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The Effect of Hand Function Training on Hand Dexterity (손 기능 훈련이 손의 기민성에 미치는 영향)

  • Jang, Chel;Lee, Jeyoung;Song, Minok
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.4
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    • pp.11-21
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    • 2015
  • Purpose : The purpose of this study was to provide the material about the treatment effect of hand function training and writing training being performed as a part of treatment to improve the function of the non-dominant hand of the patients whose dominant hand is damaged and thus need to improve their non-dominant hand's function. Method : During one month of November, 2013, this study randomly chose five study subjects for hand function training, five for writing training, and ten of control group from 20 normal male and female adults going to K Univ. in Busan. All study subjects fully understood all of the training course, agreed to take the test in this study, and volunteered to participate in the test. Each training was performed five times for two weeks, 30 minutes each time. For measurement, Purdue pegboard was used to look into the change of hand dexterity. To investigate an improvement in hand function through hand function training and writing training, this study conducted early evaluation before training, interim evaluation, and final evaluation. Result : First, according to the comparison of dominant hand dexterity by group and by method during a training period, the groups of hand function training and of writing training improved dominant hand dexterity more than the control group. Secondly, according to the comparison of non-dominant hand dexterity by group during a training period, the groups of hand function training and of writing training improved dexterity more than the control group. According to the comparison of non-dominant hand dexterity by method during a training period, there was no big difference in dexterity between the groups of hand function training and of writing training and the control group. But, the group of hand function training showed a further improvement. Thirdly, according to the comparison of both-hand dexterity by group and by method during a training period, the groups of hand function training and of writing training improved both-hand dexterity more than the control group. Fourthly, according to the comparison of both-hand handling ability by group and by method during a training period, the groups of hand function training and of writing training improved both-hand handling ability more than the control group. Conclusion : Given the study result, it is considered that hand function training and writing training help brain damaged patients improve their hand function for their daily activity. And it will be meaningful to research brain damaged patients' motor skills after their brain damage, and the patients who have low abilities of visual perception and cognition. In the future, it will be necessary to secure more study subjects and perform systematic training during a sufficient test period.

Emergency Health Care Utilization according to Income class (소득계층에 따른 응급의료이용)

  • Choi, Ryoung;Hwang, Byung-Deog
    • Korea Journal of Hospital Management
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    • v.18 no.4
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    • pp.78-96
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    • 2013
  • The purpose of this study is to analyze the emergency health care utilization using status according to income class. The target was the 2011 data out Korea Health Panel's raw data. 2011 data composed of total 17,035 people from total 5,741 households. This study set total 1,101 adults over full-20-years old having used an emergency health care utilization as its analysis target. In order to find out the number of emergency health care utilization use according to income class and the influential factors on emergency health care utilization cost, this study conducted the multiple regression analysis. And in order to more accurately analyze the emergency health care utilization use status depending on the income class and the features of emergency health care utilization use status, this study developed Models. As the result, this study found following findings. First, as the income class was lower, the gender was male, the age was lower, and the user has spouse, the user was not a business owner or a paid worker, the user is a house owner, the emergency medical facility type was a clinic, the means of transportation was others rather than 119 ambulance, the reason visiting emergency medical facility was belonged to others rather than accidents or poisoning, then the number of emergency was increased. Second, as the user was in higher income class, received the health insurance benefits, the using medical facility was general hospital, used 119 ambulance more often, stay days in emergency was shorter, then health care utilization cost was increased. In this study investigating the data out of Korea Health Panel, it was found that while the number of emergency health care utilization use was increased in the lower income class, but the emergency health care utilization cost was increased for higher income class. It is considered that this finding was caused from the facts that lower income class was more often exposed to dangers for physical health, so the number of emergency health care utilization use was increased, but their health care utilization cost was decreased because of their economic burdens against various examinations and their difficulties to pay such costs, comparing to that of higher income class. Therefore, in order to solve unequal problem of emergency health care utilization use between lower and higher income classs, it is required to set suitable solutions like the disease prevention effort by facilitating national health check-up programs, the enhancement of public health services in quantity and quality, the emergency health care utilization securing policy at using medical facilities, the promotional, educational activities about emergency health care utilization delivery system, the enhanced accessibility of emergency health care utilizations and emergency medical facilities.

