Graf, Tobias;Guth, Jan-Frederik;Diegritz, Christian;Liebermann, Anja;Schweiger, Josef;Schubert, Oliver
The Journal of Advanced Prosthodontics
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v.13
no.6
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pp.351-360
/
2021
PURPOSE. The aim of this study was to evaluate the efficiency of occlusal and interproximal adjustments of single implant crowns (SIC), comparing a digital cast-free approach (CF) and a protocol using 3D printed casts (PC). MATERIALS AND METHODS. A titanium implant was inserted at position of lower right first molar in a typodont. The implant position was scanned using an intraoral scanner and SICs were fabricated accordingly. Ten crowns (CF; n = 10) were subject to a digital cast-free workflow without any labside occlusal and interproximal modifications. Ten other identical crowns (PC) were adjusted to 3D printed casts before delivery. All crowns were then adapted to the testing model, simulating chair-side adjustments during clinical placement. Adjustment time, quantity of adjustments, and contact relationship were assessed. Data were analyzed using SPSS software (P < .05). RESULTS. Median and interquartile range (IQR) of clinical adjustment time was 02:44 (IQR 00:45) minutes in group CF and 01:46 (IQR 00:21) minutes in group PC. Laboratory and clinical adjustment time in group PC was 04:25 (IQR 00:59) minutes in total. Mean and standard deviation (±SD) of root mean squared error (RMSE) of quantity of clinical adjustments was 45 ± 7 ㎛ in group CF and 34 ± 6 ㎛ in group PC. RMSE of total adjustments was 61 ± 11 ㎛ in group PC. Quality of occlusal contacts was better in group CF. CONCLUSION. Time effort for clinical adjustments was higher in the cast-free protocol, whereas quantity of modifications was lower, and the occlusal contact relationship was found more favourable.
Journal of The Korean Dental Society of Anesthesiology
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v.14
no.1
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pp.57-62
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2014
Background: The aim of this study was to analyze outpatient anesthesia for dental treatment in handicapped patients with behavior disorder in order to use data for carrying out better and safe anesthetic management. Methods: The data were drawn from the 100 patients with behavior disorder who visited CNUDH dental clinic for disabled based on anesthesia record to investigate patient's systemic condition, cooperative level, anesthesia method according to patients cooperation, and side effects after recovery time. Results: Mental retardation (58%) is the most reason to choose general anesthesia. The methods of induction according to cooperative level are intravenous propofol injection in 22 cases and inhalation of sevoflurane in 78 cases. Induction time of anesthesia were within 10 seconds in cases of propofol induction and average $48.8{\pm}18.5$ seconds in cases of inhalation induction. The time spent on dental treatment was average $3.2{\pm}1.1$ hours. After the end of treatment, average time to move from unit chair to recovery bed, to recliner, and to discharge from hospital are $10.4{\pm}5.1$, $36.9{\pm}17.1$ and $72.4{\pm}16.0$ minutes, respectively. During recovery, there are nausea with 9%, vomiting with 4%, dizziness with 2%, finger injury with 1%. Conclusions: This study showed our successful anesthetic outcomes without any severe side effects or complications. Through this study, it will be used for safe anesthetic management as useful reference data.
Background: The purpose of this study is to investigate the change of blood pressure and autonomic neural system through one-time bamboo stepping in hypertensive elderly people. Design: Randomized Controlled Trial. Methods: We recruited 26 elderly people aged 65 or older for study. They sat for 10 minutes in a chair, rested, and measured pre-exercise blood pressure and autonomic neural system. The blood pressure was measured three times and the mean value was used and the autonomic neural system was measured once. Bamboo stepping exercise was performed for 20 minutes. Blood pressure and autonomic neural system were measured 5 times immediately after exercise, and every 15 minutes at 60 minutes after bamboo stepping exercise. Results: There was a significant difference in the decrease of systolic blood pressure after one-time bamboo stepping exercise, the change of parasympathetic activity (HF), heart rate variability (HRV) and BPM measured immediately after exercise at 15 minutes after exercise, There was no significant difference in autonomic neural system change. Conclusion: One-time Bamboo stepping exercise is effective in decreasing systolic blood pressure of the hypertensive elderly.
