• Title/Summary/Keyword: Joint disease

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A Study of Family Support, Pain, Self-esteem, ADL in Patients with Ankylosing Spondylitis (강직성 척추염환자의 가족지지, 통증, 자아존중감, 일상생활 활동에 관한 연구)

  • Kim, Kyoung-Sug;Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.12 no.1
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    • pp.7-15
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    • 2005
  • Purpose: The purpose of this study was performed to understanding of family support, pain and self-esteem, activities of daily living(ADL) in patient with ankylosing spondylitis(AS) and to identify the relationship among variables. Method: This study was conducted on 55 adults diagnosed with AS in C hospital in Daejeon during January 15th to June 20th, 2004. Instruments in this study were pain scale (VAS), family support scale, self-esteem scale, ADL scale. The data were analyzed mean, standard deviation, one-way ANOVA, Pearson's Correlation Coefficient using SPSS WIN(ver 10.0) program. Results: 1) 83.6% of the subjects was men, 30.9% of the subjects' age was below 29. And the 90.9% of the subjects was no experience of education about AS, 41.8% of the subjects was doing exercise. 2) The pain score was 48.36, family support score was 3.98, self-esteem score was 3.52 and ADL score was 81.41. 3) Family support was positively correlated with self-esteem and ADL and negatively correlated with pain. self-esteem was negatively correlated with pain and ADL. Conclusion: The results in this study can help nurse who care patients with AS understanding the relationships among family support, self-esteem, ADL, pain. And this findings showed that the patients with AS have few experience for disease-related education to manage and to understand AS. Therefore disease-related educational nursing program based on family support, pain, ADL of AS is needed to understand and manage AS. Because family support, pain, ADL of AS were significant correlated.

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Job Analysis of Coordinator Working in the Regional Cardiocerebrovascular Center (권역별 심뇌혈관질환센터 코디네이터 직무분석)

  • Cho, Kyung-Sook;Kwon, Sung-Bok;Lee, Kun Sei;Son, Haeng-Mi
    • Journal of muscle and joint health
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    • v.21 no.2
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    • pp.153-163
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    • 2014
  • Purpose: This study was to analyze the job of coordinators working in the regional cardiocerebrovascular center. Methods: Using Developing a Curriculum (DACUM) method, the role of coordinators was defined and their duties and tasks were identified. The developed duties and tasks were classified and validated according to importance, difficulty, and frequency of the job. Results: A coordinator is defined as a clinical nurse specialist affiliated in a cardiocerebrovascular center. The coordinator is responsible for managing the major critical pathway to provide adequate medical service and providing education to the patient with myocardial infarction and cerebrovascular attack admitted via emergency room for prevention and management of disease. Ten duties and sixty-nine tasks were identified on the DACUM chart which represented the importance, difficulty, and frequency of tasks showed as A, B, C respectively. Based on determinant coefficient of the task, the highest ranked task was 'analysis for variation of CP' and the lowest was'investing the articles in stock'. Conclusion: The results of study showed that coordinators were doing various duties and tasks and they felt burden from their work and were in confusion. The results of this study can be used to develop training programs for coordinators and evaluation-scale of the coordinators' job performance as the basic data.

Feature Extraction and Classification of Posture for Four-Joint based Human Motion Data Analysis (4개 관절 기반 인체모션 분석을 위한 특징 추출 및 자세 분류)

  • Ko, Kyeong-Ri;Pan, Sung Bum
    • Journal of the Institute of Electronics and Information Engineers
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    • v.52 no.6
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    • pp.117-125
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    • 2015
  • In the modern age, it is important for people to maintain a good sitting posture because they spend long hours sitting. Posture correction treatment requires a great deal of time and expenses with continuous observation by a specialist. Therefore, there is a need for a system with which users can judge and correct their postures on their own. In this study, we collected users' postures and judged whether they are normal or abnormal. To obtain a user's posture, we propose a four-joint motion capture system that uses inertial sensors. The system collects the subject's postures, and features are extracted from the collected data to build a database. The data in the DB are classified into normal and abnormal postures after posture learning using the K-means clustering algorithm. An experiment was performed to classify the posture from the joints' rotation angles and positions; the normal posture judgment reached a success rate of 99.79%. This result suggests that the features of the four joints can be used to judge and help correct a user's posture through application to a spinal disease prevention system in the future.

