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ANALYSIS ON THE OUTPATIENT ANESTHESIA AT DENTAL CLINIC FOR DISABLED IN SEOUL NATIONAL UNIVERSITY DENTAL HOSPITAL (서울대학교 치과병원 장애인진료실의 외래환자마취 실태 분석)

  • Park, Chang-Joo;Jung, Jun-Min;Kim, Hyun-Jeong;Jang, Ki-Taeg;Lee, Sang-Hun;Yum, Kwang-Won
    • Journal of the korean academy of Pediatric Dentistry
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    • v.31 no.1
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    • pp.19-25
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    • 2004
  • Dentally disabled person means one who have difficulty in cooperating voluntarily with a dentist for routine dental care. Seoul National University Dental Hospital (SNUDH) Dental Clinic for Disabled has worked for them under outpatient anesthesia concept. The aim of this study was to determine the anesthetic characteristics of the patients attending for dental treatment at SNUDH Dental Clinic for Disabled in order to establish better future treatment plans. The data were drawn from the patients who visited SNUDH Dental Clinic for Disabled from January 1999 to October 2002. Total 93 dental treatments for 83 patients were enrolled in this study. Most patients had mental retardation and the conservative treatments were carried out under general anesthesia. Thiopental and vecuronium were mostly used for induction agent and neuromuscular blocker, respectively. Enflurane, with oxygen and nitrous oxide, was mostly used to maintain the anesthesia. Mean total anesthetic time was $164.4{\pm}57.2$ minutes and mean duration at the post-anesthetic care unit was $106.2{\pm}50.5$ min. Serious postoperative complications were not observed. These results showed our successful anesthetic outcomes without any severe side effect or complication and the needs of more outpatient centers for dental care for disabled.

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The Effects of Circadian Rhythm in Subjective Alertness on the Occurrence of Traffic Accidents (주관적 각성도의 일주기(日週期) 리듬이 교통사고 발생에 미치는 영향)

  • Yu, Bum-Hee;Cho, Doo-Young;Jeong, Do-Un
    • Sleep Medicine and Psychophysiology
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    • v.1 no.1
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    • pp.68-75
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    • 1994
  • In order to examine the effects of circadian rhythm in subjective alertness on the occurrence of traffic accidents, the authors investigated the occurrence rate of traffic accidents adjusted to traffic volume in Seoul and the relative rate of fatal accidents versus total traffic accidents in Korea at different times of day in 1991. We analyzed these data in relation with the circadian rhythm in subjective alertness. The results were as follows. Both the occurrence rate of traffic accidents adjusted to traffic volume and the relative rate of fatal accidents versus total traffic accidents were the highest at 3-4 a.m., known as the time period of the lowest subjective alertness. They were negatively correlated with subjective alertness (p<0.05, p<0.001). In conclusion, it is suggested that the circadian rhythm of subjective alertness should have a significant effect on the occurrence of traffic accidents despite many confounding factors such as driving environments.

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A Research for Methodology of Culture Semiotics for Smart Healing Contents (스마트 힐링콘텐츠의 문화기호학적 방법론 연구)

  • Baik, Seung-Kuk;Yoon, En-Ho
    • Journal of Information Technology and Architecture
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    • v.11 no.3
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    • pp.347-357
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    • 2014
  • This research aims to suggest the possibility of functional culture contents based on interdisciplinary methodologies, especially for people who have Autism Spectrum Conditions, or those who have disabilities on express and receive gamsung (emotions). Recently, the development of application technologies in smartphones and tablet computers needs of functional culture contents, which are connected with the gamsung system. Moreover, the potential of marketplace of functional culture contents is emerging, as can be seen from the success of Augmentative and Alternative Communications (AAC) applications. Therefore, with the development of more applications that prevent and resolve Gamsung Disabilities anticipatively, there will be a positive economic effect of reducing back on intervention expenses as well as the construction of new contents ecosystem. So, in this research, we will attempt to make an approach of using the cultural semiotics methodology in finding attributes and features of applications that help to keep mental stability and balance for people with gamsung Disabilities. Particularly, this research will suggest an interdisciplinary theory on healing contents making methodology, using contents analysis; user interface (UI) analysis; and user experience (UX) analysis on existing smart healing applications.

