• 여성건강간호학회지
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• 제25권1호
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• pp.112-123
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• 2019

Purpose: The objective of this study was to investigate the prevalence of antenatal depression in pregnant women and its influencing factors. Methods: With a cross-sectional survey design, a total of 396 pregnant women were recruited from a local obstetrics and gynecology clinic. Measurements included antenatal depression, perceived stress, predictors of depression during pregnancy, and demographic and obstetric characteristics. Results: Mean antenatal depression score was 8.20 (standard deviation=4.95) out of 30, falling into its normal range. However, the prevalence of antenatal depression was 35.9% when cut-point of 9/10 was used. The prevalence of antenatal depression among women in the first trimester was 31.4%. It was slightly increased to 34.9% in the second trimester but significantly increased to 40.5% in the third trimester. In multiple logistic regression analysis, experiencing prenatal anxiety (odds ratio [OR], 4.16), having no job (OR, 2.90), lower self-esteem (OR, 1.62), and higher perceived stress (OR, 1.32) were significant factors influencing antenatal depression. Conclusion: Negative feeling such as feeling anxious, lower self-esteem, and higher perceived stress during pregnancy are key factors affecting antenatal depression. Thus, antenatal nursing intervention focusing on pregnant women's feeling upon their job status is necessary to improve their antenatal psychological well-being.

• 한국치위생학회지
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• 제18권6호
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• pp.921-932
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• 2018

Objectives: The aim of this study was to investigate the number of existing permanent teeth and the denture usage status in elderly adults aged 65 years and above living in metropolitan cities and to confirm the degree of oral health inequality caused by the differences in oral conditions in each metropolitan city using the Lorenz curve and the Gini coefficient. Methods: The raw data for the analysis were obtained from the dataset of the sixth Korea National Health and Nutrition Examination Survey conducted between 2013 and 2015. The subjects included 1,764 people who underwent oral examination and answered questions. The complex samples general linear model was used to analyze the number of existing permanent teeth adjusted for age and monthly household income. The proportion of edentulousness and the denture status was analyzed using complex samples crosstabs. Results: The number of existing permanent teeth in the elderly adults aged 65 years and above was lowest in Ulsan (15.41) and highest in Gwangju (20.44). The proportion of edentulousness was highest in Busan (14.5%) and lowest in Daejeon (4.0%). With regard to the proportion of denture users, Busan had the highest tendency for denture usage (50.4%) and Gwangju had the lowest tendency (34.9) (p=0.172). The Gini's coefficient for the number of existing teeth was lowest in Busan (0.332). Oral health inequality was most severe in metropolitan cities. Conclusions: We found that oral health inequality exists among elderly adults living in the metropolitan cities of Korea using the Lorenz curve and Gini's coefficient.

• Journal of Korean Academy of Oral Health
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• 제42권4호
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• pp.199-203
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• 2018

Objectives: The market for bottled water is increasing steadily in South Korea. Bottled water contains several naturally occuring minerals, such as calcium, magnesium, sodium, and fluoride. Fluoride is proven to be effective in preventing dental caries. In South Korea, the maximum permissible concentration of fluoride is 2 ppm for bottled water and 1.5 ppm for tap water. The aim of this study was to investigate the fluoride content of different commercially available brands of bottled water in South Korea, and compare the measured fluoride concentration to the concentration written on the label of each brand of bottled water. Methods: Twenty-seven of the 59 different brands of bottled water produced in South Korea were investigated in this study. Three bottles of each brand were purchased from supermarkets, marts, and convenience stores in each region of Korea in August 2016. For each bottled water brand, the fluoride content was measured three times using a fluoride-ion selective electrode (Orion ionplus Fluoride Electrode 9609, Orion Research, USA). The calibration curve was generated using 0.2 and 2 ppm standard solutions, and confirmed using a 1 ppm standard solution. Results: The mean fluoride content of the 27 brands of bottled water was $0.374{\pm}0.332mg/L$ (range=0.040 to 1.172 mg/L). The fluoride content was labeled by the manufacturer, on each of the tested brands of bottled water. In eight brands, the labeled fluoride content differed from the experimental data. The minimum to maximum fluoride content measured from 10 brands showed a variation of 0.3 mg/L or more when compared to the labeled fluoride content. Conclusions: This study investigated the fluoride content of various brands of bottled water produced in South Korea and compared the measured fluoride levels with fluoride information on the bottle labels. To ensure that consumers are suitably informed regarding their exposure to fluoride, correct labelling of fluoride content in bottled water is important.

