• Advances in pediatric surgery
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• 제19권2호
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• pp.130-139
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• 2013

The application of laparoscopic techniques for the surgical management of Hirschsprung's disease is the recent trend. We described the surgical technique and postoperative long-term outcomes of the one-stage, laparoscopic-assiseted endorectal pull-through operation for Hirschsprung's disease. The technique uses three to four small abdominal ports. Laparoscopic mobilization of the sigmoid colon and rectum is performed and marginal artery-preserving colon pedicle is prepared. The rectal mobilization is performed using a transanal endorectal sleeve technique. The anastomosis is performed 0.5~1 cm above the dentate line. The age at surgery ranged from 6 days to 4 years. The average operative time was 144 minutes. Almost all of the patients passed stool and flatus within 36 hours of surgery. The average hospital stay after surgery was 6.5 days. Among 42 patients, 32 patients older than 3 years old were evaluated for function on defecation. All 32 patients have been continent, of those who needed laxatives were 11 (34.3%) due to constipation and overflow incontinence. Four children (12.5%) have remained dependent on laxatives. Laparoscopic-assisted endorectal pull-through operation for Hirschsprung's disease appears to be safe, provides the less pain, shorter time to full feeding, shorter hospital stay, and excellent cosmetic outcomes. Helping patients and parents ensure the quality of life, they should be provided with counseling, education, and longer-term follow-up care.

• Asian Pacific Journal of Cancer Prevention
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• 제14권11호
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• pp.6985-6989
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• 2013

Background: This study aimed to examine out-of-pocket expenditure for cancer treatments of hospitalized patients and to analyze changing patterns over time. Materials and Methods: This study examined data of all cancer patients receiving inpatient care from two tertiary hospitals from January 2003 to December 2010. Medical expenditures per admission were calculated and classified into those covered and uncovered by the Korean National Health Insurance (NHI) and co-payment. Results: The medical expenditure per admission increased slowly from 3,455 thousand Korean won (KRW) to 4,068 thousand KRW. While expenditures covered by the NHI have increased annually, co-payments have generally decreased. The out-of-pocket expenditure ratio, which means the proportion of uncovered expenditure and co-payment among total medical expenditure dropped sharply from 2005 to 2007 and was maintained at a similar level after 2007. Medical expenditures, NHI coverage, and the out-of-pocket expenditure ratio differed across cancer types. Conclusions: It is necessary to continually monitor the expenditure of uncovered services by the NHI, and to provide policies to reduce this economic burden. In addition, an individual approach considering cancer type-specific characteristics and medical utilization should be provided.

• 한국치위생학회지
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• 제13권6호
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• pp.1057-1062
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• 2013

Objectives : The purpose of this study was to investigate the possible differences in elementary schools jointed to fluoride mouth rinse plans in health centers. Methods : Students from the third to sixth grades filled out the questionnaires. Data were analyzed by the statistical package SPSS 12.0. Results : The rate of a personal toothbrush holding and toothbrushing after lunch were higher in those who rinsed their mouths with fluoride than those who did not.(p<0.05). Toothbrushing by the rolling method was more prevailing in the students who rinsed their mouths with fluoride(57.0%) and having regular dental checkup(p<0.05) than in those who did not(39.8%). Conclusions : The students who had rinsed their mouths with fluoride showed the good oral health behavior. Continuing good quality of oral health care education must be provided to the students by professional dental hygienists.

• 한국학교ㆍ지역보건교육학회지
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• 제10권2호
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• pp.85-94
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• 2009

Objectives: This study was conducted to improve dental health regarding behavior and understanding of dental health of day care teachers by analyzing actual dental health state. Methods: This study was performed from October 1 to October 30, 2008 for 194 teachers who worked at nurseries in Daegu. Results: In the toothbrushing recognition, 42.3% of the said that tooth brushing after eating is necessary but only 26.3% had the children bush teeth. They did not have the children brush the teeth because they did not have enough time. Many teachers (75.3%) said that dental caries could be prevented. But only 4.1% of them said that fluorine is effective for the prevention of dental caries. The preschool teachers had dental health education experience, better understood the importance of dental health education than those who did not have(p < 0.05). Conclusion: The preschool teachers who had dental health education better recognized the importance of dental health education.

• Journal of Trauma and Injury
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• 제26권3호
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• pp.226-228
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• 2013

Elderly patients with acute subdural hematomas have higher mortality and lower functional recovery rates compared with those of other head-injured patients. Early and widely surgical decompression and active intensive care represent the best way to assist these patients. However, abrupt decompression of the hematoma can lead to brain disruption and secondary ischemia in the brain surrounding the craniectomy site. Acute brain swelling and brain extrusion, which take place shortly after decompression, can lead to a catastrophic situation during the operation due to the impossibility of appropriate closure of the dura and scalp. To avoid the deleterious consequences of disruption of brain tissue, we have adopted multiple fenestrations of the dura in a mesh-like fashion and gradual release of subdural clots through the small dural openings that are left open. This is especially important in cases in which there are massive amount of subdural hematomas with small parenchymal lesion and severe midline shifts in elderly patients. Further clinical experiences should be conducted in a more selected series patients to estimate the impact of this technique on morbidity and mortality rates.

