• 한국치위생학회지
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• 제14권1호
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• pp.33-38
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• 2014

Objectives : The purpose of the study is to investigate satisfaction, awareness and utilization of dental telephone services in dental clinic patients. Methods : A self-reported questionnaire was filled out by 220 dental clinic patients in G metropolitan city from March 11 to September 27, 2013. The data were analyzed by a descriptive analyses, ${\chi}^2$-test and relevant factors were determined using logistic regression analysis by SPSS 12.0. Results : The experience rate of scaling was 68.0% and the average number was $1.04{\pm}1.13$. The experience rate of regular check-up was 41.0% and the average number was $1.01{\pm}1.29$. Satisfaction and utilization rate of scaling and regular checkup was higher than that in those who did not receive the services. The major variables influencing the experience of scaling were woman, utilization of dental telephone service and regular check-up were awareness, utilization of dental telephone service and reason of utilization of dental telephone service(preventive). Conclusions : The dental telephone service in dental patients improved oral health. Accordingly, it is necessary to develop the professional dental hygiene program for oral health in dental patients.

• 한국보건간호학회지
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• 제15권1호
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• pp.111-124
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• 2001

This study was conducted to identify the characteristics of pain, self-esteem, perceived health status, and self-efficacy and its influencing factors in patients with chronic arthritis. The data were obtained from 104 patients with chronic arthritis registered in one university hospital in Seoul, from May to August, 2000. For analysing the data, SAS program was used for t-test, ANOVA, Scheffe test, Pearson correlation, and stepwise multiple regression. The results were as follows: 1. The variables which showed significant difference with pain were sex, number of painful joints. 2. The variables which showed significant difference with perceived health status were age, diagnosis. number of painful joints. 3. The variables which showed significant difference with self-efficacy were duration of disease, number of painful joints. quality of sleeping. 4. Moderate negative correlation were observed between pain and perceived health status, self-efficacy, and low positive correlation was observed between self-esteem and perceived health status. Also self-esteem revealed moderate positive correlation with self-efficacy, and moderate positive correlation was observed perceived health status and self-efficacy. 5. The predictors to explain self-efficacy were number of painful joints, self-esteem, duration of disease, duration of exercise and pain. These predictors explained $36.05\%$ of variance of self-efficacy. In conclusion, the nursing intervention to improve self-efficacy for chronic arthritis patients focused not only physiological symptoms such as pain. but also psychosocial factors such as self-esteem.

• Asian Pacific Journal of Cancer Prevention
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• 제17권5호
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• pp.2369-2374
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• 2016

Background: Differentiated thyroid cancer (DTC) is a cancer group that shares molecular and cellular origin but shows different clinical courses and prognoses. Several prognostic factors have been reported for predicting recurrence for individual patients. This literature review aimed to evaluate prognostic scores for predicting recurrence of DTC. Materials and Methods: A search of the MEDLINE database for articles published until December 2015 was carried out using the terms "thyroid neoplasms AND (recurrent OR persistent) AND (score OR model OR nomogram)". Studies were eligible for review if they indicated the development of prognostic scoring models, derived from a group of independent prognostic factors, in predicting disease recurrence in DTC patients. Results: Of the 308 articles obtained, five were eligible for evaluation. Two scoring models were developed for DTC including both papillary and follicular carcinoma, one for papillary carcinoma, and the other two for papillary microcarcinoma. The number of patients included in the score development cohort ranged from 59 to 1,669. The number of evaluated potential prognostic factors ranged from 4 to 25. Tumor-related factors were the most common factors included in the final scores, with cervical lymph node metastases being the most common. Only two studies showed internal validation of the derived score. Conclusions: There is a paucity of prognostic scores for predicting disease recurrence in patients with DTC, in particular for follicular thyroid carcinoma. Several limitations of the created scores were found. Performance of the scores has not been adequately studied. Comprehensive validation in multiple cohorts is recommended before widespread use.

