• Title/Summary/Keyword: Clinical adjustment

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Differentiation between malignant and benign in terms of insurance claims (보험의학적 악성도평가)

  • Lee, Sinhyung
    • The Journal of the Korean life insurance medical association
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    • v.32 no.1
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    • pp.21-27
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    • 2013
  • In case of neoplasm claims, it is important to make a decision of differentiating malignant and benign. In Korean insurance market, there are many insurance products that cover cancer. In the insurance claims adjustment, differentiation between malignant and benign is according to histologic findings. However there are many neoplasms of bad clinical course in spite of benign histopathologic classification. In this article; astrocytoma, thymoma, gastrointestinal stromal tumor, colonic intramucosal carcinoma, gastric high grade adenoma/dysplasia, carcinoid tumor, MALT lymphoma, revision of Korean Classification of Disease-6th edition, and bladder tumors are reviewed in terms of differentiation between malignant and benign in the insurance claims. It may be helpful for claims staff to review important neoplasms in terms of differentiation between malignant and benign.

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A Comparative Study on the Individual Personality and Intelligence for Criminal (개인의 성격과 지능이 범죄에 미치는 영향에 관한 연구)

  • Rim, Sang-Gon
    • Korean Security Journal
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    • no.8
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    • pp.309-336
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    • 2004
  • Approximately equivalent to character disorder or character neuroses or behavioral reaction. For a discussion of the term as used currently, in the 1968 revision of psychiatric nomenclature(DSM-II). In DSM-I(1952 nomenclature), this term referred to those cases in which the personality, in its struggle for adjustment to internal and external stresses, utilized primarily a pattern of action or behavior rather than symptoms in the mental, somatic or emotional spheres. There is minimal subjective anxiety and little or no sense of distress. As thus defined, there are three main groups of personality disorder, personality pattern disturbance, personality trait disturbance and sociopathic, personality disturbance. Morton Prince asks whether a subconscious process can perform the same function as are ordinarily performed by conscious intelligence that is to say memory, perception, reasoning, imagination, volition, affectivity, etc? He cites clinical material at great length, concluding that the quality of the functions performed they frequently exhibit, that which is characteristic of intelligence.

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Psychosocial adjustment and quality of life of adolescents and adults with congenital heart disease

  • Kim, Gi Beom
    • Clinical and Experimental Pediatrics
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    • v.57 no.6
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    • pp.257-263
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    • 2014
  • The incidence of people living with congenital heart disease (CHD) has been increasing every year owing to remarkable advances in surgical and catheter intervention techniques and devices, and improved knowledge of critical care for patients with CHD. However, these patients continue to face physical, psychosocial, and environmental challenges, and a number of studies have shown higher rates of depression and anxiety disorders than the general population. To improve psychosocial functioning and quality of life for adults with CHD, health care providers are recommended to inform CHD patients of an accurate diagnosis, and overall treatment process, beginning in adolescence to facilitate a smooth transition from adolescence to adulthood. Active cooperation with psychiatrists, psychologists, social workers, chaplains, and family members is highly recommended to help CHD patients feel normal and optimistic and to promote good social interactions, close family relationships, and a strong sense of coherence.

Computer Simulation based Pre-operative Planning of Fracture Fixation and Deformity Correction (컴퓨터 시뮬레이션 기반 골절고정 및 기형교정수술 예비계획)

  • Kim, Yoon-Hyuk;Kwon, Young-Ha;Heo, Yu
    • Proceedings of the Korean Society of Precision Engineering Conference
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    • 2003.06a
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    • pp.698-700
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    • 2003
  • This paper presents a model and analysis techniques for a unilateral external fixator to achieve fracture reduction and deformity correction in long bones precisely. through fixator joint adjustment. Combining the kinematic analysis with a graphic model of the tibia and the fixator allowed 3D simulation and visualization of the adjustments required to reduce fracture or correct bone deformity after osteotomy. The model and analysis technique can be used for fixator evaluation and clinical application planning.

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A STUDY OF BRACKET BASE (IN-AND-OUT) IN KOREAN (한국인(韓國人)의 Bracket base (in-and-out) 에 관(關)한 연구(硏究))

  • Yang, Jae-Woo;Lee, Dong Joo
    • The korean journal of orthodontics
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    • v.20 no.2
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    • pp.355-361
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    • 1990
  • This study was undertaken to finish the design of the adequate preadjusted bracket in Korean. The labio-lingual & bucco-lingual width of tooth & in-and-out of the bracket base was studied in normal occlusion of 17 males & 17 females. The following results were obtained. 1. The in-and-outs of the bracket base in Korean were obtained (table 2). 2. The in-and-outs of the premolar & molar were no significant due to variation according to arch wire shape in clinical practice, so the more adjustment of arch wire was required. 3. The more amount of offset was required at lateral-canine offset than at central-lateral offset in 1st order bending, due to difference of the in-and-out. 4. The degrees of the anti-rotation in molar were obtained (table 3).

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A Case Report on Psychosomatic Disorder Cause by Maladjustment of Interpersonal Relationship (대인관계 부적응으로 유발된 심신증 환자 치험 1례)

  • Kim, Nam-Yeol;Yoo, Jong-Ho;Kim, Geun-Woo;Bae, Jae-Ik
    • Journal of Oriental Neuropsychiatry
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    • v.23 no.4
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    • pp.215-228
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    • 2012
  • Objectives : This study aims to research the effect of oriental psychotherapy and treatments for reduction of Psychosomatic disorder symptoms caused by maladjustment of interpersonal relationship. Methods : We treat a patient with Oriental medical treatment (acupuncture, moxibustion, cupping and aroma therapy, oriental psychotherapy and Herb-medication) and follow up the changes of stress index for 3 times per 8 days. Results & Conclusions : After oriental psychotherapy and treatments, clinical symptoms of the patient were improved and the patient overcoming psychosomatic disorder can go back to the workplace. It is suggested that oriental psychotherapy and treatments are effective on psychosomatic disorder.

