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The effect of preschool visiting oral health education program (유치원 방문 구강건강교육사업의 효과)

  • Lim, Mi-Hee;Ahn, Se-Youn;Lee, Eun-Sun;Jung, Jae-Yeon;Han, Ji-Youn;Hwang, Yoon-Sook;Han, Su-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.20 no.6
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    • pp.963-972
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    • 2020
  • Objectives: This study aimed to check the effect of preschool visiting oral health education programs and provide baseline data for an oral health education program that suggests the necessity of oral health education in children's living places. Methods: The preschool visiting oral health education was conducted with the parents of 3-year-old and 4-year-old children at a preschool in the jurisdiction of the Seoul Metropolitan Office of Education, with teachers observing the education, and oral health educators to examine the effect of the oral health education, the effectiveness of the education, the status of oral health care, and the degree of cooperation for the education. Results: Regarding oral health behaviors after the education program, the attitude toward brushing teeth after food intake increased from 2.86 to 3.17 and thinking of the relationship with dental caries and eating food increased from 2.57 to 2.90. The satisfaction with the children's health education was very high at over 4.9 points in most items. The teachers' interest in children's oral care was 4.26 points, and the degree of their cooperation for education was 4.41 points; 96.4% responded that they were willing to conduct reeducation. Conclusions: Children's oral health education should be conducted steadily and repeatedly.

Veterans Hospital Medical Expenses Increase & Decrease Characteristics and Convergence Phenomenon-Focusing on the implications of the medical support system for national veterans-

  • Yu, Tae Gyu
    • International Journal of Advanced Culture Technology
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    • v.9 no.1
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    • pp.16-21
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    • 2021
  • As the average age of national veterans has increased from 69 years old(2011) to 71 years old(since 2015) over the past five years, the overall medical service cost of veterans has increased by about 20%. The main cause of this phenomenon is 'ultra-aging', which accounts for 67% of veterans, while the proportion of health insurance patients aged 70 or older is 9%. Therefore, it is judged that the analysis of the trend of use of medical services at veterans hospitals in each region that is in charge of severe medical services of national veterans can serve as an opportunity to seek countermeasures for the severe medical system of national veterans. First of all, based on the details of major medical expenses (hospitalization, outpatient, pharmaceutical expenses) by region for the last 10 years(2010-2019), data significance was performed through a chi-square test, and the Central Veterans Hospital and Non-Central Veterans Hospital using EXCEL. 'Expected frequency' was calculated by year. By applying the CHITEST(observation frequency, expected frequency) function again, the p-value(p<0.05) was calculated, and the profit bias of each region's veterans hospital could be determined. The specific research method is for the last 10 years(2010-2019) for state-sponsored patients_outpatient treatment income, state-sponsored patients_hospitalization income, exempt patients_outpatients at the Central Veterans Hospital, Busan Veterans Hospital, Gwangju Veterans Hospital, Daegu Veterans Hospital, and Daejeon Veterans Hospital. A one-way analysis of variance was conducted to verify the significance of the difference between group averages on the status of 5 medical revenues of veterans hospitals in each of the 5 regions, including medical treatment income, reduced patients_hospitalization income, and reduced patients_medicine expenses. It was found to be significant(p<0.05) at all levels, including region and type. Finally, the bias in the profit structure of regional veterans hospitals was the highest in 2017(p=0.0004) and the lowest in 2013(p=0.0349). In addition, in the profit structure of the Veterans Hospital, the year in which the'regional' variable worked the most was 2019, and the year with the least affected was 2010. The order of the former is Jungang(=31,674,713), Busan(=12,314,614), Gwangju(=11,957,038), Daegu(=10,168,015), and Daejeon(=6,991,034), and the order of the latter is Jungang(=57,868,791), and Busan(=19,183,194). Gwangju(=17,904,712), Daegu(=15,656,034), and Daejeon(=14,377,395). In conclusion, the profit bias of veterans hospitals repeatedly raced the lowest(p=0.01986) and highest(p=0.03499) for the past five years(2010-2014) year by year, with the 'regional' variable being the most in the veterans hospital's profit structure It was identified as a major influence factor. On the other hand, for the last 5 years (2015-2019), the influence factors of the'regional' variable every year were in 2015(p=0.02015), 2016(p=0.01741), 2017(p=0.00045), and 2018(p=0.00394). in 2019(p=0.00227), a significant difference was confirmed at a very low level.

