• Journal of Dental Rehabilitation and Applied Science
• /
• v.33 no.2
• /
• pp.154-162
• /
• 2017

Tooth wear, one of the physiological changes in the elderly patient's mouth, generally does not require treatment, but requires prosthodontic restoration when occlusal disharmony, poor masticatory function, pulp exposure occurs. One of the primary considerations in prosthodontic restoration for tooth wear is vertical dimension. It is necessary to make an accurate diagnosis and analysis, correct judgement of the interdental relationship for predictive treatment plan. A step-by-step approach considering dental care for aged is also required. In this case, a 93-year-old male patient presented with worn dentition and mobility of existing fixed dental prosthesis. After diagnosis and evaluation, maxillary rehabilitation without any change in the occlusal vertical dimension was performed and this shows satisfactory results both functionally and morphologically.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.16 no.10
• /
• pp.6495-6503
• /
• 2015

The purpose of the study was to evaluate patients' compliance with the hemodialysis and to investigate relationships between compliance, physiological parameters, and health-related quality of life. Data were collected from 220 patients at 27 local hemodialysis clinics. Compliance was measured with Sick-role Behavioral Compliance including interdialytic weight gain, serum potassium, and phosphorus. Health-related quality of life was assessed using Medical Outcomes Study Short Form-12. Data were analyzed using descriptive statistics, t-tests, ANOVA, and Pearson correlation. Total compliance scored 2.92 out of 4 points on average. Among fifteen items, 'I keep on my dialysis schedule(time and date)' was the highest score. There were differences in the scores for compliance according to age, marital status, and dialysis period. Statistically significant correlations were found between four compliance items(medication, infection control, sleep, eating vegetable and fruit) and health-related quality of life. The results of the study indicate that a patient-centered approach would be helpful to improve quality of life in patients with hemodialysis. Healthcare providers need to understand the patients' perspectives by identifying what is important to patients and taking patient values and priorities into account.

• Annual Conference of KIPS
• /
• 2006.05a
• /
• pp.1467-1470
• /
• 2006

유비쿼터스 환경중 상황에 따라 필요한 행위를 컴퓨터가 수행하여 사용자 각각의 특성에 따라 서비스를 할 수 있는 가장 좋은 것이 헬스케어 분야이다. 기존 헬스케어 시스템은 클라이언트/서버 환경으로 많은 환자들의 생체 신호 데이터가 실시간으로 서버로 전송될 때 서버의 일정 수용 한계를 넘어서게 되어 심한 경우 서버가 다운되는 현상이 발생할 수 있다. 이는 긴급한 환자의 처리에 대처하지 못하는 심각한 상황을 초래 할 수 있다. 또한 생체 신호를 보내는 모바일 디바이스의 자체적으로 지원되는 자원 부족으로 환자와 병원 중앙 서버와의 원활한 커뮤니케이션의 제공을 보장하지 못하는 단점도 있다. 이런 문제점을 해결하기 위하여 본 논문에서는 중간에서 환자와 병원사이의 중간 역할을 하는 써로게이트 시스템과 멀티 에이전트 시스템을 제안한다. 멀티에이전트 시스템은 중앙집중적 부하를 줄이고 유연성 있고 복잡한 처리가 가능하도록 한다. 이는 하나의 에이전트로 해결하지 못하는 복잡한 문제의 해결을 여러 에이전트의 협동을 통해 작업을 수행한다. 이를 위해서 본 논문에서는 JADE 를 기반으로 하는 에이전트 기술을 적용하였다. 모바일 디바이스에 인가되지 않은 접근을 막기 위한 수단으로서, 모든 메시지는 써로게이트를 통해 전달된다. 또한 써로게이트를 통해 로컬 및 원격의 에이전트를 쉽게 다룰 수 있다

• Pediatric Gastroenterology, Hepatology & Nutrition
• /
• v.11 no.sup2
• /
• pp.11-18
• /
• 2008

We often have difficulties in the diagnosis of acute abdominal pain in children because they are unable to adequately express the characteristics of their pain. With a good understanding of the etiologies of abdominal pain associated with ages, we should create a diagnostic approach based on the location of the pain. First, we must differentiate the surgical abdomen from the non-surgical acute abdomen. Then, we have to identify whether the pain originating from intestinal obstruction, ulcerative diseases, or hepatobiliary dysfunction. It is important to interview and examine the patient serially until the patient completely improves. These attitudes will reduce the patient's pain caused by delayed diagnosis and unavoidable misdiagnosis. Finally, the new insight for the appropriate use of analgesics against acute abdominal pain in children is now needed by the pediatrician.

