• 보건교육건강증진학회지
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• 제24권1호
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• pp.63-74
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• 2007

Objectives: This study aimed to evaluate the educational effect of the Field Epidemiology Specialist Training Program for School Nurse which composed of 18hours curriculum. Method: The subjects were 797 who participated in the 2005 training program. Data was collected with structured questionnaires(knowledge on the control of communicable disease 15 items, attitude 15 items, and confidence in practice 14 items, demographic characteristics 4 items) before (January) and after (July to October) programs in 2005. Results: Knowledge on the control of communicable disease was improved from 9.7 points (possible range : 0-15) before program to 11.9 points after program. Attitude was improved from 53.6 points (possible range : 15-60) before program to 55.7 points after program. Confidence in practice was changed from 45.9 points (possible range : 14-56) before program to 50.0 points after program. Even though all three areas were improved after educational program, knowledge showed the largest change among them. Conclusion: We can conclude the educational program was effective because knowledge, attitude, and confidence in practice on the control of communicable were statistically significantly improved after educational program. Further educational program is recommended to be operated to get more improvement in attitude and confidence in practice. And short-term continuing educational program is needed to maintain and refresh the information on the control of communicable diseases in schools.

• Asian Pacific Journal of Cancer Prevention
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• 제17권6호
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• pp.2853-2856
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• 2016

Background: Many studies have pointed to strategies to cope with patient anxiety in colposcopy. Evidence shows that patients experienced considerable distress with the large loop excision of transformation zone (LLETZ) procedure and suitable interventions should be introduced to reduce anxiety. This study aimed to investigate the effects of music therapy in patients undergoing LLETZ. Materials and Methods: A randomized controlled trial was conducted with patients undergoing LLETZ performed under local anesthesia in an out patient setting at Ramathibodi Hospital, Bangkok, Thailand, from February 2015 to January 2016. After informed consent and demographic data were obtained, we assessed the anxiety level using State Anxiety Inventory pre and post procedures. Music group patients listened to classical songs through headphones, while the control group received the standard care. Pain score was evaluated with a visual analog scale (VAS). Statistical analysis was conducted using Pearson Chi-square, Fisher's Exact test and T-Test and p-values less than 0.05 were considered statistically significant. Results: A total of 73 patients were enrolled and randomized, resulting in 36 women in the music group and 37 women in the non-music control group. The preoperative mean anxiety score was higher in the music group (46.8 VS 45.8 points). The postoperative mean anxiety scores in the music and the non-music groups were 38.7 and 41.3 points, respectively. VAS was lower in music group (2.55 VS 3.33). The percent change of anxiety was greater in the music group, although there was no significant difference between two groups. Conclusions: Music therapy did not significantly reduce anxiety in patients undergoing the LLETZ procedure. However, different interventions should be developed to ease the patients' apprehension during this procedure.

• Asian Pacific Journal of Cancer Prevention
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• 제16권4호
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• pp.1515-1518
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• 2015

Background: Leukoplakia is an asymptomatic and potentially malignant change in the oral mucosa and high frequencies have been reported among smokers. The present study concerned the prevalence of tobacco use and leukoplakia and also associations between the two. Study design: This cross sectional survey was conducted amongst the Gond tribal population of Kundam Block, Jabalpur district, Madhya Pradesh state, Central India during 2007 to 2009. Screening for leukoplakia was conducted by a medical officer with two mouth mirrors. It is only based on visual inspection and oral pathology was not performed. A semi-structured questionnaire was used to collect information on socio-demographic and smoking habits. Prevalence of leukoplakia among users and non-users of tobacco was calculated in terms of percentages. Results: Of 1,552 individuals aged more than 12 years of age who were screened, 144 (9.3%) were found to have oral leukoplakia. The prevalence of leukoplakia was significantly elevated among tobacco users as compared to non-users (11% vs 2.5%; p<0.001). The percentage of leukoplakia was almost similar in both tobacco smokers and chewers (9% vs 11%; p=0.304). However, the percentage of leukoplakia was especially high among those chewers who also smoked tobacco (21.9%). Conclusions: The findings of the present study showed a positive effect of tobacco use and prevalence of leukoplakia. Also the prevalence was very high among Gond tribe, a marginalized population living in central India. There is a need for effective screening and treatment of leukoplakia in this area.