Trochlear Nerve Palsy Caused by Quadrigeminal Cistern Lipoma (사구수조지방종에 의한 도르래신경마비 1예)

  • Choi, Nam Hyeon;Kim, Won Jae;Kim, Myung-Mi
    • Journal of The Korean Ophthalmological Society
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    • v.59 no.11
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    • pp.1087-1090
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    • 2018
  • Purpose: To report a case of trochlear nerve palsy caused by quadrigeminal cistern lipoma located in the dorsal midbrain. Case summary: A 65-year-old male visited our clinic for intermittent vertical diplopia over 2-year period. Symptoms of diplopia had worsened over the past two weeks. He had no previous medical history except having had diabetes for 1 month. The best-corrected visual acuity was 20/25 in the right eye and 20/20 in the left eye. Pupillary examination was not remarkable. Extraocular examination showed 4 prism diopters (PD) left hypertropia at distant gaze and 4 PD exotropia at near gaze, with adduction elevation of the left eye. The Bielschowsky head tilt test revealed 6 PD left hypertropia on the left gaze and orthotropia on the right tilt. Fundus examination showed excyclotorsion of the right eye and incyclotorsion of the left eye. Brain magnetic resonance imaging revealed quadrigeminal cistern lipoma. Prism glasses were prescribed to alleviate diplopia, and we followed up the lesions without further treatment. Conclusions: Trochlear nerve palsy can be caused by quadrigeminal cistern lipoma; however, it is uncommon for this condition to be caused by a compressive lesion. Prompt neuroimaging can be helpful to rule out the causes of this condition in patients with atypical symptoms.

Oral health impact profile(OHIP) according to the oral health behavior of foreign workers (외국인 근로자의 구강건강관리실태에 따른 구강건강영향지수(OHIP))

  • Yoon, Sung-Uk;Nam, In-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.3
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    • pp.451-459
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    • 2015
  • Objectives: The objective of this study is to investigate oral health behavior, PHP index and OHIP, awareness, attitude and behavior toward oral health in the foreign factory workers. Thsi study will provide the basic data for the improvement of the foreigners' quality of life. Methods: A self-reported questionnaire was completed by 126 Sri Lankans and 76 Chinese over 20 years old in Daegu and Gyeongbuk from January to April, 2012 through man to man interview after receiving informed consent. The questionnaire included oral health status, PHP index and OHIP. Results: OHIP was closely related to sex, marital status, and medical expense burden. PHP index was closely related to religion and income. The averages of OHP and PHP were 4.36 and 3.7, respectively and very bad. OHIP was influenced by number of toothbrushing, time of toothbrushing, use of oral hygiene device, and dental visit within a year. PHP index was influenced by the area of toothbrushing, time of toothbrushing, and the dental visit within a year. Regression analysis of PHP index according to OHIP and oral care conditions showed the equation. Y(OHIP)=2.999+0.103(area of toothbrushing)+0.346(the use of oral hygiene article)+ 0.077(visiting to the dentist during the past one year)-0.173(PHP index)(p<0.05). Conclusions: Low PHP index in the foreign workers affected quality of life. So the company must provide the continuing oral health care for the foreign workers every year. The concern for the health care for the foreigners will improve oral health behavior in the future.

