• Title/Summary/Keyword: primary age

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A study on the menarche of middle school girls in Seoul (여학생의 초경에 관한 조사 연구 (서울시내 여자중학생을 대상으로))

  • Kim, Mi-Hwa
    • Korean Journal of Health Education and Promotion
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    • v.1 no.1
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    • pp.21-36
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    • 1983
  • It is assumed that menarche is affected not only by the biological factors such as nutrition and genetic heritage, but also it is affected by other socio-cultural environmental factors including weather, geographic location, education and level of modernization. Also recent trend of menarche in Korea indicates that a lot of discussion are being generated to the need of sex education as a part of formal school education. The purpose of this study is to develop the school health education program by determine the age of menarche, the factors relavant to time of menarche and psycho-mental state of students at the time in menarche and investigate the present state of school health education relate to menarche of adolescents. The total number of 732 girls was drown from first, second and third grades of 4 middle schools in Seoul. For the data collection the survey was conducted during the period from May 1 to May 20, 1982 by using prepared questionair. The major results are summarized as follow; 1. Mean age at menarche and the percent distribution of menarche experienced. It was observed that about 68.7% of sampled students have been experienced menarche at the time interviewed. For the each group, age at menarche is revealed that among the students about 37.8% are experienced menarche for under 12 years old group, 62.1% for 13 year-old group, 80.6% for 14 year-old group and 95.5% for over 15 years old. In sum it was found that the mean age at menarche was 12.3 years old, ranged from age at 10 as earlist the age at 15 as latest. 2. Variables associated with age at menarche. 1) There was tendency those student who belong to upper class economic status have had menarche earlier than those student who belong to lower class. Therefore, economic status is closely related to age at menarche. 2) In time of mother's education level, it is also found that those students whose mother's education levels from high school and college are experienced menarche earlier than those students whose mother's education levels from primary school and no-education. 3) However, in connection with home discipline, there was no significant relationship between age at menarche and home disciplines which are being treated "Rigid", "Moderated ", "Indifferent". 4) Degree of communication between parents and daughter about sex matters was found to be associated each others in determination of age at menarche. 5) It was found that high association between mother's menarche age and their daughter's menarche age was observed. Mother's age at menarche earlier trend to be shown also as earlier of their daughters. 6) Those students belong to "D & E" of physical substantiality index are trend to be earlier in menarche than those students in the index "A & B". 3. Psycho-mental state at the time of menarche. Out of the total students 68.2% had at least one or more than one of subjective symptoms. Shyness was shown as most higher prevalent symptom and others are fear, emotional instability, unpleasant feeling, depression, radical behavior, inferior complex and satisfaction appeared. Very few cases are appeared be guilty and stealing feeling. 4. The present status of school health education program related to menarche. As to the source of information about menarche, teacher was a main source with average index 5.88 and the other informants were mother & family member, friends, books and magagines, movies, television, and radio. For the problem solving at menarche, mother & family members were subject to discussion with an average index 6.02 as high. The others for discuss and knowledge about menarche were books, magagine, friends, teachers, and self-learning based on own experienced. The time of learning about menarche, it was learned as highest percentage with 43.2% at a 6 grades of primary school, middle school with 34.4%, 5 grade of primary school with 18.2%, and 4 grade of primary school with 4.0% respectively.

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THE STATISTICAL STUDY OF INTERDENTAL SPACE IN THE PRIMARY DENTITION (유치열(乳齒列)의 치간공극(齒間空隙)에 관(關)한 통계학적(統計學的) 연구(硏究))

  • Ko, Chun-Suk
    • Journal of the korean academy of Pediatric Dentistry
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    • v.7 no.1
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    • pp.53-61
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    • 1980
  • The purpose of this study was to statistically evaluate the spacing of primary dentition according to whether or not a space existed and measurement of amount of space in 205 children (male 114, female 91) from 2 to 6 years of age. The results were as follows; 1. In the incidence of interdental space on each region, spacing between the primary lateral incisors and primary canine in maxilla and between the primary canine and 1st primary molar in mandible showed the highest percentage, on the other hand, spacing between the 1st and 2nd primary molars in both jaw showed the lowest percentage. 2. In the kinds of interdental space, the state of primate space and other space together showed the highest percentage, and in the degree of spacing, $S_2$ showed the highest percentage in both jaw. 3. In the incidence of primate space, maxillary primate space showed higher percentage than mandibular primate space in bilateral case. 4. In the type of arch form, spaced arch showed higher percentage than closed arch and about the half of closed arch showed crowding. 5. In both Jaw, available space showed incisor segments, canine segments, and premolar segments in order of amount, and there were not statistically significant differences of sex or jaws in the amount of available space.

