• Title/Summary/Keyword: Physical Restraint

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INTRAMUSCULAR MIDAZOLAM SEDATON IN AUTISM PATIENT FOR CARIES TREATMENT : CASE REPORT (미다졸람 근주요법을 이용한 자폐증 환자의 우식치료 : 증례보고)

  • Bae, Youngeun;Noh, Taehwan;Kim, Bomi;Jeong, Taesung
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.11 no.1
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    • pp.17-20
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    • 2015
  • Autism is a life-long neurodevelopmental disorder characterized by qualitative abnormalities in reciprocal social interactions and patterns of communication. Patients with autism are difficult to manage during dental treatment. Thus they need special consideration like physical restraint, conscious sedation or general anesthesia. A 5-year-old male dental patient with autism was reffered to dental treatment under conscious sedation using intramuscular midazolam that creats anterograde amnesia. Dental procedure using midazolm which cause anterograde amnesia can be effective treatment strategy in autism patient.

A Study on Anti-Stress Activities of Cholic Acid Derivatives (담츱산류의 항스트레스 효능에 관한 연구)

  • 조태순;이종찬;조성익;이선미
    • Biomolecules & Therapeutics
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    • v.6 no.3
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    • pp.232-241
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    • 1998
  • This study was done to investigate whether cholic acid derivatives have anti-stress activity in various stress models. Two cholic acid derivatives, ursodeoxycholic acid (UDCA) and tauroursodeoxycholic acid (WDCA), were used. physical, psychological, chemical and environmental stress models were performed. Adrenal weight, serum glucose levels and ALP activity were elevated in restraint stress model, but this elevation was prevented by UDCA treatment. Moreover, UDCA and TUDCA inhibited exploratory and spontaneous movements in oscillation stress model. In alcohol-induced stress model, TUDCA improved rotarod performance. UDCA and TUDCA significantly reduced the involution of lymphoid organs and the increment of WBC counts in cold stress model. These findings suggest that choric acid derivatives have antistress effects in various stress models.

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Hyaluronic Acid Subdermal Filler for Correction of Lower Eyelid Entropion in a Cat

  • Kim, Youngsam;Kang, Seonmi;Seo, Kangmoon
    • Journal of Veterinary Clinics
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    • v.37 no.5
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    • pp.292-294
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    • 2020
  • A 14-year-old castrated male Persian cat presented with epiphora, blepharospasm, brownish ocular discharge, corneal neovascularization, and corneal opacity in the left eye. Medial lower eyelid entropion was diagnosed through an ophthalmic examination. Since the cat was old and suffered from chronic kidney disease, we decided to perform a hyaluronic acid (HA) subdermal filler injection without general anesthesia rather than surgical correction. After topical anesthesia by lidocaine jelly and disinfection, HA filler was injected into the medial lower eyelid under minimal physical restraint. At the last follow-up 139 days later, lower eyelid entropion was not observed and related clinical signs disappeared. Therefore, HA subdermal filler can be an effective intervention for the treatment of entropion in cats.

The Effect of Exhalation Breathing Exercise on Respiratory Synergist Muscle Activity and Pulmonary Functions in Patients with Forward Head Posture

  • Kang, Jeong-Il;Jeong, Dae-Keun
    • The Journal of Korean Physical Therapy
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    • v.28 no.2
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    • pp.149-154
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    • 2016
  • Purpose: The aim of this study is to suggest an intervention method for clinical use in the future by analyzing the effect of breathing exercise on activity of sternocleidomastoid muscle and scalenus anterior muscle, which are respiratory synergist muscles, and pulmonary functions in patients with forward head posture. Methods: Prior to the experiment, 12 patients (experimental group) performed feedback exhalation exercise along with conventional deep neck exercise, and 11 subjects (control group) performed feedback deep neck exercise along with conventional deep neck exercise. The intervention programs were performed for 40 minutes once a day (three times a week for four weeks). Results: Before intervention, %RMS was measured for surface electromyography (sEMG), and FVC, FEV1, and FEV1/FVC were measured using a spirometer. After four weeks, these items were re-measured under the same condition and analyzed. In within-group comparison of the experimental group, activity of sternocleidomastoid muscle and scalenus anterior muscle showed a significant decrease (p<0.05)(p<0.001), and forced vital capacity (FVC) showed a significant increase (p<0.05). In within-group comparison of the control group, activity of sternocleidomastoid muscle and scalenus anterior muscle showed a significant decrease (p<0.05), and in between-group comparison, there were significant differences in activity of sternocleidomastoid muscle and FVC (p<0.05). Conclusion: Long-term forward head posture restrains exercise performance of the neck and leads to exercise avoidance of the neck during daily activities, thus restraint factors might be created even while breathing. To cut off this link, a constant effort is required and diversified research on the correlation between neck functions and breathing should be conducted.