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Blood Flow Changes in the Masseter Muscle and Overlying Skin Following Various Functional Waves of Transcutaneous Electrical Nerve Stimulation (경피신경자극치료기(TENS)의 기능별 주파수에 따른 교근과 피개상피의 혈류변화에 관한 연구)

  • Cho, Sung-Guk;Auh, Q-Schick;Chun, Yang-Hyun;Hong, Jung-Pyo
    • Journal of Oral Medicine and Pain
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    • v.34 no.1
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    • pp.115-122
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    • 2009
  • The following results were obtained, after experimenting on change of masseter muscle and bloodstream epithelium with Transcutaneous Electrical Nerve Stimulator(TENS), among 16 male adults. 1. According to applying TENS, it was observed that bloodstream in muscle increases at 1.5, 3.0 Hz. 2. According to applying TENS, it was observed that concentration of moving blood cells in muscle increase at 1.5, 3.0, 6.0 Hz. 3. According to applying TENS, it was observed that velocity of bloodstream in muscle increases only at 1.5 Hz 4. Through experiment, applying TENS at level of 6.0 and 10.0 Hz, all bloodstream, concentration of moving blood cells, and velocity of bloodstream increasing rates were lower in muscle compared to of them in overlying epithelium; and especially increasing bloodstream and its velocity were most frequent at 6.0 Hz, and bloodstream of 10.0 Hz. From the results above when a physical therapy of TENS is carried out the frequency of 1.5, 3.0 H is effective, and as the frequency increases it is disadvantageous to the muscle.

CLINICAL STUDY OF SURGICALLY ASSISTED RAPID MAXILLARY EXPANSION (외과적 술식을 동반한 급속 상악 확장술의 임상 연구)

  • Yang, Chan-Young;Min, Seung-Ki;Oh, Sung-Hwang;Kwon, Kyung-Hwan;Lee, Jun;Cha, Jae-Won
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.1
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    • pp.60-69
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    • 2005
  • Orthopedic rapid maxillary expansion(RME) has been a common treatment modality used to widen narrow maxillae in young children. However, since more skeletally matured adolescents or adults has closed midpalatal suture, the result of RME was undesirable because of dental tipping with little or no basal skeletal movement and resulted to many other complications. After such treatment, complications often occurred such as alveolar bending, compression of periodontal ligament, extrusion, buccal tipping, and severe relapse. Thus, surgically assisted rapid maxillary expansion(SA-RME) is required, especially for patients over 14 years old, to skeletally release maxillary expansion. We used two methods of maxillary expansion surgery. Surgically assisted rapid maxillary expansion(SA-RME) & surgically assisted posterior segmental expansion(SA-PSE) were used for narrow maxilla. The study was divided into two groups(SA-RME group and SA-PSE group). SA-RME group was consisted of 2 males and 4 females, and the ages of materials ranged from 15 years to 25 years with a mean of 20.2 years. SA-PSE group was consisted of 1 male and 5 females, and the ages ranged from 13 years to 23 years with a mean of 18.7 years. Dental study models were fabricated before starting the expansion and immediately after the expansion was completed. It was fabricated again 1 month later, 3 months later when the expansion device was removed, and 6 months later after the expansion was completed. A repeated measures analysis of variance(ANOVA) test was applied to assess changes between each groups over time. The amount of expansion and the amount of tipping movement each in both groups were compared by using paired t-test and it was also compared between each subjects within the group by using independent t-test. Both SA-RME and SA-PSE group showed stable results, but SA-PSE group showed statical significance in tipping movement of second premolar. We compared 6 patients who recieved SA-RME with 6 patients who received SA-PSE, and appraised the clinical usefulness.

A STUDY ON THE OCCLUSAL PLANE AND THE VERTICAL DIMENSION IN KOREAN ADULTS WITH NATURAL DENTITION (한국 성인 유치악자의 교합평면 및 수직고경에 관한 연구)

  • Park Jeong-Hyeong;Jeong Chang-Mo;Jeon Young-Chan;Lim Jang-Seop
    • The Journal of Korean Academy of Prosthodontics
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    • v.43 no.1
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    • pp.41-51
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    • 2005
  • Statement of problem. Anatomic landmarks have been used in the orientation of occlusal plane and the determination of vertical dimension for edentulous patients. Such as labial vestibules of anterior region and hamular notches, retromolar pads of posterior region are very useful anatomic landmarks for fabrication of occlusion rim because they are to be identified on master casts. Therefore, if average distances between landmarks of maxillae and mandible in dentate subjects are measured and applied, not only occlusal plane but also vertical dimension can be established initially. Purpose. The purpose of this study is to measure vertical distances between anatomic landmarks and to present a guide to the orientation of occlusal plane and the determination of vertical dimension of edentulous patients. Material and method. Upper and lower border-molded casts were made in 93 Korean dentulous subjects, mean age 25 years. Incisal edges of central incisors, bottoms of labial vestibules, hamular notches and the half level of retromolar pads were marked on casts. Measurements of vertical distances from incisal edge of central incisor to the bottom of labial vestibule, between upper and lower bottoms of labial vestibules, from hamular notch to retromolar pad and from hamular notch to the occlusal plane established by the incisal edge of maxillary central incisor and mesiopalatal cusps of both maxillary first molars were made on each cast. Results and conclusion. 1. The mean distance from the incisal edge of central incisor to the bottom of labial vestibule was 20.8mm(SD 1.7) on upper casts and 17.3mm(SD 1.4) on lower casts. 2. The mean distance between both bottoms of labial vestibules of upper and lower casts was 35.0mm(SD 2.7). 3 The mean distance from hamular notch to the half level of retromolar pad was 5.0mm(SD 1.3). 4. The mean distance from hamular notch to occlusal plane was 7.9mm(SD 1.5). 5. Distances from incisal edge of central incisor to labial vestibule on lower casts(P<0.01) and from hamular notch to retromolar pad(P<0.0001) were greater in male than in female.

