• Title/Summary/Keyword: Poor Area

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Effect of bovine bone (Bio-$Oss^{(R)}$) and platelet rich plasma, platelet poor plasma on sinus bone graft in rabbit (가토 상악동 거상술 후 Bovine Bone (Bio-$Oss^{(R)}$)과 함께 이식된 혈소판풍부혈장과 혈소판결핍혈장의 골치유능 비교)

  • Lee, Tai-Hyung;Jeong, You-Min;Choi, Yong-Kun;Lee, Eui-Seok;Jang, Hyon-Seok;Rim, Jae-Suk
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.36 no.1
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    • pp.39-42
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    • 2010
  • Maxillary sinus lift and bone graft are used to reconstruct atrophic maxilla molar area for endosseous dental implants. Many different grafting materials and techniques can be used for maxillary sinus bone graft. Bio-$Oss^{(R)}$ has been proposed as bone substitute and successfully utilized as osteoconductive filler. Platelet rich plasma (PRP) is an autologous material with many growth factors, such as PDGF, TGF-$\beta$, IGF, VEGF, facilitating bone healing process. And Platelet poor plasma (PPP) is the by-product in procedure of producing PRP. Six rabbits were used as experimental animal. Both maxillary sinus were grafted with Bio-$Oss^{(R)}$ and PRP, and Bio-$Oss^{(R)}$ and PPP. Rabbits were sacrificed at 4, 8 and 12 weeks. The grafting sites were evaluated by histomorphometric analysis. As a result, using PRP showed excellent bone formation in the early stage, but no further significant effect after that. In late stage, the ability of bone formation of using PRP was even worse than using PPP. The further studies need to be considered in this case.

Impact of increasing the level of copayments on the number of physician visits (의료보험 본인부담금 인상에 따른 외래이용 변화)

  • Chun, Ki-Hong;Kim, Hang-Jung
    • Journal of Preventive Medicine and Public Health
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    • v.25 no.1 s.37
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    • pp.73-87
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    • 1992
  • The level of copayment increased in order to stabilize the financial condition of the health insurance on 1986. An important question regarding the policy was whether the increase in the level of copayments reduced the utilization of medical services in the poor selectively. In spite of the importance of the research question, no study has been reported. This study was designed to find out changes in numbers of physician visits, to explain characteristics influencing the difference of utilization before and after the program. Finally the interaction effect between the program and the level of income was examined for the abover question. A total of 10,421 persons from eight institutions was selected as the study sample. Research findings are as follows. 1. The number of physician visits decreased by ten percent as a result of increasing the level of copayment. 2. The decrease was remarkable in some groups such as children, rural area and large family. 3. The most important factor which explained the difference was the number of physician visits before the introduction of the new program. The more numbers of physian visits during the last year were, the more numbers of physian visits decreased after the program. 4. The interaction term between the program and the level of income was statistically significant in the multiple regression model which explained physician visits and its coefficient was negative. It means that an increase in copayment did not reduced the number of physician visits in the poor, selectively. 5. It can be concluded that imposing adequate copayment reduces the use of medical services as well as medical costs without serious damage in access especially for the poor people.

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A Study on the Status of Using University Cafeteria and Preference of Food in Incheon (대학생 학교식당 이용실태 및 식품선호도에 관한 조사연구 -인천지역을 중심으로-)

  • 이강자;변소윤
    • Journal of the East Asian Society of Dietary Life
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    • v.2 no.1
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    • pp.57-68
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    • 1992
  • In order to obtain the information on the status of using university cafeteria and students' preferences, the survey was conducted through questionaires to 434 students(male:195, female : 239) of 8 universities - 2 universities employed dietitian and 6 universities which didn't employ dietitian -through all the area of Incheon from 19th November 1990 to 14th December, 1990. The results obtained were as follows. 1) For keeping temperature of meals until service to students Refrigerator or warming cabinet or putting meals on low flames were used, and the amount for one person was almost decided by rough estimation by experience. All the foods remained were discarded. Also most of the cooking manager's age were from 50 to 59 and almost cooking managers graduated middle school. The fuel to cook was gas or kerosene. Method to disinfect tableware was boiling. 2) In case of the frequency of using university cafeteria, male students used cafeteria more often than female students, and regardless of sex students made use of cafeteria for lunch more than for breakfast and supper. Students also used university cafeteria not employing dietitian more than cafeteria employing dietitian. Disregarding of male, female, cafeteria employing cafeteria not employing dietitian, all students pointed out that main reason for using cafeteria were 'low price' and 'no other place to eat' And minor reasons were ' good taste' and 'meal quality'. On the contrary, the case of not using cafeteria were 'waiting in line' to male students, 'poor taste' to female students, 'waiting in line' and 'no varieties' on the cafeteria which employed dietitian, 'poor taste' and 'poor hygienes' on the cafeteria which didn't employ dietitian. 3) Considering of the preferences of menu, both male and female students liked "Bibim Bab" And male students prefered meals which contained broth both but female students prefered a light meals. 4) the difference of preferences showed that female student's preferences were high at all foods, and the preferences of fruits were high for both students. In detail, male students liked port, liver and small intestine of cattle, oyster and beans boiled in soysauce. But female students likde milk, yogurt and cucumber.

