• Journal of Oral Medicine and Pain
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• 제34권1호
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• pp.63-79
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• 2009

본 연구는 건강보험심사평가원(Health Insurance Review and Assessment Service, 이하 심평원)에서 전산화되어 관리되는 보험대상 환자들의 진료기록을 이용하여 턱관절장애(temporomandibular disorders, TMD)로 인해 병원을 찾고 있는 환자의 유병률과 진료양태를 파악하고자 하였다. 연구를 위하여 심평원 전산시스템에 등록된 국내 보험대상 환자 중 2003년, 2004년, 2005년의 3년에 걸친 환자 자료를 사용하여 턱관절장애 (K07.6)를 주상병으로 하여 진단과 치료를 받은 환자에 대하여 성별 및 연령별 진료인원, 지역별 진료인원, 요양기관종별 진료인원, 치료기간 및 진료건수, 진료과목별 진료건수와 평균치료기간, 진료과목별 1인당 소요비용, 원외처방 치료약제 약효분류코드(효능군)별 연간 투약일수, 외과적 수술 실시 횟수 등을 분석조사한 연구결과는 다음과 같다. TMD로 인해 병원을 찾는 평균 환자수는 전체인구의 0.15%이었으며, 3년간 매년 증가하는 추세를 보였다. 그 중 99.8%가 여자였고, 20대의 유병률이 가장 높고 연령이 증가하면서 감소하는 양상을 보였다. 3년간의 변화추이를 볼 때 20대의 유병률은 감소하고 40대 이후 증가하는 양상을 보였다는 점이 특징적이었다. 16개 시도별 분포에서는 인구가 많은 서울, 경기 지역의 환자수가 많았고, 매년 전체 환자수가 증가하면서 각 지역별로 유사한 비율로 증가하였다. 그러나 부산과 대구에서는 감소세가 뚜렷하였고 울산, 경기, 전남의 증가세가 관찰되었다. 의료기관별로 내원한 환자 수는 치과를 포함한 일차의료기관에 내원하여 진료한 경우가 평균 56.8%로 전체의 과반수를 차지하였고 TMD와 관련한 입원건수는 치과 입원(86.6%)이 의과전체(13.4%) 보다 훨씬 많았다. 외래내원건수에서는 치과가 전체 건수의 38.4%로서 가장 많았으며, 정형외과(28%), 이비인후과(13.6%)의 순서였다. 약물치료에서는 해열소염진통제가 가장 빈번하게 투여되었고 정신신경용제, 골격근이완제의 순서였다. 심평원의 자료는 TMD때문에 병원을 찾는 환자들의 역학적 특성과 진료양태에 대한 포괄적이고 광범위한 정보를 제공하고 있지만, 진료실에서 정확한 진단과 표준화된 치료가 이루어지고 있는지에 대한 평가가 함께 이루어질 때 더욱 신뢰할 수 있는 정보가 될 것으로 생각된다.

• 한국농업기계학회:학술대회논문집
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• 한국농업기계학회 2000년도 THE THIRD INTERNATIONAL CONFERENCE ON AGRICULTURAL MACHINERY ENGINEERING. V.I
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• pp.76-100
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• 2000

바이오 센서의 본질과 기능에 관한 일반적인 논의가 간단히 제시되었다. 바이오 센서개발에 대한 주 동기는 건강관리 산업이었지만, 최근의 연구 노력은 농업 및 생물 생산시스템에서의 문제로 확산되고 있다. 우리 실험실에서 연구된 것들을 설명하기 위하여 세 가지의 바이오 센서 예와 그들의 적용에 대해 소개한다. 첫째는 젖소의 번식관리 향상을 위해 프로게스테론 호르몬을 착유할 때 측정하는 면역센서이다. 둘째는 우유에 있는 요소(尿素, urea)의 측정을 위한 효소 센서로서, 투여되는 단백질의 우유 단백질로의 전환효율을 구하기 위한 도구이며 이로 인해 젖소의 사양관리를 향상시킬 수 있다. 셋째는 신선하며 최소 가공된 야채와 과일을 씻은 물에 있는 극소량의 병원성 박테리아를 검출하기 위한 PCR(중합효소연쇄반응)을 이용한 DNA 센서이다. 농업과 농업생물공학, 식품가공 그리고 환경 모니터링에 있어서의 바이오 센서의 적용 가능성은 이제 겨우 이해되고 있다.

