• Maxillofacial Plastic and Reconstructive Surgery
• /
• v.30 no.2
• /
• pp.165-171
• /
• 2008

The aim of this study was to evaluate the incidence of panoramic radiological risk signs related with mandibular third molar extraction, and the relationship between these risk signs and inferior alveolar nerve (IAN) injury after tooth extraction. Cases were defined as 1000 mandibular third molars extracted by surgical approach at Samsung Medical Center during the period from March 2001 to December 2006. Seven radiological risk signs were assessed on the panoramic radiogram by three expert oral surgeons. Clinical demographic data and severity of IAN injury were examined on medical records. Bivariate analyses were completed to assess the relationship between radiological risk signs and IAN injury. The radiological risk signs showed in 381 cases(38.1%). The incidence of each radiological risk signs were; interruption of IAN white line, 152 cases(15.2%); deflected roots, 141 cases(14.1%); darkening root, 119 cases(11.9%); diversion of IAN, 57 cases(5.7%) ; IAN narrowing, 37 cases(3.7%); root narrowing, 17 cases(1.7%); dark and bifid apex, 10 cases(1.0%). The incidence of IAN injury in cases with risk signs were: in the case of any sign, 3.6%; interruption of IAN white line, 2.6%; deflected roots 5.7%; darkening root. 3.4%; diversion of IAN, 5.7%; IAN narrowing, 3.7%; root narrowing, 5.9%; dark and bifid apex, 0%. No IAN injury was showed in 619 cases without risk sign (p<0.05). In conclusion, the presence of panoramic risk signs was associated with an increased risk for IAN injury during mandibular third molar extraction, whereas the absence of risk signs was associated with a minimal risk of nerve injury.

• Journal of Korean Academy of Nursing
• /
• v.29 no.3
• /
• pp.605-613
• /
• 1999

The main purposes of this study were to determine the time interval between the onset of symptoms of myocardial infarction and treatment-seeking time and to identify the factors related to the interval time. This study used a retrospective design. The sample consisted of 45 patients aged over 30 who were diagnosed with an acute myocardial infarction at two large university affiliated medical center from September 1, 1997 to June 30, 1998. Data was collected by using questionnaries, which included demographic data, permonitory clinical signs and symtoms of myocardial infarction, and a measure of the severity of the signs and symptoms. Also semi-structured interviews and chart reviews were used to obtain information related to treatment-seeking time. The results of this study are summarized as follows ; 1. The most frequent premonitory clinical symptom was chest pain(92.9%), the second, was perspiration(81.0%), and the next were nausea(40.5%) and dyspnea(38.1%). Thirty two patients reported having more than four premonitory signs and symtoms. Patients described the characteristics of chest pain as “somethings very heavy pressing down”(26.2%), “felt like my chest would burst”(24.4%), or “sharp pain”(16.7%), Over 95% of the sample reported having chest pain. 2. Twenty two (52.4%) patients reported to have “very severe” premonitory pain. 3. The mean time interval between the onset of signs and symptoms and the arrival at the medical center was 6.39$\pm$10.80 hours in 42 samples, the mean time from the onset to arrival at a local hospital was 3.27$\pm$5.39 hours and for transfer from a local hospital to the medical center was 4.75$\pm$9.87 hours in patients who had arrived at medical center via local hospital. 4. The severity of premonitory signs and symptoms did not differ significantly according to existence of premonitory signs and symptoms. 5. There was no significant relationship between treatment-seeking time and age, gender, marital status, economic status, occupation, or residence. But education had significant relationship(r＝－0.51, p＝0.01). Analysis of difference of the time interval according to the premonitory signs and symptoms showed that the time was shorter in patients who experienced nausea or dyspnea(U＝115.50, p＝0.01, U＝132.00, p＝0.04), however the severity of premonitory signs and symptoms did not have statistical significance.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.32 no.2
• /
• pp.142-150
• /
• 2006

