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Effectiveness and patient satisfaction of dental emergencies in Pitié Salpêtrière Hospital, Paris, during the COVID 19 pandemic

  • Rodriguez, Isabelle;Zaluski, Daniel;Jodelet, Pierre Alain;Lescaille, Geraldine;Toledo, Rafael;Boucher, Yves
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.22 no.4
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    • pp.255-266
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    • 2022
  • Background: A previous study reported the effectiveness and patient satisfaction in the dental emergency unit (DEU) of the Pitie Salpetrière Hospital in Paris before coronavirus disease 2019 (COVID-19). The same methodology was used during the COVID-19 pandemic to compare pain, anxiety, and patient satisfaction during the two periods. Methods: This prospective study was conducted in 2020 (NCT04354272) on adult patients. Data were collected on day zero (D0) on site and then by phone during the daytime on day one (D1), day three (D3), and day seven (D7). The primary objective was to assess the pain intensity at D1. Secondary objectives were to assess pain intensity at D3 and D7, anxiety intensity at D1, D3, and D7, and patient satisfaction. Patients were evaluated on a 0-10 numeric scale on D1, D3, and D7; mean scores were compared with non-parametric statistics (ANOVA, Dunn's). Results: A total of 445 patients were given the opportunity to participate in the study, and 370 patients consented. Seventy-one were lost during follow-up. Ultimately, 299 patients completed all the questionnaires and were included in the analysis. In the final sample (60% men, 40% women, aged 39 ± 14 years), 94% had health insurance. The mean pain scores were: D0, 6.1 ± 0.14; D1, 3.29 ± 0.16; D3, 2.08 ± 0.16; and D7, 1.07 ± 0.35. This indicates a significant decrease of 46%, 67%, and 82% at D1, D3, and D7, respectively, when compared to D0 (P < 0.0001). The mean anxiety scores were D0, 4.7 ± 0.19; D1, 2.6 ± 0.16; D3, 1.9 ± 0.61; and D7, 1.4 ± 0.15. This decrease was significant between D0 and D7 (ANOVA, P < 0.001). Perception of general health improved between D1 and D7. The overall satisfaction was 9.3 ± 0.06. Conclusion: DEU enabled a significant reduction in pain and anxiety with high overall satisfaction during COVID-19, which was very similar to levels observed pre-COVID-19 pandemic.

A study on the welfare needs of the elderly living alone (홀몸 노인의 복지욕구에 관한 연구)

  • Do-Hyun, Kim
    • Journal of Advanced Technology Convergence
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    • v.1 no.2
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    • pp.63-68
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    • 2022
  • It is not easy to predict the future society in the rapidly changing present, but it is said that a new social environment of sensibility and virtuality will come, and we should pay attention to the fact that women have entered this as the subject. This study is a literature review study on gender roles. Through the study, it was found that gender stereotypes that exist in our society allow men to enjoy a lot of vested rights just by being male, and that women have to endure pain because they are women is accepted as a matter of course. Living in the 21st century, we were able to know the reality that we could not escape the pre-modern patriarchal ideology and still worshiped the idea of preferring boys. Through this study, unlike other elderly groups, elderly people who live alone are likely to be cut off from society and lead a limited life in their own world. However, through the efforts of the government, local organizations, and individuals, the goal of welfare for the elderly is to increase the satisfaction of life for the elderly living alone so that they can enjoy a successful old age. From this point of view, the support measures for the elderly living alone will be effective only when systematic and complementary in various dimensions such as family structure, physical, economic, and social aspects.

Clinical and Radiological Findings of Coronavirus Disease 2019 Pneumonia: 51 Adult Patients from a Single Center in Daegu, South Korea (Coronavirus Disease 2019 폐렴의 임상적, 영상의학적 소견: 대구의 단일 기관에서 51명의 성인 환자를 대상으로 한 분석)

