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Long-term outcomes of nail bed reconstruction

  • Koh, Sung Hoon;You, Youngkee;Kim, Yong Woo;Kim, Jin Soo;Lee, Dong Chul;Roh, Si Young;Lee, Kyung Jin;Hong, Min Ki
    • Archives of Plastic Surgery
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    • v.46 no.6
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    • pp.580-588
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    • 2019
  • Background There are various reconstructive options for nail bed defects. However, it is challenging not to leave a deformity. In this study, we investigated differences in outcomes depending on the reconstruction method, attempted to determine which method was better, and analyzed other factors that may affect outcomes. Methods The long-term outcomes of nail bed reconstruction were reviewed retrospectively. We performed three types of reconstruction depending on the defect type: composite grafts of severed segments, nail bed grafts from the big toe, and two-stage surgery (flap coverage first, followed by a nail bed graft). Subsequent nail growth was evaluated during follow-up, and each outcome was graded based on Zook's criteria. The reconstruction methods were statistically analyzed. Other factors that could contribute to the outcomes, including age, the timing of surgery, germinal matrix involvement, defect size, and the presence of bone injuries, were also compared. Results Twenty-one patients (22 digits) who underwent nail bed reconstruction were evaluated. The type of reconstruction method did not show a significant relationship with the outcomes. However, patients who sustained injuries in the germinal matrix and patients with a defect larger than half the size of the nail bed had significantly worse outcomes than the comparison groups. Conclusions The results suggest that no operative method was superior to another in terms of the outcomes of nail bed reconstruction. Nevertheless, involvement of the germinal matrix and defect size affected the outcomes.

An Analysis of the Practices of Dental Hygienists in Offering Oral Health Education -In Case of Adult Patients Visiting Dental Clinics- (치과위생사의 구강보건지도 실천분석 -진료실내의 성인환자를 중심으로-)

  • Lee, Sung-Sook;Cho, Myung-Sook;Kim, Seol-Ag
    • Journal of the Korean Society of School Health
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    • v.12 no.1
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    • pp.131-141
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    • 1999
  • The purpose of this study was to serve as a basis for the planning of oral health education and the development of an oral health-promotion program for patients who visited dental clinics by examining how much dental hygienists offered oral health education to adult patients at dental clinics. A parent group was selected, being made up of 1,600 dental hygienists who registered with the Dental Hygienist Association and worked in Seoul. The questionnaire survey was carried out and an ${\chi}^2-test$ was made using the data collected from 218 subjects to determine how their practice of oral health education was different according to certain general characteristics(the sort of organization for which they worked, age, the term of their service, and the mean number of patients per day). As a result, the following findings were obtained: 1. Thees general characteristics made the following differences to the content of oral health, education: The sort of organization for which the subjects worked made a significant difference in the following tooth brushing instruction (p<0.05), the effect of oral prophylaxis or education about aftereffects (p<0.05), the regular examination of prosthesis (p<0.05), smoking-prohibition education (p<0.05), and the prevention poor-quality fillings (p<0.01). The mean number of patients per day made significant differences to the regular examination of prosthesis (p<0.05) and the prevention poor-quality fillings (p<0.01). But no significant disparity was generated by age or the term of service. 2. The general characteristics made the following differences to education about nutrition and diet counseling: The sort of organization for which the subjects worked had a significant effect just on the importance of a balanced menu (p<0.05). Age made significant differences in advice for vitamin, mineral, protein or other nutrients (p<0.01), and the importance of balanced menu (p<0.001). The term of service made significant differences in the importance of balanced menu (p<0.01), and advice for nutrients including vitamin, mineral or protein (p<0.01). 3. The general characteristics made the following differences to the recommendation and use of oral hygiene aids: The sort of oragnization for which they worked made significant differences only to a gingival massager and water pick (p<0.05). No significant difference was produced by age, the term of service or the mean number of patients per day. 4. The use of educational media for oral health was different according to the general characteristics: The use of pamphlets or booklets significantly varied depending on the organization for which they worked and with the mean number of patients per day (p<0.05). The use of slides or slide projectors was significantly affected by age (p<0.05). But no significant disparity was yielded by the term of service. 5. The general characteristics made the following difference as to whether a continued oral management system was carried out or not: The sort of organization for which they worked had very a significant effect on this result (p<0.001), and no significant disparity was made by age, the term of service or the mean number of patients per day. 6. The place where oral health education was giver differed according to the following general characteristics: The sort of organization for which they worked made very a significant difference as to the use of an examination room's dental unit chair or waiting room (p<0.01), and to the use of an oral health education room or reception counter (p<0.001). The term of service had a significant effect on the use of a counseling room (p<0.01). And the mean number of patients per day made significant differences in the use of a dental unit chair or reception counter (p<0.05), and to the use of an oral health education room or waiting room (p<0.01).

