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Predictors of the Utilization of Oral Health Services by Children of Low-income Families in the United States: Beliefs, Cost, or Provider?

  • Kim Young Ok Rhee;Telleen Sharon
    • 대한간호학회지
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    • 제34권8호
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    • pp.1460-1467
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    • 2004
  • Purpose. This study examined the predictive factors enabling access to children's oral health care at the level of financial barriers, beliefs, and the provider. Methods. In-depth interviews were conducted with 320 immigrant mothers of low-income families regarding their use of oral health services for children aged four to eight years old. Access to oral health care was measured with frequency of planned dental visits, continuity of care, and age at first visit to dentist. Results. The mother took her child to the dentist at a younger age if she received referrals to a dentist from pediatrician. Regular dental visits were significantly related to household income, provider availability on week-ends, and insurance coverage. The extended clinic hours in the evenings, and the belief in the importance of the child's regular dentist visits increased the likelihood of continuing care. The mothers perceiving a cost burden for the child's dental care were also less likely to return to the dentist. Conclusion. The available care delivery system, coordinated medical care, and health beliefs were among important predictors of the health service use. The study findings suggest need for culturally competent dental health interventions to enhance access to oral health care among particularly vulnerable populations such as low-income children in Korean communities.

개인형 쇼핑몰 구축에 관한 연구 (A Study on the Development of an Personalized Shopping Mall)

  • 노정구
    • 경영과정보연구
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    • 제9권
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    • pp.81-97
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    • 2002
  • In the beginning of the Web history, the main function and importance of the Internet was focused on the content of the data. However, that focus has been switched to the search engines because of the abundant, humongous amount of data that are spread all over the globe. The Webmasters are now implying flasy, beautiful graphics and newly developed technologies to make their websites attract the Internet users. The significant change was mainly caused by the companies that thought cyber shopping malls were going to be very simple and profitable. They believed that the decreasing prices of hardware and easy-to-use software were going to attract the potential customers, resulting in a new, massive market. A website needs to be extremely captivating and attractive, in order to bring in new customers and induce them to return. The Webmaster has to devise methods to find out what kinds of contents would bring in a bigger audience, as well as checking the validity and correctness of the contents. In the thesis, the necessity and concept of a personalized Internet shopping mall will be discussed through the theoretical examination of the one-to-one marketing and the concept of the current shopping malls. The scheme of the personalized shopping mall will be presented, which will encourage the formation of loyal customers, in the ever-growing competitiveness of the marketing environment, by satisfying their wants faster and more precisely.

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정신과 병동 간호사의 간호중재에 대한 중요도 인지 및 수행빈도와의 관계 - 3차개정 Nursing Interventions Classification(NIC)을 적용하여 - (A Correlation Study of Perceived Importance of Nursing Interventions with Performance Frequency in Psychiatric Nursing Units Using the 3th NIC)

  • 최자윤;김혜숙;박미선
    • 대한간호학회지
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    • 제33권1호
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    • pp.95-103
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    • 2003
  • Purpose: The purpose of this study was to identify the perceived importance of nursing intserventions of psychiatric nurses according to domains, classes and interventions using the 3th NIC. Method: In this study, a 435 of 486 nursing interventions were selected from 75% consent reached by experts. Data were collected from 9 hospitals and 141 nurses(return rates: 94,0%) in Seoul, Kyonggi, Chungnam, Gwang-ju and Chonnam region from January, 2002 to February, 2002 using 4 point Likert scale. Result: Total perceived importance score was $2.905{\pm}0.463$ and total correlation score with performance frequency was r=0.295. The most important perceived domain and class was found to be ‘safety’ ($3.217{\pm}0.465$) and ‘community health promotion’ ($3.285{\pm}0.866$). The most correlated domain and class with performance frequency appeared to be ‘behavioral’ (r=0.431, p=0.000) and ‘communication enhancement’ (r=0.439, p=0.000). The most important perceived nursing intervention was found to be ‘active listening’ ($3.652{\pm}0.549$). Conclusion: In conclusion, nurses in clinical settings were found to perform less than perceive its importance. Therefore, further researches are needed to identify factors related to impede and develop strategies to improve the performance of nursing interventions.

