• Title/Summary/Keyword: Life Care

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DENTAL MANAGEMENT OF A PATIENT WITH MUSCULAR DYSTROPHY UNDER GENERAL ANESTHESIA: CASE REPORT (근이영양증(muscular dystrophy) 환자의 전신마취 하 치과치료 : 증례보고)

  • Chae, Jong Kyun;Song, Ji-Soo;Shin, Teo Jeon;Hyun, Hong-Keun;Kim, Jung-Wook;Jang, Ki-Taeg;Lee, Sang-Hoon;Kim, Young-Jae
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.15 no.1
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    • pp.50-54
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    • 2019
  • Muscular dystrophy (MD) is a heterogeneous group of inherited neuromuscular disorders, characterized by progressive muscle weakness. Severity of the disease ranges from mild to severe, and the disease is mostly caused by mutations in a number of genes. These genetic mutations cause lack of proteins which are essential for muscle cell stability. Muscle fibers are gradually replaced by fat and fibrous tissue. The muscles of the head and neck are affected in several types of MD that manifest as altered craniofacial morphology and dental malocclusion. A 3-year-10-month old, 15.0 kg boy with MD presented to Seoul National University Dental Hospital, Seoul, South Korea because of extensive carious teeth. A number of dental caries in primary dentition were identified during clinical oral examination. Due to dental anxiety and underlying systemic disease, general anesthesia was considered. General anesthesia was induced and maintained with intravenous anesthetics, propofol and remifentanil. Caries treatments - resin restoration, pulpectomy, zirconia crown restoration, stainless steel crown restoration - were performed. Under general anesthesia, successful dental procedure was done. Total intravenous anesthesia (TIVA) was performed instead of inhalation anesthesia in order to avoid risk of complications such as malignant hyperthermia and life-threatening rhabdomyolysis. With decreasing muscle function, plaque control becomes more difficult and leads to gingivitis. Especially, the open-mouth posture worsens gingivitis and can leads to malocclusions and problems in swallowing. Regular and periodic dental care is essential for maintaining oral health for patients with MD.

Suggestion of Customized Professional Guide Services through Domestic and Foreign Travel Platforms (국내외 여행 플랫폼을 통한 맞춤형 전문 가이드 서비스 제안)

  • Kim, Seung-In;Lee, Kaha
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.421-428
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    • 2019
  • This study includes services that require six professional guides - health care, exhibition performance, restaurant, shopping, business and daily life - as well as a trip-based tour, along with solving existing problems that may occur on domestic and overseas trips, and proposes services that connect users with proven professional guides. As a result of previous research, the most needed services among overseas travel were air tickets, accommodation, transportation, and guides, but as Korea enters an aging society, professional guide services are expected to increase daily demand. Based on this, the service technology, user scenarios and brand development were presented. This Service Proposal provides users with a personalized guide to knowledge or experience that they have not previously known, providing them with a wealth of experience. In addition, guides can help develop new fields of expertise and help improve professional guides' capabilities. Finally, the platform service is meaningful in that it enables the creation of jobs by enabling everyone to engage in economic activities, as it allows users to provide services through their own capabilities while at the same time being convenient for them.

A Study on the Awareness of Visitors to King Mu Trekking Course Program of Iksan (익산 무왕길 탐방프로그램 이용자의 인식에 대한 연구)

  • Park, Yool-Jin
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.36 no.4
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    • pp.80-93
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    • 2018
  • The following results could be obtained from the research on awareness and satisfaction of the tourists who joined the program 'A Journey in Search of King Mu's Road'. With regard to awareness of the site tour program, tourists replied that they participated in the program mainly because of their interest in education for their children. They expressed great needs for the municipal government office to maintain walkways, signboards and guide maps as well as to reinforce safety facilities as a measure to increase satisfaction with the site tour on the part of visitors and tourists. In terms of satisfaction with operation and management of the site tour program, the contents of the program were highly appreciated while it turned out necessary to rediscover garden culture resources and to develop and operate an expanded internal tour course for tourists to look around inside the relics by utilizing the recently excavated Baekje historical resources. As a consequence, it might be expected possible to experience and educate the local history and garden culture thanks to the historical culture and environmental values that have been preserved in the Baekje cultural circles. Moreover, the importance of walking trips will be recognized for its effects to allow those who get tired from daily life to come into contact with nature, practice self-reflection and care for their health as well.

