• 제목/요약/키워드: Wearing period

검색결과 299건 처리시간 0.061초

노인들의 의치 장착 기간과 의치 사후 관리에 영향을 주는 요인 - 경북 농촌지역을 중심으로 - (Factors Affecting Period of weared and Post Management of Denture of the Elderly (Rural areas in Gyoungbook Province))

  • 한석윤;배봉진;이화식
    • 대한치과기공학회지
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    • 제34권4호
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    • pp.433-445
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    • 2012
  • Purpose: In order to validate empirically the theoretical model of this study subjects, who were limited in Andong gun, Youngyang gun, Uiseong gun, Bonghwa gun, Chilgok gun, Cheongsong gun according to residence-specified distribution and over aged 65, were focused to the elderly in rural areas with geographical characteristics where they have difficulties in accessibility of dental facilities and dental care. Methods: The collected data were analyzed by the SPSS 19.0 program. First, the frequency analysis was performed for each independent variable and the dependent variable. Second, reliability analysis and correlation analysis were conducted for daily living skills and Biomedical Vigilance. Third, multivariate analysis was performed in terms of and the post-administration management. Fourth, multiple regression analysis was performed to identify the factors affecting the post-management of dentures and the period of using dentures. Results: By results of the multiple regression analysis, the elder the subjects are(${\beta}$ = 0.03), the lower their income activities are(${\beta}$ = -0.18), the smaller their monthly allowances are(${\beta}$ = -0.16), the worse their daily activity skills are(${\beta}$ = -0.12), the more they were mounted their dentures by an unlicensed contractor(${\beta}$ = 0.07), and the more they cost to their dentures(${\beta}$ = 0.14), the longer the period of use dentures are. And the beneficiaries of Basic Livelihood Security(${\beta}$ = -0.14) who got free denture business are shorten the period of using dentures. According to multiple regression analysis for post management of dentures, the independent variables like the health education(${\beta}$ = 0.24), smoking(${\beta}$ = -0.18), periodic oral examination(${\beta}$ = 0.13), dentures mounted by an unlicensed contractor(${\beta}$ = -0.13) are shown statistically significant results. In that study subjects are taking part in health education and non-smokers, they are likely to have more chances to post management for their dentures like periodic oral examination. However the subjects who were weared their denture by an unlicensed contractor get less chance to post management for their dentures. Conclusion: As the elderly who want to wear denture are increasing due to the denture insurance for the elderly, the need for oral health education for the elderly is an urgent request, especially continuos education for the way of use their dentures and follow-up management for the elderly who were already mounted their dentures. And also, the need for more systematic researches is requested for securing objective data.

영ㆍ정조 시대의 속화에 나타난 18C 복식에 관한 연구 -오명현, 윤용, 이인상, 강희언, 작품을 중심으로- (A Study of Costumes of the 18th Century, Appearing in Genre Paintings from the King Young-Cho Period to the King Jung-Cho Period: Focused upon the Works of Focused upon the Works of Mung-Hyun Oho, Yong Yun, In-Sang Lee, Hee-Eon Kang)

