• 제목/요약/키워드: Treatment Period

검색결과 8,719건 처리시간 0.034초

PERT/CPM의 치과임상에의 적용 (Application of PERT/CPM in dental practice)

  • 김보국;김재현;동진근
    • 대한치과보철학회지
    • /
    • 제52권3호
    • /
    • pp.186-194
    • /
    • 2014
  • 목적: 공정관리는 프로젝트 완성에 필요한 작업에 대해 순서 설정 및 작업의 상호관계를 시각적으로 표시하여 완료에 이르기까지의 과정을 분석, 관리하는 활동이다. 이 연구의 목적은 치과임상에 있어서 공정관리 기법 중 PERT/CPM (Program Evaluation & Review Technique/Critical Path Method)을 이용하여 치료기간의 단축 및 치료의 효율성을 증진시키기 위함이다. 재료 및 방법: 원광대학교 치과병원 보철과에 내원한 환자 중 2개과 이상 타과와의 협진이 필요한 보철치료 환자를 대상으로 하였다. 대조군은 초진에서 치료 종료까지의 진료기록부를 분석하고 실제 치료기간, 내원횟수, 진료비용으로 구성되며 실험군은 PERT/CPM 기법을 이용하여 작성한 가상의 공정표상 치료기간, 내원횟수, 진료비용을 포함한다. 본 연구는 공정관리 기법 중 PERT/CPM을 적용하였다. 결과: 진료기록부를 토대로 작성한 공정표와 가상의 PERT/CPM 공정표상에서 18.1%의 치료기간 단축과 15.3%의 내원횟수 감소를 나타내었다. 진료비용에 있어서 PERT/CPM 공정관리 기법을 통하여 0.9%의 비용절감이 이루어졌다. 결론: 치과 임상에 PERT/CPM 기법을 도입함으로써 치료의 신뢰도를 높이고 치료기간을 감소시킬 수 있으며 최소비용의 치료계획의 수립이 가능하다.

Deprivation of Esophageal Boluses and Dry Forage Intake in Large-type Goats

  • Van Thang, Tran;Sunagawa, Katsunori;Nagamine, Itsuki;Kato, Seiyu
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제23권9호
    • /
    • pp.1174-1183
    • /
    • 2010
  • In goats fed on dry forage twice a day, an esophageal fistula was used to investigate the physiological factors present in the marked suppression of dry forage intake that occurs after 40 min of feeding. The animals used in this study were five large-type male esophageal- and ruminal-fistulated goats. Roughly crushed alfalfa hay cubes with any large remaining chunks removed were used as feed for this research. The study was conducted under both normal feeding conditions (NFC) and sham feeding conditions (SFC). In the NFC control, the esophageal fistulae were closed by plugs and the animals ate dry forage in the normal manner. In the SFC treatment, before starting the experiment the plugs for closing the esophageal fistula were removed and the cannulae for collecting boluses were fitted into the fistulae. Therefore, the esophageal boluses were removed via an esophageal fistula before they entered the rumen. In the NFC control, eating rates sharply decreased in the first 40 min of feeding and were subsequently maintained at low levels. However, eating rates in the SFC treatment remained high after 40 min of the feeding period had elapsed and the goats ate continuously during the 2 h feeding period. In comparison with the NFC control ($1,794{\pm}203.80\;g$/2 h), cumulative dry forage intake in the SFC treatment ($3,182{\pm}381.69\;g$/2 h) was 77.4% greater (p<0.05) upon conclusion of the 2 h feeding period. In the SFC treatment, cumulative bolus output ($6,804{\pm}469.92\;g$/2 h) was about twofold the cumulative dry forage intake due to cumulative salivary secretion volume ($3,622{\pm}104.13\;g$/2 h) upon conclusion of the 2 h feeding period. The result indicates that large amounts of secreted saliva during dry forage feeding act in conjunction with consumed feed to form the ruminal load responsible for ruminal distension. The increased plasma total protein concentrations were higher in the SFC treatment than in the NFC control. However, plasma and ruminal fluid osmolalities increased in the NFC control during and after feeding but were mostly unchanged in the SFC treatment. In comparison with the NFC control ($3,440{\pm}548.04\;g$/30 min), thirst level in the SFC treatment ($1,360{\pm}467.02\;g$/30 min) was 60.5% significantly less (p<0.05) upon conclusion of the 30 min drinking period. The results of the present study indicate that In the second hour of the 2 h feeding period, dry forage intake is regulated by factors produced when boluses enter the rumen.

