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A Study on the Change of the List of Medical Textbooks During the Era of King Sejong and Sejo (세종과 세조연간의 의학교과서 변화에 대한 고찰)

  • KUG Soo-ho
    • The Journal of Korean Medical History
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    • v.35 no.1
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    • pp.59-67
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    • 2022
  • The medical text books used during the Joseon Dynasty can be seen to change over time by examining various records. These records show that the list of medical textbooks suddenly changed a lot between the era of King Sejong and Sejo in the Joseon Dynasty. However, since there are not many studies on this topic yet, this study was conducted and the following causes of these changes were identified: The first reason is the compilation project of Euibangyoochui (醫類聚聚) because the date of compilation of Euibangyoochui is clearly related to the period of change to the list of medical textbooks. The second reason is the difficulty of the medical examination during the Joseon Dynasty. Medical tests in the Joseon Dynasty were very difficult. Therefore, it was too unrealistic to keep 25 or 26 textbooks. Third, there was the problem of supply and demand of medical textbooks. Because the prices of these books were very high at that time, owning 25 or 26 medical books for an individual was a significant financial hardship. This study was able to confirm this through various forms of circumstantial evidence. However, more historical materials should be discovered in the future and research should be conducted to more accurately grasp the situation of the time.

Alterations of the soft tissue dimensions around implant-supported singletooth replacements in the maxillary anterior region - A retrospective longitudinal study - (상악 전치부 임플란트지지 수복금관의 주변 연조직 제원 변화에 관한 누년적 연구)

  • Chang, Moon-taek
    • Journal of Periodontal and Implant Science
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    • v.28 no.3
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    • pp.507-517
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    • 1998
  • This study was performed to investigate the soft tissue changes around single implant-supported crowns during followup periods. Twenty patients(31 implants) whose single missing tooth in the maxillary anterior region had been replaced with an single implant-supported crown were recruited for the study. Crown length, soft tissue level and papilla height at the single implant-supported crowns were measured at follow-up examination and calculated from the slides taken at time of crown placement. as well Papilla index was scored from the slides taken at the time of crown placement and follow-up examination. A very little amount of recession occurred and the soft tissue level moved more apically and the papilla height increased significantly (p<0.01). Especially, both mesial and distal papilla index at single implant-supported crowns increased significantly during follow-up periods (p<0.001). When the two slides taken at the time of crown placement and follow-up were compared simultaneously, except one site, papillae size increased at all sites. From the results of the study, the interdental papillae at the single implant-supported crowns seemed to regenerate significantly and their crown margins were stable during follow-up periods. Hence it is indicated that various surgical interventions at on early stage to enhance soft tissue esthetics arourd single implants may be unnecessary.

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Design and Implementation of a Web-based Diagnostic Evaluation System for Efficient Teaching Method (교수방법의 효율화를 위한 웹 기반 진단평가 시스템 설계 및 구현)

  • You, Sun-Kyoung;Lee, Mee-Jeong
    • The Journal of Korean Association of Computer Education
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    • v.6 no.3
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    • pp.197-205
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    • 2003
  • For efficient teaching method a teacher should understand the current level of learners. Diagnostic evaluation is generally used to grasp a knowledge level of learners. However, it is not easy to take a diagnostic examination in every class because of time limitation. Accordingly, we propose a web based diagnostic evaluation system for efficient teaching method. In the proposed system, it is possible for teachers to feed diagnostic evaluation questions on the web at any time and for learners to take an online diagnostic examination without space and time limitation. In addition, the proposed system automatically grades the diagnostic evaluation and provides a teacher with various statistical data that can be a criterion to decide a proper teaching level.

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A Cohort Analysis on Sodium and Sodium-calorie Intake with the Korean National Health and Nutrition Examination Survey (국민건강영양조사를 활용한 나트륨 섭취량과 열량 대비 나트륨 섭취량에 대한 코호트 분석)

  • Yang, Sung-Bum
    • The Korean Journal of Food And Nutrition
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    • v.33 no.1
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    • pp.98-104
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    • 2020
  • The purpose of this study was to analyze a cohort, age, and time effects on sodium and sodium-calorie intake using the 2007~2017 Korea National Health and Nutrition Examination Survey (KNHANES). For analysis, we have constructed cohort panel data that combine KNHANES data in a time series. The age effect gradually increased from age 45~49 and then decreased afterwards. The time effect showed an increase in average sodium intake until 2010 followed by a subsequent decrease. The cohort effect showed that the sodium intake was the highest for the War of Liberation 1946~1953, and that the younger the latter, the lower the sodium intake. According to a cohort analysis, the younger the generation, the lower the sodium intake compared to the calorie intake, according to the baby boomers. Based on the results of this study, efforts should be made to educate and promote the dieting and providing low-salt meals to reduce sodium intake by generation. An analysis of the health hazards including sodium by generation and age is thought to enable the establishment relevant policies.

