• Asian Pacific Journal of Cancer Prevention
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• v.13 no.10
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• pp.5195-5199
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• 2012

Objectives: Global cancer statistical data show that India has one of the highest incidence rates of oral cancer worldwide. Early detection is extremely important as it results in lower morbidity and death rates. The present study was undertaken to assess awareness of oral cancer and knowledge of its early signs and risk factors in the general public of the semi-urban Gorakhpur area of Uttar Pradesh (India). It was also intended to educate the same population for early detection by increasing their ability to recognize signs and risk factors. Method: A questionnaire-based household survey was conducted over a period of one month in different parts of Gorakhpur district, a region where tobacco use is apparently very high. A total of 2,093 persons participated in the survey. The collected data were analyzed using SPSS software to assess and associate oral cancer awareness with the prevalence, and abstract risk factors, as well as other confounding variables. Results: The general awareness, knowledge of signs and risk factors of oral cancer were found to be proportionate to the literacy level with the highest rate of awareness being among high school and graduates and lowest among illiterates. It was also observed that on most of these dimensions the younger age groups (<30 years) were significantly more knowledgeable. Conclusion: Overall, the awareness of oral cancer in the high-risk population of Gorakhpur was not satisfactory, pointing to a need for further dissemination of information on this issue and its associated risks. This is especially important for the youngsters, as this may possibly help them keep away from the deleterious habit of tobacco indulgence in any form. If necessary risk factor cessation counselling should be provided.

• Archives of Plastic Surgery
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• v.44 no.6
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• pp.530-538
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• 2017

Background A pharyngocutaneous fistula is a common and difficult-to-manage complication after head and neck reconstruction. It can lead to serious complications such as flap failure, carotid artery rupture, and pharyngeal stricture, and may require additional surgery. Previous radiotherapy, a low serum albumin level, and a higher T stage have been proposed as contributing factors. We aimed to clarify the risk factors for pharyngocutaneous fistula in patients who underwent flap reconstruction and to describe our experiences in treating pharyngocutaneous fistula. Methods Squamous cell carcinoma cases that underwent flap reconstruction after cancer resection from 1995 to 2013 were analyzed retrospectively. We investigated several significant clinical risk factors. The treatment modality was selected according to the size of the fistula and the state of the surrounding tissue, with options including conservative management, direct closure, flap surgery, and pharyngostoma formation. Results A total of 127 cases (18 with fistulae) were analyzed. A higher T stage (P=0.048) and tube-type reconstruction (P=0.007) increased fistula incidence; other factors did not show statistical significance (P>0.05). Two cases were treated with conservative management, 1 case with direct closure, 4 cases with immediate reconstruction using a pectoralis major musculocutaneous flap, and 11 cases with direct closure (4 cases) or additional flap surgery (7 cases) after pharyngostoma formation. Conclusions Pharyngocutaneous fistula requires global management from prevention to treatment. In cases of advanced-stage cancer and tube-type reconstruction, a more cautious approach should be employed. Once it occurs, an accurate diagnosis of the fistula and a thorough assessment of the surrounding tissue are necessary, and aggressive treatment should be implemented in order to ensure satisfactory long-term results.

• Journal of Korean Society for Quality Management
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• v.43 no.4
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• pp.589-606
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• 2015

Purpose: In developing new products, reducing performance variation is important for competitiveness factors such as quality, cost, and delivery. This paper aims at evaluating three performance variations; measurement, performance evaluation, and manufacturing variations, and then improving product and process design, focused on paper helicopter making case study. Methods: For measurement system analysis, gage R&R (repeatability and reproducibility), linearity, stability are evaluated. Since gage R&R are not satisfactory, the measurement system is improved by adopting voice memos application of iPhone and providing standard measurement procedure. To evaluate performance variation, product deterioration and environment factor (wind speed) is considered. Since the existing design is sensitive to these noise factors, a new product design is developed, which is proven to be robust to the noise factors. Finally, manufacturing variations are evaluated with five factors which can cause variation in flight time. To reduce the impact of three significant factors, three improvement methods are applied. Results: Three performance variations are evaluated and robust paper helicopter design is presented. Conclusion: To reduce measurement and process variations, improved measurement method and paper helicopter making procedure are proposed. A new product design is also presented which is robust to deterioration and environmental variation. This paper is expected to benefit students and practitioners who want to have hands-on knowledge on new product quality improvement.

