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Dermoid cysts: Epidemiology and diagnostic approach based on clinical experiences

  • Choi, June Seok;Bae, Yong Chan;Lee, Jae Woo;Kang, Gyu Bin
    • Archives of Plastic Surgery
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    • v.45 no.6
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    • pp.512-516
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    • 2018
  • Background Dermoid cysts are congenital tumors that are benign. Dermoid cysts with intracranial extension can cause serious neurological complications. It is important, therefore, to determine whether a patient has a dermoid cyst when their chief concern at a doctor's visit is a mass in the head or neck area. In this study, we present a literature review of dermoid cysts and an analysis of the authors' experiences, with the goal of providing guidance useful for the diagnosis and treatment of dermoid cysts. Methods This study retrospectively analyzed the medical records of 62 patients who visited the two medical clinics with which the authors are affiliated. The patients were enrolled between October 2003 and January 2017. Results Of the 62 patients analyzed in this study, 32 were 0 to 5 years of age (52%) and 23 were 17 years of age or older (37%). Forty-seven patients underwent 1 or more imaging study during the process of diagnosis. Thirty-two patients were suspected to have a dermoid cyst. Forty-nine patients were analyzed to determine the depth of the cyst. Bone was seen in 43 patients through imaging tests or during actual surgery, and nine of the 43 had bony problems (21%). Conclusions This study found that dermoid cysts were present in many adults, and that a high rate of deep lesions was observed, as well as many cases in which even the bone was affected. These results suggest, therefore, that dermoid cysts should be considered, and medical professionals should actively conduct imaging studies.

Evaluating Customer Perceptions of Car Seats' Functions Using the Kano Model (Kano 모델을 이용한 자동차 시트 조절기능에 대한 고객인식 연구)

  • Kim, Hakgyun;Song, HaeGeun;Park, Young T.
    • Journal of Korean Society for Quality Management
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    • v.41 no.4
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    • pp.683-692
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    • 2013
  • Purpose: Car seats affect customer satisfaction greatly when the seats' design is changed because car holders are in close contact with the seats. However, the improvement of the current seats' design involves risks such as investment cost, and therefore it needs strategic operating measures from the perspective of customers. Until now, operations of seats' specification have been decided by technical-push rather than market-pull, and carried out based on professionals' experience without measuring customer satisfaction correctly. The purpose of this study is to present a systematic approach to measure customers' perception on the car seats using the Kano model and pairwise comparison technique. Methods: The authors derive 17 major functions of a car seat by analyzing major components of car seats, and conduct a survey of 141 adults who hold a car(s). Results: The results show that consumers perceive the adjustable functions of front seats as must-be while the same functions for rear seats are perceived as attractive. In particular, motor operated functions for both front and rear seats increase customer satisfaction greatly if they are presented. Conclusion: This study shows that how much customer (dis)satisfaction will increase if a function of car seats (non)fulfilled, and therefore, the results of this study will provide practitioners and R&D personnel in new automobile seats development projects with useful information.

A Study on Development Direction for the Establishment of the Rural Landscape Planning (경관관련 제도변화에 따른 농촌경관계획의 발전방안 연구)

  • Kim, Sang Bum;Son, Ho Gi;Kim, Eun Ja;Lee, Dong Gwan
    • Journal of Korean Society of Rural Planning
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    • v.18 no.4
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    • pp.35-44
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    • 2012
  • The main contents of revision of the rural landscape planning according to Landscape Law discussed in this study show that the urban landscape and rural landscape have a propulsion system which integrate them into the national landscape and manages through the landscape planning. However, management and conservation reflecting the fundamental difference between urban and rural areas are needed. Planning the landscape by generalizing the size of the population, administrative district, the surface area does not meet the ultimate purpose of the Landscape Law that tries to establish differentiated local landscapes. Therefore, the association of professionals who can support and establish a propulsion system for landscape planning with the consideration of regional characteristics. For the urban landscape, the landscape committee is fulfilling the role, but none is available for the rural areas. This study is mostly based on previous literatures, however, in the future, it is desirable to have selected pilot areas for different landscape types and review problems that may occur during the application and process, in order to establish the landscape guidelines for the rural landscape plan.

