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A Study on Using of Materials and Compliance of Diet Therapy by Distribution of Body Weight in Diabetic Patients (당뇨병 환자의 체중분포별 식사요법 실행 및 자료의 활용 실태)

  • 한지숙;정지혜
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.33 no.3
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    • pp.533-541
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    • 2004
  • The purpose of this study was to investigate using of diet therapy materials and the compliance of diet therapy by distribution of body weight in diabetic patients. The percentage of diabetic patients who was distributed by BMI was 18.5% in under weight group, 51.5% in normal weight group, 16.9% in over weight group and 13.1% in obesity group. Of 130 diabetic patients, 62.3% experienced weight loss after the diagnosis. 35.4% of the diabetic patients had ever been in the hospital. 38.5% of the diabetic patients had prevalence of the complications. Knowledge for diet therapy showed low score in over weight and obesity group, specially in the items on the amount of food that I have to consume or the method selecting foods using the food exchange list. Diet therapy practice was also lower in obesity group than the other groups. Most of diabetic patients thought the diet therapy was important and got diet therapy materials through dietitian or doctor. But using of diet therapy materials was 50.0% in under weight group, 41.8% in normal weight group. 22.7% in over weight group and 35.3% in obesity group. Food exchange list was diet therapy item considered as the most difficult for diabetic patients to understand. Diet therapy items considered as the most necessary by diabetic patients were to be attended to choose foods and how to make out menu. This study showed that the diabetic patients were different in using of diet therapy materials or diet therapy practice by distribution of body weight. Therefore it is suggested that the program composed of necessary contents by body weight distribution of diabetic patients need to be developed.

Decision Making on the Non surgical, Surgical Treatment on Chronic Adult Periodontitis (만성 성인성 치주염 치료시 비외과적, 외과적 방법에 대한 의사결정)

  • Song, Si-Eun;Li, Seung-Won;Cho, Kyoo-Sung;Chai, Jung-Kiu;Kim, Chong-Kwan
    • Journal of Periodontal and Implant Science
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    • v.28 no.4
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    • pp.645-660
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    • 1998
  • The purpose of this study was to make and ascertain a decision making process on the base of patient-oriented utilitarianism in the treatment of patients of chronic adult periodontitis. Fifty subjects were chosen in Yonsei Dental hospital and the other fifty were chosen in Severance dental hospital according to the selection criteria. Fifty four patients agreed in this study. NS group(N=32) was treated with scaling and root planing without any surgical intervention, the other S group(N=22) done with flap operation. During the active treatment and healing time, all patients of both groups were educated about the importance of oral hygiene and controlled every visit to the hospital. When periodontal treatment needed according to the diagnostic results, some patients were subjected to professional tooth cleaning and scaling once every 3 months according to an individually designed oral hygienic protocol. Probing depth was recorded on baseline and 18 months after treatments. A questionnaire composed of 6 kinds(hygienic easiness, hypersensitivity, post treatment comfort, complication, functional comfort, compliance) of questions was delivered to each patient to obtain the subjective evaluation regarding the results of therapy. The decision tree for the treatment of adult periodontal disease was made on the result of 2 kinds of periodontal treatment and patient's ubjective evaluation. The optimal path was calculated by using the success rate of the results as the probability and utility according to relative value and the economic value in the insurance system. The success rate to achieve the diagnostic goal of periodontal treatment as the remaining pocket depth less than 3mm and without BOP was $0.83{\pm}0.12$ by non surgical treatment and $0.82{\pm}0.14$ by surgical treatment without any statistically significant difference. The moderate success rate of more than 4mm probing pocket depth were 0.17 together. The utilities of non-surgical treatment results were 100 for a result with less than 3mm probing pocket depth, 80 for the other results with more than 4mm probing pocket depth, 0 for the extraction. Those of surgical treatment results were the same except 75 for the results with more than 4mm. The pooling results of subjective evaluation by using a questionnaire were 60% for satisfaction level and 40% for no satisfaction level in the patient group receiving nonsurgical treatment and 33% and 67% in the other group receiving surgical treatment. The utilities for 4 satisfaction levels were 100, 75, 60, 50 on the base of that the patient would express the satisfaction level with normal distribution. The optimal path of periodontal treatment was rolled back by timing the utility on terminal node and the success rate, the distributed ratio of patient's satisfaction level. Both results of the calculation was non surgical treatment. Therefore, it can be said that non-surgical treatment may be the optimal path for this decision tree of treatment protocol if the goal of the periodontal treatment is to achieve the remaining probing pocket depth of less than 3mm for adult chronic periodontitis and if the utilitarian philosophy to maximise the expected utility for the patients is advocated.

