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Scalp reconstruction: A 10-year experience

  • Jang, Hyeon Uk;Choi, Young Woong
    • Archives of Craniofacial Surgery
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    • v.21 no.4
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    • pp.237-243
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    • 2020
  • Background: The scalp is an important functional and aesthetic structure that protects the cranial bone. Due to its inelastic characteristics, soft-tissue defects of the scalp make reconstruction surgery difficult. This study aims to provide an improved scalp reconstruction decision making algorithm for surgeons. Methods: This study examined patients who underwent scalp reconstruction within the last 10 years. The study evaluated several factors that surgeons use to select a given reconstruction method such as etiology, defect location, size, depth, and complications. An algorithmic approach was then suggested based on an analysis of these factors. Results: Ninety-four patients were selected in total and 98 cases, including revision surgery, were performed for scalp reconstruction. Scalp reconstruction was performed by primary closure (36.73%), skin graft (27.55%), local flap (17.34%), pedicled regional flap (15.30%), and free flap (3.06%). The ratio of primary closure to more complex procedure on loose scalps (51.11%) was significantly higher than on tight scalps (24.52%) (p=0.011). The choice of scalp reconstruction method was affected significantly by the defect size (R=0.479, p<0.001) and depth (p<0.001). There were five major complications which were three cases of flap necrosis and two cases of skin necrosis. Hematoma was the most common of the 29 minor complications reported, followed by skin necrosis. Conclusion: There are multiple factors affecting the choice of scalp reconstruction method. We suggest an algorithm based on 10 years of experience that will help surgeons establish successful surgical management for their patients.

A Study on the Relationships between Purchasing Behavior of Textile and Perceived Risk. (옷감 구매행동에 있어서 지각된 위험 (perceived Risk)의 역할에 관한 연구)

  • 남상우
    • Journal of the Korean Home Economics Association
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    • v.26 no.1
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    • pp.21-31
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    • 1988
  • The main problem of consumer behavior is choice since the outcome of me of a choice can only be known in the future, consumers are forced to deal with the risks of und\certainty. So, perception of risk is pivotal aspect of consumer behavior. This study was designed to investigate the relationships between purchasing behavior of textile and perceived risk. Data were obtained from 276 housewives. ANOVA, x2-test were employed to analyse the data. The result were : 1. general features of textile purchase behavior are as follows. Blend wools and pure wool products are prefered. Fall is the major season in purchasing textile. Wholesalers, department stores and agent stores are prefered. Purchasing decision making process independent upon not only textile itself but the practice value of the textile. Purchasing textile, married young women depend on outward shape of the textile, middle and old aged groups depend on the economic value of the textile and the credibility of the stores. 2. Perception of risk is relatively high in the preference of store, color/design, and psycological uncertainty. But the perceived risks is relatively low in brand, price and social credibility. 3. There is significant relationship between the recognition rate of risk and the sensitiveness of the consumer. In addition, there are strong relationship between the risk rate and the preference of shop, brand, and price. On the other hand, there are no significant relationship between the color, design, and sociopsyco-logical risk and demographic variables. 4. The perceived risk of consumer would be a key stone to grasp the consumer behavior. The product company needs to provide full information which could reduce the perceived risk of consumer. there attitude would help for the mutual interests. In the future research, we need to develop the precise methods for finding variables on the perceived risk during the process of making purchase intention.

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Voluntary Choice of Part-time Work and Job Satisfaction (시간제근로에서 자발성과 일자리 만족)

  • Sung, Jaimie;Ahn, Joyup
    • Journal of Labour Economics
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    • v.30 no.1
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    • pp.109-137
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    • 2007
  • One of the key features of the Korean labor market is that, even though the central axis of employment has shifted from manufacturing sector to service sector, the ratio of part-time work is very low. Its major reasons are low wage rate, insufficient fringe benefits including social insurance, and deficient job security, even though part-time work has positive characteristics. This study examines whether part-time work would be a decent one and an alternative to full-time work by answering two questions: one is who chooses part-time work and another is whether part-time work is satisfactory. Analyses of 3,971 wage workers in the 8th wave of the Korea Labor and Income Panel Survey reveal that, as expected, part-time work is prevalent among the young, married women, and the old supporting the results from previous studies and that choosing part-time work on one's initiatives has a significant positive effect on job satisfaction for women while it is not for men. Form the result, it can be concluded that part-time work can be an appropriate alternative for full-time work if one chooses it voluntarily.

