• 대한치과보철학회지
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• 제57권4호
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• pp.356-363
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• 2019

연구개를 포함한 상악골 절제술을 받은 환자는 구강, 비강, 상악동, 비인두를 포함하는 결손을 가질 수 있다. 비강과 구강이 개통되고 불완전한 구개인두폐쇄로 인해 공기 및 음식물이 누출되어 발음 장애, 저작, 연하 기능의 저하가 발생할 수 있고, 안모의 변형으로 환자의 심리상태에 부정적 영향을 줄 수 있다. 구개 폐색장치는 결손 부위 폐쇄를 통해 구강과 비강을 분리시켜 연하, 발음 및 심미적 장애를 개선할 수 있다. 완전 무치악 환자에서 구개 폐색장치는 통상적인 총의치와 같은 유지, 안정을 얻기 어렵기 때문에 결손 부위의 주위조직을 적절히 활용해 변연봉쇄를 얻어야 한다. 또한 hollow type bulb를 통해 보철물의 무게를 감소시켜 유지에 도움을 준다. 본 증례는 우측 편평상피암으로 인하여 상악골 절제술을 받은 63세 남환으로 구강 및 인두부의 기능적 변연형성을 통해 생리적으로 적절한 변연을 갖고, 이중온성법을 사용하여 무게를 감소시킨 보철물을 이용하여 기능적, 심미적 회복을 얻었기에 보고하는 바이다.

• 대한한방내과학회지
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• 제33권4호
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• pp.609-614
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• 2012

Drug-induced liver injury (DILI) is a common cause of acute hepatitis. Regarding the risk of DILI from herbal preparations, there are controversial issues such as exaggerated reports straying far from the truth and lack of discrimination between herbal drugs and folk remedies or food supplements. This study reported one case of a patient with DILI caused by Smilacis Chinae Radix and cured in an Oriental hospital. Smilacis Chinae Radix has been used as an anti-inflammatory, anti-microbial, detoxification and anticancer compound, as a folk remedy. This report would provide helpful information for management of DILI by folk remedies or herbal drugs.

• 대한치과의사협회지
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• 제21권7호통권170호
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• pp.579-583
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• 1983

A 58-year old woman with no molar teeth on her upper left side wanted these missing teeth to be replaced with a fixed implant prosthesis. Incision, from distal to 2nd premolar to hamulus, was performed and impression of canine fossa anteriorly, zygoma buccally, pterygoid hamulus posteriorly and palatal groove lingually was taken by Optosil (Bayer Dent.). The implant frame was made of Vitallium, and was inserted the next day after the impression had been taken. 12-days later, the 4-units fixed prosthesis was constructed. The patient was extremely comfortable, had no pain, and was able to chew food more efficiently.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제46권1호
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• pp.66-69
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• 2020

Hydatid disease is a zoonotic infection in humans. The disease is endemic in some parts of the world, including Africa, Australia, and Asia, where cattle grazing is common; the disease is spread by an enteric route following the consumption of food contaminated with the eggs of the parasite. Failure to identify this parasite results in delayed diagnosis and increased morbidity to the patient. Upon diagnosis, every possible step should be taken, both surgical and medical, to prevent anaphylactic reactions from the cystic fluid. Postsurgical long-term follow up along with periodical ultrasonography of the liver and computed tomography scan of the abdomen is essential to rule out possible recurrence.

• 대한치과보철학회지
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• 제35권1호
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• pp.244-249
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• 1997

Proper hygienic care of removable dentures is an important means of maintaining a healthy oral mucosa on denture wearers. Denture cleansing is often poor due to improper mechanical and the inefficient chemical cleansing of dentures. Dentists and patients should realize that microbial plaque on dentures may be harmful to both the oral mucosa and the patient's general health. This literature review was aimed to evaluate materials and methods for cleansing dentures and to discuss different means of keeping dentures plaque-free. A routine denture cleansing regimen should be designed to remove and prevent reaccumulation of microbial plaque and also to remove mucin, food debris, calculus, and exogenous discoloration. The combined use of chemical and mechanical cleansing is highly recommended for patients to clean their denture effciently.

