• Title/Summary/Keyword: Digital Hospital

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Three dimensional accuracy analysis of dental stone casts fabricated using irreversible hydrocolloid impressions (알지네이트 인상체에서 제작된 치과용 석고 모형의 정확도에 대한 삼차원 디지털 분석)

  • Joo, Young-Hun;Lee, Jin-Han
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.4
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    • pp.316-328
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    • 2015
  • Purpose: The objects of this study was to evaluate the accuracy of the dental stone casts made from alginate impressions according to storage condition and stone pouring time. Materials and Methods: Each of upper and lower impressions of dental model was taken. The dental stone models were made immediately, 10, 30, 60, 180, 360 minutes after the impressions were taken at each storage condition. 3D models were constructed by scanning the stone model using 3D laser scanner. With Reference points, positioned on digital models, linear measurements of the dimensional change were compared by 3D metrology software, 3D average models were made and superimposition to identify the specific site of dimensional change and to measure surface deviation (mm). Results: Dental stone models which were made immediately after taking the impression showed the smallest linear dimensional change. As the stone pouring time was prolonged, the linear dimensional change was increased. More than 180 minutes after impression taking, linear dimensional change and surface distortion increased in the posterior molar region, regardless of the storage condition. Conclusion: For the optimum accuracy of the dental stone casts, alginate impression should be poured as soon as possible. If there were a need for storing, a humidor with 100% relative humidity must be used and be stored less than 180 minutes to fabricate the accurate dental model.

Reconstruction of the Thumb, the Second and Third Finger in Patient with Amputation of Right Five Fingers (우측 수부의 모든 수지 절단 환자에서 무지와 제 2, 3 수지 재건술)

  • Lee, Jun-Mo;Kim, Gyu-Hyung
    • Archives of Reconstructive Microsurgery
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    • v.10 no.2
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    • pp.143-148
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    • 2001
  • The hand with amputation of all fingers is useless for activities of daily living and traumatic amputation of some of the fingers can result in the diminished ability to perform power grip and precision grip which is vital to maintain normal function of the hand. Precision grip is used to hold an object between the opposable thumb and flexed fingers. In power grip the object is held between the flexed fingers and the palm while the thumb applies the necessary counterpressure to maintain the grip on the object. A 35 year old male lost his right all fingers including thumb at the level of proximal phalanx from the pressure machinary accident. Thumb was reconstructed using wrap around flap and the second and third fingers were reconstructed using the second and third toe transplantation. Seven years after reconstruction, he uses the reconstructed thumb and the second and the third fingers for eating meals, writing down a paper with a pencil and putting on socks.

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The Influence of Therapeutic Horseback Riding on Treatment of Low Back Pain (요통치료에서 승마요법의 영향)

  • Jang, Sang Chul;Lee, Ki Seung;Kim, In Chang;Kim, Jin Hee;Chong, Myong Soo
    • Journal of the Korean Institute of Oriental Medical Informatics
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    • v.21 no.1
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    • pp.23-34
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    • 2015
  • This study is aimed to verify what effects horseback riding has in treating hospitalized patients with low back pain in the Korean medicine hospital. The method of this study is choosing 31 people among hospitalized male and female patients whose chief complaints were low back pain in 2 Korean medicine hospital in Gyeonggi Province. 14 people who agreed to take horseback riding treatment were classified into experimental group and 17, the rest of the people, were classified into control group. Both experimental group and control group were treated with Korean medicine. In addition, only experimental group performed horseback riding program. Changes of temperature difference by digital infrared thermal imaging(DITI), sit and reach test and visual analogue scale(VAS) survey were used as measuring tools. IBM SPSS Statistics 21 was used in processing statistics. Mean ${\pm}$standard deviation was indicated down to two places of decimals and the level of significance was judged as p<0.05. The summary of this study's result is as in the following. First of all, the meaningful difference was shown in the experimental group but not in the control group in the difference of temperature between Yintang and Kwanwon(the difference between up and down). Secondly, there were significant difference in the experimental group which performed horseback riding treatments but not in the control group resulting from examining the change of temperature difference between left and right Yongchon. Thirdly, there were significant difference between experimental and control group in the change of sit and reach. Especially, the change was much more in experimental group. As known from the results above, patients who only were treated with Korean medicine relieved low back pain, reordered pelvis and improved the motor ability. However, the group which carried out horseback riding at the same time reordered pelvis and improved the motor ability more obviously.

