• Title/Summary/Keyword: 병원 만족도

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Flapless implant placement with digital 3D imaging and planning system in fully edentulous patient: A case report and 5-year follow-up (완전무치악 환자에서 디지털 가이드 수술 방식을 이용한 무피판절개 임플란트 식립증례: 증례보고 및 5년 추적관찰)

  • Shin, Mi-sun;Paek, Janghyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.3
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    • pp.312-320
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    • 2019
  • One of the fastest growing segments of implant dentistry is the utilization of computed tomography (CT) scan data and treatment planning software in conjunction with guided surgery for implant reconstruction cases. Computer assisted planning systems and associated surgical templates have established a predictable, esthetic, functional technique for placing and restoring implants. Especially, a philosophy of restoratively driven implant placement has been generally adopted. Recently, a variety of commercial dental fields have released their scanning and fabricating protocols and methods for restorations. This process is still being investigated and developed for the most precise and predictable outcome. This case report describes a female patient who wanted dental implants in fully edentulous areas. Restoratively driven implant placements were performed with surgical guide and the patient was fully satisfied with the clinical results, and at 5-year post restorative follow-up assessment, both implant and prosthesis were proved clinical success.

Effects of Maxillary Lateral Incisor Agenesis on Skeletodental Characteristics in Mixed Dentition (상악 측절치 결손이 어린이 안면골격과 치열궁 형태에 미치는 영향)

  • Nam, Siyeon;Shin, Jonghyun;Kim, Jiyeon;Jeong, Taesung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.46 no.2
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    • pp.147-157
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    • 2019
  • This study aimed to evaluate skeletodental characteristics of patient with maxillary lateral incisor agenesis (MLIA) in mixed dentition. It involved the children in early mixed dentition who visited Pusan National University dental hospital for orthodontic purposed and had intact primary canines. 38 children with MLIA and 38 controls with the same chronological age satisfying the inclusion criteria were selected. The craniofacial structures and dental arch dimensions of the MLIA were evaluated using model & cephalometric analysis and compared to controls. The rate of unilateral MLIA was high in male and the rate of bilateral MLIA was high in female. In model analysis, the width / length ratio of maxillary anterior portion of the MLIA group were higher and arch perimeter of the maxilla of the MLIA group were smaller than those of the control group (p = 0.003, 0.04). Cephalometric analysis showed that there were no significant differences in terms of skeletal, dental analysis. In soft tissue profile, nasolabial angle was larger in MLIAs than in controls (p = 0.039). Considering these skeletodental characteristics of MLIA, early diagnosis and proper management is highly recommended to minimize the possibility of functional defect.

Invited Clinical Trials: Biocapital, Ethical Variability, and the Industrialization of Clinical Trial in Korea (초대받은 임상시험: 한국 임상시험 산업화 과정에서 생명자본(biocapital)과 윤리 가변성(ethical variability))

  • Song, Hwasun;Park, Buhm Soon
    • Journal of Science and Technology Studies
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    • v.18 no.3
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    • pp.1-45
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    • 2018
  • South Korea has recently emerged as one of the leading countries conducting clinical trials. Seoul, for instance, is now ranked at the top of the list among the cities in the world. This paper examines the rapid growth of research involving human subjects in Korea, not just from the economic perspective (e.g., the growth of global pharmaceutical markets and the subsequent increase in the demand for clinical trials), but from the policy perspective (e.g., the government?s drive to support and promote this field as a new industry). The industrialization of clinical trials in Korea has manifested itself in the rise of international Contract Research Organizations (CRO) doing their business in Korea. They are, figuratively speaking, invited to Korea by the government. This paper intends to uncover and discuss the bioethical issues concerning research on human subjects, the issues that tend to be set aside merely as procedural ones like ??workable documents??. To this end, it investigates the practice of clinical trials by collecting hitherto unherad voices from patient-volunteers, physician-researchers, CRO employees, and government officials. This paper also explores the themes of ??ethical variability?? and ??biocapital?? in order to compare and constrast the case in Korea with those in other countries.