The Type Classification on Modifiable Styling Methods in Western Costumes - From Ancient to Middle Ages - (서양복식의 가변성 스타일링 유형분류 - 고대부터 중세까지를 중심으로 -)

  • Kim, Hye-Ree;Chun, Hei-Jung
    • Journal of the Korean Society of Costume
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    • v.62 no.2
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    • pp.1-12
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    • 2012
  • Cloths wrapped around the body have been the basis of the dress of people all over the world for centuries. This study is to research detailed modifiable fashion styling methods in history and to give ideas to people such as fashion professionals who are interested in fashion styling so that they can create modifiable fashion styling easily in fashion fields. The characteristics of modifiable fashion styling methods from ancient to middle ages are as follows. The first modifiable styling method is to expose the knots on the surface of the garments, and the knots were mainly located on the upper part of the body. The second method is a wrapping type of the modifiable styling method, which shows a lot of variant simple shapes of cloths. This method helped develop many wrapping methods over time. The third way is the fixed type of the modifiable styling method, and it uses accessories such as fibulae, belts to fix cloths, to create many different styles. The accessories are located on around either the neck or waist. The fourth method is the composite type of the modifiable styling methods mentioned above. This styling method is adapted in robe type clothes which makes the clothes look full of beautiful drapery. This study suggests that simple shapes of cloths can create enormous amount of styling which can be easily adapted and created nowadays.

Probability of Early Retirement Among Emergency Physicians

  • Shin, Jaemyeong;Kim, Yun Jeong;Kim, Jong Kun;Lee, Dong Eun;Moon, Sungbae;Choe, Jae Young;Lee, Won Kee;Lee, Hyung Min;Cho, Kwang Hyun
    • Journal of Preventive Medicine and Public Health
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    • v.51 no.3
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    • pp.154-162
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    • 2018
  • Objectives: Early retirement occurs when one's job satisfaction suffers due to employment mismatch resulting from factors such as inadequate compensation. Medical doctors report high levels of job stress and burnout relative to other professionals. These levels are highest among emergency physicians (EPs), and despite general improvements in their working conditions, early retirement continues to become more common in this population. The purpose of this study was to identify the factors influencing EPs intention to retire early and to develop a probability equation for its prediction. Methods: A secondary analysis of data from the 2015 Korean Society of Emergency Physicians Survey was performed. The variables potentially influencing early retirement were organized into personal characteristics, extrinsic factors, and intrinsic factors. Logistic regression analysis was performed to identify risk factors and to develop a probability equation; these findings were then arranged in a nomogram. Results: Of the 377 survey respondents included in the analysis, 48.0% intended to retire early. Risk factors for early retirement included level of satisfaction with the specialty and its outlook, slanderous reviews, emergency room safety, health status, workload intensity, age, and hospital type. Intrinsic factors (i.e., slanderous reviews and satisfaction with the specialty and its outlook) had a stronger influence on early retirement than did extrinsic factors. Conclusions: To promote career longevity among EPs, it is vital to improve emergency room safety and workload intensity, to enhance medical professionalism through a stronger vision of emergency medicine, and to strengthen the patient-doctor relationship.

Patient Assessment of Primary Care for Health Cooperative Korean Medicine Clinics in South Korea (의료생활협동조합 한의원의 일차의료서비스 수준 평가)

  • Seong, Taekyung;Lim, Byungmook
    • Journal of Society of Preventive Korean Medicine
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    • v.17 no.2
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    • pp.69-78
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    • 2013
  • Objectives : Health cooperative movement is of increasing concern among medical consumers and professionals in Korea. Most health cooperative clinics provide Western Medicine and Korean Medicine(KM) to patients. This study aimed to evaluate the primary care level of health cooperative KM clinics and compare it with local KM clinics in Korea. Methods : Face to face survey was performed at the 3 health cooperative KM clinics and 5 local KM clinics with the Korean Primary Care Assessment Tool (KPCAT). The KPCAT consists of 5 domains (21 items): first contact (5), coordination function (3), comprehensiveness (4), family/community orientation (4), and personalized care (5). Subjects were patients or guardians who had visited KM clinics five times or more during the last 3 months. We compared primary care scores of each domain between health cooperative KM clinics and local KM clinics. Results : Data were collected from 200 respondents (100 patients from health cooperative KM clinics and 100 local KM clinics). Total average scores of the KPCAT for health cooperative clinics and local KM clinics were $81.1{\pm}12.0$ and $75.4{\pm}9.5$, respectively. Among primary care domains, personalized care was the highest ($89.2{\pm}12.0$, $89.6{\pm}8.4$, respectively), and comprehensiveness function was the lowest ($68.5{\pm}22.5$, $54.5{\pm}22.0$, respectively). Significant differences between two groups were noted in comprehensiveness function (68.5 vs. 54.5, P=0.000), family-community orientation (79.5 vs. 73.0, P=0.004), first contact(89.2 vs 84.0, p=0.001) and coordination function(74.0 vs 68.7, p=0.025). Conclusions : Based on the patients assessment, health cooperative KM clinics provide more primary care-oriented services than local KM clinics. This means that health cooperative clinic can be one of alternatives to strengthen the primary health care in Korea. Future researches are recommended to measure patients satisfaction and treatment effectiveness in the health cooperative clinics.