Effect and Value of Custom-made Mouthguard in Athletic Performance (맞춤형 마우스가드의 효능과 실제)

  • Lee, sungbok Richard
    • The Journal of the Korean dental association
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    • v.53 no.9
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    • pp.602-609
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    • 2015
  • The aim of this document is to evaluate the effect of bite balance on physical fitness and motor capacity to determine the importance of the occlusal stability as a possible action mechanism of occlusal appliance including mouthguards on physical performances. We all remember that day when the prominent athlete was in the news wearing a mouthguard to improve human athletic performance. I once had investigated the determinants of athletic performance in all sorts of sports. Most of the studies had overinterpretation of results and lack of evidence to support the information. However, I discovered great expectations for new possibility in this field and settled for a more academic approach to this intriguing subject. The followings are some examples of the subject 1. Archers who wore occlusal appliances to increase the vertical dimension of occlusion by 2~3mm increased their ability to focus and to maintain good sense of balance. Their accuracy rate has been improved. The appliance was made of acrylic resin (a type of plastic). 2. Canoe players who wore occlusal appliances to increase the vertical dimension of occlusion by 5mm surpassed longtime competitor and won the race with 10 seconds gap. 3. A cycle rider who wore an occlusal appliance to treat his malocclusion surpassed his old record from 10.8 seconds to 10.3 seconds. His muscle reflexes (anaerobic exercise) and endurance (aerobic exercise) has been enhanced. 4. Occlusal appliances had a good effect on athletic performance in most sports such as swimming, diving, and weightlifting. As for the clenching on dentition, people clench their teeth when they push their physical and mental limits during sports activities. Clenching can be induced by physical exertion when maximum muscle strength is retained and this is similarly found in different types of exercises. In addition, restraint of respiratory function is observed. Therefore, creating a occlusal balance with occlusal appliance or mouthguard promoted a favorable influence when an athlete clenches.

Elderly Care Worker's Recognition and Attitude about Uses of Physical Restraints (신체억제에 대한 요양보호사의 인식과 태도)

  • Sung, Byung-Ju;Ko, Sung-Hee;Lee, Young-Hee
    • Journal of Digital Convergence
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    • v.14 no.9
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    • pp.495-504
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    • 2016
  • The purpose of this study was conducted to investigate the perception and attitude toward physical restraints among elderly care workers. The subjects were 153 care workers who are working at elderly care facilities within the regions. Data were collected by structured questionnaires. Collected data were analyzed using descriptive statistics, t-test, ANOVA, $Scheff{\acute{e}}$ test and Pearson Correlation Coefficient. The mean score of the perception for physical restraints was 2.83 out of 5, and the mean score of the attitude for the physical restraints was 3.56 out of 5. There was a statistically significant positive correlation between the perception and attitude about physical restraints (r=.31, p<.001). This research has confirmed that it is necessary for care workers to have education about low score items of recognition and attitude about physical restraints. Therefore, we need to develop proper and efficient educational program about use method for physical restraints, and need to develop guideline for adopting physical restraints. Also, we should make efforts and attentions to reduce or abolish physical restraints in order to protect the elderly human rights.

Changes in Limb Circumferences among Intensive Care Unit Patients and Related Factors (중환자실 환자의 입원기간에 따른 사지 둘레 변화 및 관련요인)

  • Shin, Hye Eun;Kang, Jiyeon
    • Journal of Korean Critical Care Nursing
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    • v.9 no.2
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    • pp.13-25
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    • 2016
  • Purpose: This study was conducted to identify changes in limb circumferences among patients admitted to the intensive care unit (ICU) and related factors. Methods: We conducted a prospective observational study with 27 patients from 3 ICUs at a university hospital located in B city of Korea, from September 1 to October 30, 2015. The circumferences of the left and right upper arms, thighs, and lower legs were measured on the first, third, fifth, and seventh days of ICU admission. Information on the related factors was collected from the medical records. The data were analyzed using a linear mixed model method. Results: The limbs circumferences significantly reduced from day 3, and the changes continued till day 7. These changes were related to the gender of the subjects, restraints application, use of steroids, and continuous renal replacement therapy. Conclusions: Based on the above results, it can be concluded that ICU-acquired weakness begins before the third day of admission. Thus, early mobilization protocols for ICU patients need to be developed and implemented in order to improve long-term outcomes.

