• 제목/요약/키워드: Digital medicine

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An unusual presentation of osteoblastoma of the maxilla: A case report

  • Lim, Joonbum;Hinchy, Nicole;Odingo, Nora;Colosi, Dan;Mahdian, Mina
    • Imaging Science in Dentistry
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    • v.51 no.4
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    • pp.455-460
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    • 2021
  • This report presents a rare case of maxillary osteoblastoma in a 17-year-old female. The patient presented with dull pain and facial asymmetry inferior to the left zygoma. An intraoral examination found a painless swelling on the buccal gingival tissue in the left posterior maxilla. Panoramic radiographs and multidetector computed tomographic images revealed an ill-defined, non-corticated, mixed attenuating entity of osseous density located within the left posterior maxilla apical to the left maxillary molars. The entity exhibited a heterogeneous internal structure with a fine granular appearance, and the periphery showed a partial hypo-attenuating rim along the antero-medial aspect. Expansion of the left posterior maxilla accompanied with displacement of the left maxillary sinus floor was noted. External root resorption of the first and second molars was noted, as well as postero-superior displacement of the third molar. The histopathologic diagnosis of the biopsy was osteoblastoma. Complete excision of the tumor was performed.

Prediction of Deficiency Pattern in Diabetic Patients Using Multi-frequency Bioimpedance Resistance (다주파수 생체임피던스 저항을 이용한 당뇨병 환자의 허증 변증 예측)

  • Kim, Kahye;Kim, Seul Gee;Cha, Jiyun;Yoo, Ho-Ryong;Kim, Jaeuk U.
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.36 no.3
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    • pp.94-99
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    • 2022
  • The discovery of biomarkers related to pattern identification (PI), the core diagnostic theory of Korean medicine (KM), is one of the methods that can provide objective and reliable evidence by applying PI to clinical practice. In this study, 40 diabetic patients and 41 healthy control subjects recruited from the Korean medicine clinic were examined to determine the human electrical response related to the deficiency pattern, a representative pattern of diabetes. Qi-Blood-Yin-Yang deficiency pattern scores, which are representative deficiency patterns for diabetes mellitus, were obtained through a questionnaire with verified reliability and validity, and the human electrical response was measured non-invasively using a bioimpedance meter. In ANCOVA analysis using gender as a covariate, the 5 kHz frequency resistance and 5-250 kHz frequency reactance were significantly lower in the diabetic group than in non-diabetic control group. In addition, the multiple regression analysis showed a positive correlation (R2=0.11~0.19) between the Yang deficiency pattern score and resistance value for the diabetic group; the correlation was higher at higher frequencies of 50kHz (R2=0.18) and 250kHz (R2=0.19) compared to 5kHz(R2=0.11). In contrast, there was no such significant association in the control group. It implies that bioimpedance resistance measured at finite frequencies may be useful in predicting Yang deficiency, which is closely related to diabetic complications by reflecting the decrease in body water content and metabolism. In the future, large-scale planned clinical studies will be needed to identify biomarkers associated with different types of PI in diabetes.

Development of Impedance Plethysmography and Measurement of Digital blood Flow (임피던스 혈량측정법을 이용한 손가락 혈류량의 측정)

  • Kim, Deok-Won;Song, Chul-Gyu;Kim, Won-Ky;Lee, Myong-Ho
    • Proceedings of the KOSOMBE Conference
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    • v.1991 no.05
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    • pp.71-73
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    • 1991
  • In this study electrical impedance plethysmograph was developed and each ten digital blood flow was measured for eight normal males and a patint with digital arterial reconstruction surgery. Blood flow of the digit with surgery was approximately fourty percent compared to that of the other normal digit. For the normal subjects, right-handed subjects generally have larger blood flow in right fingers than that in left fingers while it was reverse for the left-handed subjects. The relative average magnitude of the digital blood flow is the third, first, second, fourth, and fifth digit in descending order for the left and right hand, respectively. Blood flow of the fifth digit for all subjects except one was the smallest among the five digits.

