• Title/Summary/Keyword: 임상 숙련도

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Shade comparative analysis of natural tooth measured by visual and spectrophotometric methods (육안과 분광 측정기를 이용한 자연 치아의 색조비교분석)

  • Kim, Bum-Suk;Shin, Soo-Yeon;Lee, Jong-Hyuk
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.5
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    • pp.443-454
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    • 2008
  • Statement of problem: A clinically successful color match is one of the important factor to get an esthetic dental restoration. Dental shade guides are commonly used to evaluate tooth color in restorative procedure. But numerous reports have indicated that common shade guides do not provide sufficient spectral coverage of the natural tooth colors. To address issues associated with the shade guide, distinct avenues have been pursued objective spectrophotometric / colorimetric assessment. Purpose: This study compared the accuracy of tooth color selection of spectrophotometer with that of human visual determination. Three main factors were investigated, namely, the effect of light, the individual variation and the experience of the observer. Material and methods: At the first experiment, on ten patients, one operator independently selected the best matching shade to the unrestored maxillary central incisor, using a Vita Classical Shade Guide in the morning, at noon and in the afternoon. The same teeth were measured by means of a reflectance spectrophotometer. At the second experiment, on ten patients, ten operators (5 experts, 5 novices) selected and measured by the same method above at noon. At the third experiment, the results of the second experiment were divided into two groups, expert and novice, and analyzed. Results: 1. There was significant difference between visual and spectrophotometric assessment (mean ${\Delta}E$ values) in experiment 1, 2, 3 (P < .05). 2. There was no significant difference between experts and novices group, when comparing with each visual and spectrophotometric assessment (mean ${\Delta}E$ values). Conclusion: Spectrophotometer could be used to analyze the shade of natural tooth objectively. Thereby, this method offers the potential tominimize considerably the need for corrections or even remakesafter intraoral try-in of restoration. Furthermore, to achieve its advantage, both the shade-matching environment and communication between dentist and technician should be optimized with use of visual and instrumental shade-matching systems.

5 YEARS EVALUATION OF COMPOSITE RESIN RESTORATION ON PERMANENT FIRST MOLAR IN CHILDREN (어린이 제 1 대구치 복합 레진 수복물의 5년 후 임상평가)

  • Kim, In-Young;Kim, Jae-Moon;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.1
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    • pp.110-117
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    • 2008
  • Clinical performance of resin-based composite material depends on case selection and on the proficiency of the operator. Especially, composite resin restoration on permanent first molar in children have more limitations clinically than adult patients according to stage of tooth eruption and patient's compliance. This study was designed to evaluate the clinical performance of posterior composite resin restoration in children after 5 years. 35 teeth of 16 patients who were received composite resin restoration on permanent first molar in Department of Pediatric dentistry, Pusan National University Hospital between January 2001 and December 2001 were evaluated based on Modified USPHS criteria. From the finding in this study, following conclusions can be made. 1. 6 teeth(17%) of 35 teeth was replaced, so 5-years survival rate of posterior composite resin restoration is 82.9%. 2. As results of each evaluation criteria, on color match, anatomic form, surface roughness, sensitivity/ discomfort, ideal A grade score was 86.2%, 93.1%, 86.2%, 86.2%, clinically accepted B grade score was 13.8%, 0%, 13.8%, 10.3%. On marginal adaptation and marginal discoloration, A grade score was 13.8%, 44.8% and B grade score was 79.3%, 34.5% and secondary caries rate was 20.7%. 3. 69.1% of teeth (20 teeth) was clinically accepted on all evaluation criteria.

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Effect of Technical Aspect in Practitioner on the Pregnancy and Abortion after Transfer of In Vitro Produced Korean Native Cow Embryos (한우 체외수정란이 이식된 수란우의 임신과 유산에 영향을 미치는 시술자 측 요인들)

  • Kim S. S.;Park Y. S.;Park Y. M.;Park H. D.;Shim H. S.;Kim N. H.
    • Journal of Embryo Transfer
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    • v.20 no.1
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    • pp.9-15
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    • 2005
  • This study was conducted to investigate the effects of various factors of practitioner's techniques such as skill, difficulty, consumed time, implantation depth, bleeding and altering of implant location, on pregnancy and abortion after transfer of in vitro produced Korean Native Cow embryos. The pregnancy rate of skilled transfer $(54.2\%)$ was significantly higher than that of unskilled transfer $(37.9\%)$, of 2/3 $(46.9\%)$ location in uterus was significantly higher than in 1/2 $(39.5\%)$ or 4/5 $(38.0\%)$ uterus, and of altering implantation location $(52.9\%)$ was significantly increased. There were no difference in pregnancy among the groups of difficulty of transfer, consumed time and bleeding of uterus. The abortion rates from skill, difficulty of transfer, implantation depth, consumed time, bleeding of uterus and altering of location were not differ.

