• Title/Summary/Keyword: 절대연령

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The Factors Influencing to the Implant Patients Discomfort (임플란트 식립 후 불편감에 영향을 주는 요인)

  • Yoon, Hyun-Seo;Heo, Soo-Hee;Chun, Jin-Ho
    • Journal of dental hygiene science
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    • v.11 no.4
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    • pp.325-332
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    • 2011
  • To get the evidences for decreasing the discomfort, dissatisfaction, and for improving management of the implant prothesis through assessment implant patients' awareness and discomforts about care of the prostheses. The subjects were 300 implant patients who treated in the 20 dental clinics in Pusan, Ulsan and Daegu. The general characteristics, recognition, maintenance, discomfort and dissatisfaction, and oral hygiene status were collected. Level of the discomfort and dissatisfaction was measured by a 5 Likert scale, and analyzed by the equivalent of 100. The life-span of the implants was overestimated, however, periodic recall check and scaling were underwent. The level of discomfort and dissatisfaction was generally good, but many of them (65.3%) complained the food impaction. As a result of the multiple regression analysis, level of the discomfort and dissatisfaction increased in case of more number of the prosthesis ($\beta$=0.864), however decreased in case of more frequent teeth brushing ($\beta$=0.737), more frequent periodic check ($\beta$=-0.737), longer duration from the implantation ($\beta$=-0.090). It is very important for the implant patients to be recognized that the lack of care may shorten the life-span of the implant prosthesis. Therefore, efforts of the continuous oral hygiene care such as, periodic recall check, scaling, teeth brushing, the correct using of additional oral hygiene product, and education would be more emphasized.

Video Assisted Thoracic Surgery of Spontaneous Pneumothorax (비디오 흉강경을 이용한 자연성 기흉 수술)

  • Ryu, Ji-Yun;Kim, Seung-U;Jo, Gwang-Hyeon
    • Journal of Chest Surgery
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    • v.30 no.5
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    • pp.512-516
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    • 1997
  • We have experienced 66 cases of video assisted thoracic surgery(VATS) of spontaneous pneumothorax. The patients ranged in age from 1 Syears to 46years(mean age, 22.3years) and male patients were sixty three. The indications of video assisted thoracic surgery of spontaneous pneumothorax were recurrence, continuous air leakage, visible blabs on the chest X-ray & others. Infraoperative findings were as follows; blabs, pleural adhesion and pleural effusion. The operation was performed under general anesthesia wit double lumen endobronchial tube. Operative procedures included blebectomy and/or wedge resection of lung, vibramycin Pleurodesis with mechanical abrasion. In most cases, postoperative courses were uneventful and patients were discharged without significant complications. VATS provided the benefits of lesser postoperative pain, rapid recovery, short hospitalization, and smaller scar of wound. Conclusively VATS is a new interesting modality of surgical treatment of spontaneous pneumothorax and also can be extensively applicable in the diagnosis and treatment of other intrathoracic disease.

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Results of Arthroscopic inside to Out Repair of Meniscus Tear (반월상연골 파열에 대한 관절경적 inside to out 봉합술의 결과)

  • Kim, Bo-Hyun;Hwang, In-Sung;Yun, Tae-Bong;Byun, Jae-Yong
    • Journal of the Korean Arthroscopy Society
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    • v.8 no.1
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    • pp.1-8
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    • 2004
  • Purpose: This study examined clinical cure and patients' satisfaction degrees by factors influencing surgical operation results, after arthroscopic inside to out repair as a nonabsorbable suture material, in case of meniscal rupture. Materials and Methods: Materials were 110 cases of 95 patients who could make paces for over 12 months from August 1999 to June 2002. Results were evaluated by clinical cure and subjective satisfaction degrees. This study, concerning those results, analyzed age, term from taking pictures to taking surgical operation, rupture section, rupture length, rupture types, lesion of articular-cartilage, and effects of anterior cruciate ligament operation accompanied. Results: 84 cases(76%) were clinically cured, 98 cases(89%) were subjectively satisfied. In case of accompanying anterior cruciate ligament rupture, and in case that rupture length was below 2 cm, rates of clinical cure and patients subjective satisfaction were significantly high. In case of complex or degenerative rupture, patients satisfaction rates were higher when comparing with clinical cure rates. Conclusion: Various sutures are possible as well as available in case of arthroscopic meniscal inside to out repair using nonabsorbable suture material. It can be concluded that patients age is not absolte consideration in determining the suture of meniscus. In cases of complex rupture, degenerative rupture, ruptures companied by joint-cartilage injuries, considerate consideratin need be paid to choose patients and operations.

