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Using Implementation Science to Advance Cancer Prevention in India

  • Krishnan, Suneeta;Sivaram, Sudha;Anderson, Benjamin O.;Basu, Partha;Belinson, Jerome L;Bhatla, Neerja;D' Cruz, Anil;Dhillon, Preet K.;Gupta, Prakash C.;Joshi, Niranjan;Jhulka, PK;Kailash, Uma;Kapambwe, Sharon;Katoch, Vishwa Mohan;Kaur, Prabhdeep;Kaur, Tanvir;Mathur, Prashant;Prakash, Anshu;Sankaranarayanan, R;Selvam, Jerard M;Seth, Tulika;Shah, Keerti V;Shastri, Surendra;Siddiqi, Maqsood;Srivastava, Anurag;Trimble, Edward;Rajaraman, Preetha;Mehrotra, Ravi
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.9
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    • pp.3639-3644
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    • 2015
  • Oral, cervical and breast cancers, which are either preventable and/or amenable to early detection and treatment, are the leading causes of cancer-related morbidity and mortality in India. In this paper, we describe implementation science research priorities to catalyze the prevention and control of these cancers in India. Research priorities were organized using a framework based on the implementation science literature and the World Health Organization's definition of health systems. They addressed both community-level as well as health systems-level issues. Community-level or "pull" priorities included the need to identify effective strategies to raise public awareness and understanding of cancer prevention, monitor knowledge levels, and address fear and stigma. Health systems-level or "push" and "infrastructure" priorities included dissemination of evidence-based practices, testing of point-of-care technologies for screening and diagnosis, identification of appropriate service delivery and financing models, and assessment of strategies to enhance the health workforce. Given the extent of available evidence, it is critical that cancer prevention and treatment efforts in India are accelerated. Implementation science research can generate critical insights and evidence to inform this acceleration.

Why a Combination of WP 631 and Epo B is an Improvement on the Drugs Singly - Involvement in the Cell Cycle and Mitotic Slippage

  • Bukowska, Barbara;Rogalska, Aneta;Forma, Ewa;Brys, Magdalena;Marczak, Agnieszka
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1299-1308
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    • 2016
  • Our previous studies clearly demonstrated that a combination of WP 631 and Epo B has higher activity against ovarian cancer cells than either of these compounds used separately. In order to fully understand the exact mechanism of action in combination, we assessed effects on the cell cycle of SKOV-3 cells. We evaluated three control points essential for WP 631 and Epo B action to determine which cell cycle-regulating proteins (CDK1/cyclin B complex, EpCAM or HMGB1) mediate activity. The effects of the drug on the cell cycle were measured based on the nuclear DNA content using flow cytometry. Expression of cell cycle-regulating genes was analyzed using real-time PCR. It was discovered that WP 631, at the tested concentration, did not affect the SKOV-3 cell cycle. Epo B caused significant G2/M arrest, whereas the drug combination induced stronger apoptosis and lower mitotic arrest than Epo B alone. This is very important information from the point of view of the fight against cancer, as, while mitotic arrest in Epo B-treated cells could be overcame after DNA damage repair, apoptosis which occurs after mitotic slippage in combination-treated cells is irreversible. It clearly explains the higher activity of the drug combination in comparison to Epo B alone. Epo B acts via the CDK1/cyclin B complex and has the ability to inhibit CDK1, which may be a promising strategy for ovarian cancer treatment in the future. The drug combination diminishes EpCAM and HMGB1 expression to a greater degree than either WP 631 and Epo B alone. Owing to the fact that the high expression of these two proteins is a poor prognostic factor for ovarian cancer, a decrease in their expression, observed in our studies, may result in improved efficacy of cancer therapy. The presented findings show that the combination of WP 631 and Epo B is a better therapeutic option than either of these drugs alone.

