• Title/Summary/Keyword: skin health

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Secondary Analysis on Ventilator-Associated Pneumonia and Pressure Injury

  • Hyun, Sookyung;Moffatt-Bruce, Susan;Newton, Cheryl;Kaewprag, Pacharmon
    • International Journal of Advanced Culture Technology
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    • v.6 no.3
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    • pp.211-215
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    • 2018
  • Ventilator-associated pneumonia (VAP) is a lung infection that develops in patients receiving mechanical ventilation. VAP contributes to about 50% of hospital-acquired pneumonia in ICU settings. One of the recommendation of the Institute of for Healthcare Improvement ventilator bundle is HOB elevation. HOB elevation affects shearing forces and makes higher risk for pressure injury development. Pressure injury (PI) is localized damage to the skin over a bony prominence. PI prevention guidelines recommend that HOB positioning should be lower to reduce risk for PI development which contradicts VAP prevention guidelines for the HOB between 30 and 45 degrees for ICU patients. This presents a care dilemma and tension. The purpose of this study was to perform a secondary data analysis using cumulative electronic health record data in order to determine the association of HOB elevation with VAP and PI in ICU patients. A secondary data analysis was conducted to determine whether HOB elevation is associated with VAP and PI. HOB elevation was not likely to be associated with VAP prevention whereas it was likely to be related to PI development. This is somewhat contrary to popular data and publications. Prospective cohort study is desired to inform us in an evidence-based fashion what actually is optimal HOB elevation for ventilated patients in ICU settings.

A study of introduction for Maxillofacial prosthesis in Dental Technology (치과기공의 악안면 보철분야 도입을 위한 이론적 고찰)

  • Lee, Hee-Kyung
    • Journal of Technologic Dentistry
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    • v.29 no.2
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    • pp.105-117
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    • 2007
  • As a dental technician, the aim of the present study on maxillofacial prosthesis was to research its relation with dental technology and further development aspects by looking into its history, kinds, production materials and process. Dental technicians are to expect a great potential to work as maxillofacial prosthetist if having an interest in education of maxillofacial prosthesis field, and developing and operating the education process by expanding the range of dental technology. This article is to present overall history of maxillofacial prosthesis and some background information on the materials which have been used from the past. The maxillofacial field plays essential functions of mastication and speech, as well as performs appearance, which evokes good or bad feelings as an instant and instinctive response. The use of maxillofacial prostheses is not merely the replacement of a missing part of the face, resulted from injuries, but a rehabilitation process to help individuals come back to society. Rehabilitation includes both patient's physical and psychological recovery, such as self-esteem and selfconfidence. There has been a rapid development in application potentials of maxillofacial prosthesis technology which include implant, which can penetrate skin, and new materials. In order to produce maxillofacial prosthesis, general procedures of maxillofacial laboratory work should be understood first. Maxillofacial prosthesis and the dental prosthesis have many similarities in its academic perspective and originality. Maxillofacial prosthesis should be added into the curriculum for dental technology to achieve co-enhancement of the two fields.

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Effects of Thermophysiological Responses by Trainning Wear Made from Cotton and Hygroscopically Treated Polyester (면과 친수 가공 폴리에스테르 소재로 된 트레이닝복의 인체 생리 효과)

  • Chung Hee-Ja;Chang Jee-Hae
    • Journal of the Korean Home Economics Association
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    • v.37 no.12 s.142
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    • pp.193-203
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    • 1999
  • This study was executed to show influence of material and property of sportswear to physiological responses of body and comfort sensation and to supply basic research data about comfortable sportswear Trainning wear was manufactured with cotton(C) and hygroscopically treated polyester material (FP), and its properties of material were measured. Then rectal temperature, skin temperature, heart rate, weight loss, clothing microclimate and subjective sensation was estimated with study of wearing with these sportswear and examined the influence that it got to physiological responses of body and sensation. Health adult men were selected for subjects and executed at climatic chamber of temperature, $20\pm2^{\circ}C and humidity, $60\pm5%$ R.H. Conclusively sportswear of hygroscopically treated polyester is a favorable functional material. So far factor that affect to physiological comfort sensation has been explained mostly by moisture regain but in our experiment, it turned out that air permeability, water absorption velocity and dynamic oater absorption etc. were affecting factors. So according to this result, air permeability and moisture permeability should be considered with transmittance of temperature moisture for development of comfort material.