• Asian Pacific Journal of Cancer Prevention
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• 제17권5호
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• pp.2411-2414
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• 2016

Purpose: To determine the incidence of high-grade cervical intraepithelial neoplasia (CIN2-3) among patients with atypical squamous cells of undetermined significance (ASC-US) Papanicolaou (Pap) smears. Materials and Methods: One-hundred and eighty-seven patients with ASC-US Pap smears who underwent colposcopy with histological study were enrolled between September 2007 and August 2015. Patient factors (including age, parity, current pills used, HIV status, age at first sexual intercourse and number of sexual partners) were obtained. Logistic regression analysis was used to evaluate clinical factors associated with CIN2-3. Results: CIN was diagnosed in 92 of 187 women (49.2%). Sixty-one of these (32.6%) had CIN1 and 31 (16.6%) had CIN2-3. There was no woman who had invasive cancer. There was no correlation of high-grade CIN with factors in this study including age, parity, current pills used, HIV status, age at first sexual intercourse and number of sexual partners. Conclusions: Data from this study showed no invasive cervical cancer was found in patients with ASC-US. There was no patient factor associated with high grade intraepithelial neoplasia in patients with ASC-US Pap smears.

• 대한간호학회지
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• 제13권2호
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• pp.58-69
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• 1983

This study on stressful life events and coping methods of hypertensive and nonhypertensive patients was applied to people who was divided into two groups from April 5 to March 10, 19 83. One is hospitalized patients in medical wards of three university hospital in Seoul. The other is inhibitants in two Dongs of Seoul. This study compared the number and seversity of stressful life events reported by hypertensive and nonhypertensive patients, indentified coping methods used by the two groups and explored the relationship between stressful life events and coping methods. Two instruments are used in this study. The first one to measure stressful life events, is Holmes ＆ Rahe (1967)'s S.R.R.S. (Social Readjustment Rating Scale). Which is translated & am-ended. So that it consists of 46 items. The second one is for evaluating coping method. It consists of f items amended through preliminary test after consideration of related literature review and survey on the basis of Bell (1977)'s‘18-item-Questionnaire.’The materials were analyzed by S.P.S.S. (Statistical Package for the Social Science) program-The results of analysis were as follows: 1. There were no significant difference in the number and severity of stressful life events reported by hypertensive and nonhypertensive patients (p>.05). 2. There were significant difference in use of short-term coping methods (p<.01) and long-term coping methods (p<.05).

• Journal of Chest Surgery
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• 제25권7호
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• pp.763-768
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• 1992

To prevent recurrence of spontaneous pneumothorax, 23 patients were operated through median sternotomy for simultaneous resection of bilateral bullae, And 27 patients with spontaneous pneumothorax were treated with unilateral thoracotomy, We studied the number, duration and sites of recurrence including findings of CT scan, as well as comparing the both operated group. The incidence of spontaneous pneumothorax was 88% in patients with the ages between 16 to 35 Forty one patients[82%] were operated with the indication of recurrent pne-umpthorax. The number of pneumothorax attack was 2.34 per patient with recurrent pneumothorax. The 87.8% of recurrence was occured within 6 months from last attack. Ips-ilateral recurrnet pneumothorax was 56.1% and contallateral involve was 43.9%. The bilaterality of visible bullae was 90.9% in the findings of chest CT scan and 91.3% in the operative finding. The sensitivity and accuracy for bulla detection with chest CT were 92.6%, respectively. Exclude one case of complicated median sternotomy infection, the postoperative hospital stay was shorter in median sternotomy approached group[P<0.05]. In conclusion, the bullous lesions of the lung have tendency of bilaterality so that median sternotomy for simultaneous resection of bilateral bullae should be considered in patients with contralateral visible bullae with chest CT.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
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• 제48권1호
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• pp.33-40
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• 2022

Objectives: Prolotherapy is a method that has gained popularity in recent years and has been reported to have positive short-term and long-term clinical results in maxillofacial surgery, especially temporomandibular joint (TMJ) hypermobility. This study aimed to evaluate the changes in the trabecular structure of mandibular condyles in patients who underwent prolotherapy due to TMJ hypermobility using the fractal analysis method. Materials and Methods: Forty-five patients who received dextrose prolotherapy at a concentration of 20% and fifteen control patients were included in the study. All patients had panoramic radiographs just before (T0) and six months after treatment (T1). The patients who received treatment were divided into three groups according to the number of prolotherapy injections. The regions of interest were selected from bone areas close to the articular surfaces of the condyles. The fractal dimension (FD) values were calculated. Results: The main effect of time on the FD value was significant [F (1, 56)=86.176, P<0.001]. This effect was qualified by a significant time×group interaction effect [F (3, 56)=9.023, P<0.001]. The decreases in FD values in all treatment groups between T0 and T1 times were significant (P=0.004). However, changes in FD values were not significant in the control group (P=0.728). Conclusion: Dextrose prolotherapy without the effect of the number of injections caused a decrease in FD values in the mandibular condyles over time.