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THE ASPECT OF PROLIFERATION AND BONE NODULE FORMATION IN OSTEOBLAST-LIKE CELLS DERIVED FROM FETAL RAT CALVARIA IN VITRO (백서 태자 두 개관에서 유래된 조골세포의 증식 및 골결절 형성양상)

  • Kim, Shi-Hyeong;Nam, Soon-Hyeun;Shin, Hong-In
    • Journal of the korean academy of Pediatric Dentistry
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    • v.24 no.1
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    • pp.1-17
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    • 1997
  • The purpose of this study was to investigate the aspects of proliferation and bone nodule formation of osteogenic precursor cells. To determine the effects of ascorbic acid and dexamethasone upon capacity of osteoblast proliferation and bone nodule formation, cells were maintained in the presence of one or some of these additives for up to 30 days. Group I culture was maintained in standard medium(DMEM plus 10% plus antibiotics), group II was maintained in supplemented medium containing dexamethasone, group III was maintained in supplemented medium containing ascorbic acid and sodium-${\beta}$-glycerophosphate, and group IV was maintained in supplemented containing ascorbic acid, sodium-${\beta}$-glycerophosphate and dexamethasone. Morphology of bone nodules was observed with light microscope and electron microscope. The results were as follows: ${\bullet}$ Proliferation capacity of osteoblasts was not affected by single use of dexamethasone, but it was chiefly affected by ascorbic acid. ${\bullet}$ Cellular morphology was fibroblastic appearance initially, but, it was gradually changed to polygonal shape accompanied by confluency stage. ${\bullet}$ Pluripotent mesenchymal cells existed during primary culture, they were differentiated to adipocyte, chondrocyte, osteocyte according to culture condition. ${\bullet}$ Dexamethasone increased bone nodule formation under the condition that the culture was maintained with supplemented medium ascorbic acid and sodium-${\beta}$-glycerophosphate. ${\bullet}$ when the cultures were stained with alizarin red, the group supplemented with dexamethasone, ascorbic acid and sodium-${\beta}$-glycerophosphate showed the marked increase of bone nodule formation, but the group supplemented with ascorbic acid and sodium-${\beta}$-glycerophosphate revealed only small amounts of bone nodules. And the groups cultured without ascorbic acid showed no observed any of bone-like mass independent of dexamethasone addition.

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Estimated Exposure Dose and Usage of Radiological Examination of the National Health Screening (국가건강검진의 방사선검사 이용량 및 피폭선량 추정)

  • Gil, Jong Won;Park, Jong Hyock;Park, Min Hui;Park, Chan Young;Kim, So Young;Shin, Dong Wook;Kim, Won Dong
    • Journal of Radiation Protection and Research
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    • v.39 no.3
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    • pp.142-149
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    • 2014
  • Korea conducts a national health screening program to improve and check-up on public health and in recent years, the screening usage has been increased. Given the increased screening usage for radiographic exams, this study predicts the frequency of using radiographic exams and the exposure dose. This study estimates the usage of radiographic exams by isolating radiographic exams from the 2011 analysis of the national health insurance corporation, and estimates the public exposure dose by applying each procedure's dose table from UNSCEAR 2008. As a result of the analysis, in the 2011 National Health Screening, the average exposure dose per person is assumed to be 0.57 mSv, and depending on the type of screening program from the radiographic exam, an examinee could be exposed to between 0.2 mSv and 11.081 mSv. The frequency of using radiographic exposure was found to be 16,005,914 and the exposure dose was 6,311.76 person-Sv. The most frequent exam is the Chest X-ray, which was performed 1,070,567 (69.17%), and the UGI has the highest exposure dose at 5,217.94 person-Sv (82.67%). The outcome is categorized based on gender and age, excluding those under 39 years old. In all age groups, the screening usage and exposure dose are higher in females than in males. In particular, females between 50 and 54 years old have the highest screening usage (1,674,787, 10.5%) and exposure dose (701.59 person-Sv, 11.1%). As UGI accounts for 82.76% of procedures, except when done for medical purposes, if the government supports a voluntary UGI exam (which includes the UGI exam in the National Screening Program) or abolishes it completely, as seen overseas, the cost-effectiveness and validity of the UGI exam, as well as the exposure dose from the National Screening Program will all decrease significantly.

