• Title/Summary/Keyword: Limited examination

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Factors Related to the Unmet Dental Care Needs of Adults with Dental Pain (구강 통증을 경험한 성인의 미충족 치과의료 관련 요인)

  • Ahn, Eunsuk;Shin, Myong-Suk
    • Journal of dental hygiene science
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    • v.16 no.5
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    • pp.355-360
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    • 2016
  • The purpose of this study was to examine unmet dental care needs and related factors among adults in Korea. The study included a nationally representative sample of Koreans (Korea National Health and Nutrition Examination Survey 2104). The dependent variable was unmet dental care need and the independent variables were socioeconomic status and oral health status. The chi-square test and logistic regression analysis were performed to identify the associations between explanatory variables and unmet dental care needs. The major causes of unmet dental care needs included economic burden, work life, and academic reasons; in addition, dental treatment was considered to have lower priority. The factors that had statistically significant relationships with unmet dental care needs were sex, age, self-rated oral health status, and difficulty in mastication. The findings of the study, suggest a need for lower dental insurance copayments in keeping with the policies and principles aimed at strengthening the national health insurance system. In addition, groups with limited access to dental services should be identified, and effective health care policies and services should be established for these individuals.

A case of cytomegalovirus-negative M$\acute{e}$n$\acute{e}$trier's disease with eosinophilia in a child

  • Son, Keun-Hyung;Kwak, Jeong-Ja;Park, Jae-Ock
    • Clinical and Experimental Pediatrics
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    • v.55 no.8
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    • pp.293-296
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    • 2012
  • M$\acute{e}$n$\acute{e}$trier's disease is a rare form of acquired gastropathy characterized by giant rugal folds in the stomach and protein-losing gastropathy. Children with M$\acute{e}$n$\acute{e}$trier's disease tend to follow a benign self-limited course with symptoms typically completely resolving within 2 to 10 weeks in contrast to the chronic course in adults. A 9-year-old girl presented with a history of gradually worsening abdominal distension, increasing body weight, and abdominal pain for 2 weeks. Physical examination on admission indicated periorbital swelling, pitting edema in both the legs, and abdominal distension with mild diffuse tenderness and shifting dullness. Laboratory tests on admission showed hypoalbuminemia, hypoproteinemia, and peripheral eosinophilia. The test result for anti-cytomegalovirus immunoglobulin M was negative. Increased fecal alpha 1 anti-trypsin excretion was observed. Radiological findings showed massive ascites and pleural effusion in both the lungs. On gastroscopy, large gastric folds, erythema, erosion, and exudation were noted in the body and fundus of the stomach. Microscopic findings showed infiltration of eosinophils and neutrophils in the gastric mucosa. Her symptoms improved with conservative treatment from day 7 of hospitalization and resolved completely.

A Study on the Web Accessibility of University Library Web Sites (국내 대학 도서관 홈페이지의 웹 접근성 실태에 대한 연구)

  • Kim, Young-Gon;Oh, Chang-Gyu
    • Journal of the Korean Society for information Management
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    • v.28 no.3
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    • pp.197-217
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    • 2011
  • Web accessibility refers to the practice of providing equal access to web sites to people without and with disability. This study aims to investigate the web content accessibility of 153 university libraries in Korea, and further suggest the approach to implement an effective university library web site to meet Korean Web Content Accessibility Guidelines(KWCAG). Survey was conducted with two steps. The first step was to find out the general level of web accessibility of all university library web sites using an automatic appraisal tool, KADO-WAH2.0, and the detailed examination of web accessibility check items was limited to 19 web sites which proved excellent in automatic appraisal. Regretfully, the result says that there is no perfect web site. Therefore every university library is advisable to make good use of the findings to meet all the requirements of KWCAG. In particular, the basic requirements, such as voice service, resizing and highlighting text, must be fulfilled by priority and to almost all contents.

A Case Report of Lumbago due to Retention of Undigested Food(食積) and Damp-heat(濕熱) in Ten Kinds of Lumbago (십종요통(十種腰痛) 중 식적(食積).습열(濕熱) 요통(腰痛)의 증례보고)

  • Park, Min-Je;Kim, Jung-Uk;Hwang, Min-Sub;Yoon, Jong-Hwa;Sung, Su-Min
    • Journal of Acupuncture Research
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    • v.22 no.4
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    • pp.143-153
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    • 2005
  • What we want to report is the oriental medical treatment of eleven patients with lumbago. The patients had several features in common. First, the source of the lumbago was related to overdrinking or overeating, which is something like food damage(食傷) in oriental medicine. Second, they had symptoms of digestive trouble as well as lower back pain. Third, the R.O.M of lumbar spine was limited but there was no another special abnormality in physical examination. Fourth, singly they had muscular tenderness of Iliopsoas muscle and symptoms by Myofascial pain of Iliopsoas muscle was appeared. We assumed this sort of lumbago to be one due to retention of undigested food(食積) or damp-heat(濕熱) in oriental medicine, similar to Myofascial pain syndrome of Iliopsoas muscle in western counterpart. Acupuncture treatment was done to improve the digestive trobles according to oriental medical theory, and we saw the improvement in VAS score of lower back pain, degree of lumbar flexion, Iliopsoas muscle's tenderness and also digestive trobles. But an objective researches on the relation of lumbago due to retention of undigested food(食積) or damp-heat(濕熱) and myofascial pain syndrome of Iliopsoas muscle are quite lacking. However we think such a clinical approach could be useful in practices of oriental medicine increase in curative effect.