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Study on Relationship of Channel-Selection-Type & Audiences in TV News (TV 뉴스 콘텐츠의 채널 선택 유형에 따른 수용자 특성)

  • Kim, Seung-Hwan
    • The Journal of the Korea Contents Association
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    • v.7 no.6
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    • pp.99-106
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    • 2007
  • This study aimed at finding out news viewership composition of the major 5 broadcasting companies in Korea and analysing the reasons behind their channel choice as we live in so-called the 'multi-channel era'. To figure out demographic features and channel preferences of viewers, the study focused on the 4 watcher types; channel loyalty type, brief news type, central watcher type and peripheral watcher type. The result shows that most viewers fall into the 'brief new type', which means that there is a close relation between life style changes and TV news-contents viewership. Channel preferences were found to differ according to demographic features of viewers like gender, age and professions.'Central Watcher' type was found to prefer KBS1; 'channel loyalty' type, MBC; 'peripheral watcher', SBS; and 'brief news' type, YTN, while only KBS2 has no distinctive viewership of its own.

Effects of Price Perception and Store Attributes on Fashion-Related Store Choice Behavior;Focused on Department Store, Discount Store, and Internet Shopping Mall (가격인지차원과 점포속성이 패션제품 점포선택행동에 미치는 영향;백화점, 할인점, 인터넷 쇼핑몰을 중심으로)

  • Sung, Hee-Won
    • Journal of the Korean Society of Clothing and Textiles
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    • v.32 no.8
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    • pp.1274-1285
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    • 2008
  • The purpose of this study is to investigate influences of perceived price dimensions and store attributes on store choice behavior. Three major retail formats, department store, discount store, and internet shopping mall in retail industry were compared with respect to store attributes and intention to purchase fashion products. Data were obtained from 427 consumers aged 25-49 years old. The results were as follows. (1) Multidimensional aspects of the price construct were identified: price-quality schema, prestige sensitivity, price mavenism, value consciousness, price consciousness, and sales proneness. (2) Store attributes included product assortment, quality per price (Q/P), service, and symbolic image in general. However, store attribute factors of three retail formats consisted of slightly different items. Department stores presented the highest level of mean scores on product quality, customer service, and symbolic images, while internet mall exhibited highest on product variety, information comparison, and quality per price. (3) Respondents presented high level of intention to purchase fashion products at internet mall, department store, and discount store in that order. (4) Purchase intention at department store was predicted by Q/P, service, symbolic image, prestige sensitivity, product assortment, clothing consumption, and age in order. Purchase intention at discount store was influenced by assortment & Q/P, symbolic image, clothing consumption, and sales proneness, whereas internet mall was predicted by product assortment, Q/P, service, price mavenism, and price-quality schema.

Health promotion lifestyle to the selection factors of dental institutions among some office workers (일부 직장근로자들의 건강증진생활양식에 따른 치과의료기관 선택 요인)

