• 복식
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• 제62권3호
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• pp.137-151
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• 2012

In 1966, $Seokgatap$ pagoda in $Bulguksa$ temple was damaged by the tomb robbers and was dismantled to fix the damage. In the process, many offerings to Buddha and containers for Sarira(the cremated remains) were found in $Sarigong$(specially designated space for the Sarira casket) inside the second floor of the pagoda. Many fabrics like $Geum$, $Neung$(twill), $Rha$(complex gauze), silk tabby and linen were also excavated. In this study, $Geum$ fabric from the $Seokgatap$ was closely examined. $Geum$ of $seokgatap$ is weft-faced compound weave according to the analysis of its weaving pattern which was wrongly presumed as warp-faced compound weave for some time. Technical analysis of $Geum$: Main: silk, Binding: silk, Proportion: 1 main warp to 1 binding warp, Count: 15 main warps and 15 binding warps per centimeter, Weft: polychrome silk without apparent twist, Colors: yellow, mustard yellow, deep blue, green and purple, Weave: weft-faced compound twill, 1/2 S. $Geum$ of $Seokgatap$ was made in the $8^{th}$ century, since it was weaved in weft-faced compound weave twill which was popular in the $8-9^{th}$ century. And also, the arrangement of the colors was done in the same way of gradation $Geum$ silk which was popular in the $7-8^{th}$ C in China and Japan. Third, we restored the pattern of $Geum$ of the Unified Shilla Dynasty for the first time. It was very difficult to figure out the shape and the size of pattern since the fabric was partially lost and ruined. We tried to draw the diagram of structure with the cross point of the warp and the weft to restore the pattern. By doing so, we could identify two kinds of small flower pattern, palmette and the pattern of repeating vines. Fourth, we could infer that the $Geum$ of $Seokgatap$ was used for $geumdae$(a pouch made of $geum$) by analyzing all the documents and the characteristics of the fabric.

• Journal of Preventive Medicine and Public Health
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• 제10권1호
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• pp.16-24
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• 1977

${\ulcorner}$크롬${\lrcorner}$과 ${\ulcorner}$니켈${\lrcorner}$등의 도금(鍍金)을 하는 도금공(鍍金工)에 대하여 그 직업성질환(職業性疾患)을 관찰(觀察)하고 저 1976년(年) 6(월)月 대구시내(大邱市內) 소재(所在)하는 서로 유사한 종류와 방법으로 작업하고 있는 중소기업체(中小企業體) 중 작업환경개선(作業環境改善)이 어느 정도 되어 있는 곳과 전연 되어있지 않는 곳을 각각 1개소(個所)씩 선택(選擇)하며 비교해 본 결과 다음과 같이 요약(要約)할 수 있었다. 전반적(全般的)으로 비강내(鼻腔內) 증상(症狀)이 총출현빈도(總出現頻度) 중 50%이상을 점하며 다음 현기증(眩氣症)이 문제(文題)로 되어 있으며 환경개선(環境改善)을 함에 따라 비강내증세(鼻腔內症勢)중에서 괴양성 병변(病變)을 줄이어 증상(症狀)은 가볍게 되었으나 개입보호구사용(個入保護具使用)을 소홀히 함으로써 점차 만성적인 변화(變化)를 초래할 염려가 있었다. 각종 혈액상(血液相)중 ${\ulcorner}$헤모글로번${\lrcorner}$, ${\ulcorner}$헤마토크리트${\lrcorner}$ 적혈구(赤血球)와 요소견(尿所見)중 단백질당(蛋白質糖), ${\ulcorner}$우로비리노겐${\lrcorner}$등에는 큰 영향을 미치지 않고 있다고 생각된다.