A literature review on clinical/ laboratory misfit evaluation on implant-prosthesis (임플란트와 상부보철물의 임상적/실험적 부적합 평가에 관한 문헌고찰)

  • Kim, Jong-Hoi;Cho, Woong-Rae;Ko, Kyung-Ho;Huh, Yoon-Hyuk;Park, Chan-Jin;Cho, Lee-Ra
    • The Journal of the Korean dental association
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    • v.56 no.9
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    • pp.462-478
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    • 2018
  • The presence of implant-prosthesis misfits can cause various complications. It is very important to detect misfits to prevent such complications. There are various evaluation methods for misfit assessment including clinical methods and laboratory in vitro methods. The clinical misfit evaluation includes radiographic analysis, visual observation, probing, Sheffield test, evaluation with disclosing materials, and screw resistance test. The laboratory in vitro evaluation method includes indirect modelling evaluation and direct metrological visualization. Of the indirect modelling methods, photoelastic stress analysis, finite element analysis, strain gauge analysis, and microbial colonization analysis were reviewed. Of the direct metrological visualization, microscopic analysis, 3-D photogrammetric analysis, coordinate measuring analysis, and radiographic analysis were reviewed. In this review, the characteristics, advantages and disadvantages of each method were evaluated.

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Web Information of General Radiography an Cervical Vertebrae Fracture in Patients (경추골절 환자에서 방사선촬영 영상의 웹 정보화)

  • Park, Byung-Rae
    • Journal of radiological science and technology
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    • v.28 no.2
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    • pp.123-128
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    • 2005
  • It is necessary to obtain images of high diagnosis worth based on ability and skill of radiological technologist in case of acquisition of medical radiologaphy information. In addition, we need the various kinds of education considering individual radiological technologist variation and the organization of clinical education according to the large amount of learning and more expensive knowledge of radiology. In this paper, we implement CAI system for cervical vertebrae fracture radiograph with multimedia authoring tools on web environments. The CAI system can train a new radiological technologist and study a lot of radiological technologist on the cervical vertebrae fracture radiography acquisition based on more objective and systematical data in radiography room. The proposed CAI system is also expected as a useful program which can help to cure patients based on accurate diagnosis as well as obtain radiography more quickly using a technology of radiography acquisition for cervical vertebrae fracture.

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Applications of Artificial Intelligence in Mammography from a Development and Validation Perspective (유방촬영술에서 인공지능의 적용: 알고리즘 개발 및 평가 관점)

  • Ki Hwan Kim;Sang Hyup Lee
    • Journal of the Korean Society of Radiology
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    • v.82 no.1
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    • pp.12-28
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    • 2021
  • Mammography is the primary imaging modality for breast cancer detection; however, a high level of expertise is needed for its interpretation. To overcome this difficulty, artificial intelligence (AI) algorithms for breast cancer detection have recently been investigated. In this review, we describe the characteristics of AI algorithms compared to conventional computer-aided diagnosis software and share our thoughts on the best methods to develop and validate the algorithms. Additionally, several AI algorithms have introduced for triaging screening mammograms, breast density assessment, and prediction of breast cancer risk have been introduced. Finally, we emphasize the need for interest and guidance from radiologists regarding AI research in mammography, considering the possibility that AI will be introduced shortly into clinical practice.

The Evaluation of Proficiency Test between Radioimmunoassay and Chemiluminescence Immunoassay (방사면역측정법과 화학발광면역측정법간의 숙련도 비교평가)

  • Noh, Gyeong-Woon;Kim, Tae-Hoon;Kim, Ji-Young;Kim, Hyun-Joo;Lee, Ho-Young;Choi, Joon-Young;Lee, Byoeng-Il;Choe, Jae-Gol;Lee, Dong-Soo
    • The Korean Journal of Nuclear Medicine Technology
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    • v.15 no.2
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    • pp.116-124
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    • 2011
  • Purpose: To establish accurate external quality assurance (EQA) test, cross institutional and modality tests were performed using WHO certificated reference material (CRM) and same pooled patients serum. Materials and Methods: Accuracy and precision were evaluated using CRM and pooled patients' serum for AFP, CEA, PSA, CA 125, CA 19-9, T3, T4, Tg, TSH. To evaluate the accuracy and precision, recover test and coefficient variation were measured. RIA test were performed in major 5 RIA laboratory and EIA (CLIA) test were done in 5 major EIA laboratory. same sample of CRM and pooled serum were delivered to each laboratory. Results: In 2009, mean precision of total tumor marker of RIA was $14.8{\pm}4.2%$ and that of EIA(CLIA) was $19.2{\pm}6.9%$. In 2010, mean precision of 5 tumor marker and T3, T4, Tg, TSH was $13.8{\pm}6.1%$ in RIA and $15.5{\pm}7.7%$ in EIA (CLIA). There was no significant difference between RIA and EIA. In RIA, the coefficient variations (CV) of AFP, CEA, PSA, CA 125, T3, T4, TSH were within 20%. The CV of CA 19-9 was over 20% but there was no significant difference with EIA (CLIA) (p=0.345). In recovery test using CRM, AFP, PSA, T4, TSH showed 92~103% of recovery in RIA. In recovery test using commercial material, CEA, CA 125, CA 19-9 showed relatively lower recovery than CRM but there was no significant difference between RIA and EIA (CLIA). Conclusion: By evaluating the precision and accuracy of each test, EQA test could more accurately measured the quality of each test and performance of laboratory.

