• Title/Summary/Keyword: Patient well-being

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Intraoral Appliances in the Medical Classics of 12th to 19th Centuries (12~19세기 한의학 고전문헌에 나타난 턱관절 구강내장치에 대한 고찰)

  • Lee, Young-Jun;Lee, Sang-Bae;Choi, Geun-Wook;Yin, Chang Shik
    • Journal of TMJ Balancing Medicine
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    • v.4 no.1
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    • pp.1-4
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    • 2014
  • Objectives: Intraoral appliances (IOA) are applied in the clinical practice of Korean medicine to improve the balance between yin and yang of the body such as temporomandibular joint balancing medicine. Historical examples of IOA were not well known. This study reports prototype IOA's described in medical classics. Methods: Several medical classics of 12th to 19th centuries were narratively reviewed for prototypical descriptions of IOA's in the context of clinical practice. Results: IOA's in the medical classics reviewed adopted such materials as bamboo, chopsticks, and coins that were adjusted in the height and were used as a temporary IOA's with response of the patient being monitored. IOA's were applied integratively with herbal medicine for diverse complaints such as pain, hearing problem, cough, asthma, and rhinorrhea. Conclusions: Prototype IOA's in the medical classics suggest an individualized, integrative, and holistic principle and usage of IOA's in the tradition of Korean medicine.

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Adaptation Experience of Living Kidney Donors after Donation (생체 신장 공여자의 공여 후 적응 경험)

  • Kang, Da-Hai-Som;Yang, Jinhyang
    • Journal of Korean Academy of Nursing
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    • v.46 no.2
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    • pp.271-282
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    • 2016
  • Purpose: This study was done to explore adaptation experience of living kidney donors after donation. Specific aims were to identify challenges donors face in the process of adaptation following surgery and how they interact with recipients and other people. Methods: Grounded theory methodology was utilized. Participants were 13 living kidney donors at six months or more after donation. Data were collected by in-depth interviews with individual participants. Data were analyzed using constants comparative method with theoretical saturation. Results: A core category emerged as 'keeping the fences of my family in spite of vulnerability'. The adaptation process after donation was manifested in four phases: exploration, balance, maintenance, and acclimatization. Phenomenon was perception of vulnerability. Strategies to manage the vulnerability were assessing changes of body awareness, tailoring regimen to one's own body condition, coping with health problems, keeping restoration of health, and ruminating on the meaning of one's kidney donation. Consequences were reestablishing family well-being, realizing the values of one's kidney donation, and living with uncertainty. Conclusion: Findings of the study indicate that there is a need for health professionals to understand the vulnerability of living kidney donors and help their family system maintain a healthy and productive life. The results of this study can be used to develop phase-specific, patient-centered, and tailored interventions for living kidney donors.

A Study on the Possible New Fusion between Mobile and Healthcare Service (모바일과 의료서비스 간의 새로운 융합 가능성에 관한 연구)

  • Shin, Yong Jae;Kim, Jin Hwa;Lee, Jea Beom
    • Journal of Information Technology Services
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    • v.11 no.sup
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    • pp.27-39
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    • 2012
  • As many applications are possible now in mobile environment with the trend of mobile convergence, diverse applications in healthcare industry are also possible in mobile devices. Though lots of researches on mobile and health services are introduced, they are limited to specific area or techniques. This study shows possible directions of fusion between mobile technologies and health services in the future using a data mining technique called association rule analysis. The data used in this study is collected from web pages containing key words related to mobile technologies and health services. The analysis shows that current cases of fusion between monitoring based telemedicine and patients. It also shows another case of fusion between mobile hospital and medical screen charts. These show that fusion between mobile technologies and health services already began in industry. Association rules are found between well-being, city, diet, and sleep. The association rules containing security and privacy, though their associations are not so strong, also show that security and privacy of patient information should be protected in the future. The results show that the fusion of mobile technologies and health services is expected to provide health services to more users and larger areas. It is also expected to create new diverse business models in the future.