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Analysis of the Dental Health in Primary School Textbooks (초등학교(國民學校) 교과서별(敎科書別) 구강보건(口腔保健)에 관(關)한 실태분석(實態分析))

  • Choi, Hee-Yeon;Chung, Yeon-Kang
    • Journal of the Korean Society of School Health
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    • v.6 no.2
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    • pp.56-68
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    • 1993
  • The primary school age are important period that the children exchange the deciduous teeth for permanent teeth, there are so many outbreak of dental caries which is major oral diseases periodontal disease begins, and malocclusion may be brought about. The purpose of this study is to suggest the fundamental data for enforcement of dental health in primary school age as analyzing the curriculum contents and amount on dental health in primary school course. The data were investigated from 103 volumes of 139 textbooks of second semester in 1992 and first semester i 1993 except some subjects that the quantitative analysis is impossible such as arithmetic a problem in arithmetic, observation, music, fine arts and so on. The contents of all textbooks were analyzed separating into paragraph and picture, the contents for dental health were classified into amount, item, teaching method. The results are as follows: 1) The paragraphs on public health were 3.992 among total paragraphs 69,789 as 5.72%. And the picture were 7.41% as 923 pieces of total 12,457 ones. 2) For dental health, there were 73 paragraphs of 69.789 ones (0.10%) and 42 pieces of 12.457 pictures (0.34%). 3) According to the investigation of curriculum that had the paragraphs related to dental health the most, it turned out to be in order of physical education nature. Right life story, and right life story, righ life, physical education for the picture. And for the grade, it appeared to be in order of sixth, third first grade for the paragraphs and first, third, sixth grade for the pictures. 4) In the attitude and knowledge of item for dental health by grade, it turned out that the paragraph was 76.71%, the behaviour was 23.29%. On the other hand, the knowledge was 35.17% and the attitude was 64.28% for the picture. 5) At the commentary of curriculum in primary school, the goal of health education by each grade was just keep clean and strong teeth, know the role of teeth and the cause of dacayed teeth, and prevent it in second and third grade.

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Factors Influencing Burnout in Primary Family Caregivers of Hospital-based Home Care Patients (의료기관 가정간호 환자 주돌봄자의 소진에 영향을 미치는 요인)

  • Yang, Ju Ok;Lee, Hye Kyung
    • Research in Community and Public Health Nursing
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    • v.29 no.1
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    • pp.54-64
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    • 2018
  • Purpose: The purpose of this study is to identify factors influencing burnout in primary family caregivers of Home Health Care Patients. Methods: Data were collected from 121 primary family caregivers of home health care patients in three different hospitals in 'D' metropolitan city and the study was conducted from August 10, 2016 to January 17, 2017. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's Correlation Coefficient, Stepwise Multiple Linear Regression. Results: Mean scores for the nursing needs of the participants were $3.54{\pm}0.79$, the family functions were $1.24{\pm}0.58$, the burnouts were $2.74{\pm}0.49$. The burnouts were positively correlated with the nursing needs but inversely correlated with the family function. The factor that had the greatest influence on the burnouts of primary family caregivers of Home Health Care was family function (${\beta}=-.245$, p=.001), followed by patients' daily activity (${\beta}=-.213$, p=.014), age (${\beta}=.208$, p=.032), monthly nursing services cost (${\beta}=-.196$, p=.044) and nursing needs (${\beta}=.129$, p=.014). The Explanatory Power of Models was 23%. Conclusion: Individually customized home care nursing intervention programs are required to be provided in accordance with patient's family function and daily activity, monthly home care nursing service cost, nursing needs and general characteristics of primary caregivers of Home Health Care Patients such as their age, the number of family members living together, sex and the name of disease.

