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An Analysis of the Job Performance in Operative Restoration by Dental Hygienists (치과위생사의 치과보존분야 직무수행 현황 분석)

  • Cho, Pyeong-Kyu
    • Journal of Korean society of Dental Hygiene
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    • v.4 no.2
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    • pp.277-291
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    • 2004
  • The purpose of this study is to analyze the dental hygienists' overall performance in operative restoration and the clinical performance in operative restoration according to dental hygienists' career and to provide basic data for establishing the appropriate range of dental hygienists' work. Subjects of this study are 339 dental hygienists working at dental clinic and hospital nationwide, selected by their working place, career, type of clinic, and location of clinical institution. The distribution of people who responded to the survey shows that 81 belong to beginner level(less than 2 years since entering clinic), 115 intermediate level(2 to 3 years since entering clinic), 81 higher level(4 to 5 years since entering clinic) and 62 advanced level(more than 6 years since their entering clinic). In terms of the types of clinical institution, 178 belong to dental clinics and 161 belong to dental hospitals. The survey used in this study are focused on perception about clinical performance in operative dentistry and adequacy of the work. Operative dentistry consists of operative restoration and endodontic therapy. The operative restoration consists of 15 categories such as patient welcoming, examination and diagnosis, planning of treatment, anesthesia, control of moisture, cavity preparation, pulp protection, matrix band application, amalgam filling, resin filling, glass ionomer cement filling, abrasive strip removal, rubber dam removal, bite check and polishing, patient education, and arrangement. The reliability was Cronbach's Alpha .9453. SPSS 10.0 for Windows was used to analyze the responses. One way ANOVA was utilized to verify the differences in the dental hygienists' job performance in operative restoration and their job performance according to career. When significant difference was found. Duncan multi comparison post hoc was done. To sum up the results of this study, patient welcoming look the first place in the operative restoration. It was followed by patient education, examination and diagnosis, introducing treatment plan, resin filling, glass ionomer cement filling, amalgam filling, bite check and polishing, anesthesia, pulp protection, control of moisture, abrasive strip removal, cavity preparation, matrix band application, rubber dam removal, and anesthesia. In terms of the clinical performance by career, there were significant differences in 19 activities such as medical eraluation, oral examination, patient charting, intra oral readio graphs, firm developing fixing mounting, curing light gun, education of attention content after operation. Based on the results of this study, the specific range of operative restoration for dental hygienists should be focused on providing basic data for dentists' diagnosis, alleviation of fear and aching accompanied by injection and anesthesia, data providing for dentists' decision of anesthesia degree, and maximization of control of moisture.

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A Study on the Cardiopulmonary Resuscitation Methods in Ambulance (구급차 내에서의 심폐소생술 방법에 관한 연구)

  • Shin, So-Yeon;Kim, Jee-Hee;Kim, Gyoung-Yong;Kang, Shin-Woo;Bang, Sung-Hwan;Yun, Jong-Geun;Roh, Sang-Gyun
    • Fire Science and Engineering
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    • v.28 no.4
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    • pp.104-111
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    • 2014
  • The purpose of this study is to investigate the CPR within ambulance. The Subjects were 890 emergency medical technicians in fire department in Gyeonggido. After continuing education program, the emergency medical technicians completed the questionnaires from January to February, 2012. Questionnaire consisted of demographic characteristics, method of chest compression (one handed or two handed), chest compression - ventilation ratio, and hands only CPR. Data were analyzed by frequency analysis and Chi-square test, t-test. One-way analysis of variance (ANOVA) was followed by Scheffe post-hoc test to analyze changes in all parameters between all groups. One handed chest compression accounted for 14.0% and two handed chest compression accounted for 86.0%. Hands only CPR accounted for 71.7% and standard CPR (30:2) accounted for 28.3%. In order to perform the high quality CPR, as least three persons must be dispatched in the ambulance. The flexible management of manpower may improve the survival from the cardiac arrest. A systemic approach for educating and training EMT's in CPR is needed.

