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Preparation for Old Age Life of Dental Hygienists (치과위생사의 노후생활 준비)

  • Kim, Min-Young;Kim, Sun-Ju;Kim, Ji-Hyun
    • The Journal of the Korea Contents Association
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    • v.14 no.8
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    • pp.250-256
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    • 2014
  • This study was carried out in order to seek social support direction by allowing them to recognize necessity of preparing for their stably old age life and by inquiring into the preparation for old age life targeting dental hygienists who work at dental clinics. It sent questionnaire by post to dental hygienists of 1,560 dental clinics, which were sampled with a stratified sampling method, and then conducted a cross-sectional study based on self-administration. As a result of a problem of being worried in old age life, the ratio with the response as saying of being 'economy' was indicated to be the highest. The ratio of financial preparation for old age was shown to be high with 84.3%. Its method was the highest in 'fixed deposit and installment savings' with 62.6%. The satisfaction with financial preparation for old age stood at averagely 2.60, thereby having shown to be dissatisfied. It was shown to be low with 2.97 in the mean score of physical preparation for old age life, 3.59 in emotional preparation, and 2.56 in preparation for leisure. In conclusion, the satisfaction with financial preparation for old age life in our country's dental hygienists was low. Even the physical, emotional, and leisure-based preparations were shown to be low. Hence, it is considered to be likely needed to be planned preparation for old age life from the 30s. Also, for this, Korean Dental Hygienists Association needs to positively develop several kinds of programs such as education, policy and system for old age life following these people's retirement.

A Study on Development of Safety Management Evaluation Index for Shipping Company (해운선사 안전관리 평가지표 개발에 관한 연구)

  • Kim, Hwa-Young
    • Journal of the Korean Society of Marine Environment & Safety
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    • v.19 no.6
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    • pp.629-636
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    • 2013
  • There is no safety evaluation index with marine accidents and information of ship's safety management result for good grasp of safety management level of shipping company and effective monitoring. In this paper, we proposed a SMEI(Safety Management Evaluation Index) for evaluation of shipping companies. The SMEI is consist of MAR(marine accidents ratio), SSMR(ship safety management ratio) and SAP(safety advantage point) through brainstorming of the expert group and AHP(analysis hierarchy process)in previous study. And weights of SMEI are calculated using experts's opinions through the Delphi method. We also verified the validity of proposed SMEI to 119 Korean shipping companies with 916 ocean-going ships of Korean flag, which grouped three part (small, mid and big) by number of ship and gross tonnage. And we found out 19 shipping companies, 8 companies in group1 & group2 respectively and 3 companies in group 3, with score below 1.0 by SMEI. In these companies, there are no marine accidents in recent 3 years and appeared low frequency remarkably in the detention and mojor non-conformity by data analysis.

Reliability and Validity of the Alcohol Use Disorders Identification Test - Consumption in Screening for Adults with Alcohol Use Disorders and Risky Drinking In Japan

  • Osaki, Yoneatsu;Ino, Aro;Matsushita, Sachio;Higuchi, Susumu;Kondo, Yoko;Kinjo, Aya
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.16
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    • pp.6571-6574
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    • 2014
  • Background: Alcohol is well established as a risk factor for cancer development in many organ sites. To assess the reliability and validity of the Alcohol Use Disorders Identification Test - Consumption (AUDIT-C) for detecting alcohol use disorders or risky drinking in Japanese adults the present study was conducted. Materials and Methods: A test-retest method was applied with a 2-week interval with 113 health care employees. The k coefficient, Cronbach's coefficient alpha, Spearman's correlation coefficient, and intraclass correlation coefficient (ICC) were determined and the validity of the AUDIT-C was analyzed using the data from a nationwide survey on adult alcohol use conducted in 2008 (n=4,123). Results: The reliability of the AUDIT-C score was high (${\kappa}$ coefficient=0.63, Cronbach's alpha=0.98, correlation coefficient=0.95, and ICC=0.95). According to the likelihood ratio and Youden index, appropriate cutoffs for the AUDIT-C were ${\geq}5points$ in men and ${\geq}4$ points in women. The sensitivity and specificity of these cutoffs for identifying ${\geq}8$ points on the AUDIT were 0.88 and 0.80, respectively, for men (positive likelihood ratio [LR+]=4.5) and 0.96 and 0.87, respectively, for women (LR+=7.7). The sensitivity and specificity of the cutoffs for identifying ${\geq}12$ points on the AUDIT were 0.90 and 0.84, respectively, for men (LR+=5.8) and 0.93 and 0.94, respectively, for women (LR+=15.8). The sensitivity and specificity of the cutoffs for identifying ${\geq}16$ points on the AUDIT were 0.93 and 0.80, respectively, for men (LR+=4.7) and 0.92 and 0.98, respectively, for women (LR+=55.6). With higher scores on the AUDIT, the specificity decreased and false-positives increased. The appropriate cutoffs for identifying risky drinking were the same for both genders. Conclusions: The reliability and validity of the AUDIT-C are high, indicating that it is useful for identifying alcohol use disorders or risky drinking among the general population in Japan, a group at high risk of cancer development.

