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검색결과 553건 처리시간 0.043초

유치열기의 치아 외상에 관한 연구 (A STUDY OF THE TRAUMATIC INJURIES IN THE PRIMARY DENTITION)

  • 최성철;박재홍;이긍호
    • 대한소아치과학회지
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    • 제30권4호
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    • pp.618-625
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    • 2003
  • 본 연구는 경희대학교 치과대학병원 소아치과에 치아외상을 주소로 내원한 411명의 어린이를 대상으로 치아외상의 발생 연령과 남녀간의 성차, 발생의 양상, 부위, 원인, 장소 및 외상 후 내원 시기와 계절적인 발생빈도 등을 조사하여 외상의 예방, 적절한 진단과 치료 그리고 보호자의 계도 및 외상에 관한 홍보에 도움이 되고자 시행하였다. 1998년부터 2000년 사이에 치아외상을 주소로 내원한 환자 중 생후 5개월에서 6세 사이 남아 261명, 여아 150명의 외상치아 745개를 대상으로 다음과 같은 결과를 얻었다. 1.치아 외상은 남아가 여아보다 1.74배 많은 것으로 나타났으며, 남녀 모두 $1{\sim}2$세(34.1%) 및 $2{\sim}3$세(24.3%) 사이에 많이 발생하였다. 2. 치아 외상 양태는 진탕 32.2% 함입 11.9%, 측방변위 10.1%의 순으로 나타났다. 3. 상악 유중절치가 외상 치아의 75.3%로 가장 많이 발생하였다. 4. 치아 외상의 원인은 '넘어짐' 46.0%, '부딪힘' 40.3%, '떨어짐' 6.0% 순으로, 장소는 집안 48.0%, 집밖 37.7%, 유치원 9.2% 순으로 발생하였다. 5. 치아 외상 후 24시간 내에 내원하는 경우가 46.0%, 1주일내 29.5%, 1시간내가 7.5%를 보였다. 6. 월별 치아 외상은 10월(12.7%), 6월(12.2%), 5월(11.7%) 순으로 발생하였다.

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수지골의 유육종증 (Sarcoid Dactylitis)

  • 최인근;이신형;이소라;김제형;권영환;이승룡;이상엽;조재연;심재정;인광호;유세화;강경호
    • Tuberculosis and Respiratory Diseases
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    • 제45권6호
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    • pp.1298-1304
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    • 1998
  • The reports of sarcoidosis have increased in Korea since 1968. Osseous sarcoidosis is 3%-5% of sarcoidosis, but it is not reported upto date in Korea. So, we report a case of sarcoid dactylitis. A 47-year old woman who complained of painful swelling in her fingers was admitted in Korea University Guro Hospital. She had visited local clinics 3 years ago for chronic cough, multiple subcutaneous nodules and erythematous elevated regions on extensor sides of both extremities, and taken medicine under the diagnosis of pulmonary tuberculosis for 3 years. On admission her distal phalanges showed fusiform swelling, and multiple 1 cm-sized papules were found on the extensor area of extremities. The chest CT scan and the skin biopsy which had been performed in local clinics were reviewed to examine whether it was tuberculosis or not, but the results were compatible to sarcoidosis. So, under the impression of sarcoidosis chest CT and biopsy of hand lesions were performed again. And the patient was prescribed prednisolone 30 mg, and Hydroxychloroquine 400 mg per day, and then showed improvement of pain and skin lesions.

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진성 적혈구증다증 환자에서 발현한 Erdheim-Chester Disease 1예 (A Case of Erdheim-Chester Disease Who Has Policythemia Vera)

  • 김지은;이현정;이진국;윤형규;송정섭
    • Tuberculosis and Respiratory Diseases
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    • 제64권3호
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    • pp.224-229
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    • 2008
  • ECD는 포말 대식세포의 전신 침범으로 염증 반응을 일으키는 드문 질환으로 다양한 임상양상과 불량한 예후를 보이는 질환이다. 본 증례는 골 동통과 폐막 침범이 된 자에서 흉막 생검을 통한 확진으로 ECD가 진단된 경우이며 기저질환으로 진성 적혈구 증다증이 있는 자에서 발현한 예를 경험하였기에 이를 문헌고찰과 함께 보고하는 바이다.