  • 최은주
    • 복식문화연구
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    • 제12권5호
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    • pp.859-879
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    • 2004
  • As a result of research, the characteristics of the general costumes from the king Young-Cho period to the king Jung-Cho period in Genre Paintings of Mung-Hyun Oho, Yong Yun, In-Sang Lee, Hee-Eon Kang follows. First, the typical man wore his hair in a topknot(sangtu), and put on 'Bung-gu-ji', 'Lip', or a scarf on his head. The length of the 'Jeogori'(Korean traditional jacket) was long enough to cover the waist. Dress for work had side slits, and had half length sleeve Jeogori, and short pants looked like 'Jam-bang-i'. They went barefoot and wore 'Jipsin'(Korean traditional straw shoes). Dress for outdoor was 'Po' that knot at front of chest by band. 'Baji'(slacks) were with knot below knee, worn 'Hang-jun'(ankle band) and the width of slacks was suitable. They were 'Beoseon'(Korean traditional socks) and shoes. Second those in the upperc1ass and those in the military put on 'Mang-geon', 'Gat', 'Sa-bang-gan', 'Tang-geon', 'Bok-geon' on their head on a topknot. Most of them wore 'So-chang-i', 'Jung-chi-mag' or 'Do-po'. The length of Jeogori covered the waist or the hip and were tied with 'Go-rum'(ribbon). Baji was tied with Hang-jun and 'Dae-nim'. The waist of the slacks were tied with a dark colored waist-band and folded down their waist of slacks. They wore white color Beoseon and 'Hye' or dark color leather shoes. They wore 'Sup'(assistant of arm) for bow. It showed the lifestyle of the 18C with fan, 'Be-ru', 'Mug', 'Yun-jug', teacup, pot, etc. Third, child's hair was short or knotted to the back of the head. The length of Jeogori reached waist line, Git of Jeogori was 'Dunggurai-Kit'(shape of round) and other style Jeogori, which reached the hip line, had side-slit. Baji was tied with Dae-nim, and the width of the slacks is suitable. They hang 'Yum-nang'(Pocket). Final, most women worked outdoors wearing their hair in a high twisted style, or covered it with scarf. They wore Jeogori and 'Chima'(Korean traditional skirts), Bagi. They folded up the sleeves of the Jeogori. And they folded the 'Jambang-i-styled' pants to just above the knees, fastening at the waist. When they wore skirts, they also wore underpants under the skirt that went down to the knees. Most of them went barefoot and wore straw shoes, Jipsin. Through genre paintings, we can understand the ways and forms of our ancestor's clothing. And with our understanding, interest, and passion, we can be familiar with Hanbok in our daily life by succeeding and creating its peculiar style. And then we can promote the globalization of Hanbok.

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남성 Vest의 기원과 변천과정에 관한 연구 (A Study on the Origin and the Developing Process of Vest for Men)

  • 김서영;이순홍
    • 복식문화연구
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    • 제6권3호
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    • pp.56-72
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    • 1998
  • Vest is a general term for a sleeveless upper garment and it derives from a kolobus of a sleeveless tunic style that was started to be worn as a substitution of a chiton by the peasantry in Greek period. The kolobus started to be called a colobium or a tunica from Roman period and the former was named for a vest style tunica which was worn by the people of the lower classes in early Roman period. Similarly, a German colobium of North Europe which was worn during the same period was the same kind of clothe as the Roman colobium. The colobium came to be worn over a dalmatica as an outer garment by early Christians when it was the Middle Ages, who succeeded the tradition of colobium as they went through ancient Rome, Creek and Byzantine days. North Germans also succeeded the colobium tradition of ancient Germans as it was and so continued to wear it in tight style. The simple vest style of colobium was getting vanished from the mid of the Middle Agnes and a new style of vest named jupon was started to be worn by soldiers. The jupon was to protect soldiers' bodies from either were cold weather or enemies wearing under armors as it was made with double cotton pad by quilt. From 14th century, the jupon began to be worn by not only soldiers but also the humble of lower classes. All the jupon which were made in quilting and padding of that time began to be named a pourpoint by the humble. When Renaissance in 16th century came, the pourpoint began to be developed to an exaggerating body-line style. The neckline of pourpoint was getting highly influenced by Spain and a peacecod-belly of it emphasized the exaggerated masculine beauty of Renaissance by padding in round. The sleeves were puffed out and the whole purpoint was made to expose an inner chemise by slashing vertically or obliquely. But in 17th century, the pourpoint has been changed into more simple style without padding, puffing out and slashing influenced by the citizens' clothes of Netherlands. The pourpoint came to be more comfortable bulky style with short sleeves or sleeveless and straight side lines. The pourpoint in mid 17th century turned to be a bolero jacket style by gradually being tightened. It had been then changed into a vest style with sleeves and worn under an overcoat with the name of vest in the end of 17th century. The early vest was 2∼3 inches les in length than the overcoat and had long sleeves and many ornamental buttons on front. It was also made as a home wear to be worn it alone at home. In 18th century, the length of the vest became shorter compared with that of 17th century and the most important decorative item in clothes. It again came to have complete sleeveless vest style and had very short length reaching waist in the end of 18th century. When it was in 19th century, the vest had developed into more various style and colors and style had been applied to be worn by individuals with their tastes. Around the end of 19th century, the increasing tendency to be casual by industrialization influenced on clothes in all aspects of life and so the male vest has been gradually changed into more casual style. Nowadays, it has been developing into various uses in modern male clothes to show their characters.

