• 제목/요약/키워드: Treatment knowledge

검색결과 1,955건 처리시간 0.027초

상악동 중격;임플란트 수술 계획시 파노라마와 치과용 전산화 단충촬영 분석 (Maxillary sinus septum;panoramic radiographic and dental computed tomographic analyses in the planning of implant surgery)

  • 소현자;정동근;권진희;유소현;김형섭
    • Journal of Periodontal and Implant Science
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    • 제36권1호
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    • pp.147-154
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    • 2006
  • Surgical intervention in the posterior maxillary region requires detailed knowledge of maxillary sinus anatomy and the possible anatomical variations. This study evaluated the incidence, location of maxillary sinus septa by using radiographic (panoramic radiography and computed tomography) findings and comparison of panoramic radography with CT in antral anatomical variation. This study was based on data from 70 sinuses in partial dentate maxilla. The sample consisted of 61 patients(25 women and 36 men, with ages ranging between 19 and 77 years and a mean age of $49.4{\pm}11.3$ years) who were being treatment-planned to receive implant-supported restorations. First, the panoramic images were examined for the presence of antral septa by radiologist and examiner who don't know about CT findings. And incidence of antral septa was evaluated using an axial plane of CT image. The incidence of septa was compared between panoramic radiography and CT. The accuracy of the incidence was compared between radiologists and dentists. A total of 20 septa were found in 70 sinuses on CT image and the prevalence of one or more septa per sinus was found to be 28.6%. The assumed incidence of septa on panoramic radiography was $27.6%{\pm}2.2%$ in radiologist and $31.9%{\pm}5.8%$ in dentists. Erroneous diagnosis rate was 11.42% in radiologist and 15.96% in dentists. 40% of antral septa were located in the anterior(premolar) region, 30% of septa were located in the middle(first molar) and posterior(second molar) region separately. Prior to implant placement, it seems appropriate to consider panoramic radiography as a standard radiographic examination and periapical radiographs may be used to complete the findings in regions not sharply depicted in the panoramic radiograph. And cross-sectional imaging should be used in sites with severe bone loss and close proximity of the maxillary sinus.

제주 지역 병원의 구강 악안면 간호 실태 (Hospital oral and maxillofacial nursing care in Jeju province)

  • 김성준;김세일;송효정;감세훈;이병진
    • 대한치과의사협회지
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    • 제53권1호
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    • pp.36-46
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    • 2015
  • Objectives: The objective of this work was to investigate the hospital nursing care of oral and maxillofacial health in jeju province. Methods: 438 Registered nurses(RN) who were working at each of secondary hospitals in Jeju province had responded to the questionnaire. The data were analyzed via frequency analyses and one-way ANOVA to assess the state of RN on hospital nursing care of oral and maxillofacial health. Results: The class of education on density in formal density that marked '0 hour' and '1-3 hours' were 73.5% and 19.9%, respectively. The class of refresher training on density that marked '0 hours' and '1-3 hours' were 92.9% and 6.6%, aggregately 99.5%. The nursing education on appearance after tumor of maxillofacial area that marked 'formal education' and 'none' were 45.2% and 52.1%, respectively. The score of question 'function, effect and side effect of hexamedin gaggle' was $2.68{\pm}0.95$ by Likert 5-point scale. Likewise, the scores were $2.82{\pm}0.88$ on question 'management of removal denture', $2.83{\pm}0.95$ on question 'preventive dental treatment before anticancer therapy', $2.88{\pm}0.86$ on question 'function of saliva', $2.96{\pm}0.99$ on question 'oral management of tube feeding patient', $3.13{\pm}1.00$ on question 'bacterial endocarditis from oral microflora', $3.36{\pm}0.89$ on question 'dysphagia' and $3.62{\pm}1.03$ on question 'aspiration pneumonia'. RN replied that 'lack of knowledge' and 'delay of cooperation' formed 53.7% and 33.3% respectively, on question 'problem in dental consultation other diseased patient'. Conclusions: From this study, it is necessary for RN and student of nursing science to be educated on the oral and maxillofacial nursing. Authors suggest further co-study and nation-wide research.

