• Title/Summary/Keyword: 의사검진

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INTERDISPLINARY CARE OF A PATIENT WITH APLASTIC ANEMIA : REPORT A CASE (재생불량성 빈혈 환자의 범학문적 접근 및 관리)

  • Lee, Young Eun;Park, Jae-Hong;Kim, Kwang Chul;Lee, Soo Eon
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.9 no.2
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    • pp.98-102
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    • 2013
  • Aplastic anemia (AA) is a blood dyscrasia characterized by hypocelluar bone marrow and peripheral blood pancytopenia. Symptomatology depends on the severity of pancytopenia. Patients with AA are susceptible to infection because of agranulocytosis. Hemorrhage caused by thrombocytopenia can be fetal to these patients. Therefore dental procedure potentially can cause serious complications and should be applied with caution. A 6-year-old boy with moderate aplastic anemia was referred to treat dental caries. General dental procedure including resin filling, preformed crown, pulpectomy and extraction was performed under sedation. Combination of modalities such as platelet transfusion, oral hygiene instruction, and dental prophylaxis was also implemented. In this report, the dental and medical management of a patient with AA was presented. Interdisciplinary care should be administered to patients with AA.

A Study on Nucleus Extraction of Uterine Cervical Pap-Smears (자궁 경부진 핵 추출에 관한 연구)

  • Kim, Kwang-Baek
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.13 no.8
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    • pp.1699-1704
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    • 2009
  • If detected early enough, cervical cantor may have a good survival rate due to its preneoplastic state. However, the process is so time consuming that a medical expert can handle only a small amount of such examinations. In this paper, we propose a new nucleus extraction algorithm for uterine cervical pap smears in order to mitigate such burdens of medical experts. In the preneoplastic state cytodiagnosis images, it is important to differentiate three main areas - background, cytoplasm and nucleus. Thus, we apply lighting compensation and $3{\times}3$ mask of B channel in order to restore damaged image and remove noises respectively. The cell object is obtained from those clean binarized images with Grossfire algorithm. When there are clusters of cells, the target nucleus can be obtained with repetitive binarization of R channel brightness. In our experiment of using uterine cervical pap smears of 400 magnifications that is common in the diagnostic cytology, our method is able to extract 40 nucleus out of 45 population successfully.

Effects and clinical considerations of denture adhesives (의치 접착제의 효과 및 임상적 적용 시 고려 사항)

  • Park, Geun-Taek;Cho, Lee-Ra;Park, Chan-Jin;Huh, Yoon-Hyuk;Ko, Kyung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.4
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    • pp.385-391
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    • 2020
  • Denture adhesive is a material used to improve the retention and stability of the denture. And denture adhesive is divided into soluble and insoluble type. It improves the retention, stability of dentures, and masticatory functions of patients. Maintenance like cleansing and periodic follow up is essential. Almost of dental clinicians are only simply aware of the effects of denture adhesives and often rely on the manufacturer's instructions on precautions and maintenance. The purpose of this study is to examine the properties, effects, and precautions of denture adhesives, and to present clinical guidelines for patients and professionals.

STURGE WEBER SYNDROME : A CASE REPORT (Sturge Weber syndrome 환아의 증례보고)

  • Hwang, Ji-Won;Kim, Seong-Oh;Choi, Hyung-Jun;Choi, Byung-Jai;Lee, Jae-Ho
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.6 no.1
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    • pp.15-18
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    • 2010
  • Sturge-Weber syndrome is a rare nonhereditary developmental condition that is characterized by a hamartomatous vascular proliferation involving the tissue of brain and face. The clinical features are characterized by port wine nevus following one or more divisions of trigeminal nerve, ocular involvement and neurologic involvement such as epilepsy, mental retardation, and contralateral hemiplegia. Oral manifestations include unilateral blood vessel expansion of the oral mucosa, vascular hyperplasia of gingiva, pyogenic granuloma-like massive hemangiomatous proliferation of oral mucosa, macrodontia, ipsilateral macroglossia, blood vessel anomaly of maxilla or mandible and abnormal tooth eruption sequence. This case report is about 11-year-old Sturge-Weber syndrome patient presented port wine nevus on the face, venous malformation on soft plate and buccal mucosa. In this case we performed simple extraction of several deciduous teeth and periodic oral hygiene management. If a patient with Sturge-Weber syndrome has to undergo dental surgery in affected areas of the mouth, great care must be taken to prevent severe hemorrhage.

