• 제목/요약/키워드: Introduction to Medical Science

검색결과 192건 처리시간 0.022초

한국노인요양시설 구강 위생 현황과 일본 노인요양보험법 비교를 통한 치과의사의 역할과 전망 (Analysis of current nursing homes in Korea and to assess the role and prospect of dentists in comparison to Japanese long term care insurance system)

  • 신리혜;배은경;최성호;박인임;오오야먀다카시;정문규
    • 대한치과보철학회지
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    • 제46권1호
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    • pp.83-91
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    • 2008
  • 문제제기 : 2007년 4월 '노인장기요양보험법'이 국회를 통과하였고 노인수발행위에 치과의사의 참여가 확정되어 2008년 7월부터 법이 시행되면서, 고령화가 급속이 진행되고 있는 한국사회에서 치과분야가 담당해야 할 역할은 커질 수밖에 없다. 목적 : 본 논문은 한국의 두 노인시설에 대한 설문조사를 바탕으로 일본의 노인요양보험법과 비교를 통해 앞으로 시행되는 노인장기요양법의 구강위생서비스의 역할 및 방향을 수립하는데 기여하고자 한다. 연구재료 및 방법 : 2005년 한국의 두 노인요양시설에서 책임 있는 직무자 또는 실제 간호의 내용을 파악하고 있는 분을 대상으로 15개 항목의 설문조사를 시행하였다. 결과 : 두 시설 모두 각각의 특징을 살려 매우 기능을 잘 하고 있었으나, 구강위생 및 이에 대한 직원의 인지도는 낮았으며 정기적인 진료나 관리는 소홀했다. 고찰 : 일본에서는 2000년 노인요양보험이 도입 후 체계화된 방법론을 기초로 시행되고 있다. 현재 '노인장기요양' 법안에 치과의사 참여가 보장된 것과 관련하여 앞으로 치과의사의 적극적인 참여가 필요하고, 시설 및 재택 방문 진료가 가능하도록 하는 법정비용을 통해 치과분야의 진료영역을 넓힐 수 있는 움직임이 필요하다고 볼 수 있다.

SCaM4 과발현 형질전환 감자의 농업적 특성 및 감자 무름병 저항성 평가 (Agronomic characteristics and field resistance to bacterial soft rot of transgenic potato overexpressing the soybean calmodulin 4 gene (SCaM4))

  • 손황배;조광수;조지홍;권오근;천충기;최지경;정우식;이신우
    • Journal of Plant Biotechnology
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    • 제39권4호
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    • pp.295-299
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    • 2012
  • SCaM4 과발현 감자의 무름병에 대한 저항성은 대비 품종인 '대지'에 비해 실내 외 검정에서 저항성인 것으로 나타났으며, SCaM4 과발현 SCaM4-4 계통의 경우 실내 외에서 무름병 저항성이 강하였다. SCaM4 과발현 형질전환 감자 계통들에 대한 포장 검정 결과 공시된 4 계통은 꽃색, 줄기형 등에서 대조품종인 대지와 차이가 없었다. 괴경특성 및 수량성의 경우 주당 괴경수는 유사했으나 과발현체의 경우 줄기 무름병 저항성으로 동화산물의 생성 및 집적이 원활하여 괴경 무게 증가하여 수량이 증가하는 경향성을 보였다. 실내외검정에서 무름병에 강한 저항성을 보인 SCaM4-4 라인은 대조품종인 대지와 실질적인 동등성을 확인할 수 있어 향후 식품학적 안전성과 환경위해성 평가가 이루어진다면 실용화 가능성이 클 것으로 사료된다.