  • Seung Eun Lee;Young Seon Kim
    • Journal of the Korean Society of Radiology
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    • v.81 no.3
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    • pp.591-603
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    • 2020
  • Purpose The purpose of this study was to describe the clinical features and chest computed tomography (CT) findings of coronavirus disease 2019 (COVID-19) pneumonia. Materials and Methods An Institutional Review Board-approved retrospective review was performed for 51 laboratory-confirmed COVID-19 pneumonia patients. Patients were divided into two groups depending on their clinical status: mild and severe. Clinical characteristics and chest CT findings were compared between the two groups. Results Among the 51 patients (22 men, 29 women; mean age, 56.5 ± 16 years; range, 22-88 years), 37 (72.5%) were in the mild group and 14 (27.5%) were in the severe group. The patients in the severe group (68.7 ± 12.5 years) were older than the patients in the mild group (51.8 ± 14.9 years, p < 0.001). Premorbid conditions and decreased lymphocyte counts were more often observed in the severe group than in the mild group (71% vs. 41%, p = 0.049 and 86% vs. 32%, p = 0.001, respectively). On chest CT, most patients exhibited a mixed ground-glass opacification (GGO) with consolidation (76%) or a GGO (22%) pattern. The majority of lesions were predominantly bilateral in the lower lung with a posterior, peripheral distribution. The patients in the severe group had higher severity scores than those in the mild group. Conclusion Patients with laboratory-confirmed COVID-19 pneumonia have typical chest CT findings that provide important information regarding expected disease severity.

A Study on the Preference for Fashion Design According to Purchase Attitude at Interned Shopping Mall - An Analysis of the Central Net Generation - (인터넷쇼핑몰 구매태도에 따른 패션디자인 선호도에 관한 연구 - N세대를 중심으로 -)

  • 최정선;유태순
    • Journal of the Korean Society of Costume
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    • v.52 no.1
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    • pp.89-101
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    • 2002
  • The purpose of this study was to characterize purchase behavior at internet shopping mall and the preference for fashion design through analysis Net generations. The subjects for this sample were teen-agers and university students who had dwelled at pusan and ulsan in south korea. This study had 824 samples who had purchasing of fashion apparels at the internet shopping mall. The sampling data in this survey was analyzed by frequency analysis, factor analysis, T-test, Duncan-test, MANOVA and ANOVA of SPSS WIN package. The results of the study were as follows: 1. It was proved that among 824 individuals, 790(95.9%)individuals uses internet or pc communication and 33 individuals don't use any of them. 35.1% of using internet people have been using that for 1∼2 years. And they used internet for 1∼3 hours in a day(52.9%). And Net generations preferred Internet Shopping Mall because they didn't need to take the troubles of shopping and parking, but at the same time, they seemed to have distrust because they couldn't check the products personally. 2. People who decide to purchase by products and pursuit of information prefer cuffs, collar design, people of pursuit of convenience prefer sleeve, neckline, pants design, people of advertising and pursuit of services prefer cuffs, sleeve, collar, neckline, pants design and color. People who was dependent on perception of danger when they purchase preferred color and pattern. 3. It was proved that purchase attitude for men at internet shopping mall was convenience and for women, advertising and pursuit of services. 1318 teenagers decided to purchase mainly by advertising and pursuit of services at internet shopping mall and semi-adult are less dependent on that factors than 1318 teenagers did. Under high school educational course Net generation was dependent on the factors of advertising and pursuit of services when they purchase at internet shopping mall and above university educational course Net generation decide to purchase by the factors of products and pursuit of information. Also, people whose average income was above 3 million won ware dependent on the factors of advertising and pursuit of services and people whose income was under one million won was decide to purchase by the factors of perception of danger. People whose monthly expenditure on purchase was above 50,000 won ware depend on advertising and pursuit of services more than people whose expenditure was under 50,000 won did.

A Longitudinal Study of Social Network Trajectory among Widowed Middle and Older Adults (중·노년기 배우자 사별 전후의 사회적 관계망 변화에 대한 종단연구)

  • Chang, Sujie
    • 한국노년학
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    • v.31 no.4
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    • pp.1083-1101
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    • 2011
  • The purpose of this study is to describe how the structural and functional features of social network change among widowed middle and older adults and to examine the effect of personal predictors of the social network change. Data was obtained from men and women between 45 to 98 years of age(N=118) who were bereaved by the death of their spouse since the first wave survey and participated in the second wave survey of the Korean Longitudinal Study of Ageing(KLoSA). The main findings are as follows: First, their social network after the bereavement was strengthened centered around children; for example, the number of adult children living in proximity to the parent, frequency of contact with children, and the financial and non-financial support from children generally increased. Second, the social network change pattern was categorized into four types such as "overall increased type," "children-centered increased type," "children/close relationship-centered increased type," and "stagnation type." Finally, the health condition of the widowed middle and older adults was a strong predictor of the social network change.

