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제1대구치는 막중한 역할을 함에도 불구하고, 청소년 이전에 건강을 상실하는 경우가 드물지 않다. 본 연구는 청소년기 이 전에 치수치료를 받게 된 제1대구치의 우식 및 수복 상태와 분포를 파악할 목적으로 시도되었다. 최근 5년간 부산대학교 치 과병원에서 치수치료를 받은 18세 이하 106명 환자의 135개 제1대구치를 대상으로 의무기록에 대한 조사를 시행하여 다음 과 같은 결과를 얻었다. 1. 평균 연령은 11.9세(남 11.5세, 여 12.5세)였고 유의한 성차를 보였으며(p<0.05), 악별로는 상악 47개, 하악 88개로 하악 치아가 더 많았다. 2. 치수 치료 전 치료 기왕력이 없는 치아는 74개, 치수 또는 수복 치료를 받은 치아는 61개였다. 그 중 재치수치료를 받게 된 경우는 22개로 치수절제술-치수절단술의 순이었으며, 단순 수복치료를 받았던 치아는 39개로 복합레진-아말감-GI- 인레이-수복물 탈락 후 미치료-열구전색 및 주조 전장관의 순이었다. 3. 병소 위치가 분류 가능한 73개의 병소 중에서는 근심면 병소가 22개, 교합면 혹은 협설면 병소 39개, 원심면 병소가 12 개를 차지하였다. In clinical dentistry, it is not difficult to meet the permanent first molars with severe coronal caries lesions in children or adolescents. The circumstances surrounding the first molars of children and adolescents are so immature and imperfect compared with those of adults. So we thought it significant to understand the status of these teeth at the moment of endodontic treatment and immediate cause of it. 106 patients with 135 permanent molars necessitating endodontic treatment in childhood and adolescence were included in this study, and the dental records and radiographs were examined. 1. The mean age was 11.9 year (male 11.5, female 12.5) and the result shows significant difference between gender(p<0.05). The mandibular teeth took more than half percentage than maxillary teeth. 2. Of 135 teeth, 45.2 percent of teeth had history of dental treatment previously and 16.3 percent of teeth showed necessity of re-endodontic treatment. 3. Of 73 teeth, 22 teeth had mesial-wall cavity causing endodontic treatment, 39 had occlusal cavity, and 12 had distal cavity.
Exploring the epidemiological trend of HIV/AIDS is required for making the national AIDS policy. In this study, the trend of HIV/AIDS incidence, rout of transmission and some characteristics of AIDS for the past 11 years in Korea using the reported cases from the national STD screening scheme were reviewed. Based on the results, the trend of main route of transmission according to the year was established by stage and the HIV/AIDS cases in this year was estimated and that to the year 2000 was projected by 'Epimodel' programme. The results were as follows : 1. Of the total infected persons, 76% were in their twenties and thirties, socioeconomically and sexually active age groups. While the transmission by sexual contact overseas was decreasing, the infection through domestic heterosexual and homosexual contact was increasing. 2. In the middle of the 1980's, the infected persons were mainly prostitutes infected through heterosexual contact with the HIV positive foreigner in this county(stage 1). And in the late of the 1980's the main source of infection was the sexual contact overseas and the domestic heterosexual contact(stage 2). Since the early of the 1990's, the infection through the heterosexual contact with non-regular sexual partner in this country has increased rapidly(stage 3), which was the evidence of the possibility of HIV epidemics. After that, it was expected that the infection through the homosexual contacts, the heterosexual contacts with commercial sex workers outside and the non-regular sexual contact inside of this country would increase continuously. In the result, the occurrence of neonatal infection by vertical transmission was expected(stage4). 3. The number of HIV/AIDS was estimated at 572 to 2,313 and the projected number of HIV/AIDS to the you 2000 was around 5,800 including 627 AIDS patients. For the further study on the estimation and projection of HIV/AIDS, it was suggested that the sampling survey on the HIV infection rate in the high risk groups and the sentinel hospital surveillance system should be conducted.
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에니어그램심리역동은 타고난 9가지 기질적 욕구의 패턴을 의미하며, 이를 통해 개인의 깊은 성찰과 변 화를 이끌어 낼 수 있고 나아가 학교, 가정, 상담 등의 다양한 현장에서 자신, 대인간의 이해를 돕기 위해 활용될 수 있다. 본 연구에서는 에니어그램의 기질별로 구분하여 심층적인 내면(심리적, 신체적 특징)을 살 펴보기 위해 내러티브적 연구방법을 사용하였다. 에니어그램심리역동 심층역동 워크샵 참가자들 중 배중심 1, 8, 9유형군을 중심으로 연구하였다. 1, 8, 9유형으로 분류된 워크샵 참가자는 총 66명중 60명을 선발하여 분석했다. 내러티브적 방법에 의해 이들이 제출한 기질별 내러티브 탐구 보고서에 나타난 키워드들을 핵심 단어로 분류하였다. 에니어그램역동전문가 배중심 유형 9인이 평정을 진행하였으며, 1차로 1, 8, 9유형의 핵 심 내러티브적 의미를 탐색하였다. 2차는 의미적 단어탐색, 3차는 최종적인 기질적 내러티브를 정의하였다. 조사결과에 의해 나타난 중심별 역동심리현상을 규명정리 하였다. 이와 같은 결과는 에니어그램역동심리학 적으로 다양한 임상현장에서 나타나는 기질별 내러티브 현상을 고찰할 수 있었다. 이를 토대로 역동적 척 도개발에 관한 연구가 가능하며, 상담 장면에서 내담자에 대한 이해를 돕고, 교육장면에서는 기질별 교수학 습법 등으로 활용할 수 있다.