일부 병원 종사자들의 치과위생사에 대한 이미지 선호 경향 (Trend in Preference for Dental Hygienist Image among Health Care Workers)

  • 윤현서;김정술;이미옥;김현대
    • 치위생과학회지
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    • 제10권4호
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    • pp.211-218
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    • 2010
  • 부산지역 치과를 포함하는 종합병원에 근무하는 병원종사자 228명을 대상으로 치과위생사의 주된 업무, 선호하는 내적인 이미지, 선호하는 외적이미지, 사회적 수준 등에 대하여 조사한 본 연구의 결론은 다음과 같다. 1. 치과위생사의 주된 업무는 1순위는 치의사의 진료보조 28.2%, 2순위 치석제거 23.2%, 3순위 예방업무 20.6%로 나타났다. 2. 선호하는 이미지는 밝은 표정이 61.4%로 가장 많았으며, 단정함 32.9%, 세련됨 3.5%, 지적 임 2.2% 순으로 나타났다. 기혼에서 밝은 표정을 많이 선호하였으며 유의미한 차이를 보였다(${\chi}^2=8.11$, p<.05). 3. 유니폼은 투피스 바지 형을 76.3%로 가장 선호하였으며, 여자에서 투피스 바지 형을 많이 선호하는 유의미한 차이를 보였다(${\chi}^2=41.09$, p<.001). 4. 치과위생사가 갖추어야 할 중요한 자질은 전문적 지식이 49.1%로 가장 많았으며, 성실함과 책임감 23.2%, 친절성 22.4%, 인격과 교양 5.3% 순으로 나타났다. 40세 이상인 종사자가 성 실함과 책임감으로 인식하는 경우가 많았으며 유의미한 차이를 보였다(${\chi}^2=20.62$, p<.01) 5. 사회적 수준이 높다고 인식할수록 치과위생사의 외형적 모습이 신뢰감 또는 안정감에 영향 을 줄 수 있으며 유의미한 차이를 보였다(F=9.98, p<.001) 6. 사회적 수준이 높다고 인식하는 경우 밝은 표정을 선호하였으며(${\chi}^2=31.54$, p<.001), 사회적 수준이 낮다고 인식할수록 경우 친절성 및 성실함과 책임감이라고 인식하였으며, 유의미한 차이를 보였다(${\chi}^2=14.03$, p<.05). 이상의 연구결과를 볼 때 치과위생사의 사회적 수준과 이미지 향상을 위해서는 치과위생사에게 적합한 업무를 수행할 수 있는 실무능력향상 프로그램 마련되어야 할 것으로 사료된다.

골다공증의 국내 연구 동향에 대한 고찰 - 한의 학술 논문 검색을 중심으로- (The Review on the Study of Osteoporosis in Korean Medicine Journals)

  • 서민수;김현철;추원정;정상윤;김세정;최정욱;최요섭;유영기
    • 척추신경추나의학회지
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    • 제8권2호
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    • pp.67-78
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    • 2013
  • Objectives : The present study examines the domestic trend of Osteoporosis studies in Korea. Method : We reviewed oriental medicine papers published in last ten years (2003-2012). Korean literature search was used for domestic Internet search portal. 'Naver specialized information retrieval', 'Korea Traditional Knowledge Portal', 'Korea Medical Information Portal (OASIS)',' Scientific and Technological Information Integration Services (NDSL)',' Academic Research Information Service (RISS)'as the primary destination of the search were. Since 2003 until 2012, the thesis o'f osteoporosis'and found 92 papers with the search term '(golwi)' to the search terms found in 3 papers Korean medical target of on going research trends in osteoporosis about investigated. Results : 1. We researched 95 papers in 15 journals and patterns of study were as follows : experimental studies were 79(83%), clinical studies were 12(13%), reviewed studies were 3(3%) and etc. were 1(1%). 2. The experimental studies(79) were divided into papers on efficiency testing of herbal medications(67) and herbal acupuncture(12). 3. The clinical studies(12) showed that research has been carried out in the fields of follow up surveys for the herbal medication efficiency testing, basic research, case report, the relativity of osteoporosis to age and sex, and the perception about osteoporosis and korean medicine treatment. 4. The reviewed studies showed that research has been carried out in the fields of osteoporosis about acient literature and domestic studies about herbal medication of osteoporosis. Conclusion : Reviewing the domestic trend of Osteoporosis studies and examining the strong and weak points of those treatments are essential for the future studies. It is anticipated that this review benefits the future in-depth study on the treatments for osteoporosis in Korean medicine.

