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The Relationship between Hormone Replacement Therapy and Periodontal Disease in Postmenopausal Women

  • Ahn, Eunsuk;Lee, Yunhee
    • Journal of dental hygiene science
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    • v.18 no.1
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    • pp.9-17
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    • 2018
  • The purpose of this study was to investigate the relationship between hormone replacement therapy (HRT) and periodontal disease in postmenopausal women using data from the 4th and 5th Korea National Health and Nutrition Examination Survey. A total of 5,482 postmenopausal women aged 45~75 years were included as study subjects in the final analysis. The HRT group comprised 1,035 postmenopausal women who had received HRT for at least one month, and the non-HRT group comprised 4,447 postmenopausal women who did not receive HRT. The chi-square test was used to confirm the bivariate relationship between the variables. Multinomial logistic regression analysis was used to adjust for covariance (age, education, family income, body mass index, age of menopause, alcohol, smoking, dental visit <1 per year, use of oral care products, and frequency of tooth brushing per day). After adjusting for all covariates, HRT was found to be associated with periodontal disease. In particular, the relationship between HRT and periodontal disease was more evident in older women and women younger than 45 years of menopausal age. The relationship between HRT and periodontal disease was stronger in women who brushed their teeth less than 3 times per day, women without regular oral examination, and women who did not use oral hygiene products. The results of this study confirmed the importance of actively considering hormone therapy when determining policy recommendations for postmenopausal women. Especially, health programs such as HRT, regular dental examination, and oral care are needed for older women who have undergone premature menopause.

Comparative study on stress distribution around internal tapered connection implants according to fit of cement- and screw-retained prostheses

  • Lee, Mi-Young;Heo, Seong-Joo;Park, Eun-Jin;Park, Ji-Man
    • The Journal of Advanced Prosthodontics
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    • v.5 no.3
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    • pp.312-318
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    • 2013
  • PURPOSE. The aim of this study was to compare the passivity of implant superstructures by assessing the strain development around the internal tapered connection implants with strain gauges. MATERIALS AND METHODS. A polyurethane resin block in which two implants were embedded served as a measurement model. Two groups of implant restorations utilized cement-retained design and internal surface of the first group was adjusted until premature contact between the restoration and the abutment completely disappeared. In the second group, only nodules detectable to the naked eye were removed. The third group employed screw-retained design and specimens were generated by computer-aided design/computer-aided manufacturing system (n=10). Four strain gauges were fixed on the measurement model mesially and distally to the implants. The strains developed in each strain gauge were recorded during fixation of specimens. To compare the difference among groups, repeated measures 2-factor analysis was performed at a level of significance of ${\alpha}$=.05. RESULTS. The absolute strain values were measured to analyze the magnitude of strain. The mean absolute strain value ranged from 29.53 to 412.94 ${\mu}m/m$ at the different strain gauge locations. According to the result of overall comparison, the cement-retained prosthesis groups exhibited significant difference. No significant difference was detected between milled screw-retained prostheses group and cement-retained prosthesis groups. CONCLUSION. Within the limitations of the study, it was concluded that the cement-retained designs do not always exhibit lower levels of stress than screw-retained designs. The internal adjustment of a cement-retained implant restoration is essential to achieve passive fit.

Concept Analysis of Developmental Care for Preterm Infants: Hybrid Model (미숙아 발달지지간호에 대한 개념분석: 혼종모형)

  • Kim, Jeongsoon;Shin, Heesun
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.350-358
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    • 2014
  • Purpose: The purpose of this study was to define and clarify the concept of developmental care for preterm infants. Methods: The hybrid model method was used to identify the main attributes and indicators. In the field work stage, data were collected in Seoul and Cheonan, Korea. The participants were 5 nurses working in the NICU. Results: The concept of developmental care was found to have six attributes and ten indicators in 2 dimensions. For the nursing practice dimension, four attributes were derived. They were being like intrauterine state, individualization, interaction, and integrative care with awareness of development. For the family centeredness dimension, supporting parental attachment and professional alliance were attributes of developmental care. Conclusion: Developmental focused care can facilitate the identification of behavioral responses of newborns and provide individualized interventions for fostering growth and development. This concept analysis could provide guidelines for "developmental care" nursing practice and be useful for research in the neonatal field.

The Relationships Between Birth Weight & Apgar Score of Newborn Infants & Maternal Factors (병원분만 신생아의 체중 및 Apgar치와 임산부의 제특성과의 관련성연구)