Diagnostic Application of Temporomandibular Joint Disorder and Ultra Sound Guided Oral &Maxillofacial application (초음파를 이용한 턱관절질환의 진단과 초음파 가이드의 활용)

  • Seong, Tae-Hwan;Park, Jung-Hyun;Kim, Sun-Jong
    • The Journal of the Korean dental association
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    • v.55 no.11
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    • pp.789-799
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    • 2017
  • Ultrasound images are noninvasive, can be observed in real time, have no radiation exposure, do not cause pain, and are not restricted in use depending on the patient's prosthetic implant or medical condition. Since the use of ultrasound in the dental field was first applied for tooth preparation in 1957, the use of diagnostic ultrasound for the first time in 1963 has been reported. Currently, it is used in the diagnosis of soft tissue lesions such as malignant tumor or salivary gland disease, fine needle aspiration test, temporomandibular joint disease, lymph node metastasis, measurement of muscle thickness and inflammatory diseases, differentiation of periapical cyst and granulation tissue, measurement of periodontal tissue thickness. The ultrasound image can be visualized in real time. The clinician can explain the structure to the patient while consulting the patient and consult the patient. When injecting the drug into a specific site or aspirating a specific site or substance, So that it can be confirmed and practiced. Recently, ultrasonic equipment specialized in the dental field has been developed and marketed, and it is expected that the use of ultrasonic waves will become active in the dentistry. In the future, development of popular equipment with size and frequency suitable for dental diagnosis and various researches on maxillofacial ultrasonic anatomy. If clinical studies are continuously carried out to demonstrate efficacy, ultrasound is expected to aid in accurate diagnosis and treatment throughout the dentistry.

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Knee Articular Cartilage Segmentation with Priors Based On Gaussian Kernel Level Set Algorithm (사전정보를 이용한 가우시안 커널 레벨 셋 알고리즘 기반 무릎 관절 연골 자기공명영상 분할기법)

  • Ahn, Chunsoo;Bui, Toan;Lee, Yong-Woo;Shin, Jitae
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.39C no.6
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    • pp.490-496
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    • 2014
  • The thickness of knee joint cartilage causes most diseases of knee. Therefore, an articular cartilage segmentation of knee magnetic resonance imaging (MRI) is required to diagnose a knee diagnosis correctly. In particular, fully automatic segmentation method of knee joint cartilage enables an effective diagnosis of knee disease. In this paper, we analyze a well-known level-set based segmentation method in brain MRI, and apply that method to knee MRI with solving some problems from different image characteristics. The proposed method, a fully automatic segmentation in whole process, enables to process faster than previous semi-automatic segmentation methods. Also it can make a three-dimension visualization which provides a specialist with an assistance for the diagnosis of knee disease. In addition, the proposed method provides more accurate results than the existing methods of articular cartilage segmentation in knee MRI through experiments.

Correlation between pain and degenerative bony changes on cone-beam computed tomography images of temporomandibular joints

  • Bae, SunMee;Park, Moon-Soo;Han, Jin-Woo;Kim, Young-Jun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.39
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    • pp.19.1-19.6
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    • 2017
  • Background: The aim of this study was to assess correlation between pain and degenerative bony changes on cone-beam computed tomography (CBCT) images of temporomandibular joints (TMJs). Methods: Two hundred eighty-three temporomandibular joints with degenerative bony changes were evaluated. Pain intensity (numeric rating scale, NRS) and pain duration in patients with degenerative joint disease (DJD) were also analyzed. We classified condylar bony changes on CBCT into five types: osteophyte (Osp), erosion (Ero), flattening (Fla), subchondral sclerosis (Scl), and pseudocyst (Pse). Results: Degenerative bony changes were the most frequent in the age groups of 10~19, 20-29, and 50~59 years. The most frequent pain intensity was "none" (NRS 0, 34.6%) followed by "annoying" (NRS 3-5, 29.7%). The most frequent condylar bony change was Fla (219 joints, 77.4%) followed by Ero (169 joints, 59.7%). "Ero + Fla" was the most common combination of the bony changes (12.7%). The frequency of erosion was directly proportional to NRS, but the frequency of osteophyte was inversely proportional. The prevalence of Ero increased from onset until 2 years and gradually decreased thereafter. The prevalence of Osp, Ero, and Pse increased with age. Conclusions: Osp and Ero can be pain-related variables in degenerative joint disease (DJD) patients. "Six months to 2 years" may be a meaningful time point from the active, unstable phase to the stabilized late phase of DJD.

Case Report : Temporomandibular Joint Involvement in Rheumatoid Arthritis (증례보고: 류마티스 관절염 환자에서 측두하악관절의 이환)

  • Lim, Hyun-Dae;Lee, You-Mee
    • Journal of Oral Medicine and Pain
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    • v.31 no.3
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    • pp.231-236
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    • 2006
  • Rheumatoid arthritis(RA) is an of autoimmune inflammatory systemic disease. It is characterized by uncontrolled proliferation of synovial tissue and a wide array multisystem comorbidities. The disease may involve any joint of the body, but often statrs in the peripheral joints. It was reported that more than 50% of RA patients exhibit clinical involvement of TMJ. This report is a case report of dental management and progression for 16 months in patients who had severe bony change in TMJ involved rheumatoid arthritis Dental management was included palliative treatment such as interocclusal splints, physical therapy, mouth opening exercise. Although it was progressed rapidly osteolytic bone change during follow-up, no more advanced occulsal change and improved symptom and jaw motion. Further investigations about rule of dentistry in TMJ involvement in RA maybe needed.

