• Title/Summary/Keyword: Digital medicine

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Treatment of Ramsay Hunt Syndrome Using Korean Medicine including Sinbaro3 Pharmacopuncture: A Case Report

  • Shin, Won Bin;Park, Ji Won;Choi, Hyo Jung;Namgoong, Jin;Kim, Sang Gyun;Min, Baek Ki
    • Journal of Acupuncture Research
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    • v.36 no.3
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    • pp.161-165
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    • 2019
  • This study was conducted to investigate whether treatment with Korean medicine might help to improve symptoms of patients diagnosed with Ramsay Hunt Syndrome. A patient diagnosed with Ramsay Hunt Syndrome was hospitalized for 15 days from October 4, 2018 to October 18, 2018 and treated using Korean medicine (Sinbaro3 pharmacopuncture, acupuncture, electroacupuncture, and herbal medicine). Therapeutic effects were evaluated using the Numerical Rating Scale (NRS), House-Brackmann grade, Yanagihara's score survey, and Digital Infrared Thermographic Imaging (DITI). After treatment, the Numerical Rating Scale score (6 at admission down to 2 points at discharge), House-Brackmann grade (Grade V down to Grade II), Yanagihara's score (6.0 up to 22.0), and Digital Infrared Thermographic Imaging showed improvement from admission to discharge. Treatment with traditional Korean medicine, may help improve symptoms of Ramsay Hunt Syndrome such as facial nerve paralysis, neuralgia after paraplegia, hearing difficulties, and dizziness.

Accuracy assessment of implant placement using a stereolithographic surgical guide made with digital scan (디지털 스캔을 이용하여 제작된 임플란트 수술가이드의 정확도)

  • Jeong, Seung-Mi;Fang, Jeong-Whan;Hwang, Chan-Hyeon;Kang, Se-Ha;Choi, Byung-Ho;Fang, Yiqin;Jeon, Hyongtae;An, Sunghun
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.2
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    • pp.111-119
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    • 2015
  • Purpose: The objective of this study was to evaluate the accuracy of a stereolithographic surgical guide that was made with information from intraoral digital impressions and cone beam CT (CBCT). Materials and methods: Six sets of resin maxilla and mandible models with missing teeth were used in this study. Intraoral digital impressions were made. The virtual models provided by these intraoral digital impressions and by the CBCT scan images of the resin models were used to create a surgical guide. Implant surgery was performed on the resin models using the surgical guide. After implant placement, the models were subjected to another CBCT scan to compare the planned and actual implant positions. Deviations in position, depth and axis between the planned and actual positions were measured for each implant. Results: The mean deviation of the insertion point and angulation were 0.28 mm and $0.26^{\circ}$, apex point were 0.11 mm and 0.14 mm respectively. The implants were situated at a mean of 0.44 mm coronal to the planned vertical position. Conclusion: This study demonstrates that stereolithographic surgical guides created without the use of impressions and stone models show promising accuracy in implant placement.

Effect of Tongue Color Change Due to Food Ingestion on Tongue Diagnosis (음식물 섭취로 인한 혀 색상 변화가 설진에 미치는 영향)

  • Park, Miso;Lee, Juho;Hwang, Yunsin;Kim, Minseo;Park, Sangsoo;Yoo, Horyong;Kim, Kiwang
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.34 no.4
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    • pp.191-200
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    • 2020
  • The purpose of this pilot study was to examine the effect of tongue color change due to food ingestion on tongue diagnosis by both Korean Medicine doctors and digital tongue diagnosis system. In order to obtain objective and quantitative data, we used digital camera to collect the data. Prior to our investigation, we conducted a brief survey of 26 Korean Medicine doctors and found out that tongue diagnosis is frequently used and food-stained tongue could be commonly observed in clinics. Depending on their color, viscosity, and amount of intake, various foods caused stains with different colors and thicknesses. Also, duration and amount of food stain on tongue were different from person to person. Since coffee-stained tongue was the most frequently observed one in clinics according to the survey, we used coffee to evaluate the effect of food-stained tongue on tongue diagnosis. Korean Medicine doctors tended to interpret coffee-stained tongue as having yellow tongue coat but their judgement on tongue body color did not differ in spite of the coffee stains. Meanwhile, tongue diagnosis system algorithm tended to judge coffee-stained tongue as having normal but yellowish tongue coat and reddish tongue body. Altogether, food color on tongue can influence tongue diagnosis outcomes. Further research is needed in order to develop more efficient tongue diagnosis algorithm and digital medical service system.

