치의원에서 근무하는 진료보조인력의 직무만족도에 관한 연구

신창규(Chang Kyu Shin),정학균(Hak Gyun Cheong),임선아(Sun A Lim) 조선대학교 구강생물학연구소 2001 Oral Biology Research (Oral Biol Res) Vol.25 No.1

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전원지역 초등학교 구강보건사업사례

김두현(Doo Hyun Kim),신창규(Chang Kyu Shin),김동기(Dong Kie Kim) 조선대학교 구강생물학연구소 2000 Oral Biology Research (Oral Biol Res) Vol.24 No.1

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치의원에서 근무하는 진료보조인력의 직무만족도에 관한 연구

신창규,정학균,임선아 朝鮮大學校 口腔生物學硏究所 2001 口腔生物學硏究 Vol.25 No.1

There may be many differences in the degree of recognition of dental clinics for the application of oral health care assistants. Therefore, it is required to study the job satisfaction of oral health care assistants who were working in dental clinics and apply the more advanced education to them. Data were obtained form 152 assistants servicing in 75 dental clinics in Kwangju. The results were as follows; 1. As for the degree of the job satisfaction in dental clinics, namely, the degree corresponded with expected work, it was shown that assistants generally expressed not so satisfied responses; 3.3% for very satisfied, 21.1% for a little satisfied, 49.3 % for so so, 25% for dissatisfied. 1.3% for never satisfied. 2. As for the degree of the satisfaction in the present dental clinics, it was shown that assistants generally expressed dissatisfied responses : 2.6% for very satisfied, 10.5% for a little satisfied. 48.0% for so so, 37.5% for dissatisfiled. 1.3% for never satisfied. 3. As for the degree of pride as assistants for medical examination and treatment, it was shown that ta response ratio for usually self-conceited is the most highest; 2.6% for very self-conceited. 12.6 for little sself-donceited, 449.0% for so so. 32.5 for seldome self-conceited. 3.3% for never self-conceited 4. from the result of comparing the job satisfaction with number of holidays. the more the number of holidays. The number of holidays, the higher the ratio of the job satisfaction. By this research, assistants generally didn't express positive responeses in the job satisfaction. Improvement of general work environment of from for assistants is considered to need to provide comfortable and qualitative service to patients in dental clinics.

심자상으로 인한 심정지 환자의 제세동기에 의한 회복례

신창규,정규섭,백효종 대한마취과학회 1981 Korean Journal of Anesthesiology Vol.14 No.1

Recently, there was improved cardiopulmonary resuscitation in parallel with development of electric defibrillator. This 18-year-old male arrived at our hospital emergency room in shock state about 1 hour after trauma. Cardiac arrest was occured at operating table. Promptly, open thoracotomy was performed under endotracheal intubation. There was found left ventricular laceration about 3㎝ in length, therefore primary closure of lacerated ventricle was done and open cardiac massage, too. But ventricular fibrillation was remained. Myocardial fibrillation was disappeared after operation of edfibrillator internally at 20 W/sec and 40 W/sec for 30 minutes. Thereafter, operation was finished successfuly. This patient was admitted in our hospital for 32 days and discharged.

소아 외래환자에서 술전 전처치제 효과에 대한 임상적 관찰

신창규,김인세,진영준 대한마취과학회 1980 Korean Journal of Anesthesiology Vol.13 No.4

Preoperative sedation of children is a difficult problem for the psychic trauma consequent to anticipation of sgery may be as a great hazard to the patient as his original disease. Until now, a numbar of sedatives have been used commonly for adequate sedation of pediatric patients, but ao method has been uriiversally accepted. Comparison of the efficacy and ssfety of ketamine HCI(2.5mg/kg), hydroxyzine HCI(2 mg/kg) and pentazocine(1mg/kg) for preoperative mediaction waa conducted in each 25 cases below 10 year old children for minor day out surgery. The obtained results were as follows; 1) Preoperative sedation effect was more better ketamine and hydroxyzine than pentazociae. 2) No clinically significant changes were observed in vital signs in hydroxyzine group. 3) Adverse reaction during induction of anesthesia was unremarkable in all groups, but bradycardia was occured in pentasocine group. 4) Recovery time was more longer in hydroxyzine group than in the other groups.