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Clinical Features of the Patients with Fracture on the Frontal Bone (전두골 골절손상 환자의 임상 고찰)

  • Kim, Sahng Hyun;Whang, Kum;Pyen, Jin Soo;Hu, Chul;Hong, Soon Ki Hong;Kim, Hun Joo
    • Journal of Korean Neurosurgical Society
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    • v.29 no.3
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    • pp.353-359
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    • 2000
  • Objective : The fracture on the frontal bone in head-injured patients may be commonly encountered in the clinical situations. Biomechanical studies demonstrate that the anterior wall of the frontal sinus is intermediate in its ability to resist fracture on direct impact. If the frontal sinus is large and the anterior table is able to disperse the force of the impact over a greater area, the posterior table and intracranial contents usually can be spared. We analyzed the clinical features of the patients who presented with frontal skull fracture due to frontal blows. Patients and Methods : From January, 1992 to December, 1997, 172 patients with frontal skull fracture were selected among 1911 patients with head injury who were admitted to department of neurosurgery. Clinical records and radiological studies of all patients were reviewed and evaluated retrospectively. Results : The neurobehavioral changes was seen in 34 cases(19.8%) and showed statistical significances in case of facial bone fractures, acute subdural hematoma(SDH), and positive frontal lobe releasing sign(p<0.05). The good glasgow outcome score group(GOS, good recovery & moderate disability) at discharge was revealed in 77.3% of total patient population. The poor GOS group(severe disability & vegetative state & death) at discharge was revealed in 22.7%. The poor GOS group at discharge have statistical significances with acute epidural hematoma(EDH), traumatic intraventricular hemorrhage(t-IVH), traumatic intracranial lesion, poor initial glasgow coma scale(GCS) scores & Revised Trauma Score(RTS)(p<0.05). Conclusion : Because of their anatomical relationships and neurobehavioral patterns due to vulnerability of the frontal lobe, the frontal injury should be considered as complicated facial injuries. Therefore, these patients are more likely to have a cosmetic or neuropsychiatric problems.

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Status of Korean Healthy Eating Index and Associated Factors in Elderly with a Focus on Health Habits, Mental Health, and Nutritional Status: Data from the 2016~2018 Korea National Health and Nutrition Examination Survey (우리나라 고령자의 식생활평가지수와 건강습관, 정신건강 및 영양섭취상태 관련성 분석: 2016~2018 국민건강영양조사 자료)

  • Lee, Hye-Sang
    • Journal of the Korean Dietetic Association
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    • v.28 no.2
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    • pp.114-126
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    • 2022
  • The relationship between mortality and the Korean Healthy Eating Index ("KHEI") is well established. This study was to investigate the associations between health habits, mental health, and nutritional status and KHEI in older Koreans (aged≥65 years). A total of 4,247 subjects (1,842 men and 2,405 women) that participated in the 2016~2018 Korean National Health and Nutrition Examination Survey were included in the analysis. The lowest scoring KHEI item was milk and milk products. KHEI tertile groups were classified by total KHEI score. Tertile group percentages were related to general characteristics such as gender, residential area, educational level, income level, number of family members, and age. Logistic regression analysis adjusted for general characteristics, showed that ex-smokers (OR: male 1.53 female 2.29), smokers (OR: male 2.90), low hand grip strength (OR: male 1.42 female 1.90), poor self-rated health status (OR: female 1.83), stressful mental status (OR: female 1.51), poor health-related quality of life (OR: female 1.64), poor nutritional status (OR: male 2.88~37.20 female 1.98~16.12), and food insecurity (OR: male 6.87 female 2.03) were significantly related to a lower KHEI. This study suggests that gender-specific associations exist between mental health status and KHEI.

