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Clinical Characteristics Analysis of 185 Pediatric and Adolescent Patients Who Visited Korean Medicine Hospital with Peripheral Facial Nerve Paralysis (말초성 안면신경마비를 주소로 한방병원에 내원한 소아청소년기 환자 185례에 대한 임상적 특징 분석)

  • Hong, Ye Na;Yu, Sun Ae
    • The Journal of Pediatrics of Korean Medicine
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    • v.37 no.1
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    • pp.58-72
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    • 2023
  • Objectives The purpose of this study is to analyze the latest clinical trends in peripheral facial nerve palsy pediatric and adolescent patients who treated in Korean medicine hospital. Methods The study was conducted based on 185 cases of pediatric and adolescent patients with peripheral facial nerve paralysis who visited Korean medicine hospital from January 2017 to June 2022. Results The mean age of onset of facial nerve paralysis in children and adolescents was 11.7 years, and the incidence rate was higher in boys than in girls. The seasonal distribution was the most common in autumn, and 91.4% were diagnosed with Bell's palsy. The recurrence rate was 7.6%. The severity was evaluated on the House-Brackmann Grading System (HBGS) scale, and the most common was Grade III. It took an average of 6.5 days from the date of onset to visit the hospital, and 75.7% visited the hospital within a week from the date of onset. Hospitalized treatment was 69.2%. The higher the HBGS grade, the more hospitalized treatment was, and the total number of treatments and the duration of treatment tended to increase. The average treatment period from the first visit date was 119.6 days. 17.8% received only Korean medicine treatment, and 69.2% took Western medicine with herbal medicine. Conclusions In this study, there was a difference in the average treatment period from previous studies according to the study period setting. Long-term studies on the recovery rate and prognosis of pediatric facial paralysis are needed.

Predicting serum acetaminophen concentrations in acute poisoning for safe termination of N-acetylcysteine in a resource-limited environment (약물농도를 알 수 없는 환경에서 acetaminophen 급성 중독환자의 안전한 N-acetylcysteine 치료 종료를 위한 혈중약물 검출 예측)

  • Dahae Kim;Kyungman Cha;Byung Hak So
    • Journal of The Korean Society of Clinical Toxicology
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    • v.21 no.2
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    • pp.128-134
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    • 2023
  • Purpose: The Prescott nomogram has been utilized to forecast hepatotoxicity from acute acetaminophen poisoning. In developing countries, emergency medical centers lack the resources to report acetaminophen concentrations; thus, the commencement and cessation of treatment are based on the reported dose. This study investigated risk factors that can predict acetaminophen detection after 15 hours for safe treatment termination. Methods: Data were collected from an urban emergency medical center from 2010 to 2020. The study included patients ≥14 years of age with acute acetaminophen poisoning within 15 hours. The correlation between risk factors and detection of acetaminophen 15 hours after ingestion was evaluated using logistic regression, and the area under the curve (AUC) was calculated. Results: In total, 181 patients were included in the primary analysis; the median dose was 150.9 mg/kg and 35 patients (19.3%) had acetaminophen detected 15 hours after ingestion. The dose per weight and the time to visit were significant predictors for acetaminophen detection after 15 hours (odds ratio, 1.020 and 1.030, respectively). The AUCs were 0.628 for a 135 mg/kg cut-off value and 0.658 for a cut-off 450 minutes, and that of the combined model was 0.714 (sensitivity: 45.7%, specificity: 91.8%). Conclusion: Where acetaminophen concentrations are not reported during treatment following the UK guidelines, it is safe to start N-acetylcysteine immediately for patients who are ≥14 years old, visit within 15 hours after acute poisoning, and report having ingested ≥135 mg/kg. Additional N-acetylcysteine doses should be considered for patients visiting after 8 hours.