• 보건행정학회지
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• 제19권1호
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• pp.62-80
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• 2009

The purpose of this study was to examine the factors influencing the attitude toward the increasing role of private health insurance(PHI). In the Korea Welfare Panel Data 2007, a sample of 1,675 (adjusted by weight value: 1,607) respondents on an opinion on promoting PHI was used in the study. With independent variables including socio-demographic characteristics, health status, health-related behavior, and opinions on welfare service, ordered-probit model was used to analyze the attitude toward PHI. Negative opinion on the increasing role of PHI were responded by 54.6%(n=877) of the respondents, whereas 22.2%(n=373) were positive and 23.2%(n=357) were neutral. Old people, the better off, those with worse self-assessed health status, and those having an experience of health examination tend to have the positive attitude toward the increasing role of PHI. Women, those with chronic diseases or disorders and those who do not agree that comprehensive welfare benefits reduce work incentive showed negative attitude toward PHI. When comparing the needs for PHI before and after medical utilization, ex-ante need tends to strengthen the tendency to support private health insurance. This study will contribute to the discussion on the optimal mix of public and private health insurance in Korea by a better recognition of attitude toward PHI and health care system.

• 한국간호교육학회지
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• 제23권1호
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• pp.66-75
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• 2017

Purpose: The aim of this study was to evaluate differences of pre-post simulation training in problem solving ability, performance confidence, and critical thinking skill according to degree of nursing students' self-leadership. Methods: This study was a descriptive survey using a self-report questionnaire. One hundred eighty nursing students participated in this study which programed a simulation scenario of pre-post operative patients' care. Descriptive statistics, paired t-test, ANCOVA with IBM SPSS 21.0 program were used for data analysis. Results: After the simulation training, both the above-average subjects and below-average subjects in self-leadership significantly improved their problem-solving ability, performance confidence, and critical thinking skill. compared with their previous level. The subjects who rated above-average in self-leadership, improved their degree of problem-solving ability, performance confidence, and critical thinking skill significantly more than those who were below-average in self-leadership. Conclusion: Self-leadership of nursing students is an important element in effective simulation training.

• 한국의사학회지
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• 제29권1호
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• pp.71-78
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• 2016

"Saengsanbibang" is Obsterics technical books published in 1915. After the publishing of first edition, it was published 15 times so I supposed that this book was very popular in that times. And this book is also valuable because Obsterics books written in Korea are uncommon. But there had not been enough detailed study on this book, so I tried to study on the formation of this book. For that, I compared the formation between this book and 4 kinds of typical Obsterics technical books in Qing dynasty, "Taesansimbub", "Taesanbiseo", "Daesaengyoji", and "Dalsaengpyeon". As the result, "Saengsanbibang" refered to "Dalsaengpyeon" for the contents that the reason and prevention of distocia, the basic principle for antenatal care, and the formulae to tonify blood. The contents that the taking methods of Saenhwatang (生化湯) accroding to the diseases, are mainly affected by "Taesanbiseo". Some contents which had been refered in "Taesansimbub", "Daesaengyoji" weren't refered to "Saengsanbibang". So "Saengsanbibang" is valuable because this book easily summarized the medical knowledge for spreading it to ordinary people. I look forward to more specific study for "Saengsanbibang".

• 센서학회지
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• 제19권6호
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• pp.435-442
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• 2010

Typically, the vital signs that are representing the state of human body, are the body temperature, sphygmus, respiration and blood pressure. The body temperature is the result of metabolic regulation and human steady-state body temperature is maintained from 35.9 to $37.4^{\circ}C$ by heat regulatory center. The body temperature is indicative of infection and especially it should be monitored to requiring intensive care patients or after surgical patients. But, measuring of body temperature to a heavy workload on nursing staff has been recognized. And, the health service of nurse is limited by simple tasks such as the measurement and record of vital sign. In this paper, the body temperature monitoring telemetry system was proposed to prove the recoding and transmission of body temperature patch system according the standard(ISO TS11073-92001). We proposed the transmission protocol to suit the MFER(medical waveform format encoding rules). The telemetry patch system was implemented and it was verified by experiments.

• Neonatal Medicine
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• 제28권1호
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• pp.7-13
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• 2021

Purpose: To evaluate the risk factors and effects of fluctuations in oxygen saturation on the occurrence and severity of retinopathy of prematurity (ROP). Methods: From January 1, 2013 to January 31, 2020, 260 patients hospitalized in the neonatal intensive care unit of Ajou University Hospital were retrospectively analyzed. Results: Sixty-six patients (25%) were diagnosed with ROP; of them 39 required treatment. In the multivariate regression analysis of ROP severity, the odds ratio (OR) of gestational age was 0.32 (95% confidence interval [CI], 0.22 to 0.47; P<0.0001). The OR of saturation of peripheral oxygen (SpO₂) fluctuations at the 4th week after birth was 1.02 (95% CI, 1.02 to 1.12; P=0.041). Conclusion: SpO₂ fluctuations in premature infants younger than 30 weeks' gestational age affects ROP severity, especially at the 4th week of life.