Analyzing the Characteristics of Pre-service Elementary School Teachers' Modeling and Epistemic Criteria with the Blackbox Simulation Program (블랙박스 시뮬레이션에 참여한 초등예비교사의 모형 구성의 특징과 인식적 기준)

  • Park, Jeongwoo;Lee, Sun-Kyung;Shim, Han Su;Lee, Gyeong-Geon;Shin, Myeong-Kyeong
    • Journal of The Korean Association For Science Education
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    • v.38 no.3
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    • pp.305-317
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    • 2018
  • In this study, we investigated the characteristics of participant students' modeling with the blackbox simulation program and epistemic criteria. For this research, we developed a blackbox simulation program, which is an ill-structured problem situation reflecting the scientific practice. This simulation program is applied in the activities. 23 groups, 89 second year students of an education college participated in this activity. They visualized, modeled, modified, and evaluated their thoughts on internal structure in the blackbox. All of students' activities were recorded and analyzed. As a result, the students' models in blackbox activities were categorized into four types considering their form and function. Model evaluation occurred in group model selection. Epistemic criteria such as empirical coherence, comprehensiveness, analogy, simplicity, and implementation were adapted in model evaluation. The educational implications discussed above are as follows: First, the blackbox simulation activities in which the students participated in this study have educational implications in that they provide a context in which the nature of scientific practice can be experienced explicitly and implicitly by constructing and testing models. Second, from the beginning of the activity, epistemic criteria such as empirical coherence, comprehensiveness, analogy, simplicity, and implementation were not strictly adapted and dynamically flexibly adapted according to the context. Third, the study of epistemic criteria in various contexts as well as in the context of this study will broaden the horizon of understanding the nature of scientific practice. Simulation activity, which is the context of this study, can lead to research related to computational thinking that will be more important in future society. We expect to be able to lead more discussions by furthering this study by elaborating and systematizing its context and method.

Management Strategy of Indoor Hazardous Chemicals (실내.외 통합 모델링 및 인체 위해성 평가를 통한 실내 유해화학물질의 관리 전략)

  • Shin, Yong-Seung;Lim, Hye-Sook
    • Journal of Environmental Policy
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    • v.7 no.2
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    • pp.67-90
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    • 2008
  • The purpose of this study is to develop indoor air quality management strategies regarding indoor air pollutants while considering various factors affecting indoor pollutants concentration. The Integrated Indoor Air Quality model(IIAQ) developed by Seoul National University is used for this study. The IIAQ model is a tool that can provide an integrated view to indoor environmental pollution by simulating suggested scenarios. The results of the modeling are used to assess health risk. The concentrations that are used for the risk characterization are weighted concentrations based on the period of time in each place and existing Indoor Air Quality(IAQ) standards. The estimated concentration of toluene and formaldehyde for 10 years through the IIAQ model was 207.3 $ug/m^3$ and 36.4 $ug/m^3$ in indoors, and 55.9 $ug/m^3$ and 8.62 $ug/m^3$ in outdoors. These concentrations are lower than the existing IAQ standards. The estimated carcinogenic risk of formaldehyde is up to 1.05E-03 for the adult male group and exceeds 1E-06 for all receptor groups. This value means that cancer could affect one person out of 1000. The estimated non-carcinogenic risk of toluene was lower than 1, which means that there was no serious non- carcinogenic risk. The result of modeling shows that using low emitting indoor sources is the most effective strategy for both formaldehyde and toluene. This risk assessment suggests that the total exposure levels of existing IAQ standards may cause serious carcinogenic risk. In order to avoid uncontrolled risk, it is suggested that the current IAQ standards should be adjusted by taking into account the total amount of exposure from all exposure pathways from indoor and outdoor sources.