• 기본간호학회지
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• 제7권2호
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• pp.177-191
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• 2000

The purpose of this study to conform the effect of the aseptic dressing method to prevent infusion phlebitis. One quaxi-experimental, nonequvalent control group post-test design was used to evaluate prevention of phlebitis between a control group and an experimental group. The data for the control group were collected from 100 hospitalized patients from July 1 to November 30, 1999. The data for the experimental group were collected from 100 hospitalized patients from December 1, 1999 to March 5, 2000. The control group used paper tape on the IV site and the experimental group used a sterile gauze dressing which was changed every 24 hours. Two sets of instruments were used for this study. First, instrument developed Weinstein(1993) and modified by the researcher was used for judging phlebitis. The second, instrument developed Park(1996) was used for assessment records concerning the phlebitis which developed. Catheter sites were inspected on a daily basis by unit nurses and development of phlebitis was grade and documented. Data were analyzed using $x^2-test$ and stepwise regression The results are summarized as follows : 1. The incidence of phlebitis according to the duration of catheter insertion decreased in the experimental group($x^2=3.56$, p<.05). 2. The incidence of phlebitis according to the duration of catheter insertion decreased in the experimental group($x^2=28.79$, P<.0001). 3. No significant difference was found between the experimental and control groups in the severity of phlebitis. 4. A statistically significant difference between the two groups was found in the incidence of phlebitis according to the location of the insertion site. 5. No statistically significant difference between two groups was found in the incidence of phlebitis by age 6. A statistically significant difference between two groups was found in the incidence of phlebitis by sex($x^2=3.88$, p<.05) 7. Further study revealed that the duration of catheter and sex were predictors of occurrence of the phlebitis, explaining 38.2%, 14.2% of the total variance respectively. In conclusion, the aseptic dressing method is recommended to be prevent infusion phlebitis.

• 대한소아치과학회지
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• 제40권4호
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• pp.268-273
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• 2013

본 연구는 미생물의 배양을 통해 임상적으로 효과적인 air/water syringe의 소독법을 조사할 목적으로, 치과 병원에서 사용하는 10개의 AWS tip을 사용하였다. 실험군은 6개 군으로 나누어 실험을 3번씩 반복하여 180개의 샘플을 얻었다. 1군은 소독하지 않은 경우, 2군은 물에 적신 거즈로 큰 오염물만 제거한 경우, 3군은 78% 에탄올 스펀지로 10초간 소독한 경우, 4군은 78% 에탄올 스펀지로 20초간 소독한 경우, 5군은 1 : 100으로 희석한 High Level Disinfectant$^{(R)}$을 적신 스펀지로 20초간 소독한 경우, 6군은 가압증기멸균한 경우이다. 1군과 2군은 4, 5, 6군보다 유의하게 높은 미생물집락형성을 보였다(p < 0.05). 또한 4, 5, 6군은 미생물 집락이 나타나지 않았다. 에탄올과 High level Disinfectant$^{(R)}$를 사용하여 AWS tip을 20초 이상 소독하는 것은 가압멸균법이나 일회용 tip의 사용이 가능하지 않은 경우 교차감염 예방을 위해 유용한 방법이 될 수 있다.

• 보존과학회지
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• 제29권2호
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• pp.161-170
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• 2013

본 연구의 목적은 실질적인 출토복식의 보수를 통해서 보수방법의 합리적인 방안을 모색하는데 있다. 출토복식의 경우 유기물이라는 특징으로 인해 출토되는 순간 이미 위약한 상태이므로 출토복식에 대한 상태를 철저히 조사한 후 가능한 물리적 힘을 가하지 않는 방법으로 최소한의 보수만을 진행하였다. 그리고 다음과 같은 과정으로 보수하였다. 보수는 출토복식의 상태에 따라 보수 가능한 것을 분류하여 출토복식 직물의 상태를 고려하여 최대한 안정하게 적용시켰다. 보수용 실의 경우는 강도가 약한 정련한 얇은 주아사의 실을 뽑아서 사용하거나 광열화시킨 명주실을 사용하였다. 보수용 직물은 직물의 종류에 따라 셀룰로오스 계 직물은 면직물을 견직물은 주아사나 명주를 정련하여 사용하였으며 일부는 비슷한 색을 내기위해 오리나무 염색과 감 염색을 하였고 방충 방균 처리를 위해 정향으로 염색한 천을 사용하여 보수하였다. 보수의 방법은 손상형태 및 복식의 구성양식에 따라 구분하여 실시하였다. 보수의 바느질법은 시침질, 홈질, 박음질, 공그르기, 감침질의 방법을 사용하여 훼손 부위와 상태에 적합한 바느질법을 선택하였다.

