• 제목/요약/키워드: Operative method

검색결과 983건 처리시간 0.02초

보건전문대학의 산학협동교육에 관한 연구 (A Study on the Co-operative Education of the Junior Health College)

  • 성환경
    • 대한치과기공학회지
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    • 제12권1호
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    • pp.23-45
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    • 1990
  • This study aimed at inquiring into the basic theory on co-operative education, grasping and analyzing the present situation of the junior health college, the present condition of co-operative education and into problem. and seeking to find a solution to activate the co-operative edcation of the junior health colleges. For this purpose this study compared the co-operative education system in our country with that of foreign countries revolving around the related literature to co-operative education, analyzed it, and the pointed out its problem. And this study classified into the solution of establishing co-operative education system, the solution of consolidating the on-the-spot training system, the solution to activate the co-operative education of the junior health college. First this study suggested three methods as a part of establishing co-operative education system as below. 1. The need to set up the ideology concerning co-operative education. 2. The construction of the advisory committee for co-operative education. 3. The establishment of an agency for co-operative education. And this study suggested nine methods as the method of consolidating the on-the-spot training as below. 1. The execution of the basic research for the on-the-spot training. 2. The reorganization of the existing curriculum into the curriculum the industrial organization requires. 3. The establishing of the system in a closer cooperation with the industrial organization for the on-the-spot training. 4. The participation in solving commonly the problems of the industrial organization and in education. 5. The establishing of the guidance system assuming exclusive charge of the on-the-spot training. 6. The submission of the evaluation sheet for the on-the-spot training. 7. The extension of the period of the on-the-spot training and the reorganization of an educational system. 8. The persistent support for the on-the-spot training at the governmental dimension. 9. The securing of the educational dost spent on the on-the-spot training and the imposition of benefits on the industrial organization.

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A newly-designed method to measure liner polymerization shrinkage

  • Ikejima, Iwao;Matsuzawa, Norihiko;Momol, Yasko;Kohno, Atsushi
    • 대한치과보존학회:학술대회논문집
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    • 대한치과보존학회 2003년도 제120회 추계학술대회 제 5차 한ㆍ일 치과보존학회 공동학술대회
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    • pp.604-604
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    • 2003
  • I. Objectives Newly-designed method was evaluated to measure the linear polymerization shrinkage of light-cured resin composites. II. Materials and Methods A resin composite(Clearfil AP-X, Kuraray, Japan) was filled into a vinyl-polysiloxan mold(1 to 8mm-depth, and 7mm-diameter). As indicators, 4 beads(Retention Beads 2 SS, GC, Japan;particle size $200{\;}\mu\textrm{m}$) were placed diagonally on the resin surface of a mold. The coordinates (x, y, z, pasition) of each indicator were measrued by a measuring-microscope after which the resin surface was irradiated by a curing-light source(Optilux 500, Demetron/Kerr, USA) for 40 sec. After 20 sec the coordinates were again measured.(omitted)

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치료적 놀이 프로그램이 학령전 아동의 수술 전 불안에 미치는 효과 (Effects of Therapeutic Play Program on the Pre-operative Anxiety of the Preschooler)

  • 김종선
    • 부모자녀건강학회지
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    • 제12권2호
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    • pp.119-130
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    • 2009
  • Purpose: This study was designed to examine the effects of Therapeutic Play Program on the pre-operative anxiety of the preschoolers. The design of this study is a quasi experimental study of non-equivalent control group pre-test/post-test design. Method: The subjects of this study were the hospitalized preschoolers receiving an operation in C University Hospital. These totalled 60 and were divided into a 30-person-control-group and a 30-person-experimental-group. The data was collected from June 1 to October 5, 2002. The Experimental treatment was carried out according to Therapeutic Play Program developed by Researcher. The instruments used in this study were the observational records for Hospitalized preschooler's Anxiety behavior response, pulse rate, and respiration rate of the preschooler's. The collected data were analyzed with real numbers, percentage, t-test, and $X^2$-test, using SPSS WIN 11.0 program. Result: Hypothesis, "The experimental group provided with a Therapeutic Play Program would show a lower score of the pre-operative anxiety behavior(t=13.79, p=.00), pre-operative pulse(t=4.50, p=.00) and pre-operative respiration rate(t=4.29, p=.00) response than when the control group was not provided", was supported. Conclusion: Therapeutic Play Program is determined to be useful for reducing Pre-operative anxiety of the preschoolers.

