• Maxillofacial Plastic and Reconstructive Surgery
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• 제40권
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• pp.3.1-3.8
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• 2018

Background: In this research article, we evaluate the use of sub-periosteal tunneling (tunnel technique) combined with alloplastic in situ hardening biphasic calcium phosphate (BCP, a compound of β-tricalcium phosphate and hydroxyapatite) bone graft for lateral augmentation of a deficient alveolar ridge. Methods: A total of 9 patients with deficient mandibular alveolar ridges were included in the present pilot study. Ten lateral ridge augmentation were carried out using the sub-periosteal tunneling technique, including a bilateral procedure in one patient. The increase in ridge width was assessed using CBCT evaluation of the ridge preoperatively and at 4 months postoperatively. Histological assessment of the quality of bone formation was also carried out with bone cores obtained at the implant placement re-entry in one patient. Results: The mean bucco-lingual ridge width increased in average from 4.17 ± 0.99 mm to 8.56 ± 1.93 mm after lateral bone augmentation with easy-graft CRYSTAL using the tunneling technique. The gain in ridge width was statistically highly significant (p = 0.0019). Histomorphometric assessment of two bone cores obtained at the time of implant placement from one patient revealed 27.6% new bone and an overall mineralized fraction of 72.3% in the grafted area 4 months after the bone grafting was carried out. Conclusions: Within the limits of this pilot study, it can be concluded that sub-periosteal tunneling technique using in situ hardening biphasic calcium phosphate is a valuable option for lateral ridge augmentation to allow implant placement in deficient alveolar ridges. Further prospective randomized clinical trials will be necessary to assess its performance in comparison to conventional ridge augmentation procedures.

• 대한한의학원전학회지
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• 제21권1호
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• pp.43-62
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• 2008

After parturition, woman in childbed's health can grow worse. Because when woman in childbed gives birth, Genital organ can be damaged, and lost a lot of blood, and also consume a lot of physical strengths. So, after parturition, woman in childbed is easy to fall in disease if do not take care in health specially. So after parturition, woman in childbed should be careful in stress, sleep, food etc. This thesis described Postpartum Spasm[痙病], Oppressive Feeling and Dizziness[鬱冒], Constipation[便秘], Abdominal Pain[腹痛], Diarrhea[下利], Annoyance[煩亂] and Vomitting Sickness[嘔逆]. Postpartum Spasm[痙病]'s major symptom is rigided body. This disease corresponds to Tetanus in modem medicine, and bacterial infection is assumed for cause. By Oriental medicine, after parturition, when blood is lacking, if patient takes wind, this disease breaks out. Oppressive Feeling and Dizziness[鬱冒]'s major symptom is dizzy head and gloomy eye. After parturition, when blood is lacking, if patient sweats too much and take cold, this disease breaks out. After parturition, if patient consumes a lot of resins of human body, Constipation[使秘] breaks out. There are four causes to Abdominal pain[腹痛]. First, due to deficiency and cold treats by Danggwisaenggangyangyuktang(當歸牛薑羊肉湯). Second, due to stagnation of Gi(氣) treats by Jisiljakyaksan(枳實芍藥散). Third, due to blood stasis treats by Ha-eohyeoltang(下瘀血湯). Fourth, due to lochiorrhea treats by Daeseunggitang(大承氣湯). After parturition, Annoyance[煩亂] and Vomitting Sickness[嘔逆] due to fever of difficiency treat by Jukpidaehwan(竹皮大丸). After parturition, Febrile diarrhea[熱性下利] treats by Baekduonggagamchoagyotang(白頭翁加甘草阿膠湯). This disease is similar with present Bacillary Dysentery. After parturition, Exteroceptive disease due to taking wind treats by Yangdaltang. Due to wind and fever treats by Jukyeoptang(竹葉湯).

• 대한치과기공학회지
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• 제22권1호
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• pp.129-143
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• 2000

With increasing number of dental patients, it is also increasing patient's desire to get better medical service. As the concern for improvement of dental medical service quality is growing, satisfaction degree of dental patients is becoming very important. This study was to investigate difference of patients' satisfaction degree concerned with installation of dental labs and the reason. The data for this study were collected through Self-Administered Questionnaires from 284 patients who had visited dental clinics more than two times. The results are as follows: Female respondents ratio was as twice much as male ones. And 54.2% of the respondents were found out to have completed university education. Dental clinics with dental labs scored higher than others in patients' satisfaction and recommendation willingness degree. Dental clinics without dental labs scored higher in patients' revisiting willingness degree. With simple Correlation Analyses it was found out that the most influential variable concerned with patients' general satisfaction degree was medical facility in dental clinics with dental labs, dentist ability to cure in dental clinics without dental labs. There were some discrepancies with other subordinate variables. Through Stepwise Multiful Regression Analyses it was found out that the most influential variable with patients' general satisfaction degree was dentist ability to cure in total and dental clinics without dental labs and medical facility in dental clinics with dental labs. There were also some discrepancies with other subordinate variables.

