• Title/Summary/Keyword: Decrease in visit

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A Study on the Therapeutic Effects of Occlusal Appliance on Temporomandibular Disorders (측두하악장애환자의 교합안정장치 치료효과에 관한 연구)

  • Seok-Man Kang;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.13 no.1
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    • pp.5-12
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    • 1988
  • The purpose of this study was to evaluate the therapeutic effect of occlusal stabilization splint on the clinical symptoms and the condylar movement in patients with Temporomandibular Disorders(TMD). For the study, 15 TMD patients treated with stabilization splint and followed up were selected. The age of them was from 18 to 65 years and the mean period of treatment was 2.9 months. The author examined signs and symptoms of TMD according to Dr. Friction's evaluation from and recorded the condylar paths with Denar pantronic before and after splint therapy. The obtained results were as follows : 1. On the first visit, 11 patients(73.3%) showed muscle tenderness on palpation and the frequency was lateral pterygoid, masseter, medial pterygoid, temporalis, sternocleidomastoideus in the order named. 2. Occlusal stabilization splint was more effective in pain relief(100%) than in other dysfunction improvement(85.7%) 3. The amount of maximum opening increased from 37.1㎜ to 42.2㎜, but those of protrusion and laterotrusion changed little. 4. Pan. PRI scores decreased from 32.9 to 21.8, which meant improved reproducibility of mandibular border movements, and the group with sever dysfunction category showed more decrease in score than the group with moderate or slight dysfunction category.

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The Related Factors of Fear of Dental Treatment and Distrust for Dentists in High School Students (일부 고등학생의 치과치료공포감 및 치과의사불신감 관련 요인 분석)

  • Moon, Seon-Jeong;Moon, Won-Suk;Ku, In-Young
    • The Korean Journal of Health Service Management
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    • v.8 no.3
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    • pp.125-135
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    • 2014
  • The purpose of this study was to investigate the factors related to high school students' fear of dental treatment and distrust for dentists, analyze the relation between these factors and dental health services utilization, and then apply basis data for providing individualized dental health service. The period of the data collection was from November 1st to November 22th 2013, and the subjects were 300 of the first-year high school students in Daugu, and the final analysis data were total 280. using frequency, T-test, correlation and multiple regression analysis, the results of this study were as follows. The higher the distrust for dentist(${\beta}=0.322$) and the burden of dental visit(${\beta}=0.161$), fear of Dental treatment was increased. The larger the fear of Dental treatment and Past experienced pain level, distrust for dentist was increased. therefore, In order to decrease patients' distrust for dentists, good communication between patients and doctors, and efficient treat plans were needed. As a result, patients should have positive attitude on treat. Through early detection and early treatment of oral disease, effective dental health care services with decreasing the fear of dental care system should be provided.

A CLINICAL STUDY ON THE EFFECT OF INTRACANAL MEDICATION IN ENDODONTIC TREATMENT (근관 소독제의 효과에 관한 임상적 연구)

  • Lim, Sung-Sam
    • Restorative Dentistry and Endodontics
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    • v.16 no.2
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    • pp.182-188
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    • 1991
  • The purpose of this study was to clarify the effect of intracana1 medication on the clinical symptoms and the number of visits before canal filling in endodontic treatment The experimental teeth was divided into three groups. The teeth of group 1 was irrigated with saline solution and the teeth of group 2 was irrigated with sodium hypochlorite during biomechanical preparation. The intracanal medicament was not applied in the canals of group 1 and group 2. The teeth of group 3 was irrigated with sodium hypochlorite and hydrogen peroxide during canal enlargement and applied formocresol as intracanal medicament after drying the root canals with paper points. The incidence of interappintment pain and percussion pain after 1 st visit and the number of appointments before canal filling was examined, and the results was statistically compared. The following results were obtained. 1. The incidence of interappointment pain and percussion pain and the number of visits before canal filling was not effected by the types of irrigant and the use of the intracanal medicament 2. There was no significant difference in the incidence of interappintment pain arid percussion pain and the number of appointement before canal filling between vital teeth and non vital teeth, and also between single rooted teeth and multirooted teeth. 3. The use of formocresol as intracanal medicament was not able to aid the elimination of clinical symptoms and to decrease the number of appointment before canal filling.