The purpose of this study was to determine the relationships among the health concern, health practice and health status of Koreans. This study utilized the data from Korean National Health Survey (KNHS) in 1992. The data consisted of random sample of 2,799 individuals (1,304 male and 1,495 females) whose ages were between 20 and 59. The data were analyzed using SAS version 6.04 and LISREL version 7.13. The analytic methods for the study were chi-square analysis and covariance structural analysis. The results of the study were as follows. (1) There were significant positive relationships between health concern level and health practice index, and between health practice index and self-perceived health status. (2) There were negative relationships between practice index and chronic illness, and between health practice index and acute illness only in female. (3) Based on the findings, the structural model of the health concern, health practice, health status and socioeconomic variables was established and then the covariance structural analysis was used. The higher educational level and economic status were, the higher the health concern was. And urban residents were much more concerned with their health than rural residents. The more persons were concerned with health, the more they did health practices. And the more the health practice was, the higher the health status was. The younger the persons were and the higher the health status of one's family was, the higher the health status was. In female, the higher the economic status was, the higher the health status was.
The reported thyroid cancer incidence rate in Korea has been increasing by 24% per year for the past 10 years. If this were accurate, reducing the sharp increase in thyroid cancer would thus be an urgent public health concern. We cannot accurately estimate the proportion of over-diagnosis of thyroid cancer from screening. However, considering the lack of a notable change in the thyroid cancer mortality rate and that the thyroid incidence rate increased after introducing thyroid cancer screening, it is possible that the wider use of thyroid cancer screening could have been the primary contributor to the increase in the measured thyroid cancer incidence. Evidence on the benefits and harms of thyroid cancer screening is insufficient. To stabilize the thyroid cancer incidence, however, thyroid cancer screening programs for asymptomatic adults should be reconsidered except for screening high-risk individuals or for those prescribed through individual counseling by their physician.
Objectives: This study is a descriptive study to survey the nursing college students for their health literacy, self-care agency, and health promoting behavior and to analyze their related factors. Methods: The questionnaire was administered to 228 students in two nursing colleges. Collected data were analyzed using t-test, ANOVA with scheff'e test, and stepwise multiple regression. Results: In this study, nursing students health literacy 14.37 ± 2.00, self-care agency was 158.10 ± 26.62 points, health promotion behavior were 145.67 ± 35.10 points. This result was higher than the previous study. The subjects' health literacy had a significant positive correlation with self-care agency (r = 0.60, p< 0.001), a significant positive correlation with health promoting behavior (r = 0.25, p< 0.001), and self-care agency had a significant positive correlation with health promoting behavior (r = 0.39, p< 0.001). Regression analysis to identify factors affecting the health promoting behavior showed that self-care agency was the most significant factor (p= 0.001), followed by health literacy (p= 0.048). In the regression analysis, self-care agency and health literacy were significant predictors and explained 23.0% (p< 0.001) of health promoting behavior. Conclusions: Results of this study have suggested that self-care agency and health literacy were significantly related to health promoting behavior in nursing college students. Therefore, in order to improve the health promoting behaviors of nursing college students, it is necessary to improve the health literacy and self-care agency, and the systematic education strategy and education program should be developed and applied.
During the Joseon Dynasty, Buddhism was not a highly favored religion. It was for such reason that the construction of temples even stone relics was atypical. However, in the early Joseon Dynasty, Buddhism and Buddhist art were supported primarily by royal family. Hyeondeungsa temple was one of the most eminent of the few temples that was built then. It was reestablished in the eleventh year of King Taejong's(1411 A.D.) reign and it served as a memorial to his three princes. Within the Hyeondeungsa temple lies a three-story stone pagoda which is from the early Joseon Dynasty. This study presents an argument of the original structure of the pagoda of Hyeondeungsa temple which was built as five-story stone pagoda. The stylobate of this stone pagoda resembles the western Stone-Stupa of Borimsa temple of late Koryeo dynasty and the Jangmyungdeung of Joseon dynasty royal tombs. Especially the shape and patterns are similar to the Jangmyungdeung of the previous king Sejong tomb(1446) and prince Gwangpyeong tomb(1444). The three-story stone pagoda of Hyeondeungsa temple still resembles the stone pagoda in the Koryeo Dynasty. Indeed it is a precious heritage as we reminisce on the historical wonders of Korean olden societies.
Periapical cemental dysplasia(PCD) is a condition most commonly seen in the mandibular incisor region. Radiographically it passes through the three phases(osteolytic stage, intermediate stage, and mature stage). At osteolytic stage, the lesion is similar to features associated with granuloma or cyst that arise following pulpal necrosis. So, it is important to confirm the vitality of the pulp to diagnosis. In this case, it is difficult to confirm the vitality of involved tooth because the tooth was covered with PFG bridge. And it is unusual that the PCD lesion at mandibular incisors has occurred at first and the lesion of mandibular canine and mandibular premolar were occurred afterward. 치근단 백악질 이형성증은 대부분 하악 전치부에서 발생하는 병소로 시간의 흐름에 따라 3단계의 독특한 방사선 사진상의 변화 양상을 보인다 (방사선 투과성기, 혼합기, 방사선 불투과성기). 특별히 1단계인 방사선 투과성기의 방사선 사진 상의 양상은 치수 괴사로 인해 발생하는 치근단 육종이나 치근단낭과 매우 유사하다. 따라서 이를 감별하기 위해서는 정기적인 방사선 사진 검사와 함께 치수의 생활력을 검사가 매우 중요하다고 할 수 있다. 하지만 본 증례에서는 해당 부위의 치아가 PFG bridge로 수복되어 있는 치수 생확력 검사를 정확하게 할 수 없었다. 또한 병소가 처음에는 하악 전치부에 발생하였으나 뒤이어 하악 견치와 소구치부에서도 연달아 발생한 특이한 소견을 보였다.