• 제목/요약/키워드: Digital Health

검색결과 2,287건 처리시간 0.027초

Accuracy of digital periapical radiography and cone-beam computed tomography in detecting external root resorption

  • Creanga, Adriana Gabriela;Geha, Hassem;Sankar, Vidya;Teixeira, Fabricio B.;McMahan, Clyde Alex;Noujeim, Marcel
    • Imaging Science in Dentistry
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    • 제45권3호
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    • pp.153-158
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    • 2015
  • Purpose: The purpose of this study was to evaluate and compare the efficacy of cone-beam computed tomography (CBCT) and digital intraoral radiography in diagnosing simulated small external root resorption cavities. Materials and Methods: Cavities were drilled in 159 roots using a small spherical bur at different root levels and on all surfaces. The teeth were imaged both with intraoral digital radiography using image plates and with CBCT. Two sets of intraoral images were acquired per tooth: orthogonal (PA) which was the conventional periapical radiograph and mesioangulated (SET). Four readers were asked to rate their confidence level in detecting and locating the lesions. Receiver operating characteristic (ROC) analysis was performed to assess the accuracy of each modality in detecting the presence of lesions, the affected surface, and the affected level. Analysis of variation was used to compare the results and kappa analysis was used to evaluate interobserver agreement. Results: A significant difference in the area under the ROC curves was found among the three modalities (P=0.0002), with CBCT (0.81) having a significantly higher value than PA (0.71) or SET (0.71). PA was slightly more accurate than SET, but the difference was not statistically significant. CBCT was also superior in locating the affected surface and level. Conclusion: CBCT has already proven its superiority in detecting multiple dental conditions, and this study shows it to likewise be superior in detecting and locating incipient external root resorption.

치과용 스캐너로 채득한 디지털 모형의 반복성 및 재현성에 관한 3차원적 평가 (Three-dimensional evaluation on the repeatability and reproducibility of dental scanner-based digital models)

  • 이경탁;김재홍;김웅철;김지환
    • 대한치과기공학회지
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    • 제34권3호
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    • pp.213-220
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    • 2012
  • Purpose: The aim of this study was to determine the repeatability and reproducibility of two dental scanners. Methods: The master die and the stone replicas(Kavo, Germany) were digitized in touch-probe scanner(Incise, Renishaw, UK), white light scanner(Identica, Medit, Korea) to create 3-dimensional surface-models. The number of points in the point clouds from each reading were calculated and used as the CAD reference model(CRM). Discrepancies between the points in the 3-dimensional surface models and the corresponding CRM were measured by a matching-software(Power-Inspect R2, Delcam Plc, UK). The t-student test for one samples were used for statistical analysis. Results: The reproducibility of both scanner was within $3{\mu}m$, based on mean value. The mean value between measurements made directly on the touch probe scanner digital models and those made on the white light scanner digital models was $2.20-2.90{\mu}m$, and was statistically significant(P<0.05). Conclusion: With respect to adequate data acquisition, the reproducibility of dental scanner differs. Three-dimensional analysis can be applied to differential quality analysis of the manufacturing process as well as to evaluation of different analysis methods.

Effect of rinsing time on the accuracy of interim crowns fabricated by digital light processing: An in vitro study