Effect of sowing italian ryegrass using unmanned helicopter under the established rice field on labour saving and rice growth

  • Kim, Young-Gwang;Seong, Deok-Gyeong;Nam, Jin-Woo;Choi, Young-Jo;Hong, Kwang-Pyo
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2017.06a
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    • pp.268-268
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    • 2017
  • Common sowing method of italian ryegrass (IRG) has been using the backpack seed sprayer (BSS) in Korea. It has weak point including a hard work and a little sowing area. This study was conducted to find out the effects of sowing IRG using unmanned helicopter (UH) under the established rice field. We checked the labour saving of sowing IRG and the growth and yield of rice after using IRG as forage crop. Two sowing implements(using by UH and backpack seed sprayer (BSS)) were tested for the ability of sowing IRG. For proper pretreatment of IRG seeds for aerial sowing using with UH, we tested one-day soaking seeds, iron-coated seeds, coated seeds sold in stores and untreated seeds. Aerial sowing of IRG seeds using UH was tested under the speed 10 km/h and flying altitude 3~4m. We tried to confirm the effects on rice growth in a paddy field after IRG had been used as forage in mid May. In 6 hours of seeding per day, UH had a seeding area of 21.8 hectares, three times wider than BSS. UH had a decrease of about 63 percent of sowing-seed cost in comparison with BSS. In the IRG aerial sowing using UH, coating seeds had the wider sowing width of 5~6 meter than 3~4 meter untreated seeds. Residual dry matter of IRG after using forage had 4.5 ton per hectare and 20 percent of top dry matter. The amount of nitrogen remaining in residual IRG in the soil was 12 kg per hectare, and the other nutrients such as calcium and potassium was incorporated into the soil with less than 10 kg/ha. The rice yield after the harvesting IRG was 5 percent higher than that of rice single cropping. Consequently, IRG sowing using UH was effective in reducing sowing time and sowing cost compared with conventional methods and, it is considered that there is a positive effect on the rice cultivation compared to rice single cropping.

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강유전체 $Pb(Zr,Ti)O_3$박막에 대한 분극피로와 회복현상의 비대칭적인 성질