생체리듬과 아건강과의 관련성에 관한 연구 (The study on the relevance of healthy biorhythm and sub-health)

  • 신재경
    • Journal of the Korean Data and Information Science Society
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    • 제28권5호
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    • pp.1069-1076
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    • 2017
  • 최근 고도한 의학 기술의 발전과 함께 최첨단 의학 장비의 도입으로 인간의 수명은 점점 길어지고 있는 실정이다. 수명이 길어지면서 삶의 질에도 많은 관심을 가지게 되었다. 많은 사람들이 병으로 고생하지 않고 건강하게 오래 살다 죽기를 원하고 있다. 따라서 사람들이 미리 아건강 상태를 진단하여 적절한 치료 계획을 수립한다면 질병을 예방할 수 있으며 사회적으로 지출되는 비용을 줄일 수 있을 것이다. 이에 본 연구에서는 특정한 집단을 대상으로 인간의 생체리듬과 건강한 상태와 병에 걸린 상태의 중간에 있는 아건강과 관련한 설문지에 각각 응답한 자료를 가지고 통계적 분석을 수행하였다. 분석결과는 성별에 따른 생체리듬과의 차이분석에서는 유의수준 5%에서 남녀 간에 차이가 있는 것으로 나타났으며, 생체리듬의 양호 불량 상태에 따른 아건강과의 차이 분석에서는 유의수준 5%에서 10개의 아건강 지표 모두 유의한 차이가 있는 것으로 나타났다. 생체리듬과 아건강과의 분석 결과에서는 유의수준 5%에서 생체리듬과 신진대사를 제외한 9개의 아건강 진단지표는 관계가 있는 것으로 나타났다. 마지막으로 의사결정나무분석 결과는 호르몬과 비뇨기의 아건강 상태가 불량인 응답자는 모두 생체리듬이 불량인 것을 보여주었다. 이들을 종합해보면 생체리듬을 잘 조절한다면 아건강 상태를 양호하게 하여 사전에 질병을 예방할 수 있을 것으로 생각된다.

ORIGINAL ARTICLE - 자가 온레이 블럭골 이식 후 증대된 치조골과 임플란트의 평가 (Evaluation of augmented alveolar bone and dental implant after autogenous onlay block bone graft)

  • ;조민성;허정우;오철중;정광;박홍주;국민석;정승곤;오희균
    • 대한치과의사협회지
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    • 제50권6호
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    • pp.329-338
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    • 2012
  • Introduction: The purpose of this study is to evaluate the clinical results of vertical alveolar ridge augmentation using autogenous block bone graft, especially resorption rate, and outcomes of dental implants placed in the grafted site. Patients and Methods: Medical records and radiographs were reviewed. Twenty-seven patients who have been received the autogenous block bone graft which harvested from chin, ramus, and ilium, and the implant installation on 31 areas(22 maxillas and 9 mandibles) were included. Eight implants were installed simultaneously at the time of bone graft in 4 patients, and 65 implants were installed after 4.9 months(range 2~18 months) of autogenous block bone graft in 23 patients. The resorption amount and rate of augmented bone, and the success and survival rates implants were evaluated. Results: Mean height of the augmented block bone was $5.9{\pm}2.3mm$(range from 2.5 to 13.0 mm). Mean follow-up period after block bone graft was 30.4 months(range from 16 to 55 months). Mean resorption of the augmented block bone was $2.0{\pm}1.5mm$ (range from 0.5 to 7.24 mm). The success and survival rates of the implants were 78.1 % and 98.6%, respectively. Conclusion: This study indicates that the autogenous block bone graft is a useful and stable method for alveolar ridge augmentation for dental implant. And more augmentation is needed to compensate the resorption of the grafted bone.

The synergistic regulatory effect of Runx2 and MEF transcription factors on osteoblast differentiation markers