Design of Remote Early Dementia Diagnosis Systems (원격 치매 조기 진단 시스템 설계)

  • Choi, Jongmyung;Jeon, Gyeong-Suk;Kim, Sunkyung;Choi, Jungmin;Rhyu, Dong Young;Yoon, Sook
    • Journal of Internet of Things and Convergence
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    • v.6 no.4
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    • pp.27-32
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    • 2020
  • Along with the aging of the population, the number of dementia patients is increasing, and the social and economic burden is also increasing. Currently, the effective way to manage dementia patients is to identify patients with dementia early. However, in rural and island areas where medical staff are scarce, there is a problem that it is difficult to visit a hospital and get an early examination. Therefore, we propose a remote early detection system for dementia to solve the problems. The remote dementia early diagnosis system is a system that allows a patient to receive examination and treatment from a remote dementia expert using remote medical technology based on real-time image communication. The remote early diagnosis system for dementia consists of a local client system used by medical staff at health centers in the island, an image server that transmits, stores and manages images, and an expert client used by remote dementia experts. The local client subsystem satisfies the current medical law's remote collaboration by allowing the patient to use it with the health center's medical staff. In addition, expert clients are used by dementia experts, and can store/manage patient information, analyze patient history information, and predict the degree of dementia progression in the future.

A Case Study on Performance Analysis of Antimicrobial Copper Film Attaching to Window for Responding to COVID-19 and Others (코로나19 등 대응을 위한 "유리창 부착용 항바이러스 동필름" 성능분석 사례연구)

  • Kim, Seong Je
    • Journal of Korean Society of Disaster and Security
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    • v.14 no.1
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    • pp.23-40
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    • 2021
  • In the era of the global coronal 19 pandemic, there is a risk of cross-infection in hospitals at the stage where treatments and vaccines are currently being developed and marketed, so individuals should enhance their acquired immunity and generalize their living systems by the performance of copper ions in the social environment. In order to prevent the spread of infection, the need for anti-bacterial film and its efficacy were analyzed through anti-viral performance tests based on research and development cases of worldwide and immemorial time. he Korea Construction Research Institute (KCL) has received anti-bacterial performance certification and anti-viral test scores from the "National Approval Performance Certification Agency." At the time, NCCP 43326 Human Corona virus (BetaCoV/Korea/KCDC03/2020), which was approved by the Centers for Disease Control and Prevention, was introduced to ensure that the activity rate of infected cells was satisfied in the anti-viral performance test. Anti-proliferation measures for the Corona 19 virus require a quality clinical trial study comparing the experimental group within the glass space where the antiviral copper film is constructed with the comparator of the same condition without copper film.

The Effect of Convergence Intervention of Focal Vibration Stimulation and Bilateral Upper Extremity Training on Recovery of Upper Limb Function in Stroke Patients (국소 진동 자극과 양쪽 팔 훈련의 융합 중재가 뇌졸중 환자의 팔 기능 회복에 미치는 효과)

  • Kim, Sun-Ho
    • Journal of the Korea Convergence Society
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    • v.12 no.2
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    • pp.95-101
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    • 2021
  • The purpose of this study was to investigate the convergence effect of focal vibration stimulation and bilateral upper limb training on the recovery of upper limb function when applied to stroke patients. For 20 stroke patients, divided into an experimental group that performed convergence intervention with focal vibration stimulation and bilateral upper limb training, and a control group who performed only bilateral upper limb training. It was conducted 20 times for 4 weeks, 30 minutes per session. Vibration stimulation was applied to the affected side of the experimental group for 30 minutes during training. Results were measured for the degree of recovery of the affected upper limb function, amount of use on the affected and unaffected sides, the quality and satisfaction in performance on use of both upper limbs. Comparisons were made within groups using a paired-sample t-test and between groups using covariance analysis. As a result of the study, the experimental group showed a significant difference in dexterity and the amount of use on the affected than the control group. The effect size was more than the small effect size in all evaluation items. Through this study, it is thought that the convergence intervention of focal vibration stimulation and bilateral upper limb trainingcan be used clinically as an effective intervention for the recovery of arm function in stroke patients.

Performance Evaluation of Lead (II) Oxide Dosimeter for Digital Quality Assurance in Brachytherapy (방사선 근접치료의 디지털 정도관리를 위한 Lead (II) Oxide 선량계 성능 평가)

  • Han, Moo-Jae;Yang, Seung-Woo;Park, Sung-Kwang
    • Journal of the Korean Society of Radiology
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    • v.15 no.4
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    • pp.429-435
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    • 2021
  • In intracavitary radiotherapy, incorrect location of the source can cause excessive dose to normal tissue, so it is essential to evaluate the location accuracy of the source. In this study, basic research was performed on digital line dosimeter based on lead (II) oxide (PbO) to improve analog verification method. Therefore, a polycrystalline PbO unit cell dosimeter was manufactured and the measurement performance for Ir-192 sources was evaluated. As a result, the reproducibility satisfies the evaluation criteria of 1.5% with a relative standard deviation of 0.85%. Linearity showed excellent results with a linear coefficient of R2 of 0.9998. In the case of distance dependence evaluation, the power function R2 showed 0.9855 for PbO and 0.9974 for diode, and the overall average difference was 1.66% for PbO and 2.18% for diode. This study presents the basic detection performance of the polycrystalline PbO dosimeter for the Ir-192 source and can provide basic data in the field of radiation measurement.