Neurocognitive Function in Patients with Hwa-byung and with Major Depressive Disorder (화병과 주요우울증 환자의 신경인지기능)

  • Yun, Young Hwan;Lee, So Hee;Choi, Jong Hyuck
    • Korean Journal of Biological Psychiatry
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    • v.12 no.2
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    • pp.181-188
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    • 2005
  • Objectives:Hwa-byung has been studied clinically for several years and introduced as Korean Culture- Bound Syndrome. However, the definition and the diagnostic method are not yet clarified, and there has not been any sufficient comparative study on this disease entity. This study was conducted to determine the clinical symptoms and the profile of the neurocognitive functions in Hwa-byung(HB) and Major Depressive Disorder(MDD), and We wish to identify any critical factors that differentiate the disorders. Methods:A total of 102 participants were examined, including 34 participants with MDD, 34 with HB, and 34 healthy controls. The MDD and HB patients were recruited from among inpatients and outpatients at the National Medical Center for the period from May to December of 2004. As a major diagnostic tool of MDD, diagnostic reference of DSM-IV-TR was used and as HB's diagnostic tool, We used computerized neurocognitive function test. Psychiatric symptomatology was evaluated by the Beck Depression Inventory(BDI), and Symptom Checkist-90-Revision(SCL-90-R). Oneway ANOVA, Scheffe post-hoc test and Chi-Squre Tests were used for statistical analysis. Results:The participants in three groups did not differ in terms of age, sex, and education. Assessment of BDI indicated that the MDD group had significantly higher total score than the HB group. MDD and HB groups showed significantly higher total scores on the SCL-90-R in comparison to the controls. The MDD group was found to have significantly more symptoms of depression than the HB group, based on the depression subscale of the SCL-90-R. The computerized neurocognitive function test suggest several results 1) Within the memory domain, it was found that one of the two memory tests in MDD and HB groups were significantly impaired in comparison to the control group. 2) Within the attention domain, it was found that only the MDD group was significantly impaired in comparison to the control group. 3) Within the higher cortical function domain, it was found that significant impairment exist in MDD group and HB group compared to the control group; the severity of impairment was found to be more profound in the MDD group than in the HB group. Conclusion:These results suggest that both HB group and MDD group have significantly decreased neurocognitive function than the control group, and neurocognitive function of the HB group is better than that of the MDD group.

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The Effect of Body Mass Index on Entrance Surface Air Kerma in Abdominal X-ray Radiography Using Automatic Exposure Control (자동노출제어를 이용한 복부 일반 X선 검사에서 체질량지수가 입사표면공기커마에 미치는 영향)

  • Koo, No-Hyun;Yoon, Hee-Soo;Choi, Kwan-Woo;Lee, Jong-Eun;Kim, Jeong-Jin
    • Journal of the Korean Society of Radiology
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    • v.12 no.5
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    • pp.659-667
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    • 2018
  • The purpose of this study was to determine the effect of body mass index (BMI) on entrance surface air kerma (ESAK) in abdominal X-ray radiography using automatic exposure control (AEC). This study included 321 patients who underwent abdominal X-ray using AEC, and we correlated ESAK with height, weight, BMI and compared mean ESAK according to BMI grades (Underweight, Normal, Overweight, Obese 1, Obese 2). As a result, Weight ($R^2=0.777$, p<.001) and BMI ($R^2=0.835$, p<.001) were positively associated with ESAK, but no significant association was found between height ($R^2=0.075$, p<.001) and ESAK. The mean ESAK with respect to BMI grades showed statistically significant difference and in the post-hoc analysis, the existence of 5 subgroups at the significance level of 0.05 indicated that there were differences in the ESAK in all BMI grades. Also, as the increment of ESAK between two neighboring BMI grades increases from Underweight to Obese 2, the exposure dose dramatically increased as the BMI increased. Thus, an excessive exposure dose due to increasing BMI when using AEC should be acknowledged and Efforts to reduce dose should be taken, such as: by fixing the exposure conditions.