Case Report of Raynaud's Disease Treated with Prescription of Modified Woogyu-yeum (우귀음가미방(右歸飮加味方) 투여로 호전된 레이노 병 환자 1례)

  • Ha, Ye-Jin;Cho, Mun-Young;Jang, Won-Seok;Eun, Seon-Hye;Shin, Yong-Jeen;Shin, Sun-Ho
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.5
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    • pp.908-913
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    • 2011
  • Major symptoms of Raynaud's Disease are pain, edema, cyanosis, and redness of hands, feet, nose, and etc. The purpose of this report is to show the curative effect of herbal medicine for Raynaud's Disease. We provided Prescription of Modified Woogyu-yeum(Yougui-yinjiaweifang ) to patient who was diagnosed with Raynaud's Disease three times a day for 22 days. We observed changes of symptoms through Digital Infrared Thermographic Imaging, taking photos of both hands, and collecting the survey answered by the patient. Modified Woogyu-yeum reduced pain, edema, and redness of both hands. The frequency of cyanosis decreased after the treatment. Digital Infrared Thermographic Imaging proved a rise in temperature of fingertips after the treatment. In conclusion, Modified Woogyu-yeum showed the possibility of effect on Raynaud's Disease.

Clinical Study on Two Patients Typed as Soyangin with Cold Hypersensitivity on Hands and Feet (소양인 처방을 활용한 수족랭증(手足冷症) 치험 2례)

  • Kim, Oh-Young;Kim, Dong-Hoon;Ryu, Su-Hyang;Park, Soo-Gon;Lee, Jang-Sik;Park, Hye-Sun
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.24 no.6
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    • pp.1082-1086
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    • 2010
  • This study reports two cases of patients with cold hypersensitivity on hands and feet who were typed as the Soyangin. Although the two patients were experiencing the same symptom of cold hypersensitivity on hands and feet, we diagnosed one as a Soyangin Kyel-Hyung syndrome(結胸證) and the other as a Mang-eum syndrome(亡陰證). So we prescribed them Medications for Soyangin. And we used D.I.T.I.(Digital Infrared Thermal Imaging) to prove the improvement for cold hypersensitivity on hands and feet. The temperature change of D.I.T.I. after treatment showed that the main symptom After treatment, their symptoms were improved and the patients' D.I.T.I results also showed their improvement.

Reconstruction of Fingertip Amputation by Using Digital Artery Perforator Flap (수부동맥 관통 피판을 이용한 손가락끝 절단의 재건)

  • Ha, Young In;Jung, Sung Gyun;Shin, Ho Seong;Park, Eun Soo;Park, Jang Woo;Choi, Hwan Jun
    • Archives of Plastic Surgery
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    • v.35 no.4
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    • pp.483-486
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    • 2008
  • Purpose: Fingertip injuries are the most common hand injuries and may lead to significant disability. Knowledge of fingertip anatomy is mandatory to treat these injuries effectively. All surgical techniques used for coverage of fingertip injuries must be based on the nature of the injury and the patient's age. Many authors have studied the method of fingertip reconstruction because goals of these treatments should include maintaining length, sensibility, motions, and appearance. The purpose of this study is to evaluate the effect of digital artery perforator flap for fingertip reconstruction without aesthetic and functional problems. Methods: From November 2006 to March 2007, the authors performed fingertip reconstruction on 3 fingers of 3 patients, aged between 41 to 54 years (average age, 47 years) using digital artery perforator flap. Results: All fingers recovered successfully and there were no necrosis of the flap. We followed up 3 cases more than 5 months. Light touch and temperature sensation could be detected in all flaps and the static two-point discrimination test was 8 mm. Conclusion: This flap is an alternative choice for coverage of fingertip defects. This method also takes short time to procedure and to recovery. The digital artery perforator flap has never been reported in Korea, however it is considered as a useful method for treatment of fingertip injury.

Full mouth rehabilitation with dental implant utilizing 3D digital image and CAD/CAM system: case report (3차원 디지털 영상과 CAD/CAM 시스템을 활용한 전악 임플란트 수복 증례)

  • Kang, Se-Ha;Jeong, Seung-Mi;Shin, Jae-Ok;Fang, Jeong-Whan;Kim, Dae-Hwan;Choi, Byung-Ho
    • Journal of Dental Rehabilitation and Applied Science
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    • v.31 no.2
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    • pp.158-168
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    • 2015
  • This article describes how to use digital system in a fully edentulous case that diagnosis to definitive prosthesis fabrication. While proceeding oral scan and CBCT taking, digital markers were attached on maxillary palate and lower existing denture. Using CBCT image and oral scan image, the bone contour and anatomical structures were analyzed and flapless surgical guide, customized abutment and prosthesis were made. After the osseointegration, the definitive prosthesis was fabricated using the oral scan image with scan body. It provides clinicians with a fast workflow and improves clinical efficiency.