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Mycoplasma pneumoniae pneumonia in Korean children, from 1979 to 2006-a meta-analysis (국내소아에서 발생한 마이코플라스마 폐렴 메타분석)

  • Kim, Jin Woo;Seo, Hyun Kyong;Yoo, Eun Gyong;Park, Sung Jin;Yoon, So Hwa;Jung, Hye Young;Han, Man Yong
    • Clinical and Experimental Pediatrics
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    • v.52 no.3
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    • pp.315-323
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    • 2009
  • Purpose : This study aimed to perform a systematic review of the reports on Mycoplasma pneumoniae pneumonia in the last 30 years (1980-2006) to investigate the intervals between outbreaks, change in the peak incidence age, and diagnostic methods. We also aimed to validate the proper diagnostic criteria for M. pneumoniae pneumonia. Methods : We reviewed 62 original articles on M. pneumoniae pneumonia in Korean children. We analyzed the annual or seasonal variation, study areas, patient age, journal names, and the date of each report. Further, we checked the methods and criteria used for the diagnosis of M. pneumoniae pneumonia. We also confirmed the proper mycoplasma antibody cutoff using the mycoplasma IgM titer as the gold standard. Results : In the last 30 years, epidemic outbreaks of M. pneumoniae pneumonia occurred every 3 years, except in 1993-1994 and 1996-1997. Seasonal variations were also present and were most prevalent in October and November. The number of preschool children, especially those aged 3 years or younger, with M. pneumoniae pneumonia has increased (P<0.05). The mycoplasma antibody titer of 1:640 or greater was appropriate for diagnosing M. pneumoniae pneumonia, with an acceptable sensitivity and specificity of detection. Conclusion : We analyzed the results of studies on M. pneumoniae pneumonia in Korean children during the last 30 years. Infection in younger children is increasing, and further research is required to reveal the major cause of the changing epidemics.

Comparison of Radiographic Measurement and Clinical Parameters of Periodontal Condition on Premolars and Molars (소구치 및 대구치의 치주임상지수와 방사선학적 측정과의 상관관계에 대한 연구)

  • Lim, Hyun-Sook;Choi, Seong-Ho;Cho, Kyoo-Sung;Chai, Jung-Kiu;Kim, Chong-Kwan
    • Journal of Periodontal and Implant Science
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    • v.28 no.1
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    • pp.161-175
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    • 1998
  • 치주상태의 진단은 일반적으로 치주탐침과 같은 임상적 검사와 보조적으로 방사선 검사를 이용한다. 방사선학적인 검사가 치주조직의 파괴정도와 골 흡수를 진단하는데 유용하지만 실제적인 골 흡수를 정확하게 나타나는데는 한계가 있다고 하였다. 그리고 임상적 측정과 방사선 사진을 비교연구하여 이들간의 관계를 알아보고자 하는 노력이 있었다. 방사선이 임상에서 참고사항으로는 중요하지만 절대적 신뢰를 주는데는 문제가 있는 것으로 생각되어왔다. 방사선학적 측정과 임상지수 측정간의 상관관계에대하여 계속적인 연구를 통해 규명하는 것이 중요하다고 생각되어 저자는 연세대학교 치과 대학병원 치주과를 내원한환자중 연령 및 성별에 관계없이 전신질환이 없는 환자 130명을 대상으로 소구치의 원.근심부, 대구치의 원.중.근심부에서 치주낭의 깊이와 (P.D), 부착상실 (A.L)을 측정하였다. 방사선 사진상의 원.근심부에서 백악 법랑질 경계부에서 치조골능 상부까지의 치조골 수준 (Rx.B.L)을 측정하였고 이개부 부위에서는 이개부의 천정으로부터 나타나는 골 흡수의 방사선 투과상을 측정하였다. 이를 기초로 임상지수와 방사선학적 측정간에 상관관계를 연구하여 다음과 같은 결론을 얻었다. 1. 원·근심부의 P.D와 Rx.B.L을 비교 했을 때 상관관계는 모든 치아에서 높게 나타났다(r=0.897$\sim$r=0.725, p<0.01). 2. 원·근심부의 A.L와 Rx.B.L을 비교 했을 때 상관관계는 모든 치아에서 높게 나타났다 (r=0.915$\sim$r=0.732, p<0.01 ). 3. 대구치 769개가 실험 대상인었다. 상악 대구치중(356개) 40%가 이개부 병소를 나타냈고 (146개), 하악 대구치중(413개) 41%가 이개부 병소를 나타냈다(170개). 4. 대구치의 이개부 병소의 중앙부에서 측정한 P.D와 Rx.B.L을 비교 하였을 때 상관관계는 상악 제1대구치를 제외한 모든 치아에서 높게 나타 났다(r=0.811$\sim$r=0.435, p<0.01). 5. 대구치의 이개부 병소의 중앙부에서 측정한 A.L와 Rx.B.L을 비교 하였을 때 상관관계는 상악 제1대구치를 제외한 모든 치아에서 높게 나타 났다(r=0.906$\sim$r=0.479, p<0.01). 이상의 결과를 종합하여 볼 때 임상지수와 방사선학적 측정을 비교한 바, 이들의 상관관계는 모든 치아에서 밀접하게 나타났다. 따라서 방사선학적 측정은 임상지수와 더불어 치주질환의 진단과 치료계획에 크게 기여할 수 있을 것으로 사료된다.