Statistical Issues in the Articles Published in the Journal of Veterinary Clinics (한국임상수의학회지에 발표된 논문의 통계분석 검토)

  • Pak, Son-Il;Oh, Tae-Ho
    • Journal of Veterinary Clinics
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    • v.27 no.2
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    • pp.170-174
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    • 2010
  • With the ease availability of statistical software and powerful computers the application of statistical methods in domestic veterinary journals is on the increase. In parallel with this benefit, statistical errors are not uncommon even in renowned scientific and medical journals. These errors may lead to misinterpretation of the data, thereby, subjected to faulty conclusions. A systematic review of articles published in 8 issues of the Journal of Veterinary Clinics during 2006-2007 was performed to assess the statistical methodology and reporting. Ninety-four (72.9%) articles of the 129 original articles screened included any inferential statistical analysis in the article, including comparison of 3 or more groups (53 or 56.4%), comparison of independent 2 groups (40 or 42.6%), and paired t-test (9 or 9.6%) in order. Of the 94 articles in which statistical analysis was done 62 (or 66.0%) had at least 1 statistical error. Errors included failure to apply or incorrectly applying independent Student's t-test for paired data or vice versa, inappropriate use of t-test for more than 3 groups and failure in chi-square test to consider continuity-correction for small expected frequencies. The common errors in ANOVA were failure to validate assumption of the test, inappropriate post-hoc multiple-comparison and incorrect assumption of independence of data in repeated measures design. Reporting errors included failure to state statistical methods and failure to state specific test if more than 1 test was done. It is suggested that an editorial effort would be necessary to achieve the improvement of appropriate statistical procedures through the publication of statistical guidelines to author(s).

An investigational study about the needs for exercise of adult inpatients (성인 입원화자의 운동 욕구에 관한 조사연구)

  • Choe, Myoung-Ae;Choi, S.Mi;Lim, Young-Mi
    • Research in Community and Public Health Nursing
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    • v.5 no.2
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    • pp.203-215
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    • 1994
  • The purpose of this study was to investigate the needs for exercise of adult inpatients and ultimately to provide basic data for planning nursing intervention of patients who need exercise. The tool used for this study was a structured questionnaire which consisted of 42 items. The test items were classified into seven factors. The seven factors of the needs for exercise were need for achievement, need for activity, need for affiliation, need for autonomy, need for catharsis, need for homeostasis, and need for exhibition. Subjects of this study were 127 patients in two general hospitals in Seoul, and one general hospital in Chun Ann City. The needs of exercise were identified and the data were analyzed by gender, age, occupation, education level, monthly income, size of patient room, patient group who requires exercise and the other patient group who requires bed rest, using one-way ANOVA and Scheffe test as post-hoc. The findings of this study were as follows ; 1) Among the needs for exercise of adult patients, the highest level of the needs was the need for homeostasis. The next highest was the need for achievement, then need for activity, need for catharsis, need for autonomy, need for affiliation, and the lowest was the need for exhibition. 2) Maintaining physical fitness stood first in the need for homeostasis, relieving psychological and physical powerlessness in the need for activity, mood diversion in the need for catharsis, happiness of the family in the need for affiliation, maintaining the balanced body figure in the need for exhibition, practicing planned life in the need for achievement, and improving the ability to overcome the crisis in the need for autonomy. 3) Male patients exhibited the higher level of the needs than female patients in all factors except the need for exhibition and homeostasis. 4) There was no statistical difference in the needs between age, occupation, monthly income, and the size of patient room. 5) The need for achievement was high as the level of education goes higher. 6) The patients who performed regular exercise before admission had higher needs for activity, achievement, and autonomy, compared with the patients who did not perform the regular exercise before admission. 7) There was no statistical difference in the needs between patient group who requires exercise and the other patient group who requires bed rest. The need for homeostasis was the highest in both groups. The results from this study suggest that the need for exercise of adult inpatients should be assessed before planning exercise intervention.

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A Study on the Sleep/Activity pattern in Normal Early Infants using NCASA (Nursing Child Assessment Sleep/Activity Record) (NCASA(Nursing Child Assessment Sleep/Activity Record)를 이용한 초기 영아의 수면/활동 양상 연구)