  • Lee, Beom-Il;You, Seung-Gyu;You, Seung-Min;Kang, Seen-Young;Kim, Ji-Hwan
    • The Journal of Advanced Prosthodontics
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    • 제13권1호
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    • pp.24-35
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    • 2021
  • PURPOSE. This study was to evaluate the effect of rinsing time on the accuracy of interim crowns fabricated by digital light processing. MATERIALS AND METHODS. The maxillary right first molar master die was duplicated using a silicone material, while a study die was produced using epoxy resin. Scans of the epoxy resin die were used in combination with CAD software to design a maxillary right first molar interim crown. Based on this design, 24 interim crowns were fabricated with digital light processing. This study examined the trueness and precision of products that were processed with one of the three different postprocessing rinsing times (1 min, 5 min, and 10 min). Trueness was measured by superimposing reference data with scanned data from external, intaglio, and marginal surfaces. Precision was measured by superimposing the scan data within the group. The trueness and precision data were analyzed using Kruskal-Wallis, nonparametric, and post-hoc tests, and were compared using a Mann-Whitney U test with Bonferroni correction (α=.05). RESULTS. The trueness of the external and intaglio surfaces of crowns varied significantly among the different rinsing times (P=.004, P=.003), but there was no statistically significant difference in terms of trueness measurements of the marginal surfaces (P=.605). In terms of precision, statistically significant differences were found among the external, intaglio, and marginal surfaces (P=.001). CONCLUSION. Interim crowns rinsed for 10 minutes showed high accuracy.

다주파수 생체임피던스 저항을 이용한 당뇨병 환자의 허증 변증 예측 (Prediction of Deficiency Pattern in Diabetic Patients Using Multi-frequency Bioimpedance Resistance)

  • 김가혜;김슬기;차지윤;유호룡;김재욱
    • 동의생리병리학회지
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    • 제36권3호
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    • pp.94-99
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    • 2022
  • The discovery of biomarkers related to pattern identification (PI), the core diagnostic theory of Korean medicine (KM), is one of the methods that can provide objective and reliable evidence by applying PI to clinical practice. In this study, 40 diabetic patients and 41 healthy control subjects recruited from the Korean medicine clinic were examined to determine the human electrical response related to the deficiency pattern, a representative pattern of diabetes. Qi-Blood-Yin-Yang deficiency pattern scores, which are representative deficiency patterns for diabetes mellitus, were obtained through a questionnaire with verified reliability and validity, and the human electrical response was measured non-invasively using a bioimpedance meter. In ANCOVA analysis using gender as a covariate, the 5 kHz frequency resistance and 5-250 kHz frequency reactance were significantly lower in the diabetic group than in non-diabetic control group. In addition, the multiple regression analysis showed a positive correlation (R2=0.11~0.19) between the Yang deficiency pattern score and resistance value for the diabetic group; the correlation was higher at higher frequencies of 50kHz (R2=0.18) and 250kHz (R2=0.19) compared to 5kHz(R2=0.11). In contrast, there was no such significant association in the control group. It implies that bioimpedance resistance measured at finite frequencies may be useful in predicting Yang deficiency, which is closely related to diabetic complications by reflecting the decrease in body water content and metabolism. In the future, large-scale planned clinical studies will be needed to identify biomarkers associated with different types of PI in diabetes.

The Smart Medicine Delivery Using UAV for Elderly Center

  • Li, Jie;Weiwei, Goh;N.Z., Jhanjhi;David, Asirvatham
    • International Journal of Computer Science & Network Security
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    • 제23권1호
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    • pp.78-88
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    • 2023
  • Medication safety and medicine delivery challenge the well-being of the elderly and the management of the elderly center. With the outbreak of COVID-19, the elderly in the care center were challenged by the inconvenience of the medication restocking. The purpose of this paper accentuates the importance of the design and development of an UAV-based Smart Medicine Case (UAV-SMC) to improve the performance of medication management and medicine delivery in the elderly center. The researchers came up with the design of UAV-SMC in the light of the UAV and IoT technology to improve the performance of both Medication Practice Management (MPM) and Low Inventory Detection and Delivery (LIDD). Based on the result, with UAV-SMC, the performance of both MPM and LIDD was significantly improved. The UAV-SMC improves the efficacy of medication management in the elderly center by 26.97 to 149.83 seconds for each medication practice and 9.03 mins for each time of medicine delivery in Subang Jaya Malaysia. This paper only investigates the adoption of UAV-SMC in the content of elderly center rather than other industries. The authors consider integrating the UAV-SMC with the e-pharmacy system in the future. In conclusion, the UAV-SMC has significantly improved the medication management and guard the safety of elderly and caretaker in the elderly in the post-pandemic times.

