• Title/Summary/Keyword: 추적대상자

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Inhibitory effects on colonization of Streptococcus mutans by eighteen months xylitol consumption (18개월간 자일리톨 껌 저작에 따른 Streptococcus mutans의 집락 형성 억제효과)

  • Park, Ji-Hye;Ahn, Sang-Hun;Gu, Hyo-Jin;Choi, Youn-Hee;Song, Keun-Bae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.11 no.1
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    • pp.375-382
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    • 2010
  • The purpose of this study was to evaluate suppression of Streptococcus mutans(S. mutans) colonization by long-term xylitol consumption among pregnant women who can easily get bad oral hygiene status during pregnancy and breast feeding. Participants were voluntarily recruited for a pregnant women's oral health prevention program, classified into two groups(a control and a xylitol group), and then followed for 18 months. Stimulated whole saliva was collected in the afternoon(1:00-3:00 p.m.) at baseline, 6 months, 12months, and 18 months. Information regarding oral health behavior(tooth brushing frequency and regular dental visits) was obtained via a questionnaire. S. mutans counts of the xylitol group decreased considerably between baseline and the re-examinations at 6, 12, and 18 months. Although the S. mutans counts decreased for all time points compared to baseline in the control group, these differences did not reach significance except 18 months. Regular chewing of xylitol gum over a long period may lead to decrease the colony counts of S. mutans.

Dissemination and Utilization of Growing-up Skills Program (성장기술 프로그램의 보급 및 활용에 관한 연구)

  • Choi, Myung-Min
    • Korean Journal of Social Welfare
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    • v.52
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    • pp.89-115
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    • 2003
  • While many social work studies has focused on the development of practice intervention and demonstration of the efficacy, little attention has been given to the way how the results can be disseminated and utilized in practice area. But attempts to bridge the research-practice gap empathize importance of dissemination and utilization including knowledge utilization, innovation diffusion, information dissemination, program replication, and technology transfer etc. In this recognition, this study that focused on the process after development of program tried to search and analyze the real disseminating process and utilization state with applying Growing-up Skills Program(GUSP) developed and disseminated by this researcher. For the purpose, theories and models for program diffusion were reviewed, and dissemination & utilization of GUSP was analyzed on the 'Herie & Martin's model' with retrospective perspectives. Through this tracer study, these were confirmed or founded as problems of GUSP in disseminating process : lack of specific strategy for the dissemination ; unplanned coping due to little preparation ; and unclear and insufficient understanding of the target system in the beginning stage of dissemination. And followings are suggested for the improvement of social work program dissemination & utilization in the field: to conduct diffusion process on the basis of a proper model; to consider integrative relationship between D&D and dissemination & utilization ; to endeavor for collecting feed back from the field ; and to reinforce social work education and study related to innovation diffusion. These results showed importance of dissemination & utilization in social work and utility of GUSP despite of several limitations. More concerns of dissemination & utilization are needed for the integration of research and practice in Korean social work.

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비만 중학생에서 캠프 프로그램을 이용한 영양교육 효과