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The Comparison of Trunk Repositioning Errors in Individuals with and without Low Back Pain at Different Postures (요통 환자와 정상인의 자세에 따른 체간 위치 오류 비교)

  • Yuk, Goon-Chang;Han, Jin-Tae;Shin, Hyun-Suk;Lee, Ho-Geon;Park, Rea-Joon
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.2
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    • pp.63-74
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    • 2008
  • Purpose : The purpose of this study was to compare trunk repositioning errors between subjects with and without low back pain in sitting and standing. Methods : Total 81 participants were recruited who consisted of 41 subjects with low back pain and 40 normal subjects. The subjects were instructed to replicate the predetermined target positions of the trunk toward upright and $30^{\circ}$ flexion in sitting and standing. During each of movement, digital inclinometer was used to measure the angular movement of $T_{12}$ spinal process. Repositioning error was calculated as the absolute difference between the predetermined target positions and replicated target positions. Results : In subjects with low back pain, upright repositioning error was $1.26^{\circ}{\pm}0.14^{\circ}$ in sitting and $1.55^{\circ}{\pm}0.24^{\circ}$ in standing, and $30^{\circ}$ flexion repositioning error was $3.23^{\circ}{\pm}0.33^{\circ}$ in sitting and $5.50^{\circ}{\pm}0.50^{\circ}$ in standing. In subjects without low back pain, upright repositioning error was $1.38^{\circ}{\pm}0.15^{\circ}$ in sitting and $1.67^{\circ}{\pm}0.18^{\circ}$ in standing, and flexion repositioning error was $2.61^{\circ}{\pm}0.28^{\circ}$ in sitting and $3.70^{\circ}{\pm}0.52^{\circ}$ in standing. It was demonstrated that flexion repositioning error increased significantly in standing position. In subjects with low back pain, $30^{\circ}$ flexion repositioning error was significantly higher in standing than in sitting. Conclusion : The repositioning error of subjects with low back pain increased during flexion and it implies that some aspects of proprioception are decreased in subjects with low back pain. Therefore, it will be emphasis that a clinical trial to increase the trunk flexion stability of subjects with low back pain in standing.

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Structural Relationship between Leadership Type of Hospital Organization and Organizational Commitment and Job Performance (병원 조직의 리더십유형과 조직몰입, 직무성과의 구조적인 관계)

  • Lee, Jin?Woo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.6
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    • pp.290-301
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    • 2017
  • This study examined the causal relationship among the leadership type, organizational commitment, and job performance, and to improve the organizational performance and effective methods of human resource management in hospital organizations. The survey period was from October 6, 2016 to October 20, and 375 employees working in hospitals were selected for the final survey. To analyze the validity of the measurement variables, reliability and confirmatory factor analysis were conducted, and the covariance structure equation analysis was conducted to grasp the causal relationship among leadership, organizational commitment, and job performance. In conclusion, leadership, organizational commitment, and job performance were significantly different according to the occupation(p<0.05), age(p<0.05), and working period(p<0.05), and individual care(p<0.001) and conditional reward(p<0.001) showed a high causal relationship with the organizational commitment and job performance. In the future, leadership that can take care of the individual characteristics of the members of the organization and ability to demonstrate their competence will be needed, and it will be necessary to establish a reasonable compensation system after measuring the degree of achievement of work. In addition, leadership needs to be in place to promote organizational performance considering the job type, gender, age, and duration of work. Managers should make efforts to form an organizational culture and provide related education programs to improve loyalty and attachment of members to the organization.

