• Title/Summary/Keyword: 병원 만족도

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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.

Development and Feasibility Evaluation of CsPbBr3 Dosimeter for Brachytherapy (근접방사선치료용 CsPbBr3 선량계 제작 및 적용가능성 평가)

  • Yang, Seung-Woo;Park, Sung-Kwang
    • Journal of the Korean Society of Radiology
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    • v.16 no.4
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    • pp.405-410
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    • 2022
  • In brachytherapy, a radiation source is inserted into the body to kill tumor tissue. Therefore, it is important to accurately measure the location of the source and the dose distribution. In this study, a dosimeter that can be used for brachytherapy was developed using CsPbBr3 which is cheaper than the existing detector materials and has a simpler manufacturing process. The CsPbBr3 dosimeter performance was evaluated by analyzing reproducibility, linearity, and distance dependence in 192Ir source. As a result of reproducibility evaluation, the RSD was 1.36%, which satisfies the standard value of 1.5%. As a result of the linearity evaluation, the R2 value was 0.9993, which satisfies the standard R2 of 0.9990. The distance dependence evaluation showed a signal value that decreased exponentially as the distance increased. The evaluation results show that the CsPbBr3 dosimeter satisfies the evaluation criteria and can be used as a brachytherapy quality assurance dosimeter.

Effects of the Tele-Monitoring With the Speech-to-Text Application on Occupational Balance in Healthy Adults : Feasibility Study (음성-텍스트 변환 어플리케이션을 이용한 원격 모니터링이 건강한 성인의 작업균형에 미치는 효과)

  • Na, Nam Heui;Lee, Seong A;Lee, Yeong Hyun;Lee, Sang-Heon;Hwang, Do-Yeon;Park, Jin-Hyuck
    • Therapeutic Science for Rehabilitation
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    • v.11 no.3
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    • pp.93-106
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    • 2022
  • Objective : The COVID-19 pandemic has brought non-face-to-face healthcare service delivery system. Research into telehealth system and its efficacy remains unclear. Methods : Seven healthy adults participated in this study to investigate effects of tele-monitoring with the speech-to-text (STT) application to induce changes in occupational activities on occupational balance in healthy adults. Subjects were requested to choose occupational activities they wanted to have researched and then register them to the STT application. The STT application provided an alarm to check whether the pre-registered activities were performed on time, and whether the subjects performed it by their voice. The subjects were followed for 1 week, with assessments at baseline, and after 1-week's tele-monitoring. Results : Our findings showed that the subjects were willing to participate in tele-monitoring with the STT application with high adherence and satisfaction. In addition, there was a significant improvement in occupational activities related to health (p<.05). Specifically, adherence, satisfaction, and efficacy of the tele-monitoring with the STT application could successfully bring occupational balance in short-term periods. Conclusion : These findings highlight that tele-monitoring with a smartphone could be considered as one promising way to restore occupational balance in lockdown after the COVID-19 outbreak.

'All-on-4' fixed implant supported prosthesis restoration using digital workflow: a case report (Digital workflow를 활용한 'All-on-4' 임플란트 지지 고정성 보철물 수복 증례)

  • Sungwoo Ju;Seoung-Jin Hong;Janghyun Paek;Kwantae Noh;Ahran Pae;Kung-Rock Kwon;Hyeong-Seob Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.4
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    • pp.316-327
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    • 2023
  • In the case of fully edentulous patients with severe alveolar bone resorption, the consideration of 'All-on-X' implant-supported fixed prosthesis after placing four or more implants in the anterior maxilla is possible. Recent advancements in digital dentistry have enabled systematic and predictable treatment in all phases, including diagnosis, surgery, and prosthesis fabrication. By incorporating digital dentistry techniques such as digital complete denture, implant surgical guides, facial scanning into the conventional restoration process, it is possible to reduce the complexity of the prosthesis fabrication and effectively achieve the transition from provisional prosthesis to definitive prosthesis in terms of both aesthetics and function.

