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A new manufacturing method of all ceramic restoration using alumina tape and presentation of clinical cases

  • Oh, Nam-Sik;Kim, Eui-Seong;Lee, Keun-Woo;Han, Jung-Suk;Kim, Dae-Joon;Lee, Myung-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.38 no.6
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    • pp.800-805
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    • 2000
  • In an effort to facilitate fabrication procedure of all ceramic crowns, a novel preparation method for all ceramic crown using alumina tape was developed. The alumina tape having a uniform thickness was cast by using Doctor blade method. The physical properties of newly introduced alumina tape has biaxial flexure strength of $500\sim600MPa$. The value of toughness is $3.18\sim3,28MPa.m^{1/2}$ which corelates with fracture and the linear shrinkage rate of the alumina tape is 0.44% during core production. The marginal fitness of the alumina tape all-ceramic restoration with $90{!`}$shoulder margin had average marginal discrepancy at $78.3{\S}$ > and average marginal gap at $44.4{\S}$ >. At the marginal preparation of $135{!`}$deep chamfer, the average marginal discrepancy at $82.1{\S}$ > and the average marginal gap at $40.2{\S}$ > had been reported. This fabrication procedure of all ceramic crowns with alumina tapes is easier and less technical sensitive for dental technicians. After restoration with new all ceramic crowns we followed the patients 2 years later, there were no complications as porcelain fractures or periodontal disease. We had good esthetic clinical results with new all ceramic crowns.

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Detecting the Prostate Boundary with Gabor Texture Features Average Shape Model of TRUS Prostate Image (TRUS 전립선 영상에서 가버 텍스처 특징 추출과 평균형상모델을 적용한 전립선 경계 검출)

  • Kim, Hee Min;Hong, Seok Won;Seo, Yeong Geon;Kim, Sang Bok
    • Journal of Digital Contents Society
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    • v.16 no.5
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    • pp.717-725
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    • 2015
  • Prostate images have been used in the diagnosis of prostate using TRUS images being relatively cheap. Ultrasound images are recorded with 3 dimension and one diagnostic exam is made with a number of the images. A doctor can see 2 dimensional images on the monitor sequentially and 3 dimensional ones to diagnose a disease. To display the images, 2-d images are used with raw 2-d ones, but 3-d images need to be segmented by the prostates and their backgrounds to be seen from different angles and with cut images of inner side. Especially on detecting the boundary, the ones in the middle of all images are easy to find the boundary but the base and apex of the images are hard to do it since there are lots of uncertain boundary. So, in this paper we propose the method that applies an average shape model and detects the boundary, and shows its superiority compared to the existing methods with experiments.

A Survey on the Experience of Accident of Infant, Toddler and Preschooler, and the Education about Emergency Care for Parents (영 유아 및 학령전 아동의 안전사고 및 어머니의 응급처치 정보 접촉 경험에 관한 조사 연구)

  • Kim Il-Ok;Shin Sun-Hwa
    • Child Health Nursing Research
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    • v.8 no.2
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    • pp.174-182
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    • 2002
  • The purpose of this study was to investigate the experiences of accident and visiting emergency center, and the experiences of education about emergency care for parents. The subjects of this study were 117 mothers whose children are attending 9 different nursery schools or kindergartens. The instrument used in this study was developed by researchers and validated by nursing professor, first aid doctor and the president of nursery school, and consisted of 'most important thing in child rearing' ,'experiences of accident and visiting emergency center', 'type of trauma' and 'need for parent education program' the result of this study were as followed ; 1.There were 70.09% of the experience of visiting emergency center among the subjects. The cause of visiting emergency center were high fever and convulsion(42.86%), and trauma by accident(28.04%) 2. The most common type of the indoor accident were fall down and slipping(76.92%), the common type of trauma were contusion (76.92%), abrasion(47.01%), laceration(29.06%), dislocation or fracture(12.82%), burn(10.26%), piercing(8.55%). 3.47.01% of subjects had the experience of education about emergency care for parents. They were educated by child rearing journals (32.72%), small books which were published by hospitals or community health center (25.45%), mass media(21.8%), parent seminar (12.72%), nursery school or kindergarten (5.45%). In conclusion, the need of emergency care for children was strongly found. Therefore, on the basis of above results, the parent education program which fits their cognitive level and their health care needs So, it must be directed on the further study of parents' knowledge about emergency care for children. To enhance the effectiveness of program and accomplish the children's health promotion, advanced instructional media and demonstration must be included.

