• 제목/요약/키워드: Prophylaxis

검색결과 359건 처리시간 0.048초

압박 궤양 수술 후 발생된 페색전증 치험례 (Clinical Experience of Pulmonary Embolism after Coverage of Pressure Sore)

  • 서상우;이원재;탁관철
    • Archives of Plastic Surgery
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    • 제32권4호
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    • pp.543-546
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    • 2005
  • Pulmonary embolism is a one of the major cause of postoperative death. Surgery predisposes patients to pulmonary embolism, even as late as one month after the operation. The accurate detection of pulmonary embolism remains difficult, and the differential diagnosis is extensive. The prevention of pulmonary embolism is thus of paramount importance. We report a case of pulmonary embolism after coverage of pressure sore on the left ischium on the 8th day after operation. The patient was 60 years old, a severe smoker, in the high quantity of body mass index and had hypertension. The risk factors are 60 years of age or older who were in the highest quantity of body mass index. Heavy cigarette smoking and high blood pressure are also identified as risk factors. Plastic surgeons should keep the probability of pulmonary embolism development after operation in mind. When taking history, the risk factors should be checked certainly. The immobilization may explain the probability of pulmonary embolism development. Therefore absolute bed rest or positional maintenance should be avoided. Until recently, low molecular weight heparin has been used for preoperative prophylaxis. Plastic surgeons should be concerned in low molecular weight heparin for prophylaxis of the pulmonary embolism and study the indications and effectiveness in liposuction or abdominoplasty.

정신건강을 위한 보건시설체계에 관한 연구 (A Study on the Healthcare Facility System for Mental Health)

  • 이현지;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제19권4호
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    • pp.29-36
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    • 2013
  • Purpose: Currently meaning and the needs of the times for the mental health are extensively changing. Contemporary needs for mental health has led to a change in the mental health policy and mental health facilities. But Change on Most of the mental health facilities have been focused on quantitative increase. So, changes in mental health facilities due to changes in mental health policy are needed for the study. This study investigate to the mental health facility system through this changes. Methods: In order to determine the flow of Mental health policy in Korea the mental health laws and reports were investigated Results: the result of this study can be summarized into two points. Korea's mental health policy has changed from the rehabilitation of the mentally ill to the prophylaxis of all the people. So, mental health facilities are changing form rehabilitation facilities in the private sector to public mental health center. Especially, mental medical institutions and mental health center are changing to requirement for the needs of the times. Mental medical institutions are changing from inpatient to outpatient and mental health center are changing from the rehabilitation of the mentally ill to the prophylaxis of all the people. Implications: Understand the flow of mental health policy, mental health facilities and the corresponding need.

비도시지역 학교인구의 구강보건진료소비실태에 관한 조사연구 (A study on the school dental health care in rural area)

  • 김진범
    • 보건교육건강증진학회지
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    • 제2권1호
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    • pp.107-112
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    • 1984
  • In order to develop the school dental health care in rural area, the author collected data about the population of all 6-17 year students living in Young dong-gun county, and Surveyed their dental health cares during one year of 1982. From the collected data, several dental health indices such as percentage of students of all population, percentage of students who visited dentists once or more during one year, average annual dentist visit and average annual dental treatment case were calculated and discussed. The obtained results were as follows; 1. The percentage of students of all population in Young dong-gun county was 29.65%. 2. The percentage of students who visited dentists once or more during one year was 4.67%. 3. The average annual dentist visit per student was 0.11. 4. The average annual dental treatment case per student was 0.16. 5. The oral examination case was 0.05, intraoral radiograph 0.01, oral prophylaxis 0.00, filling of dental carious lesion 0.02, pulp treatment 0.02, extraction of teeth 0.04, and others 0.02 annually in the average. In comparison with detectable need for dental treatment cases, oral prophylaxis was not supplied at all, filling of dental carious lesion was supplied about 1% and extraction of teeth was supplied about 10% of detectable need. 6. It was recommended that school incremental dental care project should be developed for school dental health programme in order to supply all of the detectable need for dental treatment.

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치과위생사의 일회용 치과진료용품 감염관리 인지도와 재사용자율의 차이 (Differences in dental hygienists' infection control awareness and re-user rate of disposable dental care supplies)

  • 박보영;노희진
    • 한국치위생학회지
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    • 제20권5호
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    • pp.645-653
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    • 2020
  • Objectives: The purpose of this study is to identify the difference between the awareness and reuser rate of infection control t for disposable dental care supplies (DDCS) according to general characteristics and infection management-related characteristics. Methods: A questionnaire was used for 277 dental hygienists to check the general characteristics, infection management-related characteristics, awareness of infection control disposable dental care products, syringe needle, prophylaxis cup, prophylaxis brush, plastic saliva ejector, orthodontic bracket, and gloves reuse rate. Results: The awareness of infection control for DDCS differed according to 'hospital type', 'average number of patients per day', 'presence or absence of infection control guidelines', and 'experience in infection management training in the last two years' (p<0.05). Reuser rates of disposable dental care products differed according to 'hospital type', 'average number of patients per day', 'presence or absence of infection control guidelines', and 'experience in infection management training in the last two years' (p<0.05). Conclusions: In order to manage infection of DDCS, the level of infection control system in the workplace is improved and support for related education is needed. In addition, guidelines and regulations on prohibition of reuse and classification criteria for various DDCS should be prepared.