A STUDY ON THE BOND STRENGH OF 4-META ACRYLIC RESIN DENTURE BASE TO COBALT-CHROMIUM ALLOYS (4-META의치상레진과 Cobalt-Chromium계 합금의 접착강도에 관한 연구)

  • Sung, Moo Gyung;Kim, Kwang Nam;Chang, Ik Tae
    • The Journal of Korean Academy of Prosthodontics
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    • v.28 no.2
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    • pp.29-51
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    • 1990
  • This study was designed to compre the tensile bond strength of 4-META containging denture base resin to Co-Cr alloys after various surface treatments. Especially the surface treatment of sandblasting the mental with aluminum oxide and treating in oxidizing solution composed of 3% aqueous sulfuric acid with 1% potassium manganate were compared. Effect of surface roughness on bonding was measured after sandblasting with 50um, 300um aluminun oxide and polishing with emery pater. Also the effects of wax and wax solvent on bonding were observed. According to the type of polymerization process, heat-cured Meta-Dent resin and autopolymerizing Meta-Fast resin were used. For some specimnens, the tensile bond strength were measured agter three pre-conditions : 1day after bonding, immersed in water at $75^{\circ}C{\pm}3^{\circ}C$ for 4weeks, under normal ambient condition for 4weeks. The following results were obtained from this study : 1. The bond strengths of resins containing 4-META were significantly higher than those of conventional denture base resins(p<0.05). 2. Autopolymerizing Meta-Fast resin had higher bond strength than heat-cured Meta-Dent, resin(p<0.05). 3. The bond strengths of Biosil and Nobilium to 4-META containging resins were not significally different(p>0.05). 4. Stable adhesion can be achieved when mechanically roughen the metal surface by snadblasting with $50{\mu}m$ aluminum oxide than treating in an oxidizing soluing with potassium manganate(p<0.05). 5. Once the metal surface is contaminated with wax, the bond srtength decreased greatly in spite of wax wash with boiling water. But the bond strength recovered significantly with the use of wax solvent 6. Meta-Dent resin had higher bond strength when roughen the metal surface with $50{\mu}m$ aluminum oxide than with $300{\mu}m$ aluminum oxide(p<0.05). In case of Meta-Fast, resin, the use of $300{\mu}m$aluminum oxide was a little advantageous of bonding, but was statistically insignificant(p>0.05).

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Effects of Cognitive Training Using Tablet PC Applications on Cognitive Function, Daily Living and Satisfaction in Subacute Stroke Patients (테블릿 pc 어플리케이션을 사용한 인지훈련이 아급성 뇌졸중 환자의 인지기능, 일상생활 및 만족감에 미치는 영향)

  • Moon, Jong-Hoon;Won, Young-Sik
    • The Journal of the Korea institute of electronic communication sciences
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    • v.12 no.1
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    • pp.219-228
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    • 2017
  • The aim of this study was investigated the effect of cognitive training using tablet pc applications on cognitive function, daily living, and satisfaction in subacute stroke patients. This study participated in fourteen subacute stroke inpatients, in I general hospital, at located in Incheon. All subjects assigned that randomized each seven patients in experimental and control group. Two groups received to traditional cognitive therapy during half hour/day, 5 times per week, for 4 weeks. Experimental group performed additionally that cognitive training using tablet pc applications for 30 min/day. The outcome measures were the K-MMSE(: Korea-Mini Mental State Examination), MoCA-K(: Montreal Cognitive Assessments-Korea), MBI(: Modified Barthel Index), VAS(: Visual Analog Scale) for cognitive function, daily living, satisfaction. In results, Both group showed significant improvements after intervention in MoCA-K, MBI(p<.05). In comparison of change between two groups, experimental group showed significant improvements than control group in MoCA-K(p<.05). In comparison of satisfaction of two groups, both group was not significant difference(p>.05). we suggested that Cognitive training using tablet pc applications expected to positive effects the improvements of cognitive function in subacute stroke patients.

