• Asian Pacific Journal of Cancer Prevention
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• v.16 no.7
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• pp.3029-3034
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• 2015

Background: While the perinatal outcomes of active maternal smoking are well documented, results of the effects of environmental tobacco smoke (ETS) exposure during pregnancy are inconsistent. We aimed to examine the effect of ETS exposure, assessed by maternal hair nicotine levels at $35^{th}$ week of gestation, on birth weight and the risk of small for gestational age (SGA) and low birth weight (LBW). Materials and Methods: A total of 871 non-smoking healthy pregnant women were recruited by one Korean hospital between 1 October 2006 and 31 July 2007. Hair samples were collected and anthropometric questionnaires administered at $35^{th}$ week of gestation. The primary outcome was birth weight and secondary outcomes were the risk of babies being SGA and LBW. Results: Log-transformed hair nicotine concentrations were inversely related with birth weight after adjusting for confounding variables (${\beta}=-0.077$, p=0.037). After stratifying hair nicotine levels by tertiles (T1, low [0.0-0.28 ng/mg]; T2, medium [0.29-0.62 ng/mg]; and T3, high [0.63-5.99 ng/mg]), the mean birth weight in each groups were 3,342g (T1) 3,296g (T2) and 3,290 g (T3), respectively. However the difference between groups was not statistically significant by analysis of co-variance (ANCOVA) adjusting for covariates (p=0.062). In logistic regression analysis, the risk of SGA was higher in the T3 (OR=1.59, 95%CI 1.05-2.42) than in the reference group (T1), after controlling for confounding variables. The risk of low birth weight (<2,500g, LBW) was not significantly higher (OR=1.44, 95%CI 0.95-2.19), but the risk of babies being below 3,000g birth weight was increased in the T3 group (OR=1.53, 95%CI 1.00-2.36) compared with that in the T1 group. Conclusions: Maternal ETS exposure during pregnancy was inversely related with birth weight. The risk of SGA increased in the highest ETS exposure group compared with in the low exposure group. To prevent ETS exposure during pregnancy, more comprehensive tobacco control policies are needed.

• The Korean Journal of Emergency Medical Services
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• v.15 no.1
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• pp.65-78
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• 2011

Purpose : We investigated the career choice and the employment preparation of emergency medical technology (EMT) students. The results of study will provide the base information about the consciousness for career choice and employment of the EMT students. Method : We conducted 1,586 surveys from 665 students at six four-year colleges and 921 students at seven three-year colleges, from Aug. 27th to Oct. 31st in 2010. The result was analyzed by SPSS 18.0 using description statistics, t-test, ANOVA, Scheffe and Pearson correlation coefficient. Result : The general characteristics showed male 50.2% and female 49.8%, and first grade 34.6%, second grade 27.4%, third grade 28.2%, and fourth grade 9.8%. The 53.9% of students had experienced the hospital training and the 44.8% did the fire station training. For the choice of job, there were the 61.8% student who hope to enter the employ in fire station or public service, while 25.7% students hope to be employed in hospitals. The reason for a wish job were 'majors-related job' in 18.2% students, 'employment stability' in 17.2% and 'hit on the aptitude and talent' in 16.7%, 'appropriate salaries' in 15.9%. In the questionnaire of the University what to assist you for job preparation, they chose the 'support for get major related license', 'support for officer exam preparation' and 'support of foreign language study' in 34.6%, 16.8% and 16.6%, respectively. For achieved licence, they had a driver's license in 53.9%, BLS (basic life support) provider in 20.3%, life guard in 16.2% and scuba in 8.8%. The statistically significant correlation was identified between the awareness of University that provides job information and one's career awareness (r= .203, p<.000), the awareness that University provide job information and one's confidence in employment (r= .236, p<.000), and one's career awareness and one's confidence in employment (r = .356, p = .000). Conclusion : The most of EMT Students are well conscious of the their future employment and has prepared career to be employed their preference job.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.4 no.2
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• pp.245-265
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• 1997