도시이미지 인지와 선호등위선 개발 - 성남시를 대상으로 - (Developing Cognition and Preference Contours of a City Image - A Case Study of Seongnam City -)

  • 변재상
    • 한국조경학회지
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    • 제38권3호
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    • pp.1-14
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    • 2010
  • 도시 내 일부 부정적인 이미지를 지닌 지역은 도시 전체 이미지에 커다란 악영향을 미쳐 궁극적으로는 전체 도시이미지 향상을 저해하는 요소로 작용할 수 있다. 이러한 지역을 사전에 찾아내기 위하여 도시이미지를 도면화하는 것은 도시 정책 입안자들의 효과적이고 합리적인 정책 및 대응전략 수립에 도움이 될 수 있다. 본 연구는 도시이미지에 대한 시민들의 인지도와 선호도를 기반으로 등위선을 제작하였으며, 이를 중첩하여 관리도면을 도출함으로써 도시이미지 전략을 결과 위주가 아닌, 프로세스 중심으로 변화시키는 초석을 마련하고자 진행되었다. 본 연구를 통해 도출된 결과로서, 첫째, 성남시의 주요 상징물들의 인지도와 선호도를 분석한 결과, 인지도는 지역별로 큰 차이를 보이고 있었으나, 선호도는 비교적 균등한 값의 분포를 보이고 있었다. 둘째, 도시의 이미지 경향을 파악하고 진단하기 위한 인지와 선호등위선은 도시 전체 차원에서, 도시의 전반적인 이미지 경향을 한눈에 쉽게 판단하게 해주는 장점이 있다. 셋째, 인지와 선호등위선을 중첩한 도시이미지 관리도면에서는 4가지 유형으로 도시 권역을 구분할 수 있으며, 이들에 대한 관리방안에 있어서 인지도가 높으나 선호도가 낮은 지역은 특별히 이미지 관리의 우선지역으로 선정하여 도시 전체의 이미지 역량을 집중시킬 필요가 있다. 한편, 이상의 결과 이외에도 인지도가 높은 지역의 경우, 많은 사람들이 방문하거나 유동 인구가 많은 곳으로 판단할 수 있다. 특히, 해당 지역 중 선호도가 높은 지역들은 도시 관리를 위한 조망점 선정에 있어서 유력한 후보군으로 분류할 수 있다. 따라서 본 연구를 통해 도출된 인지와 선호등위선은 향후 도시 관리를 위한 조망점 선정에도 유용하게 사용될 수 있을 것이다. 나아가 도시이미지 선호지역을 중심으로 외부 방문객들이 도시를 탐방하고 관광할 수 있는 도시탐방 네트워크 구성에 활용할 수도 있을 것이다. 이는 도시의 전반적인 이미지 향상에 새로운 활력을 제공해 주는 계기가 될 것이다.

농촌 정보화 마을 실태와 효율적인 운영방안 (A Study on the Situation and Management Method of Rural Informationization Village(Invils,))