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건선 한약제제 임상시험 가이드라인 개발을 위한 관련 국내외 가이드라인과 기존 건선치료 한약제제 연구와의 비교 (Comparison between domestic and foreign Clinical guidelines and previous researches on Korean medicine for psoriasis to develop the clinical trial guideline of psoriasis using Korean medicine)

  • 강세현;문영균;정우열;남혜정;김윤범;이준희;김규석
    • 한방안이비인후피부과학회지
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    • 제29권2호
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    • pp.12-32
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    • 2016
  • Objectives : The objective of this study is to develop the strategies of the psoriasis clinical trials guideline on Korean medicine by comparison between Clinical guidelines and domestic and foreign clinical trials papers of psoriasis on Korean medicine. Methods : This study is based on analysis of papers on Clinical trials guidelines, Clinical practice guideline and clinical trials about Korean medicine. The papers were searched from Pubmed, Medline, Oasis(Oriental Medicine Advanced Searching Integrated System), Korean Traditional Knowledge Portal and Google portal database. Results : A total 8 Clinical practice guidelines and 2 Clinical trials guidelines were found. Moreover, there were 15 foreign papers about clinical trials and 29 internal articles about case studies. They suggested the diagnostic strategy, classification, effective outcome measure, severity measure, precaution of combination therapy, precaution and treatment period of clinical trials, safety evaluation, patterns of Korean Medicine, clinical specific features on psoriasis.Conclusions : The criteria of every item to provide the clinical trials guideline using Korean medicine on psoriasis were developed by apply the results. If we accumulate the more clinical articles on Korean medicine, it will be great help to develop the reliable standard of that guideline.

일본(日本) 수산계(水產系) 고등학교교육(高等學校敎育)의 현황(現況)과 전망(展望) -I. 학교(學校)의 분포(分布)와 교육과정(敎育課程)의 편제(編制) (The Present Status and Future Prospect on Education of Fisheries High School in Japan -I. Distribution of Schools and Arrangement of Curriculum)

  • 이병기
    • 수산해양교육연구
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    • 제4권1호
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    • pp.75-87
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    • 1992
  • Cultivation of competent manpower is recognized as one of the important factors in the development of fisheries as well as of other industries. For reference to the development of education of fisheries high schools in the Republic of Korea, the author carried out a study on the education in Japan. The reason is why the education on fisheries had been initiated in Japan and her educational system has played the role of a model for neighboring countries. Even though the education on fisheries tends to shrink a little in recent years by diffusing the unwilling tendency to engage in 3D (dirty, difficult and dangerous) jobs, there are fifty-one high schools educating fisheries in Japan. Thirty-eight of them are specialized fisheries high schools and the others are comprehensive high schools to put common course and fisheries course together. In the first step of study, the goal of education on fisheries, organization of department and arrangement of curriculum are analysed. 1. In the newly arranged curriculum which will come into effect from 1994, the goal of education on fisheries is set up as "By educating fundamental knowledge and technology on the production and circulation in the field of fisheries, have students understand the significance and role of fisheries, and so cultivate ability and active attitude to the development of fisheries". The goal means that the circulation of fishery products are regarded as important as the production itself, and active attitude to the development of fisheries is also stressed, different from the present goal. 2. Standard departments directed by the Government are set up as five-Departments of Marine Fishing, of Fisheries Engineering, of Information Communication, of Fish Culture, of Sea Foods. But they are actually organized and named by the founders of schools-local government. Then there are many unique-named departments and the management of schools are somewhat flexible according to the situation of local district. 3. Special subjects are revised to twenty-four in the new curriculum from twenty-two in the present curriculum. Among them the contents are widely revised in the subjects such as Introduction to Fisheries, Fisheries Engineering, Communication Engineering, Communication Technology, Fish Culture. On the other hand, five subjects such as Information Treatment on Fisheries, Information Technology on Fisheries, Subjective Study, Fisheries Economics, Circulation of Sea Foods are newly set up to meet the changing phase of the time.

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조건(암, 정상)에 따라 특이적 관계를 나타내는 유전자 쌍으로 구성된 유전자 모듈을 이용한 독립샘플의 클래스예측 (Class prediction of an independent sample using a set of gene modules consisting of gene-pairs which were condition(Tumor, Normal) specific)