The purpose of this study was to promote the effectiveness in managing disease or injury, by examining the length of stay in hospital according to characteristics concerned before and after operation, and by serving as a basis for reducing that length. As a result of investigating the length of stay in hospital according to inpatient's personal characteristics, clinical features and other characteristics concerned, the following characteristics appeared significant. The characteristics that showed a significant difference about the length of stay in hospital before and after operation were the age and the fact whether one was married or not among inpatient's personal characteristics. The significant ones among clinical features were the route to be taken to hospital, the form of insurance, the experience of re-hospitalization, whether another disease coexisted, the experiment of changing department, whether a diagnosis was determined by consultation, whether an intensive care unit was used, whether re-operation was performed, the total number of case of the experience of re-hospitalization, inpatient who were again sent to hospital under the same diagnosis was not included in the investigation, which was pointed out as a limit in this study. The significant ones among other characteristics concerned were the date and season when the patients were taken to hospital and the doctor in attendance. The doctor in attendance appeared to give a significant impact on the length of stay in hospital before operation, but no significant difference was noted in the mean among the doctors in attendance. And those characteristics were not found regularly among the selected departments. As stated above, one way to reduce the length of stay In hospital was to diminish the length of stay in hospital before operation. The term of hospitalization before operation shall be reduced by grasping the factors that affected that length before operation and by conducting examination as many as possible in the out-patient department. Also, the efforts should be put on that length after operation. The management of hospital seemed to be successfully carried out if those factors affected that length were effectively controlled.

• Journal of the Korea Convergence Society
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• v.8 no.5
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• pp.61-68
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• 2017

This study investigates the differences in medical practices and medical cost according to auto insurance companies based on 8,589,602 cases that were treated by auto insurance corporation for the year of 2015, from the beginning of January to the end of December. The results of this study can be summarized following. First, in terms of the general characteristic in medical treatment, especially the age, the highest figure in both non-life insurance and mutual aid cooperative was shown in the age of 50 to 59 at 22.8 per cent(p<0.001). Second, in terms of a medical cost per a hospital care, classified by clinic, the costs in the department of internal medicine were much higher than those in the surgical department, and the thoracic surgery among parts of the surgical department showed the highest figures in both non-life insurance and mutual aid cooperative. According to the above summarized results of this study, it can be concluded that Health Insurance Review and Assessment Service has to address the problem on the increase of unnecessary costs and the occurrence of social expenses caused by the delay of patients' rehabilitation and return to their daily lives, by carrying out the evaluation for the appropriateness to organizations that ask for payments of auto insurance.

• Journal of the korean academy of Pediatric Dentistry
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• v.43 no.2
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• pp.123-128
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• 2016

The purpose of this study is to analyze the equality between keywords used in the Journal of the Korean Academy of Pediatric Dentistry and medical subject headings (MeSH). A total of 4,353 English keywords in 1,165 papers from 1998 to 2014 were eligible for this study. We classified them according to equality to MeSH. We assayed patterns of errors in using MeSH, and reviewed frequently used non-MeSH terms. 24.9% of total keywords were completely coincident with MeSH terms, 75.1% were not MeSH terms. The results show that the accordance rate of keywords with MeSH terms in the Journal of the Korean Pediatric Dentistry is at a low level. Therefore, there is a need for authors to understand MeSH more specifically and accurately. Use of proper keywords aligned with the international standards such as MeSH is important to be properly cited. Authors should pay attention and be educated on the correct use of MeSH as keywords.

• Journal of Technologic Dentistry
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• v.32 no.4
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• pp.341-350
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• 2010