Possible Role of HER-2 in the Progression of Prostate Cancer from Primary Tumor to Androgen Independence

  • Murray, Nigel P;Reyes, Eduardo;Fuentealba, Cynthia;Jacob, Omar;Orellana, Nelson
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6615-6619
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    • 2015
  • Background: The expression of HER-2 in prostate cancer has been linked to disease progression. We analysed the presence of HER-2 expression in primary tumors in men undergoing radical prostatectomy, its association with clinical and pathological findings, and its expression in secondary circulating prostate cells (CPCs) during follow up, as well as links with biochemical failure and the effects of androgen blockade. Materials and Methods: Consecutive men undergoing radical prostatectomy for histologically confirmed prostate cancer were analyzed. HER-2 expression in the primary tumor was assessed using the HercepTest(R), CPCs were identified from blood samples using standard immunocytochemistry with anti-PSA and positive samples with the HercepTest(R) to determine HER-2 expression. The influence of HER-2 expression on the frequency of biochemical failure and effects of androgen blockade was determined. Results: 144 men with a mean age of $64.8{\pm}10.3$ years participated, with a median follow up of 8.2 years. HER-2 was expressed in 20.8% of primary tumors; it was associated with vascular infiltration and older age, but not with other clinical pathological findings. Some 40.3% of men had secondary CPCs detected, of which 38% expressed HER-2. Men CPC (+) had a higher frequency of biochemical failure, but there was no difference in HER-2 expression of CPCs with the frequency of biochemical failure. After androgen blockade, men with HER-2 (+) positive secondary CPCs had a higher frequency of disease progression to castrate resistant disease. Conclusions: HER-2 plays a dual role in the progression of prostate cancer; firstly it may increase the potential of tumor cells to disseminate from the primary tumor via the blood by increasing vascular infiltration. In the presence of androgens, there is no survival advantage of expressing HER-2, but once biochemical failure has occurred and androgen blockade started, HER-2 positive cells are resistant to treatment, survive and grow leading to castration resistant disease.

DEVELOPMENTAL AND ERUPTIONAL DISTURBANCES OF PERMANENT SUCCESSORS ASSOCIATED WITH TRAUMATIC INJURY TO PRIMARY TEETH (유치열기의 외상으로 인한 계승 영구치의 발육 및 맹출장애)

  • Lim, Hyoung-Soo;Lee, Chang-Seop;Lee, Sang-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.2
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    • pp.255-260
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    • 2001
  • Trauma to the primary incisors may cause developmental or eruptional disturbance of the permanent successors. Two cases illustrate developmental disturbances of arrested root formation, dilaceration, and eruptional disturbances of impaction, ectopic eruption of permanent successors caused by traumatic injury to deciduous incisors. The patient of the first case suffered trauma at the age of 4 years 7 months, causing alveolar bone fracture including the maxillary right primary central and lateral incisors that were immedi-ately extracted. The second patient had trauma episodes at the age of 3 years. Avulsion of the maxillary primary right central and lateral incisors were occurred due to trauma. After such trauma, regular follow-up including radiographs is necessary to detect early any possible interference with normal eruption of permanent successors.

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A Study on Burden and Well-being of Primary Caregivers of Patients with a Stroke (뇌졸중 환자를 돌보는 주간호제공자의 부담감과 안녕감에 관한 연구)

  • Lim, You-Jin;Cho, Bok-Hee;Jang, Hyun-Sook;Jeong, Hyun-Ju
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.16 no.3
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    • pp.272-281
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    • 2009
  • Purposes: The purposes of this study were to identify factors related to burden and well-being in primary caregivers of patients who have had a stroke and examine the correlation between burden and well-being of the caregivers. Methods: Between April 2006 to June 2007 data were collected using self-report questionnaires and interviews with 85 primary caregivers of stroke patients in C University Hospital. Data were analyzed using t-test, ANOVA, Duncan test and Pearson's correlation with SPSSWIN 15.0. Results: Factors related to burden of primary caregivers were sex and activities of daily living of the patients, and age, education level and satisfaction with income of the caregivers. The factors related to well-being of primary caregivers were sex of patients, and age and education level of caregivers as well as cohabitation with the patient. A negative correlation was found between burden and well-being of the caregivers (r= -.393, p<.001). Conclusion: These results indicate a need to develop a nursing intervention program for caregivers and education program for other family members to reduce caregiver burden. These programs should lead to improvements in the well-being of the caregiver.