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관절내 종골 골절의 전산화 단층 촬영에 따른 분류 및 치료 (CT Classification and Treatment of Intraarticular Calcaneal Fractures - Conservative vs. Surgical Treatment by Prospective Study -)

  • 강재도;김형천;김진형
    • 대한족부족관절학회지
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    • 제5권1호
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    • pp.35-42
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    • 2001
  • Purpose: To analyze the results of conservative or surgical treatment after computed tomograhy(CT) classification in intraarticular calcaneal fractures. Materials and methods: From January 1996 to May 1999, we prospectively analyze 23 cases of intraarticular calcaneal fractures who were treated conservatively or operated by open reduction and internal fixation by extensive L-shaped lateral approach after CT classification. Results: A functional scoring system of 0-100 points which was based upon the responses to AOFAS Ankle-Hindfoot Scale for the operative group was at 82.8, compared with 73.2 for the non-operative group, and these were meaningful statistically(P<0.05). Of type I fracture, in the operative group there were 2 excellent results and in the non-operative group there were 2 excellent results, 1 good result. or type II fractures, in the operative group there were 2 excellent results, 3 good results, 1 fair result and in the non-operative group there were 1 good result, 1 fair result, 2 poor results. Of type III fractures, in the operative group there were 2 fair results, 2 poor results and in the non-operative group there were 1 fair result, 3 poor results. Bohler angles of subtalar joint were changed from initial average $13.3^{\circ}$ to postoperative average $20.9^{\circ}$ for the operative group compared with from initial average $15.5^{\circ}$ to follow-up average $14.8^{\circ}$ of the non-operative group(P<0.01). Conclusions: Computed tomography in the evaluation of intraarticular calcaneal fractures is effective tool. We believed that open reduction and internal fixation in all Crosby & Fitzgibbons type II and according to degrees of comminution reducible type III for the intraarticular calcaneal fractures is more effective method than conservative treatment.

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식도암의 수술에서 transhiatal 술식의 역할 (The Role of Transhiatal Operation at Esophageal Carcinoma Operation)

  • 김재범;박창권
    • 대한기관식도과학회지
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    • 제15권2호
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    • pp.36-41
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    • 2009
  • Background : Controversy exists whether patients with esophageal carcinoma are best managed with classical Ivor Lewis esophagectomy(ILO) as combined thoracic and abdominal approach or transhiatal esophagectomy(THO). The THO approach is known to be superior with respect to operative time, morbidity and mortality, and length of stay, especially at poor pulmonary function patient, but may represent an inferior cancer operation due to inadequate mediastinal clearance compared with ILO. Accordingly, we estimated the THO role at esophageal cancer to compare each operative approach. Material and Method : From January 2002 to December 2007, we performed a retrospective review of all esophagectomies performed at Keimyung University Dongsan Medical Center; 36 underwent THO, and 11 underwent ILO. Result : There were all men and squamous cell carcinoma but 1 woman at ILO group, 2 women at THO group. There were no significant differences between THO and ILO with age, sex, location of tumor, mean tumor length. There were significant differences at preoperative pulmonary function test(In ILO group, average FEV1 is $2.65{\pm}0.6\;L/min$ and iIn THO group, average FEV1 is $2.07{\pm}0.7\;L/min$). The amount of blood transfusion, hospital stay, leak rates and respiratory complication, hospital mortality rate were not significantly different. Conclusion : There was no significant difference in the post-operative complication, hospital mortality rate, long-term survival of patients of both operative method. THO method had lower mobidity and mortality at poor pulmonary function patient than ILO method. Hence, THO is a valid alternative to ILO for patients with poor general condition or expected post-operative respiratory complication.

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근관세척제(根管洗滌劑) 및 근관충전방법(根管充塡方法)에 의(依)한 근관폐쇄효과(根管閉鎖效果)에 관(關)한 실험적(實驗的) 연구(硏究) (AN EXPERIMENTAL STUDY ON THE EFFECT OF THE CANAL INRRIGANTS AND THE METHOD OF CANAL FILLING ON THE QUALITY OF CANAL OBTURATION)

  • 오병원;민병순;최호영;박상진
    • Restorative Dentistry and Endodontics
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    • 제9권1호
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    • pp.59-68
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    • 1983
  • The purpose of this study was to examine the influence of canal irrigants and the method of canal filling on the quality of canal obturation. Sixty extracted human teeth with single root were selected and divided into three different groups; In group I (control); 5 cc normal saline irrigated after each instrumentation In group II; 2.5 cc-3% NaOCl in combination with 2.5 cc-3% $H_2O_2$ In group III; RC-Prep in combination with 5 cc-3% NaOCl All specimens were cleaned, shaped(#50 file size), irrigated and obturated by lateral condensation and automated thermatic condensation filling method of gutta-percha and AH-26. After all the specimens were immersed in 2% methylene blue dye solution in $37^{\circ}C$ for 7 days and the degree of dye penetration into the canals observed by magnifying glass(${\times}$20) and reflected light microscope The results were as follows: 1. All the the teeth showed some degree of the dye penetration. 2. There were no significant difference among three groups in the degree of the dye penetration in each canal filling method. 3. There were no significant difference of the dye penetration between each canal filling method in group I. 4. There were no statistically significant difference of the dye penetration between each canal filling method in group II and group III, but lateral condensation group was showed slightly more than automated thermatic condensation group.

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유용성산화방지제에 대한 유기산의 협력효과에 대한 연구 (Studies on co-Operative Effect of Oil-Soluble Antioxidants and Organic Acid.)

