• Title/Summary/Keyword: actual reporting

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A Survey of Sedation Practices in the Korean Dentistry (치과 치료 시 진정법 시행에 대한 실태 조사 연구)

  • Bae, Chi-Hoon;Kim, Hyuk;Cho, Kyoung-Ah;Kim, Mi-Seon;Seo, Kwang-Suk;Kim, Hyun-Jeong
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.14 no.1
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    • pp.29-39
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    • 2014
  • Background: Dental phobia or anxiety of patients is the serious impediment to appropriate and effective dental treatment. Sedative technique helps to mitigate patients' fear and anxiety thus make them more cooperative and familiar to dental practices. With increasing attention to sedative dentistry in dentists, educational requirements and technical qualification also become stricter but actual survey on recent sedative dentistry has not been reported yet. Especially there is insufficient study reporting the survey of sedative dentistry subjected to Korean adults. In this paper, we conducted a survey study on the actual condition and practice related to sedation with a questionnaire to dentists in South Korea. Methods: The survey was done for members of The Korean Dental Society of Anesthesiology (KDSA), who had great interest in sedation and for whom survey-by-mail was convenient. 472 members of The KDSA having dental license and solid address and contact information were subjected to the survey by sending them survey questions about their sedative techniques and knowledge. In order to increase the response rate, small gifts were presented to those who accurately responded to the survey questions and text messages and phone calls were made to encourage their participation. We collected their responses over two months and examined the returned surveys. Statistical analysis was performed using IBM SPSS Statistics 21 for each question. Results: Out of 472 dentists, 181 responded (38.4% response rate). 63.0% (114 dentists; 77 male and 37 female) of respondents had experience on sedative technique and their average age was $39.8{\pm}7.6$ year. 74 of them were private practitioners, 17 of them were professors (14.9%), 11 of them were dentists-in-service (9.6%), 11 of them were residents (specialist training) (9.6%) and 1 of them was military doctors (0.9%). There were 89 dentists (78.1%) who were specialists or receiving trainings to be specialist, most of whom were pediatric dentists (55, 48.2%) and oral surgeon (31, 27.2%). The most popular route for drug medications was orderly oral, inhalational, intravenous medication. Combination of oral and inhalational medications or single use of intravenous medication was the most common. The most preferred sedative drug was pocral in oral sedation and midazolam in intravenous sedation. 48.2% of practitioners responded that they experienced side effects and emergency situations. Airway obstruction was the most frequent. Conclusions: Results from the survey show that the protocol and system for sedative dentistry have been improved compared to the past. Nevertheless, quality of emergency protocol, monitoring devices and preparation of sedative drugs was still insufficient to achieve safe sedative procedure. This study acquires novelty since actual survey on recent sedative dentistry for adult patients has not been reported yet.

Trends and Implication of International Discussion on Forest Sector: Focusing on United Nations Forum on Forests (산림부문 관련 국제적 논의 동향과 시사점: 유엔산림포럼을 중심으로)

  • Choi, Eunho;Kim, Raehyun;Kim, Myungkil
    • Journal of Korean Society of Forest Science
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    • v.107 no.4
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    • pp.325-335
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    • 2018
  • In accordance with the appearance of global issue called Sustainable Development Goals (SDGs), United Nations Forum on Forests (UNFF) has shown a significant progress in such as emphasizing the potential contribution of forest sector and establishing long-term strategies. In relation to the SDGs which would be discussed mainly in different international agreements and conferences related to forest sector until 2030, this study reviewed the discussion trend by establishing integrated databases and focusing on UNFF which serves as an integrated coordinator. It also aims to identify the meaning of United Nations Strategic Plan for Forest (UNSPF) established by UNFF. Furthermore, the following proposals on policies are presented in this study aiming for active discussion on forest sector not only in international but also in national context, and to implement UNSPF and GFGs effectively in a long-term manner: (1) Cooperation among sectors, organizations, and countries is more important than anything to make an active discussion on forest sector; (2) Recognizing and understanding the role and contributions of forests should be encouraged in actual field, and it should serve as the basis when establishing national policies and goals; (3) By fully utilizing UNFF report which is for the review of UNSPF implementation, a rational reporting system should be provided, and simultaneously, the efficiency on reporting items in the process of implementation should be improved.