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Is "Initial Size of the Graft the Real Culprit behind Primary Contraction of Full-Thickness Skin Graft"?-A Cross-Sectional Study

  • Madhubari Vathulya;Shalinee Rao;Akanksha Malik;Smita Sinha;Nikhilesh Kumar;Akshay Kapoor;Yogesh Bahurupi
    • Archives of Plastic Surgery
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    • v.50 no.1
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    • pp.106-115
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    • 2023
  • Background Primary contraction of full-thickness graft has been traditionally quoted to be 40%. There are lacunae in literature to elaborate on the factors influencing it ever since. Methods About 75 subjects who underwent full-thickness grafting procedures to resurface small defects were included in the study. The initial and final graft dimensions after primary contraction were traced on X-ray templates and the percentage of contraction was evaluated using the graphical method. This was further correlated with age, collagen, elastic matrix metalloproteinases-1 (MMP-1) and -2 content along with dermal thickness of the skin specimen sent from the graft. Results The primary contraction of the graft had a very significant correlation only with the initial size of graft harvested with a linear regression of 33.3% and a Spearman's correlation of 0.587 significant at a p-value of 0.001. Conclusion This study though preliminary tries to highlight an important factor that primary contraction of grafts is a physical phenomenon independent of its contents like collagen, elastin, or MMP-1 and -2 or age and dependent on its initial size of harvest instead.

Clinical Review of Primary Mediastinal Tumors 4 Cysts (원발성 종격동 종양 및 낭종의 임상적 고찰)

  • Jo, Gap-Ho;Jo, Jung-Gu;Kim, Gong-Su
    • Journal of Chest Surgery
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    • v.24 no.8
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    • pp.773-781
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    • 1991
  • We have experienced 47 cases of primary mediastinal tumors & cysts in the Department of Thoracic and Cardiovascular Surgery, Chonbuk National University Hospital, from September, 1979 to November, 1990. The results were as follows: 1. The age distribution was from 6 months to 69 years old and the mean age was 32.3 years old. Of all 47 primary mediastinal tumors and cysts, 21 patients were male and 26 patients were female. 2. The neurogenic tumors[11 cases, 23.4%] were most frequently encountered and followed by thymoma[10 cases. 21.3%] and teratodermoid[9 cases, 19.1%]. 3. The anterosuperior mediastinum[59.6%] was most common tumor location, and followed by posterior mediastinum[25.6%], middle mediastinum[14.9%]. 4. The most common tumors were thymoma and teratodermoid at anterosuperior mediastinum, benign cyst at middle mediastinum, and neurogenic tumor at posterior mediastinum 5. The malignant tumors were 10 cases[21.3%] of the 47 cases and they were all symptomatic. 6. The most common chief complaint at admission was chest pain or discomfort[34%], and followed by coughing[23.4%], and dyspnea[17%]. 7. The successful complete removal was done in 37cases of benign tumors and cysts. In malignant cases, the surgical intervention was done in 3 cases, and 6 cases were treated with irradiation and chemotherapy, and 1 case was only biopsied. 8. The postoperative complications were developed in 7 cases[14.6%]. There was no case of hospital mortality.

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Primary Central Nervous System Lymphoma: A Clinicopathological and Cytomorpholgical Study from A Tertiary Care Centre in Chennai, India

  • Ambroise, M. Moses;Ghosh, Mitra;Mallikarjuna, V.S.;Annapurneswari, S.;Kurian, Ann;Chakravarthy, Ranjani
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.2
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    • pp.727-731
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    • 2013
  • Background: The aim of this study was to analyze the clinicopathological and immunohistochemical features of primary central nervous system lymphoma (PCNSL) cases occurring in Indian patients and also study the utility of the crush smear preparation in intraoperative diagnosis. Materials and Methods: The immune status, clinical, radiological details, immunohistochemical profile, histopathological findings and cytological features in smear preparation of 32 cases of PCNSL were analyzed. Patients with systemic NHL and skull-base lymphomas were excluded. Results: The mean age of our patients was 52 years with a male: female ratio 1:1. A periventricular location was found in 62.5% of patients. None of our PCNSL cases were associated with AIDS. All cases except one were diffuse large B-cell lymphomas. Intraoperative diagnosis using crush smears allowed correct prediction in 93% of cases. Conclusions: Our study shows that PCNSL is seen predominantly in immunocompetent patients in India. The age of presentation is relatively young as compared to the West. Our study also stresses the utility of crush smear preparation in establishing an intraoperative diagnosis.