Clinical & Radiologic Result of Arthroscopic Bankart Repair Using Knotless Suture Anchor (비매듭 금속 봉합 나사못을 이용한 관절경적 방카트 복원술: 임상적 및 방사선학적 결과의 비교)

  • Oh, Jung-Hwan;Lee, Sang-Hoon;Park, Hong-Keun;Jeon, Suk-Ha;Park, Joon-Suk;Kim, Cheol-Ki;Park, Jin-Young
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.7 no.2
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    • pp.135-141
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    • 2008
  • Purpose: To study the clinical and radiologic results with arthroscopic Bankart repair using knotless metal suture anchor. Materials and Methods: From February 2001 to January 2005, 68 patients, who underwent arthroscopic Bankart repair using knotless suture anchor and were followed up more than 12 months, were evaluated. A mean follow-up period was 34 months. All shoulders were evaluated by Rowe scoring system, range of motion of the shoulder, pain degree of VAS, and This was compared by radiologic findings after surgery. Results: The Rowe scoring system was 43.30 preoperatively, which improved to 95.55 postoperatively. At last follow-up, there was no significance difference between operated shoulder and non-operated shoulder in range of motion. The degree of VAS was measured from 3.3 preoperatively to 0.5 postoperatively. The radiolucent line was shown around suture anchor in 15 shoulders. 2 shoulders of 15 shoulders were reoperated due to redislocation and anchor arthropathy. In Odds ratio, this group (15 patients) had more 2.6 times the subjective instability than other group (53 patients). Conclusion: Arthroscopic Bankart repair using knotless anchor suture is very effective operative technique. But we have to be careful because the radiolucent line around anchor showed up during a follow -up period may indicate poor prognosis.

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The Assessment of Dietary Quality in Toddler of 12-36 Months (12~36개월 유아의 식사 질 평가)

  • 권지영;박혜련;황은미
    • Journal of Nutrition and Health
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    • v.34 no.2
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    • pp.176-187
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    • 2001
  • This research was conducted to evaluate the general dietary quality(the balance and diversity of food intake, nutrient intake and adequacy) of 12 to 36-month-old toddler, through examining their actual food intake. It was conducted for 664(male-357, female-307) healthy toddler who were outpatients from Mar. to Aug., 1999 at university hospitals and private hospitals in Seoul and kyunggi province. The anthropometric parameters were measured. The 24-hr recall method were utilized to analyze the nutrient intake by months, based on the classification of The Korea Child Gorwth Standard. As for the subjects of this research, we found that the younger the age, the more frequent the pattern of intake of only 3 kinds of food groups. The results are that 1) the group with 1 point of the DDS(Dietary Diversity Score) mostly took only foods from the milk group, 2) the group with 2 points only took foods from the grain and milk group, 3) the group with 3 points did not take foods from the fruit and vegetable group, and 4) the group with 4 points took just about all kinds of food groups except for the vegetable group. This means that most of them were not taking various kinds of food even after the age of 12 months, and that they took more than twice the recommended amount of foods from the milk group until the age of 20 months. Thus, one could find a tendency of dependance on the milk group for food intake. Food intake for the vegetable group was severely under the recommended allowance, regardless of the age. The intake of iron was less than two thirds of the recommended allowance, except for the group of 12 to 14-month-olds who had been fed with infant formula. The Nutrient Adequacy Ratio(NAR) of major nutrients(protein, calcium, phosphorous, iron, vitamin A, vitamin B$_1$, vitamin B$_2$, niacin, vitamin C) and the Mean Adequacy Ratio(MAR, shows the general quality of dietary intake) was 0.86$\pm$0.12, but the NAR of iron was 0.62$\pm$0.27, which was extremely low compared to those of other nutrients. Therefore, concerning the subjects of this research, the MAR value alone does not provide enough ground to conclude that the subjects dietary quality is satisfactory. (Korean J Nutrition 34(2) : 176-187, 2001)

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A study on determining threshold level of precipitation for drought management in the dam basin (댐 유역 가뭄 관리를 위한 강수량 임계수준 결정에 관한 연구)