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Recent Changes of the Ethnic Korean Population in Yanbian Autonomous Prefecture: A Socio-demographic Approach (연변 조선족사회의 최근 변화: 사회인구학적 접근)

  • Kim Doo-Sub
    • Korea journal of population studies
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    • v.26 no.2
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    • pp.111-145
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    • 2003
  • This paper attempts to explore recent socio-demographic changes of the ethnic Korean population in Yanbian autonomous prefecture. Due to rapid decrease in the level of fertility and population ageing, Korean minority society in China has been in a process of profound transition after the introduction of the market economy and establishment of diplomatic relations between South Korea and China. The changes in demographic behaviors and in the structure of population appear to be much faster among Koreans than Hans. Results from the 2000 population census reveal that the Korean population in Yanbian, where ethnic Koreans are most densely populated in China, has been in a decreasing trends in absolute numbers and in its proportion to the total population. The growing tendency of regional mobility for work and for marriage, rapid expansion of residential areas, serious crisis of ethnic schools of Korean community, and weakening social integration and ethnic identification of Koreans in Yanbian are discussed in this study. It is expected that socio-demographic transition of Korean society in Yanbian will be even more drastic over the coming decades. The rapid changes in demographic behaviors and in the structure of population has major consequences and implications for every sphere of human life, and will present enormous challenges for the status of Korean minority society in China. Along with various statistical data on Yanbian, micro-level data as well as published reports from the 1990 Chinese population census for Yanbian and the 2000 Chinese population census are analyzed in this study. In addition to sex ratios and age ratios, various indices are calculated to analyze the characteristics and accuracy of the data from the 1990 and 2000 population censuses of China.

Spatial Distribution of Korea-born Adoptees in Europe (한국입양아의 유럽 내 공간적 분포 특성)

  • Park, Soon-Ho
    • Journal of the Korean association of regional geographers
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    • v.13 no.6
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    • pp.695-711
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    • 2007
  • Research on intercountry adoption was strongly needed in Korea; however, there were only a few research in geography on the United States. It is hard to find the geographical research on Korea-born adoptees in Europe. This research analyzed spatial distribution of Korea-born adoptees in Europe where adopted the largest number of Koreans after the United States. Since 1956 when Korea-born children were first adopted in Norway, the number of adoptees had increased rapidly until 1978. In the early 1970s, Korean children had adopted more in Europe than the Unites States. Even though the number of intercountry adoptees temporarily decreased after the Seoul Olympic in 1988, Korean children have been still adopted at a settled numbers. In the beginning period (1956$\sim$70) of adoption in Europe, the Korean war orphans and abandoned children were adopted by Sweden, Norway and Belgium. In the second period (1971$\sim$90), the number of Korean adoptees were social orphans as a result of rapid industrialization. The number of adoptees increased rapidly and their destination extended into ten countries including the Western Europe such as France, Germany, Italy and United Kingdom. In the third period after 1991, the adoptees were mainly from unmarried mothers. The number of adoptees decreased as the result of that the Korean government attempted to reduce the intercountry adoption and to increase the domestic adoption. Their destination reduced into Northern European countries, France and Luxemburg. Those countries kept adopting settled number of Korean children. Female Korean adoptees used to outnumber male Korean adoptees; however the sex ratio was reversed recently. The age of adoptees became to lower, so most of Korea-born adoptees were under one-year old.