Design and Development of IoT-based Indoor Environment Management Platform (IoT 기반의 실내환경 관리 플랫폼 설계 및 개발)

  • Lee, Wan-Jik;Kim, Se-Jin;Yoon, Jun-Keun;Jeong, Ja-Woon;Heo, Seok-Yeol
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.1
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    • pp.654-661
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    • 2021
  • Air pollution caused by industrial development has become a level that can seriously threaten human health. In general, indoor air pollution is considered to be lower than outdoors, but modern people live indoors most of the time, thus it is essential to keep the indoor air quality comfortable in order to take care of one's own health and improve the quality of life. Therefore, the development of an indoor environment management platform using Internet of Things and data processing technology, which is currently drawing attention, is considered a very meaningful study. In this paper, we designed an IoT-based management platform that can remotely monitor and control indoor environments. In addition, the functions of the IoT terminal, gateway, and data server constituting the platform were implemented using open source and open libraries, and all functional operations were also verified. In particular, the IoT terminal and the gateway in this paper exchange data using BLE communication, so they can operate with relatively low power and since the gateway uses the BLE Advertising mode, it has the advantage of automatically recognizing IoT terminals that have not been previously configured.

On the Audible Band Hearing Measurement of Both Ears Considering Age (연령이 고려된 양쪽 귀의 가청대역 청력측정에 관한 연구)

  • Kim, Bong-Young;Bae, Myung-Jin
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.1
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    • pp.570-575
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    • 2021
  • Since humans live while feeling rich in their five senses, care must be taken not to damage their hearing in order to lead a happy life. Hearing damage suffered in a living environment is common in a partial band where a specific frequency band is first damaged. However, since the initial pain of hearing damage does not appear much, it is difficult to determine the symptoms in the early stages. In this paper, we proposed a high-speed measurement method that can easily and quickly self-measure hearing damage through a simple app. In this method, 9 pure tones compensated for gain for each voice soub-band are alternately heard in both ears, so that one's own hearing damage can be detected at high speed. When 18 tone pulses were heard for 30 seconds per person, 1 out of 12 subjects was identified as suspected of partial hearing damage. And when the test subjects were informed of the hearing determination method for the number of hearings, the participants themselves immediately determined whether their hearing was damaged. This measurement method simply judges the hearing of both ears within 30 seconds with a smart phone, so that hearing measurements that took more than 10 minutes in hospitals are relatively accurate, and it was found that hearing health can be maintained while reducing time and costs.

A Study on the Relationship Methods of Oksuki (『옥수기』의 남녀결연담 연구)

  • Kwon, KyongSoon
    • (The)Study of the Eastern Classic
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    • no.67
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    • pp.69-104
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    • 2017
  • This paper examines the aspect of the novel which appeared in the union of the male and female relationship of "OkSuki", one of the novels of the 19th century. "Oksuki" is a work focusing on the relationship between men and women. It takes a narrative structure based on the relationship. It shows various aspects of the relationship through the structure in which the pluralities of plural persons are repeated. Other events and illustrations, except for the talk, are both an occasion of the alliance and an auxiliary role. At the beginning of the work, the main character's parents are described in detail.By arranging the prophecies related to the relationship between the protagonist and the brothers, it suggests that subsequent narratives will flow into the center of the relationship. The male characters that make up the alliance are characteristically trained and have a good taste, and the Caines are colorfully colored. It is believed that the marriage pattern faithfully follows the medieval status order. The reason why the figure of the person who becomes his wife and the person of the concubine are set differently is because the image of the wife and the concubine are different from each other ideally. The characters who are going to be hungry are emphasized on the clause, efficacy, knowledge, and inner peace, and are actively involved in. On the other hand, conciliatory characters emphasize talent and craftsmanship, and their role is reduced after marriage. The wife is a person who has both Confucian culture and knowledge and is able to care for her husband and family well. Concultation is shaped as a person who can enjoy joyful life and emphasize more affection in relation with his wife.

Bioactive Compounds, Anti-Oxidant Activities and Anti-Inflammatory Activities of Solvent Extracts from Centella asiatica Cultured in Chungju (충주산 병풀 용매추출물의 활성성분과 항산화 및 항염증 활성)

