A study on the factors associated with treatment compliance in adolescent orthodontic patients / 대한치과교정학회지

This study is aimed at providing the variables associated with adolescent compliance in orthodontic treatment, and identifies the salient predictors of cooperative behaviors over the course of treatment. Orthodontic attitude scale, orthodontic locus of control scale and demographics data were obtained for 60 adolescent orthodontic patients who had been in treatment a minimum of 10 months. This data was then analyzed in relation to their sex, school age and treatment compliance. The following results were obtained. 1. The scoring of external-powerful others-parents, subscale of the Orthodontic Locus of Control scale, found a statistically significant difference between sex differences (p<0.05). The score of boys was higher than that of girls. 2. The external-powerful others-parents score from the Orthodontic Locus of Control scale showed a significantly positive correlation (p<0.05) with the level of compliance. 3. The salient factors associated with compliance were the adolescent patients' own cognition and decisions. 4. There was a statistically significant correlation between the length of treatment and patient compliance (p<0.05). Thus, there was a substantial decrease in the cooperation of orthodontic patients over time. 5. Other independent variables including age, sex, family environment, religion, academic standing, parents' occupation and education, and brushing frequency were investigated and did not yield any significant relationships. Patient compliance is a critical factor in the efficacy of orthodontic treatment. Individuals vary greatly in their perceptions and attitudes of orthodontic treatment, sociodemographic environments and personality characteristics. In assessing the level of compliance attainable by each individual patient it is advisable to pay sufficient attention not only to the technical matters but also to the psychologic aspects of the treatment progress.

Analysis of nasal septal fracture combined in nasal bone fracture using computerized tomography

There have been several reports that nasal bone fractures are inadequately managed. They are probably due to poor understanding of the pathophysiology of nasal bone fracture and absence of the accurate diagnostic method. And there has been little adequate comprehensive classification of nasal bone fracture and nasal septal fracture. We examed 132 patients sustaining nasal bone fracture using computerized tomography. Fracture line, deviation, depression, associated skeletal deformities and the nasal septum were clearly identified. We compared our results with Murray & Maran's classification of nasal bone fracture. We found that they revealed almost same results and computerized tomography was good method for diagnosis of nasal septal fracture. The computerized tomography will be helpful for accurate diagnosis and preperative planning of the correction of nasal bone and septal fracture.

A clinical review of pediatric burn patients in recent 10 years

During the period of 10 years from January, 1987 to December, 1996, 553 burn patients were admitted and treated at Ewha Womans University Hospital. Among them, 172 patients were under the age of fifteen. We reviewed the charts and analyzed the data retrospectively. The results revealed as follows; 1. Children under 15 years old were 31.1% of all admitted burn patients and males were frequently affected 1.46 times more than females. 2. The most prevalent age group was under 1 years old as 25.6%. 3. The most common cause of burn was scalds (84.3%), followed by flame (7.6%), contact (5.8%) and electricity (2.3%). 4. Burn accidents were frequently occurred in spring, especially March (11.6%). 5. Time interval from burn accident to arrival at hospital was 5.1 hours in direct visitors and 20.5 hours in referred patients. 6. Burn involved multiple sites of the body in 64.5% of cases. 7. In 60.2% of patients the extent of burn was under 9% of body surface. 8. Mean hospital day was 16.9 days and 17.4% of the patients were discharged against on 5.7 days. 9. The complications were developed in 38.7% of the patients. They were wound infection(61.8%), sepsis (20.0%), pulmonary complication (10.9%), urologic infection (3.6%), gastrointestinal bleeding(1.8%) and burn shock (1.8%). 10. Wound culture was positive in 66.7% of suspicious cases. The organisms cultured were Pseudomonas aeruginosa (58.9%), Staphylococcus species (26.5%), E. coli (11.8%) and Enterobacter species (2.9%). 11. Overall mortality rate was 5.6% and mean survival day was 14.7 days. The cause of death was sepsis in 50% of cases.

A clinical review of pediatric burn patients in recent 10 years

During the period of 10 years from January, 1987 to December, 1996, 553 burn patients were admitted and treated at Ewha Womans University Hospital. Among them, 172 patients were under the age of fifteen. We reviewed the charts and analyzed the data retrospectively. The results revealed as follows; 1. Children under 15 years old were 31.1% of all admitted burn patients and males were frequently affected 1.46 times more than females. 2. The most prevalent age group was under 1 years old as 25.6%. 3. The most common cause of burn was scalds (84.3%), followed by flame (7.6%), contact (5.8%) and electricity (2.3%). 4. Burn accidents were frequently occurred in spring, especially March (11.6%). 5. Time interval from burn accident to arrival at hospital was 5.1 hours in direct visitors and 20.5 hours in referred patients. 6. Burn involved multiple sites of the body in 64.5% of cases. 7. In 60.2% of patients the extent of burn was under 9% of body surface. 8. Mean hospital day was 16.9 days and 17.4% of the patients were discharged against on 5.7 days. 9. The complications were developed in 38.7% of the patients. They were wound infection(61.8%), sepsis (20.0%), pulmonary complication (10.9%), urologic infection (3.6%), gastrointestinal bleeding(1.8%) and burn shock (1.8%). 10. Wound culture was positive in 66.7% of suspicious cases. The organisms cultured were Pseudomonas aeruginosa (58.9%), Staphylococcus species (26.5%), E. coli (11.8%) and Enterobacter species (2.9%). 11. Overall mortality rate was 5.6% and mean survival day was 14.7 days. The cause of death was sepsis in 50% of cases.