A Survey about the recognition regarding the Korean acupuncture method and research direction (한국 침법에 대한 인식도 및 연구방향에 관한 설문 조사)

  • Han, chang hyun;Shin, sun wha;Ahn, sang woo;Choi, sun mi
    • The Journal of Korean Medical History
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    • v.18 no.1
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    • pp.89-101
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    • 2005
  • Obejectives : This survey was accomplished to find out how Korean medical doctors think that the recognition regarding the Korean acupuncture method and research direction Methods : The survey questions were developed by the consensus from the professors who major in acupuncture and moxibustion. The questionnaire was given the 2731 Korean medical doctors at the mending education site; In addition, it was given to 793 doctors working at the 105 Korean medical hospitals listed on the National Korean Medical Hospital Associations Address book by postal mail; and also it was given to the 142 public health care Korean medical doctors who attended the conference for the municipal and provincial representatives of the public health service Korean medical doctors. Total of 1277 questionnaires were retrieved out of the 3666 subjects. Results : 1. Eleven hundred eighth seven out of 1277 Korean medical doctors think motion and bone and joint disease which has an effect in acupuncture treatment(92.9%) 2. Nine hundred fourteen out of 1277 Korean medical doctors used "Body acupuncture method"(71.5%) and 902 out of 1277 Korean medical doctors think of the korean acupuncture method which is "Sa Am acupuncture method"(70.6%) 3. Eight hundred forty out of 1277 Korean medical doctors want verification which leads a clinical research to know that acupuncturist have acupuncture and moxibustion treatment(65.7%). Conclusion : Korean medical doctors think motion and bone and joint disease which has an effect in acupuncture treatment Korean medical doctors most used "Body acupuncture method" but think of the korean acupuncture method which is "Sa Am acupuncture method". Korean medical doctors want verification which leads a clinical research to know that acupuncturist have acupuncture and moxibustion treatment.

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Pediatric Hip Disorders (소아 고관절 질환)

  • Seunghyun Lee;Young Hun Choi;Jung-Eun Cheon;Seul Bi Lee;Yeon Jin Cho
    • Journal of the Korean Society of Radiology
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    • v.85 no.3
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    • pp.531-548
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    • 2024
  • Developmental dysplasia of the hip is a condition characterized by hip joint instability due to acetabular dysplasia in infancy, necessitating precise ultrasound examination. Legg-Calvé-Perthes disease is caused by a temporary disruption in blood flow to the femoral head during childhood, progressing through avascular, fragmentation, re-ossification, and residual stages. Slipped capital femoral epiphysis is a condition where the femoral head shifts medially along the epiphyseal line during adolescence due to stress, such as weight-bearing. Differentiating between transient hip synovitis and septic arthritis may require joint fluid aspiration. Osteomyelitis can be associated with soft tissue edema and osteolysis. When multiple lesions are present, it is essential to distinguish between Langerhans cell histiocytosis and metastatic neuroblastoma. This review will introduce imaging techniques and typical findings for these conditions.

The Effects of Infection Control Performance, Fatigue and Social Support on Burnout among Nurses Working in National Safe Hospitals During the COVID-19 Pandemic (코로나19 대유행 시기 국민안심 병원 간호사의 감염관리 수행도, 감염관리 피로도, 사회적 지지가 소진에 미치는 영향)

  • Jang, Joo Young;Ko, Mi Suk
    • Journal of muscle and joint health
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    • v.31 no.2
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    • pp.107-116
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    • 2024
  • Purpose: The purpose of this study was to identify the effects of infection control performance, infection control fatigue, and social support on the burnout of nurses working at National Safe Hospitals during the coronavirus disease (COVID-19) pandemic, and to use that data to suggest methods to reduce burnout among nurses. Methods: From June 30 to September 30, 2021, data were collected from 144 nurses who both consented to participate in the study and had worked for more than six months in National Safe Hospitals with 300 or more beds in the Gyeonggi-do Province in Korea. Data were analyzed using multiple regression analysis. Results: The factors affecting nurses' burnout at National Safe Hospitals during the COVID-19 pandemic were found to be infection control fatigue (β=.60, p<.001) and social support (β=-.27, p<.001). The explanatory power of these factors was 37.0%. Conclusion: Nurses' burnout at National Safe Hospitals was found to be at a moderate level. Burnout should be reduced through human, material, and administrative support, all of which can reduce infection-control fatigue. It is also necessary to develop both a non-face-to-face social-support-reinforcement program, considering restrictions mandated by infectious-disease pandemics, and a long-term intervention strategy to prevent burnout.