• 제목/요약/키워드: Second Primary

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비가역성 이소맹출로 분류된 상악 제1대구치의 맹출 특성에 관한 방사선학적 연구 (RADIOGRAPHIC STUDY OF ERUPTION CHARACTERISTICS FOR UPPER PERMANENT 1ST MOLAR CLASSIFIED AS IRREVERSIBLE ECTOPIC ERUPTION)

  • 임엘;이상호;이난영
    • 대한소아치과학회지
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    • 제36권4호
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    • pp.556-562
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    • 2009
  • 이소맹출은 유전적 요인 혹은 여러 가지 국소적 요인에 의해 치아가 비정상적인 위치로 맹출하는 경우를 말한다. 이소맹출이 가장 빈번히 발생하는 치아는 상악 제1대구치로 이를 방치할 경우 인접치의 치근흡수 및 이에 따른 조기탈락으로 영구치 맹출공간 부족을 야기하며, 결과적으로 부정교합을 유발하는 중요한 요인으로 작용한다. 그러나, 치료에 앞서 이소맹출중인 치아가 자발적으로 맹출하기를 기다려볼 것인지 혹은 조기에 치료를 하여 제2유구치의 치근흡수나 탈락을 예방해야 할 것인지에 대한 결정이 선행되어야 한다. 현재 이를 위한 몇몇 진단학적 기준이 제시되고 있으나 학자간 이견이 존재한다. 본 연구에서는 방사선학적 검사를 통해 상악 제1대구치의 이소맹출이 조기 발견된 증례들 중 전방에 위치한 제2유구치의 치근이 흡수되어 비가역적 특징을 보인다고 판단되는 증례에 대해 특별한 처치 없이 주기적인 검진을 통해 자발적으로 해소된 결과를 관찰하였다. 이와 함께 상악 제2유구치 치근흡수의 정도와 상악 제1대구치의 맹출 기울기에 따른 후향적 분석을 통해 상악 제1대구치 이소맹출의 유형을 예측하고자 하였다. 상악 제2유구치의 치근 흡수 정도에 따라 grade I에서 IV로 분류하였고, 파노라마 방사선 사진 상에서 양측 안와의 최하방점을 연결한 수평선과 상악 제1대구치의 근심면을 따라 연결한 수직선을 기준으로 하여 근심각(mesial angle)을 측정하였다. 결과적으로는 상악 제2유구치의 치근 흡수 정도보다 상악 제1대구치의 맹출 기울기가 이소맹출의 유형을 진단하는 데에 있어 더 신뢰할만한 기준이라고 판단할 수 있었다.

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유치열의 이중치 및 결손치의 발생빈도와 영구치열과의 상호관계 (THE PREVALENCE OF DOUBLE TEETH AND CONGENITAL MISSING TEETH IN PRIMARY DENTITION AND THEIR CORRELATION WITH THE PERMANENT DENTITION)

  • 양규호;임혜정;최남기;김선미
    • 대한소아치과학회지
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    • 제34권3호
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    • pp.447-453
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    • 2007
  • 본 연구는 유치열에서 치아기형 발생빈도와 영구치열에 미치는 영향을 조사하여 치아기형의 조기진단의 필요성을 평가하기 위한 것이다. 2000년도에서 2005년까지 전남대학교병원에 내원한 환자 중 파노라마 방사선 사진을 촬영한 2세에서 7세 사이의 어린이를 조사하여 유치열에서 이중치와 선천적 결손치의 유병율을 조사하고 그러한 유치열의 이상과 영구치열과의 상호관계를 조사하였다. 134명의 남아와 120명의 여아로 총 254명의 파노라마 필름을 조사하였으며 이중 8명(5명의 남아, 3명의 여아)에서 유치열에서의 결손치가 발견되었고 4명(2명의 남아, 2명의 여아)에서 유치열에서의 이중치가 발견되었다. 유치열에서 이중치의 유병율은 1.6%였으며 선천적 결손치의 유병율은 3.1%였다. 피검자 중1명은 하악의 이중치와 상악의 결손치를 가지고 있었다. 유치열의 이상이 나타난 11명 중 7명에서 계승 영구치의 결손이 발견되었다. 본 연구에서 유치열의 치아기형이 나타난 경우 계승 영구치에서 치아결손이 빈발할 수 있다는 것을 보여주었다.