  • 채병규;박철홍;장민수;권식철
    • Proceedings of the Korean Vacuum Society Conference
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    • 1999.07a
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    • pp.84-84
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    • 1999
  • 최근 큰 잔류분극을 가진 강유전체 Pb(Zr, Ti)O3 박막을 이용한 비휘발성 기억소자의 연구가 활발히 진행되고 있다. 그러나 Pb(Zr, Ti)O3 박막을 비휘발성 기억소자로 응용하는 경우 분극피로(polarization fatigue), imprint, 누설전류 등의 문제점이 나타나는 것으로 알려져 있다. 특히 분극반전 횟수가 증가할수록 잔류분극이 감소하는 분극피로 현상은 비휘발성 기억소자의 응용에 있어서 치명적인 장애가 되므로 기억소자의 실용화를 위해서는 분극피로 현상의 개선이 무엇보다 중요하다. 본 연구에서는 Pb(Zr, Ti)O3 강유전체 박막의 분극피로 현상을 규명하고 개선하기 위해서 다음과 같은 세가 실험적 방법으로 접근하였다. 먼저 Pt와 금속산화물인 LaNiO3을 이용하여 상·하부 전극을 달리하여 제조한 축전기에 대해서 분극피로 특성을 관찰하고 이로부터 분극피로 현상에 대한 전극의 효과를 조사하였다. 여기서 금속산화물인 LaNiO3 박막과 Pt 박막은 r.f. 스퍼트 법으로 증가하였으며 Pb(Zr, Ti)O3 박막은 LaNiO3/Si(100)/와 Pt/Ti/SiO2/i(100) 기판위에 졸겔법으로 제조하였다. 다음으로 분극피로된 박막의 상부전극에 극성이 다른 직류전압을 인가해주었을 때 나타나는 분극회복 현상을 광범위하게 관찰하였으며, 특히 직류전압의 극성에 따라 비대칭적인 분극회복 특성을 보였다. 마지막으로 이와 같은 직류전압에 대한 비대칭적인 분극회복현상에 착안하여 양과 음의 방향으로 바이어스된 스윗칭 펄스를 인가하여 분극피로 특성을 조사한 결과 비대칭적인 분극피로 현상을 관찰할 수 있었다. 이와 같은 Pv(Zr, Ti)O3 박막의 분극피로와 회복의 비대칭적인 현상은 분극피로 현상의 기구를 밝히는 중요한 근거가 되었으며, 본 연구에서는 하부 계면에서의 산소빈자리의 역할로 분극피로 현상을 모형화하였다.식각하기 시작하였으며, 19.5J/cm2에서 유리기판의 rudraus(격벽 두께 130$\mu\textrm{m}$)까지 식각하였다. 대한 정보(RDF)는 명확하게 얻을 수 있었다.nospec과 SEM으로 관찰하였다. 또한 Ge 함량 변화에 따른 morphology 관찰과 변화 관찰을 위하여 AFM, SEM, XRD를 이용하였으며, 이온주입후 열처리 온도에 따른 활성화 정도의 관찰을 위하여 4-point probe와 Hall measurement를 이용하였다. 증착된 다결정 SiGe의 두게를 nanospec과 SEM으로 분석한 결과 Gem이 함량이 적을 때는 높은 온도에서의 증착이 더 빠른 증착속도를 나타내었지만, Ge의 함량이 30% 되었을 때는 온도에 관계없이 일정한 것으로 나타났다. XRD 분석을 한 결과 Peak의 위치가 순수한 Si과 순수한 Ge 사이에 존재하는 것으로 나타났으며, ge 함량이 많아짐에 따라 순수한 Ge쪽으로 옮겨가는 경향을 보였다. SEM, ASFM으로 증착한 다결정 SiGe의 morphology 관찰결과 Ge 함량이 높은 박막의 입계가 다결정 Si의 입계에 비해 훨씬 큰 것으로 나타났으며 근 값도 증가하는 것으로 나타났다. 포유동물 세포에 유전자 발현벡터로써 사용할 수 있음으로 post-genomics시대에 다양한 종류의 단백질 기능연구에 맡은 도움이 되리라 기대한다.다양한 기능을 가진 신소재 제조에 있다. 또한 경제적인 측면에서도 고부가 가치의 제품 개발에 따른 새로운 수요 창출과 수익률 향상, 기존의 기능성 안료를 나노(nano)화하여 나노 입자를 제조, 기존의 기능성 안료에 대한 비용 절감 효과등을 유도 할 수 있다. 역시 기술적인 측면에서도 특수소재 개발에 있어 최적의 나노 입자 제어기술 개발 및 나노입자를 기능성 소재로 사용하여 새로운 제품의 제조와 고압 기상 분사기술의 최적화에

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Individualized Chemotherapy for Metastatic Gastric Cancer: Retrospective Data from a University Hospital in Brazil

