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A Study on Infection Control Practices among Dental Hygienists (치과위생사의 감염관리 실태에 관한 연구)

  • Cho, Yoon Jung;Yoon, Seok-Jun;Ahn, Hyeong-Sik;Kim, Soonduck;Park, Hyeung-Keun
    • Quality Improvement in Health Care
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    • v.10 no.2
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    • pp.190-203
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    • 2003
  • Background: Dental hygienists are at risk of acquiring infections through exposure to infectious agents. This study explores the frequency of exposure to infectious agents and infection control practices among dental hygienists. Methods: We undertook a cross-sectional survey to examine the exposure to infectious agents and infection control practices among dental hygienists through questionnaire. Data were obtained from 124 dental hygienists attending educational conferences. A multiple logistic regression analysis was conducted to determine the factors that effect infection control practices in relation to age, completion of infection control education, recognition of their own serum hepatitis Ag/Ab status, the number of one day patients, location of clinics, type of clinics, and career years. Result: Of the 124 dental hygienists, 91.7% were exposed to at least one accident such as needle stick injuries during their practices periods. The health screening coverage rate in dental hygienists was 16.5%. The number of one day patients and career years were important in relation to infection control practices among dental hygienists. The adjusted odds ratio estimates for career years were 5.049 times greater(95% Cl 1.238-20.597) for groups with over 4 career years than under 2 career years. That for the number of one day patients were 0.261(95% Cl 0.071-0.955) lower for through 20 up to 30 patients, 0.531(95% Cl 0.102-2.78) lower for through 30 up to 40 patients and 0.498(95% Cl 0.123-2.017) lower for more than 40 patients than under 20 patients. Conclusion: From these results, prevalence of infection control practices among dental hygienists is related to the number of one day patients and career years. Prevention of cross infection and reduction of future transmission should be a priority to dental hygienists for promotion of infection control and further efforts to educate newcomers on infection prevention should be made.

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Gamma Knife Radiosurgery for Brainstem Metastasis

  • Yoo, Tae-Won;Park, Eun-Suk;Kwon, Do-Hoon;Kim, Chang-Jin
    • Journal of Korean Neurosurgical Society
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    • v.50 no.4
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    • pp.299-303
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    • 2011
  • Objective : Brainstem metastases are rarely operable and generally unresponsive to conventional radiation therapy or chemotherapy. Recently, Gamma Knife Radiosurgery (GKRS) was used as feasible treatment option for brainstem metastasis. The present study evaluated our experience of brainstem metastasis which was treated with GKRS. Methods : Between November 1992 and June 2010, 32 patients (23 men and 9 women, mean age 56.1 years, range 39-73) were treated with GKRS for brainstem metastases. There were metastatic lesions in pons in 23, the midbrain in 6, and the medulla oblongata in 3 patients, respectively. The primary tumor site was lung in 21, breast in 3, kidney in 2 and other locations in 6 patients. The mean tumor volume was $1,517mm^3$ (range, 9-6,000), and the mean marginal dose was 15.9 Gy (range, 6-23). Magnetic Resonance Imaging (MRI) was obtained every 2-3 months following GKRS. Follow-up MRI was possible in 24 patients at a mean follow-up duration of 12.0 months (range, 1-45). Kaplan-Meier survival analysis was used to evaluate the prognostic factors. Results : Follow-up MRI showed tumor disappearance in 6, tumor shrinkage in 14, no change in tumor size in 1, and tumor growth in 3 patients, which translated into a local tumor control rate of 87.5% (21 of 24 tumors). The mean progression free survival was 12.2 months (range, 2-45) after GKRS. Nine patients were alive at the completion of the study, and the overall mean survival time after GKRS was 7.7 months (range, 1-22). One patient with metastatic melanoma experienced intratumoral hemorrhage during the follow-up period. Survival was found to be associated with score of more than 70 on Karnofsky performance status and low recursive partitioning analysis class (class 1 or 2), in terms of favorable prognostic factors. Conclusion : GKRS was found to be safe and effective for management of brainstem metastasis. The integral clinical status of patient seems to be important in determining the overall survival time.