  • 승정자;성미경;최미경;김미현;이윤신;조혜경;김경희
    • Proceedings of the KSCN Conference
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    • 2003.11a
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    • pp.1061-1062
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    • 2003
  • 현대사회에서 청소년기에 발생하는 영양문제 중 가장 빈번히 나타나는 청소년기 비만은 성인 비만으로 이행되기 쉬우며, 당뇨병, 지방간, 고혈압과 같은 각종 성인병의 발생과도 관련이 있다. 또한 체형에 대한 관심이 증가하고 있는 현대사회에서 편견의 대상이 됨으로 인한 심리적 장애를 발생시키기도 한다. 이에 따라 비만인의 체중조절을 위한 다양한 교육프로그램들이 실시되고 있는데, 현재까지의 실시되고 있는 프로그램들은 강의식교육이 주류를 이루고 있어 적극적인 교육효과를 이끌어 내는데 많은 한계점을 가지고 있었다. 이에 본 연구자들은 지역보건소를 중심으로 2박 3일간의 청소년 캠프 프로그램을 통하여 VTR감상, CAN-Pro를 이용한 섭취 식단의 평가 및 영양상담, 영양뷔페, 역할극, 다양한 영양지식 응용게임, 일상생활에서 활용가능 한 운동교육, 비만의 원인과 건강과의 관련성 및 식사요법 등에 대한 강의를 실시하였다. 캠프 참가자들은 부천시에 거주하는 중학생으로 사전에 신장과 체중에 대한 조사를 바탕으로 비만으로 판정된 총 42명(남 28명, 여 14명)으로 하였다. 캠프 시작전과 후에 설문조사를 통하여 영양지식, 영양태도, 자아만족도에 관한 조사를 실시하여 프로그램 직후의 효과를 판정하였고, 일상적인 영양소섭취상태를 평가하기 위해 24시간 회상법을 통하여 캠프참가 전날의 식이섭취 조사를 실시하였다. 대상자의 평균 연령은 13.9세로 남녀학생 간에 유의적인 차이가 없었으며, 신장은 남학생이 160.7cm, 여학생이 156.8cm였다. 체중, 체질량지수, 비만지수, 허리엉덩이둘레비 및 체지방 함량은 남학생이 각각 75.5kg, 29.1kg/$m^2$, 30.1, 0.89, 33.3%이었고, 여학생이 각각 67.8kg, 27.5kg/$m^2$, 25.3, 0.81, 34.6%였다. 영양소 섭취량에 대한 분석결과 열량의 경우 남학생이 2137.7㎉, 여학생이 2059.7㎉ 섭취수준을 보였으며, 총열량에 대한 당질, 단백질, 지질의 섭취 비율은 남학생 57:14:29, 여학생 60:13:26으로 남여학생 모두 총열량에 대한 지질의 섭취 비율이 높았다. 프로그램의 효과 평가를 위하여 남녀중학생을 모두 합하여 비교하였을 때 프로그램 실시 후 영양태도가 유의적으로 향상되었으며(p<0.001), 자아만족도 및 영양지식에 있어서는 유의적인 변화가 나타나지 않았다. 그러나, 성별로 분류하여 비교 시 남학생은 영양태도(p<0.01)와 영양지식(p<0.05)이 유의적으로 향상되었고, 여학생의 경우에는 영양태도(p <0.01)에서만 유의적인 향상을 나타내었다. 이상의 결과에서 2박 3일간의 청소년 캠프는 남녀 비만중학생에 있어 영양태도의 향상을 가지고 왔으며, 남학생의 경우에는 영양지식에도 유의적인 향상이 나타났다. 그러나 영양교육의 효과가 실제적인 영양소섭취 및 비만도의 변화에 영향을 미치는지를 알아보기 위해서는 지속적인 추적 관리를 통한 효과판정이 필요한 것으로 보여진다.

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Long Term Evaluation of the Effect of Botulinum Toxin A Injection on the Masseteric (교근 비대 환자에서 보툴리눔 A형 독소 주사 효과의 장기적 평가)

  • Hong, Hee-Suk;Kang, Seung-Chul;Kim, Chong-Youl;Kim, Seong-Taek
    • Journal of Oral Medicine and Pain
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    • v.30 no.1
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    • pp.121-129
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    • 2005
  • In this experiment, eleven volunteers were followed up for 15 months after the injection of botulinum toxin type A on right and left masseter muscles. The measurement of masseter muscle atrophy for each volunteer was performed by CT(computed tomography) three times: before the injection, three and fifteen months after the injection. The thickness and area of muscle were measured in three positions which are 10 (position 1), 20 (position 2), and 40 mm (position 3) above the inferior border of mandible(the injection site was nearest the position 1). The thickness of masster muscle was decreased in all three positions three months after the injection, but no significant change was observed fifteen months after the injection. On the other hand, the area of masster muscle was decreased in all three positions three months after the injection. Furthermore, the area was decreased significantly in positions 1 and 2, but not in position 3 fifteen months after the injection. As a result, toxin is still in effect even fifteen months after the injection. Finally, the present study shows that the measurement of muscle area provides more precise informations than that of muscle thickness does.

