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Metastatic Squamous Cell Carcinoma of the Lower Lip: Analysis of the 5-Year Survival Rate

  • Agostini, Tommaso;Spinelli, Giuseppe;Arcuri, Francesco;Perello, Raffaella
    • Archives of Craniofacial Surgery
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    • v.18 no.2
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    • pp.105-111
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    • 2017
  • Background: The author analyse the impact of extracapsular lymph node spread and bone engagement in the ipsilateral neck of patients suffering squamous cell carcinoma (SCC) of the lower lip. Methods: The data of 56 neck dissections performed in patients suffering SCC of the lower lip between January 2000 and December 2008 were retrospectively analysed. Statistical analysis was performed with the Kaplan-Meier life table method, and the survival rate was investigated with the log rank statistic and significance test. The values were considered statistically significant at p<0.05. Results: Nine patients took advantage from simultaneous treatment of tumor and prophylactic neck dissection (level I-III), reaching 100% survival rate. Patients suffering metastasized disease, who received radical neck dissection at the time of tumor treatment, presented 83.3% survival rate. Patients who underwent previous surgery and radiotherapy presented worse prognosis although radical neck dissection in case of extra-capsular spread only (24.7%) and osseous engagement (22.2%). Conclusion: Prophylactic neck dissection (level I-III) is recommended in T3-T4 N0 SCC. Simultaneous treatment of tumor and cervical lymph nodes provides a better prognosis as respect to delayed nodal management. Extra-capsular spread with or without bone engagement represents independent risk factor responsible for high mortality rate of SCC of the lower lip.

Effects of the Nursing Intervention on Mother-Infant Interaction (모-영아 상호작용 증진을 위한 간호중재가 수유시 모-영아 상호작용에 미치는 효과)

  • 김미예
    • Journal of Korean Academy of Nursing
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    • v.29 no.6
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    • pp.1355-1364
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    • 1999
  • Mother and infant relationship has a great influence on child's developments. In this study, nursing intervention to increase maternal sensitivity to the infant's cues was applied to 25 primiparas (Experimental Group). Mother and infant interacations of these primiparas were compared with those of 25 primiparas (Control Group) who did not receive the nursing intervention. Fifty primiparas and infants were recruited from a university hospital, a general hospital, and an OBGY clinic located in Taegu city. Mother and infant interactions were assessed at 6 weeks after birth using videotapes. Feeding situations were videotaped and two trained observers analyzed the tapes. Data were collected from March 23rd to July 27th of 1998. Mother and infant interactions during feeding were assessed by the response rating scale which was modified by the author based on NCAST feeding scale (Barnard, 1978a) and AMIS scale (Price, 1983). The validity of the modified rating scale was verified by faculty members and researchers who previously had research experience in the area. Cronbach's Alpha of the modified scale for this study was .90. The data was analyzed by SAS program, using wilcoxon rank sums test, chi square test, Fisher's exact test, and ANOVA. Findings were as follows: 1. Mothers in the experimental group were more likely to have higher scores in mother and infant interactions during feeding than mothers in the control group. 2. Mothers in the experimental group showed better sensitivity to infant's signals or cues, provided growth fostering, and had higher responsibility to the infant's distress than mothers in the control group. 3. Infants in the experimental group showed higher clarity of cues and responsibility to the mother's behaviors than infants in the control group. 4. Mothers and infants in the experimental group showed higher synchronic responses than mothers and infants in the control group. In conclusion, this study has shown that the applied nursing intervention promoted mother and infant interaction among primiparas. Therefore, this study suggests that the nursing interventions to increase maternal sensitivity to the infant's cues should be broadly applied to primiparas, which can be beneficial to the social, affective, and cognitive developments of their children.

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Past and Future of the Digital Divide: A Bibliometric Analysis and Review (디지털 디바이드(Digital Divide) 연구경향 분석)

  • Kim, Sung Wook
    • Informatization Policy
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    • v.18 no.4
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    • pp.103-137
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    • 2011
  • The digital divide (DD) has been recognized as one of the most serious social and public policy issues to emerge from the rapid growth of computing facility, particularly in regard to Internet capabilities, over the past decade. In order to identify DD research trends and contributions, this research has adopted a bibliometric approach to quantitatively assess the research trends of the DD and also utilized information from related literature in the EV2 database from 2000 to 2011. The results show that the most frequently documented type of publications are journal articles, making up 55.2% of the total database of literature. English is the primary language (96.7%), and USA researchers have made the largest contribution (17.0%) to DD literature. Tokai University (Japan), Tilburg University (Netherlands), and Arizona State University (USA) rank as the top three author affiliations. Information technology, the Internet, and economic and social effects are the three top key words that appear in the related DD literature. The results also revealed various regional evidence, main topics, perspectives, frameworks, and solutions that were introduced in DD publications.