• Journal of Korean Neurosurgical Society
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• 제63권6호
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• pp.784-793
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• 2020

Objective : We attempted to compare the incidence of pyogenic spondylitis (PS) and tuberculous spondylitis (TS) between 2007 and 2016. Furthermore, we investigated the patients who underwent surgery in 2016 compared to that in 2007. Methods : We used a nationwide database managed by the Korean National Health Insurance Service (NHIS) in 2007 and 2016. Total 9655 patients with a newly diagnosis of PS or TS were enrolled in PS or TS group. Among them, 1721 patients underwent either fusion or decompression surgery. We analyzed demographic distribution of patients according to gender and age and year of diagnosis. Results : Comparing between 2007 and 2016, the incidence of PS has increased in 2016 than in 2007 (4874 vs. 2431, p<0.0001). Conversely, declination of incidence of TS was discovered in 2016 compared to 2007 (594 vs. 1756, p<0.0001). Females showed predominance over males regarding both PS and TS (5228 vs. 4427, p<0.0001). Among them, the number of PS patients who underwent surgery increased significantly in 2016 relative to that in 2007 (979 vs. 592, p<0.0001). Conclusion : This nationwide study suggests that PS may increase and TS may decrease in Korea. In addition, demand for surgery regarding PS may increase.

• 생물정신의학
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• 제9권2호
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• pp.129-139
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• 2002

Objective:This study was performed to investigate the prescribing patterns of antimanic agents in the treatment of acute bipolar disorder inpatients in Korea from 1990 through 2000. The results will serve as the basic data for the practice guideline for the pharmacotherapy of bipolar disorder patients in Korea. Method:Retrospective chart review of bipolar disorder inpatients of Soonchunhyang Medical Center in Seoul and Chun-An was conducted for each of the year 1990, 1995, and 2000. The following data are collected ; 1) demographic data, 2) history of bipolar disorder, 3) length of hospital stay, 4) detailed drug titration records of antimanic agents and antipsychotic agents. Results:During the last decade, the frequency of lithium monotherapy was decreased obviously. Instead, more than half of the patients in 2000 were on combination therapy of lithium and anticonvulsants. Lithiumvalproate combination was the preferred strategy and the use rate of carbamazepine has been decreased. In addition, most of the patients were given antipsychotic agents during the last 10 years. And recently, atypical antipsychotics were increasingly prescribed. These changes in the field of pharmacology of bipolar disorder have resulted neither in shorter hospital stays nor lower dosages of concurrent neuroleptics. Conclusions:The results indicate the trends in the prescribing of antimanic agents for the treatment of bipolar disorder in Korea across the past 10 years. Mostly, the change seems to correspond to the international practice guideline. More systematic research is needed to find out the clinical benefits of the anticonvulsants in the real practice of treatment of bipolar disorder.

• 한국조사연구학회지:조사연구
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• 제12권1호
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• pp.1-30
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• 2011

본 연구의 목적은 선거여론조사에서 유권자의 사전 태도 및 투표 의향과 실제 투표 행동간의 상관성을 분석함으로써 투표결과에 대한 선거여론조사의 예측력을 높이는 방법을 탐색하는 것이다. 지지 후보, 정치적 자기 신뢰와 효능감 및 현재의 이슈에 대한 입장을 통해 사전 태도를 측정하고 투표 참여와 관련하여 투표 의향, 과거 선거에서 투표 참여 및 선거에 대한 관심 정도를 측정했다. 실제 투표행동은 개표 후 사후조사에서 투표 참여 여부와 투표 후보를 질문했고 사전조사와 투표 행동 간의 상관성을 분석하기 위해서 동일인을 대상으로 사전, 사후조사를 실시했다. 사전조사의 투표 의향, 선거 관심도와 과거 투표 참여 등이 실제 투표 참여와 상관성이 컸으며 사전조사의 지지 후보와 실제 투표후보 간에는 변동이 거의 없었다. 또한 인구 특성과 현안에 대한 태도를 통해 지지 후보 무응답자의 투표행동을 예측할 수 있음을 입증했다.

• 디지털융복합연구
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• 제18권2호
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• pp.367-376
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• 2020

최근 신 소비시장 트렌드에 관한 통계에 따르면 그 중심에 '나홀로 소비' 가 있다. 본 연구는 특정 사회적 트렌드는 그것에 대한 배경을 형성하고 있는 사회와 지역성, 문화, 경제, 심리 등 삶의 다양한 측면들을 통합적인 시각으로 해석하는 것이 중요하다는 측면에서, 수많은 대중의 의견이 수렴되는 신 소비시장 관련 리서치 데이터에서 추출한 '나홀로 소비' 연관어를 분석 키워드로 설정하였고, 분석솔루션 중 하나인 소셜메트릭스TM를 통한 오피니언 분석(Opinion Analisys) 기법을 활용하여 신 소비시장 트렌드에 관한 연구를 진행하였다. 신 소비시장 고찰결과 '혼밥', '혼술', '혼영'이라는 키워드가 도출되었고 이를 활용하여 신 소비시장 트렌드를 분석하였다. 나홀로 소비는 기존 소비자 트렌드 가운데 글로벌 경제위기 이후에 인구변화와 함께 야기된 필연적 새로운 소비 트렌드가 되었고 연관어에 따른 긍, 부정 감정분석의 결과도 대체로 긍정적인 데이터 결과를 확인할 수 있었으며, 이 소비 트렌드는 시대를 반영하는 새로운 트렌드로서의 중요성이 더욱 강화될 것이다. 향후 소셜 빅데이터에 의한 트렌드 분석이 본 연구보다 다양한 분석 도구를 통해 실행된다면 신 소비시장에 관한 새롭고 가치 있는 유통전략 및 기획에 도움이 될 것이다.