Association between shift work and the risk of hypothyroidism in adult male workers in Korea: a cohort study

  • Seonghyeon Kwon;Yesung Lee;Eunhye Seo;Daehoon Kim;Jaehong Lee;Youshik Jeong;Jihoon Kim;Jinsook Jeong;Woncheol Lee
    • Annals of Occupational and Environmental Medicine
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    • v.35
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    • pp.41.1-41.11
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    • 2023
  • Background: Shift work has been reported to have several harmful effects on the human body. However, a small number of studies have evaluated the association between shift work and adverse effects on the thyroid. In our longitudinal study, we examined the causal association between shift work and the risk of hypothyroidism. Methods: A Kangbuk Samsung Cohort Study was conducted on 112,648 men without thyroid disease at baseline who were followed up at least once between 2012 and 2019. Shift work status and shift schedule types were categorized using standardized questionnaires. Hypothyroidism was defined using the reference ranges of serum thyroid-stimulating hormones and free thyroxine levels. Hazard ratios (HRs) and 95% confidence intervals (CIs) for incident hypothyroidism were estimated using Cox proportional hazards regression analyses with the daytime work group as the reference. Results: During the 501,237 person-years of follow-up, there were 6,306 incident cases of hypothyroidism (incidence density, 1.26 per 100 person-years). The multivariable-adjusted HR of incident hypothyroidism for the shift work total group that included all shifts compared with the daytime work group was 1.27 (95% CI: 1.15-1.40). For the fixed evening, fixed night, rotating shift, and other shift workers, the multivariable-adjusted HRs (95% CI) were 1.11 (0.76-1.61), 2.18 (1.20-3.93), 1.39 (1.23-1.56), and 1.00 (0.82-1.22), respectively. In subgroup analyses by age, the association between shift work and hypothyroidism was more pronounced in younger participants (< 40 years; HR: 1.31; 95% CI: 1.16-1.47). Conclusions: Our large-scale cohort study showed an association between shift work and the incidence of hypothyroidism, especially in younger workers with night shifts.

Spawning Behavior and Early Life History of Korean Aucha Perch, Coreoperca herzi Herzenstein (한국산 꺽지 (Coreoperca herzi)의 산란습성 및 초기생활사)

  • 한경호;박준택;정규화;이원교;이재용;방인철
    • Journal of Aquaculture
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    • v.11 no.1
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    • pp.49-58
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    • 1998
  • The spawning behavior and early life history of the Korean aucha perch, Coreoperca herzi were studied. The eggs were spawned in a one-layer mass, hanging from the underside of a largy stone and guarded by one male. According to the considerable size difference os eggs in the individual ovaries, it was concluded that they spawns several times within a spawning season of May~June. The ripe eggs were demersal and adhesive, and their diameter were 2.60~3.04mm with several oil globule of 0.10~0.64mm. Hatching in the tank with $19.0{\pm}1.0^{\circ}C.$ in men water temperature started from the 380 hours after fertilization. Newly-hatched larvae were measured 6.45~7.34mm in total length (TL, mean : 6.85mm), and mouth and anus were open. Melanophores were present on the head, around the yolk, and on the dorsal part of the abdominal region. 3 days old larvae were measured 7.00~7.40mm in TL (mean : 7.25mm), and they fed Daphnia sp. and Brachionus plicatilis actively. 6 days old larvae transformed to postlarval stage and they were 7.94~10.10mm in TL (mean : 9.00mm). As yolk sac were nearly absorbed, the caudal notochord flex at 45. Aggregate numbers of all fin rays were completed at over 16.90~19.80mm in TL (30 days after hatching), at which time the larvae reached the juvenile stage. In fifty days old larvae(24.60~27.10mm in TL) were similar in body form, lateral line and color to adult.

