly relation with the bacterial contamination on the surface of mobile phone. Healthcare associated bacteria isolated from the mobile phone surface were 28 MRCoNS (48.3%), 14 S. aureus (24.2%), 3 MRSA (5.2%), 5 A. baumannii (8.6%), 3 MRAB (5.2%), 3 Entrococcus spp. (5.1%), 2 Pantoea spp. (3.4%), 2 A. lowffii (3.4%), 1 E. cloacae (1.7%), 1 P. stutzeri (1.7%), and P. mirabillis (1.7%). For isolation according to department, 2 MRAB from the emergency room and 1 MRSA from intensive unit, the radiology team and the rehabilitation medical team, respectively were isolated. As a result of the relation of isolates from the department of patient contact (ER, RT, GW, CP, ICU, RMT), the bacterial isolation rate was 75% and the department of patient non-contact (MRT) was 10%.

응급실 침대 위 흉부전후방향 엑스선 검사를 위한 상의고정장치 개발 (Development of the Upper Wear Fixation Device for Chest AP X-ray Imaging on the Emergency Stretcher Bed)

  • 임우택;홍동희
    • 대한방사선기술학회지:방사선기술과학
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    • 제45권3호
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    • pp.205-211
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    • 2022
  • This study aimed to provide basic data for 3D printing in the medical health field by developing upper wear fixation device (UWFD), an auxiliary device for shortening chest AP examination time on emergency room beds and non-contact with patients. The standard of hooks was modeled according to the bed frame using the Autodesk Fusion 360. It was printed with Form2 (Formlabs, Somerville, MA, USA), as SLA (stereo lithography apparatus) method, and was washed and hardened using Form Wash and Form Cure. The completed UWFD conducted an online survey on 4 items of stability, convenience, availability, preference and general characteristics. The total stability average was 3.93±0.80, the total convenience average was 3.93±0.68, the total availability average was 4.01±0.89, and the total preference average was 3.80±1.08. This study was significant in suggesting improvements in the general X-ray examination process in the emergency room by designing and making aids to easily fixing the patient's top to the frame of the emergency bed while meeting promptness and non-contact with the patient.

콘택트렌즈 착용에 따른 사용자 실태조사 (The Current State of Lens Care in Contact Lens Wearer)

  • 유근창;김인숙
    • 한국안광학회지
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    • 제7권1호
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    • pp.15-20
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    • 2002
  • 콘택트렌즈 착용에 따른 사용자의 실태조사는 안경원과 안과에 내원한 콘택트렌즈 사용자 237명(남자 56명, 여자 181명)을 대상으로 문진과 세극 등 검사, 각막곡률 검사, 굴절검사 등을 하였다. 연구 결과 연령에 따른 현재 착용하고 있는 콘택트렌즈 착용률은 10대 40.9%, 20대 52.3%, 30대 5.5%, 40대 1.3%로 조사되었으며, 콘택트렌즈의 종류는 소프트콘택트렌즈의 경우 10대의 착용률은 82.5%, 20대 83.1%, 30대 38.5%이었으며, 하드 콘택트렌즈 착용률은 10대 17.5%, 20대 16.9%, 30대 61.5%로 조사되었다. 콘택트렌즈 착용목적은 전체 조사자의 40.5%는 안경이 불편해서, 32.1%는 미용목적으로 9.7%는 스포츠를 목적으로 17.7%는 시력교정목적으로 착용한 것으로 조사되었으며, 렌즈관리 시스템의 경우 전체 조사자의 16.5%는 매일세척을 하였으며, 29.1%는 매일 세척과 단백질 제거를 한 것으로 조사되었고, 21.9%는 매일세척과 다목적용액을 사용하였으며, 32.5%는 매일세척과 단백질제거 그리고 다목적용액을 사용한 것으로 조사되었다. 렌즈 착용시간은 10시간 이내가 31.6%, 11~13시간 미만의 경우가 41.3%, 14시간이상은 27%로 조사되었다. 콘택트렌즈 보관방법에서 62%는 보존액, 38%는 식염수를 사용하였다. 콘택트렌즈 교체 이유는 렌즈분실 35%, 렌즈손상 37.6% 이물질 침착 21.9%, 5.5%는 렌즈수명의 이유로 렌즈를 교체하였다. 현재 사용 중인 콘택트렌즈의 주요 자각증상은 급성 충혈의 자각증상 21%, 이물감 20.8%, 통증 19.6%, 건조감 9.4%, 흐린 시야 5.5%, 시야감소 3.8%, 유루 3.7%, 삼출물 2.8%, 가려움 2.6%, 자각증상이 없는 착용자는 10.2%로 조사되었다. 콘택트렌즈 사용자의 렌즈관리 교육에 대한 만족도에서 51%는 만족하였으나 28.7%는 불만족을 나타냈다. 착용자의 정기검사에서 81.1%는 정기검사를 하지 않았으며, 18.1%는 정기검사를 하고 있는 것으로 조사되었다.