• Korean Journal of Psychosomatic Medicine
• /
• v.10 no.2
• /
• pp.176-180
• /
• 2002

Hypnosis as a traditional healing method, in its recent development, has generated a multitude of techniques. These serve as practical tools which can be combined with other therapy techniques for the treatment of a variety of psychiatric and medical conditions. The empirical evidence for the effectiveness of hypnosis is considerable and proves its clinical impact in various areas of application. This case review describes the integration of hypnotherapeutic methods into the continuum of psychiatric encounters in a general practice. Guidelines for the application of hypnosis in approaching and treating each patients with headache, sexual dysfunction and bronchial asthma were illustrated. As hypotheses mechanism of effectiveness in psychosomatic disorders has been formulated. Training in hypnotherapy provides the psychiatrist with skills needed to address psychophysiological disorders. Emphasis is placed on the necessity and opportunity for research on the efficacy and specific technique of hypnosis in the psychosomatic disorders.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
• /
• v.2 no.1
• /
• pp.56-62
• /
• 1991

The author reported treatment experiences of 4 cases with test anxiety. The first one was a 15 year old boy with problem of mild attention deficit which caused test anxiety and academic underachievement around the 8th grade in middle school. The second and the third cases were brother and sister. The test anxiety was caused basically due to the problem of mother child relationship. their mother expected too much of her son and always urged him to study and never left him alone. The mothers practically gave up her whole life to devote to oversee her son's academic achievement and her daughter experienced affectional deprivation. The fourth case, a 16 year old boy, was a borderline personality disorder with extreme anger and hostility toward his parents who controled him too much. Different therapeutic approaches appropriate for different cases were described and the relationship between test anxiety and various psychopathology was discussed.

• Korean Journal of Psychosomatic Medicine
• /
• v.15 no.2
• /
• pp.65-72
• /
• 2007

Fatigue is a significant problem in health care. The relationship between chronic fatigue and psychiatric disorders has generated significant interest in recent years. Increased rates of psychiatric disorder among individuals with chronic fatigue have been reported. Fatigue may be defined as physical and/or mental weariness resulting from exertion. The cause of fatigue is complex, influenced by events occurring in both the periphery and the central nervous system. Because fatigue may result from a number of causes, it should be treated comprehensively. The treatment is largely symptomatic and rehabilitative.

• The Journal of Korean Physical Therapy
• /
• v.11 no.3
• /
• pp.151-158
• /
• 1999

Neuropathy is a common and often debilitating complication of diabetes, Diabetic peripheral neuropathy(DN) includes a variety of different disorders that affect the peripheral nervous system. The most common type of DN is the predominantly sensory distal polyneuropathy. Typically, symptoms begin in the foot and proximally during the course of the discease, reflecting the fact that longer fibres are involved earlier that shorter ones. Reviewed the pathogenesis, the diagnosis of DN, the gait pattern and the excercise, the treatment of pain in DN patient.

• Annual Conference of KIPS
• /
• 2014.11a
• /
• pp.1122-1125
• /
• 2014

본 연구에서는 전신마비 환자들이 안구 마우스를 사용하여 전등, 선풍기, 창문 제어 및 침대 각도 조절을 할 수 있고, 보호자에게 소변통 알림과 응급메시지 알림을 보낼 수 있는 홈 네트워크 시스템을 설계하고 구현한다. 또한 전신마비 환자들뿐만 아니라 일반 사용자들도 이용할 수 있도록 동일한 기능을 모바일 어플리케이션으로 구현한다. 본 연구의 입력장치인 안구 마우스는 삼성전자 창의개발연구소에서 개발한 eyeCan을 사용하였다. 전체적인 시스템은 Arduino를 사용하여 제어하고, 무선 통신은 Xbee모듈을 사용하여 구현하였다. 기존의 홈 네트워크 시스템은 일반 사용자들만 이용할 수 있지만, 본 연구에서는 루게릭 환자처럼 전신을 움직이지 못하는 환자들에게 최적화된 홈 네트워크 시스템을 구축하여 소외계층의 스마트 기기에 대한 접근성을 높이고, 자립심을 키울 수 있도록 도와준다는 점에서 의의가 있다.

• Korean Journal of Psychosomatic Medicine
• /
• v.14 no.2
• /
• pp.73-80
• /
• 2006

Thyroid disease is highly Prevalent, and many Physicians encounter the Patients with thyroid disease on many occasions. However, many doctors may make an erroneous diagnosis because of its variable clinical manifestation. Thyroid tumor is the most common disease which is detected in more than 30% of general population. Recently, the incidence of thyroid cancer is increasing to be a leading position in female cancer. Therefore, clinical physicians should be familiar with thyroid disease due to its high prevalence and heterogeneous clinical features.