  • Lee Soon-Hee
    • Journal of Korean Public Health Nursing
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    • v.3 no.1
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    • pp.38-60
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    • 1989
  • The present analysis was undertaken to find out the relationships between birth weight & Apgar Score of newborn infant & maternal factors. The medical records of 1436 newborn infants who had been at the Korea University III Seoul from January. 1.1984. to December. 31. 1985, were examined. Measurements include weight and Apgar Score. As the possible factors influencing the birth weight & Apgar Score of newborn infant, 9 variables such as : mother's age, frequency ·of pregnancy, frequency of fullterm delivery, frequency. of premature, frequency of abortion, mother's hemoglobin level, complications during pregnancy gestational period and infant sex at birth were selected among the items recorded in the medical records of newborn infants and their mothers. The weight & Apgar Score of newborn infants were compared separately by sex with group percent of those variables. The results were summarized as follows: 1. All of those factors chosen are supposed to be influencing upon the birth weight and Apgar Score examined at birth indirectly through inducing early termination of pregnancy. 2. The most influencing variable of birth weight of newborn infants was gestation period. The most influencing variable of Apgar Score of infant newborn was gestation period. 3. The relationships of those influencing factors are more clear on the birth weights of newborn than on the Apgar Score. 4. More then half of low birth weight infants are turned out to be physiologically normal through the evaluation by Apgar Scoring. Conclusively, All of those factors chosen are supposed to be influencing upon the birth weight and apgar score examined at birth indirectly through inducing early termination of pregnancy.

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Evaluation on Cyclic Flexural Behavior of HSRC (Hybrid H-steel-reinforced Concrete) Beams Connected with Steel Columns (강재 기둥과 하이브리드 강재 보-RC 보 접합부의 반복 휨 거동 평가)

  • Kwon, Hyuck-Jin;Yang, Keun-Hyeok;Hong, Seung-Hyun
    • Journal of the Korea Concrete Institute
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    • v.29 no.3
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    • pp.291-298
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    • 2017
  • The objective of the present study is to evaluate the cyclic flexural behavior of a hybrid H-steel-reinforced concrete (HSRC) beam at the connection with a H-steel column. The test parameter investigated was the configuration of dowel bars at the joint region of the HSRC beam. The HSRC beam was designed to have plastic hinge at the end of the H-steel beam rather than the RC beam section near the joint. All specimens showed a considerable ductile behavior without a sudden drop of th applied load, resulting in the displacement ductility ratio exceeding 4.6, although an unexpected premature welding failure occurred at the flanges of H-steel beams connecting to H-steel column. The crack propagation in the RC beam region, flexural strength, and ductility of HSRC beam system were insignificantly affected by the configuration of dowel bars. The flexural strength of HSRC beam system governed by the yielding of H-steel beam could be conservatively evaluated from the assumption of a perfect plasticity state along the section.

A Case of Surgical Correction of Undercorrected Unicoronal Synostosis (부족교정된 일측성 관상봉합 조기유합증 환자의 수술 교정예)

  • Shim, Hyung Sup;Paik, Hye Won;Byeon, Jun Hee
    • Archives of Craniofacial Surgery
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    • v.9 no.2
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    • pp.85-89
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    • 2008
  • Purpose: Unicoronal synostosis is the craniofacial anomaly caused by premature fusion of unilateral coronal suture. Ipsilateral flattening of the frontal and parietal bones, temporal retrusion with elevation and recession of the supraorbital rim are main clinical features. Compensatory contralateral frontal bossing and deviation of the nasal root and/or chin can also occur. There is a controversy about techniques for surgical correction, however, bilateral approach technique is more effective for correction of deformity. Methods: A 4-year-old patient with unicoronal synostosis had undergone unilateral suturectomy at 28-month-old but fronto-facial deformity had remained and aggravated as she grew older. She had both fronto-facial and endocranial asymmetry. We performed coronal cranial approach and fully exposed affected cranium including supraorbital rim. Anterior 2/3 calvarial reconstruction with bilateral frontal bone osteotomy and fronto-orbital bandeau advancement was performed. Results: Fronto-facial symmetry including fronto-orbital contour, nasal devation was improved. Endocranial twisting was also improved from $158^{\circ}$ to $162^{\circ}$ in CSO(crista gallisella turcica-opisthion) degree. There was no postoperative complications and no need for revision, and facial asymmetry improved at the period of 2 years of follow-up. Conclusion: Bilateral approach with fronto-orbital bandeau remodeling in surgery of unicoronal synostosis looked superior to unilateral approach in achieving better symmetry and preventing recurrence of asymmetry. Remodeling surgery should be tried in patients even at an older age to correct fronto-facial asymmetry.

Effects of Occlusal Factors and Life Event Changes on Temporomandibular Disorders (측두하악장애에서 교합요인과 생활변화의 영향)

