• Journal of the korean academy of Pediatric Dentistry
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• v.40 no.1
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• pp.28-39
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• 2013

General anesthesia or sedation is an essential for a successful dental treatment for the disabled. The aim of this study is to assess the patients who had dental management under general anesthesia or sedation at Chungnam dental clinic for the disabled, who received dental treatment under general anesthesia, sevoflurane sedation and intravenous sedation from January, 2011 to September 2012. Of the 426 patients studied, 389 patients received dental care under general anesthesia, 20 patients received dental care under sevoflurane sedation and 17 patients received dental care under intravenous sedation. The Rate of general anesthesia was higher than that of sevoflurane sedation, intravenous sedation. Sevoflurane sedation is a useful method for short time treatment such as traumatic pediatric patients. Intravenous sedation is an option for patients who had anxiety and fear such as dentally disabled patients. Sevoflurane or intravenous sedation not only gradually reduces the use of general anesthesia but also useful methods themselves for the dentally disabled.

• Journal of the Korean association of regional geographers
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• v.17 no.5
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• pp.617-637
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• 2011

This study employs qualitative approaches to examining geographical characteristics and patients' determinants of online referrals in terms of regionalization. In this light, I conducted interviews with 20 patients receiving online referrals in Choongbook, Korea, and investigated their behaviors regarding these referrals between July and August 2009. I found that many patients who suffered from various levels of illness preferred tertiary care centers outside of Choongbook and did not enjoy their experience with the local medical institutions as the online referral service sites. This result might be because patients choose online referrals for psychological considerations such as quality and level of health care services, personal stakes in online referral service sites, acceptability and credibility of good tertiary care centers, and easy access to and use of medical institutions. Meanwhile, immediate benefits with regard to the technological value of online referrals, such as convenience, utility, and original purpose associated with regionalization, did not influence patients' decision-making. Therefore, the social and public networks affiliated with online referrals plus the effect of Korean medical laws play hostage to private decisions made by citizens, who prefer high-level medical institutions. Accordingly, the technological contribution of online referrals does not halt the outflow of patients from local, tertiary care centers. Especially, the existing health care system and patients' behaviors are deeply related to referrals in the online system. To protect regionalization, the improvement of health care services from the present state of affairs is required.

• Journal of the Korean Society for information Management
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• v.33 no.1
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• pp.161-180
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• 2016

Physicians have information needs related to academic research and clinical practice but encounter difficulties seeking appropriate medical resources and information. The goal of this study is to develop a search system to support Korean physicians' information needs. To access sources to meet the identified need, in-depth interviews were conducted, and MediSearching, a new search system, was developed accordingly. To verify its usefulness and to obtain users' suggestions, interviews were conducted and feedback was solicited via collected test searches. The initial set of interviews indicated that physicians' information needs and search behaviors differed by type of hospital and clinical department. Physicians in university hospitals with a greater need for research materials searched for academic articles, whereas physicians in specialty hospitals or primary care clinics with a stronger need for materials related to clinical practice asked their colleagues for information. Consequently, MediSearching was designed to satisfy both groups' needs, and the test search provided useful search results compared with existing services. Korean physicians have previously had to repeat their search process on separate sites that provide different services according to type of information and search method. MediSearching may reduce this inconvenience and add documents in various formats and languages.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.1
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• pp.466-476
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• 2018

This study was conducted to determine factors affecting professionalism of community health practitioners (CHPs). The participants in this study were 153 community health practitioners working in G province with structured self-report questionnaires from 20 August to 25 September 2017. Data were analyzed by descriptive statistics, t-test, ANONA, Scheffe's test, Pearson's correlation coefficients and stepwise multiple regression using the SPSS 20.0 program. There were statistically significant differences according to income (F=6.951, p<.001), work experience (F=5.245, p=0.002) and motivation for choosing a community health practitioner (F=3.676, p=0.004). The highest related factors were job satisfaction (${\beta}=0.320$, p<0.001), individual disposition (${\beta}=0.291$, p<0.001), income (${\beta}=0.283$, p<0.001) and job continuance (${\beta}=0.176$, p=0.009). These variables explained 49.6% of the total variance in professionalism. These findings suggest that it is necessary to develop a convergence program and policy support at the individual and organizational level to strengthen the professionalism of community health practitioners.

• 건강소식
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• v.15 no.6 s.151
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• pp.2-5
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• 1991

이웃에 대한 사랑을 말로 하기는 쉽지만 몸으로 실천하기는 정말 어렵다. 간혹 거리의 동냥꾼들에게 동전을 던지기는 쉽지만 자신의 시간을 쪼개어 이웃을 위해 할애하기란 더욱 어렵다. 그것도 한때의 치기가 아니라 꽤 오랜 세월을 변함없이 그렇게 하는 일은 더더욱 쉽지 않은 일이다. 그러나 영락교회 의료봉사회는 이 어려운 일을 10년도 훨씬 넘는 지금까지 변함없이 해오고 있다. 무의촌 의료봉사, 도시 영세민 무료진료 등 가난한 이웃과 함께 하기를 선택한 이들은 하나님께서 주신 사랑을 새롭게 나누는 것일뿐 결코 장한 일을 하는 것이 아니라고 강조한다.

