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환자의 치과병·의원 선택동기 (Choice motivation of dental clinics by patients)

  • 이향님;심형순
    • 한국치위생학회지
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    • 제15권5호
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    • pp.759-765
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    • 2015
  • Objectives: The purpose of the study was to investigate the choice motivation of dental clinics by patients. Methods: A self-reported questionnaire was completed by 577 patients visiting the dental clinics from October 6 to 25, 2014 in G city after explaining the purpose of the study and receiving the informed consent. The questionnaire consisted of sociodemographic characteristics and choice motivation of dental clinics using Likert 5 point scale. Results: 1. The traffic convenience was the highest in those who were the 30s (3.37) and unmarried person (3.30). Those having moderate oral health condition showed 3.23. The regular checkup group had 3.33. The physical environment was the highest in the 20s (3.37) and the unmarried persons (3.33). Those having master's degree showed 3.86. The reputation of the dental clinic image was the highest in those having master's degree (3.63). Those having moderate oral health condition had 3.28. The main reason for dental clinic visit was tooth extraction (3.79, p<0.05). 2. The top priority choice for the dental clinic was the access to the dental clinic and the next reason was reputation for the dentist. The other choice factors included trust for the dentist, recommendation, and night treatment. Conclusions: The important choice for the dental clinic included the access to the dental clinic and reputation for the dentist.

PRECEDE 모형을 적용한 치과위생사의 근골격계 통증 심각도 관련 요인 (The related factors of severity of musculo-skeletal pain in the dental hygienists based on PRECEDE model)

  • 문애은;박종
    • 한국치위생학회지
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    • 제15권4호
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    • pp.649-659
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    • 2015
  • Objectives: The purpose of the study is to investigate the musculo-skeletal pain prevalence and severity in the dental hygienists based on PRECEDE model. Methods: A self-reported questionnaire was completed by 483 dental hygienists in Gwangju from September 13 to October 12, 2013. Data were analyzed by frequency analysis, chi-square test, t-test, and multiple logistic regression analysis using SPSS 18.0 program. Musculo-skeletal pain severity was classified from 1 to 5 by PRECEDE model. The questionnaire consisted of six questions of the general characteristics of the subjects, one question of musculo-skeletal pain prevalence, one question of body part musculo-skeletal pain prevalence, one question of subjective health status, three questions of activities of daily living, six questions of working environment, one question of musculoskeletal system diseases knowledge, two questions of social support, two questions of education experience and data use method, and five questions of necessity of health education. Results: The prevalence rate of musculo-skeletal pain within a year was 83.9% and 22.8% of the dental hygienists complained of severe pain. The odds ratio of moderate pain severity was 1.99(95% CI, 1.10-3.60) and the odds ratio of unhealthiness was 3.27 (95% CI, 1.35-7.94). The odds ratio of pain severity in those working for 4-6 years was 0.21(95% CI, 0.08-0.57). The odds ratio of pain severity in those practicing 6-10 scaling cases per day was 0.33(95% CI, 0.17-0.65). The odds ratio of pain severity in wrist turning and bending was 3.56(95% CI, 1.19-10.62). Conclusions: The muscolu-skeletal pain severity in the dental hygienists was closely associated with subjective health condition, work duration, the number of scaling practice activity, and a treatment posture. Regular physical checkup for the dental hygienists will improve the musculo-skeletal pain due to scaling practice.

임플란트에 대한 지식 및 태도와 건강보험 급여화 인식 (Knowledge, attitude, and recognition of health insurance coverage in tooth implant)

