• Title/Summary/Keyword: Hospital Management

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Effects of the Home Exercise Program and Exercise Program of Round Shoulder Adjusting on the Shoulder Height, the Level of Trapezius Muscle Activity and Attention Capacity for Middle School Students (중학생의 둥근어깨 교정운동프로그램과 가정운동프로그램이 어깨 높이와 등세모근의 근활성도 및 집중력에 미치는 영향)

  • Lee, Hyoungsoo;Lee, Gwangho;Kang, Seonghan;Kang, Solbi;Kwon, Mideum;Kim, Raeha;Kim, Soyoung;Kim, Surim;Kim, Yunseon;Jung, Donggyu;Han, Eunji;Kim, Jangsun
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.1
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    • pp.91-103
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    • 2015
  • Purpose: The purpose of this study was to investigate the effects of home exercise program and exercise program of round shoulder adjustments on the level of trapezius muscle activity and attention capacity for middle school students. Method: The participants in this study were composed of 21 middle school students. We made the students lie on the floor in prone position, then measured the height of their acromion from the floor. We chose participants for our study whose measurement values were over 2.5cm. We divided them into two groups, one is for the experimental group, and the other is for the control group. The experimental group exercised three days a week for 6 weeks, including home training, and the control group didn't exercise. We used EMG to measure the trapezius muscle's activity and used a Stroop test for the measurement of the students' attention capacity. Results: The results of our study are as follows. There was no significant difference between the experimental group and the control group. However, there was a significant difference within the experimental group when comparing pre and post training results for Trapezius muscle activity and attention capacity. Conclusion: We found that correcting round shoulder symptom increases the Trapezius muscle activity and students' attention capacity. Future experiments should investigate with systemical management. Also, we need to increase the frequency of the exercise and participants.

Two Cases of Invasive Pseudomonas aeruginosa Infection that Developed in the Apparently Immunocompetent Infants (면역 기능의 이상이 발견되지 않은 영아에서의 침습성 녹농균 감염증 2례)

  • Kang, Min Jae;Kim, So Hee;Kim, Nam Hee;Lee, Jin-A;Eun, Byung Wook;Choi, Eun Hwa;Lee, Hoan Jong
    • Pediatric Infection and Vaccine
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    • v.13 no.2
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    • pp.180-185
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    • 2006
  • Invasive Pseudomonas infections most often occur in the immunocompromised patients and are associated with high mortality rate. Rarely this disease may develop in healthy infants and children. We report two cases of invasive Pseudomonas aeruginosa infections that were diagnosed in otherwise healthy infants. The first case was a previously healthy 5-month-old infant with ecthyma gangrenosum and septicemia. She presented with fever, swelling of left periorbital area and multiple erythronodular skin lesions. Each skin lesion formed a black eschar surrounded by an erythematous areola over time. Cultures of blood, urine and discharge from skin lesions grew P. aeruginosa. On the day of visit, she showed pancytopenia which was normalized after 10 days. The patient responded well to the management with ceftazidime and tobramycin. The other case was a previously healthy 9-month-old infant with community-acquired pneumonia. He was referred from an outside hospital with fever and cough. Chest x-ray revealed pneumonic infiltrations on both lower lungs with pleural effusion on the right side. Cultures of blood and pleural fluid grew P. aeruginosa. Chest CT performed on the ninth day demonstrated pneumatoceles, lung abscess and necrosis of lung parenchyma. He was managed with ceftazidime and amikacin for 50 days. No residual pulmonary complications were noted during the three month follow-up. Laboratory results to evaluate immunologic defects of phagocytic cells, complement components and T- and B-lymphocytes were all within normal range in both patients. It should be kept in mind that Pseudomonas can be, though uncommon, a cause of community-acquired invasive infections in the previously healthy infants.

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The Combined Effect of Subjective Body Image and Body Mass Index (Distorted Body Weight Perception) on Suicidal Ideation