  • Song, Bok-Nyeo;Song, Kwui-Sook;Jang, Sun-Hee
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.1
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    • pp.179-187
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    • 2012
  • Objectives : The purpose of this study was to examine the influential factors for the choice of dental institutions among adult office workers who were one of major medical consumer groups, the relationship between their health promotion lifestyle and their choice of dental institutions, ways of boosting the efficiency of hospital management and differences in differentiation strategies among dental institutions. Methods : The subjects in this study were 160 office workers who were aged 20 and over and worked in Seoul, North Jeolla Province and South Jeolla Province. They were selected by convenience sampling, and a survey was conducted from February 1 to July 20, 2011. The answer sheets from 149 respondents were analyzed by the statistical package SPSS WIN 12.0 except for 11 incomplete ones. Results : As for the selection factors of dental institutions by general characteristics, they attached a statistically and significantly different importance to convenience according to gender(p<0.05), to reliability, facilities and cleanness according to age(p<0.05), to reliability and convenience according to academic credential(p<0.05) and to facilities and cleanness according to academic credential(p<0.01). Concerning the links between the form of using dental institutions and the selection factors of dental institutions, they gave a statistically and significantly different weight to reliability according to that(p<0.05). Convenience(p<0.001) was the primary selection factor of dental institutions among those who scored higher in health promotion lifestyle. Conclusions : Given the above-mentioned findings, it seemed that the regular implementation of oral health plans geared toward workers and the development of educational programs are required to promote the oral health of workers. But this study examined the workers in several regions only, and the findings might not be generalizable.

The Effect on Employment of Employment Preparation Activities in College Graduates (전문대학생의 취업준비활동이 취업에 미치는 영향)

  • Choe, Sun-Mi
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.4
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    • pp.2556-2563
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    • 2015
  • This study aims to find out the employment effectiveness of employment preparation activities that college students experience, especially focused on analyzing employment effects of college employment-related activities such as career choice and employment support program, along with individual preparation activities such as qualification, vocational training, etc. It performed binary logistic regression analysis using 2011 Graduates Occupational Mobility Survey data of 3,249 college graduates. The results showed that In college characteristics, the higher grade point average was and the more college was located in non-metropolitan area, the higher employment probability was. In the case of major field, Medicine, Education, Engineering, Social Science, Natural science in highest first order had employment probability higher than the reference group. The results showed that the number of qualification, interview skill & resume description skill program participation, and job search experience before and after graduation among employment preparation activities had an effect on employment. The rest, that is, vocational training, career employment curriculum, work experience program, career counseling program, employment camp, in-school job experience, employment goal status before graduation did not have an direct effect on employment.

A Study of the Reasons for Wanting Children Among Women Under Thirty Five Years of Age Residing in the Yonsei Community Health Area (일부 연세지역 부인들의 자녀를 원하는 이유의 분석에 대한 기초연구)

  • 이정숙
    • Journal of Korean Academy of Nursing
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    • v.3 no.2
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    • pp.81-90
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    • 1973
  • Since there is nothing in the literature regarding how Koreans value their children, this is an exploratory study attempting to (1) generate ideas as to why women of child- bearing age want children and (2) discover aspects of the interaction between the value of children and the fertility behavior according to socio-economic class and level of education. Fifty women from the Yonhee A Citizen′s Apartment and 50 women from the slum area surrounding the Yonhee Apartment were interviewed by the investigator during the period of October 10 to October 25, 1972. All of the women interviewed were under 35 years of age and had more than one child. The questionnaire consisted of questions regarding the general characteristics of the respondents, the status of current family planning practice, the number of induced abortions and the reasons for wanting children. An open ended question followed by a forced choice question was the method used to determine the reasons for wanting children. The results of the study were as follows: 1. Half of all the respondents were between 30 and 34 years of age. 2. Four percent of the respondents had no schooling, 51 percent had graduated from primary school, and 45 percent were educated beyond middle school. 3. The most important reasons tot wanting children given by the respondents were categorized as follows: (1) carrying on the family name, (2) old age security, (3) value of life, (4) fun of rearing children, (5) avoidance of loneliness, (6) responsibility of women. 4. The number of consistent answers between the open ended and forced choice questions regarding reasons for wanting children was significantly different. Only 30 women among the total respondents gave consistent answers. Carrying on the family name was the category in which there was the highest rate of consistency. 5. The reasons for wanting children were not significantly different for age, educational level, and number of living children for all of the respondents. 6. In response to the question "If you want to have only one child, which sex , would you prefer\ulcorner" 96 percent of the respondents said they would select a son. 7. Major suggestions for further study were to differentiate. (1) between reasons women want children and reasons women have children and (2) between reasons men want children and reasons women want children.