• The Monthly Diabetes
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• s.216
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• pp.19-23
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• 2007

신장내과를 전문 과목으로 선택하여 대학병원에서 10여년 가까이 환자를 진료하면서 아침에 회진을 할 때면 저는 전공의 들에게 "어제 입원한 환자는 당뇨병성 신증 환자인가"라고 먼저 묻는 경우가 많습니다. 그 이유는 당뇨병으로 합병된 신장병, 혹은 당뇨병환자에서 혈관질환과 감염 질환이 동반될 경우 치료도 어렵고 임상 경과가 악성 경과를 밟으며 예후가 좋지 않기 때문입니다. 또한 당뇨병으로 인한 말기 신부전증이 최근 무섭게 증가되고 있기 때문이기도 합니다. 따라서 당뇨병성 신증의 조기 발견과 적절한 치료는 아무리 강조해도 지나침이 없습니다. 저는 여기서 최근 가장 가슴이 아팠던 사례를 간단히 소개하고 당뇨병성 신증의 원인, 예방과 치료를 서술하고자 합니다.

• Journal of Korean Academy of Dental Administration
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• v.5 no.1
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• pp.45-54
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• 2017

The purpose of this article is to cope with the abuse of antibiotics in the clinic, to determine the necessity of antibiotic administration, to share information on the selection and proper use of appropriate antibiotics, and to increase the appropriateness of antibiotic prescription through continuous monitoring. In line with the latest research and guidelines trends of various agencies, we will supplement the antibiotic prescription guidelines and use them for the treatment in Apple Tree Dental Hospital. Specially, by history taking and the penicillin allergy test, amoxicillin is prescribed as a primary selective antibiotic for 1 day. The complaints and treatment effects of the first antibiotic should be evaluated at the next visit. If the primary antibiotic was ineffective, we replaced it with a broad-spectrum antibiotic. If there was no improvement in symptoms, the patient would be referred to upper grade hospital. The staff of the Apple Tree Dental Hospital regularly monitored and educated antibiotic prescriptions. The current guidelines should be supplemented continually and positively affect the abuse of antibiotics and the habit of dental practice.

• The Journal of Korean Academy of Prosthodontics
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• v.57 no.3
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• pp.271-279
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• 2019

There are several unfavorable conditions regarding alveolar bone condition that may compromise the denture patient's satisfaction. Chewing efficiency may not be satisfactory when alveolar bone is deficient, and the denture stability could hardly be achieved when alveolar bone shape is irregular. Implant overdenture can be useful to provide satisfactory denture experience compared to conventional denture. The attachment for implant overdenture can be classified into bar attachment and solitary attachment. When the positions of the implants are in the mandibular anterior region, bar attachment may be favorable to obtain a rigid support of the entire denture. When implants are distributed both on anterior and posterior region, a solitary attachment could be considered for ease of removal and maintenance. This report presents implant overdenture cases with the patients that had unilateral mandibular alveolar bone atrophy conditions. Different abutments were chosen based on the individual patient's mandibular alveolar bone condition and the treatments were successful in terms of patient satisfaction.

• Journal of the Korean Academy of Esthetic Dentistry
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• v.22 no.1
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• pp.67-73
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• 2013

The word 'aesthetic', one of three functions of the teeth - mastication, pronunciation, and aesthetic - does not simply mean beauty. Aesthetic missing harmony cannot be called aesthetic. It is true aesthetic when the harmony with surrounding teeth and environment such as lips, midline, and facial form is achieved. In order to produce a harmonious prosthesis, sufficient information must be passed on to a technician, and also the technician should request necessary information to the dental office. Good food cannot be made without fresh ingredients. Although fresh ingredients are supplied, delicious food is also not possible without a chef's cooking skills. The first-class dish is made only under the circumstances that a skilled chef can do his best with fresh ingredients. In this study, the teamwork to be shared between dental practitioners and technicians for harmonious aesthetic prosthesis is discussed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.5
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• pp.2516-2523
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• 2013

Noise occurred when medical treatment in dental clinic will affect the patients. This study was measured the noise level and frequency in case of medical examination and also has evaluated the degree of indoor noise using the NR-curve, NRN and a distance to conversation between worker and patients using the PSIL. It shows that noise level was 69.3~81.5dB(A) and frequency was very high (more than 4K(Hz)) and analysis by NR-curve showed that it was exceed the noise permit level and distance to conversation was less than 1meter by PSIL. To remedy a fear of noise in patients and provide a conversational satisfaction, it's considered that choosing the low noise-vib. equipment, using the masking effect and set the room to explain. So It is possible to improve their competitiveness.