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Factors Related to Nursing Home Institutionalization of Elderly using Home Care Services (노인장기요양 재가서비스 이용자의 시설 입소 영향 요인)

  • Han, EunJeong;Hwang, RahIl;Lee, JungSuk
    • Journal of Korean Public Health Nursing
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    • v.30 no.3
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    • pp.512-525
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    • 2016
  • Purpose: Ageing in place may improve the quality of life of frail elderly and decrease their costs of services. The purpose of this study was to examine the factors that influence the institutionalization of elderly using home care services in a Korean long-term care insurance system. Methods: This study used the data of '2009 Satisfaction survey of Korean long-term care system'. The survey proceeded to use a sampling data based on region, level of long-term care need, and insurance type among the beneficiaries between August and September 2009. The onset dates of institutionalization of 1,095 participants were ascertained from long-term care insurance claim data. This study calculated the hazard ratio through the Cox Proportional Hazard Model. Results: A total of 176 subjects who were institutionalized in nursing homes were included. There were higher risks in the group that included those who were 85 years and over, had dementia or fracture, used home-visit nursing service, and were not supported by direct family. Conclusion: The results of this study have policy implications to supplement the home care service system and postpone nursing home institutionalization of elderly.

A Study on the Library Anxiety of Public Library Users (지역주민들의 도서관불안에 관한 연구)

  • Kim, Hong-Ryul
    • Journal of Korean Library and Information Science Society
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    • v.39 no.4
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    • pp.461-478
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    • 2008
  • This study was investigated and analyze the library anxiety of public library users utilize LAS. The main contents of this study contained the differences of library anxiety in sex, educational background, age categories, the frequency of library visit, the completion of information literacy program and library use instruction. Library anxiety is very differed according to the various factors, especially, the library anxiety of knowledge of library, barriers with staff was high, the average LAS score is 2.61, 2.60. Regard to results of this study, conclusion are suggested the recommendations for a decrease in library anxiety of public library users.

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Clinical Study of Sobokchugeo-tang's Effects on 4 Cases of Complications of Post-hysterecomy (자궁절제술 후 후유증상을 소복축어탕을 중심으로 치료한 증례 보고)

  • Kim, Ji-Eun;Yang, Seung-Jeong;Cho, Seong-Hee;Park, Kyung-Mi;Song, U-Rim;Jung, Jung-Su
    • The Journal of Korean Obstetrics and Gynecology
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    • v.27 no.3
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    • pp.189-196
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    • 2014
  • Objectives: This study was reported to confirm the effect of Sobokchugeo-tang (SC) on complications of post-hysterecomy. Methods: Four women who were operated a hysterectomy within a month were enrolled in this study. They complained of abdominal pain, lumbago, both leg numbness, dizziness, etc. And received oriental treatments to decrease pain and improve the symptoms. Sobokchugeo-tang 3 times a day was prescribed, their complcation were decreased compared with first visit. Results: A hysterecomy can lead to comlications. They complained of various symptoms. After the treatment, abdominal pain, both leg numbness were rapidly decreased and lumbago, dizziness were improved too. Conclusions: These clinical cases indicated that sobokchugeo-tang was effective in the treatment of women who undertaken a hysterecomy.

The Effect of Stellate Ganglion Block on Intractable Lymphedema after Breast Cancer Surgery

  • Kim, Jin;Park, Hahck Soo;Cho, Soo Young;Baik, Hee Jung;Kim, Jong Hak
    • The Korean Journal of Pain
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    • v.28 no.1
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    • pp.61-63
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    • 2015
  • Lymphedema of the upper limb after breast cancer surgery is a disease that carries a life-long risk and is difficult to cure once it occurs despite the various treatments which have been developed. Two patients were referred from general surgery department for intractable lymphedema. They were treated with stellate ganglion blocks (SGBs), and the circumferences of the mid-point of their each upper and lower arms were measured on every visit to the pain clinic. A decrease of the circumference in each patient was observed starting after the second injection. A series of blocks were established to maintain a prolonged effect. Both patients were satisfied with less swelling and pain. This case demonstrates the benefits of an SGB for intractable upper limb lymphedema.