• Archives of Plastic Surgery
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• 제42권1호
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• pp.28-33
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• 2015

Background Topical anesthetics, such as eutectic mixture of local anesthetics (EMLA) cream, can be applied to reduce pain before minor procedure. This trial evaluated EMLA as pretreatment for facial lacerations and compared pain, discomfort and overall satisfaction. Methods This trial included consecutive emergency department patients ${\geq}16years$ of age who presented with simple facial lacerations. At triage, lacerations were allotted to either the routine processing group or EMLA pretreatment group according to date of admission. Initially, the emergency department doctors inspected each laceration, which were dressed with saline-soaked gauze. In the pretreatment group, EMLA cream was applied during wound inspection. The plastic surgeon then completed primary closure following the local injection of an anesthetic. After the procedure, all patients were given a questionnaire assessing pain using the 10-point visual analog scale (VAS) ("no pain" to "worst pain"). All questionnaires were collected by the emergency department nurse before discharge. Results Fifty patients were included in the routine processing group, and fifty patients were included in the EMLA pretreatment group. Median age was 39.9 years, 66% were male, and the average laceration was 2.67 cm in length. The EMLA pretreatment group reported lower pain scores in comparison with the routine processing group (2.4 vs. 4.5 on VAS, P<0.05), and lower discomfort scores during the procedure (2.0 vs. 3.3, P=0.60). Overall satisfaction was significantly higher in the EMLA pretreatment group (7.8 vs. 6.1, P<0.05). Conclusions Pretreating facial lacerations with EMLA topical cream aids patients by reducing pain and further enhancing overall satisfaction during laceration treatment.

• Archives of Plastic Surgery
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• 제35권4호
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• pp.413-418
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• 2008

Purpose: When choosing dressing method to treat skin defect by second degree or higher burn, we have to consider method of rapid epithelization and minimization of pain during the treatment. In this study, we used biologic dressing with cultured allogenic keratinocytes for skin defect due to burn. We followed up the degree of epithelization, the degree of pain, and patient satisfaction. Methods: From June 2003 to June 2006, among the patients with skin defect due to burn, 31 cases with second degree burn(moderate to severe) were selected and biological dressing with cultured allogenic keratinocytes were done. 21 cases did not use cultured allogenic keratinocytes. Most of the patients had second degree burn. We applied cultured allogenic keratinocyte by Kaloderm. For wounds that were not deep enough to effect the dermis, escharectomy was done before applying Kaloderm. After the operation, moist wound site was maintained by dressing with saline gauze for 5 - 7 days. We compared the condition of the wound site before and after applying Keloderm by grading epithelization by standardized percentage scoring scale(1 - 5), and degree of pain and patient satisfaction by visual analogue scale(0 - 10). Results: When cultured allogenic keratinocytes were applied for the same period of time, the mean score of epithelization were $3.29{\pm}0.529$(mean ${\pm}$ S.D.). Without the application, the mean score of epithelization were $2.86{\pm}0.655$(mean ${\pm}$ S.D.). The degree of pain was $7.71{\pm}1.419$(mean ${\pm}$ S.D.) and $2.35{\pm}0.950$(mean ${\pm}$ S.D.) before and after the application, respectively. The patients' satisfaction score was $6.45{\pm}0.850$(mean ${\pm}$ S.D.) and $8.45{\pm}0.961$(mean ${\pm}$ S.D.) before and after the application, respectively. Conclusion: Applying biological dressing with cultured allogenic keratinocyte to skin defect due to second degree burn showed satisfactory results in the degree of the epithelization, degree of pain and patients' satisfaction.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제32권2호
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• pp.142-150
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• 2006