The Smart Medicine Delivery Using UAV for Elderly Center

  • Li, Jie;Weiwei, Goh;N.Z., Jhanjhi;David, Asirvatham
    • International Journal of Computer Science & Network Security
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    • v.23 no.1
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    • pp.78-88
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    • 2023
  • Medication safety and medicine delivery challenge the well-being of the elderly and the management of the elderly center. With the outbreak of COVID-19, the elderly in the care center were challenged by the inconvenience of the medication restocking. The purpose of this paper accentuates the importance of the design and development of an UAV-based Smart Medicine Case (UAV-SMC) to improve the performance of medication management and medicine delivery in the elderly center. The researchers came up with the design of UAV-SMC in the light of the UAV and IoT technology to improve the performance of both Medication Practice Management (MPM) and Low Inventory Detection and Delivery (LIDD). Based on the result, with UAV-SMC, the performance of both MPM and LIDD was significantly improved. The UAV-SMC improves the efficacy of medication management in the elderly center by 26.97 to 149.83 seconds for each medication practice and 9.03 mins for each time of medicine delivery in Subang Jaya Malaysia. This paper only investigates the adoption of UAV-SMC in the content of elderly center rather than other industries. The authors consider integrating the UAV-SMC with the e-pharmacy system in the future. In conclusion, the UAV-SMC has significantly improved the medication management and guard the safety of elderly and caretaker in the elderly in the post-pandemic times.

The Reverse Digital Artery Flap for Finger Tip Reconstruction (수지첨부 손상재건을 위한 수지부 역혈행성 도서형 피판술)

  • Han, Dong-Gil;Ahn, Ki-Young;Park, Dae-Hwan
    • Archives of Reconstructive Microsurgery
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    • v.7 no.2
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    • pp.108-113
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    • 1998
  • Reverse digital artery flaps were performed successfully to resurface the fingertip defect in 13 patients as noninnervated pattern and in 12 patients as innervated pattern from March 1993 to February 1996. No loss of flap in this series was noted. Refinements in flap design and surgical technique resulted in favourable functional and ethetic results. The average two-point discrimination of the reconstructed fingertip was 7.2mm and 4.5mm in the noninnervated and innervated flaps, respectively. This flap is an one of the ideal and reliable option for reconstruction of fingertip defects.

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DICOM(Digital Imaging and Communications in Medicine) 표준을 사용한 PACS 연동 구현 사례

  • Jeong, Jun-Su
    • Korean Journal of Digital Imaging in Medicine
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    • v.2 no.1
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    • pp.44-51
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    • 1996
  • DICOM 표준은 의학 영상 장비를 Network으로 연결하여 사용을 원하는 사용자의 욕구를 충족시키기 위하여 만들어 졌다. 이것은 영상 장비가 출력하는 정보의 표준화를 통하여 영상 정보는 물론 환자 및 검사 정보 교환을 가능케 하여 장비의 효율적인 운용을 목표로하고 있다. 이런 목적외에도 장기 저장 매체의 저장 방식 및 지원되는 영상 장비의 개념을 확대하여 기존의 방사선과 장비는 물론, Endoscopy, Pathology, 및 Dematology를 포함하는 포괄적 영상 장비 연동을 위한 표준화 작업이 진행중에 있다. 본문에서는 DICOM 표준을 적용하여 시스템간의 연동을 구현한 사례로 PACS 와 RIS 연동과 같은 Text-based 연동과 DICOM Gateway를 사용하여 서로 다른 시스템간의 Image 연동을 위한 Image-based 연동으로 구분하여 예를 들었다. 결론적으로 DICOM 표준을 사용하면 서로 다른 형태의 영상 정보를 가지는 장비들를 Network으로 연결하여 정보 전달이 가능해 지고 이와 같은 연동은 서로 다른 시스템의 정보의 무결성을 보장하며 정보의 중복 저장을 방지할수 있게 되어 전체 시스템의 운용 효율을 증가 시킬수 있다.

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