The Trend of Acute Respiratory Tract Infections and Antibiotic Prescription Rates in Outpatient Settings using Health Insurance Data (건강보험청구자료를 이용한 외래 급성 호흡기계 질환 방문과 항생제 처방률 변화 분석)

  • Kim, Jee-Ae;Park, Juhee;Kim, Bo-Yun;Kim, Dong-Sook
    • Korean Journal of Clinical Pharmacy
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    • v.27 no.3
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    • pp.186-194
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    • 2017
  • Objectives: A significant concern has been raised about the emerging resistance that is largely caused by the excessive or inappropriate use of antibacterial agents for viral respiratory infections. This study investigated the trend of respiratory tract infections (RTIs) and the use of antibiotics. Methods: Utilizing the national level health insurance claims data from 2005 to 2008, we examined encounter days, antibiotic use, and the prescription rate for respiratory tract infections including upper respiratory tract infections (URTIs), lower respiratory tract infections (LRTIs), and otitis media in outpatient settings. The antibiotic use was measured as defined daily dose per 1,000 patients per day (DDD/1,000 patients/day). Results: The visit for URTI increased from 141,693,465 in 2005 to 120,717,966 in 2008 and the visit for LRTI decreased from 61,778,718 to 66,930,122. For RTIs, prescription rates of antibiotics decreased from 65.2% to 58.5% for URTIs and 76.9% to 68.3% for LRTIs from 2005 to 2008. The antibiotic use decreased to 20.85 DDD/1,000 patients/day after a significant increase of 22.01 DDD/1,000 patients/day in 2006. Among antibiotics, J01CR had the highest use- 7.93 DDD/1,000 patients/day followed by J01DC of 3.71 DDD/1,000 patients/day and J01FA of 3.2 DDD/1,000 patients/day. One notable trend is that J01FA presented a continuous increase in antibiotic use from 2.3 in 2005 to 3.26 DDD/1,000 patients/day in 2008. Conclusion: The use of antibiotics had poor compliance to guidelines for RTIs. Despite decrease in the use of antibiotics, prescription rates for URTIs were still about 50% indicating that the delayed prescribing antibiotics (or wait-and-see) were not observed.

A STUDY ON THE CHANGES OF PATIENT DISTRIBUTION AND TREATMENT PATTERN FOR THE LAST 5 YEARS IN PEDIATRIC DENTAL PRACTICE OF GWANGJU (최근 5년간 광주지역 소아치과에 내원한 신환의 분포와 진료 내용에 대한 조사)

  • Kim, Hana;Lee, Nan-Young;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.4
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    • pp.348-356
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    • 2012
  • The treatment pattern of pediatric dentistry has been changing recently, because of so many socioeconomic changes such as decrease of birth rates and prevalence of caries. The purpose of this study is to recognize the changing patterns in pediatric dental treatment and to help predict future direction for pediatric dentistry. Patients distribution and treatment pattern were examined in all new patients of the department of pediatric dentistry, Chosun University Dental Hospital and two pediatric local clinics in Gwang-ju, from 2005 to 2010. The number of new patients in recent 5 years has been increasing. There was a higher ratio of male patients. Age distribution has shown the percentage of 3~4 age group was highest. The hospital visit rate to Chosun University Dental Hospital was high, whereas the visit rate for local clinics was low. Dental caries showed the highest percentage in chief complaints, oral examinations have increased. The percentage of restoration treatment was highest, fluoride treatment had increased. In restorative treatment, the percentage of resin and GIC restoration was highest and amalgam restoration has decreased. The percentage of sedation treatment was decreased a little, Chosun University Dental Hospital showed a higher rate than local clinics.

The Distribution of Patients and Treatment Trends in the Department of Pediatric Dentistry, Yonsei University Dental Hospital for Last 5 Years (최근 5년간 연세대학교 치과대학병원 소아치과의 환자 분포 및 치료 경향)

  • Kang, Chungmin;Lee, Hyoseol;Choi, Hyungjun;Choi, Byungjai;Son, Heungkyu;Lee, Jaeho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.2
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    • pp.134-144
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    • 2014
  • The aim of this study was to investigate changes in treatment patterns within pediatric dentistry departments by analyzing the distribution of patients and treatment trends. To that end, treatment charts based on electronic medical records (EMR) from the Yonsei University Dental Hospital from 2008 to 2012 were collected and analyzed. The results showed a decrease in the number of new patients and patients cared for by non-specialists, while the number of foreign patients has increased. The under 2 years-old group accounted for a large portion of new patients. Dental caries, dental trauma, and malocclusion ranked as the top complaints. In terms of restoration treatment, the proportion of patients receiving composite resin, amalgam, and sealant has decreased, whereas self-curing glass ionomer and preventive resin restoration have increased. Single-visit endodontic treatment has been increasing, with a decreasing trend in multi-visit endodontic treatment. The rate of conservative pulp treatment, such as pulp capping and pulpotomy, has increased. For reducing patient anxiety, treatments under sedation have increased, especially with the use of nitric oxide. This investigation into the latest treatment trends and patient characteristics is expected to help pediatric dentists to make appropriate treatment plans.