  • 유세홍;김선덕;윤오섭
    • 한국환경보건학회지
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    • 제5권1호
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    • pp.21-24
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    • 1978
  • This study was conducted to find out the co-operative effect of antioxidants (butyl hydroxy anisol, dibutyl hydroxy toluene, propyl gallate, dl-$\alpha$-tocopherol) and organic acid (citric acid, tartaric acid, succinic acid) on the stability of soybean oil by active oxygen method. The results obtained were summarized as follows: 1. When antioxidants and organic acid were used together, the antioxidants activity was more strong than antioxidants were used only. 2. The co-operative effect of citric acid for antioxydants was the strongest whereas succinic acid was the weakest. 3. The co-operative effect of phenolic antioxydants for organic acid was more strong than dl-$\alpha$-tocopherol.

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선천성 식도 폐쇄 및 기관식도루 4례 보고 (Congenital esophageal atresia and tracheoesophageal fistula: report of 4 cases)

  • 채성수
    • Journal of Chest Surgery
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    • 제16권1호
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    • pp.127-130
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    • 1983
  • Esophageal atresia and Tracheoesophageal fistula may occur as separate entities but usually occur in combination. First described by Durston in 1970, esophageal atresia was not successfully treated until 1939 when the first two survivors of staged correction were described by Ladd and Leven. In 1941, Haight and Towsley performed the first successful primary repair. Authors report four cases of esophageal atresia of which two cases were treated surgically in success with Haight`s method. The type of four cases were all the same as upper blind pouch and lower tracheoesphageal fistula. Two of them were associated with verterbral defect, imperforate anus and/or rib fusion. Two cases died within seven days due to parent`s refusal for operative therapy, others were treated surgically with Haight`s method. Operative patients tolerated all the operative procedure and recovered uneventfully, permitted feeding on 7th postoperative day. On follow up study, one patient revealed intermittent regurgitation and corrected with bougienation another with good health without complication.

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수술 중 촬영된 2D XA 영상과 수술 전 촬영된 3D CTA 영상의 고속 강체 정합 기법 (Rapid Rigid Registration Method Between Intra-Operative 2D XA and Pre-operative 3D CTA Images)

  • 박태용;신용빈;임선혜;이정진
    • 한국멀티미디어학회논문지
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    • 제16권12호
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    • pp.1454-1464
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    • 2013
  • 본 논문에서는 수술 중 촬영된 2D XA(X-ray Angiogram) 영상에 수술 전 촬영된 3D CTA (Computed Tomography Angiography) 영상 정보를 융합 가시화하기 위한 고속의 강체 정합 기법을 제안한다. 본 논문에서는 두 혈관 사이의 특징점 정보를 이용하여 예측 투영 위치 지점을 추정하는 삼각 측정을 통한 추정치 예측 기법을 제안하여 빠르고 견고한 초기 정합이 가능하다. 이에 더하여 주축을 생성하여 정렬시킨 후 경계 상자를 이용하여 혈관의 형태를 비교하는 방법으로 더욱 정확한 초기 정합이 가능하다. 다음으로 정밀정합은 선택적 거리 측정을 통하여 각 영상에서의 혈관들의 거리 차이가 최소인 위치로 영상을 정합한다. 실험으로 5명의 환자 데이터에 대하여 영상정합을 하였고, 기존 기법과 수행 속도와 정확성, 견고성 측면에서 비교 평가하였다. 실험 결과 제안 기법은 기존 기법에 비하여 최적의 위치로 빠르고 견고하게 정합되었다.

수술환자의 자가통증조절기 사용 방법에 관한 조사 연구 (Patient-Controlled Analgesia (PCA) for Post-operative Patients - A Study on Differences according to Who Controls the Analgesic)

  • 이윤영
    • 기본간호학회지
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    • 제14권3호
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    • pp.315-322
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    • 2007
  • Purpose: The purpose of this study was to examine the effect of three kinds of modes using bolus button of PCA on level of pain and side effects of analgesic and amount of drug consumption in post-operative patients according to whether the medication is controlled by the patient, the caregiver or the nurse. Method: The participants were 684 patients using PCA after an operation. The data collection period was from March 19 to April 6, 2007. Results: It was found that there were statistical differences in gender, age, type of surgery, pain on first post-operative day, amount of drug consumption, nausea, and vomiting. The ratio for patient controlled medication was 55.7% for women, and 70.5% for men, and for care-giver controlled medication, 35.1% for women, and 20.0% for men. Average pain scores for the first post-operative day were $3.9{\pm}2.2$ for patient controlled medication and $4.5{\pm}2.3$ for care-giver controlled medication. There were statistical differences according to mode used for PCA for amount of drug consumptions, nausea and vomiting but not for pain, operation day or pruritus. Conclusion: This study was carried out to examine risks according to who controls the PCA for post-operative patients. The results can help to develop education program for everyone who is involved in PCA, patients, caregivers, nurses and doctors.

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