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저용량 I-131 투여시 Apron 착용여부에 따른 차폐효과에 대한 고찰 (Consideration on Shielding Effect Based on Apron Wearing During Low-dose I-131 Administration)

  • 김일수;김호신;류형기;강영직;박수영;김승찬;이귀원
    • 핵의학기술
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    • 제20권1호
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    • pp.32-36
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    • 2016
  • 핵의학검사에서 $^{131}I$은 갑상선암 및 질환의 진단, 치료등 핵의학 검사에서 많이 사용되고 있다. $^{131}I$${\gamma}$선과 ${\beta}^-$선을 방출하여 검사와 치료를 할 수 있고, 높은 집적율과 신장을 통한 빠른 배설이 용이 하지만, $^{131}I$(364 keV)은 $^{99m}Tc$(140 keV)보다 고에너지이기 때문에 작업을 수행 시 조작 및 투여 과정에서 $^{99m}Tc$보다 술자의 피폭을 줄이기 위해 외부피폭 방어의 3요소인 거리, 시간, 차폐 중에 차폐에 주안점을 두어 $^{131}I$ 조작 시 차 폐체 착용 전과 후의 피폭선량의 차이를 비교하고자 한다. Apron(보통 Pb 0.5 mm) 착용 시 $^{99m}Tc$은 90%이상이 차폐가 되지만, $^{131}I$은 고에너지이기 때문에 차폐효과가 비교적 낮고, 고용량의 경우 산란선(2차) 및 제동방사선의 영향으로 오히려 더 피폭을 받을 수 있다. 하지만 저용량(74 MBq) 고에너지의 경우 이에 대한 특별한 보고나 Guide Line이 마련되어 있지 않아, $^{131}I$ 조작 시 Apron 착용 유무에 따른 술자의 피폭선량을 정량적으로 분석하고자 한다. 본원 핵의학과에서 2014년 6월부터 2014년 12월까지 7개월 동안 갑상선암 치료 및 진단을 위한 저용량$^{131}I$을 투여하기 위해 방문한 갑상선암 환자를 대상으로 준비과정부터 투여 시까지 연구기간 동안 갑상선, 가슴, 고환 3곳에 Apron 안쪽과 바깥쪽 각각 1개씩 총 6개의 TLD를 부착한 뒤 $^{131}I$검사 과정부터 투여 시 까지의 방사선 피폭선량을 측정하였다. 총 작업시간은 설명시간 3분, 분배시간 1분, 투여시간 1분으로 각각 1인당 5분이내로 설정하였다. TLD 위치설정은 일반적으로 피폭선량을 측정하는 가슴과 방사선 감수성이 높은 갑상선 및 고환으로 설정하였다. 준비과정은 $^{131}I$$2m{\ell}$ 주사기를 이용해 74MBq을 분배한 뒤 생리식염수와 희석해 $2m{\ell}$의 용량을 만들어 분배한다. $^{131}I$을 분배 후 환자에게 투여 시 컵에 물을 $100m{\ell}$ 담고 분배한 $^{131}I$을 희석하여 환자 1 m 정도 거리를 두고, 경구투여 한다. 그리고 경구투여 한 $2m{\ell}$ 주사기와 컵을 폐기하는 과정을 Apron과 TLD를 착용한 상태에서 시행하였다. Apron과 TLD는 방사선 피폭이 미치지 않는 보관실에 따로 보관하였고, 서울방사선 서비스에 의뢰하여 피폭선량을 측정하였다. 연구기간 동안 저용량 $^{131}I$ 검사 시 갑상선, 가슴, 고환 부위에 Apron 안과 밖d[착용한 TLD의 매월 누적선량을 인원수로 나눈 결과를 가지고, SPSS Version. 12.0K를 이용해 Wilcoxon Signed Rank Test를 사용하여 통계를 시행하였다. 그 결과 갑상선(p = 0.345), 가슴(p = 0.686), 고환(p = 0.715)은 모두 p > 0.05으로 유의한 차이가 없음을 알 수 있었다. 그리고 연구기간 동안의 총 누적선량의 변화를 백분율로 환산하였을 때, 갑상선 -23.5%, 가슴 -8.3%, 고환 19.0%로 나타났다. Wilcoxon Signed Rank Test를 사용한 결과 통계적으로 유의한 차이가 없는 것으로 나타났다(p > 0.05). 또한 7개월간의 누적선량으로 차폐율을 계산 했을 때 에는 Apron 안쪽과 바깥쪽의 피폭선량의 변화가 불규칙적으로 나타나는 결과를 보였다. 이 결과는 백분율로 표현 시 변화폭이 커보이지만, 누적 피폭선량이 소수점 이하이므로 큰 변화라고 보기 어렵다. 그러므로 고에너지 저용량 $^{131}I$ 투여 시 Apron을 착용유무와 상관없이 일정한 거리를 두고 최대한 빠른 시간 내에 투여를 종료하는 것이 피폭선량을 줄이는 데 도움이 될 것이다. 본 연구는 $^{131}I$ 투여시간을 1인당 각 5분 이내로 투여 할 수 있도록 제한하고, 거리를 1 m로 일정하게 하여 작업 할 수 있도록 하였으나 통계 시 N수가 적어서 비모수적인 방법으로 통계를 시행함으로써 정확한 결과를 얻기에 부족한 부분이 있었다. 또한 저용량 $^{131}I$ 투여 시 각 1인당 피폭선량을 직독식 선량으로 측정하지 못하고, TLD를 이용한 누적선량으로 측정한 결과 값이므로 전자선량계 및 포켓선량계를 이용한 측정이 이루어진다면 더 효과적인 결과를 얻을 수 있을 것으로 사료된다.