The Change Analysis about Health Behavior and Examination Result of Periodical Medical Examiner (정기 검진자의 건강행태 및 검진결과 변화분석)

  • Lee, Tae-Yong;Yoon, Dal-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.2
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    • pp.923-933
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    • 2014
  • The subject of investigation was 13,828 people who took periodical medical examiner in some health examination centers two times in 2009 and 2011 so as to analyze changes of borderline group, disease group for 4 diseases(hypertension, diabetes, liver disease, hyperlipemia) and health behavior of some medical examiner. For the contents of investigation, drinking and smoking habit was investigated as a general characteristic of subjects. For the items of health examination, there were SBP, DBP, AST, ALT, GGT, Glucose, Total Cholesterol and Triglyceride. The main results are as follows. In comparison with the starting year of research, drinking and smoking rate of the final year was reduced respectively by 1.6% and 1.4%. And, borderline group by examination items, hypertension was reduced by 2.2% from 62.0% to 59.8% in the final year in comparison with the starting year of investigation, And, fasting blood glucose was 17.1%, hyperlipemia was 6.6%, LFT was 2.0% for the reduction. In disease group, hypertension was reduced by 0.6% from 6.7% to 6.1%. And, fast blood glucose was 1.9%, hyperlipemia was 4.2%, LFT was 1.3% for reduction. Borderline group showed more reduction in comparison with disease group in all of items. The above results showed borderline group showed more reduction of manifestation rate than disease group in all of 4 diseases. Therefore, it's expected that disease group will show reduction in the future. But, it's necessary to study on future's changes through the continuous management and tracing observation.

Analysis of Hematological Factor to Predict Plaque of the Carotid Artery in Ultrasound Images (경동맥초음파에서 죽상경화반을 예측하는 혈액학적 수치의 분석)

  • Yang, Sung Hee;Kang, Se Sik;Lee, Jinsoo
    • Journal of the Korean Society of Radiology
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    • v.10 no.3
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    • pp.187-193
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    • 2016
  • In this study, we performed the carotid artery ultrasound targeting 140 subjects who have conducted to evaluate the changes in intima-media thickness(IMT) and plaque correlated with the presence or absence of a hematological test of the carotid artery. Considering that the IMT thickness more than 1mm is abnormal based on the carotid artery ultrasound to assess the presence or absence of plaque, and examined the correlation by classifying the blood lipid value and the fasting blood glucose level through the serum test. Consequently, the fasting blood glucose level is being analyzed as independent predictors of causing dental plaque(p=0.033), cut off value was determined as 126 mg/dL(sensitivity 56.25%, specificity 68.38%) in ROC curve analysis. Furthermore, the odds ratio appeared 1.01 times the value in the Logistic regression. Therefore, it seemed that the necessity to prospective studies in a number of subjects are considered, and also taking into account a number of blood test values along with the sonography of the carotid artery as a valuable part for effective primary prevention and follow-up observation of the cardiac and brain vascular disease is highly recommended.

Meta-analysis of Change in Weight and Heart Rate for Phentermine in Obesity (비만환자의 펜터민 복용에 따른 체중과 심박수 변화에 대한 메타분석)

  • Woo, Yeonju;Jeong, Hyomi
    • Journal of health informatics and statistics
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    • v.43 no.4
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    • pp.290-299
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    • 2018
  • Objectives: This study aimed to evaluate the change in weight and heart rate associated with the use of phentermine through meta-analysis based on the published literatures. Methods: Eight electronic databases, PubMed, EMBASE, Cochrane library, and five domestic databases were used to search the literature. Randomized controlled trials that evaluated the change in weight and heart rate with the use of phentermine compared with placebo were included in this study. The fixed-effect model weighted by the Mantel-Haenszel method was used in the meta-analysis, and the random-effects model was used when heterogeneity was present. Results: We included 12 studies comprising 677 patients. The change in weight observed with the use of phentermine (SMD = -1.37, 95% CI: -1.55, -1.19) was statistically significant compared with that observed with placebo. As per the subgroup analysis results, the change in weight by publication year, country, phentermine dosage, follow-up check was not heterogeneous. The change in heart rate observed with the use of phentermine (SMD = 0.64, 95% CI: 0.35, 0.92) was significant compared with that observed with placebo. Conclusions: Weight loss and increased heart rate were confirmed in phentermine compared with placebo.

