• 제목/요약/키워드: Patient contact

검색결과 403건 처리시간 0.028초

심한 퇴행성 악관절 질환 환자에서 보철성 과두를 이용한 하악과두 재건술의 치험례 (A CLINICAL CASE OF ALLOPLASTIC CONDYLE REPLACEMENT WITH CONDYLAR PROSTHESIS IN SEVERE DEGENERATIVE JOINT DISEASE)

  • 전용민;김창현;차정섭;민경기;권종진
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권2호
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    • pp.162-167
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    • 2010
  • This is a case report about patient who had suffered from degenerative joint disease and treated by TMJ reconstruction with condylar prosthesis. The patient visited Korea University An-am hospital on 2007 complaining symptom about both TMJ pain, mouth opening limitation and open bite. From CT view there was severe resorption of both condylar head, therefore condylar prosthesis reconstruction was planned. After 3D RP model analysis for preparation, the patient was operated under general anesthesia for condylar prosthesis reconstruction and the symptom was alleviated. (increased mouth opening, reduced anterior open bite, full mouth occlusal contact achieved) Follow up was carried out monthly, but after this, patient refused follow up. After 26 months from the operation, the patient revisited for anterior open bite. In clinical evaluation, occlusal contact was remained, but anterior open bite was relapsed. From cephalometry analysis, severe resorption of glenoid fossa was found. Therefore, Autogenous disc reconstruction with alloplastic material was planned on August 2009. After another surgery, condylar prosthesis was regained its normal position in glenoid fossa, and occlusion was recovered properly.

일 병원 직원의 삶의 질에 관한 예비적 연구 - 경험에 대한 비교 - (A Preliminary Study on Quality of Life of Staffs in a Hospital - Comparisons between Direct and Indirect Patient Contact Group -)

  • 류석환;서승우;정수기
    • 정신신체의학
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    • 제12권1호
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    • pp.38-46
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    • 2004
  • 연구목적: 병원에 근무하는 직원의 삶의 질에 관하여 조사하여 향후, 정신과 환자와 보호자의 삶의 질을 평가하기 위한 기초자료로 활용하기 위함이다. 방 법: 안강중앙병원에 근무 중인 직원을 대상으로 하여 삶의 질에 관한 설문지를 이용하여 조사하였다. 결 과: 삶의 질은 통계적으로 유의하지 않으나 대체로 긍정적이었으며, 간접 접촉군이 더 긍정적이었다. 기혼집단이 더 긍정적이었다. 연령에서는 30대와 40대가 더 긍정적이었으며, 대체로 고학력군이 긍정적이었으나, 유능감 요인과 신체적 안녕 요인은 저학력군이 더 긍정적이었다. 결 론: 본 연구에서 실시된 장기 가족교육모형은 가족의 대처방식을 향상시키고 우울증상의 감소를 가져오며, 환자가 자각하는 가족의 정서적 지지의 향상 및 우울증상의 호전을 가져오고, 재입원율의 저하 및 사회재활의 향상을 보이는 것으로 나타났다.

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코로나 바이러스 대유행에 따른 치과 의료 관리 가이드라인 (Guidelines for dental clinic infection prevention during COVID-19 pandemic)

  • 김진
    • 대한치과의료관리학회지
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    • 제8권1호
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    • pp.1-7
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    • 2020
  • Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

소프트콘택트렌즈의 단백질 부착 양상 및 가시광선투과도와 접촉각에 미치는 영향 (The adsorption pattern of protein to the soft contact lens and its effect on the visible light transmission and the contact angle)