  • Shin, Jaeyong;Choi, Young;Han, Kyu-Tae;Cheon, Sung-Youn;Kim, Jae-Hyun;Lee, Sang Gyu;Park, Eun-Cheol
    • Journal of Preventive Medicine and Public Health
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    • v.48 no.2
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    • pp.94-104
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    • 2015
  • Objectives: Mental health disorders and suicide are an important and growing public health concern in Korea. Evidence has shown that both globally and in Korea, obesity is associated with an increased risk of developing some psychiatric disorders. Therefore, we examined the association between distorted body weight perception (BWP) and suicidal ideation. Methods: Data were obtained from the 2007-2012 Korea National Health and Nutritional Evaluation Survey (KNHANES), an annual cross-sectional nationwide survey that included 14 276 men and 19 428 women. Multiple logistic regression analyses were conducted to investigate the associations between nine BWP categories, which combined body image (BI) and body mass index (BMI) categories, and suicidal ideation. Moreover, the fitness of our models was verified using the Akaike information criterion. Results: Consistent with previous studies, suicidal ideation was associated with marital status, household income, education level, and perceived health status in both genders. Only women were significantly more likely to have distorted BWP; there was no relationship among men. In category B1 (low BMI and normal BI), women (odds ratio [OR], 2.25; 95% confidence interval [CI], 1.48 to 3.42) were more likely to express suicidal ideation than women in category B2 (normal BMI and normal BI) were. Women in overweight BWP category C2 (normal BMI and fat BI) also had an increased OR for suicidal ideation (OR, 2.25; 95% CI, 1.48 to 3.42). Those in normal BWP categories were not likely to have suicidal ideation. Among women in the underweight BWP categories, only the OR for those in category A2 (normal BMI and thin BI) was significant (OR, 1.34; 95% CI, 1.13 to 1.59). Conclusions: Distorted BWP should be considered an important factor in the prevention of suicide and for the improvement of mental health among Korean adults, especially Korean women with distorted BWPs.

A Survey Study on the Frequency of Occurrence of the Female Disease in the Pelvis using Sonography (초음파검사에서 여성 골반내 질환별 발생빈도 조사연구)

  • Han, Nam-Sook;Lee, Man-Koo;Im, Cheong-Hwan;Jung, Hong-Ryang;Cho, Jung-Keun
    • Journal of radiological science and technology
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    • v.30 no.3
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    • pp.219-225
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    • 2007
  • This study was performed for the purpose of providing basic data of the pelvic disorders through survey of the frequency of management of occurrence by major risk factor. Female pelvic mass was detected using sonography, and necessary data were collected from 604 female visitors to a obstetrics and gynecology hospital located at S-si. Female pelvic mass was uterus mass, ovarian mass, cervical cyst, endometrial disease. For the analysis, such variables as age, weight and frequency of pregnancy were chosen as risk factors. Results of the analysis and conclusions are as follows ; 1) The frequency of occurrence of the female pelvic mass is highest, as 38.9% of the component ratio, in the age of 35 to 54. It maintains high level of 35.8% even in the age of 55 and above. 2) The frequency of occurrence of the female pelvic mass increases in proportion as the weight and frequency of pregnancy increase. 3) The size of the uterus tumor has no statistical relationship with the risk factors, age, weight and frequency of pregnancy.

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Curative Radiotherapy of Supralottic Cancer (성문상부암의 근치적 방사선치료)

  • Kim, Yong-Ho;Chai, Gyu-Young
    • Radiation Oncology Journal
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    • v.16 no.2
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    • pp.139-145
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    • 1998
  • Purpose : The purpose of this study was to evaluate the efficacy of curative radiotherapy in the management of supralottic cancer. Materials and Methods : Twenty-one Patients with squamous cell carcinoma of the supralottis were treated with radiotherapy at Gyeongsang National University Hospital between 1590 and 1994. Median follow-up period was 36 months and 95% were observed for at least 2 years. Results : Actuarial survival rate at 5 years was 39.3% for 21 patients. The 5-rear actuarial survival rate was 75.0% in Stage I, 42.9% in Stage II, 33.3% in Stage III and 28.6% in Stage IV(p=0.54), The 5-year local control rate was 52.0% for 21 patients. The 5-rear local control rate was 75.0% in Stage I, 57.1% in Stage II, 66.7% in Stage III, and 28.6% in Stage IV(p=0.33). Double primary cancer was developed in 3 patients and those were all esophageal cancers. Conclusion : In early stage(Stage I and II) supralottic cancer, curative radiotherapy would be a treatment of choice and surgery would be better to be reserved for salvage of radiotherapy failure. In advanced stage(Stage III and IV), radiotherapy alone is inadequate for curative therapy and combination with surgery should be done in operable patients. This report emphasizes the importance of esophagoscopy and esophagogram at the follow-up of patients with supralottic cancer.