Understanding Breast Cancer Screening Practices in Taiwan: a Country with Universal Health Care

  • Wu, Tsu-Yin;Chung, Scott;Yeh, Ming-Chen;Chang, Shu-Chen;Hsieh, Hsing-Fang;Ha, Soo Ji
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.9
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    • pp.4289-4294
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    • 2012
  • While the incidence of breast cancer (BC) has been relatively low in Asian countries, it has been rising rapidly in Taiwan. Within the last decade, it has replaced cervical cancer as the most diagnosed cancer site for women. Nevertheless, there is a paucity of studies reporting the attitudes and practices of breast cancer screening among Chinese women. The aim of this study is to assess Taiwanese women's knowledge of and attitudes toward BC screening and to identify potential factors that may influence screening behavior. The study population consisted of a sample of 434 Taiwanese women aged 40 and older. Despite access to universal health care for Taiwanese women and the fact that a majority of the women had heard of the breast cancer screening (mammogram, clinical breast exams, etc.), the actual utilization of these screening modalities was relatively low. In the current study, the majority of women had never had mammograms or ultrasound in the past 5 years. The number one most reported barriers were "no time," "forgetfulness," "too cumbersome," and "laziness," followed by the perception of no need to get screened. In addition, the results revealed several areas of misconceptions or incorrect information perceived by study participants. Based on the results from the regression analysis, significant predictors of obtaining repeated screening modalities included age, coverage for screening, barriers, self-efficacy, intention, family/friends diagnosed with breast cancer. The findings from the current study provide the potential to build evidence-based programs to effectively plan and implement policies in order to raise awareness in breast cancer and promote BC screening in order to optimize health outcomes for women affected by this disease.

Implementing the Urban Effect in an Interpolation Scheme for Monthly Normals of Daily Minimum Temperature (도시효과를 고려한 일 최저기온의 월별 평년값 분포 추정)

  • 최재연;윤진일
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.4 no.4
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    • pp.203-212
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    • 2002
  • This study was conducted to remove the urban heat island effects embedded in the interpolated surfaces of daily minimum temperature in the Korean Peninsula. Fifty six standard weather stations are usually used to generate the gridded temperature surface in South Korea. Since most of the weather stations are located in heavily populated and urbanized areas, the observed minimum temperature data are contaminated with the so-called urban heat island effect. Without an appropriate correction, temperature estimates over rural area or forests might deviate significantly from the actual values. We simulated the spatial pattern of population distribution within any single population reporting district (city or country) by allocating the reported population to the "urban" pixels of a land cover map with a 30 by 30 m spacing. By using this "digital population model" (DPM), we can simulate the horizontal diffusion of urban effect, which is not possible with the spatially discontinuous nature of the population statistics fer each city or county. The temperature estimation error from the existing interpolation scheme, which considers both the distance and the altitude effects, was regressed to the DPMs smoothed at 5 different scales, i.e., the radial extent of 0.5, 1.5, 2.5, 3.5 and 5.0 km. Optimum regression models were used in conjunction with the distance-altitude interpolation to predict monthly normals of daily minimum temperature in South Korea far 1971-2000 period. Cross validation showed around 50% reduction in terms of RMSE and MAE over all months compared with those by the conventional method.conventional method.

Evaluation of Current Preparing Status for Experimental Practice by Faculty of Clinical Pharmacy in Korea (임상약학 담당교수에 의한 한국 약학전문대학원의 실무실습준비 현황 평가)

  • Lee, Ok Sang;Lim, Sung Cil
    • YAKHAK HOEJI
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    • v.57 no.3
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    • pp.219-225
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    • 2013
  • The Korean pharmacy education has introduced new curriculum since 2011. In the new curriculum, pharmacy students have been provided strenthen experimental education and clinical pharmacy has been more important than previous curriculum. Thus, faculties in the college of pharmacy should prepare the circumstances correlated with the changed curriculum. To accomplish successful setting, all faculty and practice experts must work together and need financial assisstant from the college. However, there are many different obstacles among 35 colleges of pharmacy in Korea. In order to narrow a gap among students and find the way to overcome it together, we studied the problem of preparation process in Korean colleges of Pharmacy. We studied the process of practical education in college of pharmacy by means of self-reporting questionnaire from November 29th 2012 to December 31th 2012. The questionaire comprised of syllabus related to clinical pharmacy, the number of professor in charge of clinical pharmacy or pharmacotherapeutics, the plan of securing faculties in the field of clinical pharmacy, the budget, site, instrument for preparing experimental education, the lesson time number of experimental education, MOU, education and treatment of preceptor in the practice site and committee of experimental education in the college. Total 21 of 35 colleges participated in this survey. They showed different composition of syllabus, budget, the circumstances of experimental education, the education and treatment of preceptor. Most colleges are unclear the site and preceptor of experimental education and they did not contract the MOU with the sites. 9 of 21 also did not have the committee of experimental education in the colleges. From 2013, some colleges of pharmacy start actual experimental education. Inadequete preparation and different quality of education can make student incomplete pharmacists, so it will be negative effect on public health. To overcome challenge and obtain desirable goal, funding/administrative assistant from the college and networking within 35 colleges of pharmacy are needed.