  • 정현이;윤영미
    • 한국컴퓨터정보학회논문지
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    • 제15권12호
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    • pp.197-207
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    • 2010
  • 대용량(High-throughput) 형태로 얻어진 cDNA 마이크로어레이 데이터에 다양한 데이터 마이닝 기법을 적용하면 서로 다른 조직에서 추출한 유전자의 발현정도를 비교할 수 있고 정상세포와 암세포에서 발현량의 차이를 보이는 DEG(Differently Expression Gene) 유전자를 추출할 수 있다. 이들을 이용하여 병을 진단할 수 있을 뿐만 아니라, 암의 진행 단계(Cancer Stage)에 따른 치료 방법을 결정할 수 있다. 마이크로어레이를 기반으로 한 대부분의 암 분류자는 기계학습 기법을 이용하여 암 관련 유전자를 추출하여, 이들 유전자를 총체적으로 이용하여 독립 샘플의 클래스(암, 정상)를 판정한다. 하지만 유전자의 발현량의 차이뿐만 아니라 유전자와 유전자의 상관관계의 변화가 질병 진단에 활용될 수 있다. 대부분의 질병은 단독 유전자의 변이에 의한 것이 아니라 유전자의 모듈로 이루어진 유전자조절네트워크의 변이에 의한 것이기 때문이다. 본 논문에서는 조건에 따라 특이적 관계를 나타내는 유전자 쌍을 식별하여, 이들 유전자 쌍을 이용한 유전자 분류 모듈을 생성한다. 분류 모듈을 이용한 암 분류 방법이 기존의 암 분류 방법보다 높은 정확도로 암과정상 샘플을 분류함을 보여주고 있다. 분류 모듈을 구성하는 유전자의 수가 상대적으로 적으므로 임상키트로의 개발도 고려할 수 있다. 향후 분류 모듈에 속하는 유전자의 기능적 검증을, GO(Gene Ontology)를 활용함으로서, 밝혀지지 않은 새로운 암 관련 유전자를 식별하고, 분류 모듈을 확대하여 암 특이적 유전자조절네트워크 구성에 활용할 계획이다.

기악과 학생들의 근육과 건 증상에 대한 조사연구 (A Study of Musculotendinous Problems of Students Majoring in Musical Instruments in Korea)

  • 이은남;이은옥;이인숙;박인혜;박정숙;배상철;소희영
    • 근관절건강학회지
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    • 제4권1호
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    • pp.48-60
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    • 1997
  • This study was undertaken to identify the musculotendinous problems and contributing factors to those problems In students majoring in musical instruments in Korea. The data were collected from March 2, 1996 to March 31, 1996 from 261 music students in various geographical areas. The data were analyzed for descriptive statistics, t-test, chi-square using SPSS $PC^+$ program. The results of this study were as follows : 1. In a questionnaire survey of 261 music students, one hundred twenty five(47.9%) reported having had various musculotendinous symptoms. Twenty seven students among the those who had previous symptoms(21.9%) reported the present symptoms. 2. The experience rates of musculotendinous problems in keyboard players, string players and woodwind players were 50.3%, 48.2%, 33.3% respectively. 3. Most of the students practiced most intensively during their high school years and the musculotendinous symptoms began at the same period. 4. Pain, tenderness and stiffness were the most common symptoms, while paresthesia and motor dysfunction were rare. This indicates that most players had muscle tendinous overuse, while small number had nerve entrapment and motor dysfunction. 5. In past and present symptoms, string players experienced musculotendinous symptoms mainly in both sides of shoulders, lumbar area, left finger, and left wrist, while keyboard players experienced more symptoms in the right wrist, shoulder, fingers than left side. 6. The major contributing factors to the symptoms were weight of instrument, types of instruments, types of daily activities, duration of practice, and playing technique. 7 The most frequent treatment modalities for the symptoms were acupuncture or moxibustion, other alternative therapy such as heat compress and massage. Through this study it was found that the musculotendinous problems might be increased along with their career, due to lack of knowledge about preventive measures and patterns of health behavior seeking alternative modalities rather than professional consultation. Therefore, preventive measures that focus on playing habits such as duration of practice, frequency of rest and position while playing should be developed and taught to the students, their parents, and music educators. Doctors who are interested in this area should attempt to correct the position and posture while playing of the posture. And measures for reduction of loading of instrument weight should also be developed.