• Parasites, Hosts and Diseases
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• 제52권5호
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• pp.479-485
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• 2014

Cryptosporidium diarrhea represents a relevant clinical problem in developing countries. In Al-Taif, a city of Saudi Arabia that lies at an altitude of an around 2 km above the sea level, Cryptosporidium infection seems to be undiagnosed in nearly all clinical laboratories. Furthermore, nothing was published regarding Cryptosporidium-associated diarrhea in this area. The objectives of this research were to (1) determine the Cryptosporidium prevalence among patients with diarrhea and (2) to estimate the performances of 3 different diagnostic methods. Total 180 diarrheal fecal samples, 1 sample per patient, were collected between January and August 2013. Samples were screened for Cryptosporidium with modified Zeihl Neelsen (ZN) microscopy, $RIDA^{(R)}$ Quick lateral flow (LF) immunotest, and a previously published PCR. The Cryptosporidium prevalence rate was 9.4% (17/180), 10% (18/180), and 11.6% (21/180) by microscopy, LF, and PCR test, respectively. Infection was significantly (P=0.004) predominant among children <5 years (22%) followed by children 5-9 years (11.1%). Although infection was higher in males than in females (16.2% males and 8.5% females), the difference was not statistically significant (P=0.11). Compared to PCR, the sensitivity of microscopy and the LF test were 80.9%, 85.7%, respectively. To conclude, high Cryptosporidium-associated diarrhea was found in this area especially in children ${\leq}9$ years. The PCR test showed the best performance followed by the LF test and ZN staining microscopy. The primary health care providers in Al-Taif need to be aware of and do testing for this protozoon, particularly for children seen with diarrhea.

• Environmental Engineering Research
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• 제20권3호
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• pp.260-267
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• 2015

The $PM_{10}$, $SO_2$ and $NO_2$ mass concentrations were obtained over five years from monitoring stations across Nanchong, a southwest city in China. Changes in urban air quality over time, as well as the factors influencing that change, were evaluated based on air pollutant concentrations, the Air Pollution Index (API), and the Comprehensive Pollution Index (P). The results showed that the total annual mean $PM_{10}$, $SO_2$ and $NO_2$ concentrations over the five years studied were $61.1{\pm}1.1$, $45.0{\pm}3.9$ and $34.9{\pm}4.9{\mu}g{\cdot}m^{-3}$, respectively. The annual mean concentrations displayed a generally decreasing trend; lower than the annual mean second-level air quality limit. Meanwhile, the annual mean API values were in a small range of 52-53, the air quality levels were grade II, and P values were 1.06-1.21 less than the slight level ($P{\leq}1.31$). Total monthly mean $PM_{10}$, $SO_2$, $NO_2$ concentrations, and API and P values were consistently higher in winter and spring than during autumn and summer. The results of a correlation analysis showed that temperature and pressure were the major meteorological factors influencing pollution levels. Pollution sources included industrial coal and straw burning, automobiles exhaust and road dust, fireworks, and dust storms.

• Journal of Yeungnam Medical Science
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• 제30권2호
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• pp.152-155
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• 2013

Orbital metastasis from hepatocellular carcinoma is very rare, with only 14 biopsy-proven cases from hepa tocellular carcinoma cases reported in English literature and three cases reported in Korea. Common symptoms of orbital metastasis are proptosis, visual loss, ocular pain and oculomotor dysfunction. For its precise diagnosis, we can perform fine needle aspiration biopsy, orbit CT or MRI, and ultrasonography. Radiotherapy is the mainstay in the treatment of orbital metastasis. In addition, chemotherapy, hormonal therapy and surgical intervention can play a role in the treatment of orbital metastasis according to the primary cancer and symptoms. However, the prognosis of orbital metastasis is poor. We report herein a rare case of a patient with orbital metastasis from hepatocellular carcinoma, which was treated with various modalities that included resection, and who had good clinical and radiological responses to radiation therapy and sorafenib (Nexavar, Bayer HealthCare).

• Asian Pacific Journal of Cancer Prevention
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• 제13권6호
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• pp.2781-2789
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• 2012

Assessment of perceptions of the community, the determinants and development of their behavior regarding common malignancies, helps in establishing evidence-based activities for prevention and early diagnosis of cancer. However information on this important aspect is lacking in our country. Qualitative methods were here used to obtain information through in depth interviews and Focus Group Discussions (FGDs) with all categories of identified stakeholders. Most were unaware of the activities of the cancer control program. Even the providers were not fully conversant. All respondents mentioned lack of diagnostic and treatment facilities in government, primary and secondary level facilities. Perceptions of different categories of stakeholders regarding why many community members did not attend screening camps and other services reflect the determinants of community behavior, acting independently as well as in combination. The cancer control program was thought to be restricted only to some private facilities and overcrowded government tertiary care facilities where the visits were time consuming. Almost all the facilities were considered curative oriented. Issues of supervision, monitoring and feedback were inadequately addressed by providers who were inadequately trained in many program activities. The program lacked effective planning, coordination and appropriate implementation at the grass roots level in Delhi. Social mobilization was grossly inadequate, as most of the community members were unaware of the existence of the program. Misconceptions about the risk factors, signs and symptoms, diagnosis, and treatment were common amongst community members as well as many of the providers. Thus the national cancer control program in our country needs further community participation and social mobilization. Accessibility, availability, acceptability and affordability of various preventive, curative and rehabilitative activities, as well as intersectoral coordination, training, supervision and monitoring of program activities, all need to be addressed to ensure the success of this important public health program.