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Factors Related to the Stage of Mammography Screening in Married Korean Women (기혼 여성의 유방조영술 검진 행위에 대한 영향요인)

  • Hur, Hea-Kung;Park, So-Mi;Kim, Gi-Yon
    • Korean Journal of Adult Nursing
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    • v.16 no.1
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    • pp.72-81
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    • 2004
  • Purpose: The purpose of this study was to examine factors related to different stages of mammography screening based on the transtheoretical model (TTM) and health belief model (HBM). Method: 143 women were recruited from community centers in W city. The mean age was 44.08 (SD=7.78) and 74 (51.7%) had experienced education on preventative behavior related to breast cancer. The Decisional Balance Scale (Pros and Cons of mammography) and Stages of Adoption of Mammography Scale by Rakowski et al. (1992) and the revised Health Belief Model Scale (Perceived Seriousness, Perceived Susceptibility and Health Motivation) by Champion (1993) were used. Result: According to the stage of adoption of mammography, 17.4% of the women were In pre-contemplation, 45.5% in contemplation, 24.5% in action, and 12.6% in maintenance. The mean differences for pros, and the decisional balances between the stages of mammography adoption were significant (F=8.84, p=.000; F=7.20, p=.000). Education related to prevention of breast cancer was the most important variable. Prevention education, history of breast disease and pros of mammography explained the stages of mammography adoption ($R^{2}=26%$). Conclusion: Findings support TTM as a useful tool for improving mammography adherence. Behavioral interventions that target decisional balance and health belief can effectively promote adherence to mammography.

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Analysis of Cancer Screening Recommendations by Physicians for Various Types of Cancer (의사들의 암 조기검진 권고 실태 분석 - 위암, 자궁경부암, 유방암을 중심으로 -)

  • Park, Yong-Mun;Yum, Keun-Sang;Koo, Jung-Wan;Yim, Hyeon-Woo;Lee, Kang-Sook;Kim, Hoon-Kyo;Lee, Won-Chul
    • Journal of Preventive Medicine and Public Health
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    • v.33 no.1
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    • pp.99-108
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    • 2000
  • Objectives : The purpose of this study was to examine the present status of cancer screening recommendations(beginning age, interval, recommended screening methods, etc.) by physicians and analyze the association between physician's characteristics and the content of their recommendations. Methods : Data were collected from March 1 to April 30 of 1997, and 373 physicians who were from different hospital settings all over Korea were interviewed by telephone about their screening recommendations for stomach, cervical and breast cancer for these who provided cancer screening services. Results : For stomach cancer screening, respondents recommended that cancer screening begin at 40 years of age(57.8%), with a 1 year interval(77.2%), and by gastrofibroscopy (86.2%). For cervical cancer screening, respondents recommended that cancer screening begin at 25 years of age(42.0%), with a 1 year interval(67.8%), and by using a Pap smear(100.0%). For breast cancer screening, respondents recommended that cancer screening begin at 35 years of age(38.7%), with a 1 year interval(57.3%), and by mammography (97.3%). Conclusions : To establish appropriate cancer screening recommendations for Korea, if may be useful to consider the above results concerning medical care providers.