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Nurse Staffing Levels and Proportion of Hospitals and Clinics Meeting the Legal Standard for Nurse Staffing for 1996~2013 (의료법에 의거한 의료기관 종별 간호사 정원기준 충족률 추이 분석)

  • Cho, Sung-Hyun;Lee, Ji-Yun;June, Kyung-Ja;Hong, Kyung Jin;Kim, Yunmi
    • Journal of Korean Academy of Nursing Administration
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    • v.22 no.3
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    • pp.209-219
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    • 2016
  • Purpose: To analyze the proportion of medical institutions meeting the legal standard for nurse staffing. Methods: Data collected from 29,282 institutions between 1996 and 2013 were analyzed. Nurse staffing was measured as daily patient census per registered nurse (RN). The standard for general hospitals, hospitals, and clinics is 2.5 or less, and that for long-term care hospitals is 6.0 or less of the daily patient census per RN. Clinics may substitute nursing assistants for RNs by 50% or 100% depending on their daily inpatient census; long-term care hospitals may substitute nursing assistants for RNs by two thirds of the required number of RNs. Results: The proportion of general hospitals, hospitals, clinics, and long-term care hospitals meeting the standards was 63%, 19%, 63%, and 94%, respectively, in 2013. While general hospitals had an increase in the proportion during the 1996-2013 period, small changes were found in hospitals and clinics. In 2013, nurses were estimated to care for 16 (interquartile range: 12~24) patients per shift in general hospitals. Three quarters of clinics had no RNs in 2013. Conclusion: Many medical institutions did not meet the legally mandated minimum staffing level. The government must implement policy actions for all medical institutions to meet the legal standards.

The Effect of Changes of the Housing Type on Long-Term Load Forecasting (가족구성형태의 변화가 주택용 부하의 장기 전력수요예측에 미치는 영향 분석)

  • Kim, Sung-Yul
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.64 no.9
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    • pp.1276-1280
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    • 2015
  • Among the various statistical factors for South Korea, the population has been steadily decreased by lower birthrate. Nevertheless, the number of household is constantly increasing amid population aging and single life style. In general, residential electricity use is more the result of the number of household than the population. Therefore, residential electricity consumption is expected to be far higher for decades to come. The existing long-term load forecasting, however, do not necessarily reflect the growth of single and two-member households. In this respect, this paper proposes the long-term load forecasting for residential users considering the effect of changes of the housing type, and in the case study the changes of the residential load pattern is analyzed for accurate long-term load forecasting.

Application of Neural Network for Long-Term Correction of Wind Data

  • Vaas, Franz;Kim, Hyun-Goo
    • New & Renewable Energy
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    • v.4 no.4
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    • pp.23-29
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    • 2008
  • Wind farm development project contains high business risks because that a wind farm, which is to be operating for 20 years, has to be designed and assessed only relying on a year or little more in-situ wind data. Accordingly, long-term correction of short-term measurement data is one of most important process in wind resource assessment for project feasibility investigation. This paper shows comparison of general Measure-Correlate-Prediction models and neural network, and presents new method using neural network for increasing prediction accuracy by accommodating multiple reference data. The proposed method would be interim step to complete long-term correction methodology for Korea, complicated Monsoon country where seasonal and diurnal variation of local meteorology is very wide.

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Use of MAAP in Generating Accident Source Term Parameters

  • Kim, Jong-Wok;Yun, Joeng-Ik;Kang, Chang-Sun
    • Nuclear Engineering and Technology
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    • v.30 no.3
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    • pp.235-244
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    • 1998
  • The parametric model method determines the accident source term which is Presented by a set of source term parameters. In this method, the cumulative distribution of each source term parameter should be derived for its uncertainty analysis. This paper introduces a method of generating the parameters in the form of cumulative distribution using MAAP version 4.0. In MAAP, there are model parameters which could incorporate uncertain physical and/or chemical phenomena. In general, the model parameters do not have a point value but a range. In this paper, considering that, the input values of model parameters influencing each parameter are sampled using LHS. Then, the computation results are shown in cumulative distribution form. For a case study, the CDFs of FCOR and WES of Kori Unit 1 are derived. The target scenarios for the computation are the ones whose initial events are large LOCA, small LOCA and transient, respectively. It is found that the computed CDF's in this study are consistent to those of NUREG-1150 and the use of MAAP is proven to be adequate in assessing the parameters of the severe accident source term.

