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박홍주,Park, Hongju 대한치과의사협회 2019 대한치과의사협회지 Vol.57 No.10
Antiplatelet agent is administered to the patients who have ischemic heart disease, transient cerebral infarction, as well as hypertension, etc. Antiplatelet agent prevents thromboembolism by inhibition of platelet aggregation by various mechanism. Due to that reason, patient who administered antiplatelet agent has bleeding tendency. Surgeon does not want to make a complication by bleeding during and after operation, and want to stop taking antiplatelet agent. However, It is very dangerous for the patient to stop antiplatelet agent. Local bleeding as a complication after operation is considered minor one, whereas thromboembolism is life threatening serious complication. Most dental intervention can be performed without withdrawal of antiplatelet agent. Dental intervention should be limited area, and surgeon should do active bleeding control.
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조모와 손자녀의 기질, 조모의 양육효능감 및 양육스트레스
박홍주,정향미 한국모자보건학회 2010 한국모자보건학회지 Vol.14 No.1
Objectives:This study was done to identify the relationship among temperament of a grandmother and grandchild, the grandmother's parenting self-efficacy and parenting stress. Methods:Study participants were 165 grandmothers who had grandchildren aged 1 to 7 years in B City. Descriptive statistics, t-test, one-way ANOVA, and Pearson's correlation coefficient were calculated using the SPSS Win 17.0 program. Results:The comparison of a grandmother's parenting self-efficacy according to the characteristics of the participants, showed a significant difference. This could be found in the reasons why grandmothers didn't receive pocket money, relation with working mothers and health conditions. Comparison of grandmothers' parenting stress according to the participants' characteristics showed a significant difference according to conflict with working mothers, health conditions, parenting place and parenting motivations. In correlation with temperament, parenting self-efficacy, and parenting stress, grandmothers' parenting self-efficacy had a negative correlation in the emotionality of grandmothers and grandchildren. Grandmothers' parenting stress had a negative correlation in the sociality of grandmothers and grandchildren. Grandmothers' parenting self-efficacy and parenting stress had a negative correlation. Conclusion:The findings of the study indicated a need to develop and apply nursing intervention to promote grandmothers' parenting self-efficacy, and reduce their parenting stress. This would give due consideration to the characteristics of the grandmothers, and temperament of grandmothers and their grandchildren.
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소리 자극 강도와 흉쇄유돌근의 수축의 변화에 따른전정유발근전위의 변화
박홍주,한수희,심대보,신향애,임상균,안재윤,정용수,신정은 대한이비인후과학회 2007 대한이비인후과학회지 두경부외과학 Vol.50 No.7
Background and Objectives:The aim of this study was to investigate the effect of the strength of SCM muscle contraction and the intensity of the sound stimulation on the VEMP parameters (amplitude, latency and threshold). Subjects and Method: Twenty normal subjects were included. Subjects pushed with their jaw against the hand-held inflated cuff to generate cuff pressures of 20, 40 and 60 mmHg and sequential stimulation intensities were applied. Variances of each parameter were analyzed. Results:There was no significant difference in terms of threshold according to the side and strength of SCM contraction. P1-N1 amplitude demonstrated no significant differences according to the side;however, the amplitude increased significantly as the cuff pressure and stimulation intensity increased. Interaural amplitude difference ratios showed an increased difference at 20 mmHg when compared to those at 60 mmHg. There was neither a cuff pressure effect, nor stimulation intensity effect when considering the P1 latencies. As for the N1 values, there was no stimulation intensity effect but there was a delayed latency at 20 mmHg when compared to those at 40 or 60 mmHg. Interaural latency difference of N1 latencies did not differ significantly according to the cuff pressure; however, there was an increased difference at 20 mmHg when compared to those at 40 or 60 mmHg. Conclusion:This study shows that VEMP response is influenced by the cuff pressure and stimulation intensity, and we recommend to get each VEMP parameter using this feedback method in the clinical setting. (Korean J Otorhinolaryngol-Head Neck Surg 2007;50:579-83)
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박홍주,신정은,심대보,신향애,임상균,안재윤,정용수 대한이비인후과학회 2007 대한이비인후과학회지 두경부외과학 Vol.50 No.3
Background and Objectives:The clinical association between migraine and vestibular symptoms has been indicated in many studies and it is believed that migraine-associated vertigo is one of the most common Subjects and Method:We investigated the nature of vestibular and migrainous symptoms of 26 patients suffering vertigo associated with migraine and their responses to antimigrainous medications. Neurotologic tests such as oculomotor tests, caloric test, and audiometry were performed between attacks. Results:A marked female predominance was found. The duration of rotational (77% ) and/or to-and-fro vertigo (23% ) lasted from a few seconds to several hours or, less frequently, even days. We found that patients showed vestibular abnormalities in central and peripheral types. In the symptom-free interval, 31% of the ic latency and horizontal saccadic pursuit. On the other hand, 15% showed unilateral weakness in the caloric test and 15% showed positive results in the head thrust tests. Overall, 85% of patients experienced resolution or significant reduction of their attacks of vertigo with medication. Conclusion:Most patients with migraine-associated vertigo showed normal results on the vestibular tests and responded well to preventive medication. Migraine-associated vertigo caused various clinical manifestations and there should be relevant diferential diagnosis for epiodic vertigo. (Korean J Otolaryngol 2007 ;50 :209-14)
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