• 구강회복응용과학지
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• 제32권4호
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• pp.345-350
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• 2016

전악 재건이 필요한 환자의 진단 과정에서, 환자 고유의 하악 운동을 재현해 내기 위해 환자의 시상과로각과 전방 유도각을 교합기 상에 인기하는 것은 필수적이다. 이번 증례에서는 전악 수복이 필요한 환자에게서 ARCUS digma I system을 이용하여 환자 고유의 과로각 채득 후, 기능적으로 알맞은 전치 유도각을 설정하여 이를 바탕으로 교합 거상이 적용된 임시치아로 적응하도록 하였다. 그 후 ARCUS digma II system을 활용하여 교합기상에 최종 마운팅하여 보철물을 장착함으로써 심미적이면서도 환자의 고유 과로각에 알맞은 기능적 임상결과를 얻었을 뿐 아니라, 두 시스템간의 비교한 결과를 얻을 수 있었기에 이에 보고하고자 한다.

• 기본간호학회지
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• 제16권1호
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• pp.92-102
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• 2009

Purpose: Relocation stress is a common phenomenon in patients discharged from an intensive care unit(ICU) to a ward. Therefore, nurses need to be aware of the problems that can arise during the transfer process. The aim of this study was to identify nurses' experiences in transferring critically ill patients from the ICU to a ward. Method: Focus group interviews were done with 13 nurses from wards and ICU, which participated in receiving and sending of ICU patients. The debriefing notes and field notes were analyzed using the consistent comparative data analysis method. Result: Seven major categories were identified in the analysis of the data. These were 'mixed feeling about transfer', 'lack of transfer readiness', 'increase in family burden', 'uncertainty with unfamiliar environment', 'difficulty in decision making', 'difference of perception of the relationships between patients and health care providers', 'need for continuity of nursing care'. Conclusion: Transferring out of the critical care area should be presented to the patient and family as a positive step in the recovery process. However, a more universal method of passing information from nurse to nurse is needed to assist in a smooth transition.

• 대한치과보철학회지
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• 제34권3호
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• pp.448-456
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• 1996

The purpose of this study is to evaluate suitable anterior reference point similar to esthetic reference plane of the patient while transferring the suitable facebow. So those who live in Pusan with the normal occlusal relationship were chosen as subjects. The esthetic reference planes determined by the participants themselves and the superior reference line (anterior reference point) in Hanau & Denar articulator were compared with F-H plane in the standard lateral cephalogram. The results were as follows. 1. The angle between the esthetic reference plane and F-H plane was $2.81{\pm}5.7^{\circ}$. 2. The reference line, 43mm from Beyron point to the edge of the upper incisor, was the reference plane that had the closest paralleled relationship with the esthetic reference plane. 3. Transferring with ear piece type face-bow, the anterior reference point that showed the esthetic reference plane was 17mm below orbitale or 43mm above, the edge of the upper incisor.

• 대한간호학회지
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• 제46권1호
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• pp.39-49
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• 2016

Purpose: This study was done to develop a postural-stability patient transfer technique for care helpers in nursing homes and to evaluate its effectiveness. Methods: Four types of patient transfer techniques (Lifting towards the head board of the bed, turning to the lateral position, sitting upright on the bed, transferring from wheel chair to bed) were practiced in accordance with the following three methods; Care helpers habitually used transfer methods (Method 1), patient transfer methods according to care helper standard textbooks (Method 2), and a method developed by the author ensuring postural-stability (Method 3). The care helpers' muscle activity and four joint angles were measured. The collected data were analyzed using the program SPSS Statistic 21.0. To differentiate the muscle activity and joint angle, the Friedman test was executed and the post-hoc analysis was conducted using the Wilcoxon Signed Rank test. Results: Muscle activity was significantly lower during Method 3 compared to Methods 1 and 2. In addition, the joint angle was significantly lower for the knee and shoulder joint angle while performing Method 3 compared to Methods 1 and 2. Discussion: Findings indicate that using postural-stability patient transfer techniques can contribute to the prevention of musculoskeletal disease which care helpers suffer from due to physically demanding patient care in nursing homes.

• 한국인터넷방송통신학회논문지
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• 제18권5호
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• pp.215-222
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• 2018

최근 다양한 전동 침대의 개발과 보급이 활발하게 이루어지고 있다. 전동침대는 높이조절, 등판상승, 무릅상승, 틸트기능 및 좌우회전의 기능을 가지고 있으며 리모콘을 통해 편리하게 환자가 스스로 또는 보호자가 환자를 움직일 수 있다. 그러나 이미 나와 있는 의료용 전동침대에는 욕창방지, 시트교환, 환자의 이송기능이 없으므로 욕창 방지를 위해서는 욕창 방지 매트릭스를 사용하여 체압을 분산하고, 시트 교환이나 환자의 이송시에는 간병 인력이 붙어 일을 하게 된다. 하지만 이러한 일은 근력과 중노동을 수반함으로서 간호사들이 힘든 간호를 기피하는 현상이 발생하고 있다. 본 연구에서는 이러한 간호 업무를 수월하게 보조하기 위해 욕창방지, 시트교환 및 환자이송을 자동으로 행하는 다기능 병상을 개발하는 것을 목표로 하여 세계 최초의 시제품을 개발하고 시스템이 정상적으로 동작하는 것을 확인하였다. 앞으로 제안된 자동화된 다기능 전동 침상은 스마트 헬쓰케어를 위한 의료용 로봇의 한 모델이 될 수 있을 것으로 기대 된다.

