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Guidelines for dental clinic infection prevention during COVID-19 pandemic (코로나 바이러스 대유행에 따른 치과 의료 관리 가이드라인)

  • Kim, Jin
    • Journal of Korean Academy of Dental Administration
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    • v.8 no.1
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    • pp.1-7
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    • 2020
  • Dental settings have unique characteristics that warrant specific infection control considerations, including (1) prioritizing the most critical dental services and provide care in a way that minimizes harm to patients due to delayed care, or harm to personnel from potential exposure to persons infected with the COVID-19 disease, and (2) proactively communicate to both personnel and patients the need for them to stay at home if sick. For health care, an interim infection prevention and control recommendation (COVID-19) is recommended for patients suspected of having coronavirus or those whose status has been confirmed. SARS-CoV-2, which is the virus that causes COVID-19, is thought to be spread primarily between people who are in close contact with one another (within 6 feet) through respiratory droplets that are produced when an infected person coughs, sneezes, or talks. Airborne transmission from person-to-person over long distances is unlikely. However, COVID-19 is a new disease, and there remain uncertainties about its mode of spreads and the severity of illness it causes. The virus has been shown to persist in aerosols for several hours, and on some surfaces for days under laboratory conditions. COVID-19 may also be spread by people who are asymptomatic. The practice of dentistry involves the use of rotary dental and surgical instruments, such as handpieces or ultrasonic scalers, and air-water syringes. These instruments create a visible spray that can contain particle droplets of water, saliva, blood, microorganisms, and other debris. While KF 94 masks protect the mucous membranes of the mouth and nose from droplet spatter, they do not provide complete protection against the inhalation of airborne infectious agents. If the patient is afebrile (temperature <100.4°F)* and otherwise without symptoms consistent with COVID-19, then dental care may be provided using appropriate engineering and administrative controls, work practices, and infection control considerations. It is necessary to provide supplies for respiratory hygiene and cough etiquette, including alcohol-based hand rub (ABHR) with 60%~95% alcohol, tissues, and no-touch receptacles for disposal, at healthcare facility entrances, waiting rooms, and patient check-ins. There is also the need to install physical barriers (e.g., glass or plastic windows) in reception areas to limit close contact between triage personnel and potentially infectious patients. Ideally, dental treatment should be provided in individual rooms whenever possible, with a spacing of at least 6 feet between the patient chairs. Further, the use of easy-to-clean floor-to-ceiling barriers will enhance the effectiveness of portable HEPA air filtration systems. Before and after all patient contact, contact with potentially infectious material, and before putting on and after removing personal protective equipment, including gloves, hand hygiene after removal is particularly important to remove any pathogens that may have been transferred to the bare hands during the removal process. ABHR with 60~95% alcohol is to be used, or hands should be washed with soap and water for at least 20 s.

Association Between Nut Consumption and Hypertension According to Sleep Duration Among Korean Adults (Aged 19-69 Years): 2010~2016 Korea National Health and Nutrition Examination Survey (우리나라 19-69세의 수면시간에 따른 견과류 섭취와 고혈압의 연관성: 2010~2016 국민건강영양조사 자료를 이용하여)

  • Fan, Xueying;Kim, Yookyung;Shin, Woo-Kyoung
    • Journal of Korean Home Economics Education Association
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    • v.33 no.4
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    • pp.103-117
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    • 2021
  • Nuts are cholesterol free with high poly-unsaturated fatty acids(PUFA) and have lower intakes of sodium than non-consumers, and thus they can decrease blood pressure. Hypertension is a common primary diagnosis in Korea. Because of extending exposure to 24-hour raised blood pressure and heart rate hypertension is likely to be caused by prolonged short sleep durations. This study examined the relationship between nut consumption and hypertension according to sleep duration among Korean adult. Based on data from the 2010-2016 Korea National Health and Nutrition Examination Survey(KNHANES), the final analytic sample(n=25,359) was used for current analysis. The dietary intake was assessed through a 24-hour recall method. Associations of nut consumption with sleep duration and hypertension were determined using multiple logistic regression with odds ratio(95% CI). All the analyses were carried out in SAS version 9.4, and the significance level was set at p<0.05. With increasing nut intake, the prevalence of hypertension significantly decreased(p for trend=0.02). After controlling for sleep duration, the nut consumption showed significant association with the prevalence of hypertension when sleep duration was 6 to 6.9 h per day(p for trend=0.03) or 7 to 7.9 h per day(p for trend=0.03). In conclusion, dietary total nut intake was found to be significantly associated with the prevalence of hypertension.

