• 제목/요약/키워드: Patient contact

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A CLINICAL CASE OF ALLOPLASTIC CONDYLE REPLACEMENT WITH CONDYLAR PROSTHESIS IN SEVERE DEGENERATIVE JOINT DISEASE (심한 퇴행성 악관절 질환 환자에서 보철성 과두를 이용한 하악과두 재건술의 치험례)

  • Jeon, Yong-Min;Kim, Chang-Hyun;Cha, Jeong-Seop;Min, Kyung-Gi;Kwon, Jong-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.2
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    • pp.162-167
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    • 2010
  • This is a case report about patient who had suffered from degenerative joint disease and treated by TMJ reconstruction with condylar prosthesis. The patient visited Korea University An-am hospital on 2007 complaining symptom about both TMJ pain, mouth opening limitation and open bite. From CT view there was severe resorption of both condylar head, therefore condylar prosthesis reconstruction was planned. After 3D RP model analysis for preparation, the patient was operated under general anesthesia for condylar prosthesis reconstruction and the symptom was alleviated. (increased mouth opening, reduced anterior open bite, full mouth occlusal contact achieved) Follow up was carried out monthly, but after this, patient refused follow up. After 26 months from the operation, the patient revisited for anterior open bite. In clinical evaluation, occlusal contact was remained, but anterior open bite was relapsed. From cephalometry analysis, severe resorption of glenoid fossa was found. Therefore, Autogenous disc reconstruction with alloplastic material was planned on August 2009. After another surgery, condylar prosthesis was regained its normal position in glenoid fossa, and occlusion was recovered properly.

A Preliminary Study on Quality of Life of Staffs in a Hospital - Comparisons between Direct and Indirect Patient Contact Group - (일 병원 직원의 삶의 질에 관한 예비적 연구 - 경험에 대한 비교 -)

  • Ryu, Seuk-Hwan;Seo, Seung-Woo;Jung, Soo-Gie
    • Korean Journal of Psychosomatic Medicine
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    • v.12 no.1
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    • pp.38-46
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    • 2004
  • Objectives: The aim of this study was to investigate the quality of life of staffs in a hospital. The results of the investigation were taken as a basic data of evaluating the quality of life of patients in psychiatric hospital and family members. Methods: The subjects of this study were Ankang Chungang Hospital staffs. The tool of this study was the Korean version of the SmithKline Beecham Quality of Life Scale. A total of 39 survey was returned. All answers were analyzed statistically by ANOVA or t-test. Results: Internal consistency was high, measuring 0.887 for the 23 items. Staffs have, statistically insignificant, relatively high quality of life. Indirect patient contact group and married group scored more higher than the other group. In so far as age, 30s and 40s scored more higher than the others averagely, the higher educated group, the higher quality of life, except factor competence and physical well-being. Conclusion: This study results support that the indirect patient contact group have higher quality of life in competence factor in quality of life. We recommend that the program that lift self-esteem and quality of life should be supplied for direct patient contact group who may have burnout syndrome. It will be necessary to evaluate the quality of life of patients in psychiatric hospital and patients' family members later.

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Guidelines for dental clinic infection prevention during COVID-19 pandemic (코로나 바이러스 대유행에 따른 치과 의료 관리 가이드라인)

  • Kim, Jin
    • Journal of Korean Academy of Dental Administration
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    • v.8 no.1
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    • pp.1-7
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    • 2020
  • Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

The adsorption pattern of protein to the soft contact lens and its effect on the visible light transmission and the contact angle (소프트콘택트렌즈의 단백질 부착 양상 및 가시광선투과도와 접촉각에 미치는 영향)