Longitudinal measurements of tooth mobility following orthodontic treatment (교정치료 후 치아동요도 감소에 대한 종단적 계측연구)

  • Hwang, Hyeon-Shik;Kim, Wang-Sik;Kim, Jeong-Moon;Mcnamara, James A. Jr.
    • The korean journal of orthodontics
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    • v.40 no.1
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    • pp.34-39
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    • 2010
  • Objective: The aim of the present study was to evaluate the changes in tooth mobility following orthodontic treatment and to obtain information regarding the guideline of retainer wear duration during the post-treatment period. Methods: The sample consisted of twenty patients who had been treated with edgewise appliances. The mobility of the maxillary teeth from the central incisor to the first molar was measured bilaterally by way of the $Periotest^{(R)}$, a non-invasive, electronic device that provides an objective measurement of the reaction of the periodontium to a defined impact load. Tooth mobility was monitored at the time of the removal of the orthodontic appliances and subsequently at three-month intervals during the two years following appliance removal. Results: Tooth mobility decreased rapidly for the first six months and then decreased at a slower rate during the next six months; no statistically significant decrease in mobility was observed during the second year following appliance removal. Conclusions: The results of the present study suggest that adequate tooth stabilization is critical during the first six months following appliance removal and that continued wearing of retainers is recommended at least until twelve months after the completion of orthodontic treatment.

Benthic Fluxes of Ammonia and Lead in Lake Shihwa (시화호에서 암모니아와 납의 저층용출)

  • Han, Myong-Woo;Park, Yong-Chul;Huh, Sung-Hoi
    • The Sea:JOURNAL OF THE KOREAN SOCIETY OF OCEANOGRAPHY
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    • v.2 no.2
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    • pp.69-77
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    • 1997
  • A 12-cm long sediment core was collected from a station in Lake Shihwa where high salinity-anoxic deep water is isolated from low salinity-oxic surface water by a strong halocline barrier. Unprecedented concentrations of porewater ammonia and lead are encountered: at 9 cm sediment depth ammonia builds up to 1420 ${\mu}M$ and at 3 cm lead to 1348 nM. As they are stable in anoxic condition, high concentrations of ammonia and lead suggest a development of notorious anoxic condition in the benthic environment of the lake. The degree of pollution of the deep water is likely to be directly proportional to the magnitude of benthic flux, because the deep water is isolated from the surface water by the halocline. Apparent coincidence of the ammonia residence time in the deep water with the elapsing time after the completion of the artificial lake construction, as about three years, suggests that the deep water pollution is being progressed entirely by benthic flux at least with respect to ammonia. The residence time for lead is such a short 20 days that it suggests a rapid return of the bottom water lead, which is originated from porewater by benthic flux, back to sediments probably as metal sulfide phases. The speculation on the return of lead as sulfide phases is likely to be supported by high concentration of hydrogen sulfide in the deep water and by high sinking rate of non-organic particles in Lake Shihwa.

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Preparation of Copoly(styrene/butyl methacrylate) Beads and Composite Particles containing Carbon Black with Hydrophobic Silica as a Stabilizer in Aqueous Solution (수용액에서의 소수성실리카를 이용한 스티렌/부틸메타크릴레이트 입자 및 카본블랙을 함유한 복합체 입자의 합성)

  • Chung, Kyung-Ho;Park, Moon-Soo
    • Elastomers and Composites
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    • v.47 no.1
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    • pp.43-53
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    • 2012
  • A suspension copolymerization of styrene and butyl methacrylate (BMA) in the aqueous phase was conducted at a selected temperature between 65 and $95^{\circ}C$. Hydrophobic silica was selected as a stabilizer and azobisisobutyronitrile (AIBN) as an initiator. Optimum dispersion of silica in water was obtained at pH 10 while polymerization reaction was run at pH 7. TGA and EDS measurements revealed that 90% of silica functioned as a stabilizer and 10% were incorporated into polymeric particles. Average particle diameter decreased with increasing amounts of stabilizer. Molecular weights displayed an increase when the stabilizer concentration reached 1.67 wt%. An increase in the initiator concentration and/or reaction temperature raised the reaction rate but decreased molecular weights. Particle diameter was nearly independent of the initiator concentration and reaction temperature. An increase in the BMA proportion decreased the glass transition temperature and increased the particle diameter with irregularity in shape. Incorporation of carbon black into the particles composed of styrene and BMA prolonged the reaction time before reaching completion. We have confirmed that a suspension copolymerization of styrene and BMA with hydrophobic silica as a stabilizer can produce spherical composite particles with $1-30{\mu}m$ in diameter containing carbon black.