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A comparative study of electroplating and electroless plating for diameter increase of orthodontic wire (교정용 선재의 직경 증가를 위한 전기도금법과 무전해도금법의 비교연구)

  • Kim, Jae-Nam;Cho, Jin-Hyoung;Sung, Young-Eun;Lee, Ki-Heon;Hwang, Hyeon-Shik
    • The korean journal of orthodontics
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    • v.36 no.2 s.115
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    • pp.145-152
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    • 2006
  • The purpose of this study was to evaluate electroless plating as a method of increasing the diameter of an orthodontic wire in comparison with eletroplating. After pretreatment plating of the 0.016 inch stainless steel orthodontic wire, electroless plating was performed at $90^{\circ}C$ until the diameter of the wire was increased to 0.018 inch. During the process of electroless plating, the diameter of the wire was measured every 5 minutes to examine the increasing ratio of the wire's diameter per time unit. And to examine the uniformity, the diameter at 3 points on the electroless-plated orthodontic wire was measured. An X-ray diffraction test for analyzing the nature of the plated metal and a 3-point bending test for analyzing the physical property were performed. The electroless-plated wire group showed a increased tendency for stiffness, yield strength, and ultimate strength than the electroplated wire group. And there was a statistically significant difference between the two groups for stiffness and ultimate strength. In the electroless-plated wire group, the increasing ratio of the diameter was $0.00461{\pm}0.00003mm/5min$ (0.00092 mm/min). In the electroplated wire group, it was $0.00821{\pm}0.00015mm/min$. The results of the uniformity test showed a tendency for uniformity in both the plating methods. The results of this study suggest that electroless plating of the wire is closer to the ready-made wire than electroplating wire in terms of the physical property. However, the length of plating time needs further consideration for the clinical application of electroless plating.

Effects of heat treatment on the load-deflection properties of nickel-titanium wire (니켈-티타늄 와이어의 열처리에 따른 부하-변위 특성 변화)

  • Chang, Soo-Ho;Kim, Kwang-Won;Lim, Sung-Hoon
    • The korean journal of orthodontics
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    • v.36 no.5
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    • pp.349-359
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    • 2006
  • Objective: Nickel-titanium alloy wire possesses excellent spring-back properties, shape memory and super-elasticity. In order to adapt this wire to clinical use, it is necessary to bend as well as to control its super-elastic force. The purpose of this study is to evaluate the effects of heat treatment on the load-deflection properties and transitional temperature range (TTR) of nickel-titanium wires. Methods: Nickel-titanium wires of different diameters ($0.016"\;{\times}\;0.022"$, $0.018"\;{\times}\;0.025"$ and $0.0215"\;{\times}\;0.028"$) were used. The samples were divided into 4 groups as follows: group 4, posterior segment of archwire (24 mm) without heat treatment; group 2, posterior segment of archwire (24 mm) with heat treatment only; group 3, anterior segment with bending and heat treatment; group 4, anterior segment with bending and 1 sec over heat treatment. Three point bending test was used to evaluate the change in load-deflection curve and obtained DSC (different scanning calorimetry) to check changes in $A_f$ temperature. Results: In the three point bending test, nickel-titanium wires with heat treatment only had higher load-deflection curve and loading and unloading plateau than nickel-titanium wires without heat treatment. Nickel-titanium wires with heat treatment had lower Af temperature than nickel-titanium wires without heat treatment. Nickel-titanium wires with heat treatment and bending had higher load-deflection curve than nickel- titanium wires with heat treatment and nickel-titanium wires without heat treatment. Nickel-titanium with heat treatment of over 1 sec and bending had the highest load-deflection curve. Nickel-titanium wires with heat treatment and bending had lower Af temperature, Nickel-titanium wires with heat treatment of over Af sec and bending had the lowest Af temperature. Conclusion: From the results of this study, it can be stated that heat treatment for bending of Nickel-titanium wires does not deprive the superelastic property but can cause increased force magnitude due to a higher load-deflection curve.