  • 박미정;권미정;현선희;김대수
    • 한국안광학회지
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    • 제9권1호
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    • pp.53-68
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    • 2004
  • 소프트콘택트렌즈의 단백질 부착은 미생물에 의한 감염을 증가시킬 뿐만 아니라 이물감이나 흐릿한 시야를 비롯한 착용감의 저하 등과 같은 많은 부작용을 유발할 수 있다. 본 연구에서는 20대 20명(40안)이 착용한 소프트콘택트렌즈에의 단백질 부착 양상을 착용시간별로 조사하고, 렌즈의 접촉각과 총 가시광선 투과도에 미치는 영향을 알아보았다. 또한 각막의 용도 및 pH 변화가 단백질의 부착에 미치는 영향에 대하여서도 연구하였다. Etafilcon A 재질의 2주착용 소프트콘택트렌즈는 다목적용액으로 매일 관리를 하였음에도 불구하고 렌즈에 단백질이 남아있었으며 착용이 계속됨에 따라 정점 부착되는 단백질의 양도 증가하여 착용 후 14일이 지난 렌즈의 경우는 이미 렌즈의 접촉각이 통계적으로 유의성있게 크게 증가하여 렌즈 표면의 습윤성에 영향을 미칠 수 있음을 알 수 있었으며, 총 가시광선 투과량도 7% 정도 감소하였음을 확인하였다. 또한 소프트콘택트렌즈에서 단백질의 부착은 누액의 온도가 증가할수록 많아졌으며 누액의 pH가 중성인 경우 단백질의 부착양이 가장 적었으며 산성이나 알칼리성으로 갈수록 부착되는 단백질의 양이 증가하였다. 연속착용렌즈 착용시에는 눈을 뜨고 있는 활동시간보다 눈을 감고 있는 수면 중에 렌즈에 부착되는 단백질의 양이 크게 증가하였으며 이러한 결과는 성별과 관계없이 동일하였다. 연속착용렌즈를 8시간동안 착용하였을 때 렌즈에 부착된 단백질의 양은 렌즈 표면의 접촉각과 총 가시광선 투과도에 큰 변화를 주지는 않았다.

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보철물 수복 형태에 따른 T-Scan Novus와 Dental prescale II를 이용한 교합력 평가 활용 증례 (Evaluation of occlusal strength using T-Scan Novus and Dental prescale II in dental prosthodontic treatments: A case report)

  • 최수현;최유성;이종혁;하승룡
    • 대한치과보철학회지
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    • 제61권2호
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    • pp.160-178
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    • 2023
  • 보철 치료 시 교합관계의 진단과 분석은 중요한 요소 중 하나이다. 치료 시행 전 면밀한 교합분석 및 평가가 선행되어 안정적인 악간 관계를 회복시켜 주어야 하며, 치료 과정 및 정기 검진 시에도 이에 대한 평가는 필수적이다. 최근, 치과용 기기와 디지털 처리 방식의 발달로 환자의 교합관계를 기록할 수 있는 새로운 정량적 분석 방법들이 소개되고 있다. 그 중 T-Scan Novus (Tekscan Inc., S. Boston, MA, USA)는 압력측정센서를 이용하여 상하악 치아의 초기접촉점과 교합접촉점의 상대적인 강도를 나타내며 치아의 교합접촉 시간, 교합력의 전후방, 좌우균형을 비교할 수 있다. Dental prescale II (GC Co., Tokyo, Japan)는 압력감지필름을 이용하여 교합접촉점을 스캔하여 접촉점의 밀도를 분석하는 방법으로 최대한 자연스러운 교합상태 치열의 교합력 분포와 강도를 측정할 수 있다. 환자의 치아 상실 부위와 범위에 따라 4-unit 고정성 국소의치, 가철성 국소의치, 총의치, 완전구강회복술을 시행하였다. 적절한 교합 분석을 위해, 초진, 각 치료 단계, 치료 직후 및 정기검진 시의 환자의 교합을 T-Scan Novus와 Dental prescale II를 이용하여 정량적으로 비교, 평가하였다. 보철수복 치료과정에서 교합 분석에 대한 이해도를 제고할 수 있었고, 기능 및 심미적으로 환자와 술자 모두 만족할 만한 결과를 얻었기에 이를 보고하고자 한다.

외부 환경 변화에 의한 비 접촉 체온계의 오차 범위 측정 (Investigation of Standard Error Range of Non-Contact Thermometer by Environment)