  • Lee, Kyoung Do;Son, Kyung Hwan;Lee, Byong Ju
    • Journal of Korea Water Resources Association
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    • v.53 no.4
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    • pp.293-301
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    • 2020
  • This study determined appropriate threshold level (cumulative period and percentage) of precipitation for drought management in dam basin. The 5 dam basins were selected, the daily dam storage level and daily precipitation data were collected. MAP (Mean Areal Precipitation was calculated by using Thiessen polygon method, and MAP were converted to accumulated values for 6 cumulative periods (30-, 60-, 90-, 180-, 270-, and 360-day). The correlation coefficient and ratio of variation coefficient between storage level and MAP for 6 cumulative periods were used to determine the appropriate cumulative period. Correlation of cumulative precipitation below 90-day was low, and that of 270-day was high. Correlation was high when the past precipitation during the flood period was included within the cumulative period. The ratio of variation coefficient was higher for the shorter cumulative period and lower for the longer in all dam, and that of 270-day precipitation was closed to 1.0 in every month. ROC (Receiver Operating Characteristics) analysis with TLWSA (Threshold Line of Water Supply Adjustment) was used to determine the percentage of precipitation shortages. It is showed that the percentage of 270-day cumulative precipitation on Boryung dam and other 4-dam were less than 90% and 80% as threshold level respectively, when the storage was below the attention level. The relationship between storage and percentage of dam outflow and precipitation were analyzed to evaluate the impact of artificial dam operations on drought analysis, and the magnitude of dam outflow caused uncertainty in the analysis between precipitation and storage data. It is concluded that threshold level should be considered for dam drought analysis using based on precipitation.

Distribution Characteristic and Management Counterplan of Naturalized Plants in the Byeonsanbando National Park (변산반도국립공원의 귀화식물 분포특성 및 관리대책)

  • Oh, Hyun-Kyung;Lim, Dong-Ok;Kim, Yong-Shik
    • Korean Journal of Environment and Ecology
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    • v.23 no.2
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    • pp.105-115
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    • 2009
  • The naturalized plants in the Byeonsanbando National Park were listed 88 taxa composed of 24 families, 65 genus, 83 species and 3 varieties and 2 forms by field survey. The naturalized plants divided into pattern by survey of annual plants ratio is 38 taxa (43.2%) by life form spectrum and perennials is 28 taxa (31.8%), biennials is 19 taxa (21.6%), two trees (Robinia pseudoacacia, Ailanthus altissima) and one shrub (Amorpha furticosa) were founded. According to analysis results form place of origin, Europe covered 26 taxa (37.1%), North America covered 23 taxa (32.8%). Naturalized degree 3 plants, as common but not abundant, founded as 28 taxa (31.8%) were hold most highly ratio, naturalized degree 1 plants founded as 8 taxa (9.1%) were hold lowest. Introduction period 1 covered 39 taxa (44.3%) have had highest score and period 2 covered 16 taxa (18.2%) have had lowest scores. In addition, the urbanization index based on 271 taxa was 32.5% and Ambrosia artemisiaefolia is growing by ecosystem disturbing wild plants. Meanwhile, Ambrosia artemisiaefolia have confirmed into district of introduction in the Byeonsanbando National Park were damage the human body of plants develop an allergy to pollen. Therefore, management counterplan of the sequel of monitoring them might be required, introduction into naturalized plants are grasp of ecological characteristics and systematical management plan from this point of time by require.

Structural Relationship among Personal Characteristics, Perception and Use Intention of Natural Burial (개인 특성별 자연장 인식과 이용의도 간의 구조적 관계)

  • Kim, Chul-Jae
    • Journal of the Korean Institute of Landscape Architecture
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    • v.45 no.4
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    • pp.45-53
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    • 2017
  • Although the recent interest in and favor for natural burial has increased, there are still few who choose it as a funeral. The purpose of the study is to supply necessary information to promote the choice of natural burial. For this a survey of 430 students and residents was conducted in Daejeon. The result of the research is as follows. First, there is a significant difference in use intention of natural burial by age and religion. People under the age of 30 and Catholic believers recorded the highest score in use intention of natural burial. Second, there was a significant difference in information on natural burial by age or religion, in religion and philosophy by age, in physical environment by sex or age, and in conservation by sex or age. In general, the lower the age, the higher the positive perception of natural burial was. While females had a more positive perception of physical environment than males, males had a more positive perception of conservation than females. All sub factors of the perception of natural burial such as information on natural burial, funeral style, religion and philosophy, physical environment and conservation had a significant and positive effect on its use intention. However, ratio skew showed that religion and philosophy had the strongest effect on use intention of natural burial, followed by funeral style, physical environment, conservation, and information on natural burial.