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Peripheral Periarterial Sympathectomy for the Treatment of Raynaud's Phenomenon(Case Report) (말초 동맥 교감 신경 절제술을 이용한 레이노드 현상의 치료(증례 보고))

  • Lee, Kwang-Suk;Park, Jong-Woong;Suh, Dong-Hoon
    • Archives of Reconstructive Microsurgery
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    • v.6 no.1
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    • pp.111-116
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    • 1997
  • The treatment of chronic digital pain and cold intolerance due to Raynaud's phenomenon is quite difficult especially it is combined with scleroderma. Several surgical trial such as cervicothoracic sympathectomy have been attempted for the medically unresponsible Raynaud's phenomenon, but their results were unsatisfactory. We have tried peripheral periarterial sympathectomy for the 44 years old female patient who had medically unresponsible severe Raynaud's phenomenon with scleroderma. Periarterial adventitial stripping was performed at the level of wrist, superficial palmar arch, common digital artery and proper digital artery about 1.5-2 cm in length. Preoperative angiography and radioactive angiography were done and preoperatively and postoperatively the blood flow was measured by the desk top computer-aided histogram. Both hands digital pain were markedly reduced after operation and blood flow increased as compaired with the preoperative measure.

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Intraneural Ganglion of the Digital Nerve of the Hand - A Case Report - (수부에서 수지 신경의 신경내 결절종 - 증례 보고 -)

  • Park, Do-Young;Lee, Yu-Sang;Han, Kyeong-Jin
    • Archives of Reconstructive Microsurgery
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    • v.20 no.1
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    • pp.78-81
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    • 2011
  • Intraneural ganglia in the upper extremity are rare, and the involvement of the digital nerve of hand has not been reported. The following case report demonstrates a 57-year-old woman with a symptomatic nodular mass on the thenar area of the left hand. Magnetic resonance images showed a lobulated, homogeneous mass of high signal intensity on T2-weighted images and low signal intensity with peripheral enhancement on T1-weighted images. Excisional biopsy and histopathologic examination revealed an intraneural ganglion of the digital nerve of the thumb. Her symptom disappeared immediately after the surgery, and has remained free of abnormal sensation and parestheia for the 3-year follow-up period.

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Effects of Light Pollution from Mobile Digital Devices on Sleep and Circadian Rhythms (모바일 디지털 기기로 인한 빛공해가 수면과 일주기 리듬에 미치는 영향)

  • Lee, Youn-Jung;Cho, Chul-Hyun;Lee, Heon-Jeong
    • Sleep Medicine and Psychophysiology
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    • v.27 no.1
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    • pp.1-7
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    • 2020
  • Mobile digital devices are very familiar and useful devices in the daily life of modern people, and are used for various tasks such as communication, reading, writing, and playing media. As the use of mobile digital devices has become more prevalent, user time has also been increasing. In particular, the number of people who use digital devices before sleep is growing. The light pollution associated with these devices is classified into four categories: urban sky glow, glare, light trespass, and clutter. The pattern in which modern people use digital devices corresponds to light pollution caused by light trespass and clutter from light exposure to artificial light at night. The light pollution caused by digital devices can cause melatonin secretion suppression, delayed sleep onset, reduction of sleepiness before bedtime, and periodic rhythm and cognitive function disturbances. In addition, a study of children and adolescents showed there may be disturbances in the sleep-wake cycle and circadian rhythm, deterioration of sleep quality, and daytime fatigue due to light pollution caused by artificial light at night from mobile digital devices. A multi-faceted research effort is also necessary to investigate the healthy use of mobile digital devices based on research evidence and insights with an accurate evaluation of the influence of mobile digital devices as a form of light pollution.