• 한국치위생학회지
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• 제8권3호
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• pp.73-84
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• 2008

This study conducted an interview questionnaire survey of 245 old people in some halls for the aged in the Daejeon Metropolitan City from June 1 to 31, 2008. on their attitudes toward and practice items for oral health, resulting in the following findings. 1. In terms of socio-demographic characteristics of the subjects, males females were 48.2% and 51.8% respectively, and in the educational level, no-education, elementary school graduation, middle school graduation, and high school graduation and higher were 27.8%, 33.9%, 26.5%, and 11.8%, respectively, showing the statistically significant difference (p=0.009). 2. In terms of attitudes toward oral health management by oral health care education, regarding questions of use of oral and dental hygiene products (p=0.016), experience in scaling, and whether or not they wear false teeth (p=0.018), a group having received the education rather than a group not having received it showed more positive oral health management attitudes, indicating the statistically significant difference. 3. In daily living inconvenience of acute oral health diseases according to oral health care education, acute oral diseases presents in a group with the education ($2.30{\pm}0.72$) lower than in a group without the education ($2.49{\pm}0.63$), indicating the statistically significant difference(p=0.031). 4. Factors of oral health diseases showed the significant relation with types of health insurance, subjective systemic health status, acute diseases and subjective oral health status (p<0.01), and the explanatory power or the final model was 38%. Accordingly it is thought that there is the indicated need for analyzing and grasping factors related to oral health diseases among the elderly through considering their attitudes toward and practice for oral health, and developing programs of enhancing the oral health of the elderly in order for them to change their attitudes and habits, and also reinforcing oral health care education for the elderly focused on making them perform oral health behaviors in a right way.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제23권3호
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• pp.259-265
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• 2020

Purpose: Perforation of choledochal cyst (CC) is a relatively rare clinical presentation in pediatric populations and difficult to predict preoperatively. We assess the clinical implications by comparing clinical parameters based on a single-center experience between perforated and nonperforated CC to facilitate the appropriate management for future interventions. Methods: A total of 92 cases of CC in pediatric patients (aged <18 years) who received surgical management between January 2003 and December 2018 at a Pusan National University Children's Hospital were reviewed. After screening the clinical features of perforated cases, we compared the demographic findings, clinical characteristics, and some laboratory results between the perforated and nonperforated groups. Results: Perforated CC was identified in 8 patients (8.7%), and nonperforated CC in 84 patients (91.3%). Perforation can be classified into three categories: free perforation of cyst (3 cases), pinpoint perforation of cyst (2 cases), and necrotic change of cyst (3 cases). CC perforation occurred significantly more commonly in patients aged <24 months. Clinically, the perforated group showed significantly higher frequency of fever and higher C-reactive protein (CRP) level during the initial visit. Conclusion: Perforation is more likely to be suspected in patients aged <24 months presenting together with fever and high CRP level in the initial visit. It is also necessary to keep in mind that it indicates not only a possibility of complicated disease status regardless of its association with stones but also a difficulty of applying a minimal invasive procedure and relatively increased length of hospital stay.

• Archives of Plastic Surgery
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• 제40권5호
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• pp.536-541
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• 2013

Background Pathogens in the nasal cavity during nasal surgery could lead to a systemic infectious condition, such as bacteremia, nosocomial infection, or toxic shock syndrome. However, there is no research about the prevalence of nasal carriage in patients with nasal bone fracture. Methods This was a prospective, double-blind, randomized study about the rate of nasal carriage in 200 patients with nasal bone fracture in Korea. Nasal secretions were taken from both the middle nasal meatus and colonized. All analyses were carried out using SPSS software. Results Pathogens were identified in 178 of the 200 cases. Coagulase-negative staphylococci (CNS) were the most cultured bacteria in 127 (66.84%) of the 190 total patients after excluding 10 cases of contaminated samples, and methicillin-resistant coagulase-negative staphylococci (MRCNS) were found in 48 (25.26%). Staphylococcus aureus was the second most identified pathogen, found in 36 (18.95%), followed by 7 cases (3.68%) of methicillin-resistant Staphylococcus aureus (MRSA). The prevalence rate of MRSA in the females was higher than that in the males (RR=4.70; 95% CI, 1.09-20.18), but other demographic factors had no effect on the prevalence rate of MRSA and MRCNS. Conclusions The prevalence rate of these pathogens in patients with nasal bone fracture in Korea was similar to other reports. However, few studies have addressed the prevalence rate of CNS and MRCNS in accordance with risk factors or the change in prevalence according to specific prophylaxis against infectious complications. Additional research is needed on the potential connections between clinical factors and microbiological data.