Morphine, Fentanyl 및 Bupivacaine 혼합 용액의 수막강내 투여에 의한 분만통 관리

이승용,신창규,김영추,전석봉 대한마취과학회 1999 Korean Journal of Anesthesiology Vol.37 No.4

Background : Intrathecal fentanyl has been known to have rapid analgesic effect for the first stage of labor, but pruritus usually occurs, and respiratory depression can happen. The addition of bupivacaine during intrathecal analgesia has been known to have synergistic action with intrathecal opioids. We observed the efficacy of the intrathecal injection of morphine, fentanyl, and bupivacaine on labor parturients. Methods : 20 laboring patients were studied. Each patients received morphine 0.2 mg, bupivacaine 2.5 mg, and fentanyl 10 μg intrathecally. Analgesia was assessed using visual analogue scale (VAS) score as the time elapsed from the drug administration to the delivery. Side effects such as nausea, vomiting, pruritus, urinary retention, respiratory depression, and hypotension were evaluated. Results : The onset of analgesia was rapid (within 5 minutes) and VAS scores were significantly lower than pre-treatment value for 5 hours. The incidence of nausea or vomiting was 55% (11/20). Pruritus occrred 50% (10/20). The occurrence of urinary retention was 35% (7/20). Hypotension occurred 10% (2/20). No patient developed post dural-puncture headache, respiratory depression, fetal bradycardia, or motor weakness. More than 90% of the patients in this study said that they were satisfied with this analgesic procedure. Conclusions : Intrathecal injection of morphine 0.2 mg, fentanyl 10 μg, and bupivacaine 2.5 mg provided rapid and effective analgesia in labor patients. (Korean J Anesthesiol 1999; 37: 648∼655)

고압산소요법의 임상적 고찰

김용석,신창규,정규섭 대한마취과학회 1978 Korean Journal of Anesthesiology Vol.11 No.4

Authors observed the 242 patients who were treated with hyperbaric oxygenation therapy from September, 1972 to May, 1978 at our department of B.N.U.H. The results were as follows. 1) Sex distribution was 106 male and 136 female, and the age group was between 10 and 39 year old, which occupied 71. l% of the total cases (172 cases). 2) With regard to distribution by month, 206 cases were in November to April, using coal briquette as the main fuel of heating systems. 3) The patients with CO intoxication were 232 cases(95. 9%) and the other 10 cases included Buerger's disease, gas gangrene, sudden deafness and uncommon dermatologic disorder's such as scleroderma and pyoderma gangrenosum. 4) 188 cases(77. 7%) were treated by one time hyperbaric oxygenation therapy and 30 cases(12. 4%) twice, reflecting that most cases were able to be treated only once or twice by hyperbaric oxygenation therapy. Therapy 10 to 49 times was applied to Buerger's disease and sudden deafness, and over 50 times to 2 cases of dermatologic disorders. 5) We could not notice convulsion due to oxygen toxicity, a complication of hyperbaric oxygenation, but tinnitus and aspiration pneumonia were observed in 6 cases(2. 5%).