PURPOSE : The 3rd molar extraction of mandible is common in out-patient office of oral and maxillofacial surgery. And it is dynamic minor operation with changes of vital signs. most of patients are already sensitive about their dental treatment. The changes of emotion are reached to the highest level when patients is laid down to be treated on unit chair. It can be induced to undesirable accidents as to this fear. The undesirable complications are nausea, vomiting, hyperventilation, dyspnea, syncope, shock and so on. The severe changes of vital signs may influence their behavior and make serious medical malpractice or suit such as fracture of dental instruments and injury of proximal area. METHOD AND PATIENTS : A total of 99 selected normal patients were reviewed. Among this, 70 patients(43 men, 27 women with statistical significance) were included in this study. Each steps(pre-anesthesis, 5 minutes after anesthesis, just after mucogingival incision, just after tooth section, just after suture and gauze biting) were investigated for a change of a vital signs. It is analyzed to 2 categories,"Means" and "Tendency". The "Means" is the amount of vital signs changed in comparison with pre-step during operation. That means is the amount of vital changes by each step operation. Next, " Tendency" is changes of vital signs in comparison with step1 during operation. RESULT : This is the changing tendency of vital signs with time. That is active effect of fear and pain. Thus this "Means" and "Tendency" will present a sudden changes of vital signs and it can lead to more safe treatment. CONCLUSION : Thus, the purpose of this study is, through careful operation in each step, to less on patients' complication and increase trust between patient and OMFS. This study is a first article shown with the amount of "Means" and "Tendency" in vital signs, when a third molar of mandible is extracted. This study will be base study of patients with general diseases, because it selected only patients without general diseases.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.7 no.2
• /
• pp.246-250
• /
• 2006

The objective of this research was to investigate the way information is used by pedestrians in underground space. Furthermore, we wanted to know how pedestrians utilize information from signage of signs by pedestrians. Thus, we conducted an investigation on the pedestrians' walking behavior in Fukuoka City, Tenjin underground shopping centers, and 1) checked routes taken by the subjects; and 2) categorized the signs that were observed, the pedestrians' movement patterns, the way information from signage isused by the pedestrians, the signs' locations, the relationship between the spaces, the heights of the signs and the types of signs offering directions. The results showed that there is a need to solve certain problems related to the locations of the signs and the walking behaviors of the subjects. To solve the problems exhibited by the subjects' walking behaviors, we came up with a variety of guidance information that could be used. The contents of the guidance information differ depending on the specified heights for the placement of signs and the information used depending on the location. The results also showed that the continuity between places needs to be shown more effectively by the guidance system, and that too many signs are positioned in places where the frequency of use is low.

• International Journal of Contents
• /
• v.13 no.2
• /
• pp.50-56
• /
• 2017

The number of accidents in school zone is decreasing than before with the introduction of strengthening traffic safety policy since January 2011, but the danger still exists. The School zone sign is widely known to have much effect in protecting children from risks of traffic accidents, but design improvement is being demanded to improve a sense of safety and legibility of safety signs in School zone due to the lack of understanding on the safety signs in crosswalk and School zone. This study analyzed differences in shape and color of existing safety signs through a case analysis of traffic developed countries as America, England, Japan, and Germany and suggested improvement plans for drivers to clearly perceive the school zone. For improvement methods, this study suggested the importance of delivering definite and unified warning message for school zone to drivers by using indication sign and caution sign together, and to use yellow, a safety color, and to unify the safety sign into triangle shape that symbolizes warning and caution to conform the international standards. Actual design production and experiment through improvement plans are needed in the future, and it is expected to secure safety of children and to provide international standardization of safety signs in school zone.

• Journal of Korean Biological Nursing Science
• /
• v.10 no.2
• /
• pp.113-120
• /
• 2008

Purpose: The aim of this study is to evaluate the effect of music therapy according to preferred music and to identify the effect of duration time and starting point of music therapy on anxiety and vital signs in spinal anesthesia operations. Method: These subjects were categorized into three groups based on the order of the date of operation. Data on anxiety and vital signs for this study were collected from them. The collected data were analyzed by $X^2$-test, t-test, paired t-test and ANCOVA. Result: The results of this study showed that preferred music, differences of duration times and starting points of music therapy didn't make significant differences in anxiety and vital signs among the three groups. However for anxiety, there was a meaningful difference within three groups. This result indicates even randomly chosen music by nurses considering the patients' age makes a meaningful difference in anxiety. Conclusion: Based on the results of this study, the conclusion can be made that music therapy is a useful nursing implementation to reduce anxiety in patients undergoing operations with spinal anesthesia.

