• Title/Summary/Keyword: Retention practice

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Displayed Subjects of Practice and Case-Mix of Private Practitioners in Taegu City (개원의의 진료과목표방 및 진료환자 구성)

  • Park, Jae-Yong;Oh, Kang-Jin;Kam, Sin
    • Health Policy and Management
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    • v.2 no.1
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    • pp.42-65
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    • 1992
  • To survey the specialties or sujects of practice displayed by the private practitioners the authors visited 691 clinics in Taegu from April 1 to May 18, 1991, At the same time, a mail questionnaire was administered to ask the number of displayed subjects of practice, and the reasons for displaying the subjects, reasons for not displaying in case of no specialty was displayed, composition of patients, and role as a specialist. The questionnaire was returned by 308(44.6%) practitioners. The distributions of private practitioners by specialty were 13.9% for internal medicine (IM), 11.7% for pediatrics(Ped), 13.0% for obstetrics '||'&'||' gynecology(OBGY), 11.1% for general surgery(GS), 10.0% for family practice(FP), and 5.3% for general practitioner(GP). Ninety percent of the specialists have displayed their specialty in their offices. Among all the private practitioners, 61.9% of them have displayed their subjects of practice and 23.7% have shown telephone number. Among private practitioners who displayed the subjects of practice, 80.6% have signs of 'subjects of practice'. Mean number of the displayed subjects of practice for the all private practitioners is 1.20, and 1.93 for the private practitioners who displayed subjects of practice. FP and GS have displayed their subjects of practice in 91.2% and 87.0% respectively and OBGY have displayed in 32.2%, the lowest percentage among all the soecuaktues. IM specialists displays pediatrics as a major subject of practice in 72.1% the pediatricians display IM in 88.9% the OBGYs display pediatrics in 77.8%, and the GSs display IM in 51.9%. Most commonly displayed subjects of practice are Ped and IM. Sixty-five percent of the private practitioners answered that they don't display their specialties because their clinics are "primary health care facility". The reasons for displaying the subjects of practice and its relevance with their own specialty(45.6%), and the difficulty in clinic management only with the patients for their own specialty(36.9%). The proportion of clinics whose patients of other specialty are than their own specialty accounted less than 10% was 52.8% and that accounted more than 51% was 16.0%. Specially, 51.4% of GS specialists cared more than 51% of patients of other specialty area than their own specialty. Most of the patients of IM, Ped, and OBGY specialists are the patients of their own specialty. However, 56.8% of GS care more of IM patients and only 24.3% of them care mostly GS patients, The respondents to the mail questionnaire who stated that they can not play the role of specialist well are 30.5% and especially 72.9% of the GS specialists state so. The proportion of respondents who do not suffort the private practice of specialists is 71.1%. Among the surgical specialists, 82.7% of them rarely perform operation. The reasons for not performing operation are insufficient insurance fee (76.9%), and risk of operation(58.0%), so as the OBGY specialists. Above finidngs suggest that most of the specialists, especially surgeons, in the private practice can not play their role as a specialist. It is necessary to develop a policy that facilitates the production of practice and the retention of the specialists in the hospitals.s.

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Use of mini-implants to avoid maxillary surgery for Class III mandibular prognathic patient: a long-term post-retention case

  • Suh, Hee-Yeon;Lee, Shin-Jae;Park, Heung Sik
    • The korean journal of orthodontics
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    • v.44 no.6
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    • pp.342-349
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    • 2014
  • Because of the potential morbidity and complications associated with surgical procedures, limiting the extent of orthognathic surgery is a desire for many orthodontic patients. An eighteen-year-old woman had a severe Class III malocclusion and required bi-maxillary surgery. By changing the patient's maxillary occlusal plane using orthodontic mini-implants, she was able to avoid the maxillary surgery; requiring only a mandibular setback surgery. To accurately predict the post-surgery outcome, we applied a new soft tissue prediction method. We were able to follow and report the long-term result of her combined orthodontic and orthognathic treatment. The changes to her occlusal plane continue to appear stable over 6 years later.