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A Study on Policy Improvement for Ensuring the Effectiveness of Suicide Prevention Law (「자살예방 및 생명존중 문화 조성을 위한 법률」의 실효성 확보를 위한 정책적 개선 방안 - 「개인정보보호법」과의 충돌문제 해결을 중심으로 -)

  • Kwon, Do-Hyun;Park, Jong-Ik;Ah, Yong-Min
    • The Korean Society of Law and Medicine
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    • v.20 no.2
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    • pp.261-285
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    • 2019
  • The essential policy of suicide prevention is to continuously manage and treat suicide attempted people through data base related to suicide retry rate and follow-up study report. In Korea, only few people are allowed to follow-up by the Personal Information Protection Act. As a result, the research participation rate and the service participation rate are rather low, so that the research participants is limited to a part of the suicide attempted people. Therefore, the policy proposals to be improved in the Ministry of Health and Welfare Act were examined comparatively in order to increase the practical utilization of the suicide prevention about Article 14 and Article 20 of the Suicide Prevention Act. As a criterion for policy improvement, measures for non-discrimination of information to be considered in terms of technical and ethical dimensions and non-profit research and medical information for medical purposes were suggested. In addition to the severity of the suicide, the suicide risk was assessed and the criteria for the objective assessment of the follow-up observation were considered in consideration of the severity of the suicide.

A Study on the Status of Work Environment in the Manufacturing with Less Than Five Workers in Gimhae Area (김해지역 5인 미만 제조업 사업장의 작업환경실태)

  • Lee, Kyung-Yeul;Moon, Deog-Hwan
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.16 no.2
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    • pp.131-144
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    • 2006
  • For the purpose of preparing the fundamental data on working environment of small scale manufacturing industries and preventing the occupational diseases of workers in these industries, authors surveyed the status of working environment to several chemical substances and physical agents by types of industry and types of process in the small scale manufacturing industries with less than five workers in Gimhae including 235 workplaces, 14 types of industry and 25 types of process from January 2002 to December 2004. This measurement method was work environment measurement method (established in Ministry of Labor, Korea), analytical methods (2nd Ed.) of Occupational Safety and Health Administration (OSHA) and manual of analytical methods (4th Ed.) of National Institute for Occupational Safety and Health (NIOSH) and collected data was analyzed by using SPSS 10.0 for windows, the results were as follows: 1. Noise generated in 14 types of industry and 22 types of process. an actual level of mean exposure (90.7 dB(A)) exceeded threshold limit values (TLVs) in manufacture of other transport equipment. An actual level of mean exposure (90.2dB) exceeded TLVs in the process of wire-drawing and 90.4dB in the process of wire-stranding. 2. Dusts of type I, II, III were generated in 9 types of industry and 8 types of process. Its mean concentration did not exceed TLVs. 3. Heavy metals (Pb, Mn, Cr, Ni) were generated in 7 types of industry and 7 types of process. Its mean concentration did not exceed TLVs. 4. 16 kinds of organic solvents were generated in 11 types of industry and 6 types of process. Its mean concentration did not exceed TLVs. As the above results, chemical substances and physical agents were generated in the several different types of industry and process of the manufacturing industry with less than five workers, and only mean level of noise was exceeded TLVs. In case of exceeding threshold limit values, improvement of work environment is actively needed, and work environment management should be performed continuously for prevention of an occupational diseases and work related diseases.

Effects of Nutrition Education and Exercise Program on Obesity Index and Behavioral Modification in Moderate Obese Women (영양교육과 운동을 병행한 프로그램이 중등도비만여성의 비만도와 행동변화에 미치는 효과)

  • Chang, Myung-Hee;Jung, Su-Jin
    • Korean Journal of Community Nutrition
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    • v.23 no.4
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    • pp.318-332
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    • 2018
  • Objectives: The purpose of this study was to investigate the behavioral modification of obese adults who underwent nutritional and physical activity education. Twenty obese females, aged 20-60 years old, with BMIs (Body Mass Index) >30 or body fat (%) >40 were subjected to this study. Methods: The physical activity education program consisted of doing exercise in a gymnasium together or home exercise. Dietary attitudes and dietary intakes were assessed using weight control, physical activity, and eating habits. The nutrition-exercise educational period was 12 weeks. Results: After the study period, there was significant improvement in physical activity and eating habits score. Furthermore, there was a significant increase in the dietary intakes of fiber, iron, potassium, vitamin A, vitamin $B_6$, and niacin. Blood pressure, blood glucose, and total cholesterol levels showed a tendency to decrease, but there was no significant difference. BMI, fat mass, abdominal circumference, and visceral fat levels were significantly reduced while muscle mass significantly increased. Conclusions: This study suggests that behavioral modification by nutrition and physical activity education with feedback has positive effects on dietary intake and anthropometric biomarkers in obese adults. Therefore, lifestyle interventions of this kind could be recommended as a method for obesity management.

