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- 저자 : 정수아(Sua Jung) (검색결과 5 건)
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과도한 치조제 흡수를 보이는 무치악 환자에서 Centric tray와 폐구법 인상을 이용한 총의치 수복 증례
정수아,마보영,양홍서,박상원,임현필,윤귀덕,Jung, Sua,Ma, Boyoung,Yang, Hongso,Park, Sangwon,Lim, Hyun-Pil,Yun, Kwidug 대한치과보철학회 2018 대한치과보철학회지 Vol.56 No.2
기존의 의치 인상채득 방법은 치조제 흡수가 심한 환자에게 사용하기에 한계점이 있으며, 의치상을 과도하게 연장하여 문제를 발생시킬 수 있다. 특히나 가동성조직이 존재하는 경우에는 정확한 인상 채득을 하기가 어렵고, 따라서 총의치의 적절한 안착을 방해할 수 있다. 치조제 흡수가 심한 환자에서 폐구법 인상을 이용하여 총의치를 제작하면 더 나은 안정성과 유지를 얻을 수 있다. 본 증례는 86세의 여자환자로 상악 전치부에 치은열성비대가 존재하며 하악의 심한 치조제 흡수를 보이는 무치악 환자이다. 따라서 Centric tray를 이용하여 잠정적인 교합고경을 결정 후 고딕아치 장치를 부착한 맞춤형 트레이를 제작하였고, 폐구법 인상채득을 시행하여 상하악 총의치를 제작하였으며, 의치의 충분한 안정성과 유지력을 얻어 환자의 만족도를 높였다. Conventional denture impression techniques have limitations for edentulous patients with severe alveolar bone resorption and can cause problems from excessive border extension. Especially when a patient has movable tissue it is difficult to make accurate impression, thus might interrupt stable seating of complete denture. Fabrication of complete denture using closed mouth technique for edentulous patient with severe ridge resorption is thought to provide better stability and retention. In this case, an 86-year-old patient had both edentulous jaws with epulis fissuratum on maxillary anterior ridge and severe mandibular ridge resorption. Thus, tentative vertical dimension was determined by using Centric trayand individual tray attached with gothic arch tracer was fabricated. Complete denture was fabricated using closed mouth technique and the patient was satisfied with better stability and retention of the complete denture.
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우리나라 치매 관련기관 종사자의 치매전문교육 요구와 발전 방향
정수아(Jung, Sua),송준아(Song, Jun-Ah),천홍진(Cheon, Hongjin),김지연(Kim, Jiyeon) 한국노인간호학회 2021 노인간호학회지 Vol.23 No.2
Purpose: This study aimed to explore dementia-specialized education and the training needs of employees from various dementia-related institutions in South Korea and propose directions for future development of the standard curriculum. Methods: Qualitative data were generated from four round-table meetings with 44 participants recruited from the metropolitan centers for dementia (N=12), regional dementia-relief centers (N=15), long-term care settings (N=7), and public long-term care hospitals (N=10). Each meeting was held for about 120 minutes, and participants discussed the knowledge, skills, and attitudes required for their job, satisfactory and non-satisfactory experiences of education programs they had participated in, and what should improve. All contents discussed in each meeting were recorded and transcribed verbatim. Data were analyzed using a conventional content-analysis method. Results: Eight categories and 19 subcategories emerged under the three themes of (a) educational contents recognized as necessary, (b) advantages and disadvantages of completed dementia education, and (c) directions for improving educational programs for employees of dementia-related institutions. Conclusion: Dementia-specialized education and training should be standardized and structured systematically and differently depending on the job characteristics, type, and required level of expertise. Communication with and attitudes toward patients with dementia is re-emphasized as a common content regardless of occupation and institution; thus, sufficient training time should be secured. Qualified instructors and various platforms are also necessary to effectively deliver quality education.
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구치부 지지의 상실과 마모로 인해 교합이 붕괴된 환자에서 수직고경 회복을 동반한 구강회복 증례
조유진,정수아,양홍서,박상원,임현필,윤귀덕,박찬,Jo, Yu Jin,Jung, Sua,Yang, Hong-So,Park, Sang-Won,Lim, Hyun-Pil,Yun, Kwi-Dug,Park, Chan 대한치과보철학회 2018 대한치과보철학회지 Vol.56 No.4
다수의 치아 상실과 치아 마모로 인해 교합이 붕괴된 경우 교합 고경의 변경이 필요할 수 있다. 그리고 이러한 경우 심미적이면서도 근신경계와 조화를 이룰 수 있는 고경을 결정하는 것이 중요하다. 본 증례는 치아상실 및 마모로 인해 교합 수직 고경의 감소가 관찰된 환자에서 진단 모형과 방사선 사진 및 다양한 임상적 검사 등의 교합관계분석을 통해 교합 수직 고경을 회복을 동반한 보철 수복을 진행한 경우로, 기능적인 면과 심미적인 면에서 양호한 결과를 얻었기에 이를 보고하는 바이다. Multiple tooth loss and excessive occlusal wear can result in damage to occlusal disharmony, functional disorders and esthetic problems, requiring comprehensive prosthetic treatments. Changing vertical dimension harmonized with surrounding muscle tissue is important. In this case, the patient with loss of vertical dimension caused by severe tooth loss and tooth wear was treated with the analysis of vertical dimension, such as diagnostic model, radiography and various clinical exams. the patient was satisfied with favorable functions and esthetics for 1 years of follow-up.
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김지연(Jiyeon Kim),송준아(Jun-Ah Song),정수아(Sua Jung),김지연(Jiyeon Kim),김선희(Sunhee Kim) 한국노인간호학회 2023 노인간호학회지 Vol.25 No.2
Purpose: With the nationwide expansion of local dementia centers (LDCs) after the National Responsibility for Dementia System, the number of tailored dementia case management (TDCM) programs increased significantly, but qualitative improvement in TDCM is still a remaining task. The purpose of this study was to explore the current practice of the TDCM in LDCs and suggest directions for future program improvement. Methods: A focus group interview was conducted with seven hands-on workers who had experience in TDCM at the LDCs. Participants (mean age=40 years old) were nurses, social worker, and occupational therapist with an average of 9.1 years of working experience in TDCM. Data were analyzed using qualitative content analysis. Results: The results were summarized into three core themes and fourteen sub-themes. The three core themes were ‘Job Characteristics of TDCM,’ ‘Barriers to the effective operation of TDCM,’ and ‘Improvement plans for successful TDCM.’ Conclusion: To establish the function and role of TDCM within the domestic dementia management system, we propose five areas for improvement: 1) Developing a standardized TDCM manual; 2) Quantitative and qualitative expansion of case manager working capacity; 3) Activating a multidisciplinary team approach; 4) Forming a collaborative network between related organizations and local community councils; 5) Active promotion of TDCM.
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