• Health Policy and Management
• /
• v.27 no.2
• /
• pp.114-120
• /
• 2017

The hospital standardized mortality ratio (HSMR) is a widely used generic measure for assessing quality of hospital care in many countries. However, the validity of HSMR as a quality indicator is still controversial. We critically reviewed characteristics of HSMR and suggested how to use HSMR as a quality indicator in the Korean setting. The association between HSMR and other quality measures of hospital care is inconclusive. In addition current HSMR model has shortcomings in risk adjustment because of the lack of clinical data, accuracy of disease coding, coding variation among hospitals, end-of-life care issues, and so on. Therefore, HSMR should be used as an indicator for improvement, not for judgement such as public reporting and pay-for-performance. More efforts will be needed to tackle practical and methodological weaknesses of HSMR in the Korean setting.

• The Journal of the Korean dental association
• /
• v.51 no.5
• /
• pp.250-254
• /
• 2013

Modern theories and concepts of occlusion for implants and natural teeth have originated in complete denture construction. Bilateral balanced occlusion as the occlusal scheme of choice has a long history in complete denture construction. The reason that occlusion has always been a consideration in the provision of removable prosthetics is because the adoption of good occlusal practice has a significant and immediate impact on the overall success of the treatment, as it affects denture stability. However, clinicians must remember that there are multiple ways, both successful and unsuccessful, to complete the restoration of a patient's occlusion. The goal is to meet the physiologic, functional, and esthetic needs of the individual patient while applying knowledge, accurate diagnosis, experience, clinical judgement, and attention to detail. This paper describes the features of an ideal occlusion in removable prosthodontics, why these features make it ideal for denture stability, and some technique for achieving these aims.

• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.41
• /
• pp.21.1-21.3
• /
• 2019

Background: Treatment planning the correction of a transverse maxillary occlusal plane cant often involves a degree of qualitative "eyeballing", with the attendant possibility of error in the estimated judgement. A simple chair side technique permits quantification of the extent of asymmetry and thereby quantitative measurements for the correction of the occlusal plane cant. Methods: A measuring instrument may be constructed by soldering the edge of a stainless steel dental ruler at 90° to the flat surface of a similar ruler. With the patient either standing in natural head position, or alternatively seated upright in the dental chair, and a dental photographic retractor in situ, the flat under-surface of the horizontal part of this measuring instrument is placed on a unilateral segment of a bilateral structure, e.g. the higher maxillary canine orthodontic bracket hook. The vertical ruler is held next to the contralateral canine tooth, and the vertical distance measured directly from the canine bracket to the flat under-surface of the horizontal part of the measuring instrument. Results: This vertical distance quantifies the overall extent of movement required to level the maxillary occlusal plane. Conclusions: This measuring instrument and simple chair side technique helps to quantify the overall extent of surgical levelling required and may be a useful additional technique in our clinical diagnostic armamentarium.

• Speech Sciences
• /
• v.12 no.2
• /
• pp.89-99
• /
• 2005

The purpose of the present study were (1) to assess differences in tongue performances and speech intelligibility between normal and dysarthric speakers; and (2) to analyze the possible interrelationships between tongue strength, range of motion, and speech intelligibility in dysarthric patients. In order to measure maximum strength of anterior and lateral tongue strength, a force transducer has been designed. And a ruler was used for guaging range of motion. 'Word intelligibility test' was administered to each group. The results were analyzed by a quantitative statistical method(t test, Pearson product- moment correlation, and one-way ANOVA). The results were as follows; (1) dysarthric speakers showed significantly poorer performance than the normal in the tongue strength, range of motion, and speech intelligibility tasks; (2) the correlation between speech intelligibility and instrumental tongue performance was high in the dysarthric group; and (3) instrumental assessment was coincide with perceptual judgement of dysarthric tongue performance. The present investigation demonstrated that tongue weakness is causally related to articulation deficits in dysarthric. The clinical use of the force transducer would help a speech pathologist to quantify the degree of tongue weakness.

• Speech Sciences
• /
• v.7 no.2
• /
• pp.19-35
• /
• 2000

Speech evaluation and treatment planning for the patients with articulation disorders have traditionally been based on perceptual judgement by speech pathologists. Recently, various computerized speech analysis systems have been developed and commonly used in clinical settings to obtain the objective and quantitative data and specific treatment strategies. 10 dysarthric children (6 neurogenic and 4 functional dysarthria) participated in this experiment. Speech evaluation of dysarthria was performed in two ways; first, the acoustic analysis by Visi-Pitch and a Computerized Speech Lab and second, the perceptual scoring of phonetic errors rates in 100 word test. The results of the initial evaluation served as primary guidlines for the indivisualized treatment planning of each patient's speech problems. After mean treatment period of 5 months, the follow-up data of both dysarthric groups showed increased maximum phonation time, increased alternative motion rate and decreased occurrence of articulatory deviation. The changes of acoustic data and therapeutic effects were more prominent in children with dysarthria due to neurologic causes than with functional dysarthria. Three cases including their pre- and post treatment data were illustrated in detail.

• Phonetics and Speech Sciences
• /
• v.6 no.4
• /
• pp.171-179
• /
• 2014

Purposes: Speech acceptability means the subjective judgement of listeners regarding the naturalness and normality of the speech. The purpose of this study was to determine the predicting variables for speech acceptabilities of children with cochlear implants. Methods: Twenty seven children with CI participated. They had profound pre-lingual hearing loss without any additional disabilities. The mean of chronological ages was 8;9, and mean of age of implantation was 2;11. Speech samples of reading and spontaneous speech were recorded separately. Twenty college students who were not familiar to the speech of deaf children evaluated the speech acceptabilities using visual analog scale. 1 segmental (articulation) and 6 suprasegmental features (pitch, loudness, quality, resonance, intonation, and speaking rate) of speech were perceptually evaluated by 3 SLPs. Correlation and multiple regression analysis were performed to evaluate the predicting variables. Results: The means of speech acceptability for reading and spontaneous speech were 73.47 and 71.96, respectively. Speech acceptability of reading was predicated by the severity of intonation and articulation. Speech acceptability of spontaneous speech was predicated by the severity of intonation and loudness. Discussion and conclusion: Severity of intonation was the most effective variable to predict the speech acceptabilities of both reading and spontaneous speech. A further study would be necessary to generalize the result and to apply this result to intervention in clinical settings.