Correlation of oocyte number with serum anti-Müllerian hormone levels measured by either Access or Elecsys in fresh in vitro fertilization cycles

  • Jeong, Hye Gyeong;Kim, Seul Ki;Lee, Jung Ryeol;Jee, Byung Chul
    • Clinical and Experimental Reproductive Medicine
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    • v.49 no.3
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    • pp.202-209
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    • 2022
  • Objective: The aim of this study was to assess the correlation of oocyte number with serum anti-Müllerian hormone (AMH) levels measured by two automated methods (Access or Elecsys) in fresh stimulated in vitro fertilization (IVF) cycles. Methods: In this retrospective study at a university hospital, data were collected from 243 fresh stimulated IVF cycles performed from August 2016 to December 2020. The serum AMH level was measured by Access in 120 cycles and by Elecsys in 123 cycles. The cut-off of serum AMH for prediction of poor responders (three or fewer oocytes) or high responders (15 or more oocytes) was calculated by the receiver operating characteristic curve analysis. Results: For the two automated methods, the following equations were derived: total oocyte number=2.378+1.418×(Access-AMH) (r=0.645, p<0.001) and total oocyte number=2.417+2.163×(Elecsys-AMH) (r=0.686, p<0.001). The following combined equation could be derived: (Access-AMH)=0.028+1.525×(Elecsys-AMH). To predict poor responders, the cut-off of Access-AMH was 1.215 ng/mL (area under the curve [AUC], 0.807; 95% confidence interval [CI], 0.730-0.884; p<0.001), and the cut-off of Elecsys-AMH was 1.095 ng/mL (AUC, 0.848; 95% CI, 0.773-0.923; p<0.001). To predict high responders, the cut-off of Access-AMH was 3.450 ng/mL (AUC, 0.922; 95% CI, 0.862-0.981; p<0.001), and the cut-off of Elecsys-AMH was 2.500 ng/mL (AUC, 0.884; 95% CI, 0.778-0.991; p<0.001). Conclusion: Both automated methods for serum AMH measurement showed a good correlation with oocyte number and good performance for predicting poor and high responders in fresh stimulated IVF cycles. The Access method usually yielded higher measured serum AMH levels than the Elecsys method.

Child Rearing Practice of Working Mothers in a Poor Area of Pusan (부산시 영세지역 취업여성들의 영유아 양육실태)

  • Hwang, Yeon-Ja;Park, Jung-Han
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.3 s.27
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    • pp.389-397
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    • 1989
  • To identify the problems in child rearing practice of employed mothers in urban poor area, all of 201 women with children under 6 years old living in Yun San 3 Dong, a poor area of Pusan city, were interviewed with a questionnaire by a trained interviewer from 10th April to 10th May 1989. Among 201 women, 51 women were employed and 150 women were unemployed. Of the employed mothers 78.5% got their jobs because of economical need and 31.4% of them worker for 60-69 hours per week. Their average monthly income was 100,000-190,000 Won in 33.4% and 200,000-290,000 Won in 25.4% Breast milk was fed in 66.0% of the children of unemployed mothers while 49.0 of the children of the employed mothers were breast-fed (p<0.05). The most common reason for not breast feeding was shortage of breast milk among unemployed mothers (58.9%) but that of the employed mothers was their job(63.6%). The basic immunization for children was completed in 70.5% of children of employed mothers as compared with 82.0% of the children of the unemployed mothers were completely immunized (p>0.1). Accident experience rate of children among the employed mothers was 23.5 a and that of the children of the unemployed mothers was 17.3% . The most common cause of acident in children of the unemployed mothers was carelessness while they were playing(34.6%) but in children of the employed mothers it was traffic accident(25.0%) and falling(25.0%). Most of the traffic accidents took place while the children's brother or sister of age under 14 years were baby sitting. When the accident took place 73.1% of the unemployed mothers were just at home, but 58.3% of the employed mothers were out of home for work. In case of the employed mothers, 58.7% of their children were looked after by an adult mainly grandparents, 15.7% by the children's brothers and sisters under 14 years old, and 3.9% of the children were left alone. A majority of the unemployed mothers wanted to get a job if someone could take care of their children. To facilitate the women employment and for the safety and health of the children, good nurseries for working mothers need to be established at a cost they can afford.