  • Shin, Hyun-Young;Kim, Hoon;Jeong, Eun-Jin;Kim, Jeung-Eun;Lee, Kyeong-Haeng;Bae, Yun-Jeong;Yu, Kwang-Won
    • The Korean Journal of Food And Nutrition
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    • v.33 no.6
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    • pp.692-701
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    • 2020
  • Centella asiatica (CA) has been widely used as herbal plants. It is a valuable resources. The aim of the present study was to evaluate physiological activities of solvent extracts from CA cultivated in Chungju, Korea (Good tiger care). After preparing water (cold-water, CA-WE; hot-water, CA-HWE) and EtOH extracts (50% EtOH, CA-50E; 70% EtOH, CA-70E), their total polyphenol, flavonoid, and triterpenoid contents, and anti-oxidant activities, and anti-inflammatory activities were examined and compared. CA-70E showed the most potent anti-oxidant activity based on ABTS radical scavenging activity and reducing ability assays, while CA-50E and CA-70E showed the highest DPPH radical scavenging activity. Among major triterpenoid glycosides present in CA, madecassoside and asiaticoside contents were found to be the highest in CA-70E, and madecassic acid and asiatic acid were the highest in CA-50E. In LPS-stimulated RAW 264.7 cells, CA-70E showed the highest TNF-α inhibitory activity, although CA-50E and CA-70E similarly inhibited nitric oxide production. Ethanol extracts significantly inhibited IL-6 and IL-8 production more than water extracts using TNF-α/IFN-γ-stimulated HaCaT cells, indicating its better inhibitory against skin inflammation. Therefore, Chungju-CA EtOH extract, especially 70% EtOH extract, has high physiologically active ingredients and potent anti-oxidant and anti-inflammatory activities, suggesting its industrial application as a functional material.

Factors Influencing the Safety Consciousness and Health status of the Young-old and Old-old elderly on Injury Occurrence Analysis (전기-후기노인의 안전의식 및 건강요인이 손상 및 손상기전에 미치는 영향)

  • Kim, Chang-Hwan
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.155-163
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    • 2020
  • The purpose of this study is to examine the current status of the Injury based on the 7th National Data on the National Health and Nutrition Survey, identify the relationship between general characteristics, safety awareness, health status, injury, and identify the factors that affect the occurrence of injury. The subjects were selected for the final analysis of 1,608data. For the analysis, frequency analysis, cross analysis, and multiple logistic regression analysis were performed. the results of the study show that in the young-old elderly, gender(woman), marital status(separated of divorced), lower the awareness of safety, body discomfort, sickness, and in-outpatient, Annual unmet medical service experienced are higher the occurrence of injury. Therefore, as a prevention education that lowers the incidence of injury. selective education is required for the Young-old and Old-old elderly, and legal penalties for drunk driving on various means of transportation and an integrated approach to strengthening and education is required.

A Study on Subjective Happiness, Self-esteem, and Clinical Practice Stress of Nursing Students (간호대학생의 주관적 행복감, 자아존중감, 임상실습 스트레스에 관한 연구)

  • Baek, Myung-Wha;Ahn, Seong-Ah;Lee, Hae-Rang;Park, Chan-Gyeong;Kong, Jeong-Hyeon
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.165-172
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    • 2020
  • This study was conducted to identify the subjective happiness and self-esteem of nursing students and how these variables affect clinical practice stress. Participants consisted of 199 nursing students who were in the third and fourth years who had experienced clinical practice at two nursing universities located in Gyeongnam, and agreed to the survey. Data were collected using questionnaires from June 15 to August 29, 2020. Collected data were analyzed using the SPSS 22.0 statistics program with descriptive statistics, an independent t-test, ANOVA, Scheffe's test, and multiple regression. The mean score for subjective happiness was 4.87 (out of 7), the mean for self-esteem was 3.84 (out of 5), and clinical practice stress was 2.77 (out of 5). The significant predictors of the clinical practice stress were gender, major satisfaction and self-esteem, and the explanatory power of variance was 14.1%. Therefore, we need differentiated clinical practice stress reduction programs according to gender and various strategies that can enhance major satisfaction in order to reduce the clinical practice stress of nursing students.

The Relationship Between Gratitude Disposition and Psychological Well-BeingofUniversity Students: TheMediation Effect of Self-esteem (대학생의 감사성향과 심리적 안녕감의 관계 :자아존중감의 매개효과)

  • Choi, Jung-Myung;Kim, Sun-Mee
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.173-179
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    • 2020
  • The purpose of this study is to verify whether the relationship between gratitude disposition and psychological well-being of college students shows a mediating effect of self-esteem The final 211 copies of the data were used in the analysis for the study, which was collected as students attending the university located in Group C. The data were statistically processed using SPSS 21.0 and the hierarchical regression analysis was performed to analyze the collected data. The results of the study are summarized as follows: Looking at the impact of the first-phase gratitude disposition on self-esteem, it was found that gratitude disposition was significant to self-esteem. Looking at the impact of the second-phase gratitude disposition on psychological well-being, gratitude disposition was significant to psychological well-being. Since the three-stage gratitude disposition was significant to psychological well-being, self-esteem can be seen to have partial medias. The results of this study confirmed that gratitude disposition was necessary as psychological resources to promote psychological well-being of university students, and self-esteem had a mediating effect. It is hoped that this research result will be used as a basis for the development of programs to improve gratitude disposition and self-esteem in order to promote the psychological well-being of college students.