Miniscrew implant를 이용한 상악 구치부 압하와 개방교합 치료의 효과 및 안정성 (Treatment and posttreatment changes following intrusion of maxillary posterior teeth with miniscrew implants for open bite correction)

  • 이한아;박영철
    • 대한치과교정학회지
    • /
    • 제38권1호
    • /
    • pp.31-40
    • /
    • 2008
  • 최근 절대적인 고정원의 등장으로 다른 부작용 없이 구치부 압하 치료를 가능하게 하였고, 비수술적으로 개방교 합의 심미적인 치료를 가능하게 하였다. 그러나, 이러한 치료법의 장기적인 안정성에 대한 연구는 많이 부족한 실정이다. 이에 본 연구에서는 miniscrew implant 를 이용하여 상악 구치를 압하시켜 치료한 성인 개방교합 환자 11명(남자 1명, 여자 10명) 을 대상으로 치료 전후, 그리고 유지기의 골격성, 치아 치조성 변화를 측모 두부 방사선사진을 이용하여 평가하였으며 계측치의 치료 전후 변화량간의 상관관계와 치료에 의한 변화량과 재발량과의 상관관계를 규명하여 상악구치의 압하를 통해서 개방교합을 치료할 때에 안정성을 평가하였다. 그 결과로 상악 구치는 2.22 mm 압하 (p < 0.001) 가 일어났고, 평균 17.4 개월 유지 후 0.23 mm 의 정출 (p = 0.359) 이 나타났으며, 재발율은 10.36%로 나타났다. 전치부의 수직피개는 평균 5.47 mm 의 증가 (p < 0.01) 가 나타났고 평균 17.4 개월 유지 후 0.99 mm의 감소 (p < 0.05) 가 나타나서, 재발량은 18.10%로 계산되었다. 치료 전후 수치 변화량의 상관분석을 통해 상악 구치 압하량과 하악 평면각 변화량이 상관관계 (p < 0.05) 가 있었다. 치료 전의 개방교합량, 하악 평면각, 전하안면고 경과 치료 후의 수직피개 재발량과는 상관관계가 없었다. 상악 구치 압하량과 수직피개 개선량에서 치료에 의한 변화량과 재발량이 통계적으로 유의한 상관관계를 보였고, 이를 토대로 재발량을 예측할 수 있었다. 이상의 결과를 통하여 성인 개방교합 환자에서 miniscrew implant를 이용한 상악구치부의 압하는 비수술, 심미적 접근방법으로 효율적이고 안정적인 치료방법으로 유용하게 사용할 수 있을 것으로 생각된다.

특발성 외안근마비의 한의학적 치료 경향 분석 (The Analysis of Korean Medicine Treatment for Idiopathic External Ophthalmoplegia)

  • 이수경;강주영;이승희;홍현진;황두리;최현민;이창원
    • 한방안이비인후피부과학회지
    • /
    • 제30권3호
    • /
    • pp.119-133
    • /
    • 2017
  • Objectives : This study is designed for analysis of trend and curative effect of Korean medicine for idiopathic external ophthalmoplegia. Methods : Research studies related to objectives were gathered through OASIS and KTKP and analyzed. Results : 21 case reports were selected. 5 korean medicine therapies, Herb, acupuncture, moxibustion, electroacupuncture, and pharmacopuncture, were executed. Restorative herb including Bojungikki-tang was frequently used in herb therapy. Facial and cephalic acupoints and non-facial, non-cephalic acupoints which individually differ were mostly simultaneously executed as acupuncture therapy. Also, moxibustion was partly performed. Electroacupuncture was carried out to affected area with electric stimulation at the strength of 1Hz and 4Hz. Hominis placental pharmacopuncture, 0.1cc or 0.5cc for each acupoint, was injected on disease area. After analyzing number of Korean medicine treatment and period of Korean medicine treatment from 21 case reports, the recovery period of idiopathic external ophthalmoplegia, 36.6 treatment session/36.69 days, was assessed to be more than one month shorter than previously known recovery period. Number of treatment sessions and treatment period for 11 cases when pharmacopuncture or electroacupunture was applied were 10/29, 35/29.96, which was 15 days shorter in terms of treatment period and 10 times less in terms of number of treatment sessions compared to cases when pharmacopuncture or electroacupunture was not applied. Conclusions : Korean medicine treatment can be effective for recovery of idiopathic external ophthalmoplegia.