Correlation between Patient Satisfaction and Rehabilitation Motivation on Musculoskeletal and Neurological Patients in a Physical Therapy Environment (물리치료 환경에 대한 근육뼈대계 및 신경계 환자의 환자만족도와 재활동기의 상관성)

  • Chung-Yoo Kim;Hyeon-Su Kim;Sung-Ha Kim;Hyun-Jin Do;Mi-Jin Yang
    • Journal of The Korean Society of Integrative Medicine
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    • v.12 no.1
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    • pp.151-159
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    • 2024
  • Purpose : This study was conducted to investigate correlation between patient satisfaction and rehabilitation motivation in a physical therapy environment. Methods : This study conducted a survey on musculoskeletal and neurological patients receiving rehabilitation treatment at a hospital. The subjects of the study were patients who were currently receiving rehabilitation treatment, either hospitalized or outpatient. 234 people were collected. A questionnaire was consisted of a total of 55 questions, including 27 questions about motivation for rehabilitation, 14 questions about physical therapy service environment, and 14 questions about patient satisfaction and intention to revisit. The detailed items in rehabilitation motivation consisted of 8 questions about task-oriented motivation, 7 questions about change-oriented motivation, 4 questions about obligatory motivation, 4 questions about external motivation, and 4 questions about intrinsic motivation, and in the physical therapy service environment, 4 questions about facility service and therapist service. , 6 questions, 4 questions about services used, 3 questions about friendliness, 4 questions about professionalism, 3 questions about treatment satisfaction, and 2 questions each about repeat visit and recommendation. Results : Facility service (r=.21) was highly correlated for task-oriented motivation, therapist service (r=.22) for change-oriented motivation, therapist service (r=.31) for mandatory motivation, therapist service (r=.19) for external motivation, and facility service (r=.56) for internal motivation. Revisit for task-oriented motivation (r=.47) is kind to change-oriented motives (r=-.13) was highly correlated with kindness (r=.19) for mandatory motives, recommendation (r=.14) for external motives, and expertise (r=.52) for internal motives. There was a high correlation between professionalism (r=.61) for facility services and kindness (r=.53) for therapist services, and revisit (r=.40) for service use. Conclusion : According to the results of this study, it was found that there was a correlation between patient satisfaction and rehabilitation motivation in a physical therapy environment.

Oral rehabilitation of a patient with collapsed occlusal plane resulting from loss of posterior teeth (구치부 상실로 인해 교합 평면이 기울어진 환자에서 임플란트를 이용한 구강 회복 증례)

  • Jinwoo Han;Jae-Seung Chang;Se-Wook Pyo;Sunjai Kim
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.2
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    • pp.165-173
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    • 2024
  • Restoring lost teeth is very important in terms of both function and aesthetics. If tooth loss occurs in the posterior region and the loss of support is persistent, it may cause a gradual shift in the position of the mandible and a change in occlusion. This clinical case attempted to restore support for the posterior teeth with a fixed prosthesis using implants in a patient whose opposing teeth were erupted and the occlusal plane collapsed due to long-term loss of the maxillary left posterior teeth and mandibular right first molars. To correct the occlusal plane of remaining dentition, wax-up of maxillary left posterior teeth was duplicated with acrylic resin and placed on maxilla. Surgical template for implant placement were fabricated using digital technology. After the support of the posterior teeth was restored with the placement of the implant, stable occlusion with temporary restorations was observed for a sufficient time. Afterwards, monolithic zirconia prosthesis was placed on the patient to ensure functional and aesthetic improvement.

Complete mouth rehabilitation case with reconstructed master cast using pattern resin transfer copings after partial dental arch impression taking: A case report (부분 악궁 인상채득 후 패턴레진 트랜스퍼코핑을 이용하여 주모형을 재구성한 완전 구강 회복술 증례)

  • Myung-Seo Lee;Seung-Ryong Ha;Jong-Hyuk Lee;Yu-Sung Choi
    • The Journal of Korean Academy of Prosthodontics
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    • v.62 no.3
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    • pp.224-233
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    • 2024
  • The patient was a 69-year-old male who had decreased VDO and overbite of the anterior teeth due to severe teeth wear. Complete mouth rehabilitation was planned to restore esthetics and function. Due to the presence of a subgingival finish line, poor fit of the margin of the temporary crown, and insufficient oral hygiene management, gingival overgrowth and bleeding occurred in many teeth, and inaccurate impressions were taken. After dividing each arch and taking partial impressions, a transfer coping was made using pattern resin on each working model die, and after being placed on the abutment teeth, a master cast was made through pick-up impression taking to produce prosthesis. In this case, the final prosthesis produced on the second master cast were fitted in terms of proximal contact, marginal fit, vertical occlusal dimension, facial appearance, esthetics, and occlusion. After complete mouth rehabilitation, the patient was satisfied with function and esthetic appearance.