• Journal of Korean society of Dental Hygiene
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• v.7 no.3
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• pp.231-245
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• 2007

This study aims to discuss plans to improve the satisfaction level of dental services by understanding characters of beliefs about dental manpower and analyzing its related factors. Data were collected by structured questionnaire whose subjects consist of 1607 persons from 13 years old to 69 years old, who have ever experienced dental institution. Both univariate and biovariate analyses were employed to analyze level of dentist and dental hygienist's beliefs and its related factors and the results gained from the surveys and search are as follows. 1. Among the questions to measure dentist's beliefs, 'Respect for patients' was evaluated as the best, and the lowest items were 'not-hopeful explanation about prognosis of dental treatment', 'satisfactory explanation' and 'whether treatments are stopped by pains or not'. In addition, among questions to measure dental hygienist's beliefs, 'kindly welcome' and 'detailed explanations about medical directions' are the items evaluated as the best and 'notice of waiting time' marked the lowest evaluation. 2. The factors related to beliefs about dentists were age, ache experiences, dental fear, self-reported dental health status, frequence and primary purposes of the visits dental institutions, elapsed time from recently visited, present of favorite dental clinic to visit regularly. 3. The factors related to beliefs about dental hygienists were age, education, occupation, ache experiences, frequence and primary purposes of the visits dental institutions, periodic check of teeth, present of favorite dental clinic to visit regularly. 4. Direct painful, painful treatment experience under insufficient local anesthetic, indirect painful experience and dental fear were positively correlated. And the relationships were positive between ache experiences, dental fear and self-reported dental health status, but relationships were negative between ache experiences, dental fear and dentist! dental hygienist's beliefs.

• Clinics in Shoulder and Elbow
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• v.13 no.1
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• pp.167-174
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• 2010

Purpose: Anatomical repair of massive rotator cuff tear has been technically challenging because of medial retraction, muscle atrophy and fatty degeneration. Among several treatment options for massive rotator cuff tear, we reviewed rotator cuff repairs and investigated modalities for improvement of clinical outcomes, decreasing the re-tear rate, and increasing healing. Materials and Methods: Patient-related factors and rotator cuff-related factors were the two major groups of factors we considered when choosing a treatment plan. Results: Mobilization of a massive rotator cuff tear was increased by soft tissue release and by the interval slide technique. After meticulous soft tissue release, anatomical repair could be achieved. If the injury was not amenable to anatomical repair, alternative treatment options such as partial repair, the margin convergence technique and augmentation with a tenotomized biceps tendon were considered. Many reports of massive rotator cuff repair demonstrated satisfactory clinical outcomes, decreased pain, recovery of shoulder functions, and increases in muscle strength. However, the re-tear rate had been reported to be relatively high in long-term follow-up. Conclusion: Despite a high re-tear rate after massive rotator cuff repair, a better understanding of the pathogenesis, progression and clinical symptoms of massive rotator cuff tear and improved surgical materials and techniques will lead to satisfactory clinical outcomes.

• The Transactions of the Korean Institute of Electrical Engineers C
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• v.48 no.8
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• pp.580-586
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• 1999

Aging characteristics of 13 years service-aged distribution cable terminations which dismounted from 3 regions were investigated by material characterization and electrical test. All dismounted terminations have propagating micro-cracks on the surface of weathershed and chalking fillers from bulk. Elemental analysis of these terminations showed that the carbon was decreased and the oxygen was increased on the surface of weathershed due to a little oxidation reaction. Contact angle of terminations was abnormally increased with time. In the analysis of anti-oxidation ability and chemical structure, there were no differences between new and dismounted terminations. All terminations showed satisfactory results in electrical test. Therefore, itcan be considered that aging is only propagating on the surface of dismounted terminations. Also, it was confirmed that environmental factors such as UV, pollution and salt have an effect on the aging through the observation of polymer composition change.