A study on oral health status and oral health behavior practice perceived by workers in part areas (일부 지역의 근로자가 지각하는 구강건강상태와 구강건강행위실천에 관한 연구)

  • Kim, Mi-Jeong
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.1
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    • pp.201-212
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    • 2012
  • Objectives : The purpose of this study was to examine about workers' oral health status and oral health behavior practice. Methods : Questionnaire survey was carried out targeting 331 workers within the industrial complex of Jeonju city in 2011. As a result of surveying and analyzing workers' oral health status, habit related to oral health, activity restriction, which is oral disease phase, and oral health practice level by using SPSSWIN 12.0. Results : 1. Workers' experience of visiting dental hospital(clinic) for the past one year was indicated to be the highest with 64.9% in the working period with 10 years-under 20 years(p<0.001). Experience of scaling was indicated to be averagely 38.8%. 2. The oral health status perceived by workers was the highest with 40.5% in 'having something abnormal'. A problem was the highest with 28.0% in 'dental caries'. A cause was indicated to be 42.6% in 'because of being naturally weak in tooth or the gum.' The biggest reason for having failed to receive the dental treatment at a proper time was indicated to be the highest with 24.8% in 'because of feeling burdensome about dental expense. '3. 58.4% of male workers were smoking. The use of dental hygiene device was the highest with 40.6% in mouth-rinse. 4. Absence caused by oral disease was indicated to be the highest with 13.8% in the household income in more than 3,500,000won, thereby having shown the significant difference(p<0.05). Early leaving was indicated to be the highest 13.9% in more than 50s age, thereby having shown the significant difference(p<0.05). Also, as for factors of absence and early leaving, a pain was the highest with 64.7%. 5. Workers' oral health practice level was the highest with 2.85 points in 'Brushing teeth before going to bed'. Conclusions : Synthesizing these findings, the oral management could be known to be made negligently in the workers with the older age, the lower academic background, and the lower income. The institutional foundation is considered to be necessary for which the oral health education can be efficiently performed in addition to a need of periodic oral examination for these classes.

Evaluation of oral health with equipped prosthesis using OHIP-14 (OHIP-14를 이용한 보철물 장착자의 구강건강평가에 대한 연구)

  • Kim, Hye-Jin;Jeong, Hyun-Ja
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.4
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    • pp.153-163
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    • 2008
  • The purpose of this study was to investigate the quality of life of clients who treated and equipped prosthesis in Eulji University Hospital in Dae-Jun City. The results of this study were as follows. The oral status of Female had more carious tooth than male had. Carious tooth(p<0.05) and losed tooth(p<0.001) was more popular in older female. The frequency of treated tooth was higher under 59 years old female than over 60 years old(p<0.01). In education category, carious tooth(p<0.05) and losed tooth(p<0.000) was more popular in low education than high education In the score of relation of OHIP-14 category and general characteristic, female was significantly higher than male in dysfunction( p<0.05), physical disorder(p<0.001) and activity disorder(p<0.05). The score was significantly higher in older than younger in dysfunction(p<0.05), physical disorder(p<0.001) and activity disorder(p<0.001). The score of education was significantly higher in low education group than high education group in physical pain (p<0.001), mental discomfort (p<0.001). The score of marriage status was significantly higher in marriaged group than other group in dysfunction (p<0.05) and mental discomfort (p<0.05). In the score of relation of OHIP-14 category and oral status, the score of carious tooth group was significantly higher in dysfunction(p<0.05), physical disorder(p<0.05) and activity disorder(p<0.05). The score of losed tooth group was significantly higher in dysfunction(p<0.05), physical pain (p<0.05), mental discomfort(p<0.05), physical disorder(p<0.05) and activity disorder(p<0.01). The score of non treated tooth group was significantly higher in dysfunction(p<0.05), mental discomfort(p<0.05), social disorder(p<0.05) and activity disorder(p<0.05). In the score of relation of OHIP-14 category and the sort of prosthesis, the score of being bridge group was significantly higher than being crown group in activity disorder(p<0.05). The OHIP-14 category and the number of prosthesis was not significant relationship. These results suggest that the information and services of the process of dental prosthesis based on subjective evaluation should be provided to clients rather than based on clinical evaluation. The continued system of oral management should be developed and provided.

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