요추 만곡 지지가 경요도적 전립선 절제술 후 침상 안정기 환자의 요통과 안위 및 출혈성 합병증 발생에 미치는 효과 (The Effect of Support for Lumbar Curve on Back Pain, Comfort, and Bleeding Complications in Patients on Bed Rest after Transurethral Resection of Prostate)

  • 임자영;정승교;송경애
    • 기본간호학회지
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    • 제14권3호
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    • pp.280-287
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    • 2007
  • Purpose: This study was done to identify effects of lumbar curve support on back pain and comfort during bed rest after transurethral resection of prostate (TURP). Method: A quasi-experimental design with a non-equivalent control group was used. All patients were diagnosed with benign prostatic hyperplasia and underwent TURP. Twenty participants were assigned to the experimental group and twenty to the control group. After TURP, the lumbar curve of patients in the experimental group was supported using gel pads for 6 hours while the control group received the usual care with the both leg straight. The intensity of back pain and comfort levels were assessed on immediate return to the unit and for six hours following TURP. Bleeding complications were detected from hemoglobin and hematocrit levels. Results: Support of lumbar curve was found to be significantly effective in reducing back pain. the need for analgesics was significantly less in the experimental group. Comfort levels were not significantly different between the two groups. There were no bleeding complications in either group. Conclusion: These results suggest that supporting of lumbar curve ameliorates back pain without causing an increased incidence of bleeding complications after TURP and this nursing intervention should help TURP patients to be more comfortable.

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재무지표 비교 분석에 의한 병원도산예측모형 평가 (Evaluation on Bankruptcy Prediction Model of Hospital using the comparative Analysis of Financial Index)

  • 김재명;안영창
    • 보건행정학회지
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    • 제15권4호
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    • pp.81-109
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    • 2005
  • According to many recent studies suggesting that cash flow analysis method tends to be more effective than traditional financial index analysis method to predict corporate bankruptcy, this study applies the cash flow analysis method to hospital business to identify the significant variables which can distinguish between superior hospitals and bankruptcy hospitals. The author analyzed recent 3 years, i.e. from the year of 2000 to the year of 2002, financial statements of 31 bankrupt hospitals In 2003, and the same number of superior hospitals through using Multiple Discriminant Analysis and Logit Analysis. The results are belows; First, the study releases that Logit Analysis is more likely to be effective than Multiple Discriminant Analysis. Second, this research also shows that traditional financial index analysis method is more superior compare to cash flow analysis method for hospital bankruptcy predict model. Finally, this study suggest that the significant variables, which can distinguish superior hospitals from bankrupt hospitals, are Operating/Current Liabilities$(Y_2)$, CFO/Equity$(Y_5)$ for cash flow analysis method and Net Worth to Total Assets Ratio$(X_1)$, Quick Ratio $(X_3)$, Return on Assets$(X_6)$, Growth Rate of Patient Revenues$(X_{16})$ for traditional financial index analysis method.

The Effectiveness of Occlusal Splint for the Treatment of Temporomandibular Joint Dislocation

  • Lim, Hyun-Dae;Lee, You-Mee;Kang, Jin-Kyu
    • Journal of Oral Medicine and Pain
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    • 제39권4호
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    • pp.152-155
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    • 2014
  • Temporomandibular joint (TMJ) dislocation is defined that the disc-condyle complex is positioned anterior to the articular eminence in the open mouth position, and is unable to return to a normal closed mouth position without a manipulative maneuver. TMJ dislocation can recur habitually and result several problems to patients such as discomfort, pain, fear, and anxiety. The only definitive treatment for TMJ dislocation is surgical alteration of the joint itself. In most cases, however, a surgical procedure is far too aggressive for the symptoms experienced by the patient. In addition, the effect of surgical treatment may be insufficient, and the recurrence have been reported. It is also possible to develop several complications after surgical treatment. Therefore much effort should be directed at supportive therapy in an attempt to eliminate the disorder or at least reduce the symptom to tolerable levels. Through this cases the authors present favorable treatment outcome using occlusal splint with the patient of TMJ dislocation. Occlusal splint therapy can be considered as easy, safe, and useful non-invasive modality to treatment of TMJ dislocation.

컴퓨터 게임의 분석과 게임 메뉴의 설계 및 구현 (The Design and Implementation of Computer Game Menu & Analysis of Computer Game in Korea)

  • 이창조
    • 경영과정보연구
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    • 제7권
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    • pp.53-68
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    • 2001
  • In this paper, Computer Games is still going strong. We are still making incremental improvements to the computer game, mobile game, but it seems to have settled into a fairly standard version and layout. Many games have passed through our life over the past couple of years. A number of the best have been written about in these games. Unfortunately there are too many games and too little time, and make some hard choices about what games actually play regularly. This is obviously a very personal list of favorite games, and change fairly regularly as new games rotate in and old games are given a rest for a while. It brings ours to the question of what we look for in a game, and why choose one game to play over another? What does make a game good enough to play time after time? Therefore, a game has to have, above all, interesting tactics and strategy, but also we like originality and simplicity. There is also a certain quality that is very difficult to define that makes some games beautiful. At last in this issue we return to mobile oriented games. This paper will discuss Computer Game Conditions in terms of the different games, components, and Design amd Implementation of Computer Game Menu Simulation based on 4GL, PowerBuilder.