• International journal of advanced smart convergence
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• 제5권1호
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• pp.1-7
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• 2016

Recently, introduced a cloud computing technology to the IT industry, smart phones, it has become possible connection between mobility terminal such as a tablet PC. For dissemination and popularization of movable wireless terminal, the same operation have focused on a viable mobile cloud in various terminal. Also, it evolved Wireless Sensor Network(WSN) technology, utilizing a Body Sensor Network(BSN), which research is underway to build large Ubiquitous Sensor Network(USN). BSN is based on large-scale sensor networks, it integrates the state information of the patient's body, it has been the need to build a managed system. Also, by transferring the acquired sensor information to HIS(Hospital Information System), there is a need to frequently monitor the condition of the patient. Therefore, In this paper, possible sensor information exchange between terminals in a mobile cloud environment, by integrating the data obtained by the body sensor HIS and interoperable data DBaaS (DataBase as a Service) it will provide a base of mBodyCloud System. Therefore, to provide an integrated protocol to include the sensor data to a standard HL7(Health Level7) medical information data.

• 대한간호학회지
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• 제52권2호
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• pp.134-143
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• 2022

Purpose: The study aimed to understand the delirium experience of intensive care unit (ICU) patients. Methods: We performed a qualitative study using Colaizzi's phenomenological method. Eleven patients, who experienced delirium according to the Confusion Assessment Method for ICU, participated after transferring to general wards from the ICU. Individual in-depth semi-structured interviews ranging from 30 minutes to 2 hours in length were conducted between November 2018 and August 2019. Results: Nine themes and four theme clusters emerged. The four theme clusters were: 1) "Overwhelmed by fear," which describes the experience of a patient close to death and the feeling of difficulty in understanding disorganized thinking; 2) "Anxious about not understanding the situation," which means that patients' sense of time and space were disordered in the ICU; 3) "Being deserted," which indicates the feeling of being separated from others and yourself; and 4) "Resistance to protect my dignity," which indicates that the dignity and autonomy of an individual in the patient's position at the ICU, are ignored. Conclusion: Nursing interventions are needed that would enable patients to maintain orientation and self-esteem in the ICU. In addition, healthcare providers need to provide information about the unfamiliar environment in the ICU in advance.

• Archives of Plastic Surgery
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• 제48권6호
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• pp.699-702
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• 2021

Extensive bone loss associated with severe vascular injury remains a challenge for lower extremity reconstruction. The fibular free flap has been utilized for many decades to reconstruct long-segment tibial defects. We present an unusual scenario of unilateral weight-bearing, wherein we salvaged the sole lower extremity by transfer of the fractured ipsilateral fibula and a bipedicled skin flap. A 38-year-old man sustained a severe crush injury in the right leg with loss of circulation. His left lower leg had a soft tissue defect measuring 20×15 cm with an exposed comminuted fracture and a 17-cm tibial defect, along with a segmental fracture of the fibula. Subsequently, we reconstructed the tibial defect by transferring a 17-cm-long section of the ipsilateral fibula. We covered the soft tissue defect with a bipedicled skin flap. The patient eventually began to ambulate independently after surgery.

• 의료법학
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• 제14권2호
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• pp.281-313
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• 2013

A physician has to do his best for the better treatment of his patiensts. But, if a physician cannot remedy his patients because of the lack of hospital facilities, the lack of medical knowledge and etc., the physician must transfer his patients to another suitable hospital immediately. This is called the duty of interhospital transfer of patients. The necessity of interhospital transfer of patients is primarily ocurred in emergency medical care situations. The Supreme Court Decision 2010DO7070 delivered on April 29, 2010 is one of the important decisions related to the duty of interhospital transfer of patients. The Supreme Court ruled that there were the physician's medical malpractice and the causation between the physician's medical malpractice and the death of patient, as the physician has left the patient without due observations for 1 hour and 30 minutes after the caesarean operation inspite of mass bleeding during the operation, and has transferred the patient to another suitable hospital later. And the Supreme Court ruled that the transferring physician has to explain the situation of the patient in detail to the physician being transferred. I agree with the Supreme Court Decision. As decided by the Supreme Court, physicians will treat their patients more carefully and in case of necessity for transfer, physicians will transfer their patients with more caustion. However, the study for this issue should be continued hereafter because concrete standards are not given to lawers and physicians just by the Supreme Court Decisions itself.

• 한국콘텐츠학회논문지
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• 제14권11호
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• pp.328-336
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• 2014

본 연구는 2013년 12월 현재 요양병원에 입원생활 중인 노인들 중 환자평가표의 평가구분에서 계속입원중인 환자 평가를 받은 3개월 이상 입원중인 노인들을 대상으로 실질적으로 부양 및 요양간병 시 집중적으로 관심을 가져야 하는 일상생활활동이 무엇인지를 파악해 보고자 하였다. 연구결과, 일상생활사에 관한 의사결정을 할 수 있는 인식기술 상태와 일상생활활동수행능력들 간의 인과관계를 로지스틱 함수를 이용하여 추정한 결과, 일상생활사 의사결정 인식기술 상태가 심하게 손상된 경우에는 노인들에게 실질적으로 부양 및 요양간병 시 '식사하기' 활동과 '옮겨 앉기' 활동에 집중적으로 관심을 가져야 한다는 것을 확인하였다. 또한 '식사하기' 활동과 '옮겨 앉기' 활동 외의 활동들은 일상생활사에 관한 의사결정을 할 수 있는 인식기술 상태보다는 노화나 질병으로 인한 신체적 기능이 떨어져서 나타난 결과로 유추해 볼 필요성이 있을 것이다. 따라서 이 경우에는 부양이나 요양간병 시 도움을 받는 노인들의 인격이나 수치심 등 자존감을 고려하여 수발자들은 행동과 언어에 각별히 신경을 써야 할 것이다.