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A Study on Obese Female College Students' Weight Control Experiences (비만 여대생의 체중조절 경험 연구)

  • Hwang, Yun-Young
    • Women's Health Nursing
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    • v.10 no.4
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    • pp.291-300
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    • 2004
  • Purpose: This study attempted to show the implications of obese female college students' weight control experiences and to use this as primary data for developing a nursing intervention. Method: The participants were 7 obese students who had tried losing weight at C College on Jeju Island. Their average age was 22 and BMI was $25.6kg/m^2$ on average. The data were collected from May 17th to July 6th 2004, and in-depth interviews were conducted with open-ended questions. Result: The analysis was conducted by Colaizzi's phenomenological method, and the analyzed results were categorized into 9 criteria, 22 theme clusters and 50 themes. The 9 criteria include withdrawal, desperation, self-restraint, relief, satisfaction, distraction, depression, regaining self-control and negligence of health. They tended to go through a weight gain loss cycle in a repetitive manner, and were faced with great physical and mental difficulties. In addition, they often went on a severely-strict diet without taking their health condition into consideration, which, in effect, causes various health problems. Conclusion: This study gives insights into the weight control experiences of obese female college students, and it shows developing more practical and effective nursing interventions are urgently needed.

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Risk Index of Debris Flow Damage for Hydro- and Geographic Characteristics of Debris Flow with Bayesian Method

  • Lee, JunSeon;Yang, WooJun;You, KwangHo;Kim, MunMo;Lee, Seung Oh
    • Proceedings of the Korea Contents Association Conference
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    • 2016.05a
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    • pp.241-242
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    • 2016
  • Recent abnormal climate change induces localized heavy rainfall and extreme disasters such as debris flow near urban area. Thus many researches have been conducted to estimate and prevent, especially in focus of physical behavior of debris flow. Even though it is hardly to consider overall related parameters to estimate the extent and degree of directly or indirectly damages due to debris flow. Those analytic restraint would be caused by the diversity and complexity of regional topographic and hydrodynamic characteristics of debris flow inside. We have utilized the Bayesian method to compensate the uncertainty due to the complex characteristics of it after analyzing the numerical results from FLO-2D and field measurement data. Revised values by field measurements will enhance the numerical results and the missing parameters during numerical simulation will be supplemented with this methodology. As a final outcome in this study, the risk index of debris flow damage will be suggested to provide quantitative estimation in terms of hazard protection including the impact on buildings, especially in inner and outer of urban area.

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ANTERIOR ESTHETIC RESIN RESTORATION OF INTELLECTUALLY DISABLED CHILD WITH OLIGODONTIA : A CASE REPORT (부분 무치증을 동반한 지적장애 환자의 전치부 심미수복 : 증례보고)

  • Bae, Youngeun;Kim, Jiyeon;Jeong, Taesung
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.12 no.2
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    • pp.66-71
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    • 2016
  • Intellectual disability is accompanied by a high incidence of congenitally absent teeth and supernumerary teeth, and is observed more frequently than are disorders of location and order during delayed eruption, when accompanied by other symptoms. Furthermore, it is associated with a higher occurrence of dental anomalies such as conical teeth, microdontia, and amelogenesis imperfecta. As it is difficult to obtain adequate cooperation from patients with intellectual disabilities, physical restraint and conscious sedation using medication and general anesthesia can be considered. Reshaping of conical teeth with resin composite may be helpful to rehabilitate patients with oligodontia and a conical tooth shape. Diagnostic wax-up and a silicone matrix formed the basis for the successful reconstruction of the anterior teeth. This case describes the treatment of a patient with intellectual disability who had oligodontia and conical-shaped incisors. Under general anesthesia, the patient was treated using direct composite resin restoration.