A Security Labeling Scheme for Privacy Protection in Personal Health Record System (개인건강기록 시스템에서 개인 프라이버시 보호를 위한 보안 레이블 기법)

  • Yi, Myung-Kyu;Yoo, Done-sik;Whangbo, Taeg-Keun
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.15 no.6
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    • pp.173-180
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    • 2015
  • The advent of personal healthcare record(PHR) technology has been changing the uses as well as the paradigm of internet services, and emphasizing the importance of services being personalization. But the problem of user's privacy infringement and leaking user's sensitive medical information is increasing with the fusion of PHR technology and healthcare. In this paper, we propose a security labeling scheme for privacy protection in PHR system. In the proposed scheme, PHR data can be labeled also manually based on patient's request or the security labelling rules. The proposed scheme can be used to control access, specify protective measures, and determine additional handling restrictions required by a communications security policy.

Implementation of Electronic Accupuncure using Intelligence (지능을 이용한 전자침 구현)

  • Hong, You-Sik;Kim, Hong-Kyun;Kim, Chun-Sik;Chung, Myoung-Hee
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.49 no.2
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    • pp.20-28
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    • 2012
  • Recently, the scientific study from traditional oriental medicine is being progressed. Moreover, through both oriental medicine and medicine are cooperated with medical examination and treatment, the study in cooperation of merits from oriental medicine as well as from medicine is progressed. In this paper, we will develop automatic needle shot using fuzzy rules and USN techniques, which a user can choose meridian pathways from the menu items built in the cellular phone, so it can perceive patient's body conditions and launch an aneurysm electric pressure of a cycle.

A COMPARATIVE STUDY ON THE ANTICARIOGENICITY OF ENAMEL SURFACE ADJACENT TO RESIN RESTORATION POLYMERIZED BY VISIBLE LIGHT OR ARGON LASER. (가시광선과 아르곤 레이저에 의해 중합된 레진 수복물 주변 법랑질의 항우식효과에 관한 비교연구)

  • Park, Young-Soo;Kim, Jong-Soo;Kim, Yong-Kee
    • Journal of the korean academy of Pediatric Dentistry
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    • v.23 no.4
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    • pp.840-858
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    • 1996
  • The main purpose of this study was to evaluate the anticariogenic effect of argon laser. Histological observations on lesion initiation and progression were performed under the polarized microscope. The results from the present study can be summarized as follows; 1. The specimens of laser cured group were shown to have more irregular and discontinuous lesion body in general than visible light cured group with rather continuous positive birefringence. 2. With lesion initiation and progression, almost all the specimens showed deeper body of lesion with shallower intact surface zone in the visible light cured group than the laser cured group(p<0.05). When the comparision was made between the two argon laser cured groups, the single-cure group showed deeper lesion body and the shallower surface layer than double-cure group. 3. Based upon the above mentioned results of this study, it can be assumed that the use of argon laser in the procedure of resin polymerization may provide the child and adolescent patient population with anticariogenic effect as well as efficient polymerization. Further studies using various materials and experimental conditions are being encouraged.

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Perception of Nurse Experts on the Contribution of Nursing Interventions to NOC Nursing Outcomes in General Hospitals in Korea

  • Lee Byoungsook
    • Journal of Korean Academy of Nursing
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    • v.35 no.4
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    • pp.649-655
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    • 2005
  • The purpose of this study was to identify the perception of nurse experts on the contribution of nursing interventions to Nursing Outcomes Classification NOC nursing outcomes. A nursing outcome is a nursing-sensitive patient outcome primarily affected by nursing interventions. As one of the standardized language systems of nursing outcomes, the NOC must be examined for applicability before it is used in Korea. Data were collected in February and March 2003 using a 5-point Likert scale. For data collection, 230 quality improvement (QI) or quality assurance (QA) nurses from general hospitals in Korea were asked to rate the extent that nursing interventions contribute to each of the NOC nursing outcomes (2000) in their hospitals. Ninety-six nurses from 63 hospitals responded and the response rate was $41.7\%$. Mean scores for perception of contribution of nursing interventions to each of the NOC nursing outcomes ranged from 2.18 to 4.54. Vital Signs Status had the highest score (M = 4.54), and Abuse Recovery: Financial, the lowest score (M = 2.18). Of the seven NOC domains, the mean score was highest for Physiologic Health (M = 3.91) and lowest for Community Health (M = 2.92). Of the 29 NOC classes, the mean score for perceived contribution was highest for Metabolic Regulation (M = 4.32) and lowest for Community Well-Being (M = 2.92). Participants perceived that nursing interventions in general hospitals in Korea contributed, at least to a certain extent, to most of the NOC nursing outcomes. Based on these results, NOC should have relatively good applicability in Korea.