Flexible Planar Heater Comprising Ag Thin Film on Polyurethane Substrate (폴리우레탄 유연 기판을 이용한 Ag 박막형 유연 면상발열체 연구)

  • Seongyeol Lee;Dooho Choi
    • Journal of the Microelectronics and Packaging Society
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    • v.31 no.1
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    • pp.29-34
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    • 2024
  • The heating element utilizing the Joule heating generated when current flows through a conductor is widely researched and developed for various industrial applications such as moisture removal in automotive windshield, high-speed train windows, and solar panels. Recently, research utilizing heating elements with various nanostructures has been actively conducted to develop flexible heating elements capable of maintaining stable heating even under mechanical deformation conditions. In this study, flexible polyurethane possessing excellent flexibility was selected as the substrate, and silver (Ag) thin films with low electrical resistivity (1.6 μΩ-cm) were fabricated as the heating layer using magnetron sputtering. The 2D heating structure of the Ag thin films demonstrated excellent heating reproducibility, reaching 95% of the target temperature within 20 seconds. Furthermore, excellent heating characteristics were maintained even under mechanically deforming environments, exhibiting outstanding flexibility with less than a 3% increase in electrical resistance observed in repetitive bending tests (10,000 cycles, based on a curvature radius of 5 mm). This demonstrates that polyurethane/Ag planar heating structure bears promising potential as a flexible/wearable heating element for curved-shaped appliances and objects subjected to diverse stresses such as human body parts.

A Study of both Femurs Bone Densitometry's Difference for Exercise (운동유무에 따른 양측 대퇴골 골밀도 차이에 관한 연구)

  • Jang, Eun-Ju;Kim, Eun-Hye;Kim, Ho-Sung;Shin, Sang-Ki
    • The Korean Journal of Nuclear Medicine Technology
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    • v.13 no.1
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    • pp.73-76
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    • 2009
  • Purpose: Bone mineral densitometry test region advised by ISCD (International Society for Clinical Densitometry) is both site in case of femur, whereas our medical center measures left femur except for few extraordinary cases. It is said that right-handers had higher mean femur BMD in the left side than in the right side, but the factor influence the femur BMD is unknown. Thus, we investigate whether testing left femur only is a adequate clinical diagnosis. Materials and Methods: Subjects were 209 right-handers and 20 left-handers patient in Asan Medical Center from July to August, 30 to 70 years of age ($51{\pm}6.7$). Subjects fill out the questionnaire on hand preference and taking regular exercise. Total BMDs of bilateral femur were measured with GE Lunar Prodigy advance densitometer, and the statistical soft ware SPSS 12.0 for windows was used for statistical analysis. Results: In the total sample of the exercise group (n=127), the difference of both femur mean BMDs are $0.001{\pm}0.127\;g/cm^2$ and the non-exercise group's (n=102) both femur difference is $0.002{\pm}0.126\;g/cm^2$, there is no significant difference. And in exercise group, classified according to hand preference, each t-value is shown at right handers (n=114) are 0.65, left handers (n=13) are -0.39. Also, In non-exercise group, right handers (n=95) are -0.78, left handers (n=7) are -0.64. In the 95% confidence limit, there was no statistically significant difference (p>0.05). Conclusions: In recently researchs, there have been differences between both femurs according to hand preference. However, Our study have no significant difference both femurs BMDs. Therefore we suggest that BMD measurement of femur has no problem only one side, except for particular case like femur operation.

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Effect of Vital Tooth Bleaching Agent on Dentin Bonding (생활치 미백제가 상아질 접착에 미치는 영향)