• 한방안이비인후피부과학회지
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• 제19권3호통권31호
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• pp.158-170
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• 2006

Background : Tinnitus is a common symptom in outpatients of Otolarygology but has no correct diagnosis and effective treatment. Patients with tinnitus experienced the disorder to a degree that their quality of life and productivity are impaired. Objective : This study was conducted to investigate the change of THI score, the number of attending symptoms for the Korean medical treatment. And we investigated that the interrelationship is in existence as sex, age. Methods : Fatty patients were recruited in this study who was ill with tinnitus. They wrote out the questionnaire about tinnitus and the Tinnitus Handicap Inventory(THI) before and after treatment. The Korean medical treatment include a herb remedy, acupuncture. Result : THI score changed before and after treatment remarkably, and the number of attending sysmptoms also decreased noticeably. Relativity of questionnaires before and after treatment has difference as sex and age. Conclusion : Before and after treatment, the patients's THI score change significantly. In this study, the Korean medicine has effect on patients's quality of life with tinnitus. We expect that this study inform the effect of Korean Medicine about tinnitus and THI is the good questionnaire for measureing quality of patients' life with tinnitus for Korean medical doctors.

• Journal of Chest Surgery
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• 제27권8호
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• pp.669-676
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• 1994

Because the number of patients who require maintenance hemodialysis is increasing in number recently, angioaccess has become important to many vascular surgeons participating in the management of such patients.The authors created 269 arteriovenous fistulas[AVF] for angioaccess in 229 patients with chronic renal failure[CRF] at the Department of Thoracic and Cardiovascular Surgery in Chungnam National University Hospital during the period from August 1990 to March 1993. We analyzed the results of 260 operations for 220 patients except 9 patients who were lost during the follow up period. We performed snuffbox AVF in 171 cases, classic radiocephalic AVF in 46 cases, direct AVF at other site in 5 cases, forearm Gore-Tex AVF in 29 cases, and upper arm Gore-Tex AVF in 9 cases. We experienced 13 cases of operative failures, 11 cases of early complications, and 60 cases of late complications including obstructions during follow-up period. The 1 year, 2 year and 3 year patency rates of snuffbox AVF[Group 1], classic radiocephalic AVF[Group 2], and Gore-Tex AVF[Group 3] are like followings; 89, 84, 76% in group 1, 84, 75, 68% in group 2, and 79, 66, 55% in group 3. It showed a statistically significant difference between group 1, 2 and group 3.

• 기본간호학회지
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• 제4권2호
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• pp.337-349
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• 1997

The prognosis of maintenance hemodialysis (HD) patients is closely related to their nutritional status. It is important to develop and use of a reliable, useful and easy method of nutritional assessment scale for evaluation of nutritional status and progression of the patients. This study was initiated to evaluate the clinical usefulness of Instant Nutritional Assessment Scale(INAS) by cross-sectional and longitudinal studies. One hundred HD patients entered a continuing nutritional study and followed for 1 year. The results were as follow ; 1. 24% of patients was normal to mild, 43% was moderate and 33% was severe deficit of nutritional status. 2. The mean INAS score of the patients was 8.00(S. D.=2.83), and there didn't reveal any differences in INAS score by general characteristics. The mean transferrin score was 1.98, whih was the highest of 5 nutirtional parameters of INAS. Only 7 patients had within nomal range of transferrin concentration. 3. Within one year since this study was initiated, 10 patients died. Six of them were with severe deficit and one of them was normal to mild deficit groups. The death rate in severe deficit group was higher than that of normal to mild deficit group (P=.0640). 4. Occurrence of acute complication during HD in severe deficit guoup was higher than that of normal to mild deficit group(P=.001). 5. The number of consultation to the doctor and hospital admission in severe deficit group was higher than that of normal to mild deficit group(P=.0001). 6. INAS score was significantly correlated with occurrence of acute complications during HD and the number of consultation to the doctor. In conclusion, INAS based on the levels of body mass index, midarm circumference, triceps skinfold thickness, transferrin concentration and total lymphocyte count seems to be a reliable predictive nutritional index for prognosis. So nurses are encouraged to adopt INAS in care of the chronically illed patients. Recommendations for further research was suggested.