• Asian Pacific Journal of Cancer Prevention
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• 제17권8호
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• pp.3939-3943
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• 2016

Background: According to recent statistics, the breast cancer rate is growing fast in developing countries. In North West of Iran, the incidence of breast cancer after esophageal and gastric cancers has the highest rate. Previous studies have also indicated that women in this region show reluctance to do breast cancer screening. There is a great need for change to promote breast cancer screening among women. Social marketing is a discipline that uses the systematic application of commercial marketing techniques to promote the adoption of behavior by the target audience. Materials and Methods: In the present qualitative study, thirty-two women with breast cancer were interviewed about their experiences of breast cancer screening. A semi-structured interview guide was designed to elicit information specific to the 4 P's in social marketing. Results: Three main categories emerged from the analysis: price, service and promotion. Subcategories related to these main categories included factors effective in increasing and decreasing cost of screening, current and desirable features of screening services, and weakness of promotion. Conclusions: Screening programs should be designed to be of low cost, to meet patients' needs and should be provided in suitable places. Furthermore, it is essential that the cultural beliefs of society be improved through education. It seems necessary to design an executive protocol for breast cancer screening at different levels of primary health care to increase the women's willingness to undergo screening.

• 한국융합학회논문지
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• 제11권2호
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• pp.75-83
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• 2020

본 연구는 손상으로 입원한 노인을 전기 노인과 후기 노인으로 구분하여 전·후기 노인의 일반적 특성, 주진단명 특성, 손상관련 특성 및 운수사고 유형의 차이를 파악하고자 시행되었다. 질병관리본부의 퇴원손상심층조사 원시자료를 활용하였으며, 복합표본 교차분석(카이제곱 검정)과 복합표본 일반선형모형(t검정)을 사용하여 분석하였다. 분석결과, 일반적 특성은 전기 노인은 건강보험이 높은 반면, 후기 노인은 의료급여가 높게 나타났다. 주진단명 특성은 전기 노인은 뇌 손상이 높았고 후기 노인은 대퇴골 골절이 월등히 높았다. 손상관련 특성은 전·후기 노인 모두 낙상이 가장 높았고, 후기 노인에서 손상발생장소로 가정이나 주거지가, 일상생활 중, 의도성 자해가 높았다. 운수사고 유형은 전기 노인은 승용차 운전자가 높았고, 후기 노인은 보행자 사고가 높았다. 이러한 연구결과에 따라 후기 노인은 전기 노인에 비해 더 많은 의료서비스, 경제적 지원, 주거지 중심의 낙상 예방 대책 및 자살 등 의도적 손상 예방을 위한 사회 심리적 전략이 요구되며, 후기 노인의 보행자 교통사고 예방을 위한 교육 및 도로 등 안전한 보행 환경을 위한 노력이 요구된다.

• 대한한방내과학회지
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• 제25권3호
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• pp.669-676
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• 2004

Post-herpetic neuralgia(PHN) is a chronic pain syndrome associated with the reactivation of a primary infection with varicella zoster virus(chinken pox), which leads to a chronic infection of dorsal root ganglia. The most common risk factor for shingles and its potential sequela, PHN, is advanced age. For a significant number of patients, the pain following healing of shingles can persist for months to years. If this pain, classified as PHN, persists longer than one month. PHN often leads to depression, disrupted sleep, decreased productivity, and utilization of health care. We treated a 60 year-old female patient who suffered pain and headache after Stellate Ganglion Blocks(SGB). In identifying points for differentiation of syndrom(辨證), this subject was diagnosed as Yangmyeong Merdian wind-heat syndrom(陽明經風熱證) and was administered Seungmagalgeuntanggamibang(revised Shengmagalgen-tang, 升麻葛根湯加味方). To ease pain, Western medication was administered as well. After fourteen days of treatment, pain and other symptoms improved.

• 대한통합의학회지
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• 제4권3호
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• pp.101-108
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• 2016

Purpose : The primary objective of this study was to examine the status of continuing education, and to identify the current state and employment status of these physical therapists. Moreover, the study also aimed to provide basic data for establishing improvement measures in various continuing education programs to enhance the quality of physical therapists, thereby providing high quality service to patients and contributing to the increasing productivity of hospitals. Method : The present study analyzed the basic data obtained from KPTA regarding the 671 physical therapists throughout Korea. Questionnaires were sent by mail to from direct visits were used in the final data analysis. The questionnaire consisted of 45 questions in 3 categories: general characteristics, continuing education. Collected data were analyzed using frequencies, percentages, means, and standard deviations. Result : Subjects 88 (87.1%) indicated that they continuing education, showing that most had taken continuing education courses. The importance and necessity of continuing education was much higher for those with doctoral degrees than for those who graduated from college, or who possessed bachelors or master's degrees. Conclusion : A necessary follow-up study using these findings would contribute to providing a high quality medical service and to enhancing the quality of physical therapists. Moreover, systematic management of continuing education is necessary to devise comprehensive and effective measures for the development and acquisition of updated skills by health care professionals.