Ultrasound and clinical findings in the metacarpophalangeal joint assessment of show jumping horses in training

  • Yamada, Ana Lucia M.;Pinheiro, Marcelo;Marsiglia, Marilia F.;Hagen, Stefano Carlo F.;Baccarin, Raquel Yvonne A.;da Silva, Luis Claudio L.C.
    • Journal of Veterinary Science
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    • v.21 no.3
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    • pp.21.1-21.14
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    • 2020
  • Background: Physical exercise is known to cause significant joint changes. Thus, monitoring joint behavior of athletic horses is essential in early disorders recognition, allowing the proper management. Objectives: The aims of this study were to determine the morphological patterns, physical examination characteristics and ultrasound findings of show jumping horses in training and to establish a score-based examination model for physical and ultrasound follow-ups of metacarpophalangeal joint changes in these animals. Methods: A total of 52 metacarpophalangeal joints from 26 horses who were initially in the taming stage were evaluated, and the horses' athletic progression was monitored. The horses were evaluated by a physical examination and by B-mode and Doppler-mode ultrasound examinations, starting at time zero (T0), which occurred concomitantly with the beginning of training, and every 3 months thereafter for a follow-up period of 18 months. Results: The standardized examination model revealed an increase in the maximum joint flexion angles and higher scores on the physical and ultrasound examinations after scoring was performed by predefined assessment tools, especially between 3 and 6 months of evaluation, which was immediately after the horses started more intense training. The lameness score and the ultrasound examination score were slightly higher at the end of the study. Conclusions: The observed results were probably caused by the implementation of a training regimen and joint adaptation to physical conditioning. The joints most likely undergo a pre-osteoarthritic period due to work overload, which can manifest in a consistent or adaptive manner, as observed during this study. Thus, continuous monitoring of young athlete horses by physical and ultrasound examinations that can be scored is essential.

Survey on Medical doctors' awareness and perceptions of Bisphosphonate-related osteonecrosis of the jaw (비스포스포네이트 관련 악골괴사 (Bisphosphonate-Related Osteonecrosis of the Jaw)에 관한 의사의 인식도 조사)

  • Kim, Jin-Woo;Jeong, Su-Ra;Pang, Eun-Kyoung;Kim, Sun-Jong
    • The Journal of the Korean dental association
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    • v.53 no.10
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    • pp.732-742
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    • 2015
  • The objective of this study was to identify bisphosphonate-related osteonecrosis of the jaw (BRONJ) awareness and experience level of patients by medical doctors who prescribes bisphosphonate being used, analyze dental examination referral reality and to utilize its result as basic education data for early diagnosis of BRONJ and its prevention. The study was carried out through a self-administered questionnaire distributed among a sample 192 residents and specialists. They belonged to family medicine, internal medicine and orthopedics of 6 tertiary medical centers located in Seoul. The survey consisted of 22 questions; general characteristics, bisphosphonate therapy, awareness of BRONJ, implementation level of dental examination referral. Among 192 medical doctorss, 78.1% (n=150) showed awareness of BRONJ. Only 8.9% (n=17) had correct response in all 5 BRONJ knowledge questions. Dental examination referral by medical doctors was implemented in below 30% of the total patients. At the time of bisphosphonate administration, specialist of oncology most highly recognized necessity of dental examination referral and it was represented in the order of endocrinology, rheumatology, family medicine, orthopedics specialists. As recognition of medical doctors for BRONJ and implementation level of dental referral were represented to be low, it is considered that enhancement of BRONJ recognition for medical doctors and development of high accessible education program for increasing implementation rate of dental examination referral would be required.

The Analysis of Questions in Employment Examination for Secondary School Teachers in Information · Computer (정보·컴퓨터 중등교사 임용시험 문항 분석)

  • Yeo, Ji-Won;Kang, Oh-Han
    • The Journal of Korean Association of Computer Education
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    • v.12 no.5
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    • pp.15-22
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    • 2009
  • In this thesis, we performed research focusing on the following details: First, questions made in the information computer subject of the employment examination for the 2009 academic year were classified into each major field and the weight and distribution of marks for each field were analyzed; Second, using questionnaire, (1) the distribution of items for major fields and opinions of the verification of teacher's ability, (2) the opinions of difficulty of the examination, the allocation of time and the proportion of subject contents and subject pedagogy; and (3) the recognitions of instructor group and examinee group were examined and the results were compared and analyzed. According to the results of this study, questions were made evenly in the fields of each subject as the intention of making the questions. Also, for each result of the questions about first examination and second examination, there were not significant difference between professor group and examinee group.

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Non-Practice of Breast Self Examination and Marital Status are Associated with Delayed Presentation with Breast Cancer