  • Jeong, Na-Young;Jin, Myoung-Uk;Kim, Young-Kyung;Kim, Sung-Kyo
    • Restorative Dentistry and Endodontics
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    • v.31 no.2
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    • pp.79-85
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    • 2006
  • To evaluate the effect of vital tooth bleaching agent and alcohol pretreatment on dentin bonding, flat dentin windows were produced on the buccal side of the crowns of fifty-five extracted, human premolars. A bleaching gel, $Opalescence^{(R)}$ with 10% of carbamide peroxide (Ultradent Product, USA) was daily applied on the teeth of three experimental groups for six hours for 10 consecutive days, while teeth of a control group were not bleached. After 6 hours of bleaching gel application the specimens were washed and stored in saline until the next day application. After application of $One-step^{(R)}$ dentin bonding agent (Bisco, USA), $Z-250^{(R)}$ resin (3M-ESPE, USA) was bonded to dentin with a mount jig. Shear bond strength was measured with an Instron machine (Type 4202, Instron Corp., USA) after 24 hours. The results were analyzed using one-way ANOVA and Duncan's multiple range test at p < 0.05. Immediate bonding group showed significantly lower bond strength than un-bleached control group (p < 0.05). Ethanol-treated group showed significantly higher bond strength compared to immediate bonding group (p < 0.05). However, the bond strength of the ethanol treatment group was lower than that of the un-bleached control group (p < 0.05). There were no significant difference in shear bond strength between the 2-week delayed bonding group and the ethanol-treated group (p > 0.05) and between delayed bonding group and un-bleached control group (p > 0.05). In the condition of the present study. it seems that alcohol pretreatment after bleaching procedure can reduce the adverse effect of vital bleaching agent on dentin bonding.

The comparisons of three scatter correction methods using Monte Carlo simulation (몬테카를로 시뮬레이션을 이용한 산란보정 방법들에 대한 비교)

  • 봉정균;김희중;이종두;권수일
    • Progress in Medical Physics
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    • v.10 no.2
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    • pp.73-81
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    • 1999
  • Scatter correction for single photon emission computed tomography (SPECT) plays an important role to improve image quality and quantitation. The purpose of this study was to investigate three scatter correction methods using Monte Carlo simulation. Point source and Jaszack phantom filled with Tc-99m were simulated by Monte Carlo code, SIMIND. For scatter correction, we applied three methods, Compton window (CW) method, triple window (TW) method, and dual photopeak window (DPW) method. Point sources located at various depths along the center line within a 20-cm phantom were simulated to calculate the window ratios and corresponding scatter fractions by evaluating the polynomial coefficients for DPW method. Energy windows were located in W$_1$=92-125 keV, W$_2$=124-126 keV, W$_3$=136-140 keV, W$_4$=140-141 keV, and W$_{5}$=154-156 keV. The results showed that in Jaszack phantom with cold sphere and hot sphere, the TW gave the closest contrast and percentage recovery to the ideal image, respectively, while CW overestimated and DPW underestimated the contrast of ideal one. All three scatter correction methods showed an improved image contrast. In conclusion, scatter correction is essential for improving image contrast and accurate quantification. The choice of scatter correction method should be made on the basis of accuracies and ease of implementation.

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Survey on Satisfaction and Symptom Improvement of Korean Medicine Treatment in 122 Cases by Traffic Accident (교통사고 환자 122례에 대한 한방치료 만족도 및 호전도 조사)

  • Kim, Hye Ryeon;Kim, Seon Hye;Lee, Yeon Sun;Park, Seo Hyun;Sung, Won Suk;Cho, Hyun Seok;Keum, Dong Ho;Kim, Kap Sung;Kim, Eun Jung
    • The Journal of Korean Medicine
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    • v.39 no.3
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    • pp.61-72
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    • 2018
  • Objectives: This study conducted a survey research to characterize traffic accident(TA) patients seeking Korean medicine treatment and to analyze the symptom improvement and satisfaction scores. Methods: A survey was conducted in 122 outpatients, who visited OO University Korean Hospital due to TA-associated symptoms from November, 2017 to May, 2018. The questionnaire included information on patient demographic characteristics, accident circumstance details, pain levels, reason for treatment selection, treatment methods, treatment purpose, symptom improvement and satisfaction. All statistical analyses were performed using Windows SPSS version 20.0 Results: The characteristics of traffic accident patients using Korean medical institution were usually accidents that occurred while driving slowly, and minor injuries like a sprain. The most important consideration in choosing Korean medical institution was its past experience. The biggest reason for switching treatment from Western medicine to Korean medicine was for diverse treatments. Satisfaction with Korean medicine was measured between very satisfaction and satisfaction. Patients showed the highest satisfaction with acupuncture, followed by pharmacopuncture and chuna manual therapy. Most treatments were measured between very satisfaction and satisfaction. After treatment, 95.90 percent of the patients said they would recommend Korean treatment. Conclusions: Although this study has limitations as research in survey format, we intended to analyze determining factors for the use of Korean medicine treatment through satisfaction, symptom improvement, and Numeric rating scale (NRS) change.