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Analysis Study about the Status and Satisfaction of Korean Medical Treatment in Long-term Care Hospital in Sejong (세종시 소재 일개 요양병원내 한방치료의 현황 및 만족도 분석 연구)

  • Ahn, Jae Hak;Kim, YoungIl
    • Journal of Haehwa Medicine
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    • v.27 no.1
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    • pp.1-8
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    • 2018
  • Objectives : The purpose of this study was to analyze the status of inpatients in long-term care hospital and the satisfaction of Korean medical treatment. Methods : These analyzed data were collected from patients who were hospitalized in long-term care hospital in Sejong from Jan. 1. 2017 to Dec. 31. 2017. To analyze the status and the satisfaction of inpatients, we calculated the data of inpatients and conducted a survey. Results : Preference for acupuncture treatment was 95.6% and preference for numbers of Korean medical treatment more than two times per week was 40%. In addition, confidence in Korean medical treatment was 4.31, improvement after Korean medical treatment was 4.07 and general satisfaction was 4.58 with five-point scale. Conclusions : Most of the patients in long-term care hospital were satisfied with Korean medical treatment.

The fate of overfilling in root canal treatments with long-term follow-up: a case series

  • Vito Antonio Malagnino;Alfio Pappalardo;Gianluca Plotino;Teocrito Carlesi
    • Restorative Dentistry and Endodontics
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    • v.46 no.2
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    • pp.27.1-27.10
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    • 2021
  • This study describes 6 cases of endodontic overfilling with successful clinical outcomes during long-term (up to 35 years) radiographic follow-up. Successful endodontic treatment depends on proper shaping, disinfection, and obturation of root canals. Filling materials should completely fill the root canal space without exceeding the anatomical apex. Overfilling may occur when the filling material extrudes into the periapical tissues beyond the apex. The present case series describes 6 root canal treatments in which overfilling of root canal sealer and gutta-percha accidentally occurred. Patients' teeth were periodically checked with periapical radiographs in order to evaluate the outcomes during long-term follow-up. All cases showed healing and progressive resorption of the extruded materials in the periapex. The present cases showed that if a 3-dimensional seal was present at the apical level, overfilling did not negatively affect the long-term outcomes of root canal treatment.

An Application of Two-term and Multi-term Approximation of Boltzmann Equation to Electron Swarm Method (전자군 방법에 이용되는 2항근사와 다항근사 볼츠만 방정식의 적용)

  • 하성철;전병훈
    • Journal of the Korean Institute of Electrical and Electronic Material Engineers
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    • v.15 no.1
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    • pp.79-84
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    • 2002
  • An accurate cross sections set is necessary for the quantitatively understanding and modeling of plasma phenomena. By using the electron swarm method, we determine an accurate electron cross sections set for objective atoms or molecule at low electron energy range. It is general calculation that used in this method to an two-term approximation of Boltzmann equation. But it may give erroneous transport coefficients for CF$_4$ molecule treated in this paper having \`C2v symmetry\`, therefore, multi-term approximation of the Boltzmann equation analysis which can consider anisotropic scattering exactly is carried out. It is necessary to require understanding of the fundamental principle of analysis method. Therefore, in this paper, we compared the electron transport coefficients(W and ND$\_$L/) in pure Ar, O$_2$, and CF$_4$ gas calculated by using two-term approximation of the Boltzmann equation analysis code uses the algorithm proposed by Tagashira et al. with those by multi-term approximation by Rubson and Ness which was developed at James-Cook university, and discussed an application and/or validity of the calculation method by comparing these calculated results.

EXISTENCE AND GENERAL DECAY FOR A VISCOELASTIC EQUATION WITH LOGARITHMIC NONLINEARITY

  • Ha, Tae Gab;Park, Sun-Hye
    • Journal of the Korean Mathematical Society
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    • v.58 no.6
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    • pp.1433-1448
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    • 2021
  • In the present work, we investigate a viscoelastic equation involving a logarithmic nonlinear source term. After proving the existence of solutions, we establish a general decay estimate of the solution using energy estimates and theory of convex functions. This result extends and complements some previous results of [9, 21].