• Title/Summary/Keyword: Military Service Experience

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A Survey of Sedation Practices in the Korean Dentistry (치과 치료 시 진정법 시행에 대한 실태 조사 연구)

  • Bae, Chi-Hoon;Kim, Hyuk;Cho, Kyoung-Ah;Kim, Mi-Seon;Seo, Kwang-Suk;Kim, Hyun-Jeong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.1
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    • pp.29-39
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    • 2014
  • Background: Dental phobia or anxiety of patients is the serious impediment to appropriate and effective dental treatment. Sedative technique helps to mitigate patients' fear and anxiety thus make them more cooperative and familiar to dental practices. With increasing attention to sedative dentistry in dentists, educational requirements and technical qualification also become stricter but actual survey on recent sedative dentistry has not been reported yet. Especially there is insufficient study reporting the survey of sedative dentistry subjected to Korean adults. In this paper, we conducted a survey study on the actual condition and practice related to sedation with a questionnaire to dentists in South Korea. Methods: The survey was done for members of The Korean Dental Society of Anesthesiology (KDSA), who had great interest in sedation and for whom survey-by-mail was convenient. 472 members of The KDSA having dental license and solid address and contact information were subjected to the survey by sending them survey questions about their sedative techniques and knowledge. In order to increase the response rate, small gifts were presented to those who accurately responded to the survey questions and text messages and phone calls were made to encourage their participation. We collected their responses over two months and examined the returned surveys. Statistical analysis was performed using IBM SPSS Statistics 21 for each question. Results: Out of 472 dentists, 181 responded (38.4% response rate). 63.0% (114 dentists; 77 male and 37 female) of respondents had experience on sedative technique and their average age was $39.8{\pm}7.6$ year. 74 of them were private practitioners, 17 of them were professors (14.9%), 11 of them were dentists-in-service (9.6%), 11 of them were residents (specialist training) (9.6%) and 1 of them was military doctors (0.9%). There were 89 dentists (78.1%) who were specialists or receiving trainings to be specialist, most of whom were pediatric dentists (55, 48.2%) and oral surgeon (31, 27.2%). The most popular route for drug medications was orderly oral, inhalational, intravenous medication. Combination of oral and inhalational medications or single use of intravenous medication was the most common. The most preferred sedative drug was pocral in oral sedation and midazolam in intravenous sedation. 48.2% of practitioners responded that they experienced side effects and emergency situations. Airway obstruction was the most frequent. Conclusions: Results from the survey show that the protocol and system for sedative dentistry have been improved compared to the past. Nevertheless, quality of emergency protocol, monitoring devices and preparation of sedative drugs was still insufficient to achieve safe sedative procedure. This study acquires novelty since actual survey on recent sedative dentistry for adult patients has not been reported yet.

A Case of Tracheal Bronchus Associated with Bilateral Superior Vena Cava Anomaly (양측성 상대정맥 기형을 동반한 기관성 기관지 1예)

  • Jeong, Jae-Hee;Park, Moo-Suk;Kim, Hee-Man;Park, Jung-Tak;Chung, Jae-Ho;Choi, Byoung-Wook;Kim, Young-Sam;Chang, Joon;Kim, Sung-Kyu;Kim, Se-Kyu
    • Tuberculosis and Respiratory Diseases
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    • v.53 no.3
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    • pp.337-343
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    • 2002
  • A tracheal bronchus, an aberrant bronchus arising directly from the trachea, is an infrequent congenital anomaly. The incidence of this anomaly ranges from 0.5 to 5%. It usually originates from the right lateral wall of the trachea at the level <2 cm above the tracheal bifurcation. These patients usually are asymptomatic, but some patients may experience recurrent pneumonia, chronic bronchitis, bronchiectasis, or asthmatic episodes. A tracheal bronchus may be associated with other anomalies such as a tracheal stenosis, pulmonary agenesis, pulmonary sequestration, congenital heart disease, a pulmonary venous anomaly and Down's syndrome. This anomaly is usually diagnosed incidentally during bronchoscopy in patients with respiratory problems. Here we report a case of a 20-year-old man with a past history of bronchial asthma, which was incidentally diagnosed as a tracheal bronchus during a medical examination prior to military service, and was associated with a bilateral superior vena cava anomaly.

Visual Specificity of the Pyongyang Landscape - Perspectives of North Korea Tourism - (서구권의 북한 관광을 통해 본 평양 경관의 시각적 특수성)

  • Ahn, Jin-hee;Pae, Jeong-Hann
    • Journal of the Korean Institute of Landscape Architecture
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    • v.44 no.4
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    • pp.66-74
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    • 2016
  • In what way is the urban landscape of North Korea used today, and what features do people prefer in the North Korean landscape? This study analyzed the characteristics of Pyongyang landscapes and their effects, based on an analysis of Western tourists motivation for tourism in North Korea and preferred enjoyment-seeking experiences. Using data from the tourist agency specializing in Western tourism in North Korea and a location based photo-sharing service, the study interprets the visual distinctiveness of Pyongyang landscape. The study concluded that widely known risk to travelers in North Korea is in fact an attraction, making people want to visit directly. However, this risk was mitigated in practical experience by the overall intermediation of the tourism agency and locals' conscious behavior to keep their distance from foreigners. Next, the scope of National ritual attributes was expanded to the locals' daily life as well as large-scale events such as mass games and military parades only if for national holidays. Also, the most preferred factors contributing to North Korean tourism were based on departure from routine through mobilization of the residents. This indicates the extension that the nature of North Korea as a theater state. The Pyongyang landscape represents a world politically isolated, people's congregated motion to display to the world, and people's lives hidden beneath a veil. These visualities fulfill the fantasy of Westerners regarding North Korea. Furthermore, these are superficial images that help create a basis to maintain the North Korea regime.