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구강암 환자에서 발생하는 이차암의 임상적 특징 분석 (CLINICAL CHARACTERISTICS OF SECOND PRIMARY CANCER IN ORAL CANCER PATIENTS)

  • 조세형;신정현;이의룡;박주용;최성원
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제32권1호
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    • pp.57-61
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    • 2010
  • Objective: Second primary malignancy (SPM) that occur in various period and region are important factors that deteriorate long-term survival rate in patients who recovered from oral cancer. Researches such as chemoprevention are being tried to reduce occurrence of SPMs. Only if analysis of clinical features of patients who develop SPM such as period, region and factors precedes, adequate prevention and treatment of SPM is possible. But, there are few researches about clinical features of SPMs that have primary lesion in oral cavity. In this study, we analysis that occurrence rates, regions that happen, risk factors and effect to survival rates of 2nd primary malignancies in oral cancer patients. From this survey, we willing to collect basic data for prevention and early diagnosis of SPMs. Methods: The medical records of 139 patients of oral oncology clinic of National Cancer Center who had up to 2-years follow up records after surgical or radiological treatment due to squamus cell carcinoma of oral cavity were reviewed. In these patients, survey of occurrence rate of SPMs, duration, survival rate and risk factors about occurrence of SPMs such as history of smoking, body mass index, age, sex, stage of primary lesion and history of radiologic treatment were achieved. Results: There are 15 patients who developed SPM in 139 cases. The actual occurrence rate of SPM was 10.79% and SPM were more likely to occur in male patients with 11 male Vs 4 female patients. Median age of these patient is 61.47 within 32 to 74 range. The regions that develop SPM are oral cavities (2 cases), stomach (4 cases), esophagus (2 cases), lung (2 cases) and others (1 case each breast, larynx, cervix, liver and kidney). In addition, metachronous cancers were 11 cases which happened more common than 4cases of synchronous cancers. Surveys of risk factors that relate to development of SPMs, such as sex, age, history of radiologic treatment, body mass index, history of smoking and stage of primary disease were done. Among them, factor of sex is only appear statistically significant (P=0.001), but rest are not significant in statistically. Conclusion: Occurrence rates of SPMs were reported from 10% to 20% by precede study. In this study, occurrence rate of SPMs is 10.79% that is similar to results of precede research. In comparison of 5-yr survival rates of groups that develop SPMs or not, there is statistically significance between two groups. Present treatment modalities of SPMs are surgical operation, radiotherapy, chemotherapy and combination of these modalities. In choosing the treatment modality, we must consider the first treatment modality, region of primary disease, region of SPMs and general conditions of patient. Because development of SPMs have big effect on prognosis, prevention of SPMs must regard to important objective of treatments in patients of SCCa in oral cavity.

수위도시 집중과 경제성장 (Concentration in the Primary City and Economic Growth)

  • 이근재;최병호;박형호
    • 국제지역연구
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    • 제21권4호
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    • pp.85-100
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    • 2017
  • 본 연구는 세계 113개국을 대상으로 수위도시(primary city) 중심의 일극경제체제가 일인당 국내총생산 성장률에 어떠한 영향을 미쳤는가를 실증적으로 분석하였다. 이를 위해 본 연구에서는 2000년에서 2010년 동안의 각 국의 1인당 경제성장률을 종속변수로 하는 Barro and Salai-Martin(1992)의 성장방정식 모형을 추정하였다. 그리고 가장 중요한 설명변수인 수위도시의 집중도 지표는 전체인구 대비 수위도시 인구 비율과 인구규모가 두 번째로 큰 제2도시 대비 수위도시 인구규모 지표를 사용하여 회귀분석을 실시하였다. 본 연구의 분석결과는 수위도시 집중을 나타내는 지표로 전국 인구대비 수위도시 인구를 사용하였을 경우, 수위도시 집중과 경제성장 간에는 부(-)의 관계가 있는 회귀분석결과도 존재했지만, 본 연구에서 추정한 회귀모형의 대부분에서는 통계적으로 유의한 결과를 얻지 못했다. 반면에 수위도시 집중을 나타내는 지표로 수위도시 인구대비 제2도시 인구비율을 사용한 경우, 수위도시집중과 경제성장 간에는 부(-)의 관계가 있는 것으로 나타났다. 전국인구대비 수위도시 인구비율 변수보다는 수위도시 인구 대비 제2도시 인구비율 변수는 일극 중심의 수위도시 집중을 보다 잘 반영한다고 볼 수 있다. 따라서 본 연구의 회귀분석결과는 단순한 수위도시 집중보다는 일극 중심의 수위도시 집중이 훨씬 경제성장에 부정적 영향을 미침을 알 수 있다. 본 연구의 결과는 역시 제2도시와의 수위도시의 격차가 축소된다면 성장률을 높일 수 있음을 시사한다.