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Comparison of peripheral vascular compliance between normal and diabetic groups using the second derivative of photoplethysmogram (PPG 2차 미분을 이용한 정상인과 당뇨병 환자의 말초혈관 탄성도 비교)

  • Kim, Sung-Woo;Lee, Ju-Hyung;Nam, Ki-Chang;Kim, Su-Chan;Cha, Eun-Jong;Kim, Deok-Won
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.44 no.4 s.316
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    • pp.15-20
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    • 2007
  • Recently the prevalence rate of diabetes in Korea has been increasing rapidly due to high growth of economy and changes in dietary lifestyle. Vascular complication is one of diabetic complications which have frequently occurred by obesity, hyperglycemia and impaired glucose metabolism. Photoplethysmogram(PPG) measured from finger and toe is very useful for evaluation of vascular aging and sclerosis level since the PPG signal represents characteristics of peripheral vascular Several researchers have reported that second derivative of the finger PPG waveform was useful to evaluate vascular compliance and developed various analysis methods for vascular compliance. However, peripheral vascular compliance study for diabetic patient was never evaluated by using second derivative of PPG. Therefore, we aimed to objectively compare and to assess normal(n=850) and diabetic(n=50) groups vascular compliance using the second derivative of PPG waveform in this study. The evaluated factors of the second derivative of PPG are 'a', 'b', 'c', 'd', 'e' and b/a rapresents vascular compliance. This study found out that when vascular compliance is decreased, the absolute value of b/a is decreased. The average vascular compliance of 50 diabetic patients with neuropathy, $-1.09{\pm}0.14$ is statistically lower than the normal group, $-0.81{\pm}0.09$ (p<0.05). In conclusion, we suggest an objective evaluation of peripheral vascular compliance for diabetic patients and prevention of vascular complication.

The Household Characteristics and Underage Children's Dental Clinic Use - Focusing on the Mother's Characteristics - (가구특성과 미성년 자녀의 치과이용 - 모의 특성을 중심으로 -)

  • Kim, Jung-wook;Bae, Ho-Joong
    • Korean Journal of Social Welfare
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    • v.69 no.3
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    • pp.121-140
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    • 2017
  • The purpose of this study was to use the Korea Health Panel to determine how the mother's characteristic and household characteristic variables were associated with dental clinic use of children in childhood and adolescence. The logistic regression analysis found that mother's education level was statistically significantly positively correlated with underage child's dental clinic use and children in single-parent family were less likely to use a dental clinic than those in two-parent family. As for dental clinic use by diseases, the higher level of mother's education, the more likely to use a dental clinic due to dental caries and children in single-parent family were less likely to use a dental clinic due to dental caries than those in two-parent family. No difference in dental clinic use due to tooth extraction was found by any of mother's characteristics or household characteristics, probably because age has an absolute impact during the period between milk teeth and permanent teeth. Lastly, mother's education level and household income were significantly positively correlated with dental clinic use due to orthodontics. On the basis of these results, it is necessary to develop a customized strategy reflecting children's growth stages and household characteristics in making a plan for promoting oral health of children and adolescents.

