Park, Jae Hyun;Kook, Yoon-Ah;Kojima, Yukio;Yun, Sunock;Chae, Jong-Moon
The korean journal of orthodontics
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v.49
no.3
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pp.188-193
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2019
Objective: The aim of this finite element study was to clarify the mechanics of tooth movement in palatal en-masse retraction of segmented maxillary anterior teeth by using anchor screws and lever arms. Methods: A three-dimensional finite element method was used to simulate overall orthodontic tooth movements. The line of action of the force was varied by changing both the lever arm height and anchor screw position. Results: When the line of action of the force passed through the center of resistance (CR), the anterior teeth showed translation. However, when the line of action was not perpendicular to the long axis of the anterior teeth, the anterior teeth moved bodily with an unexpected intrusion even though the force was transmitted horizontally. To move the anterior teeth bodily without intrusion and extrusion, a downward force passing through the CR was necessary. When the line of action of the force passed apical to the CR, the anterior teeth tipped counterclockwise during retraction, and when the line of action of the force passed coronal to the CR, the anterior teeth tipped clockwise during retraction. Conclusions: The movement pattern of the anterior teeth changed depending on the combination of lever arm height and anchor screw position. However, this pattern may be unpredictable in clinical settings because the movement direction is not always equal to the force direction.
This study compared the pattern of purchasing nutritional supplements and obtaining nutrition information and the Nutrition Quotient of adults who exercise regularly according to the frequency of muscle training (LM, muscle training less than two days/week; MM, 2~3 days/week; HM, more than three days/week). Compared to the other groups, significantly more men in the HM group answered that they had purchased supplements and would repurchase them. They presented "increasing muscle mass" as the purpose of buying them and "types and contents" as the major factor to consider before buying. The supplements that significantly more subjects in the HM group purchased than in the other groups were protein supplements, BCAA (Branched-chain amino acid), arginine, and caffeine supplements for men and protein supplements, BCAA and carnitine for women. Compared to the other groups, significantly more men and women in the HM group reported "trainer" as the major source of nutrition information, and significantly more men in the HM group reported "increasing muscle mass" as the 1st topic of nutrition education that they wanted to receive and were satisfied with the information that they obtained. Most of all, males and females in the HM group had significantly a higher Nutrition Quotient than in the other groups. The differences between males and females in variables regarding exercise, the patterns of using supplements and acquiring nutrition information, and Nutrition Quotient were also found. These results can provide basic data for developing educational materials emphasizing the wise consumption of nutrition information, including supplement intake.
Objective: To analyze the microimplant (MI) displacement pattern on treatment with a maxillary skeletal expander (MSE) using cone-beam computed tomography (CBCT). Methods: Thirty-nine participants (12 males and 27 females; mean age, 18.2 ± 4.2 years) were treated successfully with the MSE II appliance. Their pre- and post-expansion CBCT data were superimposed. The pre- and post-expansion anterior and posterior inter-MI angles, neck and apical inter-MI distance, plate angle, palatal bone thickness at the MI positions, and suture opening at the MI positions were measured and compared. Results: The jackscrew plate was slightly bent in both anterior and posterior areas. There was no significant difference in the extent of suture opening between the anterior and posterior MIs (P > 0.05). The posterior MI to hemiplate line was greater than that anteriorly (P < 0.05). The apical distance between the posterior MIs was greater than that anteriorly (P < 0.05). The palatal thickness at the anterior MIs was significantly greater than that posteriorly (P > 0.01). Conclusions: In the coronal plane, the angulation between the anterior MIs in relation to the jackscrew plate was greater than that between the posterior MIs owing to the differential palatal bone thickness.