Bile Duct Ligation and Insulin-like Growth Factor-I on the Ischemia-Reperfusion Injury of the Small Bowel (쥐에서 허혈-재관류 소장 손상에 대한 담관결찰 및 Insulin-like Growth Factor-I의 영향)

  • Cha, Je-Sun;Lee, Myung-Duk
    • Advances in pediatric surgery
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    • v.3 no.2
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    • pp.98-107
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    • 1997
  • To determine whether bile juice exclusion can prevent the mucosal damage, and Insulin-like growth factor-I can promote mucosal regeneration in ischemia-reperfusion injury of the bowel, 39 weanling rats with 10 cm of Thiry-Vella loop were studied. Animal groups were; Control, BL(common bile duct ligation), IGF{insulin-like growth factor-I(IGF-I) infusion} and IGF-BL(combined treatment). IGF-I(1.5 mg/kg/day) was continuously delivered through a subcutaneously implanted miniosmotic pump. After 15 minutes of superior mesenteric artery clamping, a tissue specimen(P) was taken after 30 minutes of reperfusion. Intestinal continuity was restored to allow oral feeding. A specimen of main tract(M) and another of the Thiry-Vella loop(T) were collected for histomorphometry after 48 hours of reperfusion and free feeding. Villus size ratio(VSR), crypt depth(CD), crypt-depth/villus-height ratio(CVR) and injury score(IS) were measured in 15 consecutive villi. The postoperative mortalities of bile duct ligation groups(BL and IGF-BL) were higher than those of other groups. In control group, VSR of M was lower(P<0.05) than P or T, but not in the other groups. VSR of M in control was lower than those in other groups. CD of T in control, IGF and IGF-BL group were higher than those of M. CD of M and T showed gradual increments from control, IGF and IGF-BL group, respectively. CVR of M and T in IGF group were higher than those in control. CVR in IGF-BL group, T was higher than M, and M was higher than P. About IS, M of BL($20.1{\pm}2.5$) and IGF-BL($20.9{\pm}3.3$) groups were significantly lower than that of control($32.4{\pm}2.5$). These results suggest that the exclusion of bile juice reduces the severity of the reperfusion injury of the mucosa, by inability to activate pancreatic enzymes and IGF-I stimulates mucosal regeneration in injured bowel, and the effect is potentiated by bile juice exclusion.

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Prostatic Bleeding after Prostatic Biopsy Effects Oncological Outcomes with Laparoscopic Radical Prostatectomy

  • Takai, Tomoaki;Inamoto, Teruo;Komura, Kazumasa;Tsujino, Takuya;Matsunaga, Tomohisa;Yoshikawa, Yuki;Uchimoto, Taizo;Saito, Kenkichi;Tanda, Naoki;Minami, Koichiro;Uehara, Hirofumi;Ibuki, Naokazu;Takahara, Kiyoshi;Nomi, Hayahito;Kiyama, Satoshi;Azuma, Hayahito
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.3
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    • pp.1373-1377
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    • 2016
  • Background: We vigorously reviewed patients' operation record who had adhesion of the Denonvilliers' fascia and found out most of these patients had prostatic bleeding after prostatic gland biopsies. We examined the magnitude of prostatic bleeding and frequency after biopsies and the relationship with oncological outcomes. Materials and Methods: A total of 285 patients were selected for the final analyses. Inclusion criteria were as follows: receiving MRI three weeks after biopsiesand laparoscopic radical prostatectomy within 300 days after biopsy. We divided the patients into two groups with (group A) or without (group B) prostatic bleeding. We examined the magnitude of prostatic bleeding after biopsies and the relationship with operation time (OT), positive surgical margin (PSM), biochemical recurrence (BCR) and other factors. Furthermore, we created a logistic-regression model to derive a propensity score for prostatic bleeding after biopsies, which included all patient and hospital characteristics as well as selected interaction terms, and we examined the relationship with PSM and BCR. Results: In all patients, the OT in the group B was shorter than the group A (p < 0.001). Prostatic bleeding was associated with PSM (p=0.000) and BCR (p=0.036). In this propensity-matched cohort, 11 of 116 patients in the group B had PSM as compared with 36 of 116 patients from group A (match-adjusted odds ratio, 4.30; 95%CI confidence interval, 2.06 to 8.96; P=0.000). In addition, eight of 116 patients in group B encountered BCR, as compared with 18 of 116 patients in group A (match-adjusted odds ratio, 2.48; 95%CI, 1.03 to 5.96; P=0.042). Kaplan-Meier analysis in the propensity matching cohort showed a significant biochemical recurrence-free survival advantage for being free of prostate bleeding after biopsies. Conclusions: Our findings in the present cohort should help equip surgeons to pay attention to careful excision especially for those who experienced deferred prostatic bleeding.