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HOUSING AND MANAGEMENT OF DAIRY CATTLE IN SMALL SCALE FARMS OF EAST JAVA, IN INDONESIA

  • Sarwiyono, Sarwiyono;Djoharjani, T.;Ibrahim, M.N.M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.6 no.3
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    • pp.389-394
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    • 1993
  • A study on housing and management of dairy cows was conducted in three villages. All activities of husbandry related to the housing and the condition of the cows were observed and farmers were interviewed using a questionnaire. The main type of housing was a tie stall mostly in the back yard area with a gable or shed type roof. Inside the shed the temperature ranged from 17 to $29^{\circ}C$ and the relative humidity ranged from 62 to 73%. Drainage and manure handling was poor which lead to poor cleanliness of the stables and animal skins. The floor space was mostly wide and the roof level was low (less than 2.5 m). The slope of the floor (1-3%) was sufficient, the roughness of the floor was of medium quality. The shape and size of the feed trough was good with a surface of mostly irregular forms. Concentrate was mixed with water and offered in liquid form in pails made from plastic or from parts of rubber car tires. Hoof length was too long which could lead to unstable position and self injury. It is concluded that the housing conditions of dairy cattle need to be improved in order to improve the condition of the animals and the production performance.

Research on Housing Conditions of the Vulnerable in Rural Area - With Focus on the Cases of Jincheon-eup and Baebok-myeon, Jincheon-gun, Chungbuk - (농촌지역 취약계층 주거실태 조사연구 - 충북 진천군 진천읍·백곡면 사례를 중심으로 -)

  • Kim, Seung-Keun
    • Journal of the Korean Institute of Rural Architecture
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    • v.13 no.4
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    • pp.1-8
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    • 2011
  • Korea is moving toward an aging society faster than the other advance countries such as the U.S. and France. Such aging phenomena are posing greater problems in rural areas than in urban areas, and particularly, decrease in productivity caused by aging population leads to economic difficulties and hinders the improvement of housing life. The purpose of this research is to examine and identify the housing conditions of the vulnerable in rural areas and to present ways to improve the elderly housing and the housing environment in rural areas and to provide basic data for materializing the policies to enhance the quality of life. The results of this research are as follows. First, the elderly in rural areas were found to receive relatively smooth supports for services related to clothing and food through the government and social organizations. But for the housing problems, it was found that there were not any supports. Second, the poor housing environment may cause diseases to the elderly with weak immunity, so ways to remedy these problems are urgently needed. Third, the vulnerable in rural areas can hardly bear the burden of improving the housing environment, so supports from the government and social organizations are needed. Fourth, ways to support the vulnerable such as households receiving basic living subsidies and to support the poor who are not receiving such subsidies should be explored.

A Study on the Ventilation Improvement of Diesel Locomotive Engine Load Test Building using Computational Fluid Dynamics (전산유체역학을 이용한 디젤엔진 부하시험장의 환기 개선에 관한 연구)

  • Park Duckshin;Jeong Byungcheol;Cho Youngmin;Park Byunghyun
    • Journal of Korean Society for Atmospheric Environment
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    • v.21 no.2
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    • pp.227-242
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    • 2005
  • The aim of this study is to relieve the poor ventilation problem of the diesel locomotive engine load test building, located in an urban area. This paper evaluates the ventilation performances of the studied load test building based on the temperature measurement experiment and the computational fluid dynamics (CFD) during the engine load test. The temperature rise caused by the radiator blower of the building was turned out to be the main cause of disturbing the thermal conditions of the building. The indoor temperature distributions simulated by Fluent were validated with the temperature measurement results obtained from the studied building. The simulation results indicated that the comfort condition of this building was poor We suggested several remedial changes in the duct structure of this building for the improvement of the comfort conditions. In addition, a prototype drawing combining several improved design options was proposed. and then the simulation of the temperature distribution in the proposed prototype was performed. The result indicated that the indoor thermal condition of this proposed building was improved when compared with that of the current building.