• Journal of Korean Academy of Oral Health
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• 제42권4호
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• pp.136-144
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• 2018

Objectives: The aim of this study is to analyze the differences in factors related to the incidence of dental caries between children in fluoridated and non-fluoridated areas and compared the DMFT and DMFS scores to confirm the effect of water fluoridation program (WFP) in Geoje and Changwon. Methods: The oral health examination and questionnaire survey were conducted in fluoridated and non-fluoridated areas. The number of surveyed children aged 8, 10, and 12 years in the fluoridated and non-fluoridated area of two cities was 1,524 and 1,383, respectively. Self-recorded questionnaires included self-perception of their own dental health, daily toothbrushing frequency, intake frequency of cariogenic sweet snacks and beverages, experience of gingival bleeding, experience of unmet dental treatment, and use of oral hygiene device except for toothbrush and toothpaste. The prevalence of caries and fissure-sealant status were surveyed. The logistic regression analysis was used to analyze the difference in children's self-rated oral health status between the fluoridated and non-fluoridated area. The mean number of sealed teeth and surfaces, marginal means of the DMFT and DMFS scores adjusted for the difference in the samples' sex distribution, and region were compared between the fluoridated and non-fluoridated areas. Results: In the fluoridated area, the experience rate of unmet dental treatments was higher among children aged 10 years, intake frequency of cariogenic sweet snacks and beverages were higher among the whole sample, and experience rate of professional fluoride application were lower than in the non-fluoridated area. The DMFT score for permanent dentition adjusted for differences in sex, region, and mean number of fissure-sealed teeth in the fluoridated area was significantly lower among whole samples and 8-, 10-, and 12-year-olds alone than in the non-fluoridated area. Conclusions: WFP can alleviate oral health inequality because it is effective in reducing the incidence of caries among children is disadvantaged demographic, socioeconomic, and cultural contexts.

• Journal of Korean Academy of Oral Health
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• 제41권4호
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• pp.296-302
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• 2017

Objectives: The water fluoridation program has been implemented since 2008, in a region of Geoje City. This study aimed to evaluate the effectiveness of the water fluoridation program on caries prevention in the permanent dentition. Methods: Evaluation surveys were conducted on 8-, 10- and 12-year-old children in the fluoridated and non-fluoridated regions of Geoje City, in 2015. The survey included 834 children from the fluoridated regions and 703 from the non-fluoridated regions. The data obtained from the survey were analyzed using the IBM SPSS statistical package version 23.0. The effectiveness of community water fluoridation in caries prevention was estimated by the differences in the decayed, missing, filled teeth (DMFT) and decayed, missing, filled surfaces (DMFS) scores, between the program and control groups. The mean numbers of fissure-sealed teeth and surfaces were adjusted to reduce their confounding effect. Results: The mean DMFT and DMFS scores (0.69 and 0.91, respectively) of 10-year-olds from the fluoridated regions, after adjusting for the numbers of fissure-sealed teeth and surfaces, were significantly lower than those of the 10 year olds (DMFT: 0.95, DMFS: 1.32) from the non-fluoridated regions. The effectiveness of water fluoridation on caries prevention in the permanent dentition, estimated based on the differences in the mean DMFT and DMFS scores, adjusted for the number of fissure-sealed teeth and surfaces, between the program and control groups of 10-year-old children, was 27.4% and 31.1%, respectively. Conclusions: These results suggest that the effectiveness of water fluoridation on caries prevention in the permanent dentition, in Geoje City was so high that this program should be implemented in other regions in Korea as well.

