No abstract available.
Nutrition Policy*

Postcoital contraception or emergency contraception(EC), commonly known as the "morning after pills", prevents pregnancy after unprotected intercourse. A comprehensive definition of EC is as follows : "specific contraceptive methods that can be used as emergency measures to prevent pregnancy after unproteted intercourse". Both drugs and certain devices can be used for emergency contraception. The best-studied regimen(Yuzpe) consists of an ordinary combination of oral contraceptives containing ethinyl estradiol and norgestrel. Conventional clinical guidelines recommend a first dose within 72 hours after unprotected intercourse and a second dose 12 hours thereafter. These drugs are most effective when taken as soon as possible after the intercourse. The Yuzpe regimen reduced the risk of unintended pregnancy by at least 75% in clinical trials. The most common side effects of the Yuzpe method are nausea and vomiting. Levonorgestrel is the synthetic progesterone. The major benefits of levonorgestrel are the decreased side effects and greater contraceptive efficacy than Yuzpe regimen. Mifepristone (RU486) is a synthetic steroid that prevents progesterone from binding to the progesterone receptors and glucocorticoid receptors. It has been used extensively in Europe as an abortifacient and also has been used as an effective EC. Its common side effect is a delay in the onset of menses, leading to anxiety for the user. The intrauterine contraceptive device(IUCD) is the only method of emergency contraception available to women presenting beyond 72 h and within 5 days from unprotected intercourse. EC is not protective against infections such as STD(sexually transmitted diseases). There are many situations where EC is indicated, including condom rupture or slip, unplanned unprotected intercourse, incidental misuse of regular contraceptive methods, and sexual assault. Emergency contraceptive pills can prevent ovulation, but an alternative major mechanism of action is to prevent uterine implantation of the embryo at the endometrial level. A 3-week follow-up visit should be scheduled to assess the result and to counsel for regular contraception. EC provides a second chance at preventing undesired pregnancies. but it should not be used as a routine birth control method, because it is actually less effective and needs a higher dose at preventing pregnancies than most types of oral contraceptives. Widespread and appropriate use of EC will provide a promising means to reduce the incidence of unplanned pregnancy and to contribute to the women's health.
Anxiety ; Condoms ; Contraception ; Contraception, Postcoital ; Contraceptives, Oral ; Embryonic Structures ; Emergencies ; Ethinyl Estradiol ; Europe ; Female ; Follow-Up Studies ; Humans ; Incidence ; Levonorgestrel ; Methods ; Mifepristone ; Nausea ; Norgestrel ; Ovulation ; Pregnancy ; Pregnancy, Unplanned ; Progesterone ; Receptors, Glucocorticoid ; Receptors, Progesterone ; Rupture ; Vomiting ; Women's Health

STATEMENT OF PROBLEM: Adhesives in dentistry play a major role in the success of restorative treatments. In the treatment of all ceramic restoration it is needed to find the adequate bond strength between enamel and dentin. PURPOSE: The purpose of this study was to evaluate shear bond strength of resin cement bonded to extracted human uncut enamel, cut enamel, and dentin in vitro. MATERIAL AND METHODS: Ten freshly extracted anterior teeth without any previous restorative treatments were chosen. The extracted teeth were embedded in PMMA cold acrylic in the shape of a cylinder, 25 mm in diameter by 25 mm in height. The bonding system used was as follow: Uni-Etch (32 % phosphoric acid), One-Step adhesive, Duolink resin cement. The specimens were acid etched and rinsed with water. Two layers of One-Step adhesive were coated with a disposable brush on the uncut enamel. VIP curing light at 500 mV/cm2 was used to cure the adhesive. For cut enamel shear bond test, the specimen used for uncut enamel was further reduced approximately 0.3 - 0.5 mm using a laminate preparation diamond bur (0.3 mm in depth). The specimens were subsequently treated with 320-grit SiC paper followed by 600-grit SiC paper and cleaned with distilled water. The bonding procedure on the cut enamel was same as uncut enamel bonding procedure. For dentin bonding test, the specimen used for cut enamel was further reduced approximately 0.5 mm ~ 1.0 mm using a laminate preparation diamond bur (0.5 mm in depth of diamond cutting). The amount of reduction was evaluated with the silicone mold. The specimens were subsequently treated with 320-grit SiC paper followed by 600-grit silicon carbon paper and cleaned in distilled water. The bonding procedure on the dentin was same as uncut enamel bonding procedure. All samples were mounted and secured on the Ultradent shear bond test sample holder, and Ultradent restricted shear bond testing device was used with Universal Instron machine until fracture. Analysis of variance (ANOVA) test was performed comparing the result at P<0.05. Multiple comparison (Tukey) was used to compare each groups. RESULT: The result showed that the mean value in shear bond strength of resin cement bonded to uncut enamel, cut enamel and dentin were 27.04 Mpa, 30.25 Mpa and 26.39 Mpa with respect. CONCLUSION: Within the limitation of this study, the mean value of the shear bond strength of cut enamel was higher than those of uncut enamel or dentin. However there existed no statistical differences between three different human dentition substrates due to increased adhesive characteristics.
Adhesives ; Carbon ; Ceramics ; Dental Enamel* ; Dental Instruments ; Dentin* ; Dentistry ; Dentition ; Diamond ; Fungi ; Humans* ; Polymethyl Methacrylate ; Resin Cements* ; Silicones ; Tooth ; Water