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Men of Medicine and Korean Medical Traditions of Jecheon (제천의 의학인물과 한의학전통)

  • Ahn, Sang-woo
    • The Journal of Korean Medical History
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    • v.22 no.2
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    • pp.23-31
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    • 2009
  • Jecheon is a place of Korean Medicine with many historical characters, medical tales and cultures. One of the most renowned characters is Lee Gong Gi(李公沂), a 扈聖功臣 (title given to the 86 people that escorted king Seonjo during the Japanese Invasion of Korea in 1592) at the level of Huh Jun(許浚) and famous royal physician of Joseon who served King Seonjo and reached the highest position of chief physician. He was recognized for his talent as a royal physician and was conferred with the title of 扈聖功臣 Rank 3 after attending on King Seonjo during the Japanese Invasion of Korea in 1592. Despite the fact that he was a renowned man of medicine, he didn't get as much attention as 許浚 or Yang Ye Soo(楊禮壽) because documents on his work had not been studied. In this study, the author was able to study Lee Gong Gi(李公沂) based on documents such as "朝鮮王朝實錄(True Record of the Joseon Dynasty)", "內醫院先生案(Naeeuiwonseonsengan)", "醫科先生案(Euigwaseonsengan)" and on "避難行錄(Pinanhengrok)" by Yakpo Jeongtak (1526~1605) who was a govemmental pharmacist at the time of Japanese Invasion of Korea in 1592. According to "內醫院先生案" and "醫科先生案", Lee Gong Gi's son Lee Young Nam followed his father's footsteps and became the chief royal pharmacist and 崇政大夫(one of the governmental titles of Joseon Dynasty). As for Jecheon's Korean medical traditions, many forms of medical tales and cultures are preserved such as the tales of Neokgogae, Mountain Ami's medical water cave, Otmaru and Seonsimgol. These tales are divided into various types of great doctors, medical herbs and devoted sons and have been passed down With the origin of traditional medicine still intact. Moreover, ancient documents and artifacts on Traditional Korean Medicine that reflect the area's medical culture have been discovered. Not only is Jecheon a place of medical culture but along with Jecheon Drug Market it also carries on the tradition of medical herbs production and possesses the largest new medical herbs market in Korea. In conclusion, Jecheon is a traditional place of Korean Medicine with many medical cultures and characters from a unique history.

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Development of Patient Transfer Techniques based on Postural-stability Principles for the Care Helpers in Nursing Homes and Evaluation of Effectiveness (자세안정성 원리에 기반한 환자이동기술 개발 및 효과검정)

  • Ma, Ryewon;Jung, Dukyoo
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.39-49
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    • 2016
  • Purpose: This study was done to develop a postural-stability patient transfer technique for care helpers in nursing homes and to evaluate its effectiveness. Methods: Four types of patient transfer techniques (Lifting towards the head board of the bed, turning to the lateral position, sitting upright on the bed, transferring from wheel chair to bed) were practiced in accordance with the following three methods; Care helpers habitually used transfer methods (Method 1), patient transfer methods according to care helper standard textbooks (Method 2), and a method developed by the author ensuring postural-stability (Method 3). The care helpers' muscle activity and four joint angles were measured. The collected data were analyzed using the program SPSS Statistic 21.0. To differentiate the muscle activity and joint angle, the Friedman test was executed and the post-hoc analysis was conducted using the Wilcoxon Signed Rank test. Results: Muscle activity was significantly lower during Method 3 compared to Methods 1 and 2. In addition, the joint angle was significantly lower for the knee and shoulder joint angle while performing Method 3 compared to Methods 1 and 2. Discussion: Findings indicate that using postural-stability patient transfer techniques can contribute to the prevention of musculoskeletal disease which care helpers suffer from due to physically demanding patient care in nursing homes.