The Processing of Causative and Passive Verbs in Korean (한국어의 사.피동문 처리에 관한 연구:실어증 환자의 처리 양상을 바탕으로)

  • 문영선;김동휘;남기춘
    • Proceedings of the Korean Society for Cognitive Science Conference
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    • 2000.05a
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    • pp.267-272
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    • 2000
  • 본 연구에서는 한국어의 사·피동문을 실어증 환자가 처리하는 양상에 대하여 살펴보았다. 한국어의 사·피동문은 용언에 파생접사가 붙어 이루어지는 경우와 '-게 하다'나 '-어 지다'와 같이 구문 변형으로 하여, 실어증 환자에게 실험을 하였다. 실험에 참여한 환자는 명칭성 실어증 환자, 이해성 실어증 환자, 표현성 실어증 환자, 전반성 실어증 환자로 구성되어 있다. 본 실험에서는 단어 채워 넣기 과제(word completion task)를 사용하였다. 명칭성 실어증 환자의 경우 피동에서는 처리 오류를 보이는 반면, 사동에는 아무런 문제도 보이지 않았다. 표현성 실어증 환자의 경우, <피동-비변형>에서 오류를 많이 보였다. 이를 통해 한국어의 사·피동은 영어와 달리 통사상의 문제가 아니라는 결론을 내릴 수 있다. 즉 이미 사·피동 접사에 의해 파생된 단어가 어휘부에 저장되어 있고, 각 단어의 논항 정보에 따라 문장이 생성되는 것이다. 표현성 실어증 환자가 피동의 비변형에서 지배적인 오류를 보이는 것은 피동의 비변형이 타동사로서 변형인 피동형에 비해 하나의 논항을 더 취하기 때문이다. 이해성 실어증 환자의 경우 사·피동 생성에 별 어려움을 보이지 않았다. 이는 이해성 실어증 환자가 개별 어휘의 논항 정보에 손실을 적게 입고 있음을 시사하는 결과이다. 본 연구에서는 서로 다른 유형을 보이는 환자들을 대상으로 한국어의 사·피동의 처리양상을 대조한 결과, 첫재 사·피동은 서로 다른 통사, 의미상의 처리 양상을 보이고 있고, 둘째 파생접사가 결합된 형태로 어휘부에 저장되어 있는 개별 사·피동사에 의해 형성되는 것임을 확인하였다.d CO2 quantity causes flame temperature to fall since at high strain retes diluent effect is prevailing and at low strain rates the products inhibits chain branching. It is also found that the contribution of NO production by N2O and NO2 mechanisms are negligible and that thermal mechanism is concentrate on only the reaction zone. As strain rate and CO2 quantity increase, NO production is remarkably augmented.our 10%를 대용한 것이 무첨가한 것보다 많이 단단해졌음을 알 수 있었다. 혼합중의 반죽의 조사형 전자현미경 관찰로 amarans flour로 대체한 gluten이 단단해졌음을 알수 있었다. 유화제 stearly 칼슘, 혹은 hemicellulase를 amarans 10% 대체한 밀가루에 첨가하면 확연히 비용적을 증대시킬 수 있다는 사실을 알 수 있었다. quinoa는 명아주과 Chenopodium에 속하고 페루, 볼리비아 등의 고산지에서 재배 되어지는 것을 시료로 사용하였다. quinoa 분말은 중량의 5-20%을 quinoa를 대체하고 더욱이 분말중량에 대하여 0-200ppm의 lipase를 lipid(밀가루의 2-3배)에 대하여 품질개량제로서 이용했다.

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A Study on Forecasting Trip Distribution of Land Development Project Using Middle Zone Size And Gravity Model (중죤단위와 중력모형을 이용한 택지개발사업의 통행분포 예측방법에 관한 연구)

  • Jeong, Chang-Yong;Son, Ui-Yeong;Kim, Do-Gyeong
    • Journal of Korean Society of Transportation
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    • v.27 no.6
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    • pp.19-28
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    • 2009
  • In case of land development projects constructed, to solve induced transportation volume needs analysis of traffic demand. Trip-generation of land development projects is exactly predicted by using traffic instigating-basic-unit in each facility of land developments. But in case of a phase of trip-distribution, because a range of destinations is very enormous and it needs enormous data to reflect all of its characters, whenever trip-distribution is predicted, the method which assumes the rate of trip-distribution is same both before completion of land development projects and after is often used. But because there is no exact criterion, the method suggested above is also affected by subjective opinion. Accordingly, this study look over using trip-distribution of specific areas's DB and suggests a size of zone to predict a distribution of land development projects exactly. Also production - constrained gravity model which uses the gap between a distribution of suggested ranges and induced land development project is suggested for more exact prediction of trip-distribution. Besides accuracy of prediction is scrutinized by using Mean Squared Error.