Occupational Injury Statistics in Korea

  • Kang, Seong-Kyu;Kwon, Oh-Jun
    • Safety and Health at Work
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    • v.2 no.1
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    • pp.52-56
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    • 2011
  • Objectives: The occupational accident rate was officially reported to be 0.77 per 100 workers in 2001 and 0.70 in 2009. The stagnant decrease in accident rate raises a question about the effectiveness of prevention activity because there have been active prevention efforts in the past 10 years. It is also necessary to know the exact status of occupational injuries to direct a prevention strategy. Methods: The author re-analyzed occupational injury statistics to find the reason for stagnant decreases in occupational injuries. Compensated occupational injuries cases were used to calculate fatal and non-fatal injury rates. Injuries from commuting accidents and sports activities were excluded as well as occupational diseases. The number of workers was adjusted to that of full time equivalent employees. Results: The fatal injury rate excluding injuries associated with commuting accidents, sports activities, and occupational diseases decreased from 12.59 in 2001 to 8.20 in 2009. In 2007, 67.5% of accidents that involved being caught in objects, which are mostly caused by machines and equipment, occurred in the manufacturing industry; this type of incident has decreased since 2001. The fatal and non-fatal injury rates in the manufacturing industry have continuously decreased while the rates in the service industry have not changed from 2001 to 2009. Non-fatal injuries might not be reported in many cases. The number of insured workers was underestimated as long working hours were not adjusted for in the reporting system. Conclusion: The occupational fatal injury rate has decreased and the non-fatal injury rate might have decreased during the last 10 years, although the statistics show stagnancy. The decrease of the injury rate was countervailed by various factors. Hence, the current accident rate does not reflect the actual situation of accidents in Korea. Korea needs to develop an improved system to more accurately calculate occupational fatal and non-fatal injury rates.

A Pilot Study for Pesticide Poisoning Symptoms and Information on Pesticide Use among Farmers (일부 농업인에서의 농약 중독증상과 농약 사용정보에 대한 예비조사)

  • Kim, Hyun-Joong;Cha, Eun-Shil;Moon, Eun-Kyeong;Ko, You-Sun;Kim, Jae-Young;Jeong, Mi-Hye;Lee, Won-Jin
    • Journal of Environmental Health Sciences
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    • v.37 no.1
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    • pp.22-28
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    • 2011
  • This study aimed to determine the feasibility of survey questionnaires for pesticide poisoning. We conducted a pilot study to develop a questionnaire for evaluating pesticide poisoning symptoms and to examine the validity of self-reported information for individual pesticides used. In December 2010 we interviewed 20 farmers with self-reported pesticide poisoning histories residing in Gyeonggi Province. For validity of pesticide information, the purchased pesticide lists from the agricultural cooperative federation were compared with individual self-reported pesticides used. Neurological symptoms were the most common among clinical symptoms related to pesticide poisoning, followed by gastrointestinal, dermal and eye symptoms. Insecticides were the main causative pesticide class for poisoning. Twenty one major symptoms were selected for screening for acute pesticide poisoning in a field study based on the pilot results and literature reviews. Substantial under-reporting was found in data on self-reported individual pesticides used (9.2%), as well as low accuracy (36%) compared with their actual purchase lists. In this pilot study, we suggest the selected symptom lists may apply to a field survey of pesticide poisoning. However, the self-reported information on individual pesticides may not be valid and alternative methods need to be developed.