Measurement of the Compression Force and Thickness applied during Mammography (유방촬영술에서 압력과 두께 측정)

  • Kweon, Dae-Cheol;Lee, Eun-Mi;Park, Peom
    • Journal of radiological science and technology
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    • v.26 no.2
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    • pp.29-35
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    • 2003
  • The purpose of this study was to compare the compression force and thickness of the compressed breast between mediolateral oblique and craniocaudal mammography. This population consisted of 204 paired mediolateral oblique and craniocaudal mammography obtained on one mammographic unit by certified mammography technologists during 2 month period. The women examined were $30{\sim}59$ years old with breast implants, the patients were classified into 3 groups according to age, $30{\sim}39$, $40{\sim}49$, and $50{\sim}59$, prior breast cancer, mastectomy or breast deformity were excluded. The digital readout of compressed breast compression force and thickness was recorded. Mammographic positioning was assessed using standard criteria. The mean compression force of the compressed breast on the craniocaudal projection was less than the mean compression force on the mediolateral projection(14 versus 13.88 daN, p<0.05). The mean thickness of the compressed breast for mediolateral projection was 41.46 mm and that for the craniocaudal projection was 39.50 mm(p<0.05). The compressed breast is higher or thicker on mediolateral oblique than on craniocaudal mammography.

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Patient dose in adult and pediatric dental panoramic radiography in Korea (성인과 소아에서 치과 파노라마방사선검사의 환자선량)

  • Kim, Eun-Kyung;Han, Won-Jeong;Kim, Kyoung-A;Lee, Wan;Yoon, Suk-Ja;Hwang, Eui-Hwan;Kim, Gyu-Tae;Heo, Min-Suk;An, Chang-Hyeon;An, Seo-Young;Han, Jin-Woo;Jung, Yun-Hoa
    • The Journal of the Korean dental association
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    • v.55 no.8
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    • pp.516-526
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    • 2017
  • Objective: To suggest diagnostic reference levels (DRLs) for dental panoramic radiography in adults and children through the nationwide survey in Korea. Materials and Methods: Two hundred twelve dental institutions on a national basis were visited. The radiographic examination protocols were surveyed and their patient doses at the clinical exposure setting for adult and children (5- and 10-year old) were measured at 244 panoramic radiographic equipment. The measured DAP were analyzed and compared according to age group, the size of hospital, the type of radiographic system, the installation duration of equipment. Results: The mean exposure parameters were 70.1 kV, 9.2 mA, 14.4 second for adult and 66.6 kV, 7.9 mA, 13.8 second for 10-year old child and 65.5 kV, 7.3 mA, 13.7 second for 5-year old child. The mean and third quartile patient DAPs were $138.3mGy\;cm^2$ and $151.0mGy\;cm^2$ for adult, $99.5mGy\;cm^2$ and $104.8mGy\;cm^2$ for 10-year old child and $89.5mGy\;cm^2$ and $95.5mGy\;cm^2$ for 5-year old child. The mean patient dose at the university dental hospital was lower than that at the dental clinic (p<0.05). The mean patient dose of direct digital radiography type was higher than that of film-based type. However, the difference did not show statistically significance. Conclusion: DRLs for dental panoramic radiography in adult, 10- and 5-year old child were suggested to be $151mGy\;cm^2$, $105mGy\;cm^2$, and $96mGy\;cm^2$ in Korea based on this nationwide survey.

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New method of assessing the relationship between buccal bone thickness and gingival thickness

  • Kim, Yun-Jeong;Park, Ji-Man;Kim, Sungtae;Koo, Ki-Tae;Seol, Yang-Jo;Lee, Yong-Moo;Rhyu, In-Chul;Ku, Young
    • Journal of Periodontal and Implant Science
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    • v.46 no.6
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    • pp.372-381
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    • 2016
  • Purpose: The aim of this study was to determine the relationship between buccal bone thickness and gingival thickness by means of a noninvasive and relatively accurate digital registration method. Methods: In 20 periodontally healthy subjects, cone-beam computed tomographic images and intraoral scanned files were obtained. Measurements of buccal bone thickness and gingival thickness at the central incisors, lateral incisors, and canines were performed at points 0-5 mm from the alveolar crest on the superimposed images. The Friedman test was used to compare buccal bone and gingival thickness for each depth between the 3 tooth types. Spearman's correlation coefficient was calculated to assess the correlation between buccal bone thickness and gingival thickness. Results: Of the central incisors, 77% of all sites had a buccal thickness of 0.5-1.0 mm, and 23% had a thickness of 1.0-1.5 mm. Of the lateral incisors, 71% of sites demonstrated a buccal bone thickness <1.0 mm, as did 63% of the canine sites. For gingival thickness, the proportion of sites <1.0 mm was 88%, 82%, and 91% for the central incisors, lateral incisors, and canines, respectively. Significant differences were observed in gingival thickness at the alveolar crest level (G0) between the central incisors and canines (P=0.032) and between the central incisors and lateral incisors (P=0.013). At 1 mm inferior to the alveolar crest, a difference was found between the central incisors and canines (P=0.025). The lateral incisors and canines showed a significant difference for buccal bone thickness 5 mm under the alveolar crest (P=0.025). Conclusions: The gingiva and buccal bone of the anterior maxillary teeth were found to be relatively thin (<1 mm) overall. A tendency was found for gingival thickness to increase and bone thickness to decrease toward the root apex. Differences were found between teeth at some positions, although the correlation between buccal bone thickness and soft tissue thickness was generally not significant.