The Effect of Interactive Metronome Training on Reading Fluency in Elementary Students: A Single Case Study (상호작용식 메트로놈(Interactive Metronome: IM) 훈련이 초등학생 저학년의 읽기 유창성에 미치는 영향: 단일사례연구)

  • Gim, Yeong-Jun;Shin, Min-ho;Jeong, Hye-won;Jeon, Byoung-Jin
    • The Journal of Korean Academy of Sensory Integration
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    • v.19 no.2
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    • pp.26-35
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    • 2021
  • Objective : The purpose of this study is to investigate the effect of Interactive Metronome (IM) training on the reading fluency of an elementary school student. Methods : This study followed the ABA design, a single-case research method, and was conducted on one elementary school student. From October 2019 to December 2019, a three-session baseline phase (A), twelve-session intervention phase (B), and three-session post-baseline phase (A') were conducted. The intervention was IM training, and long-form assessment (LFA) of IM and BASA:R were performed for each session. In addition, BASA:R was conducted three times at baseline and post-baseline. Result : Compared with baseline, there was a significant improvement in reading fluency after the IM training intervention. Conclusions : IM training can be useful for increasing reading fluency. The results of this work demonstrate the efficacy of IM training as a clinical intervention to improve reading fluency in elementary school students.

The Effects of PM10 on the Hospital Admission of Patients with Respiratory Disease in Seoul, Korea (서울지역 미세먼지가 호흡기계 질환으로 입원한 환자에 미치는 영향)

  • Pak, Hae-Yong;Pak, Yun-Suk
    • Journal of Convergence for Information Technology
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    • v.9 no.6
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    • pp.194-201
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    • 2019
  • This cohort study aimed to identify the effects of daily PM10 exposure on the hospital admission of patients with respiratory diseases, during the nine-year period (2002-2010), in Seoul, Korea. The research subjects were 13,974 patients who had been hospitalized with respiratory diseases, including chronic obstructive pulmonary disease (COPD), asthma, and pneumonia. During the follow-up period, an increase of 10 ug/m3 in PM10 under the threshold of 50 ug/m3 of PM10 led to hospital admission in 1.38% of the age group younger than 15 years, 1.62% in those 65 years or older, 2.87% in patients 75 years or older and in 1.50% of pneumonia patients, 1.51% of COPD patients, and 1.55% of pneumonia and asthma patients. Under the threshold of 80 ug/m3 of PM10, there was a 3.71% increase in new patients admitted in the age group 65 years or older and 4.25% in those at least 75 years old. Our study found that high PM10 was associated with increased risk of admission of respiratory patients, especially in the elderly. People who already have a respiratory disease should refrain from exposure to particulate matter when there is a high concentration of PM10, especially older patients.

A Study on the Hearing Protection Effect of Noise-Filtering Earplugs for Dentists (치과의사를 위한 노이즈 필터링 이어플러그의 청력 보호 효과에 관한 연구)

  • Dayoung Cho;Ikhwan Kim;Taeyang Lee;Seungho Shin;Jinsei Jung;Wonse Park;Je Seon Song
    • Journal of the korean academy of Pediatric Dentistry
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    • v.50 no.3
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    • pp.239-251
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    • 2023
  • The aim of this study is to evaluate the effect of noise-filtering earplugs on the hearing ability of dentists wearing them during noise-induced dental procedures. Pure tone audiometry and distortion product otoacoustic emission (DPOAE) tests were conducted at the initial visit and 1 year later to evaluate the hearing ability of the participants. As a result of the study, the pure tone average of the group wearing earplugs decreased significantly compared to the group not wearing earplugs, indicating an improvement in hearing. However, the signal-to-noise ratio of the DPOAE tests did not show a significant difference. These findings suggest that noise-filtering earplugs may have some effectiveness in preventing hearing loss. However, since the 1-year observation period may not be adequate to identify changes in hearing, a follow-up study with an extended follow-up period is necessary.