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Myopia Control Lens, Single Vision Lens, Reverse Geometry Contact Lens의 연령에 따른 굴절교정상태 변화에 대한 추적 연구 (Changes of Refractive Correction Value with Different Age Group: A Case for Myopia Control Lens, Single Vision Lens and Reverse Geometry Contact Lens)

  • 윤민화
    • 한국안광학회지
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    • 제18권1호
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    • pp.75-84
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    • 2013
  • 목적: 연령에 따라 역기하콘택트렌즈(reverse geometry contact lens), MC렌즈(myopia control lens)를 착용 한 후 근시진행억제 효과에 대한 굴절교정값의 변화를 단초점렌즈(single vision lens)와 비교해 알아보고자 한다. 방법: 6세에서 15세 사이의 아동에게 역기하콘택트렌즈 57안, MC렌즈 56안, 단초점렌즈 78안을 각각 착용시킨 후 연령에 따라 Group 1은 10세 이하, Group 2는 11세에서 15세 이하, Group 3은 연구 대상을 모두 포함하여 3그룹으로 나눴다. 이를 바탕으로 12개월 이하, 13~24개월, 25~36개월 까지 굴절교정값의 변화를 통한 근시 진행 억제 효과를 알아보고 통계적 유의성을 검증하고자 하였다. 결과: 착용기간에 따른 굴절교정값의 변화는 Group 3에서 12개월 이하에서는 역기하콘택트렌즈를 착용한 아동에서 변화가 없었고, MC렌즈는 $-0.36{\pm}0.10$ D, 단초점렌즈는 $-0.67{\pm}0.52$ D가 유의하게 변화되었다(P<0.05). 13~24개월에서 역기하콘택트렌즈는 $0.18{\pm}0.49$ D, MC렌즈는 $0.60{\pm}0.42$ D, 단 초점렌즈는 $1.37{\pm}0.72$ D로 유의(P<0.05)하게 변화되었다. 25~36개월에서 역기하콘택트렌즈는 $0.29{\pm}0.61$ D, MC렌즈는 $0.93{\pm}0.57$ D, 단초점렌즈는 $1.72{\pm}0.78$ D로 유의(P<0.05)하게 변화되었다. Group 1에서는 36개월 까지 역기 하콘택트렌즈는 $0.29{\pm}0.73$ D로 MC렌즈는 $1.07{\pm}0.59$ D로 단초점 렌즈는 $1.75{\pm}0.74$ D로 유의(P<0.05)하게 증가하였으며 Group 2에서는 36개월 까지 역기하콘택트렌즈는 $0.28{\pm}0.42$ D로 MC렌즈는 $0.75{\pm}0.49$ D로 단초점 렌즈는 $1.70{\pm}0.84$ D로 유의(P<0.05)하게 증가하여 굴절교정값의 변화는 10세 이하가 11세 이상보다 유의(P<0.05)하게 큰 것으로 나타났다. 결론: 본 연구 결과 12개월 이하의 착용시 역기하콘택트렌즈는 모든 연령에서 굴절교정값의 변화가 없었고, MC렌즈는 모든 연령에서 단초점렌즈보다 더 낮은 시력변화폭을 나타내 근시진행의 억제효과가 있으며, 13~36개월 착용시 역기하콘택트렌즈와 MC렌즈는 모든 연령에서 단초점렌즈보다 낮은 시력변화를 보여 근시진행의 억제효과가 있는 것으로 사료된다.