  • 김영건
    • 한국정보시스템학회지:정보시스템연구
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    • 제18권2호
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    • pp.83-109
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    • 2009
  • Such factors as the increase of population and me development of information technology were raised the needs of citizens in Korea. To meet these needs for the better services, Korean government has built up the computer networks that connect forty-two administrative operations of the central government since 1984. Through the computerization of administrative services, Korean government has been pursuing the balanced development among the regions in the country. To this end, regional informationization has been implemented since the mid 1980s. Specifically, rural villages has become information network villages (invils) by adopting computers and networks. Consequently, three hundred thirty-seven invils were implemented in the country. By selecting forty-six invils in Kyeongbuk province in Korea, this research was intended to find efficient and effective ways of operating invils. To find the problems and opportunities of the invils, the researcher has visited each of the forty-six invils between January 12th. and February 12th. in 2009. Two-round surveys were distributed to the managers of these forty-six invils. This research identified ten problems as below. a. Problems after the implementation of invils b. Problems occurred at the same rime as the operation of invils c. Problems with regard to the invil managers d. Problems with regard to the criteria of success or failure e. Problems with regard to the cooperation of administrative offices f. Problems with regard to the boosting of invil experience g. Problems with regard to software assurance developed in invils h. Problems with regard to incentives to invlis i. Problems with regard to the role of invils To solve these problems in hands of invils, this research suggested policy ideas in two levels: 1. invils 2. government Policies should be implemented by invils: a. The strengthening of training rural people for the better utilization of computers b. The strengthening of the regulations on membership management and electronic commerce c. The establishment of the invil managers' job tenure d. The reformation of measuring the success or failure of an invil e. The integration of administrative offices centralized by invils f. The establishment of trust between administrative offices and invils g. the integration of experience villages and invil managing offices h. The revitalization of incentives to invils and experience villages i. The enforcement of cooperative offices among invils Policies to be implemented by the government: a. The revitalization of electronic commerce through invils b. The rationalization of selecting invils in an area c. The unification of various offices for rural informationization d. The construction of portal sites for rural areas e. The continuous training of IT leaders in rural areas f. The provision of pays to invil managers based on break-even points g. The transcendentalization toward the second new town movement

간호학생 실습이 지역주민의 보건지식 및 태도에 미치는 영향 -연세대학교 간호대학 보건간호학 실습을 중심으로- (A Survey of the Effect of Nursing Students on Community Health Knowledge)

  • 조원정;김의숙;이정숙
    • 대한간호학회지
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    • 제3권2호
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    • pp.111-119
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    • 1973
  • The purpose of this study was to determine whether or not the delivery of health services effects the health knowledge of the recipients of that service. 10 was hypothesized that the practical application of theory, though health services rendered by public health nursing students during their field experiences. would have a positive relationship with the quantity and quality of health knowledge of the female population of a given community. In April 1970, ninety five women(between an age 15-49) from Koyang-Gun were interviewed regarding their knowledge and attitudes in four areas of health: maternal health, child health. family planning and tuberculosis prevention. After 11 years(Nov. l971), during which time the women received home visits by student nurses, the women were again interviewed using the original questionnaire. Additionally, they were asked where they had received information about each question. During the 1$\frac{1}{2}$ year period the visits were made by a total of 112 students. They visited the community twice a week. The result were as follows: Maternal health There was marked improvement in the knowledge of specific aspects of maternal health such as the proper instruments needed for cutting the cord and nutritional precaution of pregnancy (p<0.05). In each case 42.0 percent of more of this knowledge was attributed to information gained from the nursing students. However even after the nursing students'visits, the knowledge of other general areas of maternal remained poor. Child health There were increases in the knowledge of the respondents for the time to supplement breast feeding and for time to wean infants (p<0.05). In each case 35.0 percent or more of this information was attributed to the student. The increase in knowledge regarding types of immunization was more often attributed to the clinic nurse than to the nursing students. Knowledge of the necessity of booster immunization was poor both before and after the visits by the nursing students. Family planing There were significant increases in correct information regarding the time of I.U.D. insertion (P<0.05) and method of taking the oral pill (P<0.05). More than 42.0 percent of the increase was attributed to the nursing students'visits. However there was a slight decrease in correct information about concept of family planning. Tuberculosis There was a general lack of improvement in all areas concerned with tuberculosis. Two thirds of the respondents felt tuberculosis was hereditary and did not know what B.C.G. was. From this study, it could be concluded that in specific area the health knowledge of the female population studied was positively effected by the visits of the nursing students. The study also, suggests, however, that there was a marked unevenness in the overall increase in health knowledge. This raises serious questions which require further research. Suggested areas for further research are (1) Adequacy of the course content preparing nurses for the field experience. (2) A public health nursing manual for student reference. (3) Where and when specific aspects of health can be taught most effectively.