전신 마취 후 발생한 고양이의 일시적인 급성 시력상실 1례 (Acute Temporary Visual Loss after General Anesthesia in a Cat)

  • 손원균;정보영;권태억;서강문;이인형
    • 한국임상수의학회지
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    • 제26권5호
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    • pp.480-482
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    • 2009
  • A 2-year-old, castrated male, Scottish fold cat was referred to Veterinary Medical Teaching Hospital of Seoul National University (VMTH-SNU) for evaluation of acute bilateral blindness after general anesthesia. For dental prophylaxis in local animal hospital, general anesthesia had been induced with intravenous acepromazine and ketamine, and maintained with isoflurane after intubation. At VMTH-SNU on next day, complete blood count, electrolytes and serum chemistry values were within normal ranges. On neurologic examination, visual placing and postural reactions like as hopping, hemiwalking and wheelborrowing were reduced on right hindlimb. On ophthalmic examination, menace responses were absent on both eyes and pupillary light reflex (PLR) reduced on right eye, but other reflex and fundus were normal. Prednisolone (2 mg/kg sid for 3 days) was administrated orally and tapered. Visual placing was possible on 2nd day, and postural reactions were recovered on 4th day after dental prophylaxis. Based on the process and recovery, this case was considered as postoperative visual loss (POVL) after general anesthesia.

선천성 혈액 응고 인자 Ⅹ(10번) 결핍증 환아에서 구개성형술의 증례보고 (A Case Report of Palatoplasty in a Patient with Clotting Factor Ⅹ Deficiency)

  • 김석화;정의철;윤병민;최태현;강형진
    • Archives of Plastic Surgery
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    • 제36권6호
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    • pp.792-794
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    • 2009
  • Purpose: Clotting factor X deficiency is one of the most uncommon coagulation disorders. The authors describe a case of cleft palate in a patient with a congenital clotting factor X deficiency. Methods: In pediatric patients with a cleft palate, the coagulation problem is more worrisome, because they are more sensitive to blood than adults, and because postoperative bleeding can cause blood ingestion with subsequent vomiting, aspiration, and airway obstruction. To prevent hemorrhagic complications in the described case, fresh frozen plasma (FFP) was administered every 24 hrs from the day before surgery to the second postoperative day. Results: Good hemostasis, normal healing, and no complications was shown postoperatively. Conclusion: The replacement of fresh frozen plasma was useful in the case of congenital clotting factor deficiency for bleeding prophylaxis in cleft palate operation.

인공호흡기 관련 폐렴 예방 번들 적용의 효과 (The Effects of Implementation of Ventilator-Associated Pneumonia Prevention Bundles)

  • 김세정;이윤미;조정현
    • 중환자간호학회지
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    • 제10권2호
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    • pp.14-23
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    • 2017
  • Purpose: The purpose of this study was to evaluate the effectiveness of a ventilator-associated pneumonia (VAP) bundle. Methods: This was a retrospective study that was carried out between June 2010 and October 2015. In this study, 3,224 intubated patients were included. The VAP bundle which was applied to Group 1 patients (n=470) included head-of-bed elevation to 30 degrees, cuff pressure monitorization, prophylaxis of peptic ulcer, and prophylaxis of deep vein thrombosis. The VAP bundle for Group 2 patients (n=1,914) included all the elements of the VAP bundle for Group 1 patients and one additional element which was oral care with 0.12% chlorhexidine. The VAP bundle for Group 3 patients (n=870) added sedative interruption and assessment of readiness to extubate to the VAP bundle for Group 2. Results: The numbers and incidences of VAP were significantly different among the three groups. Moreover, there were significant differences among groups in ICU length of stay and mortality. Conclusion: Three different VAP prevention bundles made different effects in patient outcomes.

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Fluoride penetration from three orthodontic adhesives: an experimental study

  • Wagner, Leopold;Szepietowska, Magdalena
    • 대한치과교정학회지
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    • 제43권1호
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    • pp.29-34
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    • 2013
  • Objective: To examine the prophylactic potential of 3 orthodontic bonding adhesives: Fuji Ortho SC, Illuminate, and Resilience. Methods: Thirty-six Wistar Wag rats were randomly divided into 4 groups consisting of 9 rats each. One of the groups received no treatment and was used as a control. In the other groups, individual bands coated with one of the 3 adhesives were cemented to the lower incisors. Enamel samples were obtained after 6 and 12 weeks and analyzed using scanning electron microscopy in combination with energy dispersive spectrometry. Results: Six weeks after band cementation, no fluoride was found in the enamel of the lower incisors. After 12 weeks, there was no fluoride in the enamel of teeth coated with the Resilience composite. However, in the case of the Illuminate composite and the resin-modified glass ionomer Fuji Ortho SC cement, the depth of fluoride penetration reached $2{\mu}m$ and $4.8-5.7{\mu}m$, respectively. Conclusions: Fluoride ions from orthodontic adhesives can be incorporated into the surface layer of the enamel. Orthodontists may apply orthodontic adhesives, such as the Fuji Ortho SC, to reduce the occurrence of caries during orthodontic treatment with fixed appliances.