Epidemiological comparison of three Myco­plasma pneumoniae pneumonia epidemics in a single hospital over 10 years

  • Kim, Eun-Kyung;Youn, You-Sook;Rhim, Jung-Woo;Shin, Myung-Seok;Kang, Jin-Han;Lee, Kyung-Yil
    • Clinical and Experimental Pediatrics
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    • v.58 no.5
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    • pp.172-177
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    • 2015
  • Purpose: Mycoplasma pneumoniae (MP) pneumonia epidemics have occurred in 3- to 4-year cycles in Korea. We evaluated the epidemiologic characteristics of MP pneumonia in Daejeon, Korea, from 2003 to 2012. Methods: We retrospectively analyzed 779 medical records of children (0-15 years of old) with MP pneumonia admitted to our institution and compared the data from 3 recent epidemics. Results: In 779 patients, the mean age and male-to-female ratio were $5.0{\pm}2.2$ years and 1:1, and most cases were observed in autumn. There were three epidemics during the study period, in 2003, 2006-2007, and 2011. In our comparison of the three epidemics, we found no differences in mean age, the male-to-female ratio, hospital stay, or the rate of seroconverters during hospitalization. All three epidemics began in early summer and peaked in September 2003 and 2011 and in October 2006 and then gradually decreased until the next year's spring season, although the 2006 epidemic extended further into 2007. The peak age groups in the children in 2003 and 2006 were 3-6 year-olds (57.5% and 56%, respectively), but in the 2011 epidemic, the peak group was 1-4 year-olds (46.5%). The proportion of the <2 years of age group was 20%, 15.7% and 28.8%, and >10 years of age group was 5.2%, 13.8%, and 14.8% of total patients, respectively. Conclusion: MP pneumonia outbreaks occurred every 3-4 years. The pattern of 3 recent epidemics was similar in demographic characteristics and seasonality with some variations in each outbreak.

The Effects of Interactivity on Consumer-Internet Brand Relationship and Repurchase Intention According to Relationship Tendency with Internet Brand (인터넷 브랜드와의 관계정도에 따라 상호작용성이 소비자-인터넷 브랜드 관계, 재구매 의도에 미치는 영향)

  • Chae, Jin-Mie
    • Journal of the Korea Fashion and Costume Design Association
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    • v.14 no.4
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    • pp.191-204
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    • 2012
  • The purpose of this study is to investigate the effect of interactivity on consumer-internet brand relationship and consumer's repurchase intention according to relationship tendency with internet brand. The survey was limited to the respondents over 20 years old living in Seoul and other metropolitan areas who had purchased fashion products in internet shopping mall. Questionnaire was collected from February 1, 2012 to February 12, 2012 and 562 useful data were analyzed using Amos 19. The results of this study were as follows: First, after respondents were divided into the strong relationship group and the weak relationship group, the path model was verified according to each group. All the paths except 'affective commitment${\rightarrow}$ repurchase intention' were accepted for the strong relationship group, while three paths were accepted for the weak relationship group. As for the weak relationship group, people-people interactivity dimension had a significantly positive effect on consumer-internet brand relationship. Also it showed stronger effect on each consumer-internet brand relationship dimension for both groups compared with contents-people interactivity. Second, respondents were divided into 'more than one year' group and 'less than one year' group according to relationship period. All the paths were accepted for 'more than one year' group, while three paths were accepted for 'less than one year' group. Both interactivity dimensions showed stronger effect on 'trust' than on 'affective commitment'.

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Displaced Double-Layered Lateral Meniscus That Mimicked the Bucket-Handle Tear: a Case Report

  • Kwak, Min Jee;Kim, Sun Ki;Kim, Ki Jun;Lee, Bum-Sik;Kang, Jun
    • Investigative Magnetic Resonance Imaging
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    • v.20 no.3
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    • pp.191-195
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    • 2016
  • Among the various types of congenital meniscal anomalies, the double-layered lateral meniscus is extremely rare. The double-layered meniscus consists of both the upper additional and the lower normal meniscus. As the upper additional meniscus is mobile, it can be easily displaced, while the lower lateral meniscus is usually normal in shape and volume. A 42-year-old woman suffering from pain and locking of her left knee underwent Magnetic resonance imaging (MRI) examination and an arthroscopic surgery. A rare meniscal abnormality was seen in her left knee, which presented as a double-layered lateral meniscus with displacement. It was remarkable that the upper additional meniscus was displaced over the intercondylar eminence of the tibia and it mimicked a bucket-handle tear. Even though it is rare, it is necessary to consider the possibility of displaced double-layered meniscus in the differential diagnosis of a bucket-handle tear. Here, we report the MRI and arthroscopic findings of a displaced double-layered lateral meniscus, which was similar to the bucket-handle tear.