• Korean Journal of Adult Nursing
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• v.26 no.4
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• pp.403-412
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• 2014

Purpose: The purpose of this study was to validate the Korean version of shortened Nursing Decision-Making Instrument developed by Lauri & $Salanter{\ddot{a}}$(2002). Methods: The subjects were 247 nurses working in eight hospitals of Korea. Data were collected by questionnaires from June to July, 2012 and were analyzed by Principal Component Analysis for construct validity and Cronbach's ${\alpha}$ coefficient for reliability. Results: Factor loadings of the four subscales ranged from .32 to .73. The explained variance from the four factors was 48.54% of the total variance. The factors were named 'implementation of plan, monitoring and evaluation', 'plans of action', 'data collection', and 'data processing and identification'. The first factor consisted of 6 items which explained 13.21% of the total variance and the second factor contained 8 items. The Cronbach's ${\alpha}$ coefficients of the four subscales were from .64 to .81. Conclusion: The Korean version of the shortened Nursing Decision-Making Instrument has satisfactory construct validity and reliability. However, that the scores of the analytic items weren't reversed unlike the analysis method of the original tools is the biggest limitation of this study. In addition, based on the fact that there were several discrepancies for item interpretation of Korean comparing to the findings of the instrument development study, repetitive researches would be suggested.

• Journal of Families and Better Life
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• v.15 no.2
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• pp.71-71
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• 1997

This study aims ai the extraction of what is universally to be taught in modern Korean Families and its scalization. That is, it attempts to provide the criterion by which we can determine what to teach adolescent in the family, not in society or school. For this purpose, this study firstly reviews the preceeding studies on the subject. As a result of the review, we postulate the hypothetical structure consisting of 11 domains. Secondary, we gather the parent's view on the topic by interviewing 496 parents with teenagers. On the basis of this study, we can construct the questionnaire(Likert scale; 5 point). After we conduct an extensive empirical research(346 parents) in order to generalize 195 items of the workedout questionnaire. We apply factor analysis(principal axis factoring, oblique (promax) rotation) in the verification of the validity. As the consequence, we select 66 items consisting, 10 factors, which explain 68% of common variance. We name the 10 educational factors extracted in the scale as follows ; The Sense of Value, Communal Society, Sex, Esteem for an ancestor & a traditional way of life, Parent-Child Relationship, the Culture life within the family, The Guide of Learning Way, Setting up the way of life, The control of one's life, Friendship. The reliability of the scale is the cronbach =0.91 which turns out to be satisfactory.

• Korean Institute of Interior Design Journal
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• no.7
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• pp.3-11
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• 1996

This study intents to provide useful information of effective office works by evaluating existing office work environment. It focuses on evaluating the quality of personal and common work spaces, comparing responses for user groups to their work environment, and identifying factors which affect the satisfaction of work environment . The study is based on the survey which has been answered by 193 respondents from 24 companies (mainly from large corporate companies) in Seoul. This study finds out that noise is the most serious problem in common work space and that environmental comfort and the size of common space are not satisfactory in their effective work. It identifies that open space work environment, which has been expansively provided for a long time, causes noise problem and deprives office workers of privacy and personalization opportunities. The respondents reply that meeting spaces are not enough in number and size and lack of privacy and its adequate quality . They respond that privacy , chair comfortness and storage spaces are important factors for personal work spaces. In order to improve the quality and efficiency of work, this study proposes that companies should provide convenient office facilities which considering human ergonomic and should educate professional facility managers.

• Microbiology and Biotechnology Letters
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• v.47 no.4
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• pp.651-661
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• 2019

Targeting the pathogen viability using drugs is associated with development of drug resistance due to selective pressure. Hence, there is an increased interest in developing agents that target bacterial virulence. In this study, the inhibitory effect of ciclopirox, an antifungal agent with iron chelation potential, on the microbial virulence factors was evaluated in 26 clinical MDR Pseudomonas aeruginosa isolates collected from Alexandria Main University Hospital, a tertiary hospital in Egypt. Treatment with 9 ㎍/ml ciclopirox inhibited the hemolytic activity in 70% isolates, reduced pyocyanin production, decreased protease secretion in 46% isolates, lowered twitching and swarming motility, and decreased biofilm formation by 1.5- to 4.5-fold. The quantitative real-time PCR analysis revealed that treatment with ciclopirox downregulated the expression levels of alkaline protease (aprA) and pyocyanin (phzA1). Ciclopirox is used to treat hematological malignancies and the systemic administration of ciclopirox is reported to have adequate oral absorption with a satisfactory drug safety profile. It is important to calculate the appropriate clinical dose and therapeutic index to reposition ciclopirox from a topical antifungal agent to a promising virulence-modifying agent agent against P. aeruginosa, a problematic Gram-negative pathogen.