  • 김현정;이선미;안세연;김창희
    • 한국치위생학회지
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    • 제16권2호
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    • pp.195-204
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    • 2016
  • Objectives: The purpose of the study is to investigate the knowledge, attitude, and recognition of health insurance coverage in tooth implant among Korean adults. Methods: A self-reported questionnaire was completed by 420 adults over 20 years lod in Seoul and Gyeonggido from October 1 to December 15, 2014. The questionnaire consisted of general characteristics of the subjects, knowledge, attitude, and recognition of health insurance coverage in tooth implant. Results: The mean of knowledge of regular checkup after implant was 3.05 points, and mean of advantage and disadvantage of implant was 3.03 points. The expectation for the implant treatment was 4.18 points and this was the highest score. There was no significant difference between the knowledge and attitude in age and monthly compensation(p>0.05). Only 45.6% of the adults were aware of the health insurance coverage of tooth implant since July, 2014. Health Insurance meeds to be modified in the beneficiaries age(44.6%), and cost(32.7%). The positive aspects of implant care included medical expenses(37.8%), health care beneficiary(29.1%), and oral health promotion(20.9%). Conclusions: Health insurance coverage of tooth implant is very important to enhance the quality of life in the adults because the proper management and implementation of the health insurance in implant will improve the oral health care in life.

일부 스케일링환자들의 한국형 스케일링두려움의 정도 및 관련요인 (Korean Scaling Fear(KSF-1.1) and related factors in scaling patients)

  • 조명숙
    • 한국치위생학회지
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    • 제13권6호
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    • pp.977-985
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    • 2013
  • Objectives : The purpose of the study is to investigate Korean scaling fear (KSF)-1.1 and related factors in scaling patients. Methods : The subjects were 314 scaling patients in 7 dental clinics in Daegu from April to June, 2013. Data were analyzed for simple frequency rate, t-test and ANOVA(Sheffes's post hoc) for the identification of the differences between KSF-1.1 and variables. Multiple regression was analyzed for the impact of independent variable on the score of KSF-1.1. Results : Mean score of KSF-1.1 in 314 scaling patients was 2.60. Female patients (2.71) had a higher score than male (2.47) (p<0.01). Those who didn't get a regular dental check up(2.87) tended to have higher fear level than those who had regular checkup (2.46) (p<0.001). Those who experienced dental pain (2.90) had significantly higher score than those who had not (2.46) (p<0.001). There was a significant difference between three groups (yes 3.03, ordinary 2.79, and no 2.42) in scaling (p<0.001) and financial burden (p<0.001). Variables associated with score of KSF-1.1 were gender(${\beta}$=0.21, p<0.05), waiting time for scaling(${\beta}$=0.24, p<0.01) and financial burden (${\beta}$=0.22, p<0.02) by multiple regression analysis. Conclusions : The influencing factors of scaling were gender, financial burden, waiting time for scaling that may effect on a score of KSF-1.1.

소아 간이식에서 간동맥의 미세혈관 문합술 (Microvascular Anastomosis of Hepatic Artery in Children Undergoing Liver Transplantation)

  • 진웅식;장학;민경원;이남준;서경석
    • Archives of Plastic Surgery
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    • 제33권4호
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    • pp.454-457
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    • 2006
  • Purpose: The anastomosis of hepatic artery to recipient vessel has a major role in a liver transplantation, so its occlusion is the most important cause of failure of liver transplantations. We made the study to reveal the peculiarities in pediatric liver transplantations compared with adult cases. Methods: From January 1999 to September 2005, we performed 99 cases of pediatric liver transplantation. The mean age at operation was 4.17 years of age. The hepatic vein and portal vein are anastomosed by the general surgeons and then the hepatic artery is anastomosed by the plastic surgeons. The Doppler ultrasonography and computed tomography were used for postoperative checkup for hepatic artery patency. Results: There were no immediate complications, but hepatic arterial occlusion was developed in 3 cases (2.8%). In pediatric patients, the anastomosis of hepatic artery is more difficult than adults because of the rapid respiratory and pulse rate, the small vascular diameter, and the large gap of diameter difference between the recipient and the donor vessels. Conclusion: We could confirm that pediatric liver transplantations are relatively safe but long learning curve was needed.