Research on the Usage of Electronic Information Resources of the Humanities Scholars in Korea (인문학자의 전자정보원 이용행태에 관한 연구)

  • Yoon, Cheong-Ok
    • Journal of the Korean Society for Library and Information Science
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    • v.43 no.2
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    • pp.5-28
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    • 2009
  • The purpose of this study is to investigate the use of the electronic information resources of humanities scholars in Korea and propose the planning of academic library and information services to serve their needs. To collect data, a postal survey was conducted during the period of November 2007 through January 2008. Out of 799 humanities scholars sampled from 25 universities, 132 responded with a completion rate of 16%. The major findings of this study are as follows: Firstly, the majority of humanities scholars distribute their time equally between research and education, and conduct independent research. Secondly, they use, to a certain degree, electronic information resources largely in text format, and depend upon the electronic collection of their academic libraries. Thirdly, with the exception of a couple of sources of electronic journal resources, the electronic resources that these humanities scholars regularly use vary so widely that none could be considered to be a common resource. Fourthly, they value the convenience of accessing and using electronic resources, but worry about the quality and scope of the contents. It is suggested that academic libraries (1) become the gateway for the electronic information that is available both inside and outside the library, (2) provide integrated search feature for and a 'single sign on' access to electronic resources, and (3) plan customized user education for specific subject fields in the humanities.

A Study about the Training Program for the Kolman Technique on the Horizontal Bars (체조 철봉 콜만 기술동작의 훈련프로그램 적용 및 향상도평가)

  • Back, Jin-Ho;Park, Jong-Chul;Yoon, Chang-Sun
    • Korean Journal of Applied Biomechanics
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    • v.19 no.1
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    • pp.37-47
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    • 2009
  • This study develops a technique training program to enhance the completion of Kolman, the high air flight technique, and applies it to two national athletes of the horizontal bar, one of the gymnastic events, for eight weeks. After that, their improvement was measured through 3D motion analysis to help them elevate their performance. The training program includes swing, hand release, twist, and bar hold, and its implementation produced the results stated below. They were made to practice the motion in the following way. After the hand-standing of giant swing which initiates the motion, they lift their body upward a little bit more. Next, they take their body down almost like a vertical descent and make a deep tap swing. Instead of doing the tap swing which widens the flection of hip and shoulder joints, while body revolution is more emphasized in particular, they release the bar as raising the centroid of their body sufficiently. During the flight, they try to narrow every joint in their body. As a result, the bar's elasticity becomes greatly increased, and since the backing rate of their body gets higher, the centripetal force of the swing is improved that they can release the bar in the higher position. In addition, because they can erect their body faster during the flight, they can perform comfortable twist and revolution in the air. They can also adjust the direction of the flight easily without too much concern for the proper timing of hand release as they rise. Thereby, they can not only maintain adequate distance from the bar for the bar hold but also ensure enough distance for body revolution and twist.

Rhabdomyosarcoma Involving Maxillary Sinus and Orbit (상악동과 안와를 침범한 횡문근육종 1례)

  • Oh Yong-Suk;Kang Jin-Hyoung;Han Ji-Youn;Hong Young-Sun;Kim Hoon-Kyo;Lee Kyung-Shik;Kim Dong-Jip;Kim Min-Sik;Cho Seung-Ho;Suh Byung-Do;Yoon Sei-Chul
    • Korean Journal of Head & Neck Oncology
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    • v.10 no.2
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    • pp.218-224
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    • 1994
  • Soft tissue sarcoma of the head and neck is not frequent neoplasm, accounting for less than 1% of all malignant neoplasm in the region. The histological varieties include osteogenic sarcoma, malignant fibrous histiocytoma, rhabdomyosarcoma, fibrosarcoma, tenosynovial sarcoma, angiosarcoma and chondrosarcoma. Rhabdomyosarcomas of the head and neck usually occur in children under the age of 10 years (over 70%) and rarely develop in adults over the age of 20 years. The prevalent sites of involvement include the orbit, nasal cavity, external ear, paranasal sinus and soft tissue of mouth and the primary location of tumor is considered to be one of the important prognostic factors. Before the 1960s, when surgical resection was the only method of treatment, the 5-year survival rate was less than 20%, but recently it has been greatly improved by the multimodality treatment, combining surgery with chemotherapy and radiation therapy. Here we treated a rhabdomyosarcoma woman with three cycles of high dose chemotherapy followed by radiation therapy. After the, completion of preoperative treatments, successful result of more than partial response was achieved. Three months later total maxillectomy and radical neck dissection was performed. There was no evidence of tumor infiltration in the resected tumor and regional lymphnodes but metastasized tumor cells in cervical lymphnodes were detected. Tumor cell infiltration was also found on the bone marrow biopsy to evaluate the pancytopenia which occurred during postoperative recovery. Two months later she died of secondary bone marrow failure. We think that this multimodality treatment combining pre-operative chemotherapy, radiotherapy and surgery might play an important role in curative resection and eyeball preservation in patients with rhabdomyosarcoma involving the eyeball.

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