광주지역 고등학교 3학년생의 비정시안의 굴절상태에 대한 고찰 (Relationship on the Refractive Status of the High School 3rd Grade Students with Subnormal Visual Acuity in Gwangju Metropolitan City)

  • 윤영;유근창
    • 한국안광학회지
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    • 제12권3호
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    • pp.105-110
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    • 2007
  • 본 연구는 광주지역 고등학교 3학년생 111명 222안을 대상으로 굴절상태를 자각적, 타각적 검안을 토대로 조사, 시행하여 안질환이 없는 학생의 비정시의 정도 및 굴절상태를 연구하였다. 눈의 형태는 근시가 85% 원시가 1% 그리고 정시가 14%로 나타났다. 굴절 이상안은 단순근시 38%, 근시성 단난시 4%, 근시성 복난시 56%, 단순원시 0%, 원시성 단난시 0%, 원시성 복난시 2%, 혼합난시 0% 순이었다. 난시의 축은 직난시 92%, 도난시 6%, 사난시 2%순이었다. 난시의 굴절력은 0.5D에서 1.0D가 68%, 1.0D에서 2.0D가 25%, 2.0D 이상이 7% 이었다. 근시성 굴절 이상안의 등가구면 굴절력은 -0.50D에서 -2.0D 이하 26%, -2.0D에서 -6.0D 이하에서 55%, -6.0D 이상이 19% 이었다. 안경 착용률은 74%로 20년 전에 비해 증가함을 알 수 있었다. 검안은 안경원에서 91%, 안과에서 9% 이었다. 최근 시력검사가 5개월이 넘은 학생 중에 안경렌즈 교체가 필요한 등가구면 굴절력이 0.5D가 넘은 경우는 80% 이었다.

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서울지구 소아재활원 실태조사 (A STUDY ON THE ACTUAL CONDITIONS OF CHILDREN′S REHABILITATION CENTERS IN SEOUL)

  • 김계숙
    • 대한간호학회지
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    • 제4권1호
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    • pp.64-80
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    • 1974
  • The social understanding of the rehabilitation and welfare work for the handicapped children is nearly devoid in Korea. Especially the medical rehabilitation or nursing for them is left ign. ored as well as the literature preferential to this study is wanted. For the purpose of conducting the study of this thesis Sam Yook Children's Rehabilitation Center, Inc. and Crippled Children's Center, Yonsei University Medical center sampled out; covering three months from Aug. 1 to Oct. 30, 1973, the problems of children's rehabilitation, the characteristics of the children, the medical rehabilitation, nursing, education, and vocational rehabilitation were interviewed and widely grasped. This thesis aimed at developing the rehabilitation, the professional nursing and especially aimed at contributing to the improvement of welfare for the handicapped by analysing, observing the result of this study. The result is as follows: 1. Sam Yook Children's Rehabilitation Center, Inc. has, since its establishment, contributed to the advancement of the crippled children and its purpose consists in implementing services, medical rehabilitation, nursing, education and vocational training. Crippled Children's Center, Yonsei University Medical Center is, being based on Christianity, aiming at the medical treatment and education for the crippled children. 2. All of the children admitted in the children's rehabilitation centers are the crippled children. The ratio of boys io girls is three to two. Boys are more than girls. Orphan formed 55.2 per sent of them. About 60 per cent of them is receiving medical attention free of charge. But there is no orphan in Crippled Children's Center, Yonsei University Medical Center. 3. 15.7 per cent of them have received the previous medical attention before their admitting in the centers; in Sam Yook Children's Rehabilitation Center 8.6 percent, Crippled Children's Center, Yonsei University Medical Center 50 percent; there is remarkable difference between the two. 4. On the standpoint of period of being in the centers, the children who have been over three years in Sam Yook Children's Rehabilitation Center formed 48.7 per cent; in Crippled Children's Center, Yonsei University Medical Center 2.6 percent; there is also considerable difference between the two; they couldn't discharge from the centers owing to the economic conditions and being orphan. 5. Among the diagnosis of the crippled children, poliomyelitis formed highest 51.7 percent of them ; cerebral palsy formed 30 percent secondly in order. Environmental factors (67.8 percent formed about three times of congenital factors (23.7 percent). 6. The children who are capable of doing independently activity of daily living formed 87.9 percent; 73.2 percent can walk about 300 m by wearing brace and so on. The ratio of wearing brace or leg prosthesis formed 47.4 per cent: crutch 44.3 per cent. The medical rehabilitation service and education for the crippled, are comparatively well carried out. But it is desired to improve and cultivate the vocational training, vocational guidance and special nursing to the insufficiency of their implementation. In the tendency that the rehabilitation and welfare for the handicapped are today emphasized, International Handicapped Rehabilitation Association, declaring that 1970s are the decade of rehabilitation, urged to improve positively the policy of rehabilitation and welfare for the handicapped. But here in korea the handicapped, being the object of social prejudice, ignorance, disdain lives in obscurity. Therefore the government or the community should draw up countermeasure on social under-standing, financial support, and rehabilitation services for the handicapped as well as should endeavor to make them participate in social activities as the productive total- person though they are physically imperfect.