Risk Factors and Nutritional Profiles Associated with Stunting in Children

  • Febriani, Andi Dwi Bahagia;Daud, Dasril;Rauf, Syarifuddin;Nawing, Herry Demokrasi;Ganda, Idham Jaya;Salekede, Setia Budi;Angriani, Hadia;Maddeppungeng, Martira;Juliaty, Aidah;Alasiry, Ema;Artaty, Ratna Dewi;Lawang, St Aizah;Ridha, Nadirah Rasyid;Laompo, Amiruddin;Rahimi, Rahmawaty;Aras, Jusli;Sarmila, Besse
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.23 no.5
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    • pp.457-463
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    • 2020
  • Purpose: To analyze risk factors and various nutrients associated with stunting among children aged 6-60 months. Methods: This is a case-control and cross-sectional study between 40 stunting cases and 40 controls. Data on possible risk factors associated with stunting were obtained through direct interviews and using a questionnaire. Examination of vitamin D, zinc, albumin, and ferritin levels was performed on both groups. Data were analyzed using IBM SPSS Statistics for Windows, Version 23.0 (IBM Co., Armonk, NY, USA) to determine risk factors for stunting and to assess the relationship between nutritional levels and stunting. Results: The incidence of stunting was highest in children aged 12-36 months. Children with low weight and very low weight for age comprised of 55% and 22.5%, respectively, of the study participants. The highest mother's educational level was junior high school (40%). History of low birth weight (LBW) was more commonly observed in the stunting group than that in the control group (25.0% and 7.5%, respectively; p=0.034, odds ratio, 0.310 [95% confidence interval, 0.122-0.789]). Approximately 7.5% of cases had premature birth. Exclusive breast feeding was found to be not correlated with stunting. The mean zinc level in the stunting group was 34.17 ng/mL, which was different from that in the control group (50.83 ng/mL) (p=0.023). Blood ferritin, vitamin D, albumin, and calcium levels were not strongly correlated with stunting. Conclusion: LBW is the main risk factor contributing to stunting and is strongly associated with low zinc level.

On Supporting Internet Integrated Servies over Token Ring and Ethernet (토큰링과 이더넷에서의 인터넷 통합서비스지원)