Effects of Relationship Benefits on Customer Satisfaction and Long-term Relationship Orientation: Focused on Credit Unions (관계혜택이 고객만족과 장기적 관계지향성에 미치는 영향: 신협을 중심으로)

  • Kang, Seong-moo;Kim, Hyung-jun
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.13 no.2
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    • pp.125-137
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    • 2018
  • Credit unions organized and operated by the members of communities, work-places or groups are co-operative entities where customers act as owners not just transaction partners. The foregoing organizational characteristic of credit unions exerts beneficial effects on their customer relationship, and underscores the need for diversifying their relationship marketing strategies. This study sheds light on the structural relationship of credit unions in terms of principal variables of relationship marketing, i.e. relationship benefits, customer satisfaction and long-term relationship orientation. Specifically, we classify the relationship benefits into three sub-dimensions, i.e. confidence benefits, social benefits and special treatment benefits, and structuralize a causal model involving the customer satisfaction and long-term relationship orientation. From December 26, 2017 to January 26, 2018, A total of 360 questionnaires was collected. Of these, 346 were selected as the final samples, excluding 14, which are difficult to use in statistics. The reliability analysis, exploratory factor analysis, and regression analysis was performed by using the 'SPSS 24.0'. And confirmatory factor analysis, structural equation model analysis was performed by using 'AMOS 24.0'. The findings highlight the following. First, confidence benefits directly impact on the long-term relationship orientation, and indirectly influence the latter by the medium of customer satisfaction. Second, social benefits directly influence the long-term relationship orientation, without exerting any indirect effects on the latter via customer satisfaction. Third, special treatment benefits do not directly impact on the long-term relationship orientation but have indirect effects on the latter by the medium of customer satisfaction. Fourth, customer satisfaction has positive effects on the long-term relationship orientation. The findings suggest credit unions should establish a long-term relationship with their customers by providing them with confidence benefits to earn their trust and confidence, with social benefits to build a relationship of affinity and friendship, and with special treatment benefits to meet their needs in the long, not short and temporary, term.

Assessing the Plankton Dynamics in Lakes and Reservoirs Ecosystem in the Southwestern Parts of Korea (국내 남서부지역 호수 및 저수지 생태계의 플랑크톤 동태 변화)

  • Kim, Hyun-Woo;La, Geung-Hwan;Jeong, Kwang-Seuk;Park, Jong-Hwan;Huh, Yu-Jung;Kim, Sang-Don;Na, Jeong-Eun;Jung, Myoung-Hwa;Lee, Hak-Young
    • Korean Journal of Environmental Biology
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    • v.28 no.2
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    • pp.86-94
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    • 2010
  • This study compares and contrasts the dynamics of plankton in 31 temperate lakes and reservoirs, and considers particularly the biomass ratio of zooplankton to phytoplankton and ecological model application. A total of 89 species of zooplankton were identified (70 rotifers, 14 cladocerans and 5 copepods) and a total of 554 species of phytoplankton were identified (176 Bacillariophyceae, 237 Chlorophyceae, 68 Cyanophyceae, and 73 other algal taxa). The total plankton abundance and species diversity were showed distinctive spatial and seasonal variation. Annual average phytoplankton density was $7,350{\pm}15,592$ cells $mL^{-1}$ (n=124), and the lowest was $855{\pm}448$ cells $mL^{-1}$ (n=4), while the highest was $72,048{\pm}13,4631$ cells $mL^{-1}$ (n=4). For zooplankton, small rotifer groups dominated the study sites, and approximately 3~10 species appeared in the study sites. Statistical analysis and an ecological model application revealed that the size of reservoirs affected the structure size of plankton community, i.e. relatively large number of species were found in smaller reservoirs. From this result, we can conclude that management strategy for the reservoir environment has to be focused more on small-size reservoirs, in terms of plankton community ecology.