• Korean Journal of Adult Nursing
• /
• v.22 no.2
• /
• pp.153-160
• /
• 2010

Purpose: The purpose of this study was to investigate the effects of aromatherapy on stress, fatigue, mood, and vital signs of the nurses in the operating rooms. Methods: The data were collected from September 2007 to February 2008 in the operating room at K hospital located in Seoul, Korea. A total of 48 nurses were recruited. Among them, 25 nurses were randomly assigned to an experimental group and 23 were assigned to a control group. Experimental group was provided with aroma inhalation by necklace which had essential oil mixture of 0.2 cc. For aroma inhalation, Lavender, Zeranium and Mazoram were mixed in ratio of 5:3:2. In order to test the effectiveness of aroma inhalation, the pretest and posttest results for stress, fatigue, mood, and vital signs were compared between the experimental group and the control group. The data were analyzed by unpaired t-test and ANCOVA using the SPSS/WIN 15.0 program. Results: There were statistically significant decreases in the stress and fatigue scores, and increase in the mood scores and showed significant relaxation in the vital signs after the aroma inhalation. Conclusion: The aromatherapy had the positive effects on stress, fatigue, mood, and vital signs.

• Korean Journal of Biological Psychiatry
• /
• v.23 no.4
• /
• pp.179-184
• /
• 2016

Objectives This study was conducted to investigate the possibility of neurological soft signs as an endophenotype for schizophrenia by examining neurological soft signs in patients, their unaffected siblings and normal comparison subjects. Methods The study sample consisted of 32 patients, 25 of their unaffected siblings and 30 normal comparison subjects. Neurological soft signs were evaluated using the Cambridge Neurological Inventory Part 2. soft sign assessment. Results The patients were significantly more impaired than normal comparison subjects (p = 0.047) on primitive reflex. The patients were significantly more impaired than siblings (p = 0.004) and normal comparison subjects (p = 0.021) on motor coordination. The siblings performed better on sensory integration than the patients (p = 0.020) and normal comparison subjects (p = 0.036). Conclusions This study suggests that neurological soft signs might be a potential biomarker for schizophrenia, but might not be an endophenotype for schizophrenia.

• International Journal of Highway Engineering
• /
• v.14 no.2
• /
• pp.157-164
• /
• 2012

Road signs serve guide informations for efficient traffic control and are regulated by Road Sign Regulation. But few road managers break the regulation because of civil complaint and cause driver's confusion. Also, as promote the road name guide signs and the new road signs on expressway, the driver's confusion being increased. This study analysis factors of driver's confusion, calculates limited information on road signs and specifies modes of driver's confusion caused by road signs. The traffic accident data during 3 years is calculated in order to see how much intimate connection between the road sign confusion and the traffic.

• Korean Journal of Veterinary Service
• /
• v.17 no.2
• /
• pp.122-129
• /
• 1994

Teratogenic effects of diazinon were assessed morphologically and cholinergic blocking agents. Diazinon at doses ranging from 25 to 2000 ug /egg, was Injected on day 3 of incubation. TD50s were different for the various teratogenic signs (wry neck, micromelia, abnormal feathering, abnormal beak and curled claws). The threshould dose for wry neck was higher than threshould dose for other signs； 40 ug/egg produced substantial micromelia, abnormal feathering. abnormal beak and curled claws, but gave no signs of wry neck. In contrast to the teratogenic doses, the LD50 of diazinon was very high (above 2000 ug /egg). One of the characteristics of diazinon-induced teratogenesis was reduced body weight (78.7％) and body length (73.8%). Maximal teratogenic effects, scored as signs of retarded growth, wry neck micromelia, abnormal feathering, abnormal beak, and curled claws, were produced when the insectcide was administered on the third or fourth day. The threshold dose for type II teratogenic signs(such as wry neck and short neck) was higher than for type I (such as micromelia and abnormal feathering). Morphological studies, using atropine and gallamine, suggested that nicotine but not muscarinic receptors may be involved in the mechanism of diazinon induced type II malformations.