• Journal of Nutrition and Health
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• 제13권1호
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• pp.9-14
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• 1980

A total of 35 hospitals throughout Korea were surveyed for the assessment of the educational function of dietitians. The current situation and the depth of practices were diagnosed in such areas as: 1. The continuing education for the hospital dietitians 2. The characteristics of patient consultation performed by the hospital dietitians 3. Systems and methods of patient instruction practiced by the dietitians, and 4. Prospectives in establishing the nutrition education center for the in-and out-patients. The major findings are: 1. Approximately half of the hospital dietitians feel positive about the practicality of their college education for the job. Extremely small number of them are on any kind of continuing education program 2) The monthly average of only 20 patients at one hospital receive diet consultation or nutrition education service from dietitians. The 50% of the consultation cases is taken up by the patients with diabetes and various circulartory diseases followed by the tube feedings, liver and renal diseases with less frequencies 3) Not even a single hospital has an office for the diet consultation and nutrition education for the in-or out-patients. Very few hospital dietetics have educational aids and/or any feedback system to evaluate the effect of the consultation. Charting is not practiced by most dietitians leaving no record of their contributions to the patient care. 4) Although the necessity of the nutrition education center in the hospital is strong1y recognized among dietitians the progress has been blocked by such obstacles as the poor system in the hospital administration in general, short in funds, lack of preparation in the dietetics and the lack of recognition both by the hospital administration and by the dietitian themselves.

• 한국산학기술학회논문지
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• 제11권4호
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• pp.1492-1497
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• 2010

고객관계관리에 대한 중요성과 관심이 증가하고 있는 현 상황에서 본 연구의 조사대상은 서울소재 종합병원을 방문한 입원환자(104명)와 외래환자(98명) 202명을 자기기입방식을 원칙으로 설문조사하였으며, 병원 만족도와 병원 충성도의 관계를 파악하기 위해 고객관계관리 관련 변수를 통해 다양한 측면에서 분석해 보았다. 그 결과 만족도와 충성도의 관계는 매우 유의했으며, 그 중에서도 외래에서는 예약 만족도가, 입원에서는 의료외서비스 만족도가 가장 큰 영향을 주는 것으로 나타났다. 또한 인구학적 특성 중 연령이 충성도와 유의한 관계로 나타났다. 따라서 본 연구의 결론은 의료기관을 방문하는 환자 중 충성도가 높은 환자가 만족도도 높은 것으로 나타났으므로 환자 유치를 높이기 위해 충성도 높은 환자를 많이 확보하는 것이 매우 중요하므로 충성도와 밀접한 관계인 환자의 만족도를 높일 필요가 있음을 알게 되었다. 따라서 환자의 만족도를 높이기 위한 다양한 방안을 연구할 필요가 있겠다.

• The Korean Journal of Pain
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• 제26권1호
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• pp.57-61
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• 2013

Background: Olfactory dysfunction, including anosmia and hyposmia is difficult to treat. Although the mechanism is not well known, stellate ganglion block (SGB) is used to treat olfactory dysfunction. There are no prior studies on the long-term effects of SGB on olfactory dysfunction. The purpose of this study was to evaluate the continuity of therapeutic effects and patient satisfaction with SGB treatment. Methods: This was a follow-up study carried out via a telephonic survey. The olfactory function of the patient was evaluated using a visual analog scale (VAS). We checked VAS three times: VAS-I (pre-treatment VAS), VAS-A (post-treatment VAS), and VAS-C (VAS at follow up telephone survey). We divided the subjects into 2 groups according to their responsiveness to SGB: the responsive (R group) and the unresponsive groups (UR group). Patient satisfaction was evaluated using a Likert scale. Results: Out of the 40 subjects, 37 responded to the telephone survey. In the UR group, there was difference in the olfactory function. However, in the R group, there were significant VAS differences; VAS-I was $9.6{\pm}0.7$, VAS-A was $5.1{\pm}4.2$, and VAS-C was $2.7{\pm}$2.7 (P < 0.05). On the Likert scale, patient satisfaction was as follows: grade 1, 17 patients (45.9%); grade 2, 6 patients (16.2%); grade 3, 6 patients (16.2%); and grade 4, 8 patients (21.6%). Conclusions: SGB is a safe, long-lasting, and effective therapeutic modality for olfactory dysfunction treatment.