A Study on the Health Information Standards for Health Information System Implementation (의료정보시스템 구축을 위한 의료정보 표준에 관한 연구)

  • Jung, Yong Sik
    • Journal of Korea Society of Industrial Information Systems
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    • v.17 no.7
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    • pp.167-175
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    • 2012
  • Ubiquitous health care system, which is one of the developing solution technologies of IT, BT and NT, could give us new medical environments in future. Implementing health information systems can be complex, expensive and frustrating. Healthcare professionals seeking to acquire or upgrade systems do not have convenient, reliable way of specifying a level of adherence to communication standards sufficient to achieve truly efficient interoperability. Great progress has been made in establishing such standards-DICOM, IHE and HL7, notably, are now highly advanced. In this paper, there are suggestions that provide a test bed, demonstration and specification of how standards such a IHE, HL7, ASTM can be used to provide an integrated environment.

A study on oral health knowledge, behavior and practice among elderly people in some regions (일부 노인의 구강보건지식·행태 및 실천에 관한 조사연구)

  • Park, In-Suk;Kim, Jeong-Suk;Choi, Mi-Hye
    • Journal of Korean society of Dental Hygiene
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    • v.10 no.2
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    • pp.413-423
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    • 2010
  • Objectives : The purpose of this study was to examine the general characteristics, oral health knowledge and oral health behavior of elderly people and the relationship of their oral health knowledge to practice of the knowledge in an attempt to provide information on the development of the senior oral health care system. Methods : The subjects in this study were 324 elderly people who used five different social welfare centers in the regions of Sooncheon and Yeosoo. Results : 1. The oral health knowledge of the elderly people investigated was at a low level. Among different sorts of oral health knowledge, they had the best knowledge on the cause of dental caries, and they were most ignorant about the right time for regular dental checkup. 2. Regarding connections between general characteristics and oral health knowledge, the elderly people who never went to a dentist had a better knowledge on oral health, and those who cared about oral health had a better knowledge than the others who didn't. 3. As to practice of oral health knowledge, the best oral health behavior they did was to clean the tongue during toothbrushing, and oral health behavior was not to have an unbalanced diet. The second best one was to be well-nourished, and the third best one was to refrain from drinking, smoking and eating sugar-containing food. The fourth best one was to get a regular dental check-up and teeth cleaned. 4. There was a positive correlation between oral health knowledge and oral health behavior. A better oral health knowledge led to a better oral health behavior. Conclusions : The better oral health knowledge of the elderly people was followed by a better oral health behavior, and the development and implementation of customized oral health education programs geared toward the elderly are urgently required. Oral health professionals should direct their energy into providing sustainable and systematic oral health education, and institutional measures should be taken to make it happen.

Low-Cost Small Satellite Research and Development as an Education Tool (교육용 도구로서의 저가 소형위성 연구 및 개발)

  • 문병영;장영근;이병훈
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.34 no.10
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    • pp.80-91
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    • 2006
  • A method of multidisciplinary education has been implemented for satellite design, based on HAUSAT-1 and 2 ultra-small satellite development projects, in order to provide practical knowledge and experience to students studying satellite engineering. HAUSAT-1 was the nation's first 1kg-class ultra-small satellite. HAUSAT-2 nano-satellite is currently under a Proto-Flight Model development. These design projects make it possible to achieve the goal of science and technical research, which is representative of a university function, and the goal of molding professionals through providing an integrated function of system design education. An integrated system design, like satellite system, provides all participating students with an opportunity to directly/indirectly experience the entire system development process and encourage growth of multidisciplinary system education that has lately become an important issue.

Research on Innovation of General Environmental Education in Korean Universities (대학 교양환경교육 개선방안에 관한 연구)

  • Sung, Jung-Hee;Shin, Eui-Soon;Park, Tae Yoon
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.10 no.3
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    • pp.88-99
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    • 2007
  • This study is aimed to suggest a direction for the general environment education through analyzing current environment education curriculums and survey of educational needs for students in Korean universities. Since the result of this survey shows that most university students lack experience in environmental education in their secondary education, the basic educational programs as well as advanced educational programs should be included to develop a general environmental education curriculum for university students. So far, general environmental education for university students has not witnessed a clear and distinct object and direction. Since we live in a situation where environmental problems should be considered in every aspect of our society, the general environmental education curriculum for university students shall play a role to solve these problems. Additionally, we need to change the way of environment education from educating and raising the environment professionals to educating and raising people who comprehensively understand economy, society and environment under the sustainable development paradigm. Also the focus of environmental education should swift from natural science to over all perspectives. Recently, the need of interdisciplinary curriculum for the environment education field has been discussed in universities. However, it has not been integrated into the normal curriculum. In this regard, systemic improvement which enables general education curriculum to operate flexibly will be followed. The key to establish an interdisciplinary curriculum is a flexible educational curriculum system which can solve problems arising from departmental curriculums, and promptly respond to the demand of educational and social consumers. Additionally, the result of survey shows that students want diverse educational operations and teaching methods, equipping educational assistance system for these needs will be required.