The Effect of Coping Strategies on the Outcome of Stressful Life Events and Mental Health (삶의 사건에 대한 대응양식이 문제해결과 정신건강에 미치는 영향)

  • Lee, In-Jeong
    • Korean Journal of Social Welfare
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    • v.36
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    • pp.285-307
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    • 1998
  • This study explored three issues in regard to the relationship among stressful life events, coping, successful outcomes, life satisfaction and depression. The first issue was about the differences in the level of use among eight coping strategies according to the type of stressful life events. The second issue dealt with the differences between those who achieved successful outcomes and those who did not in the use of coping strategies. The third issue was if the different use of coping strategies was related to the level of life satisfaction and depression. Stressful life events were divided into problems of four areas such as health, finance, family relations including well-being of family members, and work Coping was assessed by eight factors. The survey data collected from 221 community residing adults was used for analyses. Findings suggested that the level of the use of escape-avoidance was very low while the level of the use of planful problem solving, seeking positive meaning, self control, and accepting responsibility was high for all stressful life events. It was also found that in some stressful life events those who achieved successful outcomes used more planful problem solving, more seeking positive meaning and less escape-avoidance than those who did not achieve successful outcomes. Finally, for almost all of the stressful life events, the use of more planful problem solving was related to either higher level of life-satisfaction or lower level of depression while the use of more escape-avoidance was related to lower level of life-satisfaction and higher level of depression. According to the results, implication for social work intervention was discussed.

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The Influences of Risperidone and Clozapine on Body Weight and Glucose Level in Patients with Chronic Schizophrenia - Comparison Study with Haloperidol - (만성 정신분열병 환자에서 Risperidone과 Clozapine이 체중과 혈당에 미치는 영향 - Haloperidol과의 비교 연구 -)

  • Nam, Cheon-Woo;Yang, Byung-Hwan;Lee, Joon-Noh
    • Korean Journal of Biological Psychiatry
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    • v.11 no.2
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    • pp.127-135
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    • 2004
  • Object:The goal of this study was to examine the changes in body weight and glucose levels of the patients treated with risperidone, clozapine or haloperidol in order to compare the effect of risperidone or clozapine with that of haloperidol. Methods:For nine months(January to September, 2003), a prospective study was performed in 60 patients with chronic schizophrenia who were in Seoul National Hospital. Two-week period was required for a drug wash-out. The patients were randomly assigned to risperidone, clozapine and haloperidol groups. They were given risperidone(n=20), clozapine(n=20) and haloperidol(n=20), respectively, everyday for 12 weeks. To examine the effects of these drugs on body weight and fasting glucose levels, we measured body weight and glucose levels of all the patients first without the drug treatment and at each end of 4, 8, and 12-week periods with the treatment. And we examined the differences among three groups in the changes of body weight and fasting glucose levels. Results:There were no significant differences in the changes of the body weight and fasting glucose levels between the atypical antipsychotics(risperidone or clozapine) and the typical antipsychotics(haloperidol). Conclusion:The study in the patients with chronic schizophrenia suggests that risperidone or clozapine do not cause any additional effects on body weight or glucose levels compared to haloperidol.

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Effects of Uwhangchungsim-won(Niuhuangqingxin-yuan) on Systemic Blood Pressure, Pulse Rate, Cerebral Blood Flow, and Cerebrovascular Reactivity in Humans (우황청심원(牛黃淸心元)이 정상인의 혈압(血壓), 맥박수(脈搏數), 뇌혈류(腦血流) 및 뇌혈관반응도(腦血管反應度)에 미치는 영향(影響))

  • Yun, Sang-Pil;Lee, Sang-Ho;Kim, Eun-Ju;Na, Byong-Jo;Jung, Dong-Won;Shin, Won-Jun;Moon, Sang-Kwan;Bae, Hyung-Sup;Kim, Lee-Dong
    • The Journal of Internal Korean Medicine
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    • v.25 no.3
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    • pp.440-450
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    • 2004
  • Objectives: Uwhangchungsim-won(UC) has been used in the treatment of a wide variety of conditions including stroke, hypertension, arterosclerosis, autonomic imbalance, and mental instability, in Korean traditional hospitals. The aim of this study was to evaluate the effect of DC on cerebral hemodynamics and to determine the appropriate dosage. Methods: We studied changes in hyperventilation-induced cerebrovascular reactivity and mean blood flow velocity of the middle cerebral arteries(MCAs) were studied by means of transcranial Doppler ultrasound. Changes in mean blood pressure, pulse rate and expiratory CO2(PECO2) were observed using Cardiocap TM/5. Six healthy young volunteers who were administrated with full doses of DC for group A, and half doses for group B. Six other healthy subjects comprised the control group. The evaluation was performed during basal condition, and repeated at 20, 40, 60, 120, and 180 minutes after administration. Results: Increases of cerebrovascular reactivity and mean blood flow velocity in the middle cerebral artery in group A were significantly different compared with group B and the control group (p<0.1). Mean blood pressure, pulse rate and expiratory CO2 did not change during the observation and were not different among these three groups. We observed that in cerebrovascular reactivity induced hyperventilation, group A was most effective at 40 minutes after administration, and its effectiveness lasted for 120 minutes. Conclusions: This study provides evidence for UC, in full doses, as an agent for dilation of the cerebral arteriols to increase hyperventilation-induced cerebrovascular reactivity as a consequence of faster recovery of blood flow velocity.