  • Ghazali, Sumarni Mohd;Othman, Zabedah;Cheong, Kee Chee;Lim, Kuang Hock;Wan Mahiyuddin, Wan Rozita;Kamaluddin, Muhammad Amir;Yusoff, Ahmad Faudzi;Mustafa, Amal Nasir
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.1141-1145
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    • 2013
  • Delay in seeking treatment for breast cancer is a barrier to the early diagnosis and management of the disease, resulting in a poorer prognosis. We here estimated the prevalence of delayed presentation for breast cancer and identified possible influential sociodemographic factors in a cross-sectional study of 250 patients diagnosed with primary breast cancer at the Radiotherapy and Oncology Clinic in Kuala Lumpur Hospital. Data were collected by face-to-face interview using a structured questionnaire and from medical records. We examined associations between delayed presentation (presenting to a physician more than 3 months after self-discovery of a symptom) and sociodemographic characteristics, practice of breast self examination (BSE), history of benign breast disease, family history of breast cancer and type of symptom, symptom disclosure and advice from others to seek treatment using multiple logistic regression. Time from self-discovery of symptom to presentation ranged from tghe same day to 5 years. Prevalence of delayed presentation was 33.1% (95%CI: 27.4, 39.3). A significantly higher proportion of delayers presented with late stages (stage III/IV) (58.3% vs. 26.9%, p<0.001). Divorced or widowed women (OR: 2.23, 95% CI: 1.11, 4.47) had a higher risk of delayed presentation than married women and women who never performed breast self examination were more likely to delay presentation compared to those who regularly performed BSE (OR: 2.74, 95% CI: 1.33, 5.64). Our findings indicate that delayed presentation for breast cancer symptoms among Malaysian women is high and that marital status and breast self examination play major roles in treatment-seeking for breast cancer symptoms.

A Study on the Reduction of Kidney Uptake of 18F-FDG due to the Water Intake at the Time of Additional Examination in the PET/CT scan (PET/CT 검사에서 추가 검사 시 수분섭취에 따른 18F-FDG의 신장 섭취 감소에 대한 고찰)

  • Lee, Yi Lang;Kim, Sang Gyu;Ham, Jun Chul;Nam-Koong, Hyuk;Lim, Han Sang;Kim, Jae Sam
    • The Korean Journal of Nuclear Medicine Technology
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    • v.20 no.1
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    • pp.47-51
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    • 2016
  • Purpose By ingestion of 18F-FDG of kidney of PET/CT during the inspection, if additional examination is required, depending on whether you want to water intake, we want to confirm a change in the rate of decrease of F-18 FDG of the kidney. Materials and Methods The 80 patients without kidney disease were performed PET/CT examination. Device was analyzed after setting the kidney to a three-dimensional region of interest. In patients require additional examination, and inspection after 30 minutes, a PET/CT torso examination after the water of the 500 cc ingested at a time. After the addition of both water intake group and no hydration group of kidney of SUV, it was compared with PET/CT torso scan. Results High and low of the kidney SUV did not show a significant difference in the rate of decrease. Reduction rates of background (BKG) of additional examination was 2.8% and reduction rates of SUV was 49.7% (Hydration) : -6.8% (No hydration), so did show a significant difference. In the image blind test, the average point score of hydration and no hydration was 34.25 : 17.25. Conclusion An undercurrent of 18F-FDG in the kidney at the time of torso examination, it was confirmed that the reduction rate after the addition of water intake is high. It is considered that can be expected to improve the quality of an image due to a decrease in elongation through the kidneys examination with additional fluid intake as needed intake.

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Testicular Cancer and Testicular Self-Examination; Knowledge, Attitudes and Practice in Final Year Medical Students in Nigeria

  • Ugwumba, Fred O;Ekwueme, Osa Eloka C;Okoh, Agharighom D
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.11
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    • pp.4999-5003
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    • 2016
  • The testicular cancer (TCa) incidence is increasing in many countries, with age-standardized incidence rates up to 7.8/100,000 men in the Western world, although reductions in mortality and increasingly high cure rates are being witnessed at the same time. In Africa, where rates are lower, presentation is often late and morbidity and mortality high. Given this scenario, awareness of testicular cancer and practice of testicular self-examination among future first response doctors is very important. This study was conducted to determine knowledge and attitude to testicular cancer, and practice of testicular self-examination (TSE) among final (6th) year medical students. In addition, the effect of an intervention in the form of a single PowerPoint(R) lecture, lasting 40 minutes with image content on testicular cancer and testicular self examination was assessed. Pre and post intervention administration of a self-administered structured pre tested questionnaire was performed on 151 medical students, 101 of whom returned answers (response rate of 66.8%). In the TC domain, there was a high level of awareness of testicular cancer, but poor knowledge of the age group most affected, with significant improvement post intervention (p<0.001). Notable also was the poor awareness of the potential curability of TC, this also being improved following the intervention (p<0.001). A poor level of awareness and practice of testicular self-examination pre-intervention was found considering the nature of the study group..Respondents had surprisingly weak/poor responses to the question "How important to men's health is regular testicular self-examination?" Answers to the questions "Do you think it is worthwhile to examine your testis regularly?" and "Would you be interested in more information on testicular cancer and testicular self-examination?" were also suboptimal, but improved post intervention p<0.001, p<0.001 and p=0.037. Age, gender and marital status were without specific influence. In conclusion, this study showed poor levels of knowledge regarding epidemiology of TCa and its potential curability when detected early. There was also a poor awareness of, practice of, and poor attitudes to TSE. The significant improvement in these parameters post intervention indicates value in educational intervention. We recommend inclusion of TCa coverage and TSE teaching in the secondary school curriculum (targeting adolescents). Greater emphasis should also be given to testicular cancer in the curricula of medical schools and other training institutions for health care personnel.