• 대한간호학회지
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• 제3권1호
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• pp.85-95
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• 1972

For the purpose to clarify the effects of nursing, intervention with comfort measures which promote rest, exercise and sleep on the patient′s rehabilitation, this study was carried out on 119 postoperative patients at St. Mary′s Hospital, the National Medical Center and Seoul Red Cross Hospital during the 9 months period from March 1971 to November 1971. In this study one experimental nursing approach was utilized; an emphasis on interpersonal techniques along with physical care-comfort measures. A daily evening care including support and instruction was given to facilitate interaction of nursing to the experimental group by the investigator. For the control group, routine hospital nursing care was performed. The nursing observation was followed for 4 days postoperatively and recorded in check list. The results of the findings were as follows. 1. 3.5% of control group and 32.3% of experimental group got out of bed within 24 hours postoperatively. 38.6% of control group got out of bed within 72 hours postoperatively where only 16.1% of the experimental group did (x$^2$= 19.865, p<0.005). Interaction in nursing is, in turn, significantly more effective than the usual routine care in improving rate of healing. 2. The irritations and tension that may interfere patient′s sleep and rest at night can be reduced to a minimum if nursing environment is better controlled with planned nursing care for individual patient. Various treatments which tend to give patient discomfort may preferably be performed before 6 p.m. if not absolutely indicated. 3. During 4 days of observation the patients without administration of sedatives and analgesics postoperatively were 25.9% in the experimental group where as 10.5% in the control group. The frequency of administration of sedatives and analgesics in average was 1.4 in the experimental group, and 2.0 in the control group. This indicates that not all postoperative discomforts expressed by the patients should be regarded as incision pain, and those discomforts could be relieved to a certain extent by nursing interventions effectively. 4. There were significant differences between the responses to nursing care given in the experimental group and 33% of the control group in average through 4 days of observation responded "good". 3.6% of the experimental group and 17. 1% of the control group responded "poor" in this study. It was recommended that the study be replicated in a more defined and controlled manner. Some alternative areas for investigation were suggested.

• 한국산학기술학회논문지
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• 제11권3호
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• pp.1146-1152
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• 2010

본 한국 보건산업은 병원들의 경쟁과 함께 급격히 변화하고 있다. 과거에 병원은 경쟁력있는 전략방법없이 이윤을 창출하였다. 게다가 병원은 고객들의 요구와 원하는 것을 중요하게 여기지 않았다. 그러나, 요즈음 점점 심해지는 병원들의 경쟁은 경쟁적인 관리 전략과 고객관계관리를 매우 중요시 다루고 있다. 본 연구는 의료기관을 방문하는 외래환자와 입원환자에 대해서 의료서비스를 받기 전의 기대만족도와 의료서비스를 받은 후의 만족도를 비교하고 VOC에 대한 환자들의 반응을 분석한 후 환자만족도를 높이기 위한 방안을 찾고자 한다. 연구의 방법은 환자의 만족도를 좀 더 자세하게 파악하기 위해 본 연구의 목적에 맞게 개발된 설문지를 외래, 입원환자 각각 100명을 조사하였으며 분석은 의료서비스의 전, 후의 만족도 비교이므로 Paired - Test와 기술통계등을 이용하였다. 연구결과 외래환자는 간호사의 친절도에서만 만족도의차이가 통계적으로 유의한 것으로 나왔으나 입원환자의 경우 의료진과 직원의 친절도 그리고 회진서비스에서 만족도의 차이가 통계적으로 유의한 것으로 나왔다. 따라서, 조사된 입원, 외래환자 만족도 항목 중 의료서비스관련 만족도에 차이를 보이고 있으므로 그에 대한 좀 더 상세한 분석과 대책 방안 강구를 위해 VOC 를 지속적으로 발전 활용하는 것이 환자만족도를 높이고 그에 따른 의료기관의 경영효율화를 높이는데 매우 도움이 클 것으로 사료된다.

• 한국전기전자재료학회:학술대회논문집
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• 한국전기전자재료학회 2009년도 추계학술대회 논문집
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• pp.248-248
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• 2009

Diagnostic X-ray system has been contributed to wiping out disease to get a good quality images from patients. But, X-ray radiation could be exposed to patient and it is very harmful to the patient. In order to reduce being bombed, the many research and development is now advanced. This research has produced the high voltage occurrence system of full-wave rectification method by using the LC resonance inverter, and evaluated the irradiation reproducibility in order to use it in diagnosis of the patient.

• The Journal of the Acoustical Society of Korea
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• 제21권4E호
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• pp.170-177
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• 2002

The goal of the present research is to improve a quality of life of the elderly with a dementia. In this paper, it is realized by developing the dialog system that is controlled by three kinds of modules such as speech recognition engine, graphical agent, or database classified by a nursing schedule. The system was evaluated in an actual environment of a nursing facility by introducing it to an older male patient with dementia. The comparison study between dialog system and professional caregivers was then carried out at nursing home for 5 days in each case. The evaluation results showed that the dialog system was more responsive in catering to needs of dementia patient than professional caregivers. Moreover, the proposed system led the patient to talk more than caregivers did.