A SURVEY ON THE PREOPERATIVE CONDITIONS OF ENDODONTICALLY TREATED FIRST MOLARS IN CHILDREN AND ADOLESCENTS (소아청소년기에 치수치료를 받은 제1대구치의 술전 상태 조사)

  • Lee, Soon-Young;Lee, Kyung-Ho;Noh, Hong-Seok;Jeong, Tae-Sung;Kim, Shin
    • Journal of the korean academy of Pediatric Dentistry
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    • v.38 no.4
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    • pp.376-382
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    • 2011
  • In clinical dentistry, it is not difficult to meet the permanent first molars with severe coronal caries lesions in children or adolescents. The circumstances surrounding the first molars of children and adolescents are so immature and imperfect compared with those of adults. So we thought it significant to understand the status of these teeth at the moment of endodontic treatment and immediate cause of it. 106 patients with 135 permanent molars necessitating endodontic treatment in childhood and adolescence were included in this study, and the dental records and radiographs were examined. 1. The mean age was 11.9 year (male 11.5, female 12.5) and the result shows significant difference between gender(p<0.05). The mandibular teeth took more than half percentage than maxillary teeth. 2. Of 135 teeth, 45.2 percent of teeth had history of dental treatment previously and 16.3 percent of teeth showed necessity of re-endodontic treatment. 3. Of 73 teeth, 22 teeth had mesial-wall cavity causing endodontic treatment, 39 had occlusal cavity, and 12 had distal cavity.

Attitudes about Parental Economic Support to Young Adult Children: Comparisons among Children, Mothers and Fathers (부모의 성인자녀에 대한 경제적 지원 관련 태도 연구: 자녀, 어머니, 아버지의 비교를 중심으로)

  • Lee, Yun-Suk
    • Korea journal of population studies
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    • v.34 no.3
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    • pp.1-30
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    • 2011
  • Recently increasing young adults have experienced serious economic difficulties in their transition to adulthood and so a great deal of parents have to help their children financially even well after children finish their schools. Utilizing the 2008 Social Survey, a nationwide representative survey collected by the Statistics Korea, this paper examines how children, mothers, and fathers think about parental support to adult children. Respondents of the 2008 Social Survey answer how much parents support economically to their children about the following four items: college education, graduation school education, spending money while searching for jobs, and marital preparation. Analyzing a sample of 1,727 high school students and their parents, I find that the three family members generally accept economic support to the above items as part of parental duties. Also comparisons of the three family members' attitudes indicate that they usually reach the consensus about the dutiful scope of parental support to adult children. Logistic regressions reveal that male teens and children with conservatism are more likely to believe in wider scope of parental economic duties. And parents who are on good terms with children and are high in educational and occupational levels are more willing to support adult children. I conclude with implications of the findings for intergenerational relationships.

A Study on the Differences in the Dietary-, Health- and Smoking Habits of Young Adult Groups in the Seoul Area (서울지역의 흡연자와 비흡연자의 식이 패턴 및 흡연 행동 특성에 관한 연구)