Analysis of Image Quality According to BMI of Digital Chest Radiography: Focusing on Bureau of Radiological Health Evaluation (디지털 흉부 방사선 영상의 체질량지수에 따른 영상품질 분석: 미국 방사선 안전국 규정 평가표 중심으로)

  • Jin, Seong-jin;Im, In-Chul;Cho, Ji-Hwan
    • Journal of radiological science and technology
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    • v.40 no.1
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    • pp.1-6
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    • 2017
  • Visual evaluation of chest radiograph images is the most practical and effective method. This study compared the Body Mass Index, waist circumference, and mAs with chest radiographs of 351 women. The Bureau of Radiological Health method was used to evaluate the image quality of chest X-ray images by anatomical and physical methods. The average age of the subjects was $30.17{\pm}4.73$ and the average waist circumference was $66.91{\pm}4.67cm$. The mean Body Mass Index value was $20.21{\pm}2.23$, the mean value of mAs was $3.04{\pm}0.78$, and the mean value of Bureau of Radiological Health was $79.83{\pm}8.45$. When the Body Mass Index value increased, waist circumference and mAs mean value increased. The mean value of Body Mass Index was statistically significant(p<0.05) in Group 4 compared to Groups 1 and 2, with increasing Body Mass Index. Exposure control of the automatic exposure control system is considered to be well performed according to body thickness or Body Mass Index at the time of chest radiography. As the Body Mass Index increases, the thickness of the body increases and the breast thickness of the woman also increases. Therefore, it is considered that the exposure amount is changed by the automatic exposure control device to affect the image quality.

STUDY ON ADAPTABILITY OF RUBBER DAM CLAMPS ON PRIMARY SECOND MOLARS IN KOREAN CHILDREN (한국인 소아에서 제2유구치에 대한 러버댐 클램프의 적합도에 관한 연구)

  • Park, Mirae;Mah, Yon-Joo;Ahn, Byung Duk
    • Journal of the korean academy of Pediatric Dentistry
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    • v.40 no.2
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    • pp.98-105
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    • 2013
  • The purpose of this study was to investigate the mesiodistal widths at the cervical level of primary second molars in Korean children, and to compare them with commercial rubber dam clamps commonly used in pediatric dentistry. Dental casts of 115 primary and mixed dentition children were studied. Cervical mesiodistal width (C-MD) was measured at the clinical cervical level of each primary second molar from buccal and lingual sides using a digital caliper (Absolute, Mitutoyo, Kawasaki, Japan). The data were compared with mesiodistal widths of rubber dam clamps #203/204, #10/11, and #205 (Dentech, Japan). C-MDs of primary mandibular second molars were larger than those of primary maxillary second molars, and C-MDs at buccal sides were larger than those of lingual sides. All C-MDs showed statistically significant discrepancies to corresponding widths on clamps (p < 0.05). However the amount of discrepancy was mild in maxillary teeth, while up to 1 mm of discrepancy was shown in mandibular teeth. In conclusion, C-MDs measured in this study imply a relatively fair fit of #10/#11 or #203/#204 clamps on primary maxillary second molars, while suggesting our need for a better clamp with proper size for primary mandibular second molars.