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Fracture patterns in the maxillofacial region: a four-year retrospective study

  • Park, Kyung-Pil;Lim, Seong-Un;Kim, Jeong-Hwan;Chun, Won-Bae;Shin, Dong-Whan;Kim, Jun-Young;Lee, Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제41권6호
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    • pp.306-316
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    • 2015
  • Objectives: The facial bones are the most noticeable area in the human body, and facial injuries can cause significant functional, aesthetic, and psychological complications. Continuous study of the patterns of facial bone fractures and changes in trends is helpful in the prevention and treatment of maxillofacial fractures. The purpose of the current clinico-statistical study is to investigate the pattern of facial fractures over a 4-year period. Materials and Methods: A retrospective analysis of 1,824 fracture sites was carried out in 1,284 patients admitted to SMG-SNU Boramae Medical Center for facial bone fracture from January 2010 to December 2013. We evaluated the distributions of age/gender/season, fracture site, cause of injury, duration from injury to treatment, hospitalization period, and postoperative complications. Results: The ratio of men to women was 3.2:1. Most fractures occurred in individuals aged between teens to 40s and were most prevalent at the middle and end of the month. Fractures occurred in the nasal bone (65.0%), orbital wall (29.2%), maxillary wall (15.3%), zygomatic arch (13.2%), zygomaticomaxillary complex (9.8%), mandibular symphysis (6.5%), mandibular angle (5.9%), mandibular condyle (4.9%), and mandibular body (1.9%). The most common etiologies were fall (32.5%) and assault (26.0%). The average duration of injury to treatment was 6 days, and the average hospitalization period was 5 days. Eighteen postoperative complications were observed in 17 patients, mainly infection and malocclusion in the mandible. Conclusion: This study reflects the tendency for trauma in the Seoul metropolitan region because it analyzes all facial fracture patients who visited our hospital regardless of the specific department. Distinctively, in this study, midfacial fractures had a much higher incidence than mandible fractures.

주부들의 영양태도, 식품구매 및 식생활 평가의 차이에 관한 비교 연구 -서울특별시와 경기도 일부 지역에 거주- (Comparative Study on Nutrition Attitudes, Food Purchase Behaviors, and Dietary Habits of Housewives Living in Seoul and Kyunggi Area)

  • 정근희;신경옥;최경순;윤진아;정강현;김지상
    • 동아시아식생활학회지
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    • 제22권2호
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    • pp.163-174
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    • 2012
  • This study focused on the nutrition knowledge, food purchase behaviors, and dietary habits of 213 housewives (41 women under 39 years, 98 women 40~49 years, and 74 women over 50 years). Younger housewives held more special jobs, whereas older housewives worked as housewives or had no jobs ($p$<0.05). The average monthly income of the three family groups was 3,000,000~5,000,000 won, and the monthly dietary expenditure for all three groups was 200,000~500,000 won. Familial frames for the three groups was nuclear family (over 80%), but housewives younger than 39 years (19.5%) lived together with their parents and let them take care of their children. Housewives (over 50 years) prepared a balanced diet for every meal, utilized less drastic cooking methods to prevent loss of nutrients, and shopped at many places in order to save money on various food materials. Further, they purchased food materials that resulted in the least amount of left overs. On the other hand, housewives under 39 years visited large supermarkets and purchased cooked foods more than other groups. Housewives under 39 years considered nutrients content as the most important factor when purchasing food materials, whereas 74.5% of housewives between 40~49 years and 51.4% of housewives over 50 years put the most importance on flavor ($p$<0.05). Housewives under 39 years were interested in manufacture date, nutrient content, and food price, in decreasing order, whereas housewives between 40~49 years and over 50 years were interested in manufacture date, food prices, and nutrient content. Older housewives were interested in brown rice and fruits, whereas younger housewives under 39 years were interested in meat, fish, eggs, fried foods, and fast food. Older housewives over 50 years did not consume fried foods more than two times per week and consumed three regular meals more often than younger housewives. Accordingly, for younger housewives, it is necessary that healthy foods be cooked for their families.