• Journal of Korean Academy of Nursing Administration
• /
• v.11 no.3
• /
• pp.265-273
• /
• 2005

Purpose: This study was to investigate the degree and pattern of learning organization and MBTI personality type in clinical nurses. Methods: The participants were 685 nurses working in the 8 general hospitals located in Seoul and Incheon. The data were collected by self-reporting questionnaires from April 1 to August 30, 2004. The data were analyzed using SAS program for descriptive statistics and Pearson's correlation coefficient. Results: The most frequent identified personality type was ISTJ and the least identified personal types was ENFJ. In 4 preference patterns, Extroversion, Sensing, Thinking and Judgement were identified a dominant index in each categories. The mean score of learning organization was 3.47 and the mental model was got the highest score. The EI index had a significant positive correlation with personal mastery. However the TF index had a negative correlation with personal mastery, systems thinking, and mental models, and also the JP index had a negative correlation with 5 learning organization sub categories. Conclusion: With these results, it was identified that the preference patterns on MBTI had the significant correlation with learning organization. So these results will be used to develop the more effective strategies to increase learning organization based on nurse's personality types.

• Journal of Fashion Business
• /
• v.17 no.2
• /
• pp.151-163
• /
• 2013

In this research, with a goal of lessening the damage to hair by adding rose hip extract to permanent wave 1 solution and performing permanent wave procedure prior to acid dyeing and maximizing the effect of the procedure, rose hip extract 15%, 20% was added to each thioglycolate 1 solution and cysteine 1 solution and the procedure was performed. As a result, when performing the procedure by adding rose hip extract to permanent wave 1 solution thioglycolate and cysteine permanent wave 1 solution, the effect of wave effectiveness is increased and the damage to hair was confirmed to be low. Depending on the rose hip additive status in thioglycolate, the treatment effect of hair was shown to be beneficial. However, the limit of this research is that the thickness of hair strands for each person differs as well as the location of the hair contributing to the difference and therefore exact judgement regarding the shape of waves as well as the level of damage cannot be fully measured. In the following clinical tests, we will test the procedure on variety of hair types.

• Journal of Nutrition and Health
• /
• v.36 no.1
• /
• pp.49-63
• /
• 2003

The purpose of this study was to obtain the nutritional values and objective data of uncooked powdered food (UPF) in korea. We interviewed 27 healthy female subjects aged over 25 years living in the lksan area. We just replaced common breakfast and dinner of the subjects with UPF. Their dietary intake status was evaluated by 24-hour recall method. Their body compositions were measured using body fat analyzer. Also we conducted hematological and clinical analysis of blood. The intake of energy, lipid and protein has decreased as people started to take UPF, but the intake of vitamins and minerals has increased. The quality of meals has improved after taking UPF. Due to the energy loss by taking UPF, weight and body fat gradually lessened. Among the lost weight the percentage of the body fat was high and we judged that the process of losing weight was successful. It is hard to predict whether weight loss will occur to people who are already in shape or not, but if overweight and obesity people regularly take UPF instead of other food products, we assume that UPF will help lessening body fat. The most positive change among biochemical changes by taking UPF was decreasing of serum lipid contents. The concentrations of total cholesterol and LDL-cholesterol gradually decreased and decreased intently after 12weeks. Serum HDL-cholesterol gradually increased and serum triglyceride showed gradual decrement. When healthy adult women replaced two of three meals with UPF for 3months, we were able to see some useful changes like decrement of body fat and serum lipid control and during this 3month period, no significant nutritional problems occurred. Complete judgement on UPF may be difficult with these conclusions but if people take a nomal meal once and replenish iron from taking UPF twice a day, we assume that replacing UPF with regular meal not be a problem in nutritional status. If other experiments on the effects of UPF proceed, we believe that those experiments will be very helpful in judging the nutritional value of UPF. (Korean J Nutrition 36(1) : 49-63, 2003)

• Journal of Korean Clinical Health Science
• /
• v.2 no.3
• /
• pp.188-194
• /
• 2014

Purpose. The aim of this study was to provide for guidance of life, counsel and check their mental condition and analysis of correlation between MBTI personality type and emotional experience in university students. Methods. Data was analyzed by students whom participated in the research on the diagnose of mind of students from m university men and woman who accomplished to MBTI personality survey. Results. These result emotional experience of male-female that had deserved hospitality(p=0.22) statistically. This result had deserved emotional experience of extraversion personality of MBTI personality type in hospitality(p=0.000),introvert personality type in interpersonal sensitivity(p=0.002). It had deserved thinking extraversion personality type in obsessive-compulsive(p=0.000)emotional personality type in depression(p=0.000)in hostility(p=0.000). It had deserved judgement personality type in interpersonal sensitivity(p=0.043). Conclusions. The results of this study were as follow. Frist as a result of MBTI personality type of emotional experience on extraversion it was found that hospitality was leveled high and personality type of introversion is that Interpersonal sensitivity was leveled high. Thinkful personality type was leveled high on obsessive-compulsive. As a result of this study, personality indexes of MBTI of university student, it was found that there was related to emotional experience.