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A Case Report for Adult Acne treated by Daesiho-tang based on Shanghanlun provisions with Extrusion therapy (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 따른 대시호탕(大柴胡湯) 투여와 압출치료를 병행하여 호전된 성인 여드름 증례보고)

  • Kim, Hyeong-Seop
    • 대한상한금궤의학회지
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    • v.9 no.1
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    • pp.59-73
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    • 2017
  • Objectives : The purpose of this case report is to report the effect of Daesiho-tang on adult acne by Shanghanlun provisions with extrusion therapy. Methods : According to diagnostic system based on Shanghanlun provisions, the patient was diagnosed with Taeyang-byung Gyeolhyung and treated by Daesiho-tang with extrusion therapy. The result of administrations were evaluated by Korean Acne Grading System(KAGS), Korean Skindex-29, and change of clinical symptoms. Results : After administration of Daesiho-tang for 150 days with weelky extrusion therapy, KAGS improved from grade 4 to grade 1, Skindex-29 improved from 67.93 to 15.51, and patient was very satisfied with the treatment. No serius treatment-related adverse events were reported. Limitations : This case is only one case that the level of evidence is weak. Two interventions were used together and the duration of photo was uneven. Conclusions : The patient almost recovered from acne treated by Daesiho-tang according to diagnostic system based on Shanghanlun provisions with extrusion therapy. This is the first case report that suggests '熱結在裏' on the number 136 provision of Shanghanlun means fever that is always present in chronic skin lesions.

The Effects of Fatty Acids Supplementation in Culture Medium on Proliferation and Lipid Peroxides Production of Fibroblast from Neonate Rats (신생흰쥐 피부섬유아세포의 배양액의 지방산의 종류와 양을 변화시켰을 때 세포의 증식과 지질과산화물 생성에 미치는 영향)

  • 장영애
    • Journal of Nutrition and Health
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    • v.29 no.2
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    • pp.159-165
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    • 1996
  • This study was performed to investigate the effects of concentration and degree of unsaturation of fatty acids on cellular proliferation and lipid peroxide production, using primary skin fibroblasts from neonate rats Fibroblasts (CPD : 2.8-5.4). Cells were cultured either in control medium (Dulbecco's modified Eagle's medium supplement with 10% fetal bovine serum) or in media supplemented with various kinds (stearic, oleic, linoleic, arachidonic, linolenic, eicosapentaenoic acid) and amounts (5, 10, 25, 50, 100, 150uM)of fatty acids. Cellular proliferation ratio and lipid peroxice production were measured and morphological changes were observed. Cellular proliferation was inhibited and morphological changes were observed. Cellular proliferation was inhibited and morphological changes were observed in cells grown in stearic containing media. Oleic, arachidonic, and eicosapentaenoic aicd tend to stimulate cellualar proliferation, and linolenic acid had no effects. Lipid peroxide concentrations in fibroblasts increased in proportion to the contents and unsaturation of fatty acids in media. Especially supplementation of arachidonic acid accelerated cellualr lipid peroxidation. Free radicals may cause severs damage to biological molecules, so lipid peroxidation probably contributes cellular membrane damages. However there were little relationship between lipid peroxide production and cellular proliferation in this study. (Korean J Nutrition 29(2) : 159~165, 1996)

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Enterovirus 71 infection and neurological complications

  • Lee, Kyung Yeon
    • Clinical and Experimental Pediatrics
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    • v.59 no.10
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    • pp.395-401
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    • 2016
  • Since the outbreak of the enterovirus 71 (EV71) infection in Malaysia in 1997, large epidemics of EV71 have occurred in the Asia-Pacific region. Many children and infants have died from serious neurological complications during these epidemics, and EV71 infection has become a serious public health problem in these areas. EV71 infection causes hand, foot and mouth disease (HFMD) in children, and usually resolves spontaneously. However, EV71 occasionally involves the central nervous system (CNS), and induces diverse neurological complications such as brainstem encephalitis, aseptic meningitis, and acute flaccid paralysis. Among those complications, brainstem encephalitis is the most critical neurological manifestation because it can cause neurogenic pulmonary hemorrhage/edema leading to death. The characteristic clinical symptoms such as myoclonus and ataxia, cerebrospinal fluid (CSF) pleocytosis, and brainstem lesions on magnetic resonance imaging, in conjunction with the skin rash of HFMD and the isolation of EV71 from a stool, throat-swab, or CSF sample are typical findings indicating CNS involvement of EV71 infection. Treatment with intravenous immunoglobulin and milrinone are recommended in cases with severe neurological complications from EV71 infection, such as brainstem encephalitis. Despite the recent discovery of receptors for EV71 in human cells, such as the scavenger receptor B2 and P-selection glycoprotein ligand 1, it is not known why EV71 infection predominantly involves the brainstem. Recently, 3 companies in China have completed phase III clinical trials of EV71 vaccines. However, the promotion and approval of these vaccines in various countries are problems yet to be resolved.