The Effect of Dispatcher-assistance on Cardiopulmonary Resuscitation Performance (전화상담원 도움이 심폐소생술 수행에 미치는 효과)

  • Pi, Hye-Young
    • The Korean Journal of Emergency Medical Services
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    • v.14 no.2
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    • pp.5-12
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    • 2010
  • Purpose : The comparative effectiveness of without dispatcher-assisted telephone instruction CPR but received lectured and training(NDCPR) and without received lectured and training CPR but dispatcher-assisted telephone instruction(DCPR) in CPR. Methods : The CPR instruction to 774 students and faculties in universities and colleges. There selected without dispatcher-assisted telephone instruction CPR but received lectured and training(NDCRP) and without received lectured and training CPR but dispatcher-assisted telephone instruction(DCPR). Compare the effectiveness to sills performance of DCPR and NDCPR students and faculties of according to the CPR. Results : 397(51%) students and faculties was DCPR and 377(49%) students and faculties was NDCPR. There was no difference in the compression depth, hand position, adequacy of recoil, volume of ventilation, self-confidence, and willingness to do CPR between the two instructional methods. Conclusion : Under the guide of dispatcher-assisted CPR instruction integrated into mobil phone, novice could perform more effective CPR. This method could be used as a supplement to CPR practice and skill retention.

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Understanding and Practice of Eating-Swallowing Disorder (치과의사 맞춤형 마우스가드의 제작방법)

  • Noh, Kwantae
    • The Journal of the Korean dental association
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    • v.56 no.6
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    • pp.333-338
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    • 2018
  • The mouth guard is a device with elasticity to be installed in the oral cavity. It has a function to reduce the trauma in the oral cavity and to protect the teeth and surrounding tissues from trauma. The purpose of mouth guard is to prevent trauma and concussion. It is mandatory to wear a mouthguard in sports where there is a lot of contact and the possibility of trauma or concussion in the mouth area is high. The mouse guard is divided into a stock type, a mouth formed type, and a custom made type according to the manufacturing method. The custom made type is made on the individual dentition model and has excellent retention because of its excellent fit. Also, the effect of trauma prevention is excellent. It is possible to design and adjust by the dentist and reduce the complaint the athlete has about the mouthguard. In this article, the process of making a dentist-customized mouthguard was described.

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Enzymes involved in folate metabolism and its implication for cancer treatment

  • Kim, Sung-Eun
    • Nutrition Research and Practice
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    • v.14 no.2
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    • pp.95-101
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    • 2020
  • BACKGROUND/OBJECTIVES: Folate plays a critical role in DNA synthesis and methylation. Intracellular folate homeostasis is maintained by the enzymes folylpolyglutamate synthase (FPGS) and γ-glutamyl hydrolase (GGH). FPGS adds glutamate residues to folate upon its entry into the cell through a process known as polyglutamylation to enhance folate retention in the cell and to maintain a steady supply of utilizable folate derivatives for folate-dependent enzyme reactions. Thereafter, GGH catalyzes the hydrolysis of polyglutamylated folate into monoglutamylated folate, which can subsequently be exported from the cell. The objective of this review is to summarize the scientific evidence available on the effects of intracellular folate homeostasis-associated enzymes on cancer chemotherapy. METHODS: This review discusses the effects of FPGS and GGH on chemosensitivity to cancer chemotherapeutic agents such as antifolates, such as methotrexate, and 5-fluorouracil. RESULTS AND DISCUSSION: Polyglutamylated (anti)folates are better substrates for intracellular folate-dependent enzymes and retained for longer within cells. In addition to polyglutamylation of (anti)folates, FPGS and GGH modulate intracellular folate concentrations, which are an important determinant of chemosensitivity of cancer cells toward chemotherapeutic agents. Therefore, FPGS and GGH affect chemosensitivity to antifolates and 5-fluorouracil by altering intracellular retention status of antifolates and folate cofactors such as 5,10-methylenetetrahydrofolate, subsequently influencing the cytotoxic effects of 5-fluorouracil, respectively. Generally, high FPGS and/or low GGH activity is associated with increased chemosensitivity of cancer cells to methotrexate and 5-fluorouracil, while low FPGS and/or high GGH activity seems to correspond to resistance to these drugs. Further preclinical and clinical studies elucidating the pharmocogenetic ramifications of these enzyme-induced changes are warranted to provide a framework for developing rational, effective, safe, and customized chemotherapeutic practices.