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진동자극을 이용한 저항운동이 앞십자인대 재건술 후 무릎관절 근력과 균형에 미치는 영향 (Effects of Resistance Exercise Using Vibration Stimulation on Knee Muscle Strength and Balance after Anterior Cruciate Ligament Reconstruction)

  • 배창환;이중호;김제춘;김명권;김성환
    • 대한정형도수물리치료학회지
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    • 제23권2호
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    • pp.17-25
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    • 2017
  • Background: The purpose of this study was to investigate how the resistive exercises with vibration stimuli could affect the strength of knee muscles and balance in patients with a history of reconstructive surgery. Methods: Thirty four subjects with anterior cruciate ligament reconstruction were randomly divided into 3 groups; Resistive exercises with vibration stimuli group (n=11), Resistive exercises (n=11) and control group (n=12). The paired t-test was used to show the variation before and after exercise in all three groups. One way ANOVA was used to separate the total variation between groups. Results: The results showed that there was significant improve in the strength of knee muscles in all three groups and resistive exercise with vibration stimuli he group showed a better result in all area than the other two groups. Comparisons of sway distances with open and closed eyes showed a statistically significant decrease before and after treatment in all three groups, there was no statistically significant difference between groups. There was a significant difference only in the sway distance with the eyes closed. Conclusions: Applying the resistive exercise with vibration stimuli as a therapeutic exercise program resulted in a positive effect to the functional activity not only in rapidly recovering the strength the weaken muscles and lost of balance ability, but also expecting an earlier return to daily life by advancing the date of the process for the functional activity.

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Effects of Panax ginseng and Ziziphus jujuba on stress-induced apoptosis in rats

  • Kim, Hyung-Chan
    • International Journal of Oral Biology
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    • 제33권1호
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    • pp.7-12
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    • 2008
  • PG has been well studied about effects of stress resistance. Although ZJ has been known that it had stress resistance effect since ancient times, its pharmacological properties and clinical applications have not been studied and reported until recently. Therefore, the purpose of this study is to determine whether effects of stress hormones, mechanism of stress protein could be induced by PG and ZJ of herb extract ingestion during stress exposure. In addition, this study identified expression of apoptosis factors related to stress. 1) Bcl-2 expression of the stressed rats decreased in comparison with the unstressed rats in heart and stomach. Bcl-2 expression of rats administered to PG was higher than the stressed rats in heart and that of rats administered to ZJ was higher than the stressed rats in stomach. 2) Stressed rats were decreased in p53 protein expression than normal rats. Thus, the results suggest stress-induced apoptosis is p53-independent apoptosis. And these results demonstrated that PG or ZJ administration helped to return from stress state to normal. 3) Clusterin expressed markedly in only salivary gland, but that of expression was no difference among four groups in tissues. Clusterin expression has no relation of stress-induced apoptosis.

공공병원의 공공보건의료사업 교육프로그램 개발을 위한 담당자들의 교육요구도 (Educational Needs for Consideration in Developing Curriculum for Staff in Charge of Public Health Services in Public Hospitals)

  • 황은정
    • 대한간호학회지
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    • 제41권3호
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    • pp.393-402
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    • 2011
  • Purpose: This study was done to assess the educational needs that should be considered in developing curriculum for staff in charge of public health services in public hospitals. Methods: The participants in this study were staff in charge of public health services in 130 public hospitals. The Borich's Needs Assessment Model which analyzed the relation of 'required competence level' and 'present competence level', was utilized. Data were collected from October to November 2007 using a structure self-report questionnaire. The return rate was 66.9%. The Cronbach's alpha score was 0.959. Results: The mean scores for 'required competence level', 'present competence level' and Borich's need were 4.02, 3.44, and 2.30 respectively. According to public health service items, 'strategies to recognize the present condition and analyze problems' had the highest score for Borich's need, but 'establishment of annual or monthly objectives' had the lowest score for Borich's need. Conclusion: Education was found to be very important for staff carrying out public health services. Ultimately the results of this study may be utilized to develop education program for staff carrying out public health services in public hospitals.