기관내 삽관에 의한 혈압과 심박수 변화에 대한 Urapidil 의 효과

양희성,신창규,김영추,전석봉,임준구 대한마취과학회 1996 Korean Journal of Anesthesiology Vol.31 No.4

Background: Urapidil is a new antihypertensive agent known to diminish total peripheral vascular resistance by postsynaptic a 1-adrenergic blockade and central sympatholytic activity. The purpose of this study was to determine its effectiveness and safety in preventing hemodynamic responses to endotracheal intubation under general anesthesia. Methods: Thirty normotensive, ASA physical status I patients for elective surgery were selected randomly. They were divided into three groups(Group 1: control group with saline, Group 2: urapidil 0.4 mg/kg, Group 3: urapidil 0.5 mg/kg, n=10 in each group). The drugs were injected 3 minutes before induction with thiopental sodium(4 mg/kg) and succinylcholine(1 mg/kg). Endotracheal intubation was performed 5 minutes after the drugs injection. After endotracheal intubation, vecuronium 0.1 mg/kg was injected and 50% nitrous oxide in oxygen and 2Vo1% enflurane were inhaled. We measured the blood pressure and the heart rate with noninvasive method at one minute interval for 5 minutes. Results: In group 3, no significant increase in systolic blood pressure after endotracheal intubation was noted(p$lt;0.05). Urapidil groups showed increase in heart rate at 1, 2 minutes after urapidil injection(p$lt;0.05) and did not blunt increase in heart rate after endotracheal intubation. The side effects of urapidil(hypotension, dizziness, headache and chest tightness) occured in a patient of group 3. Conclusions: We found that the blood pressure response was effectively controlled, but the change in heart rate was not controlled by urapidil 0.5 mg/kg injection before induction.

전원지역 초등학교 구강보건사업사례

김두현,신창규,김동기 朝鮮大學校 口腔生物學硏究所 2000 口腔生物學硏究 Vol.24 No.1

The purpose of this study was to develop the public basic data the elementary school incremental dental care program of the elementary school. The author had surveyed and supplied comprehensive dental care to the number of 38 children in the Yi-yang elementary school for 3 years. Thereafter, dental caries prevalence and treatment needs, the mean dental chair time per child, the number of children that a dentist can treat in a year and the cost were calculated and discussed. The obtained results were as follows; 1. The level of dental health was improved during 3 years. 2. The primary dental treatment needs were not changed during 3 years, while the secondary dental treatment needs were reduced after the second stage of the incremental dental care and tertiary needs were reduced markedly during 3 years. 3. The mean dental chair time per child was 49min 5sec in the stage of the initial dental care, 32min 15sec in the first stage, 13min 26sec in the second stage of the incremental dental care, respectively. 4. It was calculated that a dentist can treat 1,610 children in the stage of the initial dental care, 2,490 children in the first stage, 6,000 children in the second stage of in the incremental dental care respectively. 5. It was calculated that the mean dental treatment cost was 94,390 won in the stage of the initial dental care, 51,130 won in the first stage, 17,130 won in the second stage of the incremental dental care respectively.

고비중 Bupivacaine 과 함께 사용한 Fentanyl 의 척추마취시 지혈대 통증에 대한 효과

이승용,양희성,신창규,김영추,전석봉 대한마취과학회 1997 Korean Journal of Anesthesiology Vol.33 No.4

Background : Tourniquet pain is probably mediated by C-fiber. The ability of fentanyl to interrupt this nociceptive conduction was studied by administering either fentanyl or saline intrathecally along with hyperbaric bupivacaine for spinal anesthesia. Method : The incidence of tourniquet pain was evaluated in 60 patients having orthopedic surgery of the lower extremities during spinal anesthesia by administering either 30 mcg fentanyl(group 2) or saline(group 1) along with 0.5% hyperbaric bupivacaine 10 mg. We measured the maximal sensory spread of analgesia to pinprick, the incidence of tourniquet pain, and the sensory anesthesia to pinprick at the onset of tourniquet pain. Results : The average maximal sensory spread of analgesia was the same in both groups(T9). The incidence of tourniquet pain was significantly greater in group 1(33%) than in group 2(10%). The sensory levels of anesthesia at the onset of tourniquet pain were not different in two groups. Conclusions : Intrathecal fentanyl was effective against tourniquet pain for 2 hours of the orthopedic surgery of the lower extremities. (Korean J Anesthesiol 1997; 33: 681∼685)