Electric Therapy System Based on Discontinuous Conduction Mode Boost Circuit

  • Chen, Wenhui;Lee, Hyesoo;Jung, Heokyung
    • Journal of information and communication convergence engineering
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    • v.18 no.4
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    • pp.245-253
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    • 2020
  • The human body and nervous system transmit information through electric charges. After the electric charge transmits information to the brain, we can feel pain, numbness, comfort, and other feelings. Electric therapy is currently used widely in clinical practice because the field of examination is more representative of electrocardiogram, and in the field of treatment is more representative of electrotherapy. In this study, we design a system for neurophysiological therapy and conduct parameter calculation and model selection for the components of the system. The system is based on a discontinuous conduction mode (DCM) boost circuit, and controlled and regulated by a single-chip microcomputer. The system does not only have a low cost but also fully considers the safety of use, convenience of the human-computer interface, adjustment sensitivity, and waveform diversity in the design. In future, it will have strong implications in the field of electrotherapy.

Systematic Review of Research into the Psychological Aspects of Prostate Cancer in Asia: What do we Know?

  • Chambers, Suzanne Kathleen;Hyde, Melissa Karen;Ip, David Fu-Keung;Dunn, Jeffrey Charles;Gardiner, Robert Alexander
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.4
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    • pp.2621-2626
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    • 2013
  • Background: To review the peer reviewed literature on the psychological aspects of the prostate cancer experience of men in Asia. Materials and Methods: Medline and PsycINFO, CINAHL, ProQuest, and Web of Science (1999 - November Week 4, 2012) were searched. Inclusion criteria were: included men with prostate cancer and/or their partners or caregivers who identify as Asian recruited in an Asian country; and assessed health-related quality of life, psychological and social adjustment relating to prostate cancer and published in English after $1^{st}$ January 1999 and prior to $30^{th}$ November, 2012. Study aims; design; quality; level of evidence, and key results were assessed. Results: 43 articles met all inclusion criteria and were retained for initial review. Of these most focussed on health-related QOL with only five evidence Level IV studies from Japan and Taiwan including a specific psychological focus. Of these, one was a cross-sectional case control study; three were cross-sectional descriptive quantitative designs; one was a cross-sectional descriptive qualitative study. From the data available, a substantive sub group of men with prostate cancer (approximately one third) in these countries experience clinically high psychological distress and decision regret. Conclusions: Research on the psychological needs of men with the increasingly prevalent condition of prostate cancer in Asian countries is scant with only a small number of low level evidence descriptive studies identified. Future research to underpin the development and evaluation of effective and culturally relevant psychological and supportive care interventions for such men is urgently needed.

The relationships of body mass index, waist-to-height ratio, and body fat percentage with blood pressure and its hemodynamic determinants in Korean adolescents: a school-based study

  • Kim, Na Young;Hong, Young Mi;Jung, Jo Won;Kim, Nam Su;Noh, Chung Il;Song, Young-Hwan
    • Clinical and Experimental Pediatrics
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    • v.56 no.12
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    • pp.526-533
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    • 2013
  • Purpose: Obesity is an important risk factor for hypertension in adolescents. We investigated the relationship of obesity-related indices (body mass index [BMI], waist-to-height ratio [WHR], and body fat percentage [%BF]) with blood pressure and the hemodynamic determinants of blood pressure in Korean adolescents. Methods: In 2008, 565 adolescents, aged 12-16 years, were examined. The %BF of the participants was measured by bioelectrical impedance analysis. Echocardiography and brachial artery pulse tracing were used to estimate the stroke volume (SV), cardiac output (CO), total vascular resistance (TVR), and total arterial compliance (TAC). Results: We noted that BMI, WHR, and %BF were positively correlated with systolic blood pressure (SBP) and diastolic blood pressure (DBP). The positive correlation between BMI and blood pressure (SBP and DBP) persisted after adjustment for WHR and %BF. However, after adjustment for BMI, the positive associations between blood pressure (SBP and DBP) and WHR as well as %BF, were not noted. With regard to the hemodynamic factors, BMI, but not WHR and %BF, was an independent positive factor correlated with SV and CO. TVR had an independent negative association with BMI; however, it was not associated with WHR or %BF. Moreover, we noted that BMI, WHR, and %BF did not affect TAC. Conclusion: In Korean adolescents, BMI had an independent positive correlation with SBP and DBP, possibly because of its effects on SV, CO, and TVR. WHR and %BF are believed to indirectly affect SBP and DBP through changes in BMI.

Superimposition: a simple method to minimize occlusal adjustment of monolithic restoration (디지털 장비의 중첩기능을 이용하여 단일체 수복물의 교합조정을 최소화한 증례)

  • Choi, Changhun;Kim, Sunjai
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.3
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    • pp.253-258
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    • 2016
  • The development of translucent zirconia enabled clinicians to choose a monolithic zirconia crown as one treatment modality in the posterior dentition. Careful occlusal adjustments are recommended for monolithic zirconia crowns because grinding zirconia inevitably causes phase transformation, which may deteriorate mechanical properties. intraoral scanners enable the clinician to scan and superimpose a complete tooth structure before preparation onto the prepared abutment. This technique helps to reproduce the original tooth form and occlusion of the patient. In this case report, prostheses were fabricated for patients with cracked or fractured tooth by applying intraoral scanner, Computer aided design-computer aided manufacturing (CAD-CAM) and monolithic zirconia crown to reproduce the occlusion of original tooth and to minimize occlusal adjustment. The clinical results were satisfactory in both esthetic and functional aspects.