• Title/Summary/Keyword: Pocket Type

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A Study of Total Medical Cost and Hospitalization Risk of Patients with Schizophrenia and Type 1 Diabetes Mellitus (제1형 당뇨병을 동반한 조현병 환자의 총 의료비용 및 입원 위험)

  • Lee, Sang-Uk;Kim, You-Seok
    • Korean Journal of Schizophrenia Research
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    • v.22 no.1
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    • pp.8-13
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    • 2019
  • Objectives: The aim of this study was to explore the prevalence of type 1 diabetes in patients with schizophrenia and their total medical costs and risk of hospitalization. Methods: This study used Health Insurance Review and Assessment Service data in Korea. To examine total medical costs and risk of hospitalization, we selected 1,510 subjects with schizophrenia (half with and half without type 1 diabetes) that were 1:1 matched via propensity score matching. In health care system perspective, total medical costs included out-of-pocket and insurer's costs. Logistic regression models were used to examine the risk of hospitalization. Results: The prevalence of type 1 diabetes in patients with schizophrenia was 3.87 per 1,000 person year. Among patients with schizophrenia, the amount of total average medical costs and hospitalization costs in patients with type 1 diabetes was 1.49 and 1.59 times higher than those in patients without it, respectively. The odds of hospitalization were higher among patients with type 1 diabetes compared with those without it (odds ratio, OR=1.97 ; 95% CI 1.60-2.43). Conclusion: This study showed that medical costs and risk of hospitalization were higher in schizophrenia patients with type 1 diabetes. Therefore, these individuals may require specific care programs.

Basic Rules of Incision in Periodontal Flap Preparation (임상가를 위한 특집 3 - 치주판막 절개의 기본원리)

  • Shin, Seung-Il
    • The Journal of the Korean dental association
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    • v.50 no.8
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    • pp.474-481
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    • 2012
  • The periodontal flap surgery is the most widely utilized surgical procedure to reduce the pocket depth and to access the subgingival root surfaces for scaling and root planing. The diagnosis of the periodontal lesion and the objective of the surgery will dictate the type of flap procedure which will be utilized to obtain the best result. The incisions, type of flap and the selection of suturing design must be planned and executed to fit the problem. Periodontal flaps are designed to preserve gingival integrity and to gain access to root surfaces for residual calculus removal and to thoroughly remove granulation tissue so bone defects can be visualized and treated. Gentle and efficient procedures result in optimum healing and minimal postoperative pain. When flaps need to be repositioned apically or less often, coronally, then the flaps must sit passively at the appropriate level before suturing. To ensure this, buccal and lingual flaps need to be elevated beyond the mucogingival junction so the elasticity of the mucosa allows for flap mobility. Sometimes it may be necessary to extend the flap elevation apically with a split incision approach to minimize the effect of the less elastic periosteum. Vertical incisions can aid in flap positioning by allow ing the clinician to suture the flap at a different level to the adjacent untreated gingiva. In osseous periodontal surgery, flaps are apically positioned to minimize postoperative pocket depth. In regenerative periodontal surgery including implant surgery, soft tissue cove rage of bony defects, graft materials, membranes, and bio logic agents is important so sulcular incisions and light suturing techniques are crucial.

The Impact of Social Support and Stress on Smoking among Students of Several Boy's High Schools in Daejeon, Korea (일부 남자 고등학생들의 스트레스, 사회적 지지, 환경적 특성과 흡연과의 관계)