생명윤리와 생명윤리교육에 대한 초등학교 교사의 인식 조사 (Primary School Teachers' Interest and Understanding of Bioethical Issues and Bioethics Teaching)

  • 박인옥;박지영;조은희;소경희;김희백
    • 한국초등과학교육학회지:초등과학교육
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    • 제24권5호특별호
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    • pp.571-582
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    • 2005
  • This study aims to examine primary school teachers' interest and understanding of bioethical issues, and to analyze their perception of bioethics teaching in the primary school education. For this purpose, the questionnaires were constructed. The data were collected from 553 primary teachers in the whole country. Major findings of the studys are as follows. First, most primary school teachers showed high level of interest about bioethical issues, but they had the limited understanding about bioethical issues. Primary teachers showed the highest interest about' respect for human life' and the lowest understanding of 'awareness of current biotechnology' Second, the prior reasons why primary teachers wanted to teach specific bioethical issues in the classes were that 'they were closely related to social phenomena' and 'they were appropriate for enhancing students' awareness of the value of life'. Third, the lack of the teachers' knowledge about bioethics and limited supply of teaching materials were found to be barriers, which prevent them from teaching bioethical issues. The implications of these results are discussed for the improvement of bioethics teaching in primary school education.

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Inpatients' Knowledge about Primary Liver Cancer and Hepatitis

  • He, Wen-Jing;Xu, Ming-Yan;Xu, Rui-Rui;Zhou, Xiao-Qiong;Ouyang, Jun-Jie;Han, Hui;Chen, Geng-Zhen
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권8호
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    • pp.4913-4918
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    • 2013
  • Objective: To assess the level of an inpatient population's awareness about hepatitis and primary liver cancer (PLC), the most common type of which is hepatocellular carcinoma (HCC), and then to initiate education of this group. Methods: A survey was conducted with 1300 participants within the inpatient unit in representative tertiary hospitals in the Chaoshan area of China. Structured questionnaires contained demographic data and statements about different aspects of liver cancer and hepatitis. The questionnaires were completed by trained medical practitioners after they had conducted the interviews. Results: One way ANOVA showed that the sample population lacked adequate knowledge about HCC and hepatitis. Stepwise multiple regression analysis demonstrated that the participant's level of education had the greatest impact on their total knowledge score when other variables remained constant. Conclusions: The study demonstrated: a general lack of awareness amongst the participants about the preventative strategies, and the management options available for people with primary liver cancer and hepatitis; education level was an important factor affecting knowledge levels. The demonstrated deficiencies in people's knowledge about hepatitis and HCC, and their lack of subsequent protective behaviours are likely to play an important role in HCC and hepatitis transmission or prevention.

Molar-incisor malformation에 이환된 제2유구치의 미세 형태학적 분석 : 증례 보고 (Micromorphological Analysis of Primary Second Molar with Molar-incisor Malformation : A Case Report)

  • 김명환;박호원;이주현;서현우
    • 대한소아치과학회지
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    • 제48권3호
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    • pp.352-358
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    • 2021
  • Molar-incisor malformation (MIM)은 치관은 정상이나 치근의 비정상적인 형태를 보이는 것이 특징적이다. 제1대구치에 가장 많이 발생하며, 제2유구치나 상악 중절치도 때때로 이환된다. 이 증례 보고에서는 제1대구치를 포함해, 제2유구치에 MIM이 나타난 환자의 증례를 보고하고, 치근이 건전하게 발거된 제2유구치의 micro computed tomography (CT)를 이용한 형태학적 분석을 시행하였다. 발거된 치아에서는 MIM의 외형적 특징인 치관 - 치근 이행부의 cervical constriction을 육안상으로 확인할 수 있었으며, micro CT 분석에서 백악법랑경계부의 광화된 부위 (Cervical Minelarized Diaphragm), 많은 부근관과 막힌 근관 등의 복잡한 근관 형태, 근관 내 석회화 물질, 영구치에 비해 상대적으로 협착된 치관부 치수강이 관찰되었다.