정신건강 위험 예측 및 관리를 위한 멘탈 헬스케어 디지털 트윈 기술 연구 (Mental Healthcare Digital Twin Technology for Risk Prediction and Management)

  • 양세모;이강윤
    • 한국빅데이터학회지
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    • 제7권1호
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    • pp.29-36
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    • 2022
  • 감정 노동 및 서비스업 종사자의 급격한 증가에 따른 감정노동자의 스트레스 및 우울증 유병률이 증가하고 있다. 하지만, 현재 감정노동자의 정신건강 관리는 스트레스 상황 당시의 정서반응을 고려하기 어렵고 개인의 기저 상태가 반영되지 않아 기존 정신건강 관리의 한계가 존재한다. 본 연구에서는 개인 맞춤형 스트레스 위험 관리 솔루션인 멘탈 헬스케어 디지털 트윈 솔루션 기술을 제시한다. 감정노동으로 인한 정신건강 위험 관리를 위해, 정서/신체반응 및 환경 등의 개인별 스트레스 위험요인을 다양한 모달리티로 추출하고 가상 공간에서 동적 객체의 동기화/모델링을 통하여 스트레스 위험도를 정밀 예측하는 솔루션 탐색 시뮬레이션을 수행한다. 사용자에게 맞는 인터벤션을 제공하여, 감정노동자의 환경에 맞게 모달리티와 객체의 구성이 가능하고 사용자의 피드백에 따라 개선 가능한 개인 맞춤형 정신건강 위험 예측을 위한 멘탈 헬스케어 디지털 트윈 솔루션을 제공한다.

여성건강 교수-학습과정에서의 원격영상강의 시스템 적용 (Application of Distance Videoconferencing on Women's Health Teaching-Learning Process)

  • 강남미
    • 한국간호교육학회지
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    • 제5권2호
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    • pp.165-176
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    • 1999
  • The goal of women's health education can be defined as improvement of the quality of their life during entire life cycle. In Korean society, women's well-being is very important to themselves as well as their families, communities. and country. Thus it is important to systematize information on women's health education. These systematized information can be used in preparation of coming 21st century called information era. Unfortunately there have been few studies in women's health education research in Korea especially distance education for women's health related with korean socio-cultural background, etc. Distance education has been internationally used in a variety of settings as a means of providing health education information. The objective of this study was to apply and evaluate a multimedia videoconferencing on women's health distance teaching-learning process. In this study I'd like to design multimedia digital educational material used in the distance teaching-learning process for women's health, and to practice a multimedia videoconferencing on women's health distance teaching-learning processs. The procedures of this study were summarized as follows ; 1. Analysis of subjects' characteristics and education contents and for women's health. 2. Design of a multimedia videoconferencing on women's health distance teaching-learning process. 3. Development of women's health distance teaching-1earning process. 4. Evaluation of developed digital multimedia and distance teaching-learning process related with women's health These results will be used in development of the distance-learning education program for improving Korean women's health. Findings su99est that the advanced methodologies for designing and evaluating the women's health distance teaching-learning programs be obtained through the collaboration with other field's staffs.

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Evaluating the accuracy (trueness and precision) of interim crowns manufactured using digital light processing according to post-curing time: An in vitro study