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일 대학병원 중환자실 간호사의 손 위생 수행 시점에 대한 지식 조사 (Survey of ICU Nurses' Knowledge of the Specific Moments of Hand Hygiene)

  • 정은하;하이경;박남정;김현희
    • 중환자간호학회지
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    • 제10권2호
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    • pp.56-70
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    • 2017
  • Purpose: This study was conducted to identify ICU nurses' knowledge of the five moments of hand hygiene and the ambiguity of these moments when demonstrating hand hygiene. Methods: The subjects were 200 intensive care unit nurses at a university hospital. Data was collected using self-report questionnaires, translated according to the instructions of training films developed by WHO, and analyzed using descriptive statistics and ranking tests. Results: The highest number of correct answers was regarding the moment before contact with a patient and the lowest was regarding the moment after contact with a patient. The rate of providing wrong answers regarding required moments of hand hygiene was high. Conclusion: The study identified ICU nurses' knowledge of specific moments of hand hygiene; they had difficulty differentiating between the moments that happened simultaneously, i.e. after touching a patient, and that patient's surroundings, and there was ambiguity concerning patient areas and medical treatment areas. It was concluded that it is necessary to educate nurses regarding both required and unrequired moments of hand hygiene and to ensure that they can distinguish between these moments.

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경피적외선 조사요법과 침치료로 병행 치료한 알레르기성 접촉 피부염 환자 치험 1례 (The Clinical Study on 1 Case of Allergic Contact Dermatitis Treated with Infra-red Therapy and Acupuncture)

  • 박인선;정현아;윤일지
    • 혜화의학회지
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    • 제20권2호
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    • pp.125-131
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    • 2012
  • 알레르기성 접촉 피부염을 진단 받고 양방치료를 받았으나 별무 호전하던 환자에게 침치료와 양격산가감방을 복용하여 약 2개월간 증상이 초기보다 증상이 완화되는 효과가 있었다. 그러나 약물 치료를 배제하고 침치료만 시행하던 중 환자가 상열감 및 소양감은 거의 소실되었으나 홍조 증상이 정체 양상을 보였고 이에 저자는 치료후기를 혈조 상태로 변증하고 환자의 환부에 경피적외선조사요법을 시행하여 정체중이던 안면홍조 상태가 최근 약 1달간 10회의 치료로 환자가 만족할만한 효과가 있었다.

성인 편마비 환자의 편측 무시정도에 따른 족저압 비교 (The Comparison of Plantar Pressure Distribution regarding the Extent of Hemineglect in Adult Hemiplegia)

  • 차용준;김경
    • 대한물리의학회지
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    • 제5권1호
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    • pp.43-51
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    • 2010
  • Purpose : The purpose of this study was to compare plantar pressure distribution between affected side and unaffected side and to analyze plantar pressure distribution of affected side according to the extent of hemineglect in the adult hemiplegia. Methods : Twenty-five hemiplegia participated in this study. The analysis of plantar pressure distribution was conducted by the F-scan system, and the extent of hemineglect was evaluated with line-bisection test. While the subject walked about 10 meters in their comfortable speed the plantar pressure was evaluated and stored. Results : Total contact area, AP CoP trajectory, contact pressure of mid-foot of the affected side were significantly different from the unaffected side. Total contact area, AP CoP trajectory and contact pressure of mid-foot were smaller than those of unaffected side. In the comparison among the group according to the extent of hemineglect, AP CoP trajectory of subject who has severe hemineglect was significantly different from the patient that has no hemineglect and it was shorter than that of no hemineglect. Conclusion : The plantar pressure distribution was generally different between affected side and unaffected side and the hemineglect affected negatively the patient to move CoP forwardly while walking. Accordingly, it will help the clinician to understand the hemineglect which has an effect on abnormal walking and to intervent the hemiplegia who has a neglection to the affected side.