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Mediating Effect of Male Gender Role Conflict on the Relationship between Conformity to Masculine Norm and Psychological Distress (남성 규범 순응이 심리적 디스트레스에 미치는 영향: 남성 성역할 갈등을 매개로)

  • Baek, Joo-Hee;Yang, EunJoo
    • The Journal of the Korea Contents Association
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    • v.22 no.6
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    • pp.453-466
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    • 2022
  • This study attempted to examine the role of gender roles in psychological distress of Korean adult men. Specifically, it was attempted to verify whether compliance with multidimensional male gender roles predicts psychological distress through gender role conflict. To this end, this study was conducted on 358 male participants aged 19 to 39 using the Korean Conformity to Masculine Norm Inventory, Korean Male Gender Role Conflict Scale, and General Health Questionnaire. As a result of the study, it was found that the influence on psychological distress through male gender role conflict was different depending on the sub-factors of the male gender norm. The sub-factors of masculine norms, 'power and control', 'job - independence', and 'emotion suppression', were statically predicted psychological distress through the medium of 'fear for femininity', which is a sub-factor of gender role conflict. Meanwhile, among the male norms, 'male leadership' and 'family support' had negative direct effects on psychological distress, and the indirect effects through gender role conflict were not significant. The results of this study suggest that the sub-factors of male norms have different functions for psychological distress, and in particular, the dysfunctional role of male norms can be caused by negative emotions about femininity during gender role conflict.

Effect of Skin Elasticity Improvement and Anti-oxidant Activity of Stem Cells Extract Derived from Cambium of Aloe (알로에 형성층 유래 줄기세포 추출물의 항산화 활성 및 피부탄력 개선 효과)

  • Dong-Myong Kim;Won-Jin Kim;Hyung-Kon Lee;Yong-Seong Kwon;Yeon-Mea Choi
    • Journal of the Society of Cosmetic Scientists of Korea
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    • v.49 no.2
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    • pp.169-176
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    • 2023
  • In this study, stem cells were extracted from the callus derived from the aloe cambium, and the antioxidant activity and effect of skin elasticity improvement were assessed. The aloe cambium-derived stem cell extract, AloStem and callus showed the survival rate of each 98.27% and 71.31%. In the results of the DPPH antioxidant activity of AloStem and aloe extract, it was confirmed that the antioxidant effect of AloStem was more than twice that of Aloe extract. AloStem did not affect the cytotoxicity of normal human dermal fibroblasts (NHDF) cells up to 0.25% concentration. Also, AloStem increased elastin, COL1A1 and HAS2 mRNA expression levels dose-dependently. Furthermore, to examine lifting effect of skin elasticity using a sheet mask containing AloStem, 21 adult men and women applied the sheet mask in the face, once a day for 2 weeks. As a result, after 2 weeks the skin length was 116.75 ± 5.58 mm before the use of the sheet mask, but after 2 weeks of use, it was confirmed that 0.59% increased to 117.44 ± 5.17 mm. Thus, we concluded that the sheet mask containing AloStem can help the lifting effect of skin elasticity.

Effects of Humidity Changes on Eyes (습도 변화가 눈에 미치는 영향)

  • Sun-Hee Han;Bong-Hwan Kim;So-Bin Kim;Min-Jung Kim;Hee-Kyung Park;Hyun-Ji Kim;Heon-Tae Kim;Hyeong-Su Kim
    • Journal of Korean Clinical Health Science
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    • v.11 no.1
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    • pp.1616-1624
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    • 2023
  • Purpose. The purpose of this study was to investigate the effect of changes in tear break-up time, accommodative response amount, and accommodative microwave on the eyes due to changes in humidity. Methods. A total of 48 adult men and women in their 20s (21.1±1.56 years old) were surveyed on dry eye questionnaires (OSID questionnaires), tear destruction time was measured by humidity (40%, 60%, 80%), and controlled reactions and controlled fine waves were measured through tactile tests. Result. As a result of the OSID questionnaire, there were 10 normal patients, 8 mild dry eyes, 1 moderate dry eye, and 5 severe dry eyes. The initial tear film destruction time was 7.34±4.67 seconds at 40% humidity, 8.99±4.75 seconds at 60% humidity, 10.26±4.52 seconds at 80% humidity, and the average tear film destruction time was 9.51±4.07 seconds at 40% humidity, 10.99±3.82 seconds at 60% humidity, and 12.05±3.42 seconds at 80% humidity. The accommodative response was -0.41~1.79D at 40% humidity, -0.34~1.79D at 60% humidity, and -0.30~2.01D at 80% humidity. The accommodative microwave was measured as 56.39~63.43dB when it was 40%, 56.41~62.64dB when it was 60%, and 55.96 ~61.13dB when it was 80%. Conclusion. As the humidity (40~80%) increased, the tear break-up time increased, and as the accommodative stimulus amount increased, the accommodative response amount increased. It was found that the accommodative microwave according to the amount of accommodative stimulation increased, and as the humidity increased, the accommodative microwave decreased.