The Effect of Disability Acceptance and Anxiety on Participation of People with Stroke Living in the Community (지역사회 거주하는 뇌졸중 장애인의 장애수용과 불안이 참여에 미치는 영향)

  • Lim, Young-Myoung;Ham, Min-Joo;Hwang, Ho-Sung;Kim, Hee
    • The Journal of the Korea Contents Association
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    • v.22 no.1
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    • pp.591-600
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    • 2022
  • This study examined the participation of the people with stroke living in the community in terms of productivity, leisure, and social domain, and identified the effect on disability acceptance and anxiety. For data collection, from October 2018 to January 2019, data on disability acceptance, anxiety, and participation were collected from 192 people with stroke who used welfare centers and community services. For general characteristics, t-test and one-way ANOVA were used to compare participation according to descriptive statistics and general characteristics. Pearson correlation analysis was used for correlation between variables, and multiple regression analysis was used to identify causality. As the result, factors affecting the productivity of participation were labor(β=.28, p<.001), de-emphasis on disability salience(β=.14, p<.05), compensatory(β=.22, p<.01), and subjective anxiety(β=-.35, p<.05), and the explanatory power was 33%(F=9.44, p<.001). Leisure was expressed as self-satisfaction with disability(β=.18, p<.05) and the compensatory(β=.18, p<.05), and had an explanatory power of 23%(F=6.32, p<.001). Social activity was labor(β=.19, p<.01), and subjective anxiety(β=-.51, p<.05), which showed 23%(F=6.05, p<.001) of explanatory power. This suggests the importance of psychosocial factors for a changed life after the onset of a stroke, and a practical approach is needed to construct and apply programs to improve participation.

Full-mouth rehabilitation of a patient with loss of posterior support and collapsed occlusion utilizing dental CAD-CAM system (구치부 지지 소실 및 무너진 교합관계를 보이는 환자에서 Dental CAD-CAM system을 활용한 완전 구강 회복 증례)

  • Jung, Jiwon;Heo, Seong-Joo;Kim, Seong-Kyun;Koak, Jai-Young
    • The Journal of Korean Academy of Prosthodontics
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    • v.60 no.1
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    • pp.44-54
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    • 2022
  • Without proper treatment on the multiple tooth missing area, the lack of posterior support and the supra-eruption of the teeth cause many severe complications of occlusion, vertical dimension and masticatory function. This report is a case of full-mouth rehabilitation of a patient with loss of posterior support and collapsed occlusion due to missing teeth area left untreated for a long time. The patient who is 68-year old male patient had some teeth fallen out while removing his old maxillary denture and was complaining about pain in the region of anterior teeth due to traumatic contact. The vertical dimension was corrected by 4 mm from the top cervical point of the canine through various evaluations and the edentulous area was treated with the implant fixed prostheses through computer guided implant surgery based on the diagnosis and treatment plan for definitive prostheses supported by computed tomography (CT) data analysis and CAD-CAM (Computer-aided design/computer-aided manufacturing) technique. After full mouth rehabilitation, the patient was very satisfied with remarkable improvements in mastication, function, and aesthetics.

Evaluation of Detection Performance of TlBr Materials for the Development of Electron Beam Quality Assurance Dosimeters (전자선 Quality Assurance 선량계 개발을 위한 TlBr 물질의 검출성능 평가)

  • Yang, Seung-Woo;Park, Sung-Kwang
    • Journal of the Korean Society of Radiology
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    • v.16 no.5
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    • pp.513-518
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    • 2022
  • Electron beam quality assurance (QA) should be done regularly for accurate radiation therapy. However, QA tools used in clinical practice are designed mainly for X-rays. So, a dosimeter for electron beam QA is required. Therefore, in this study, the electron beam detection performance was measured by using a thorium bromide material as an electron beam sensor. In addition, it was evaluated whether it could be applied with an electron beam QA dosimeter. Reproducibility, linearity, and dose rate dependence were evaluated at 6 MeV and 9 MeV energies. As a result of reproducibility, it showed a maximum output change of 0.92% at 6 MeV and 1.15% at 9 MeV. The linearity result evaluation and determination coefficient were presented as 0.9998. As a result of dose rate dependence evaluation, relative standard deviation 0.51% at 6 MeV and relative standard deviation 1.07% at 9 MeV were presented. The manufactured TlBr sensor shows the ability to detect radiation that meets the criteria for evaluation of reproducibility, linearity, and dose rate dependence. These results mean that the TlBr dosimeter is applicable as an electron beam QA dosimeter.