Modification of the position of the angulus oris with a rotation flap and a YV flap in lip reconstruction

  • Kiuchi, Tomoki;Yazawa, Masaki;Ohshiro, Takafumi;Kishi, Kazuo
    • Archives of Plastic Surgery
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    • v.47 no.3
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    • pp.277-280
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    • 2020
  • Functionally, the lip serves to prevent food and drink from spilling out of the beginning of the gastrointestinal tract, and it is also used for vocalization. In addition, the lip has cosmetic importance as part of the face involved in making expressions, and in many cultures, it is considered to be sexually appealing. The results of lip reconstruction procedures must therefore be both functionally and cosmetically satisfactory. When the orbicularis oris muscle and oral mucosa are excised, functional reconstruction is prioritized. In contrast, if there are no functional problems, cosmetic reconstruction is the main focus. This case involved the reconstruction of a right upper lip defect caused by a dog bite. When the skin defect was covered with a local flap, the right angulus oris shifted medially, so we incorporated a YV flap at the right angulus oris to modify its position and allow for a cosmetically satisfactory result. We believe that this method can be used not only for cases in which asymmetry of the angulus oris is expected to occur at the time of lip reconstruction, but also for cases in which it has already occurred in the initial operation.

Self-consciousness, and Appearance Management Behavior according to Stress Typology of Adolescents (청소년의 스트레스 유형에 따른 자아의식과 외모관리행동)

  • Park, Eunhee
    • Journal of Fashion Business
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    • v.19 no.4
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    • pp.21-36
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    • 2015
  • The purpose of this study is to classify the stress into groups and analyze their differences in self-consciousness, and appearance management behavior. Questionnaires were administered to 377 middle and high school girls living in Deagu metropolitan City. Frequency, factor analysis, reliability analysis, cluster analysis, ANOVA, Duncant-test, and t-test are all used for data analysis. Our findings show that stress developed due to several reasons: the categories are as follows into grades-related low stress, exam-related high stress, and society-related high stress. For the purposes of our study, we labeled self-consciousness as a combination of being socially and privately self-consciousness and showing signs of social anxiety. Appearance management behavior deals with esthetic plastic surgery, clothing harmony, weight management, hair management, health care, skin care, and meal management. Stress shows a significant correlation with the sub-variable self-consciousness and appearance management behavior. The groups show a significant difference in the self-consciousness, and appearance management behavior. There is also a significant difference among stress, self-consciousness and appearance management behavior by grade. The students in seemed to recognize that their appearance can be improved by dressing up and managing their outwardly appearance. Teachers should educate students to have the variety of views on the meaning of beauty. In addition, schools need to develop programs to educate student about appearances, as the student's interests differ due to the stress type of the adolescent.

A Development of Brassiere Prototype for Attaching the Measuring Module of ECG and Body Movement while Sleeping (심전도 및 수면시 체동 측정 모듈 장착을 위한 브래지어 프로토타입 개발)

  • Kweon, Soo Ae;Sohn, Boo-hyun
    • Journal of Fashion Business
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    • v.21 no.2
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    • pp.78-90
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    • 2017
  • In this study, brassiere prototype was developed for attaching the measuring module of ECG measurement and body movement while sleeping. For ECG measurement, textile electrodes was made of stretch fabric containing polyurethane in consideration of elasticity of brassiere band. It was used as a conductive yarn by silver coating on the warp. The textile electrodes was woven with twisted twill to increase the density of conductive yarns. The pressure of the brassiere band was enough to sensing stably the ECG, and the elastic band of the brassiere was designed to be wider than 3cm to install the textile electrodes inside, so that textile electrodes was close fitting to the skin at a constant pressure without lifting. The textile electrodes coated with silicon on rear was attached to brassiere elastic band, and the module was installed with a snap connector to textile electrodes of brassiere band. The module was suitable to monitering ECG measurement of a typical R peak, pulse rate and body movement while sleeping without interfering.

Epidemiological Investigation of Onychomycosis and Tinea Pedis in Children (소아의 손·발톱 및 족부백선증에 관한 역학적 조사)

  • Bang, Young-Jun;Kim, Ssang-Young
    • Korean Journal of Clinical Laboratory Science
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    • v.39 no.2
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    • pp.91-95
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    • 2007
  • The number of children patients with tinea pedis and onychomycosis diagnosed on clinical findings and culture at the Catholic Dermatological Clinic in Daegu City were 144,446 for 2 years from January 2005 to December 2006. 120 children were suspected of having clinical onychomycosis or tinea pedis. KOH smears and cultures on the Potato corn meal dextrose agars (PDCA) were done for the suspected toe webs, nails and uninvolved neighbor toe webs. Socks were dusted and cultured to check contamination of clothes. Family infections were checked by questionnaire. The incidence was 92 (0.06%) out of 144,446 outpatients in tinea pedis, 28 (0.02%) in onychomycosis. Trichophyton(T.) rubrums were isolated from all of the 7 cases of onychomycosis. T. mentagrophytes was isolated from 5 cases of the tinea pedis patients and T. rubrum was isolated from 50 (92.5%) cases of the tinea pedis. The right side was predominant for onychomycosis of both toe nails (23 of 25) and finger nails (3 of 3). No fungal elements were detected from normal looking neighbor toe webs by KOH examinations. However, culture on PDCA agars showed T. rubrum isolates from 3 toe webs. 7 showed positive cultures from the socks. From the questionnaire, 94 had family infections.

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