A Balance of Primary and Secondary Values: Exploring a Digital Legacy

  • Cushing, Amber L.
    • International Journal of Knowledge Content Development & Technology
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    • v.3 no.2
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    • pp.67-94
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    • 2013
  • This exploratory research explores the concept of a digital legacy as a general concept and as a collection of digital possessions with unique characteristics. The results reported in this article are part of a larger study. In Cushing (2013), the author identified the characteristics of a digital possession. In this study, these characteristics of a digital possession were utilized to explore how the characteristics of several digital possessions could form a collection, or a digital legacy. In addition to being explored as a collection of digital possessions, data was collected about the general concept of a digital legacy. In part I of the study, 23 participants from three age groups were interviewed about their general concept of a digital legacy. Five general characteristics describing a digital legacy were identified. In part II of the study, interview data from Cushing (2013) was used to create statements describing digital possessions. The statements were classified utilizing the archival concept of primary and secondary values, as well as the consumer behavior concepts of self extension to possessions and possession attachment. Primary value refers to the purpose for which the item was created, while secondary value refers to an additional value that the participants can perceive the item to hold, such as a perception that an item can represent one's identity. Using standard Q method procedure, 48 participants were directed to rank their agreement with 60 statements (written on cards), along a distribution of -5 to +5, according to the characteristics of the digital possession they would most like to maintain for a digital legacy. The ranked statements were analyzed using Q factor analysis, in order to perceive the most common statements associated with maintaining digital possessions for a digital legacy. Q method results suggested that most individuals described the digital possessions they wanted to maintain for a digital legacy using various combinations of characteristics associated with primary and secondary values. This suggests that while some participants will respond to personal archiving based on the concept of preserving identity (a perceived secondary value), this will not appeal to everyone. Information professional could consider this difference in appeal when marketing personal archiving assistance to patrons.

A Study on the Visual Elements of the Mobile Game Focused on Female Gamers (모바일 게임 <왕자영요>의 여성 게이머 중심의 시각적 요소에 관한 연구)

  • SHI, YU;Chung, Jean-Hun
    • Journal of Digital Convergence
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    • v.17 no.9
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    • pp.361-366
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    • 2019
  • First quarter of 2019, 'Honour Of Kings' continued to be rank No.1 in mobile game sales. Although 'Honour Of Kings' is a game preferred by male players, it has more than 100 million female players. It can have such a large number of female players, in addition to its simplified game operation, social function, there are also included changeable characters for women's preferences. So that the 'Honour Of Kings' allows many female players to take part in. In this paper, the author chooses a skin with high preference for female players among many game consumer goods as the research object. Analysing the design elements of female player' preferences. Female players are more emotional, their favorite game characters just reflect women's longing for beautiful things. It is pointed out that the female orientation of female consumers should be taken into account in the mobile game market, which indicates the direction of visual factors for future mobile game design.

A Study on the Interrelation Between Serum Cholesterol level and Essential Hypertension, Liver Disease and Body weight (혈청(血淸)콜레스테롤 농도(濃度)와 본능성고혈압(本態性高血壓), 간기능장애(肝機能障碍) 및 체중(體重)과의 상관관계(相關關係)에 대한 검토(檢討))

  • Kim, Myung-Hae
    • The Journal of the Korean life insurance medical association
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    • v.2 no.1
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    • pp.135-142
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    • 1985
  • For the past 10 years, the socioeconomic status of our country was markedly improved. Accordingly, our foodintake patterns and other alt parts are preparing to blance with developed countries. Especially, be westernizing or improving our foodintake patterns, we intake much fat diet(animal food) while our physical activities decrease and alcohol consumtion's population, smoking population gradually increase. For such reasons, the population of obese tendency and cardiovascular diseases are increased. According to recent reports, among all death causes in our country, cardiovascular diseases(hypertension, hypertensive cardiovascular diseases, ischemic heart diseases) occupyd top rank, we know. I(the author) studied the inter-relation between serum cholesterol level which is the important factor of the cardiovascular diseases and essential hypertension liver diseases, hyperglycemia, some cardiac problems which are main decline causes in life insurance's medical assessment, and body weight distribution. Studied samples were selected on 4,313 cases(male; 1,791, female; 2,522) who were tested liver function test from June, 11th, 1980 to Dec., 31st, 1983 on our medical department's laboratory. I selected two groups in those cases: one group was serum cholesterol level 180mg/dl over(11% of whole LFT examed cases: No=502 cases), the other group was serum cholesterol level 120-160mg/dl(No= 502 cases). For convenience, the group of serum cholesterol level 180mg/dl over was "A" the other group was "B", I described. All examed persons of LFT were resident m Tae-Jon city in that time. On the result, 1) Decline rate is 10.5% on the "A" group, 5.9% on the "B" group. "A" group reveals 1.8 times higher than "B" group. 2) On decline causes, Essential hypertension is 4.0 times higher on the "A" group than "B", liver function's abnormalities are 2.0 times higher on "A" group than "B" and other diseases are same on "A" and "B". On the "A" group, essential hypertension is considerably higher than "B" group. 3) On the body weight distribution, the cases of 70kg(B.W.) over is 19.7% on "A", 10.6% on "B" group. Obese tendency is 1.8 folds higher on "A" group than "B" group. Studing the result, we find high serum cholesterol concentration is closely related with essential hypertension, obese tendency and liver function's abnormalities on the life insurance's medical examination part, also. On the future, we will more carefully consider the serum cholesterol concentration on our medical examnination and assessment of life insurance, I think.