  • Shin Kyung-Ok;An Eun-Jin;Choi Kyung-Soon;Chung Keun-Hee
    • Journal of the East Asian Society of Dietary Life
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    • v.16 no.1
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    • pp.54-64
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    • 2006
  • The traditional Korean diet, which is high in rice and vegetables, is fast being replaced by a Western style diet as the standard of living goes up. In addition to this, cigarette smoking has taken on serious proportions, especially amongst those of the younger generation. Because Seoul (and it's surrounding areas) is the hub of Education and Business, it is densely populated and heavily polluted Consequently health-related issues and diseases are starting to resemble those prevalent in Western communities. Historically, stomach cancer was the #1 killer-disease in Korea, but nowadays lung cancer ranks either 1st or 2nd on the list of killer-disease in Korea. This is presumably due to the lethal combination of heavy smoking and pervasive air pollution. Despite these disquieting facts, almost no study had been made of the nutritional patterns and dietary habits of smoking and non-smoking young adults in the Seoul area. Therefore the purpose of this study is to compare the dietary and nutritional patterns of young smokers with those of young non-smokers in and around Seoul. This is done with regards to their eating habits and lifestyles, as well as the dietary components that contribute towards maintaining good health. The results showed that compared to non-smokers, smokers manifested irregular eating patterns and also tended to overindulge on fast- or junk foods. In contrast to this, non-smokers enjoyed a healthier diet, which was high in brown rice, grains, legumes, fresh fruit and vegetables, and 'kimchi'. Amongst the male subjects of this study, it was found that smokers consumed significantly less vitamin $B_2$, calcium, and phosphorous than non-smokers. It was also established that in general, stress-generated smoking habits were formed during the high school years of the younger generation. In conclusion: Because smokers maintain a less healthy diet and life-style, it is to recommended that a 'Health Education Program' be developed which could guide young smokers into adopting better dietary habits and life styles.

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Relationship among Sociodemographic Characteristics, General Health Behaviors, and Toothbrushing in Daejeon, South Korea (대전 시민의 인구사회학적 특성, 일반건강행위, 칫솔질행위의 관련성)

  • Oh, Sang-Hwan;Hwang, Soo-Jeong
    • Journal of dental hygiene science
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    • v.16 no.2
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    • pp.165-175
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    • 2016
  • Health behavior is one component of life style and is defined as behaviors performed by a person to protect, promote, or maintain the their health. General health behavior habits include not smoking, weight management, moderate drinking, regular exercise. The aim of this study was to analyze the relationship between toothbrushing and general health behaviors in 1,013 adults using data from the 2008 Daejeon Health Promotion Survey. Results showed no significant difference by region in general health behavior and toothbrushing. Smoking, alcohol consumption and toothbrushing frequency were related to sex, age, monthly income, occupation, and the degree of obesity. The predictoers of toothbrushing more than a day by losistic regression were female sex (vs. male, OR 1.88, 95% CI 1.20~2.95), age ${\geq}65$ years (vs. twenties, OR 0.51, 95% CI 0.26~0.99), monthly income 2 miillions Korean Won (KRW) to 3 millions KRW (vs. <2 million won, OR 1.58, 95% CI 1.04~2.42), white collar (vs. self-employment, OR 2.74, 95% CI 1.62~4.64), and regular exercise (vs. never, OR 1.60, 95% CI 1.21~2.11). We recommend the independent administration of oral health promotion programs focusing on aged and vulnerable social group because general health behaviors except regular exercise were not related to toothbrushing frequency.

Older Adults with Type 2 Diabetes Improve Glycemic Control after Nutritional Education Program at the Public Health Center (제2형 당뇨병 환자 식생활습관 및 보건소 영양교육 후 혈당개선효과)

  • Kim, Tae-Yeon;Eom, Sun-Hui
    • Journal of the Korean Dietetic Association
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    • v.10 no.2
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    • pp.205-217
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    • 2004
  • This study was carried out to provide information on the effect of nutrition education program for diabetic patients at the Guri City's Public Health Center. Subjects of this study were 31 persons(male 7, female 24) who attended all courses of "2002 Diabetes Education Class". They were indicated as the 'education group'(EG). Eating and living habits of EG were investigated before the education. EG's weight and blood glucose (post prandial 2 hours, PP2) were examined as well. EG's PP2 reduction was compared with a 'control group'(CG) who didn't join any course in that class. All of the subjects were non-insulin-dependent diabetes mellitus(NIDDM) patients. EG's average age was 62.4$\pm$8.8. Before taking the course, EG's PP2 was 251.5$\pm$29.6mg/dl, and body mass index(BMI) was 26.3$\pm$2.3 on average. Most of them were stressed out from their daily lives and usually had no exercise. Most people of EG ate meals rapidly and liked sweet and fatty foods. After the course of training, EG's weight and BMI before the training were not decreased significantly. However, all of the EG's PP2s, which were measured 4 times(before the meal at the special lunch session, after 2 hours at this meal, after 2 weeks and 4 weeks dietary assembly), were decreased in comparison with the PP2 which was checked prior to joining the training. EG's average PP2 was more reduced than CG's one. In addition, all groups' PP2s were decreased for 8 weeks. After all, this nutritional education at the public health center was effective in glycemic control for diabetes mellitus patients. Especially, when the dietary assembly as practical training was included in the educational process, the patient's dietary intake and PP2 was improved more effectively. Therefore, this study suggests that nutrition work at public health centers is necessary for the Health Promotion Policy.

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