  • Lee, Yun-Kyung;Cho, Young-Tae;Cho, Byong-Hee
    • Korean Journal of Health Education and Promotion
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    • v.22 no.2
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    • pp.111-124
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    • 2005
  • Objectives: The purpose of this study is to evaluate the impact of psycho-social factors on smoking especially the impact of a social support and stress on smoking among boy's high school students. Methods: This study was conducted by administering a questionnaire to 442 boys' high school students living in Deajeon, Korea. This data were analyzed with the SPSS statistical package using t-test and logistic regression. Major findings of this study are as follows: Results: 1. Analysis of the relationship of smoking, stress and social support: The relationship between stress and smoking and between friend's support and smoking had a positive correlation. But the relationship between parents' support and smoking and between teacher's support and smoking had a negative correlation. 2. Multiple logistic analysis of the impact of stress, social support and general characteristics on smoking: The relationship between stress and smoking had a positive correlation as social support and general characteristics were controlled. In contrast, the relationship between social support -parents', friend's, teacher's support- and smoking had no significant correlations as stress and general characteristics were controlled. The risk factors of smoking of boy's high school students were smoking friends, drinking, a type of school, pocket money per month, and stress. And the most powerful predictor of smoking was smoking friends(OR=12.35). Conclusions: The results showed that the variables affecting mainly on smoking were the personal background -smoking friends, drinking, a type of school, pocket money per month- and stress. Therefore, these findings give useful information for constructing a program against smoking or educating about smoking.

A Study on the Actual Wearing Conditions of Korean Military Tank Driver's Clothing (전차병복 착용실태에 관한 연구)

  • Kwon, Seo-Yoon;Lim, Chae-Guen;Shin, Dong-Woo;Jung, Hyun-Mi
    • Fashion & Textile Research Journal
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    • v.13 no.4
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    • pp.582-589
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    • 2011
  • The purpose of this study was to investigate problems of design, fitness, suitability for movement, and comfort in current Korean military tank driver's clothing through analysis of actual wearing condition by questionnaire and field evaluation and. to provide basic data for developing a improved design of Korean military tank driver's clothing. The survey was done for 477 military tank driver and the field evaluation was also done for evaluation. The overall satisfaction for design of military tank driver's clothing(3.25) was higher than that for the easiness in wearing and taking off(2.76). The military tank drivers evaluated that current coverall type of clothing is more suitable than two-piece type of clothing. The overall satisfaction for fitness of clothing was as a whole low(2.82~3.09), Especially, the satisfaction for fitness of from front and back rise length was the lowest one. In the satisfaction for clothing materials, the satisfaction for the breathability of material was the lowest, followed by clothing insulation and air permeability. The satisfaction for movement was low in bending waist and raising forward and aside. The part which surveyors think most dissatisfactory was also front and back rise length. The frequency in use of pocket was the highest in chest pocket, followed by waist and pants pockets. The satisfaction for opening easiness of hips opening part was very low(2.64).

The Effect of the Hydrogen Bond Network in the $S_1$-pocket on Catalytic Activity of Serine Protease, Achromobacter Protease I (API)

  • Lim, Seong-Il;Byun, Myung-Woo;Choi, Cheong
    • Journal of Microbiology and Biotechnology
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    • v.8 no.2
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    • pp.158-164
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    • 1998
  • Crystal structural analyses of the API-TLCK complex revealed that the ${\epsilon}$-amino group (NZ) of the lysyl part of TLCK forms hydrogen bonds with OD1 of $Asp^225$ which is a substrate specificity determinant of API, OG of $Ser^214$, O of $Ser^214$, OG1 of $Thr^189$, and O of $Thr^189$ l89/. The ${\beta}$-carboxyl oxygen of $Asp^225$ forms hydrogen bonds with the NE1 of $Trp^182$. From these observations, it is thought that besides $Asp^225$, $Thr^189$, $Ser^214$, and $Trp^182$ may also contribute to the steric specificity for lysine and high proteolytic activity of API. The side-chain hydroxyl groups of $Thr^189$ and $Ser^214$ were removed to elucidate the role of these hydrogen bonds in the $S_1$-pocket. The $k_{cat}$/$K_m$ of T189V, S214A, and T189V.S214A were decreased to 1/4, 1/3, and 1/46, respectively, of the value for native API. The decreased activities were mainly due to the increase of $K_m$. The CD and fluoroscence spectra of the three mutants were similar to those of wild-type API. With regards to the kinetic parameters ($K_i\;and\;k_2$) of mutants for the reaction involving TLCK and DFP, $k_2$decreased by increase of $K_1$ only. These results suggest that the decreased catalytic activity of these mutants is caused by the partial loss of the hydrogen bond network in the $S_1$-pocket. On the other hand, the similarity of enzymatic properties between W182F and the native enzyme suggests that the hydrogen bond between OD2 of $Asp^225$ and NE1 of $Trp^182$ is not directly related to the reaction of $Asp^225$ with the substrate.