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Comparison of Patients' Satisfactions with General Korean Medicine Clinics and Networked Korean Medicine Clinics in Seoul, Korea (서울지역 일반 한의원과 네트워크 한의원의 환자만족도 및 추천의사에 미치는 영향요인 비교)

  • Han, Hyukkyu;Oh, Chiseok;Ryu, Jiseon;Lim, Byungmook
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.57-67
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    • 2014
  • Objective : This study aimed to compare the patients' satisfactions with local Korean Medicine(KM) clinics and networked KM clinics, and to find out which factors had an effect on it. Method : Six local KM clinics and six networked KM clinics were selected, and patients' questionnaires on the satisfaction with KM clinic use were administered using exit poll method. The questionnaires were developed to measure satisfactions with facility, doctor and staffs, and services. 240 patients completed the questionnaires, and the data were statistically analyzed. Results : There was more diversity in patients' diseases among networked KM clinics users, however, treatments provided were not differentiated clinically between two types of KM clinics. Patients' satisfaction scores for local KM clinics were significantly higher than those for networked KM clinics in the aspects of doctors/staffs (9.35 vs 8.92, p<.01) and services (8.76 vs 8.42, p<.05). 90.0% of local KM clinic users expressed their willingness to recommend the clinics they used to others, while 75.0% of networked KM clinics users did. For both the local and networked clinics, 'KM doctors' kindness', and 'process and waiting time' were statistical factors affecting patients' satisfaction. Conclusion : The patients' satisfactions with general KM clinics were higher than those with networked KM clinics. Networked KM clinics need to develop services to meet the diverse medical demands which were created by them selves.

A Study on Computer Aided Surgical Simulation Method for Total Hip Arthroplasty (컴퓨터 응용 인공고관절 모사 시술 방법 연구)

  • Kim Sang Hoo;Han Seung Moo
    • Journal of Biomedical Engineering Research
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    • v.25 no.6
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    • pp.455-464
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    • 2004
  • Total hip arthroplasty(THA) considerably depends on high-experienced doctors because of high difficulty of the operation. Selection of acetabular cup's and femoral implant's position is closely related with success or failure of THA. Nevertheless the selection has usually depended on doctor's eye measurement, which makes the position accuracy of artificial joint lower after THA, often resulting in revision of THA. The present study determined a method to select accurately the position of acetabular cup and femoral implant through surgical simulation with 3D characteristic geometrical information of patient's pelvis and femur. We examined the change of femoral anteversion angle and neck-shaft angle accompanied by the change of acetabular cup's position and the insertion position of femoral implant. As result of analyzing geometrical information through different surgical simulations, we found that it was possible to select the accurate position of acetabular cup and femoral implant. It is expected to help doctors get experienced in THA operation through repetitive surgical simulations using the method suggested in the study.

Remote Vital Sign Monitoring System Based on Wireless Sensor Network using Ad-Hoc Routing (애드혹 라우팅을 이용한 무선센서네트워크 기반의 원격 생체신호 모니터링 시스템)

  • Walia Gaurav;Lee Young-Dong;Chung Wan-Young
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2006.05a
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    • pp.426-429
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    • 2006
  • A distributed healthcare monitoring system prototype for clinical and trauma patients, was developed, using wireless sensor network node. The proposed system aimed to measure various vital physiological health parameters like ECG and body temperature of patients and elderly persons and transfer his/ her health status wirelessly in Ad-hoc network, to remote base station which was connected to doctor's PDA/PC or to a hospital's main Server using wireless sensor node. The system also aims to save the cost of healthcare facility for patients and the operating power of the system because sensor network is deployed widely and the distance from sensor to base station was shorter than in general centralized system. The wireless data communication will follow IEEE 802.15.4 frequency communication with ad-hoc routing thus enabling every motes attached to patients, to form a wireless data network to send data to base-station, providing mobility and convenience to the users in home environment.

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Health promotion services of health care center at some universities in California, the U.S. (미국 대학보건실의 건강증진 서비스 제공체계 - 캘리포니아 주에 소재한 일부 대학의 운영사례를 중심으로 -)

  • Kim, Young-Bok;Park, Chun-Man
    • The Journal of Korean Society for School & Community Health Education
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    • v.12 no.2
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    • pp.113-127
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    • 2011
  • Background: University health services have provided comprehensive medical care, counseling, health promotion, and public health services to their students and several other local institutions. To their faculty and staff, university health care centers have served occupational health services and employee assistant program. Purpose: We performed this study to review the health promotion services on two kinds of health care center with different style of university formate. Methods: We tried to collect the data by literature review and interview with executive and provider at health care center in University of California at Berkeley and San Jose State University. Results: Our results were as followed. First, students could use the medical services just as they would their regular doctor's office and urgent care center. Second, the health promotion unit offered programs and services for keeping students healthy and safe, including many opportunities for students to get involved in shaping the public health of the campus. Third, the health promotion recommendation offered from ACHA was useful guideline to improve health status of their member in university campus. Finally, the student satisfaction surveys were used for evaluation and quality improvement. Conclusions: The systematic approach to improve health status of students, faculty and staff can use to maintain a state of optimum health among the diverse student community in support of academic excellence. Coupled with health promotion and public health programs, university health service have to reach all segments of the healthy campus community. To achieve study goals in university, the health care center contributes to promote accountability and responsibility for the health and well being of the members in their campus.