Poorya Jalali;Jessica Riccobono;Robert A. Augsburger;Mehrnaz Tahmasbi-Arashlow
Restorative Dentistry and Endodontics
/
v.48
no.3
/
pp.23.1-23.8
/
2023
Objectives: The formation of new bone by periosteum due to an insult is called periosteal bone reaction (PBR). This study assessed the cone beam computed tomography (CBCT) patterns of periosteal bone reactions associated with periapical inflammatory lesion (apical periodontitis/periapical rarefying osteitis). Materials and Methods: Twenty-two small field of view CBCT images of patients with PBR were selected from a database of a private practice limited to endodontics. The volume of the periapical inflammatory lesion, the presence of cortical fenestration, the distance of the root apices to the affected cortex, and the location, pattern, and longest diameter of the periosteal reaction were recorded. Statistical analysis was performed using Wilcoxon Ranksum, Fischer's exact, Spearman Correlation Coefficient, and paired t-test. Results: In all cases, periosteal bone reaction manifested as either parallel (90.9%) or irregular (9.1%). No correlation was found between periapical inflammatory lesion volume and the periosteal reaction's longest diameter (p > 0.05). Cortical fenestration was noted in 72.7% of the cases. In addition, the findings showed that periosteal reactions were located mostly on the buccal and were present 53.8% and 100% of the time in the mandible and maxilla, respectively. Conclusions: The periosteal reactions of endodontic origin had a nonaggressive form (i.e., parallel or irregular), and none of the lesions resulted in a periosteal reaction with an ominous Codman's triangle or spicule pattern.
Objectives: This study aims to evaluate the clinical validity of the system by conducting a clinical study to assess the diagnostic agreement between the system and Korean medical doctors. Methods: This study was conducted from September 7, 2023, to December 7, 2023, across five Korean medicine institutions, involving 100 adult participants aged 20-64 who consented to participate. Participants first entered their symptoms into a web-based program, which utilized an AI-based algorithm to diagnose 36 types of pattern differentiation. Subsequently, Korean medical doctors conducted face-to-face diagnoses using the same 36 types. The diagnostic agreement between the system and the doctors' diagnoses was analyzed using descriptive statistical analysis, and the results were expressed as a percentage agreement. Results: Analysis of the diagnostic data from 100 participants revealed that the web-based diagnosis support system identified an average of 7.76±0.79 patterns per patient, while Korean medical doctors identified an average of 7.99±0.10 patterns per patient. The diagnostic agreement between the system and the doctors showed an average of 7.08±1.08 patterns per patient, with an overall diagnostic agreement rate of 88.57±13.31%. Conclusion: This study developed a web-based diagnosis support system for traditional Korean medicine and evaluated its clinical validity by assessing diagnostic agreement. Comparing the diagnoses of the system with those of Korean medical doctors for 100 patients, the system showed an approximately 89% agreement rate with the clinical diagnoses. The system holds potential for aiding Korean medical doctors in pattern differentiation diagnosis in clinical practice.
This study investigates the stressors of dental hygienists and student hygienists during the bedside training by the medical center type. The survey is based on some dental hygienists who are working for dental college hospitals, general hospitals, dental hospitals and dental clinics in Seoul and Gyeonggi area which the Clinical Practice of dental hygienics students is under way in. Included are the students who are studying dental hygienics at Kyungbok University and have taken the bedside training in dental college hospitals, general hospitals, dental hospitals and dental clinics. A statistical analysis shows the following results using SPSS program. By medical center type, dental hygienists described the clinical practice of students as relatively satisfying. It also found that there is a positive correlation between stress zones, and they feel most stressed in the "Role and Activity" zone. Student hygienists felt relatively satisfied with the bedside training, and there is a positive correlation between stress zones except "Practice". It found students, who have taken the bedside training in all types of medical centers except dental clinics, felt most stressed in "Environment". It also found that students who have taken the bedside training in dental clinics felt most stressed in "Role and Activity". In conclusion, most of the dental hygienists are satisfied with students' clinical practice by pattern of hospital. Positive correlation was shown between stress factors. Behavior and attitude and ideal and value are high in stress in college dental hospitals, role and activity and treatment fields are high in stress in dental hospital, and interpersonal relationships are high in stress in dental clinics.
Objectives: This study is aimed to figure out Korean medicine doctors' recognition of Korean Medicine clinical practice guidelines (CPG) and clinical fields of treating primary dysmenorrhea before developing CPG for dysmenorrhea. Methods: We conducted a questionnaire survey targeting 515 Korean medicine doctors belonging to the Association of Korean Medicine by e-mail and analyzed the answers. Results: 81.2% of the respondents knew the concepts and contents of CPG, and 98.7% agreed about the necessity of CPG. 94.2% were willing to use CPG for dysmenorrhea in learning and treating. Average number of patients visiting the respondents' clinics for dysmenorrhea was 3.9, the main age group was 20s (63.1%), and the treatments the patients given before were mostly Western treatments such as pain killers and hormonal drugs. The respondents answered that they diagnosed patients with dysmenorrhea mainly with pattern diagnosis (41.6%), and treated them with herbal medicine (39.2%), acupuncture (31.6%) and moxibustion (22.6%) for 2-3 months. They answered that the acupoint they use most was San yin jiao, and the prescription was Gui-zhi-fu-ling-wan, They answered that the field considered to need further study was decoction of herbal medicine most (27.4%), and the field considered to need insurance coverage was also decoction of herbal medicine most (40.2%). Conclusions: We figured out Korean Medicine doctors' recognition of CPG, clinical diagnosis, treatment, cost for treating dysmenorrhea, and fields of clinical research and policy they required.