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Enlarged Lipogranuloma after Closed Reduction of Nasal Bone Fracture: A Case Report (비골골절 정복술 후 커진 지방육아종의 치험례)

  • Lee, Ji Won;Choi, Jae Il;Ha, Won;Yang, Wan Suk;Kim, Sun Young
    • Archives of Craniofacial Surgery
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    • v.13 no.1
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    • pp.63-67
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    • 2012
  • Purpose: Lipogranuloma is the reaction of adipose tissue to various oils, paraffin, and other hydrocarbons injected into subcutaneous tissue for cosmetic or other reasons. The authors experienced a case of sclerosing lipogranuloma on the nasal dorsum. Methods: A 42-year-old female, without a history of the injection of any foreign materials, was admitted on our hospital for a painless, irregular, and firm mass located on her nasal dorsum with step-off deformity. It was considered that the mass had developed after augmentation rhinoplasty. The size of mass had been increased after closed reduction of nasal bone fracture. On April 2011, under general anesthesia, the mass was removed by open rhinoplasty technique. In addition, a pathologic examination was performed. After the mass extirpation, dermofat graft was performed for the correction of depression deformity. Results: The histopathological findings demonstrated a Swiss cheese pattern with variably-sized vacuoles, which corresponded to lipid removed with tissue processing, and variable foreign body giant cell reaction, fat necrosis, and hyalinized fibrous tissue. The pathologic diagnosis is lipogranuloma replacing nasalis muscle. It has been considered that sclerosing lipogranuloma is caused by nerve injury during augmentation rhinoplasty and the ointment used after the closed reduction of nasal bone fracture, which infiltrated through the injured mucosa. Conclusion: During the treatment of rhinoplasty or nasal bone fracture, the nerve injury or the ointment use can lead to lipogranuloma. Therefore, careful dissection for avoidance of the nerve injury and limited use of ointment seems to be helpful in decreasing incidence of lipogranuloma.

Study in the Respiratory Metabolism in Some Bivalves(II) on the Oxidative Metabolism and its Enzyme System in the Gill Tissue of the Fresh Water Mussel, Cristaria plicata spatiosa (CLESSIN) (패류의 호흡대사에 관한 연구(II) 담수산 패류, Cristaria plicata spatiosa (CLESSIN), 아가미 조직의 산화적 대사와 그 효소분에 대하여)

  • 한문희;김동준;최희정
    • The Korean Journal of Zoology
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    • v.4 no.1
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    • pp.7-12
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    • 1961
  • 1) Respiratory metabolism patterns and its enzyme systems in the gill tissue of the fresh water mussels, Cristaria plicata were investigated through the examination on the effects of respiratory enzyme inhibitors, (KCN, NAF) and succinoxidase assay, while studying the effects of neutral salts (NaCL, KCL, CaCl2) and pH on oxygen consumption of the gill tissue. 2) In the limited concentration of KCL (0.3mM) and NaCl (0.4mM) solutions, oxygen consumption of the intact gill tissue was accelerated, but in CaCl2(0.5mM) solution, it showed no significant effect. The oxygen consumption was gradually decreased at the above concentrations of these limitations. The optimum pH for the respiration of the gill was 7.3. 3)Cyanide in 10-8M solution inhibited 88.8% of the respiration of the intact gill tissue. Methylene blue accelerated the respiration of the noral gill tissue, and slightly but significantly reversed the cyaniide poisoned respiration. 4)Oxygen consumption of the gill homogenate was apparently increased by the mixed addition of succinate, cytochrome c and activators (AlCl3 and CaCl2). This results suggested that succinoxidase system acts on the respiratory pattern of the gil tissue. 5) It was able to recognize that the enolase, which acts on the anaerobic glycolytic system, participated in the tissue respiration of the gill for NaF in 5$\times$10-2 M solution inhibited 55.5% of the respiration of the same intact tissue.

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THE STUDY OF PATIENT EXPOSURE AND PROTECTION FROM DENTAL RADIOGRAPHY (치과 X선 촬영에 있어서 환자에 대한 피폭과 방어에 관한 연구)