  • Lee, Jae-Mok;Libermann, Towia A.;Cho, Je-Yoel
    • Journal of Periodontal and Implant Science
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    • 제40권1호
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    • pp.39-44
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    • 2010
  • Purpose: Bone tissues for clinical application can be improved by studies on osteoblast differentiation. Runx2 is known to be an important transcription factor for osteoblast differentiation. However, bone morphogenetic protein (BMP)-2 treatment to stimulate Runx2 is not sufficient to acquire enough bone formation in osteoblasts. Therefore, it is necessary to find other regulatory factors which can improve the transcriptional activity of Runx2. The erythroblast transformation-specific (ETS) transcription factor family is reported to be involved in various aspects of cellular proliferation and differentiation. Methods: We have noticed that the promoters of osteoblast differentiation markers such as alkaline phosphatase (Alp), osteopontin (Opn), and osteocalcin (Oc) contain Ets binding sequences which are also close to Runx2 binding elements. Luciferase assays were performed to measure the promoter activities of these osteoblast differentiation markers after the transfection of Runx2, myeloid Elf-1-like factor (MEF), and Runxs+MEF. Reverse-transcription polymerase chain reaction was also done to check the mRNA levels of Opn after Runx2 and MEF transfection into rat osteoblast (ROS) cells. Results: We have found that MEF, an Ets transcription factor, increased the transcriptional activities of Alp, Opn, and Oc. The addition of Runx2 resulted in the 2- to 6-fold increase of the activities. This means that these two transcription factors have a synergistic effect on the osteoblast differentiation markers. Furthermore, early introduction of these two Runx2 and MEF factors significantly elevated the expression of the Opn mRNA levels in ROS cells. We also showed that Runx2 and MEF proteins physically interact with each other. Conclusions: Runx2 interacts with MEF proteins and binds to the promoters of the osteoblast markers such as Opn nearby MEF to increase its transcriptional activity. Our results also imply that osteoblast differentiation and bone formation can be increased by activating MEF to elicit the synergistic effect of Runx2 and MEF.

한국미션건축에 있어서 장로교 소속 개척선교사들의 건축활동에 관한 사적 고찰 (A Historical Study on the Activities of the Presbyterian Pioneer Missionaries in Korea Protestant Mission Architecture)

  • 정창원
    • 건축역사연구
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    • 제13권3호
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    • pp.69-83
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    • 2004
  • The objective of this study is to clarify the early state of modern architecture, specifically mission architecture, with the introduction of the Christianity, and for the goal it deals with the architectural activities of pioneer missionaries. Especially it is a piece in a series of those researches after on Graham Lee, and it is focused on the other representative missionary, R. M. Wilson, A. M. Sharrocks, and C. A. Clark. Although coming in the capacity of a medical doctor or an educator, they should play all kinds of roles, such as carpenters, educators, and officers. For this mission, even they didn't have a professional knowledge for construction, they should carried on to establish mission compounds, only with their experience and informations. In this process they needed to be assisted by Korean carpenters, surely. The architectures born by them-selves are designed with a unique eclectic style compounded with those of Korean traditional and occidental. That is to say, the pioneer missionaries made a profound influence to create a new tradition of modern architecture in Korea, which is called as Korean-occidental eclectic style in the period of transition. Moreover, some pioneer missionary, such as Sharrocks, took a part in education of architectural skills. The educated carpenters seemed to be called from outside, and the unique styles could get spread away. On this point this paper has the meaning to clarify historically the continuous development of the Korean architecture through the survey on their activities, on the contrary of the existed recognition that Korean modern architecture has been evaluated to be imported from outside; therefore having a crevice with the its own architectural tradition.

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담뱃값 인상 정책이 우리나라 성인흡연율에 미치는 영향 (Impact of Increased Tobacco Price on Adult Smoking Rate in South Korea)

  • 김동준;김선정
    • 보건행정학회지
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    • 제27권3호
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    • pp.219-228
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    • 2017
  • Background: The purpose of this study is to investigate impact of increased tobacco price in 2015 on the adult smoking rate in South Korea. Methods: This study used 6th Korea National Health and Nutrition Examination Survey from 2013 to 2015. Total 14,860 adults were included in the analysis. The chi-square test, univariate- and multivariate survey logistic regressions, and subgroup analysis were conducted. Results: Results show that adult smoking rate before price increase were 19.08% and after price increase were 16.69%. Adjusted by variables associated with smoking behavior and others, multivariate survey logistic regressions revealed that smoking rate decreased after introduction of increased tobacco price policy (odds ratio [OR], 0.745; 95% confidence interval [CI], 0.575 to 0.967) and the impact was different by various social status (male: OR, 0.688; 95% CI, 0.523 to 0.905; age over 60: OR, 0.487; 95% CI, 0.315 to 0.754; rural area: OR, 0.531; 95% CI, 0.309 to 0.912; household income Q1: OR, 0.593; 95% CI, 0.352 to 0.999; household income Q4, OR, 0.616; 95% CI, 0.386 to 0.983). Conclusion: The study revealed decreased smoking rate after increased tobacco price policy and different trend depending on various social characteristics. We recommend that government agencies and policy makers should pursue tobacco price control policy continuously and population specific manner and concurrently non-price policy should be implemented as well.