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Factors Related to Hypertension Patients' Quality of Life: The 7th Korean National Health and Nutrition Examination(1st Year, 2016) (고혈압 환자의 삶의 질 관련 요인: 제 7기 1차년도(2016년) 국민건강영양조사)

  • Kim, Su I;Woo, Sang Jun;Jung, Young Hae
    • The Journal of Korean Society for School & Community Health Education
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    • v.21 no.1
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    • pp.61-74
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    • 2020
  • Objectives: This study aims to examine hypertension patients' quality of life by using the data of the 7th Korea National Health and Nutrition Examination Survey (1st year, 2016), identify the factors related to this, and utilize the results as basic data for intervention that can improve hypertension patients' quality of life. Methods: For the research subjects, this study extracted 1,531 patients who were diagnosed with hypertension by a doctor from the total sample of 8,150 participants of the 7th Korea National Health and Nutrition Examination Survey, and selected 1,072 patients with no missing value in the variables to be analyzed as the final research subjects. The SPSS(version25.0) program was used for the analysis of the collected data. Then, this study used a backward elimination multiple regression analysis method that applied complex sample, to examine the factors related with the finally estimated quality of life. Results: The results of this study revealed that hypertension patients' quality of life was related with age, occupation, spouse, household income, weight gain, restriction of activity, subjected health status, perceived stress, and presence of comorbidity. The final model explained 37.0% of the variance (Wald F=30.012 p<.001). Conclusions: When an intervention program is implemented for the improvement of hypertension patients' quality of life in the future, it will be effective to construct the program according to age group, employment, marital status and household income. As for the program operation, patients should get help therefrom to control weight, facilitate activities and relieve their stress, and they should be also motivated to feel healthy. Furthermore, education should be offered so that they appropriately manage their underlying disease at an early stage.

Current Status and Performance Evaluation Systems of Faculty in Korean Medical Schools (의과대학 교원 현황과 업적평가제도 특징 분석)

  • Yang, Eunbae B.;Lee, Tae Seon;Cho, Myung Ja
    • Korean Medical Education Review
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    • v.21 no.1
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    • pp.41-50
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    • 2019
  • The aim of this study is to analyze the current status and performance evaluation systems of faculty in Korean medical colleges and professional graduate medical schools (called medical schools). We developed a research tool based on previous studies and distributed it to 40 medical schools from July to October 2017. The response rate was 100%. We calculated the number of faculty members and analyzed the faculty evaluation systems and awareness according to national and private medical schools. As of 2017, the number of medical faculty in Korea was 11,111 (4,973 faculty were employed by their alma mater, which is 44.76% of the total), with non-medical doctor faculty accounting for 754 of the total. The medical schools reflect research achievements as most important for re-appointment and screening to promote faculty, and the area of education is secondary excepting clinical faculty of private medical schools. However, important issues in the faculty evaluation deal with the relevance of research achievement and the need for qualitative assessment. Some medical schools revised or have been revising the faculty evaluation system in areas such as minimum standards of education for promotion and separation of promotion and tenure review. Opening non-tenure track lines for faculty show positive effects such as increasing the number of positions for hire and easing the financial burdens of medical schools. Downfalls include inconsistencies between the responsibilities and actual practices of tenure not being available and the instability of faculty's status. In conclusion, medical schools need to prepare a faculty evaluation system that fits the position of faculty members and attempt to establish a reasonable compensation system.

Determinants of a Surgery Hospital Following a First-time Diagnosis of Cancer at a General Hospital in the Metropolitan Area (암 최초 진단 후 수술 병원 결정요인: 수도권 소재 일개 종합병원을 대상으로)

  • Shin, Chang Ho;Kim, Bomgyeol;Sim, Hyung Seop;Kim, Tae Hyun;Jang, Suk-Yong;Lee, Sang Gyu
    • Korea Journal of Hospital Management
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    • v.26 no.4
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    • pp.59-66
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    • 2021
  • Purposes: This study aimed to identify relevant factors that determine cancer surgery at a medium-sized general hospital where patients are diagnosed with cancer. Methodology: The study subjects were 1,530 patients diagnosed with cancer between November 2013 and October 2019 at a 400-bed general hospital located in the metropolitan area. Multiple logistic regression analysis was performed to identify the patient characteristics, cancer types, and characteristics of treatment experience of the study subjects, in addition to the determinants of cancer surgery in the hospital. Findings: Among 1,530 cases diagnosed with cancer, 353 cases (23.1%) were operated at the hospital where the cancer diagnosis was made. As determinants of surgery after a fist-time diagnosis at a general hospital, the likelihood of having surgery at the hospital, for colorectal cancer patients compared to stomach cancer patients (Odds Ratio=2.38), bladder and kidney cancer patients (Odds Ratio=1.79). According to the results of an additional survey conducted, it was found that important determinants of decisions on a hospital to receive cancer surgery were the kindness of the staff including doctors and nurses, and the trust in the medical skills and technique of the doctor. Practical Implication: The management of general hospitals should take note of the fact that it is important to establish proactive strategies for hospital management including strengthening the rapport between patients and medical institutions based on the kindness of medical staff (doctors and nurses) and staff, in addition to promoting cancer adequacy evaluation results and introducing one-stop systems.