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The Influence of 'Healthy Couple Relationship' Education on the Relationship Formation Competencies and Marriage Values of High School Students ('건강한 커플관계' 교육이 고등학생의 관계형성능력과 결혼 가치관에 미치는 영향)

  • Yu, In-Young;Park, Mi-Jeong
    • Journal of Korean Home Economics Education Association
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    • v.31 no.4
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    • pp.129-147
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    • 2019
  • This study aimed at exploring the influence of 'Healthy couple relationship' education on the relationship formation competencies and marriage values of high school students. To achieve the research objective, the 'Healthy couple relationship' lesson plan developed by the author was executed in two high schools for eight weeks from September 1 to November 3, 2018 from which the effects were analyzed. The results are as follows. First, the 'healthy couple relationship' education for high school students has been effective in improving their relationship performance, which is a part of the home economics curriculum. In S high school, the paired t-test of pre-/post-test comparison results showed statistically significant differences in the areas of 'communication', 'conflict resolution' and 'relationship formation performance'. For Sejong City campus-type joint curriculum group, where Wilcoxson signed-rank test was applied due to small sample size, showed that the overall scores as well as all the subsections of 'relationship formation performance' (i.e., 'communication', 'self-understanding', 'conflict resolution', and 'empathy') have improved, although not statistically significant. Second, the 'Healthy couple relationship' education for high school students had positive effects on the marriage values of high school students. In S high school, students' perception of marriage values rendered a statistically significant positive change, while in campus-type joint curriculum in Sejong City, no statistical significance was detected. In conclusion, the 'Healthy couple relationship' education can help high school students build positive values by cultivating their 'relationship formation competence', which is a part of the competencies listed in home economics curriculum, and also broaden their understanding of marriage, by acquiring knowledge and skills to build healthy couple relationships, and learning to implement the knowledge and skills in their own lives.

A Longitudinal Case Study of Late Babble and Early Speech in Southern Mandarin

  • Chen, Xiaoxiang
    • Cross-Cultural Studies
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    • v.20
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    • pp.5-27
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    • 2010
  • This paper studies the relation between canonical/variegated babble (CB/VB) and early speech in an infant acquiring Mandarin Chinese from 9 to 17 months. The infant was audio-and video-taped in her home almost every week. The data analyzed here come from 1,621 utterances extracted from 23 sessions ranging from 30 minutes to one hour, from age 00:09;07 to 01:05;27. The data was digitized, and segments from 23 sessions were transcribed in narrow IPA and coded for analysis. Babble was coded from age 00:09;07 to 01:00;00, and words were coded from 01:00;00 to 01:05;27, proto-words appeared at 11 months, and some babble was still present after 01:10;00. 3821 segments were counted in CB/VB utterances, plus the segments found in 899 word tokens. The data transcription was completed and checked by the author and was rechecked by two other researchers who majored in Chinese phonetics in order to ensure the reliability, we reached an agreement of 95.65%. Mandarin Chinese is phonetically very rich in consonants, especially affricates: it has aspirated and unaspirated stops in labial, alveolar, and velar places of articulation; affricates and fricatives in alveolar, retroflex, and palatal places; /f/; labial, alveolar, and velar nasals; a lateral;[h]; and labiovelar and palatal glides. In the child's pre-speech phonetic repertoire, 7 different consonants and 10 vowels were transcribed at 00:09;07. By 00:10;16, the number of phones was more than doubled (17 consonants, 25 vowels), but the rate of increase slowed after 11 months of age. The phones from babbling remained active throughout the child's early and subsequent speech. The rank order of the occurrence of the major class types for both CB and early speech was: stops, approximants, nasals, affricates, fricatives and lateral. As expected, unaspirated stops outnumbered aspirated stops, and front stops and nasals were more frequent than back sounds in both types of utterances. The fact that affricates outnumbered fricatives in the child's late babble indicates the pre-speech influence of the ambient language. The analysis of the data also showed that: 1) the phonetic characteristics of CB/VB and early meaningful speech are extremely similar. The similarities of CB/VB and speech prove that the two are deeply related; 2) The infant has demonstrated similar preferences for certain types of sounds in the two stages; 3) The infant's babbling was patterned at segmental level, and this regularity was similarly evident in the early speech of children. The three types being coronal plus front vowel; labial plus central and dorsal plus back vowel exhibited much overlap in the phonetic forms of CB/ VB and early speech. So the child's CB/ VB at this stage already shared the basic architecture, composition and representation of early speech. The evidence of similarity between CB/VB and early speech leaves no doubt that phones present in CB/VB are indeed precursors to early speech.