Purpose: This study focused on achieving desired shades by combining zirconia core with different thickness porcelain in order to make dental prostheses effectively. Methods: White and colored $LAVA^{TM}$ All Ceramic (3M-ESPE, Seefeld, Germany), and Zirkonzahn (Bruneck, Italy) Trans and prettau were used to have Zirconia. LAVATM Ceram (3M-ESPE, Germany) and ICE (Zirkonzahn, Italy) powder were used to have the porcelain. We made quadrilateral specimen of thickness 0.3mm, 0.5mm, 0.7mm and diameter 10 to use zirconia ceramics system of 2 kinds that color tone reappearance way is different and produced total 120 specimens to 4 experimental groups. We used Spectrophotometer to analyze color tone. Data's value getting by dispersal colorimetry period found L*, a*, b* value using Excel program. We used one-way ANOVA to use SPSS WIN 12.0 program. Results: All L*, a*, b* indexes of zirconia core and porcelain veneer in LAVA group and Zirkonzahn group were different. When you combine the white zirconia core of LAVA group with a porcelain veneer, the thickness of the porcelain must be more than 0.5mm to meet the standard target. When all the colored zirconia cores of LAVA group were combined with porcelain veneers, there was no significant difference from the standard target. When the zirconia cores of Zirkonzahn group are combined with porcelain veneers, the thinner thicknesses were closer to the standard tab than thicker thicknesses; however, there was a significant difference in all combinations, with Delta E* value indicating more than 3. Conclusion: When it comes to colored zirconia, which is the most popular, the thicknesses of both a core and a dentin veneer must be more than 0.3mm to get an appropriate shade. There is more possibility to get desirable shades when the thicknesses of a white core are thinner; however, they would be vulnerable to the environment and lose their color. When combine a zirconia core with a dentin veneer, using Zirkonzahn group needs more considerations in order to meet the standard target.

• Journal of Gastric Cancer
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• v.13 no.2
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• pp.106-110
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• 2013

Purpose: We designed our study to evaluate the hypothesis that gastric cancer is correlated with iodine deficiency or thyroid dysfunction. Materials and Methods: We investigated the total body iodine reserve, thyroid function status and autoimmune disorder in 40 recently diagnosed gastric adenocarcinoma cases versus 80 healthy controls. The participants came from a region with high gastric cancer rate but sufficient iodine supply due to salt iodination. The investigation included urine iodine level, thyroid gland clinical and ultrasonographic examination, and thyroid function tests. Results: Goiter was detected more frequently in the case group (P=0.001); such a finding, however, was not true for lower than normal urine iodine levels. The free T3 mean level was significantly lower in the case group compared to the control group (P=0.005). Conclusions: The higher prevalence of goiter rather than low levels of urinary iodine in gastric adenocarcinoma cases suggests that goiter, perhaps due to protracted but currently adjusted iodine deficiency, is more likely to be associated with gastric adenocarcinoma compared to the existing iodine deficiency itself.

• Asian Pacific Journal of Cancer Prevention
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• v.14 no.11
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• pp.6807-6812
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• 2013

Background: Lung cancer is a major cause of Korean female mortality and is clearly associated with smoking. The Korean National Health and Nutrition Examination Survey (KNHANES IV-2,3), which included both self-reports of smoking and urinary cotinine data, revealed a significant discrepancy between the prevalence of self-reported and biochemically-verified female smokers. The factors associated with accurate self-reporting of current smoking status remain poorly understood, however. Materials and Methods: We assessed the prevalence of smoking in KNHANES using both self-report and urinary cotinine data. Subsequently, using univariate and multivariate tests, we assessed whether age, intensity of smoking, marital status, relationship with cohabitants, education, occupation, residential area, or annual household income were associated with inaccurate self-reporting in Korean females. We also investigated whether the prevalence of inaccurate self-reports changed over the survey period, 2008-2009. Results: The prevalence of self-reported smoking was 47.8% in males and 6.6% in females. By contrast, the prevalence of smoking as assessed by urinary cotinine levels was 52.2% in males and 14.5% in females. Of the 746 females with urinary cotinine levels >50ng/ml, 407 (56.0%) provided inaccurate self-reports. In a multivariate model, age group(40-49: OR 3.54, 95%CI 1.42-8.86, p=0.007; ref :20-29), cotinine intensity(OR 0.999, 95%CI 0.998-0.999, p<0.001), marital status (married but without spouse: OR 0.37, 95%CI 0.15-0.94, p=0.037; ref :never married), relationship with cohabitants (living with a spouse and unmarried child: OR 2.63, 95%CI 1.44-4.80, p=0.002; living with 2 generations except unmarried child: OR 2.53, 95%CI 1.09-5.87, p=0.030; living with ${\geq}3$ generations: OR 3.25, 95%CI 1.48-7.10, p=0.003; ref :spouse only) and education(college or higher: OR 2.73, 95%CI 1.04-7.18, p=0.042; ref :elementary or less) were independently associated with inaccurate self-reports. Conclusions: The trend of smoking prevalence of Korean females is likely to decrease. However, an elevated prevalence of inaccurate self-reports by females remains. Factors related to the intensity of smoking and family status appear to influence whether a Korean female provides an accurate self-report when asked about smoking behavior.