  • Park, Hae-Sun;Lee, Yeong-Eun
    • Korean Parent-Child Health Journal
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    • v.3 no.1
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    • pp.46-59
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    • 2000
  • The purpose of this study is to determine whether the NCASA (Nursing Child Assessment Sleep/Activity Record) would be suitable to evaluate and to provide the basic resources for a Korean model of sleep/activity patterns during the first 6 months Korean infants' lives and to provide a basis for nursing intervention for mothers of early infants. The subjects of this study were 94 normal infants from birth to 6 months of age who visited the postpartum care center and two general hospitals located in Pusan from February 1 to April 28, 2000. The method of data collection was through convenient sampling. The instrument of this study was the NCASA translated by the Korean parent Child Health Academic Association. The collected data were analysed by mean, standard deviation, frequency percentage and ANOVA, Post Hoc test by use of SPSS/PC. The conclusions obtained from this study are summarized as follows: 1. The mean amount of daytime sleep was 8.06 hours. The mean amount of nighttime sleep was 6.31 hours. The mean amount of total daily sleep was 14.37 hours. The mean of the longest sleep period was 5.20 hours. The mean regularity of daytime sleep was 25.84%. The mean regularity of nighttime sleep was 77.69%. The mean regularity of total daily sleep was 42.60%. The mean frequency of nighttime wakenings was 2.33 times. 2. The mean amount of daytime activity was 8.25 hours. The mean amount of nighttime activity was 1.39 hours. The mean amount of daily total activity was 9.64 hours. The mean of the longest activity period was 3.80 hours The mean frequency of daytime feeding was 5.69 times. The mean frequency of nighttime feeding was 2.08 times. The mean frequency of total daily feeding was 7.74 times. The mean frequency regularity of feeding was 54.62%. The mean frequency of wakenings was 5.14 times. The mean frequency of crying was 1.90 times. 3. According to an analysis of sleep patterns based on an infant's age, there were some significant differences in the following factors: amount of daytime sleep(p<.001), amount of night time sleep(p<.05), amount of total daily sleep (p<.001), longest sleep period(p<.001), regularity of daytime sleep(p<.001), regularity of nighttime sleep(p<.01), regularity of total daily sleep(p<.001), frequency of nighttime wakenings(p<.001). 4. According to an analysis of activity patterns based on an infant's age, there were some significant differences in the following factors: amount of daytime activity(p<.001), amount of nighttime activity(p<.01), amount of total daily activity(p<.001), longest activity period(p<.05), frequency of nighttime feeding(p<.01), frequency of wakenings(p<.001). 5. The mean amount of a mother's day time was 16.30 hours. The mean amount of a mother's night time was 7.70 hours. In conclusion, the initial irregular sleeping and activity patterns of the early infant became regurized as the infant grew older and estabilished firmer patterns of sleeping and of activity.

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Intake of antioxidants and B vitamins is inversely associated with ischemic stroke and cerebral atherosclerosis

  • Choe, Hansaem;Hwang, Ji-Yun;Yun, Jin A;Kim, Ji-Myung;Song, Tae-Jin;Chang, Namsoo;Kim, Yong-Jae;Kim, Yuri
    • Nutrition Research and Practice
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    • v.10 no.5
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    • pp.516-523
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    • 2016
  • BACKGROUND/OBJECTIVES: This study was conducted to examine relationships between dietary habits and intakes of antioxidants and B vitamins and the risk of ischemic stroke, and to compare dietary factors according to the presence of cerebral artery atherosclerosis and stroke subtypes. SUBJECTS/METHODS: A total of 147 patients and 144 control subjects were recruited consecutively in the metropolitan area of Seoul, Korea. Sixty participants each in the case and control groups were included in analyses after 1:1 frequency matching. In addition, 117 acute ischemic stroke patients were classified into subtypes according to the Trial of Org 10172 in Acute Stroke Treatment (TOAST) guidelines. Dietary intake was measured using a semi-quantitative food frequency questionnaire composed of 111 food items and plasma lipid and homocysteine levels were analyzed. RESULTS: When compared with control subjects, stroke patients had unfavorable dietary behaviors and lower intakes of fruits ($73.1{\pm}83.2g$ vs. $230.9{\pm}202.1g$, P < 0.001), vegetables ($221.1{\pm}209.0g$ vs. $561.7{\pm}306.6g$, P < 0.001), and antioxidants, including vitamins C, E, $B_6$, ${\beta}$-carotene, and folate. The intakes of fruits, vegetables, vitamin C, and folate were inversely associated with the risk of ischemic stroke after adjusting for confounding factors. Intakes of vegetables, vitamins C, $B_6$, $B_{12}$, and folate per 1,000 kcal were lower in ischemic stroke with cerebral atherosclerosis than in those without. Overall vitamin $B_{12}$ intake per 1,000 kcal differed according to the TOAST classification (P = 0.004), but no differences among groups existed based on the post-hoc test. CONCLUSIONS: When compared with control subjects, ischemic stroke patients, particularly those with cerebral atherosclerosis, had unfavorable dietary intake, which may have contributed to the development of ischemic stroke. These results indicate that proper dietary recommendations are important for the prevention of ischemic stroke.