  • Aguiar, Pedro Nazareth Junior;Ribas, Christian;Forones, Nora Manoukian
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.13
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    • pp.5289-5296
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    • 2015
  • Background: Despite the decreased incidence, gastric cancer is still a frequent cause of cancer related death. The 1st line 2 or 3 drugs regimen is still a debatable issue. HER2 targeted therapy has emerged as the standard of care, but it is unavailable in the Brazilian Public Health System. The end-point of this trial was overall survival (OS) in patients with metastatic gastric cancer treated in a public university hospital in Brazil. The secondary end-points were efficacy and safety of regimens with 2 (F+P) or 3 (EOX) drugs to develop an institutional guideline to facilitate optimal treatments. Materials and Methods: In this retrospective study, 1st line regimens were evaluated for OS and PFS stratified by age and ECOG using Cox regression. Results: 47 patients were treated over the last 3 years. In 1st line, 29 were treated with F+P (mean 59.3 years, 34.5% ECOG 2 and a mean of 5.69 cycles) and 16 with EOX (mean 47 years, 18.8% ECOG 2 and a mean of 5.44 cycles). The median OS was 13.8 months (95%CI 10.7-16.9). Response was evaluated in 40 cases and was 64.3% for EOX and 37.5% for F+P (p=0.25). The median PFS was 9.5 months for EOX and 5.6 months for F+P (HR 0.85, 95%CI 0.41-1.74). However, among patients with ECOG 2 mPFS was 3.70 vs 5.40 months, respectively (p=0.86). Regimens showed similar manageable adverse events. A total of 34 patients suffered progression and 14 received $2^{nd}$ line therapy. Diffuse histology (HR 1.89, 95%CI 1.22-2.88), achieving 2nd line (HR: 0.25, 95%CI 0.11-0.58) and treatment response (HR 0.23, 95%CI 0.12-0.47) were OS prognostic factors. Conclusions: Patients treated in our hospital had outcomes compatible with the literature. The regimen choice should be related to patient features. Second line treatment should be considered.

A Study of Premenstrual Syndrome(PMS) and the Nutritional Intake of College Women Residing in Busan Metropolitan City (부산지역 여대생의 월경전 증후군 실태 및 영양섭취상태에 관한 연구)

  • 황혜진;김영만
    • Korean Journal of Community Nutrition
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    • v.7 no.6
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    • pp.731-740
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    • 2002
  • This study was designed to identify premenstrual syndrome (PMS) and to investigate the correlation between premenstrual syndrome and nutritional intakes. The subjects of this study were 138 college women residing in Busan Metropolitan City. The subjects were asked to complete Menstrual Discomfort Questionnaire (MDQ) regarding PMS, food intake frequencies and nutritional intake. We studied the correlation between PMS symptoms and nutritional intake. The average height and weight of anemic subjects were 161.42 $\pm$ 3.50 cm and 51.87 $\pm$ 5.42 kg. The average BMI (body mass index, kg/$m^2$) was 19.92 $\pm$ 2.14 and PIBW (percent ideal body weight) were 93.02 $\pm$ 9.75%. Except for phosphorous, vitamin A and vitamin C intakes, the intake levels of all other nutrients were below the Korean RDA. The average calorie intake of the subjects was 1645.65 $\pm$ 352.63 kcal (82.2% of the Korean RDA) and iron intake of the subject was 11.06 $\pm$4.03 mg (69.1% of the Korean RDA) . The calcium and vitamin $B_6$ intakes were 512.26 $\pm$ 183.12 mg (73.1% of the Korean RDA) and 1.12 $\pm$ 0.14 mg (80.0% of the Korean RDA), respectively. With regard to their menstrual state, 45.9% subjects responded that their menstrual cycles were irregular. The frequency of PMS of the subjects was 30.2% (over 3 points) on 5 point scale (1 : no. 5 severe). The common symptoms of PMS of the subjects were pain (2.32 $\pm$ 1.01), negative effects (2.27 $\pm$ 0.87), behavioral changes (2.26 $\pm$ 0.85), water retention (2.07 $\pm$ 0.78) , arousal (1.79 $\pm$ 0.84) , autonomic reactions (1.77 $\pm$ 0.87) , lack of control (1.69 $\pm$ 0.75) and decreased concentration (1.68 $\pm$ 0.75) . There was significant correlation between all the PMS symptoms and calcium (p < 0.01) , vitamin E (p < 0.05) , carbohydrate (p < 0.05) . This suggests that PMS represents the clinical manifestation of nutrient deficiency states especially calcium. Therefore we concluded that calcium supplementation is likely to be of benefit in relieving PMS symptoms.