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의사의 커뮤니케이션 스타일이 환자만족에 미치는 영향에 관한 연구 (The Impact of Doctors' Communication Styles on Patient Satisfaction: Empirical Examination)

  • 서판수
    • 한국병원경영학회지
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    • 제7권4호
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    • pp.57-101
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    • 2002
  • These days, the environment of hospital marketing is changing rapidly. The level of expectation and demand of patients have become greater and more diversified, and patients have more alternatives in selecting hospitals. The standard of hospital selection and the type of using hospital have been changed, and competition among hospitals has been accelerated due to the opening of the medical market through globalization. Accordingly, differentiation strategies are critical in hospital marketing. The quality of medical service oriented toward patient satisfaction becomes a strong strategic weapon to secure a hospital's competitive advantage. Therefore, marketing and communication strategies should be focused on patient-oriented, rather than hospital-oriented. Considering the changes in the hospital environment and the increase in the patients' expectation level, this study categorizes doctors' communication styles into four different ones: trust-type, professional-type, cooperation-type, and control-type. The effects of these communication styles on patient satisfaction were empirically examined. The moderating roles of the patient's characteristics and clinical characteristics between the doctors' communication styles and patient satisfaction were also investigated to find out managerial implications for hospital management. To achieve such goals, data were collected from patients of 12 general hospitals in Busan. The data were analyzed to test research hypotheses that examine 1) the relationships between doctors' communication styles and patient satisfaction, 2) the moderating roles of the patient characteristics and clinical characteristics in the research model, and 3) the impact of patient satisfaction on positive word-of-mouth and repurchase. The following summarizes the major results of this research. First, the data showed that patient satisfaction varied across doctors' communication styles. Trust-type style had the strongest impact on patient satisfaction while control-type style had the weakest influence on patient satisfaction. Professional-type style and cooperation-type style also had positive effects on patient satisfaction but the impact of the two are not statistically different. Second, significant differences in terms of patient satisfaction were found depending upon demographic variables such as gender, marital status, age, occupation, and education. Patient satisfaction, however, was consistent across varying income groups. Third, patients' medical insurance types were also related to patient satisfaction. It implies that a doctor may need to use different communication styles depending on a patient's medical insurance type. Fourth, out-patient and in-patient showed a different level of satisfaction with varying communication styles. Fifth, highly professional knowledge and strong control can influence patient satisfaction depending on the characteristics of the patient treatment field. Sixth, patient satisfaction were proved to have significantly positive effects on word-of-mouth and repurchase. The implications drawn from this study must be tempered by its limitations. First of all, the subjects used in this study were patients in Busan and small- and medium-size hospitals were excluded from the research. Therefore, future research should examine the research model by using a variety of hospitals and clinics throughout Korea. Another research agenda has to do with finding more determinant and moderating variables which will increase an explanatory power of the model. In short, this study may be the first empirical research that investigates the effects of doctors' communication styles on patient satisfaction. Interestingly enough, the results showed that each communication style had a unique impact on patient satisfaction. The findings from this research can be very useful in developing hospital marketing strategies.

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피음 수준에 따른 굴거리나무의 용기 내 생장 및 생리적 반응 (Growth and Physiological Response in Container of Daphniphyllum macropodum by Shading Level)

  • 송기선;김종진
    • 한국산림과학회지
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    • 제106권1호
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    • pp.33-39
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    • 2017
  • 본 연구는 내음성이 있는 수종으로 알려진 난대 상록활엽수인 굴거리나무 용기묘를 대상으로, 피음 수준에 따른 생장과 생리적 반응을 알아보고자 실시되었다. 피음은 전광과 전광의 35%, 55%, 75% 수준으로 조절하여 처리하였다. 피음 수준에 따른 1년생 용기묘의 간장과 근원경 생장 조사 결과, 간장은 35% 피음에서 13.2 cm로 가장 컸으며, 근원경은 전광에서 4.99 mm로 가장 굵었다. 잎, 줄기, 뿌리 및 전체 건물생산량은 모두 35% 피음에서 각각 1.38 g, 0.47 g, 0.87 g, 2.72 g으로 높았다. 엽록소 a, b 및 총 엽록소 함량은 상대적으로 피음 수준이 가장 높은 75% 피음에서 가장 높았으며, 엽록소 a/b율은 35% 피음에서 가장 높게 조사되었다. 광합성 속도, 기공전도도 및 수분이용효율은 35% 피음에서 각각 $12.3{\mu}molCO_2{\cdot}m^{-2}{\cdot}s^{-1}$, $0.27molH_2O{\cdot}m^{-2}{\cdot}s^{-1}$, $3.53{\mu}molCO_2{\cdot}mmol^{-1}H_2O$로 가장 높았다. 이러한 결과를 종합하면, 내음성이 있는 굴거리나무는 35% 피음 수준이 생육에 적정한 것으로 판단된다.