수선의 기내 구 비대에 미치는 생장조절제와 저온처리의 영향 (Effect of Growth Regulators and Chilling Treatment on Bulblet Increment of Narcissus pseudo-narcissus 'King Alfred' in Vitro)

  • 정향영;신학기;김의영
    • 식물조직배양학회지
    • /
    • 제24권2호
    • /
    • pp.99-101
    • /
    • 1997
  • 나팔수선 킹알프레드의 화경배양에서 얻은 대량의 소자구를 비대시키기에 적합한 호르몬 농도, 저온처리기간, 저온 처리 후 구비대에 적합한 호르몬 농도를 구명코자 하였다. 분화된 식물체의 구비대 및 생육은 BA 2.5mg/L에 NAA 2.5mg/L이 첨가된 MS배지에서 높았다. 자구비대를 위한 저온처리 기간은 8주간이 좋았으며 저온처리후 배양은 NAA 1mg/L가 첨가된 배지가 구비대에 가장 효과적이었다.

  • PDF

밀착성 외측 쐐기 스트랩 깔창이 내반슬 골관절염 환자의 대퇴경골각에 미치는 영향 (The Effects of Femorotibial Angle of a Contact Lateral-Wedged Insole with Strapping in Patients with Varus Deformity Osteoarthritis of the Knee)

  • 이상용
    • 대한정형도수물리치료학회지
    • /
    • 제12권2호
    • /
    • pp.1-10
    • /
    • 2006
  • The purpose are to assess the efficacy of a contact lateral-wedged insole with strapping on the femorotibial angle in patients with varus deformity osteoarthritis of the knee after treatment period. 25 outpatients with knee osteoarthritis (OA) were randomized to be treated with a contact lateral-wedge insole with strapping. Standing radiographs were used to analyze the femorotibial angle for each subject. The result of repeated two-way ANOVA's reveled that a contact lateral-wedged insole with strapping produced significantly differences in the femorotibial angle between groups after treatment period (P<0.05). and repeated one-way ANOVA's reveled that it produced significantly differences in the femorotibial angle between experimental groups after treatment period (P<0.05). We suggest that these results may be beneficial for manufacturing foot orthotic devices, such as wedged insoles, to control medial and later compartment forces in the knee varus-valgus deformity.

  • PDF

Effects of Intraruminal Saliva Flow on Feed Intake in Goats Fed on Alfalfa Hay Cubes

  • Sunagawa, Katsunori;Nakatsu, Yoshifumi;Nishikubo, Yoriko;Ooshiro, Takeshi;Naitou, Kouta;Nagamine, Itsuki
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제15권12호
    • /
    • pp.1738-1746
    • /
    • 2002
  • Research was carried out to ascertain whether or not the volume of saliva flowing into the rumen regulates dry forage intake in ruminants. Goats with a parotid fistula were fed roughly crushed alfalfa hay cubes, concentrated beef cattle feed and $NaHCO_3$ wice daily (10:00-12:00, 16:00-18:00). Except for the days on which experiments were conducted, the animals were free access to drinking water. The animals were intraruminally infused every day prior to the morning feeding period with parotid saliva collected from the parotid fistula over a 24 h period. The present experiment consisted of three treatments, non-infusion (NI), intraruminal infusion of parotid saliva (RSI), and intraruminal infusion of warm water (RWI). In the RSI treatment, approximately 4-5 kg of parotid saliva (280-290 mOsm/l) collected over a 24 h period was intraruminally infused 1 h prior to the commencement of morning feeding. In the RWI treatment, parotid saliva was substituted for warm water ($36^{\circ}C$). After infusions, the animals were fed on roughly crushed alfalfa hay cubes for 2 h. During feeding, eating and saliva secretion rates were measured. Blood samples were also periodically collected from the jugular vein. After 2 h feeding, water intake was measured for 30 min. These measurements were used to define thirst levels. On the day of the experiment, the animals were not access to drinking water during the morning feeding. It is thought that rumen fill in RSI and RWI treatments was higher than the NI treatment. In comparison with the NI treatment however, cumulative feed intake increased by 39.3% with RSI treatment and by 45.9% with RWI treatment after completion of the 2 h feeding period. After 2 h feeding, thirst level in the RSI treatment showed only a 10% decrease compared to the NI treatment, but thirst level in the RWI treatment decreased 49.8%. Despite the significant differences in thirst levels between RSI and RWI treatments, the cumulative feed intake in both treatments was similar. When comparing accumulated saliva secretion volumes 2 h after feeding, volumes in the RSI treatment were significantly 35.9% lower than the NI treatment while volumes in the RWI treatment were unchanged. However, the volumes of saliva and fluid flowing into the rumen were greater in both RSI and RWI treatments when compared to the NI treatment. The results indicate that the amount of saliva flowing into the rumen is a factor regulating feed intake in ruminants fed on dry forage.