Advanced peri-implantitis cases with radical surgical treatment

  • McCrea, Shane J.J.
    • Journal of Periodontal and Implant Science
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    • v.44 no.1
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    • pp.39-47
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    • 2014
  • Purpose: Peri-implantitis, a clinical term describing the inflammatory process that affects the soft and hard tissues around an osseointegrated implant, may lead to peri-implant pocket formation and loss of supporting bone. However, this imprecise definition has resulted in a wide variation of the reported prevalence; ${\geq}10%$ of implants and 20% of patients over a 5- to 10-year period after implantation has been reported. The individual reporting of bone loss, bleeding on probing, pocket probing depth and inconsistent recording of results has led to this variation in the prevalence. Thus, a specific definition of peri-implantitis is needed. This paper describes the vast variation existing in the definition of peri-implantitis and suggests a logical way to record the degree and prevalence of the condition. The evaluation of bone loss must be made within the concept of natural physiological bony remodelling according to the initial peri-implant hard and soft tissue damage and actual definitive load of the implant. Therefore, the reason for bone loss must be determined as either a result of the individual osseous remodelling process or a response to infection. Methods: The most current Papers and Consensus of Opinion describing peri-implantitis are presented to illustrate the dilemma that periodontologists and implant surgeons are faced with when diagnosing the degree of the disease process and the necessary treatment regime that will be required. Results: The treatment of peri-implantitis should be determined by its severity. A case of advanced peri-implantitis is at risk of extreme implant exposure that results in a loss of soft tissue morphology and keratinized gingival tissue. Conclusions: Loss of bone at the implant surface may lead to loss of bone at any adjacent natural teeth or implants. Thus, if early detection of peri-implantitis has not occurred and the disease process progresses to advanced peri-implantitis, the compromised hard and soft tissues will require extensive, skill-sensitive regenerative procedures, including implantotomy, established periodontal regenerative techniques and alternative osteotomy sites.

An Analysis of Reading Programs of Public Libraries in Korea (공공도서관의 독서프로그램 운영 실태 분석 연구)

  • Lee, Jongmoon
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.27 no.2
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    • pp.81-94
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    • 2016
  • This study analyzes the problems in reading program of public libraries and provides some suggestions for the program development and management. For this analysis, I sampled and examined 350 news articles to reading programs done in the public libraries between 2013 and 2015. The result shows that 41.4% of the collected articles were the news about the reading programs in Seoul Metropolitan areas. While the articles about simple reading programs occupied 69.9%, the mixed activity programs reached a significant amount in total. In addition, 51.3% of program participants was under the elementary children and their parents, but only 9.0% program participants came from low socioeconomic status classes. 86 reading programs (28.4%) were designed for one-day events without a long-term policy. Based on such analyses, this study provides three suggestions: utilizing public relation teams and communicating mass media to advertize reading programs to local residents, developing systematic reading programs in users' needs, managing the reading programs for all kinds of local residents.

Barriers to Cervical Screening among Pacific Women in a New Zealand Urban Population

  • Foliaki, Sunia;Matheson, Anna
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.4
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    • pp.1565-1570
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    • 2015
  • Background: In Aotearoa/New Zealand cervical screening programmes have reduced cervical cancer; however, half of cervical cancer cases among Pacific women are found among clients who had not attended cervical screening. Hence, we set out to determine health provider perspectives on barriers that prevent their services reaching Pacific women within Aotearoa/New Zealand. Materials and Methods: Twenty semi-structured interviews were conducted with health care providers, Pap smear takers and community workers in the Wellington region. Participants were asked their views on factors that enabled and/or constrained the participation of Pacific women in their cervical screening services. Results: Six interrelated themes influencing participation in cervical screening among Pacific women in the Wellington region were apparent: the funding and practice of service delivery; family always coming first; the cost of screening services; type of employment; the appropriateness of information; and attitudes to self and screening. Conclusions: Determining specific ethnic group actual health needs and meeting them contributes to overall improvement in New Zealand's health status. The results identified the need for improvements to the delivery of screening services including adapting cervical screening services to the requirements of Pacific women through more outreach services at alternate clinic hours; culturally appropriate practitioners; the ability to take up opportunities for health checks and foster long-term relationships; as well as appropriate monitoring and evaluation of approaches. Funding and reporting relationships also need to be compatible with the goal of improving outcomes for Pacific women. Further research into client voices for their particular needs to compliment the service provider perspective as well as minority groups is called for.