Treatment of anterior open bite by posterior maxillary segmental osteotomy and miniplates: a case report

  • Choi, Sung-Kwon;Kwon, Kyung-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.42
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    • pp.20.1-20.7
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    • 2020
  • Background: Anterior open bite is a challenging malocclusion to correct orthodontic treatment. Anterior open bite associated with over-erupted posterior teeth and long lower facial height should be treated by reduction of posterior dimension for esthetic results. Although the possibility of orthodontic treatment of an anterior open bite has increased with the introduction of skeletal anchorage, there are still cases requiring surgery for various reasons. Case presentation: This case report covers an anterior open bite of a 25-year-old man successfully treated with the posterior maxillary segmental osteotomy (PMSO) and miniplates. After the pre-surgical orthodontic treatment, the PMSO between canines and first premolars was performed under local anesthesia and miniplates were placed on the zygomatic buttress. As a result of 28 months of treatment, an impaction amount of 3.5 mm was obtained in the maxillary posterior teeth, and the facial esthetics improved at rest and smile. Conclusion: The impaction of the posterior dentoalveolar segment using the PMSO can be a good treatment option in patients with anterior open bite showing long lower facial height.

Bibrachial Amyotrophy Associated with Epidural Cerebrospinal Fluid Leakage: A Case Report (경막외 뇌척수액 누출과 연관된 양측 상지 근위축증: 증례보고)

  • Rho, Hyunwoo;Jeong, Jiseon;Sung, Duk Hyun
    • Journal of Electrodiagnosis and Neuromuscular Diseases
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    • v.20 no.2
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    • pp.112-118
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    • 2018
  • We describe a case of a 71-year-old male patient who experienced progressive bilateral proximal upper limb weakness and atrophy without sensory symptoms and signs over 5 years. Electromyography demonstrated denervation potentials and neuropathic motor unit action potentials on C5-C7 myotome muscles bilaterally. Cervical spine magnetic resonance imaging revealed engorged anterior epidural venous plexus, T2 hyperintensity localized to grey matter ("snake-eye" appearance) at C2-C6 vertebral level, and ventral epidural fluid collection from C6 to T8 vertebral level. This case indicates that bibrachial amyotrophy associated with epidural fluid leak should be suspected in patients presenting with progressive bilateral upper limb weakness and atrophy without sensory involvement.

Analysis of the width ratio and wear rate of maxillary anterior teeth in the Korean population

  • Oh, Yeon-Ah;Yang, Hong-So;Park, Sang-Won;Lim, Hyun-Pil;Yun, Kwi-Dug;Park, Chan
    • The Journal of Advanced Prosthodontics
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    • v.9 no.2
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    • pp.93-98
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    • 2017
  • PURPOSE. The purpose of this study was to compare the width ratio of maxillary anterior teeth according to age in the Korean population and to evaluate the maxillary central incisor width-to-length (W/L) ratio, given differences in age and gender. MATERIALS AND METHODS. Ninety-three Korean adults were divided into 3 groups (n = 31) by age. Group I was 20 - 39 years old, Group II was 40 - 59 years old, and Group III was over 60 years of age. After taking an impression and a cast model of the maxillary arch, the anterior teeth width ratio and central incisor W/L ratio were calculated from standard digital images of the cast models using a graph paper with a digital single lens reflex (DSLR) camera. The calculated ratios were compared among all groups and central incisor W/L ratio were analyzed according to age and gender. All comparative data were statistically analyzed with one-sample t-tests, one-way ANOVAs with Tukey tests, and independent t-tests. RESULTS. No significant differences in maxillary anterior teeth ratios were found among the age groups. The maxillary central incisor W/L ratios in Group III were the greatest and were significantly higher than those in the other groups. The central incisor W/L ratio of men was higher than that of women in Group II. CONCLUSION. Maxillary anterior teeth width ratios were similar in all age groups in the Korean population. The maxillary central incisor was observed as worn teeth in the group over 60 years of age, and a significant difference between genders was found in 40 to 50 year olds.