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한국의 판.검사복에 관한 연구 (A study on the Judge's Robe and the Prosecutor's Robe in Korea.)

  • 임영자
    • 복식
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    • 제29권
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    • pp.171-182
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    • 1996
  • This thesis is concerned with the study of the court attire the typical attire of the ju-dicial world in a point of time that more than 100 years have passed since the introduction of the modern judical system. In recognition of the fact that compiled data of the official uni-form or attire in Korea are insufficient this study placed its signification on the provision of information with focus on attire. As a result of studying court attire in Korea the conclusion was made as follows: Firstly Official attires in Yi Dynasty were divided by wearing embroidered insignia on the breast and the back of an official robe ac-cordint to court rank as well as by wearing Sa-mo in wadded clothes of Dan-ryeong and attaching all sorts of appurtenances including bands and shoes The Minister of Justice was equipped with Ho-pyo Dae-sa-heon equipped with Hae-chi the mayor of Seoul equipped with Un-an In the era of the Kng Young-jo the minister of Justice had no change in its of-ficial robe but the mayer(Pan-yun) of Seoul (Han-sung-bu) had Un-an(wild geese in clouds) changed into Un-hak In the King Ko-jog era the minister of Justice had Ho-pyo changed into Ssang-ho and the mayor of Seoul had Un-hak changed into Ssng-hak on embroideved insignia on the breast and back of an official robe. Laws and regulations concerning court attire began with the In-judgement Full-dress Uni-form Requlation for official-level Clerical Staff below the ordinary staff the Issue No. 14 of the Royal Ordinance in 1906 provided as $\ulcorner$the matter cincerning the Dress Regulation of the Tribunal staff of the Cho-sun Government-General$\lrcorner$the Issue No. 222 of the Royal Ordi-nance in 1911 and changed into$\ulcorner$the Regu-lation on the Dress of Judge Prosecutor At-torney and Law Count Clerk$\lrcorner$the Issue No. 12 of the Supreme Court Rule in 1953 affter the establishment of Korean Government since emancipation from the Japanese rule and into $\ulcorner$the Regulation concerning the Court Attire of Judge and law Court Clerical Staff$\lrcorner$the Issue No. 516 of the Supreme Court Rule in 1966. The judicial system in Korea is the system introduced from the foreign country rather than autogenously developed. And it came to pass through the Japanese colonial period it the beginning that it took root in Korea n was not stabilized in harmony with our native tradition. Accordingly the attare regulation in the judicial system took root in our society by accepting the Japanese attire regulation as it was and judical officials have come to wear the count attire similar to that of the Japanese imperialist era due to its influence though Korean independent goverment was established together with liberation form the Japanese rule. The more regrettable thing is that the current court attire has maintained the form greatly influenced by the U. S. court attire. Fortunately as the judicial circles have recently raised their voices for change in the court attire it has been told that the forma-tion of a meeting for a new court attire has been under way. The birth of the court attire into Which our tradition is sublimated is expected. This study end up with thinking that the must Korean thing is the most global thing in this era that people in the world are clamoring for globalization.