초등 저학년 자녀를 둔 어머니의 2-3학년 시기 양육역량 변화유형과 예측요인: 자기체계역량, 학교생활 파악수준, 담임교사 상담횟수 및 사회관계망 변화를 중심으로 (The Types of Change in Mothers' Parenting Competency During Their Children's 2nd to 3rd Grades of Primary School and Their Predictive Factors: Focusing on the Changes in Self-System Competency, Level of Understanding of School Life, Number of Counseling Sessions, and Social Networking)

  • 최지혜;조혜령;김영선
    • 한국보육지원학회지
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    • 제18권3호
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    • pp.19-36
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    • 2022
  • Objective: This study aimed to analyze the changes and predictive factors of mothers' parenting competencies during their children's second to third grades in primary school. Methods: We used the data from the Panel study of Korean Parental Educational Involvement. We classified 373 mothers into three groups, 'reduced' parenting competency, 'maintained' parenting competency, and 'increased' parenting competency, and conducted one-way variance analysis and multinomial logistic regression analysis. Results: First, the mothers' parenting competency decreased between their children's 2nd year and 3rd year in primary school. Second, the 'reduced', 'maintained', and 'increased' groups differed from each other in the degree of change in self-system competency, level of understanding of school life, number of counseling sessions with homeroom teachers, and social networking. Third, the degree of change in self-system competency and social networking predicted the increase in mothers' parenting competency. The degree of change in self-system competency and the level of understanding of school life predicted the maintenance of mothers' parenting competency. Conclusion/Implications: This study, for the first time, has revealed the change in mothers' parenting competency and its predictive factors after the second year in primary school. How to support the growth of mothers' parenting competency was also discussed.

주서비스와 보조서비스를 갖는 시스템 설계 (A Design Problem of a System Working at Both Primary Service and Secondary Service)

  • 김성철
    • 경영과학
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    • 제28권3호
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    • pp.15-29
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    • 2011
  • In this paper, we consider a system working at both primary service and secondary service. A server can switch between the primary service and the secondary service or it can be assigned to secondary service as a dedicated server. A service policy is characterized by the number of servers dedicated to the secondary service and a rule for switching the remaining servers between two services. The primary service system is modelled as a Markovian queueing system and the throughput is a function of the number of servers, buffer capacity, and service policy. And the secondary service system has a service level requirement strategically determined to perform the service assigned. There is a revenue obtained from throughput and costs due to servers and buffers. We study the problem of simultaneously determining the optimal total number of servers, buffers, and service policy to maximize profit of the system subject to both an expected customer waiting time constraint of the primary service and a service level constraint of the secondary service and develop an algorithm which can be successfully applied with the small number of computations.

초등영어 수업에서 자기 주도적 교수에 대한 교사의 인식 (A study of primary school teachers' beliefs on self-directed teaching in primary school English classroom)

  • 김영태
    • 영어어문교육
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    • 제12권4호
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    • pp.159-183
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    • 2006
  • The purpose of this study is to investigate Korean primary school English teachers' beliefs on self-directed teaching and learning for facilitating student's self-directed learning. A survey was conducted, using 315 primary school teachers as participants. According to different school areas, sex, English teaching careers, and types of English teaching like classroom teachers or English specialist teachers, beliefs on teachers' self-directed teaching were studied based on class planning, class process, utilization of human resources, development and utilization of teaching materials and class evaluation. The results of this study are as follows: first, differences were not shown except class planning according to teachers from different school areas. Second, sex and beliefs of teachers' self-directed teaching had nothing in common. Third, differences were shown in class planning and class process, according to English teaching careers. Finally, according to types of English teaching, differences were shown in class process and development and utilization of teaching materials. The study suggests that it is necessary to conduct other studies for observing primary English classrooms focusing on teacher's self-directed decision-making.

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