  • Park, Mijung;Kwon, Mi Jeong;Lee, Sun Hee;Kim, Daesoo
    • Journal of Korean Ophthalmic Optics Society
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    • v.9 no.1
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    • pp.53-68
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    • 2004
  • Protein deposit buildup on soft contact lenses(SCLs) is responsible for discomfort, optical defects and is even damaging to the eye. To better understand protein deposit formation on SCL, we investigated the pattern of protein attachment on patient-worn SCLs and the effect of the protein on the contact angle of SCLs and the transmission of visible light. This study used data from a clinical trial where subjects wore either daily-wear SCL(etafilcon A, N=40) for various period up to 14 days, or extended-wear SCL(balafilcon A, N=40) for 8 h day or night. The adsorption of protein in daily-wear SCLs was significantly increased in patient-worn time-dependent manner although the lenses were cleaned everyday by using the multi-purpose SCL solution. After 2 weeks wearing, the protein on the SCL influenced the contact angle of the lenses. Furthermore, the transmission of visible light of the lenses decreased up to almost 7%. Extended-wear SCLs worn during the closed eye condition were found to deposit significantly more protein than SCLs worn during the open eye condition. The amounts of protein adsorbed both after daily SCL wear and after overnight SCL wear were not affected the contact angle and the transmission of visible light of the lenses. The protein deposit buildup on SCL related to the corneal temperature and pH of tear fluid.

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Evaluation of occlusal strength using T-Scan Novus and Dental prescale II in dental prosthodontic treatments: A case report (보철물 수복 형태에 따른 T-Scan Novus와 Dental prescale II를 이용한 교합력 평가 활용 증례)

  • Su-Hyun Choi;Yu-Sung Choi;Jong-Hyuk Lee;Seung-Ryong Ha
    • The Journal of Korean Academy of Prosthodontics
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    • v.61 no.2
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    • pp.160-178
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    • 2023
  • Diagnosis and analysis of occlusal relationships are important factors in prosthetic treatment. A thorough occlusion analysis and evaluation should be performed before treatment to restore a stable interocclusal relationship. Analysis and evaluation are essential during the treatment process and at regular follow-ups. Recently, with the development of dental equipment and digital processing methods, new quantitative analysis methods that can record the patient's occlusal relationship have been introduced. Among them, the T-Scan Novus (Tekscan Inc., S. Boston, MA, USA) displays the strength of the initial contact point and the occlusal contact point of the teeth using a pressure sensor. With this, occlusal contact time of the teeth, anteroposterior and left-right balance of occlusal force can be compared. The Dental prescale II (GC Co., Tokyo, Japan) scans the occlusal contact point using a pressure-sensing film and analyzes the density of the contact point. It can measure the distribution and strength of the occlusal force of the teeth in the most natural occlusion state. Based on this, appropriate prosthetic treatment (four-unit fixed partial denture, removable partial denture, complete denture, and complete oral restoration cases) was performed according to the area and extent of the patient's tooth loss. The patient's occlusion at the first visit, treatment stage, right after treatment, and regular follow-up were compared and evaluated using a quantitative method for appropriate occlusion analysis using T-Scan Novus and Dental prescale II. This report enhances the understanding of occlusion analysis during prosthetic restoration. The results satisfied both the clinician and patients in terms of function and aesthetics.

Investigation of Standard Error Range of Non-Contact Thermometer by Environment (외부 환경 변화에 의한 비 접촉 체온계의 오차 범위 측정)

  • Kim, Jeongeun;Park, Sangwoong;Choi, Heakyung
    • Journal of The Korean Society of Integrative Medicine
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    • v.8 no.4
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    • pp.307-321
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    • 2020
  • Purpose : A person infected by SARS-CoV2 may present various symptoms such as fever, pain in lower respiratory tract, and pneumonia. Measuring body temperature is a simple method to screen patients. However, changes in the surrounding environment may cause errors in infrared measurement. Hence, a non-contact thermometer controls this error by setting a correction value, but it is difficult to correct it for all environments. Therefore, we investigate device error values according to changes in the surrounding environment (temperature and humidity) and propose guidelines for reliable patient detection. Methods : For this study, the temperature was measured using three types of non-contact thermometers. For accurate temperature measurement, we used a water bath kept at a constant temperature. During temperature measurement, we ensured that the temperature and humidity were maintained using a thermo-hygrometer. The conditions of the surrounding environment were changed by an air conditioner, humidifier, warmer, and dehumidifier. Results : The temperature of the water bath was measured using a non-contact thermometer kept at various distances ranging from 3~10 cm. The value measured by the non-contact thermometer was then verified using a mercury thermometer, and the difference between the measured temperatures was compared. It was observed that at normal surrounding temperature (24 ℃), there was no difference between the values when the non-contact thermometer was kept at 3 cm. However, as the distance of the non-contact thermometer was increased from the water bath, the recorded temperature was significantly different compared with that of mercury thermometer. Moreover, temperature measurements were conducted at different surrounding temperatures and the results obtained significantly varied from when the thermometer was kept at 3 cm. Additionally, it was observed that the effect on temperature decreases with an increase in humidity Conclusion : In conclusion, non-contact thermometers are lower in lower temperature and dry weather in winter.