To provide the basic data essential for developing varieties of broad-leaved tree, the study investigated the utmost growth requirement for the growth characteristic and biomass production in accordance with planting density of Styrax obassia. The planting density of seedling can be a significant factor in contributing growth of seedling for tree growing in general. While growth of tree according to $1m^2$ planting density of Styrax obassia showed an excellent growth in tree height and the root collar diameter from $49no./m^2$, those low planting density showed decreased tendency with tree height growth while increasing the root collar diameter growth. As similar to the growth characteristic, the biomass production showed significant and statistic difference in $49no./m^2$, showing high volume of biomass production which is $3.12{\pm}0.80g$ compare to other processing section and high figure with T/R ratio which is 1.59. The special trait of photosynthetic also showed relatively high photosynthetic rate in $49no./m^2\;and\;64no./m^2$ of Styrax obassia and as the density increase, photosynthetic efficiency decreased. The plant showed stable and physiological planting pattern, displaying the best photosynthetic rate, which was the final metabolism through reserving proper space in the growth and development environment condition. This obstacle of required space essential for growth substantially deteriorated planting and ultimately, it demonstrated lower tendency of photosynthetic rate, which is the highest level of metabolism.
Hyo-Jeong Jung;Dong-Il Kim;Su-Ji Choi;Su-In Hwang;Young-Jin Yoon;Jang-Kyung Park
The Journal of Korean Medicine
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v.43
no.3
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pp.122-138
/
2022
Objectives: This study was conducted to develop a Korean Medicine(KM) Clinical Practice Guidelines(CPG) of female infertility. We conducted this questionnaire survey to reflect the experiences of Korean Medicine doctors(KMD) and clinical field in Korea. Method: We sent a questionnaire survey to KMD belonging to the Association of Korean Medicine by e-mail. We received 665 responds, and analyzed the answers. Results: 51.2% of respondents knew the previously developed CPG of female infertility, and 18.3% actually used. 83.3% agreed about the necessity of CPG of female infertility, and 80.3% had practical use plan. 90.2% of respondents treated less than 5 infertility woman for a month. 22.7% of respondents treated 50% of patients with collaborative treatment of KM and Western medical treatments. The main age group of patients was '35~40 years'(54.7%), and the most common cause was unexplained infertility(61.7%). The most common pattern identification of female infertility patients was Kidney deficiency(55.4%). KMD used 'a combination of decoction of herbal medicine, acupuncture and moxibustion treatment' the most(43%), and 'a decoction of herbal medicine treatment alone' was next(35%). 84.2% conducted lifestyle modification education about diet, stress, exercise etc. Conclusion: We figured out Korean Medicine doctors' recognition about CPG of female infertility, preference of treatments, and also characteristics of patients visiting Korean Medical clinics to make a practical CPG reflecting clinical situation.
The Journal of Korean Academic Society of Nursing Education
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v.14
no.2
/
pp.315-323
/
2008
Purpose: This study was performed to compare mothers' health promotion behaviors between those who have a disabled child and those who have a healthy child. Method: The participants were 243 mothers from 24 Daycare Centers for Children with Disabilities and 310 mothers from 5 child daycare centers. Mothers with preschool children completed self-report questionnaires, asking about health behaviors for preschool children. Data from these surveys was analyzed using the ANOVA, t-test, and $x^2$-test with the SPSS 15.0 Win program. Result: Mothers with disabled children showed less health promotion behaviors than the mothers' of children without disabilities. Two sub-categories, activity-exercise and health perception-health management pattern, showed significant differences between the two groups. In addition, mothers' health behaviors for disabled children were significantly different according to the children's age, mothers' employed status, and number of children in the family. Conclusion: These results suggest that mothers with disabled preschool children are likely to practice less health promotion behaviors with their children compared to others. These findings suggest that health promotion support programs for mothers with disabled children should be developed and offered. For effective intervention, pediatric nurses also need to be involved in the health of disabled children.
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