Effect of Anti-Aging Standard Forest Healing Program With Multiple Visits to a Forest Facility on Cognition in Older Age Patients

  • Jinseok Park;Sheng-Min Wang;Dong Woo Kang;Beom Lee;Hojin Choi
    • Dementia and Neurocognitive Disorders
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    • v.23 no.1
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    • pp.44-53
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    • 2024
  • Background and purpose: The anti-aging standard forest healing program (ASFHP), which uses forest therapy, was reported to be effective in improving psychological, physical, and cognitive functions. However, there are several challenges to directly visiting the forest. This study aimed to investigate the impact of multi-session ASFHP with forest visit on the mental and physical health of the older people with visits to forest facilities and compared them with those of the same program conducted indoors. Methods: Individuals aged over 70 years with concerns about cognitive decline were recruited at dementia relief centers and divided into control and experimental groups. A total of 33 people were administered ASFHP under the supervision of a forest therapy instructor. The control group stayed indoors, while the experimental group visited a forest healing center and repeated the program 20 weeks. Results: The multiple-session ASFHP positively affected cognitive impairment screening test (CIST) total scores (p=0.002), memory (p=0.014), Korean version of the Repeatable Battery for the Assessment of Neuropsychological Status total scores (p<0.001), immediate recall (p=0.001), visuospatial/construction (p<0.001), language (p<0.001), forest healing standard questionnaire total scores (p=0.002), and cognitive function (p=0.019), regardless of location. The forest visits during the ASFHP showed positive effects on orientation (p=0.035), delayed recall (p=0.042), emotional stability (p=0.032), physical activity (p=0.005), and health (p=0.022). The CIST scores of the memory domain were the strongest indicator of the multiple-session ASFHP effects. Conclusions: The 20-week multi-session ASFHP with forest visit showed effects on cognitive improvement and physical and emotional stability compared to indoor education.

An Analysis of Fashion Life Style and Purchasing Type for the Consumer, According to Fashion Trade Area - Focused on Taegu Fashion Trade Area - (패션 상권(商圈)에 따른 소비자(消費者)의 패션라이프 스타일과 의복구매류형분석(衣服購買類型分析))

  • Kim, Kyung-A;Yoo, Tai-Soon
    • Journal of Fashion Business
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    • v.3 no.3
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    • pp.1-14
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    • 1999
  • This study is to analyze consumer's visiting fashion trade area. The purpose of this study, focused on Taegu fashion area, Dongsungro and Bum udong, consumer's spatical beravior, fashion- life-style, clothing purchasing type and Store- Image, etc. This study targeted 580 women aged from 15 to 25 visiting fashion trade area. The methods of measuring include consumer behavior scale, fashion life style scale, clothing purchasing type scale and Stor - Image scale. In process of statistics, the frequency was used to measure consumer's spatical behavior, MANOVA to measure, fashion life style and $\chi^2$ examination was employed to measure clothing purchasing type. The followings are the conclusions of this study ; 1. consumer's spatical behavior by FTA(fashion trade area) : Most people visiting Dongsungro A trade area and Bum udong trade area depart home, while Dongsungro B trade area from school. In case of Bum udong trade area, in particular, more people move from other trade area than people do in Dongsungro trade area. 2. Consumer spatical behavior means by FTA : Bus is far most common transportation. 3. The purpose of visit by FTA : Most people visit Dongsungro B trade area for shopping, while Bum udong trade area for shopping and as a place for appointment. 4. The visiting frequency by FTA : In case of both Dongsungro A.B trade area and Bum udong trade area, at least once a week is most common. Particularly in case of Bum udong trade area, the number of people visiting once every three months and once more than six months is almost same. 5. A company by FTA : People accompanied by the same sex friends are most common in Both Dongsungro A, B trade area and Bum udong trade area in case of Dongsungro B trade area. There is no case of people accompanied by family. 6. The purpose of purchasing fashion comodities by FTA : In case of Dongsungro A trade area for recreation. In case of Dongsungro B trade area and Bum udong trade area, because of affordable price. 7. A Brand - pursued tendency by FTA : Much higher in Dongsungro trade area than Bum udong trade area, among consumers. A character - pursued tendency by FTA : Higher in Dongsungro A than Dongsungro B,A practical tendency and symphatetic tendency Higher in Dongsungro B than Dongsungro A or Bum udong trade area. 8. A Store - Image scale by FTA : The quality of goods is more important to consumers in Dongsungro B than to consumers in Dongsungro A. The data - service and atmosphere are much more important to consumers in Dongsungro B than to consumers in Dongsungro A and Bum udong trade area. The convenience is more important to consumers in Dongsungro B Bum udong trade area than to consumers in Dongsungro A. 9. There is no significant difference among clothing purchasing types by FTA.