  • Kim, So-Yeon;Lee, Mi-Jeong
    • Journal of KIISE:Computer Systems and Theory
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    • v.26 no.6
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    • pp.644-661
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    • 1999
  • 인터넷에서 통합서비스를 제공하기 위해서는 종단간 다양한 QoS를 지원해야 하는데 이를 위해서는 인터넷뿐 아니라 종단 사용자와 인터넷을 연결하는 랜에서의 QoS 지원이 필요하다. 이에, IETF는 특정 링크 계층으로 구성되는 서브넷에서 QoS 지원을 위한 기본 골격을 제안하였다. 그런데 , 매체 접근방식에 따라 서브넷이 제공할 수 있는 서비스의 정도가 크게 달라지기 때문에 실제로 IS802 모델을 특정서브넷에 구현하기 위해서는 이에 대한 고려가 필요하다. 본 논문에서는 통합서비스를 지원하기 위한 기반이 되는 서브넷 차원에서의 우선순위 지원을 목표로 IS802 모델을 전통적인 이더넷과 토큰링에 적용하여 보았다. 먼저, IS802 모델의 대역폭관리자를 적용한 이더넷 IS모델과 토큰링_IS 모델의 구현을 제안하고 특별히, 이더넷의 경우 매체 접근 방식의 특성상 IS802 모델의 적용만으로는 서브넷차원에서의 우선순위에 따른 전송을 지원할 수 없기 때문에 이를 보완하기 위한 페이즈 모델을 추가로 제안하였다. 시뮬레이션을 통해 기존의 전통적인 이더넷과 토큰링 및 새롭게 표준화된 IS802 모델을 적용한 이더넷 _IS와 토큰링 _IS, 그리고 페이즈 모델간의 성능을 비교하였다. 시뮬레이션결과 토큰링의 경우 단순한 입장 제어에 의해서도 QoS 지원 정도가 크게 향상될수 있음을 볼 수 있었다. 또한 , 페이즈 모델의 경우 이더넷의 매체 접근 방식을 상당히 보완함으로써 QoS 지원 정도가 크게 향상될 수 있음을 볼 수 있었다. 또한, 페이즈 모델의 경우 이더넷의 매체 접근 방식을 상당히 보완함으로써 QoS 지원을 요구하는 플로우에대해서는 전통적인 이더넷이나 이더넷_IS 비해 훨씬 안정적인 서브넷 차원의 우선순위지원 서비스를 제공할 수 있음을 확인할 수 있었다.제공하는 멀티미디어 동기화 편집기와 변환기 및 상영기를 ScriptX를 이용하여 Windows95 상에 구현하였다.기 위한 간단한 例를 들어 봄으로써 이 글을 쓰는 동기으 일면을 대신하고자 한다.置함으로 이것을 Multi-Drop(points) system으로 swiching System을 利用 Mini-Network을 構成할 수도 있다.크 구성 관리 서버 시스템 개발에 대한 비용을 줄일 수 있다. 기대된다.e 함량이 대체로 높게 나타났다. 점미가 수가용성분에서 goucose대비 용출함량이 고르게 나타나는 경향을 보였고 흑미는 알칼리가용분에서 glucose가 상당량(0.68%) 포함되고 있음을 보여주었고 arabinose(0.68%), xylose(0.05%)도 다른 종류에 비해서 다량 함유한 것으로 나타났다. 흑미는 총식이섬유 함량이 높고 pectic substances, hemicellulose, uronic acid 함량이 높아서 콜레스테롤 저하 등의 효과가 기대되며 고섬유식품으로서 조리 특성 연구가 필요한 것으로 사료된다.리하였다. 얻어진 소견(所見)은 다음과 같았다. 1. 모년령(母年齡), 임신회수(姙娠回數), 임신기간(姙娠其間), 출산시체중등(出産時體重等)의 제요인(諸要因)은 주산기사망(周産基死亡)에 대(對)하여 통계적(統計的)으로 유의(有意)한 영향을 미치고 있어 $25{\sim}29$세(歲)의 연령군에서, 2번째 임신과 2번째의 출산에서 그리고 만삭의 임신 기간에, 출산시체중(出産時體重) $3.50{\sim}3.99kg$사이의 아이에서 그 주산기사망률(周産基死亡率)이 각각 가장 낮았다. 2. 사산(死産)과 초생아사망(初生兒死亡)을 구분(區分)하여 고려해 볼때 사산(死産)은 모성(母性)의 임신력(姙娠歷)

Clinical convergence angle and rounding radius on tooth preparation for zirconia all-ceramic crown (지르코니아 전부도재관 지대치 삭제시 축면 경사각과 만곡 반경에 대한 조사)

  • Kim, Hye-Eun;Woo, Yi-Hyung;Pae, Ah-Ran;Kim, Hyeong-Seob
    • The Journal of Korean Academy of Prosthodontics
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    • v.49 no.1
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    • pp.22-28
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    • 2011
  • Purpose: This article attempted to examine how teeth for restoration is made in a clinical practice and utilize it as future educational material of teeth formation and basic data for additional research. Materials and methods: This experiment investigated the models sent to milling center for production of zirconia crowns. After scanned with Lava CAD/CAM System (3M ESPE, Seefeld, Germany), they are measured on 'ImageJ (version 1.32j, National Institutes of Health, USA)' program and compared and analyzed. Convergence angle from mesio-distal surfaces and bucco-lingual surfaces of each teeth are measured. Also, bucco-lingual diameter of the region lowered as much as 0.4 mm from incisal edge in anterior teeth except canines.(This measure is defined as the Peak 0.4) The analysis of data between each group was conducted by Windows SPSS statistic program, and was proved significant on 95% confidence level by independent t-test, one-way ANOVA and multiple analysis (Sheff${\'{e}}$ test). Results: The mean value of convergence angle was $18.67^{\circ}$ It is ranked as molar ($26.70^{\circ}$) > premolar ($16.87^{\circ}$) > anterior teeth ($14.81^{\circ}$) in the order of mesio-distal convergence angle; anterior teeth ($22.32^{\circ}$) > molar ($20.93^{\circ}$) > premolar ($15.41^{\circ}$) in the order of bucco-lingual convergence angle. The mean value of Peak 0.4 was 1.18 mm. Conclusion: Convergence angle of abutment of zirconia all ceramic crown has difference depending on the location in the arch. Due to the nature of production of zirconia all ceramic crown, convergence angle of abutment and line angle finishing degree can have an effect on internal suitability of restoration.