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심한 치아 마모로 인해 수직 고경이 상실된 환자에서 국소 의치를 이용한 전악 수복 증례
심은영,이나영,강정경,Shim, Eun-Young,Lee, Na-Young,Kang, Jeong-Kyung 대한치과보철학회 2018 대한치과보철학회지 Vol.56 No.4
치아의 마모는 나이가 들어감에 따라 진행되는 정상적인 과정이지만, 과도한 마모는 교합 부조화, 기능 및 심미적인 문제를 가져온다. 특히, 구치부 지지가 상실된 경우 전치부 치아의 마모와 수직 고경의 감소가 발생할 수 있고 이로 인하여 측두 하악 관절 장애 및 비심미적인 안모 변화, 저작 효율 감소가 일어날 수 있다. 본 증례의 환자는 70세 남자 환자로 심한 치아의 마모로 인한 수직 고경 상실로 심미적인 회복을 위해 내원하였으며 구강 검사, 방사선 검사, 진단 모형 검사를 통해 수직 고경을 평가하고, 수직 고경 증가를 동반한 가철성 국소의치로 수복을 결정하였다. 10개월 간의 관찰 결과 안정적으로 교합이 유지되고 있는 것을 확인하였고, 환자의 기능적, 심미적인 만족을 얻었다. Gradual attrition is a normal process of aging, but severe attrition causes occlusal disharmony, functional disorder and esthetic problems. The collapse of posterior support may cause attrition of anterior teeth, and loss of occlusal vertical dimension (OVD). And it induces the pathologic change of the TMJ, unaesthetic facial appearance and decreased masticatory function. In this case, 70 year-old male presented with decreased vertical dimension and esthetic problems due to worn dentition. Based on assessment of intraoral findings, diagnostic cast and radiographic examination, full-mouth rehabilitation with increase of OVD was planned. After 10 month follow-up, occlusal stability is maintained and through this procedure, satisfactory outcomes were achieved in esthetic and functional aspects.
제왕절개 수술에서의 표준 진료 지침서의 개발 및 임상적용
정혜원(Hye Won Jung),문혜성(Hye Sung Moon),박은희(Eun Hee Park),심은영(Eun Young Shim),오주연(Joo Yeon Oh),이선주(Sun Joo Lee),한경려(Gyung Rye Han),안정자(Jung Ja An) 대한산부인과학회 2000 Obstetrics & Gynecology Science Vol.43 No.11
Objectives : The critical pathways provide high quality of medical services in a cost-effective manner. To investigate the decrease in length of hospital stay and increase of cost effectiveness by using critical pathways, we compared hospital stay, cost of treatment, and the patient's satisfaction before and after critical pathway use. Methods : We made a critical pathway team, which consisted of obstetric staff members, a resident, two nurses, a pharmacist, two clerical staff members. We made critical pathways for the medical team and patients. A prospective evaluation of a critical pathway for cesarean section was used as a comparison for control patients. Results : The data for 305 patients with a critical pathway were compared to those of 136 control patients. The mean hospital stay is shorter in critical pathway patients than control patients. The cost of treatment decreased and differences between DRG (Diagnosed Related Groups) and cost of treatment increased in critical pathway patients. Conclusions : Using critical pathways in cesarean section decreased the duration of hospital stay and increased cost effectivesess. The critical pathways were useful as a means to minimize cost while increasing patient satisfaction.
심은영,윤석권,홍완수 대한영양사협회 2004 대한영양사협회 학술지 Vol.10 No.2
The purposes of this study were to evaluate the quality of hospital food services in view of patients in orthopedic wards and accomplish the quality improvement in hospital foodservice operations. Quantitative questionnaires for patients containing foodservice satisfaction and demographic information were developed. A survey of 8 general hospitals was undertaken and detailed information was collected from 290 patients in orthopedic wards. The collected data were processed using the SAS PC 6.12 for descriptive analysis and t-test. In demographic information of patients, 32.6% was over 50 years old and 3 1% was hospitalized over 30 days. 80% of patients was taking normal diet. 47.7% and 47.9% of patients showed moderate appetite and moderate pain respectively. The overall satisfaction score for patients was 3.24 out of 5, showing slightly higher level than the average score(3.00). According to foodservice involvement scores of patients, they were divided into two groups which were high involved group and low involved group. Two groups showed significant differences in taste of meals, variety of menu, punctuality of meal times, temperature of meals and portion size. The foodservice involvement factor which affected significantly patient foodservice satisfaction was 'kindness of foodservice staff'.