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일부 서울지역 대학교 급식 식단의 메뉴분석-직영급식 및 위탁급식 운영 형태별 비교

  • 김진아;박수정;이심열
    • Proceedings of the KSCN Conference
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    • 2003.11a
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    • pp.1083-1084
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    • 2003
  • 사회생활 양식이 점차 복잡해지고 생활전반의 조직이 고도화됨에 따라 대규모 급식의 필요성이 점점 증가되고 있다. 그 동안 단체급식은 자체적으로 운영하는 경우가 많았으나, 최근 들어 위탁운영의 효율성에 대한 인식이 높아짐에 따라 위탁 운영률이 크게 높아지고 있다. 현재까지 대학급식에 관한 연구는 대학식당의 이용실태, 대학 식단의 만족도 평가, 대학급식 메뉴 관리 및 운영 등을 조사한 연구는 많았으나 운영형태에 따른 식단 분석 연구는 미흡한 실정이다. 이에 본 연구에는 서울 시내 일부 대학교의 구내에 있는 5개 식당 23가지 식단에 대하여 직영급식과 위탁급식으로 나누어 학생들에게 제공되는 메뉴를 영양가면과 다양성 면에서 평가하고, 제공된 메뉴를 학생들이 실제 섭취하는 실태를 조사하여 섭취한 식단의 영양가와 음식의 종류를 분석하였다. 본 조사에서 이용한 식단은 총 23가지였고, 그 중에서 직영급식 13가지, 위탁급식 10가지였다. 제공된 상용식단형태는 직영급식은$\ulcorner$밥+국+반찬2+김치1$\lrcorner$, 위탁급식은 $\ulcorner$한그릇+국+반찬1+김치1$\lrcorner$이었으며, 우리나라 전통의 기본패턴을 갖추고 있었다. 제공된 식단 중 한끼 영양소 함량을 평가해본 결과 여자의 경우 1/3 영양권장량을 제공하였으나, 남자의 경우는 부족하였다. 제공되는 식단의 음식군별 제공열량을 살펴보면 밥은 평균 399㎉, 한그릇음식은 425㎉로 한 그릇음식의 경우가 높은 열량을 제공하고 있었다. 반찬의 경우 1가지로부터 얻는 열량은 평균 107㎉였으며 김치의 경우는 9.84 ㎉였다. 직영급식과 위탁급식으로 나누어 살펴보면 한 그릇음식, 반찬, 김치의 제공열량이 위탁급식에서 약간 높은 경향을 보였다. 대상자의 음식의 평균 가짓수는 직영 5.5가지, 위탁 4.3가지였으며, 음식 및 반찬 가짓수가 증가할수록 섭취열량이 증가하였다. 대상자들의 섭취한 식단의 한끼당 섭취한 영양소 함량은 직영급식 524㎉, 위탁급식 494㎉였고, 단백질, 지질, 인, 철, 비타민A, 나이아신 등이 유의적으로 직영급식에서 높았다(p<0.001) 섭취한 식단의 영양소 함량은 인과 비타민C를 제외한 모든 영양소에서 권장량에 미달되었다. 섭취한 식단의 영양소적정섭취비는 대부분 0.4-0.9의 값을 보였고, 평균적정섭취비도 직영, 위탁 모두 0.68로 낮은 값을 보였다. 영양소 밀도의 경우 절대적 섭취에서 직영급식이 대부분의 영양소를 많이 섭취하고 있는 것과는 달리 위탁급식에서 철분의 밀도가 유의적으로 높았다(p<0.01). 총 대상자들이 식단에서 섭취한 열량을 살펴보면, 주식류의 경우 밥은 298㎉, 한 그릇음식은 386㎉로 한 그릇음식이 많은 열량을 제공하고 있었다. 반찬의 경우는 1가지로부터 얻는 열량은 78㎉, 김치는 8㎉였다. 이상의 결과로 볼 때, 제공량은 직영급식에서 많았으나 영양밀도 면에서는 큰 차이가 없는 것으로 보아 위탁급식의 제공량을 늘린다면 급식운영형태별 두 식단의 질적 차이가 크게 줄어들 것으로 보인다. 그러나 두 급식 형태 모두 제공식단의 영양소 함량은 다른 지역이나 연령에 비해 부족한 것으로 나타나 아침 결식 및 불규칙한 식사 등 영양상태가 좋지 못한 대학생들에게 교내 식당에서 질 높은 식사를 제공해야 할 것이다. 또한 식단 작성 시 학생들의 메뉴 기호도를 충분히 반영시키고 다양한 메뉴를 제공하는데 한계가 있다면 주.부식 외에 다양한 후식제공을 통하여 학교 급식에 대한 질을 향상시키는 노력을 해야 할 것이다.

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