• 대한치과보철학회지
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• 제52권2호
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• pp.90-96
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• 2014

연구 목적: 이 연구의 목적은 열가압성형기법이 금속도재관의 치경부 변연적합도에 미치는 영향을 확인하는 것이다. 연구 재료 및 방법: 실험에 앞서, 4개의 금속 주모형을 형성하였다. 각 모형은 각각chamfer, heavy chamfer, shoulder with bevel, shoulder (collarless)변연을 형성하였다. 각 변연당 10개씩의 금관을 제작하여, 총 40개를 제작하였다. Coping 단계에서, 그리고 금속도재관 완성 단계에서 주모형과 금관 사이의 변연간극은 100배율의 광학현미경 관찰을 통하여 측정되었다. Data분석은 paired t-test along with one-way ANOVA와 Duncan multiple comparison test를 이용하여 이루어졌다. 결과: 변연간극의 평균과 표준편차를 분석한 결과, 금속 코핑과 그 후 완성된 금속도재관, 모든 경우에서 변연부 간격은 임상적 허용범위 안에 있었다. Chamfer 변연 실험군의 경우 Heavy chamfer 변연 실험군에 비하여 금속도재관 완성 후 변연부 간격의 유의한 증가가 있었다. 그리고Shoulder 변연 실험군에서 도재로 처리된 변연이 Chamfer와 Shoulder변연 실험군의 금속변연에 비하여 변연부 간격이 유의하게 작게 나타났다. 결론: 열가압성형기법을 통하여 제작한 금속도재수복물의 변연적합도는 전통적인 방법으로 제작한 금속도재수복물의 변연적합도와 유의한 차이점이 없었다. 제작과정의 효율성으로, 열가압성형기법은 임상에서의 효과적인 사용법으로 고려될 수 있다.

• 한국콘텐츠학회논문지
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• 제10권3호
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• pp.204-214
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• 2010

본 연구는 지적장애인의 직업능력 향상을 위한 보조공학의 활용에 대한 국외의 단일대상연구 논문을 분석하여 지적장애인의 직업능력 향상을 위한 보조공학의 활용 연구에 대한 기초자료를 제시하는데 목적이 있다. 본 연구는 문헌연구로써, 관련 단일대상연구 논문을 분석하여 연구의 특성, 연구방법의 내용, 연구 설계의 질적 수준을 알아보았다. 분석결과는 다음과 같았다: 첫째, 연구의 특성을 분석한 결과, 실험환경은 분리된 환경에서의 연구가 대부분이었으며 중다간헐 설계가 대부분이었다; 둘째, 연구 방법의 내용을 분석한 결과, 대상자의 선정기준에 대해서는 모든 논문에서 언급하였으나 대상자와 관련한 내용을 기술한 논문의 비율이 낮게 나타났다. 기초선 측정시의 행동통제방법과 외부변수 통제방법에 대한 기술의 빈도가 낮았다; 셋째, 연구 설계의 질적 수준을 분석한 결과, 대부분의 논문에서 독립변수를 측정하고 중재충실도를 제시하고 있으나 사회적 타당도를 제시한 논문의 비율은 낮게 나타났다. 직업재활 분야에서 보조공학의 효과적인 활용을 위해서는 직업재활에 있어 보조공학의 활용이 근거기반의 실제라는 것에 대한 결과의 축적이 필요하며, 이를 위해 앞으로의 연구에서는 연구방법의 내용이나 연구 설계의 질적 수준에 대한 보완이 필요할 것이라 생각된다.

• 한국가정과교육학회지
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• 제19권4호
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• pp.175-185
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• 2007

기술 가정 교과서 내용 중 조리실습 단원에 제시된 일품요리를 대상으로 에너지 함량, 에너지 구성비, 그리고 단백질과 비타민 무기질의 영양적정성을 분석하였다. 9개 출판사에서 발행된 중학교 1학년과 3학년, 그리고 고등학교 1학년 교과서 총 27종을 대상으로 연구를 수행하였다. 일품요리는 학교 현장에서 조리실습 수업시간에 자주, 많이 활용되는 제재임에도 불구하고, 교과서에 제시된 일품요리, 그 중에서도 한국음식 일품요리는 그 수가 매우 적었다. 그리고 게재된 일품요리 가운데 많은 수가 청소년의 하루 에너지필요추정량의 1/3에 미치지 못하는 것으로 나타났고, 에너지 구성비의 경우 유부초밥, 비빕밥, 떡국, 국수장국의 4가지 음식을 제외하고 적정 비율을 갖추지 못한 것으로 확인되었다. 교과서 게재 일품요리의 INQ 분석 결과, 단백질과 인은 1을 초과하는 음식이 많았고, 비타민 $B_1$, $B_2$, $B_6$는 전혀 포함하지 않은 음식이 대부분을 차지하였다. 그리고 한국인의 섭취부족 영양소로 지목되는 칼슘과 철 역시 분석 대상 일품요리 대부분에서 충분하지 못한 것으로 나타났다.