Mediating effect of social support on the relationship between self-efficacy and adjustment to university life (대학생의 자기효능감과 대학생활 적응 간의 관계에서 사회적 지지의 매개효과)

  • Kang, Kyoung-Ah;Cho, Hye-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.3
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    • pp.210-218
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    • 2018
  • This study examined the mediating effects of social support on the relationship between self-efficacy and adjustment to university life. Data were collected from 202 university students attending K university in Jeonbuk province using self-reported questionnaires from April 1 to 30, 2017. The demographic characteristics, self-efficacy, social support and adjustment to university life were analyzed by descriptive statistical analyses. The difference in adjustment to university life by demographic characteristics was analyzed by the t-test and ANOVA with Scheffe's post hoc test, while the correlation between variables was measured using Pearson's Correlation Coefficient. The mediating effects of social support were determined by the 3-step multiple regression method developed by Baron and Kenny, and the statistical significance of the mediating effect was measured using the Sobel test. Social support had a partial mediating effect in the relationship between self-efficacy and adjustment to university life. The results of this study will be useful a basic data for the development of a program to enhance self-efficacy and social support systems.

Skin Humidity Effects of Strontium on Acute Skin Barrier Damage in Hairless Mice (급성 피부장벽파괴 동물모델에 대한 스트론튬의 피부보습효과)

  • Min, Dae-Ki;Kim, Yoon-Bum
    • The Journal of Korean Medicine
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    • v.29 no.1
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    • pp.117-133
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    • 2008
  • Objectives : Since ancient times, Koreans have applied medicinal spabaths for treatment of various diseases. The objective of this study was to investigate the effect of strontium, one of the common ingredients of such baths, experimentally on acute skin barrier damage. Materials and Methods : Male hairless mice, average weight 20g, were divided into six groups. Each group consisted of five mice. The first was the normal, non-treated group. The second was the control group with acute skin barrier damage intentionally induced by TS. The third was the Ba-Sr1 group bathed in 1mg/L strontium chloride before and after inducing acute skin barrier damage by TS. The fourth was the Ba-Sr7 group bathed in 7mg/L strontium chloride before and after inducing acute skin barrier damage by TS. The fifth was the Sr1 group bathed in 1mg/L of strontium chloride only after intentionally inducing acute skin barrier damage by TS. The sixth was the Sr7 group bathed in 7mg/L of strontium chloride only after intentionally inducing acute skin barrier damage by TS. External changes of skin, skin erythema level, transepidermal water loss level, and GOT and GPT level of each group were checked immediately before and after TS, 3 hrs, 5 hrs and 24 hrs after inducing acute skin barrier damage. Then, tissue samples were made and examined for damage to epithelial cells, stratum corneum, change of mucous polysaccharide in dermis and amount of mast cells. Statistical analysis was performed by one way-ANOVA, Scheffe and Duncan for a post hoc test and pairwise comparison for comparing for difference between each time. Statistical significance was achieved if the probability was less than 5% (p<0.05) Results : 1. From skin erythema and TEWL level indicating the function of the skin barrier, we can know that it is helpful to the skin barrier to bathe in a water solution including a low concentration of strontium. 2. In the control group with acute skin barrier damage induced by TS, skin barrier damage persisted until 3-5 hrs and recovered after 5-24 hrs. Differently from the control group, in the case of taking a bath in a water solution including strontium, skin barrier damage recovered after only 3-5 hrs. Therefore, the bath with a water solution including strontium can promote recovery of the skin barrier. 3. Bathing in water solution including a higher concentration of strontium was more beneficial to recovery of skin barrier damage. 4. There was no influence on serum GOT and GPT from bathing in a water solution including strontium. Conclusions : The strontium was effective for recovery and mitigation of acute skin barrier damage induced by tape stripping. I suggest that strontium (Sr) can be used as an external treatment medicine, addedinto bath water to treat acute skin barrier damage.

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