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Awareness and using status on long-term care insurance and insurance benefits (노인 장기요양보험 이용실태 및 서비스내용에 대한 인식)

  • Jung, Jae-Yeon;Kim, Soo-Hwa;Kim, Young-Kyung;Ahn, Se-Youn;Yoo, Eun-Mi;Choi, Boo-Keun;Hwang, Yoon-Sook;Han, Su-Jin
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.3
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    • pp.373-381
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    • 2016
  • Objectives: The purpose of the study is to investigate the awareness toward use and service contents of long term care for the elderly. Methods: A self-reported questionnaire was completed by 296 adults from August 13 to October 20, 2014. The questionnaire consisted of general characteristics of the subjects, awareness toward long term care insurance for the elderly, awareness toward long term oral health care services, use of long term care service and use intention for the long term care insurance. Data were analyzed by SPSS 18.0 program. Results: Those who were aware of the long term care insurance accounted for 55.4 percent. Approximately 50 percent of the respondents recognized long term care service items, home visit care, home visit bathing, and home visit nursing. Most of the respondents had information of long term care services by way of mass media and direct contact. Only 13.4 percent of the respondents were aware of the oral health service in the long term care insurance. The subjects were aware of denture cleaning, oral cleaning and oral health education out of oral health service in order; and oral health services that needed to be offered were denture cleaning, oral health education and professional toothbrushing. They reported that dental hygienists were the most important manpower that offered the efficient oral health care services. They answered that professional manpower and financial support are required for oral health services. The positive thinking to long term care insurance accounted for 89.2 percent and 91.3 percent had use intention for oral health services. Conclusions: Many elderly people have mastication or dysphagic problems due to systemic diseases. Therefore, it is necessary to announce the long term care insurance and long term care services for the elderly people.

General Characteristics and Satisfaction of Out-patients of University Hospitals in Seoul, Korea (대학병원 외래환자의 일반적 특성과 만족도 - 서울시내 5개 대학병원을 대상으로 -)

  • Chang, Sung-Goo;Ha, Hun-Young;Shin, Young-Jun;Lee, Jong-Gil
    • Quality Improvement in Health Care
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    • v.2 no.2
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    • pp.130-145
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    • 1996
  • Purpose : the management of University Hospital is being challenged in maintenance of reasonable level of income and high ranked reputation by domestic competition with each other and emergence of enterprised owned hospitals. It is imperative that University Hospitals have to make management for patient satisfaction. Furthermore, increased patient's requirement for qualified hospital services (quality assurance) and low-estimated service fee also repress the hospital management condition as well as medical markets open following with Urguay Connection. Due to these unforable conditions surrounding hospital management, -University Hospitals are being pressed to seek improved management strategies. To develope the strategies, we need to have basic understanding about the problems on hospital management and detail information for various patient's requirement. Methods: For this study, we have analysed out-patients from five different University Hospitals located in Seoul, Korea. To obtain the data, we have carried out personal interviews with patients who patients who visit the Out-Patient Clinics of five different University Hospitals using a previously prepared questionnaire. Result: Around 65.7 percent of the visits to University Hospitals were indwelt in the vicinity of 1 hour and motuvation of visiting University Hospital was expending high wuality medical csre in 49.3 percent. The 79.3 percent of the patients have experienced inconvenience during medical care in University Hospital. The most inconvenient condition was waiting for doctors. The 57.2 percent of total patient have experienced rudness. The most rudness condition was registration and receipt desk in 44.4 percent. Patient expect that doctors working in University Hospitals as professors have high and updated medical knowledge(50.4%) and University Hospitals have a high quality medical care system(79.4%). The patient satisfaction was relatively low in 61.1 percent of total patient and revealed high frequency of again visit University Hospital in satisfaction group. Comparison of interhospital analytical study showed quite difference on various problems. Conclusion: Almost patients who visit to Out-Patient Clinic of University Hospital havevisiting motivation to high quality medical care. University Hospitals have several different unsatisfactorial factors and revealed different degree of patient satisfaction. In a future day, University Hospitals have to make use of another University Hospital's merits for approach of Benchmarking and also should be studied decision factors of patient satisfaction and interhospital difference of them.