Structural Design of Facial Contact Parts in Computerized Tongue Diagnosis System to Block Out External Light (외부광 차단을 위한 설진기 안면접촉부 설계)

  • Kim, Ji-Hye;Nam, Dong-Hyun
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.17 no.3
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    • pp.225-232
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    • 2013
  • Objectives The aim of this study is to design a part in contact with the face of computerized tongue diagnosis system (CTDS), so that external light is effectively shielded even if the facial appearance and degree of protrusion differ when a patient opens or closes his/her jaws. Methods Each of the 4 researchers manually produced clay models of the part in contact with the face of CTDS. Shielding and contact feeling of the clay models were evaluated by 20 assessors. Based on the evaluation, we selected the appropriate model and produced the final silicon model. Then we evaluated the performance of the shielding of the completed silicon model. We took tongue pictures of 60 participants with a CTDS applying the silicon model in condition with external light and without it. The color values in RGB color model and gray scale of the tongue pictures in condition with external light were compared with those without external light. Results There was no significant difference between the color values of the picture taken in condition with external light and those without external light. Conclusions We concluded that the produced part in contact with the face of CTDS can effectively block out the external light.

A Case of Occupational Allergic Contact Dermatitis Caused by Mortar (모르타르로 인한 직업성 알레르기성 접촉성 피부염 치험 1례)

  • Eom, Ye-Jin;Hong, Chul-Hee
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.27 no.4
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    • pp.209-220
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    • 2014
  • Objectives : The purpose of this study is to report the effect of Korean medicine treatment on occupational allergic contact dermatitis caused by mortar. Methods : The patient treated by herbal medicine, acupuncture, pharmacopuncture and external therapy. The progress is evaluated by Numerical Rating Scale(NRS) and Dermatology Life Quality Index(DLQI). Results : NRS and DLQI score were significantly decreased as a result of Korean medicine treatment. Conclusions : Korean medicine treatment should be effective for the occupational allergic contact dermatitis caused by mortar. More studies are needed to confirm stability of these treatment.

A Case of Contact Dermatitis (接觸性 皮膚炎의 治驗 1例)

  • Kim Min-Hi;Yoon So-Won;Yoon Hwa-Jung;Ko Woo-Shin
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.2
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    • pp.94-98
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    • 2004
  • A female sixty years old visited the Dept. of Oriental Medical Ophthalmology & Otolaryngology & Dermatology Hospital, Dong-eui University with contact dermatitis. she was suffering from the topical itching, empalement, ruler, edema and vesicle etc in skin of the face and two dorsum manus. We treated a patient with only Oriental Medicine.(internal and external use of the herbal medicine and acupuncture) After two weeks or so, the symptom of the skin disease recovered remarkably, we think that this is good case to treat with Oriental Medicine.

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A Non-contact Realtime Heart Rate Estimation Using IR-UWB Radar (IR-UWB 레이더를 이용한 비접촉 실시간 심박탐지)

  • Byun, Sang-Seon
    • IEMEK Journal of Embedded Systems and Applications
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    • v.14 no.3
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    • pp.123-131
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    • 2019
  • In recent years, a non-contact respiration and heart rates monitoring via IR-UWB radar has been paid much attention to in various applications - patient monitoring, occupancy detection, survivor exploring in disaster area, etc. In this paper, we address a novel approach of real time heart rate estimation using IR-UWB radar. We apply sine fitting and peak detection method for estimating respiration rate and heart rate, respectively. We also deploy two techniques to mitigate the error caused by wrong estimation of respiration rate: a moving average filter and finding the frequency of the highest occurrence. Experimental results show that the algorithm can estimate heart rate in real time when respiration rate is presumed to be estimated accurately.