• Title/Summary/Keyword: Hospital design

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Complementary and Alternative Medicine for Oral Health : a Literature Review of Randomized Controlled Clinical Trials (구강건강에 이용되는 보완대체의학 치료: 무작위대조임상연구를 통한 문헌적 고찰)

  • Kim, Da-Hee;Choi, Gwang-Ho;Hwang, Eui-Hyoung;Heo, Kwang-Ho;Kim, Yong-Deok;Shin, Byung-Cheul
    • Journal of Society of Preventive Korean Medicine
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    • v.18 no.3
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    • pp.23-39
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    • 2014
  • Objective : This review aims at analyzing Complementary and Alternative Medicine (CAM) therapies, using for oral health to know current use of CAM in dental area by analyzing randomized controlled clinical trials (RCTs). Method : We searched the following 6 electronic databases until 1 July 2014. : Pubmed, Medline, Embase, Allied and Complementary Medicine Database(AMED), Cumulative Index to Nursing and Allied Health Literature(CINAHL), the Cochrane Library. We included parallel RCTs and cross-over RCTs that assessed the efficacy of CAM regardless of blinding and language. Results : A total of 154 RCT articles were included. There were 2-arm parallel study design(69.5%), 3-arm parallel study design(20.8%), 4-arm parallel study design(4.5%) and Cross-over design(5.2%). Complementary and alternative medicine RCTs in oral health tend to increase in the early-2000s and in the mid-2010s. In addition, 154 citations were classified according to diseases and interventions that categorized Natural Products studies(68.2%), Mind and Body Practices studies(31.8%). We classified in detail that vitamin and mineral therapies(29.9%), dietary supplements(24.7%), acupuncture(23.3%), Herbal medicine(13.6%), homeopathy (2.6%), energy therapies(2.6%), Massage(1.9%), biofeedback(0.6%), traditional medicine(0.6%). Conclusion : Increasing publications and diverse interventions regarding CAM for oral health is observed by analyzing RCTs from the literature review. Further studies are needed to be performed as systematic reviews to verify their effectiveness and the research to inquire into side effect.

A Case Report of a Proprioceptive Neuromuscular Facilitation Intervention Strategy Applied with an ICF Tool in a Patient with Anterior Cruciate Ligament Reconstruction (ICF 도구를 적용한 앞십자인대 재건술 환자의 고유수용성신경근촉진법 중재전략의 증례)

  • Song, Myung-Soo;Kim, Beom-Ryong;Kim, Chang-Heon;Noh, Hyun-Jeong;Kang, Mi-Gyeong
    • PNF and Movement
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    • v.15 no.1
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    • pp.1-11
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    • 2017
  • Purpose: The purpose of this study was to use an ICF tool in an intervention for anterior cruciate ligament reconstruction (ACLR) patients to examine and evaluate the patients' functional problems, measure the results of the intervention, and present the process of preparing proprioceptive neuromuscular facilitation (PNF) intervention strategies, thereby contributing to changes in and development of relevant future clinical practices. Methods: A PNF rehabilitation exercise program using an ICF tool was applied to ACLR patients five times per week for four weeks. To measure the resulting changes, the ICF evaluation display, the visual analog scale (VAS), the manual muscle test (MMT), the range of motion (ROM) test, the Lysholm knee score (LKS), and the muscle endurance test (MET) were used. Results: After the intervention was applied to the ACLR patients, improvements were achieved in all the tests: ICF evaluation display, VAS, MMT, ROM, LKS, and MET. Conclusion: Utilizing the ICF tool, this study identified functional problems of ACLR patients. When the intervention was applied, physical functions improved, and structural damage was reduced, leading to enhanced levels of functional activities such as postural changes, posture maintenance, gait, movements, and movements between different places. The patients were able to complete the teacher training, which was their goal.