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Breast Cancer Detection Rate, Incidence, Prevalence and Interval Cancer-related Mammography Screening Times among Thai Women

  • Sripaiboonkij, Nintita;Thinkamrop, Bandit;Promthet, Supannee;Kannawat, Chalermdej;Tangcharoensathien, Voranuj;Ansusing, Tamnit;Rattanamongkolgul, Suthee
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.8
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    • pp.4137-4141
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    • 2016
  • Background: A recent guideline by the American Cancer Society recommended that mammography (MMG) should be done for women starting in their mid-40s. In Thailand, information on opportunistic mammography screening is limited and data on the total incidence of breast cancer are also lacking. The purpose of this study was to estimate the breast cancer detection, incident and prevalence rates among Thai women. Materials and Methods: We retrospectively reviewed the opportunistic mammography screening of normal women between 30 and 80 years who underwent the procedure between 2001 and 2010. All cases were followed until 2012. The detection rate was calculated for the whole period of observation using 'number of women with positive findings' divided by 'total number of women screened'. The incidence rate was calculated only at the first MMG while the subsequence rate was calculated based on all new cases detected at each subsequent MMG. Results: Among the 47,430 women, there were 152,091 MMGs or approximately 3.2 occasions per person (range, 1-10). The average duration of the interval between each subsequence visit was 1.8 years. Overall, breast cancer was detected in 543 women, with a detection rate of 10.3 per 1,000 persons. The prevalence rate of breast cancer at the first visit was 5.78 per 1,000 persons. The incidence or new cases detected at any follow-up visit was 10.4 per 1,000 persons. The overall interval cancer was 0.91 per 1,000 women, mainly detected before their second and third MMG, with a rate of 0.0.47 and 0.76 per 1,000 women. Conclusions: Opportunistic mammography screening in Thailand detected 10 case of breast cancer from each 1,000 women. This paper indicated a high rate of cancer detection during a two year interval, hence, a screening mammogram should be performed more often.

The study on the Oral Health Knowledge and Behavior of Industrial Workers at Ulsan Province (울산지역 사업장 근로자의 구강보건지식과 행태에 관한 연구)

  • Kim, Youn-Hwa
    • Journal of dental hygiene science
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    • v.9 no.1
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    • pp.17-23
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    • 2009
  • A survey using a questionnaire was conducted among industrial employees in Ulsan Total surveyed persons was 244. The purpose of this study was to analysis the relation and behavior of oral health promotion. Also, This study was to provide educational data of oral health. The obtained were analysed by SPSS program 12.0. The findings were as below: 1. Dental visit for prevention Y/N(%) was higher 50 years than 20 years(p < .001). Oral hygiene devices Y/N(%) for oral hygiene showed University graduates higher than Middle school graduates respectively(p < .05). 2. The knowledge of oral health was higher High school graduates than Middle school graduates respectively(p < .05). The rate of brushing teeth 3~5 times per day was higher females than males(p < .01) and better College graduates than Middle school graduates respectively(p < .001). 3. Oral health conditions of respondents were better 20years and 30years than 50years respectively(p < .001). Self-evaluation of Oral health sensitive was better College graduates than Middle school graduates respectively(p < .05). 4. Correlation between of Tooth brushing Frequency per Day by Oral health knowledge, dental clinic Visit, Extraction number had an effect on the significant dental clinic visit for prevention and the knowledge of Oral health had even a positive effect relationship(r = .233, p = .001). The knowledge of Oral health and the frequency of tooth brushing had even a positive effect relationship(r = .161, p = .05). The frequency of tooth brushing and the number of extraction of teeth had a negative effect relationship(r = -.145, p = .05).