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Development and Testing of CdZnTe Detector for Pocket Surveymeter (CdZnTe 검출기를 이용한 개인용 Pocket Surveymeter의 제작 및 특성)

  • Lee, Hong-Kyu;Kang, Young-Il;Choi, Myung-Jin;Wang, Jin-Suk;Kim, Byung-Taik
    • Journal of Radiation Protection and Research
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    • v.21 no.1
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    • pp.1-7
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    • 1996
  • In this paper, we discussed the fabrication and characterization of bulk type CdZnTe detector for pocket surveymeter. The resistivity of CdZnTe single crystal grown by the High Pressure Bridgman method is in the mid of $10^9$ ohm-cm. The detector structure is Au/CdZnTe/Au and gold electrode is formed by electroless deposition method. Resolutions of 4.8keV and 2.2keV were observed at 22.2keV line of $^{109}Cd$ and 59.6keV line of $^{241}Am$ at room temperature, respectively. We also constructed the small size pocket surveymeter using home made CdZnTe detector. It shows the good linearity over a range from 1mR/hr to 10R/hr with deviation less than 5%. The sensitivity of the surveymeter developed is $2.2{\times}10^3 cps/Rad\;hr^{-1}$ for the 662keV of $^{l37}Cs\;{\gamma}-ray$.

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THE EFFECTS OF ATELO-COLLAGEN SPONGE INSERTION ON THE PERIODONTAL HEALING OF SECOND MOLARS AFTER IMPACTED MANDIBULAR THIRD MOLAR EXTRACTION (매복 하악 제3대구치 발치와에 Atelo-collagen Sponge 삽입이 제2대구치 예후에 미치는 영향)

  • Nam, Jin-Woo;Kim, Kyung-Wook
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.2
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    • pp.112-119
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    • 2009
  • Extracellular matrix(ECM) is known to function as a reservoir of endogenous growth factors, can be an effective delivery system of growth factor that easily lost bioactivity in solution. Fibrillar collagens like type I collagen, are the major constituent of the ECM and structural protein of bone. Also, it can be a scaffold for osteoblast migration. The purpose of this study was to compare the effects of absorbable Atelo-collagen Sponge($Teruplug^{(R)}$) insertion in tooth extraction sites on periodontal healing of the mandibular second molar after the extraction of the impacted third molar. The study population comprised 31 cases who had been scheduled for surgical removal of impacted mandibular third molars. All patients were in good general health and were not using any medication that would influence wound healing after surgery. In 15 cases control group, none was inserted into the tooth extraction site. In 16 cases experimental groups, $Teruplug^{(R)}$ was inserted into the tooth extraction site. We evaluated tooth mobility, pocket depth, gingival margin level preoperatively and 1 week, 2 weeks, 4 weeks, and 3 months postoperatively. The change was compared with two groups using Mann-Whitney test. The results were as follows. 1. There was no significant change of tooth mobility on both groups. 2. There was tendency of decreasing of previous pocket depth causing tooth extraction on both groups. 3. On gingival margin level, there was various change according to initial swelling and loss of attachment on both groups. 4. There was tendency of decreasing of gingival margin level on both groups because of removal of inflammation and decreasing of previous pocket depth. 5. There was large change of pocket depth on buccal middle, distal, lingual distal area because of tooth extraction and bone reduction. Compared with the control group and experimental group, we observed significant difference during some periods. The results of this study suggest that absorbable atelo-collagen sponge($Teruplug^{(R)}$) is relatively favorable bone void filler with prevention of tissue collapse, food packing and enhance periodontal healing.