Effect of the Sprue Design on the Fitness of Implant Prosthesis (주입선의 설계가 임플란트 보철물의 적합도에 미치는 영향)

  • Hwang, Sung-Taek;Ahn, Jae-Seok;Shin, Sang-Wan
    • Journal of Technologic Dentistry
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    • v.30 no.2
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    • pp.57-63
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    • 2008
  • Statement of problem: Conventional techniques for implant framework fabrication produce significant error that is inconsistent with passive-fit requirement for osseointegrated implants. One of the etiologic factors which cause the errors is a sprue which may deform the framework during solidification and contraction. Purpose: This study was aimed to evaluate objectively effect of the sprue design on the accuracy of fit of implant prosthesis. Materials and method: Three different designs were considered relative to effect of casting accuracy. The first design had straight sprues and a button of excess alloy at the non-casting end of the sprues. The second was runner bar design(with the button). The last was straight sprues design(without the button). Gold cylinder and laboratory analogue had been used to diminish variables affecting to casting accuracy. Gold alloy and pressure-vacuum casting machine had been used. Marginal gap had been measured by SEM. One-way ANOVA and Duncan test had been used for statistical analysis. Results: The first design showed $79.87{\pm}13.95{\mu}m$ marginal gap. The second and third were $40.17{\pm}15.8{\mu}m$ and $35.17{\pm}9.95{\mu}m$ respectively. Conclusion: Straight sprues without button and runner bar designs were more accurate than straight sprues with button design(P<.05).

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CAD/CAM fabricated complete denture using 3D face scan: A case report (3D face scan을 이용한 CAD/CAM 제작 의치 증례)

  • Eom, Dae-Young;Leesungbok, Richard;Lee, Suk-Won;Park, Su-Jung;Ahn, Su-Jin
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.436-443
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    • 2017
  • In the past, computer-aided design / computer-aided manufacturing (CAD/CAM) technology was the closed system that users had to use the components of only one manufacturer. At present, it has changed to the open system with the flexibility to select and use the components of various manufacturers' components according to their needs. Despite the development of dental materials and prostheses manufacturing methods, denture manufacturing has followed conventional manufacturing methods for nearly 100 years. However, studies on CAD/CAM fabricated denture have been recently carried out to overcome the disadvantages of conventional denture manufacturing. Some commercialized products using milling or 3D printing have already been applied clinically. This case report confirms the possibility of CAD/CAM dentures using 3D face scan and compared them to conventionally fabricated dentures.

Reconstruction of post-burn anterior neck contractures using a butterfly design free anterolateral thigh perforator flap

  • Lellouch, Alexandre G.;Ng, Zhi Yang;Pozzo, Victor;Suffee, Tabrez;Lantieri, Laurent A.
    • Archives of Plastic Surgery
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    • v.47 no.2
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    • pp.194-197
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    • 2020
  • Anterior neck burns represent a major reconstructive challenge due to severe sequalae including restriction in movement and poor aesthetic outcomes. Common treatment options include skin grafting with/without dermal matrices, and loco-regional and distant free flap transfers with/without prior tissue expansion. Such variation in technique is largely influenced by the extent of burn injury requiring resurfacing. In order to optimize like-for-like reconstruction of the anterior neck, use of wide, thin and long flaps such as the anterolateral thigh (ALT) perforator flap have been reported with promising results. Of note, some patients have a tendency towards severe scar contractures, which may be contributed by the greater extent of inflammation during wound healing. We report our experience at 4 years' followup after secondary reconstruction of severe, anterior neck burn contractures in two patients by harvesting the ALT flap with a butterfly design. This technique provides adequate wound resurfacing of the burned neck and surrounding areas, and provides good neck extensibility by addressing both anterior and lateral aspects of the scar defect simultaneously. Such a flap design reduces tension on wound edges and thus, the risk of contracture recurrence in what remains a particularly challenging type of burn reconstruction.