  • You-Me Lee;Kyung-Soo Han
    • Journal of Oral Medicine and Pain
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    • v.19 no.2
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    • pp.181-192
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    • 1994
  • There have been many different theories on the etiology of temporomandibular disorders(TMDs). The objective of the study was to investigate the effects of occlusal fctors and recent life event changes as prediposing fctor on the development of temporomandibjlar disorders. To evaluate the above predisposing factor, the author used T-scan system(Tekscan Co. U.S.A.) for quantitative occlusal analysis, clinical examination for occlusal state and Social Readjustment Rating Scale(SRRS) for recent life event change units (LCU). 63 patients with TMDs and 57 patients with malocclusion presented at Wonkwang University Dental Hospital participated in this study. The subjects were grouped by Angle's classification and presence of absence of TMDs and parafunctional oral habits. Data gained with regard to contact number, contact force, contact time, occlusal state(number of total teeth and occluding teeth, overjet, overbite) and occlusal interferences (protrusive posterior contact, nonworking side interference, and RCP-ICP slide) and recent life event changes. The data were processed and analysed by SAS statistical package program, The results of this study were as follows : 1. There were no significant differences on both quantitative occlusal contact analysis and occlusal state between TMDs group and Angle's malocclusion group. Also, there were no differences among the Angle's classifications. But amount of overjet in TMDs group were more greater than that of malocclusion group. 2. There was no difference on protrusive posterior contact, and balancing contact between TMDs group and Angle's malocclusion group. Premature contact was more frequent in malocclusion group, but RCP-ICP slide was more frequent in TMDs group. And RCP-ICP slide was more freqent in Angle's class II malocclusion than Angle's I or III malocclusion. 3. Life changes units in TMDs group were higher than those in malocclusion group. And recent life change units in group with parafunctional oral habit were higher than those in group without parafunctional oral habits. Clenching was the most common habit among parafunctional oral habits.

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Effects of a Maternal Care Program on Self-Efficacy and Postpartum Depression in Mothers with Preterm Babies (미숙아 출산 산모 돌봄 가정간호가 산모의 자기효능감과 산후 우울에 미치는 효과)

  • Cho, Young-Yi;Park, Young-Hea;Jang, Jung-suk;Lee, Jong-Eun
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.22 no.2
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    • pp.187-195
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    • 2015
  • Purpose: This study aimed to evaluate the effects of Maternal Care Program(MCP)-carried out by trained home care nurses on self-efficacy and postpartum depression in mothers with preterm babies. Methods: This study was a quasi-experimental study comparing the effects of an MCP on self-efficacy and postpartum depression before Participants were 34 mothers who were referred to the home care nursing center of the C University Hospital in Seoul from April 8 2014 to January 12 2015. Results: The average self-efficacy score was 97.24 points before and 123.26 points after receiving the program, showing a significant increase of 26.03 points (p<.001). Postpartum depression scores were 8.65 points before the program and 5.56 points after, showing a significant decrease of 3.09 points (p<.001). Conclusions: The normal development of preterm babies was confirmed-through regular physical examinations in the MCP. Professional services were provided by-education and consultation on problems related to child-rearing and health to deal with psychological and social problems as well as physical care to mothers by trained home care nurses.

Psychological Motives for Suicide Terrorism of Islamic Suicide Terrorists and Countermeasures (이슬람 자살폭탄테러범의 심리적 범행동기와 대비책)

  • Choi, Kee-Nam
    • Convergence Security Journal
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    • v.15 no.6_2
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    • pp.107-119
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    • 2015
  • The key objective of terrorism is to create favorable conditions for certain political, ideological, or religious interests through deliberate social chaos and the spread of fear. Accordingly, terrorist groups rally the means and methods capable of spreading fear among the public through shocking violence. Consequently, as terrorism manifests the progress in modern civilization and the structure of international community, its concepts, means, and methods evolve organically with the progress. The characteristics of the modern terrorism include that it has evolved as a means of war against countries by non-state militant groups, and suicide terrorism is spreading like epidemic as it fits the strategies of Islamic extremist and terrorist organizations as a part of international politics based on terrorism. The humanity's efforts to eliminate the threat of terrorism led to decades of implementing premature policies of military force, but they were found ineffective and resulted in the spread of extreme threat of suicide terrorism. For prevention of suicide terrorism, the efforts must be made to dismantle the basis of suicide attacks through addressing religious alienation and antipathy against a civilization using the notions similar to treatment of pathology considering psychological motives of suicide terrorists.

Ontology Knowledge-Driven Context-awere U-Healthcare Service Application Service Framework using Secure Health Information Exchange (보안 헬스 정보 교환을 이용한 온톨로지 지식기반 상황인식 U-헬스케어 어플리케이션 서비스 프레임워크 설계)

  • Kim, Donghyun;Kim, Seoksoo;Choi, E-Jung
    • Convergence Security Journal
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    • v.14 no.7
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    • pp.75-84
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    • 2014
  • The advancement in ubiquitous healthcare specifically in preventive healthcare can lead to longer life expectancy especially for the elderly patients. To aid in preventing premature loss of lives as well as lengthening life span, this research aims to implement the use of mobile and wireless sensor technology to improve the quality of life and lengthen life expectancy. The threats to privacy and security have received increasing attention as ubiquitous healthcare applications over the Internet become more prevalent, mobile and universal. Therefore, we propose Context-aware Service of U-Healthcare Application based Knowledge using Ontology in secure health information exchange. This research also applies ontology in secure information exchange to support knowledge base, context modeling, and context reasoning by applying the general application areas for ontologies to the domain of context in ubiquitous computing environments. This paper also demonstrates how knowledge base, context technologies, and mobile web services can help enhance the quality of services in preventive ubiquitous healthcare to elderly patients.