A Study on the Effects of Lateral Displacement of Retaining Wall on the Distribution of Lateral Earth Pressure -In the Case of Sloping Noncohesive Backfills- (벽체(壁體)의 변위(變位)와 토압분포(土壓分布)와의 관계(關係)에 대(對)한 연구(硏究) -비점성토(非粘性土)의 지표면(地表面)이 경사(傾斜)질 경우-)

  • Cho, Hi-Doo
    • Journal of Korean Society of Forest Science
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    • v.17 no.1
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    • pp.29-34
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    • 1973
  • This study was performed for the purpose of determining the effects of distribution of the lateral earth pressure in the case of sloping backfills of being consisted of the idealized cohesionless fragmental masses. The displacements were classified as eight types by D_UBROVA (by patterns). B type among these has its turning point at the top of the wall, moves outwardly and is significant to gravitational structure because of its foundation elasticity which causes displacement. Therefore, it might be surely acknowledged that the resultant, follows; $$E=1/2{\cdot}rH^2\frac{sin(u-{\varepsilon})cos({\alpha}+{\varepsilon})}{cos(u+{\alpha})}{\cdot}cot(u+{\rho})(t/m^3)$$, is appropriate for applying it to the designing of the sand-catch dams. The results obtained are as follows: 1. Lateral earth pressure is proportional to the square of the wall heights. 2. The coefficient(K) is directly proportional to the sloping of backfill surface and inversely proportional to the displacement. 3. The distribution of the pressure looks like parabola, curve of second order (Fig. 5, b). 4. The distribution of the pressure strength looks like that of hydrostatic pressure (Fig. 5, c).

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A prospective clinical trial to compare the performance of four initial orthodontic archwires (교정치료 초기에 사용되는 4가지 호선의 초기 치료효과를 비교하기 위한 전향적 임상 실험 연구)

  • Quintao, Catia C. A.;Jones, Malcoim L.;Menezes, Luciane M.;Koo, Daniel;Elias, Carlos N.
    • The korean journal of orthodontics
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    • v.35 no.5 s.112
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    • pp.381-387
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    • 2005
  • The aim of this study was to compare the clinical performance of 4 types of orthodontic wires, indicated for initial tooth alignment: stainless steel, multistranded steel, superelastic and thermoactivated nickel-titanium. A prospective randomized clinical trial was conducted on a sample of 45 patients, at the Dental School of the State University of Rio do Janeiro, Brazil. Fixed appliances were fitted and study casts were obtained from each patient. Randomly, the wires were allocated as follows: 26 dental arches for superelastic NiTi wires, 22 for stainless steel, 22 for multistranded and 20 for thermoactivated archwires. After 8 weeks, the archwires were removed and impressions for study casts were taken again. Using a 3D digitization technique of defined anatomical points on the study cast crowns, a Dental Irregularity Index (DII) was created for each study cast. The difference between DII before and after the archwire insertion expressed the aligning effect of the wires. ANOVA tests were employed to evaluate the anatomical point approximation (positive DII) and separation (negative DII), for each area of the dental arches: upper and lower whole arch and anterior arch. Results showed no significant difference between the different archwires.

Morphological Interpretation of the Transformation Process of Urban Form in Gosan-Up (형태학적 개념을 활용한 조선시대 고산현의 도시형태 변천과정 해석)