• Journal of Korean Academy of Oral Health
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• 제41권1호
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• pp.22-27
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• 2017

Objectives: Dental plaque is composed of 700 bacterial species. It is known that some oral microorganisms produce porphyrin, and thus, they emit red fluorescence when illuminated with blue light at a specific wavelength of <410 nm. Porphyromonas gingivalis belongs to the genus Porphyromonas, which is characterized by the production of porphyrin. The aim of this study was to evaluate red fluorescence emission of some oral microorganisms interacting with P. gingivalis. Methods: Five bacterial strains (P. gingivalis, Streptococcus mutans, Lactobacillus casei, Actinomyces naeslundii, and Fusobacterium nucleatum) were used for this study. Tryptic soy agar medium supplemented with hemin, vitamin K3, and sheep blood was used as a growth medium. The fluorescence emission of bacterial colonies was evaluated under 405 nm-wavelength blue light using a Quantitative Light-induced Fluorescence Digital (QLF-D) camera system. Each bacterium was cultured alone and co-cultured in close proximity with P. gingivalis. The red/green (R/G) ratio of fluorescence image was calculated and the differences of R/G ratio according to each growth condition were compared using the Mann-Whitney test (P<0.05). Results: Single cultured S. mutans, L. casei and A. naeslundii colonies emitted red fluorescence (R/G ratio=$2.15{\pm}0.06$, $4.31{\pm}0.17$, $5.52{\pm}1.29$, respectively). Fusobacterium nucleatum colonies emitted green fluorescence (R/G ratio=$1.36{\pm}0.06$). The R/G ratios of A. naeslundii and F. nucleatum were increased when P. gingivalis was co-cultured with each bacterium (P<0.05). In contrast, the R/G ratios of S. mutans and L. casei were decreased when P. gingivalis was co-cultured with each bacterium (P=0.002, 0.003). Conclusions: This study confirmed that P. gingivalis could affect the red fluorescence of other oral bacteria under 405 nm-wavelength blue light. Our findings concluded that P. gingivalis has an important role for red fluorescence emission of dental biofilm.

• Journal of Korean Academy of Oral Health
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• 제41권4호
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• pp.290-295
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• 2017

Objectives: Dental plaque emits red fluorescence under a visible blue light near the ultra-violet end of the light spectrum. The fluorescence characteristics of each microorganism have been reported in several studies. The aim of this study was to evaluate changes in red fluorescence of oral microorganisms that is affected by blood in the culture media. Methods: The gram-positive Actinomyces naeslundii (AN, KCTC 5525) and Lactobacillus casei (LC, KCTC 3109) and gram negative Prevotella intermedia (PI, KCTC 3692) that are known to emit red fluorescence were used in this study. Each bacterium was activated in broth and cultivated in different agar media at $37^{\circ}C$ for 7 days. Tryptic soy agar with hemin and vitamin $K_3$ (TSA), TSA with sheep blood (TSAB), basal medium mucin (BMM) medium, and BMM with sheep blood (BMMB) were used in this study. Fluorescence due to bacterial growth was observed under 405-nm wavelength blue light using the quantitative light-induced fluorescence-digital (QLF-D) device. The red, green, and blue fluorescence values of colonies were obtained using image-analysis software and the red to green ratio (R/G value) and red to total RGB ratio (R/RGB value) were calculated for quantitative comparison. Results: The QLF-D images of the AN, LC, and PI colonies showed red fluorescence in all media, but the fluorescence of all bacteria was reduced in TSA and BMM media, compared with in TSAB and BMMB media. Both the R/G and the R/RGB values of all bacteria were significantly reduced in growth media without blood (P<0.001). Conclusions: Based on this in vitro study, it can be concluded that red fluorescence of oral bacteria can be affected by growth components, especially blood. Blood-containing medium could be a significant factor influencing red fluorescence of oral bacteria. It can be further hypothesized that bleeding in the oral cavity can increase the red fluorescence of dental plaque.