• Journal of Chest Surgery
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• 제17권4호
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• pp.775-779
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• 1984

Reconstruction of the pharynx and cervical esophagus is a difficult surgical problem. A successful case of reconstruction of cervical esophagus by free jejunal graft upon a 23-year-old female who had stricture in the pharynx and cervical esophagus after ingestion of hydrochloric acid is presented. This procedure was done after the primary traditional reconstruction with right sided colon had resulted in restenosis due to necrosis of the cervical portion of the graft. A proximal jejunal segment, about 12 cm in length was isolated for free graft preserving its vascular arcade. Both superior thyroid artery and vein were anastomosed to the graft vessels in end to end by continuous suture of 8-0 monophil. Nylon. The postoperative course was uneventful. The patient has been followed for 4 months after operation and she can eat every kind of food without dysphagia. We think free jejunal graft offers an excellent and safe method of reconstructing cervical esophagus and pharynx with definitive advantages over other traditional techniques.

• Nutrition Research and Practice
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• 제1권1호
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• pp.42-45
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• 2007

Rapid integration of information technology into health care systems has included the use of highly portable systems-in particular, personal digital assistants (PDAs). With their large built-in memories, fast processors, wireless connectivity, multimedia capacity, and large library of applications, PDAs have been widely adopted by physicians and nurses for patient tracking, disease management, medical references and drug information, enhancing quality of health care. Many health-related PDA applications are available to both dietetics professionals and clients. Dietetics professionals can effectively use PDAs for client tracking and support, accessing to hospital database or information, and providing better self-monitoring tools to clients. Internship programs for dietetics professionals should include training in the use of PDAs and their dietetics applications, so that new practitioners can stay abreast of this rapidly evolving technology. Several considerations to keep in mind in selecting a PDA and its applications are discussed.

• 대한심미치과학회지
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• 제9권1호
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• pp.20-36
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• 2000

The movements of oral surrounding muscles, lips, and tongue play a very important role while masticating, swallowing, and speaking. In case of the edentulous patient wearing dentures as well, every movement of the tongue can be seen almost the same as that of the dentulous jaw. The crushed food during mastication is swallowed and sent to pharynx. At this course, the contact of the posterior portion of tongue with dentures affects the stabilization of denture. The retention and stability of the complete dentures are related with buccinator muscles of buccal parts, lips in front, and tongue of the lingual sides. Strack(1946) insisted that the arrangement of artificial teeth in the same place as that of the natural dentition is the best way to maintain the stability of denture. In this report, I would like to introduce the several advantages of a new impression method taken simultaneously, and its procedures and clinical cases.

• 대한가정학회지
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• 제32권1호
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• pp.189-198
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• 1994

본 연구는 영국의병원 급식체계를 분석하고 그에 대한 객관적, 주관적 평가를 시도하는데 목표를 두고 있다. 영국 보건성의 지원하에 12개 병원에 대한 급식체계를 비용편익 분석과 생산성 측정이라는 객관적 기법, 그리고 Indepth-interview 및 Self-Administered Qestionnaire 라는 주관적 방법을 통해 분석하였다. 이 중 본논문에서 다루는 것은 환자 만족도와 이에 영향을 미치는 병원 급식 체계의 결정요인 부분이다. 제1단계 연구에서는 급식대상 환자들에 대한 표본추출을 통해 설문조사를 실시하였다. 분석결과 환자의 인구통계학적, 정서적 변수가 환자의 만족도에 가장 큰 영향을 미치는 요소로 나타났다. 각병원에 대한 객관적 자료를 이용한 2차 희귀분석 결과 인적자원요소와 시스템요소로 대별된 독립변수 요인군종 어느 변수도 0.05(p) 수준에서 유의미하지 않은 것으로 밝혀졌다. 환자의 만족도는 병원 급식체계에 기준한 객관적인 결정요인에 의해 설명되어지지 않고 오히려 환자 자신의 변수에 의해 결정되어짐을 알수 있다. 본논문이 시사하는 바는 급식체계에 대한 평가에 있어 이론적 모형과 변수의 선정이 수정될 필요가 있다는 점과 방법론적 차원에서 평가대상 급식시스템의 유형상 특성이 고려되어야한다는 점이다.

• 대한기계학회논문집A
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• 제26권7호
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• pp.1296-1301
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• 2002

In recent years, the pathology in the colon grows up annually since people of all ages prefer to have less fiber and more fat food. Therefore, the colonoscopy is generalized in developed countries. But it requires much time to acquire a dexterous skill to perform an operation and the procedure is painful to the patient. Therefore, some studies on the development of autonomous colonoscope are carried out. In this paper, we propose a new and simple locomotive mechanism that can be propelled by elliptic motion of a leg. It has several legs that have constant phase difference each other and those legs are disposed along the upper and lower of the body. In order to evaluate the performance of locomotive mechanism, we carried out the simulations of moving characteristics and the experiments in the colon of a dead pig.