Background and Objectives: Colorectal cancer (CRC) is a major health problem in the Kingdom of Saudi Arabia (KSA). Our aim was to characterize the epidemiology of CRC in the Saudi population. Design and Setting: Retrospective analysis of all cases of CRC recorded in the Saudi Cancer Registry (SCR) between January 2001 and December 2006 amongst Saudi citizens in KSA. Patients and Methods: Data were retrieved from the database of the SCR. Descriptive statistics was performed using SPSS. Results: A total of 4,201 cases of CRC were registered in the SCR. The incidence of CRC increased between 2001 and 2006. The mean age of patients at the time of diagnosis was 58 years; most patients were above 45 years of age (n=3322; 79.1%). At the time of diagnosis, 977 patients (23.0%) presented with localized disease and 1,018 (24.0%) had distant metastasis. The most frequent pathological variant was adenocarcinoma (73%), with grade 2 (moderately differentiated) being the most common grade among all variants (61%). For all cancer grades, the frequency of CRC was significantly higher among patients >45 years (P=0.004), who presented with more advanced disease (stages III and IV) (P=0.012). Based on logistic regression, age >45 years was associated with advanced regional presentation (P=0.001). Tumor grade was associated with advanced regional presentation and metastasis. Conclusions: There was an increase in the incidence of CRC between 2001 and 2006. The age at the time of diagnosis was low when compared with reports from developed countries. A nationwide approach is needed to encourage and illustrate the importance of screening programs.
Kim, Jong-Sung;Kim, Jong-Ha;Choi, Joo-Young;Lee, Jeong-Ho
Korean Institute of Interior Design Journal
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v.17
no.3
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pp.131-138
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2008
This research is on a seating posture happening at a chair in a cinema and looked into various changes in a posture through the analysis of bodily movement in a established space like a cinema. Through the behavioral analysis of a seating posture in a limited space, each behavioral characteristic shown by a male and female and interdependent relations with a limited space were grasped. The conclusion through the above research work was as follows: 1) This research suggested a frame of analysis by dividing a seating posture into the side and upper part and was able to analyze its subsequent change characteristic of a seating posture by a male and female. 2) As for the side posture, a male was found to change fewer postures than a female, but as for the upper posture, there appeared a high frequency in posture change in case of a female. 3) As for time of staying in the side posture, a female was found to keep up a specific posture, and relatively a male changes his postures frequently while appreciating a movie; likely, as for the upper posture, it was found out that there existed a difference between the preference for the upper posture and time to keep it up. 4) A male and female were establishing a comfortable environment through their change in a posture, and there appeared changes in a posture the most within every 10 minutes in both the side and upper part postures. 5) As for the correlation between a initial posture and keep-up posture, it was found that a male tend to pursue a comfortable posture as time goes by, while a female kept up a comfortable one from her initial seating posture.
Journal of the Korean Institute of Rural Architecture
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v.16
no.3
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pp.45-52
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2014
Recently, Korean people are more interested in leisure time as the Korean economy has enjoyed the economic growth on a continual basis. Along with it, the disabled people's demand for enjoying the beach is growing. To meet the disabled people's demand for enjoy the beaches, it is important to prepare the convenient facilities where the disabled people in the wheel chair can use comfortably, including the handicapped parking area, toilet for the disabled, shower stall room and am bathhouse. On the backdrop of this, the study has been made on the obstacles which keep the disabled people from using the convenient facilities installed on 12 beaches in the southern coat of Korea from the perspective of barrier free design. This study showed that half of the beaches in question did not have the handicapped parking places. The parking space was also so narrow that it was difficult for handicapped people to access the parking lot with their vehicles. There were also 3 beaches which did not have the toilet for the disabled. Even the beaches which have the toilet for the disabled, the size of entrance door and floor space was so narrow and there were a lot of physical obstacles such as no handles for the disabled people that it was really hard for the disabled people in wheelchair to use them.