Mandibular implant overdenture using milled bar attachment on implants with unfavorable fixture angulation: A case report (불량한 식립 방향을 갖는 임플란트를 이용한 하악 Milled Bar 임플란트 피개의치수복 증례)

  • Seo, Yong-Ho;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo
    • The Journal of Korean Academy of Prosthodontics
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    • v.54 no.4
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    • pp.401-406
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    • 2016
  • Implant overdenture exhibits higher retention, masticatory function, and patient's satisfaction compared to conventional dentures. Particularly, in treatment of severe alveolar bone resorption, implant overdenture can be considered as the first treatment option. The types of attachments used for implant overdenture can be classified into solitary type, which implants are not connected to each other, and bar type in which implants are connected. In the case of solitary type commonly used in clinical practice, parallel relationship is important. When it is not established, there is a higher risk of attachment wear, retention loss, and frequent visits for maintenance. In this case, satisfactory results have been obtained with implant overdentures using milled bar on two unparallel implants placed on the mandible.

Analysis of the Factors Influencing the Mesopore Ratio on the Soil Surface to Investigate the Site Factors in a Forest Stand(II) - With a Special Reference to Deciduous Stands - (산림(山林)의 입지환경인자(立地環境因子)가 표층토양(表層土壤)의 조공극율(粗孔隙率)에 미치는 영향인자(影響因子) 분석(分析)(II) - 활엽수림(闊葉樹林)을 중심(中心)으로 -)

  • Jeong, Yongho;Park, Jae Hyeon;Kim, Kyong Ha;Youn, Ho Joong
    • Journal of Korean Society of Forest Science
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    • v.90 no.4
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    • pp.450-457
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    • 2001
  • This study aimed to clarify the influencing site factors of the mesopore ratio on a pore geometry of surface soil in deciduous stands as an index of the water retention capacity. Fifteen factors including site conditions and soil properties were analyzed by spss/pc+ for the data collected during March to October of 1994. The factors influencing the mesopore ratio(pF2.7) on the surface soil were as follows; tree height, under vegetation coverage and organic matter contents of soil. And influencing factor on the ratio of mesopore in the soil surface was correlated with surface soil hardness shows high negative significance. Also, multiple regression equations for mesopore ratios of surface soil hardness, organic matter contents of soils show high significance($R^2=0.84$). In deciduous stands, it is effective in promoting development on the ratio of mesopore that forest practice for enhancing of the water resource retention capacity should be carried out when the under vegetation coverage rates of stands are maintained from 30 to 80 percentages.

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Analysis of the Factors Influencing the Mesopore Ratio on the Soil Surface to Investigate the Site Factors in a Forest Stand(I) - With a Special Reference to Coniferous Stands - (산림(山林)의 입지환경인자(立地環境因子)가 표층토양(表層土壤)의 조공극률(粗孔極律)에 미치는 영향인자(影響因子) 분석(分析)(I) - 침엽수림(針葉樹林)을 중심(中心)으로 -)

  • Jeong, Yongho;Park, Jae Hyeon;Kim, Kyong Ha;Youn, Ho Joong
    • Journal of Korean Society of Forest Science
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    • v.90 no.3
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    • pp.314-323
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    • 2001
  • This study aimed to clarify the influencing factors of mesopore ratio on a pore geometry of surface soil in coniferous stands as an index of the water retention capacity. Twenty three factors including site conditions and soil properties were analyzed by spss/pc + for the data collected during March to October of 1993. The factors influencing the mesopore ratio(pF2.7) on the surface soil were as follows; macropore ratio(pF1.6), slope, crown-cover rates, thickness of F layer, organic matter contents, and the growing stock. And influencing factor on the ratio of mesopore in the soil surface was correlated with percentage of amount of clay, soil surface, A and B horizon soil hardness shows high negative significance. Also, multiple regression equations for mesopore ratios of surface soil and surface soil hardness, clear length, growing stock, B horizon of soil hardness, organic matter contents show high significance($R^2$; 0.80). In coniferous stands, it is effective in promoting development on the ratio of mesopore that forest practice for enhancing of the water resource retention capacity should be carried out when the crown-cover rates of stands are more than 80 percentages.