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Periimplant bone change after alveolar ridge preservation: radiographic retrospective study (발치와 치조제 보존술 후 식립한 임플란트 주위 골 변화: 후향적 방사선학적 분석)

  • Shim, Da-Eun;Pang, Eun-Kyoung
    • The Journal of Korean Academy of Prosthodontics
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    • v.59 no.3
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    • pp.281-290
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    • 2021
  • Purpose. The aim of this study is to evaluate bone change around the implant in patients who underwent alveolar ridge preservation for implantation in the posterior teeth using radiographic data measuring changes of mesial, distal crestal bone level according to post-implantation, post-final prosthesis delivery and follow-up periods. Materials and methods. In total, 36 implants were placed in 32 patients. The mesial and distal crestal bone level of all the areas where alveolar ridge preservation was performed uses panoramic images taken post-implantation, post-final prosthesis delivery, and follow-up period each was measured and evaluated as a vertical value. The following factors were analyzed: associations between changes of crestal bone level and factors (e.g., age, sex, systemic diseases, dentist, implant location, tooth, bone type, membrane). The statistical analysis was performed using the mean, standard deviation and independent t-test, paired t-test (P < .05). Results. Analysis of crestal bone level differences between periods shows statistically significant differences (P < .05). There was no statistically significant difference when the changes of crestal bone level between post-implantation, post-final prosthesis delivery and follow-up periods were correlated with each factors. Conclusion. After alveolar ridge preservation, bone around the implant remained stable during the maintenance period without being affected by the patient and surgical factors, and alveolar ridge preservation is considered a clinically usable procedure.

The Effect of Core Fundamental Nursing Skills Program among Final Year Nursing Students on Performance Confidence, Clinical Performance Capacity and Core Nursing Ability (졸업학년 간호대학생의 핵심기본간호술 프로그램이 수행자신감, 임상수행능력 및 핵심간호역량에 미치는 효과)

  • Park, Jin Hee;Lee, Do-Young
    • Journal of the Korea Convergence Society
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    • v.11 no.3
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    • pp.281-289
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    • 2020
  • This study was done to identify the effect of the core fundamental nursing skills program among final year nursing students on their performance confidence, clinical performance capacity, and core nursing ability. The core fundamental nursing skills program was applied to 80 final year nursing students for 6 weeks from August 27 to October 10, 2018. The survey was done in self-writing method. The collected data was analyzed with means, standard deviation, and paired t-test. It was found that performance confidence, clinical performance capacity, and core nursing ability had increased after the program, which were statistically significant. Thus, it is expected that step-by-step and continuous education on core fundamental nursing skills program will upgrade those final year nursing students as skilled and professional nurses.

Design of the Acupoint Discriminator(DM96A-2) by Improvement of Meridian Point Discrimination Parameter (경혈식별 파라메터의 개선에 의한 혈위식별시스템 DM96A-2의 설계)

  • 이후학;어윤기고수복정동명
    • Proceedings of the IEEK Conference
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    • 1998.10a
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    • pp.825-828
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    • 1998
  • 경혈을 대상으로 인체를 진단하는 의료기기들은 경혈점에 미세한 직류전류를 인가하고, 이 점에서의 전기저항과 세포의 분극에 의해 반응하는 경락체계의 균형상태를 측정하여 인체를 종합적으로 진단한다. 따라서 전 과정이 정확한 경혈의 위치에서 이루어져야만 치료효과와 진단의 신뢰성이 보장된다. 그러나 대부분의 경락관련 치료기들이 정확한 혈위식별에 어려움이 있고 사용자의 전문적 숙련을 요구한다. 따라서 선행연구에서 일정한 주파수로 교호되는 자극패턴(SPAC) 방식을 사용하여 식별률을 높인 혈위식별기 DM96A-1를 개발하였다. DM96A-1은 단일전원이 양방향으로 교호되는 전류로 자극펄스를 출력하고 측정범위가 0.5∼50㎂인 전류메터와 레벨메터를 이용하여 혈위의 전류량을 표시한다. 이에 따라 방향전환 소자의 두 채널 제어신호가 교호되는 과도기에서 두 자극패턴의 중첩 도통에 의해서 누설전류가 발생하는 경우가 있으며 이를 제거하기 위하여 정밀한 조정을 필요로 하는 불편이 있었다. 따라서 이와 같은 단점들을 보완하여 신뢰성 있는 출력 파라메터를 얻을 수 있도록 마이크로프로세서 i80c196kc를 사용하여 DM96A-2를 재 설계하였으며 임상실험에 의하여 개선된 최적 파라메터의 타당성을 검증하였다.

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