  • Lee, Beom-Il;You, Seung-Gyu;You, Seung-Min;Kim, Dong-Yeon;Kim, Ji-Hwan
    • The Journal of Advanced Prosthodontics
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    • 제13권2호
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    • pp.89-99
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    • 2021
  • PURPOSE. This study aimed to compare the accuracy (trueness and precision) of interim crowns fabricated using DLP (digital light processing) according to post-curing time. MATERIALS AND METHODS. A virtual stone study die of the upper right first molar was created using a dental laboratory scanner. After designing interim crowns on the virtual study die and saving them as Standard Triangulated Language files, 30 interim crowns were fabricated using a DLP-type 3D printer. Additively manufactured interim crowns were post-cured using three different time conditions-10-minute post-curing interim crown (10-MPCI), 20-minute post-curing interim crown (20-MPCI), and 30-minute post-curing interim crown (30-MPCI) (n = 10 per group). The scan data of the external and intaglio surfaces were overlapped with reference crown data, and trueness was measured using the best-fit alignment method. In the external and intaglio surface groups (n = 45 per group), precision was measured using a combination formula exclusive to scan data (10C2). Significant differences in accuracy (trueness and precision) data were analyzed using the Kruskal-Wallis H test, and post hoc analysis was performed using the Mann-Whitney U test with Bonferroni correction (α=.05). RESULTS. In the 10-MPCI, 20-MPCI, and 30-MPCI groups, there was a statistically significant difference in the accuracy of the external and intaglio surfaces (P<.05). On the external and intaglio surfaces, the root mean square (RMS) values of trueness and precision were the lowest in the 10-MPCI group. CONCLUSION. Interim crowns with 10-minute post-curing showed high accuracy.

CS-3500 구강 내 스캐너로 채득된 디지털 인상의 신뢰도 및 정확도 평가 (Reliability and Accuracy of Digital Impression Obtained from CS-3500 Intraoral Scanner)

  • 김사학;김재홍;김종견
    • 치위생과학회지
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    • 제15권5호
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    • pp.673-678
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    • 2015
  • 본 연구는 최신 경향의 구강 내 스캐너로 채득된 3차원 디지털 인상의 정확도와 신뢰도를 평가하기 위해 4가지 계측 지점을 통하여 분석하였다. 주 모형과 비교하였을 때, 디지털 인상이 작게 계측되는 경향을 나타내었고, 각 계측지점별로 0.06~0.12 mm 범위의 차이를 보였다. 선행연구의 결과에 의해 임상적으로 오차범위를 허용할 수 있는 것으로 나타났으며, 환자의 진단이나 치아 교정치료 계획 수립 시 사용되는 모형에는 큰 영향이 없음을 확인할 수 있었다. 실험에서는 구강 내 상황이나 해부학적 구조를 무시하고 진행하였지만, 실제 임상에서 사용 시에는 구강 내 협소한 공간, 타액 등으로 인한 치아면의 난반사 증가, 혀 등의 해부학적 구조물로 인한 작업 방해 등의 여러 가지 요인이 인상과정에 영향을 줄 수 있을 것이라 판단된다. 추후 실험에서는 가능한 구강 내 상황을 재현한 상태에서 실험을 진행하면 좀 더 임상 적용에 도움이 될 것으로 생각된다.

간접촬영기의 디지털 영상 변환 장치 적용에 대한 연구 (A study on the digital image transfer application mass chest X-ray system up-grade)

  • 김선칠;박종삼;이준일
    • 대한방사선기술학회지:방사선기술과학
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    • 제26권3호
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    • pp.13-17
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    • 2003
  • 현대 병원들은 보다 나은 의료서비스를 위해 디지털 시스템을 갖추고자 노력하고 있다. 하지만, 아직도 많은 부분은 아날로그 시스템과 Film 출력에 의존하고 있다. 본 연구는 차량 이동형 흉부 전용 간접 촬영기에 디지털 영상 변환 장치와 이에 연동되는 X-ray 발생장치의 제어 시스템, 출력 시스템을 디지털시스템으로 변환, 연동시켰으며, 획득한 영상을 간접 촬영 전용프로그램에서 편리하게 판독 할 수 있도록 설계하여 임상에 적용시켰다. 이러한 과정에서 발생되는 문제점을 현실적으로 해결하였으며, 방사선사 입장에서 업무의 효율성을 높이고자 몇 가지 프로그램을 개발 적용하였다. 향후 미래지향적인 디지털의료 영상 시스템을 갖추기 위해 각종 프로그램과 시스템과도 연동이 되도록 설계하여 임상에 적용하여 우수성을 입증하였다.

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