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Effects of chest compression only cardiopulmonary resuscitation training on retention of correct cardiopulmonary resuscitation knowledge (가슴압박 단독 심폐소생술 교육법이 일반 시민들의 심폐소생술 시행 지식 유지에 미치는 영향)

  • Choi, Seung Hyuk;Ryoo, Hyun Wook;Lee, Dong Eun;Moon, Sung Bae;Ahn, Jae Yun;Kim, Jong Kun;Park, Jung Bae;Seo, Kang Suk
    • Journal of The Korean Society of Emergency Medicine
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    • v.29 no.6
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    • pp.568-577
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    • 2018
  • Objective: Performing high quality cardiopulmonary resuscitation (CPR) is important for improving the survival rate with a good neurological outcome and fewer complications. The retention of accurate CPR knowledge is essential for providing high quality CPR. This study examined the effects of chest compression only CPR training on the retention of correct CPR knowledge. Methods: In December 2016, an interview survey to target the study population was conducted by trained interviewers, using a structured questionnaire. The respondents' general characteristics, status of CPR education, and knowledge and willingness regarding CPR were investigated. Pearson's chi-square tests and multivariate logistic regression analyses were used to determine which education-related factors affected the correct skill knowledge of performing CPR. Results: Among the respondents, there are 80 persons (17.4%) who answered correctly in the questions regarding the skills of performing CPR. The respondents who had a willingness to perform CPR to family and strangers were 90.2% and 44.9% respectively. Through multivariable analysis, the factors related to correct skill knowledge in performing CPR in the didactic with practice group were people who had undergone CPR training within 2 years (odds ratio [OR], 2.293; 95% confidence interval [CI], 1.311-4.009), and person who had undergone chest compression only CPR training (OR, 2.044; 95% CI, 1.033-4.042). Conclusion: Chest compression only type of CPR training and the experience of CPR education within 2 years were associated with accurate skill knowledge of performing CPR.

A Study on Nutrition Education for Rural elderly of Kyungki province in Korea (경기일부 농촌노인의 식생활 향상을 위한 영양교육 효과)

  • 이승교;박양자
    • Korean Journal of Rural Living Science
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    • v.8 no.1
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    • pp.25-33
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    • 1997
  • The purpose of this study was to assess the nutrition education program for older adults at rural area. Eighty three adults (mean age ;55.6$\pm$11.9) participated in nutrition education program. Data collection includes serum and urine collections for health state. The impact of nutrition KAP (knowledge attitude and practice) and retention was examined among participants who were assessed at program entry 3 times of education and 1 month of follow-up. The results were as follows : The participants were composed 52 persons of under 60-year-old and 31 persons over 60 years. Of the 83 participants, 60 were females and 23 were males. Serum albumin and calcium content of females (3.5$\pm$1.2g/dl, 7.5$\pm$3.9mg/dl) were significantly lower than males(4.7$\pm$0.9g/dl, 11.2$\pm$4.6mg/dl). Serum TG and cholesterol contents of females (143$\pm$117mg/d1, 205$\pm$31mg/d1) were higher than males (101$\pm$86mg/dl, 192$\pm$19mg/dl) but not significantly different. The calcium (13.4$\pm$9.0mg/dl) and urea (743$\pm$440mg/dl) contents of urine excretion were also significantly lower in female than in males (19.7$\pm$11mg/dl, 1041 $\pm$535mg/dl). Via the question of nutrition attitude, the participants improved significantly between pre and post education (the score of pre, post and after 1 month, 6.7$\pm$1.8, 7.2$\pm$1.5, 7.2$\pm$1.8), and were also attributed to better personal feeling health by modified CMI test but food habit was not significantly improved. As the differences of age and gender groups were compared, under 60-year-old group had better nutrition practice score than over 60 years group.

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