간호학생이 지각하는 보완대체요법에 대한 태도 조사연구 (A Study on Nursing Students' Attitudes toward Complementary and Alternative Medicine (CAM))

  • 김영희
    • 한국보건간호학회지
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    • 제18권2호
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    • pp.276-285
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    • 2004
  • The purpose of this study was to help in explaining the necessity of education on complementary and alternative medicine(CAM) and opening relevant curriculums in nursing education by grasping the kinds of CAM in which nursing students want to be opened. Data were collected from September 27, 2003 through October 20, 2003. A group of 865 nursing students were surveyed using questionnaires in seven universities whose curriculums on CAM have not been available. Collected data were statistically analyzed by using SAS 8.02 system, and the study results are as follows: 1. The average of subjects' behavior toward CAM was 3.52 of the total 5 with practical affairs 3.79. medical treatment 3.79, social concerns 3.84, and communication 3.78. 2. Most nursing students $(90.6\%)$ did not precisely understand the meaning of CAM although they had heard of it. Most of them $(85.5\%)$ had no experience of applying CAM. The study also revealed that more qualified CAM lecturers in the future are needed: specialist in the relevant field $(83.2\%)$, doctor and herb doctor $(6.5\%)$, clinical nurse $(6.0\%)$ and professor of the department of nursing science $(4.3\%)$. 3. Concerning students' behavior toward CAM, there were statistically significant difference between students from agrarian and fishing villages (F=4.91. p=.007) and the others. 4. CAM courses that students want were therapeutic touch (massage) $(22.9\%)$. aroma therapy $(14.8\%)$, manual healing methods $(14.7\%)$, treatment of blood vessel $(8.3\%)$, foot reflexology $(7.9\%)$, and heart remedy $(6.8\%)$. In conclusion, the study indicated that nursing students had positive attitudes toward CAM and for this. healers should have a frank talk with patients in order to maximize symptom-relieving effects. However, the study showed that most nursing students did not understand the exact meaning of CAM. Considered the fact that improvement of both health status and quality of life will be an important issue in the future, active introduction and education of CAM in nursing curriculum are a matter of necessity.

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치과의료 종사자들의 연봉제 실시에 관한 의식도 조사연구 (A Study on the Awareness of the Yearly Income System among Dental Personnels)

  • 윤미숙;이경희
    • 치위생과학회지
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    • 제3권1호
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    • pp.5-10
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    • 2003
  • 치과의료 종사자의 연봉제 도입에 대한 의식 고찰을 통하여 연봉제에 대한 바람직한 방향 설정과 활성화 방안을 모색하는 계기를 마련하고자 문헌과 자료를 조사하고, 전국 치과 병, 의원에 종사는 구성원 95명을 대상으로 2002년 4월부터 8월까지 약 5개월 동안 설문조사를 실시하여 분석한 결과 다음과 같은 결론을 얻었다. 1. 근무하는 병원의 형태에 따라 연봉제에 대한 인식을 살펴본 결과, 치과병원의 종사자가 치과의원의 종사자보다 연봉제 실시로 인한 경영참여의식(p<.001)과 업무생산성의 향상(p<.01), 목표달성에 대한 사명감(p<.01), 장래에 대한 불안감(p<.05)에 대해 더 높은 인식을 보였다. 2. 연봉제에 대한 치과의사와 치과위생사의 인식을 살펴본 결과, 치과의사가 치과위생사보다 연봉제 실시로 인한 성과평가의 공정성(p<.01)과 능력발휘 풍토변화(p<.01), 업무생산성의 향상(p<.001), 목표달성에 대한 사명감(p<.001), 그리고 연봉제에 대해 높은 인식(p<.01)을 보이고 있음을 알 수 있다. 3. 근무경력에 따라 연봉제에 대한 인식을 살펴본 결과, 근무경력이 오래될수록 업무의 엄격성 강화정도(p<.05)와 단기 업적주의 치중 가능성(p<.05)에 대해 높은 인식을 보였으며, 3~5년 종사자가 다른 종사자보다 근무시간의 변화(p<.01)에 대해 높은 인식을 보였고, 2년 이하의 종사자가 연봉제에 대해 가장 높은 인식(p<.05)을 보이고 있음을 알 수 있다. 4. 연봉제가 성과를 거두기 위한 전제조건으로 평가결과의 공정성이 전제되어야 한다고 인식하는 치과의료 종사자가 31.6%로 가장 많았으며, 다음으로 노사 상호간의 이해와 신뢰구축 26.3%, 연봉제의 구성원들에 대한 긍정적인 태도 16.8%, 연봉제에 대한 최고경영자(주체)의 확고한 신념 12.3%, 연봉산정의 기준이 되는 목표치의 달성가능 10.5% 순으로 나타났다. 또한 치과의원 종사자가 치과병원 종사자보다 연봉제가 성과를 거두기 위해서는 연봉제의 구성원에 대한 긍정적인 태도(p<.05)가 전제되어야 한다고 인식하였고, 치과의사가 치과위생보다 연봉산정의 기준이 되는 목표치의 달성가능(p<.001)이 전제되어야 한다고 인식하였다.