The diagnosis of sleep related breathing disorders and polysomnography (수면호흡장애의 진단과 수면다원검사)

  • Park, Ji Woon
    • The Journal of the Korean dental association
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    • v.53 no.4
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    • pp.238-248
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    • 2015
  • Sleep related breathing disorders(SRBDs) are a group of diseases accompanied by difficulties in respiration and ventilation during sleep. Central sleep apnea, obstructive sleep apnea(OSA), sleep-related hypoventilation, and hypoxemia disorder are included in this disease entity. OSA is known to be the most common SRBDs and studies show its significant correlation with general health problems including hypertension, arrhythmia, diabetes, and metabolic syndrome. The diagnostic process of OSA is composed of physical examinations of the head and neck area and also the oral cavity. Radiologic studies including cephalography, CT, MRI, and fluoroscopy assist in identifying the site of obstruction. However, polysomnography(PSG) is still considered the gold standard for the diagnosis of OSA since it offers both qualitative and quantitative recording of the events during a whole night's sleep. The dentist who is trained in sleep medicine can easily identify patients with the risk of OSA starting from simple questions and screening questionnaires. Diagnosis is the first step to treatment and considering the high rate of under-diagnosis for OSA the dentist may play a substantial role in the diagnosis and treatment of OSA which will eventually lead to the well-being of the patient as a whole person. So the objective of this article is to assist dental professionals in gaining knowledge and insight of the diagnostic measures for OSA including PSG.

A qualitative study on experiences of job satisfaction and meaning of work among clinical dental hygienists (임상 치과위생사의 직무만족 경험과 일의 의미에 대한 질적 연구)

  • Park, Ji-Hyeon;Lim, Soon-Ryun
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.4
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    • pp.615-624
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    • 2019
  • Objectives: This study explored job satisfaction experience and meaning of work in dental hygienists. Methods: In-depth interviews were conducted with 13 clinical dental hygienists who had been working in dental clinics for more than 10 years. The analysis method used was developed by Giorgi, including all four steps. Results: The results of the interview were categorized into five central meanings: recognition and trust (including patient's trust, trust in the boss, recognition in the hospital, and intimacy), growth (growth of the hospital, growth in jobs, and problem-solving skills), professional pride (self-esteem, extension of work and changes of awareness, and being able to help others), reward (financial compensation and psychological rewards), and meaning of life given by work (the process of maturing, self-representation, and vitality of life). Conclusions: Based on this study, we need to develop tools to measure dental hygienists' level of job satisfaction as well as follow-up research on ways to improve it.

Treatment for ophthalmic paralysis: functional and aesthetic optimization

  • Kim, Min Ji;Oh, Tae Suk
    • Archives of Craniofacial Surgery
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    • v.20 no.1
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    • pp.3-9
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    • 2019
  • Facial nerve palsy has an effect on a person's well-being functionally and psychologically. Therefore, comprehensive patient management is essential. One of the most common uncomfortable and potentially debilitating features is associated with the incapacity for eye closure. Restoration of eye closure is a key consideration during the surgical management of facial palsy. In this article, we introduce simple surgical methods-which are relatively easy to learn and involve the upper and lower eyelids-for achieving eye closure. Correcting upper eyelid function involves facilitating the component of eye closure that is in the same direction as gravity and is, therefore, less complicated and favorable outcomes than correction of lower lid. Aesthetic aspects should be considered to correct the asymmetry caused by facial palsy. Lower eyelid function involves a force that opposes gravity for eye closure, which makes correction of lower eyelid ectropion more challenging than surgery for the upper eyelid, particularly in terms of effecting a sustained correction. Initially, proper ophthalmic evaluation is required, including identifying the chronicity and severity of ectropion. Also, it is important to determine whether or not lateral canthoplasty is necessary. The lateral tarsal strip procedure is commonly used for lower lid correction. However, effective lower lid correction can be achieved with better cosmesis when extensive supporting techniques are applied, including those involving cheek tissue.