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An Implementation of Obesity Management System with Individually Adapted Complex Care (개인 맞춤형 통합 치료가 가능한 비만 관리 시스템 개발)

  • Noh, Si-Cheol;Kim, Ju-Young;Kim, Jin-Su;Kang, Sang-Sik;Choi, Heung-Ho
    • Journal of the Korean Society of Radiology
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    • v.6 no.2
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    • pp.83-91
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    • 2012
  • The obesity is a medical condition in which excess body fat has accumulated to the extent. It may have an adverse effect on health, leading to reduced life expectancy and increased health problems such as lifestyle disease, hypertension, and diabetes. Furthermore, it may cause the mental illness such as depression, bipolar disorder, anorexia, hyperphagia, and so on by shrinking psychologically. So, it is regarded as the serious worldwide social problem. Recently, although there are many general obesity care methods with various approaches, these can't be the radical obesity care because of the side effects such as surgery aftereffect, drug addiction, and so on. For these reasons, a methodical approach with a consideration of individual obesity pattern is strongly demanded. In this study, complex obesity care and management system which is overcome the weakness of non-surgical obesity treatment is proposed. And the individually adapted obesity treatment system with the far-infrared therapy module, oxygen therapy module, color therapy module, and microwave therapy module was developed. The complex obesity treatment system which is proposed in this study, could improve the efficiency of treatment by suggesting the various treatment protocols. And proposed system could be the foundation of the high quality obesity treatment system.

A Study on the Health Promotion Behaviors in Rural Areas (일부 농촌 주민의 건강 증진 행태에 관한 연구)

  • Kim, Duck-Soo;Lim, Hyun-Sul;Kim, Doo-Hie
    • Journal of agricultural medicine and community health
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    • v.25 no.2
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    • pp.327-341
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    • 2000
  • Objectives : This study is to evaluate the status of health promotion behaviors and life styles in rural areas. Methods : A self-administered questionnaire survey was carried out for 1,350(men 461 persons, women ; 889 persons) people in rural areas ages of 30 years and older in Buk-myun, Uljn-Gun and Kikye-myun, Pohang-City, Kyungsangbuk-Do from March 13 to 25 in 1999. We established health promoting scores by using data results. Collected data was analyzed through the chi-square trend test, Student's t-test, ANOVA and multiple comparison. The data was analyzed using a SPSS/win statistical package. Results The age-adjusted prevalence of individual health promoting behavior by sex was 39.4% in men and 94.0% in women in regard to non smoking 39.4% and 92.5% in non-drinking 17.2% and 13.1% in physical exercise on a regular basis 79.8% and 80.0% in a regular diet 81.6% and 75.6% in maintaining desirable body mass index 81.2% and 78.2% in sufficient physical rest 84.2% and 82.1% in sufficient mental rest 48.4% and 40.6% in supplemental intake for health. The age-adjusted proportion for a screening examination in stomach cancer by sex was 39.9% in men and 37.1% in women 31.8% and 28.0% in liver cancer 17.0% and 12.7% in colon cancer 37.0% and 31.0% in undergoing a medical health screening. The health promoting scores were statistically significant, higher in the younger aged women's group(p<0.01). In spite of very low health promoting scores, some men thought of themselves healthy. Conclusions : The health promoting scores showed a gradual improvement as ages in men increase. Although men in ages of 30 to 40 were found to have lower scores in their health promoting scores, they were still to believe that none of health status is problematic. However, it was shown a vice-versa effect in women. They thought of their health as in a bad condition, but in measurement scores outranked their personal beliefs. In general, as ages increase one tends to consider of his or her health status poor. Therefore the plans for health improvement are needed to be come up.

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