Digital Sympathectomy for Treatment of Raynaud's Syndrome (레이노드 증후군의 치료에 있어서 수부 교감신경절제술)

  • Rhee, Se Whan;Ahn, Hee Chang;Choi, M Seung Suk;Kim, Chang Yeon
    • Archives of Plastic Surgery
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    • v.32 no.4
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    • pp.479-484
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    • 2005
  • Raynaud's syndrome causes discolorization, ischemic claudication(pain) and necrosis of the digits through insufficiency in the circulation which is induced by intermittent spasms of the digital arteries. From January, 2002 to December, 2004, 10 patients were surgically treated for Raynaud's syndrome. 9 patients were female and 1 patient was male. 2 patients showed unilateral involvement, 8 patients were operated on both hands. 6 patients had necrotic changes on the finger tips due to the disease. Ages ranged from 21 to 60 with an average of 39.1. Ischemic pain, discolorization, and cold intolerance of the digits were the common symptoms. All patients were evaluated with color doppler before the surgery. Two different procedures were applied according to the severity of the disease: Patients with decreased circulation received, what we call a limited digital sympathectomy, i.e. stripping of the adventitia of the ulnar, radial and common digital arteries. An extended procedure, radical digital sympathectomy, was performed on patients with a complete block of circulation. Stripping of the adventitia in these patients also involved the proper digital arteries. Symptoms like discolorization, ischemic pain, and cold intolerance improved immediately after the surgery. The patients did not suffer from pain even with exposure to cold weather. We conclude that digital sympathectomy could improve the symptoms in Raynaud's patients who do not respond to conservative treatment such as calcium channel blocker and other vasodilators.

Accuracy of inter-arch measurements performed on digital models generated using two types of intraoral scanners: Ex vivo study

  • Yoo, Jo-Kwang;Kang, Yoon-Koo;Lee, Su-Jung;Kim, Seong-Hun;Moon, Cheol-Hyun
    • The Journal of the Korean dental association
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    • v.58 no.4
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    • pp.194-205
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    • 2020
  • Objective: The purpose of this study was to evaluate the accuracy of the inter-arch relationship of digital models generated using two types of intraoral scanners. Methods: In total, 34 plaster model samples were used. Two corresponding digital models were created using two types of intraoral scanners. A total of 15 variables were measured. The plaster model was directly measured using a digital caliper, while the digital models were measured using a software. The accuracy of the measurements was evaluated using repeated measures analysis of variance and the Friedman test. Results: Among the 15 measurements, 6 measurements[Overjet, Overbite, DZ_11-41 (Distance between the gingival zenith of maxillary right central incisor and mandibular right central incisor), DZ_16-46 (Distance between the gingival zenith of maxillary right first molar and mandibular right first molar), DZ_13-33 (Distance between the gingival zenith of maxillary right canine and mandibular left canine), and DZ_23-43 (Distance between the gingival zenith of maxillary left canine and mandibular right canine)]showed statistically significant differences, with DZ_23-43 showing the largest difference of 0.18 mm. The other measurements showed no statistically significant differences. Conclusions: Regardless of the type of scanner used for preparation, digital models can be used as clinically acceptable alternatives to conventional plaster models.

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Application of digital implant system on implant treatment with "all-on-4" concept (디지털 임플란트 시스템을 전용한 "All-on-4" 개념의 임플란트 보철 증례)

  • Kim, Yong-Jun;Jeong, Seung-Mi;Kim, Kyeong-Hee;Fang, Jeong-Whan;Kim, Dae-Hwan;Choi, Byung-Ho
    • The Journal of Korean Academy of Prosthodontics
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    • v.56 no.1
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    • pp.88-94
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    • 2018
  • Recently, digital implant systems are expanding its influence in dental area. Due to technical improvement, they jumped over their limits nowadays. We can use these newest systems to treat edentulous patient, from implant surgery to fabrication of prosthesis. In this case, The patient was a fifty years old female. She had a full edentulous ridge on mandible and wanted to reconstruct occlusion with using implants. We planned to use digital implant system with "all-on-4" concept on mandible and produced surgical guide for flapless implant surgery. After the surgery, we tried to fabricate full arch prosthesis just using a digital devices and confirmed satisfying result.