주의력결핍 과잉행동장애와 스마트폰 중독, 우울, 불안, 자존감 (Smart-Phone Addiction, Depression/Anxiety, and Self-Esteem with Attention-Deficit Hyperactivity Disorder in Korean Children)

  • 이효철;홍민하;오창근;심세훈;전연주;이석범;이경규;백기청;백혜순;임명호
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제26권3호
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    • pp.159-164
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    • 2015
  • Objectives : The current study investigated the risk of smartphone addiction among children and adolescents with or without attention-deficit hyperactivity disorder (ADHD), risk of depression, anxiety, and self-esteem using the Smartphone Addiction Scale Proneness, Kovac's Children's Depression Inventory, State-Trait Anxiety Inventory, and Rosenberg Self-Esteem Scale, commonly used in clinical medicine. Methods : Ninety five students with ADHD who visited psychiatry outpatient clinics completed the questionnaire. At the same time, 592 middle and high school students living in a similar area regardless of ADHD diagnosis, completed the questionnaire as control subjects. Results : Overall, 40.0% of 95 ADHD and 12.8% of 592 control subjects were classified as the smartphone addiction proneness group, 26.3% of the ADHD subjects and 8.3% of the control group were classified as the depression group, and 32.6% of the ADHD subjects and 16.2% of the control group were classified as the anxiety group. Significant differences were observed between the two groups. Conclusion : The results of this study suggest that ADHD subjects are more prone to smartphone addiction, becoming depressed or anxious than those in the control group. From this study, we could suggest that students with ADHD are more easily affected by smartphone addiction than normal control subjects. In addition, we might understand how some psychiatric problems like depression, anxiety, and low self-esteem are related to ADHD and smartphone addiction.

우리나라 어린이 및 청소년의 식이보충제 섭취에 영향을 미치는 요인 (Influencing Factors on the Dietary supplements Consumption among Children in Korea)

  • 이지연;김도희;이윤나;고은미;장영수;이혜영;장영애;김초일
    • 대한지역사회영양학회지
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    • 제16권6호
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    • pp.740-750
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    • 2011
  • With a recent increase in dietary supplements (DS) consumption among children in Korea, this study was performed to examine the influencing factors on children's DS consumption. A nationwide survey was conducted employing 3 representative samples of children for summer & fall of 2008 and spring of 2009 by stratified multistage sampling of 120 survey sites per season based on the 2005 census population. Approximately 30 households from each survey site were screened for residing children of 0-19 years and about 1,700 households remained as eligible samples per season. Trained dietitians visited households to perform face-to-face interview to children and/or parents regarding DS consumption including health functional foods (HFF), vitamins/minerals (V/M) supplements and other food supplements during 1 month prior to interview. Out of 5,328 children responded, 18.7% reported DS consumption. Consumption rate was higher in boys (19.9% vs. 17.3% in girls, P < 0.05) and youngsters (22.8% compared to 15.0% in adolescents, P < 0.001). Children from higher income family (P < 0.001), those living in apartments (P < 0.001), those residing in metropolitan area (P < 0.001), and those of mothers with higher education (P < 0.001) were more likely to take DS. Also, mother's employment status and occupation were significantly associated with children's DS consumption. The most popular DS was HFF (72.1%), which was consumed more in children of higher income family. It is revealed that socioeconomic factors affect children's DS consumption significantly. Also it is necessary to estimate children's V/M intake from DS and foods together especially because there are tolerable upper limits set for V/M for safety purposes.