The distribution and the infestation rates of metacercariae in fishes from the Kum-Ho river were observed from June 1965 to August l967. The results obtained are as follows: The Fourteen kinds of metacercariae; Exorchis oviformis, Metorchis orientalis, Cyathocotyle species, Metacercaria hasegawai, Clonorchis sinensis, Metagonimus species, Pseudexorchis major, Echinochasmus species, Centrocestus species, Prosorhpynchus species, and four kinds of unidentified species, A, B, C and D were detected from 12 kinds of fishes. Clonorchis sinensis, Metagonimus species, Echinochasmus species, and Centrocestus species of the detected 14 kinds of flukes were noted to be parasited in man; Metorchis orientalis and Cyathocotyle species in avian species; and Exorchis ovifomis and Pseudexorchis major in wels, but the definite host of the other 6 kinds of flukes were not identified. Exorchis oviformis was found in 64.5 percent, of all kinds of fishes, Cyathocotyle species in 36.8 percent of 7 kinds of fishes, Metacercaria hasegawai in 36.3 percent of 8 kinds, Clonorchis sinensis in 95.0 percent of 6 kinds and Metagonimus species in 47.9 percent of 10 kinds. Concerning the infested rates of metacercaria and the length of fishes, Exorchis oviformis and Clonorchis sinensis showed increased rate by the length of fishes but the rest of fishes showed no relationship between them. The infested degree of metacercaria of Clonorchis sinensis was highest in Pseudorasbora parva with 34.3 parasites per cubic cm of flesh, of Exorchis oviformis in Carassius carassius with 7.3, of Cyathocotyle species in Acheilognathus with 6.0, and of Metacercaria hasegawai in Pseudogobio esocinus with 5.7 but Prosorhpynchus etc. were very few in all kinds of fishes. The infested rates of metacercaria in the four kinds of fishes, Pseudorasbora parva, Pungtungia herzi, Pseudogobio esocinus and Gnathopogon coreanus seemed not to be influenced by season, Spring and Autumn. In the infested rates of metacercariae by parts of fishes, Exorchis oviformis was chiefly infested in scales and fins; Metorchis orientalis, Cyathocotyle species, Clonorchis sinensis, Pseudexorchis major, Centrocestus species and Prosorhpynchus ecinatus were chiefly infested in muscle; Metacercaria hasegawai in muscle and fins; Metagonimus species chiefly in scales; and Echinochasmus chiefly in gills.
parasitology-helminth-trematoda- Exorchis oviformis-Metorchis orientalis-Cyathocotyle species-Metacercaria hasegawai-Clonorchis ; epidemiology ; metacercaria

No abstract available.

Rheumatoid arthritis(RA) is a chronic inflammatory disease of joints with proliferation of synovial epithelial tissue. Therapeutic approach of the RA consists of pharmacological and surgical interventions. Synovectomy is indicated in patients with progressive inflammatory signs and symptoms intractable to medical treatment including local intracavitary steroid injection. Recently, local injection of radionuclides which emit high energy beta rays are labeled with chemical compounds such as 90Y, 165Dy-ferric hydroxide macroaggregate and have been introduced as an alternative therapeutic modality to surgical synovectomy. Holmium-166 is one of beta emitter and Ho-166-chitosan complex was developed for radiation synovectomy. Preclinical trial is on-going at our hospital using Ho-166-chitosan. The procedure and methods of preclinical trial are discussed.
Arthritis, Rheumatoid ; Beta Particles ; Humans ; Joints ; Radioisotopes

No abstract available.
Primary Health Care*

No abstract available.
Diagnosis* ; Encephalitis*

No abstract available.
Cytogenetics* ; Leukemia, Myeloid, Acute*

This study was carried out to develop a Korean language version of Zung's self-rating anxiety scale(SAS) from august, 1994 to September, 1996. The subjects consisted of 205 normal control subjects from the general population group, and 97 subjects with anxiety disorders. These 97 subjects were chosen from a group by the structured clinical interview for DSM-IV of in patients and out patients. Both normal control subjects and anxiety disorder subjects were drawn utilizing a cluster of sampling methods. In order to analyze the data on anxiety scores, Pearson's product moment correlation coefficient method was carried out, as well as reliability, factor analysis and discrimina;it function analysis, utilizing the SPSS/PC+ program. The results obtained were - as follows: The mean average of the total anxiety scores were 32.36 + 6.35 for the normal control subjects and 50.53 + 7.67 for anxiety disorder subjects. Test-retest reliability(coefficient r=0.98, p < 0.001), and internal consistency(coefficient r=0.96, p < 0.001) were satisfactory. Factor analysis using oblique technique rotation yielded four factors. _ The . normal control subjects scored higher concerning the symptoms such as sweating, restlessness, apprehension, insomnia and dyspnea, and lower for faintness, mental disintegration, paresthesia, dizziness and .tremor. On the other hand, for the anxiety disorders, apprehension, restlessness, sweating, dyspnea and insomnia scored higher, and lower for faintness, paresthesia, nightmare, dizziness and tremor.
Anxiety Disorders ; Anxiety* ; Diagnostic and Statistical Manual of Mental Disorders ; Dizziness ; Dreams ; Dyspnea ; Hand ; Humans ; Outpatients ; Paresthesia ; Population Groups ; Psychomotor Agitation ; Sleep Initiation and Maintenance Disorders ; Sweat ; Sweating ; Tremor