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A Study on Married Women's Accepting Process of SNS WOM and Forming Process of Behavioral Intention for Restaurants: Focusing on Busan (기혼여성의 외식업체에 대한 SNS구전정보 수용과정과 행동의도 형성과정에 관한 연구 - 부산지역을 중심으로 -)

  • Lee, Na Kyoum;Kim, Gi-Jin;Byun, Gwang-In
    • Culinary science and hospitality research
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    • v.20 no.6
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    • pp.159-174
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    • 2014
  • The purpose of this study is to examine the relationships among vividness, consensus, reliability, homogeneity, ties and acceptance of WOM (Word Of Mouth), consumer attitude, SNS WOM transmission, offline WOM transmission, and visit intention perceived by married women consumers who learned SNS WOM regarding restaurants. This study performed a survey targeting married women, focusing on broadcasting stations, department stores, major supermarkets, government offices, and cultural centers in Busan. The surveying period was from March 1, 2014 to March 31, 2014. 304 questionnaires were used for the final analysis. As a result of the analysis, it could be concluded that vivid and reliable SNS words raise the level of acceptance of WOM, reliability makes consumer attitude positive, and homogeneity raises the level of acceptance of WOM, consumer attitude, SNS WOM transmission, and offline WOM transmission intention. In addition, it could be confirmed that acceptance of WOM have significant effects on consumer attitude and offline WOM transmission, and consumer attitude have positive effects on SNS WOM transmission, offline WOM transmission, and visit intention. Lastly, it could be learned that SNS WOM transmission and offline WOM transmission have significant effects on visit intention.

Relationship of health-promotion life style to the factors of oral-health practice among workers (근로자들의 건강증진 생활양식에 따른 구강건강 실천요인)

  • Song, Ji-Yeon;Park, Ji-Young;Kim, Nam-Song
    • Journal of Korean society of Dental Hygiene
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    • v.12 no.3
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    • pp.621-629
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    • 2012
  • Objectives : The purpose of this study was to examine the influential factors for the oral-health practice of adult workers and the relationship of their health-promotion life style to the factors of oral-health practice in an attempt to determine the impact of health-promotion life style. Methods : The subjects in this study were 160 workers who worked in Seoul, North-Jeolla and South-Jeolla Province, and were at the age of 20 and up. The survey was conducted from February 1 to July 20, 2011. Results : As for the relationship of the general characteristics of the workers to the factors of their health-promotion practice, gender made statistically significant differences to toothbrushing female (3.24), and there were statistically significant differences in education/concern according to more than college(2.72) scored higher academic credential(p<0.05). The group of the workers whose health-promotion life style was better in terms of all the toothbrushing(3.35), use of oral hygiene supplies(2.19), regular dental-clinic visit(2.70), dietary control(2.84) and education/concern(3.20) scored higher, and there were statistically significant differences in the factors of education/concern(p<0.05). Their health-promotion life style had an impact on regular dental-clinic visit among the factors of oral-health practice(p<0.05), and there was a positive correlation between health-promotion life style and tooth brushing, dietary control(p<0.05), regular dental-clinic visit, education and concern(p<0.01) the factors of oral-health practice. Conclusions : Workers should be stimulated to get into sound life habits to change their behavior, and they should be urged to improve their preventive health care, to get a dental checkup and ultimately to promote their health as well. Companies should take measures to accelerate the oral health promotion of workers and provide more dental checkup programs for them to be more concerned about their oral health, to promote their oral health and to maintain the best oral health.