A Study on the Analysis of Factors Affecting Patients' Way-Finding in the Hospital - Focused on a Case of 'A' General Hospital - (병원건축 길찾기 요소의 중요도 분석에 관한 연구 -'A'종합병원 외래진료부를 중심으로-)

  • Yoon, Ji-Seon;Park, Jae-Seung
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.14 no.3
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    • pp.43-54
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    • 2008
  • Upon reviewing the tendency of the large-scale hospital buildings constructed so far, we may well know that the architectural space of the hospital buildings has been designed for users' conveniences in terms of functional elements fulfilled, efficiency, uniform colors and lighting, which means that patients may well feel difficult to find their ways in the hospital. The result may be that the patients who are weak mentally and physically feel uneasy or tensed when they wander in the hospital, which may lead to their increased physical fatigue, higher blood pressure or other harmful effects. Thus, patients' way-finding emerges as a new design challenge for the hospital building. The purpose of this study was to define the environmental variables and factors affecting patients' way-finding in the hospital and thereby, determine the correlations between the variables/factors and way-finding to provide for some framework of analysis useful to solutions of patients' way-finding problems, while identifying the causes for difficulty of their way-finding due to differences of perception between hospital building designer and user groups.

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Single-tooth dento-osseous osteotomy with a computer-aided design/computer-aided manufacturing surgical guide

  • Kang, Sang-Hoon;Kim, Moon-Key;Lee, Ji-Yeon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.2
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    • pp.127-130
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    • 2016
  • This clinical note introduces a method to assist surgeons in performing single-tooth dento-osseous osteotomy. For use in this method, a surgical guide was manufactured using computer-aided design/computer-aided manufacturing technology and was based on preoperative surgical simulation data. This method was highly conducive to successful single-tooth dento-osseous segmental osteotomy.

A Study on the Architectural Planning of the Hospital for the Elderly with Dementia (치매노인전문병원의 건축계획에 관한 연구)

  • Lee, Jung Min;Yu, Young Min
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.7 no.1
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    • pp.85-92
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    • 2001
  • Facing the aging society in Korea, the necessity of the facility for the elderly is arising as a substitute to cut down the cost and to provide suitable and skillful medical services for the aged and chronical. Among there, health care facilities for the elderly with dementia are considered a essential facility. Therefore, it is necessary to prepare the guidelines for planning and design of the facility. On the bases of survey and analysis, the basic data for planning and design the hospital for the elderly with dementia has been proposed.

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A Study on Healing Environmental Elements of the Waiting space of Outpatient Department in Domestic General Hospital in Consideration of Patiences - Focused on General Hospitals in Seoul - (환자 중심적 측면에서 본 국내 종합병원 외래진료부 대기공간의 치유환경요소에 관한 연구 - 서울지역 종합병원을 중심으로 -)

  • Park, Min-Soo;Choi, Sang-Hun
    • Proceedings of the Korean Institute of Interior Design Conference
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    • 2005.05a
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    • pp.203-206
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    • 2005
  • Recently, it is not to much to say that the world of hospital architecture in Korea is in a time of transition that undergo big changes. Each hospital pursues their transformation not only for patiences' changing demands on medical services but to cope with rapid environmental changes that pouring like boundless competition, opening tendency and to get an advantage of competition to attract patiences with other hospitals. It is because national expectations and standards on medical services have risen and they are not satisfied with hospitals that run for doctors and medical care that served technically any more. With rising interests in health, it is emphasized not the functions of hospitals to prevent diseases but the purpose of treatment and securing other facilities according to rising economical incomes except medical facilities.

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The Study of Exploration of the User & the Physical Components of Outpatients' Waiting Areas in General Hospital (인간 행위분석을 통한 종합병원 외래환자 대기실에 관한 연구)

  • 이성훈
    • Korean Institute of Interior Design Journal
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    • no.9
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    • pp.18-23
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    • 1996
  • Among the building types in which behavioral issues play, the largest role are institutional environments. Such setting share a number of important characteristics ; they serve specific population (e.g. the ill, the elderly , '||'&'||' inmates) : they are directed toward specific social behavioral objectives(e.g medical care, education , '||'&'||' rehabilitation); and they are "Total institution" in which residents spend all of there time. The basic concepts and theories of environment-behavior studies are of direct relevance in understanding such social institutions. In this study, I have examined the relationships between waiting and the specific conditions of the hospital experience. More specifically, this is a study of visitors (outpatient) within the context of the hospital , and the physical setting designated for their use in the outpatient waiting room. Environment behavior studies, with its commitment to individual behavior and the physical environment might well be a particularly way by which a study of waiting rooms can demonstrate the power of this approach and its integrative among disciplines.

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