Navigation of the main root canal and dealing with a dens invaginatus (DI) is a challenging task in clinical practice. Recently, the guided endodontics technique has become an alternative method for accessing root canals, surgical cavities, and calcified root canals without causing iatrogenic damage to tissue. In this case report, the use of the guided endodontics technique for two maxillary lateral incisors with multiple DIs is described. A 16-year-old female patient was referred with the chief complaint of pain and discoloured upper front teeth. Based on clinical and radiographic findings, a diagnosis of pulp necrosis and chronic periapical abscess associated with double DI (Oehler's type II) was established for the upper left lateral maxillary incisor (tooth #22). Root canal treatment and the sealing of double DI with mineral trioxide aggregate was planned for tooth #22. For tooth #12 (Oehler's type II), preventive sealing of the DI was planned. Minimally invasive access to the double DI and the main root canal of tooth #22, and to the DI of tooth #12, was achieved using the guided endodontics technique. This technique can be a valuable tool because it reduces chair-time and, more importantly, the risk of iatrogenic damage to the tooth structure.
Though implant treatment is considered as a common treatment option for edentulous patients, there have been few studies on the temporomandibular disorder (TMD) related with implant treatment. The purposes of this study were to evaluate the relevance of TMD to the implant patients and to evaluate the risk factors of TMD in relation with implant treatment. For the evaluation of various risk factors of TMD in relation with implant therapy, clinical evaluation focused on patient factors and implant factors. From a group of 694 patients, 25 patients (3.6 %) were included in this study. The majority of the patients were included in the asymptomatic 'adaptive' group. Parafunction was detected in 11 patients, 8 patients were male. Four patients having parafunction showed complications such as implant failure or fracture of the suprastructure. From the results, it is possible that TMJ related symptoms are developed or aggravated after implant therapy, which requires relatively more chair time; so TMJ examination should be included in the pre-operative evaluation for dental implant patients. Also, it is important to treat patients after they sign an informed consent that includes a detailed explanation on the possibility of TMD during treatment.
The Journal of Korean Academy of Orthopedic Manual Physical Therapy
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v.17
no.1
/
pp.24-28
/
2011
Background: The purpose of this study is to make a grip strength checker to make people measure their grip strength easily, based on standardized grip strength checker chart. Method: In this study, we measured right hand grip strength of 80 women residents of Deajeon (women in their 30s to 60s, 20 in each) 2 times per day for 5days in same conditions from 20th of November 2010 to 24th of November. it was measured by Jamar Hydraculic Hand Dynamometer made lately to compare with the current measuring equipment. No matter how big their hands are, their hands were fixed at second level. Measured as they sit on a chair and let their shoulders gathered and not be rotated, let their arms be 90 degree, wrist and forearm be at the middle for the first time, and took another after they took a rest, and measured the average of the two. Result: There was not a meaningful difference between the current measuring equipment and the equipment made lately (p>.05). Conclusion: It is thought that the equipment made lately can be believed. In addition, we want people to realize their own grip strength easily by this study.
Purpose: The objectives of this study were to define basic data for developing silver services related to goods, medical care, finance, leisure and residence. Method: In this cross-sectional study, the subjects were 792 pre-elderly and 382 elderly. The data were collected 2005 by using a structured questionnaire from Aug. 19 to Sep. 5. Data were analyzed using descriptive statistics on the SPSS version 12.0 for windows. Result: The pre-elderly had the intention to use massage chair(36.6%), homecare service(29.8%), national pension(35.9%), sports(48.5%) and personal house(59.5%) in the ares of silver goods, medical care, finance, leisure and residence, respectively. The elderly wanted sphygmomanometer(38.7%), homecare service(27.7%), pocket money from their offspring (40.5%), sports(33.5%), and personal house(74.8%). They wanted manpower in the area of reforming of living place, leisure time and education, counseling of silver goods, and management of finance. Conclusion: Based on this study findings, the pre-elderly are thoroughly established for their future than the elderly. It is important to upgrade the silver services and to prepare the manpower for the pre-elderly and the elderly in the future of the aging society.
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