  • 김정은;박상웅;최혜경
    • 대한통합의학회지
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    • 제8권4호
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    • pp.307-321
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    • 2020
  • Purpose : A person infected by SARS-CoV2 may present various symptoms such as fever, pain in lower respiratory tract, and pneumonia. Measuring body temperature is a simple method to screen patients. However, changes in the surrounding environment may cause errors in infrared measurement. Hence, a non-contact thermometer controls this error by setting a correction value, but it is difficult to correct it for all environments. Therefore, we investigate device error values according to changes in the surrounding environment (temperature and humidity) and propose guidelines for reliable patient detection. Methods : For this study, the temperature was measured using three types of non-contact thermometers. For accurate temperature measurement, we used a water bath kept at a constant temperature. During temperature measurement, we ensured that the temperature and humidity were maintained using a thermo-hygrometer. The conditions of the surrounding environment were changed by an air conditioner, humidifier, warmer, and dehumidifier. Results : The temperature of the water bath was measured using a non-contact thermometer kept at various distances ranging from 3~10 cm. The value measured by the non-contact thermometer was then verified using a mercury thermometer, and the difference between the measured temperatures was compared. It was observed that at normal surrounding temperature (24 ℃), there was no difference between the values when the non-contact thermometer was kept at 3 cm. However, as the distance of the non-contact thermometer was increased from the water bath, the recorded temperature was significantly different compared with that of mercury thermometer. Moreover, temperature measurements were conducted at different surrounding temperatures and the results obtained significantly varied from when the thermometer was kept at 3 cm. Additionally, it was observed that the effect on temperature decreases with an increase in humidity Conclusion : In conclusion, non-contact thermometers are lower in lower temperature and dry weather in winter.

외부광 차단을 위한 설진기 안면접촉부 설계 (Structural Design of Facial Contact Parts in Computerized Tongue Diagnosis System to Block Out External Light)

  • 김지혜;남동현
    • 대한한의진단학회지
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    • 제17권3호
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    • pp.225-232
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    • 2013
  • Objectives The aim of this study is to design a part in contact with the face of computerized tongue diagnosis system (CTDS), so that external light is effectively shielded even if the facial appearance and degree of protrusion differ when a patient opens or closes his/her jaws. Methods Each of the 4 researchers manually produced clay models of the part in contact with the face of CTDS. Shielding and contact feeling of the clay models were evaluated by 20 assessors. Based on the evaluation, we selected the appropriate model and produced the final silicon model. Then we evaluated the performance of the shielding of the completed silicon model. We took tongue pictures of 60 participants with a CTDS applying the silicon model in condition with external light and without it. The color values in RGB color model and gray scale of the tongue pictures in condition with external light were compared with those without external light. Results There was no significant difference between the color values of the picture taken in condition with external light and those without external light. Conclusions We concluded that the produced part in contact with the face of CTDS can effectively block out the external light.

모르타르로 인한 직업성 알레르기성 접촉성 피부염 치험 1례 (A Case of Occupational Allergic Contact Dermatitis Caused by Mortar)

  • 엄예진;홍철희
    • 한방안이비인후피부과학회지
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    • 제27권4호
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    • pp.209-220
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    • 2014
  • 홍반과 소양감을 주증으로 하는 모르타르로 인한 직업성 알레르기성 접촉성 피부염 환자 1례에서 한약치료, 침 치료, 약침치료 및 외치요법 등의 한방치료만으로 양호한 치료효과를 확인하여 이를 보고하는 바이다.

接觸性 皮膚炎의 治驗 1例 (A Case of Contact Dermatitis)

  • 김민희;윤소원;윤화정;고우신
    • 한방안이비인후피부과학회지
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    • 제17권2호
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    • pp.94-98
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    • 2004
  • A female sixty years old visited the Dept. of Oriental Medical Ophthalmology & Otolaryngology & Dermatology Hospital, Dong-eui University with contact dermatitis. she was suffering from the topical itching, empalement, ruler, edema and vesicle etc in skin of the face and two dorsum manus. We treated a patient with only Oriental Medicine.(internal and external use of the herbal medicine and acupuncture) After two weeks or so, the symptom of the skin disease recovered remarkably, we think that this is good case to treat with Oriental Medicine.

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IR-UWB 레이더를 이용한 비접촉 실시간 심박탐지 (A Non-contact Realtime Heart Rate Estimation Using IR-UWB Radar)

  • 변상선
    • 대한임베디드공학회논문지
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    • 제14권3호
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    • pp.123-131
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    • 2019
  • In recent years, a non-contact respiration and heart rates monitoring via IR-UWB radar has been paid much attention to in various applications - patient monitoring, occupancy detection, survivor exploring in disaster area, etc. In this paper, we address a novel approach of real time heart rate estimation using IR-UWB radar. We apply sine fitting and peak detection method for estimating respiration rate and heart rate, respectively. We also deploy two techniques to mitigate the error caused by wrong estimation of respiration rate: a moving average filter and finding the frequency of the highest occurrence. Experimental results show that the algorithm can estimate heart rate in real time when respiration rate is presumed to be estimated accurately.