HTML 테이블의 논리적 구조분석을 위한 효율적인 방법 (An Efficient Method for Logical Structure Analysis of HTML Tables)

  • 김연석;이경호
    • 한국멀티미디어학회논문지
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    • 제9권9호
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    • pp.1231-1246
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    • 2006
  • 시각적 렌더링 포맷인 HTML은 연관된 정보를 간결하게 표현하기 위하여 테이블을 사용한다. 그러나 HTML은 컴퓨터로 하여금 정의를 처리 및 가공하게 한다는 측면에서 한계를 갖기 때문에 논리적 구조정보의 표현이 가능한 XML 문서로의 변환이 필요하다. 본 논문에서는 웹으로부터 정보를 추출하기 위한 목적의 일환으로 HTML 테이블의 논리적인 구조를 추출하여 XML 문서로 변환하는 효율적인 방법을 제안한다. 제안된 방법은 영역구분과 구조분석의 두 단계로 구성된다. 영역구분 단계에서는 잡음영역을 제거하며 시각적 및 의미적 일관성 검사를 통하여 테이블에 존재하는 속성과 값 영역을 구분한다. 이후 구조분석 단계에서는 구분된 영역에 제안된 테이블 모델을 적용하여 계층구조를 추출하며, 이로부터 XML 문서를 생성한다. 제안된 영역구분 방법의 성능을 평가하기 위하여 1,180개의 테이블을 대상으로 실험한 결과, 평균적으로 86.7%의 정확도를 보여 기존 연구보다 우수하였다.

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Difference of The Cardiac Structure and Function Depending on Obesity Level of Healthy Adults

  • Shin, Kyung-A;Hong, Seung-Bok
    • 대한의생명과학회지
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    • 제17권2호
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    • pp.141-149
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    • 2011
  • The purpose of this study was to find out any difference and correlation between the cardiac structure and its function according to the level of obesity as evaluated by waist measurement and BMI (body mass index) in healthy adults. For research subjects, the study selected a final 519 subjects excluding 198 subjects aged 55 or over out of 717 subjects who received echocardiography through a medical checkup at J General Hospital. For the criteria for obesity, men were defined as being obese in case their waist measurement was over 90 cm, whereas women were defined as being obese in case their waist measurement was over 80 cm. Also, regarding the BMI criteria, in case a person's BMI was 30 kg/$m^2$, the subject was classified as belonging to an obese group, and in case a person's BMI was between 25 kg/$m^2$ and 30 kg/$m^2$, the subject was classified as belonging to an overweight group. Concerning the evaluation of cardiac structure and function, they were evaluated using two-dimensional, M-mode, doppler echocardiography. According to the stage of obesity in accordance with waist measurement and BMI, the cardiac structure showed both eccentric and centripetal changes, and the cardiac function was also discovered to show differences according to the stage of obesity. In addition, also in the overweight group, which is a prior stage to obesity, out of the criteria for obesity classification according to BMI, there were differences in the cardiac structure and function. Also, both the waist measurement and BMI were found to have a correlation with cardiac structure and diastolic function. Consequently, cardiac structure and function are correlated with BMI and waist measurement, which are anthropometrical variables, and obesity is assumed to induce not only structural change but also functional change of the heart.

PRECEDE 모형을 이용한 영·유아교육기관 교사의 구강보건교육행태 연구 (Infants according to type of teacher education oral health education behavioral research using PRECEDE model)

  • 심재숙;문하영
    • 한국치위생학회지
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    • 제11권5호
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    • pp.603-613
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    • 2011
  • Objectives : This study is to investigate factors that predispose the oral health education patterns of teachers at preschool institutions such as kindergartens and day nurseries, for which a comparison was made among the patterns, whereto the PRECEDE model was applied. Methods : A survey was conducted by two visits, a preliminary survey and a main survey, and teachers at the foregoing institutions personally filled in the questionnaire. Results : 1. With relation to epidemiological and social diagnosis, the largest number of respondents (53.7%) agreed on the need for oral health education, but at the same time, the largest number of respondents (40.3%) was unsatisfactory with oral health education given by them. 2. With relation to behavioral diagnosis, there were many cases where respondents taught their students to brush their teeth after meals and snacks. Oral health education was focused on safety and injuries. There was no significant intergroup difference (p>0.05). 3. Predisposing factors (a subcategory of educational diagnosis) showed the following results: As for the frequency of oral health education, most respondents at both institutions answered preferred once every six month (p>0.05). In the case of oral health checkup, 75.4% of respondents at kindergartens preferred once a year. 72.2% of respondents at day nurseries preferred the same frequency. They showed a statistically significant difference (p<0.05). In enabling factors, it was found that most respondents at both institutions collected information and teaching materials from mass media and public health centers respectively. In enabling factors, insufficient teaching materials, media and knowledge were found to be obstacles to oral health education. Conclusions : Oral healthcare providers' cooperation is required to diversify away from tooth brushing-centered education and to enrich oral health education. In addition, continuous supplements are required to make teachers at preschool institutions acquire expert knowledge and give oral health education with confidence. Moreover, it needs to train them for various education programs as well as to support them with educational media. Lastly, family members' cooperation is required to develop oral health education programs.

