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교정용 고무 링의 삽입과 임시 전장관의 수정을 통한 보철 수복 전 인접면 공간 획득: 증례보고
신한얼,노병덕,신유석,이찬영 大韓齒科保存學會 2012 Restorative Dentistry & Endodontics Vol.37 No.2
Proximal caries or coronal defect in posterior teeth may result in the loss of proximal space and drifting of neighboring teeth, which makes restoration difficult. Inability to restore proper contours and to align tooth axis properly are commonly encountered problems when planning tooth restoration. Moreover, tilted teeth aggravate periodontal tissue breakdown, such as pseudo-pocket, and angular osseous defect. The purpose of this case presentation is to describe a simple technique for inducing minor tooth movement with orthodontic separating ring and provisional restoration modification. This method was used to create crown placement space on mesially tilted molar. This method is easy, simple and efficient technique which could be used in interproximal space gaining in selected situation.
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비조절성 제2형 당뇨 환자의 치아 탈구 손상에 따른 치수 괴사: 증례 보고
신한얼,이승종,정일영,이찬영 大韓齒科保存學會 2012 Restorative Dentistry & Endodontics Vol.37 No.1
Patients with diabetes mellitus show delayed wound healing and increased susceptibility to infection. Therefore, the effects of diabetes on pulpal and periodontal healing should be taken into consideration when treating diabetic dental traumatized patients. This case presents the treatment for dental traumatized 20 yr old female with uncontrolled type II diabetes. The traumatized upper central incisors had showed pulpal healing in early days. However, 7 mon after the trauma, the teeth had been diagnosed with pulp necrosis with apical abscess. Eventually, non surgical root canal treatment on the teeth had been performed.
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노동 시간의 단축이 건강 행태와 의료 이용에 미치는 영향
신한얼 한국보건사회연구원 2018 한국복지패널 학술대회 논문집 Vol.11 No.-
본 연구는 2004년 개정된 근로기준법으로 인한 노동시간 단축이 근로자의 건강행태와 의료이용에 미친 영향을 분석하였다. 근로기준법 시행이 사업체 규모에 따라 순차적으로 차등 적용된 점에 착안하여 다그룹-다시점(multiple groups multiple time periods) 이중차분 분석을 수행하였다. 분석 결과, 근로시간 단축 정책은 근로자들이 건강검진을 받을 확률을 유의하게 증가시켰고 동시에 흡연 확률도 증가시킨 것으로 나타났다. 건강검진 증가의 경우 남성 및 장시간 근로자, 고등학교 이하 졸업자와 중고연령층에서 두드러지게 나타났으며, 고연령 일수록 그 효과도 크게 나타났다. 흡연은 남성과 고학력자, 청년층에서 주로 증가하는 것으로 분석되었다. 또 장시간 근로자의 경우 건강검진 증가와 더불어 의료 외래 서비스 이용이 증가하는 것으로 나타났다.
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신한얼,고재인,심은혜,김홍수 한국보건경제정책학회 2019 보건경제와 정책연구 Vol.25 No.1
Unmet health care needs act as an indicator for medical accessibility and health equity; recently, number of related research has been increasing. The objective of the study is to critically review literatures of unmet health care needs among older people aged 65 and above in South Korea, and make recommendation for future research. We performed a systematic review of papers for entire year and identified 18 studies eligible for inclusion. Most studies analyzed the determinant factors cross-sectionally and only a few were analyzed longitudinally. Main determinants of unmet health care needs were female, low-education, low-income, poor subjective health status. Having unmet healthcare needs due to economic reason or other reasons showed associative factors that are different from each reason. “Korea Health Panel Study” was most frequently used data source and rate of experiencing unmet health needs and considering economic hardship as barrier of unmet health needs decreased consistently from 2012 to 2014. We suggest future studies to investigate reasons of unmet health care other than economic hardship to analyze the determinant factors. In methodological aspect, more causality studies should be done with precise method.
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노동 시간의 단축이 건강 행태와 의료 이용에 미치는 영향
신한얼,정완교 한국보건경제정책학회 2019 보건경제와 정책연구 Vol.25 No.1
This study analyzed the effect of the reduction of working hours on health behavior and health service utilization of workers due to the revised 2004 South Korea’s Labor Standards Act(LSA). Difference-in-differences estimation was conducted using multiple groups & multiple time periods, between 2004 to 2011, after South Korea’s LSA had set 40-hours limit on working hours per week. Our results showed that reduction of working hours increased both medical examination and smoking. Its effect on medical examination was salient among men, overtime workers, high school or less than high school graduates and elderly groups, and increased smoking behavior was more pronounced among men and younger groups. As for overtime workers, medical examination increased together with use of outpatient medical services.
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