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총의치 장착자의 의치 만족도와 관련된 요인에 관한 연구 (A study of various factors related to satisfaction of complete denture wearers)

  • 변진수;허윤혁;조리라;박찬진
    • 구강회복응용과학지
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    • 제32권2호
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    • pp.109-116
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    • 2016
  • 목적: 본 연구는 총의치를 1년 이상 사용한 환자를 대상으로 만족도를 조사하고 이에 영향을 미치는 다양한 요인을 분석하여 이들 간의 상관관계를 알아보고자 하였다. 연구 재료 및 방법: 총 43명의 환자가 정기검진에 응하여 내원하였다. 기존의 여러 문헌을 토대로 설문지를 제작하고 환자로 하여금 작성하도록 하여 자료를 얻었다. 의치에 대한 환자의 주관적 평가와 의치사용 만족도 간의 상관관계를 평가하였다. 통계 분석을 위해 Spearman 상관관계 분석, 다중회귀분석, Mann-whitney U, Kruskal-Wallis 검정법을 이용하였다. 결과: 모든 기능적 항목에서 하악보다 상악의치에 대한 만족도가 높게 나타났으며 특히 적합도와 통증 발현 유무는 만족도와 높은 관련이 있었다. 성별, 연령, 사용기간, 제작 후 내원 횟수는 의치사용 만족도와 관련이 없었으나 의치사용 경험이 있는 환자는 그렇지 않은 환자보다 더 높은 만족도를 보였다. 결론: 의치사용 만족도는 환자와 관련된 여러 요인이 복합적으로 작용하여 결정된다.

Locking-free Appliance(LA)를 이용한 개구운동치료 : 예비실험 (Opening Exercise Therapy with Locking-free Appliance(LA) : Preliminary Study)

  • 정원;이경은;선새아;서봉직
    • Journal of Oral Medicine and Pain
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    • 제38권1호
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    • pp.29-34
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    • 2013
  • Introduction: 모든 정복성 관절원판변위가 비정복성 관절원판변위로 진행되는 것은 아니지만 심각한 포착이나 걸림을 동반하는 정복성 관절원판변위는 비정복성 관절원판변위로 진행하게 된다. 이번 연구에서는 Locking-free Appliance(LA)를 이용한 개구운동치료의 효과를 살펴보고자 한다. Patients and Method: 후향적으로, 2010년 1월부터 2011년 12월까지 전북대학교병원 치과진료처 구강내과에서 LA를 이용한 개구운동치료를 받은 37명의 환자를 대상으로 분석을 시행하였다. 환자는 LA를 착용한 상태에서 하루 30번의 개구운동을 할 것을 교육받았다. Results: 치료를 받은 환자들 중 비정복성 관절원판변위로 악화된 환자는 없었다. 37명 중 16명의 환자들은 과두걸림 없이 개구가 가능해졌다. Mann-whitney test와 fisher's test, Chi-square test를 이용하여 분석 시, 과두걸림이 해소된 환자와 그렇지 않은 환자간의 나이, 성별, 통증유무, 과두걸림 호소 기간, 통증의 정도(VAS score)에는 통계학적으로 유의한 차이가 없었다. Conclusion: 이번 연구에서, LA를 이용한 개구운동치료 후 일부 환자는 과두걸림 없이 개구가 가능해졌고, 일부 환자는 과두걸림이 해소되지 않았으나, 비정복성 관절원판변위로 악화된 경우는 없었다. 이 치료는 기존의 전통적인 치료방법에 비해 환자의 교합장치 착용 시간이 짧고, 비용이 저렴하며, 환자의 불편함을 최소화 할 수 있다는 장점이 있다. 따라서, LA를 이용한 개구운동치료는 과두걸림을 해소하거나, 비정복성 관절원판변위로의 악화를 예방하는데 새로운 치료방법이 될 것으로 기대된다.