• Journal of Korean society of Dental Hygiene
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• v.9 no.4
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• pp.559-568
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• 2009

Objectives : In order to manage to reformative tendency of the educational whole with change request of dental hygienics education which is diversificated and professionalized the manufacturing practice of a temporary resin jacket which is educated with from much dental hygiene is become accomplished, so far also the recognition which relates with the manufacturing practice of a temporary resin jacket of dental hygiene students there is not researched. The present research carried out the practice evaluation with the target of students of a dental hygiene department, who finished a manufacturing practice of a temporary resin jacket, analyzed and investigated the material, reported its result, and enforced a research. Methods : This research selected students of 6 dental hygiene departments located in the Daegu Gyeongbuk region, who have manufacturing experience of a temporary resin jacket, by a convenient sampling method, and then a questionnaire was executed by a self-administration method, and a total of 290 copies were statistically treated. The content of the questionnaire are composed of 2 questions on an attitude survey before and after manufacturing practice of a temporary resin jacket, 3 questions on an educator for practice of a temporary resin jacket, 7 questions on recognition of technical skills for manufacturing a temporary resin jacket, 9 questions on the practice content evaluation of manufacturing of a temporary resin jacket and recognition on manufacturing practice of a the temporary resin jacket. Results : 1. The average of recognition on technical skills for manufacturing a temporary resin jacket of a dental hygienist was 3.82 points, the average of evaluation on practice content of manufacturing a temporary resin jacket being 3.75 points, and the average of recognition on the practice of manufacturing a temporary resin jacket was 3.71 points. 2. Currently, as the educator for the practice of manufacturing a temporary resin jacket, dental hygienists were 188 persons(64.8%) and dental technicians was 102 persons(35.2%), and as educators they want in the future, dental hygienists were 97 persons(33.3%) and dental technicians was 193 persons(66.7%). Persons hoping reeducation for manufacturing a temporary resin jacket were 219 persons(85.9%). 3. There was a significant difference in consciousness of students before and after practice of manufacturing a temporary resin jacket(p<.001). 4. There was a significant difference in practice evaluation and practice recognition according to the educational subject(p<.001). 5. There was a significant reverse correlation in the educational subject, practice evaluation and practice recognition(p<0.01). Conclusions : The practice for manufacturing a temporary resin jacket in education of dental hygiene is necessary to improve job performance ability in more various and specialized dental treatment and to solve desire for improvement of professional technical skill ability of students, and accordingly. About study process of the future students observation investigation or student objective interview investigation etc. seeks a problem in the become research lead, the succeeding research which gropes the plan which is the possibility of solving the problem which discovered is thought will be necessary.

• Journal of Food Hygiene and Safety
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• v.26 no.4
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• pp.377-382
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• 2011

This test was performed to evaluate the acute oral toxicity and skin irritation of Lamia-Kill$^{(R)}$, disinfectant, containing 20% benzalkonium chloride and 10% citric acid. In acute oral toxicity, Lamia-Kill$^{(R)}$ was orally administered at dose levels of 2,000, 1,000, 500, 250 and 0 mg/kg body weight. After single oral administration to both sexes of SD rats, the rats were observed for 14 days. In primary skin irritation test, New Zealand white rabbits were dermally treated with Lamia-Kill$^{(R)}$ for 24 hr and observed for 3 days. All rats treated with Lamia-Kill$^{(R)}$ were induced no toxic signs in mortalities, clinical findings, body weights and gross findings. Also, the disinfectant did not induce any adverse reactions such as erythema and edema on intact skin sites for the most part rabbits, but on abraded skin sites, some rabbits showed very slight erythema on 24 hr after topical application. With the results of this study, Lamia-Kill$^{(R)}$ have no effect on acute toxicity and side effect in SD rats and was classified as a practically non-irritating material based on the score 0.50 of primary irritation index.