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Bio-Signal Acquisition System Using Mobile Device (휴대용 개인 정보 단말기를 이용한 생체신호 획득 시스템)

  • Kim Hyung-Bae;Kwon Man-Jun;Cha Eun-Jong;Chun Myung-Geun
    • Journal of the Korean Institute of Intelligent Systems
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    • v.15 no.3
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    • pp.349-354
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    • 2005
  • In this paper, we propose a mobile telemedicine system that acquires more easily and analyzes individual's bio-signal using PDA. It is not easy for modern people who live busily, disabled patients, or old people to visit hospital. The major goal of this study is to implement the mobile telemedicine systems that the captured bio-signal from remote hospital or other medical treatment device is transmitted via Bluetooth module in ubiquitous environment, PDA with built-in Bluetooth module receives its data and displays on the screen in various form. By implemented systems, it is possible to compare current bio-signal with historical bio-signal and analyze bio-signal, and it is able to make a self diagnosis and it is available to be examined and treated remote diagnosis by sending stored bio-signal to a medical doctor.

A Study on the Development of Physical Examination with VR Content and User Satisfaction (VR 콘텐츠를 이용한 신체검사 개발 및 사용자 만족도 연구)

  • An, Ho-Won;Kim, Jun-Min
    • The Journal of the Korea Contents Association
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    • v.21 no.6
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    • pp.318-326
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    • 2021
  • This study aims to the effectiveness of physical examination using VR contents to solve problems such as the increase in chronic diseases and shortage of professional manpower in the health care field according to the aging and low birth rate, and to provide efficient healthcare. Therefore, this study implemented a one-stop VR content physical examination system by wearing HTC VIVE Pro VR and a stick controller. The system is from step 1 to step 5, and the final body age is determined and a simple solution is provided through five steps sequentially: color blind test, memory test, audiogram test, reaction speed test, and instantaneous cognitive ability test. In addition, for the one-stop VR content physical examination system developed by this study, as a result of verifying the user satisfaction for normal people who visited the health examination center and VR/AR clinical trial center of certified tertiary hospital in Daejeon, the overall satisfaction and the intention to reuse Was high, and according to gender, there was a significant difference in the 5-step test, and according to the age, there were significant differences in the 4-step test and the 5-step test.

Differences in Intake of Elderly-Friendly Foods according to Oral Health Status of the Elderly (노인의 구강건강상태에 따른 고령친화식품 섭취 차이)

  • Jeon, Ji-Eun;Jung, Eun-Ha;Kim, Soo-Min;Han, Sun-Young
    • The Journal of the Korea Contents Association
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    • v.21 no.12
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    • pp.697-704
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    • 2021
  • This study was conducted to provide data for the development of foods suitable for the level of oral health by analyzing the consumption of elderly-friendly foods according to the oral health status of the elderly. Using data from the health questionnaire, oral examination, and nutrition survey of the 7th National Health and Nutrition Examination Survey, the oral health status and nutritional intake status of the elderly by each stage of elderly-friendly foods were analyzed, and a complex sample analysis method was applied. The elderly who mainly consume stage 3 elderly-friendly foods appear to have very poor oral health and nutritional status. Therefore, when developing elderly-friendly foods, it is necessary to develop various foods and provide systematic education considering the oral health status of the elderly and appropriate nutrients.

Lung Imaging Reporting and Data System (Lung-RADS) in Radiology: Strengths, Weaknesses and Improvement (영상의학에서 폐영상 판독과 자료체계: 강점, 단점, 그리고 개선)

  • Gong Yong Jin
    • Journal of the Korean Society of Radiology
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    • v.84 no.1
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    • pp.34-50
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    • 2023
  • In 2019, the American College of Radiology announced Lung CT Screening Reporting & Data System (Lung-RADS) 1.1 to reduce lung cancer false positivity compared to that of Lung-RADS 1.0 for effective national lung cancer screening, and in December 2022, announced the new Lung-RADS 1.1, Lung-RADS 2022 improvement. The Lung-RADS 2022 measures the nodule size to the first decimal place compared to that of the Lung-RADS 1.0, to category 2 until the juxtapleural nodule size is < 10 mm, increases the size criterion of the ground glass nodule to 30 mm in category 2, and changes categories 4B and 4X to extremely suspicious. The category was divided according to the airway nodules location and shape or wall thickness of atypical pulmonary cysts. Herein, to help radiologists understand the Lung-RADS 2022, this review will describe its advantages, disadvantages, and future improvements.