  • Park T. W.
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.9 no.1
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    • pp.25-31
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    • 1979
  • The utilization of x-ray for diagnosis and examination is increasing by about 5-15% every year, therefore, it would be mandatory to protect the patients from exposures and so, studies in this field are performed even now. In dental field, the area of irradiation is limited any to the head and neck area, but the irradiated angle is varied following the objected tooth, so the adjacent structures lens and thyroid gland would be fragile to radiation. And the scattered radiation is one of the complicated problems in the protection because of specificity of dental x-ray and its object structures. The author, by using TLD (Thermo luminescent Dosimeter; Teledyne Isotopes-Model 7300, Element; TLD 200(CaF₂:Dy) and Capintec(Capintec Model 192, PM-30 Diagnostic chamber 28㎖ active volume), tried a measurement of air dose distribution of the scattered radiation and the irradiated dose of lens and thyroid gland under the condition of taking the film on the left maxillary molar. The results were as follows: 1. The half value layer of adapted dental x-ray machine was measured, and is 1.44㎜ Al. 2. The time of irradiation on the left maxillary molar in the Alderson Rando Phantom, the measured doses of left and right lens, and thyroid gland were 8,9mR, 1,2mR and 2,8mR. Under the same conditions, the scattered radiation at the distance of 1 meter from the phantom were 84 μR at the front side, 11μR at the back side, 18μR at the right side and 72μR at the left side. 3. Under the same conditions, the dose showed higher value by about 5% in the presence of object(phantom) than in the case of absence.

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The immediate effect of the fasting treatment against the depression of the female patient in the menopausal period (절식법으로 치료한 갱년기우울증 1례에 대한 임상보고)

  • Jeon, Mi-Yean;Jung, In-Chul;Lee, Sang-Ryong
    • Journal of Haehwa Medicine
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    • v.18 no.1
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    • pp.129-138
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    • 2009
  • purpose : The purpose of this paper is to report that the fasting treatment was quick and effective against the menopausal depression. So that the further study on the fasting treatment for the menopausal depression is expected. methods : This fasting treatment included three periods. The first was to reduce the food intake and the sodium intake as well. The second was for fasting for two weeks. During this period, the patient drank 250cc of the fermented herbal juice and 2500cc of water a day and had the lactobacillus supplement twice a day. Then, the third was for rebuilding. During the rebuilding period, the patient followed the limited sodium diet for two weeks. results : After the fasting treatment done, the symptoms that patient complained before went away. The BDI score went down from 19 to 3. And, of course, the patient lost her body weight and the fat. conclusions : The 49-year-old female patient in the menopause period was suffering from the lack of energy, depression, sleeping disorder, constipation, and weight gain. She took the fasting treatment along with the acupuncture at the holistic medical clinic, 'The Seasons' from Jan 16th 2009 to Feb 27th(the main fasting period was for 14 days). The BDI score indicated that she had the depression as her score was 19 at the first examination. After the treatment was completed, the BDI score dropped to 3. Therefore, I report the immediate effect of the fasting treatment again the depression. Women are twice as likely to get the depression as men. Especially, the women in menopause period tend to get the depression as they are facing the physical, mental, and social changes which can act as the stressors. Besides, women tend to get depressed when they gain weights. Thus, I suggest the further study on the fasting treatment should be carried on so to apply it more positively to various problems in the field of the psychiatry.

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Change of Teaching Method in Free Semester (자유학기에서의 수업방법의 변화)

  • Kil, Yangsook
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.131-138
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    • 2020
  • This study was intended to explore the changes in teaching methods when freedom to choose curriculum, instruction, and evaluation methods is allowed and when 'free semesters' are free from entrance examination for high school. For this question, we analyzed free semester education plans of eight sample schools and interviewed 33 teachers and students respectively. The results were as follows. Firstly, all schools planned to use teaching methods for meaningful learning, although they are limited to those exemplified in guidelines for free semester. Secondarily, teaching methods adopted for free semester were characterized as activities enhancing student participation. Thirdly, teaching methods such as career exploration, scientific experimentation, cooperative learning, flipped learning, interdisciplinary learning were used only a couple of times in a semester. Changes in teaching methods were referred to enhance students' interest, confidence, self-regulation, creativity, problem-solving and cooperative learning.

Development of the Bedside Neurocognitive Function Localization Test(BNLT) I : A Design (간이 신경 인지기능 국재화 검사의 개발 I : 고안)

  • Lee, Young-Ho;Jung, Hyo-Kyung;Hoe, Si-Young;Koh, Young-Taek;Park, Byung-Kwan
    • Sleep Medicine and Psychophysiology
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    • v.6 no.2
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    • pp.133-142
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    • 1999
  • Recently, with increasing the number of patients with head injury and cerebrovascular accident, there has been an increasing need for the useful assessment tools of brain dysfunction and it's localization. With the advances in the neuroscience since the mid-1970s, particularly in the areas of neuroanatomical tracing, neuroimaging, and improved behavioraltest design, it has been possible to develop a more precise understanding and localization of brain dysfunction. However, these equipments are not readily available in the private clinics and too expensive to use as a screening tool to all suspected patients with brain dysfunction. Although several screening tests such as Mini-Mental States Examination(MMSE) or Brief Cognitive Rating Scale(BCRS) are simple in use and useful for the brief assessment of brain dysfunction, these are also limited in using for localization of brain dysfunction because of their simplicity. With increasing need of the assessment tool which is able to localize the dysfunction more precisely in the clinical practice, we planned to develop the new assessment tool, the Bedside Neurocognitive Function Localization Test(BNLT) which is suitable for this purpose. The BNLT was designed to be utilized for localizing brain dysfunction effectively and readily in the clinical practice. We introduced the whole process of designing the BNLT in this manuscript.

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