수침고목재의 처리조건에 따른 PEG 침투상태 (Penetration of PEG by Treatment Condition of Waterlogged Wood)

  • 이경철;이종신
    • 보존과학회지
    • /
    • 제29권3호
    • /
    • pp.243-247
    • /
    • 2013
  • 최대함수율 660%, 전건비중 0.15의 소나무를 대상으로 처리조건에 따른 PEG 침투상태를 알아보고자 하였다. PEG 용매, 함침농도, 함침기간, 함침온도에 따른 중량변화율을 구하고 SEM을 이용하여 목재 세포 내부의 PEG 침투상태를 관찰하였다. 그 결과 PEG의 침투에 용매는 큰 영향을 미치지 않았다. 함침농도는 고농도에서 중량증가율이 높았고, 함침기간은 20일에서 가장 큰 중량증가율을 보였으며, 함침온도에 따른 차이는 거의 나타나지 않았다. 이를 토대로 PEG를 이용한 최대함수율 660%의 소형 수침고목재의 처리 시 20일 정도의 함침기간으로 충분한 PEG 침투효과를 얻을 수 있다는 것을 알 수 있었다.

REACTION TIME, SEMEN OUTPUT AND SEMEN QUALITY OF BUFFALO BULLS AFTER PRE-COLLECTION INJECTION OF PROSTAGLANDIN F2 ALPHA (PGF2 ALPHA)

  • Capitan, S.S.;Antiporda, G.S.;Momongan, V.G.
    • Asian-Australasian Journal of Animal Sciences
    • /
    • 제3권4호
    • /
    • pp.343-346
    • /
    • 1990
  • A study was conducted to determine the effect of prostaglandin $F_2$ alpha ($PGF_2$ alpha) on the reaction time and seminal characteristics of buffalo bulls. Semen was collected from three Murrah bulls in three periods: pre-treatment, treatment and post-treatment. During the treatment period each bull was administered 2 ml $PGF_2$ alpha (Synchrocept, Fenprostalene) im, 1 hour prior to semen collection. In the post-treatment, semen was collected 7 days after the last injection of $PGF_2$. Semen samples were evaluated immediately after collection. Pre-collection injection of $PGF_2$ alpha has no significant effect on reaction time, semen volume, percentage motility, sperm concentration and total number of sperms per ejaculate. Fluctuations in semen color and consistency were observed. There is a significant (p<0.05) increase in the mean percentage of normal spermatozoa during the treatment and post treatment periods. Likewise, administration of PG results into a significant (p<0.05) rise on the average percentage of live sperms but this effect was not manifested in the post-treatment period. Improvement in mass activity was observed during the treatment and post-treatment periods.

The effects of cold treatment on the pupal period, emergence rate, and number of Protaetia brevitarsis larvae spawned

  • JANG, Heeseung;CHOI, Moon Bo;LEE, Hyoki;KIM, Yeongbu;KWON, Ohseok
    • Entomological Research
    • /
    • 제48권6호
    • /
    • pp.550-558
    • /
    • 2018
  • To develop a system for the mass production of Protaetia brevitarsislarvae (Pbl), this study analyzed the oviposition characteristics of third instar Pbl through successive rearing and cold treatments. In the first generation, females laid 50 eggs each on average, and spawned higher numbers of eggs for the first 5 days but then fewer after this. However, all of the $2^{nd}$-generation females that were produced through the successive rearing of eggs from the $1^{st}$ generation did not spawn. When test insects (TI) were raised at $32^{\circ}C$, their $mean{\pm}SE$ pupal period and emergence rate were $28.4{\pm}1.9$ days and 87%, respectively. However, most individuals raised in cold treatments ($5^{\circ}C$ and $-5^{\circ}C$) without a pre-cooling period did not survive. Individuals exposed to a pre-cooling period, however, had a 7-10 days longer pupal period than those raised at $32^{\circ}C$, and their emergence rate (90%) was slightly higher. Different cold treatment temperatures ($0^{\circ}C$, $3^{\circ}C$, or $5^{\circ}C$) and periods (30 or 60 days) were tested in further experiments. The experimental group kept for 30 days at $0^{\circ}C$ and $3^{\circ}C$ had the shortest pupal period of all, and emergence rates exceeded 90% in most groups. With respect to the number of eggs spawned by the second generation females after cold treatments, the experimental groups held in cold treatments at $5^{\circ}C$ for 30 and 60 days were found to spawn the most eggs. Consequently, the experimental group kept at $5^{\circ}C$ for 30 days was the most effective set of conditions tested during the entire breeding period.