  • Lee, Kyung-Chan;Kang, In-Ae
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.32 no.4
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    • pp.37-49
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    • 2014
  • This paper aims to interpret the transformation process of town plan of Gosan-up(高山), which was provincial administrative focus town in Josun dynasty, basing on morphological viewpoint. Morphological concepts, such as morphological frame, urban plan, kernel, colonization, route system, fixation line, fringe belt, plan unit & plan division, morphological period derived from the study of Conzen, M.R.G. and Caniggia, G. epidome district, break point, broken plot, urban fallow, privatization are adopted for the interpretation of urban form. Morphological period of Gosan can be divided in four ; formation of kernel & morphological structure, disintegration & redevelopment of the kernel, augmentative development of the kernel & formation of modern epidome district, outwards expanding of urbanized area, transition & reorganization of epidome district. Especially public leading projects such as construction of new regional connection road and public facilities such as myeon(township) office, agricultural cooperatives federation office, market, are main factors of morphological transformation of townplan. In the early stage, under the Japanese imperialism, construction of the new matrix route(Gosan-ro) through the kernel and followed planned routes gave way to disintegrating traditional areal plan unit and forming small block plan units in administrative facilities area. And linear plan units with commercial buildings were formed along the new matrix route and planned route adjacent to periodical market. In the latter stage, with development of public facilities, private sectors' large circulation institution and terminal outside the kernel with planned routes formed areal block based plan units with commercial and public buildings. And part of the spatial area with the linear plan unit were turned into urban fallow. With the transformation of town plan, new roads outside the kernel have substituted for traditional fixation line of waterway with road and topographical feature. Fringe belts were made successively along the new road and around the major intersections outside of existing urbanized area. Land use in fringe belts, constituting of outer locational tendency early on formation, was gradually replaced with commercial & business buildings.

A study on job satisfaction according to clinical dental hygienists' career in Busan (부산지역 치과위생사의 근무경력에 따른 직무만족도에 관한 연구)

  • Kang, Hyun-Kyung;Kwun, Hyeon-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.9 no.3
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    • pp.507-521
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    • 2009
  • This study purposed to analyze dental hygienists' job satisfaction according to their clinical career as an effort to enhance their job satisfaction and quality and to provide basic materials for dental hygienists' effective job performance. For this purpose, we surveyed 120 dental hygienists working at dental hospitals and clinics in Busan during the period from the $1^{st}$ February to $31^{st}$ March 2009 by using a self administered questionnaire. Job satisfaction was measured using a 5 point Likert scale ranging from 'Absolutely yes' (5 points) to 'Yes' (4), 'So so' (3), 'No' (2), and 'Not at all' (1), and a high score indicates high degree of satisfaction. When it testd the reliability of the job satisfaction scale was tested, Cronbach's Alpha (${\alpha}$) was 0.85 which indicates the instrument is sufficiently reliable. Data collected were analyzed with SPSS. We performed frequency analysis in order to examine the subjects' demographical characteristics, and Chi square and one way ANOVA to examine their perception of their job, job satisfaction, and their aptitude and status as a dental hygienists' according to clinical career. The results of this study were as follows. 1. The longer clinical career the dental hygienists had, the more they thought that they had aptitude as a dental hygienist (p<0.05). 2. The dental hygienists' turnover intention was different according to clinical career (p<0.01). 3. The longer clinical career the dental hygienists had, the more satisfied they were when they were working at a dental hospital or clinic equipped with convenience facilities (change room, lounge, etc.) (p<0.01). 4. The longer clinical career the dental hygienists had, the more power to make decisions they had and the more acknowledgement and trust they received from dentists (p<0.01). 5. Satisfaction with duty coordination was low in general, but it grew higher with increase in clinical career (p<0.01). 6. The longer clinical career the dental hygienists had, the more satisfied they were with patients' appreciation of their treatment (p<0.01). In addition, their time and opportunities to discuss with dentists were different according to clinical career, and their satisfaction with the items was higher when their clinical career was long (p<0.01). 7. As to their perception of dental hygienists' potential for development, they generally believed that they had potential for future growth with the expansion of their work scope (M=3.73). The longer clinical career the dental hygienists had, the more satisfied the more power to make decisions they had and the more acknowledgement and trust they received from dentists and their time and opportunities to discuss with dentists when they were working at a dental hospital or clinic equipped with convenience facilities (change room, lounge, etc.). The longer clinical career the dental hygienists had, the more they thought that they had aptitude as a dental hygienist. In conclusion, the longer clinical dental hygienists' Career had, satisfaction was able to take a highness to a dental hygienist occupation.

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