임플란트 환자의 치료 만족도 및 구강건강관련 삶의 질(OHIP-14)에 관한 연구 (A study on treatment satisfaction and oral health-related quality of life (OHIP-14) among implant patients)

  • 김수경;박민영;변은희;양신희;최선주;정은서
    • 한국치위생학회지
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    • 제18권5호
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    • pp.741-750
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    • 2018
  • Objectives: This study aimed to investigate factors affecting treatment satisfaction of patients with dental implants and quality of life. Methods: A questionnaire survey was conducted for adults who underwent dental implant treatment. at dental departments of general hospitals or dental clinics in Seoul and Gyeonggi-do. Data was analyzed to get descriptive statistics of variables, and was under independent t-test, one way ANOVA, and multiple regression analysis. Results: The mean of total satisfaction with implants was $3.73{\pm}0.41$ in the 5-point scale, and that of general satisfaction was $3.97{\pm}0.53$, followed by mean values of psychological satisfaction of $3.68{\pm}0.51$, aesthetic satisfaction of $3.67{\pm}0.49$, and masticatory function of $3.65{\pm}0.53$. Factors that affect implant treatment satisfaction among patients were monthly income (more than 4 million won), hesitation of the procedure (treatment period), regular checkup (yes) and concerns during treatment (work). Factors that affect the quality of life of patients who underwent implant treatments were satisfaction of aesthetic function and overall satisfaction. Conclusions: The above results showed that the higher the aesthetic satisfaction and overall satisfaction with the implant are, the higher the quality of life of patients get. Therefore, it is necessary for dental specialists to perform dental implants well to improve quality of life of patients.

Characteristics of late-onset epilepsy and EEG findings in children with autism spectrum disorders

  • Lee, Ha-Neul;Kang, Hoon-Chul;Kim, Seung-Woo;Kim, Young-Key;Chung, Hee-Jung
    • Clinical and Experimental Pediatrics
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    • 제54권1호
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    • pp.22-28
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    • 2011
  • Purpose: To investigate the clinical characteristics of late-onset epilepsy combined with autism spectrum disorder (ASD), and the relationship between certain types of electroencephalography (EEG) abnormalities in ASD and associated neuropsychological problems. Methods: Thirty patients diagnosed with ASD in early childhood and later developed clinical seizures were reviewed retrospectively. First, the clinical characteristics, language and behavioral regression, and EEG findings of these late-onset epilepsy patients with ASD were investigated. The patients were then classified into 2 groups according to the severity of the EEG abnormalities in the background rhythm and paroxysmal discharges. In the severe group, EEG showed persistent asymmetry, slow and disorganized background rhythms, and continuous sharp and slow waves during slow sleep (CSWS). Results: Between the two groups, there was no statistically significant difference in mean age (P=0.259), age of epilepsy diagnosis (P=0.237), associated family history (P=0.074), and positive abnormal magnetic resonance image (MRI) findings (P=0.084). The severe EEG group tended to have more neuropsychological problems (P=0.074). The severe group statistically showed more electrographic seizures in EEG (P=0.000). Rett syndrome was correlated with more severe EEG abnormalities (P=0.002). Although formal cognitive function tests were not performed, the parents reported an improvement in neuropsychological function on the follow up checkup according to a parent's questionnaire. Conclusion: Although some ASD patients with late-onset epilepsy showed severe EEG abnormalities, including CSWS, they generally showed an improvement in EEG and clinical symptoms in the longterm follow up. In addition, severe EEG abnormalities tended to be related to the neuropsychological function.