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대학간호교육목표의 시안개발 (Development of the Tentative Educational Objectives for the Nursing College)

  • 이화자
    • 한국간호교육학회지
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    • 제1권1호
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    • pp.32-45
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    • 1995
  • This thesis is a study to develop the tentative objectives and present the professional and courses for the nursing college. The conclusions conducted by the purpose of this study are as follows. First, on the basis of the concepts of the nursing and the view-points of nursing education, the tentative goals for the nursing education are set up as follows. 1. To understand human being's life, dignity and their physical, mental, and social aspects. 2. To understand the basic concepts and the principles of human sciences, social sciences, natural sciences, and medical sciences. To apply their knowledges to nursing practices. 3. To diagnose and assess the problems of individual, family and community in terms of nursing practice. To develop the ability of planning, negotiation, management, and evaluation for the nursing education. 4. To develop appropriate knowlege, attitudes, and skills to promote the clients' health and treat their illness. 5. To accomplish all tasks effectively as a trained and qualified professional nurse through the endless studies. Second, the nursing areas and courses for the nursing college in terms of validity, Importance, continuity, relationship, utility and appropriateness are listed as follows. 1. Fundamental courses of the nursing. (1) General courses communication human development, behavior science, biochemistry, microbiology, pharmacology (2) Medical courses physiology, anatomy, pathology 2. Basic courses in nursing (1) General nursing fundamental nursing, introduction of nursing, nursing history, nursing process, health education, health assessment, philosophy of nursing, nursing psychology (2) Maternal-Child nursing child-health nursing, child-disease nursing, adolescent nursing, obstetric nursing, post-partum nursing, gyneco-pathy nursing (3) Adult nursing adult health nursing, adult disease nursing I(fluid & electrotonic, shock, anoxia disorder), adult disease nursing II(nutrition-excretion disorder, sexual dysfunction), adult disease nursing III(sense-, control-, activity-, sleep disorder), adult disease nursing IV(operation, rehabilitation, emergency), gerontological nursing (4) Psychiatric nursing child-adolescent psychiatric nursing, adult psychiatric nursing, gerontological psychiatric nursing, spiritual nursing (5) Community health nursing community nursing, school nursing, industrial nursing, family nursing, nursing epidemiology 3. Nursing management and research skills (1) Nursing management nursing administration, nursing ethics, laws related to nursing (2) Research skills nursing statistics, nursing research methodology Finally, the principles of the statement of the specific objectives are the followings : 1. To state the specific objectives on the basis of the syllabus of each courses. 2. To match a content with a verb or gerund as the basic form of objectives. 3. To control the level of the objectives according to the rule 'the higher the level of a content, the lower the level of a verb or a gerund'. This rule applies in the reverse, as well. 4. To decide the number of the objectives in each course on the basis of the numbers of the syllabus and the level of its comprehensiveness, 5. To correct, supplement or eliminate the stated objectives by a professional or professional groups in that area.

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