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The present status of breast feeding practice according to the postpartum period (산후 경과별 모유수유실태)

  • Park, Ok-Hee;Kwon, In-Soo
    • 모자간호학회지
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    • v.1
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    • pp.45-58
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    • 1991
  • The purpose of this descriptive study was to investigate the determinants of mother's choice of infant feeding method on immediate postpartum period & the breast feeding practice after 1, 2, 3, 4, 5months. The subjects were 170 mothers who were delivered at 2 hospital, 2 OBGY clinics, 1 midwifery in Jinju, the data were collected from Jan. 1 to Feb. 20 of 1991, form each subject at two periods of time ; postpartum 2 or 3 days via interview, 5months via telephone interview. The results were as fellows : 1. The propotion of mother planned exclusive breast-feeding was 66.5%, milk feeding 17.6%, mixed feeding 15.9%, End 38.9% of mothers planned to breast-feed their infants for 4-6moths, 25.7% for more than 12 months. The major reasons for selection of milk feeding method were the presence of mother's job(26.7%), the conditions of breast & milk production(23.7%). 2. There were significant relations between the choice of feeding method & the presence of s job(p<.01), & parity(p<.01). 3. The percentages of subjects that were received education about the advantages & method of breast feeding were 63.5%, 38.2%, respectively, & the informants were mass media, 89.8%, 81.5%. 4. The most of mothers had the knowledge about the advantages of breast feeding. 5. The percentage of mothers that practiced breast feeding on postpartum were 75.9%. 6. The rates of breast feeding practice by duration were more than 5months, 60.5%, 1 month, 27.1%, 2-4 months. 12.3%. 7. The reasons for the stop of breast feeding were the decrease of milk volume(22.9%), the presence of mother's job(17.4%). 8. The duration of breast feeding practice were differed significantly by the presence of mother's job, type of delivery, rooming-in, planned duration of breast feeding, the first feeding time.

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Prevalence and Alternative Treatment of Head-Lice Infestation in Rural Thailand: A Community-Based Study

  • Singhasivanon, On-uma;Lawpoolsri, Saranath;Mungthin, Mathirut;Yimsamran, Surapon;Soonthornworasiri, Ngamphol;Krudsood, Srivicha
    • Parasites, Hosts and Diseases
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    • v.57 no.5
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    • pp.499-504
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    • 2019
  • Head-lice infestation, pediculosis capitis, remains a public-health burden in many countries. The widely used first-line pediculicides and alternative treatments are often too costly for use in poor socio-economic settings. Ivermectin has been considered an alternate treatment for field practice. This study was composed of 2 parts, a cross-sectional survey and an intervention study. The main objectives were to determine the prevalence and potential factors associated with head-lice infestation, and to evaluate the effectiveness and safety of oral ivermectin administration. A community-based cross-sectional survey was conducted among 890 villagers in rural areas along Thai-Myanmar border. Females with infestations were eligible for the intervention study, and 181 participated in the intervention study. A post-treatment survey was conducted to assess acceptance of ivermectin as a treatment choice. Data analysis used descriptive statistics and a generalized-estimation-equation model adjusted for cluster effect. The study revealed the prevalence of head-lice infestation was 50% among females and only 3% among males. Age stratification showed a high prevalence among females aged <20 years, and among 50% of female school-children. The prevalence was persistent among those with a history of infestation. The major risk factors were residing in a setting with other infected cases, and sharing a hair comb. The study also confirmed that ivermectin was safe and effective for field-based practice. It was considered a preferable treatment option. In conclusion, behavior-change communication should be implemented to reduce the observed high prevalence of head-lice infestation. Ivermectin may be an alternative choice for head-lice treatment, especially in remote areas.