PURPOSE : The 3rd molar extraction of mandible is common in out-patient office of oral and maxillofacial surgery. And it is dynamic minor operation with changes of vital signs. most of patients are already sensitive about their dental treatment. The changes of emotion are reached to the highest level when patients is laid down to be treated on unit chair. It can be induced to undesirable accidents as to this fear. The undesirable complications are nausea, vomiting, hyperventilation, dyspnea, syncope, shock and so on. The severe changes of vital signs may influence their behavior and make serious medical malpractice or suit such as fracture of dental instruments and injury of proximal area. METHOD AND PATIENTS : A total of 99 selected normal patients were reviewed. Among this, 70 patients(43 men, 27 women with statistical significance) were included in this study. Each steps(pre-anesthesis, 5 minutes after anesthesis, just after mucogingival incision, just after tooth section, just after suture and gauze biting) were investigated for a change of a vital signs. It is analyzed to 2 categories,"Means" and "Tendency". The "Means" is the amount of vital signs changed in comparison with pre-step during operation. That means is the amount of vital changes by each step operation. Next, " Tendency" is changes of vital signs in comparison with step1 during operation. RESULT : This is the changing tendency of vital signs with time. That is active effect of fear and pain. Thus this "Means" and "Tendency" will present a sudden changes of vital signs and it can lead to more safe treatment. CONCLUSION : Thus, the purpose of this study is, through careful operation in each step, to less on patients' complication and increase trust between patient and OMFS. This study is a first article shown with the amount of "Means" and "Tendency" in vital signs, when a third molar of mandible is extracted. This study will be base study of patients with general diseases, because it selected only patients without general diseases.

• 중환자간호학회지
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• 제4권2호
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• pp.27-38
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• 2011

Purpose: The purpose of this study was to examine the effect of tooth-brushing oral care on oral health and ventilator-associated pneumonia of patients in Intensive Care Unit (ICU). Methods: A total of 74 participants were recruited from a medical, surgical, or neurosurgical ICU at S Hospital in Seoul, Korea, from September of 2010 to January of 2011. An experimental group (n= 36) received oral care with tooth-brushing while a control group (n=38) received oral care with cotton ball and gauze. In both group, the oral care was done three times a day at least one minute for 7 days. Oral health was examined by the Modified Oral Assessment Guide before the intervention and each night. Results: There is no difference between the groups in aspect of passage of time (p = .603), interaction between time and intervention (p =.300), the performance intervention (p = .766), and the incidence of VAP (p = .486). Conclusion: The effect of oral care with tooth-brushing on oral health and VAP was not different from that of usual oral care in ICU. However, further study is necessary due to high attrition in this study.

• 구강회복응용과학지
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• 제36권3호
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• pp.158-167
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• 2020

목적: 치과 보철 진료 과정에서 사용 빈도가 높은 치과 임플란트 핸드 드라이버의 에탄올 용액을 이용한 감염 관리 효과에 대하여 연구하고자 하였다. 연구 재료 및 방법: 36개의 치과 임플란트 핸드 드라이버의 표면에 황색 포도상 구균을 접종 후 83% 에탄올 거즈로 30초 동안 닦아낸 군과 83% 에탄올 용액에 30초, 60초, 90초, 120초, 150초, 180초, 300초 동안 침적한 군으로 나누었다. 세균 집락 형성 단위 수의 측정 방법과 흡광도 분석 방법을 이용하여 실험군과 세균 접종 후 감염 관리를 시행하지 않은 양성 대조군 및 멸균 후 세균을 접종하지 않은 음성 대조군과의 비교를 통해 감염 관리 효과를 평가하였다. 결과: 세균 집락 형성 단위 수의 측정 결과와 흡광도 분석 결과에서 두 군 모두 양성 대조군에 비하여 통계적으로 유의한 차이를 나타냈다. 그리고 83% 에탄올 용액에 침적한 군에서 150초 이상의 침적을 시행하였을 경우 음성 대조군과 통계적으로 유의한 차이를 나타내지 않았다. 결론: 치과 임플란트 핸드 드라이버의 감염 관리를 위해 에탄올 용액을 단독으로 사용한 중등도 소독 방법은 임상적으로 멸균 상태에 대한 확신을 보장할 수 없으므로 멸균 전 사전 세척 과정으로서 에탄올 용액을 사용하는 것이 추천된다.