Anticancer Drug Use and Out-Of-Pocket Money Burden in Korean Cancer Patients: A questionnaire Study (국내 암환자의 항암제 사용 및 본인부담비용에 대한 실태조사)

  • Kim, Haesook;Jang, Jinkyung;Sohn, Hyun Soon
    • Korean Journal of Clinical Pharmacy
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    • v.22 no.3
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    • pp.239-250
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    • 2012
  • In recent years, national health insurance(NHI) coverage had been expanded gradually for cancer as a severe disease requiring high level of medical expenditure, to reduce patient's financial burden. But, subjective burdens level for out-of-pocket(OOP) money expense are still considerable owing to high medical cost and decent numbers of services not covered by benefit plan. This study aimed to investigate OOP medical expenditures and identify factors influencing subjective financial burden in cancer patients. A 28-items questionnaire for self-reporting by responders was designed to satisfy study goal and finalized following by one pilot study and experts' verification process. Subjects were enrolled during July to October 2010 through regular meetings organized by five patient or patient-advocacy groups had acknowledged the study purpose. Subjects who aged 20 or more, have histories of cancer diagnosis and anticancer drug use, and voluntarily agreed to participate in this study were recruited. Total 107 subjects included in the analysis have cancer lesions in breast, colon, kidney, liver or stomach at the stages from I to IV. Approximately 73% of them has passed less than 5 years since cancer diagnosis. For the OOP medical expenditure regarding cancer, less 6 million won was in 31%, 6-15 million won in 35% and more than 15 million won in 28% of responders, and more than half responders(58%) felt financial burden subjectively. 63% of responders had subscribed commercial insurances, resulting in money receipts of more than 10 million won since cancer diagnoses in 76% of responders. Logistic regression results showed significant differences in subjective OOP financial burden level depending on gender, household income level, benefit type, commercial insurance money receipt degree, year cancer diagnosed, cancer lesion, therapy type, duration of anticancer drug use, drug listing in national formulary, total OOP medical expenditure and total OOP anticancer drug expense. They had mixed feelings both wishes to expand NHI coverage to reduce financial burden(70%) and no willingness to increase premium(59%). This result suggested that NHI might direct future strategies to reduce absolute total OOP medical cost and expand benefit plan coverage in higher burden groups in particular.

An Analysis on the College Wonen's Buying and Using Behavior of Cosmetics According to Life-style Types (여대생의 라이프스타일 유행에 따른 화장품 구매 및 사용행동 분석)

  • 채정숙
    • Journal of the Korean Home Economics Association
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    • v.39 no.11
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    • pp.107-128
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    • 2001
  • The objectives of this study were to classify the consumer group based on the lifestyle traits of cortege women, to examine the demographic characteristics of each group, and to find out the differences of buying and using behavior of cosmetics among each group. The survey was conducted and 392 samples were analyzed by SPSS package program. The results of this study were as follows; 1. The lifestyle types were clasified 4 groups. They were named 'Progressive fashion pursuing type' 'Reality adaptable living-satisfaction type','Traditional frugal faithful type','Passive living-unconcern type'. 2. The demographic characteristics of each lifestyle group showed meaningful differences according to the following variables ; major, average monthly pocket money, religion, living standard, educational level and occupation of the head of a family. 3. The buying behavior of cosmetics(the degree of product involvement, information search behavior, product choice criteria, store choice criteria) showed meaningful differences among each lifestyle group. 4. The using behavior of cosmetics( the motive of make-up, the extent of make-up, average monthly cosmetics expenditure) showed meaningful differences among each lifestyle group.

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Effects on the ESD Protection Performance of PPS(PMOS Pass Structure) Embedded N-type Silicon Controlled Rectifier Device with different Partial P-Well Structure (PPS 소자가 삽입된 N형 SCR 소자에서 부분웰 구조가 정전기 보호 성능에 미치는 영향)

  • Yang, Jun-Won;Seo, Yong-Jin
    • Journal of Satellite, Information and Communications
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    • v.9 no.4
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    • pp.63-68
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    • 2014
  • Electrostatic Discharge(ESD) protection performance of PPS(PMOS pass structure) embedded N-type silicon controlled rectifier(NSCR_PPS) device with different partial p-well(PPW) structure was discussed for high voltage I/O applications. A conventional NSCR_PPS standard device shows typical SCR-like characteristics with low on-resistance, low snapback holding voltage and low thermal breakdown voltage, which may cause latch-up problem during normal operation. However, our proposed NSCR_PPS devices with modified PPW demonstrate the stable ESD protection performance with high latch-up immunity.